Experience Implementing Electronic Health Records in Three East African Countries

被引：36

作者：

Tierney, William M. ^{[1
]}

Achieng, Marion ^{[2
]}

Baker, Elaine ^{[3
]}

Bell, April ^{[1
]}

Biondich, Paul ^{[1
]}

Braitstein, Paula ^{[1
,4
]}

Kayiwa, Daniel ^{[5
]}

Kimaiyo, Sylvester ^{[4
]}

Mamlin, Burke ^{[1
]}

McKown, Brian ^{[1
]}

Musinguzi, Nicholas ^{[6
]}

Nyandiko, Winstone ^{[4
]}

Rotich, Joseph ^{[4
]}

Sidle, John ^{[1
,4
]}

Siika, Abraham

Were, Martin ^{[1
]}

Wolfe, Ben ^{[1
]}

Wools-Kaloustian, Kara ^{[1
]}

Yeung, Ada ^{[1
]}

Yiannoutsos, Constantin ^{[1
]}

机构：

[1] Indiana Univ Sch Med, Regenstrief Inst, Indianapolis, IN 46202 USA

[2] WHO, Kampala, Uganda

[3] Univ Dar Es Salaam, Dar Es Salaam, Tanzania

[4] Moi Univ Sch Med, Eldoret, Kenya

[5] Makerere Univ, Kampala, Uganda

[6] Mbarara Univ Sci & Technol, Mbarara, Uganda

来源：

MEDINFO 2010, PTS I AND II | 2010年 / 160卷

关键词：

Computerized medical record systems; Developing countries; Africa South of the Sahara; HIV; SYSTEM; CARE;

D O I：

10.3233/978-1-60750-588-4-371

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Introduction: Efficient use of health care resources in low-income countries by providers and local and national managers requires timely access to patient data. Objective: To implement electronic health records (EHRs) in HIV clinics in Kenya, Tanzania, and Uganda. Results: We initially developed and implemented an EHR in Kenya through a mature academic partnership. The EHR was then implemented in six HIV clinics in Tanzania and Uganda in collaboration with their National AIDS Control Programmes. All implementations were successful, but the system's use and sustainability varied depending on who controlled clinic funding. Conclusions: Successful EHR use and sustainability were enhanced by local control of funds, academic partnerships (mainly by leveraging research funds), and in-country technology support.

引用

页码：371 / 375

页数：5

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