Electronic Medical Records and Same Day Patient Tracing Improves Clinic Efficiency and Adherence to Appointments in a Community Based HIV/AIDS Care Program, in Uganda

被引：39

作者：

Alamo, Stella T. ^{[1
]}

Wagner, Glenn J. ^{[2
]}

Sunday, Pamela ^{[3
]}

Wanyenze, Rhoda K. ^{[4
]}

Ouma, Joseph ^{[5
]}

Kamya, Moses ^{[6
]}

Colebunders, Robert ^{[7
,8
]}

Wabwire-Mangen, Fred ^{[9
]}

机构：

[1] Reach Out Mbuya HIV AIDS Initiat, Dept Med, Kampala, Uganda

[2] RAND Corp, Hlth Unit, Santa Monica, CA USA

[3] Reach Out Mbuya HIV AIDS Initiat, Monitoring & Evaluat Dept, Kampala, Uganda

[4] Makerere Univ, Sch Publ Hlth, SPH CDC Fellowship Programme, Kampala, Uganda

[5] Management Sci Hlth, Strateg Planning Dept, Kampala, Uganda

[6] Makerere Univ, Sch Med, Dept Med, Kampala, Uganda

[7] Inst Trop Med, Dept Clin Sci, B-2000 Antwerp, Belgium

[8] Univ Antwerp, B-2020 Antwerp, Belgium

[9] Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Kampala, Uganda

来源：

AIDS AND BEHAVIOR | 2012年 / 16卷 / 02期

关键词：

Clinic efficiency; Electronic medical records (EMR); Patient tracing; Clinic appointments; Patient waiting time; ANTIRETROVIRAL THERAPY; HEALTH-CARE; SCALE-UP; OUTCOMES; AFRICA;

D O I：

10.1007/s10461-011-9996-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Patients who miss clinic appointments make unscheduled visits which compromise the ability to plan for and deliver quality care. We implemented Electronic Medical Records (EMR) and same day patient tracing to minimize missed appointments in a community-based HIV clinic in Kampala. Missed, early, on-schedule appointments and waiting times were evaluated before (pre-EMR) and 6 months after implementation of EMR and patient tracing (post-EMR). Reasons for missed appointments were documented pre and post-EMR. The mean daily number of missed appointments significantly reduced from 21 pre-EMR to 8 post-EMR. The main reason for missed appointments was forgetting (37%) but reduced significantly by 30% post-EMR. Loss to follow-up (LTFU) also significantly decreased from 10.9 to 4.8% The total median waiting time to see providers significantly decreased from 291 to 94 min. Our findings suggest that EMR and same day patient tracing can significantly reduce missed appointments, and LTFU and improve clinic efficiency.

引用

页码：368 / 374

页数：7

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