the international council on medical & care compunetics


December, 2014

developing countries

The Disparity Information and Communication Technology for Developing Countries has in the Delivery of Healthcare Information

Chhanabhai PN, Holt A. The open medical informatics journal, 4

Information and Communication Technologies (ICT) have merged into the world of healthcare slowly but surely. However, the marriage between the use of technology and its full impact in the health sector has not been fully realised. The focus of this paper is to highlight the impact of ICT on revolutionising access to healthcare information and thus quality of health for populations of the developing world.
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8 February 2013 | No Comments »
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E-health in low- and middle-income countries: findings from the Center for Health Market Innovations

Lewis T et al, Bulletin of the World Health Organization, 90(5)

Health systems in low- and middle-income countries continue to face considerable challenges in providing high-quality, affordable and universally accessible care. In response, policy-makers, donors and programme implementers are searching for innovative approaches to eliminate the geographic and financial barriers to health.
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2 May 2012 | No Comments »
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Short Message Service (SMS) Applications for Disease Prevention in Developing Countries

Déglise C et al, J Med Internet Res, 14(1)

The last decade has witnessed unprecedented growth in the number of mobile phones in the developing world, thus linking millions of previously unconnected people. The ubiquity of mobile phones, which allow for short message service (SMS), provides new and innovative opportunities for disease prevention efforts.
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16 January 2012 | No Comments »
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Ethics of implementing electronic health records in developing countries: points to consider

Were MC, Meslin EM. AMIA, Annual Symposium Proceedings, 2011

Electronic Health Record systems (EHRs) are increasingly being used in many developing countries, several of which have moved beyond isolated pilot projects to active large-scale implementation as part of their national health strategies. Despite growing enthusiasm for adopting EHRs in resource poor settings, almost no attention has been paid to the ethical issues that might arise.
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11 January 2012 | No Comments »
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A service model for improving healthcare delivery in rural developing communities

Leach RJ et al, International Journal of Services, Economics and Management, 4(1)

The infrastructure needed in developing countries, especially in rural areas, often makes providing state-of-the-art healthcare cost prohibitive. We describe a highly asynchronous service model for healthcare delivery that is inexpensive, at least compared to the usual implementation of telemedicine, and involves technical service, public health, training and political aspects.
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23 December 2011 | No Comments »
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Use and Satisfaction with Electronic Health Record by Primary Care Physicians in a Health District in Brazil

Holanda AA et al, Journal of Medical Systems, 2011

It is believed that Electronic Health Records (EHR) improve not only quality of care but also patient safety and health care savings. This seems to be true for developed countries but not necessarily in emerging economies. This paper examined the primary care physicians’ satisfaction with a specific EHR in a health district of a major city in Brazil and describes how they are using it as well as its specific functions. A cross-sectional questionnaire survey with all physicians from all Community Health Centers of the 6th health district of the City of Fortaleza that were using HER was conducted. From the 111 subjects (100%), a total of 99 physicians answered the survey (89% response rate). For overall satisfaction with the EHR, 2 (2%) were satisfied, 50 (50.5%) were satisfied in part and 47 (47.5%) were not satisfied.
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12 November 2011 | No Comments »
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Overview of international teledermatology

Desai B et al, The Pan African Medical Journal, 6

Teledermatology is essentially “dermatology at a distance”, using one of many communication technologies to expand the reach of a dermatologist to those in need of their specialized knowledge. Most international teledermatology is store-and-forward in nature, a method in which images are stored on a computer and then transmitted electronically to a consulting dermatologist. This system is more convenient and less costly than real-time teledermatology.
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8 July 2011 | No Comments »
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A text message-based intervention to bridge the healthcare communication gap in the rural developing world

Mahmud N et al, Technology and Health Care, 18(2)

Healthcare delivery in the rural developing world is limited by a severe shortage of health workers as well as profound communicative and geographic barriers. Understaffed hospitals are forced to provide care for patients that reside at a great distance from the institutions themselves, sometimes more than 100 miles away. Community health workers (CHWs), volunteers from local villages, have been integral in bridging this patient-physician gap, but still lose enormous of amounts of time in transit between hospital and village.
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16 May 2011 | No Comments »
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The rise of open-source electronic health records

Webster PC. The Lancet, 377(9778)

Luisa Sanchez-Garcia’s praise for the electronic medical record system in the neonatal ward at the Centro Médico Nacional la Raza, a massive hospital complex in Mexico City, Mexico, is glowing. Standing in front of an incubator housing a 1-week-old child with a severe cardiac illness, she credits the electronic system with vastly improving his survival chances. “The system provides many elements for efficient work”, explains Sanchez-Garcia, who is a paediatrician. “It helps us create a treatment plan, it helps prevent adverse drug events, it gives us drug dosage information, and much more.”

If Sanchez-Garcia were posing for an advertisement for commercial health-information software, her praise would read like a marketing script. But the system she is praising, which is known as the Veterans Health Information Systems and Technology Architecture (VistA) is non-commercial. Developed by the US Government’s Veterans Health Administration and widely credited for remarkable gains in quality of care and cost efficiencies across a health-care system with 1400 facilities serving 7 million patients within the health system for American military veterans, the US Government now distributes VistA software for free. In 2004, the Mexican Government began adopting VistA across 40 large hospitals serving 30 million patients within the health system operated by the Instituto Mexicano del Seguro Social (IMSS), the largest social insurance organisation in Latin America.

15 May 2011 | No Comments »
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Mobile Phones for Health Education in the Developing World: SMS as a User Interface

Danis CM et al, ACM DEV 10, 2010

Uganda suffers from a severe shortage of professional healthcare workers. Thus, programs aimed at prevention of disease are an important complement to the limited healthcare delivery system. We analyze two deployments of an SMS-based HIV/AIDS education system that uses a quiz format to assess people’s knowledge of the disease, including its causes and methods of prevention. The deployments were to two groups in Uganda, one a sample of mobile phone users who live in a town in northwest Uganda; the other, workers at three factories in central and southeastern Uganda.
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20 March 2011 | No Comments »
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In what circumstances is telemedicine appropriate in the developing world?

Wootton R, Bonnardot L. JRSM Short Reports, 1(5)

To review papers reporting actual experience with telemedicine in developing countries and to summarize their findings, including the strength of the evidence.
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26 November 2010 | No Comments »
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Hearing health-care delivery in sub-Saharan Africa–a role for tele-audiology

Swanepoel DW et al, J Telemed Telecare, 16(2)

Hearing loss is the most prevalent chronic disability and a major contributor to the global burden of disease. Its effects are far-reaching and can lead to severely restricted developmental outcomes for children and limited vocational prospects for adults. The benefits of intervention are dramatic and can significantly improve developmental outcomes, especially in infants identified early. Hearing health-care services in developing regions such as sub-Saharan Africa are however severely limited, leaving affected individuals without access to secondary and tertiary intervention.
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1 August 2010 | No Comments »
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Open source challenges for hospital information system (HIS) in developing countries: a pilot project in Mali

Bagayoko C, et al. BMC Medical Informatics and Decision Making, 10(1)

We are currently witnessing a significant increase in use of Open Source tools in the field of health. Our study aims to research the potential of these software packages for developing countries. Our experiment was conducted at the Centre Hospitalier Mere Enfant in Mali.
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19 April 2010 | No Comments »
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Electronic records pose dilemma in developing countries

Willyard, Cassandra, Nature Medicine, 16(3)

In the developing world, access to a patient’s medical records can mean the difference between life and death.
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2 April 2010 | No Comments »
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E-health is booming in developing world

Roehr, Bob, BMJ 2010;340:c1054

The use of electronic information and communications technologies in health is rising rapidly in the developing world, offering the potential to bring a revolution in health care. This message to delegates at a forum in Washington, DC, on 16 February was also the focus of the February issue of the health policy journal Health Affairs.
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22 February 2010 | No Comments »
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An Agenda For Action On Global E-Health

Gerber, Ticia et al, Health Affairs, 29(2)

Use of e-health, or electronic information technologies, has spread to cities and remote villages worldwide. Countries such as Rwanda are activating nationwide e-health networks. The Rockefeller Foundation’s month-long 2008 conference Making the eHealth Connection: Global Partners, Local Solutions accelerated this process.
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2 February 2010 | No Comments »
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Global E-Health Policy: A Work In Progress

Mars M, Scott RE. Health Affairs, 29(2)

E-health (information and communication technology that facilitates health and health care) is expanding in developed, developing, and least-developed countries. E-health’s ability to transcend sociopolitical boundaries holds the potential to create a borderless world for health systems and health care delivery. But the policy needed to guide e-health development is limited and just now emerging in developed countries.
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2 February 2010 | No Comments »
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E-Health Technologies Show Promise In Developing Countries

Blaya JA et al, Health Affairs, 29(2)

Is there any evidence that e-health–using information technology to manage patient care–can have a positive impact in developing countries? Our systematic review of evaluations of e-health implementations in developing countries found that systems that improve communication between institutions, assist in ordering and managing medications, and help monitor and detect patients who might abandon care show promise.
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2 February 2010 | No Comments »
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‘Mobile’ Health Needs And Opportunities In Developing Countries

Kahn, James G. et al, Health Affairs, 29(2)

Developing countries face steady growth in the prevalence of chronic diseases, along with a continued burden from communicable diseases. “Mobile” health, or m-health–the use of mobile technologies such as cellular phones to support public health and clinical care–offers promise in responding to both types of disease burdens. Mobile technologies are widely available and can play an important role in health care at the regional, community, and individual levels.
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2 February 2010 | No Comments »
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Cell-Phone Medicine Brings Care To Patients In Developing Nations

Feder, J. Lester, Health Affairs, 29(2)

At ten o’clock in the morning, a clinic in Mexico City’s Condesa neighborhood is buzzing with activity. It serves some 7,000 patients and is operated by the Mexico City government, making it one of the largest facilities in Latin America devoted to treating patients with HIV/AIDS.
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2 February 2010 | No Comments »
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