Impact on the management and delivery of primary health care by a computer-based information system

Singh, Ashok Kumar; Moidu, Khalid; Trell, Erik; Wigertz, Ove

doi:10.1016/0169-2607(92)90029-7

Cited by 14 publications

(9 citation statements)

References 7 publications

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“…was found to act as a catalyst for behavioral change in the community from indifferent users to active users of the health care services. [ 44 ] In economic terms, another study by same author in 1992 earlier had already found that costs for a fully immunized child are reduced with reduction of dropouts; thus, the computer system contributes to quality assurance and cost effectiveness in delivery of care[ 53 ] Study of Bhambhani et al . has found that there is endless scope of digitization and technology in prosthodontics areas such as stereo lithography, rapid prototyping, use of virtual articulators and digital face bows, digital radiographs, or in the field of training, education and research by the use of virtual patient programs, dental software[ 38 ] The medical record keeping practice needs to develop into a proper process in the large number of smaller clinics and hospitals that cater to a large section of the people in India and for this PMS can be a good answer, which can maintain all kinds of records in a better way.…”

Section: Discussionmentioning

confidence: 99%

Effect of practice management softwares among physicians of developing countries with special reference to Indian scenario by Mixed Method Technique

Davey¹,

Davey

2015

J Family Med Prim Care

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Introduction:Currently, many cheaper “practice management software” (PMS) are available in developing countries including India; despite their availability and benefits, its penetration and usage vary from low to moderate level, justifying the importance of this study area.Materials and Methods:First preferred reporting items for systematic-review and meta-analysis (2009) guidelines were considered; followed by an extensive systematic-review of available studies in literature related to developing countries, on key search term from main abstracting databases: PubMed, EMBASE, EBSCO, BIO-MED Central, Cochrane Library, world CAT-library till 15 June 2014; where any kind of article whether published or unpublished, in any sort or form or any language indicating the software usage were included. Thereafter, meta-analysis on Indian studies revealing the magnitude of usage in Indian scenario by Open Meta-(analyst) software using binary random effects (REs) model was done. Studies from developed countries were excluded in our study.Results:Of 57 studies included in a systematic review from developing countries, only 4 Indian studies were found eligible for meta-analysis. RE model revealed although not-significant results (total participants = 243,526; range: 100–226,228, overall odds ratio = 2.85, 95% confidence interval = P < 0.05 and tests for heterogeneity: Q [df = 3] = 0.8 Het. P = 0.85). The overall magnitude of usage of PMS on Indian physicians practice was however found between 10% and 45%.Conclusion:Although variable and nonsignificant effect of usage of PM software on practice of physicians in developing countries like India was found; there is a need to recognize the hidden potential of this system. Hence, more in-depth research in future needs to be done, in order to find a real impact of this system.

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Section: Discussionmentioning

confidence: 99%

Effect of practice management softwares among physicians of developing countries with special reference to Indian scenario by Mixed Method Technique

Davey¹,

Davey

2015

J Family Med Prim Care

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“…Proper monitoring and evaluation is essential for the improvement and continuity of health information systems (10,11) . Therefore, when the system was in operation the behaviour of the system and the users were monitored closely.…”

Section: Monitoring and Evaluationmentioning

confidence: 99%

"e-Praja Suwa Arunalu": A Pilot Study of a Health Information Management System for Public Health Midwives in Sri Lanka

Rodrigo

Wimalaratne²,

Marasinghe

et al. 2013

Sri Lanka J Bio-Medical Informatics

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We conducted a needs analysis amongst 16 Public Health Midwives (PHMs) in Sri Lanka and found that they spend most of their time on managing health records. We developed an electronic Health Information Management System (HIMS) to help them with their work. The HIMS was designed so that it could accept data from the PHMs, and generate reports which could be used by the PHMs themselves as well as by their supervisors. The HIMS was tested by a group of 16 PHMs in a remote area in the Rathnapura district. Mini-laptops with the software were distributed to the PHMs and they were given the necessary training. They started entering historical data from the registers into the system by themselves. Nearly 10,000 public health records were generated in the first three months. In a subsequent survey, all the PHMs gave positive answers indicating that they were happy with the pilot project and that they would like to continue using it to enhance their service. The system seems to be a practical solution for the field activities of PHMs in Sri Lanka. The knowledge gained from this study would be useful for future e-Health implementations in the public health sector of Sri Lanka

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“…The specialised systems have either adopted a preexisting conceptual model (Gerneth et al [2]) or developed one of their own (Bolens et al [3], Pinciroli et al [4], Christo et al [5], Singh et al [6]). Many of these models have been conceived as a paper pro forma but, nevertheless, they constitute a formal definition and structuring of the pertinent concepts.…”

Section: The Representation Of Medical Concepts Terminologies and Tmentioning

confidence: 99%

“…As a result of this lack of enthusiasm most systems are a blend of direct electronic entry, paper-based collection with data-entry clerks, and a range .of other pragmatic solutions. Most of the systems described use paper-based forms or structured dictation as the first stage of data entry, with clerical workers transferring the information to the computer (McDonald [1], Bolens [3], Christo [5], Singh [6], Barrie [9]). Itis important to recognise that in most situations the information has already been structured or encoded by the medical professional.…”

Section: The Human-computer Interface 1 Data Entry and Making Systemmentioning

confidence: 99%

Patient Record Systems

Nowlan¹

1993

Yearb Med Inform

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Impact on the management and delivery of primary health care by a computer-based information system

Cited by 14 publications

References 7 publications

Effect of practice management softwares among physicians of developing countries with special reference to Indian scenario by Mixed Method Technique

Effect of practice management softwares among physicians of developing countries with special reference to Indian scenario by Mixed Method Technique

"e-Praja Suwa Arunalu": A Pilot Study of a Health Information Management System for Public Health Midwives in Sri Lanka

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