Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here?

Piette, John D.; Lun, K. C.; Moura, Luís Mauro; Fraser, Hamish; Mechael, Patricia; Powell, John; Khoja, Shariq

doi:10.2471/blt.11.099069

Cited by 161 publications

(151 citation statements)

References 54 publications

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“…Currently, approximately three quarters of mobile users live in developing countries, such as Mexico, and more than 90% of the world has satellite coverage [15]. Several studies have demonstrated that communicating with patients through short message service (SMS) may improve the self-management of glycemic levels [16] [17] [18] [19].…”

Section: Introductionmentioning

confidence: 99%

Automated Telephone Calls in the Follow-Up of Self-Care in Outpatients with Type 2 Diabetes: A Feasibility Study

Gallegos-Cabriales¹,

Gutiérrez-Valverde²,

Salazar-González³

et al. 2017

Health

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Aims and objectives: To test an automated telephone service as a follow-up and support strategy for self-care in a population of adult Mexican patients with type 2 diabetes. Methods: The design was a two-group comparative design, with pre and post-intervention measurements. Patients were assigned into intervention (n = 31), or comparison (n = 33) groups. Over 12 weeks, each participant in the intervention group received automated phone calls with instructions to facilitate accomplishment of the treatment, and self-care activities. Two focus groups helped to appreciate patients' follow-up experience. Randomized grouping was performed by selecting numbers from an urn; the final sample comprised 31 (48%) patients in the intervention group, and 33 (52%) in the comparison group; these procedures were performed by the case nurse management. The study was approved by the Ethics Committee of the Autonomous University of Nuevo Leon and the University of Michigan; all of the participants signed informed consent. Results: Of the 372 programmed phone calls made to the participants, 234 were completed, representing a 62.9% response rate. Phone calls may be associated to a 0.82% decrease in the HbA1c values and to lower depression scores. HbA1c measurements decreased 0.82% (M = 7.41 -6.69; t = 25; 4.11; p = −0.001) from the baseline values over the 12-week study in the intervention group and 0.49% (M = 7.24 -6.75; t = 26; 2.11; p = 0.044) in the comparison group. Variables related to medication intake did not exhibit differences between the baseline and second measurements, except with respect to the scale of depression.

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Section: Introductionmentioning

confidence: 99%

Automated Telephone Calls in the Follow-Up of Self-Care in Outpatients with Type 2 Diabetes: A Feasibility Study

Gallegos-Cabriales¹,

Gutiérrez-Valverde²,

Salazar-González³

et al. 2017

Health

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“…For instance, Verbeke et al (2013) note that explicit approaches against which outcomes can be judged and performance measured are still limited. Similarly, Piette et al (2012) reiterate the need for more information regarding the impact of e-health in developing countries.…”

Section: Introductionmentioning

confidence: 97%

“…Piette et al (2012) point out that although RCT, like Zurovac et al (2011) provide strong evidence of the usefulness of e-health solutions and their potential impact on outcomes, they…”

mentioning

confidence: 99%

Using a Structured Approach to Evaluate ICT4D: Healthcare Delivery in Uganda

Kivunike

Ekenberg

Danielson

et al. 2015

E J Info Sys Dev Countries

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Using a case from the healthcare delivery sector, we demonstrate how a structured evaluation approach can facilitate the measurement of actual ICT contributions in various contexts. Typically, such are intricate due to the complexities inherent in the environments, making it difficult to evaluate the relationship between ICT and the benefits it intends to achieve to a reasonable degree. The approach suggested in this paper tries to partly remedy some of these complications, by facilitating qualitative data elicitations, aggregation, analysis and evaluation. To make this computationally meaningful, a decision support tool for handling numerically imprecise information is used for the data analysis and evaluation details. The results of this indicate that such an approach makes at least some meaningful input for practitioners and policymakers. In comparison to the qualitative in-depth approaches this approach facilitates a one-point in time assessment, which is less resource intensive, but provides prompt and substantial insight on the development performance of ICT4D initiatives. A similar approach would also be applicable to different sectors, and can utilize a broader scope of criteria, as well as incorporate views from several categories of stakeholders.

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“…In the developed economies where there are available resources, robust electronic health record systems are available even in local clinics but that is not the case in middle and low income countries (Piette et al, 2012). Many resource-limited health settings in middle and low income countries are still struggling to embrace electronic health record system and if decided to adopt one, yet to fully adapt to it.…”

Section: Introductionmentioning

confidence: 99%

Improving Data Quality in a Resource Constraint Public Health Organization in Nigeria with Divide and Conquer and Lot Quality Assurance Sampling Approach

Dapiap¹,

Adelekan²,

Aliyu³

2017

IJCA

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Inconsistency or unstable implementation policies in electronic records management systems are likely to create discrepancy in data which may distorts facts as quality of information is compromised. This leads to taking misleading decisions and actions which may be life threatening circumstances in health settings, business losses, misplacement of priorities and wrong interventions for development. Identifying the causes of data discrepancies should be a priority in driving efforts to improve quality at different levels of data ecosystem. This paper investigated the implication of frequent changes in electronic health records management system implementation policy on data quality in an organization supporting health facilities providing HIV/AIDS services across twelve states in Nigeria through the application of divide and conquers and lot quality assurance sampling methods. Large data discrepancies were discovered using the combined methods and there was tremendous data quality improvement six-month after the intrinsic and contextual data quality validation. The study concluded that frequent changes in electronic data management systems are likely to breed distortions in data quality that may greatly affect effective delivery of the most needed quality services.

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Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here?

Cited by 161 publications

References 54 publications

Automated Telephone Calls in the Follow-Up of Self-Care in Outpatients with Type 2 Diabetes: A Feasibility Study

Automated Telephone Calls in the Follow-Up of Self-Care in Outpatients with Type 2 Diabetes: A Feasibility Study

Using a Structured Approach to Evaluate ICT4D: Healthcare Delivery in Uganda

Improving Data Quality in a Resource Constraint Public Health Organization in Nigeria with Divide and Conquer and Lot Quality Assurance Sampling Approach

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