Comput Methods Programs Biomed - Empowering village doctors and enhancing rural healthcare using cloud computing in a rural area of mainland China.

Tópicos

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{ patient(1821) servic(1111) care(1106) }
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Resumo

CKGROUND: China's healthcare system often struggles to meet the needs of its 900 million people living in rural areas due to major challenges in preventive medicine and management of chronic diseases. Here we address some of these challenges by equipping village doctors (ViDs) with Health Information Technology and developing an electronic health record (EHR) system which collects individual patient information electronically to aid with implementation of chronic disease management programs.METHODS: An EHR system based on a cloud-computing architecture was developed and deployed in Xilingol county of Inner Mongolia using various computing resources (hardware and software) to deliver services over the health network using Internet when available. The system supports the work at all levels of the healthcare system, including the work of ViDs in rural areas. An analysis done on 291,087 EHRs created from November 2008 to June 2011 evaluated the impact the EHR system has on preventive medicine and chronic disease management programs in rural China.RESULTS: From 2008 to 2011 health records were created for 291,087 (26.25%) from 1,108,951 total Xilingol residents with 10,240 cases of hypertension and 1152 cases of diabetes diagnosed and registered. Furthermore, 2945 hypertensive and 305 diabetic patients enrolled in follow-up. Implementing the EHR system revealed a high rate of cholecystectomies leading to investigations and findings of drinking water contaminated with metals. Measures were taken to inform the population and clean drinking water was supplied.CONCLUSIONS: The cloud-based EHR approach improved the care provision for ViDs in rural China and increased the efficiency of the healthcare system to monitor the health status of the population and to manage preventive care efforts. It also helped discover contaminated water in one of the project areas revealing further benefits if the system is expanded and improved.

Resumo Limpo

ckground china healthcar system often struggl meet need million peopl live rural area due major challeng prevent medicin manag chronic diseas address challeng equip villag doctor vid health inform technolog develop electron health record ehr system collect individu patient inform electron aid implement chronic diseas manag programsmethod ehr system base cloudcomput architectur develop deploy xilingol counti inner mongolia use various comput resourc hardwar softwar deliv servic health network use internet avail system support work level healthcar system includ work vid rural area analysi done ehr creat novemb june evalu impact ehr system prevent medicin chronic diseas manag program rural chinaresult health record creat total xilingol resid case hypertens case diabet diagnos regist furthermor hypertens diabet patient enrol followup implement ehr system reveal high rate cholecystectomi lead investig find drink water contamin metal measur taken inform popul clean drink water suppliedconclus cloudbas ehr approach improv care provis vid rural china increas effici healthcar system monitor health status popul manag prevent care effort also help discov contamin water one project area reveal benefit system expand improv

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