Appl Clin Inform - An e-health decision support system for improving compliance of health workers to the maternity care protocols in South Africa.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ implement(1333) system(1263) develop(1122) }
{ health(3367) inform(1360) care(1135) }
{ patient(1821) servic(1111) care(1106) }
{ research(1085) discuss(1038) issu(1018) }
{ perform(999) metric(946) measur(919) }
{ group(2977) signific(1463) compar(1072) }
{ decis(3086) make(1611) patient(1517) }
{ problem(2511) optim(1539) algorithm(950) }
{ clinic(1479) use(1117) guidelin(835) }
{ general(901) number(790) one(736) }
{ intervent(3218) particip(2042) group(1664) }
{ use(976) code(926) identifi(902) }
{ risk(3053) factor(974) diseas(938) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ age(1611) year(1155) adult(843) }
{ cost(1906) reduc(1198) effect(832) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ structur(1116) can(940) graph(676) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: There are problems of quality in maternity services at primary health care level in South Africa. Many of these problems can be traced to non-adherence to the maternity care guidelines and lack of tools to support clinic staff and managers in their roles.OBJECTIVE: The aim of this research was to investigate the utility of e-health (computerized) decision support systems at addressing the problem of compliance of health workers to the maternity care guidelines at primary health care in South Africa. At present there are no documented studies on e-health clinical decision support systems for primary health care in South Africa, though clinical decision support systems for primary health care are listed as part of the e-health strategy of the National Department of Health.METHODS: An e-health decision support system named the Bacis (Basic Antenatal Care Information System) Program was developed, then implemented and evaluated at a primary health care clinic. The duration of the study was two years: this includes development, implementation and evaluation.RESULTS AND CONCLUSION: There was an overall improvement in compliance from 85.1 % to 89.3%. This result was not statistically significant. However when results were stratified into specific categories, the Bacis Program showed statistically significant improvement in compliance over the checklist system in three out of nine important categories. These are compliance at booking, patients younger than 18 years and patients booking after week 20. Further, insights and experience were also gained on development and implementation of clinical information systems at resource strained environments such as primary health care in South Africa. These results, insights and experience are invaluable for the implementation of the proposed e-health strategy in South Africa.

Resumo Limpo

ckground problem qualiti matern servic primari health care level south africa mani problem can trace nonadher matern care guidelin lack tool support clinic staff manag rolesobject aim research investig util ehealth computer decis support system address problem complianc health worker matern care guidelin primari health care south africa present document studi ehealth clinic decis support system primari health care south africa though clinic decis support system primari health care list part ehealth strategi nation depart healthmethod ehealth decis support system name baci basic antenat care inform system program develop implement evalu primari health care clinic durat studi two year includ develop implement evaluationresult conclus overal improv complianc result statist signific howev result stratifi specif categori baci program show statist signific improv complianc checklist system three nine import categori complianc book patient younger year patient book week insight experi also gain develop implement clinic inform system resourc strain environ primari health care south africa result insight experi invalu implement propos ehealth strategi south africa

Resumos Similares

Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,860901438323555 )
Int J Med Inform - Organisational influences on nurses' use of clinical decision support systems. ( 0,846524939631436 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,833286716888628 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,825812375928292 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,822899348920426 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,806523246879151 )
Int J Med Inform - Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. ( 0,787589655135952 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,785583245276282 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,783724502485839 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,777639794676546 )
Telemed J E Health - A pilot trial of telephone-based collaborative care management for PTSD among Iraq/Afghanistan war veterans. ( 0,769525435703852 )
BMC Med Inform Decis Mak - Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study. ( 0,768600492725626 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,762413920348661 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,75105055791226 )
BMC Med Inform Decis Mak - Methods to identify, study and understand end-user participation in HIT development. ( 0,751044909212994 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,7478896367789 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,747098734949902 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,742900560955025 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,742508929410005 )
Health Informatics J - Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital. ( 0,735067204326207 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,733483233590887 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,731738413636173 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,7316270290598 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,712661492030098 )
J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care. ( 0,709611612713207 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,708689312975822 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,704927673679745 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,704352156058893 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,703940656460356 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,703826960901499 )
Int J Med Inform - Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. ( 0,703361645468215 )
Telemed J E Health - Key factors influencing the intention of telecare adoption: an institutional perspective. ( 0,703139407539327 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,702674209607418 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,702544801953086 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,70195820193685 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,701666393812738 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,699882820649496 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,699600071116504 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,698791430441109 )
Inform Health Soc Care - Specifying process requirements for holistic care. ( 0,696573156299541 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,694088993423602 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,692389344222345 )
Int J Med Inform - Do no harm: fortifying MDT collaboration in changing technological times. ( 0,692174382900787 )
Telemed J E Health - An independent investigation into the deployment of the federal communications commissions' rural health care pilot program. ( 0,690275013694096 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,689896050506138 )
Int J Med Inform - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. ( 0,689080617549676 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,687985756675156 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,685826546959484 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,685800685801029 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,685429454997279 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,682671523566907 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,680315238194452 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,680156634567933 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,676793065826019 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,674417658075929 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,672030557120567 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,67197156103121 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,671830671831008 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,671658560766141 )
Telemed J E Health - State primary stroke center policies in the United States: rural health issues. ( 0,671521581421285 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,671307374109142 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,667694085260769 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,667222519530466 )
Int J Med Inform - Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. ( 0,665348572902142 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,662520190244335 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,660038911553151 )
Int J Med Inform - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. ( 0,65958404650381 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,659554476585928 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,659352006683464 )
Appl Clin Inform - Usability characteristics of self-administered computer-assisted interviewing in the emergency department: factors affecting ease of use, efficiency, and entry error. ( 0,659026073985394 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,656560866824093 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,6558827299107 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,655194512172255 )
Comput Methods Programs Biomed - LabPush: a pilot study of providing remote clinics with laboratory results via short message service (SMS) in Swaziland, Africa - a qualitative study. ( 0,651136120947354 )
BMC Med Inform Decis Mak - Information technology systems in public sector health facilities in developing countries: the case of South Africa. ( 0,650834582806968 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,650574303177921 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,648975087036837 )
Telemed J E Health - Using telehealth for assessment of fetal alcohol spectrum disorder: the experience of two Canadian rural and remote communities. ( 0,648609829786273 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,648243214084314 )
BMC Med Inform Decis Mak - Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts. ( 0,647153592370828 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,644978084586713 )
Health Informatics J - Beyond bureaucracy: emerging trends in social care informatics. ( 0,643998098777642 )
BMC Med Inform Decis Mak - A study of clinical and information management processes in the surgical pre-assessment clinic. ( 0,642237003864313 )
J Am Med Inform Assoc - Clinical decision support in small community practice settings: a case study. ( 0,640836147343403 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,63707820229047 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,634944832207917 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,634634022033963 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,634470816399337 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,634166488978776 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,633404007314439 )
Appl Clin Inform - Registers for Networked Medical Research in Germany: Situation and prospects. ( 0,633332402525155 )
Telemed J E Health - Development of implementation strategies for u-health services based on the healthcare professionals' experiences. ( 0,632968935183819 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,632708481860832 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,631975053899138 )
Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,630662982571326 )
Appl Clin Inform - The implementation of an integrated information system for substance use screening in general medical settings. ( 0,629701720000743 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,629429710776212 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,629047079388598 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,62899798471564 )
Int J Med Inform - Introducing electronic messaging in Norwegian healthcare: unintended consequences for interprofessional collaboration. ( 0,628843053085792 )