J Am Med Inform Assoc - Performance factors of mobile rich media job aids for community health workers.

Tópicos

{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ clinic(1479) use(1117) guidelin(835) }
{ case(1353) use(1143) diagnosi(1136) }
{ control(1307) perform(991) simul(935) }
{ error(1145) method(1030) estim(1020) }
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{ can(774) often(719) complex(702) }
{ bind(1733) structur(1185) ligand(1036) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ extract(1171) text(1153) clinic(932) }
{ studi(1119) effect(1106) posit(819) }
{ data(2317) use(1299) case(1017) }
{ first(2504) two(1366) second(1323) }
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{ use(976) code(926) identifi(902) }
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{ take(945) account(800) differ(722) }
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{ visual(1396) interact(850) tool(830) }
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{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ data(3008) multipl(1320) sourc(1022) }
{ patient(1821) servic(1111) care(1106) }
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{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
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{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ 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

JECTIVE: To study and analyze the possible benefits on performance of community health workers using point-of-care clinical guidelines implemented as interactive rich media job aids on small-format mobile platforms.DESIGN: A crossover study with one intervention (rich media job aids) and one control (traditional job aids), two periods, with 50 community health workers, each subject solving a total 15 standardized cases per period per period (30 cases in total per subject).MEASUREMENTS: Error rate per case and task, protocol compliance.RESULTS: A total of 1394 cases were evaluated. Intervention reduces errors by an average of 33.15% (p = 0.001) and increases protocol compliance 30.18% (p < 0.001). Limitations Medical cases were presented on human patient simulators in a laboratory setting, not on real patients.CONCLUSION: These results indicate encouraging prospects for mHealth technologies in general, and the use of rich media clinical guidelines on cell phones in particular, for the improvement of community health worker performance in developing countries.

Resumo Limpo

jectiv studi analyz possibl benefit perform communiti health worker use pointofcar clinic guidelin implement interact rich media job aid smallformat mobil platformsdesign crossov studi one intervent rich media job aid one control tradit job aid two period communiti health worker subject solv total standard case per period per period case total per subjectmeasur error rate per case task protocol complianceresult total case evalu intervent reduc error averag p increas protocol complianc p limit medic case present human patient simul laboratori set real patientsconclus result indic encourag prospect mhealth technolog general use rich media clinic guidelin cell phone particular improv communiti health worker perform develop countri

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