Display Settings:

Format

Send to:

Choose Destination
Stud Health Technol Inform. 2010;160(Pt 1):525-9.

Leapfrogging paper-based records using handheld technology: experience from Western Kenya.

Author information

  • 1Regenstrief Institute, Inc., Indianapolis, IN, USA.

Abstract

PROBLEM:

There is limited experience with broad-based use of handheld technologies for clinical care during home visits in sub-Saharan Africa.

OBJECTIVE:

We describe the design, development, implementation, and evaluation of a PDA/GPS-based system currently used during home visits in Western Kenya.

RESULTS:

The system, built on Pendragon Forms, was used to create electronic health records for over 40,000 individuals over a three-month period. Of these, 1900 represented cases where the individual had never received care for the identified condition in an established care facility. On a five-point scale, and compared to paper-and-pen systems, end-users felt that the handheld system was faster (4.4±0.9), easier to use (4.5±0.8), and produced higher quality data (4.7±0.7). Projected over three years to cover two million people, use of the handheld technologies would cost about $0.15 per person--compared to $0.21 per individual encounter entered manually into a computer from a paper form.

CONCLUSION:

A PDA/GPS system has been successfully and broadly implemented to support clinical care during home-based visits in a resource-limited setting.

PMID:
20841742
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for IOS Press
    Loading ...
    Write to the Help Desk