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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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eRegTime-Time Spent on Health Information Management in Primary Health Care Clinics Using a Digital Health Registry

Mahima Venkateswaran1,2, Zaher Nazzal3, Buthaina Ghanem4

  • 1Centre for Intervention Science in Maternal and Child Health, University of Bergen, Bergen, Norway.

JMIR Formative Research
|May 13, 2022
PubMed
Summary

Digital health registries significantly reduce time spent on health information management in low-resource settings. The eRegistry system saved at least 18% of documentation time compared to paper-based systems.

Keywords:
antenatal carechild health registryclinical workflowcluster-randomized controlled trialdigital healthdigital health interventioneRegistryhealth informationprimary caretime-motion study

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Area of Science:

  • Digital Health
  • Health Informatics
  • Public Health in LMICs

Background:

  • Digital health interventions enhance data quality and services in low- and middle-income countries (LMICs).
  • Systematic assessments of time savings from digital tools in LMICs are scarce.
  • A digital maternal and child health registry (eRegistry) was implemented in Palestine.

Purpose of the Study:

  • To compare time spent on health information management using an eRegistry versus a traditional paper-based system.
  • To evaluate the impact of digital health tools on healthcare efficiency in primary care clinics.
  • The eRegTime study aimed to quantify time differences in documentation and client care.

Main Methods:

  • Cluster-randomized controlled trial comparing eRegistry (intervention) and paper documentation (control) clinics.
  • Time-motion methodology employed with handheld tablets to record time-use data during antenatal care visits.
  • Mixed-effects linear regression used to estimate relative time spent on health information management and client care.

Main Results:

  • eRegistry clinics showed significantly less time spent on health information management for follow-up antenatal care visits (0.69 relative time, P<.001).
  • Documentation time was reduced by approximately 32% in eRegistry clinics compared to paper-based systems (0.68 relative time, P<.001).
  • Time spent on client care showed no significant difference between the groups, with a relative time of 0.85 (P=.27).

Conclusions:

  • The eRegistry system captures digital data at the point of care, reducing repetitive documentation.
  • A substantial saving of at least 18% in health information management time was observed with the eRegistry.
  • Adoption of eRegistry-like systems can conserve valuable and scarce healthcare resources in comparable settings.