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Improving Rural Healthcare in Mobile Clinics: Real-Time, Live Data Entry into the Electronic Medical Record Using a

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Direct data entry using tablets and satellite internet improves healthcare data accuracy for farmworkers in rural areas. This technology enhances efficiency and accessibility in underserved communities.

Keywords:
farmworker healthhealthcare accessibilitymobile clinicsreal-time data entrysatellite internet

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Area of Science:

  • Health Informatics
  • Rural Health
  • Digital Health Interventions

Background:

  • Farmworker populations in rural areas face significant healthcare access challenges.
  • Traditional paper-based data collection methods in mobile clinics present data validity and efficiency issues.
  • The Farmworker Family Health Program (FWFHP) supports 600 farmworkers annually in connectivity-limited regions.

Purpose of the Study:

  • To describe a real-time, live electronic medical record (EMR) data-entry intervention using satellite internet.
  • To evaluate the feasibility and effectiveness of direct data entry in connectivity-challenged settings.
  • To report on the implementation using the TIDier checklist.

Main Methods:

  • A customized REDCap database was utilized for direct data entry via tablets and satellite internet.
  • Patients were assigned unique medical record numbers (MRNs) at mobile health clinics.
  • Strategies included limiting free text, pre-selecting options, and using barcode scanners to optimize data capture.

Main Results:

  • Medication data captured in REDCap showed a low defect rate of 6.9% for 319 prescriptions.
  • Implemented infrastructure, including tablets, keyboards, barcode scanners, and Wi-Fi extenders, facilitated seamless data capture.
  • Backup paper forms were essential for managing connectivity disruptions, contributing to overall data accuracy.

Conclusions:

  • Real-time data entry via satellite internet is a viable solution for healthcare in connectivity-limited settings.
  • Transitioning from paper-based methods streamlines healthcare delivery and enables timely collection of occupational and environmental health metrics.
  • This initiative offers a scalable model for improving healthcare accessibility in vulnerable rural communities.