在移动诊所改善农村医疗保健:实时,实时数据进入电子医疗记录,使用卫星互联网连接
Daniel Jackson Smith1,2, Elizabeth Mizelle2,3, Nina Ali1
1School of Nursing, University at Buffalo, Buffalo, NY 14214, USA.
概括
使用平板电脑和卫星互联网直接输入数据,提高了农村地区农民工的医疗保健数据准确性. 这项技术提高了服务不足的社区的效率和可访问性.
科学领域:
- 医疗信息学 医疗信息学
- 农村卫生 农村卫生
- 数字健康干预措施 数字健康干预措施
背景情况:
- 农村地区的农业工人面临着严重的医疗保健难题.
- 移动诊所的传统纸质数据收集方法存在数据有效性和效率问题.
- 农业工人家庭健康计划 (FWFHP) 每年在连接有限的地区支持600名农业工人.
研究的目的:
- 用卫星互联网来描述实时,实时的电子医疗记录 (EMR) 数据输入干预.
- 评估在连接挑战的环境中直接输入数据的可行性和有效性.
- 使用TIDier检查清单报告实施情况.
主要方法:
- 通过平板电脑和卫星互联网直接输入数据,使用定制的REDCap数据库.
- 在移动卫生诊所,患者被分配了独特的医疗记录号码 (MRN).
- 策略包括限制自由文本,预先选择选项,并使用条码扫描仪来优化数据捕获.
主要成果:
- 在REDCap中捕获的药物数据显示,319个处方的低缺陷率为6.9%.
- 实施的基础设施,包括平板电脑,键盘,条码扫描仪和Wi-Fi扩展器,促进了无数据捕获.
- 备份纸质表格对于管理连接中断至关重要,有助于整体数据准确性.
结论:
- 通过卫星互联网实时数据输入是连接有限的环境中医疗保健的可行解决方案.
- 从基于纸张的方法过渡简化了医疗保健服务,并使职业和环境健康指标的及时收集成为可能.
- 该倡议提供了一个可扩展的模型,用于改善弱势农村社区的医疗保健可访问性.
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