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首页> 外文期刊>Journal of the American Medical Informatics Association : >Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System.
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Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System.

机译：在撒哈拉以南非洲地区安装和实施基于计算机的患者记录系统：Mosoriot医疗记录系统。

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The authors implemented an electronic medical record system in a rural Kenyan health center. Visit data are recorded on a paper encounter form, eliminating duplicate documentation in multiple clinic logbooks. Data are entered into an MS-Access database supported by redundant power systems. The system was initiated in February 2001, and 10,000 visit records were entered for 6,190 patients in six months. The authors present a summary of the clinics visited, diagnoses made, drugs prescribed, and tests performed. After system implementation, patient visits were 22% shorter. They spent 58% less time with providers (p < 0.001) and 38% less time waiting (p = 0.06). Clinic personnel spent 50% less time interacting with patients, two thirds less time interacting with each other, and more time in personal activities. This simple electronic medical record system has bridged the "digital divide." Financial and technical sustainability by Kenyans will be key to its future use and development.
机译：作者在肯尼亚农村卫生中心实施了电子病历系统。探视数据记录在纸质相遇表格上，从而消除了多个诊所日志中的重复文档。数据输入到冗余电源系统支持的MS-Access数据库中。该系统于2001年2月启动，六个月内为6190名患者输入了10,000次就诊记录。作者总结了所访问的诊所，做出的诊断，开出的处方药和进行的测试。系统实施后，患者就诊时间缩短了22％。他们与服务提供者的时间减少了58％（p <0.001），等待时间减少了38％（p = 0.06）。诊所人员与患者互动的时间减少了50％，彼此互动的时间减少了三分之二，而个人活动的时间则减少了。这种简单的电子病历系统弥合了“数字鸿沟”。肯尼亚人的财务和技术可持续性将是其未来使用和发展的关键。

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