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Developing and deploying a community healthcare worker-driven, digitally-enabled integrated care system for municipalities in rural Nepal

机译:开发和部署社区医疗保健工人驱动,为农村尼泊尔市的市政当局提供数字化的综合护理系统

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摘要

Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data.
机译:在家庭和设施级别集成的关注是医疗保健交付系统的关键而忽略的功能。 实践中有很少的例子或在高低和中等收入国家的医疗保健交付系统内嵌入经济适用的数字化的综合护理方法的学术文献。 经济实惠的数字技术和社区医疗保健工人的同时进步提供了解决这一挑战的机会。 我们描述了涉及社区医疗保健工人网络的综合护理系统的开发,该工人网络利用尼泊尔农村市政当局的房屋电子健康纪录平台。 我们与全球观众的相关方法的关键方面包括:社区医疗保健工人通过每三个月通过家庭访问持续与人口一起参与; 社区医疗保健工人在临床护理日常疗程期间使用数字工具; 个人和人口级数据。

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