Continuity of care in Ghana: the promise of smart-med

 
 
 
  • Abstract
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  • References
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  • Abstract


    Individuals tend to receive medical care from different health care providers as they drift from one location to another. Oftentimes, multiple providers operate disparate systems of managing patients medical records. These disparate systems, which are unable to share and/or exchange information, have the propensity to create fragmentation of care, which poses a serious threat to the realization of continuity of care in the Ghanaian health care delivery. Continuity of care, which is the ability to seamlessly access, update, and manage patients medical information as they visit multiple providers, is a crucial component of quality of care in any health delivery system. The current system of managing patients records in Ghanapaper-basedmakes continuity of care difficult to actualize. To this end, we have developed a smartcard based personal health records system, SMART-MED, which can effectively promote continuity of care in Ghana. SMART-MED is platform-independent; it can run as standalone or configured to plug into any Java-based electronic medical record system. Results of a lab simulation test suggest that it can effectively promote continuity of care through improved data security, support interoperability for disparate systems, and seamless access and update of patients health records.

    Keywords: Continuity of Care, Fragmentation of Care, Interoperability, Personal Health Records, Smartcard.


  • References


    1. J. L. Haggerty, R. J. Reid, G. K. Freeman, B. H. Starfield, C. E. Adair, and R. McKendry, "Continuity of care: a multidisciplinary review," BMJ, vol. 327, pp. 1219-21, Nov 22 2003. http://dx.doi.org/10.1136/bmj.327.7425.1219.
    2. B. Starfield, "Continuous confusion?," American Journal of Public Health, vol. 70, pp. 117-119, 1980. http://dx.doi.org/10.2105/AJPH.70.2.117.
    3. M. Alazri, P. Heywood, R. D. Neal, and B. Leese, "Continuity of Care: Literature review and implications," Sultan Qaboos University medical journal, vol. 7, p. 197, 2007.
    4. M. D. Cabana and S. H. Jee, "Does continuity of care improve patient outcomes," J Fam Pract, vol. 53, pp. 974-980, 2004.
    5. P. Hjortdahl and E. Laerum, "Continuity of care in general practice: effect on patient satisfaction," BMJ, vol. 304, pp. 1287-90, May 16 1992. http://dx.doi.org/10.1136/bmj.304.6837.1287.
    6. B. Starfield, "Is primary care essential?," The Lancet, vol. 344, pp. 1129-1133, 1994. http://dx.doi.org/10.1016/S0140-6736(94)90634-3.
    7. E. H. Shortliffe and G. O. Barnett, "Biomedical data: Their acquisition, storage, and use," in Biomedical informatics, ed: Springer, 2014, pp. 39-66.
    8. G. MHC. (9/7/2014). Maternal Health Channel. Available: http://www.mhcghana.com/Programmes/66
    9. S. C. Alliance, "Smart Card Applications in the US Healthcare Industry. White Paper NHC-06001. Retrieved February 17, 2009," ed, 2006.
    10. S. News. (10/13/2007). Smart Card Alliance Conference day 2 roundup. Available: http://www.secureidnews.com/2007/10/13/smart-card-alliance-conference-day-2-roundup
    11. C. Xiao and A. Yu, "Medical Smart Card System for Patient Record Management," Molecular and Cell Biology. University of CaliforniaBerkeley, vol. 12, 2009.
    12. A. T. Chan, "WWW + smart card: towards a mobile health care management system," Int J Med Inform, vol. 57, pp. 127-37, Jul 2000. http://dx.doi.org/10.1016/S1386-5056(00)00061-7.
    13. A. Naszlady and J. Naszlady, "Patient health record on a smart card," Int J Med Inform, vol. 48, pp. 191-4, Feb 1998. http://dx.doi.org/10.1016/S1386-5056(97)00125-1.
    14. C. T. Liu, P. T. Yang, Y. T. Yeh, and B. L. Wang, "The impacts of smart cards on hospital information systems--an investigation of the first phase of the national health insurance smart card project in Taiwan," Int J Med Inform, vol. 75, pp. 173-81, Feb 2006. http://dx.doi.org/10.1016/j.ijmedinf.2005.07.022.
    15. R. H. Dolin, L. Alschuler, S. Boyer, C. Beebe, F. M. Behlen, P. V. Biron, et al., "HL7 clinical document architecture, release 2," Journal of the American Medical Informatics Association, vol. 13, pp. 30-39, 2006. http://dx.doi.org/10.1197/jamia.M1888.
    16. A. Cockburn, Agile software development vol. 2006: Addison-Wesley Boston, 2002.
    17. ISO. (5/7/2014). ISO Definition of standards. Available: http://www.iso.org/iso/home/standards.htm
    18. J. Gosling, B. Joy, G. Steele, and G. Bracha, Java(TM) Language Specification, The (3rd Edition) (Java (Addison-Wesley)): Addison-Wesley Professional, 2005.
    19. MOH-Ghana, "National E-Health Strategy, Ghana," 2010.
    20. A. Emmanuel Kusi, "Electronic Health Record System: A Survey in Ghanaian Hospitals," 2012.
    21. L. T. Kohn, J. M. Corrigan, and M. S. Donaldson, To Err Is Human:: Building a Safer Health System vol. 627: National Academies Press, 2000.
    22. H. Singh, T. D. Giardina, A. N. Meyer, S. N. Forjuoh, M. D. Reis, and E. J. Thomas, "Types and origins of diagnostic errors in primary care settings," JAMA internal medicine, vol. 173, pp. 418-425, 2013.

 

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Article ID: 3569
 
DOI: 10.14419/ijet.v3i4.3569




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