Assessing the implementation of a mobile App-based electronic health record: A mixed-method study from South India.
Comprehensive Public Health Management App
Structured Operational Research and Training Initiative
electronic health records
health system research
maternal and child health services
Journal
Journal of education and health promotion
ISSN: 2277-9531
Titre abrégé: J Educ Health Promot
Pays: India
ID NLM: 101593794
Informations de publication
Date de publication:
2020
2020
Historique:
received:
15
12
2019
accepted:
23
12
2019
entrez:
9
6
2020
pubmed:
9
6
2020
medline:
9
6
2020
Statut:
epublish
Résumé
Government of India recognizes the use of "information, communication, and technology" in the provision of comprehensive primary healthcare. In 2014-2015, Karuna Trust, a nongovernmental organization, Bengaluru, India, introduced an electronic health record (EHR) innovation, namely "Comprehensive Public Health Management" application (CPHM App). Data could be entered in an offline mode followed by syncing with cloud. The CPHM App was piloted in primary health center (PHC) Gumballi, in Karnataka, with focus on household survey and maternal and child health (MCH) services. To compare the consistency of selected MCH process indicators for Health Management Information System [HMIS] available from paper-based records and those generated through the CPHM App (2016-2017). We also explored the implementation enablers, barriers, and suggested solutions from the user perspective. A sequential mixed-method study design was followed. Quantitative phase involved aggregate data analysis looking into the consistency of selected MCH process indicators available from paper-based records and those generated through the CPHM App (2016-2017) followed by thematic analysis of in-depth interviews of healthcare providers. Consistency was defined as a percentage where the numerator was the HMIS-related process indicator data from CPHM App and denominator was the data from paper-based records. Three out of 12 selected MCH indicators had consistency of >80%. The quarterly consistency reduced over the 2 years. Dual burden of entry and regular monitoring of paper-based records by district health and family welfare department were the reasons why more importance was given to entry in paper-based records. Ability to generate aggregate indicators with CPHM App, easy to use and retrieve data in the field, and reminder facility for planned health activities were some of the factors facilitating CPHM implementation. The key barriers were limited technical expertise and support from the technical team and no internet connectivity in the field and traveling to PHC to sync the data. Provision of real-time technical support and availability of data connectivity in the field were some of the solutions suggested. There should be a minimum of 1-2 years of simultaneous use of EHR and paper-based records after which one must shift to EHR.
Sections du résumé
BACKGROUND
BACKGROUND
Government of India recognizes the use of "information, communication, and technology" in the provision of comprehensive primary healthcare. In 2014-2015, Karuna Trust, a nongovernmental organization, Bengaluru, India, introduced an electronic health record (EHR) innovation, namely "Comprehensive Public Health Management" application (CPHM App). Data could be entered in an offline mode followed by syncing with cloud. The CPHM App was piloted in primary health center (PHC) Gumballi, in Karnataka, with focus on household survey and maternal and child health (MCH) services.
OBJECTIVES
OBJECTIVE
To compare the consistency of selected MCH process indicators for Health Management Information System [HMIS] available from paper-based records and those generated through the CPHM App (2016-2017). We also explored the implementation enablers, barriers, and suggested solutions from the user perspective.
METHODS
METHODS
A sequential mixed-method study design was followed. Quantitative phase involved aggregate data analysis looking into the consistency of selected MCH process indicators available from paper-based records and those generated through the CPHM App (2016-2017) followed by thematic analysis of in-depth interviews of healthcare providers. Consistency was defined as a percentage where the numerator was the HMIS-related process indicator data from CPHM App and denominator was the data from paper-based records.
RESULTS
RESULTS
Three out of 12 selected MCH indicators had consistency of >80%. The quarterly consistency reduced over the 2 years. Dual burden of entry and regular monitoring of paper-based records by district health and family welfare department were the reasons why more importance was given to entry in paper-based records. Ability to generate aggregate indicators with CPHM App, easy to use and retrieve data in the field, and reminder facility for planned health activities were some of the factors facilitating CPHM implementation. The key barriers were limited technical expertise and support from the technical team and no internet connectivity in the field and traveling to PHC to sync the data. Provision of real-time technical support and availability of data connectivity in the field were some of the solutions suggested.
CONCLUSION
CONCLUSIONS
There should be a minimum of 1-2 years of simultaneous use of EHR and paper-based records after which one must shift to EHR.
Identifiants
pubmed: 32509910
doi: 10.4103/jehp.jehp_749_19
pii: JEHP-9-102
pmc: PMC7271930
doi:
Types de publication
Journal Article
Langues
eng
Pagination
102Informations de copyright
Copyright: © 2020 Journal of Education and Health Promotion.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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