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Progress towards unique patient identification and case-based surveillance within the Southern African development community

Population mobility makes patient-tracking and care linkage in the South African Development Community (SADC) challenging. Case-based surveillance (CBS) through individual-level clinical data linked with a unique patient-identifier (UPI) is recommended. We conducted a mixed-methods landscape analysi...

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Autores principales: Govender, Kerensa, Long, Lawrence, Miot, Jacqui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311353/
https://www.ncbi.nlm.nih.gov/pubmed/36601790
http://dx.doi.org/10.1177/14604582221139058
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author Govender, Kerensa
Long, Lawrence
Miot, Jacqui
author_facet Govender, Kerensa
Long, Lawrence
Miot, Jacqui
author_sort Govender, Kerensa
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description Population mobility makes patient-tracking and care linkage in the South African Development Community (SADC) challenging. Case-based surveillance (CBS) through individual-level clinical data linked with a unique patient-identifier (UPI) is recommended. We conducted a mixed-methods landscape analysis of UPI and CBS implementation within selected SADC countries, this included: (1) SADC UPI implementation literature review; (2) assessment of UPI and CBS implementation for high HIV-prevalence SADC countries; (3) UPI implementation case-study in selected South African primary healthcare (PHC) facilities. Research into CBS and UPI implementation for the SADC region is lacking. Existing patient-identification methods often fail and limit patient-tracking. Paper-based records and poor integration between health-information systems further restrict patient-tracking. Most countries were in the early-middle stages of CBS and faced UPI challenges. Our South African case-study found that the UPI often goes uncaptured. Difficulties tracking patients across prevention and care cascades will continue until a functional and reliable UPI is available.
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spelling pubmed-103113532023-06-30 Progress towards unique patient identification and case-based surveillance within the Southern African development community Govender, Kerensa Long, Lawrence Miot, Jacqui Health Informatics J Article Population mobility makes patient-tracking and care linkage in the South African Development Community (SADC) challenging. Case-based surveillance (CBS) through individual-level clinical data linked with a unique patient-identifier (UPI) is recommended. We conducted a mixed-methods landscape analysis of UPI and CBS implementation within selected SADC countries, this included: (1) SADC UPI implementation literature review; (2) assessment of UPI and CBS implementation for high HIV-prevalence SADC countries; (3) UPI implementation case-study in selected South African primary healthcare (PHC) facilities. Research into CBS and UPI implementation for the SADC region is lacking. Existing patient-identification methods often fail and limit patient-tracking. Paper-based records and poor integration between health-information systems further restrict patient-tracking. Most countries were in the early-middle stages of CBS and faced UPI challenges. Our South African case-study found that the UPI often goes uncaptured. Difficulties tracking patients across prevention and care cascades will continue until a functional and reliable UPI is available. 2023 /pmc/articles/PMC10311353/ /pubmed/36601790 http://dx.doi.org/10.1177/14604582221139058 Text en https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Creative Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Govender, Kerensa
Long, Lawrence
Miot, Jacqui
Progress towards unique patient identification and case-based surveillance within the Southern African development community
title Progress towards unique patient identification and case-based surveillance within the Southern African development community
title_full Progress towards unique patient identification and case-based surveillance within the Southern African development community
title_fullStr Progress towards unique patient identification and case-based surveillance within the Southern African development community
title_full_unstemmed Progress towards unique patient identification and case-based surveillance within the Southern African development community
title_short Progress towards unique patient identification and case-based surveillance within the Southern African development community
title_sort progress towards unique patient identification and case-based surveillance within the southern african development community
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311353/
https://www.ncbi.nlm.nih.gov/pubmed/36601790
http://dx.doi.org/10.1177/14604582221139058
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