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Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka

Lack of investment in low-income and middle-income countries (LMICs) in systems capturing continuous information regarding care of the acutely unwell patient is hindering global efforts to address inequalities, both at facility and national level. Furthermore, this of lack of data is disempowering f...

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Detalles Bibliográficos
Autores principales: Beane, Abi, De Silva, Ambepitiyawaduge Pubudu, Athapattu, Priyantha Lakmini, Jayasinghe, Saroj, Abayadeera, Anuja Unnathie, Wijerathne, Mandika, Udayanga, Ishara, Rathnayake, Shriyananda, Dondorp, Arjen M, Haniffa, Rashan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352842/
https://www.ncbi.nlm.nih.gov/pubmed/30775004
http://dx.doi.org/10.1136/bmjgh-2018-001134
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author Beane, Abi
De Silva, Ambepitiyawaduge Pubudu
Athapattu, Priyantha Lakmini
Jayasinghe, Saroj
Abayadeera, Anuja Unnathie
Wijerathne, Mandika
Udayanga, Ishara
Rathnayake, Shriyananda
Dondorp, Arjen M
Haniffa, Rashan
author_facet Beane, Abi
De Silva, Ambepitiyawaduge Pubudu
Athapattu, Priyantha Lakmini
Jayasinghe, Saroj
Abayadeera, Anuja Unnathie
Wijerathne, Mandika
Udayanga, Ishara
Rathnayake, Shriyananda
Dondorp, Arjen M
Haniffa, Rashan
author_sort Beane, Abi
collection PubMed
description Lack of investment in low-income and middle-income countries (LMICs) in systems capturing continuous information regarding care of the acutely unwell patient is hindering global efforts to address inequalities, both at facility and national level. Furthermore, this of lack of data is disempowering frontline staff and those seeking to support them, from progressing setting-relevant research and quality improvement. In contrast to high-income country (HIC) settings, where electronic surveillance has boosted the capability of governments, clinicians and researchers to engage in service-wide healthcare evaluation, healthcare information in resource-limited settings remains almost exclusively paper based. In this practice paper, we describe the efforts of a collaboration of clinicians, administrators, researchers and healthcare informaticians working in South Asia, in addressing the inequality in access to patient information in acute care. Harnessing a clinician-led collaborative approach to design and evaluation, we have implemented a national acute care information platform in Sri Lanka that is tailored to priorities of frontline staff. Iterative adaptation has ensured the platform has the flexibility to integrate with legacy paper systems, support junior team members in advocating for acutely unwell patients and has made information captured accessible to diverse stakeholders to improve service delivery. The same platform is now empowering clinicians to participate in international research and drive forwards improvements in care. During this journey, we have also gained insights on how to overcome well-described barriers to implementation of digital information tools in LMIC. We anticipate that this north–south collaborative approach to addressing the challenges of health system implementation in acute care may provide learning and inspiration to other partnerships seeking to engage in similar work.
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spelling pubmed-63528422019-02-15 Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka Beane, Abi De Silva, Ambepitiyawaduge Pubudu Athapattu, Priyantha Lakmini Jayasinghe, Saroj Abayadeera, Anuja Unnathie Wijerathne, Mandika Udayanga, Ishara Rathnayake, Shriyananda Dondorp, Arjen M Haniffa, Rashan BMJ Glob Health Practice Lack of investment in low-income and middle-income countries (LMICs) in systems capturing continuous information regarding care of the acutely unwell patient is hindering global efforts to address inequalities, both at facility and national level. Furthermore, this of lack of data is disempowering frontline staff and those seeking to support them, from progressing setting-relevant research and quality improvement. In contrast to high-income country (HIC) settings, where electronic surveillance has boosted the capability of governments, clinicians and researchers to engage in service-wide healthcare evaluation, healthcare information in resource-limited settings remains almost exclusively paper based. In this practice paper, we describe the efforts of a collaboration of clinicians, administrators, researchers and healthcare informaticians working in South Asia, in addressing the inequality in access to patient information in acute care. Harnessing a clinician-led collaborative approach to design and evaluation, we have implemented a national acute care information platform in Sri Lanka that is tailored to priorities of frontline staff. Iterative adaptation has ensured the platform has the flexibility to integrate with legacy paper systems, support junior team members in advocating for acutely unwell patients and has made information captured accessible to diverse stakeholders to improve service delivery. The same platform is now empowering clinicians to participate in international research and drive forwards improvements in care. During this journey, we have also gained insights on how to overcome well-described barriers to implementation of digital information tools in LMIC. We anticipate that this north–south collaborative approach to addressing the challenges of health system implementation in acute care may provide learning and inspiration to other partnerships seeking to engage in similar work. BMJ Publishing Group 2019-01-29 /pmc/articles/PMC6352842/ /pubmed/30775004 http://dx.doi.org/10.1136/bmjgh-2018-001134 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Practice
Beane, Abi
De Silva, Ambepitiyawaduge Pubudu
Athapattu, Priyantha Lakmini
Jayasinghe, Saroj
Abayadeera, Anuja Unnathie
Wijerathne, Mandika
Udayanga, Ishara
Rathnayake, Shriyananda
Dondorp, Arjen M
Haniffa, Rashan
Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title_full Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title_fullStr Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title_full_unstemmed Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title_short Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka
title_sort addressing the information deficit in global health: lessons from a digital acute care platform in sri lanka
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352842/
https://www.ncbi.nlm.nih.gov/pubmed/30775004
http://dx.doi.org/10.1136/bmjgh-2018-001134
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