Development and Implementation of the DHAPP Military eHealth Information Network System
العنوان: | Development and Implementation of the DHAPP Military eHealth Information Network System |
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المؤلفون: | Delphis M. Vera, Mary Kratz, Ricardo Hora, Mark D Johnson, Anne Thomas, Mickey Lutz |
المصدر: | Current HIV research. 15(2) |
سنة النشر: | 2016 |
مصطلحات موضوعية: | Economic growth, Knowledge management, International Cooperation, 0211 other engineering and technologies, HIV Infections, 02 engineering and technology, Software license, Health informatics, Virology, eHealth, Medicine, Humans, Information Services, 021110 strategic, defence & security studies, business.industry, 05 social sciences, Public sector, 050301 education, Capacity building, Monitoring and evaluation, Private sector, United States Department of Defense, Telemedicine, United States, Infectious Diseases, Military Personnel, Information and Communications Technology, business, 0503 education |
الوصف: | Background: As the Joint United Nations Programme on HIV/AIDS, the Global Fund, and the US President’s Emergency Plan for AIDS Relief focus on reaching 90-90-90 goals, military health systems are scaling up to meet the data demands of these ambitious objectives. Methods: Since 2008, the US Department of Defense HIV/AIDS Prevention Program (DHAPP) has been working with military partners in 14 countries on implementation and adoption of a Military eHealth Information Network (MeHIN). Each country implementation plan followed a structured process using international eHealth standards. DHAPP worked with the private sector to develop a commercial-off-the-shelf (COTS) electronic medical record (EMR) for the collection of data, including patient demographic information, clinical notes for general medical care, HIV encounters, voluntary medical male circumcision, and tuberculosis screening information. Results: The COTS software approach provided a zero-dollar software license and focused on sharing a single version of the EMR across countries, so that all countries could benefit from software enhancements and new features over time. DHAPP also worked with the public sector to modify open source disease surveillance tools and open access of HIV training materials. Important lessons highlight challenges to eHealth implementation, including a paucity of technology infrastructure, military leadership rotations, and the need for basic computer skills building. Conclusion: While not simple, eHealth systems can be built and maintained with requisite security, flexibility, and reporting capabilities that provide critical information to improve the health of individuals and organizations. |
وصف الملف: | application/pdf |
تدمد: | 1873-4251 1080-6040 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6f8fba5c3262eb6a70000d602ffd89c5 https://pubmed.ncbi.nlm.nih.gov/28521714 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....6f8fba5c3262eb6a70000d602ffd89c5 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 18734251 10806040 |
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