Implementation and expansion of an electronic medical record for HIV care and treatment in Haiti: an assessment of system use and the impact of large-scale disruptions

International Journal of Medical Informatics
Alastair I MathesonWilliam B Lober

Abstract

System use is a key criterion of success in an electronic medical record (EMR) implementation, and there is little research on long-term use of systems following implementation. The aim of the paper was to describe the development, implementation and use of iSanté, Haiti's national HIV care and treatment EMR. To build a picture of the history of iSanté, we interviewed 11 staff involved with the development and implementation of the EMR, and reviewed organization records. Data entry and report use were ascertained by querying the central patient database. By the end of 2010 there were 67 sites with iSanté installed, and the scope of the system had been expanded to include primary care and obstetrics and gynecology. New functionality includes data forms specific to subpopulations, the ability to transfer patient records among clinics, and integration with an electronic laboratory system. We observed fluctuations in use over time, with substantial reductions in the number of active sites during times of large-scale disruptions in Haiti. A surge in report use following the January 2010 earthquake suggests that clinics found the EMR to be a valuable source of data during the recovery phase. There is real potential for EMRs in develo...Continue Reading

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Citations

May 17, 2014·International Journal of Environmental Research and Public Health·Hong ChenPing Yu
Dec 3, 2013·AIDS and Behavior·Aranka AnemaMartin Bloem
Dec 2, 2015·International Journal of Medical Informatics·N PuttkammerS Barnhart
Feb 23, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nancy PuttkammerKesner François
Nov 28, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Chris DelcherPatrice Joseph
Oct 25, 2017·The American Journal of Tropical Medicine and Hygiene·Andrew F Auld And The Groupe d'Analyses Salvh
Sep 3, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Niloofar MohammadzadehAzin Rahimi
May 22, 2018·Journal of the International Association of Providers of AIDS Care·Martine Pamphile MyrtilKesner Francois
Apr 4, 2018·Health Systems·Emmanuel EzeCiara Heavin

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