Implementing a socio-technical system for computer-aided tuberculosis diagnosis in Peru: A field trial among health professionals in resource-constraint settings.

Health Informatics Journal
Cesar Ugarte-GilMaria J Brunette

Abstract

A major challenge of tuberculosis diagnosis is the lack of universal accessibility to bacteriological confirmation. Computer-aided diagnostic interventions have been developed to address this gap and their successful implementation depends on many health systems factors. A socio-technical system to implement a computer-aided diagnostic tuberculosis diagnosis was preliminary tested in five primary health centers located in Lima, Peru. We recruited nurses (n = 7) and tuberculosis physicians (n = 5) from these health centers to participate in a field trial of an mHealth tool (eRx X-ray diagnostic app). From September 2018 to February 2019, the nurses uploaded images of chest X-rays using smartphones and the physicians reviewed those images on web-based platforms using tablets. Both completed weekly written feedback about their experience. Each nurse participated for a median duration of 12 weeks (interquartile range = 7.5-15.5), but image upload was only possible at a median of 58 percent (interquartile range = 35.1%-84.4%) of those weeks. Each physician participated for a median duration of 17 weeks (interquartile range = 12-17), but X-ray image review was only possible at a median of 52 percent (interquartile range = 49.7%-57.4%...Continue Reading

References

Jan 31, 2012·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·A H Van't HoogM W Borgdorff
Apr 2, 2013·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·C M DenkingerM Pai
May 9, 2013·European Radiology·Catriona J WaittS Bertel Squire
Feb 26, 2014·Social Science & Medicine·Shirin MadonEdwin Michael
Aug 6, 2015·BMC Medical Informatics and Decision Making·Nazib Uz Zaman KhanAbbas Bhuiya
Mar 24, 2016·BMC Infectious Diseases·German HenostrozaStewart E Reid
Jan 20, 2017·BMC Nursing·Beate-Christin Hope KolltveitMarit Kirkevold
Dec 22, 2017·Revista peruana de medicina experimental y salud pública·Maria J Brunette, Walter H Curioso
Oct 12, 2018·Global Health, Science and Practice·Lesley-Anne LongKarin Kallander
Nov 6, 2018·Globalization and Health·Alain B LabriqueAnn Aerts
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Mar 25, 2019·Lancet·Jennifer FurinMadhukar Pai
Mar 25, 2019·Lancet·Michael J A ReidEric P Goosby

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Methods Mentioned

BETA
X-ray

Software Mentioned

eRx app
EsSalud
eRx
Lima

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