Royall Julia
International Programs, US National Library of Medicine, USA.
Stud Health Technol Inform. 2009;149:58-73.
This chapter looks to the future through the prism of pilot projects well in progress at the time of this writing: use of a malaria electronic tutorial in Mifumi village, development of a mental health electronic tutorial in northern Uganda, and development of an electronic health management system at Tororo Hospital. Each demonstrates a strategy, rooted in African soil, whose ultimate objective is to improve health through IT and medical informatics. The projects connect users, health professionals, and decision-makers, bringing together interdisciplinary teams. These projects all seek to address the question: Can an information and communication technology (ICT) intervention make a difference in morbidity and mortality in African settings? The findings indicate that not only can these interventions be implemented but can be enhanced with community collaboration, making a positive outcome in terms of community adaptation more likely. Finally, this chapter proposes a health informatics center, a Menlo Park for innovation and entrepreneurship in East Africa in which new ICT inventions and interventions for better health can be created from around the region.
在米富米村使用疟疾电子教程、在乌干达北部开发心理健康电子教程以及在托罗罗医院开发电子健康管理系统。每个项目都展示了一种扎根于非洲土壤的策略,其最终目标是通过信息技术和医学信息学改善健康状况。这些项目将用户、卫生专业人员和决策者联系起来,汇聚了跨学科团队。这些项目都试图解决一个问题:信息通信技术(ICT)干预能否在非洲环境中对发病率和死亡率产生影响?研究结果表明,这些干预措施不仅可以实施,而且可以通过社区合作得到加强,从而更有可能在社区适应方面取得积极成果。最后,本章提议设立一个健康信息学中心,一个东非的门洛帕克,用于创新和创业,在那里可以从该地区各地创造出改善健康的新ICT发明和干预措施。