Faculty of Medicine, University of Antioquia, Medellín, Colombia.
J Am Med Inform Assoc. 2011 Mar-Apr;18(2):131-7. doi: 10.1136/jamia.2010.010025. Epub 2011 Feb 2.
To study and analyze the possible benefits on performance of community health workers using point-of-care clinical guidelines implemented as interactive rich media job aids on small-format mobile platforms.
A crossover study with one intervention (rich media job aids) and one control (traditional job aids), two periods, with 50 community health workers, each subject solving a total 15 standardized cases per period per period (30 cases in total per subject).
Error rate per case and task, protocol compliance.
A total of 1394 cases were evaluated. Intervention reduces errors by an average of 33.15% (p = 0.001) and increases protocol compliance 30.18% (p < 0.001). Limitations Medical cases were presented on human patient simulators in a laboratory setting, not on real patients.
These results indicate encouraging prospects for mHealth technologies in general, and the use of rich media clinical guidelines on cell phones in particular, for the improvement of community health worker performance in developing countries.
研究和分析在社区卫生工作者中使用即时护理临床指南的可能益处，这些指南通过小型移动平台上的交互式富媒体作业辅助工具来实施。
一项具有一个干预措施（富媒体作业辅助工具）和一个对照（传统作业辅助工具）的交叉研究，有两个时期，共有 50 名社区卫生工作者，每个受试者在每个时期内总共解决 15 个标准化案例（每个受试者总共 30 个案例）。
每个案例和任务的错误率，协议遵守情况。
共评估了 1394 个案例。干预措施平均减少了 33.15%的错误（p = 0.001），并增加了 30.18%的协议遵守情况（p < 0.001）。局限性：医疗案例是在实验室环境中的人体模拟患者上呈现的，而不是在真实患者上呈现的。
这些结果表明，移动健康技术具有令人鼓舞的前景，特别是在发展中国家，使用手机上的富媒体临床指南可以改善社区卫生工作者的绩效。
