Allain Theresa J, Mang'anda Grieves, Kasiya Marrianne, Khomani Patricia, Banda Ndaziona P, Gonani Andrew, Peterson Ingrid, Dreyer Gavin
University Hospitals Bristol Teaching Trust, Bristol, UK.
College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Malawi Med J. 2017 Dec;29(4):322-326. doi: 10.4314/mmj.v29i4.8.
The Malawian health sector has a strong tradition of systematic data collection for monitoring and evaluation of large-scale services. A highly successful adapted Directly Observed Treatment, Short course "DOTS" framework, based on patient registers and paper-based mastercards was introduced to facilitate the management and monitoring of the scale up of antiretroviral therapy. Subsequently, a simple, touch-screen based electronic medical record system (EMRs) was effectively introduced at high burden ART sites. Based on this model, in 2010, a diabetes specific EMRs was introduced in the diabetes clinic at Queen Elizabeth Central Hospital. In this paper we report on the first 3 years experience with the diabetes EMRs. We highlight the strengths and weaknesses of the diabetes EMRs and present data on glycaemic control recorded in the system.
马拉维卫生部门在系统收集数据以监测和评估大规模服务方面有着悠久的传统。基于患者登记册和纸质主卡，引入了一个非常成功的适应性短程直接观察治疗法（“DOTS”）框架，以促进抗逆转录病毒疗法扩大规模的管理和监测。随后，在抗逆转录病毒治疗负担较重的地点有效引入了一个简单的基于触摸屏的电子病历系统（EMR）。基于该模式，2010年，伊丽莎白女王中央医院糖尿病诊所引入了特定于糖尿病的电子病历。在本文中，我们报告了糖尿病电子病历的头三年使用经验。我们突出了糖尿病电子病历的优点和缺点，并展示了该系统记录的血糖控制数据。
