Brotherton Tobias, Brotherton Samuel, Ashworth Henry, Kadambi Adesh, Ebrahim Hassaan, Ebrahim Senan
Hikma Health, San Jose, CA, United States.
Harvard Medical School, Boston, MA, United States.
Front Digit Health. 2022 Mar 14;4:847002. doi: 10.3389/fdgth.2022.847002. eCollection 2022.
While electronic health records (EHRs) have been shown to be effective in improving patient care in low-resource settings, there are still barriers to implementing them, including adaptability, usability, and sustainability. Taking a user-centered design process we developed the Hikma Health EHR for low resourced clinics caring for displaced populations. This EHR was built using React Native and Typescript that sync to a Python backend repository which is deployed on Google Cloud SQL. To date the Hikma Health EHR has been deployed for 26,000 patients. The positive impacts of the system reported by clinician users are 3-fold: (1) improved continuity of care; (2) improved visualization of clinical data; and (3) improved efficiency, resulting in a higher volume of patients being treated. While further development is needed, our open-source model will allow any organization to modify this system to meet their clinical and administrative needs.
虽然电子健康记录（EHRs）已被证明在资源匮乏地区改善患者护理方面是有效的，但在实施过程中仍存在障碍，包括适应性、可用性和可持续性。我们采用以用户为中心的设计流程，为照顾流离失所人群的资源匮乏诊所开发了希克马健康电子健康记录（Hikma Health EHR）。该电子健康记录使用React Native和TypeScript构建，并与部署在谷歌云SQL上的Python后端存储库同步。到目前为止，希克马健康电子健康记录已为26000名患者部署。临床医生用户报告的该系统的积极影响有三个方面：（1）改善了护理的连续性；（2）改善了临床数据的可视化；（3）提高了效率，从而使接受治疗的患者数量增加。虽然还需要进一步开发，但我们的开源模式将允许任何组织修改该系统，以满足其临床和管理需求。
