Pramesh C S, Koita Rizwan, Sengar Manju, Shah Nikesh, Das Anthony Vipin, Nayak Prakash, Anandampillai Kiran, Pai Prathamesh, Kadam Amrut, Mallick Indranil, Bhargava Prabhat, Penumadu Prasanth, Nair Chandran K, Borthakur Bibhuti, Aarish M, Bagri Geetu, Ghosh-Laskar Sarbani, Tibdewal Anil, Balasubramani Latha, Jain Abhishek, Jandial Aditya, Prakash Gagan, Teli Nilesh, Kayal Smita, Goel Surabhi, Mayekar Krupa, Ranganathan Priya, Agarwal Vandana, Shetmahajan Madhavi, Ambulkar Reshma, Deodhar Jayita, Chatterjee Aparna, Bansal Mukkesh
Tata Memorial Hospital, Tata Memorial Centre, Homi Bhabha National Institute, National Cancer Grid, E. Borges Road, Parel, Mumbai400012, India.
Koita Foundation, Koita Centre for Digital Oncology, Mumbai, India.
Bull World Health Organ. 2025 May 1;103(5):337-342. doi: 10.2471/BLT.24.292230. Epub 2025 Apr 1.
Inefficient workflows, incomplete data and lack of interoperability can hinder the uptake of electronic records systems, challenges particularly relevant in cancer treatment with its complex longitudinal and multidisciplinary nature. Further, products developed in high-income countries are not designed for compatibility with the workflows of low- and middle-income countries, which face additional issues of cost.
We evaluated centres with different resources and geographical locations to develop the requirements of our product. We published an invitation to potential vendors, evaluated submitted product development bids and enlisted six vendors. Our subcommittees developed workflow modules and templates, ensured interoperability and developed key performance indicators.
The National Cancer Grid, a network of more than 360 cancer centres in India, assembled a team of experienced oncologists and digital health experts to develop electronic medical records products with specialized oncology capabilities.
Our collaboration between clinical and technical experts led to the development of six new, high-quality and interoperable products, compliant with the varying needs and resources of hospitals. We supported more than 20 centres with procurement and adoption through partial funding and technical assistance.
In developing product requirements, we gained an understanding of the challenges faced by hospitals in implementing such systems; by inviting vendors to submit a product development bid, we ensured that the product development cost was borne by the vendor and not hospitals; and by monitoring user feedback, we can continue to address issues raised by health workers and encourage the adoption of electronic medical records.
工作流程效率低下、数据不完整以及缺乏互操作性会阻碍电子病历系统的采用，这些挑战在癌症治疗中尤为突出，因为癌症治疗具有复杂的纵向和多学科性质。此外，高收入国家开发的产品并非为与低收入和中等收入国家的工作流程兼容而设计，而这些国家还面临成本方面的额外问题。
我们评估了不同资源和地理位置的中心，以确定我们产品的需求。我们发布了向潜在供应商的招标邀请，评估了提交的产品开发标书，并招募了六家供应商。我们的小组委员会开发了工作流程模块和模板，确保了互操作性，并制定了关键绩效指标。
印度国家癌症网格是一个由360多个癌症中心组成的网络，组建了一支由经验丰富的肿瘤学家和数字健康专家组成的团队，以开发具有专业肿瘤学功能的电子病历产品。
我们临床和技术专家之间的合作促成了六种新的、高质量且可互操作的产品的开发，这些产品符合医院的不同需求和资源情况。我们通过部分资金和技术援助，支持了20多个中心进行采购和采用。
在制定产品需求时，我们了解了医院在实施此类系统时面临的挑战；通过邀请供应商提交产品开发标书，我们确保了产品开发成本由供应商而非医院承担；通过监测用户反馈，我们能够持续解决卫生工作者提出的问题，并鼓励采用电子病历。
