Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries

Objective Implement a user-centred digital health information system to facilitate rapidly and substantially increasing the number of patients treated for hypertension in low/middle-income countries.Methods User-centred design of Simple, an offline-first app for mobile devices to record patient clin...

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Main Authors: Andrew E Moran, Thomas R Frieden, Jennifer Cohn, Daniel Burka, Reena Gupta, Sohel R Choudhury, Tim Cheadle, Rahul Mullick
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Health & Care Informatics
Online Access:https://informatics.bmj.com/content/30/1/e100641.full
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author Andrew E Moran
Thomas R Frieden
Jennifer Cohn
Daniel Burka
Reena Gupta
Sohel R Choudhury
Tim Cheadle
Rahul Mullick
author_facet Andrew E Moran
Thomas R Frieden
Jennifer Cohn
Daniel Burka
Reena Gupta
Sohel R Choudhury
Tim Cheadle
Rahul Mullick
author_sort Andrew E Moran
collection DOAJ
description Objective Implement a user-centred digital health information system to facilitate rapidly and substantially increasing the number of patients treated for hypertension in low/middle-income countries.Methods User-centred design of Simple, an offline-first app for mobile devices to record patient clinical visits and a web-based dashboard to monitor programme performance.Results The Simple mobile application scaled rapidly over the past 4 years to reach more than 11 400 primary care facilities in four countries with over 3 million patients enrolled. Simple achieved median duration for new patient registration of 76 s (IQR 2 s) and follow-up visit entry of 13 s (IQR 1 s).Conclusions A fast, easy-to-use digital information system for hypertension programmes that accommodates healthcare worker time constraints by minimising data entry and focusing on key performance indicators can successfully reach scale in low-resource settings.
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spelling doaj.art-1cfac03434d0414ca21be08ecc5250e22024-01-05T11:55:08ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092023-12-0130110.1136/bmjhci-2022-100641Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countriesAndrew E Moran0Thomas R Frieden1Jennifer Cohn2Daniel Burka3Reena Gupta4Sohel R Choudhury5Tim Cheadle6Rahul Mullick7Department of Medicine, Columbia University Irving Medical Center, New York, New York, USAPresident, Resolve to Save Lives, New York, NY, USAInfectious Diseases, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USACardiovascular Health, Resolve to Save Lives, New York, New York, USACardiovascular Health, Resolve to Save Lives, New York, New York, USADepartment of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka, BangladeshCardiovascular Health, Resolve to Save Lives, New York, New York, USACardiovascular Health, Resolve to Save Lives, New York, New York, USAObjective Implement a user-centred digital health information system to facilitate rapidly and substantially increasing the number of patients treated for hypertension in low/middle-income countries.Methods User-centred design of Simple, an offline-first app for mobile devices to record patient clinical visits and a web-based dashboard to monitor programme performance.Results The Simple mobile application scaled rapidly over the past 4 years to reach more than 11 400 primary care facilities in four countries with over 3 million patients enrolled. Simple achieved median duration for new patient registration of 76 s (IQR 2 s) and follow-up visit entry of 13 s (IQR 1 s).Conclusions A fast, easy-to-use digital information system for hypertension programmes that accommodates healthcare worker time constraints by minimising data entry and focusing on key performance indicators can successfully reach scale in low-resource settings.https://informatics.bmj.com/content/30/1/e100641.full
spellingShingle Andrew E Moran
Thomas R Frieden
Jennifer Cohn
Daniel Burka
Reena Gupta
Sohel R Choudhury
Tim Cheadle
Rahul Mullick
Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
BMJ Health & Care Informatics
title Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
title_full Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
title_fullStr Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
title_full_unstemmed Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
title_short Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
title_sort keep it simple designing a user centred digital information system to support chronic disease management in low middle income countries
url https://informatics.bmj.com/content/30/1/e100641.full
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