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Use of an electronic medical record to monitor efficacy of diabetes care in out-patients in a central hospital in Malawi: Patterns of glycaemic control and lessons learned.
Allain, Theresa J; Mang'anda, Grieves; Kasiya, Marrianne; Khomani, Patricia; Banda, Ndaziona P; Gonani, Andrew; Peterson, Ingrid; Dreyer, Gavin.
Affiliation
  • Allain TJ; University Hospitals Bristol Teaching Trust, Bristol, UK.
  • Mang'anda G; College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.
  • Kasiya M; College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.
  • Khomani P; Baobab Health Trust, P.O. Box 31797, Lilongwe, Malawi.
  • Banda NP; College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.
  • Gonani A; Ministry of Health, Queen Elizabeth Hospital Blantyre, Malawi.
  • Peterson I; Malawi Liverpool Wellcome Trust Clinical Research Programme, PO Box Blantyre, Malawi.
  • Dreyer G; Renal Unit, Barts Health NHS Trust, London, UK.
Malawi Med J ; 29(4): 322-326, 2017 12.
Article in En | MEDLINE | ID: mdl-29963288
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.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Outpatients / Blood Glucose / Diabetes Mellitus / Electronic Health Records / Hypoglycemic Agents Type of study: Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male Country/Region as subject: Africa Language: En Journal: Malawi Med J Year: 2017 Document type: Article Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Outpatients / Blood Glucose / Diabetes Mellitus / Electronic Health Records / Hypoglycemic Agents Type of study: Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans / Male Country/Region as subject: Africa Language: En Journal: Malawi Med J Year: 2017 Document type: Article Country of publication: