Challenges of using e-health technologies to support clinical care in rural Africa: a longitudinal mixed methods study exploring primary health care nurses' experiences of using an electronic clinical decision support system (CDSS) in South Africa.
Ngcwalisa Amanda JamaSilondile LuthuliSphindile MapumuloLyn HaskinsCecilie JensenDeidre PansegrouwNeil McKerrowPublished in: BMC health services research (2023)
Despite the potential of CDSSs to increase adherence to guidelines and improve clinical management and prescribing practices in resource constrained settings where clinical support is scarce, they have not been widely implemented. Careful attention should be paid to the work environment, work flow and skills of health workers prior to implementation, and ongoing health system support is required if health workers are to adopt these approaches (350).
Keyphrases
- healthcare
- mental health
- south africa
- public health
- primary care
- clinical decision support
- health information
- human health
- quality improvement
- electronic health record
- working memory
- randomized controlled trial
- type diabetes
- metabolic syndrome
- study protocol
- adipose tissue
- hiv positive
- hepatitis c virus
- clinical trial
- pain management
- hiv infected
- human immunodeficiency virus
- glycemic control