Issues of Adoption: Can Health Services Designed for Developed Countries be adopted in Developing Countries?
Abstract
Electronic health record (EHR) systems are a popular mechanism for accessing health records in the developed world and have contributed towards improved and cost-effective health care management. However, the development of appropriate and scalable EHR systems in developing countries has been difficult to achieve because of certain limitations inherent in the technological infrastructure. For instance, bandwidth limitations and power outages make it difficult to guarantee dependability in terms of accessibility to the data. This paper presents a comparative study of 19 EHR systems in terms of the security and usability of these systems within the context of the developing world. The evaluation is based on a number of dimensions such as development environment, system platform, type and access control standards found in the National Institute for Standard and Technology (NIST) and Certification Commission for Health Information Technology (CCHIT). Our research indicates that all the systems evaluated require online access control decisions. Access to data on a central server is controlled by a mechanism that verifies/authenticates users or parties wanting to view/modify/edit patient records. However, solely relying on an online access control system is limiting, particularly in developing countries where access to the server can be disrupted by a number of disastrous events. Additionally, literature also reveals that all the evaluated tools were developed with the user contexts in the developed World and therefore do not represent the needs of the patients and medical practitioners in the developing countries.
Use this URI to cite this item:
https://hdl.handle.net/20.500.11951/669Collections
Related items
Showing items related by title, author, creator and subject.
-
Factors associated with adoption of beneficial newborn care practices in rural Eastern Uganda: a cross-sectional study
Owor, Michael O.; Matovu, Joseph K. B.; Murokora, Daniel; Wanyenze1, Rhoda K.; Waiswa, Peter (BMC Pregnancy and Childbirth, 2016)Background: Beneficial newborn care practices can improve newborn survival. However, little is known about the factors that affect adoption of these practices. Methods: Cross-sectional study conducted among 1,616 mothers ... -
Understanding ICT adoption amongst SMEs in Uganda: Towards a participatory design model to enhance technology diffusion
Kyakulumbye, Stephen; Pather, Shaun (African Journal of Science, Technology, Innovation and Development, 2021-01-19)Policy statements by the United Nations, the African Union and most African countries boldly pronounce on the anticipated benefits of the internetworked world and associated ICT to society in general and to the world of ... -
Automated Teller Machines (ATM) Adoption Strategies and Customer Satisfaction in Commercial Banks in Uganda: A Case of Centenary Rural Development Bank Branches in the Central Business District of Kampala
Nanyanzi, Immaculate Mary (Uganda Christian University, 2021-07)The primary objective of the study was to assess the effect of ATM adoption strategies on customer satisfaction at Centenary Rural Development Bank in Kampala Central Business District. Specifically, the study assessed how ...