@Article{信息:doi 10.2196 / /造型的。9658，作者="Liang, Li and Wiens, Matthew O and Lubega, Phaisal and Spillman, Ian and Mugisha, Samuel"，标题="乌干达本地开发的电子健康平台:Stre@mline的开发与实施"，期刊="JMIR Formativ Res"，年="2018"，月="Sep"，日="24"，卷="2"，号="2"，页数="e20"，关键词="电子健康档案;本地开发的技术;适当的技术;背景:电子健康记录(EHRs)在资源匮乏的环境中尤其重要，因为它们有可能解决一些独特的挑战，如大量需要长期治疗的患者无法随访，基本药物经常短缺，记录的维护和存储不良，以及临床分诊效率低下。然而，目前缺乏负担得起和实用的电子病历解决方案。Stre@mline是乌干达临床医生和工程师在乌干达西南部当地开发的电子病历平台。它是根据低资源医院的具体情况和需求量身定制的。它在没有互联网接入的情况下运行，采用了当地相关标准和关键的患者安全功能，有药物库存管理组件，有当地可用的技术支持，并且在没有国际捐助者资助的情况下在经济上是可持续的。Stre@mline目前有2家医院的6万多名患者使用，并计划在乌干达推广。 Objective: The purpose of this article is to describe the key opportunities and challenges in EHR development in sub-Saharan Africa and to summarize the development and implementation of a ``Made-for-Africa'' EHR, Stre@mline, and how it has led to improved care for over 60,000 vulnerable patients in a rural region of Southwestern Uganda. Methods: A quantitative user survey consisting of a set of 33 questions on usability and performance was conducted at Kisiizi Hospital. Users responded to each question through a Likert scale with the values of strongly disagree, disagree, agree, and strongly agree. Through purposive sampling, 30 users were identified and 28 users completed the survey. Results: We found that users were generally very satisfied with the ease of use of Stre@mline, with 96{\%} (27/28) finding it easy to learn and 100{\%} (28/28) finding it easy to use. Users found that Stre@mline was helpful in improving both clinical efficiency and enhancing patient care. Conclusions: The partnership of local clinicians and developers is crucial to the design and adoption of user-centered technologies tailored to the specific needs of low-resource settings. The EHR described here could serve as a model for the development of future technologies suitable for developing countries. ", issn="2561-326X", doi="10.2196/formative.9658", url="http://formative.www.mybigtv.com/2018/2/e20/", url="https://doi.org/10.2196/formative.9658", url="http://www.ncbi.nlm.nih.gov/pubmed/30684419" }