I JMIR Publications %V 23 %N 12 %P 卡塔尔世界杯8强波胆分析mUzima移动电子健康记录(EHR)系统:大规模开发和实现%A Were,Martin Chieng %A Savai,Simon %A Mokaya,Benard %A Mbugua,Samuel %A Ribeka,Nyoman %A Cholli,Preetam %A Yeung,Ada %+生物医学信息系，范德比尔特大学医学中心，2525 West End Avenue, Suite 750，田纳西州纳什维尔，37203,1 615 322 9374，martin.c.were@vumc.org %K移动健康%K电子医疗记录%K发展中国家%K数字鸿沟%K数字健康%K全球健康%D 2021 %7 14.12.2021 %9原始论文%J J医疗互联网Res %G英文%X背景:在低收入和中等收入国家(LMICs)，电子健康记录(EHR)系统的主要实施模式依赖于设施中的独立系统安装。这种实施方式加剧了数字鸿沟，电力和网络基础设施不足地区的设施往往落后。已经实施了移动卫生(mHealth)技术，以扩大数字卫生的覆盖范围，但这些系统在很大程度上加剧了患者数据孤立的问题，几乎没有与EHR系统进行无缝交互，而EHR系统目前在许多低收入和中等收入国家已在全国范围内扩展。需要有效扩展EHR系统的健壮移动卫生应用程序来改善获取、提高护理质量和改善数字鸿沟。目的:我们报道了mUzima的开发和大规模实施，mUzima是低收入和中等收入国家部署最广泛的EHR系统(OpenMRS)的移动卫生扩展。方法:采用《移动电话卫生干预报告指南:移动(mHealth)证据报告评估(mERA)》清单对mUzima应用程序进行报告。世界卫生组织(卫生组织)的《数字发展原则》框架被用作二级参考框架。提供了mUzima的体系结构、核心特性、功能及其实现状态的详细信息，以突出可以在其他系统中采用的元素。 Results: mUzima is an open-source, highly configurable Android application with robust features including offline management, deduplication, relationship management, security, cohort management, and error resolution, among many others. mUzima allows providers with lower-end Android smartphones (version 4.4 and above) who work remotely to access historical patient data, collect new data, view media, leverage decision support, conduct store-and-forward teleconsultation, and geolocate clients. The application is supported by an active community of developers and users, with feature priorities vetted by the community. mUzima has been implemented nationally in Kenya, is widely used in Rwanda, and is gaining scale in Uganda and Mozambique. It is disease-agnostic, with current use cases in HIV, cancer, chronic disease, and COVID-19 management, among other conditions. mUzima meets all WHO’s Principles of Digital Development, and its scaled implementation success has led to its recognition as a digital global public good and its listing in the WHO Digital Health Atlas. Conclusions: Greater emphasis should be placed on mHealth applications that robustly extend reach of EHR systems within resource-limited settings, as opposed to siloed mHealth applications. This is particularly important given that health information exchange infrastructure is yet to mature in many LMICs. The mUzima application demonstrates how this can be done at scale, as evidenced by its adoption across multiple countries and for numerous care domains. %M 34904952 %R 10.2196/26381 %U //www.mybigtv.com/2021/12/e26381 %U https://doi.org/10.2196/26381 %U http://www.ncbi.nlm.nih.gov/pubmed/34904952