{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T05:48:47Z","timestamp":1740894527881,"version":"3.38.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T00:00:00Z","timestamp":1469491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p> The incorporation of an electronic medical record into patient care is a priority in developed countries, but faces significant obstacles for adoption in developing countries. The goal of our study was to define and assess the efficiency of a personalized intervention on village physicians\u2019 use of electronic medical records in rural community health services of underprivileged areas. Six towns were selected with two bordering local health stations from each town. One was randomly given to the intervention group and the other to the control group. A structured on-site intervention was provided to village physicians in the intervention group, for 7 months. The results showed that in the intervention group, the percentage of households with complete records increased. The percentage of clinic medical records and complete child vaccination in the intervention group also increased from 2 to 14 percent (p = &lt;0.05) and from 10 to 23 percent (p = 0.05), respectively. Our investigation demonstrated that on-site education, supervision, and technical support directly correlate with improved use of electronic medical record. Our results report the challenges in implementing such a system and the steps being taken to enhance likelihood of sustainability. <\/jats:p>","DOI":"10.1177\/1460458215589204","type":"journal-article","created":{"date-parts":[[2015,9,9]],"date-time":"2015-09-09T01:03:25Z","timestamp":1441760605000},"page":"975-983","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Transforming patient care by introducing an electronic medical records initiative in a developing country"],"prefix":"10.1177","volume":"22","author":[{"given":"Waqas","family":"Shuaib","sequence":"first","affiliation":[{"name":"Emory University Hospital, USA"}]},{"given":"Julia Marielly","family":"Suarez","sequence":"additional","affiliation":[]},{"given":"Juan David","family":"Romero","sequence":"additional","affiliation":[{"name":"Ministry of Public Health, Dominican Republic"}]},{"given":"Carlos Dillon","family":"Pamello","sequence":"additional","affiliation":[{"name":"Hospital General de la Plaza de la Salud, Dominican Republic"}]},{"given":"Richard","family":"Alweis","sequence":"additional","affiliation":[{"name":"Reading Health System, USA"}]},{"given":"Aizaaz Ali","family":"Khan","sequence":"additional","affiliation":[{"name":"Grady Memorial Hospital, USA"}]},{"given":"Syed Raza","family":"Shah","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Pakistan"}]},{"given":"Hassan","family":"Shahid","sequence":"additional","affiliation":[{"name":"Reading Health System, USA"}]},{"given":"Serge B.","family":"PierreCharles","sequence":"additional","affiliation":[{"name":"University of Minnesota, USA"}]},{"given":"Laura Rosemary","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Ministry of Public Health, Dominican Republic; Hospital General de la Plaza de la Salud, Dominican Republic"}]}],"member":"179","published-online":{"date-parts":[[2016,7,26]]},"reference":[{"key":"bibr1-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0900592"},{"key":"bibr2-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2014.06.002"},{"key":"bibr3-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2007.09.001"},{"key":"bibr4-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0802005"},{"key":"bibr5-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-231"},{"key":"bibr6-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2010.04.006"},{"issue":"1","key":"bibr7-1460458215589204","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1086\/JCE201425108","volume":"25","author":"Aultman JM","year":"2014","journal-title":"J Clin Ethics"},{"issue":"45","key":"bibr8-1460458215589204","first-page":"24","volume":"41","author":"Winistorfer W","year":"2011","journal-title":"Mod Healthc"},{"key":"bibr9-1460458215589204","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00026"},{"volume-title":"Paper presented at the 30th international conference on information technology interfaces","author":"Fitzgerald G","key":"bibr10-1460458215589204"},{"key":"bibr11-1460458215589204","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00479.x"},{"issue":"2","key":"bibr12-1460458215589204","first-page":"83","volume":"13","author":"Fraser H","year":"2005","journal-title":"Inform Prim Care"},{"issue":"11","key":"bibr13-1460458215589204","first-page":"3752","volume":"15","author":"Liu YH","year":"2012","journal-title":"Chin Gen Pract"},{"issue":"18","key":"bibr14-1460458215589204","first-page":"226","volume":"14","author":"Wu SJ","year":"2011","journal-title":"Chin Gen Pract"},{"issue":"5","key":"bibr15-1460458215589204","first-page":"752","volume":"12","author":"Peng HZ","year":"2009","journal-title":"Chin Gen Pract"},{"issue":"1","key":"bibr16-1460458215589204","first-page":"10","volume":"26","author":"Liu YX","year":"2012","journal-title":"Chin Prim Health Care"},{"volume-title":"Paper presented at the proceedings of the 3rd ACM symposium on computing for development","author":"Ssembatya R","key":"bibr17-1460458215589204"},{"key":"bibr18-1460458215589204","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0883"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458215589204","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458215589204","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458215589204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T16:06:49Z","timestamp":1740845209000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458215589204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,26]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1177\/1460458215589204"],"URL":"https:\/\/doi.org\/10.1177\/1460458215589204","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"type":"print","value":"1460-4582"},{"type":"electronic","value":"1741-2811"}],"subject":[],"published":{"date-parts":[[2016,7,26]]}}}