Abstract
The purpose of an electronic health information system (EHIS) is to support health care workers in providing health care services to an individual client and to enable data exchange among service providers. The demand to explore the use of EHIS for diagnosis and management of communicable and non-communicable diseases has increased dramatically due to the volume of patient data and the need to retain patients in care. In addition, the advent of Coronavirus disease 2019 (COVID-19) pandemic in high disease burdened low and middle income countries (LMICs) has increased the need for robust EHIS to enable efficient surveillance of the pandemic. EHIS has potential to enable efficient delivery of disease diagnostics services at point-of-care (POC) and reduce medical errors. This review provides an overview of literature on EHIS’s with a focus on describing the key components of EHIS and presenting evidence on enablers and barriers to implementation of EHISs in LMICs. With guidance from the presented evidence, we proposed EHIS key stakeholders’ roles and responsibilities to ensure efficient utility of EHIS for disease diagnosis and management at POC in LMICs.
Highlights
The health sector is lagging behind in the era of information and technology (IT)
Liu and others revealed that the usage of electronic health information systems (EHIS) by health workers in low and middle income countries (LMICs) can be influenced by the level of system simplicity and user friendliness [34]
This review has provided us with a great platform to depict opportunities of EHIS implementation in LMICs
Summary
The health sector is lagging behind in the era of information and technology (IT). The main purpose for use of IT in the health sector include the following: extending geographic access to health care; enhancing client communication with the health provider; improving disease diagnosis and treatment; improved data quality management; and to avoid fraud and abuse of client’s confidentiality [1,2,3]. An efficient functioning EHIS requires the use of digital health systems such as three interlinked electronic register (Tier.Net), which has an ability to facilitate information exchange between software [9]. EHIS are a vital part of health IT built to go beyond standard clinical data collected in a providers’ office and can be inclusive of a broader view of a patient care [8]. An efficient functioning EHIS requires the use of digital health systems such as three interlinked electronic register (Tier.Net), which has an ability to facilitate information exchange between software [9].patient’s. COVID-19 in high disease burdened low and middle income countries (LMICs) such as South Africa the need for robust EHIS to enable efficient surveillance of the pandemic [11].
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