title: Information support for the ambulant health worker.
abstract: Health workers are trained to work in information-rich environments. Nineteen medical students evaluated 2700 patients in four villages in Kenya where there was no power or phone. A model of information support included personal digital assistants (PDA), electronic medical records (EMR), satellite telecommunications, medical software, and solar power. The students promptly found the advantages of PDA over paper. By using software for decision support and interacting with the EMR data for medical expertise, very few live telemedicine consults were needed. The cost of this information support was only US 0.28 dollars per patient visit. We conclude information resources can be provided in remote environments at reasonable cost.
authors.affiliation: Virginia Commonwealth University Department of Surgery, Medical Informatics and Technology Applications Consortium, Richmond, Virginia 23298-0480, USA. Ronald.merrell@vcu.edu
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Merrell
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Merriam
authors.forename: Charles
authors.initials: C
authors.lastname: Doarn
mesh_terms: D001292:Attitude to Computers; D034201:Computers, Handheld; D020000:Decision Support Systems, Clinical; D005843:Geography; D006785:Hospitals, University; D006801:Humans; D007630:Kenya; D008507:Medically Underserved Area; D012066:Relief Work / Q000458:organization & administration; D019035:Rural Health Services / Q000458:organization & administration*; D017215:Satellite Communications; D013337:Students, Medical / Q000523:psychology*; D017216:Telemedicine / Q000458:organization & administration*; D014330:Tropical Medicine / Q000193:education / Q000379:methods*; D014768:Virginia