Design of a phone-based clinical decision support system for resource-limited settings

Authors:
Yaw Anokwa;Nyoman Ribeka;Tapan Parikh;Gaetano Borriello;Martin C. Were
Affiliations:
University of Washington, Seattle, WA;Regenstrief Institute, Indianapolis, IN;University of California, Berkeley, Berkeley, CA;University of Washington, Seattle, WA;Regenstrief Institute, Indianapolis, IN
Venue:
Proceedings of the Fifth International Conference on Information and Communication Technologies and Development
Year:
2012

Citing 7
Cited 3

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods

Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Asynchronous remote medical consultation for Ghana

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
E-imci: improving pediatric health care in low-income countries

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Optimizing high latency links in the developing world

Proceedings of the 2008 ACM workshop on Wireless networks and systems for developing regions
Mobile-izing health workers in rural India

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
TCP behavior in sub packet regimes

Proceedings of the ACM SIGMETRICS joint international conference on Measurement and modeling of computer systems
Open data kit: tools to build information services for developing regions

Proceedings of the 4th ACM/IEEE International Conference on Information and Communication Technologies and Development

Integrating ODK Scan into the community health worker supply chain in Mozambique

Proceedings of the Sixth International Conference on Information and Communication Technologies and Development: Full Papers - Volume 1
Psychological dynamics in ICTD projects

Proceedings of the Sixth International Conference on Information and Communications Technologies and Development: Notes - Volume 2
Improving usability and correctness of a mobile tool to help a deaf person with pharmaceutical instruction

Proceedings of the 4th Annual Symposium on Computing for Development

Quantified Score

Hi-index	0.00

Visualization

Abstract

While previous work has shown that clinical decision support systems (CDSS) improve patient care in resource-limited settings, there is little access to such systems at the point of care. Moreover, even when CDSS are available, compliance with care suggestions remain low. In this paper, we use a multi-method approach to document four failure modes that can affect CDSS implementations. Building from six iteratively derived design principles, we describe a phone-based system designed to address these failure modes. Through a formal usability evaluation, we discover six core findings that are important for implementers of mobile systems for health care providers in resource-limited settings.