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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Electronic medical records and same day patient tracing improves clinic efficiency and adherence to appointments in a community based HIV/AIDS care program, in Uganda
AIDS and Behavior, Volume 16, No. 2, Year 2012
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Description
Patients who miss clinic appointments make unscheduled visits which compromise the ability to plan for and deliver quality care. We implemented Electronic Medical Records (EMR) and same day patient tracing to minimize missed appointments in a community-based HIV clinic in Kampala. Missed, early, on-schedule appointments and waiting times were evaluated before (pre-EMR) and 6 months after implementation of EMR and patient tracing (post-EMR). Reasons for missed appointments were documented pre and post-EMR. The mean daily number of missed appointments significantly reduced from 21 pre-EMR to 8 post-EMR. The main reason for missed appointments was forgetting (37%) but reduced significantly by 30% post-EMR. Loss to follow-up (LTFU) also significantly decreased from 10.9 to 4.8% The total median waiting time to see providers significantly decreased from 291 to 94 min. Our findings suggest that EMR and same day patient tracing can significantly reduce missed appointments, and LTFU and improve clinic efficiency. © 2011 Springer Science+Business Media, LLC.
Authors & Co-Authors
Alamo-Talisuna, Stella
Uganda, Kampala
Medical Department
Wagner, Glenn J.
United States, Santa Monica
Rand Corporation
Sunday, Pamela
Uganda, Kampala
Monitoring and Evaluation Department
Wanyenze, Rhoda Kitti
Uganda, Kampala
Makerere University
Ouma, Joseph
Unknown Affiliation
Kamya, Moses Robert K.
Uganda, Kampala
School of Medicine, Makerere University College of Health Sciences
Colebunders, Robert Leon
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Belgium, Antwerpen
Universiteit Antwerpen
Wabwire-Mangen, Fred
Uganda, Kampala
Makerere University School of Public Health
Statistics
Citations: 60
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1007/s10461-011-9996-9
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Uganda