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Mar 25, 2009

Stimulating the Adoption of Health Information Technology


Global

The recently enacted stimulus bill — the American Recovery and Reinvestment Act of 2009 (ARRA) — touches almost every aspect of the U.S. economy. Health care is no exception. In fact, the ARRA is historic health care legislation of the type rarely produced by our famously incremental federal government. The law prevents dramatic state cuts in Medicaid, expands funding for preventive health care services and health care research, and helps the unemployed buy health insurance. But perhaps its most profound effect on doctors and patients will result from its unprecedented $19 billion program to promote the adoption and use of health information technology (HIT) and especially electronic health records (EHRs).

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Mar 1, 2009

Costs And Benefits Of Health Information Technology: New Trends From The Literature


To understand what is new in health information technology (IT), we updated a systematic review of health IT with studies published during 2004–2007. From 4,683 titles, 179 met inclusion criteria. We identified a proliferation of patient-focused applications although little formal evaluation in this area; more descriptions of commercial electronic health records (EHRs) and health IT systems designed to run independently from EHRs; and proportionately fewer relevant studies from the health IT leaders. Accelerating the adoption of health IT will require greater public-private partnerships, new policies to address the misalignment of financial incentives, and a more robust evidence base regarding IT implementation.

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Feb 1, 2009

Science, Technology and Innovation for Public Health in Africa


Global

African countries face formidable challenges in public health, particularly with the rapid spread of HIV/AIDS and the persistence of malaria and related killer diseases such as tuberculosis which wreck havoc with people’s lives. Other challenges the African countries are experiencing include the deterioration of health infrastructures and low and declining investments in health research. For many of these countries, this state of affairs has resulted in a considerable drop in life expectancy in the last two decades. This is particularly so in the sub-Saharan Africa where the burden of disease is pervasive and most pronounced.

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Jan 6, 2009

PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems

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Global

In recent times of resource constraints, good governance, transparency and accountability have become the mantra of development, and consequently more attention is given to strengthening evidence-based decision-making and information systems. Also, the emphasis on tracking Millennium Development Goals (van Etten et al. 2005) and the practice of performance-based release of funding requested by international funding agencies, such as the Global Alliance on Vaccines and Immunization (GAVI) and the Global Fund to Fight AIDS, TB, and Malaria (GFTAM), require increasing amounts of quality information. This trend is reinforced in the health sector by emerging infectious diseases and environmental disasters, which need timely information for action.

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Jan 1, 2009

It Is Time! Accelerating the Use of Child Health Information Systems to Improve Child Health

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Global

Articles in this issue show clearly the enormous impact that the use of health information technology can have on the quality of health care for children. However, they also point out the challenges that need to be overcome to realize fully the potential of health information technology to improve the quality and efficiency of health care.

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Dec 13, 2008

Tracking progress towards universal childhood immunisation and the impact of global initiatives: a systematic analysis of three-dose diphtheria, tetanus, and pertussis immunisation coverage

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Global

Substantial resources have been invested in increasing childhood immunisation coverage through global initiatives such as the Universal Childhood Immunisation (UCI) campaign and the Global Alliance on Vaccines and Immunisations (GAVI). There are longstanding concerns that target-oriented and performance-oriented initiatives such as UCI and GAVI's immunisation services support (ISS) might encourage over-reporting. We estimated the coverage of three doses of diphtheria, tetanus, and pertussis vaccine (DTP3) based on surveys using all available data.

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Nov 3, 2008

Cost Benefit Analysis of Satellite-Enhanced Telemedicine and eHealth Services in Sub-Saharan Africa

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Global

The European Space Agency (“ESA”) commissioned PricewaterhouseCoopers LLP (“PwC”) to undertake an independent analysis of the costs and benefits for investment in satellite-enhanced telemedicine and eHealth services to support public health policy objectives in sub-Saharan Africa. The overarching aim of this study has been to demonstrate the illustrative additional economic benefits of using satellite technology to extend the reach of telemedicine and eHealth services to the rural and most isolated areas of sub-Saharan Africa.

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Aug 1, 2008

Implementing the RED approach

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Global

The purpose of this Guide is to stimulate interest in improving and sustaining high levels of immunisation coverage in all districts and to give health program managers (governmental and non-governmental), supervisors and health workers practical information about the RED approach. The Guide is intended for adaptation and use by national immunization programmes, as one of several resources that can be used to introduce district health teams and immunisation partners to the RED approach. Once adapted, it can also be used by district health teams and health workers as a quick reference to the five RED components and core monitoring indicators. Another important use for the Guide may be in explaining RED to local officials and other potential supporters of immunisation and PHC services.

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Aug 1, 2008

Introducing new vaccines in the poorest countries: What did we learn from the GAVI experience with financial sustainability?

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Global

This paper reviews the experience of the Global Alliance for Vaccines and Immunization (GAVI) in introducing hepatitis B and Haemophilus influenzae type b vaccines in the poorest countries, and explores how financing for immunization has changed since GAVI Fund resources were made available during its first wave of support between 2000 and 2006. The analysis of Financial Sustainability Plans in 50 countries allowed for some of the original funding assumptions of the GAVI approach to be tested against the realities in a wide set of countries, and to highlight implications for future immunization efforts. While the initial GAVI experience with financial sustainability has proved successful through the development of plans, and many countries have been able to both introduce new vaccines and mobilize additional financing for immunization, for future GAVI supported vaccine introduction, some country co-financing of these will be needed upfront for the approach to be more sustainable.

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