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  Afiche en formato tradicional P-04
 

Can use of computer based support system improve 
health activities and surveillance in STD/HIV Control Programs in Peru?

Candiotti JL, M.D., Karras BT, M.D., Hoskins R, Ph.D. MPH, Holmes KK, M.D. Ph.D.

jlcandio@u.washington.edu

Hospital Nacional Daniel A. Carrion, Ministerio de Salud. Perú 

Information management in health services is one of the main problems for delivering good quality of care in developing countries. The search for information needed for clinical decisions (clinical records, lab results, imaging results) is a time consuming for health personnel, undermining the main purpose of health services, to improve the health of patients. 
Increased cases secondary to implementing free public health programs signifies a burden in health activities, monitoring and assessment of treatment, reporting, surveillance and information management. Paper based charts and reminders are a useful approach, but remain dependent on provider commitment. 
Referral and Tracking of patients with Syphilis, especially in pregnant women, is one of the most important steps to control the spread of the disease and the fatal consequences of congenital syphilis. Patient's geographical, social and economical factors, as well as the Health System's current information management make it difficult to continue patient treatment after they are discharged from the Hospital. 

Database collection system and Computer based Information systems offer a solution to information management and, can also be used in supervising, training, tracking of cases and referring cases to primary care (health centers).
Information Technology in Primary Medicine has proved to be a useful strategy, but its impact on STD and Syphilis Programs has not been studied. Computer based system can improve those tasks by automating processes and distributing information on follow-up to the local health centers (primary care clinics). We hypothesize that through improvement of patient tracking and referral follow-up, and monitoring of treatment, we can improve treatment of syphilis cases. Our poster will describe the design of the system and examination of current data including Geographical Information Systems (GIS) analysis. In addition the system will enable secure XML messaging throughout a distributed Information System. 

Jorge Candiotti, M.D. M.S.
Hospital Nacional Daniel A. Carrion, Ministerio de Salud. Perú 
jlcandio@u.washington.edu

Bryant Thomas Karras M.D.
Assistant Professor, University of Washington, Seattle WA. USA
Health Services, UW School Public Health and Community Medicine 
Adjunct Assistant Professor
Medical Education, Division of Biomedical Health Informatics

Richard Hoskins PhD MPH
Senior Epidemiologist and Director, GIS & Spatial Epidemiology Group, WA State Dept of Health 
Clinical Assistant Professor Epidemiology, UW School Public Health and Community Medicine
King K Holmes M.D. PhD.
Director, Center for AIDS and STD Head, Infectious Diseases
Allergy & Infectious Diseases / Center for AIDS and STD Harborview Medical Center,
Head Infectious Diseases Harborview Medical Center, University of Washington, Seattle WA. USA

 


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