247
Non-Physician Primary Healthcare Workers
For a physician who can advise knowing the current status through simplified algorithm is Confidence. The closed loop complete cycle of experience brings Trust to the patient.
Consistently improving results bring Delight to all. Extensive studies have been conducted
in Tertiary care hospitals of Chennai with FEVERWATCH ® and will be soon published.
12.2.11 Need for Electronic Health Record
Just paramedical workers and gadgets alone are not enough. They have to be supported
by a health record which can capture what the paramedical workers do and the gadgets
record. This calls for an EHR. Figure 12.6 shows a snapshot of olden days. It is not just
enough to treat the patient with paper and pen.
12.3 Problems in Health Information System in the Country
1. The cause of death statistics obtained from the civil registration system are often
incomplete and of poor quality (Pandey et al. 2010).
2. There is little coordination between the agencies managing health information
and little integration and reconciliation of diverse data sources.
3. Data gathering is incomplete, and the non-inclusion of the private sector excludes
the major provider of health care in India.
4. Although data collection on some indicators is duplicated, vast gaps exist on
others. For example, information on health determinants, adult mortality and
cause of death, adult morbidity, and the coverage and costs of many interventions
are poorly recorded.
5. Use of data is limited by an inadequate focus on outputs and outcomes when
making decisions for allocation of funds and a shortage of skilled managers who
can analyze and use the data for decision-making (Mishra et al. 2012).
FIGURE 12.6
Olden days approach: physician carrying all the information in his head: no longer acceptable or possible.
Non-Physician Primary Healthcare Workers
For a physician who can advise knowing the current status through simplified algorithm is Confidence. The closed loop complete cycle of experience brings Trust to the patient.
Consistently improving results bring Delight to all. Extensive studies have been conducted
in Tertiary care hospitals of Chennai with FEVERWATCH ® and will be soon published.
12.2.11 Need for Electronic Health Record
Just paramedical workers and gadgets alone are not enough. They have to be supported
by a health record which can capture what the paramedical workers do and the gadgets
record. This calls for an EHR. Figure 12.6 shows a snapshot of olden days. It is not just
enough to treat the patient with paper and pen.
12.3 Problems in Health Information System in the Country
1. The cause of death statistics obtained from the civil registration system are often
incomplete and of poor quality (Pandey et al. 2010).
2. There is little coordination between the agencies managing health information
and little integration and reconciliation of diverse data sources.
3. Data gathering is incomplete, and the non-inclusion of the private sector excludes
the major provider of health care in India.
4. Although data collection on some indicators is duplicated, vast gaps exist on
others. For example, information on health determinants, adult mortality and
cause of death, adult morbidity, and the coverage and costs of many interventions
are poorly recorded.
5. Use of data is limited by an inadequate focus on outputs and outcomes when
making decisions for allocation of funds and a shortage of skilled managers who
can analyze and use the data for decision-making (Mishra et al. 2012).
FIGURE 12.6
Olden days approach: physician carrying all the information in his head: no longer acceptable or possible.