Hi Everybody, One important consideration is that in resource-poor settings, you may find quite a few computers donated by some NGO or bilateral organisation, but do NOT expect a functioning network setup, not to mention a reliable (or affordable!!!) internet access, or high-security server (for patient-related data). Therefore, Care2x has, as it stand, limited usefulness for truly resource-poor setting like the ones I have worked in in Africa. HOWEVER, it should be possible to establish a functioning Care2X system like the one you have already done via Knoppix, even if it is - initially at least - only working on a single computer. This is still heaps better than loose leaflet (or none) patient records! As for the clinical guidelines, I do agree that this is very useful. I would favour an approach that is flexible (to accommodate local requirements), as National Institute of Health or CDC guidelines will definitely not be useful in many parts of the world. Also, these guidelines should be printable, as you may wish to give any such guidelines to co-workers that do not have any computer whatsoever. These guidelines should be available to the nurses, too, as nurses are by far more important - and useful - than doctors in resource-poor setting (I am a doctor myself ;-) ). Finally, clinical guidelines should embrace more than HIV/AIDS alone, as pneumonia and gastroenteritis remain the biggest killers in deprived areas. As it happens, there is a set of tremendously useful guidelines available from Australia, tailored to remote settings, oftentimes with nurses, only. Call this top-standard medicine, adapted to difficult logistics! They would be very easy to integrate into a digital library or knowledge base! Take care everybody, best regards from Vietnam - Chris
On Mon, 2005-10-31 at 10:07 +0530, Susheel John wrote: > the idea of having relevant clinical information is great ,going a > step ahead it would be a good idea to incorporate accepted "treatment > PROTOCOLS" that could act like a CDSS ( clinical Decision Support > System). > > Eg> you could have a validation rule based on CD 4 levels ...and the > corelate the same with the opportunistic infections that could occur > at that CD level....and its treatment protocols , this would add > tremendous value to the software particularly in resource poor > settings. > > Another feature can be to generate "exception reporting" , when there > is a deviation in the care administered from the standard accepted > guidelines then a report is generated, eg when someone starts Anti TB > treatment along with ART its an exception to the current guideline, > this would not only help as a cross check if a healthcare worker is > making a mistake as against a concious decision, these exception > reports also help in monitoring of the quality of care at any > particular clinic. > > if a subgroup of care2x developers can start working on this .it will > be a great contribution to the exisiting HIV / AIDS problem !!! > > susheel > > susheel > > On 10/31/05, Christoph H. Larsen <[EMAIL PROTECTED]> wrote: > Dear All, > Having worked for several years in Africa with HIV/AIDS, I > regard this > as a very useful contribution. The tremendously powerful > infrastructure > of Care2x should be able to accommodate any such anonymous > testing (VCT > for those who are busy in the field ;-) ). > Another feature that we may wish to consider is the > integration of > patient (and medical professionals) educational material, as > well as > travel medicine advice. Would we not ALL love to have > standard > information on common colds, viral gastroenteritis, etc. at > our > fingertips that we can easily issue to the wary mother of a > sick child? > Also, this knowledge base feature would be of terrific value > for > HIV/AIDS workers, patients, and counsellors alike! > Regarding the latter, I have been working on a simple yet > powerful > system based - essentially - on htdig and/or swish-e, but I > have not yet > though about integration into Care2x... > Thanks again, Susheel, any thoughts anybody? > Chris > > On Sun, 2005-10-30 at 21:39 +0530, Susheel John wrote: > > Hi > > > > A friend of mine has developed a system for care of HIV / > AIDS > > patients, but not in care2x > > > > the fundamental issues about HIV / Aids patients is the > > confidentiality of information > > since care2x has barcodes , only the barcode needs to be > displayed on > > the interface, you can plan for a password protected display > feature > > for the patient details which can be allocated role based. > > > > the other issue in HIV is the need for a serial monitoring > of CD 4 > > counts, therfore in the lab module a seprate plug in can be > > incorporated , again pasword protected so that there is not > breach of > > confidentiallity. > > > > what are your other concerns ? > > > > susheel > > > > On 10/30/05, Godfrey Kapinga <[EMAIL PROTECTED]> > wrote: > > Hi, > > I want to include a module that registers and give > > prescription and store information about HIV/AIDS > patients. > > Apparently the HIV/AIDS patients are treated > differently from > > the rest of the patients. And I would to see if > anyone has > > worked on a case like that in Care2x. > > > > > > > > > > On 10/28/05, nbenitez <[EMAIL PROTECTED]> wrote: > > Hi Godfrey > > Exactly tell me what do you need > > > > > > On 10/28/05, Godfrey Kapinga > > <[EMAIL PROTECTED]> wrote: > > Hello Developers, > > > > I'm looking for anyone that has > developed > > some modules in Care2x for HIV/AIDS. > > > > I'm at University Computing Centre > Ltd. > > (UCC), Dar Es Salaam, Tanzania. If I > get in > > touch with Care2x developers in East > Africa it > > would be great. > > > > We are customizing Care2x for > Tanzanian > > Hospitals. > > > > Thanks, > > > > GK > > http://www.liyoya.co.tz > > > > > > > > > > > > > > -- > > Dr Susheel Oommen John MD > > The Leprosy Mission Trust India > > 16 Pandit Pant Marg > > New Delhi 110 001 > > > > ------------------------------------------------------- > This SF.Net email is sponsored by the JBoss Inc. > Get Certified Today * Register for a JBoss Training Course > Free Certification Exam for All Training Attendees Through End > of 2005 > Visit http://www.jboss.com/services/certification for more > information > _______________________________________________ > Care2002-developers mailing list > [email protected] > https://lists.sourceforge.net/lists/listinfo/care2002-developers > > > > -- > Dr Susheel Oommen John MD > The Leprosy Mission Trust India > 16 Pandit Pant Marg > New Delhi 110 001 ------------------------------------------------------- This SF.Net email is sponsored by the JBoss Inc. Get Certified Today * Register for a JBoss Training Course Free Certification Exam for All Training Attendees Through End of 2005 Visit http://www.jboss.com/services/certification for more information _______________________________________________ Care2002-developers mailing list [email protected] https://lists.sourceforge.net/lists/listinfo/care2002-developers
