Connecting Primary Health Care: A Comprehensive Pilot Study

  • Mehran Maghsoudloo Mail National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
  • Farid Abolhassani National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
  • Nasrin Lotfibakhshaiesh School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Health information systems, Distributed software architecture, Primary health care, Electronic health record

Abstract

The collection of data within the primary health care facilities in Iran is essentially paper-based. It is focused on family’s health, monitoring of non-infectious and infectious diseases. Clearly due to the paper-based nature of the tasks, timely decision making at most can be difficult if not impossible. As part of an on-going electronic health record implementation project at Tehran University of Medical Sciences, for the first time in the region, based on a comprehensive pilot project, four urban healthcare facilities are connected to their headquarters and beyond, covering all aspects of primary health care, for the last four years. Without delving into the technical aspects of its software engineering processes, the progress of the implementation is reported, selection of summarized data is presented, and experience gained thus far are discussed. Four years passed and if time is any important reason to go by, then it is safe to accept that the software architecture and electronic health record structural model implemented are robust and yet extensible. Aims and duration of a pilot study should be clearly defined prior to start and managed till its completion. Resistance to change and particularly to information technology, apart from its technical aspects, is also based on human factors.

Author Biography

Mehran Maghsoudloo, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
National Institute of Health Research

References

Iranian health houses open the door to primary care, Bulletin of the World Health Organization, 2008, 86 (8), 585 - 586,

Mehryar A, Primary Health Care and the Rural Poor in the Islamic Republic of Iran, World Bank Organization, 2004. Available at:

http://web.worldbank.org/archive/website00819C/WEB/PDF/IRAN_PRI.PDF

Shadpour K , Primary health care networks in the Islamic Republic of Iran, Eastern Mediterranean Health Journal, 2000, 6 (4), 822 - 825.

Puderbaugh A, Iran's health houses provide model for Mississippi Delta,

Global Health Matters Newsletters,2009, 8 (6), Available at:http://www.fic.nih.gov/News/GlobalHealthMatters/Pages/1209_health-house.aspx

Joulaei H, Lankarani KB, Shahbazi M, Iranian and American Health Professionals working together to Address Health Disparities in Mississippi Delta based on Iran’s Health House Model, Archives of Iranian Medicine, 2012, 15 (6), 378 - 380.

WHO, Health system profile: IR Iran, 2006, Available at:

http://apps.who.int/medicinedocs/documents/s17294e/s17294e.pdf

Asadi F, Hosseini A et al., Primary health care information systems in health centers in Tehran, Health Information Management, 2012, 9(1), 1 - 10. In Persian with English abstract.

Standard ISO/TR 25014 , Health informatics — Electronic health record — Definition, scope and context ,2005, page 2.

Karamouzian M, Sharifi H, Haghdoost AA, Iran's shift in family planning policies: concerns and challenges, Int J Health Policy Manag, 2014, 3, 231 - 233.

Jowitt T, Cost of Labour's botched IT projects exposed, TechWeek Europe, 2010, Available at:http://www.techweekeurope.co.uk/e-regulation/cost-of-labours-botched-it-projects-exposed-3076

Hardy-Vallee B, The cost of bad project management, Gallup Business Journal,2012. Available at:http://www.gallup.com/businessjournal/152429/cost-bad-project-management.aspx

Published
2016-07-09
How to Cite
1.
Maghsoudloo M, Abolhassani F, Lotfibakhshaiesh N. Connecting Primary Health Care: A Comprehensive Pilot Study. Acta Med Iran. 54(7):441-447.
Section
Articles