Strengthening pharmaceutical systems for palliative care services in resource limited settings: piloting a mHealth application across a rural and urban setting in Uganda
Medicine availability is improving in sub-Saharan Africa for palliative care services. There is a need to develop strong and sustainable pharmaceutical systems to enhance the proper management of palliative care medicines, some of which are controlled. One approach to addressing these needs is the u...
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| Veröffentlicht in: | BMC palliative care 2016-02, Vol.15 (20), p.20-20, Article 20 |
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| creator | Namisango, Eve Ntege, Chris Luyirika, Emmanuel B K Kiyange, Fatia Allsop, Matthew J |
| description | Medicine availability is improving in sub-Saharan Africa for palliative care services. There is a need to develop strong and sustainable pharmaceutical systems to enhance the proper management of palliative care medicines, some of which are controlled. One approach to addressing these needs is the use of mobile technology to support data capture, storage and retrieval. Utilizing mobile technology in healthcare (mHealth) has recently been highlighted as an approach to enhancing palliative care services but development is at an early stage.
An electronic application was implemented as part of palliative care services at two settings in Uganda; a rural hospital and an urban hospice. Measures of the completeness of data capture, time efficiency of activities and medicines stock and waste management were taken pre- and post-implementation to identify changes to practice arising from the introduction of the application.
Improvements in all measures were identified at both sites. The application supported the registration and management of 455 patients and a total of 565 consultations. Improvements in both time efficiency and medicines management were noted. Time taken to collect and report pharmaceuticals data was reduced from 7 days to 30 min and 10 days to 1 h at the urban hospice and rural hospital respectively. Stock expiration reduced from 3 to 0.5% at the urban hospice and from 58 to 0% at the rural hospital. Additional observations relating to the use of the application across the two sites are reported.
A mHealth approach adopted in this study was shown to improve existing processes for patient record management, pharmacy forecasting and supply planning, procurement, and distribution of essential health commodities for palliative care services. An important next step will be to identify where and how such mHealth approaches can be implemented more widely to improve pharmaceutical systems for palliative care services in resource limited settings. |
| doi_str_mv | 10.1186/s12904-016-0092-9 |
| format | Article |
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An electronic application was implemented as part of palliative care services at two settings in Uganda; a rural hospital and an urban hospice. Measures of the completeness of data capture, time efficiency of activities and medicines stock and waste management were taken pre- and post-implementation to identify changes to practice arising from the introduction of the application.
Improvements in all measures were identified at both sites. The application supported the registration and management of 455 patients and a total of 565 consultations. Improvements in both time efficiency and medicines management were noted. Time taken to collect and report pharmaceuticals data was reduced from 7 days to 30 min and 10 days to 1 h at the urban hospice and rural hospital respectively. Stock expiration reduced from 3 to 0.5% at the urban hospice and from 58 to 0% at the rural hospital. Additional observations relating to the use of the application across the two sites are reported.
A mHealth approach adopted in this study was shown to improve existing processes for patient record management, pharmacy forecasting and supply planning, procurement, and distribution of essential health commodities for palliative care services. An important next step will be to identify where and how such mHealth approaches can be implemented more widely to improve pharmaceutical systems for palliative care services in resource limited settings.</description><identifier>ISSN: 1472-684X</identifier><identifier>EISSN: 1472-684X</identifier><identifier>DOI: 10.1186/s12904-016-0092-9</identifier><identifier>PMID: 26895882</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Analysis ; Care and treatment ; Community Health Services - standards ; Data entry ; Developing Countries ; Health Resources - standards ; Hospice care ; Humans ; Logistics ; Pain ; Palliative care ; Palliative Care - methods ; Palliative Care - trends ; Palliative treatment ; Pharmaceutical Services - standards ; Pharmaceutical Services - statistics & numerical data ; Pilot Projects ; Rural Population ; Uganda ; Urban Population</subject><ispartof>BMC palliative care, 2016-02, Vol.15 (20), p.20-20, Article 20</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>Namisango et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-f421e1b8edab408035b2e48ea2533014a9095eaf179c4f57a49d9d5baecf5e43</citedby><cites>FETCH-LOGICAL-c494t-f421e1b8edab408035b2e48ea2533014a9095eaf179c4f57a49d9d5baecf5e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759774/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759774/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26895882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Namisango, Eve</creatorcontrib><creatorcontrib>Ntege, Chris</creatorcontrib><creatorcontrib>Luyirika, Emmanuel B K</creatorcontrib><creatorcontrib>Kiyange, Fatia</creatorcontrib><creatorcontrib>Allsop, Matthew J</creatorcontrib><title>Strengthening pharmaceutical systems for palliative care services in resource limited settings: piloting a mHealth application across a rural and urban setting in Uganda</title><title>BMC palliative care</title><addtitle>BMC Palliat Care</addtitle><description>Medicine availability is improving in sub-Saharan Africa for palliative care services. There is a need to develop strong and sustainable pharmaceutical systems to enhance the proper management of palliative care medicines, some of which are controlled. One approach to addressing these needs is the use of mobile technology to support data capture, storage and retrieval. Utilizing mobile technology in healthcare (mHealth) has recently been highlighted as an approach to enhancing palliative care services but development is at an early stage.
An electronic application was implemented as part of palliative care services at two settings in Uganda; a rural hospital and an urban hospice. Measures of the completeness of data capture, time efficiency of activities and medicines stock and waste management were taken pre- and post-implementation to identify changes to practice arising from the introduction of the application.
Improvements in all measures were identified at both sites. The application supported the registration and management of 455 patients and a total of 565 consultations. Improvements in both time efficiency and medicines management were noted. Time taken to collect and report pharmaceuticals data was reduced from 7 days to 30 min and 10 days to 1 h at the urban hospice and rural hospital respectively. Stock expiration reduced from 3 to 0.5% at the urban hospice and from 58 to 0% at the rural hospital. Additional observations relating to the use of the application across the two sites are reported.
A mHealth approach adopted in this study was shown to improve existing processes for patient record management, pharmacy forecasting and supply planning, procurement, and distribution of essential health commodities for palliative care services. An important next step will be to identify where and how such mHealth approaches can be implemented more widely to improve pharmaceutical systems for palliative care services in resource limited settings.</description><subject>Analysis</subject><subject>Care and treatment</subject><subject>Community Health Services - standards</subject><subject>Data entry</subject><subject>Developing Countries</subject><subject>Health Resources - standards</subject><subject>Hospice care</subject><subject>Humans</subject><subject>Logistics</subject><subject>Pain</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - trends</subject><subject>Palliative treatment</subject><subject>Pharmaceutical Services - standards</subject><subject>Pharmaceutical Services - statistics & numerical data</subject><subject>Pilot Projects</subject><subject>Rural Population</subject><subject>Uganda</subject><subject>Urban Population</subject><issn>1472-684X</issn><issn>1472-684X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptksFu1DAQhiMEoqXwAFyQJS69pNiOE8cckKqqpUiVOFAkbtbEmey6cpxgOyv1kXhLHLYtLUI-2PL8841n_BfFW0ZPGGubD5FxRUVJWVNSqnipnhWHTEheNq348fzR-aB4FeMNpUy2on5ZHPCmVXXb8sPi17cU0G_SFr31GzJvIYxgcEnWgCPxNiYcIxmmQGZwzkKyOyQGApKIYWcNRmI9CRinJRgkzo42YZ-DKWVe_Ehm66b1SICMlwgubQnMs8v4ZCdPwIQpxhwMS8gFwfdkCR34e8JK_77J1_C6eDGAi_jmbj8qri_Or88uy6uvn7-cnV6VRiiRykFwhqxrsYdO0JZWdcdRtAi8rirKBCiqaoSBSWXEUEsQqld93QGaoUZRHRWf9th56UbsDfqUH6bnYEcIt3oCq59GvN3qzbTTQtZKyhVwfAcI088FY9KjjQadA4_TEjWTjWx4IyqZpe__kd7kMfrcXVbJquFcVuqvagMOtfXDlOuaFapPRcbUoqrWsif_UeXV42jN5HGw-f5JAtsn_PmBgMNDj4zq1V56by-d7aVXe-n1Ke8eD-ch495P1W-Cbc9p</recordid><startdate>20160219</startdate><enddate>20160219</enddate><creator>Namisango, Eve</creator><creator>Ntege, Chris</creator><creator>Luyirika, Emmanuel B K</creator><creator>Kiyange, Fatia</creator><creator>Allsop, Matthew J</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160219</creationdate><title>Strengthening pharmaceutical systems for palliative care services in resource limited settings: piloting a mHealth application across a rural and urban setting in Uganda</title><author>Namisango, Eve ; Ntege, Chris ; Luyirika, Emmanuel B K ; Kiyange, Fatia ; Allsop, Matthew J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-f421e1b8edab408035b2e48ea2533014a9095eaf179c4f57a49d9d5baecf5e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Analysis</topic><topic>Care and treatment</topic><topic>Community Health Services - standards</topic><topic>Data entry</topic><topic>Developing Countries</topic><topic>Health Resources - standards</topic><topic>Hospice care</topic><topic>Humans</topic><topic>Logistics</topic><topic>Pain</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - trends</topic><topic>Palliative treatment</topic><topic>Pharmaceutical Services - standards</topic><topic>Pharmaceutical Services - statistics & numerical data</topic><topic>Pilot Projects</topic><topic>Rural Population</topic><topic>Uganda</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Namisango, Eve</creatorcontrib><creatorcontrib>Ntege, Chris</creatorcontrib><creatorcontrib>Luyirika, Emmanuel B K</creatorcontrib><creatorcontrib>Kiyange, Fatia</creatorcontrib><creatorcontrib>Allsop, Matthew J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC palliative care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Namisango, Eve</au><au>Ntege, Chris</au><au>Luyirika, Emmanuel B K</au><au>Kiyange, Fatia</au><au>Allsop, Matthew J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strengthening pharmaceutical systems for palliative care services in resource limited settings: piloting a mHealth application across a rural and urban setting in Uganda</atitle><jtitle>BMC palliative care</jtitle><addtitle>BMC Palliat Care</addtitle><date>2016-02-19</date><risdate>2016</risdate><volume>15</volume><issue>20</issue><spage>20</spage><epage>20</epage><pages>20-20</pages><artnum>20</artnum><issn>1472-684X</issn><eissn>1472-684X</eissn><abstract>Medicine availability is improving in sub-Saharan Africa for palliative care services. There is a need to develop strong and sustainable pharmaceutical systems to enhance the proper management of palliative care medicines, some of which are controlled. One approach to addressing these needs is the use of mobile technology to support data capture, storage and retrieval. Utilizing mobile technology in healthcare (mHealth) has recently been highlighted as an approach to enhancing palliative care services but development is at an early stage.
An electronic application was implemented as part of palliative care services at two settings in Uganda; a rural hospital and an urban hospice. Measures of the completeness of data capture, time efficiency of activities and medicines stock and waste management were taken pre- and post-implementation to identify changes to practice arising from the introduction of the application.
Improvements in all measures were identified at both sites. The application supported the registration and management of 455 patients and a total of 565 consultations. Improvements in both time efficiency and medicines management were noted. Time taken to collect and report pharmaceuticals data was reduced from 7 days to 30 min and 10 days to 1 h at the urban hospice and rural hospital respectively. Stock expiration reduced from 3 to 0.5% at the urban hospice and from 58 to 0% at the rural hospital. Additional observations relating to the use of the application across the two sites are reported.
A mHealth approach adopted in this study was shown to improve existing processes for patient record management, pharmacy forecasting and supply planning, procurement, and distribution of essential health commodities for palliative care services. An important next step will be to identify where and how such mHealth approaches can be implemented more widely to improve pharmaceutical systems for palliative care services in resource limited settings.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26895882</pmid><doi>10.1186/s12904-016-0092-9</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC palliative care, 2016-02, Vol.15 (20), p.20-20, Article 20 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Analysis Care and treatment Community Health Services - standards Data entry Developing Countries Health Resources - standards Hospice care Humans Logistics Pain Palliative care Palliative Care - methods Palliative Care - trends Palliative treatment Pharmaceutical Services - standards Pharmaceutical Services - statistics & numerical data Pilot Projects Rural Population Uganda Urban Population |
| title | Strengthening pharmaceutical systems for palliative care services in resource limited settings: piloting a mHealth application across a rural and urban setting in Uganda |
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