| dc.description.abstract | Medical informatics is very expensive to procure. The impact of IeT on health care delivery
in developed countries reveals that despite the many challenges encountered, IC'T has
improved quality of healthcare. This has not been the case in developing countries. This
study undertook a medical computing needs assessment and reviewed current ICT trends in
both high-end and low-end medical institutions within Nairobi and it's environs here in
Kenya. The role of leT in the operations of medical institutions was also assessed.
The procedures currently used for collection of medical data, processing, storage and security
of patient records were reviewed. The study found out that both public and private hospitals
have faced leT-related challenges in the areas of procurement, implementation, maintenance,
limited funds, inadequate technical capacity, insecurity, rapid medical innovations. disease
coding, government reporting, confidentiality breaches, non-comprehensive systems. record
preservation, retention and destruction. The study recommended adoption of electronic
medical records (EMR) with carefully crafted security measures. The government should
enact a new Act with clear provisions on confidentiality, access rights and ownership of
patient records and software. The envisaged Act should set grounds on which electronic
records are recognized as legal documents. Greater co-operation between local universities
and medical institutions should be cultivat~d to build local capacity in medical informatics.
Hospitals should procure open-systems such that local ICT specialists can customize them in
cases where the vendor has withdrawn after-implementation support. Funds should be
solicited to finance computerization of patient administra!ion and medical records operations
in public hospitals since they serve a large number of patients, For instance, the country's
leading referral hospital had a bed capacity of 1800 and some interviewees conceded some
cases of over admission have occurred. The government should offer tax waivers on all ICT
products (both hardware and software) to accelerate procurement of medical informatics for
local hospitals. The study used Medinous, a highly integrated and interoperable HMIS in
Europe as a benchmark against which local systems were audited. | en |
