Evidence map›Paper›PMID 35654431›Full record

ReviewYearbook of medical informatics2022

Open Source Digital Health Software for Resilient, Accessible and Equitable Healthcare Systems.

Chris Paton, Jørn Braa, Andrew Muhire, Luis Marco-Ruiz, Shinji Kobayashi, Hamish Fraser, Luis Falcón, Alvin Marcelo

Open access · hybridAbstract readReview
In one paragraph

Review in Yearbook of medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
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  8. The Global Health Informatics landscape and JAMIA.Journal of the American Medical Informatics Association : JAMIA · 2023
    Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 7 countries.

Chris PatonUniversity of Oxford, United Kingdom.
Jørn BraaUniversity of Oslo, Norway.
Andrew MuhireMinistry of Health, Rwanda.
Luis Marco-RuizNorwegian Centre for E-health Research, Norway.
Shinji KobayashiNational Institute of Public Health, Japan.
Hamish FraserBrown University, USA.
Luis FalcónGNU Solidario, Spain.
Alvin MarceloUniversity of the Philippines Manila, Philippines.
John Brown University · USMinistry of Health · RWNational Institute of Public Health · JPNORCE Norwegian Research Centre · NOUniversity of Oslo · NOUniversity of Otago · NZUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of open-source projects on making healthcare systems more resilient, accessible and equitable.

methodsIn response to the International Medical Informatics Association (IMIA) call for working group contributions for the IMIA Yearbook, the Open Source Working Group (OSWG) conducted a rapid review of current open source digital health projects to illustrate how they can contribute to making healthcare systems more resilient, accessible and equitable. We sought case studies from the OSWG membership to illustrate these three concepts and how open source software (OSS) addresses these concepts in the real world. These case studies are discussed against the background of literature identified through the rapid review.

resultsTo illustrate the concept of resilience, we present case studies from the adoption of District Health Information Software version 2 (DHIS2) for managing the Covid pandemic in Rwanda, and the adoption of the OpenEHR open Health IT standard. To illustrate accessibility, we show how open source design systems for user interface design have been used by governments to ensure accessibility of digital health services for patients and healthy individuals, and by the OpenMRS community to standardise their user interface design. Finally, to illustrate the concept of equity, we describe the OpenWHO framework and two open source digital health projects, GNU Health and openIMIS, that both aim to reduce health inequities through the use of open source digital health software.

conclusionThis review has demonstrated that open source software addresses many of the challenges involved in making healthcare more accessible, equitable and resilient in high and low income settings.

Indexed as

COVID-19Medical InformaticsDelivery of Health CareHumansPandemicsSoftware

Identifiers

PMID35654431
PMCPMC9719763
OpenAlexW4282020987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.