Evidence map›Paper›PMID 39801577›Full record

ArticleDigital health

A qualitative exploration of the early adoption of an electronic medical record system for type 1 diabetes management in Rwanda.

Nathalie Bille, Dirk Lund Christensen, Stine Byberg, Crispin Gishoma, Sarah Fredsted Villadsen, Michael Calopietro

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Nathalie BilleDepartment of Digital Health Solutions, World Diabetes Foundation, Bagsvaerd, Denmark.ORCID https://orcid.org/0000-0002-5935-7093
Dirk Lund ChristensenDepartment of Public Health, Global Health Section, University of Copenhagen, Copenhagen, Denmark.
Stine BybergDepartment of Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark.ORCID https://orcid.org/0000-0002-3626-3609
Crispin GishomaRwanda Diabetes Association, Kigali, Rwanda.
Sarah Fredsted VilladsenDepartment of Public Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark.
Michael CalopietroDepartment of Digital Health Solutions, World Diabetes Foundation, Bagsvaerd, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delivering adequate quality care remains a challenge in many low-and middle-income countries (LMICs), especially for people living with type 1 diabetes (T1D), requiring a complex treatment regimen. Digital health solutions, including electronic medical record (EMR) systems, have shown potential to improve delivery and quality of care but still require a successful implementation. Objective: To analyze the adoption of a newly implemented EMR system in Rwanda from the perspectives of individuals with T1D, health care providers, and experts. Study design: A qualitative study was conducted using the Diffusion of Innovation (DoI) theory to guide the focus of the analysis. A data triangulation strategy was used to gain multi-dimensional insights, involving in-depth interviews and participant observations with T1D individuals, EMR system users, and experts (with varying levels of acquaintance with the EMR system). Experiences of early adoption of the EMR system were explored through thematic analysis guided by the DoI theory. Results: In general, all the participant groups had a positive attitude towards the EMR system, believed to increase the likelihood of a successful implementation. The system was described as user-friendly and improved workflows, data quality, and patient care. The main concerns to successful adoption were related to the maintenance and long-term sustainability of the system. Conclusion: The EMR system showed great potential, was valued by users, and was positively believed to have potential to improve care and outcomes for patients. However, sustainability aspects must not be overlooked when assessing the adoption and use of an EMR system.

Indexed as

digital healthelectronic medical recordimplementation evaluationquality of health care deliveryType 1 diabetes

Identifiers

PMID39801577
PMCPMC11719426

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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.