{"title":"“eHospital - Dompe“ project – the story of the transformation of a district hospital in Sri Lanka","authors":"Sampath Kulathilaka","doi":"10.4038/SLJBMI.V4I2.5757","DOIUrl":"https://doi.org/10.4038/SLJBMI.V4I2.5757","url":null,"abstract":"The “eHospital - Dompe” project was aimed making a District Hospital in Sri Lanka more efficient through adaptation of ICT solutions and appropriate change management. In this case report we describe that process.","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131792164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Notifiable disease surveillance in Sri Lanka and the United Kingdom: a comparative study","authors":"K. Chandrasekar, S. Mahesan, P. Bath","doi":"10.4038/SLJBMI.V4I1.5190","DOIUrl":"https://doi.org/10.4038/SLJBMI.V4I1.5190","url":null,"abstract":"Threats posed by new, emerging or re-emerging infectious diseases are taking a global dimension. These diseases are a leading cause of morbidity and mortality around the world and have an influence on the economic growth and development of nations. Several evaluation studies on existing infectious disease surveillance systems (passive and/or active) have been undertaken to identify the strengths and weaknesses in order to improve surveillance activities. Research is also directed towards identifying specific factors that influence the information flow in the notification process of infectious diseases at different levels, such as completeness, timeliness, sensitivity, etc. Studies reported from Sri Lanka and the United Kingdom are very limited. Further, we rarely find any literature on comparative studies on disease surveillance systems in two different geographical locations. In this study in-depth, semi-structured interviews were conducted to collect data, in Jaffna (Sri Lanka) and Sheffield (UK). Participants were recruited from those who were engaged in work related to the notifiable disease surveillance system at a local level. This research paper reports the advantages and disadvantages of the existing notifiable disease surveillance systems in the United Kingdom and Sri Lanka. In addition, it recommends that receiving notifications from various other sources (including indigenous medical practitioners, public health workers, laboratories and the general public), involvement of laboratories in disease surveillance activities, and computerising the existing surveillance system for notification would enhance the completeness and timeliness of reporting. In addition to epidemiological publications at national level, this study emphasises the importance of regional publications on notifiable disease surveillance. DOI: http://dx.doi.org/10.4038/sljbmi.v4i1.5190 Sri Lanka Journal of Bio-Medical Informatics 2013; 4 (1):14-22","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"4320 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132079062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strategic planning for management of information and electronic communication in healthcare sector: Story of the North-Western Province","authors":"A. Wijekoon, R.M.M.I. Rathnayake","doi":"10.4038/SLJBMI.V4I1.5674","DOIUrl":"https://doi.org/10.4038/SLJBMI.V4I1.5674","url":null,"abstract":"In the recent past, several attempts to incorporate computer based solutions and electronic communication into the flow of data and analysis of information in the government healthcare sector in Sri Lanka could not be sustained or successfully replicated. This is true for the Provincial Department of Health Services of the North Western Province as well. Therefore the need for strategically planned background work was identified as a priority before developing on complex individual information systems within the healthcare sector of the North Western Province. The provincial department successfully implemented a medium term strategic plan empowering the department towards incorporating electronic communication and computerised solutions appropriately and optimally while ensuring safety and privacy of the care recipients. DOI: http://dx.doi.org/10.4038/sljbmi.v4i1.5674 Sri Lanka Journal of Bio-Medical Informatics 2013; 4 (1):3-6","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121757640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strategic planning for eHealth in Sri Lanka","authors":"V. Dissanayake","doi":"10.4038/SLJBMI.V4I1.6131","DOIUrl":"https://doi.org/10.4038/SLJBMI.V4I1.6131","url":null,"abstract":"This is the editorial. DOI: http://dx.doi.org/10.4038/sljbmi.v4i1.6131 Sri Lanka Journal of Bio-Medical Informatics 2013; 4 (1):1-2","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132163180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What makes medical students to say “yes” to e-learning?","authors":"Nalinda Silva, Varuni Tennakoon, N. Wijayatunga","doi":"10.4038/SLJBMI.V4I1.5523","DOIUrl":"https://doi.org/10.4038/SLJBMI.V4I1.5523","url":null,"abstract":"Introduction With exponential expansion of Information Technology, the field of medical education has embraced innovative electronic learning (e-learning) techniques. The objectives of this study were to assess the acceptance of an integrated e-learning activity by first year medical students and to explore the association between the pattern of computer usage and their perception of such an intervention. Methods A study was conducted among first year medical students (n=95) using a pre-tested validated self-administered questionnaire following an interactive e-learning activity which integrated the three basic sciences Anatomy, Physiology and Biochemistry. Results Mean ± (SD) age at first use of a computer was 11.25 (±2.9) years with a range of 4-20 years. Majority in this group (96.8 %) were using a computer before the age of 16 years. All those surveyed had access to a computer where a majority (77.9%) possessed their own computer. A majority of students (97.9%) mentioned that e-learning should supplement their lectures. The likelihood of students agreeing that e-learning should supplement their lectures was 2.3 times more in those who started using a computer before the age of 11 years (95% CI 1.001- 5.449, p= 0.045). Conclusions In this group of first year medical students, positive perception towards an integrated e-learning activity was associated with the use of a computer at an early age. DOI: http://dx.doi.org/10.4038/sljbmi.v4i1.5523 Sri Lanka Journal of Bio-Medical Informatics 2013; 4 (1):7-13","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129249186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Symposia on e-Health – Opportunities and Challenges","authors":"C. C. James","doi":"10.4038/SLJBMI.V3I4.4789","DOIUrl":"https://doi.org/10.4038/SLJBMI.V3I4.4789","url":null,"abstract":"","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"419 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123288532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Siriwardena, Madura Hewage, V. H. W. Dissanayake
{"title":"DocCall: a mobile phone based medical advice service to accommodate health care unmet needs in Sri Lanka","authors":"N. Siriwardena, Madura Hewage, V. H. W. Dissanayake","doi":"10.4038/SLJBMI.V3I4.5189","DOIUrl":"https://doi.org/10.4038/SLJBMI.V3I4.5189","url":null,"abstract":"Convenience is a cutting edge tool in today’s fast paced world, hence areas which were hitherto not considered fit for technical innovation have evolved to match the needs of the modern society. Instantaneous access to advice by competent medical professionals on health conditions is nowadays considered as a vital need. Prerequisite of such services underscore protection of privacy and anonymity of the care recipient. Moreover, availability of a governing professional body to scrutinize ethical behavior of the care provider is deemed essential to deliver trustworthy medical advice to the recipients. Use of information communication technology to provide health care at a distance (telemedicine) is a novel tool. Empowerment of people to use telemedicine tools to access medical advice in an emergency, chronic care as well as in confidential and sensitive matters is a new landmark in Sri Lankan health care history. DOI: http://dx.doi.org/10.4038/sljbmi.v3i4.5189","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128284274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Siriwardena, S. Wickramasinghe, D. Perera, R. Marasinghe, Lanka Katulanda, R. Hewapathirana
{"title":"Development of a Community Based Web-Mobile Platform (CBWMP) for diabetes care in Sri Lanka","authors":"N. Siriwardena, S. Wickramasinghe, D. Perera, R. Marasinghe, Lanka Katulanda, R. Hewapathirana","doi":"10.4038/SLJBMI.V3I4.5504","DOIUrl":"https://doi.org/10.4038/SLJBMI.V3I4.5504","url":null,"abstract":"Diabetes is a chronic disease with no permanent cure. Sri Lanka is placed among the countries with the highest diabetes prevalence rates in the world (ie. 2.8 million Sri Lankans have diabetes or pre-diabetes, and most importantly, a significant proportions of the population is yet to be diagnosed). Patients with diabetes need lifelong care to prevent complications which further impose a significant burden on the country’s expenditure on healthcare. Moreover, patients need to maintain constant contact with the healthcare provider for the optimal management of diabetes. However, such arrangement is often costly and time consuming and therefore it ultimately aggravates the burden to patients, the healthcare system and the economy. With the development of telecommunication technologies, Telemedicine (i.e. the use of Information Communication Technology to provide healthcare at a distance) has gained attention. Telemedicine can enhance communication between patient and healthcare provider without needing physical presence in one place. Telemedicine can link healthcare professionals from different corners of the globe to share knowledge and expertise. Moreover, evidence is surfacing to suggest that the telemedicine would be a viable alternative to conventional care. This article showcases a Sri Lankan study which describes the development of a Telemedicine system for Sri Lanka - Community Based Web-Mobile Platform (CBWMP). The concept of the platform is to maintain an electronic Personal Health Record (e-PHR) in order to provide communication between different parties to optimise patient health information flow and also to coordinate the continuity of care at minimal cost. The CBWMP - integrated mobile phones and e-PHR - is capable of delivering diabetes education, co-ordinating effective management, and screening diabetes status. To avoid any cultural marginalisation, all the services can be accessed in the user’s preferred native language in Sri Lanka viz. Sinhala, Tamil, and English. DOI: http://dx.doi.org/10.4038/sljbmi.v3i4.5504","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123817990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Manoj, A. Wijekoon, M. Dharmawardhana, D. Wijesuriya, Shan Semuthu Rodrigo, R. Hewapathirana, P. Siribaddana, Thilina Gunasekera, V. Dissanayake
{"title":"Implementation of District Health Information Software 2 (DHIS2) in Sri Lanka","authors":"S. Manoj, A. Wijekoon, M. Dharmawardhana, D. Wijesuriya, Shan Semuthu Rodrigo, R. Hewapathirana, P. Siribaddana, Thilina Gunasekera, V. Dissanayake","doi":"10.4038/SLJBMI.V3I4.5431","DOIUrl":"https://doi.org/10.4038/SLJBMI.V3I4.5431","url":null,"abstract":"District Health Information Software (DHIS) 2 is a tool for collection, validation, analysis, and presentation of aggregate and transactional data, tailored (but not limited) to integrated health information management activities (http://www.dhis2.org). In this paper we describe the introduction of DHIS2 to Sri Lanka and share our views on challenges and opportunities. DOI: http://dx.doi.org/10.4038/sljbmi.v3i4.5431","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129308974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Kulatunga, Rohana Basil Marasingha, I. Karunathilake, V. Dissanayake
{"title":"Introduction of Web based Continuous Professional Development to Sri Lanka","authors":"G. Kulatunga, Rohana Basil Marasingha, I. Karunathilake, V. Dissanayake","doi":"10.4038/SLJBMI.V3I4.4798","DOIUrl":"https://doi.org/10.4038/SLJBMI.V3I4.4798","url":null,"abstract":"Continuous Professional Development (CPD) can be described as a continuous process which begins on the day a person start practicing as a doctor. Continuous Medical Education (CME) concentrates on improving individual professional knowledge by education and training in areas determined by experts. But in CPD, professionals play an active role in defining the knowledge which they see as relevant to their own professional needs and learning takes place not only at individual level but also at organisational level. CPD is becoming a popular mode of learning worldwide by which doctors keep their practice up to-date. CPD is seen as essential for effective practice and for professional development. Even though the standard format of CPD for many years has been formal, there is no specific method in operation. Over the last decade there has been increasing interest in the use of computers to facilitate collaborative learning between healthcare professionals for CPD. Web-based learning is an attractive methodology for medical education and offers some advantages over traditional methods. There is improved clinical practice and improved clinical decision making as a result of web based learning. Professionals are satisfied with the flexibility and the convenience offered in Web-based mode of CPD delivery as it saves time and money. Web based CPD programmes will fulfil the educational requirements of health professionals in the peripheral parts of Sri Lanka who have difficulty in attending formal education sessions due to their geographical isolation. Meeting the educational needs of professionals already in practice remains a challenge and web based online CPD can play a major role in proving the high demand. DOI: http://dx.doi.org/10.4038/sljbmi.v3i4.4798","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131336406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}