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A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach.

Publication ,  Journal Article
Catalani, C; Green, E; Owiti, P; Keny, A; Diero, L; Yeung, A; Israelski, D; Biondich, P
Published in: PloS one
January 2014

With the aim of integrating HIV and tuberculosis care in rural Kenya, a team of researchers, clinicians, and technologists used the human-centered design approach to facilitate design, development, and deployment processes of new patient-specific TB clinical decision support system for medical providers. In Kenya, approximately 1.6 million people are living with HIV and have a 20-times higher risk of dying of tuberculosis. Although tuberculosis prevention and treatment medication is widely available, proven to save lives, and prioritized by the World Health Organization, ensuring that it reaches the most vulnerable communities remains challenging. Human-centered design, used in the fields of industrial design and information technology for decades, is an approach to improving the effectiveness and impact of innovations that has been scarcely used in the health field. Using this approach, our team followed a 3-step process, involving mixed methods assessment to (1) understand the situation through the collection and analysis of site observation sessions and key informant interviews; (2) develop a new clinical decision support system through iterative prototyping, end-user engagement, and usability testing; and, (3) implement and evaluate the system across 24 clinics in rural West Kenya. Through the application of this approach, we found that human-centered design facilitated the process of digital innovation in a complex and resource-constrained context.

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Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2014

Volume

9

Issue

8

Start / End Page

e103205

Related Subject Headings

  • World Health Organization
  • Tuberculosis
  • Kenya
  • Humans
  • HIV Infections
  • General Science & Technology
  • Delivery of Health Care
  • Decision Support Systems, Clinical
 

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Catalani, C., Green, E., Owiti, P., Keny, A., Diero, L., Yeung, A., … Biondich, P. (2014). A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach. PloS One, 9(8), e103205. https://doi.org/10.1371/journal.pone.0103205
Catalani, Caricia, Eric Green, Philip Owiti, Aggrey Keny, Lameck Diero, Ada Yeung, Dennis Israelski, and Paul Biondich. “A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach.PloS One 9, no. 8 (January 2014): e103205. https://doi.org/10.1371/journal.pone.0103205.
Catalani C, Green E, Owiti P, Keny A, Diero L, Yeung A, et al. A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach. PloS one. 2014 Jan;9(8):e103205.
Catalani, Caricia, et al. “A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach.PloS One, vol. 9, no. 8, Jan. 2014, p. e103205. Epmc, doi:10.1371/journal.pone.0103205.
Catalani C, Green E, Owiti P, Keny A, Diero L, Yeung A, Israelski D, Biondich P. A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach. PloS one. 2014 Jan;9(8):e103205.

Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2014

Volume

9

Issue

8

Start / End Page

e103205

Related Subject Headings

  • World Health Organization
  • Tuberculosis
  • Kenya
  • Humans
  • HIV Infections
  • General Science & Technology
  • Delivery of Health Care
  • Decision Support Systems, Clinical