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Idea Cloud-based health "kiosks" for HIV patients

By John Adungosi | 02 Dec, 2014

In the US and other countries, an estimated 75% HIV positive adults are linked to care but only 48-56% are retained in care and 25-35% have undetectable viral loads, the goal of anti-retroviral treatment. To achieve the treatment and prevention goals of the HIV Strategy, it is recommended that at least 80% of adults linked to care are retained with at least 55% sustaining viral suppression.

With increased mobile phone penetration in high HIV burden countries, my idea is based on piloting an initiative is such a country based on a cloud-based virtual health “kiosk” for each HIV infected individual. This “kiosk” enables the HIV infected person (or other individual with long-term health conditions) and their case manager (volunteer, relative etc) to interact with the preferred team of healthcare providers, access information and messaging resources essential to stimulate their regular participation and virtually manage their financing for healthcare.

The healthcare system uses the “kiosk” to regularly update patient records and reach the client and their care-giver and/or case manager with interactive information, education and messages to optimize their health outcomes.

The client is prompted through messages or can pro-actively obtain information or resources required. With capacity for managing financial transactions, all costed services are automatically deducted from accumulated premiums or donations made through the available health financing options to the client

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Aaron Beals Advisor Replied at 2:44 PM, 3 Dec 2014

Thank you for sharing your idea, John.

Is the inclusion of finance management core to the value of this idea? That is, does it provide an incentive to potential users in comparison to a solution that solely focused on communication and information access?

This kiosk seems like something that could be built onto an EHR system, to facilitate regular/automatic updating of the records (something that's a problem with many patient portals). Perhaps someone from the OpenMRS community could weigh in on John's idea -- has something like this been attempted via an OpenMRS module?

Aaron

A/Prof. Terry HANNAN Advisor Replied at 5:31 PM, 3 Dec 2014

I believe Hamish Fraser, Joaquin Blaya or Andy Kanter could provide excellent responses to this.

Joaquin Blaya, PhD Advisor Replied at 9:07 AM, 13 Dec 2014

The main barriers to this are not the technology, but rather as what Aaron mentioned the financial and structural systems in place. For example, this idea seems to have the same dependency on having reimbursement of digital interactions with the patient and physical ones, which in many healthcare systems are still not paid the same. So the key is how would this system be paid for, which depends strongly in which country it's implemented.

John, can you describe a little more where you would see implementing this and how it would be financed?

This Community is Archived.

While this community is no longer active, we invite you to review and recommend past posts and resources. Membership for this community is closed, but we hope you'll join us in one of the many other communities on GHDonline.

Moderators of Technology for Patient Engagement and GHDonline staff