John D. Piette|K. C. Lun|Luís Mauro Moura|Hamish Fraser|Patricia Mechael|John Powell|Shariq Khoja
Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here?
Health Services Research & Development|VA Center for Clinical Management Research|National University of Singapore|Harvard University|Columbia University|Earth Island Institute|University of Warwick|Aga Khan University Nairobi
ehealth encompasses diverse set informatics tools designed improve public health health care little information available impacts ehealth programmes particularly low middleincome countries therefore conducted scoping review published nonpublished literature identify data effects ehealth health outcomes costs emphasis identification unanswered questions future research particularly topics relevant low middleincome countries although ehealth tools supporting clinical practice growing penetration globally evidence benefits tools support clinical decisions laboratory information systems support picture archiving communication systems community information systems disease surveillance implemented successfully several low middleincome countries although information outcomes generally lacking large project brazil documented notable impacts healthsystem efficiency metaanalyses rigorous trials documented benefits text messaging improving outcomes patients selfcare automated telephone monitoring selfcare support calls shown improve outcomes chronic disease management glycaemia blood pressure control low middleincome countries although large programmes ehealth implementation research conducted many low middleincome countries information impacts ehealth outcomes costs settings still needed