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Challenges in Predicting Health Needs and Disease Patterns – A Case Study on the Implementation of an Electronic Hospital Separation Record in Sri Lanka
Nadish C. Kariyawasam, Buddika Dayaratne, Paul Turner
This paper presents analysis and insights arising from the pilot implementation of a national electronic hospital separation record system in Sri Lanka. The paper reveals that while a successful technical implementation has been achieved, numerous socio-technical challenges remain. The paper provides a tangible example of the difficulties faced by developing countries when being encouraged to rush to introduce national e-health systems. Critically, over-confidence in the accuracy, validity and inviolability of electronic data poses real challenges for local and national decision-making around prediction of disease patterns and health needs.
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