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Sai Wai Yan Myint Thu,Boonchai Kijsanayotin,Jaranit Kaewkungwal,Ngamphol Soonthornworasiri,Wirichada Pan-ngum 대한의료정보학회 2017 Healthcare Informatics Research Vol.23 No.4
Objectives: To overcome challenges in the implementation of electronic dental record systems in a low-resource setting, it is crucial to know the level of users’ satisfaction with the existing system of paper-based dental records and their perceptions of electronic dental records. Methods: A cross-sectional paper-based questionnaire survey was conducted among Myanmar dental professionals who worked in one of two teaching hospitals or in private dental clinics. Descriptive data were analyzed and regression analysis was carried out to identify factors influencing perceptions of electronic dental records. Results: Most dental professionals (>60%) were satisfied with just three out of six aspects of paper-based dental records (familiarity, flexibility, and portability). In addition, generalized positive perceptions were found among decision makers towards electronic dental records, and 86% of dentists indicated that they were willing to use them. Financial concerns were identified as the most important barrier to the implementation of electronic dental records among dentists who were not willing to use the proposed system. Conclusions: The first step towards implementing electronic dental records in Myanmar should be improvement of the content and structure of paper-based dental records, especially in private dental clinics. Utilization of appropriate open-source electronic dental record software in private dental clinics is recommended to address perceived issues around financial barriers. For the long term, we recommend providing further education and training in health informatics to healthcare professionals to facilitate the efficient use of electronic dental record software in Myanmar in the future.
Win Min Thit,Sai Wai Yan Myint Thu,Jaranit Kaewkungwal,Ngamphol Soonthornworasiri,Nawanan Theera-Ampornpunt,Boonchai Kijsanayotin,Saranath Lawpoolsri,Sid Naing,Wirichada Pan-ngum 대한의료정보학회 2020 Healthcare Informatics Research Vol.26 No.3
Objectives: This study assessed the technical feasibility and aimed to determine the factors influencing intention to use ElectronicMedical Records (EMRs) at Marie Stopes International, Myanmar (MSI-M). Methods: A cross-sectional survey wasconducted among 112 participants who were working at the clinics and head office of MSI-M. Demographic information,type of office, technical feasibility, information communication technology knowledge, computer usage, and user acceptancetowards the proposed system were obtained from the participants. Results: The results indicated low health informationtechnology usage and network availability at MSI-M clinics. Positive perception of EMRs was found among the staff membersof MSI-M, which was reflected by positive responses regarding perceived usefulness (average score of 4.15), perceivedease of use (average score of 4.03), and intention to use (average score of 4.10) on a 5-point Likert scale. Statistically, stafffrom the head office expressed less desire to implement an EMR system (odds ratio = 0.07; 95% confidence interval, 0.01–0.97), especially when they do not perceive the usefulness of the system (odds ratio = 5.05; 95% confidence interval, 2.39–10.69). Conclusions: Since health information technology usage and network availability were low in MSI-M, it is importantto strengthen the information and communication technology infrastructure and introduce a policy for capacity building atMSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation andsustainability of an EMR system at MSI-M.
Xiaotao Zhao,Weerapong Thanapongtharm,Siam Lawawirojwong,Chun Wei,Yerong Tang,Yaowu Zhou,Xiaodong Sun,Jestumon Sattabongkot,Jaranit Kaewkungwal 대한기생충학ㆍ열대의학회 2020 The Korean Journal of Parasitology Vol.58 No.3
The heterogeneity and complexity of malaria involves political and natural environments, socioeconomic devel- opment, cross-border movement, and vector biology; factors that cannot be changed in a short time. This study aimed to assess the impact of economic growth and cross-border movement, toward elimination of malaria in Yunnan Province during its pre-elimination phase. Malaria data during 2011-2016 were extracted from 18 counties of Yunnan and from 7 villages, 11 displaced person camps of the Kachin Special Region II of Myanmar. Data of per-capita gross domestic prod- uct (GDP) were obtained from Yunnan Bureau of Statistics. Data were analyzed and mapped to determine spatiotemporal heterogeneity at county and village levels. There were a total 2,117 malaria cases with 85.2% imported cases; most im- ported cases came from Myanmar (78.5%). Along the demarcation line, malaria incidence rates in villages/camps in Myanmar were significantly higher than those of the neighboring villages in China. The spatial and temporal trends sug- gested that increasing per-capita GDP may have an indirect effect on the reduction of malaria cases when observed at macro level; however, malaria persists owing to complex, multi-faceted factors including poverty at individual level and cross-border movement of the workforce. In moving toward malaria elimination, despite economic growth, cooperative efforts with neighboring countries are critical to interrupt local transmission and prevent reintroduction of malaria via im- ported cases. Cross-border workers should be educated in preventive measures through effective behavior change com- munication, and investment is needed in active surveillance systems and novel diagnostic and treatment services during the elimination phase.