Accepted for/Published in: JMIR Human Factors
Date Submitted: Jul 20, 2022
Date Accepted: Nov 7, 2022
Date Submitted to PubMed: Nov 9, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
International Collaboration to Develop a Remote Monitoring Web Application for COVID-19 Patients in Armenia Using an Agile Methodology
ABSTRACT
Background:
Coronavirus disease 2019 (COVID-19) has led to over 500 million cases and 6.2 million deaths around the world. Low and middle income countries (LMICs) like Armenia have faced unique infrastructure, financial, and capacity challenges that in many cases resulted in worse outcomes. Healthcare facilities across Armenia experienced a shortage of resources including hospital beds and oxygen which was further exacerbated by the war with neighboring Azerbaijan. Without a framework for home-based care, healthcare facilities were severely strained by COVID-19 patients who had prolonged oxygen requirements but were otherwise clinically stable.
Objective:
This paper describes our approach to establishing an international collaboration to develop a web application to support home monitoring for patients with COVID-19 with persistent oxygen requirement.
Methods:
The app was developed using a rapid, coordinated, and collaborative approach involving an international group of clinicians, developers, and collaborators. Health screening, monitoring, and discharge forms were developed into a lightweight OpenMRS web-app and customized for the local Armenian context.
Results:
The software was designed and developed over 2 months using human centered design and agile sprints. Once live, 5,022 patient records were created for 439 unique patients.
Conclusions:
This project suggests a promising framework for designing and implementing remote monitoring programs in LMICs despite pandemic and geopolitical challenges.
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Copyright
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