Status and Challenges of Medical History Taking in Bangladesh and an Affordable Digital Solution to Tackle Them
Abstract
:1. Introduction
2. Methods
2.1. Study Design, Population, and Setting
2.2. Data Collection Tools and Techniques
3. Results: Medical History-Taking Challenges
3.1. Respondents’ Demography
3.2. Observation 1: More than 90% of Physicians Suffer from High Workload
3.3. Observation 2: More than 80% of Physicians Encounter History-Taking Challenges
3.4. Observation 3: Only 4.81% Physicians Use Digital Medical History
3.5. Observation 4: More than 70% Physicians Are Unable to Follow the Necessary History-Taking Steps
3.6. Observation 5: More than 90% Physicians Expressed a Need to Use Digital Systems for Patients’ Medical History Management
4. Digital Solution to Tackle History Taking Challenges
4.1. Concept of the SHGC
4.2. Functional Requirements
- Patient profile: The SHGC’s patient profile stores demographic and unchanging health data, including identification details, blood type, gender, marital status, and health-related habits like smoking, alcohol, allergies, diet, sleep, and exercise. These data aid in initial consultations, offering insights into the patient’s overall health.
- Health event categories: The SHGC addresses the lack of standardized health event categorization. By analyzing 100 medical history forms, it proposes eight universal categories, aiming to unify data collection methods used by hospitals and clinics.
- Health events: In the SHGC, health events are defined as “the summary of specific occurrences related to health complexities, preventive measures, and treatment actions”. These health events are visualized by tracking age and year to understand when, and at what age, specific health issues occurred. Furthermore, future health events can be visualized by analyzing past medical history.
- Detailed health information: The SHGC offers summarized health details on a Gantt chart with mouse-over pop-ups for quick insights. Clickable summaries enable deeper dives. Beneath the Gantt chart, detailed information includes prescriptions, diagnostic and imaging reports, and textual notes, facilitating better understanding for doctors.
4.3. The Prototype of the Tool
5. Discussion
6. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Frequency | Percentage |
---|---|---|
Gender: Female Male Prefer not to say | 24 79 1 | 23.08 75.96 0.96 |
Number of disciplines | 30 | |
Years of experience: 2–4 years 5–10 years 11–15 years 16–20 years 20 years+ | 14 14 16 13 47 | 13.46 13.46 15.38 12.50 45.19 |
Working organizations: Medical college hospital Private hospital Private clinic NGO Upazila health complex District hospital Online doctor consultancy Other | 58 25 21 19 12 7 5 13 | 55.77 24.04 20.19 18.27 12.50 11.54 6.73 4.81 |
Working locations: Urban area Sub-urban area Rural area | 71 31 25 | 68.27 29.81 24.04 |
Factors | Coef | Std Err | z | p > z |
---|---|---|---|---|
Q1 | 0.1955 | 0.304 | 0.644 | 0.520 |
Q2 | −0.0406 | 0.015 | −2.736 | 0.006 |
Q3 | −0.1830 | 0.103 | −1.775 | 0.076 |
Q6 | −0.2129 | 0.125 | −1.709 | 0.088 |
Q8 | −0.0593 | 0.103 | −0.577 | 0.564 |
Q9 | 0.6744 | 0.161 | 4.176 | 0.000 |
Q14 | −0.0653 | 0.123 | −0.530 | 0.596 |
Q16 | −0.1619 | 0.115 | −1.409 | 0.159 |
Q17 | 0.0229 | 0.156 | 0.147 | 0.883 |
Q18 | 0.1377 | 0.243 | 0.568 | 0.570 |
Q20 | −0.0309 | 0.137 | −0.225 | 0.822 |
Q21 | 0.1177 | 0.151 | 0.781 | 0.435 |
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Hossain, F.; Bouh, M.M.; Rahman, M.M.; Shah, F.; Mine, T.; Islam, R.; Nakashima, N.; Ahmed, A. Status and Challenges of Medical History Taking in Bangladesh and an Affordable Digital Solution to Tackle Them. Appl. Syst. Innov. 2024, 7, 69. https://doi.org/10.3390/asi7040069
Hossain F, Bouh MM, Rahman MM, Shah F, Mine T, Islam R, Nakashima N, Ahmed A. Status and Challenges of Medical History Taking in Bangladesh and an Affordable Digital Solution to Tackle Them. Applied System Innovation. 2024; 7(4):69. https://doi.org/10.3390/asi7040069
Chicago/Turabian StyleHossain, Forhad, Mohamed Mehfoud Bouh, Md Moshiur Rahman, Faiz Shah, Tsunenori Mine, Rafiqul Islam, Naoki Nakashima, and Ashir Ahmed. 2024. "Status and Challenges of Medical History Taking in Bangladesh and an Affordable Digital Solution to Tackle Them" Applied System Innovation 7, no. 4: 69. https://doi.org/10.3390/asi7040069