|RELATED TOPICS:||Poverty Reduction and Labor|
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Electronic medical record (EMR) systems are increasingly used in developing countries to improve quality of care while increasing efficiency. There is little systematic evidence, however, regarding EMRs’ benefits and costs. This case study documents the implementation and use of an EMR system at the Mexican Social Security Institute (IMSS). Three EMR systems are now in operation for primary care, outpatient and inpatient hospital care. The evidence suggests that the primary care system has improved efficiency of care delivery and human resources management, and may have decreased incidence of fraud. The hospital systems, however, have lower coverage and are less popular among staff. The greater success of the primary care system may be due to greater investment, a participatory development process, an open workplace culture, and software appropriately tailored to the workflow. Moving forward, efforts should be made to exploit data housed in EMRs for medical and policy research.
This paper attempts to identify the climatic effect on birth outcomes in Brazil and, thus, to predict the potential impact of climate change. Panel data models indicate that excess and lack of rainfall have the most important harmful effects on newborns’ health; temperature stresses and low relative humidity also have effects. The use of climate change forecasts for Brazil suggests a possible incr ... (View publication)
This paper estimates the impact of a large-scale contracting-out program in Guatemala, using two waves of living standard measurement surveys that collected data before and after the expansion of the program. Results indicate large program impacts on immunization rates for children and prenatal care provider choices. The program increases substantially the role of physicians and nurses as prenatal ... (View publication)
Healthcare services are more widespread in Latin America and the Caribbean today than 50 years ago, yet this availability is not necessarily reflected in popular perceptions. This study documents the expansion of healthcare services in the Region in terms of medically-trained professionals, service utilization, and insurance eligibility. It finds that people in countries with more doctors have a m ... (View publication)
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