eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon

Shadi Saleh (), Mohamad Alameddine (), Angie Farah (), Nour El Arnaout (), Hani Dimassi (), Carles Muntaner () and Christo El Morr ()
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Shadi Saleh: American University of Beirut
Mohamad Alameddine: American University of Beirut
Angie Farah: American University of Beirut
Nour El Arnaout: American University of Beirut
Hani Dimassi: Lebanese American University
Carles Muntaner: School of Medicine University of Toronto
Christo El Morr: York University

International Journal of Public Health, 2018, vol. 63, issue 5, No 5, 577-588

Abstract: Abstract Objectives Assess the effect of selected low-cost eHealth tools on diabetes/hypertension detection and referrals rates in rural settings and refugee camps in Lebanon and explore the barriers to showing-up to scheduled appointments at Primary Healthcare Centers (PHC). Methods Community-based screening for diabetes and hypertension was conducted in five rural and three refugee camp PHCs using an eHealth netbook application. Remote referrals were generated based on pre-set criteria. A phone survey was subsequently conducted to assess the rate and causes of no-shows to scheduled appointments. Associations between the independent variables and the outcome of referrals were then tested. Results Among 3481 screened individuals, diabetes, hypertension, and comorbidity were detected in 184,356 and 113 per 1000 individuals, respectively. 37.1% of referred individuals reported not showing-up to scheduled appointments, owing to feeling better/symptoms resolved (36.9%) and having another obligation (26.1%). The knowledge of referral reasons and the employment status were significantly associated with appointment show-ups. Conclusions Low-cost eHealth netbook application was deemed effective in identifying new cases of NCDs and establishing appropriate referrals in underserved communities.

Keywords: Primary healthcare; eHealth; Diabetes; Hypertension; Referrals; Appointment no-show (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (2)

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DOI: 10.1007/s00038-018-1092-8

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