PT  - JOURNAL ARTICLE
AU  - Daniel Burka
AU  - Reena Gupta
AU  - Andrew E Moran
AU  - Jennifer Cohn
AU  - Sohel R Choudhury
AU  - Tim Cheadle
AU  - Rahul Mullick
AU  - Thomas R Frieden
TI  - Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries
AID  - 10.1136/bmjhci-2022-100641
DP  - 2023 Jan 01
TA  - BMJ Health & Care Informatics
PG  - e100641
VI  - 30
IP  - 1
4099  - http://informatics.bmj.com/content/30/1/e100641.short
4100  - http://informatics.bmj.com/content/30/1/e100641.full
SO  - BMJ Health Care Inform2023 Jan 01; 30
AB  - Objective Implement a user-centred digital health information system to facilitate rapidly and substantially increasing the number of patients treated for hypertension in low/middle-income countries.Methods User-centred design of Simple, an offline-first app for mobile devices to record patient clinical visits and a web-based dashboard to monitor programme performance.Results The Simple mobile application scaled rapidly over the past 4 years to reach more than 11 400 primary care facilities in four countries with over 3 million patients enrolled. Simple achieved median duration for new patient registration of 76 s (IQR 2 s) and follow-up visit entry of 13 s (IQR 1 s).Conclusions A fast, easy-to-use digital information system for hypertension programmes that accommodates healthcare worker time constraints by minimising data entry and focusing on key performance indicators can successfully reach scale in low-resource settings.All data relevant to the study are included in the article or uploaded as supplemental information. All referenced data are derived from published material and can be accessed where cited.