{"id":"https://openalex.org/W3042309409","doi":"https://doi.org/10.1177/1460458220938535","title":"Implementing a socio-technical system for computer-aided tuberculosis diagnosis in Peru: A field trial among health professionals in resource-constraint settings","display_name":"Implementing a socio-technical system for computer-aided tuberculosis diagnosis in Peru: A field trial among health professionals in resource-constraint settings","publication_year":2020,"publication_date":"2020-07-18","ids":{"openalex":"https://openalex.org/W3042309409","doi":"https://doi.org/10.1177/1460458220938535","mag":"3042309409","pmid":"https://pubmed.ncbi.nlm.nih.gov/32686560"},"language":"en","primary_location":{"id":"doi:10.1177/1460458220938535","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458220938535","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458220938535","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458220938535","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007930764","display_name":"C\u00e9sar Ugarte\u2010Gil","orcid":"https://orcid.org/0000-0002-2833-9087"},"institutions":[{"id":"https://openalex.org/I197097402","display_name":"Universidad Peruana Cayetano Heredia","ror":"https://ror.org/03yczjf25","country_code":"PE","type":"education","lineage":["https://openalex.org/I197097402"]}],"countries":["PE"],"is_corresponding":true,"raw_author_name":"Cesar Ugarte-Gil","raw_affiliation_strings":["Universidad Peruana Cayetano Heredia, Per\u00fa"],"raw_orcid":"https://orcid.org/0000-0002-2833-9087","affiliations":[{"raw_affiliation_string":"Universidad Peruana Cayetano Heredia, Per\u00fa","institution_ids":["https://openalex.org/I197097402"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019696533","display_name":"Maria Icochea","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Icochea","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043046322","display_name":"Juan Carlos Llontop Otero","orcid":null},"institutions":[{"id":"https://openalex.org/I4210133564","display_name":"Ministerio de Salud","ror":"https://ror.org/03c09x508","country_code":"NI","type":"government","lineage":["https://openalex.org/I4210133564"]}],"countries":["NI"],"is_corresponding":false,"raw_author_name":"Juan Carlos Llontop Otero","raw_affiliation_strings":["Hospital de Huaycan, Ministerio de Salud, Per\u00fa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital de Huaycan, Ministerio de Salud, Per\u00fa","institution_ids":["https://openalex.org/I4210133564"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017064798","display_name":"Katerine Villaizan","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Katerine Villaizan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026575790","display_name":"Nicola Young","orcid":"https://orcid.org/0000-0002-8449-2027"},"institutions":[{"id":"https://openalex.org/I197097402","display_name":"Universidad Peruana Cayetano Heredia","ror":"https://ror.org/03yczjf25","country_code":"PE","type":"education","lineage":["https://openalex.org/I197097402"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Nicola Young","raw_affiliation_strings":["Universidad Peruana Cayetano Heredia, Per\u00fa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Peruana Cayetano Heredia, Per\u00fa","institution_ids":["https://openalex.org/I197097402"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100780032","display_name":"Yu Cao","orcid":"https://orcid.org/0000-0001-8624-1099"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yu Cao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077348938","display_name":"Benyuan Liu","orcid":"https://orcid.org/0000-0002-7543-1054"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Benyuan Liu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049548514","display_name":"Terence Griffin","orcid":null},"institutions":[{"id":"https://openalex.org/I33434090","display_name":"University of Massachusetts Boston","ror":"https://ror.org/04ydmy275","country_code":"US","type":"education","lineage":["https://openalex.org/I33434090"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Terence Griffin","raw_affiliation_strings":["University of Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Massachusetts, USA","institution_ids":["https://openalex.org/I33434090"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062148769","display_name":"Mar\u00eda Brunette","orcid":"https://orcid.org/0000-0001-7932-5964"},"institutions":[{"id":"https://openalex.org/I33434090","display_name":"University of Massachusetts Boston","ror":"https://ror.org/04ydmy275","country_code":"US","type":"education","lineage":["https://openalex.org/I33434090"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maria J Brunette","raw_affiliation_strings":["Universidad Peruana Cayetano Heredia, Per\u00fa; University of Massachusetts, USA; The Ohio State University, USA","University of Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Peruana Cayetano Heredia, Per\u00fa; University of Massachusetts, USA; The Ohio State University, USA","institution_ids":[]},{"raw_affiliation_string":"University of Massachusetts, USA","institution_ids":["https://openalex.org/I33434090"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5007930764"],"corresponding_institution_ids":["https://openalex.org/I197097402"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":{"value":1500,"currency":"USD","value_usd":1500},"fwci":2.5012,"has_fulltext":false,"cited_by_count":23,"citation_normalized_percentile":{"value":0.91260149,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"26","issue":"4","first_page":"2762","last_page":"2775"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11775","display_name":"COVID-19 diagnosis using AI","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9902999997138977,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interquartile-range","display_name":"Interquartile range","score":0.9344816207885742},{"id":"https://openalex.org/keywords/mhealth","display_name":"mHealth","score":0.7950575351715088},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.6190757751464844},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.6058368682861328},{"id":"https://openalex.org/keywords/workload","display_name":"Workload","score":0.5600005388259888},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4462606906890869},{"id":"https://openalex.org/keywords/tropical-medicine","display_name":"Tropical medicine","score":0.4317554533481598},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.38366520404815674},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.317119300365448},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.23147425055503845},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.16139301657676697},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.10080251097679138}],"concepts":[{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.9344816207885742},{"id":"https://openalex.org/C2779363104","wikidata":"https://www.wikidata.org/wiki/Q17069079","display_name":"mHealth","level":3,"score":0.7950575351715088},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6190757751464844},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6058368682861328},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.5600005388259888},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4462606906890869},{"id":"https://openalex.org/C185032368","wikidata":"https://www.wikidata.org/wiki/Q1365243","display_name":"Tropical medicine","level":2,"score":0.4317554533481598},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38366520404815674},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.317119300365448},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.23147425055503845},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16139301657676697},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.10080251097679138},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010568","descriptor_name":"Peru","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010568","descriptor_name":"Peru","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010568","descriptor_name":"Peru","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014376","descriptor_name":"Tuberculosis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D014376","descriptor_name":"Tuberculosis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D014376","descriptor_name":"Tuberculosis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1177/1460458220938535","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458220938535","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458220938535","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},{"id":"pmid:32686560","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32686560","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health informatics journal","raw_type":null},{"id":"pmh:oai:doaj.org/article:71d6ccc3102a4dcd9ab012508c97bb60","is_oa":true,"landing_page_url":"https://doaj.org/article/71d6ccc3102a4dcd9ab012508c97bb60","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Informatics Journal, Vol 26 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/1460458220938535","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458220938535","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458220938535","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G4897624656","display_name":null,"funder_award_id":"R01 EB021900","funder_id":"https://openalex.org/F4320337363","funder_display_name":"National Institute of Biomedical Imaging and Bioengineering"},{"id":"https://openalex.org/G7811736441","display_name":null,"funder_award_id":"1R01EB021900","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337363","display_name":"National Institute of Biomedical Imaging and Bioengineering","ror":"https://ror.org/00372qc85"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W1868991462","https://openalex.org/W1927140118","https://openalex.org/W2066823866","https://openalex.org/W2077598260","https://openalex.org/W2127293276","https://openalex.org/W2134649744","https://openalex.org/W2168815104","https://openalex.org/W2207795984","https://openalex.org/W2310401633","https://openalex.org/W2345549518","https://openalex.org/W2395484904","https://openalex.org/W2396607552","https://openalex.org/W2435748213","https://openalex.org/W2489409532","https://openalex.org/W2572049340","https://openalex.org/W2760511159","https://openalex.org/W2763498980","https://openalex.org/W2763606073","https://openalex.org/W2795242467","https://openalex.org/W2897220463","https://openalex.org/W2899241902","https://openalex.org/W2915410268","https://openalex.org/W2918009030","https://openalex.org/W2925159988","https://openalex.org/W2980965120","https://openalex.org/W3009705041","https://openalex.org/W3014284108","https://openalex.org/W4211157605","https://openalex.org/W4232681520"],"related_works":["https://openalex.org/W1681476849","https://openalex.org/W2487490720","https://openalex.org/W2793077515","https://openalex.org/W4292573045","https://openalex.org/W2126365059","https://openalex.org/W4386009577","https://openalex.org/W2981615369","https://openalex.org/W3217504343","https://openalex.org/W4364360147","https://openalex.org/W4251124243"],"abstract_inverted_index":{"A":[0,35],"major":[1],"challenge":[2],"of":[3,9,79,97,128,144,151,161,178,185,209,214],"tuberculosis":[4,43,64],"diagnosis":[5,44],"is":[6],"the":[7,93,103,195,206,210],"lack":[8],"universal":[10],"accessibility":[11],"to":[12,21,38,73,90],"bacteriological":[13],"confirmation.":[14],"Computer-aided":[15],"diagnostic":[16,42,85,216],"interventions":[17],"have":[18],"been":[19],"developed":[20],"address":[22],"this":[23],"gap":[24],"and":[25,63,102,202],"their":[26,119],"successful":[27],"implementation":[28,208],"depends":[29],"on":[30,108],"many":[31],"health":[32,51,71],"systems":[33],"factors.":[34],"socio-technical":[36],"system":[37],"implement":[39],"a":[40,76,125,142,158,176],"computer-aided":[41],"was":[45,138,172,190],"preliminary":[46],"tested":[47],"in":[48,54,75],"five":[49],"primary":[50],"centers":[52,72],"located":[53],"Lima,":[55],"Peru.":[56],"We":[57],"recruited":[58],"nurses":[59,94],"(n":[60,66],"=":[61,67,133,149,166,183],"7)":[62],"physicians":[65,104],"5)":[68],"from":[69],"these":[70],"participate":[74],"field":[77],"trial":[78],"an":[80],"mHealth":[81,211],"tool":[82],"(eRx":[83],"X-ray":[84,169],"app).":[86],"From":[87],"September":[88],"2018":[89],"February":[91],"2019,":[92],"uploaded":[95],"images":[96,107],"chest":[98],"X-rays":[99],"using":[100,111],"smartphones":[101],"reviewed":[105],"those":[106,152,186],"web-based":[109],"platforms":[110],"tablets.":[112],"Both":[113],"completed":[114],"weekly":[115],"written":[116],"feedback":[117],"about":[118],"experience.":[120],"Each":[121,154],"nurse":[122],"participated":[123,156],"for":[124,157,197],"median":[126,143,159,177],"duration":[127,160],"12":[129],"weeks":[130,163],"(interquartile":[131,147,164,181],"range":[132,148,165,182],"7.5-15.5),":[134],"but":[135,168],"image":[136,170],"upload":[137],"only":[139,173],"possible":[140,174],"at":[141,175],"58":[145],"percent":[146,180],"35.1%-84.4%)":[150],"weeks.":[153,187],"physician":[155],"17":[162],"12-17),":[167],"review":[171],"52":[179],"49.7%-57.4%)":[184],"Heavy":[188],"workload":[189],"most":[191],"frequently":[192],"provided":[193],"as":[194],"reason":[196],"missing":[198],"data.":[199],"Several":[200],"infrastructural":[201],"technological":[203],"challenges":[204],"impaired":[205],"effective":[207],"tool,":[212],"irrespective":[213],"its":[215],"accuracy.":[217]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":1}],"updated_date":"2026-06-24T13:16:06.693445","created_date":"2025-10-10T00:00:00"}
