{"id":"https://openalex.org/W4415909491","doi":"https://doi.org/10.48550/arxiv.2510.26812","title":"Impact of clinical decision support systems (cdss) on clinical outcomes and healthcare delivery in low- and middle-income countries: protocol for a systematic review and meta-analysis","display_name":"Impact of clinical decision support systems (cdss) on clinical outcomes and healthcare delivery in low- and middle-income countries: protocol for a systematic review and meta-analysis","publication_year":2025,"publication_date":"2025-10-27","ids":{"openalex":"https://openalex.org/W4415909491","doi":"https://doi.org/10.48550/arxiv.2510.26812"},"language":null,"primary_location":{"id":"pmh:oai:arXiv.org:2510.26812","is_oa":true,"landing_page_url":"http://arxiv.org/abs/2510.26812","pdf_url":"https://arxiv.org/pdf/2510.26812","source":{"id":"https://openalex.org/S4393918464","display_name":"ArXiv.org","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},"type":"preprint","indexed_in":["arxiv","datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://arxiv.org/pdf/2510.26812","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009508382","display_name":"Garima Jain","orcid":"https://orcid.org/0000-0003-1302-9534"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Jain, Garima","raw_affiliation_strings":[],"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020583677","display_name":"Anand G Bodade","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bodade, Anand","raw_affiliation_strings":[],"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5061858117","display_name":"Sanghamitra Pati","orcid":"https://orcid.org/0000-0002-7717-5592"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pati, Sanghamitra","raw_affiliation_strings":[],"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5009508382"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.6355000138282776,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"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/T10350","display_name":"Electronic Health Records Systems","score":0.6355000138282776,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"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/T11446","display_name":"Mobile Health and mHealth Applications","score":0.1062999963760376,"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/T11731","display_name":"Global Health and Surgery","score":0.052299998700618744,"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/protocol","display_name":"Protocol (science)","score":0.7050999999046326},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.680899977684021},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.6171000003814697},{"id":"https://openalex.org/keywords/healthcare-delivery","display_name":"Healthcare delivery","score":0.5291000008583069},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.49729999899864197},{"id":"https://openalex.org/keywords/data-extraction","display_name":"Data extraction","score":0.47279998660087585},{"id":"https://openalex.org/keywords/service-delivery-framework","display_name":"Service delivery framework","score":0.4323999881744385},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.3953999876976013},{"id":"https://openalex.org/keywords/narrative-review","display_name":"Narrative review","score":0.36559998989105225}],"concepts":[{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.7050999999046326},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.680899977684021},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.6171000003814697},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5800999999046326},{"id":"https://openalex.org/C3018457447","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Healthcare delivery","level":3,"score":0.5291000008583069},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.49729999899864197},{"id":"https://openalex.org/C2777466982","wikidata":"https://www.wikidata.org/wiki/Q5227287","display_name":"Data extraction","level":3,"score":0.47279998660087585},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.4323999881744385},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.3953999876976013},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.36559998989105225},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3562999963760376},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3555999994277954},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.35510000586509705},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.33799999952316284},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.33070001006126404},{"id":"https://openalex.org/C61904560","wikidata":"https://www.wikidata.org/wiki/Q1148359","display_name":"Grey literature","level":3,"score":0.32989999651908875},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.32269999384880066},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.3183000087738037},{"id":"https://openalex.org/C2775941552","wikidata":"https://www.wikidata.org/wiki/Q25212305","display_name":"Isolation (microbiology)","level":2,"score":0.3091999888420105},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.30300000309944153},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.28439998626708984},{"id":"https://openalex.org/C148220186","wikidata":"https://www.wikidata.org/wiki/Q7111912","display_name":"Outcome (game theory)","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C11105738","wikidata":"https://www.wikidata.org/wiki/Q1895805","display_name":"Multiple-criteria decision analysis","level":2,"score":0.2743000090122223},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.2662000060081482},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2612999975681305},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.26019999384880066},{"id":"https://openalex.org/C2778111679","wikidata":"https://www.wikidata.org/wiki/Q5155639","display_name":"Comparative effectiveness research","level":3,"score":0.258899986743927},{"id":"https://openalex.org/C95986675","wikidata":"https://www.wikidata.org/wiki/Q185168","display_name":"Quantitative analysis (chemistry)","level":2,"score":0.25529998540878296},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.25060001015663147}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:arXiv.org:2510.26812","is_oa":true,"landing_page_url":"http://arxiv.org/abs/2510.26812","pdf_url":"https://arxiv.org/pdf/2510.26812","source":{"id":"https://openalex.org/S4393918464","display_name":"ArXiv.org","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},{"id":"doi:10.48550/arxiv.2510.26812","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2510.26812","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:arXiv.org:2510.26812","is_oa":true,"landing_page_url":"http://arxiv.org/abs/2510.26812","pdf_url":"https://arxiv.org/pdf/2510.26812","source":{"id":"https://openalex.org/S4393918464","display_name":"ArXiv.org","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Clinical":[0],"decision":[1],"support":[2],"systems":[3],"(CDSS)":[4],"are":[5,65,69,145],"used":[6],"to":[7,27,89],"improve":[8],"clinical":[9],"and":[10,17,35,111,117,135,164,167],"service":[11],"outcomes,":[12,77],"yet":[13],"evidence":[14],"from":[15],"low-":[16],"middle-income":[18],"countries":[19],"(LMICs)":[20],"is":[21],"dispersed.":[22],"This":[23],"protocol":[24],"outlines":[25],"methods":[26],"quantify":[28],"the":[29,83],"impact":[30],"of":[31,100,125],"CDSS":[32,57,177],"on":[33],"patient":[34],"healthcare":[36],"delivery":[37],"outcomes":[38,144],"in":[39,58,122],"LMICs.":[40,61],"We":[41],"will":[42,81,93,119,127,140,155,159],"include":[43],"comparative":[44,54,75],"quantitative":[45,76,84],"designs":[46],"(randomized":[47,133],"trials,":[48],"controlled":[49],"before-after,":[50],"interrupted":[51],"time":[52],"series,":[53],"cohorts)":[55],"evaluating":[56],"World":[59],"Bank-defined":[60],"Standalone":[62],"qualitative":[63],"studies":[64,68],"excluded;":[66],"mixed-methods":[67],"eligible":[70],"only":[71],"if":[72],"they":[73],"report":[74],"for":[78],"which":[79],"we":[80],"extract":[82],"component.":[85],"Searches":[86],"(from":[87],"inception":[88],"30":[90],"September":[91],"2024)":[92],"cover":[94],"MEDLINE,":[95],"Embase,":[96],"CINAHL,":[97],"CENTRAL,":[98],"Web":[99],"Science,":[101],"Global":[102],"Health,":[103],"Scopus,":[104],"IEEE":[105],"Xplore,":[106],"LILACS,":[107],"African":[108],"Index":[109],"Medicus,":[110],"IndMED,":[112],"plus":[113],"grey":[114],"sources.":[115],"Screening":[116],"extraction":[118],"be":[120,128,141,156,160],"performed":[121,142],"duplicate.":[123],"Risk":[124],"bias":[126],"assessed":[129],"with":[130],"RoB":[131],"2":[132],"trials)":[134],"ROBINS-I":[136],"(non-randomized).":[137],"Random-effects":[138],"meta-analysis":[139],"where":[143],"conceptually":[146],"or":[147,171],"statistically":[148],"comparable;":[149],"otherwise,":[150],"a":[151,168],"structured":[152],"narrative":[153],"synthesis":[154],"presented.":[157],"Heterogeneity":[158],"explored":[161],"using":[162],"relative":[163],"absolute":[165],"metrics":[166],"priori":[169],"subgroups":[170],"meta-regression":[172],"(condition":[173],"area,":[174],"care":[175],"level,":[176],"type,":[178],"readiness":[179],"proxies,":[180],"study":[181],"design).":[182]},"counts_by_year":[],"updated_date":"2026-03-07T16:01:11.037858","created_date":"2025-11-05T00:00:00"}