This will work anywhere in the world; The only reason why it's not happening is.

a) Hospitals payments are mostly fee for service so hospitals have no incentive to keep you out of hospital or to reduce care procedures: they can as well take x-ray every time you show up because the make money doing it!

b) Providers are not designed to include preventive care, there is no incentive for it; a patient is a customer to a hospital, why would they want to keep you away?

c) Doctors appointment? Maybe!

I disagree with you, I don't think the technology side is a problem because these solutions are already in used in many of the most regulated healthcare markets of the world. Privacy is nothing but a concern and it's not going to stop investments if there is good money to be made.

The problem is in the business side, ROIC for the technology. The markets that are currently investing heavily in HIT are mainly payer driven markets where healthcare payment methods are shifting from fee for service models to capitated premium models or even shifting further towards pay for performance also known as value based care.

In these market, the payer( Health Insurance or Government) is providing capital to the provider(Hospitals/Clinics/DRs) to implement innovative technology and process improvement in exchange of better performance which translate to lower medical claims.

These arrangement between the payer and the provider is only possible because it's premium driven market. It's hard in Kenya because, it's fee for service driven market, you show up, pay a fee, get care and leave, it is a volume driven markets! The hospitals make more money when population is sicker, why should hospitals offer preventive care? why medical records? extra procedure = Money, as a matter of facts the incentive is not to have any record so that they can maximize revenue! Rollout Drunkard

Again, it can work anywhere if:

1. You can identify the need
2. Who has the monetary incentive to implement the product
3. If you can come up with conviencing value prop.

There are so many great ideas but unless there is a conviencing value proposition, no one is going to put money into it.

If it need ksh 10M to invest, show them how they'll end up saving kshs 15M. Trust me, the business side is the hardest especially in hospital space because every time a person do not show up to hospital because the technology helped them solved simple health problem is a lost revenue to a hospital!

When you talk about value based care to hospital executive the first question you always get is, how will I make up for lost revenue? You might have success if you focus on operational effeciency technology like scheduling etc but once you start touching clinical improvements then you run into problems because clinical improvement=better care= Health population= shorter bed days, lower hospital visits= lower revenue.

Note:
Rollout Drunkard is alumni of a global strategy firm and worked in healthcare strategy advisory( Payer, provider and life science) but he could be drunk right now so take his advise with some caution!