The Role of Mobile Electronic Health Records in Facilitating the Provision of Health Services in Mass Gatherings

Abstract

Background: Mass gatherings — such as religious pilgrimages, sporting events, and festivals — present significant challenges for health service delivery due to the high population density, limited infrastructure, and transient nature of participants. Ensuring timely and efficient healthcare in such contexts is critical to minimizing morbidity and mortality. Mobile Electronic Health Records (EHRs) offer a promising solution by enabling real-time, portable access to patient data. Objectives: This study aims to explore the role of mobile EHR systems in enhancing the provision, coordination, and quality of health services during mass gatherings. Specifically, it investigates the effectiveness of mobile EHRs in improving clinical decision-making, continuity of care, and emergency response. Methods: A mixed-methods approach was employed, combining a systematic review of existing literature with field data from recent mass gatherings. Semi-structured interviews were conducted with 15 healthcare professionals and emergency planners who have experience with EHR systems. Quantitative data were analyzed to evaluate response time, data accessibility, and treatment outcomes, while qualitative data provided insights into usability, perceived benefits, and implementation barriers. Results: The findings indicate that mobile EHRs significantly reduce the time required for patient registration and triage, improve diagnostic accuracy, and enhance communication among medical teams. Health workers reported improved continuity of care due to the ability to track patient histories even in decentralized, mobile clinic settings. However, challenges such as limited internet connectivity, data privacy concerns, and the need for staff training were identified as barriers to full-scale adoption. The integration of mobile EHR systems was especially beneficial during emergencies, where rapid access to medical histories and allergies informed critical interventions. Conclusions: Mobile EHR systems play a pivotal role in strengthening health service delivery during mass gatherings by improving data accessibility, continuity of care, and coordination among health personnel. While technical and organizational challenges remain, the evidence supports broader adoption of mobile EHRs as part of disaster and mass gathering preparedness strategies. Policymakers and health planners should prioritize infrastructure development, digital literacy training, and data governance to maximize the benefits of mobile health technologies in future mass events.