In Ghana up to 75% of medical graduates leave the country due to poor and inconsistent reimbursements, reducing access to primary care.  In much of Sub-Saharan Africa, primary care is funded by self-pay using hard cash or government insurance schemes, with few insurance options. The only software solutions that exist are urgent-care Telehealth web applications, which use a fee-for-service model for urgent visits. There is an enormous gap to provide a software solution for longitudinal primary care relationships. DirectDoc fills this gap by developing a novel subscription based mobile platform for patients to directly pay physicians for longitudinal primary care. In addition to bundling modern primary care services, such as a digital medical record and secure Telehealth channels, we use blockchain technology to create a transparent and trust-less data structure to encourage charitable donations to fund patients’ membership fees.

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