| 41. |
- Nøhr, Christian, et al.
(författare)
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Monitoring and benchmarking eHealth in the Nordic countries
- 2018
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Ingår i: Building continents of knowledge in oceans of data. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 86-90
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Bokkapitel (refereegranskat)abstract
- The Nordic eHealth Research Network, a subgroup of the Nordic Council of Ministers eHealth group, is working on developing indicators to monitor progress in availability, use and outcome of eHealth applications in the Nordic countries. This paper reports on the consecutive analysis of National eHealth policies in the Nordic countries from 2012 to 2016. Furthermore, it discusses the consequences for the development of indicators that can measure changes in the eHealth environment arising from the policies. The main change in policies is reflected in a shift towards more stakeholder involvement and intensified focus on clinical infrastructure. This change suggests developing indicators that can monitor understandability and usability of eHealth systems, and the use and utility of shared information infrastructure from the perspective of the end-users - citizens/patients and clinicians in particular.
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| 42. |
- Olve, Nils-Göran, 1947-, et al.
(författare)
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Economic analyses for ICT in elderly healthcare : Questions and challenges
- 2005
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 11:4, s. 309-321
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Elderly healthcare is a likely arena for extensive change in years to come, and information and communication technology (ICT) will be an important enabler of such change. Before investing in new systems and practices, there will be a call for evaluations. To date, economic evaluations of ICT applications in healthcare have been rare, and a literature review did not turn up any examples of such evaluations of elderly care. The options for elderly care will often have to transcend organization boundaries, as the point of many ICT initiatives now being discussed is to make healthcare institutions, home care, and self-administered care interact in new ways. Analysts performing evaluations of such complex changes will have to be very specific about such classic issues in economic analysis as defining alternatives, the basis for comparison, and combining different indicators into an overall evaluation. Copyright © 2005 SAGE Publications.
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| 43. |
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| 44. |
- Olve, Nils-Göran, 1947-, et al.
(författare)
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Evaluation as multi-actor trade-off - a challenge in introducing ICT innovations in the health sector
- 2005
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Ingår i: 4th WSEAS Int.Conf. on E-ACTIVITIES E-Learning, E-Communities, E-Commerce, E-Management, E-Marketing, E-Governance, Tele-Working,2005. - : WSEAS:s tidskrift.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 45. |
- Olve, Nils-Göran, et al.
(författare)
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Locating ICT's benefits in elderly care
- 2005
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Ingår i: Medical informatics and the Internet in medicine (Print). - : Informa UK Limited. - 1463-9238 .- 1464-5238. ; 30:4, s. 297-308
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Tidskriftsartikel (refereegranskat)abstract
- The impact of information and communication technology (ICT) is indirect and depends on redesign of practices and structures also outside health care. Improvements will only be realized if all parties involved can coordinate their efforts to take advantage of new technology. A 'package' of changed work practices and structures extending across organizational boundaries needs to be designed and implemented. This is very different from the common conception of introducing new ICT tools. Calls for 'evaluation of benefits' before new ICT systems are introduced need to recognize this complexity. This article investigates how analysis and economic evaluations can be used to improve decision-making when new applications are proposed. This is done by drawing parallels with experiences from other industries. We conclude that the entire 'change package' should be analysed for its consequences on the well-being of care recipients, and the requirements it presents for capital investments and changed labour inputs, in particular changed competence needs. Some concepts and structures are suggested for such evaluations. © 2005 Taylor & Francis.
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| 46. |
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Proceedings from The 14th Scandinavian Conference on Health Informatics 2016 : Gothenburg, Sweden, April 6-7 2016
- 2016
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Proceedings (redaktörskap) (refereegranskat)abstract
- The Scandinavian Conference on Health Informtics 2016 is organized together with the national health informatics organisations in Denmark, Norway, and Sweden and this year also the Vitalis conference. The goal of the conference is to stimulate scientific discussion of health informatics issues in the Scandinavian countries. The target audience of the conference are people doing, or having an interest in, health informatics research in a wide sense, including any development, implementation, evaluation, or teaching of information technology and/or managment in the health sector.The conference takes place at Svenska Mässan in the city of Gothenburg, close to the city center and hotels. Conference ThemeseHealth services, business models and implementationICT-based systems in health careElectronic health record, solutions, implementations, experiencesTelemedicine, Tele-homecareDecision support, standardized care plans, expert systemsTerminologies and ontologiesHealthcare qualityModeling and standardisationHealthcare information infrastructureSharing of and access to health informationCooperation and interaction crossing borders (e.g. organisational)Care process and workflow modelsWelfare technology, ambient assisted living and smart homesUse and reuse of health informationPersonal Health Record (PHR)Health portalsUsability, accessibility and user interface designIT security in healthcareEvaluation studies
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| 47. |
- Rahimi, Bahlol, 1975-, et al.
(författare)
-
Health Information System Implementation : A Qualitative Meta-analysis
- 2009
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Ingår i: Journal of medical systems. - : Springer Netherlands. - 0148-5598 .- 1573-689X. ; 33:5, s. 359-368
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare information systems (HISs) are often implemented to enhance the quality of care and the degree to which it is patient-centered, as well as to improve the efficiency and safety of services. However, the outcomes of HIS implementations have not met expectations. We set out to organize the knowledge gained in qualitative studies performed in association with HIS implementations and to use this knowledge to outline an updated structure for implementation planning. A multi-disciplinary team performed the analyses in order to cover as many aspects of the primary studies as possible. We found that merely implementing an HIS will not automatically increase organizational efficiency. Strategic, tactical, and operational actions have to be taken into consideration, including management involvement, integration in healthcare workflow, establishing compatibility between software and hardware and, most importantly, user involvement, education and training. The results should be interpreted as a high-order scheme, and not a predictive theory.
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| 48. |
- Rahimi, Bahol, 1975-
(författare)
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Implementation of Health Information Systems
- 2008
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Healthcare organizations now consider increased efficiency, reduced costs, improved patient care and quality of services, and safety when they are planning to implement new information and communication technology (ICT) based applications. However, in spite of enormous investment in health information systems (HIS), no convincing evidence of the overall benefits of HISs yet exists. The publishing of studies that capture the effects of the implementation and use of ICT-based applications in healthcare may contribute to the emergence of an evidence-based health informatics which can be used as a platform for decisions made by policy makers, executives, and clinicians. Health informatics needs further studies identifying the factors affecting successful HIS implementation and capturing the effects of HIS implementation. The purpose of the work presented in this thesis is to increase the available knowledge about the impact of the implementation and use of HISs in healthcare organizations. All the studies included in this thesis used qualitative research methods. A case study design and literature review were performed to collect data.This thesis’s results highlight an increasing need to share knowledge, find methods to evaluate the impact of investments, and formulate indicators for success. It makes suggestions for developing or extending evaluation methods that can be applied to this area with a multi-actor perspective in order to understand the effects, consequences, and prerequisites that have to be achieved for the successful implementation and use of IT in healthcare. The results also propose that HIS, particularly integrated computer-based patient records (ICPR), be introduced to fulfill a high number of organizational, individualbased, and socio-technical goals at different levels. It is therefore necessary to link the goals that HIS systems are to fulfill in relation to short-term, middle-term, and long-term strategic goals. Another suggestion is that implementers and vendors should direct more attention to what has been published in the area to avoid future failures.This thesis’s findings outline an updated structure for implementation planning. When implementing HISs in hospital and primary-care environments, this thesis suggests that such strategic actions as management involvement and resource allocation, such tactical action as integrating HIS with healthcare workflow, and such operational actions as user involvement, establishing compatibility between software and hardware, and education and training should be taken into consideration.
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| 49. |
- Rahimi, Bahlol, 1975-, et al.
(författare)
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Implementing an integrated computerized patient record system : Towards an evidence-based information system implementation practice in healthcare
- 2008
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Ingår i: AMIA 2008 Annual Symposium, Biomedical and Health Informatics:form foundations to applications to policy. Washington DC. 8-12 November 2008. ; , s. 616-620
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Konferensbidrag (refereegranskat)abstract
- A large number of health information system (HIS) implementations fail due to insufficient organizational harmonization. The aim of this study is to examine whether these problems remain when implementing technically integrated and more advanced generations of HIS. In a case study, data from observations, interviews, and organizational documents were analyzed using qualitative methods. We found that critical issues in the case study implementation process were the techniques employed to teach the staff to use the integrated system, involvement of the users in the implementation process, and the efficiency of the human computer interface. Comparisons with a literature review showed both recurrence of previously reported implementation problems and new issues specific to the integrated system context. The results indicate that the development of evidence-based implementation processes should be considered.
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| 50. |
- Rahimi, Bahlol, 1975-, et al.
(författare)
-
Integrated electronic prescribing systems : pharmacists’ perceptions ofimpact on work performance and patient safety
- 2009
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Ingår i: Proceedings of the 9th WSEAS International Conference on APPLIED INFORMATICS AND COMMUNICATIONS (AIC '09). - 9789604741076 ; , s. 299-304
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Integrated electronic prescribing systems (IEPSs) are expected to improve efficiency and safety inthe management of pharmaceuticals throughout the healthcare sector. We examined the introduction of anIEPS into pharmacists’ work performance with regard to impact on efficiency and patient safety. Aquestionnaire was distributed to all pharmacists (n = 85) in a Swedish municipality (pop. 145,000) where anIEPS had recently been introduced. The response rate was 74%. We found that, in general, the IEPS wasperceived to have expedited the processing of prescriptions and reduced the risk for prescription errors, as wellas the handing over of erroneous medications to patients. Pharmacists were more cautious about the residualrisks for making mistakes than the pharmacist’s assistants. We conclude that the introduction of an IEPS waswell received by local-level pharmacy staff, but that an IEPS does not automatically reduce the need forqualified personnel in the management of pharmaceuticals.
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