| 1. |
- Emmanouil, A., et al.
(author)
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Anamnesis via the Internet : Prospects and pilot results
- 2001
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In: MEDINFO 2001. - Amsterdam, Netherlands : IOS Press. - 9781586031947 - 9781607509288 ; 84:Pt 1, s. 805-9
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Book chapter (peer-reviewed)abstract
- A comprehensive computerized questionnaire was developed to obtain the anamnesis of patients seeking contact with a physician for any type of new problem. The purpose of this pilot study was to investigate ifa structured questionnaire filled out by the patient and complementing an interview at the physician’s office would contribute to a better quality of the total anamnesis and/or lead to savings in time at the visit. The results encourage further developments in this direction. The potential uses proposed are, in addition to being used to improve a visit, the correct assessment of the history for prioritization and scheduling of visits and in some situations, the anamnesis obtained over the net may be the basis for medical advice without a visit. This study emphasizes the great improvement of information captured by this type of questionnaire based on medical knowledge about associated symptoms and relevant questions depending on the problem presented compared to the results obtained by a simple open question used in many e-health services today.
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| 2. |
- Erlingsdottir, Gudbjörg, et al.
(author)
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Lost in Translation? Care Coordination cross Contexts in Swedish Homecare Nursing
- 2019
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In: Context Sensitive Health Informatics : Sustainability in Dynamic Ecosystems - Sustainability in Dynamic Ecosystems. - 0926-9630 .- 1879-8365. - 9781643680040 - 9781643680040 ; 265, s. 42-47
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Book chapter (peer-reviewed)abstract
- The responsibilities for delivery of care in Sweden is divided between the regions and the municipalities. The regions run the hospitals and the primary care centres (PCCs) whereas the municipalities are responsible for homecare nursing and nursing homes. The homecare nurses and the doctors they need to seek advice from, thus belong to different organizations/contexts. As more patients with multi- and long-term illnesses are taken care of in their homes the workload of the homecare nurses has increased. A new healthcare agreement has thus been signed between a region in South Sweden and its municipalities. The healthcare agreement states that doctors from the PCCs are to form mobile teams together with the homecare nurses. This paper reports from a pre-study investigating how the agreement, in terms of translation sociology, is interpreted in four of the municipalities. The aim of the research project as a whole is to develop digital support systems for the mobile teams.
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| 3. |
- Klein, Gunnar O., 1953-, et al.
(author)
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Another HISA - the new standard : health informatics - service architecture
- 2007
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In: MEDINFO 2007. - : IOS Press. - 9781586037741 - 9781607502661 ; 129:Pt 1, s. 478-82
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Book chapter (peer-reviewed)abstract
- In addition to the meaning as Health Informatics Society of Australia, HISA is the acronym used for the new European Standard: Health Informatics - Service Architecture.This EN 12967 standard has been developed by CEN - the federation of 29 national standards bodies in Europe. This standard defines the essential elements of a Service Oriented Architecture and a methodology for localization particularly useful for large healthcare organizations.It is based on the Open Distributed Processing (ODP) framework from ISO 10746 and contains the following parts:Part 1: Enterprise viewpoint.Part 2: Information viewpoint.Part 3: Computational viewpoint.This standard is now also the starting point for the consideration for an International standard in ISO/TC 215. The basic principles with a set of health specific middleware services as a common platform for various applications for regional health information systems, or large integrated hospital information systems, are well established following a previous prestandard. Examples of large scale deployments in Sweden, Denmark and Italy are described.
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| 4. |
- Klein, Gunnar O., 1953-, et al.
(author)
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eHealth tools for patients and professionals in a multicultural world
- 2009
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In: Medical Informatics in a United and Healthy Europe. - : IOS Press. - 9781607500445 - 9781607504566 ; 150, s. 297-301
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Book chapter (peer-reviewed)abstract
- In many countries today, an important challenge for health care is the fact that the population is mixed as regards cultural background and not the least with regard to preferred language. In our country Sweden almost 20% of the population has some connection to another country and many patients seeking health care do not have sufficient mastering of the dominant Swedish language to get optimal care. We propose in this study a set of eHealth services that could be implemented within a country and in multinational co-operation to deal with some of these issues in an effective way which both empowers the citizens, improves patient safety and at the same time may offer cost savings for the publicly financed health care systems in the countries of the European Union. The basic idea is to use a set of people-people communication strategies using ICT tools combined with semantic tools for information sharing and conversion. This requires new and challenging organizational contexts.
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| 5. |
- Klein, Gunnar O., 1953-, et al.
(author)
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Translation of SNOMED CT : strategies and description of a pilot project
- 2009
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In: Connecting Health and Humans. - : IOS Press. - 9781607500247 - 9781607504436 ; 146, s. 673-7
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Book chapter (peer-reviewed)abstract
- The translation and localization of SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms) have been initiated in a few countries. In Sweden, we conducted the first evaluation of this terminology in a project called REFTERM in which we also developed a software tool which could handle a large scale translation with a number of translators and reviewers in a web-based environment. The system makes use of existing authorized English-Swedish translations of medical terminologies such as ICD-10. The paper discusses possible strategies for a national project to translate and adapt this terminology.
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| 6. |
- Winberg, C., et al.
(author)
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The Use of Apps for Health in Persons with Multiple Sclerosis, Parkinson's Disease and Stroke - Barriers and Facilitators
- 2017
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In: Harnessing the Power of Technology to Improve Lives. - : IOS Press. - 0926-9630 .- 1879-8365. - 9781614997979 ; 242, s. 638-641, s. 638-641
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Book chapter (peer-reviewed)abstract
- Introduction: The importance of mobile health has increased during recent years but few studies have described the use of apps among persons with neurological disabilities. Aim: The aim of this paper was to describe how persons ageing with a neurological disability experience barriers and facilitators in relation to using apps in everyday life. Method: A qualitative approach was used. 16 persons with neurological disorders participated in two group discussions. Data were analyzed by content analysis. Results: The analysis formed four categories; Impairments make apps harder to use, Use of apps is increased by learnability and sharing, Valuating the information in an app, and Apps act supportive and motivating. Conclusion: The participants used apps in the same way as persons without disabilities. Impairments and trustworthiness were perceived as barriers, which need to be acknowledged when developing apps for this population. Use of apps was facilitated by the possibility to share data and to connect with others. Apps may have the potential to improve self-management for persons ageing with disabilities but further research is needed.
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