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1.
  • Ammenwerth, Elske, et al. (författare)
  • International Comparison of Six Basic eHealth Indicators Across 14 Countries: An eHealth Benchmarking Study
  • 2020
  • Ingår i: Methods of Information in Medicine. - : Georg Thieme Verlag KG. - 0026-1270. ; 59:2, s. e46-e63
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Many countries adopt eHealth applications to support patient-centered care. Through information exchange, these eHealth applications may overcome institutional data silos and support holistic and ubiquitous (regional or national) information logistics. Available eHealth indicators mostly describe usage and acceptance of eHealth in a country. The eHealth indicators focusing on the cross-institutional availability of patient-related information for health care professionals, patients, and care givers are rare. Objectives This study aims to present eHealth indicators on cross-institutional availability of relevant patient data for health care professionals, as well as for patients and their caregivers across 14 countries (Argentina, Australia, Austria, Finland, Germany, Hong Kong as a special administrative region of China, Israel, Japan, Jordan, Kenya, South Korea, Sweden, Turkey, and the United States) to compare our indicators and the resulting data for the examined countries with other eHealth benchmarks and to extend and explore changes to a comparable survey in 2017. We defined "availability of patient data" as the ability to access data in and to add data to the patient record in the respective country. Methods The invited experts from each of the 14 countries provided the indicator data for their country to reflect the situation on August 1, 2019, as date of reference. Overall, 60 items were aggregated to six eHealth indicators. Results Availability of patient-related information varies strongly by country. Health care professionals can access patients most relevant cross-institutional health record data fully in only four countries. Patients and their caregivers can access their health record data fully in only two countries. Patients are able to fully add relevant data only in one country. Finland showed the best outcome of all eHealth indicators, followed by South Korea, Japan, and Sweden. Conclusion Advancement in eHealth depends on contextual factors such as health care organization, national health politics, privacy laws, and health care financing. Improvements in eHealth indicators are thus often slow. However, our survey shows that some countries were able to improve on at least some indicators between 2017 and 2019. We anticipate further improvements in the future.
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2.
  • Koch, Sabine, et al. (författare)
  • Critical advances in bridging personal health informatics and clinical informatics
  • 2012
  • Ingår i: IMIA Yearbook of Medical Informatics. - Netherländerna : Schattauer Gmbh. - 0943-4747. ; 7, s. 48-55
  • Tidskriftsartikel (övrigt vetenskapligt)abstract
    • Objectives: To provide a survey over significant developments in the area of linking personal health informatics and clinical informatics, to give insights into critical advances and to discuss open problems and opportunities in this area.Methods: A scoping review over the literature published in scientific journals and relevant conference proceedings in the intersection between personal health informatics and clinical informatics over the years 2010 and 2011 was performed.Results: The publications analyzed are related to two main topics, namely "Sharing information and collaborating through personal health records, portals and social networks" and "Integration of personal health systems with clinical information systems". For the first topic, results are presented according to five different themes: "Patient expectations and attitudes", "Real use experiences", "Changes for care providers", "Barriers to adoption" and "Proposed technical infrastructures". For the second topic, two different themes were found, namely "Technical architectures and interoperability" and "Security, safety and privacy issues".Discussion: Results show a number of gaps between the information needs of patients and the information care provider organizations provide to them as well as the lack of a trusted technical, ethical and regulatory framework regarding information sharing.Conclusions: Despite recent developments in the areas of personal health informatics and clinical informatics both fields have diverging needs. To support both clinical work processes and empower patients to effectively handle self-care, a number of issues remain unsolved. Open issues include privacy and confidentiality, including trusted sharing of health information and building collaborative environments between patients, their families and care providers. There are further challenges to meet around health and technology literacy as well as to overcome structural and organizational barriers. Frameworks for evaluating personal health informatics applications and pervasive health technology are needed to build up an evidence basis.
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3.
  • Lundberg, Nina, et al. (författare)
  • My care pathways - creating open innovation in healthcare.
  • 2013
  • Ingår i: Studies in health technology and informatics. - 1879-8365. ; 192, s. 687-91
  • Konferensbidrag (refereegranskat)abstract
    • In this paper we describe initial results from the Swedish innovation project "My Care Pathways" which envisions enabling citizens to track their own health by providing them with online access to their historical, current and prospective future events. We describe an information infrastructure and its base services as well as the use of this solution as an open source platform for open innovation in healthcare. This will facilitate the development of end-user e-services for citizens. We have technically enabled the information infrastructure in close collaboration with decision makers in three Swedish health care regions, and system vendors as well as with National eHealth projects. Close collaboration between heterogeneous actors made implementation in real practice possible. However, a number of challenges, mainly related to legal and business issues, persist when implementing our results. Future work should therefore target the development of business models for sustainable provision of end-user e-services in a public health care system such as the Swedish one. Also, a legal analysis of the development of third party provider (nonhealthcare based) personal health data e-services should be done.
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4.
  • Nøhr, Christian, et al. (författare)
  • Monitoring and Benchmarking eHealth in the Nordic Countries
  • 2018
  • Ingår i: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 86-90
  • 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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5.
  • Söderberg, Elsy, et al. (författare)
  • Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients return to work
  • 2010
  • Ingår i: Work. - 1051-9815 .- 1875-9270. ; 35:2, s. 143-151
  • Tidskriftsartikel (refereegranskat)abstract
    • In Sweden, the activities initiated to promote return to work (RTW) are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The aim was to gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients. Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects. First, the analysis identified that the daily collaboration on the same cases enabled development of good relationships and cooperative competence, which improved the contact with clients. Second, the cooperative projects made it possible to include only clients perceived motivated for RTW measures. Third, the closer and more frequent interaction with clients proved to be constructive in that it facilitated recognition and mobilisation of strengths and abilities. Fourth, the differences in rules and regulations between the social insurance and the unemployment insurance standards were often perceived to induce problems, for example, on how to assess the work capacity of clients. The assessments of work capacity represent important and complex tasks that professionals must perform without having access to either scientific knowledge or consensus agreement on which to base their decisions.
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6.
  • Vimarlund, Vivian, et al. (författare)
  • Organizational effects of Information and Communication Technology (ICT) in elderly homecare: A case study
  • 2008
  • Ingår i: Health Informatics Journal. - 1460-4582 .- 1741-2811. ; 14:3, s. 195-210
  • Tidskriftsartikel (refereegranskat)abstract
    • The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming a self-evident part of home healthcare services. Especially, when it comes to information exchange, knowledge sharing and documentation at the point-of-care (POC), ICT is an enabling technique. The aim of this study was to explore the effects from the use of the OLD@HOME-prototype.  The results shown that the OLD@HOME prototype was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency. The prototype was further seen to reduce professional isolation by providing a holistic overview of the care process. User centred design and implementation of the OLD@HOME prototype was considered a key issue to facilitate acceptance of organizational changes. Participation of care professionals not only led to a better understanding of the needs of involved organizations, it also increased end-users’ involvement and commitment, stimulating them to test and improve the prototype until the final version.
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7.
  • Wang, Weixing, et al. (författare)
  • Applications of terrestrial laser scanning for tunnels: a review
  • 2014
  • Ingår i: Journal of Traffic and Transportation Engineering (English Edition). - : Periodical Offices of Chang'an University. - 2095-7564. ; 1:5, s. 325-337
  • Tidskriftsartikel (refereegranskat)abstract
    • In recent years, the use of terrestrial laser scanning(TLS)technique in engineering surveys is gaining an increasing interest due to the advantages of non-contact, rapidity, high accuracy, and large scale. Millions of accurate 3D points(mm level accuracy)can be delivered by this technique with a high point density in a short time(up to 1 million points per second), which makes it a potential technique for large scale applications in engineering environments such as tunnels, bridges, and heritage buildings. Tunnels, in particular those with long lengths, create great challenges for surveyors to obtain the satisfactory scanned data. This paper presents a short history of TLS techniques used for tunnels. A general overview of TLS techniques is given, followed by a review of several applications of TLS for tunnels. These applications are classified as: detecting geological features of drilling tunnels, monitoring the geometry of tunnels during excavation, making deformation measurements, and extracting features. The review emphasizes how TLS techniques can be used to measure various aspects of tunnels. It is clear that TLS techniques are not yet a common tool for tunnel investigations, but there is still a huge potential to excavate.
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8.
  • Acheampong, Faustina, et al. (författare)
  • Business models for telemedicine services : A literature review
  • 2015
  • Ingår i: Health Systems. - : Palgrave Macmillan. - 2047-6965 .- 2047-6973. ; 4:3, s. 189-203
  • Tidskriftsartikel (refereegranskat)abstract
    • Telemedicine has been acknowledged to improve the quality of healthcare. However, many telemedicine services fail beyond the pilot phase. A literature review on business model components for telemedicine services was conducted. Based on specified inclusion criteria, 22 publications were included in the review. To facilitate the analysis of literature, a business model framework with value as its central focus was proposed. Improvement in quality, efficiency and accessibility of care were identified to be the outcomes of telemedicine, with patients and healthcare personnel being the main users of the services, which are delivered through home, institutional and community-based care. Patients, health providers, vendors, payers and government agencies are actors involved in the delivery of telemedicine services, which require investments in resources like videoconferencing technologies, home monitoring devices and other IT infrastructure. Subscriptions, reimbursements and pay-per-use revenue streams were identified as feasible for commercializing telemedicine services.
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9.
  • Acheampong, Faustina, et al. (författare)
  • Effects of a Home-based Monitoring Device on Innovation in Healthcare Delivery: A Pilot Study
  • 2013
  • Ingår i: Information Systems and Technology for Organizations in a Networked Society. - Hershey, PA, USA : IGI Global. - 9781466640627 ; , s. 316-334
  • Bokkapitel (refereegranskat)abstract
    • Information technology has been suggested to improve patient health outcomes and reduce the burden of care. In this study, we explored the effects of collaborative innovation between caregivers and patients on healthcare delivery as a consequence of the use of an IT-based device by patients with atrial fibrillation. Two cardiologists and two nurses were interviewed while questionnaires were mailed to 75 patients querying them about the use of a home-based ECG for remote monitoring. Findings indicated that the caregivers considered the device to enhance the quality of clinical decision-making. Patients found the device to be useful and felt more involved in their own care. However, the introduction of the device presented work overload for the caregivers. Thus, the facilitation of timely diagnostics and decision-making were not realized. IT is an enabler through which innovation in healthcare delivery can be realized, but it must be integrated into work practices to realize potential benefits.
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