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- Acheampong, Faustina, et al.
(författare)
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Effects of a Home-based Monitoring Device on Innovation in Healthcare Delivery: A Pilot Study
- 2013
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Ingår i: Information Systems and Technology for Organizations in a Networked Society. - Hershey, PA, USA : IGI Global. - 9781466640627 ; , s. 316-334
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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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| 5. |
- Hyppönen, Hannele, et al.
(författare)
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Nordic eHealth Indicators: Organisation of research, first results and plan for the future.
- 2013
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Ingår i: Medinfo 2013. - Netherländerna : IOS Press. - 9781614992882 ; , s. 273-277
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Konferensbidrag (refereegranskat)abstract
- eHealth indicator and benchmarking activities are rapidly increasing nationally and internationally. The work is rarely based on a transparent methodology for indicator definition. This article describes first results of testing an indicator methodology for defining eHealth indicators, which was reported at the Medical Informatics Europe conference in 2012. The core elements of the methodology are illustrated, demonstrating validation of each of them in the context of Nordic eHealth Indicator work. Validation proved the importance of conducting each of the steps of the methodology, with several scientific as well as practical outcomes. The article is based on a report to be published by the Nordic Council of Ministers.
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| 6. |
- Koch, Sabine, et al.
(författare)
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Critical advances in bridging personal health informatics and clinical informatics
- 2012
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Ingår i: IMIA Yearbook of Medical Informatics. - Netherländerna : Schattauer Gmbh. - 0943-4747. ; 7, s. 48-55
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)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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| 7. |
- Lundberg, Nina, et al.
(författare)
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My Care Pathways - creating open innovation in healthcare
- 2013
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Ingår i: Medinfo 2013. - Netherländerna. - 9781614992882 ; 192, s. 687-91
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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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| 9. |
- Mettler, Tobias, et al.
(författare)
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Evaluation of E-Health Strategies : A Portfolio Approach
- 2011
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Ingår i: Proceedings of the 15th International Symposium on Health Information Management Research - ISHIMR 2011. - 9780955928314 ; , s. 296-305
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Today it is a general belief that e-health has a positive effect on costs as well as on quality of health service delivery. Nevertheless, lots of projects failed in the past to clearly demonstrate a positive value proposition. Difficulties arise especially when not only evaluating a single action but a whole strategy for adopting national or provincial e-health. Grounding on the experience of an ex ante evaluation of the Swiss e-health strategy, a first attempt how to practically demonstrate the value of the planned health systemￕs changes is discussed in this article. On the basis of a ￒutilityￓ and a ￒreadinessￓ portfolio, generic allocation decisions are formulated for prioritising investments as well as for identifying weak points in the defined e- health strategy.
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| 10. |
- Mettler, Tobias, et al.
(författare)
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The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics
- 2011
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Ingår i: Informatics for Health and Social Care. - : Informa Healthcare. - 1753-8157 .- 1753-8165. ; 36:4, s. 220-232
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Tidskriftsartikel (refereegranskat)abstract
- Background. Different studies have analysed a wide range of use cases and scenarios for using IT-based services in homecare settings for elderly people. In most instances, the impact of such services has been studied using a one-dimensional approach, either focusing on the benefits for the patient or health service provider. Purpose. The objective of this contribution is to explore a model for identifying and understanding outcomes of IT-based homecare services from a multi-actor perspective. Methods. In order to better understand the state of the art in homecare informatics, we conducted a literature review. We use experiences from previous research in the area of informatics to develop the proposed model. Results. The proposed model consists of four core activities identify involved actors, understand consequences, clarify contingencies, take corrective actions, and one additional activity brainstorming IT use. Conclusion. The primary goal of innovating organisations, processes and services in homecare informatics today, is to offer continued care, better decision support both to practitioners and patients, as well as effective distribution of resources. A multi-actor analysis perspective is needed to understand utility determination for the involved stakeholders.
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