| 1. |
- Schildmeijer, Kristina, 1959-, et al.
(author)
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Developing an eHealth Tool to Support Patient Empowerment at Home
- 2018
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In: Building Continents of Knowledge in Oceans of Data. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 925-929
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Conference paper (peer-reviewed)abstract
- In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH. The system is deployed as a web application with secure login for patients. In this article, we describe the main content and functionality of the system that makes it possible for a patient to manage symptoms development in relation to treatment progression Interactive functionality, e.g., reminders and social support, is included to make the ePATH a useful and informative bridge between patients, next-of-kin and different caregivers. One lesson learned is that it is necessary to incorporate motivational components in the development of an eHealth tool to successfully overcome the "intention-behavior" gap. The self-determination theory of motivation can be used to ensure that important aspects are not missed.
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| 2. |
- Bärkås, Annika, et al.
(author)
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Patients' Access to Their Psychiatric Records : A Comparison of Four Countries
- 2022
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In: Challenges of Trustable AI and Added-Value on Health. - Amsterdam; Berlin; Washington, DC : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 510-514
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Conference paper (peer-reviewed)abstract
- Several Nordic and Baltic countries are forerunners in the digitalization of patient ehealth services and have since long implemented psychiatric records as parts of the ehealth services. There are country-specific differences in what clinical information is offered to patients concerning their online patient accessible psychiatric records. This study explores national differences in Sweden, Norway, Finland, and Estonia in patient access to their psychiatric records. Data was collected through a socio-technical data collection template developed during a workshop series and then analyzed in a cross-country comparison focusing on items related to psychiatry records online. The results show that psychiatric records online are offered to patients in all four countries, and provide the same functionality and similar psychiatry information. Overall, the conclusion is that experiences of various functionalities should be scrutinized to promote transparency of psychiatric records as part of the national eHealth services to increase equality of care and patient empowerment.
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| 3. |
- Nyström, Mikael, 1977-, et al.
(author)
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Visualization of disease distribution with SNOMED CT and ICD-10
- 2010
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In: MEDINFO 2010 - Proceedings of the 13th World Congress on Medical Informatics. - Amsterdam : IOS Press. - 9781607505877 ; 160:Pt 2, s. 1100-3
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Conference paper (peer-reviewed)abstract
- Methods for presentation of disease and health problem distribution in a health care environment rely among other things on the inherent structure of the controlled terminology used for coding. In the present study, this aspect is explored with a focus on ICD-10 and SNOMED CT. The distribution of 2,5 million diagnostic codes from primary health care in the Stockholm region is presented and analyzed through the “lenses” of ICD-10 and SNOMED CT. The patient encounters, originally coded with a reduced set of ICD-10 codes used in primary health care in Sweden, were mapped to SNOMED CT concepts through a mapping table. The method used for utilizing the richer structure of SNOMED CT as compared to ICD-10 is presented, together with examples of produced disease distributions. Implications of the proposed method for enriching a traditional classification such as ICD-10 through mappings to SNOMED CT are discussed.
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| 4. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Application of the Multi-disciplinary Thematic Seminar Method in two Homecare Cases : A Comparative Study
- 2008
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In: EHealth Beyond the Horizon – Get IT There. - Amsterdam : IOS Press. - 9781586038649 - 9781607503330 ; 136, s. 597-602
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Conference paper (peer-reviewed)abstract
- A significant problem with current health information technologies is that they poorly support collaborative work of healthcare professionals, sometimes leading to a fragmentation of workflow and disruption of healthcare processes. Objective: This paper presents two homecare cases, both applying multi-disciplinary thematic seminars (MdTS) as a collaborative method for user needs elicitation and requirements specification. Methods: This study describes the MdTS application to elicit user needs from different perspectives to coincide with collaborative professions' work practices in two cases. Results: Despite different objectives, the two cases validated that MdTS emphasized the "points of intersection" in cooperative work. Different user groups with similar, yet distinct needs reached a common understanding of the entire work process, agreed upon requirements and participated in the design of prototypes supporting cooperative work. Conclusion: MdTS was applicable in both exploratory and normative studies aiming to elicit the specific requirements in a cooperative environment.
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| 5. |
- Chen, Rong, et al.
(author)
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An archetype-based testing framework
- 2008
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In: eHealth Beyond the Horizon. - Amsterdam, Netherlands : IOS Press. - 9781586038649 ; 136, s. 401-6
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Conference paper (peer-reviewed)abstract
- With the introduction of EHR two-level modelling and archetype methodologies pioneered by openEHR and standardized by CEN/ISO, we are one step closer to semantic interoperability and future-proof adaptive healthcare information systems. Along with the opportunities, there are also challenges. Archetypes provide the full semantics of EHR data explicitly to surrounding systems in a platform-independent way, yet it is up to the receiving system to interpret the semantics and process the data accordingly. In this paper we propose a design of an archetype-based platform-independent testing framework for validating implementations of the openEHR archetype formalism as a means of improving quality and interoperability of EHRs.
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| 6. |
- Courteille, O., et al.
(author)
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Mixed Virtual Reality Simulation -Taking Endoscopic Simulation One Step Further
- 2011
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In: Medicine Meets Virtual Reality 18. - : IOS Press. - 9781607507062 - 9781607507055 ; 163, s. 144-6
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Conference paper (peer-reviewed)abstract
- This pilot study aimed to assess medical students' appraisals of a "mixed" virtual reality simulation for endoscopic surgery (with a virtual patient case in addition to a virtual colonoscopy) as well as the impact of this simulation set-up on students' performance. Findings indicate that virtual patients can enhance contextualization of simulated endoscopy and thus facilitate an authentic learning environment, which is important in order to increase motivation.
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| 7. |
- Hägglund, Maria, et al.
(author)
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A New Approach for Goal-oriented Analysis of Healthcare Processes
- 2010
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In: World Congress on Medical and Health Informatics (Medinfo'10). - : IOS Press. ; 160:Pt 2, s. 1251-5
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Conference paper (other academic/artistic)abstract
- The development of efficient e-services for patient-centered healthcare requires insight into concrete problems in administrative and clinical work processes as well as an understanding of the strategic goals that should guide these healthcare processes. However, considering both concrete process-related problems and high-level strategic goals during process analysis and solution design can be proble-matic. To address this, we propose a structured approach for analyzing both high- and low-level goals in a healthcare process and relating these to identified problems. Thereby proposed solutions for each problem in form of, e.g. e-services can be connected to strategic goals. The approach consists of five steps; process modeling; process-based problem identification and classification; process goal identification; mapping to strategic goals; and solution pro-posal. The approach is illustrated by examples from a case study of Swedish stroke care. In conclusion, the approach enables analysis of high- and low-level goals in a healthcare process by relating these to identified problems. The results thereof form a basis for redefinition of current care processes, as well as for design of supporting e-health solu-tions.
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| 8. |
- Hägglund, Maria, 1975-, et al.
(author)
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A Socio-Technical Analysis of Patient Accessible Electronic Health Records
- 2017
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In: The Practice of Patient Centered Care. - : IOS Press. - 9781614998235 - 9781614998242 ; 244, s. 3-7
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Conference paper (peer-reviewed)abstract
- In Sweden, and internationally, there is a movement towards increased transparency in healthcare including giving patients online access to their electronic health records (EHR). The purpose of this paper is to analyze the Swedish patient accessible EHR (PAEHR) service using a socio-technical framework, to increase the understanding of factors that influence the design, implementation, adoption and use of the service. Using the Sitting and Singh socio-technical framework as a basis for analyzing the Swedish PAEHR system and its context indicated that there are many stakeholders engaged in these types of services, with different driving forces and incentives that may influence the adoption and usefulness of PAEHR services. The analysis was useful in highlighting important areas that need to be further explored in evaluations of PAEHR services, and can act as a guide when planning evaluations of any PAEHR service.
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| 9. |
- Hägglund, Maria, et al.
(author)
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Timing It Right : Patients' Online Access to Their Record Notes in Sweden
- 2018
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In: Building Continents of Knowledge in Oceans of Data. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 336-340
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Conference paper (peer-reviewed)abstract
- In Sweden, and internationally, there is an ongoing debate about the effects of national implementations of Patient Accessible Electronic Health Records (PAEHRs). The purpose of this paper was to describe the current situation in Sweden and compare this with the expectations on reasonable waiting time for information access of users of the Swedish PAEHR. Data were collected from publicly available resources regarding current implementation in the 21 county councils, contrasted with patient experiences, gathered from a national online survey. The results indicate that patients have high expectations on immediate access to information, while this varies greatly in implementation across Sweden.
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| 10. |
- Lövestam, Elin, et al.
(author)
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Abbreviations in Swedish Clinical Text - use by three professions
- 2014
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In: e-Health – For Continuity of Care. - : IOS Press. - 9781614994312 - 9781614994329 ; 205, s. 720-4, s. 720-724
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Conference paper (peer-reviewed)abstract
- A list of 266 abbreviations from dieticians' notes in patient records was used to extract the same abbreviations from patient records written by three professions: dieticians, nurses and physicians. A context analysis of 40 of the abbreviations showed that ambiguous meanings were common. Abbreviations used by dieticians were found to be used by other professions, but not always with the same meaning. This ambiguity of abbreviations might cause misunderstandings and put patient safety at risk.
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