| 11. |
- Lazuardi, Lutfan, et al.
(author)
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Automatic Platelets Counter for Supporting Dengue Case Detection in Primary Health Care in Indonesia
- 2013
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In: Medinfo 2013. - : IOS Press. - 9781614992899 - 9781614992882 ; , s. 585-588
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Conference paper (peer-reviewed)abstract
- Dengue fever is a major problem in many developing countries, including Indonesia. Laboratory examination is used to diagnose dengue infection and to monitor disease progression. Hematology tests, such as platelet count, are also used for timely recognition of the development of severe dengue. In primary health care centers platelet counting is typically performed manually, which is labor intensive and requires an experienced laboratory technician. To address this challenge, we have developed an automatic platelet counter for primary health care and resource-poor settings. The technology is based on a conventional microscope equipped with a digital camera linked to a personal computer, which can capture and analyze microscope images of blood samples. To evaluate the accuracy of the technology, it was compared to platelet counts performed manual by an experienced laboratory technician. Statistical analysis shows no difference between the techniques with a kappa coefficient of 0.6. This method is judged to have great potential as a tool to help primary health centers and other facilities with limited resources to deal with the burden of dengue.
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| 12. |
- Lundberg, Nina, et al.
(author)
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My Care Pathways - creating open innovation in healthcare
- 2013
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In: Medinfo 2013. - Netherländerna. - 9781614992882 ; 192, s. 687-91
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Conference paper (peer-reviewed)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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| 13. |
- Lövestam, Elin, et al.
(author)
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Evaluating Documentation of Dietetic Care in Swedish Medical Records
- 2013
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In: MEDINFO 2013. - 9781614992899 - 9781614992882 ; 192, s. 1078-
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Conference paper (peer-reviewed)abstract
- An adequate documentation in medical records is essential for patient safety and high quality care. The aim of this study was to evaluate documentation by dietitians in Swedish medical records. A retrospective audit of 147 dietetic notes in electronic medical records was performed. The audit focused at documentation of essential parts of the dietetic care, as well as other quality aspects such as lingual clarity and structure of the documentation. The nutrition intervention showed to be the most documented part of dietetic care. However, the audit showed that several important parts of nutrition care were poorly documented, for instance nearly half of the audited records had no clear nutrition problem documented, and in most of the records, the goal of nutrition intervention was missing. The study shows that Swedish dietitians need to improve documentation in medical records, as a suggestion by implementing a more structured documentation model.
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| 14. |
- Meystre, Stéphane M., et al.
(author)
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Automatic clinical text de-identification : is it worth it, and could it work for me?
- 2013
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In: Proceedings of the 14th World Congress on Medical and Health Informatics. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1242-1242
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Conference paper (peer-reviewed)abstract
- The increased use and adoption of Electronic Health Records, and parallel growth in patient data available for secondary use by clinicians, researchers, and operational purposes, all cause patient confidentiality protection to become an increasingly more important requirement and expectation. The laws protecting patient confidentiality typically require the informed consent of the patient to use data for research purposes, a requirement that can be waived if the data are de-identified. Several methods to automatically remove identifying information from clinical text have been tested experimen- tally over the last 10 years, guided by the HIPAA “Safe Harbor” methodology. This panel will focus on the issues related with the automatic de-identification of clinical text. It will include an overview of the domain, a demonstration of good examples of such applications in English and in Swedish with their main authors sharing development and adaptation experiences, and a discussion of the HIPAA “Safe Harbor” de-identification quality and the risk for re-identification of de-identified data. The difficulties and issues related to this task will be debated, as well as the main methods used and the performance and adaptability of these methods.
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| 15. |
- Oluoch, Tom, et al.
(author)
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Inconsistencies between Recorded Opportunistic Infections and WHO HIV Staging in Western Kenya.
- 2013
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In: Proceedings of Studies in Health Technology & Informatics, vol. 192. - : IOS Press. - 9781614992882 - 9781614992899 ; , s. 1139-1139
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Conference paper (peer-reviewed)abstract
- Opportunistic infections (OIs) are the main cause of morbidity and mortality among patients with HIV in developing countries. It is therefore critical that accurate diagnoses are made and that they are correctly recorded and managed. We reviewed 200 randomly selected records of clinical encounters with HIV infected pregnant women attending the ante-natal care (ANC) clinic in July 2012 at the Jaramogi Oginga Odinga Teaching and Referral Hospital in Kenya. None of the clients in WHO stage 4 and 2.8% of those in WHO stage 3 had a new OI diagnosis recorded during the clinical encounter. This data suggests current under-recording of OIs and the inconsistency between WHO staging and OI diagnosis. Structured methods such as SNOMED CT have the potential to improve complete and accurate recording of OIs which, in turn, enable automatedand accurate WHO staging.
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| 16. |
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| 17. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Experiences of Novel e-Health Services for Patients - Pros, Cons and Future Challenge. Workshop
- 2013
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In: Proceedings of the 14th World Congress on Medical and Health Informatics (MEDINFO 2013). - Amsterdam, Netherlands : IOS Press. - 0926-9630 .- 1879-8365. - 9781614992882 - 9781614992899 ; , s. 1254-
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Conference paper (peer-reviewed)abstract
- It is crucial to involve the patient in the development of patient accessible eHealth systems. But who, how and when? Patient involvement in development of e-health services for citizens has gained little attention to date. It is important to highlight the experiences, pros and cons, and explore new issues and future challenges that arise for all different stakeholders involved in e-health development.One source of inspiration for this workshop is the European funded SUSTAINS project which aims to deploy e-health services with the patient as an important actor. Another is the Swedish research project My Care Pathways where focus is on development of new e-health services that enable the patient to follow and interact with their care processes.This workshop aims to discuss the experiences made in ongoing European deployment projects of online e-health services as well as methods to improve patient participation in such development based on current evaluations and future needs.The objective is to collect and disseminate various experiences from novel e-health service deployment in Europe; during the workshop active participation is desired via twitter and other eLearning tools, and afterwards the results of the workshop are published on easily accessible web sites.
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| 18. |
- Tancredi, Weronika, 1982, et al.
(author)
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An example of an application of the semiotic inspection method in the domain of computerized patient record system
- 2013
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In: Studies in Health Technology and Informatics. - 1879-8365 .- 0926-9630. - 9781614992882 ; 192:1-2, s. 471-475
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Conference paper (peer-reviewed)abstract
- Efficiently navigating through an interface and conducting work tasks in flow is what GUI designers strive for. Dental professionals, who alternate between examination and treatment of a patient and insertion of data into the Computerized Patient Record system, particularly need an interface that would facilitate the workflow. In this paper we present an inspection evaluation of an existing and widely used Computerized Patient Record system. The Semiotic Inspection Method was applied with the expectation that the method could provide evidence that task flow, navigation and wayfinding were major usability issues of the interface. Also expected was that the Semiotic Inspection would reveal the means and strategies used in the interface in order to communicate the flow. The analysis conducted using the Semiotic Inspection Method showed inconsistencies in the communication of the way forward through the interface. In addition, the profile of the users, regarding digital skills, appears to be ambiguous. Finally, the strategies used in the interface for conveying the workflow could be identified as well.
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| 19. |
- Ventura, Filipa, et al.
(author)
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Evaluation of a Web-based Educational Program for Women Diagnosed with Breast Cancer: Why is the Intervention Effect Absent?
- 2013
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In: MEDINFO 2013. Proceedings of the MEDINFO 2013 conference, Copenhagen, Denmark, August 2013. - : IOS Press. - 0926-9630. - 9781614992882 ; , s. 1132-
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Conference paper (peer-reviewed)abstract
- To provide accurate and tailored information to women diagnosed with breast cancer a web-based educational program was developed and tested in a randomized controlled trial for impact on health self-efficacy, healthcare participation, and anxiety and depression levels. Multilevel modelling with an intention-to-treat analysis revealed no treatment effect on the above-mentioned outcomes. Reasons for the non-identified effect are discussed and raise methodological questions concerning e-health supportive interventions for further research.
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| 20. |
- Vimarlund, Vivian, 1951-, et al.
(author)
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Steps to consider for effective decision making when selecting and prioritizing eHealth services
- 2013
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In: Medinfo 2013. - : IOS Press. - 9781614992882 ; 192, s. 239-243
-
Conference paper (peer-reviewed)abstract
- Making the best choice for an organization when selecting IT applications or eHealth services is not always easy as there are a lot of parameters to take into account. The aim of this paper is to explore some steps to support effective decision making when selecting and prioritizing eHealth services prior to implementation and/or procurement. The steps presented in this paper were identified by interviewing nine key stakeholders at Stockholm County Council. They are supposed to work as a guide for decision making and aim to identify objectives and expected effects, technical, organizational, and economic requirements, and opportunities important to consider before decisions are taken. The steps and their respective issues and variables are concretized in a number of templates to be filled in by decision makers when selecting and prioritizing eHealth services.
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