| 1. |
- Andersson, Gerhard
(author)
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Guided internet treatment for anxiety disorders. As effective as face-to-face therapies?
- 2012
-
In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 181, s. 3-7
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Journal article (peer-reviewed)abstract
- Introduction: Guided Internet-delivered treatments were developed in the late 1990s and have since been tested in numerous controlled trials. While promising, there are yet few direct comparisons between Internet treatments and traditional face-to-face treatments. The aim of the present study is to present an overview of the evidence in the field of anxiety disorders. Method: Studies were located, including unpublished trials from our research group in Sweden. Results: Results of direct comparative trials on panic disorder (n=3) and social anxiety disorder (n=3) show equivalent outcomes. One study on specific phobia did not show equivalent outcomes with an advantage for face-to-face treatment. However, a systematic review by Cuijpers et al. (2010) found equivalent outcomes across several self-help formats, suggesting that guided self-help overall can be as affective as face-to-face treatments. Conclusion: Overall, there are still few large-scale trials and statistical power is often limited. A preliminary conclusion is that guided Internet treatment can be as effective as face-to-face treatments, but there is a need to investigate moderators and mediators of the outcome.
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| 2. |
- Ask, Per, et al.
(author)
-
NovaMedTech - A regional program for supporting new medical technologies in personalized health care
- 2012
-
In: Studies in Health Technology and Informatics. - 9781614990680 ; 177, s. 71-5
-
Conference paper (peer-reviewed)abstract
- NovaMedTech is an initiative funded from EU structural funds for supporting new medical technologies for personalized health care. It aims at bringing these technologies into clinical use and to the health care market. The program has participants from health care, industry and academia in East middle Sweden. The first three year period of the program was successful in terms of product concepts tried clinically, and number of products brought to a commercialization phase. Further, the program has led to a large number of scientific publications. Among projects supported, we can mention: Intelligent sensor networks; A digital pen to collect medical information about health status from patients; A web-based intelligent stethoscope; Methodologies to measure local blood flow and nutrition using optical techniques; Blood flow assessment from ankle pressure measurements; Technologies for pressure ulcer prevention; An IR thermometer for improved accuracy; A technique that identifies individuals prone to commit suicide among depressed patients; Detection of infectious disease using an electronic nose; Identification of the lactate threshold from breath; Obesity measurements using special software and MR camera; and An optical probe guided tumor resection. During the present three years period emphasis will be on entrepreneurial activities supporting the commercialization and bringing products to the market.
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| 3. |
- Eklund, Ann-Marie, 1971
(author)
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Mobility and health information searches - a Swedish perspective
- 2013
-
In: Proceedings of the 14th world congress on medical and health informatics, MEDINFO 2013. - 0926-9630 .- 1879-8365. - 9781614992882 ; 192
-
Conference paper (peer-reviewed)abstract
- Today the first point of contact between a patient and health care is often an internet health portal - not a human. There is also a trend towards increased use of mobile devices for internet searching. We present a study of the use of mobile vs non-mobile devices when accessing the main Swedish official health portal. Our findings indicate that there is a difference in not only when people search for health information, but also the type of information searched for using different devices. We conclude that further analysis is needed to understand these differences, and consequently that the same portal solution may not suit both mobile and non-mobile health information seekers.
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| 4. |
- Ekstedt, Mirjam, et al.
(author)
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Reducing Errors through a Web-Based Self-management Support System
- 2014
-
In: East Meets West eSMART. - Amsterdam : IOS Press. - 9781614994145 - 9781614994152 ; 201, s. 328-334
-
Conference paper (peer-reviewed)abstract
- Web-based self-management support systems SMSS, can successfully assist a wide range of patients with information and self-management support. O or as a stand-alone service, are e-messages. This study describes how one component of a multi component SMSS, an e-message service, in which patients with breast cancer could direct questions to nurses, physicians or social workers at the hospital where they were being treated, had an influence on safety and continuity of care. Ninety-one dialogues consisting of 284 messages were analysed. The communications between patients and the healthcare team revealed that the e-messages service served as a means for quality assurance of information, for double-checking and for coordination of care. We give examples of how an e-mail service may improve patients' knowledge in a process of taking control over their own care – increasingly important in a time of growing complexity and specialization in healthcare. It remains to be tested whether an e-message service can improve continuity of care and prevent or mitigate medical mishaps.
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| 5. |
- Eriksson, Magnus, et al.
(author)
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A 6 degrees-of-freedom haptic milling simulator for surgical training of vertebral operations
- 2012
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In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 173, s. 126-128
-
Journal article (peer-reviewed)abstract
- In the research presented here, the aim has been to develop a haptic milling simulator for surgical training of vertebral operations. One central goal has been to create a simulator that gives the user a realistic impression of contacts with, and milling of, a virtually represented bone tissue model. A new 6 degrees-of-freedom haptic algorithm for milling is implemented together with new 6 degrees-of-freedom haptic device.
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| 6. |
- Forsslund, Jonas, et al.
(author)
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The effect of haptic degrees of freedom on task performance in virtual surgical environments
- 2013
-
In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 184, s. 129-135
-
Journal article (peer-reviewed)abstract
- Force and touch feedback, or haptics, can play a significant role in the realism of virtual reality surgical simulation. While it is accepted that simulators providing haptic feedback often outperform those that do not, little is known about the degree of haptic fidelity required to achieve simulation objectives. This article evaluates the effect that employing haptic rendering with different degrees of freedom (DOF) has on task performance in a virtual environment. Results show that 6-DOF haptic rendering significantly improves task performance over 3-DOF haptic rendering, even if computed torques are not displayed to the user. No significant difference could be observed between under-actuated (force only) and fully-actuated 6-DOF feedback in two surgically-motivated tasks.
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| 7. |
- Hagblad, Jimmie, et al.
(author)
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Long term monitoring of blood flow at multiple depths - observations of changes.
- 2012
-
In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 177, s. 107-112
-
Journal article (peer-reviewed)abstract
- Detecting reduced circulation, which is a major factor in the development of pressure ulcers, can be done using optical methods. PPG and LDF can be combined and used to evaluate blood flow at different depths. In this study the use of a probe combining PPG and LDF to monitor multiple tissue depths is evaluated. The effects on blood flow and temperature without additional provocation was examined. Measurements were performed during 60 min and the use of an active probe was compared with the use of a semi-active probe turned off a major part of the time. Changes in temperature and blood flow using these probe configurations (active and semi-active probe) are compared; four different 5 min segments during a 60 min measurement. A general increase in both temperature and blood flow is found but this increase could not be concluded to occur due to the light sources of the probe.
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| 8. |
- Karlsson, David, et al.
(author)
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Visualization of infectious disease outbreaks in routine practice
- 2013
-
In: Studies in Health Technology and Informatics. - : I O S Press. - 0926-9630 .- 1879-8365. ; 192, s. 697-701
-
Journal article (peer-reviewed)abstract
- Throughout the history of epidemiology, visualizations have been used as the interface between public-health professionals and epidemiological data. The aim of this study was to examine the impact of the level of abstraction when using visualizations on routine infectious disease control. We developed three interactive visualization prototypes at increasing levels of abstraction to communicate subsets of influenza outbreak surveillance information. The visualizations were assessed through workshops in an exploratory evaluation with infectious disease epidemiologists. The results show that despite the potential of processed, abstract, and information-dense representations, increased levels of abstraction decreased epidemiologists understanding and confidence in visualizations. Highly abstract representations were deemed not applicable in routine practice without training. Infectious disease epidemiologists work routines and decision-making need to be further studied in order to develop visualizations that meet both the quality requirements imposed by policy-makers and the contextual nature of work practice.
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| 9. |
- Kashfi, Hajar, 1980, et al.
(author)
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Supporting openEHR Java Desktop Application Developers
- 2011
-
In: The XXIII International Conference of the European Federation for Medical Informatics, Proceedings of Medical Informatics in a United and Healthy Europe (MIE2011). - 0926-9630 .- 1879-8365. - 9781607508052 ; 169, s. 724-728
-
Conference paper (peer-reviewed)abstract
- The openEHR community suggests that an appropriate approach for creating a graphical user interface for an openEHR-based application is to generate forms from the underlying archetypes and templates. However, current generation techniques are not mature enough to be able to produce high quality interfaces with good usability. Therefore, developing efficient ways to combine manually designed and developed interfaces to openEHR backends is an interesting alternative. In this study, a framework for binding a pre-designed graphical user interface to an openEHR-based backend is proposed. The proposed framework contributes to the set of options available for developers. In particular we believe that the approach of combining user interface components with an openEHR backend in the proposed way might be useful in situations where the quality of the user interface is essential and for creating small scale and experimental systems.
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| 10. |
- Lind, Leili, et al.
(author)
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Digital pen-based telemonitoring of elderly heart failure patients
- 2013
-
In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 192, s. 1062-1062
-
Conference paper (peer-reviewed)abstract
- Considering that a majority of elderlies are non-users of computers and Internet we developed a telemonitoring system for elderly heart failure (HF) home care patients based on digital pen technology-a technology never used before by this patient group. We implemented the system in clinical use in a 13 months long study. Fourteen patients (mean/median age 84 years) with severe HF participated. They accepted the technology and performed daily reports of their health state using the digital pen and a Health Diary form. Via the system the clinicians detected all HF-related deteriorations at an early stage and thereby prevented hospital re-admissions for all patients during the study, implying improved symptom control and large cost savings
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| 11. |
- Lindgren, Helena, et al.
(author)
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End users transforming experiences into formal information and process models for personalised health interventions
- 2014
-
In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 205, s. 378-382
-
Journal article (peer-reviewed)abstract
- Five physiotherapists organised a user-centric design process of a knowledge-based support system for promoting exercise and preventing falls. The process integrated focus group studies with 17 older adults and prototyping. The transformation of informal medical and rehabilitation expertise and older adults' experiences into formal information and process models during the development was studied. As tool they used ACKTUS, a development platform for knowledge-based applications. The process became agile and incremental, partly due to the diversity of expectations and preferences among both older adults and physiotherapists, and the participatory approach to design and development. In addition, there was a need to develop the knowledge content alongside with the formal models and their presentations, which allowed the participants to test hands-on and evaluate the ideas, content and design. The resulting application is modular, extendable, flexible and adaptable to the individual end user. Moreover, the physiotherapists are able to modify the information and process models, and in this way further develop the application. The main constraint was found to be the lack of support for the initial phase of concept modelling, which lead to a redesigned user interface and functionality of ACKTUS.
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| 12. |
- Lindgren, Helena
(author)
-
Limitations in physicians' knowledge when assessing dementia diseases : an evaluation study of a decision-support system
- 2011
-
In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 169, s. 120-124
-
Journal article (peer-reviewed)abstract
- There is a need to provide tools for the medical professional at the point of care in the assessment of a suspected dementia disease. Early diagnosis is important in order to provide appropriate care so that the disease does not cause unnecessary suffering for the patient and relatives. DMSS (Dementia Management and Support System) is a clinical decision-support system that provides support in the diagnosis of a dementia disease, which is in use in controlled clinical evaluation settings in four countries. This paper reports the results of evaluations done in use environments in these places during a period of two years. Data in 218 patient cases were collected by 21 physicians during their use of the system in clinical practice. In 50 of the cases the use of the system were also observed and the physicians were interviewed in 88 cases. The collected data and inferences made by the system were analyzed. To summarize the results, DMSS gave appropriate support considering the patient case, available information and the user's skills and knowledge in the domain. However, the results also illuminated the need for extended and personalized support for the less skilled physician in the assessment of basic information about patients.
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| 13. |
- Pareto, Lena, 1962-, et al.
(author)
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Virtual TeleRehab : A case study
- 2011
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In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. - 9781607508052 ; 169, s. 676-80
-
Journal article (peer-reviewed)abstract
- We examined the efficacy of a remotely based occupational therapy intervention. A 40-year-old woman who suffered a stroke participated in a telerehabilitation program. The intervention method is based on virtual reality gaming to enhance the training experience and to facilitate the relearning processes. The results indicate that Virtual TeleRehab is an effective method for motivational, economical, and practical reasons by combining game-based rehabilitation in the home with weekly distance meetings. © 2011 European Federation for Medical Informatics. All rights reserved.
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| 14. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Advancing the State-of-the-Art for Virtual Autopsies : Initial Forensic Workflow Study
- 2010
-
In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 160, s. 639-643
-
Journal article (peer-reviewed)abstract
- There are numerous advantages described of how imaging technology can support forensic examinations. However, postmortem examinations of bodies are mainly performed to address demands which differ from those of traditional clinical image processing. This needs to be kept in mind when gathering information from image data sets for forensic purposes. To support radiologists and forensicclinicians using Virtual Autopsy technologies, an initial workflow study regarding post-mortem imaging has been performed, aiming to receive an improved understanding of how Virtual Autopsyworkstations, image data sets and processes can be adjusted to support and improve conventional autopsies. This paper presents potential impacts and a current forensic Virtual Autopsy workflowaiming to form a foundation for collaborative procedures that increase the value of Virtual Autopsy. The workflow study will provide an increased and mutual understanding of involved professionals. In addition, insight into future forensic workflows based on demands from both forensic and radiologist perspectives bring visualization and medical informatics researchers together to develop and improvethe technology and software needed.
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| 15. |
- Scandurra, Isabella, 1973-, et al.
(author)
-
Experiences of Novel e-Health Services for Patients - Pros, Cons and Future Challenge. Workshop
- 2013
-
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-
-
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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| 16. |
- 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
-
In: Studies in Health Technology and Informatics. - 1879-8365 .- 0926-9630. - 9781614992882 ; 192:1-2, s. 471-475
-
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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| 17. |
- Tancredi, Weronika, 1982, et al.
(author)
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Better quality in healthcare through gamified simulation based skill training application
- 2011
-
In: Studies in Health Technology and Informatics. - 1879-8365 .- 0926-9630. - 9781607508052 ; 169, s. 228-232
-
Conference paper (peer-reviewed)abstract
- Although the screening of abdominal aortic diameter helps to identifymen with abdominal aortic aneurysm and saves lives, there is need to coordinateand synchronize screening personnel's way to work. This article describes thedesign of a game based skill training application that could give the screeningpersonnel an additional opportunity to refine measuring of abdominal aorticdiameter in ultrasound images. The design work follows the steps of the GoalDirected design process. Consequently, the design activities are divided into sixphases: the Research, Modelling, Requirements Definition, Framework Definition,Refinement and Development support. The design process described in this paperfinishes with usability testing of an interactive prototype. The evaluation of thedesign was conducted with end users by studying their subjective ratings andperformance on given tasks. The overall results of the usability testing show thatthe interactive prototype of the skill training application is not yet fully usable.Consequently, further improvement of the interface design is needed. Theidentified usability issues and collected qualitative and quantitative material aboutthe interaction between test participants and the interface can guide the next designiteration and lead to more usable design.
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| 18. |
- Vimarlund, Vivian, et al.
(author)
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Barriers and opportunities to the widespread adoption of telemedicine: a bi-country evaluation
- 2013
-
In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 192, s. 933-933
-
Journal article (peer-reviewed)abstract
- Recognizing that current practices for healthcare delivery are no longer sustainable, OECD governments are focusing more and more on how to leverage ICT to facilitate superior healthcare delivery. One such possibility is the use of Telemedicine. A major goal of telemedicine today is to develop next-generation telemedicine tools and technologies. However, key andquot;classicandquot; barriers continue to challenge widespread telemedicine adoption by health care organizations. These barriers include technology, financial, legal/standards, business strategy, and human resources issues. This comparative study explores the current status of barriers and opportunities to the widespread adoption of telemedicine in two different countries: Sweden, and USA.
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| 19. |
- Vimarlund, Vivian, 1951-, et al.
(author)
-
Steps to consider for effective decision making when selecting and prioritizing eHealth services
- 2013
-
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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| 20. |
- Warmerdam, Lisanne, et al.
(author)
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Innovative ICT Solutions to Improve Treatment Outcomes for Depression : The ICT4Depression Project
- 2012
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In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 181, s. 339-343
-
Journal article (peer-reviewed)abstract
- Depression is expected to be the disorder with the highest disease burden in high-income countries by the year 2030. ICT4Depression (ICT4D) is a European FP7 project, which aims to contribute to the alleviation of this burden by making use of depression treatment and ICT innovations. In this project we developed an ICT-based system for use in primary care that aims to improve access as well as actual care delivery for depressed adults. Innovative technologies within the ICT4D system include 1) flexible self-help treatments for depression, 2) automatic assessment of the patient using mobile phone and web-based communication 3) wearable biomedical sensor devices for monitoring activities and electrophysiological indicators, 4) computational methods for reasoning about the state of a patient and the risk of relapse (reasoning engine) and 5) a flexible system architecture for monitoring and supporting people using continuous observations and feedback via mobile phone and the web. The general objective of the ICT4D project is to test the feasibility and acceptability of the ICT4D system within a pilot study in the Netherlands and in Sweden during 2012 and 2013.
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| 21. |
- Wibe, T., et al.
(author)
-
Why do people want a paper copy of their electronic patient record?
- 2010
-
In: 13th World Congress on Medical and Health Informatics, Medinfo 2010. ; 160:Pt 1, s. 676-80
-
Conference paper (peer-reviewed)abstract
- Changes have recently been passed in the Norwegian legislation, allowing for more exchange of patient information between health personnel. These legal changes came as a result of a long and still ongoing debate concerning the potential conflict between confidentiality issues and patient safety as health care is getting more fragmented. At the same time, an increasing number of patients now make use of their legal right to access their patient record. In this paper, we shed light on some of the reasons why patients request a copy of their record. We report the preliminary results from an interview study in which seventeen patients who have asked for a copy of their patient record following a hospital stay have been interviewed. In our interview study, securing transmission of information between health care workers is one of the main reasons for requesting a copy of the record. We will discuss how this finding might contribute to the ongoing debate.
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| 22. |
- Winge, Monica, et al.
(author)
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Need for a New Care Model - Getting to Grips with Collaborative Home Care
- 2010
-
In: MEDINFO 2010. - : IOS Press. - 9781607505877 - 9781607505884 ; 160:Pt 1, s. 8-12
-
Conference paper (peer-reviewed)abstract
- In this paper we discuss the fact that more and more patients are treated in their homes by a set of organizations, sometimes with different ownership, and how this fact places new and severe demands on health care and home service staff to communicate and collaborate. We point to the need for managers in different organizations to agree on ways of communicating and collaborating on the operational level and how this aspect needs to be considered during procurement of home care services. Most importantly, by reasoning around a set of problematic areas, we derive a set of related problems and suggest solutions for dealing with them. The solutions are a mix of organizational/administrative measures and IT support for communication and coordination.
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| 23. |
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| 24. |
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| 25. |
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| 26. |
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| 27. |
- Courteille, O., et al.
(author)
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Face validity of VIS-Ed : A visualization program for teaching medical students and residents the biomechanics of cervical spine trauma
- 2013
-
In: Medicine Meets Virtual Reality 20. - : IOS Press. - 9781614992080 ; 184, s. 96-102
-
Conference paper (peer-reviewed)abstract
- This RCT study aimed to investigate if VIS-Ed (Visualization through Imaging and Simulation - Education) had the potential to improve medical student education and specialist training in clinical diagnosis and treatment of trauma patients. The participants' general opinion was reported as high in both groups (lecture vs. virtual patient (VP)). Face validity of the VIS-Ed for cervical spine trauma was demonstrated and the VP group reported higher stimulation and engagement compared to the lecture group. No significant difference in the knowledge test between both groups could be observed, confirming our null hypothesis that VIS-Ed was on par with a lecture.
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| 28. |
- Courteille, O., et al.
(author)
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Mixed Virtual Reality Simulation -Taking Endoscopic Simulation One Step Further
- 2011
-
In: Medicine Meets Virtual Reality 18. - : IOS Press. - 9781607507062 - 9781607507055 ; 163, s. 144-6
-
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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| 29. |
- Creutzfeldt, Johan, et al.
(author)
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Using virtual world training to increase situation awareness during cardiopulmonary resuscitation
- 2014
-
In: Medicine meets virtual reality 21. - : IOS Press. - 9781614993742 - 9781614993759 ; 196, s. 83-5
-
Conference paper (peer-reviewed)abstract
- Situation awareness (SA) is a critical non-technical skill which affects outcome during emergency medical endeavors. Using a modified self-report instrument a significant increase of SA was found during multiplayer virtual world CPR team training among 12 medical students. Further a correlation between SA and attention was noted. Being a vital factor during the process of video-game play, we argue that this skill is suitably practiced using this training method.
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| 30. |
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| 31. |
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| 32. |
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| 33. |
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| 34. |
- Hägglund, Maria, et al.
(author)
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A New Approach for Goal-oriented Analysis of Healthcare Processes
- 2010
-
In: World Congress on Medical and Health Informatics (Medinfo'10). - : IOS Press. ; 160:Pt 2, s. 1251-5
-
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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| 35. |
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| 36. |
- Kokkinakis, Dimitrios, 1965
(author)
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What is the Coverage of SNOMED CT® on Scientific Medical Corpora?
- 2011
-
In: Studies in Health Technology and Informatics / XXIII International Conference of the European Federation for Medical Informatics. - 0926-9630. ; 169
-
Conference paper (peer-reviewed)abstract
- This paper reports on the results of a large scale mapping of SNOMED CT on scientific medical corpora. The aim is to automatically access the validity, reliability and coverage of the Swedish SNOMED-CT translation, the largest, most extensive available resource of medical terminology. The method described here is based on the generation of predominantly safe harbor term variants which together with simple linguistic processing and the already available SNOMED term content are mapped to large corpora. The results show that term variations are very frequent and this may have implication on technological applications (such as indexing and information retrieval, decision support systems, text mining) using SNOMED CT. Naïve approaches to terminology mapping and indexing would critically affect the performance, success and results of such applications. SNOMED CT appears not well-suited for automatically capturing the enormous variety of concepts in scientific corpora (only 6,3% of all SNOMED terms could be directly matched to the corpus) unless extensive variant forms are generated and fuzzy and partial matching techniques are applied with the risk of allowing the recognition of a large number of false positives and spurious results.
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| 37. |
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| 38. |
- Lundberg, Nina, et al.
(author)
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My Care Pathways - creating open innovation in healthcare
- 2013
-
In: Medinfo 2013. - Netherländerna. - 9781614992882 ; 192, s. 687-91
-
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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| 39. |
- 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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| 40. |
- 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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| 41. |
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| 42. |
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| 43. |
- 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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| 44. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Disturbing or Facilitating? On the Usability of Swedish eHealth Systems 2013
- 2014
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In: E-Health – For Continuity of Care. - Amsterdam : IOS Press. - 9781614994312 - 9781614994329 ; 205, s. 221-5
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Conference paper (peer-reviewed)abstract
- As many evaluations show, healthcare organizations do not accomplish the intended effects of their eHealth systems due to inadequate usability. On behalf of the Swedish Ministry of Health and Social Affairs, the usability of current eHealth systems in Swedish healthcare have been analysed from the perspective of healthcare and social service professionals. The objective of the study was to report on current problems, potential solutions as well as to relate these to research in relevant areas. Using a participatory approach, seven workshops were held where researchers within health informatics collaborated with staff from different care providers, representatives of the national associations of health and social care professionals and the national eHealth system vendor organization. This paper presents a foundation for further development of eHealth systems, condensed into 10 issues that the Swedish health and social care professionals find imperative to improve. The study emphasizes that the development of eHealth systems is always a matter of organizational and process development and must be integrated into the care practice improvement process. Further, based on the findings, some identified challenges are discussed.
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| 45. |
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| 46. |
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| 47. |
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| 48. |
- 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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| 49. |
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| 50. |
- Wibeab, T., et al.
(author)
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Clinical documentation as a source of information for patients- possibilities and limitations
- 2013
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In: Studies in Health Technology and Informatics. - : IOS Press. - 9781614992882 - 1614992886 ; 192, s. 793-7
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Conference paper (peer-reviewed)abstract
- Recent legislation in many countries has given patients the right to access their own patient records. Making health-care professionals' assessments and decisions more transparent by giving patients access to their records is expected to provide patients with useful health information and reduce the power imbalance between patient and provider. We conducted both a mail survey and a face-to-face interview study, including patients who had requested a paper copy of their patient records (EPR), to explore their experiences. For many study participants, a view of their records filled in holes in the oral information they previously received. They had problems understanding parts of what they read, but rarely asked for help. Instead they searched for explanations on the Internet or attempted to understand based on the context. Patients are still afraid of seeming suspicious or displeased if they indicate that they would like to read their records. Health-care organizations should consider actively offering patients the chance to view their clinical documentation to a larger extent than what has been done so far.
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