Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2013
Acquisition of patient information from nurses by other health professionals under electronic medical record implementation.
Most electronic medical record (EMR) systems in Japan are equipped with nursing documentation functions. Electronic nursing records (ENRs) are much more accessible to doctors and paramedical staff than paper-based record systems. Face-to-face communication might be used less often to acquire patient information collected by nurses if EMR systems were effectively used. ⋯ There were 153 responses, which showed that 51% of doctors and 16% of paramedical staff still often used face-to-face communication even though more than 70% of them often accessed the ENR. Only 35% of doctors and paramedical staff recognized that the EMR system helped reduce the time needed to acquire patient information; furthermore, 32% thought that using the EMR system to acquire patient information was bothersome. These results indicate that the operability of EMR systems is still insufficient for health professionals.
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Stud Health Technol Inform · Jan 2013
Impact of Thailand universal coverage scheme on the country's health information systems and health information technology.
Thailand achieved universal healthcare coverage with the implementation of the Universal Coverage Scheme (UCS) in 2001. This study employed qualitative method to explore the impact of the UCS on the country's health information systems (HIS) and health information technology (HIT) development. The results show that health insurance beneficiary registration system helps improve providers' service workflow and country vital statistics. ⋯ The financial incentive of outpatient data quality improvement project enhance providers' HIS and HIT investment and also induce data fraudulence tendency. Implementation of UCS has largely brought favorable impact on the country HIS and HIT development. However, the unfavorable effects are also evident.
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Stud Health Technol Inform · Jan 2013
Tailored care management with patient-centered web-based portal in primary health care: sustaining a relational context.
While many innovative information and communication technologies have been offered as solutions to primary care management challenges, few have been shown to be effective and or sustainable over time. Information technology approaches have been narrow in focus, relying on designs that enhance usability, interoperability and adaptability by delimiting the traits, attributes, and characteristics of individual communication processes. It is increasingly understood in primary health care settings that relational communication continuity between the patient and the health care team is essential for optimizing co-determined treatments, interventions, and self-management strategies. Successful utilization of a patient-centered web-based portal must account for essential proximity of the relational aspect of care between the patient and the immediate health care team.
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Stud Health Technol Inform · Jan 2013
Knowledge representation and management enabling intelligent interoperability - principles and standards.
Based on the paradigm changes for health, health services and underlying technologies as well as the need for at best comprehensive and increasingly automated interoperability, the paper addresses the challenge of knowledge representation and management for medical decision support. After introducing related definitions, a system-theoretical, architecture-centric approach to decision support systems (DSSs) and appropriate ways for representing them using systems of ontologies is given. Finally, existing and emerging knowledge representation and management standards are presented. The paper focuses on the knowledge representation and management part of DSSs, excluding the reasoning part from consideration.
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Stud Health Technol Inform · Jan 2013
Review Meta AnalysisA review of healthcare information system usability & safety.
Healthcare information systems have been designed to increase the efficiency and safety of healthcare processes. Systems such as electronic health records and pervasive computing devices have been shown to improve the safety of healthcare. However, increasing research has indicated that the design of such systems, in particular the user interface, may be related to increased incidence of other types of error. ⋯ New technology, such as CPOE, offers improvements over traditional paper tools and it is shown to have a positive effect on patient safety. New technology also creates the opportunity for new errors to occur and lead to the coining of the term "technology-induced error". The magnitude of the usability-testing needs is larger than it may seem.