maria tsirintani - Academia.edu (original) (raw)

Papers by maria tsirintani

Studies in health technology and informatics, Jun 29, 2023

Télésurveillance des patients porteurs de défibrillateurs automatiques implantables : les résulta... more Télésurveillance des patients porteurs de défibrillateurs automatiques implantables : les résultats des grandes études sont-ils transposables à la pratique clinique ?

The article is proposing a base plan for the future Patient Care Information Systems in a changin... more The article is proposing a base plan for the future Patient Care Information Systems in a changing health care environment where it is necessary to assure quality patient care services and reducing cost and where new technology trends give the opportunities to develop clinical applications and services patient focused according to new business objectives.

Studies in health technology and informatics

Since 1995, Onassis Cardiac Surgery Center participates in the development of Telecardiology Serv... more Since 1995, Onassis Cardiac Surgery Center participates in the development of Telecardiology Services in Greece. Existing connections include the islands Skiathos, Naxos, Santorini, Mykonos, Milos, Plomari and Amorgos. First hundred fifty three (153) cases have been already analysed. Eleven of them were acute myocardial infarctions and have been treated by thrombolytic medication (anistreplase). The participation of physicians and nurses was valuable for the success of the program and their further involvement in the new area of Telemedicine. The purpose of the project was to offer high quality cardiac services in remote area patients and to provide specific training in telemedicine issues to health care professionals.

Journal of Telemedicine and Telecare, 2000

The treatment of acute myocardial infarction (MI) constitutes a significant problem in remote geo... more The treatment of acute myocardial infarction (MI) constitutes a significant problem in remote geographical areas of Greece. Furthermore, thrombolysis, the treatment of choice in the early phase of acute MI, requires the supervision of an expert. We have used thrombolytic treatment, using telemedicine, in remote medical centres. The Onassis Cardiac Surgery Centre was linked to six remote Aegean islands via telemedicine systems which permitted the transmission of 12-lead electrocardiograms (ECGs). The thrombolytic agent anistreplase was administered to patients with acute MI. Supervision, including consultation for treatment of complications, was achieved using the telemedicine system. One hundred and fifty-two ECGs were transmitted during 24 months, of which 108 (71%) indicated specific treatment of a cardiac condition. Ten cases were diagnosed as having acute MI and eight of these were treated with anistreplase. All patients survived acute MI and complications were treated locally. ...

In vivo (Athens, Greece)

This article presents a study on women living in Attica, Greece (an area of 4.5 million inhabitan... more This article presents a study on women living in Attica, Greece (an area of 4.5 million inhabitants) who visited the outpatient clinics of two specialized hospitals for a follow-up for cervical intraepithelial neoplasia (CIN 3). A random sample of 170 women with CIN 3 and a control group of 195 women coming from the general population were interviewed. A semi-structured designed questionnaire was used as an instrument for data collection. The aim of the study was to search for a possible correlation between CIN 3 and a past history of herpes genitalis (HSV2) of the women and/or their partners. According to the results, CIN 3 is more frequent among women between 26 and 40 years of age. The majority of the patients (70.3%) reported a past history of HSV2, but only 10.9% of the subjects in the control group had the same medical history (p = 0.000). Sixteen percent of the patients and only 5.3% of the subjects in the control group reported infection of their sexual partners with HSV2. 7...

Studies in health technology and informatics, 2000

The purpose of this paper is to describe the design and the process of Cardiological Nursing Care... more The purpose of this paper is to describe the design and the process of Cardiological Nursing Care Plans proposed to be used within an electronic patient record that can fulfill both nursing science and experience. The project is focused on the development of a clinical database capable of analysis to link control of nursing process with clinical outcome.

Medinfo. MEDINFO, 1995

This study represents an educative effort for integrating an innovative Hospital Information Syst... more This study represents an educative effort for integrating an innovative Hospital Information System (HIS) in Greece for quality impact on nursing practice and conductive research. The Hospital involved is the Onassis Cardiac Surgery Center (OCSC), a new 150 bedded state-of-the-art hospital in Athens. The aims of this study are the following: 1) To present the educational assessment concerning the HIS of Onassis Center, 2) To develop Nursing documentation to support the educational needs of nurses and clerks in correlation with the Nursing/Medical record of HIS, and 3) To show the meaning of continuing education for new and old hospital staff and the use of the system as an educative and consultative tool for decision support for health care personnel, especially nurses.

Applied clinical informatics, 2012

The development of telemedicine and telecare has been changed all over the world the recent decad... more The development of telemedicine and telecare has been changed all over the world the recent decades as practitioners and health care managers reached better understanding of the use of information and communication technologies to offer urgent and qualified medical services at a distance. Governments and health care providers have shown a large initial interest in the benefits of telemedicine services to reduce costs mostly for patient's transfer to tertiary hospitals or for educational purposes but have been slow to provide strategic plans and procedures in order to proceed the projects into practice. The paper identifies the involvement of governments, healthcare management, healthcare professionals and IT suppliers in telemedicine policy development and reviews the experience of Greece in the specific field which seems that despite the enormous scientific interest for both medicine and health informatics, the practice until now has not gained the expected results. Furthermore...

Studies in Health Technology and Informatics

Health service delivery systems and ehealth applications are facing an ever-increasing pressure t... more Health service delivery systems and ehealth applications are facing an ever-increasing pressure to improve the quality of their services to patients. The evolution in the way of interaction between health care providers and the patients is the basis for the collaborative internet and frames the transition from Web 2.0 to next Web versions. In this study, we are searching for solutions for quality assurance of information for the user. The survey has shown the need for an integrated policy on the quality of information published on health-related websites, while on the other hand it highlights the important role of upcoming Web technologies.

Studies in health technology and informatics, 2021

This research endeavor is based on the theoretical model of smart personalized telecare approach.... more This research endeavor is based on the theoretical model of smart personalized telecare approach. As a research hypothesis, the model has the potential to develop utility during the mass crisis effect of Covid-19 pandemic. It will be tested for its applicability in two parallel dimensions for the utilization of the properties of the Delphi research method by tele-monitoring mild cases of Covid-19, because during the pandemic the meaning of holistic health has been shown as a supplementary good to every human activity and the technology of information and communication converts the healthcare into a generally sufficient service with the appropriate cost-management.

Studies in health technology and informatics, 2019

The purpose of this study is to ascertain the readiness of the public hospital in Greece to compl... more The purpose of this study is to ascertain the readiness of the public hospital in Greece to comply with the new Regulation for protecting personal data (GDPR). A qualitative research was carried out by using structured interview with experts and relevant hospital executives of the 2nd Health Region for collecting the data. Despite the mandatory application of the new Regulation by Hospitals, the right to be forgotten and the other rights on personal data in healthcare are virtually not applicable.

Studies in health technology and informatics, 2015

Following a previous (2011) survey, this study assesses the web pages of Greek public hospitals a... more Following a previous (2011) survey, this study assesses the web pages of Greek public hospitals according to specific criteria, which are included in the same web page evaluation model. Our purpose is to demonstrate the evolution of hospitals' web pages and document e-health applications trends. Using descriptive methods we found that public hospitals have made significant steps towards establishing and improving their web presence but there is still a lot of work that needs to be carried out in order to take advantage of the benefits of new technologies in the e-health ecosystem.

Studies in health technology and informatics, 2017

The paper studies the smart telecare utility in health & social care fields for the satisfactory ... more The paper studies the smart telecare utility in health & social care fields for the satisfactory increase of external and internal user through personalized approach and the capability proof of continuing management improvement through quality indicators. Primary survey studies of aged people's satisfaction through smart telecare in Greece - maybe in good health or patients or socially isolated - interviewing four types involved - aged, caregivers, health or social care providers and smart technology providers or producers. The sample seems positive to smart telecare for prevention, protection, safety and security. To sum up, they believe there are organizational problems in Greece due to lack of information.

Strategic Innovative Marketing and Tourism, 2019

The pace of the evolution of digital marketing is faster than ever and the concept of marketing a... more The pace of the evolution of digital marketing is faster than ever and the concept of marketing and marketing models have been redefined to respond to this challenge. As a result, consumers have been empowered thank to the accessibility to this ecosystem and consumers’ behaviour is affected by this disruptive evolution on the era of instant access, multiple opportunities and availability of information. The concept of health and health care system approaches have been also redefined. Instead of focusing on cure a disease the focus is now put on the holistic concept of prevention from the starting point, the promotion of healthier lifestyles or purposeful living. Thus, one of this approaches states that the term of value needs to be questioned and offers a value-based approach where the central focus is put on health outcomes. From this perspective, increasing value seems to be crucial for a better interaction with one of the main healthcare system customers, the patients. Despite th...

Studies in health technology and informatics, 2020

People with disabilities are a major part of the society. The fact of being able to service thems... more People with disabilities are a major part of the society. The fact of being able to service themselves without any additional help in their everyday life is an important right, as well as the right to have equal opportunities in utilizing all health- related services in their community. Our research was carried out on a group of people with disabilities through a semi structured interview to clarify their needs regarding the accessibility of health services and the accessibility of the existing related information. In addition to the analysis of the accessible techniques of digital information, the accessibility, reliability and relevance of the information existing on health websites in Greece are evaluated. The assessment of the accessibility of information provided online is carried out based on the WCAG2.0 standard of the World Wide Web Consortium (W3C). Through these surveys and procedures, we reach conclusions on the deficiencies of accessibility and solutions for improvement ...

Studies in health technology and informatics, 2016

Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significa... more Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significant role in the transformation of healthcare and increase its quality and efficiency as a sub-segment of Electronic Health (eHealth). In this article, we did a literature review about the potentials for this transformation and the crucial organizational issues for developing Electronic Health Record's applications with mHealth technologies in healthcare organizations.

The contribution of Telepsychiatry and its applications to the national health care systems of th... more The contribution of Telepsychiatry and its applications to the national health care systems of the countries is particularly important, with positive effects according the reviewing bibliography. It is characterized by efficiency as a service with high quality rates and is the only solution for patients from remote areas to contact and access with the providers in the mental health system. Our article highlights the importance of Telepsychiatry minimizing the cost of traveling. Because of reduced published articles in the field our study is also measuring the technology acceptance by Health care professionals of the Psychiatric Sector in Greece. Finally, there are interview responses to four queries derived from the existing literature and experience about the factors influencing the spread of the use of Telepsychiatry and the reduced amount of published articles.

Studies in Health Technology and Informatics

The aim of this study is to define and analyze the phenomenon of fake news and disinformation fro... more The aim of this study is to define and analyze the phenomenon of fake news and disinformation from social media in healthcare ecosystem. Social media and web platforms can be used to spread misinformation, which produces harmful consequences to global health and well-being. A qualitative research was carried out by using semi structured interview with experts for collecting the data investigating the social, legal and technical environment that promote this phenomenon. In order to shed some light, software tools and web platforms are suggested to those in charge of educating users on their best use of internet for this purpose.

Studies in health technology and informatics, 2014

The health care sector today is found in the threshold of important managerial changes and politi... more The health care sector today is found in the threshold of important managerial changes and political challenges. Diagnosis Related Groups (DRGs) constitutes the method with which the public sector can classify each clinical incident with a concrete code debit on the base of patient diagnosis and the relative clinical interventions or medical actions. This article aims to investigate user's acceptance of DRG's information quality in Greece in public and private hospitals using electronic patient care records. First results are showing positive reactions and expectations from health care and managerial users of DRGs.

Studies in health technology and informatics, Jun 29, 2023

Télésurveillance des patients porteurs de défibrillateurs automatiques implantables : les résulta... more Télésurveillance des patients porteurs de défibrillateurs automatiques implantables : les résultats des grandes études sont-ils transposables à la pratique clinique ?

The article is proposing a base plan for the future Patient Care Information Systems in a changin... more The article is proposing a base plan for the future Patient Care Information Systems in a changing health care environment where it is necessary to assure quality patient care services and reducing cost and where new technology trends give the opportunities to develop clinical applications and services patient focused according to new business objectives.

Studies in health technology and informatics

Since 1995, Onassis Cardiac Surgery Center participates in the development of Telecardiology Serv... more Since 1995, Onassis Cardiac Surgery Center participates in the development of Telecardiology Services in Greece. Existing connections include the islands Skiathos, Naxos, Santorini, Mykonos, Milos, Plomari and Amorgos. First hundred fifty three (153) cases have been already analysed. Eleven of them were acute myocardial infarctions and have been treated by thrombolytic medication (anistreplase). The participation of physicians and nurses was valuable for the success of the program and their further involvement in the new area of Telemedicine. The purpose of the project was to offer high quality cardiac services in remote area patients and to provide specific training in telemedicine issues to health care professionals.

Journal of Telemedicine and Telecare, 2000

The treatment of acute myocardial infarction (MI) constitutes a significant problem in remote geo... more The treatment of acute myocardial infarction (MI) constitutes a significant problem in remote geographical areas of Greece. Furthermore, thrombolysis, the treatment of choice in the early phase of acute MI, requires the supervision of an expert. We have used thrombolytic treatment, using telemedicine, in remote medical centres. The Onassis Cardiac Surgery Centre was linked to six remote Aegean islands via telemedicine systems which permitted the transmission of 12-lead electrocardiograms (ECGs). The thrombolytic agent anistreplase was administered to patients with acute MI. Supervision, including consultation for treatment of complications, was achieved using the telemedicine system. One hundred and fifty-two ECGs were transmitted during 24 months, of which 108 (71%) indicated specific treatment of a cardiac condition. Ten cases were diagnosed as having acute MI and eight of these were treated with anistreplase. All patients survived acute MI and complications were treated locally. ...

In vivo (Athens, Greece)

This article presents a study on women living in Attica, Greece (an area of 4.5 million inhabitan... more This article presents a study on women living in Attica, Greece (an area of 4.5 million inhabitants) who visited the outpatient clinics of two specialized hospitals for a follow-up for cervical intraepithelial neoplasia (CIN 3). A random sample of 170 women with CIN 3 and a control group of 195 women coming from the general population were interviewed. A semi-structured designed questionnaire was used as an instrument for data collection. The aim of the study was to search for a possible correlation between CIN 3 and a past history of herpes genitalis (HSV2) of the women and/or their partners. According to the results, CIN 3 is more frequent among women between 26 and 40 years of age. The majority of the patients (70.3%) reported a past history of HSV2, but only 10.9% of the subjects in the control group had the same medical history (p = 0.000). Sixteen percent of the patients and only 5.3% of the subjects in the control group reported infection of their sexual partners with HSV2. 7...

Studies in health technology and informatics, 2000

The purpose of this paper is to describe the design and the process of Cardiological Nursing Care... more The purpose of this paper is to describe the design and the process of Cardiological Nursing Care Plans proposed to be used within an electronic patient record that can fulfill both nursing science and experience. The project is focused on the development of a clinical database capable of analysis to link control of nursing process with clinical outcome.

Medinfo. MEDINFO, 1995

This study represents an educative effort for integrating an innovative Hospital Information Syst... more This study represents an educative effort for integrating an innovative Hospital Information System (HIS) in Greece for quality impact on nursing practice and conductive research. The Hospital involved is the Onassis Cardiac Surgery Center (OCSC), a new 150 bedded state-of-the-art hospital in Athens. The aims of this study are the following: 1) To present the educational assessment concerning the HIS of Onassis Center, 2) To develop Nursing documentation to support the educational needs of nurses and clerks in correlation with the Nursing/Medical record of HIS, and 3) To show the meaning of continuing education for new and old hospital staff and the use of the system as an educative and consultative tool for decision support for health care personnel, especially nurses.

Applied clinical informatics, 2012

The development of telemedicine and telecare has been changed all over the world the recent decad... more The development of telemedicine and telecare has been changed all over the world the recent decades as practitioners and health care managers reached better understanding of the use of information and communication technologies to offer urgent and qualified medical services at a distance. Governments and health care providers have shown a large initial interest in the benefits of telemedicine services to reduce costs mostly for patient's transfer to tertiary hospitals or for educational purposes but have been slow to provide strategic plans and procedures in order to proceed the projects into practice. The paper identifies the involvement of governments, healthcare management, healthcare professionals and IT suppliers in telemedicine policy development and reviews the experience of Greece in the specific field which seems that despite the enormous scientific interest for both medicine and health informatics, the practice until now has not gained the expected results. Furthermore...

Studies in Health Technology and Informatics

Health service delivery systems and ehealth applications are facing an ever-increasing pressure t... more Health service delivery systems and ehealth applications are facing an ever-increasing pressure to improve the quality of their services to patients. The evolution in the way of interaction between health care providers and the patients is the basis for the collaborative internet and frames the transition from Web 2.0 to next Web versions. In this study, we are searching for solutions for quality assurance of information for the user. The survey has shown the need for an integrated policy on the quality of information published on health-related websites, while on the other hand it highlights the important role of upcoming Web technologies.

Studies in health technology and informatics, 2021

This research endeavor is based on the theoretical model of smart personalized telecare approach.... more This research endeavor is based on the theoretical model of smart personalized telecare approach. As a research hypothesis, the model has the potential to develop utility during the mass crisis effect of Covid-19 pandemic. It will be tested for its applicability in two parallel dimensions for the utilization of the properties of the Delphi research method by tele-monitoring mild cases of Covid-19, because during the pandemic the meaning of holistic health has been shown as a supplementary good to every human activity and the technology of information and communication converts the healthcare into a generally sufficient service with the appropriate cost-management.

Studies in health technology and informatics, 2019

The purpose of this study is to ascertain the readiness of the public hospital in Greece to compl... more The purpose of this study is to ascertain the readiness of the public hospital in Greece to comply with the new Regulation for protecting personal data (GDPR). A qualitative research was carried out by using structured interview with experts and relevant hospital executives of the 2nd Health Region for collecting the data. Despite the mandatory application of the new Regulation by Hospitals, the right to be forgotten and the other rights on personal data in healthcare are virtually not applicable.

Studies in health technology and informatics, 2015

Following a previous (2011) survey, this study assesses the web pages of Greek public hospitals a... more Following a previous (2011) survey, this study assesses the web pages of Greek public hospitals according to specific criteria, which are included in the same web page evaluation model. Our purpose is to demonstrate the evolution of hospitals' web pages and document e-health applications trends. Using descriptive methods we found that public hospitals have made significant steps towards establishing and improving their web presence but there is still a lot of work that needs to be carried out in order to take advantage of the benefits of new technologies in the e-health ecosystem.

Studies in health technology and informatics, 2017

The paper studies the smart telecare utility in health & social care fields for the satisfactory ... more The paper studies the smart telecare utility in health & social care fields for the satisfactory increase of external and internal user through personalized approach and the capability proof of continuing management improvement through quality indicators. Primary survey studies of aged people's satisfaction through smart telecare in Greece - maybe in good health or patients or socially isolated - interviewing four types involved - aged, caregivers, health or social care providers and smart technology providers or producers. The sample seems positive to smart telecare for prevention, protection, safety and security. To sum up, they believe there are organizational problems in Greece due to lack of information.

Strategic Innovative Marketing and Tourism, 2019

The pace of the evolution of digital marketing is faster than ever and the concept of marketing a... more The pace of the evolution of digital marketing is faster than ever and the concept of marketing and marketing models have been redefined to respond to this challenge. As a result, consumers have been empowered thank to the accessibility to this ecosystem and consumers’ behaviour is affected by this disruptive evolution on the era of instant access, multiple opportunities and availability of information. The concept of health and health care system approaches have been also redefined. Instead of focusing on cure a disease the focus is now put on the holistic concept of prevention from the starting point, the promotion of healthier lifestyles or purposeful living. Thus, one of this approaches states that the term of value needs to be questioned and offers a value-based approach where the central focus is put on health outcomes. From this perspective, increasing value seems to be crucial for a better interaction with one of the main healthcare system customers, the patients. Despite th...

Studies in health technology and informatics, 2020

People with disabilities are a major part of the society. The fact of being able to service thems... more People with disabilities are a major part of the society. The fact of being able to service themselves without any additional help in their everyday life is an important right, as well as the right to have equal opportunities in utilizing all health- related services in their community. Our research was carried out on a group of people with disabilities through a semi structured interview to clarify their needs regarding the accessibility of health services and the accessibility of the existing related information. In addition to the analysis of the accessible techniques of digital information, the accessibility, reliability and relevance of the information existing on health websites in Greece are evaluated. The assessment of the accessibility of information provided online is carried out based on the WCAG2.0 standard of the World Wide Web Consortium (W3C). Through these surveys and procedures, we reach conclusions on the deficiencies of accessibility and solutions for improvement ...

Studies in health technology and informatics, 2016

Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significa... more Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significant role in the transformation of healthcare and increase its quality and efficiency as a sub-segment of Electronic Health (eHealth). In this article, we did a literature review about the potentials for this transformation and the crucial organizational issues for developing Electronic Health Record's applications with mHealth technologies in healthcare organizations.

The contribution of Telepsychiatry and its applications to the national health care systems of th... more The contribution of Telepsychiatry and its applications to the national health care systems of the countries is particularly important, with positive effects according the reviewing bibliography. It is characterized by efficiency as a service with high quality rates and is the only solution for patients from remote areas to contact and access with the providers in the mental health system. Our article highlights the importance of Telepsychiatry minimizing the cost of traveling. Because of reduced published articles in the field our study is also measuring the technology acceptance by Health care professionals of the Psychiatric Sector in Greece. Finally, there are interview responses to four queries derived from the existing literature and experience about the factors influencing the spread of the use of Telepsychiatry and the reduced amount of published articles.

Studies in Health Technology and Informatics

The aim of this study is to define and analyze the phenomenon of fake news and disinformation fro... more The aim of this study is to define and analyze the phenomenon of fake news and disinformation from social media in healthcare ecosystem. Social media and web platforms can be used to spread misinformation, which produces harmful consequences to global health and well-being. A qualitative research was carried out by using semi structured interview with experts for collecting the data investigating the social, legal and technical environment that promote this phenomenon. In order to shed some light, software tools and web platforms are suggested to those in charge of educating users on their best use of internet for this purpose.

Studies in health technology and informatics, 2014

The health care sector today is found in the threshold of important managerial changes and politi... more The health care sector today is found in the threshold of important managerial changes and political challenges. Diagnosis Related Groups (DRGs) constitutes the method with which the public sector can classify each clinical incident with a concrete code debit on the base of patient diagnosis and the relative clinical interventions or medical actions. This article aims to investigate user's acceptance of DRG's information quality in Greece in public and private hospitals using electronic patient care records. First results are showing positive reactions and expectations from health care and managerial users of DRGs.