Many to One : Analysis of Information Models for Telemedicine in Patient Centric Perspective (original) (raw)

Technology-Mediated Communication between Patients and Primary Care Clinicians and Staff

Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 2016

Health information technology, i.e. secure messaging, can support high-quality, efficient care. Secure messaging – encrypted communication between patient and clinician or staff, similar to email – can facilitate patient-reported information and communication, but its fit with clinical workflow is not understood. Fifteen primary care clinicians and staff were interviewed and observed over 35 hours to understand the impact of secure messaging on ambiguity within the care delivery workflow. We developed a general workflow diagram for secure messaging, and identified three types of ambiguity relating to workflow, content of communication, and multiple points of data entry. While the use of secure messaging can help to clarify and document patient information, it can also increase ambiguity, particularly relating to the organization of work and workflow. Understanding how to design and implement technology to support multiple stakeholders, including patients, while considering the work ...

Using Information and Communication Technology in Healthcare

Annals of Internal Medicine, 2002

Tyrrell S. 176 pages. Oxford, United Kingdom: Radcliffe Medical Pr; 2002. 19.95. ISBN 1857754697. Order at www.radcliffe-oxford.com. Field of medicine: Computer application. Format: Softcover book. Audience: Health practitioners and users of information and communication technology (ICT) in health care. Purpose: To explain various ICTs in a user-friendly manner, enabling readers to understand and gain confidence to effectively use the technology. Content: This book explains that the information in health care loses meaning unless it is conveyed in a timely, reliable, and safe manner and that the success of communication technology depends on the manner in which information is presented. The book begins with an explanation of basic purposes and design of computer hardware and the software functioning in it. Databases, the heart of computer systems, are then described; various forms of computer networks, such as LANs, are also discussed in an easy-to-understand manner. The following chapters on data input and output, managing ICT, security, and standards describe more complex technologies. However, they remain concise and informational, providing an understanding of how the technologies are supposed to be applied in a controlled setting. The book closes with a chapter on telemedicine technology, followed by an outlook for technologic development and application in the future. Highlights: Tyrrell provides many examples to illustrate each point. The book is well structured, is easy to read and understand, and describes highly technical processes without using highly technical jargon. It is both relevant and practical, laying the groundwork for a basic understanding of ICT in health care. If a physician is responsible for installing a computer system and is uncomfortable with the technological jargon, this is an excellent book for closing the comfort gap. Limitations: The book may contain too much information about the basics of computing for physicians who want immediate access to information about specific systems. Technology changes rapidlythe book is up to date now, but may not be as relevant in the future. Related reading: Rognehaugh and Rognehaugh's Healthcare IT Terms (Healthcare Information and Management Systems Society, 2001) and other books in the Harnessing Health Information Series: Tyrrell's Using the Internet in Healthcare, 2nd edition (Radcliffe Medical Pr, 2002); Rigby and colleagues' Taking Telematics into the 21st Century (Radcliffe Medical Pr, 2000); and Gillies' Healthcare Databases: A Simple Guide to Building and Using Them (Radcliffe Medical Pr, 2002). Reviewers: Nancy M. Lorenzi, PhD, and Lisa Miller, Informatics Center, Vanderbilt University Medical Center, Nashville, Tennessee.

Electronic Health Object: Transforming Health Care Systems From Static to Interactive and Extensible

INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2015

Electronic health records (EHRs) store health-related patient information in an electronic format, improving the quality of health care management and increasing efficiency of health care processes. However, in existing information systems, health-related records are generated, managed, and controlled by health care organizations. Patients are perceived as recipients of care and normally cannot directly interact with the system that stores their health-related records; their participation in enriching this information is not possible. Many businesses now allow customers to participate in generating information for their systems, strengthening customer relationships. This trend is supported by Web 2.0, which enables interactivity through various means, including social networks. Health care systems should be able to take advantage of this development. This article proposes a novel framework in addressing the emerging need for interactivity while preserving and extending existing electronic medical data. The framework has 3 dimensions of patient health record: personal, social, and medical dimensions. The framework is designed to empower patients, changing their roles from static recipient of health care services to dynamic and active partners in health care processes.

3) 127, USA; 5 Irish Computer Society, Ireland; 6 Medical Business Solutions, USA; 7 CAL2CAL Cor-poration, USA; 8 European Health Telematics Association

2016

The electronic collection, processing and management of information is becoming increasingly important in healthcare. Because of the nature of the healthcare provision and delivery process, where the health, safety and quality of human lives are impacted on a daily basis, it is critical that those who work in the field are competent and able to perform all clinical, administrative, research and technology-impacted facets of their roles. The United States and the European Union have been working to encourage broader and more effective use of Information and Communications Technology (ICT) within healthcare. The development, use and governance of ICT within healthcare, often called health informatics, requires a number of competences which need to be identified and integrated into relevant skills assessment, education and training. Ultimately, this will help produce a more proficient and a more confident mobile health informatics-empowered workforce. A structured set of health informa...

Guest EditorialIntegrated Healthcare Information Systems

IEEE Transactions on Information Technology in Biomedicine, 2000

The use of integrated information systems for health-3 care has been started more than a decade ago. In recent years, 4 rapid advances in information integration methods have spurred 5 tremendous growth in the use of integrated information systems in 6 healthcare delivery. Various techniques have been used for prob-7 ing such integrated systems. These techniques include SOA, EAI, Q1 8 workflow management, grid computing, and others. Many applica-9 tions require a combination of these techniques, which gives rise to 10 the emergence of enterprise systems in healthcare. Development of 11 the techniques originated from different disciplines has the poten-12 tial to significantly improve the performance of enterprise systems 13 in healthcare. This editorial paper briefly introduces the enterprise 14 systems in the perspective of healthcare informatics. 15 Index Terms-Enterprise information systems (EIS), enterprise 16 systems (ES), industrial information integration engineering, inte-17 grated healthcare information systems, IT in biomedicine. 18 I. INTEGRATED INFORMATION SYSTEMS FOR HEALTHCARE 19 R ESEARCH indicates that Integrated Healthcare Informa-20 tion Systems are becoming an essential part of the modern 21 healthcare systems. Such systems have evolved to integrated 22 technology applications in healthcare with topics such as e-97 health care, electronic health record system, interoperability 98 and connectivity, regional and community health information 99 networks, hospital information systems, disease management 100 systems, telemedicine, etc. 101 The paper by Trigo et al. applied ES techniques to cardio-102 vascular condition monitoring [15]. Authors claimed that the 103 heterogeneity in existing environment causes the lack of in-104 tegrated healthcare information systems. As such, there is a 105 need for an appropriate integration of ECGs and a suitable ES-106 based architecture enabling standardized exchange and homo-107 geneous management of ECGs. Determining such integration 108 is one of the main objectives of this paper. The ES-enabling 109 techniques selected include SOAP, BPEL, and others that en-Q2 110 sure the standardized exchange of ECGs within and across the 111 healthcare information systems while providing modularity and 112 accessibility. 113 Providing decision support among clinicians across organi-114 zational and regional boundaries is a main challenge for the 115 development of integrated ES for e-healthcare. In the paper by 116 Tawfik et al., a user-centered study aimed to investigate clinical 117 practices across three different geographical areas-the U.K., 118 the UAE, and Nigeria-is presented [16]. The paper proposes a 119 set of design guidelines for the development of enterprise health-120 care information systems for e-healthcare. The paper proposes 121 the conceptual design of CaDHealth, a framework for clinical 122 practices for effective cross-boundary e-healthcare.

Organizational, Contextual and User-Centered Design in e-Health: Application in the Area of Telecardiology

Lecture Notes in Computer Science, 2007

Currently, one of the main issues of Human Computer Interaction (HCI) in the area of e-Health is the design of telemedicine services based on the study of interactions established between people and new technologies. Nevertheless, the research in HCI has been mainly focused from a cognitive point of view, and most studies don't consider other variables related to the social impact of technology. This gap is extremely important in e-Health, because Information Systems (IS) changes qualitatively work processes in health organizations. In this paper we present an interdisciplinary perspective that includes the cognitive and organizational aspects to the technical design of new e-Health services in the area of telecardiology. The results obtained permit to accurately define not only technical requirements and network resources management, but also user requirements, contextual particularities of the scenarios where these services could be implemented and the IS impact in organizational processes. Moreover, the ethnographical methodology proposed has been applied to specific emergencies scenarios, obtaining conclusions that allow new user-centered designs that can be directly integrated in medical practice in an efficient way.

Information Systems and Health Care VIII-Using Paper-Based Scenarios to Examine Perceptions of Interactive Health Communication Systems

Communications of the Association for Information Systems

While information and communication technologies can increase the health care provided to underserved populations, research concerning these technologies often involves only those patients who possess access to technology or who are otherwise willing and able to use it. This issue is important for both researchers and practitioners because non-users' beliefs may not only be different from users' beliefs, they may become more important to understand as access to technology increases. To address this problem: 1. We develop a model of the antecedents to perceived usefulness of an interactive health communication (IHC) system. While our research model combines health-related beliefs with technology perceptions, the antecedents can all be measured before an individual has contact with a particular IHC system. Thus, in the current (and in future) work, they can be used to assess the beliefs of individuals who may not currently be willing or able to use technology. 2. We test this model using paper-based scenarios that depict hypothetical interactions with an IHC system. These paper-based scenarios are more flexible and easier to use than a working system, thus we are able to obtain data from many sources, resulting in a perceptually diverse sample. Results of our hypothesis testing show that patients with higher knowledge and discipline are less likely than those with less knowledge and/or discipline to find an IHC system useful. In addition we learned several lessons from our research process including how to increase participation rates and what reactions to expect from participants.

Getting the benefit from electronic patient information that crosses organisational boundaries

Final report. NIHR Service Delivery and Organisation Programme, Department of Health, London, 2012

Background• The implementation of large-scale electronic patient information systems that effectively communicate and coordinate care across organisational boundaries (eg primary, secondary and social care) to provide 'seamless care'is very challenging. Internationally and nationally very few such systems exist and any that do tend to be limited and/or localised.