首页 > 最新文献

International Journal of Electronic Healthcare最新文献

英文 中文
Role-based access control through on-demand classification of electronic health record 通过按需分类电子健康记录进行基于角色的访问控制
Q4 Medicine Pub Date : 2015-09-09 DOI: 10.1504/IJEH.2015.071637
B. Tiwari, Abhay Kumar
Electronic health records (EHR) provides convenient method to exchange medical information of patients between different healthcare providers. Access control mechanism in healthcare services characterises authorising users to access EHR records. Role Based Access Control helps to restrict EHRs to users in a certain role. Significant works have been carried out for access control since last one decade but little emphasis has been given to on-demand role based access control. Presented work achieved access control through physical data isolation which is more robust and secure. We propose an algorithm in which selective combination of policies for each user of the EHR database has been defined. We extend well known data mining technique 'classification' to group EHRs with respect to the given role. Algorithm works by taking various roles as class and defined their features as a vector. Here, features are used as a Feature Vector for classification to describe user authority.
电子健康记录(EHR)为不同医疗保健提供者之间交换患者的医疗信息提供了方便的方法。医疗保健服务中的访问控制机制的特点是授权用户访问EHR记录。基于角色的访问控制可以将电子病历限制在某个角色的用户。近十年来,在访问控制方面进行了大量的工作,但很少重视基于按需角色的访问控制。所介绍的工作通过物理数据隔离实现访问控制,这更健壮和安全。我们提出了一种算法,其中为EHR数据库的每个用户定义了有选择的策略组合。我们扩展了众所周知的数据挖掘技术“分类”,根据给定的角色对电子病历进行分组。算法将各种角色作为类,并将其特征定义为向量。在这里,特征被用作分类的特征向量来描述用户权限。
{"title":"Role-based access control through on-demand classification of electronic health record","authors":"B. Tiwari, Abhay Kumar","doi":"10.1504/IJEH.2015.071637","DOIUrl":"https://doi.org/10.1504/IJEH.2015.071637","url":null,"abstract":"Electronic health records (EHR) provides convenient method to exchange medical information of patients between different healthcare providers. Access control mechanism in healthcare services characterises authorising users to access EHR records. Role Based Access Control helps to restrict EHRs to users in a certain role. Significant works have been carried out for access control since last one decade but little emphasis has been given to on-demand role based access control. Presented work achieved access control through physical data isolation which is more robust and secure. We propose an algorithm in which selective combination of policies for each user of the EHR database has been defined. We extend well known data mining technique 'classification' to group EHRs with respect to the given role. Algorithm works by taking various roles as class and defined their features as a vector. Here, features are used as a Feature Vector for classification to describe user authority.","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"8 1 1","pages":"9-24"},"PeriodicalIF":0.0,"publicationDate":"2015-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2015.071637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66760900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Exploring mobile health in a private online social network 在私人在线社交网络中探索移动医疗
Q4 Medicine Pub Date : 2015-09-09 DOI: 10.1504/IJEH.2015.071643
Q. Memon, A. Mustafa
Health information is very vulnerable. Certain individuals or corporate organisations will continue to steal it similar to bank account data once data is on wireless channels. Once health information is part of a social network, corresponding privacy issues also surface. Insufficiently trained employees at hospitals that pay less attention to creating a privacy-aware culture will suffer loss when mobile devices containing health information are lost, stolen or sniffed. In this work, a social network system is explored as a m-health system from a privacy perspective. A model is developed within a framework of data-driven privacy and implemented on Android operating system. In order to check feasibility of the proposed model, a prototype application is developed on Facebook for different services, including: i) sharing user location; ii) showing nearby friends; iii) calculating and sharing distance moved, and calories burned; iv) calculating, tracking and sharing user heart rate; etc.
健康信息非常脆弱。一旦数据在无线通道上,某些个人或企业组织将继续窃取它,就像窃取银行账户数据一样。一旦健康信息成为社交网络的一部分,相应的隐私问题也会浮出水面。当包含健康信息的移动设备丢失、被盗或被嗅探时,缺乏培训的医院员工将会遭受损失,因为他们不太关注创建隐私意识文化。在这项工作中,从隐私的角度探索社交网络系统作为移动医疗系统。该模型在数据驱动的隐私框架内开发,并在Android操作系统上实现。为了验证所提出模型的可行性,我们在Facebook上针对不同的服务开发了一个原型应用程序,包括:i)共享用户位置;Ii)向附近的朋友展示;计算并分享移动距离、燃烧热量;Iv)计算、跟踪和共享用户心率;等。
{"title":"Exploring mobile health in a private online social network","authors":"Q. Memon, A. Mustafa","doi":"10.1504/IJEH.2015.071643","DOIUrl":"https://doi.org/10.1504/IJEH.2015.071643","url":null,"abstract":"Health information is very vulnerable. Certain individuals or corporate organisations will continue to steal it similar to bank account data once data is on wireless channels. Once health information is part of a social network, corresponding privacy issues also surface. Insufficiently trained employees at hospitals that pay less attention to creating a privacy-aware culture will suffer loss when mobile devices containing health information are lost, stolen or sniffed. In this work, a social network system is explored as a m-health system from a privacy perspective. A model is developed within a framework of data-driven privacy and implemented on Android operating system. In order to check feasibility of the proposed model, a prototype application is developed on Facebook for different services, including: i) sharing user location; ii) showing nearby friends; iii) calculating and sharing distance moved, and calories burned; iv) calculating, tracking and sharing user heart rate; etc.","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"8 1 1","pages":"51-75"},"PeriodicalIF":0.0,"publicationDate":"2015-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2015.071643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66760956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Task and error analysis balancing benefits over business of electronic medical records. 任务和错误分析平衡了电子病历对业务的好处。
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064333
Deborah Sater Carstens, Walter Rodriguez, Michael B Wood

Task and error analysis research was performed to identify: a) the process for healthcare organisations in managing healthcare for patients with mental illness or substance abuse; b) how the process can be enhanced and; c) if electronic medical records (EMRs) have a role in this process from a business and safety perspective. The research question is if EMRs have a role in enhancing the healthcare for patients with mental illness or substance abuse. A discussion on the business of EMRs is addressed to understand the balancing act between the safety and business aspects of an EMR.

执行任务和错误分析研究以确定:a)医疗保健组织管理精神疾病或药物滥用患者的医疗保健过程;B)如何加强这一过程;c)从业务和安全的角度来看,电子病历(emr)是否在这一过程中发挥作用。研究的问题是电子病历是否在加强精神疾病或药物滥用患者的医疗保健方面发挥作用。本文将讨论电子病历的业务,以了解电子病历的安全和业务方面之间的平衡。
{"title":"Task and error analysis balancing benefits over business of electronic medical records.","authors":"Deborah Sater Carstens,&nbsp;Walter Rodriguez,&nbsp;Michael B Wood","doi":"10.1504/IJEH.2014.064333","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064333","url":null,"abstract":"<p><p>Task and error analysis research was performed to identify: a) the process for healthcare organisations in managing healthcare for patients with mental illness or substance abuse; b) how the process can be enhanced and; c) if electronic medical records (EMRs) have a role in this process from a business and safety perspective. The research question is if EMRs have a role in enhancing the healthcare for patients with mental illness or substance abuse. A discussion on the business of EMRs is addressed to understand the balancing act between the safety and business aspects of an EMR. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"331-48"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An ANN-based HRV classifier for cardiac health prognosis. 基于人工神经网络的HRV分类器对心脏健康预后的影响
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064332
Ramesh Kumar Sunkaria, Vinod Kumar, Suresh Chandra Saxena, Achala M Singhal

A multi-layer artificial neural network (ANN)-based heart rate variability (HRV) classifier has been proposed, which gives the cardiac health status as the output based on HRV of the patients independently of the cardiologists' view. The electrocardiogram (ECG) data of 46 patients were recorded in the out-patient department (OPD) of a hospital and HRV was evaluated using self-designed autoregressive-model-based technique. These patients suspected to be suffering from cardiac abnormalities were thoroughly examined by experienced cardiologists. On the basis of symptoms and other investigations, the attending cardiologists advised them to be classified into four categories as per the severity of cardiac health. Out of 46, the HRV data of 28 patients were used for training and data of 18 patients were used for testing of the proposed classifier. The cardiac health classification of each tested patient with the proposed classifier matches with the medical opinion of the cardiologists.

提出了一种基于多层人工神经网络(ANN)的心率变异性(HRV)分类器,该分类器以患者的心率变异性作为输出,独立于心脏病专家的观点。本文记录某医院门诊46例患者的心电图资料,采用自行设计的基于自回归模型的技术评估心率变异。这些怀疑患有心脏异常的病人由经验丰富的心脏病专家进行了彻底的检查。在症状和其他调查的基础上,主治心脏病专家建议他们根据心脏健康的严重程度分为四类。在46名患者中,28名患者的HRV数据用于训练,18名患者的数据用于测试所提出的分类器。用所提出的分类器对每个被测试患者的心脏健康分类与心脏病专家的医学意见相匹配。
{"title":"An ANN-based HRV classifier for cardiac health prognosis.","authors":"Ramesh Kumar Sunkaria,&nbsp;Vinod Kumar,&nbsp;Suresh Chandra Saxena,&nbsp;Achala M Singhal","doi":"10.1504/IJEH.2014.064332","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064332","url":null,"abstract":"<p><p>A multi-layer artificial neural network (ANN)-based heart rate variability (HRV) classifier has been proposed, which gives the cardiac health status as the output based on HRV of the patients independently of the cardiologists' view. The electrocardiogram (ECG) data of 46 patients were recorded in the out-patient department (OPD) of a hospital and HRV was evaluated using self-designed autoregressive-model-based technique. These patients suspected to be suffering from cardiac abnormalities were thoroughly examined by experienced cardiologists. On the basis of symptoms and other investigations, the attending cardiologists advised them to be classified into four categories as per the severity of cardiac health. Out of 46, the HRV data of 28 patients were used for training and data of 18 patients were used for testing of the proposed classifier. The cardiac health classification of each tested patient with the proposed classifier matches with the medical opinion of the cardiologists. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"315-30"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Role of mobile phone technology in health education in Asian and African countries: a systematic review. 移动电话技术在亚洲和非洲国家健康教育中的作用:系统回顾。
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064327
Madhusmita Sahu, Ashoo Grover, Ashish Joshi

The objective of this systematic review was to explore the role of mobile phone technologies in delivering health education programs in Asian and African countries. The search engine used was Pubmed during 2008-2011. Randomised controlled trials or controlled studies that improved health outcomes through delivery of health educational interventions using cell phone or text messaging were included in the review. Results showed studies from six Asian and African countries including Philippines, China, Kenya, South Korea, Taiwan and India. Mobile phone technology has shown to improve health outcomes for chronic disease conditions such as diabetes, heart disease and hypertension. Additional conditions include obesity and cardiopulmonary resuscitation guidance. Other studies have shown improvement in self management of breast cancer and post-hospitalisation HIV and pharmaceutical care. Overall results of the present review showed that mobile phone technologies can be a possible solution to improve healthcare outcome.

本系统综述的目的是探讨移动电话技术在亚洲和非洲国家提供健康教育项目中的作用。2008-2011年间使用的搜索引擎是Pubmed。通过使用手机或短信进行健康教育干预来改善健康结果的随机对照试验或对照研究被纳入综述。结果显示来自六个亚洲和非洲国家的研究,包括菲律宾、中国、肯尼亚、韩国、台湾和印度。移动电话技术已被证明可以改善糖尿病、心脏病和高血压等慢性病的健康状况。附加条件包括肥胖和心肺复苏指导。其他研究表明,乳腺癌的自我管理以及住院后艾滋病毒和药物护理有所改善。本综述的总体结果表明,移动电话技术可能是改善医疗保健结果的一种解决方案。
{"title":"Role of mobile phone technology in health education in Asian and African countries: a systematic review.","authors":"Madhusmita Sahu,&nbsp;Ashoo Grover,&nbsp;Ashish Joshi","doi":"10.1504/IJEH.2014.064327","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064327","url":null,"abstract":"<p><p>The objective of this systematic review was to explore the role of mobile phone technologies in delivering health education programs in Asian and African countries. The search engine used was Pubmed during 2008-2011. Randomised controlled trials or controlled studies that improved health outcomes through delivery of health educational interventions using cell phone or text messaging were included in the review. Results showed studies from six Asian and African countries including Philippines, China, Kenya, South Korea, Taiwan and India. Mobile phone technology has shown to improve health outcomes for chronic disease conditions such as diabetes, heart disease and hypertension. Additional conditions include obesity and cardiopulmonary resuscitation guidance. Other studies have shown improvement in self management of breast cancer and post-hospitalisation HIV and pharmaceutical care. Overall results of the present review showed that mobile phone technologies can be a possible solution to improve healthcare outcome. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"269-86"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 38
E-prescription as a tool for improving services and the financial viability of healthcare systems: the case of the Greek national e-prescription system. 电子处方作为改善服务和医疗保健系统财务可行性的工具:希腊国家电子处方系统的案例。
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064331
G Pangalos, V Sfyroeras, I Pagkalos

E-prescription systems can help improve patient service, safety and quality of care. They can also help achieve better compliance for the patients and better alignment with the guidelines for the practitioners. The recently implemented national e-prescription system in Greece already covers approximately 85% of all prescriptions prescribed in Greece today (approximately 5.5 million per month). The system has not only contributed already in significant changes towards improving services and better monitoring and planning of public health, but also substantially helped to contain unnecessary expenditure related to medication use and improve transparency and administrative control. Such issues have gained increasing importance not only for Greece but also for many other national healthcare systems that have to cope with the continuous rise of medication expenditure. Our implementation has, therefore, shown that besides their importance for improving services, national e-prescription systems can also provide a valuable tool for better utilisation of resources and for containing unnecessary healthcare costs, thus contributing to the improvement of the financial stability and viability of the overall healthcare system.

电子处方系统有助于改善患者服务、安全性和护理质量。它们还可以帮助患者更好地遵守规定,并更好地与从业人员的指导方针保持一致。希腊最近实施的国家电子处方系统已经覆盖了目前希腊所有处方的约85%(每月约550万张)。该系统不仅已经为改善服务和更好地监测和规划公共卫生作出了重大贡献,而且还大大有助于控制与药物使用有关的不必要支出,并提高透明度和行政控制。这些问题不仅对希腊越来越重要,而且对许多其他国家的医疗保健系统也越来越重要,这些系统必须应对不断上升的药物支出。因此,我们的实施表明,除了对改善服务的重要性外,国家电子处方系统还可以为更好地利用资源和控制不必要的医疗成本提供有价值的工具,从而有助于改善金融稳定性和整个医疗系统的可行性。
{"title":"E-prescription as a tool for improving services and the financial viability of healthcare systems: the case of the Greek national e-prescription system.","authors":"G Pangalos,&nbsp;V Sfyroeras,&nbsp;I Pagkalos","doi":"10.1504/IJEH.2014.064331","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064331","url":null,"abstract":"<p><p>E-prescription systems can help improve patient service, safety and quality of care. They can also help achieve better compliance for the patients and better alignment with the guidelines for the practitioners. The recently implemented national e-prescription system in Greece already covers approximately 85% of all prescriptions prescribed in Greece today (approximately 5.5 million per month). The system has not only contributed already in significant changes towards improving services and better monitoring and planning of public health, but also substantially helped to contain unnecessary expenditure related to medication use and improve transparency and administrative control. Such issues have gained increasing importance not only for Greece but also for many other national healthcare systems that have to cope with the continuous rise of medication expenditure. Our implementation has, therefore, shown that besides their importance for improving services, national e-prescription systems can also provide a valuable tool for better utilisation of resources and for containing unnecessary healthcare costs, thus contributing to the improvement of the financial stability and viability of the overall healthcare system. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"301-14"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line. 计算机化提供者订单输入系统对护理工作流程、患者安全和用药错误的影响:来自前线的观点。
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064328
Fatimah Alsweed, Anwar Alshaikh, Anwar Ahmed, Faisel Yunus, Mowafa Househ

There is a paucity of research on the impact of computerised provider order entry (CPOE) system on the front line staff. We assessed nurses perspectives of the impact of CPOE system implementation on their workflow, patient safety and medication errors in a Saudi Arabian hospital. We conducted a cross-sectional survey involving 112 nurses between April and May 2012. The workflow was easy to manage for nurses who rated CPOE training as of good quality (p = 0.001) and they found that CPOE helped in reducing medication errors (p = 0.001). The nurses who rated CPOE training as of good quality also stated that patient safety was better with CPOE implementation and its use (p < 0.05). Provision of adequate CPOE training improves nurses' perception of the system's role in their workflow, patient safety and medication errors, and is critical in the success of CPOE use and its long-term adoption.

关于计算机化供应商订单输入(CPOE)系统对一线工作人员的影响的研究很少。我们评估了沙特阿拉伯一家医院的护士对CPOE系统实施对其工作流程、患者安全和用药错误的影响。我们于2012年4 - 5月对112名护士进行了横断面调查。认为CPOE培训质量好的护士的工作流程易于管理(p = 0.001),他们发现CPOE有助于减少用药错误(p = 0.001)。认为CPOE培训质量良好的护士也表示,实施和使用CPOE后患者的安全性更好(p < 0.05)。提供充分的CPOE培训可以提高护士对该系统在其工作流程、患者安全和药物错误中的作用的认识,并且对于CPOE的成功使用和长期采用至关重要。
{"title":"Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line.","authors":"Fatimah Alsweed,&nbsp;Anwar Alshaikh,&nbsp;Anwar Ahmed,&nbsp;Faisel Yunus,&nbsp;Mowafa Househ","doi":"10.1504/IJEH.2014.064328","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064328","url":null,"abstract":"<p><p>There is a paucity of research on the impact of computerised provider order entry (CPOE) system on the front line staff. We assessed nurses perspectives of the impact of CPOE system implementation on their workflow, patient safety and medication errors in a Saudi Arabian hospital. We conducted a cross-sectional survey involving 112 nurses between April and May 2012. The workflow was easy to manage for nurses who rated CPOE training as of good quality (p = 0.001) and they found that CPOE helped in reducing medication errors (p = 0.001). The nurses who rated CPOE training as of good quality also stated that patient safety was better with CPOE implementation and its use (p < 0.05). Provision of adequate CPOE training improves nurses' perception of the system's role in their workflow, patient safety and medication errors, and is critical in the success of CPOE use and its long-term adoption. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"287-300"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Practising cloud-based telemedicine in developing countries. 在发展中国家实施基于云的远程医疗。
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057407
Juha Puustjärvi, Leena Puustjärvi

In industrialised countries, telemedicine has proven to be a valuable tool for enabling access to knowledge and allowing information exchange, and showing that it is possible to provide good quality of healthcare to isolated communities. However, there are many barriers to the widespread implementation of telemedicine in rural areas of developing countries. These include deficient internet connectivity and sophisticated peripheral medical devices. Furthermore, developing countries have very high patients-per-doctor ratios. In this paper, we report our work on developing a cloud-based health information system, which promotes telemedicine and patient-centred healthcare by exploiting modern information and communication technologies such as OWL-ontologies and SQL-triggers. The reason for using cloud technology is twofold. First, cloud service models are easily adaptable for sharing patients health information, which is of prime importance in patient-centred healthcare as well as in telemedicine. Second, the cloud and the consulting physicians may locate anywhere in the internet.

在工业化国家,远程医疗已被证明是一种宝贵的工具,有助于获取知识和进行信息交流,并表明有可能向孤立的社区提供高质量的医疗保健。然而,在发展中国家农村地区广泛实施远程医疗存在许多障碍。其中包括缺乏互联网连接和复杂的外围医疗设备。此外,发展中国家的病人/医生比率非常高。在本文中,我们报告了我们在开发基于云的健康信息系统方面的工作,该系统通过利用现代信息和通信技术(如owl本体和sql触发器)促进远程医疗和以患者为中心的医疗保健。使用云技术的原因有两个。首先,云服务模型很容易适应共享患者健康信息,这在以患者为中心的医疗保健和远程医疗中至关重要。其次,云和咨询医生可能位于互联网的任何地方。
{"title":"Practising cloud-based telemedicine in developing countries.","authors":"Juha Puustjärvi,&nbsp;Leena Puustjärvi","doi":"10.1504/IJEH.2013.057407","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057407","url":null,"abstract":"<p><p>In industrialised countries, telemedicine has proven to be a valuable tool for enabling access to knowledge and allowing information exchange, and showing that it is possible to provide good quality of healthcare to isolated communities. However, there are many barriers to the widespread implementation of telemedicine in rural areas of developing countries. These include deficient internet connectivity and sophisticated peripheral medical devices. Furthermore, developing countries have very high patients-per-doctor ratios. In this paper, we report our work on developing a cloud-based health information system, which promotes telemedicine and patient-centred healthcare by exploiting modern information and communication technologies such as OWL-ontologies and SQL-triggers. The reason for using cloud technology is twofold. First, cloud service models are easily adaptable for sharing patients health information, which is of prime importance in patient-centred healthcare as well as in telemedicine. Second, the cloud and the consulting physicians may locate anywhere in the internet. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"181-204"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31833343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
A need for a health IT portal to disseminate information about national health programmes in India. 需要一个卫生信息技术门户网站,以传播有关印度国家卫生方案的信息。
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057409
Anjali Nanda, Ashoo Grover, Ashish Joshi

The objective of our study is to evaluate information about the national health programmes in India, available over the internet and to study the challenges faced while acquiring this information. To achieve our objective, we used the key words national health programmes OR public health programmes OR health programs AND India in Google from January 1-January 10 2012, to find information about the existing health programmes. We chose first 20 web links across all the three search terms to yield 60 websites, which were then reviewed for their relevance. Only 16 websites were found to be relevant that met the inclusion criteria. The study showed that there was inadequate information about the existing national health programmes in India. This suggests a need to develop a national public health IT portal that can disseminate information about the various health programmes in a more structured manner and which is tailored to the needs of diverse group of stakeholders.

我们研究的目的是评估通过互联网提供的有关印度国家卫生规划的信息,并研究在获取这些信息时面临的挑战。为了实现我们的目标,我们从2012年1月1日至1月10日在谷歌中使用关键词“国家卫生计划”或“公共卫生计划”或“卫生计划和印度”来查找有关现有卫生计划的信息。我们在所有三个搜索词中选择了前20个网站链接,从而产生60个网站,然后对它们的相关性进行审查。只有16个网站符合纳入标准。该研究表明,关于印度现有国家卫生方案的信息不足。这表明有必要开发一个国家公共卫生信息技术门户网站,以更有条理的方式传播关于各种卫生方案的信息,并根据不同利益攸关方群体的需要进行调整。
{"title":"A need for a health IT portal to disseminate information about national health programmes in India.","authors":"Anjali Nanda,&nbsp;Ashoo Grover,&nbsp;Ashish Joshi","doi":"10.1504/IJEH.2013.057409","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057409","url":null,"abstract":"<p><p>The objective of our study is to evaluate information about the national health programmes in India, available over the internet and to study the challenges faced while acquiring this information. To achieve our objective, we used the key words national health programmes OR public health programmes OR health programs AND India in Google from January 1-January 10 2012, to find information about the existing health programmes. We chose first 20 web links across all the three search terms to yield 60 websites, which were then reviewed for their relevance. Only 16 websites were found to be relevant that met the inclusion criteria. The study showed that there was inadequate information about the existing national health programmes in India. This suggests a need to develop a national public health IT portal that can disseminate information about the various health programmes in a more structured manner and which is tailored to the needs of diverse group of stakeholders. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"221-35"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31833345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An empirical analysis of executive behaviour with hospital executive information systems in Taiwan. 台湾医院行政资讯系统对行政行为之实证分析。
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057411
Wei-Min Huang

Existing health information systems largely only support the daily operations of a medical centre, and are unable to generate the information required by executives for decision-making. Building on past research concerning information retrieval behaviour and learning through mental models, this study examines the use of information systems by hospital executives in medical centres. It uses a structural equation model to help find ways hospital executives might use information systems more effectively. The results show that computer self-efficacy directly affects the maintenance of mental models, and that system characteristics directly impact learning styles and information retrieval behaviour. Other results include the significant impact of perceived environmental uncertainty on scan searches; information retrieval behaviour and focused searches on mental models and perceived efficiency; scan searches on mental model building; learning styles and model building on perceived efficiency; and finally the impact of mental model maintenance on perceived efficiency and effectiveness.

现有的卫生信息系统在很大程度上只支持医疗中心的日常运作,无法产生行政人员决策所需的信息。在过去关于信息检索行为和通过心理模型学习的研究的基础上,本研究考察了医疗中心医院行政人员对信息系统的使用。它使用结构方程模型来帮助医院管理人员找到更有效地使用信息系统的方法。结果表明,计算机自我效能感直接影响心智模型的维持,系统特征直接影响学习方式和信息检索行为。其他结果包括感知环境不确定性对扫描搜索的显著影响;信息检索行为和焦点搜索对心理模型和感知效率的影响扫描搜索对心智模型构建的影响;基于感知效率的学习方式和模式构建最后是心理模型维护对感知效率和有效性的影响。
{"title":"An empirical analysis of executive behaviour with hospital executive information systems in Taiwan.","authors":"Wei-Min Huang","doi":"10.1504/IJEH.2013.057411","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057411","url":null,"abstract":"<p><p>Existing health information systems largely only support the daily operations of a medical centre, and are unable to generate the information required by executives for decision-making. Building on past research concerning information retrieval behaviour and learning through mental models, this study examines the use of information systems by hospital executives in medical centres. It uses a structural equation model to help find ways hospital executives might use information systems more effectively. The results show that computer self-efficacy directly affects the maintenance of mental models, and that system characteristics directly impact learning styles and information retrieval behaviour. Other results include the significant impact of perceived environmental uncertainty on scan searches; information retrieval behaviour and focused searches on mental models and perceived efficiency; scan searches on mental model building; learning styles and model building on perceived efficiency; and finally the impact of mental model maintenance on perceived efficiency and effectiveness. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"236-47"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31832159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Electronic Healthcare
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1