International Journal of Electronic Healthcare最新文献

The aim of this study is to look into the social utility of personalised electronic health using the home-based healthcare as a case study. For this purpose research was carried out based on a review of the literature, resulting in a drawing of the following conclusions: (a) the existence of personalised electronic health, customised to the needs of every patient, has emerged as a social necessity in modern societies; (b) there are multiple applications of electronic health for the needs of society (electronic health records, electronic card, telemedicine); (c) personalised home-based electronic healthcare is socially invaluable for patients in that it ensures to all of them equal access to care in their home, for health professionals in that it improves the quality and efficacy of the healthcare they provide, for the economy since it reduces the cost of care, for society in general through guaranteeing to all optimal healthcare.

Telecardiology is the use of telemedicine for remote cardiological monitoring and healing. The international shift from traditional healthcare to electronic healthcare and the various telecardiology solutions available worldwide motivated our efforts to design and develop the e-Herophilus platform implementing a strategy to improve the quality and reliability of telecardiology in Greece. Our primary goal was to develop a national standard to consider the needs of rural, urban and telehomecare cardiological services provision ranging from children to adults and the elderly. We describe herein the strategy adopted to achieve this goal. The design and implementation of the e-Herophilus telecardiology platform has taken into account the World Health Organization recommendations for e-health. Its innovation is the personalised, 24-hour monitoring of 12-lead ECG both in wired and wireless networks. Further, we discuss different personalised approaches in the e-Herophilus platform from its initial implementation to the final clinical practice. We conclude with recommendations regarding the use of the e-Herophilus platform.

A framework is required to guide online Interprofessional Education (IPE) (Casimiro et al., 2009). The purpose of this paper is to present such a framework: W(e)Learn. W(e)Learn can be used as a quality standard and a guide to design, develop, deliver and evaluate online IPE in both pre- and post-qualification educational settings. The framework is presented in the spirit that educational programs have defining features that, when carefully designed with the appropriate blend of factors, can help achieve desired outcomes. W(e)Learn must now be applied in various contexts to assess its constructs and its applicability.

This paper developed a business value increasing model for electronic hospital (e-hospital) based on electronic value chain analysis. From this model, 58 hospital electronic business (e-business) solutions were developed. Additionally, this paper investigated the adoption patterns of these 58 e-business solutions within six US leading hospitals. The findings show that only 36 of 58 or 62% of the e-business solutions are fully or partially implemented within the six hospitals. Ultimately, the research results will be beneficial to managers and executives for accelerating e-business adoptions for e-hospital.

Technological advancements have migrated from personal-use electronics into the healthcare setting for security enhancements. Within maternity ward and nurseries, technology was seen as one of best way to protect newborns from abduction. Through hypothesis-testing and exploratory analysis, gender biases and extremely high levels of security were found within a web-enabled and professional sample of 200 respondents. As evident in the hypothesis-testing and exploratory aspects of the present study, security of neonatal care is paramount and people are willing to select a healthcare provider based on their reputation in providing technological solutions to the issue of security. For females, they were statistically more concerned than males with the 11 major independent variables that made up the Hospital Security System (HSS) factor-based construct, such as changes in hospital security and creation of software/hardware packages and technology being used to protect infants comforts the expecting patients. Although there were significant differences among gender concerning the degree of support for HSS-related applications, such technology-based systems were on top of the list in the factor analysis as the most important factor in selecting a hospital for expecting parents to give birth.

Heart rate and Heart Rate Variability (HRV) are important measures that reflect the state of the cardiovascular system. HRV analysis has gained prominence in the field of cardiology for detecting cardiac abnormalities. This paper presents the study made on the use of linear (time domain and frequency domain) and nonlinear measures of heart rate variability for accurate classification of certain cardiac diseases. Three different classifiers, viz. Random Forests, Logistic Model Tree and Multilayer Perceptron Neural Network have been used for the classification. Data for use in this work has been obtained from the standard ECG databases in the Physionet website. Classification has been attempted using linear parameters, nonlinear parameters and combined. The classification results indicate that the combination of linear and nonlinear measures is a better indicator of heart diseases than linear or nonlinear measures alone. The results obtained by this study are comparable with those obtained with other techniques cited in the literature.

Health information represents the main basis for health decision-making process and there have been some efforts to increase access to health information in developing countries. However, most of these efforts are based on the internet which has minimal penetration especially in the rural and sub-urban part of developing countries. In this work, a platform for medical record acquisition via the ubiquitous 2.5G/3G wireless communications technologies is presented. The National Hospital Management Portal (NHMP) platform has a central database at each specific country's national hospital which could be updated/accessed from hosts at health centres, clinics, medical laboratories, teaching hospitals, private hospitals and specialist hospitals across the country. With this, doctors can have access to patients' medical records more easily, get immediate access to test results from laboratories, deliver prescription directly to pharmacists. If a particular treatment can be provided to a patient more effectively in another country, NHMP makes it simpler to organise and carry out such treatment abroad.

Wireless solutions are a good choice for healthcare development in Finland. A survey of 135 experts in Finland show that (1) the competences needed for developing wireless solutions exist (2) the Finnish healthcare system is integrated enough and (3) the technology industry in this area is too weak for global marketing. The following recommendations can be concluded: (1) Cooperate internationally (2) Develop integrated solutions and health managing concepts for the important health problems (such as diabetes), (3) Harness the healthcare system to act as a test bed for new solutions and (4) Help companies to grow and take global roles.

Hospital managers have a large range of information needs including quality metrics, financial reports, access information needs, educational, resourcing and decision support needs. Currently these needs involve interactions by managers with numerous disparate systems, both electronic such as SAP, Oracle Financials, PAS' (patient administration systems) like HOMER, and relevant websites; and paper-based systems. Hospital management information systems (HMIS) can be thought of sitting within a Technology Ecosystem (TE). In addition, Hospital Management Information Systems (HMIS) could benefit from a broader and deeper TE model, and the HMIS environment may in fact represents its own TE (the HMTE). This research will examine lessons from the health literature in relation to some of these issues, and propose an extension to the base model of a TE.