International Journal of Electronic Healthcare最新文献

This paper describes the design, development and testing of a pre-hospital documentation and patient monitoring application called iRevive. The application utilises a sensor gateway and data mediator to enable semantic interoperability with a wide variety of medical devices and applications. Initial test results indicate that complete and consistent pre-hospital Electronic Medical Records (EMR) can be semantically exchanged with two heterogeneous, in-hospital IT applications.

This paper discusses about automation of business processes in healthcare system. Increasing population puts tremendous pressure on the hospital management to improve their efficiency while maintaining quality of services to patients. Automation of healthcare services has been used as a strategy to meet objectives of providing quality of services as well for providing information across all the departments in a seamless manner. The methodology adopted was primary data collection through interviews with staff, doctors and administration department of a hospital. It is observed that automation enhances efficiency in patient handling and also provide satisfactory solutions to the patients.

As citizens find healthcare issues to be the most important for companies to address, cause-branding as a suitable analysis for competitive comparison of any healthcare insurance firm's CSR would be in order. When these healthcare issues are properly addressed through CSR programmes of appropriate service providers, society benefits from better health, and the company benefits from decreased claims. Possible backlash of negative publicity may occur when stakeholders envision the company as merely contributing to community welfare as a means of advertising its compassion in exchange for a greater portion of the healthcare insurance marketplace. Several healthcare insurance providers were inspected, one in greater detail, on a series of principles grounded in cause-branding strategies were included in the case study of CSR initiatives, followed by the practical applications of lessons learned from the case studies.

A wearable healthcare monitoring unit that integrates various technologies was developed to provide patients with the option of leading a healthy and independent life without risks or confinement to medical facilities. The unit consists of various sensors integrated to a microcontroller and attached to the patient's body, reading vital signs and transmitting these readings via a Bluetooth link to the patient's mobile phone. Short-Messaging-Service (SMS) is incorporated in the design to alert a physician in emergency cases. Additionally, an application program running on the mobile phone uses the internet to update (at regular intervals) the patient records in a hospital database with the most recent readings. To reduce development costs, the components used were both off-the-shelf and affordable.

The implementation of new Information Technology (IT) has been a persistent target for improving FDA review intervals. Three main categories of new drugs are studied: New Drug Application (NDA), the Supplemental New Drug Application (SNDA) and the Abbreviated New Drug Application (ANDA). This paper finds that the median review time for an ANDA was significantly longer than that of an NDA and SDNA. A comparison of application class medians revealed significant differences. Regardless of the recent focus on IT implementations at the FDA pertaining to review intervals, that focus has not yet yielded a statistically significant improvement in review times.

The technology developed for interoperable autonomous systems has significantly changed during the past few years. In particular, XML is rapidly becoming the key standard for data representation and transportation. However, the introduction of XML is not enough but many other XML-based technologies have to be deployed in order to achieve a seamless interoperability between the organisations of the healthcare sector. In this article we have restricted ourselves on electronic prescription systems and on the chances that Semantic Web technologies can provide. In particular, we report our work on medicinal ontologies and how they can be exploited (i) in providing querying facilities on electronic prescriptions and (ii) in achieving semantic interoperability between medicinal information systems. Especially, we introduced our adopted RDF-based messaging and show its gains over XML-based messaging.

A survey with 324 respondents was conducted to explore factors influencing Japanese consumers' intentions to use the internet for the purchase of contact lenses. Analysis of the results revealed four types of consumers: (a) those who were strongly against using contact lenses and as a result did not intend to use the internet for their purchase, (b) those who had positive attitudes towards use of the internet for purchasing contact lenses, (c) those who preferred the current situation of purchasing contact lenses without using the internet and (d) those who were not unfavourable to purchase contact lenses via the internet.

The aim of this paper is to describe the development and use of a computer simulation model that can be used as a Decision Support System (DSS) to tackle the critical public health issues of HIV and HIV-related tuberculosis in the Russian Federation. This country has recently witnessed an explosion of HIV infections and a worrying spread of the Multi-Drug Resistant form of Tuberculosis (MDRTB). The conclusions drawn are that a high population coverage with Highly Active Anti-Retroviral Treatment (HAART) (75% or higher), allied with high MDRTB cure rates, reduces cumulative deaths by 60%, with limited impact below this level. This research offers a simulation model that can be applied as a DSS by public health officials to inform policy making. By doing so, ways of controlling the spread of HIV and MDRTB and reduce mortality from these serious public health threats is provided.

Technology in healthcare environments has increasingly become a vital way to communicate vital information in a safe, reliable, precise and secure manner. Healthcare is an arena that is constantly changing and very fast paced, but adoption of electronic prescribing (e-prescribing) has been comparatively slow and painful in the USA. Medical professionals need a system to communicate medications and diagnosis, with patients' safety as the major consideration, especially with the many complexities associated with drug-interactions and allergies. Via multivariate analysis and linear regression analysis, it was found that degree of e-prescribing acceptance is highly predictable by constructs of Technological Sophistication, Operational Factors and Maturity Factors, which are very stable ease-of-use variables derived from the TAM Model by Davis (1989).