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21 September 2010

Scientific Articles

Studies in Health Technology and Informatics - Volume 160

• A New Approach for Goal-oriented Analysis of Healthcare Processes
  The development of efficient e-services for patient-centered healthcare requires insight into concrete problems in administrative and clinical work processes as well as an understanding of the strategic goals that should guide these healthcare processes. However, considering both concrete processrelated problems and high-level strategic goals during process analysis and solution design can be problematic. To address this, we propose a structured approach for analyzing both high- and low-level goals in a healthcare process and relating these to identified problems.
• Citizen Centric Architecture Approach - Taking e-health forward by integrating citizens and service providers
  In this paper, two related research problems will be discussed in the development of e-health services: First, an architectural approach is needed to provide a holistic view for solving the ICT challenges in e-health development. Second, solving the needs of the citizens should be the focus of the architecture solution.
• Implementation of a Secure and Interoperable Generic e-Health Infrastructure for Shared Electronic Health Records based on IHE Integration Profiles
  The ubiquitous availability of medical or care data for authorized clinicians and nurses is expected to increase quality while reducing costs in the health care sector. The standardized, distributed provision of medical or care data is capable to support the vision of patient centered shared electronic health records (SEHRs).
• SeReM
  Quality assurance is a major task with regard to Electronic Health Records (EHR). Currently there are only a few approaches explicitly dealing with the quality of EHR services as a whole. The objective of this paper is to introduce a new Meta-Model to structure and describe quality requirements of EHRs.
• eBug - teaching children hygiene principles using educational games.
  Technology enhanced education has been recently established as a new approach for all stages of education. However, among these new IT media it is computer games playing the central role in delivering education in particular to children and teenagers, however, real world sound evaluation is often given little attention.
• Barriers and facilitators that affect public engagement with eHealth services
  It is commonly accepted that public engagement with eHealth is beneficial. However, engagement is also variable. This article presents the findings of a review of published evaluation studies around eHealth services. A targeted search of MEDLINE, CINAHL and EMBASE returned 2622 unique abstracts. 50 articles met the inclusion criteria and were subjected to further analysis. 6 review articles were used for post hoc validation.
  
  

• Use of Informatics, EMRs Enable Genetic Study of Vascular Disease, Journal of the American Medical Informatics Association (JAMIA)
  Scientific research published in the current issue of the Journal of the American Medical Informatics Association (JAMIA) reports on a study of genetic variants that influence human susceptibility to peripheral arterial disease (PAD), made possible by leveraging electronic medical records (EMRs; also called EHRs or electronic health records). A team of authors from the Mayo Clinic Divisions of Cardiovascular Diseases and Biomedical Informatics and Statistics conducted the study and concluded that EMR-based data, used across institutions in a structured way, "offer great potential for diverse research studies, including those related to understanding the genetic bases of common diseases."
• Gaps in the systematic reviews of the telemedicine field, . J Telemed Telecare. 2010 Sep 14.
  No Abstract

eHealth Worldwide

• Africa: Monitoring diseases across borders: African regional integrative information systems. Stud Health Technol Inform. 2010;160:401-5.
  This paper discusses the importance of well-defined e-Health strategies within countries and, in addition, proposes that countries within regions collaborate in planning for health information exchange across borders. It is suggested that particular attention be paid to technical and data standards enabling interoperability, and also to issues of security, patient privacy and governance.
• Austria: Austria Selects CSC to Deliver Streamlined Patient Records Through Master Patient Index System (13 September 2010 - ehealthnews.eu)
  The system will allow healthcare professionals to perform a nationwide search of electronic patient records, which they will then able to access regardless of where they are stored. By using the application, health professionals will be able to see a detailed, single view of a patient’s medical record from any hospital or location.
• Colombia: Web-Based Asynchronous Teleconsulting for Consumers in Colombia: A 2-year Follow Up.Stud Health Technol Inform. 2010;160:559-63.
  Remote consultation was implemented in 2006 in our institution, through an open-access Web-based Teleconsulting service: Doctor Chat. This tool was created with the aim of improving access to health care services in Colombia, especially in underserved areas. Objective: The aim of this paper is to report our experience with the free Web-based application for teleconsultation.
• Japan: Empirical Analysis of the Reduction of Medical Expenditures by eHealth. Stud Health Technol Inform. 2010;160:754-8.
  This paper aims to examine reduction of medical expenditures by utilizing the system of Nishi-aizu Town, Fukushima Prefecture. The town office has been implementing it since 1994 and keeps receipts on medical expenditures of its approximately 4,000 residents paid by National Health Insurance for 5 years from 2002 to 2006. We select (1) users; and (2) non-users of the e-health system, and by comparing their medical expenditures, we examine: ...
• UK: Market Research for Online Communities in the NHS: A report to the NHS Institute for Innovation and Improvement (2010 - Institute of Employment Studies & NHS)
  There were four broad learning outcomes from the work, providing information on: what affects people’s use of online resources and why some networks work; how do people go about sharing ideas at the moment; what technologies are people using at present and for what purposes; and do people want a new network?
• US: HHS Awards $17 Million For Patient-Centered Research (7 September 2010 - Information Week)
  The Department of Health and Human Services has awarded nearly $17 million to establish a network of patient-centered outcomes research (PCOR) centers that will be supported by health IT, including electronic health record (EHR) and data management systems.

Opinions

• India: Bigger role envisaged for technology in healthcare (8 September 2010 - The Hindu)
  Panellists at a session on ‘Creating HealthNext' at ‘Connect 2010' hosted by the CII pointed out that while the country was beginning to see the benefits of adoption of IT in the distribution of smart cards and expanding the reach of medical expertise through telemedicine, technology was set to play a more critical role in healthcare.