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1.
Rev Saude Publica ; 53: 111, 2019.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31800908

RESUMEN

OBJECTIVE: To describe the four types of horizon scanning (HS) outputs developed by the National Committee for Health Technology Incorporation (CONITEC) and show their main repercussions on the decision-making processes of the Brazilian Ministry of Health (MH). METHODS: Descriptive study based on participant observation and document analysis of HS outputs (internal reports, alert reports, briefs and sections for CONITEC recommendation reports) developed between January 2014 and July 2018. RESULTS: Fifteen internal reports, six alert reports, two briefs and 57 HS sections were produced. Each output has a specific structure according to its purpose. The methodological approach adopted for developing HS outputs in Brazil is described by EuroScan International Network. The outputs had institutional and international repercussions. The activities resulted in the inclusion of HS as a tool for reducing health lawsuits in the legal framework of the MH. One of the internal reports on a high-cost drug not approved in Brazil for a rare disease was requested by the Health Technology Assessments Network for the Americas (RedETSA), showing the international relevance of the outputs. The HS sections in recommendation reports influenced discussions about incorporating technologies into the Unified Health System. CONCLUSIONS: The developed outputs have purposes ranging from helping build arguments for defense of the MH in cases of health judicialization to inform decision-making processes. In addition, HS sections in recommendation reports have grown in importance recently. CONITEC's HS system has been structured, and its role as a tool to inform health managers has shown to be been relevant.


Asunto(s)
Tecnología Biomédica/tendencias , Toma de Decisiones , Evaluación de la Tecnología Biomédica/tendencias , Brasil , Sistemas de Información en Salud/tendencias , Humanos , Informe de Investigación , Factores de Tiempo
2.
Surg Infect (Larchmt) ; 20(7): 571-576, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31397635

RESUMEN

Background: The patient's history of present illness provides an important part of the data with which clinicians diagnose and treat. Once surgical patients are discharged, the ability to incorporate direct observation requires coordinating patient and provider for a clinical visit. Mobile technologies offer the ability to gather and organize the patient's history, supplement that history with photographs and other clinical observations, and convey those data accurately and rapidly to the entire clinical team. Methods: We review our experience with patient-generated health data in surgical site infection, draw parallels with similar work in other domains, and identify principles we have found useful. Results: Health information system implementations require substantial changes in provider workflow. Shared expectations between the patient and the surgical team, an incremental approach to change in clinical processes, and an emphasis on clinical utility all support successful implementation. Conclusions: The data collection and rapid information exchange afforded by monitoring post-operative, post-discharge patients using mobile technologies can support the expectations of both patients and providers and may provide a novel data source for public health surveillance of surgical site infection. Both uses of these data require careful attention to introducing changes in clinical workflow.


Asunto(s)
Manejo de la Enfermedad , Sistemas de Información en Salud/tendencias , Difusión de la Información/métodos , Datos de Salud Generados por el Paciente , Infección de la Herida Quirúrgica/diagnóstico por imagen , Flujo de Trabajo , Humanos
3.
Health Info Libr J ; 36(2): 109-110, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31166088

RESUMEN

Health library and information workers no longer find themselves restricted to presenting at purely local or national health-related library events, a diversity evidenced by the two conferences supported by CILIP's Health Libraries Group this month, June 2019. The Health Libraries Group is an official sponsor of #EBLIP10, the 10th international Evidence Based Library and Information Practice conference, which encourages us to think about the evidence we collect and use to inform practice. The Health Libraries Group also strengthens its links with EAHIL: The European Association of Health Information and Libraries by aligning the content of this year's Virtual Issue of the Health Information and Libraries Journal with EAHIL 2019s themes of evidence-based practice, impact & assessment, and technology uptake, available at: https://bit.ly/2PAZw2X.


Asunto(s)
Congresos como Asunto/tendencias , Sistemas de Información en Salud/tendencias , Humanos
4.
J Card Fail ; 25(1): 27-35, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30485789

RESUMEN

BACKGROUND: Merging United Network for Organ Sharing (UNOS) and Pediatric Health Information Systems databases has enabled a more granular analysis of pediatric heart transplant outcomes and resource utilization. We evaluated whether transplant indication at time of transplantation was associated with mortality, resource utilization, and inpatient costs during the first year after transplantation. METHODS AND RESULTS: We analyzed transplant outcomes and resource utilization from 2004 to 2015. Patients were categorized as congenital (CHD), myocarditis, or cardiomyopathy based on UNOS-defined primary indication. CHD complexity subgroup analyses (single-ventricle, complex, and simple biventricular CHD) were also performed. Of 2251 transplants (49% CHD, 5% myocarditis, 46% cardiomyopathy), CHD recipients were younger (2 [IQR 0-10], 6 [IQR 0-12], and 7 [IQR 1-14] years, respectively; P < .001) and less likely to have a ventricular assist device (VAD) at transplantation (3%, 27%, and 13%, respectively; P < .001). Patients with single-ventricle CHD had the longest time on the waitlist and were least likely to receive a VAD before transplantation. After adjusting for patient-level factors, transplant recipients with single-ventricle CHD had the greatest mortality during transplantation admission and within 1 year (odds ratio [OR] 11.8 [95% confidence interval (CI) 5.9-23.6] and OR 6.0 [95% CI 3.6-10.2], respectively, vs cardiomyopathy). Mortality was similar between patients with myocarditis and cardiomyopathy. Post-transplantation length of stay (LOS) was longer in transplant recipients with CHD than myocarditis or cardiomyopathy (25 [interquartile range [IQR] 15-45] vs 21 [IQR 12-35] vs 16 [IQR 12-25] days; P < .001), related in part to longer duration of intensive care unit-level care (ICU LOS 8 [IQR 4-20] vs 6 [IQR 4-13] vs 5 [IQR 3-8] days; P < .001). Similarly, patients with CHD had higher median post-transplantation costs than myocarditis or cardiomyopathy ($415K [IQR $201K-503K] vs $354K [IQR $179K-390K] vs $284K [IQR $145K-319K]; P < .001) that persisted after adjusting for patient-level factors (adjusted cost ratio 1.4 [95% CI 1.4-1.5], CHD vs cardiomyopathy) and was primarily driven by longer LOS. More than 50% were readmitted during the first year after transplantation, although readmission rates were similar across transplant indications (P = .42). CONCLUSIONS: Children with CHD, particularly single-ventricle patients, require substantially greater hospital resource utilization and have significantly worse outcomes during the first year after heart transplantation compared with other indications. Further work is aimed at identifying modifiable pre-transplantation risk factors, such as pre-transplantation conditioning with VAD support and cardiac rehabilitation, to improve post-transplantation outcomes and reduce resource utilization in this complex population.


Asunto(s)
Bases de Datos Factuales , Sistemas de Información en Salud , Insuficiencia Cardíaca/mortalidad , Trasplante de Corazón/mortalidad , Costos de Hospital , Aceptación de la Atención de Salud , Adolescente , Niño , Preescolar , Análisis de Datos , Bases de Datos Factuales/economía , Bases de Datos Factuales/tendencias , Femenino , Sistemas de Información en Salud/economía , Sistemas de Información en Salud/tendencias , Recursos en Salud/economía , Recursos en Salud/tendencias , Insuficiencia Cardíaca/economía , Insuficiencia Cardíaca/terapia , Trasplante de Corazón/economía , Trasplante de Corazón/tendencias , Costos de Hospital/tendencias , Hospitalización/economía , Humanos , Lactante , Masculino , Mortalidad/tendencias , Estudios Retrospectivos
5.
Geneve; WHO; 2019. 150 p.
Monografía en Inglés | BIGG | ID: biblio-1015312

RESUMEN

The key aim of this guideline is to present recommendations based on a critical evaluation of the evidence on emerging digital health interventions that are contributing to health system improvements, based on an assessment of the benefits, harms, acceptability, feasibility, resource use and equity considerations. This guideline urges readers to recognize that digital health interventions are not a substitute for functioning health systems, and that there are significant limitations to what digital health is able to address.


Asunto(s)
Sistemas de Salud/organización & administración , Telemedicina , Telemedicina/organización & administración , Cobertura Universal del Seguro de Salud , Sistemas de Información en Salud/tendencias
6.
Yakugaku Zasshi ; 138(12): 1517-1521, 2018.
Artículo en Japonés | MEDLINE | ID: mdl-30504667

RESUMEN

Along with an increase in self-care and self-medication practices, the use of health foods as primary and secondary methods of disease prevention has increased. Consumers are aware only of the health benefits of dietary ingredients, although the potential risks associated with most ingredients are unknown. Adverse events associated with the use of health foods have been reported, and in some cases they were due to inappropriate use such as the concomitant use of several health foods or health foods and drugs. It is important that healthcare professionals, especially pharmacists, provide reliable, evidence-based information to ensure the safe and appropriate use of dietary supplements by their patients. Thus, we constructed an online database, the "Health Foods Network (HFNet)" that compiles reports on the safety and effectiveness of health foods and their ingredients. It serves to disseminate information based on scientific research not only in Japan but also worldwide. This article provides an overview of the HFNet. Additionally, findings from our recent survey and educational interventions among college students are discussed. We hope that this article will be helpful for pharmacists and other healthcare professionals who provide consultations on the use of health foods.


Asunto(s)
Suplementos Dietéticos , Alimentos Funcionales , Análisis de Peligros y Puntos de Control Críticos , Sistemas de Información en Salud/tendencias , Suplementos Dietéticos/efectos adversos , Interacciones Alimento-Droga , Alimentos Funcionales/efectos adversos , Humanos , Farmacéuticos , Prevención Primaria , Derivación y Consulta , Riesgo , Prevención Secundaria , Autocuidado
7.
Rev Bras Enferm ; 71(6): 2945-2952, 2018.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-30517397

RESUMEN

OBJECTIVE: To analyze the diffusion of e-SUS Primary Care innovation in Family Health Teams. METHOD: A qualitative approach case study, based on Innovation Diffusion Theory and Technology Acceptance Model. We conducted 62 interviews and observation of professionals from Family Health Teams in six municipalities of Minas Gerais State, between March 2016 and January 2017. The data were treated through Categorical Thematic Content Analysis and, systematized, with Atlas.ti software . RESULTS: It was verified that although the e-SUS Primary Care strategy is recognized as a technological innovation, situations predominate that weaken its acceptance as: incompatibilities with the work process; sudden deployment, poor training; work overload; resistance; and negative impacts on health care. CONCLUSION: The diffusion of the e-SUS Primary Care strategy as a technological innovation has presented potential situations of its rejection, conforming as challenges to be overcome.


Asunto(s)
Eficiencia Organizacional/normas , Innovación Organizacional , Grupo de Atención al Paciente/tendencias , Atención Primaria de Salud/normas , Brasil , Eficiencia Organizacional/tendencias , Salud de la Familia/normas , Sistemas de Información en Salud/tendencias , Humanos , Atención Primaria de Salud/métodos , Investigación Cualitativa
8.
Health Info Libr J ; 35(4): 285-297, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30417971

RESUMEN

BACKGROUND: Nigeria's national health information system (HIS) data sources are grouped into institutional and population based data that traverse many government institutions. Communication and collaboration between these institutions are limited, fraught with fragmentation and challenges national HIS functionality. OBJECTIVES: The objective of this paper was to share insights from and the implications of a recent review of Nigeria's HIS policy in 2014 that resulted in its substantial revision. We also highlight some subsequent enactments. REVIEW PROCESS AND OUTCOMES: In 2013, Nigeria's Federal Ministry of Health launched an inter-ministerial and multi-departmental review of the National Health Management Information System policy of 2006. The review was guided by World Health Organization's 'Framework and Standards for Country Health Information Systems'. The key finding was a lack of governance mechanisms in the execution of the policy, including an absent data management governance process. The review also found a multiplicity of duplicative, parallel reporting tools and platforms. CONCLUSION: Recommendations for HIS Policy revisions were proposed to and implemented by the Federal Government of Nigeria. The revised HIS policy now provides for a strong framework for the leadership and governance of the HIS with early results.


Asunto(s)
Programas de Gobierno/métodos , Sistemas de Información en Salud/tendencias , Política de Salud , Programas de Gobierno/normas , Humanos , Motivación , Nigeria , Informe de Investigación
9.
Rev Med Chil ; 146(6): 780-785, 2018 Jun.
Artículo en Español | MEDLINE | ID: mdl-30148910

RESUMEN

Chile made several legal, practical and educational changes to the organ donation and transplant system in recent years, to improve its results. However, studies evaluating these reforms and suggesting further corrections are still pending. Our aim is to assess the new regulations and their reception by both the population and health care providers. Proposals are made to promote the development of a model of Chilean transplantation able to respond to the needs of the population.


Asunto(s)
Trasplante de Órganos/tendencias , Obtención de Tejidos y Órganos/tendencias , Chile , Sistemas de Información en Salud/tendencias , Humanos , Trasplante de Órganos/legislación & jurisprudencia , Obtención de Tejidos y Órganos/legislación & jurisprudencia , Listas de Espera
10.
Methods Inf Med ; 57(S 01): e43-e45, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-30016816

RESUMEN

This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. Funded by the German Federal Ministry of Education and Research with about 150 million Euro in its currently starting development and networking phase this initiative has already a significant impact on the development of health information systems in Germany. In this Focus Theme two editorials introduce this initiative, one from the viewpoint of its funding institution and one from the initiative's accompanying institutions. Then the initiative's four consortia DIFUTURE (Data Integration for Future Medicine), HiGHmed (Heidelberg-Göttingen-Hannover Medical Informatics), MIRACUM (Medical Informatics in Research and Care in University Medicine), and SMITH (Smart Medical Information Technology for Healthcare) present their concepts and plans. For better readability their manuscripts all contain three major sections on governance and policies, on architectural framework and methodology, and on use cases. As the German Medical Informatics Initiative is a large national experiment, we are convinced that communicating on this initiative already at this early stage to an international audience is of importance.


Asunto(s)
Sistemas de Información en Salud/tendencias , Registros Electrónicos de Salud , Alemania , Humanos
11.
Soc Sci Med ; 211: 123-130, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29935402

RESUMEN

In anthropology, interest in how values are created, maintained and changed has been reinvigorated. In this case study, we draw on this literature to interrogate concerns about the relationship between data collection and the delivery of patient care within global health. We followed a pilot study conducted in Kayunga, Uganda that aimed to improve the collection of health systems data in five public health centres. We undertook ethnographic research from July 2015 to September 2016 in health centres, at project workshops, meetings and training sessions. This included three months of observations by three fieldworkers; in-depth interviews with health workers (n = 15) and stakeholders (n = 5); and six focus group discussions with health workers. We observed that measurement, calculation and narrative practices could be assigned care-value or data-value and that the attempt to improve data collection within health facilities transferred 'data-value' into health centres with little consideration among project staff for its impact on care. We document acts of acquiescence and resistance to data-value by health workers. We also describe the rare moments when senior health workers reconciled these two forms of value, and care-value and data-value were enacted simultaneously. In contrast to many anthropological accounts, our analysis suggests that data-value and care-value are not necessarily conflicting. Actors seeking to make changes in health systems must, however, take into account local forms of value and devise health systems interventions that reinforce and enrich existing ethically driven practice.


Asunto(s)
Bases de Datos como Asunto/economía , Bases de Datos como Asunto/normas , Prestación de Atención de Salud/economía , Estudios de Casos y Controles , Recolección de Datos/ética , Recolección de Datos/tendencias , Grupos Focales , Sistemas de Información en Salud/normas , Sistemas de Información en Salud/tendencias , Humanos , Programas Nacionales de Salud/tendencias , Proyectos Piloto , Investigación Cualitativa , Uganda
12.
J Healthc Eng ; 2018: 6510249, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29670743

RESUMEN

Objective: This article objective is to highlight implementation characteristics, concerns, or limitations over role-based access control (RBAC) use on health information system (HIS) using industry-focused literature review of current publishing for that purpose. Based on the findings, assessment for indication of RBAC is obsolete considering HIS authorization control needs. Method: We have selected articles related to our investigation theme "RBAC trends and limitations" in 4 different sources related to health informatics or to the engineering technical field. To do so, we have applied the following search query string: "Role-Based Access Control" OR "RBAC" AND "Health information System" OR "EHR" AND "Trends" OR "Challenges" OR "Security" OR "Authorization" OR "Attacks" OR "Permission Assignment" OR "Permission Relation" OR "Permission Mapping" OR "Constraint". We followed PRISMA applicable flow and general methodology used on software engineering for systematic review. Results: 20 articles were selected after applying inclusion and exclusion criteria resulting contributions from 10 different countries. 17 articles advocate RBAC adaptations. The main security trends and limitations mapped were related to emergency access, grant delegation, and interdomain access control. Conclusion: Several publishing proposed RBAC adaptations and enhancements in order to cope current HIS use characteristics. Most of the existent RBAC studies are not related to health informatics industry though. There is no clear indication of RBAC obsolescence for HIS use.


Asunto(s)
Acceso a la Información , Seguridad Computacional/tendencias , Sistemas de Información en Salud/tendencias , Informática Médica/métodos , Algoritmos , Confidencialidad , Registros Electrónicos de Salud , Humanos , Comunicación Interdisciplinaria , Control de Calidad , Programas Informáticos
13.
Neurosurgery ; 83(4): 732-739, 2018 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-29029289

RESUMEN

BACKGROUND: Post-traumatic hydrocephalus (PTH) is a potentially treatable cause of poor recovery from traumatic brain injury (TBI) that remains poorly understood, particularly among children. OBJECTIVE: To better understand the risk factors for pediatric PTH using a large, multi-institutional database. METHODS: We conducted a retrospective cohort study using administrative data from 42 pediatric hospitals participating in the Pediatric Health Information System. All patients ≤21 yr surviving a hospitalization with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code for TBI were identified. The primary outcome was PTH, defined by an ICD-9-CM procedure code for surgical management of hydrocephalus within 6 mo. Data were analyzed using multivariable logistic regression. RESULTS: We identified 91 583 patients ≤21 yr with TBI, 846 of whom developed PTH. Odds of PTH were significantly higher in children <1 yr compared to older age groups. A total of 48.7% of PTH cases were victims of abuse (adjusted odds ratio [aOR] 2.62, 95% confidence interval [CI] 2.16-3.18). PTH was more common after craniotomy (aOR 1.60, 95% CI 1.30-1.97). Craniectomy without early cranioplasty was associated with markedly increased odds of PTH (aOR 3.67, 95% CI 2.66-5.07), an effect not seen in those undergoing cranioplasty within 30 d (aOR 1.19, 95% CI 0.75-1.89). CONCLUSION: PTH was seen in 0.9% of children who sustained a TBI and was more common in those <1 yr. Severe injury, abuse, and craniectomy with delayed cranioplasty were associated with greatly increased likelihood of PTH. Early cranioplasty in children who require craniectomy may reduce the risk for PTH.


Asunto(s)
Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Lesiones Traumáticas del Encéfalo/epidemiología , Sistemas de Información en Salud/tendencias , Hospitales Pediátricos/tendencias , Hidrocefalia/diagnóstico por imagen , Hidrocefalia/epidemiología , Adolescente , Niño , Preescolar , Estudios de Cohortes , Craneotomía/efectos adversos , Femenino , Humanos , Hidrocefalia/cirugía , Lactante , Masculino , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Factores de Riesgo , Tomografía Computarizada por Rayos X/tendencias , Adulto Joven
14.
Health Info Libr J ; 34(4): 290-292, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29265688

RESUMEN

This virtual issue (VI) has been assembled to coincide with the 8th Annual Patient Information Conference 2013 organised by the UK Patient Information Forum (PiF). The conference theme 'Information and support - a service in its own right' is a response to policy documents and initiatives in both Scotland and England which signal the coming of age of patient/consumer information. The VI consists of a collection of open access articles and addresses the question 'What can health science librarians do to ensure that the public are able to find, appraise and use health information?' This material provides research evidence, and examples of the types of initiatives librarians have undertaken to make information a health and care service in its own right. Two recurrent messages are that health science librarians need to form partnerships with healthcare providers and they have a role to play in improving health literacy skills.


Asunto(s)
Sistemas de Información en Salud/tendencias , Personal de Salud/tendencias , Sistemas de Información en Salud/organización & administración , Alfabetización en Salud/normas , Alfabetización en Salud/tendencias , Humanos , Reino Unido
15.
J Hosp Med ; 12(7): 536-543, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28699942

RESUMEN

BACKGROUND: Return visits (RVs) and RVs with admission (RVAs) are commonly used emergency department quality measures. Visit- and patient-level factors, including several social determinants of health, have been associated with RV rates, but hospital-specific factors have not been studied. OBJECTIVE: To identify what hospital-level factors correspond with high RV and RVA rates. SETTING: Multicenter mixed-methods study of hospital characteristics associated with RV and RVA rates. DATA SOURCE: Pediatric Health Information System with survey of emergency department directors. MEASUREMENTS: Adjusted return rates were calculated with generalized linear mixed-effects models. Hospitals were categorized by adjusted RV and RVA rates for analysis. RESULTS: Twenty-four hospitals accounted for 1,456,377 patient visits with an overall adjusted RV rate of 3.7% and RVA rate of 0.7%. Hospitals with the highest RV rates served populations that were more likely to have government insurance and lower median household incomes and less likely to carry commercial insurance. Hospitals in the highest RV rate outlier group had lower pediatric emergency medicine specialist staffing, calculated as full-time equivalents per 10,000 patient visits: median (interquartile range) of 1.9 (1.5-2.1) versus 2.9 (2.2-3.6). There were no differences in hospital population characteristics or staffing by RVA groups. CONCLUSION: RV rates were associated with population social determinants of health and inversely related to staffing. Hospital-level variation may indicate population-level economic factors outside the control of the hospital and unrelated to quality of care.


Asunto(s)
Servicio de Urgencia en Hospital/tendencias , Sistemas de Información en Salud/tendencias , Hospitales Pediátricos/tendencias , Cobertura del Seguro/tendencias , Readmisión del Paciente/tendencias , Adolescente , Niño , Preescolar , Servicio de Urgencia en Hospital/economía , Hospitales Pediátricos/economía , Humanos , Renta/tendencias , Lactante , Recién Nacido , Cobertura del Seguro/economía , Readmisión del Paciente/economía , Factores Socioeconómicos
16.
Int J Med Inform ; 103: 49-54, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28551001

RESUMEN

OBJECTIVES: Access to the Internet has grown dramatically over the past two decades. Using data from a population-based survey, we aimed to determine the prevalence and predictors of (i) access to the Internet, and (ii) use of the Internet to search for health information. METHODS: We analyzed data from the 2011-12 California Health Interview Survey (CHIS) and included all individuals 18 years of age and older. Our outcomes were (i) prior use of the Internet, and (ii) use of the Internet to find health or medical information within the past year. We performed survey-weighted logistic regression models on our outcomes to adjust for potentially confounding demographic and socioeconomic factors. RESULTS: Our study included an unweighted and survey-weighted sample of 42,935 and 27,796,484 individuals, respectively. We found that 81.5% of the weighted sample reported having previously used the Internet. Among Internet users, 64.5% stated that they used the Internet within the past year to find health or medical information. Racial/ethnic minorities, older individuals, and those who lived in lower income households and rural areas were less likely to have access to and use the Internet to search for health information. Conversely, English-proficiency and increasing levels of education were positively associated with online health information-seeking. CONCLUSIONS: We found that most Californians have access to and use the Internet to search for health information, but still noted a persistent digital divide. Interventions to narrow the divide are needed, otherwise this may lead to a continued widening of existing healthcare disparities.


Asunto(s)
Brecha Digital/tendencias , Sistemas de Información en Salud/tendencias , Recursos en Salud/tendencias , Internet/estadística & datos numéricos , Internet/tendencias , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , California , Estudios Transversales , Grupos Étnicos , Femenino , Sistemas de Información en Salud/estadística & datos numéricos , Recursos en Salud/estadística & datos numéricos , Disparidades en Atención de Salud , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
20.
Am J Phys Med Rehabil ; 96(9): 677-681, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27984221

RESUMEN

A complete understanding of the experience of health requires information relevant not merely to the health indicators of mortality and morbidity but also to functioning-that is, information about what it means to live in a health state, "the lived experience of health." Not only is functioning information relevant to healthcare and the overall objectives of person-centered healthcare but to the successful operation of all components of health systems.In light of population aging and major epidemiological trends, the health strategy of rehabilitation, whose aim has always been to optimize functioning and minimize disability, will become a key health strategy. The increasing prominence of the rehabilitative strategy within the health system drives the argument for the integration of functioning information as an essential component in national health information systems.Rehabilitation professionals and researchers have long recognized in WHO's International Classification of Functioning, Disability and Health the best prospect for an internationally recognized, sufficiently complete and powerful information reference for the documentation of functioning information. This paper opens the discussion of the promise of integrating the ICF as an essential component in national health systems to secure access to functioning information for rehabilitation, across health systems and countries.


Asunto(s)
Salud Global/tendencias , Sistemas de Información en Salud/tendencias , Difusión de la Información/métodos , Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud , Medicina Física y Rehabilitación/tendencias , Humanos
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