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1.
Washington; Organización Panamericana de la Salud; jul. 02, 2020.
Não convencional em Inglês, Espanhol | LILACS | ID: biblio-1104269

RESUMO

En apenas unos meses, la pandemia de COVID-19 ha alterado profundamente todos los sectores de la sociedad: nuestra forma de vivir, de gobernarnos, de desplazarnos, de trabajar y de estudiar, así como la manera en que las naciones y nosotros mismos manejamos la salud. En resumen, ha alterado muchas estructuras sociales que creíamos firmemente establecidas. En el caso del sector de la salud pública, se han extraído muchas enseñanzas que permitirán mejorar la respuesta a las pandemias en el futuro, además de mejorar el sistema de salud desde la perspectiva de los sistemas de información para la salud y, finalmente, de la salud digital.


In just a few months, the COVID-19 pandemic has had a disruptive impact on all sectors of society: on how we live, how we govern ourselves, how we mobilize, how we work, how we educate ourselves, and how nations manage and how we manage our health ourselves. In short, it has targeted many social structures that we believed to be fixed. As for the public health sector, many lessons have emerged to improve the response to future pandemics but also to improve the health system from the perspective of information systems for health and finally of digital health.


Assuntos
Pneumonia Viral/epidemiologia , Sistemas de Informação/organização & administração , Telemedicina/organização & administração , Infecções por Coronavirus/epidemiologia , Sistemas de Informação em Saúde/organização & administração , Betacoronavirus , Quarentena , Pandemias
2.
Indian J Public Health ; 64(Supplement): S117-S124, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32496240

RESUMO

Digital health interventions are globally playing a significant role to combat coronavirus disease 2019 (COVID-19), which is an infectious disease caused by Severe Acute Respiratory Syndrome coronavirus 2. Here, we present a very brief overview of the multifaceted digital interventions, globally, and in India, for maintaining health and health-care delivery, in the context of the Covid-19 pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Sistemas de Informação/organização & administração , Aplicativos Móveis , Pneumonia Viral/epidemiologia , Inteligência Artificial , Betacoronavirus , Confidencialidade , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Diagnóstico Precoce , Educação em Saúde/métodos , Humanos , Internet das Coisas/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Prevenção Primária/organização & administração , Design de Software , Telemedicina/métodos , Telemedicina/organização & administração , Dispositivos Eletrônicos Vestíveis
3.
Int J Health Serv ; 50(3): 264-270, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32517569

RESUMO

The early 2020 response to COVID-19 revealed major gaps in public health systems around the world as many were overwhelmed by a quickly-spreading new coronavirus. While the critical task at hand is turning the tide on COVID-19, this pandemic serves as a clarion call to governments and citizens alike to ensure public health systems are better prepared to meet the emergencies of the future, many of which will be climate-related. Learning from the successes as well as the failures of the pandemic response provides some guidance. We apply several recommendations of a recent World Health Organization Policy Brief on COVID-19 response to 5 key areas of public health systems - governance, information, services, determinants, and capacity - to suggest early lessons from the coronavirus pandemic for climate change preparedness. COVID-19 has demonstrated how essential public health is to well-functioning human societies and how high the economic cost of an unprepared health system can be. This pandemic provides valuable early warnings, with lessons for building public health resilience.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Pneumonia Viral/epidemiologia , Fortalecimento Institucional/organização & administração , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/prevenção & controle , Nível de Saúde , Humanos , Sistemas de Informação/organização & administração , Saúde Mental , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Administração em Saúde Pública
4.
Metas enferm ; 23(1): 50-57, feb. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-189187

RESUMO

OBJETIVO: analizar las experiencias del uso del sistema e-SUS AB (Estrategia del Sistema única de Salud de la Atención Básica) en un municipio brasileño, y explorar si da soporte al proceso de trabajo y a la gestión local. MÉTODO: investigación cualitativa, efectuada en el estado de São Paulo, a través de entrevistas semiestructuradas a 17 profesionales de la Atención Primaria de Salud que utilizan el Sistema e-SUS AB. Se realizó análisis temático empleando el conjunto de elementos de la lógica procesual DICCA (Dato, Información, Conocimiento, Comunicación y Acción). RESULTADOS: fueron obtenidos cinco temas: Uso restringido de los Sistemas de Información en Salud (SIS) (falta de habilidad de los profesionales sobre el uso de las herramientas del sistema, limitándose a la introducción de datos); Necesidad de entender para poder utilizar (los profesionales no identifican de manera inmediata el valor que tiene registrar y usar los SIS en el proceso de cuidado de la salud); Fallos en la comunicación interprofesional (son percibidos privilegios de uso del sistema para profesionales de medicina, lo que interfiere en la prestación de cuidados interdisciplinares); Fortalezas del sistema e-SUS AB (los elementos de calidad del sistema, como es el aumento de información accesible, repercuten positivamente en la organización del trabajo); y Debilidades del sistema e-SUS AB (deficiencias tecnológicas, el registro en los múltiples sistemas y la falta de herramientas para facilitar la sistematización de la atención enfermera, hacen que el trabajo no sea eficiente). CONCLUSIONES: aunque se han producido importantes avances con la Estrategia e-SUS AB, el colapso en la comunicación y la permanencia de los profesionales en hábitos relacionados a SIS normativos dificultan la necesaria visión ampliada para completar los procesos decisorios que se precisan en el ámbito local


OBJECTIVE: to analyze the experiences of use with the e-SUS AB system (Unified Health System Strategy for Primary Care) in a Brazilian district, and to explore whether it supports the work process and local management. METHOD: a qualitative research conducted in the state of São Paulo, through semi-structured interviews with 17 Primary Care health professionals using the e-SUS AB system. Thematic analysis was conducted, using the set of elements from the DIKCA procedural logic (Data, Information, Knowledge, Communication and Action). RESULTS: five subjects were retrieved: Restricted use of the Health Information Systems (HIS) (lack of ability by professionals to use the tools of the system, and merely entering data); Need to understand in order to use (professionals cannot identify immediately the value to record and use HIS in the healthcare process); Failures in communication between professionals (the perception of privileges for using the system by medical professionals, which interferes in interdisciplinary patient care); Strengths of the e-SUS AB system (the quality elements of the system, such as the increase in accessible information, have a positive impact in the organization of work); and Weaknesses of the e-SUS AB system (technological deficiencies, recording in multiple systems, and lack of tools to facilitate the systematization of nursing care, leading to lack of work efficiency). CONCLUSIONS: even though there have been major advances with the e-SUS AB strategy, the collapse in communication and the permanence of professionals in habits associated with regulatory HIS prevents the wider vision necessary in order to complete the decision-making processes required at local level


Assuntos
Humanos , Masculino , Feminino , Adulto , Sistemas de Informação/organização & administração , Atenção Primária à Saúde , Recursos Humanos de Enfermagem/estatística & dados numéricos , Brasil , Sistemas Locais de Saúde , Pesquisa Qualitativa , Política de Saúde , Carga de Trabalho , Inquéritos e Questionários/estatística & dados numéricos , Comunicação Interdisciplinar
5.
Artigo em Português | LILACS | ID: biblio-1116064

RESUMO

O presente trabalho busca detalhar uma experiência pioneira de desenvolvimento de um sistema de informação em saúde voltado para subsidiar a gestão com base em evidências junto à atenção primária à saúde (APS). O processo de estruturação de programas e políticas públicas muitas vezes se dá sem acesso às melhores evidências científicas. Nesse contexto, o Sistema Integrado de Informações Mais Médicos (SIMM), aqui descrito, materializou um esforço para suprir a lacuna de informações para a gestão em saúde. Criado com objetivo de integrar os dados das principais fontes de informação relativas ao Projeto de Cooperação entre governo brasileiro e Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/ OMS) para provimento de médicos no Programa Mais Médicos (PMM), o SIMM buscou otimizar a geração e a consolidação de informações que possam subsidiar decisões, além de apoiar o controle administrativo e financeiro. A experiência ilustra o desenvolvimento de uma solução auxiliar que pode ser ampliada para monitorar parâmetros de recursos humanos em saúde não apenas no PMM, mas na APS como um todo. A expertise desenvolvida criou condições para que o sistema pudesse ser configurado como um bem público, para além do suporte à gestão de um projeto em específico. O sistema pode ser adaptado e replicado em outros países das Américas para melhorar a disponibilidade e a qualidade das informações utilizadas por tomadores de decisão.(AU)


The present work provides details about a novel experience involving the development of a health information system focused on supporting evidence-based management at the primary health care (PHC) level. The process of structuring public health programs and policies is often developed without access to the best available scientific evidence. In this context, the proposed system (Sistema Integrado de Informações Mais Médicos, SIMM) materializes the effort to bridge the information gap for health management. Created with the aim of integrating data from the main information sources associated with the Cooperation Project between the Brazilian federal government and the Pan American Health Organization/World Health Organization (PAHO/ WHO) for provision of physicians for the More Doctors Program, SIMM strove to optimize the generation and consolidation of information to support decision-making, in addition to providing support for administrative and financial control. The experience illustrates the development of an ancillary solution that can be expanded to monitor human resources for health parameters across the entire PHC setting, far beyond the More Doctors Program. The resulting expertise created conditions for the system to be configured as a public asset, rather than being restricted to providing managerial support for a specific project. SIMM may be adapted and replicated in other American countries to improve the availability and quality of the information used by decision makers.(AU)


En el presente trabajo se detalla una experiencia pionera de desarrollo de un sistema de información de salud centrado en apoyar la gestión basada en la evidencia en el nivel de la atención primaria de salud. Muchas veces, el proceso de estructuración de los programas y políticas públicas se realiza sin acceso a las mejor evidencia científica. En ese contexto, el sistema integrado de información de Mais Médicos (SIMM) que se describe aquí materializó un esfuerzo para suplir la carencia de información para la gestión en materia de salud. El SIMM, creado con el objetivo de integrar los datos de las principales fuentes de información relativas al proyecto de cooperación entre el Gobierno del Brasil y la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS) para la provisión de médicos destinados al programa Más Médicos, se utilizó para optimizar la generación y consolidación de información a fin de sustentar las decisiones, además de servir de apoyo para el control administrativo y financiero. La experiencia ilustra el desarrollo de una solución complementaria que puede ampliarse para observar los parámetros de recursos humanos en salud no solo en el programa Más Médicos, sino en todo el ámbito de la atención primaria de salud. La pericia adquirida creó condiciones propicias para poder configurar el sistema como un bien público, con miras a ampliar su alcance más allá del apoyo a la gestión de un proyecto específico. Es posible adaptar y reproducir el sistema en otros países de la Región de las Américas para mejorar la disponibilidad y la calidad de la información utilizada por los responsables de tomar decisiones.(AU)


Assuntos
Atenção Primária à Saúde/organização & administração , Sistemas de Informação/organização & administração , Sistemas de Informação Administrativa , Disseminação de Informação , Política Informada por Evidências , Programas Nacionais de Saúde/organização & administração , Brasil
7.
J Med Syst ; 44(1): 2, 2019 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-31741069

RESUMO

Heterogeneity of people with diabetes makes maintaining blood glucose control and achieving therapy adherence a challenge. It is fundamental that patients get actively involved in the management of the disease in their living environments. The objective of this paper is to evaluate the use and acceptance of a self-management system for diabetes developed with User Centered Design Principles in community settings. Persons with diabetes and health professionals were involved the design, development and evaluation of the self-management system; which comprised three iterative cycles: scenario definition, user archetype definition and system development. A comprehensive system was developed integrating modules for the management of blood glucose levels, medication, food intake habits, physical activity, diabetes education and messaging. The system was adapted for two types of principal users (personas): Type 1 Diabetes user and Type 2 Diabetes user. The system was evaluated by assessing the use, the compliance, the attractiveness and perceived usefulness in a multicenter randomized pilot study involving 20 patients and 24 treating professionals for a period of four weeks. Usage and compliance of the co-designed system was compared during the first and the last two weeks of the study, showing a significantly improved behaviour of patients towards the system for each of the modules. This resulted in a successful adoption by both type of personas. Only the medication module showed a significantly different use and compliance (p= 0.01) which can be explained by the different therapeutic course of the two types of diabetes. The involvement of patients to make their own decisions and choices form design stages was key for the adoption of a self-management system for diabetes.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Troca de Informação em Saúde/estatística & dados numéricos , Telemedicina/métodos , Automonitorização da Glicemia , Diabetes Mellitus Tipo 1/psicologia , Diabetes Mellitus Tipo 2/psicologia , Humanos , Sistemas de Informação/organização & administração , Sistemas de Alerta/estatística & dados numéricos
8.
J Med Syst ; 43(11): 321, 2019 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-31591653

RESUMO

The technology of Internet of Things (IoT) has appealed to both professionals and the general public to its convenience and flexibility. As a crucial application of IoT, telecare medicine information system (TMIS) provides people a high quality of life and advanced level of medical service. In TMIS, smart card-based authenticated key agreement schemes for multi-server architectures have gathered momentum and positive impetus due to the conventional bound of a single server. However, we demonstrate that most of the protocols in the literatures can not implement strong security features in TMIS, such as Lee et al.'s and Shu's scheme. They store the identity information directly, which fail to provide strong anonymity and suffer from password guessing attack. Then we propose an extended authenticated key agreement scheme (short for AKAS) with strong anonymity for multi-server environment in TMIS, by enhancing the security of the correlation parameters stored in the smart cards and calculating patients' dynamic identities. Furthermore, the proposed chaotic map-based scheme provides privacy protection and is formally proved under Burrows-Abadi-Needham (BAN) logic. At the same, the informal security analysis attests that the AKAS scheme not only could resist the multifarious security attacks but also improve efficiency by 21% compared with Lee et al.'s and Shu's scheme.


Assuntos
Segurança Computacional/normas , Confidencialidade/normas , Telemedicina/métodos , Cartões Inteligentes de Saúde , Humanos , Sistemas de Informação/organização & administração , Internet das Coisas/organização & administração , Telemedicina/normas
9.
J Med Syst ; 43(10): 320, 2019 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-31522262

RESUMO

Blockchain in healthcare applications requires robust security and privacy mechanism for high-level authentication, interoperability and medical records sharing to comply with the strict legal requirements of the Health Insurance Portability and Accountability Act of 1996. Blockchain technology in the healthcare industry has received considerable research attention in recent years. This study conducts a review to substantially analyse and map the research landscape of current technologies, mainly the use of blockchain in healthcare applications, into a coherent taxonomy. The present study systematically searches all relevant research articles on blockchain in healthcare applications in three accessible databases, namely, ScienceDirect, IEEE and Web of Science, by using the defined keywords 'blockchain', 'healthcare' and 'electronic health records' and their variations. The final set of collected articles related to the use of blockchain in healthcare application is divided into three categories. The first category includes articles (i.e. 43/58 scientific articles) that attempted to develop and design healthcare applications integrating blockchain, particularly those on new architecture, system designs, framework, scheme, model, platform, approach, protocol and algorithm. The second category includes studies (i.e., 6/58 scientific articles) that attempted to evaluate and analyse the adoption of blockchain in the healthcare system. Finally, the third category comprises review and survey articles (i.e., 6/58 scientific articles) related to the integration of blockchain into healthcare applications. The final articles for review are discussed on the basis of five aspects: (1) year of publication, (2) nationality of authors, (3) publishing house or journal, (4) purpose of using blockchain in health applications and the corresponding contributions and (5) problem types and proposed solutions. Additionally, this study provides identified motivations, open challenges and recommendations on the use of blockchain in healthcare applications. The current research contributes to the literature by providing a detailed review of feasible alternatives and identifying the research gaps. Accordingly, researchers and developers are provided with appealing opportunities to further develop decentralised healthcare applications through a comprehensive discussion of about the importance of blockchain and its integration into various healthcare applications.


Assuntos
Blockchain/normas , Segurança Computacional/normas , Sistemas de Informação/organização & administração , Confidencialidade , Registros Eletrônicos de Saúde/normas , Sistemas de Informação/normas , Motivação
10.
Health Res Policy Syst ; 17(1): 79, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31399114

RESUMO

BACKGROUND: Interest in value-based healthcare, generally defined as providing better care at lower cost, has grown worldwide, and learning health systems (LHSs) have been proposed as a key strategy for improving value in healthcare. LHSs are emerging around the world and aim to leverage advancements in science, technology and practice to improve health system performance at lower cost. However, there remains much uncertainty around the implementation of LHSs and the distinctive features of these systems. This paper presents a conceptual framework that has been developed in Canada to support the implementation of value-creating LHSs. METHODS: The framework was developed by an interdisciplinary team at the Institut national d'excellence en santé et en services sociaux (INESSS). It was informed by a scoping review of the scientific and grey literature on LHSs, regular team discussions over a 14-month period, and consultations with Canadian and international experts. RESULTS: The framework describes four elements that characterise LHSs, namely (1) core values, (2) pillars and accelerators, (3) processes and (4) outcomes. LHSs embody certain core values, including an emphasis on participatory leadership, inclusiveness, scientific rigour and person-centredness. In addition, values such as equity and solidarity should also guide LHSs and are particularly relevant in countries like Canada. LHS pillars are the infrastructure and resources supporting the LHS, whereas accelerators are those specific structures that enable more rapid learning and improvement. For LHSs to create value, such infrastructures must not only exist within the ecosystem but also be connected and aligned with the LHSs' strategic goals. These pillars support the execution, routinisation and acceleration of learning cycles, which are the fundamental processes of LHSs. The main outcome sought by executing learning cycles is the creation of value, which we define as the striking of a more optimal balance of impacts on patient and provider experience, population health and health system costs. CONCLUSIONS: Our framework illustrates how the distinctive structures, processes and outcomes of LHSs tie together with the aim of optimising health system performance and delivering greater value in health systems.


Assuntos
Sistema de Aprendizagem em Saúde/organização & administração , Canadá , Prática Clínica Baseada em Evidências/organização & administração , Gastos em Saúde , Humanos , Sistemas de Informação/organização & administração , Liderança , Objetivos Organizacionais , Avaliação de Processos e Resultados em Cuidados de Saúde/organização & administração , Satisfação do Paciente , Políticas
11.
J Med Syst ; 43(9): 290, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31332535

RESUMO

Big data analytics enables large-scale data sets integration, supporting people management decisions, and cost-effectiveness evaluation of healthcare organizations. The purpose of this article is to address the decision-making process based on big data analytics in Healthcare organizations, to identify main big data analytics able to support healthcare leaders' decisions and to present some strategies to enhance efficiency along the healthcare value chain. Our research was based on a systematic review. During the literature review, we will be presenting as well the different applications of big data in the healthcare context and a proposal for a predictive model for people management processes. Our research underlines the importance big data analytics can add to the efficiency of the decision-making process, through a predictive model and real-time analytics, assisting in the collection, management, and integration of data in healthcare organizations.


Assuntos
Big Data , Interpretação Estatística de Dados , Tomada de Decisões , Assistência à Saúde/organização & administração , Administração de Recursos Humanos/métodos , Análise Custo-Benefício , Ciência de Dados , Previsões , Humanos , Sistemas de Informação/organização & administração , Gestão do Conhecimento , Indicadores de Qualidade em Assistência à Saúde
12.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 862-867, jul.-set. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005593

RESUMO

Objetivo: Avaliar a influência das ações de alimentação dos Sistemas de Informação utilizados na Atenção Primária a Saúde (APS) sobre os cuidados de enfermagem ao indivíduo ou comunidade. Método: Pesquisa quantitativa, com enfermeiros da Atenção Primária. Utilizaram-se os testes ANOVA one-way, Kruskal-Wallis e correlação de Spearman com significância de 5% e confiança de 95%. Resultados: A maioria dos enfermeiros era mulher (94,5%), 34,4 anos de idade, 8,8 anos de formação, sendo 7,6 anos atuando na atenção primária, especialista e concursada. Observou-se associação negativa (p-valor = 0,008) entre tempo destinado às atividades de alimentação dos sistemas e o tempo de atenção aos pacientes. Conclusão: O estudo aponta a influência das ações gerenciais voltadas aos sistemas de informação sobre a atenção prestada aos indivíduos/comunidade


Objective: To evaluate the influence of the feeding actions of the Information Systems used in Primary Health Care (PHC) on nursing care to the individual or community. Methods: Quantitative research with primary care nurses. One-way ANOVA, Kruskal-Wallis and Spearman correlation with significance of 5% and 95% confidence were used. Results: The majority of the nurses were women (94.5%), 34.4 years old, 8.8 years of training, and 7.6 years working in primary care, specialist and bankrupt. A negative association (p-value = 0.008) was observed between time spent feeding the systems and patient care time. Conclusion: The study points out the influence of the managerial actions directed to the information systems on the attention given to the individuals / community


Objetivo: Evaluar la influencia de las acciones de alimentación de los Sistemas de Información utilizados en la Atención Primaria a la Salud (APS) sobre los cuidados de enfermería al individuo o comunidad. Método: Investigación cuantitativa, con enfermeros de la Atención Primaria. Se utilizaron las pruebas ANOVA de una forma, Kruskal-Wallis y correlación de Spearman con significancia del 5% y confianza del 95%. Los resultados: La mayoría de los enfermeros eran mujeres (94,5%), 34,4 años de edad, 8,8 años de formación, siendo 7,6 años actuando en la atención primaria, especialista y concursada. Se observó asociación negativa (p-valor = 0,008) entre tiempo destinado a las actividades de alimentación de los sistemas y el tiempo de atención a los pacientes. Conclusión: El estudio apunta la influencia de las acciones gerenciales dirigidas a los sistemas de información sobre la atención prestada a los individuos / comunidad


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Sistemas de Informação/organização & administração , Troca de Informação em Saúde , Cuidados de Enfermagem , Sistema Único de Saúde
14.
BMC Health Serv Res ; 19(1): 268, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-31035979

RESUMO

Concern among the public and policymakers about current and future major staff shortages is increasing. Strengthening Human Resource (HR) practices and adopting HR technologies such as Human Resource Information Systems (HRIS), that can collect, store and report workforce data are often described as a potential solution to this problem. Indeed, examples from other industries show that HRIS can help to launch or manage, as well as provide ongoing insights concerning the whole career cycle of an employee. However, few of the existing studies that discuss technology or its impacts on the future of work have focused on health organizations, and those that do have not received sufficient attention in health literature. Furthermore, such contributions as there have been have either prioritized a particular type of technology or focused mainly on the effect of automation on health professionals' work. They have thus overlooked the full range of possible uses of these technologies and, specifically, have neglected the topic of HR for Health (HRH) management in health organizations. The primary aim of this paper is to address this lacuna, with specific reference to the existing categorization of HR technological disruptions. To conclude, health organizations and the health and HR professionals who work within them need to use HRIS responsibly, finding a balance between the drive for innovation, productivity and efficiency and respect for all potential legal, ethical and compliance issues, as well as taking account of the importance of HRH wellbeing and satisfaction.


Assuntos
Sistemas de Informação/organização & administração , Sistemas de Informação Administrativa/normas , Administração de Recursos Humanos/normas , Assistência à Saúde , Pessoal de Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Sistemas de Informação Administrativa/tendências , Administração de Recursos Humanos/tendências
15.
Technol Health Care ; 27(5): 473-485, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31127737

RESUMO

BACKGROUND: Due to environmental factors such as nutrient intake imbalance, lack of exercise, and increased stress, it is necessary to control nutrition in order to prevent diseases and provide treatment in terms of healthcare. OBJECTIVE: This study proposes the activity-based nutrition management model with the use of the cluster analysis of similar group for healthcare. METHODS: The proposed method is to conduct the cluster analysis of similar group for nutrition management and to develop the real-time activity information based nutrition management algorithm with the use of big data in order to improve the quality of healthcare management service. It is to re-process an existing nutrition database and add voice recognition function in line with the service so as to improve convenience of intake-food inputs. In addition, the Bluetooth Low Energy (BLE) communication based standard collection of bio signals occurring in real-time is developed. This study also proposes the method of improving an existing algorithm of drawing a daily recommended allowance with the use of real-time activity information, and the proposed service provides the essential information of nutrition management with the use of public big data. RESULTS: To verify the developed technology and service model and its effectiveness, the nutrition management service system is designed and developed with human interface. CONCLUSIONS: The developed health model helps to solve the obesity problem, save medical costs, and address the issue of national health.


Assuntos
Dieta , Promoção da Saúde/organização & administração , Qualidade da Assistência à Saúde/organização & administração , Telemedicina/organização & administração , Adulto , Algoritmos , Big Data , Análise por Conglomerados , Feminino , Preferências Alimentares , Humanos , Sistemas de Informação/organização & administração , Internet , Pessoa de Meia-Idade , República da Coreia , Interface Usuário-Computador , Dispositivos Eletrônicos Vestíveis , Adulto Jovem
18.
Med Teach ; 41(4): 385-390, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30973801

RESUMO

Advances in technology make it possible to supplement in-person teaching activities with digital learning, use electronic records in patient care, and communicate through social media. This relatively new "digital learning environment" has changed how medical trainees learn, participate in patient care, are assessed, and provide feedback. Communication has changed with the use of digital health records, the evolution of interdisciplinary and interprofessional communication, and the emergence of social media. Learning has evolved with the proliferation of online tools such as apps, blogs, podcasts, and wikis, and the formation of virtual communities. Assessment of learners has progressed due to the increasing amounts of data being collected and analyzed. Digital technologies have also enhanced learning in resource-poor environments by making resources and expertise more accessible. While digital technology offers benefits to learners, the teachers, and health care systems, there are concerns regarding the ownership, privacy, safety, and management of patient and learner data. We highlight selected themes in the domains of digital communication, digital learning resources, and digital assessment and close by providing practical recommendations for the integration of digital technology into education, with the aim of maximizing its benefits while reducing risks.


Assuntos
Comunicação , Educação Médica/organização & administração , Meio Ambiente , Sistemas de Informação/organização & administração , Aprendizagem , Competência Clínica/normas , Segurança Computacional/normas , Educação Médica/normas , Gestão da Informação em Saúde/organização & administração , Humanos , Internet , Meio Social , Mídias Sociais/organização & administração
19.
Am J Epidemiol ; 188(5): 814-817, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-30877290

RESUMO

In 2018, the Society for Epidemiologic Research and its partner journal, the American Journal of Epidemiology, assembled a working group to develop a set of papers devoted to the "future of epidemiology." These 14 papers covered a wide range of topic areas and perspectives, from thoughts on our profession, teaching, and methods to critical areas of substantive research. The authors of those papers considered current challenges and future opportunities for research and education. In light of past commentaries, 4 papers also include reflections on the discipline at present and in the future.


Assuntos
Epidemiologia/organização & administração , Epidemiologia/tendências , Pesquisa/organização & administração , Pesquisa/tendências , Big Data , Métodos Epidemiológicos , Epidemiologia/educação , Epidemiologia/normas , Comportamentos Relacionados com a Saúde , Humanos , Sistemas de Informação/organização & administração , Publicações Periódicas como Assunto , Saúde Pública , Pesquisa/normas , Universidades/organização & administração , Universidades/tendências
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