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2.
Stud Health Technol Inform ; 264: 1126-1130, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438100

RESUMO

"Journalen" is a patient accessible electronic health record (PAEHR) and the national eHealth service for Sweden's citizens to gain access to their EHR. The Swedish national eHealth organization Inera, responsible for Journalen, created an inbox to receive voluntary user feedback about Journalen in order to improve the service from the user perspective. Based on voluntary user feedback via email. This study explored patients' experiences of using the national eHealth service and identified pros and cons. A mixed method content analysis was performed. In total, 1084 emails from 2016-2017 have been analyzed. 9 categories were identified, the most frequent ones related to questions about why some information was not accessible (due to regional differencies), feedback (including only positive or negative comments as well as constructive improvement suggestions), and emails about errors that user found in their record. These data can be successfully used to continuously improve an already implemented eHealth service.


Assuntos
Registros de Saúde Pessoal , Telemedicina , Registros Eletrônicos de Saúde , Retroalimentação , Humanos , Suécia
3.
Stud Health Technol Inform ; 264: 1150-1154, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438105

RESUMO

The negative effects of long-term stress on health outcomes are well-documented. Emerging technologies that harness mobile technologies have been linked to positive effects on stress management. However, the ways in which existing inter- and intrapersonal theories of behavior change are integrated into development processes of these mHealth technologies for stress coping are limited. In this paper, we present a novel theory-driven approach to develop and implement a sustainable mobile application for stress education and management. Specifically, we integrate the taxonomy of Behavior Change Techniques and user engagement framework to model and adapt theory-driven techniques in the context of mobile technologies. A total of 12 behavior change techniques were incorporated into our mobile application. Initial user evaluation and usability testing was conducted. Results indicate heuristic modifications could improve overall delivery of content, and potential user satisfaction is likely. We conclude that this novel approach may have implications well beyond stress management.


Assuntos
Aplicativos Móveis , Telemedicina , Terapia Comportamental , Satisfação Pessoal
4.
Stud Health Technol Inform ; 264: 1516-1517, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438209

RESUMO

Scientific challenges based on benchmark data enable the comparison and evaluation of different algorithms and take place regularly in scientific disciplines like medical image processing, text mining or genetics. The idea of a challenge is rarely applied within the eHealth community. Mappathon is a metadata mapping challenge that asks for methods to find corresponding data elements within similar datasets and to correlate data elements among each other.


Assuntos
Metadados , Telemedicina , Algoritmos , Mineração de Dados , Processamento de Imagem Assistida por Computador
5.
Wiad Lek ; 72(7): 1343-1349, 2019.
Artigo em Polonês | MEDLINE | ID: mdl-31398167

RESUMO

Telemedicine is a relatively new form of medicine and healthcare combining elements of telecommunications, IT and medicine. Telemedicine is also increasingly important in Poland. Currently, the law allows for the provision of medical health services using ICT systems. For physicians in practice the most important is the possibility of teleconsultation. The public payer (National Health Fund) is financing in Poland the teleconsylum cardiology and geriatrics. The subject of the article is the presentation of the possibility of providing medical teleconsultations in the Polish healthcare system.


Assuntos
Consulta Remota , Telemedicina , Assistência à Saúde , Serviços de Saúde , Polônia
6.
Stud Health Technol Inform ; 263: 49-63, 2019 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-31411152

RESUMO

mHealth can offer great potential for the self-management of health conditions and facilitating health services. It is therefore imperative that the design of mHealth systems afford optimum efficacy and effectiveness. Involving end users in collaborative decision making is an essential aspect of increasing acceptance of the treatment intervention. Involving users in the design and evaluation of mHealth systems helps to enable a better understanding of the complexity of user needs and how to incorporate this information effectively into the design process. This chapter discusses how Activity Theory can help to provide a theoretical lens for a User Centred Design framework in the design of mHealth systems. A general overview of Activity Theory and User Centred Design are provided, followed by their application in mHealth. Two use cases are provided that demonstrate how Activity Theory has helped provide a broader contextual analysis to a User Centred iterative approach to system design and evaluation.


Assuntos
Autogestão , Telemedicina , Interface Usuário-Computador , Computadores , Humanos
7.
Stud Health Technol Inform ; 264: 935-939, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438061

RESUMO

Chronic diseases are the leading cause of morbidity, disability and mortality worldwide. It is well established that the majority of chronic diseases can be prevented by targeting modifiable lifestyle-related risk factors. Thus, early risk assessment and mitigation at the individual level can significantly reduce the health and economic burden of chronic diseases. Lifetime health has emerged as a potential paradigm to assist individuals to avoid harmful lifestyle-related habits to reduce the risk of chronic morbidity. In this paper, we leverage eHealth and Quantified Self technologies, novel health data visualizations, and artificial intelligence methods to develop a digital-based lifetime health platform (PRISM) to empower individuals to self-assess, self-monitor, and self-manage their risks for multiple chronic diseases and associated morbidities.


Assuntos
Multimorbidade , Medição de Risco , Telemedicina , Doença Crônica , Humanos , Fatores de Risco
8.
Stud Health Technol Inform ; 264: 954-958, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438065

RESUMO

Conducting evaluation and monitoring of national eHealth implementation aligned with national eHealth strategies should be prioritized concerning the insufficient scientific evidence and the current challenges in measuring eHealth effects and impacts where most approaches aim to measure at the micro level. This study aimed to build an evaluation and monitoring framework for national eHealth, using the Swedish national eHealth strategy as example, and to develop the process in doing so. Combining both top-down and bottom-up approaches, the WHO-ITU national eHealth strategy toolkit, as a systematic guidance, and two Swedish reports were used for development of the framework. Experts' opinions on the framework were collected and converged by the Delphi technique. The final draft suggested a framework containing 19 eHealth outcomes, 13 eHealth outputs, and 107 eHealth outcome and output indicators for 4 prioritized stakeholders, which can support comprehensive measurements to follow up the current advancement of eHealth in Sweden.


Assuntos
Telemedicina , Assistência à Saúde , Técnica Delfos , Suécia
9.
Stud Health Technol Inform ; 264: 1012-1016, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438077

RESUMO

Despite similar policy goals, the adoption of eHealth practices took different paths in Austria (AT), Switzerland (CH), and Germany (GER). We seek to provide a rigorous analysis of the current state of hospitals by focusing on three key eHealth areas: electronic patient records (EPR), health information exchange (HIE), electronic patient communication. For validation and in order to gain better contextual insight we applied a mixed method approach by combining survey results from clinical directors with qualitative interview data from eHealth experts of all three countries. Across countries, EPR adoption rates were reported highest (AT: 52%, CH: 78%, GER: 50%), HIE-rates were partly lower (AT: 52%, CH: 14%, GER: 17%), and electronic patient communication was reported lowest overall (AT: 17%, CH: 8%, GER: 19%). Amongst others, results indicate patient awareness about eHealth to be equally weak across countries, which thus may be an important focal point of future policy initiatives.


Assuntos
Metas , Telemedicina , Áustria , Alemanha , Humanos , Suíça
10.
Stud Health Technol Inform ; 264: 1075-1079, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438090

RESUMO

In order to realise the potential benefits of eHealth, governments develop eHealth policies to define and prioritise initiatives, the strategic goals and the resulting benefits. During the 23 years with eHealth policies in Denmark only a few status reports with a systematic and transparent evaluation have been made. This paper advocates a more systematic approach to strategic planning of development and implementation of eHealth systems, by encouraging the concept of evidence-based policy making through analysis of how focus of the Danish eHealth policies have evolved. The Danish eHealth policies have very different framings following the different focus points for the policies. Interestingly, strategies for evaluating the devolopment of eHealth and eHealth policies were very sparcely noted in the policies. For the first time the de-emphasising of evaluations of eHealth policies in Denmark has been empirically demonstrated, thus undermining the objective of obtaining evidence-based eHealth policies.


Assuntos
Informática Médica , Telemedicina , Dinamarca , Política de Saúde , Formulação de Políticas
11.
Stud Health Technol Inform ; 264: 1710-1711, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438305

RESUMO

Using telemedicine to provide care is an attractive alternative for patients. However, few studies have examined the demographics of the patients using virtual care. In this paper, we investigate the demographic features of the Virtual Care (VC) users; Age, gender, roles, and preferred methods of communication are studied.


Assuntos
Comunicação , Telemedicina , Demografia , Humanos , Interface Usuário-Computador
12.
Stud Health Technol Inform ; 264: 1722-1723, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438311

RESUMO

eHealth system users need adequate, timely access to health-related information; including the functionality of alerting and notifications on events. This was addressed through requirements engineering techniques. The analysis resulted in a requirements' list and architecture based on IHE standards. Patients, professionals and administrators were identified as main actors, core notification attributes were type and transport channel, and notifications always event-triggered. One challenge is system-based data access events, potentially leading to an invalid triggering of events.


Assuntos
Registros Eletrônicos de Saúde , Telemedicina , Acesso à Informação , Humanos
13.
Medicine (Baltimore) ; 98(33): e16847, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31415411

RESUMO

The aim of the present study was to explore the application and its effect of mobile medical treatment to chronic disease health management in physical examination population, and to provide references for comprehensive intervention and management of chronic diseases.From January to December 2016, 300 medical examiners in a general hospital health management center were randomly divided into health management group (155 cases) and control group (145 cases). The control group completed routine physical examination and health-risk assessment and provided corresponding reports, repeated annual physical examination and health-risks assessment. In addition to the routine physical examination and health-risk assessment, the health management group reminded the examiners to pay attention to their lifestyle and dietary habits by moving online and offline dynamic health interventions and provide targeted guidance for high-risk population such as diabetes, obesity, hypertension, etc. A review was made after 2 years. The clinical indexes and chronic disease behavior of patients before and after management were compared, and the effect was evaluated by statistical analysis.After management, all the clinical indexes were significantly improved, and the patients' dietary structure, bad living habits, psychologic state, and other chronic disease behaviors were obviously improved. The proportion of patients with high risk of hypertension, diabetes, and obesity in health management group was significantly lower than that before intervention and control group (P < .05).Using mobile network online, offline dynamic health intervention model can reduce the risk of common chronic diseases in health management objects, this health management model of chronic disease is worth popularizing.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/métodos , Dieta Saudável/estatística & dados numéricos , Adulto , Doenças Cardiovasculares/epidemiologia , Estudos de Casos e Controles , Doença Crônica/prevenção & controle , Diabetes Mellitus/epidemiologia , Feminino , Dieta Saudável/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Melhoria de Qualidade , Medição de Risco/métodos , Telemedicina
14.
Stud Health Technol Inform ; 264: 1223-1227, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438120

RESUMO

Community health workers in primary care programs increasingly use Mobile Health Data Collection Systems (MDCSs) to report their activities and conduct health surveys, replacing paper-based approaches. The mHealth systems are inherently privacy invasive, thus informing individuals and obtaining their consent is important to protect their rights to privacy. In this paper, we introduce an e-Consent tool tailored for MDCSs. It is developed based on the requirement analysis of consent management for data privacy and built upon the solutions of Participant-Centered Consent toolkit and Consent Receipt specification. The e-Consent solution has been evaluated in a usability study. The study results show that the design is useful for informing individuals on the nature of data processing, allowing them to make informed decisions.


Assuntos
Privacidade , Telemedicina , Inquéritos Epidemiológicos , Humanos , Consentimento Livre e Esclarecido , Saúde Pública
15.
Stud Health Technol Inform ; 264: 1233-1237, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438122

RESUMO

For those specialized in geriatric medicine, telemedicine innovations provide a new alternative to in-person follow-up care, allowing clinicians to connect and treat patients with more convenience. Telemedicine will likely play a vital role in reaching underserved populations in remote areas. This study investigates first impressions of a telemedicine-based delirium assessment tool. The overall response from participants is positive, supporting the theory that these types of tools will be welcome within the geriatric patient population. Feedback surrounding interactions with the interface are also positive, showing that while many elderly patients may refrain from working with tablets daily, they can successful interact with the tool when needed for care reasons. While this study and sample size are not all-inclusive regarding the diversity of patients and distinct challenges, it serves as a preliminary step towards future research exploring the feasibility and acceptability of such tools within this specific population.


Assuntos
Alta do Paciente , Telemedicina , Idoso , Assistência à Saúde , Seguimentos , Humanos , Unidades de Terapia Intensiva
16.
Stud Health Technol Inform ; 264: 1253-1257, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438126

RESUMO

The training and competence of healthcare professionals are key factors in adopting new eHealth services. The scope of eHealth is broadening from information systems to eHealth services such as patient portals supporting self-management, which create a need for new competencies. In this study, we evaluated clinical leaders' eHealth competencies and training needs in two public healthcare organizations in Finland. The target organizations' goal was to increase the number of patients' eHealth services and clinical leaders were seen as critical in this change. Data were collected through an online survey of 98 clinical leaders working in two healthcare organizations. The results imply that managing change and planning implementation are challenging to clinical leaders. They need more information about eHealth services, their possibilities, and benefits in order to support their subordinates and patients. The clinical leaders seem to be in a critical role in supporting healthcare professionals and avoiding resistance to change.


Assuntos
Portais do Paciente , Autogestão , Telemedicina , Finlândia , Pessoal de Saúde , Humanos
17.
Stud Health Technol Inform ; 264: 1313-1317, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438138

RESUMO

To prevent cardiovascular diseases, eHealth solutions may be used as tools, involving health care consumers in the set-up of their prevention plan, a fundamental condition for improving their long-term adherence to the plan. This paper presents the first step in a web platform design aiming to support the co-elaboration by health care consumers and clinicians of personalized prevention plans. Applying a user driven innovation approach, first, a questionnaire and semi-structured interviews were combined to identify clinicians' needs. Then, three focus group sessions with consumers and clinicians were organized to identify their needs, creating the system workflows, its graphical user interface, and its navigation paths, with the best ideas shaped by paper mockups. An interactive mockup was designed including 30 screens (ex. user dashboards, desk for co-elaborating plan). This user driven approach enabled to design not only the technology and its graphical user interface, but also a prevention plan design process.


Assuntos
Doenças Cardiovasculares , Telemedicina , Assistência à Saúde , Grupos Focais , Humanos
18.
Stud Health Technol Inform ; 264: 1323-1326, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438140

RESUMO

Telehealth is available world-wide and in addition to clinical uses, it can also be used to provide education for health professionals, supporting e-Networking. However, within New Zealand the uptake and widespread use of telehealth remains low, and why telehealth is not used more is not understood. This study describes nurse educators use of telehealth for education and identifies barriers and facilitators to increase the uptake of telehealth amongst nurse educators. An on-line survey administered using Survey Monkey had a response rate of 57% (n = 19). Equipment that was not user friendly and a lack of initial training were recognised as barriers to their uptake of telehealth. Telehealth training and support, and local champions were identified facilitators to increase the uptake of telehealth. Recommendations include the need for early adopting nurse educators to be recognised and encouraged, to role model good practice in telehealth, and mentor and support others.


Assuntos
Telemedicina , Docentes de Enfermagem , Pessoal de Saúde , Humanos , Nova Zelândia , Inquéritos e Questionários
19.
Stud Health Technol Inform ; 264: 1347-1351, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438145

RESUMO

The goal of this study was to illustrate the translation of our extant eHealth intervention (VIP) into an mHealth app for persons living with HIV (PLWH) with HIV-Associated non-AIDS (HANA) conditions, a new clinical problem. We integrated different quantitative and qualitative methodologies from different disciplines to accomplish the task of adapting an eHealth system for a new set of clinical problems. Building off of our past development of the VIP website, we used a multi-modal, iterative user-centered design process to develop the VIP-HANA app. Our process was used to better understand the needs of a national sample of PLWH recruited online. Findings from the usability evaluation demonstrate a potentially useful and easy to use app. Integration of multi-modal methodologies from different fields to accomplish the tasks of adaptation and evaluation of a mobile app is an appealing, rigorous and useful approach.


Assuntos
Infecções por HIV , Aplicativos Móveis , Telemedicina , HIV , Humanos , Motivação
20.
Stud Health Technol Inform ; 264: 1356-1360, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438147

RESUMO

Although e-health is an area recognized as essential in the rapid development of healthcare systems in low resource contexts, many challenges prevent the emergence of an effective e-health ecosystem. Lack in capacity around health informatics is one of the main challenges. Based on a longitudinal case study gathering data pertaining to a master's program in biomedical informatics in Sri Lanka designed for doctors, in this paper we demonstrate that creating 'hybrid doctors' may be the way forward. We illustrate how hybrid doctors conversant in healthcare and information and communication technology (ICT) are able to facilitate the creation of an e-health ecosystem in a way that it would contribute significantly to the ICT driven healthcare reforms. Through this case study we highlight the importance of multidisciplinarity, participatory design, strategic investments, learning that aligns with developmental needs, networking, gaining legitimacy and re-packaging perspectives on 'health informatics capacity development'.


Assuntos
Informática Médica , Médicos , Telemedicina , Ecossistema , Humanos , Sri Lanka
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