Science Articles Archive
April 200853 posts, 20 posts per page.
Göransson, Ola et al, Medical and Care Compunetics 5, 2008
The aim of this survey was to examine health care professional’s attitudes towards technology involving support from artificial intelligence (AI), robots and humanoids. Within 10-15 years, every third student has to choose occupation within the health care sector to obtain the current personal level, due to the aging population and retirement within the health service sector.
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Rouf, Emran et al, BMC Medical Education, 8
United States academic medical centers are increasingly incorporating electronic health records (EHR) into teaching settings. We report third year medical students’ attitudes towards clinical learning using the electronic health record in ambulatory primary care clinics.
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Christensen, Tom, and Anders Grimsmo, BMC Medical Informatics and Decision Making, 8
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Pico, Lilia Edith Aparicio et al, Medical and Care Compunetics 5, 2008
The present article shows a study about requirements for teleconsulting in a telemedicine solution in order to create a knowledge management system. Several concepts have been found related to the term teleconsulting in telemedicine which will serve to clear up their corresponding applications, potentialities, and scope. Afterwards, different theories about the art state in knowledge management have been considered by exploring methodologies and architectures to establish the trends of knowledge management and the possibilities of using them in teleconsulting.
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Kun, Luis et al, Medical and Care Compunetics 5, 2008
These technologies also provide society with additional benefits within a global health perspective, with applications ranging from disease prevention and genetics to surveillance and epidemiologic studies. For example, discoveries relating to the prevention or curing of a disease in one part of the world should be “known” everywhere else instantaneously. During an emergency, individuals travelling the world should be able to access their healthcare records for proper care, anywhere.
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Gibbons, M Chris, Medical and Care Compunetics 5, 2008
Increasing evidence suggests that socio-behavioral factors are more important determinants of healthcare outcomes than historically recognized. In addition, the US healthcare system is primarily oriented to acute, hospital based, disease treatment. As such, responding adequately to the health and healthcare needs of both non-hospitalized and hospitalized patients with chronic diseases is proving difficult. Improving population level health problems like healthcare disparities is also challenging, in part because of this complex interplay of socio-behavioral, community and biologic factors within the context of the current healthcare system.
Recent advances in the computer sciences and information technologies have spawned several methodologic advances in the biological, molecular and clinical sciences (eg, DNA chip technology and microarray analysis), enabled quantum leaps in molecular and submolecular medicine, and catalyzed the emergence of whole new fields of study such as proteomics, and genomics. With the emergence of Populomics, the behavioral and population sciences are on the verge of a similar information technology-based scientific revolution. Integrating knowledge from the molecular sciences to the population sciences has the potential to propel health and disease inquiry, treatments and interventions well beyond current limitations, to yield insights and advances not currently possible. This paper briefly discusses the conceptual origins, theoretic basis and the future potential of this field.
Pliakas, Thomas et al, Medical and Care Compunetics 5, 2008
The main objective of paper is to describe a proposed tele-medicine pilot is for establishing a telemedicine network in a Private Healthcare Organization, to be developed in the frame of the ESA project, HOST. The HOST program focuses on the development of the Hellas Sat commercial offering in end-to-end satellite telecommunication services for supporting the delivery of bidirectional (broadband) applications in Greece, the Balkans, SE Europe, and the Middle East.
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“Several years have passed since the compliance deadlines for the HIPAA privacy and security regulations, yet compliance has been elusive for many healthcare providers. By summer 2006, only 39 percent of respondents to an AHIMA survey reported that their facilities were in full compliance with the HIPAA privacy regulations. In fact, there is some indication that the level of compliance is slipping. In the same survey, 85 percent of respondents believed that they were more than 85 percent compliant with the privacy standards, a drop from 91 percent of respondents the previous year.
There are a number of reasons why compliance has been difficult to achieve and maintain, but the most cited reason is a lack of resources. In many organizations there is a problem that diminishes those resources: privacy and security compliance efforts are handled separately, lowering the efficient use of resources.
Privacy and security regulations were intended to work together to effectively protect health information. In most covered entities, that hasn’t happened due to a number of historical and organizational reasons. But organizations that can integrate their security and privacy compliance efforts make the most of their resources and boost the effectiveness of their programs. In some instances, this may mean a reorganization of security and privacy roles and reporting structures. In others, it may start with the revitalization of a flagging HIPAA committee.”
Adler, M. Peter, Journal of AHIMA 79, no.4 (April 2008): 34-38
“This issue brief, based on the two-part report entitled State of Technology in Aging Services published by the Center for Aging Services Technologies (CAST), offers a vision for long-term care that includes using integrated information technology systems to support and enhance the health, safety and social connectedness of older people living in their own homes. The authors of the report identify several barriers to achieving this vision, but are confident that a combination of new knowledge, linked to effective collaboration among a variety of stakeholders, can overcome these obstacles to widespread technology adoption, so that older people will receive the support they need to lead healthy and independent lives.”
Majd Alwan, Devon Wiley, Jeremy Nobel for Center for Aging Services Technology (CAST), March 2007
Marsh, Andrew J et al, Medical and Care Compunetics 5, 2008
Since the population of elderly people grows absolutely and in relation to the overall population in the world, the improvement of the quality of life of elderly people at home is of a great importance. This can be achieved through the development of generic technologies for managing their domestic ambient environment consisting of medical sensors, entertainment equipment, home automation systems and white goods, increasing their autonomy and safety.
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Gardiner, Ruth, Medical and Care Compunetics 5, 2008
We are in the midst of a real change in the application of information technology to support the delivery of healthcare. We are seeing a shift from the ‘informed patient’ which has resulted from improved access to healthcare information, primarily from the Web, to the ‘participative patient’ as we move into Web 2.0 territory.
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Taylor, Heather, and Stephen Benton, Medical and Care Compunetics 5, 2008
The National Health Service (NHS) is a huge and complex organisation. Within it, acute Hospital Trusts operate within a range of constructs determined by central Government. Organisational success is measured against rapidly changing frameworks of standards and targets.
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NEXES project concerns the deployment of integrated care services for chronic patients based on structured interventions addressing prevention, healthcare and social support. Services are selected from positive outcomes of work done in previous EU projects and in collaboration with industrial partners. Innovation relies on the interplay of three factors: adoption of an integrative approach including profound organizational changes, facing the co-morbidity challenge and the use of ICT as modular and scalable tools supporting interoperability among actors. Two groups of target users are identified and addressed: on one side the citizens at risk, patients and care providers and on the other side Health and community professionals. The former ones are the beneficiaries and active users of the services, the latter ones provide services in their respective domains, but they are also beneficiaries since they receive input/support from reference professionals. The Linkcare platform (Linkcare eTEN 517435, 2005-07) sets the reference architecture. Modularity, flexibility and scalability are based on Service Oriented Architectures (SOA) using the IBM UML 2.0 Profile for Software Services. The ICT platform is a web-based application addressed to management of chronic patients and elderly, facilitating organizational interoperability following a distributed model. It will incorporate knowledge management applications and evolve to an IMS platform.
The list of main programs includes:
1. Wellness-rehabilitation: Early diagnosis, promotion of healthy life-styles and patient self-management. Physical activity and cognitive aspects being main components
2. Enhanced Care Support of unplanned hospitalizations
3. Home hospitalization of patients with exacerbations
4. Support: Transient remote support to diagnosis and/or treatment
The service portfolio includes:
a) Health portal
b) Call centre service
c) Professional mobile access
d) Patient wireless monitoring service
e) Collaborative work service
f) Security modules
g) Interoperability module with hospital information systems and shared electronic patient records.
To be presented at the ICMCC Event 2008.
“This study examines the health related uses of the Internet and information and communication technologies (ICTs) in Catalonia. It is a multilevel study that comprises the observation of the population at large, of health professionals, and of health care organizations, such as health care centers and hospitals. It is based on 7,784 on-line interviews, and on 106 face to face interviews, as well as on extensive field work research and direct observation of health organizations in Barcelona, Vic, Sabadell, Palamós, and Tarragona. It was conducted between April 2005 and July 2007.”
Manuel Castells et al, Generalitat de Catalunya, April 2008
Mollon, Brent et al, J Telemed Telecare, 14(1)
Telephone reminder systems have been used to assist in the treatment of many chronic diseases. However, it is unclear if these systems can increase medication and appointment adherence in patients with diabetes without direct patient-provider telephone contact. We tested the feasibility of using an automated telephone reminder system (ATRS) to deliver reminder messages to 253 adults with diabetes enrolled in a randomized controlled trial.
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Biniaris, Christos G., and Andrew J Marsh, Medical and Care Compunetics 5, 2008
Over the last ten years the Internet has emerged as a key infrastructure for service innovation, enabling IP (Internet Protocol) to become the wide area network communication protocol of choice. The natural result of this choice is that service providers and their customers are looking for ways to optimise costs by migrating existing services and applications onto IP as well. A good example is the medical industry, which is transitioning to Internet-based communications as the field of telemedicine broadens to preventative and self healthcare. However, technology is changing quickly and consumers face an array of choices to satisfy their healthcare needs with numerous devices from different vendors. Seamless healthcare device networking can play a major role in automating and safeguarding the process of collecting and transferring medical data, remote patient monitoring and reducing costs through remote equipment monitoring. In this scope, we describe an approach augmenting the Session Initiation Protocol (SIP) with healthcare services in order to form a framework for efficient collection and storage of measurements, aiming to address the issues of the lack of a standardised data interface for consumer healthcare technologies (including hardware and protocols) and the lack of a standardised format for self-collected healthcare data (including the storage medium). In this framework, measurements can be seamlessly collected and stored as XML notes located virtually anywhere, such as the userï¿½s home or mobile device. Additionally, these notes can be accessed locally or remotely by doctors and specialists. Also, we discuss how this approach supports user mobility by proxying and redirecting requests to the user’s current location and how it can remove the complexity of using consumer healthcare technologies from different vendors connected to different devices and the opportunities for Independent Software Vendors to develop additional services.
Karanasiou, Irene S. et al, Medical and Care Compunetics 5, 2008
Neuroimaging practice and research are overviewed in this paper through an ethics lens. The main ethical implications in biomedical research concerning functional brain imaging are discussed with the focus on issues related to imaging of personal information and privacy. Specific norms and guidelines will be eventually formed in the future under the umbrella of the new discipline of Neuroethics.
Marsh, Andrew J et al, Medical and Care Compunetics 5, 2008
The goal of social prospecting is to steer the user community into defining the guidelines for self care and lifestyle management. Using an evidence based approach, social prospecting combines the interest in keeping personal or family health care records with the momentum of user-generated healthcare (or health 2.0). The personal healthcare record containing self-documented and self-collected information, or observations, can be used when a symptom or concern arises to identify a retrospective pathology. Coalesce of individual pathologies, related to a particular symptom or concern, can correlate a generic pathology or pathway in the self care domain. Using health 2.0 technologies, the user community can augment these self care pathways with advice, suggestions and recommendations and collectively define self care guidelines.
Sanchez, Carlos L. et al, Medical and Care Compunetics 5, 2008
Information and Communication Technologies (ICTs) are revolutionizing how healthcare systems deliver top-quality care to citizens. In this way, Open Source Software (OSS) has demonstrated to be an important strategy to spread ICTs use. Several human and technological barriers in adopting OSS for healthcare have been identified. Human barriers include user acceptance, limited support, technical skillfulness, awareness, resistance to change, etc., while Technological barriers embrace need for open standards, heterogeneous OSS developed without normalization and metrics, lack of initiatives to evaluate existing health OSS and need for quality control and functional validation. The goals of PESCA project are to create a platform of interoperable modules to evaluate, classify and validate good practices in health OSS. Furthermore, a normalization platform will provide interoperable solutions in the fields of health-care services, health surveillance, health literature, and health education, knowledge and research. Within the platform, the first goal to achieve is the setup of the collaborative work infrastructure. The platform is being organized as a Social Network which works to evaluate five scopes of every existing open source tools for eHealth: Open Source Software, Quality, Pedagogical, Security and privacy and Internationalization/I18N. In the meantime, the knowledge collected from the networking will configure a Good Practice Repository on eHealth promoting the effective use of ICT on behalf of the citizenï¿½s health.
Meijer, Wouter J., Medical and Care Compunetics 5, 2008
In 2007, the Dutch National Technical Agreement (NTA) for Tele-medicine was established.
Telemedicine deals with care processes.
The goals of Telemedicine were defined broadly, including quality of life in non-medical terms as seen from the patient’s perspective: 1) independence, 2) self-reliance; 3) participation in society and social life and 4) self-determination (autonomy through freedom of choice) for the care consumer and his environment.
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