EHR: “The Dangerous Decade”
InformaticsMD, Health Care Renewal
“A new perspective piece has appeared in the Journal of the American Medical Informatics Association.
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ICT
The dangerous decade
Coiera E et al, J Am Med Inform Assoc, 19(1)
There is a paradox in the relationship between information and communication technology (ICT) and patient safety. ICT can improve the quality, safety and effectiveness of clinical services and patient outcomes, although the evidence base for this is sometimes weak. As a consequence, the rapid deployment of ICT on a national scale is a priority for many nations faced with a diminishing clinical workforce, increasing workloads, and resource constraints.
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The implementation of electronic health records: A case study of bush computing the Ngaanyatjarra Lands
Cripps H, Standing C. International Journal of Medical Informatics, 2011
Objective
The adoption of Information and Communication Technologies (ICT) in the health sector has often lagged behind adoption in other sectors as there are a number of systemic inhibitors that make the adoption of ICT far more complex. This paper aims to explore and investigate the drivers, facilitators and barriers to electronic health records adoption in the health sector and provide some guidance on how to improve the prospect of successful adoption.
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Electronic Health Records and Personal Health Records
Caligtan CA, Dykes PC. Seminars in Oncology Nursing, 27(3)
Objectives
To provide an overview of electronic personal health information technology.
Data Sources
Peer reviewed research studies, review articles, and web resources.
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Tracking Observations of Everyday Living with Smart Phones
Reports of health information systems failures identified the guilty parties laying with issues around social, technical, and organizational factors. The reason so many systems fail may lie in the socio-cultural fit of e-Health systems. We do not understand how to deliver information to providers when they need it, in a usable format, and in a way that fits transparently into their workflow and into the daily lives of patients.
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African nations call for ICTs to tackle disease
Dann Okoth, SciDev.Net
“African health ministers have called for the use of information and communication technologies (ICTs) to help with attempts to tackle non-communicable diseases (NCDs) such as diabetes and sickle-cell disease.
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Nursing and information and communication technology (ICT): A discussion of trends and future directions
While A, Dewsbury G. International Journal of Nursing Studies, 2011
This paper traces the development of information and communication (ICT) within health care and the emergence of telehealth as a key component of modern health care delivery as health care moves from the ‘face to face age’ to the ‘information age’. The paper examines the interface of ICT and nursing practice and highlights the limited evidence relating to the nursing contribution within telehealth particularly beyond data input and output analysis for other health care personnel.
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Evaluation of a telemedicine system for heart failure patients: Feasibility, acceptance rate, satisfaction and changes in patient behavior Results from the CARME (CAtalan Remote Management Evaluation) study
Domingo M et al, European Journal of Cardiovascular Nursing, 2011
BACKGROUND:
Telemedicine can be useful for managing heart failure (HF), but patient acceptance of telemedicine and its impact on patient behavior are unclear. AIMS: To assess a telemedicine program in a HF Unit.
METHODS AND RESULTS:
This sub-analysis of the CARME study assessed the use of an interactive telemedicine platform. This prospective intervention study had a before/after design with HF patients randomized 1:1 into two groups: A) Motiva system (educational videos, motivational messages, and questionnaires); and B) Motiva system+telemonitoring of blood pressure, heart rate and weight. Of 211 patients screened, 44 were excluded, 62 did not consent to participate and 8 withdrew consent prior to installation of the system.
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Disrupted rhythms and mobile ICT in a surgical department
Hasvold PE et al, International Journal of Medical Informatics, 2011
Purpose
This study presents a study of mobile information and communication technology (ICT) for healthcare professionals in a surgical ward. The purpose of the study was to create a participatory design process to investigate factors that affect the acceptance of mobile ICT in a surgical ward.
Methods
Observations, interviews, a participatory design process, and pilot testing of a prototype of a co-constructed application were used.
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Standards and eHealth
ITU
“eHealth systems that use information and communication technologies for the delivery of healthcare services and information hold great promise for improving global access to healthcare services and health information, particularly in the developing world.
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The integration of Information and Communication Technology into nursing
Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 18(1)
Objectives
To identify and characterise different profiles of nurses’ utilization of Information and Communication Technology (ICT) and the Internet and to identify factors that can enhance or inhibit the use of these technologies within nursing.
Methods
An online survey of the 13,588 members of the Nurses Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model was undertaken.
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Information and communication technologies for better patient self-management and self-efficacy
Ilioudi S et al, International Journal of Electronic Healthcare, 5(4)
Achieving benefits from the introduction of ICTs as part of processes aimed at building sustainable self-efficacy and self-management is very difficult, not least because of a desire to avoid simply replacing patient dependency on health professionals with dependency on technology. Chronic illnesses require ongoing attention that differs from traditional, encounter-based care for acute illnesses. Patients with chronic illnesses such as asthma, cardiovascular disease, depression, diabetes, heart failure and migraine headaches play a central role in managing the broad array of factors that contribute to their health. Individuals with diabetes, for example, provide close to 95% of their own care.
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ICT and universal healthcare in the Philippines
Emmanuel C. Lallana, The Philippine Star
“In the Second Philippine Health Outlook Forum 2010, Health Secretary Dr. Enrique Ona underscored the important role that Information and Communications Technology (ICT) would play in achieving universal health care in the country. This is a welcomed development as, globally, ICT is increasingly seen as critical in addressing global health needs.
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What can be expected of information and communication technologies in terms of patient empowerment in health?
Lemire M. Journal of Health Organization and Management, 24(2)
Purpose
Implementing information and communication technologies (ICT) is often mentioned as a strategy that can foster public involvement and responsibility in health. The purpose of this paper is to provide a better understanding of the possibilities and issues afforded by the social uses of ICT for personal empowerment in health.
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Transforming online communities into support environments for chronic disease management through cell phones and social networks
Wickramasinghe N, Goldberg S. International Journal of Networking and Virtual Organisations, 7(6)
Diabetes is a chronic disease that increases exponentially. Its consequences are long-term and problematic. To date, there is no cure and patients must rely on appropriate and constant monitoring to maintain a state of health that is as good as possible.
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The integration of Information and Communication Technology into Community Pharmacists practice
Francisco Lupiáñez-Villanueva, ICTconsequences
“Although I have not posted about Pharmacists and the use of the Internet and I have not found many research on this topic, it’s clear that these health professionals are playing an important role in healthcare. Therefore, they also have a role in relationship with the Internet, specially Community Pharmacists, who are probably the most accessible health professional and are daily dealing with all kind of patients.
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Exploring the link between Populomics and Knowledge Management: patient-oriented case exemplars
Bali RK and Gibbons MC, Medical and Care Compunetics 6, 2010
The challenge of population-level health problems, such as healthcare disparities, encompasses socio-behavioural, community and biologic factors and advances in information and communication technologies (ICTs). These elements are reflected in the key ethos of contemporary knowledge management (KM), as knowledge emerges from the confluence of people, process and technology.
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ICT Research: The Policy Perspective
European Commission
“In this report produced for the publication series ICT Research: The Policy Perspective, we explore Europe’s vision for a society where every individual can make a valuable contribution. Investments in pioneering and commercially focused research will produce information and communication technologies (ICTs) that should help everyone – including the elderly, disabled and marginalised – to fulfil their potential.
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European High-Level Panel Consults on ICT Solutions to Help Elderly to Live More Independently
eHealthNews.eu
“A consultation inviting citizens, businesses and researchers to share ideas on how best to use information and communications technologies (ICTs) to help older Europeans live more independently, and more generally to establish new ways to put ICTs at the service of the most vulnerable members of society, has been launched by a high-level panel established to advise the European Commission on the functioning of the Ambient Assisted Living joint programme (AAL JP).
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The integration of Information and Communication Technology into medical practice
Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 79(7)
Objectives
To identify doctors’ utilization of ICT; to develop and characterise a typology of doctors’ utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies within medical practice.
Methods
An online survey of the 16,531 members of the Physicians Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model were undertaken.
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