Suchergebnisse

Title Page -- From the Scientific Program Chairs -- A Message from the Editorial Desk -- Contents -- Part 1 -- Full Papers -- A Qualitative Study of Swedes' Opinions About Shared Electronic Health Records -- Identification of Strategies to Reduce Computerized Alerts in an Electronic Prescribing System Using a Delphi Approach -- Efficiency Strategies for Facilitating Computerized Clinical Documentation in Ambulatory Care -- Comparing Information Needs of Health Care Providers and Older Adults: Findings from a Wellness Study -- PPADS: Physician-PArent Decision-Support for Neonatal Intensive Care -- Ensuring Clinical Utility and Function in a Large Scale National Project in Australia by Embedding Clinical Informatics into Design -- Enabling Outsourcing XDS for Imaging on the Public Cloud -- An Information and Communication Technology System to Detect Hypoglycemia in People with Type 1 Diabetes -- A Semi-Automatic Semantic Method for Mapping SNOMED CT Concepts to VCM Icons -- Assisting the Translation of SNOMED CT into French -- Taming EHR Data: Using Semantic Similarity to Reduce Dimensionality -- Smartphones: Evidence-Based User-Interface Design -- Automated Synthesis and Visualization of a Chemotherapy Treatment Regimen Network -- Determining Scanned Body Part from DICOM Study Description for Relevant Prior Study Matching -- User-Directed Coordination in SNOMED CT -- Consumers' Online Social Network Topologies and Health Behaviours -- Agile Exploration of Electronic Health Records with Application to Comparing the Quality of Blood Pressure Control in Pay-for-Performance Targets in a Cross-Sectional Study -- Segmentation of Mammography by Applying GrowCut for Mass Detection -- It Is Time for Self-Incident-Reporting for Patients and Their Families in Every Health Care Organization: A Literature Review.

Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the "political will" focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed. ; published version ; peerReviewed