Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Strategic Value of an Unbound, Interoperable PHR Platform for Rights–Managed Care Coordination

Health care reform requires an information-system paradigm shift. We present an innovative implementation involving an unbound, interoperable PHR platform that enforces patient permissions while exchanging structured data via Web services with certified EHRs. We draw on a strategic health information technology framework and a disruptive-innovation argument for the underlying conceptual basis. We describe how the platform’s three-tier architecture supports rights–managed care coordination. Finally, we discuss future observational and experimental research on the platform’s cost-effectiveness

The Promise of Health Information Technology: Ensuring that Florida's Children Benefit

Substantial policy interest in supporting the adoption of Health Information Technology (HIT) by the public and private sectors over the last 5 -- 7 years, was spurred in particular by the release of multiple Institute of Medicine reports documenting the widespread occurrence of medical errors and poor quality of care (Institute of Medicine, 1999 & 2001). However, efforts to focus on issues unique to children's health have been left out of many of initiatives. The purpose of this report is to identify strategies that can be taken by public and private entities to promote the use of HIT among providers who serve children in Florida

An Analysis of the Opportunities and Challenges Involved in the Formal Delivery of Self-Management Support in Diabetes using Digital Health Initiatives

This thesis will critically analyse self-management (SM) support services available in Scotland in the form of a gap analysis and demonstrate how digital solutions are required to increase the efficiency of health services nationally in order to fill these gaps. Firstly, the overall concept of self-management will be defined, including its importance in the treatment of long term conditions (LTC), using diabetes as an exemplary condition. This will be followed by an overview of the challenges involved in the delivery of self-management support in a ‘pre-digital’ era, where digital solutions have not been widely implemented. A review of the gaps present in the current provision of self-management support services will be demonstrated and an examination of appropriate digital solutions which could fill these gaps will be presented. Emphasis will be placed on projects run by the Digital Health and Care Institute and the challenges faced in implementing them

IT Governance for e-Health Applications

The increasing use of e-Health applications in clinical practices is pushing the limits of Health Information Technology. e-Health applications are often considered as integrated healthcare applications that are purposely developed to not onlysupport electronic health information exchange but also to improve the quality and safety of healthcare delivery. However,even as these applications continue to evolve and remain widespread in use in many clinicians’ offices, the applicability ofproper Information Technology (IT) governance structure for their utilization remains a big challenge in the healthcareindustry. In this paper, a literature review is used to explore the applicability of IT governance in e-Health applications. Thepractical and research implications for establishing IT governance structure in e-Health applications are also discussed

Data protection issues in cross-border interoperability of Electronic Health Record systems within the European Union

Abstract This study investigates the data protection concerns arising in the context of the cross-border interoperability of Electronic Health Record (EHR) systems in the European Union. The article first introduces the policies on digital health and examines the related interoperability issues. Second, the work analyses the latest Recommendation of the European Commission on this topic. Then, the study discusses the rules and the obligations settled by the General Data Protection Regulation to be taken into account when developing interoperable EHRs. According to the data protection by design and by default provision, EHR systems should be designed ex ante to guarantee data protection rules

Evaluation of patient perception towards dynamic health data sharing using blockchain based digital consent with the Dovetail digital consent application : a cross sectional exploratory study

Background New patient-centric integrated care models are enabled by the capability to exchange the patient’s data amongst stakeholders, who each specialise in different aspects of the patient’s care. This requires a robust, trusted and flexible mechanism for patients to offer consent to share their data. Furthermore, new IT technologies make it easier to give patients more control over their data, including the right to revoke consent. These characteristics challenge the traditional paper-based, single-organisation-led consent process. The Dovetail digital consent application uses a mobile application and blockchain based infrastructure to offer this capability, as part of a pilot allowing patients to have their data shared amongst digital tools, empowering patients to manage their condition within an integrated care setting. Objective To evaluate patient perceptions towards existing consent processes, and the Dovetail blockchain based digital consent application as a means to manage data sharing in the context of diabetes care. Method Patients with diabetes at a General Practitioner practice were recruited. Data were collected using focus groups and questionnaires. Thematic analysis of the focus group transcripts and descriptive statistics of the questionnaires was performed. Results There was a lack of understanding of existing consent processes in place, and many patients did not have any recollection of having previously given consent. The digital consent application received favourable feedback, with patients recognising the value of the capability offered by the application. Patients overwhelmingly favoured the digital consent application over existing practice. Conclusions Digital consent was received favourably, with patients recognising that it addresses the main limitations of the current process. Feedback on potential improvements was received. Future work includes confirmation of results in a broader demographic sample and across multiple conditions

Sensor network integration for a medical device using CDG

The weakness of the deep layer of lumbar or cervical spine muscles (so-called multifidus muscles) is among the most common causes for backpain. Frequent testing and measurements over a 20 years period of time showed a common weakness of this particular muscle group in more than 70% of investigated persons. Following a routine training has demonstrated an effective improvement in low back health. The Smart4Health project aims at empowering EU Citizens with an interoperable and exchangeable European Electronic Health Record (EHR) that will allow EU citizens to be active participants in managing their own health. As part of project activities, Smart4Health will upgrade existing physiotherapy devices with real-Time measurements and connectivity capabilities, meeting new medical device regulations. Force and angle sensors measurement technology will be connected and integrated in the Smart4Health framework, enabling the patient with a real-Time performance visualization and the treatment data upload for a secure cloud. The clinicians can then keep track of the patient treatment and made the necessary adjustments (if needed). The physiotherapy device and its sensors are connected over a secure network, enabling the data collection of health-related data. Moreover, an intelligent sensors network collecting citizen health and wellbeing data, adds information to citizen's EHR.authorsversionpublishe

The Future of Personal Health Records in the Presence of Misaligned Incentives

We posit that the emergence of the independent personal health record (PHR) platforms is potentially a major development toward the cause of digitizing healthcare. Not only do these platforms empower the patients by giving them complete control over their records, but they also can help promote the adoption of electronic health records (EHRs) by healthcare providers. In a pluralistic healthcare system like that which exists in the United States, where many healthcare providers lack the incentive to adopt EHR and electronically share their patients’ records with competing providers, we believe that PHR platforms can facilitate the adoption and use of EHRs in the healthcare sector