21,410 research outputs found
e-Health for Rural Areas in Developing Countries: Lessons from the Sebokeng Experience
We report the experience gained in an e-Health project in
the Gauteng province, in South Africa. A Proof-of-Concept of the project has been already installed in 3 clinics in the Sebokeng township. The project is now going to be applied to 300 clinics in the whole province. This extension of the Proof-of-Concept can however give rise to security
aws because of the inclusion of rural areas with unreliable Internet connection. We address this problem and propose a safe solution
Secure and Trustable Electronic Medical Records Sharing using Blockchain
Electronic medical records (EMRs) are critical, highly sensitive private
information in healthcare, and need to be frequently shared among peers.
Blockchain provides a shared, immutable and transparent history of all the
transactions to build applications with trust, accountability and transparency.
This provides a unique opportunity to develop a secure and trustable EMR data
management and sharing system using blockchain. In this paper, we present our
perspectives on blockchain based healthcare data management, in particular, for
EMR data sharing between healthcare providers and for research studies. We
propose a framework on managing and sharing EMR data for cancer patient care.
In collaboration with Stony Brook University Hospital, we implemented our
framework in a prototype that ensures privacy, security, availability, and
fine-grained access control over EMR data. The proposed work can significantly
reduce the turnaround time for EMR sharing, improve decision making for medical
care, and reduce the overall costComment: AMIA 2017 Annual Symposium Proceeding
Review on Master Patient Index
In today's health care establishments there is a great diversity of
information systems. Each with different specificities and capacities,
proprietary communication methods, and hardly allow scalability. This set of
characteristics hinders the interoperability of all these systems, in the
search for the good of the patient. It is vulgar that, when we look at all the
databases of each of these information systems, we come across different
registers that refer to the same person; records with insufficient data;
records with erroneous data due to errors or misunderstandings when inserting
patient data; and records with outdated data. These problems cause duplicity,
incoherence, discontinuation and dispersion in patient data. With the intention
of minimizing these problems that the concept of a Master Patient Index is
necessary. A Master Patient Index proposes a centralized repository, which
indexes all patient records of a given set of information systems. Which is
composed of a set of demographic data sufficient to unambiguously identify a
person and a list of identifiers that identify the various records that the
patient has in the repositories of each information system. This solution
allows for synchronization between all the actors, minimizing incoherence, out
datedness, lack of data, and a decrease in duplicate registrations. The Master
Patient Index is an asset to patients, the medical staff and health care
providers
Designing privacy for scalable electronic healthcare linkage
A unified electronic health record (EHR) has potentially immeasurable benefits to society, and the current healthcare industry drive to create a single EHR reflects this. However, adoption is slow due to two major factors: the disparate nature of data and storage facilities of current healthcare systems and the security ramifications of accessing and using that data and concerns about potential misuse of that data. To attempt to address these issues this paper presents the VANGUARD (Virtual ANonymisation Grid for Unified Access of Remote Data) system which supports adaptive security-oriented linkage of disparate clinical data-sets to support a variety of virtual EHRs avoiding the need for a single schematic standard and natural concerns of data owners and other stakeholders on data access and usage. VANGUARD has been designed explicit with security in mind and supports clear delineation of roles for data linkage and usage
Electronical Health Record's Systems. Interoperability
Understanding the importance that the electronic medical health records system has, with its various structural types and grades, has led to the elaboration of a series of standards and quality control methods, meant to control its functioning. In time, the electronic health records system has evolved along with the medical data's change of structure. Romania has not yet managed to fully clarify this concept, various definitions still being encountered, such as "Patient's electronic chart", "Electronic health file". A slow change from functional interoperability (OSI level 6) to semantic interoperability (level 7) is being aimed at the moment. This current article will try to present the main electronic files models, from a functional interoperability system's possibility to be created perspective. \ud
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Can nudge-interventions address health service overuse and underuse? Protocol for a systematic review
IntroductionNudge-interventions aimed at health professionals are proposed to reduce the overuse and underuse of health services. However, little is known about their effectiveness at changing health professionals’ behaviours in relation to overuse or underuse of tests or treatments.ObjectiveThe aim of this study is to systematically identify and synthesise the studies that have assessed the effect of nudge-interventions aimed at health professionals on the overuse or underuse of health services.Methods and analysisWe will perform a systematic review. All study designs that include a control comparison will be included. Any qualified health professional, across any specialty or setting, will be included. Only nudge-interventions aimed at altering the behaviour of health professionals will be included. We will examine the effect of choice architecture nudges (default options, active choice, framing effects, order effects) and social nudges (accountable justification and pre-commitment or publicly declared pledge/contract). Studies with outcomes relevant to overuse or underuse of health services will be included. Relevant studies will be identified by a computer-aided search of the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), MEDLINE, CINAHL, Embase and PsycINFO databases. Two independent reviewers will screen studies for eligibility, extract data and perform the risk of bias assessment using the criteria recommended by the Cochrane Effective Practice and Organisation of Care (EPOC) group. We will report our results in a structured synthesis format, as recommended by the Cochrane EPOC group.Ethics and disseminationNo ethical approval is required for this study. Results will be presented at relevant scientific conferences and in peer-reviewed literature
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