A Case Study of Technology Use and Information Flow at a Danish E-clinic

Author´s accepted manuscript (postprint).© 2020 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.There is an urgent call from health organizations, health professionals and health authorities to re-design care delivery for patients with chronic conditions and multimorbidities. The research project 3P- Patients and Professionals in Productive Teams aims to study health care services that are run with different patient-centered teamwork models. In this context, a case study was made of an E-clinic in Denmark, with a focus on the technology use and information flow in a patientcentered clinical care context. Qualitative methods were applied with observations and interviews with key informants. The results showed that information flow worked well in a patient-centered care perspective, even though the technology was a standalone system for the E-clinic and with limited interoperability with other health care providers.acceptedVersio

Security Management in Health Care Information Systems- A Literature Review

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Patient Accessible Electronic Health Records: Impacts on Nursing Documentation Practices at a University Hospital

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Patient Experiences and Digital Involvement in Patient-centred Care Models

The provision of individualised treatment and care from health care services to patients with chronic conditions and multi-morbidities is under pressure because of an increasing elderly population. There is a need for services that are: 1) person-centred, 2) integrated and 3) proactive, and supported by digital technology. The research project 3P- Patients and Professionals in Productive Teams aims to study different patient-centred teamwork models in Norway and Denmark. This paper presents a study on patients’ experiences and digital involvement in patient-centred care teams. Qualitative research methods were applied with interviews and demonstrations of technology use made at patient’s homes. The results showed that the patients were satisfied with the patient-centred service models and had an increased feeling of safety. A constraint was information sharing between the patient-centred health care team and the patients. Most of them did not have access to read own medical information and mainly verbal information was shared between the patients and the health providers.publishedVersionPaid Open Acces

An Evaluation of Telemedicine Systems in Patient-centred Care Teams

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Curriculum Development of a Health Informatics Master Course in Understanding Technology

Education in health informatics is an important contribution to the digital transformation in health care services, and there is a need to combine health and technology competencies. Traditional ways with separation of health sciences and computer science have shortcomings, and there is need for individuals with a holistic view and relevant education background for improving the technology-supported clinical work processes. This paper presents how the curriculum was organised in a course in “Understanding Technology”, which was a part of a Master's Programme in Health Informatics. The course targeted different aspects of technology for students with a diverse background, and it was organised with the aim to provide the students with theoretical technical insights and apply the knowledge through problem-solving and practical use. The course was decentralised and had a student-centred teaching approach over one semester.Curriculum Development of a Health Informatics Master Course in Understanding TechnologyacceptedVersionNivå

Evaluation of the Technology Use in an Inter-disciplinary Patient-centered Health Care Team

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A Case Study of the Technology Use and Information Flow at a Hospital-driven Telemedicine Service

Health care services face the challenge of providing individualised treatment to a growing ageing population prone to chronic conditions and multi-morbidities. The research project Patients and Professionals in Productive Teams aims to study health care services that are run with a patient-centred teamwork approach. In this context, a case study was made of a hospital-driven telemedicine service for chronic obstructive pulmonary disease patients after hospital discharge, with a focus on information flow and technology use. The methods used were observation and interviews with key informants. The results showed that the technology was perceived as well-functioning for telemedicine support, but the technology used was a standalone system and not integrated with the electronic health record of the hospital. In addition, there was lack of support to provide the patients at home with written instructions on advices of medical treatment and care. The electronic information used for this telemedicine services, allowed shared access of information for teamwork between professional only within the hospital.acceptedVersionNivå

The Technology Use and Information Flow at a Municipal Telemedicine Service

Health care services face challenges with providing individualised treatment to an ageing population prone to chronic conditions and multi-morbidities. The research project Patients and Professionals in Productive Teams aims to study patient-centred teamwork service models. This paper presents an evaluation of a telemedicine service for chronic obstructive pulmonary disease patients integrated with municipal health care services. Qualitative methods were used to study the technology use and information flow. The results showed that the telemedicine technology was a standalone system, not integrated with the electronic health record of the municipality. A benefit of the system was a function to provide the patient with written instructions on agreements and advices. As a constraint for the patient-centred team approach, the information in the telemedicine system was available only for the telemedicine nurses and not to other health care professionals.acceptedVersionNivå