J. Med. Internet Res. - A holistic framework to improve the uptake and impact of eHealth technologies.

Tópicos

{ implement(1333) system(1263) develop(1122) }
{ framework(1458) process(801) describ(734) }
{ care(1570) inform(1187) nurs(1089) }
{ method(2212) result(1239) propos(1039) }
{ clinic(1479) use(1117) guidelin(835) }
{ research(1085) discuss(1038) issu(1018) }
{ take(945) account(800) differ(722) }
{ method(1557) propos(1049) approach(1037) }
{ howev(809) still(633) remain(590) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ use(2086) technolog(871) perceiv(783) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ cost(1906) reduc(1198) effect(832) }
{ activ(1138) subject(705) human(624) }
{ can(774) often(719) complex(702) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ treatment(1704) effect(941) patient(846) }
{ health(3367) inform(1360) care(1135) }
{ age(1611) year(1155) adult(843) }
{ first(2504) two(1366) second(1323) }
{ method(1219) similar(1157) match(930) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ extract(1171) text(1153) clinic(932) }
{ control(1307) perform(991) simul(935) }
{ method(984) reconstruct(947) comput(926) }
{ data(3963) clinic(1234) research(1004) }
{ compound(1573) activ(1297) structur(1058) }
{ record(1888) medic(1808) patient(1693) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }

Resumo

CKGROUND: Many eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeconomic environment, resulting in technology that has a low impact in health care practices. To overcome the hurdles with eHealth design and implementation, a new, holistic approach to the development of eHealth technologies is needed, one that takes into account the complexity of health care and the rituals and habits of patients and other stakeholders.OBJECTIVE: The aim of this viewpoint paper is to improve the uptake and impact of eHealth technologies by advocating a holistic approach toward their development and eventual integration in the health sector.METHODS: To identify the potential and limitations of current eHealth frameworks (1999-2009), we carried out a literature search in the following electronic databases: PubMed, ScienceDirect, Web of Knowledge, PiCarta, and Google Scholar. Of the 60 papers that were identified, 44 were selected for full review. We excluded those papers that did not describe hands-on guidelines or quality criteria for the design, implementation, and evaluation of eHealth technologies (28 papers). From the results retrieved, we identified 16 eHealth frameworks that matched the inclusion criteria. The outcomes were used to posit strategies and principles for a holistic approach toward the development of eHealth technologies; these principles underpin our holistic eHealth framework.RESULTS: A total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling.CONCLUSIONS: To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap.

Resumo Limpo

ckground mani ehealth technolog success realiz sustain innov health care practic one reason current develop ehealth technolog often disregard interdepend technolog human characterist socioeconom environ result technolog low impact health care practic overcom hurdl ehealth design implement new holist approach develop ehealth technolog need one take account complex health care ritual habit patient stakeholdersobject aim viewpoint paper improv uptak impact ehealth technolog advoc holist approach toward develop eventu integr health sectormethod identifi potenti limit current ehealth framework carri literatur search follow electron databas pubm sciencedirect web knowledg picarta googl scholar paper identifi select full review exclud paper describ handson guidelin qualiti criteria design implement evalu ehealth technolog paper result retriev identifi ehealth framework match inclus criteria outcom use posit strategi principl holist approach toward develop ehealth technolog principl underpin holist ehealth frameworkresult total framework qualifi final analysi base theoret background vision ehealth strategi condit research develop ehealth technolog despit potenti relationship vision ehealth propos strategi research method obscur perhap due rather conceptu approach focus rational behind framework rather practic guidelin addit web technolog call stakeholderdriven approach beyond scope current framework overcom limit compos holist framework base participatori develop approach persuas design techniqu busi modelingconclus demonstr impact ehealth technolog effect fresh way think requir technolog can use innov health care also requir new concept instrument develop implement technolog practic propos framework serv evidencebas roadmap

Resumos Similares

Int J Med Inform - Pilot implementation of health information systems: issues and challenges. ( 0,869462601955134 )
Methods Inf Med - What Are Complex eHealth Innovations and How Do You Measure Them? Position Paper. ( 0,849315932153137 )
Telemed J E Health - E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. ( 0,831994182336677 )
BMC Med Inform Decis Mak - Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT). ( 0,825138210734336 )
Telemed J E Health - Electronic prescriptions are slowly spreading in the European Union. ( 0,811042614919396 )
Int J Med Inform - A comparative review of patient safety initiatives for national health information technology. ( 0,805290840340068 )
J Med Syst - E-Health: a global approach with extensive semantic variation. ( 0,793838048526566 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,785145441129881 )
J Telemed Telecare - Key challenges in the development and implementation of telehealth projects. ( 0,766717000266174 )
Comput Methods Programs Biomed - A platform for the development of patient applications in the domain of personalized health. ( 0,762351741975721 )
J Am Med Inform Assoc - Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems. ( 0,759474607893232 )
Int J Med Inform - Promoting ICT innovations for the ageing population in Japan. ( 0,757960978868401 )
Telemed J E Health - An integrated telehealth system for remote administration of an adult autism assessment. ( 0,755725741129696 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,74559155465729 )
Comput Methods Programs Biomed - Generic integration of content-based image retrieval in computer-aided diagnosis. ( 0,744695410961789 )
J. Med. Internet Res. - The behavioral intervention technology model: an integrated conceptual and technological framework for eHealth and mHealth interventions. ( 0,742351008718014 )
Methods Inf Med - Potential and requirements of IT for ambient assisted living technologies. Results of a Delphi study. ( 0,739657676733366 )
Telemed J E Health - Conceptual framework for development of comprehensive e-health evaluation tool. ( 0,73258481793108 )
J. Med. Internet Res. - Why business modeling is crucial in the development of eHealth technologies. ( 0,731928498246253 )
Telemed J E Health - Transnational comparison: A retrospective study on e-health in sparsely populated areas of the northern periphery. ( 0,729673360692577 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,727400691173848 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,726590960428579 )
J Med Syst - eHealth in Denmark: a case study. ( 0,726223422993569 )
J Med Syst - HL7 engine module for healthcare information systems. ( 0,722594130628516 )
Brief. Bioinformatics - Challenges in integrating Escherichia coli molecular biology data. ( 0,721378744257938 )
J. Med. Internet Res. - Security considerations for e-mental health interventions. ( 0,703212738041579 )
Int J Med Inform - Key IT management issues in hospitals: Results of a Delphi study in Canada. ( 0,699352218067957 )
Int J Med Inform - Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations. ( 0,691571829948326 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,687599514875381 )
BMC Med Inform Decis Mak - Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts. ( 0,685896988622399 )
IEEE J Biomed Health Inform - A Routing Mechanism for Cloud Outsourcing of Medical Imaging Repositories. ( 0,685024092571809 )
Brief. Bioinformatics - Reconsideration of in silico siRNA design from a perspective of heterogeneous data integration: problems and solutions. ( 0,68288157884872 )
J Biomed Inform - A survey of SNOMED CT implementations. ( 0,681533751700258 )
Int J Med Inform - Flexibility in interaction: sociotechnical design of an operating room scheduler. ( 0,678725303194947 )
Comput. Biol. Med. - NeuPAT: an intranet database supporting translational research in neuroblastic tumors. ( 0,676744555410172 )
J Am Med Inform Assoc - WHO guidance on electronic systems to manage data for tuberculosis care and control. ( 0,675831544535194 )
J. Med. Internet Res. - A framework for different levels of integration of computational models into web-based virtual patients. ( 0,673243766129647 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,670693365482598 )
Int J Med Inform - Infrastructures in healthcare: the interplay between generativity and standardization. ( 0,66937212380694 )
J Am Med Inform Assoc - A centralized research data repository enhances retrospective outcomes research capacity: a case report. ( 0,663195030287617 )
Telemed J E Health - International telepharmacy education: another venue to improve cancer care in the developing world. ( 0,662455596781107 )
Healthc (Amst) - The use of participatory action research to design a patient-centered community health worker care transitions intervention. ( 0,662362044458285 )
AMIA Annu Symp Proc - Integration of heterogeneous clinical decision support systems and their knowledge sets: feasibility study with Drug-Drug Interaction alerts. ( 0,662118606061476 )
Comput Methods Programs Biomed - Systems engineering principles for the design of biomedical signal processing systems. ( 0,659509558425778 )
AMIA Annu Symp Proc - Collaborative development and maintenance of health terminologies. ( 0,658346868137913 )
BMC Med Inform Decis Mak - Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study. ( 0,653893505323099 )
Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,65362643471763 )
Int J Health Geogr - An evaluation framework for comparing geocoding systems. ( 0,652100905667301 )
Int J Med Inform - Critical areas of national electronic health record programs-is our focus correct? ( 0,650495904373021 )
Methods Inf Med - Testing conformance and interoperability of eHealth applications. ( 0,648805232513005 )
Telemed J E Health - Cabo Verde telemedicine program: initial results of nationwide implementation. ( 0,644237427142779 )
Int J Med Inform - Evaluation of real-time location systems in their hospital contexts. ( 0,637512192173673 )
Comput Methods Programs Biomed - A control system for mechanical ventilation of passive and active subjects. ( 0,635067058355706 )
J. Med. Internet Res. - Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. ( 0,632283590955541 )
Inform Health Soc Care - A healthcare management system for Turkey based on a service-oriented architecture. ( 0,631153643432687 )
IEEE Trans Image Process - Lattice structure for generalized-support multidimensional linear phase perfect reconstruction filter bank. ( 0,631139105797509 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,62893664710774 )
BMC Med Inform Decis Mak - A review on the relation between simulation and improvement in hospitals. ( 0,627977340246837 )
AMIA Annu Symp Proc - Implementing a Real-time Complex Event Stream Processing System to Help Identify Potential Participants in Clinical and Translational Research Studies. ( 0,627811333104601 )
J Integr Bioinform - Analysis of high-throughput plant image data with the information system IAP. ( 0,624326527235985 )
BMC Med Inform Decis Mak - The challenges of real-world implementation of web-based shared care software: the HopSCOTCH Shared-Care Obesity Trial in Children. ( 0,623631321395724 )
J Am Med Inform Assoc - A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. ( 0,622339253823823 )
Methods Inf Med - Suitability of customer relationship management systems for the management of study participants in biomedical research. ( 0,621541605050485 )
J Biomed Inform - A case study of an EMR system at a large hospital in India: challenges and strategies for successful adoption. ( 0,620947739541542 )
J Chem Inf Model - Designing a new Diels-Alderase: a combinatorial, semirational approach including dynamic optimization. ( 0,619831786988827 )
Geospat Health - GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events. ( 0,619251115038561 )
Inform Health Soc Care - Older adults' acceptance of a community-based telehealth wellness system. ( 0,617553222607437 )
Telemed J E Health - Key factors influencing the intention of telecare adoption: an institutional perspective. ( 0,616587651213022 )
Comput Methods Programs Biomed - Development of an online automatic diagnostic reference levels management system for digital radiography: a pilot experience. ( 0,61533631066294 )
Health Informatics J - Beyond bureaucracy: emerging trends in social care informatics. ( 0,615058915400914 )
Int J Med Inform - Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review. ( 0,613543887892426 )
J Med Syst - Constructing a model-based software monitor for the insulin pump behavior. ( 0,613463687652945 )
Sci Data - An extended Arctic proxy temperature database for the past 2,000 years. ( 0,610634771031684 )
Comput Methods Programs Biomed - SAPPHIRE: a toolkit for building efficient stream programs for medical video analysis. ( 0,610487085264712 )
J Am Med Inform Assoc - Changing the research landscape: the New York City Clinical Data Research Network. ( 0,609312181714899 )
J Clin Monit Comput - GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis: a series of four cases and literature review. ( 0,608883156063121 )
BMC Med Inform Decis Mak - RMS: a platform for managing cross-disciplinary and multi-institutional research project collaboration. ( 0,608697245882952 )
J. Med. Internet Res. - Web-based virtual patients in nursing education: development and validation of theory-anchored design and activity models. ( 0,60745126608792 )
Appl Clin Inform - An e-health decision support system for improving compliance of health workers to the maternity care protocols in South Africa. ( 0,606273775878127 )
Telemed J E Health - A model for measuring e-health status across the world. ( 0,605628328170078 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,604688913157865 )
AMIA Annu Symp Proc - Ethics of implementing Electronic Health Records in developing countries: points to consider. ( 0,603131645238856 )
Int J Med Inform - Evaluation of user adoption during three module deployments of region-wide electronic patient record systems. ( 0,602605700660733 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,602483786955073 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,600050966234961 )
Int J Comput Assist Radiol Surg - AneuSearch: a software prototype for intracranial aneurysm searching and clinical decision support. ( 0,600050966234961 )
Telemed J E Health - Spacebridge to armenia: a look back at its impact on telemedicine in disaster response. ( 0,598941552254429 )
J Med Syst - A proposed approach for safety management in medical software design. ( 0,598900524327401 )
Int J Med Inform - Providing traceability for neuroimaging analyses. ( 0,597826950129528 )
BMC Med Inform Decis Mak - Boundaries and e-health implementation in health and social care. ( 0,595885564550727 )
Int J Med Inform - Guideline for good evaluation practice in health informatics (GEP-HI). ( 0,59561709210022 )
Appl Clin Inform - Initial implementation and evaluation of a Hepatitis C treatment clinical decision support system (CDSS): a nurse practitioner-driven quality improvement initiative. ( 0,595307117011779 )
Int J Comput Assist Radiol Surg - Mutual interferences and design principles for mechatronic devices in magnetic resonance imaging. ( 0,594519104893385 )
Comput Methods Programs Biomed - Five-year experience with setup and implementation of an integrated database system for clinical documentation and research. ( 0,594164606489076 )
AMIA Annu Symp Proc - MindTrial: An Intelligent System for Clinical Trials. ( 0,593753677457462 )
J Med Syst - The nurse scheduling problem in real-life. ( 0,593134715719777 )
J. Med. Internet Res. - The virtual skeleton database: an open access repository for biomedical research and collaboration. ( 0,593085625600342 )
Int J Med Inform - Giving patients granular control of personal health information: using an ethics 'Points to Consider' to inform informatics system designers. ( 0,590466898065244 )
Appl Clin Inform - Development and performance of electronic acute kidney injury triggers to identify pediatric patients at risk for nephrotoxic medication-associated harm. ( 0,589999515883173 )
BMC Med Inform Decis Mak - Integration of a nationally procured electronic health record system into user work practices. ( 0,588099511687452 )