Methods Inf Med - What Are Complex eHealth Innovations and How Do You Measure Them? Position Paper.

Tópicos

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

Resumo

JECTIVES: eHealth and innovation are often regarded as synonyms - not least because eHealth technologies and applications are new to their users. This position paper challenges this view and aims at exploring the nature of eHealth innovation against the background of common definitions of innovation and facts from the biomedical and health informatics literature. A good understanding of what constitutes innovative eHealth developments allows the degree of innovation to be measured and interpreted.METHODS: To this end, relevant biomedical and health informatics literature was searched mainly in Medline and ACM digital library. This paper presents seven facts about implementing and applying new eHealth developments hereby drawing on the experience published in the literature.RESULTS: The facts are: 1. eHealth innovation is relative. 2. Advanced clinical practice is the yardstick. 3. Only used and usable eHealth technology can give birth to eHealth innovatio. 4. One new single eHealth function does not make a complex eHealth innovation. 5. eHealth innovation is more evolution than revolution. 6. eHealth innovation is often triggered behind the scenes; and 7. There is no eHealth innovation without sociocultural change.CONCLUSIONS: The main conclusion of the seven facts is that eHealth innovations have many ingredients: newness, availability, advanced clinical practice with proven outcomes, use and usability, the supporting environment, other context factors and the stakeholder perspectives. Measuring eHealth innovation is thus a complex matter. To this end we propose the development of a composite score that expresses comprehensively the nature of eHealth innovation and that breaks down its complexity into the three dimensions: i) eHealth adoption, ii) partnership with advanced clinical practice, and iii) use and usability of eHealth. In order to better understand the momentum and mechanisms behind eHealth innovation the fourth dimension, iv) eHealth supporting services and means, needs to be studied. Conceptualising appropriate measurement instruments also requires eHealth innovation to be distinguished from eHealth sophistication, performance and quality, although innovation is intertwined with these concepts. The demanding effort for defining eHealth innovation and measuring it properly seem worthwhile and promise advances in creating better systems. This paper thus intends to stimulate the necessary discussion.

Resumo Limpo

jectiv ehealth innov often regard synonym least ehealth technolog applic new user posit paper challeng view aim explor natur ehealth innov background common definit innov fact biomed health informat literatur good understand constitut innov ehealth develop allow degre innov measur interpretedmethod end relev biomed health informat literatur search main medlin acm digit librari paper present seven fact implement appli new ehealth develop herebi draw experi publish literatureresult fact ehealth innov relat advanc clinic practic yardstick use usabl ehealth technolog can give birth ehealth innovatio one new singl ehealth function make complex ehealth innov ehealth innov evolut revolut ehealth innov often trigger behind scene ehealth innov without sociocultur changeconclus main conclus seven fact ehealth innov mani ingredi new avail advanc clinic practic proven outcom use usabl support environ context factor stakehold perspect measur ehealth innov thus complex matter end propos develop composit score express comprehens natur ehealth innov break complex three dimens ehealth adopt ii partnership advanc clinic practic iii use usabl ehealth order better understand momentum mechan behind ehealth innov fourth dimens iv ehealth support servic mean need studi conceptualis appropri measur instrument also requir ehealth innov distinguish ehealth sophist perform qualiti although innov intertwin concept demand effort defin ehealth innov measur proper seem worthwhil promis advanc creat better system paper thus intend stimul necessari discuss

Resumos Similares

Telemed J E Health - E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. ( 0,893201644463526 )
Int J Med Inform - Pilot implementation of health information systems: issues and challenges. ( 0,886041319804761 )
BMC Med Inform Decis Mak - Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT). ( 0,873807458021437 )
J. Med. Internet Res. - A holistic framework to improve the uptake and impact of eHealth technologies. ( 0,849315932153137 )
Telemed J E Health - Electronic prescriptions are slowly spreading in the European Union. ( 0,83111002898761 )
J Med Syst - E-Health: a global approach with extensive semantic variation. ( 0,828835269430655 )
J Telemed Telecare - Key challenges in the development and implementation of telehealth projects. ( 0,808839038344383 )
Telemed J E Health - An integrated telehealth system for remote administration of an adult autism assessment. ( 0,80751854626509 )
Int J Med Inform - A comparative review of patient safety initiatives for national health information technology. ( 0,796822204179425 )
Comput Methods Programs Biomed - A platform for the development of patient applications in the domain of personalized health. ( 0,780612581202787 )
Telemed J E Health - Transnational comparison: A retrospective study on e-health in sparsely populated areas of the northern periphery. ( 0,775036763446411 )
Methods Inf Med - Potential and requirements of IT for ambient assisted living technologies. Results of a Delphi study. ( 0,773419706440221 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,772672335364442 )
Brief. Bioinformatics - Challenges in integrating Escherichia coli molecular biology data. ( 0,771848130350378 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,768874419638468 )
Telemed J E Health - Cabo Verde telemedicine program: initial results of nationwide implementation. ( 0,765634249174944 )
Int J Med Inform - Promoting ICT innovations for the ageing population in Japan. ( 0,761067657371624 )
J Am Med Inform Assoc - Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems. ( 0,754757333373702 )
J Med Syst - eHealth in Denmark: a case study. ( 0,754055646967351 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,752365657904817 )
Int J Med Inform - Flexibility in interaction: sociotechnical design of an operating room scheduler. ( 0,749290759269825 )
Int J Med Inform - Key IT management issues in hospitals: Results of a Delphi study in Canada. ( 0,742684888885611 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,740475080926091 )
J Med Syst - HL7 engine module for healthcare information systems. ( 0,737882240951681 )
Telemed J E Health - A global model for effective use and evaluation of e-learning in health. ( 0,73204291449162 )
BMC Med Inform Decis Mak - RMS: a platform for managing cross-disciplinary and multi-institutional research project collaboration. ( 0,727958819249444 )
Comput. Biol. Med. - NeuPAT: an intranet database supporting translational research in neuroblastic tumors. ( 0,726886327214509 )
J. Med. Internet Res. - Security considerations for e-mental health interventions. ( 0,726486023085008 )
AMIA Annu Symp Proc - Collaborative development and maintenance of health terminologies. ( 0,723084224251966 )
Int J Med Inform - Evaluation of user adoption during three module deployments of region-wide electronic patient record systems. ( 0,722035018012372 )
Inform Health Soc Care - A healthcare management system for Turkey based on a service-oriented architecture. ( 0,716764616914099 )
J. Med. Internet Res. - Why business modeling is crucial in the development of eHealth technologies. ( 0,715577515825732 )
BMC Med Inform Decis Mak - Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts. ( 0,711222554057844 )
J Am Med Inform Assoc - WHO guidance on electronic systems to manage data for tuberculosis care and control. ( 0,70583918261975 )
J Am Med Inform Assoc - A centralized research data repository enhances retrospective outcomes research capacity: a case report. ( 0,697068456563744 )
Telemed J E Health - International telepharmacy education: another venue to improve cancer care in the developing world. ( 0,696516544035744 )
Int J Med Inform - Providing traceability for neuroimaging analyses. ( 0,686562617682276 )
Brief. Bioinformatics - Reconsideration of in silico siRNA design from a perspective of heterogeneous data integration: problems and solutions. ( 0,685795295067714 )
J Am Med Inform Assoc - Changing the research landscape: the New York City Clinical Data Research Network. ( 0,680966139629939 )
J Med Syst - Constructing a model-based software monitor for the insulin pump behavior. ( 0,679910096003847 )
Int J Med Inform - Evaluation of real-time location systems in their hospital contexts. ( 0,678375703036384 )
Int J Med Inform - Social care informatics as an essential part of holistic health care: a call for action. ( 0,671747087690238 )
BMC Med Inform Decis Mak - A review on the relation between simulation and improvement in hospitals. ( 0,670550597426709 )
J Biomed Inform - A survey of SNOMED CT implementations. ( 0,669192499216732 )
Perspect Health Inf Manag - Commentary on the federal government's role in influencing e-prescribing use and research. ( 0,669110595609611 )
IEEE J Biomed Health Inform - A Routing Mechanism for Cloud Outsourcing of Medical Imaging Repositories. ( 0,667790906475918 )
AMIA Annu Symp Proc - Implementing a Real-time Complex Event Stream Processing System to Help Identify Potential Participants in Clinical and Translational Research Studies. ( 0,665428311345873 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,661751732161872 )
Comput Methods Programs Biomed - Development of an online automatic diagnostic reference levels management system for digital radiography: a pilot experience. ( 0,66151842868068 )
J Clin Monit Comput - GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis: a series of four cases and literature review. ( 0,661317963775262 )
J Med Syst - Using information technology for an improved pharmaceutical care delivery in developing countries. Study case: Benin. ( 0,660749499262029 )
J. Med. Internet Res. - The behavioral intervention technology model: an integrated conceptual and technological framework for eHealth and mHealth interventions. ( 0,656240724713346 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,655345427743396 )
Methods Inf Med - Suitability of customer relationship management systems for the management of study participants in biomedical research. ( 0,655266784546297 )
Int J Health Geogr - An evaluation framework for comparing geocoding systems. ( 0,654413857817648 )
Telemed J E Health - Beyond Initiate-Build-Operate-Transfer strategy for creating sustainable telemedicine programs: lesson from the first decade. ( 0,654349048267516 )
AMIA Annu Symp Proc - Integration of heterogeneous clinical decision support systems and their knowledge sets: feasibility study with Drug-Drug Interaction alerts. ( 0,654016092610289 )
J Integr Bioinform - Analysis of high-throughput plant image data with the information system IAP. ( 0,650097023886684 )
Geospat Health - GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events. ( 0,64934857431676 )
Telemed J E Health - A model for measuring e-health status across the world. ( 0,642707240293809 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,63895542460135 )
AMIA Annu Symp Proc - Sequential incoherence in a multi-party synchronous computer mediated communication for an introductory Health Informatics course. ( 0,638945930332741 )
Comput Methods Programs Biomed - Five-year experience with setup and implementation of an integrated database system for clinical documentation and research. ( 0,63839680200128 )
Comput Methods Programs Biomed - Systems engineering principles for the design of biomedical signal processing systems. ( 0,638328574310557 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,636642812812888 )
Appl Clin Inform - Initial implementation and evaluation of a Hepatitis C treatment clinical decision support system (CDSS): a nurse practitioner-driven quality improvement initiative. ( 0,63611972596497 )
BMC Med Inform Decis Mak - Boundaries and e-health implementation in health and social care. ( 0,634217233419142 )
Methods Inf Med - Testing conformance and interoperability of eHealth applications. ( 0,629892908099293 )
J Chem Inf Model - Designing a new Diels-Alderase: a combinatorial, semirational approach including dynamic optimization. ( 0,629363356636587 )
IEEE Trans Image Process - Lattice structure for generalized-support multidimensional linear phase perfect reconstruction filter bank. ( 0,628545755813649 )
Int J Med Inform - Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations. ( 0,627180229605923 )
J Am Med Inform Assoc - Using EHRs to integrate research with patient care: promises and challenges. ( 0,62667136489174 )
Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,626463316134648 )
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. ( 0,625704553500178 )
Telemed J E Health - Key factors influencing the intention of telecare adoption: an institutional perspective. ( 0,623605012536493 )
J. Med. Internet Res. - The virtual skeleton database: an open access repository for biomedical research and collaboration. ( 0,622940560842419 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,621518305549232 )
Inform Health Soc Care - Older adults' acceptance of a community-based telehealth wellness system. ( 0,619745243360485 )
BMC Med Inform Decis Mak - Ancillary study management systems: a review of needs. ( 0,61780421401643 )
Int J Med Inform - National efforts to improve health information system safety in Canada, the United States of America and England. ( 0,614929981562552 )
Int J Med Inform - Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review. ( 0,614001191958023 )
J Integr Bioinform - WIBL: Workbench for Integrative Biological Learning. ( 0,613197146175496 )
J Med Syst - A proposed approach for safety management in medical software design. ( 0,611536519764148 )
Comput Methods Programs Biomed - A simple versatile solution for collecting multidimensional clinical data based on the CakePHP web application framework. ( 0,609559463496753 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,608687118582216 )
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. ( 0,6051493364295 )
Comput Methods Programs Biomed - SAPPHIRE: a toolkit for building efficient stream programs for medical video analysis. ( 0,604302709332113 )
Telemed J E Health - Provider barriers to telemental health: obstacles overcome, obstacles remaining. ( 0,602517125314701 )
Perspect Health Inf Manag - Leadership's role in support of online academic programs: implementing an administrative support matrix. ( 0,600612237315247 )
Sci Data - An extended Arctic proxy temperature database for the past 2,000 years. ( 0,60003534247795 )
AMIA Annu Symp Proc - Implementation of Emergency Medical Text Classifier for syndromic surveillance. ( 0,599487278691318 )
BMC Med Inform Decis Mak - Decision support at home (DS@HOME)--system architectures and requirements. ( 0,596959983875243 )
J Biomed Inform - A case study of an EMR system at a large hospital in India: challenges and strategies for successful adoption. ( 0,595799599138857 )
Healthc (Amst) - The use of participatory action research to design a patient-centered community health worker care transitions intervention. ( 0,59522617234457 )
Int J Med Inform - Infrastructures in healthcare: the interplay between generativity and standardization. ( 0,593082089480739 )
J Med Syst - The nurse scheduling problem in real-life. ( 0,591378536645165 )
J Integr Bioinform - DBE2 - management of experimental data for the VANTED system. ( 0,59117548790746 )
J Biomed Inform - The Taiwanese method for providing patients data from multiple hospital EHR systems. ( 0,591065050931654 )
Int J Med Inform - Critical areas of national electronic health record programs-is our focus correct? ( 0,590929740418245 )
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. ( 0,587086122878212 )