Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study.

Tópicos

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

Resumo

CKGROUND: The implementation of a technology such as health information exchange (HIE) through a Regional Health Information System (RHIS) may improve the mobilization of health care information electronically across organizations. There is a need to coordinate care and bring together regional and local stakeholders.OBJECTIVES: To describe how HIE had influenced health care delivery in one hospital district area in Finland.METHOD: Trend analysis was used to evaluate the influence of a regional HIE. We conducted a retrospective, longitudinal study for the period 2004-2008 for the eleven federations of municipalities in the study area. We reviewed statistical health data from the time of implementation of an RHIS. The t-test was used to determine statistical significance. The selected outcomes were the data obtained from the regional database on total appointments, emergency department visits, laboratory tests and radiology examinations, and selected laboratory tests and radiology examinations carried out in both primary care and special health care.RESULTS: Access to HIE may have influenced health care delivery in the study area. There are indications that there is a connection between access to regional HIE and the number of laboratory tests and radiology examinations performed in both primary care and specialized health care, as observed in the decreased frequency in outcomes such as radiology examinations, number of appointments, and emergency department visits in the study environment. The decreased frequencies of the latter suggest an increased efficiency of outpatient care, but we were not able to estimate to what extent the readily available comprehensive clinical information contributed to these trends.CONCLUSION: Outcome assessment of HIE through an RHIS is essential for the success of health information technology (HIT) and as evidence to use in the decision-making process. As health care information becomes more digital, it increases the potential for a strong HIE effect on health care delivery.

Resumo Limpo

ckground implement technolog health inform exchang hie region health inform system rhis may improv mobil health care inform electron across organ need coordin care bring togeth region local stakeholdersobject describ hie influenc health care deliveri one hospit district area finlandmethod trend analysi use evalu influenc region hie conduct retrospect longitudin studi period eleven feder municip studi area review statist health data time implement rhis ttest use determin statist signific select outcom data obtain region databas total appoint emerg depart visit laboratori test radiolog examin select laboratori test radiolog examin carri primari care special health careresult access hie may influenc health care deliveri studi area indic connect access region hie number laboratori test radiolog examin perform primari care special health care observ decreas frequenc outcom radiolog examin number appoint emerg depart visit studi environ decreas frequenc latter suggest increas effici outpati care abl estim extent readili avail comprehens clinic inform contribut trendsconclus outcom assess hie rhis essenti success health inform technolog hit evid use decisionmak process health care inform becom digit increas potenti strong hie effect health care deliveri

Resumos Similares

Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,858140434025244 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,850388379698603 )
Healthc (Amst) - Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began. ( 0,837298947332271 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,816783009390246 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,813581335737125 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,810767554476758 )
Int J Med Inform - A Rasch model analysis of technology usage in Minnesota hospitals. ( 0,809272637547772 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,807515227432739 )
Telemed J E Health - Telemental health: responding to mandates for reform in primary healthcare. ( 0,806469863757519 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,805974015513224 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,80376497998868 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,803145403933133 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,797675185961995 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,793415495459285 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,788966928732145 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,787118132478151 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,784596332846946 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,781222771957801 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,777264667607963 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,776965729929579 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,775649092716289 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,775353996993943 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,770767782695524 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,76684520096607 )
Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,765690361724982 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,765471403238054 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,76335040864752 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,760892154046413 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,759541996341256 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,759416478932937 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,758743902981537 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,757908882722658 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,75393825159599 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,753712555668181 )
Telemed J E Health - New hospital telemedicine services: potential market for a nighttime telehospitalist service. ( 0,750970970356238 )
Spat Spatiotemporal Epidemiol - Investigating impacts of positional error on potential health care accessibility. ( 0,749730092872025 )
Int J Health Geogr - Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. ( 0,749446218982943 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,748990568667372 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,746845927239467 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,743520790806242 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,743323356434016 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,742951167103326 )
J Am Med Inform Assoc - Shifts in the architecture of the Nationwide Health Information Network. ( 0,742493108183079 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,742393725951215 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,740142195640625 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,738203690619089 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,736856974071999 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,735674630384 )
J Am Med Inform Assoc - How outcomes are achieved through patient portals: a realist review. ( 0,735656259857187 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,732782623059235 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,732510249657323 )
J Am Med Inform Assoc - The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. ( 0,731934945916818 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,731077922077567 )
Int J Health Geogr - Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents. ( 0,730275558350704 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,730155061459646 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,730095539359905 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,725983827432379 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,725803431167454 )
Health Info Libr J - Monitoring or avoiding health information--the relation to inner inclination and health status. ( 0,724406538923459 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,722119164696356 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,719534257536429 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,717439953266677 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,716561429168864 )
J Med Syst - Developing an active emergency medical service system based on WiMAX technology. ( 0,716464645551528 )
Int J Health Geogr - An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion. ( 0,716110521143249 )
J. Med. Internet Res. - Interpretive flexibility in mobile health: lessons from a government-sponsored home care program. ( 0,715494730584903 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,715162846494288 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,713853328769948 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,710523113822295 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,709669073012567 )
Med Decis Making - Improving the accuracy and comparability of model-based economic evaluations of health technologies for reimbursement decisions: a methodological framework for the development of reference models. ( 0,709557137052757 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,707479986463337 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,706704059530468 )
Health Info Libr J - Information needs of public health students. ( 0,705167003425534 )
J Med Syst - Technologies to better serve the millions of diabetic patients: a holistic, interactive and persuasive ICT model to facilitate self care, in extremely poor rural zones of Central America. ( 0,704933756913829 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,702742285287907 )
Int J Health Geogr - The impact of rural hospital closures on equity of commuting time for haemodialysis patients: simulation analysis using the capacity-distance model. ( 0,702085778127598 )
BMC Med Inform Decis Mak - A scenario analysis of the future residential requirements for people with mental health problems in Eindhoven. ( 0,701748421176401 )
Health Info Libr J - Using the results of a satisfaction survey to demonstrate the impact of a new library service model. ( 0,701334534938298 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,701016291560615 )
J. Med. Internet Res. - Analysis of the purpose of state health departments' tweets: information sharing, engagement, and action. ( 0,700610780346146 )
J Med Syst - Impact of technological innovation on a nursing home performance and on the medication-use process safety. ( 0,699755922991399 )
Int J Med Inform - Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China. ( 0,699687879634239 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,698866890409551 )
Int J Health Geogr - Optimization of preventive health care facility locations. ( 0,698620222178082 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,696030958782495 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,695905150691613 )
Int J Med Inform - Choosing the right amount of healthcare information technologies investments. ( 0,694859880044265 )
J Biomed Inform - Steps towards a digital health ecosystem. ( 0,693852855027713 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,692675097707001 )
AMIA Annu Symp Proc - Comprehensive yet scalable health information systems for low resource settings: a collaborative effort in sierra leone. ( 0,691176229570283 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,690910461060309 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,690308120338077 )
J Am Med Inform Assoc - The National Alliance for Medical Image Computing, a roadmap initiative to build a free and open source software infrastructure for translational research in medical image analysis. ( 0,688800501895702 )
Int J Med Inform - Holistic health: predicting our data future (from inter-operability among systems to co-operability among people). ( 0,68807070496147 )
AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption. ( 0,686001368020761 )
AMIA Annu Symp Proc - Integrated multisystem analysis in a mental health and criminal justice ecosystem. ( 0,685533345116218 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,685049500167366 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,68373572361164 )
J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate. ( 0,681601148940922 )