Telemed J E Health - The patient-centered medical home and health information technology.

Tópicos

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

Resumo

JECTIVE: To demonstrate that concepts of patient-centeredness and technology-centeredness must work together within the context of the transformation to the patient-centered medical home (PCMH), a primary care model that emphasizes coordinated, comprehensive, accessible, and cost-effective care.MATERIALS AND METHODS: Information in this article was gathered from a workshop on the Medical Home in Alexandria, VA in June 2010 that brought together civilian and military medical providers, researchers, and other stakeholders in PCMH to discuss their experiences in transitioning from traditional primary care to PCMH in addition to a literature review of articles from medical journals.RESULTS: Patient-centeredness is often only vaguely defined as being in opposition to provider-centered or technology-centered. Our analysis shows that focusing on either technological improvements or enhancing patient-centered care will not improve the fragmented healthcare system in the United States. We argue that these two concepts are not incompatible as sometimes believed, but rather it is critical that we recognize they must work together in routine practices in order to truly improve the state of healthcare.CONCLUSION: Health information technology (HIT) supports many of the core principles of PCMH, but there are still several challenges as not all technologies have functionalities yet that facilitate the model. We suggest patient-centeredness be one of the main concepts that drives the redesign and implementation of new health technologies in primary care. It is no longer about just implementing new technologies; these technologies must enhance patient-provider relationships, communication, access, and patients' engagement in their own care.

Resumo Limpo

jectiv demonstr concept patientcentered technologycentered must work togeth within context transform patientcent medic home pcmh primari care model emphas coordin comprehens access costeffect caremateri method inform articl gather workshop medic home alexandria va june brought togeth civilian militari medic provid research stakehold pcmh discuss experi transit tradit primari care pcmh addit literatur review articl medic journalsresult patientcentered often vagu defin opposit providercent technologycent analysi show focus either technolog improv enhanc patientcent care will improv fragment healthcar system unit state argu two concept incompat sometim believ rather critic recogn must work togeth routin practic order truli improv state healthcareconclus health inform technolog hit support mani core principl pcmh still sever challeng technolog function yet facilit model suggest patientcentered one main concept drive redesign implement new health technolog primari care longer just implement new technolog technolog must enhanc patientprovid relationship communic access patient engag care

Resumos Similares

Telemed J E Health - Telehealth trends and the challenge for infrastructure. ( 0,777596642424976 )
J Am Med Inform Assoc - Advanced networks and computing in healthcare. ( 0,753453625777886 )
J Biomed Inform - Natural language processing: state of the art and prospects for significant progress, a workshop sponsored by the National Library of Medicine. ( 0,746897382682305 )
J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate. ( 0,740364494469701 )
J. Med. Internet Res. - Issues in mHealth: findings from key informant interviews. ( 0,734248697653324 )
J Am Med Inform Assoc - An integrative framework for sensor-based measurement of teamwork in healthcare. ( 0,707065249989423 )
AMIA Annu Symp Proc - A survey of rural hospitals' perspectives on health information technology outsourcing. ( 0,697409236064929 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,694981059098912 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,680464166252216 )
Int J Med Inform - Implementation science approaches for integrating eHealth research into practice and policy. ( 0,680439450417858 )
J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs. ( 0,679066865497593 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,672604796301102 )
Med Decis Making - Addressing adoption and research design decisions simultaneously: the role of value of sample information analysis. ( 0,668418039116283 )
BMC Med Inform Decis Mak - Technical challenges of providing record linkage services for research. ( 0,665644791795931 )
Telemed J E Health - The U.S. Army Telemedicine and m-Health Program: making a difference at home and abroad. ( 0,665590078079364 )
Artif Intell Med - Recommendations for the ethical use and design of artificial intelligent care providers. ( 0,663499425421531 )
Telemed J E Health - The link between information and communication technologies and global public health: pushing forward. ( 0,66317762133408 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,658512661340346 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,656962121653213 )
J Am Med Inform Assoc - The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting. ( 0,652932187726613 )
Telemed J E Health - Application of health technology in humanitarian response: U.S. Military deployed health technology summit--a summary. ( 0,651425495046249 )
Res Synth Methods - The evolution of a new publication type: Steps and challenges of producing overviews of reviews. ( 0,647109640725027 )
Inform Health Soc Care - The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics. ( 0,643738518680371 )
J Am Med Inform Assoc - Health data use, stewardship, and governance: ongoing gaps and challenges: a report from AMIA's 2012 Health Policy Meeting. ( 0,640965521491363 )
BMC Med Inform Decis Mak - Video observation in HIT development: lessons learned on benefits and challenges. ( 0,639207196448197 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,637694956351356 )
Brief. Bioinformatics - Measuring the microbiome: perspectives on advances in DNA-based techniques for exploring microbial life. ( 0,632419652692528 )
J Am Med Inform Assoc - Toward a science of learning systems: a research agenda for the high-functioning Learning Health System. ( 0,628405079954801 )
Health Info Libr J - A review of competencies needed for health librarians--a comparison of Irish and international practice. ( 0,622911340347971 )
Perspect Health Inf Manag - Telepsychiatry in the 21(st) century: transforming healthcare with technology. ( 0,622234003986522 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,621066876025844 )
Int J Med Inform - Healthcare professionals' organisational barriers to health information technologies-a literature review. ( 0,618883503198495 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,617980816059318 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,617546439312744 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,617396568336006 )
Telemed J E Health - Supporting health professionals through information and communication technologies: a systematic review of the effects of information and communication technologies on recruitment and retention. ( 0,615018795208611 )
Telemed J E Health - Spacebridge to armenia: a look back at its impact on telemedicine in disaster response. ( 0,611990144794052 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,6109020167905 )
Telemed J E Health - The Ontario Telemedicine Network: a case report. ( 0,610642268584208 )
Telemed J E Health - Development of implementation strategies for u-health services based on the healthcare professionals' experiences. ( 0,610351705903364 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,60998420543824 )
Brief. Bioinformatics - Environmental bio-monitoring with high-throughput sequencing. ( 0,609638240578417 )
Brief. Bioinformatics - Bio/chemoinformatics in India: an outlook. ( 0,60949969286246 )
Perspect Health Inf Manag - The road to ICD-10-CM/PCS implementation: forecasting the transition for providers, payers, and other healthcare organizations. ( 0,609021921090247 )
Comput Math Methods Med - Retracted: Bayes clustering and structural support vector machines for segmentation of carotid artery plaques in multicontrast MRI. ( 0,608228737015764 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,607563915459119 )
Wiley Interdiscip Rev Syst Biol Med - Promise of personalized omics to precision medicine. ( 0,607320660702105 )
Healthc (Amst) - Aligning emergency care with the triple aim: Opportunities and future directions after healthcare reform. ( 0,606936804833383 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,601818054812471 )
J. Med. Internet Res. - The impact of social media on medical professionalism: a systematic qualitative review of challenges and opportunities. ( 0,599985601004111 )
Res Synth Methods - Meta-research: The art of getting it wrong. ( 0,595863247181514 )
Comput Methods Programs Biomed - Health-enabling technologies for the elderly--an overview of services based on a literature review. ( 0,59493799960565 )
J Am Med Inform Assoc - Data governance requirements for distributed clinical research networks: triangulating perspectives of diverse stakeholders. ( 0,59252838091253 )
Telemed J E Health - State primary stroke center policies in the United States: rural health issues. ( 0,59204907583628 )
Appl Clin Inform - Measurement error in performance studies of health information technology: lessons from the management literature. ( 0,59145667596878 )
J Am Med Inform Assoc - Pathology imaging informatics for quantitative analysis of whole-slide images. ( 0,589509505731712 )
J Am Med Inform Assoc - Ethical and practical challenges to studying patients who opt out of large-scale biorepository research. ( 0,586899513618945 )
Curr Comput Aided Drug Des - Recent Progress on Computer-Aided Inhibitor Design of H5N1 Influenza A Virus. ( 0,585080951246098 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,584195619219911 )
Perspect Health Inf Manag - Navigating regulatory change: preliminary lessons learned during the healthcare provider transition to ICD-10-CM/PCS. ( 0,578287490822703 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,577455668445007 )
Telemed J E Health - Meeting the continuing education needs of rural mental health providers. ( 0,577051160711711 )
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. ( 0,576570924039811 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,576305394708435 )
Comput. Biol. Med. - An empirical study of healthcare providers and patients' perceptions of electronic health records. ( 0,576070013135107 )
Int J Med Inform - Text mining of cancer-related information: review of current status and future directions. ( 0,575084435471504 )
Int J Med Inform - National efforts to improve health information system safety in Canada, the United States of America and England. ( 0,57362316757713 )
J. Med. Internet Res. - Storing and using health data in a virtual private cloud. ( 0,573592858011788 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,568947310405523 )
J Med Syst - Body Area Networks for ubiquitous healthcare applications: opportunities and challenges. ( 0,568374696685018 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,566187602099086 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,565353942484347 )
J Clin Monit Comput - Endotracheal tube cuff--small important part of a big issue. ( 0,565053076282706 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,5625453386686 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,560973698042072 )
Brief. Bioinformatics - Compressive biological sequence analysis and archival in the era of high-throughput sequencing technologies. ( 0,557714915021266 )
Int J Med Inform - Ethical and legal challenges for health telematics in a global world: telehealth and the technological imperative. ( 0,557533499842292 )
J Clin Monit Comput - Translational applications of evaluating physiologic variability in human endotoxemia. ( 0,556399329759761 )
J Am Med Inform Assoc - Scalable Collaborative Infrastructure for a Learning Healthcare System (SCILHS): architecture. ( 0,556166674082222 )
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. ( 0,5554323416172 )
Telemed J E Health - A standard telemental health evaluation model: the time is now. ( 0,55520934243139 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,55480151348515 )
AMIA Annu Symp Proc - The current capabilities of health information technology to support care transitions. ( 0,553521609001705 )
J. Med. Internet Res. - Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review. ( 0,552903160324326 )
Int J Med Inform - Telemedicine across borders: a systematic review of factors that hinder or support implementation. ( 0,550592839458322 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,550518065304793 )
Int J Med Inform - Empowering citizens with access control mechanisms to their personal health resources. ( 0,549355600837986 )
BMC Med Inform Decis Mak - Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa. ( 0,548909103234172 )
J Med Syst - Impact of technological innovation on a nursing home performance and on the medication-use process safety. ( 0,548892915729635 )
Artif Intell Med - Transferring brain-computer interfaces beyond the laboratory: successful application control for motor-disabled users. ( 0,548389500138936 )
J Am Med Inform Assoc - Don't take your EHR to heaven, donate it to science: legal and research policies for EHR post mortem. ( 0,548347588799044 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,547785657599252 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,547431856071207 )
Wiley Interdiscip Rev Syst Biol Med - Agent-based modeling: a systematic assessment of use cases and requirements for enhancing pharmaceutical research and development productivity. ( 0,547359587917491 )
J Biomed Inform - An enhancement of the role-based access control model to facilitate information access management in context of team collaboration and workflow. ( 0,546715900424424 )
J Med Syst - Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysis. ( 0,546526009854869 )
Brief. Bioinformatics - Towards more accurate prediction of protein folding rates: a review of the existing Web-based bioinformatics approaches. ( 0,546042459295961 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,544451637289259 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,543299690777033 )
Telemed J E Health - Reaching rural communities with culturally appropriate care: a model for adapting remote monitoring to American Indian veterans with posttraumatic stress disorder. ( 0,542978340258815 )