J Am Med Inform Assoc - The military health system's personal health record pilot with Microsoft HealthVault and Google Health.

Tópicos

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

Resumo

JECTIVE: To design, build, implement, and evaluate a personal health record (PHR), tethered to the Military Health System, that leverages Microsoft? HealthVault and Google? Health infrastructure based on user preference.MATERIALS AND METHODS: A pilot project was conducted in 2008-2009 at Madigan Army Medical Center in Tacoma, Washington. Our PHR was architected to a flexible platform that incorporated standards-based models of Continuity of Document and Continuity of Care Record to map Department of Defense-sourced health data, via a secure Veterans Administration data broker, to Microsoft? HealthVault and Google? Health based on user preference. The project design and implementation were guided by provider and patient advisory panels with formal user evaluation.RESULTS: The pilot project included 250 beneficiary users. Approximately 73.2% of users were < 65 years of age, and 38.4% were female. Of the users, 169 (67.6%) selected Microsoft? HealthVault, and 81 (32.4%) selected Google? Health as their PHR of preference. Sample evaluation of users reflected 100% (n = 60) satisfied with convenience of record access and 91.7% (n = 55) satisfied with overall functionality of PHR.DISCUSSION: Key lessons learned related to data-transfer decisions (push vs pull), purposeful delays in reporting sensitive information, understanding and mapping PHR use and clinical workflow, and decisions on information patients may choose to share with their provider.CONCLUSION: Currently PHRs are being viewed as empowering tools for patient activation. Design and implementation issues (eg, technical, organizational, information security) are substantial and must be thoughtfully approached. Adopting standards into design can enhance the national goal of portability and interoperability.

Resumo Limpo

jectiv design build implement evalu person health record phr tether militari health system leverag microsoft healthvault googl health infrastructur base user preferencemateri method pilot project conduct madigan armi medic center tacoma washington phr architect flexibl platform incorpor standardsbas model continu document continu care record map depart defensesourc health data via secur veteran administr data broker microsoft healthvault googl health base user prefer project design implement guid provid patient advisori panel formal user evaluationresult pilot project includ beneficiari user approxim user year age femal user select microsoft healthvault select googl health phr prefer sampl evalu user reflect n satisfi conveni record access n satisfi overal function phrdiscuss key lesson learn relat datatransf decis push vs pull purpos delay report sensit inform understand map phr use clinic workflow decis inform patient may choos share providerconclus current phrs view empow tool patient activ design implement issu eg technic organiz inform secur substanti must thought approach adopt standard design can enhanc nation goal portabl interoper

Resumos Similares

Int J Med Inform - Social care informatics as an essential part of holistic health care: a call for action. ( 0,77958948271304 )
Inform Health Soc Care - A healthcare management system for Turkey based on a service-oriented architecture. ( 0,708252261274512 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,681147092396386 )
J Med Syst - PKI security in large-scale healthcare networks. ( 0,677567723006971 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,674871487281981 )
BMC Med Inform Decis Mak - Strengthening district-based health reporting through the district health management information software system: the Ugandan experience. ( 0,667168004024596 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,66101947526121 )
BMC Med Inform Decis Mak - Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa. ( 0,652754828109854 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,649394830936369 )
J Med Syst - A cloud system for mobile medical services of traditional Chinese medicine. ( 0,643546191494818 )
Telemed J E Health - Content-based management service for medical videos. ( 0,641297401524273 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,638766790749563 )
J Med Syst - An enhanced security solution for electronic medical records based on AES hybrid technique with SOAP/XML and SHA-1. ( 0,637176453476888 )
Int J Med Inform - eHealth in Belgium, a new secure federal network: role of patients, health professions and social security services. ( 0,631122573337336 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,631066140227792 )
J. Med. Internet Res. - Analysis of the security and privacy requirements of cloud-based electronic health records systems. ( 0,629722222501027 )
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. ( 0,629652186024621 )
Telemed J E Health - E-health-oriented community health information system in china: our challenges, solution, and experience. ( 0,627346497421962 )
Comput Methods Programs Biomed - Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan. ( 0,625542148422224 )
J Med Syst - Radio frequency identification (RFID) in health care: privacy and security concerns limiting adoption. ( 0,62528011133998 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,62312979427058 )
Int J Med Inform - A Rasch model analysis of technology usage in Minnesota hospitals. ( 0,623119793534856 )
Telemed J E Health - Cyberterrorism: is the U.S. healthcare system safe? ( 0,621944876878059 )
Telemed J E Health - Patient-centeredness and e-health among Italian hospitals: results of a cross-sectional web-based survey. ( 0,621579052291193 )
J Med Syst - A secure EHR system based on hybrid clouds. ( 0,621222948536791 )
J Med Syst - eHealth in Denmark: a case study. ( 0,620367101799702 )
AMIA Annu Symp Proc - Patient-centered appointment scheduling using agent-based simulation. ( 0,620010401143484 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,614296883665784 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,612588542395159 )
J Biomed Inform - The long road to semantic interoperability in support of public health: experiences from two states. ( 0,61104149596308 )
J Am Med Inform Assoc - A centralized research data repository enhances retrospective outcomes research capacity: a case report. ( 0,603834066084446 )
J. Med. Internet Res. - Security considerations for e-mental health interventions. ( 0,599714052447046 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,599180744370392 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,597161347573897 )
AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption. ( 0,59620288244232 )
Int J Health Geogr - An evaluation framework for comparing geocoding systems. ( 0,596007109126082 )
Int J Med Inform - Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. ( 0,594089844123872 )
Int J Med Inform - The EHR-ARCHE project: satisfying clinical information needs in a Shared Electronic Health Record system based on IHE XDS and Archetypes. ( 0,593051124779577 )
Int J Comput Assist Radiol Surg - Grid-based implementation of XDS-I as part of image-enabled EHR for regional healthcare in Shanghai. ( 0,592797873561947 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,592448243408523 )
Methods Inf Med - Memorandum on the use of information technology to improve medication safety. ( 0,59172017958129 )
J Med Syst - E-Health: a global approach with extensive semantic variation. ( 0,591321254550246 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,590275373704237 )
Telemed J E Health - ATA practice guidelines for video-based online mental health services. ( 0,589922325288154 )
BMC Med Inform Decis Mak - IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on nursing. ( 0,589714127752644 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,589379343380069 )
J Biomed Inform - Utility-preserving privacy protection of textual healthcare documents. ( 0,589344771426618 )
Appl Clin Inform - Improving access to longitudinal patient health information within an emergency department. ( 0,589180290433913 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,586048254441333 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,58600201486951 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,584316142542373 )
Geospat Health - GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events. ( 0,584222469345533 )
J. Med. Internet Res. - Examining the differences in format and characteristics of zoonotic virus surveillance data on state agency websites. ( 0,583842262910581 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,581971130174492 )
Methods Inf Med - Architectural approach to eHealth for enabling paradigm changes in health. ( 0,580105013004586 )
J Med Syst - A non-repudiated and traceable authorization system based on electronic health insurance cards. ( 0,578402441577808 )
BMC Med Inform Decis Mak - Technical challenges of providing record linkage services for research. ( 0,577382728271924 )
BMC Med Inform Decis Mak - Decision support at home (DS@HOME)--system architectures and requirements. ( 0,575686866697597 )
Comput. Biol. Med. - Implementing the lifelong personal health record in a regionalised health information system: the case of Lombardy, Italy. ( 0,575686866697597 )
Telemed J E Health - E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. ( 0,573473647679049 )
J Am Med Inform Assoc - Strategies for maintaining patient privacy in i2b2. ( 0,572692072020608 )
Comput Methods Programs Biomed - Development and implementation of a national telehealth project for long-term care: a preliminary study. ( 0,571904408977713 )
Int J Med Inform - Aspects of privacy for electronic health records. ( 0,570566332378596 )
J Am Med Inform Assoc - Privacy by Design at Population Data BC: a case study describing the technical, administrative, and physical controls for privacy-sensitive secondary use of personal information for research in the public interest. ( 0,570551063181523 )
BMC Med Inform Decis Mak - Person-centred web-based support--development through a Swedish multi-case study. ( 0,570437359909687 )
J. Med. Internet Res. - Are personal health records safe? A review of free web-accessible personal health record privacy policies. ( 0,569463563399491 )
Int J Med Inform - A comparative review of patient safety initiatives for national health information technology. ( 0,568488213966053 )
Int J Med Inform - Electronic health information technology as a tool for improving quality of care and health outcomes for HIV/AIDS patients. ( 0,567959526205012 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,56775607443753 )
Int J Med Inform - Key IT management issues in hospitals: Results of a Delphi study in Canada. ( 0,567686523793997 )
Telemed J E Health - A pilot project to improve access to telepsychotherapy at rural clinics. ( 0,567331045471382 )
J Telemed Telecare - Implementation of m-health applications in Botswana: telemedicine and education on mobile devices in a low resource setting. ( 0,566968840353993 )
BMC Med Inform Decis Mak - In eHealth in India today, the nature of work, the challenges and the finances: an interview-based study. ( 0,56696443751614 )
J Am Med Inform Assoc - Patient-controlled sharing of medical imaging data across unaffiliated healthcare organizations. ( 0,566586744577614 )
Health Info Libr J - Healthcare librarians and the delivery of critical appraisal training: barriers to involvement. ( 0,563704854816692 )
Perspect Health Inf Manag - Leadership's role in support of online academic programs: implementing an administrative support matrix. ( 0,563403212370873 )
J Am Med Inform Assoc - Using EHRs to integrate research with patient care: promises and challenges. ( 0,56338751273346 )
J Med Syst - Energy-efficient key distribution using electrocardiograph biometric set for secure communications in wireless body healthcare networks. ( 0,563353915126571 )
J Med Syst - Improving service accessibility in service-oriented HIS. ( 0,563233758269273 )
J Med Syst - Secure Dynamic access control scheme of PHR in cloud computing. ( 0,562667338971136 )
J Am Med Inform Assoc - Design and development of an international clinical data exchange system: the international layer function of the Dolphin Project. ( 0,562377441768079 )
Telemed J E Health - Meeting the continuing education needs of rural mental health providers. ( 0,562294465373686 )
Telemed J E Health - Transnational comparison: A retrospective study on e-health in sparsely populated areas of the northern periphery. ( 0,562283269917249 )
Int J Health Geogr - The Atlas of human African trypanosomiasis: a contribution to global mapping of neglected tropical diseases. ( 0,561217328195451 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,561064532131715 )
Int J Med Inform - Electronic health record: design and implementation of a lab test request module. ( 0,56096307034694 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,560438667632174 )
J Am Med Inform Assoc - Ten key considerations for the successful implementation and adoption of large-scale health information technology. ( 0,560407424197139 )
Int J Med Inform - Telecardiology through ubiquitous internet services. ( 0,560346918401893 )
BMC Med Inform Decis Mak - Medical record: systematic centralization versus secure on demand aggregation. ( 0,560283822536673 )
J Med Syst - Emergency access authorization for personally controlled online health care data. ( 0,560018011325015 )
Telemed J E Health - Ten-year experience of remote medical education in Asia. ( 0,55982557742644 )
J Med Syst - On the security of a dynamic ID-based authentication scheme for telecare medical information systems. ( 0,558367767064704 )
Int J Med Inform - Online usability and patients with long-term conditions: a mixed-methods approach. ( 0,558281342465696 )
Inform Health Soc Care - Low-income, ethnically diverse consumers' perspective on health information exchange and personal health records. ( 0,557686099937527 )
J Med Syst - A review of the personal health records in selected countries and Iran. ( 0,557563874160124 )
J Am Med Inform Assoc - Query Health: standards-based, cross-platform population health surveillance. ( 0,557538535052218 )
J Biomed Inform - Learning relational policies from electronic health record access logs. ( 0,556909431269753 )
J Biomed Inform - An enhancement of the role-based access control model to facilitate information access management in context of team collaboration and workflow. ( 0,556340791911977 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,555681883254263 )