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Caballero Munoz E.,San Sebastián University | Hullin Lucay Cossio C.M.,eHealth Systems
Studies in Health Technology and Informatics | Year: 2010

This chapter gives an educational overview of: • The importance of the engagement of clinicians within a health informatics project • Strategies required for an effective involvement of clinicians throughout a change management process within a clinical context for the implementation of a health informatics project • The critical aspects for a successful implementation of a health informatics project that involves clinicians as end users • Key factors during the administration of changes during the implementation of an informatics project for an information system in clinical practice. © 2010 The authors and IOS Press. All rights reserved.


Hovenga E.J.S.,University College London | Hovenga E.J.S.,Austin Health | Hovenga E.J.S.,Central Queensland University | Hovenga E.J.S.,Victoria University of Melbourne | And 3 more authors.
Studies in Health Technology and Informatics | Year: 2010

This chapter gives an educational overview of: • the scope of the health informatics discipline • health informatics and e-health definitions • health informatics professional networks • potential benefits of applying health informatics technologies. © 2010 The authors and IOS Press. All rights reserved.


Schlotzer A.,Central Queensland University | Madsen M.,Central Queensland University | Madsen M.,eHealth Systems
Studies in Health Technology and Informatics | Year: 2010

This chapter gives an educational overview of: • The purpose of health information systems (HIS). • The characteristics of health information systems for the future. • System interoperability as an essential feature in a modern HIS. • Why user requirements must be established before an HIS is designed. • How to transform a requirements specification into a request for tender. © 2010 The authors and IOS Press. All rights reserved.


Blaya J.A.,Brigham and Women's Hospital | Blaya J.A.,eHealth Systems | Shin S.S.,Brigham and Women's Hospital | Yagui M.,Instituto Nacional Of Salud | And 10 more authors.
PLoS ONE | Year: 2014

Background: Lost, delayed or incorrect laboratory results are associated with delays in initiating treatment. Delays in treatment for Multi-Drug Resistant Tuberculosis (MDR-TB) can worsen patient outcomes and increase transmission. The objective of this study was to evaluate the impact of a laboratory information system in reducing delays and the time for MDR-TB patients to culture convert (stop transmitting). Methods: Setting: 78 primary Health Centers (HCs) in Lima, Peru. Participants lived within the catchment area of participating HCs and had at least one MDR-TB risk factor. The study design was a cluster randomized controlled trial with baseline data. The intervention was the e-Chasqui web-based laboratory information system. Main outcome measures were: times to communicate a result; to start or change a patient's treatment; and for that patient to culture convert. Results: 1671 patients were enrolled. Intervention HCs took significantly less time to receive drug susceptibility test (DST) (median 11 vs. 17 days, Hazard Ratio 0.67 [0.62-0.72]) and culture (5 vs. 8 days, 0.68 [0.65-0.72]) results. The time to treatment was not significantly different, but patients in intervention HCs took 16 days (20%) less time to culture convert (p = 0.047). Conclusions: The eChasqui system reduced the time to communicate results between laboratories and HCs and time to culture conversion. It is now used in over 259 HCs covering 4.1 million people. This is the first randomized controlled trial of a laboratory information system in a developing country for any disease and the only study worldwide to show clinical impact of such a system. Trial Registration: ClinicalTrials.gov NCT01201941.


Simbini T.,University of Zimbabwe | Foster R.,E Health Research and Innovation Platform | Nesara P.,Southern African Development Community SADC | Hullin Lucay Cossio C.,eHealth Systems
Studies in Health Technology and Informatics | Year: 2010

In African countries, communicable diseases remain the chief cause of a heavy disease burden. Regional economic, political and social integration bring new challenges in the management of these diseases, many of which are treatable. Information Communication Technology (ICT) applied through electronic health systems has the potential to strengthen healthcare service delivery and disease surveillance within these countries. This paper discusses the importance of well-defined e-Health strategies within countries and, in addition, proposes that countries within regions collaborate in planning for health information exchange across borders. It is suggested that particular attention be paid to technical and data standards enabling interoperability, and also to issues of security, patient privacy and governance. © 2010 IMIA and SAHIA. All rights reserved.


Gaze M.N.,University College London | Boterberg T.,Ghent University | Dieckmann K.,Medical University of Vienna | Habrand J.-L.,CNRS Gustave Roussy Institute | And 5 more authors.
Radiotherapy and Oncology | Year: 2010

Quality assurance of radiotherapy is an important determinant of outcome in some cancers. SIOPEN-R-NET developed a computerised remote data entry system for recording imaging and treatment parameters for its multimodality high risk neuroblastoma study. This will enable investigation of the relationship between radiotherapy quality and local control. © 2010 Elsevier Ireland Ltd. All rights reserved.


PubMed | University of Toronto, University Institute of Mental Health, eHealth Systems and Ontario Cancer Institute
Type: Journal Article | Journal: Healthcare quarterly (Toronto, Ont.) | Year: 2016

A common perception is that the use of Internet-based self-care systems is best suited for a younger, tech-proficient population, and that these systems will increase the burden on patients with complex chronic conditions. The study stratified patients with diabetes into three regimens of use of an Internet-based diabetes self-care portal. Results show that patients were more likely to adhere to a diurnal regimen than a variable regimen, and older patients, over the age of 60, were more adherent than younger patients, regardless of regimen. This suggests that common misconceptions should be reconsidered when prescribing Internet-based interventions for patients with chronic illness.


Piette J.D.,Ann Arbor Center for Clinical Management Research | Blaya J.A.,eHealth Systems | Blaya J.A.,Harvard University | Lange I.,University of Santiago de Chile | Bru Sanchis J.B.,Polytechnic University of Valencia
ACM International Conference Proceeding Series | Year: 2011

This paper describes mHealth applications to deal with Non Communicable Diseases in North and Latin America: In Chile, a project focused on Diabetes Mellitus type 2; In the United States, Honduras, and Mexico, projects focused in diabetes, heart failure, depression, hypertension, and cancer. Information Technologies used include voice and sms on cell phones and electronic health records systems. © 2011 ACM.


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