Дисертації з теми "Electronic personal health record"
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Baron, Karen. "Incorporating Personal Health Records into the Disease Management of Rural Heart Failure Patients." NSUWorks, 2012. http://nsuworks.nova.edu/gscis_etd/85.
Повний текст джерелаCunningham, Scott. "My diabetes my way : an electronic personal health record for NHS Scotland." Thesis, University of Dundee, 2014. https://discovery.dundee.ac.uk/en/studentTheses/24b55130-8e8a-4316-8681-b9f4d8513631.
Повний текст джерелаGartrell, Kyungsook. "Factors Associated with Electronic Personal Health Record Use among Registered Nurses for Their Own Health Management." Thesis, University of Maryland, Baltimore, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3636110.
Повний текст джерелаBackground: Electronic personal health records (ePHRs) are consumer-centric tools that enable consumers to securely access, manage and share their health information with health care providers. Although the potential for ePHRs to improve healthcare is significant, there is no available evidence on health care professionals' use of ePHRs for their own health management. Nurses have a tremendous opportunity to assist and educate patients in ePHRs. Research has shown that ePHR adoption among patients were influenced by perceived usefulness and ease of use using the technology acceptance model (TAM). This study expanded the TAM adding perceived data privacy security protections and health promoting role models for the ePHR acceptance model.
Purpose: This study examined (1) characteristics associated with ePHR use by nurses: health, technology experience, and attitudes about privacy of electronic health information, (2) psychometric properties of the measures in the research model, (3) association of ePHR acceptance constructs: perceived usefulness, ease of use, data privacy and security protections, and health promoting role model with ePHR use, and (4) moderating effects of nurses characteristics: age, chronic illness and/or medication use, providers use of electronic personal health record (EHR) on the relationships between ePHR acceptance constructs and ePHR use.
Methods: Registered nurses working in hospitals and members of the nursing informatics community (NIC) completed an anonymous online survey in the Fall of 2013 (n=847). Differences between groups were examined using t-tests and χ² tests. The associations between nurses' characteristics and ePHR use were examined via multiple logistic regression models that also held constant possible confounding covariates and interaction terms.
Results: Less than half (41%) of the hospital nurses were ePHR users. The odds of ePHR use was significantly greater among those with chronic medical conditions/medication use (OR=1.64, 95% CI=1.06-2.53) and those whose health care providers used EHRs (OR=3.62, 95% CI=2.45-5.36) controlling for age, marital status, current positions and specialty area. ePHR use was more common among NIC nurses (72%). The odds of ePHR use was also increased among NIC nurses with providers that used EHRs (OR=5.99, 95% CI=1.40-25.61), but users were 70% less concerned about privacy of health information online than nonusers (OR=0.32, 95% CI=0.14-0.70) controlling for ethnicity, race and practice regions. The majority of both ePHR users and nonusers would grant access to their primary care providers. However, fewer ePHR users in both nursing groups granted permission to designated family members or friends, other care providers who care for them, or pharmacists to view ePHRs than nonusers who answered hypothetically. Sufficient reliability for usefulness, ease of use, and privacy and security protections, and health promoting role model scales were found (all Cronbach alphas>0.70). Three constructs contributed significantly to ePHR use after adjusting nursing group, age, chronic illness and medication use, and health care providers use of EHR (usefulness, OR=0.87, 95% CI=0.85-0.89; data privacy and security protection, OR=1.04, 95% CI=1.01-1.07; and health promoting role model, OR=1.07, 95% CI=1.04-1.11). Significant interactions existed between perceived data privacy and security protections and providers EHR use, and between perceived health promoting role model and age on ePHR use (p<0.05).
Conclusion: The study findings suggest practical insights for nurses. With the experience of using ePHRs, nurses can leverage use of ePHRs for patient education on chronic illness and medication management. Nurses in NIC can also play an important role in practical ePHR design to enhance functionality and security in ePHR with their specialties in nursing informatics.
Abd-Alrazaq, Alaa Ali Eid. "Factors affecting patients' use of electronic personal health records." Thesis, University of Leeds, 2018. http://etheses.whiterose.ac.uk/21951/.
Повний текст джерелаLogue, Melanie D. "Validating and Testing A Model to Predict Adoption of Electronic Personal Health Record Systems in the Self-Management of Chronic Illness in the Older Adult." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/204269.
Повний текст джерелаCarneiro, Carla Margarida da Silva. "Voluntary electronic patient record state of the art." Master's thesis, Universidade da Beira Interior, 2012. http://hdl.handle.net/10400.6/1191.
Повний текст джерелаRichards, Rhonda J. "A Study of the Intent to Fully Utilize Electronic Personal Health Records in the Context of Privacy and Trust." Thesis, University of North Texas, 2012. https://digital.library.unt.edu/ark:/67531/metadc115145/.
Повний текст джерелаAnsved, Linn, and Karin Eklann. "Exploring ways to convey medical information during digital triage : A combined user research and machine learning approach." Thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-386420.
Повний текст джерелаBraga, Renata Dutra. "Registro eletrônico em saúde: proposta de um modelo de informação para uso na atenção primária com vistas à interoperabilidade." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/3870.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
There are various health information systems in use in the country, which serve different purposes, but are not interoperable. To ensure interoperability in the development of a model that serves different health professions was held this research, which aimed to define a conceptual model for the registration of health information in primary care. Methods: This action research with analytical approach was held in conjunction with a panel of experts to represent the health professions recognized by the National Health Council (CNS), which through discussion meetings identified and systematized essential information needed to evaluate the overall health of individual, in the context of multidisciplinary primary care demands generating a preliminary model. This model was validated by Delphi method and a consensus model was proposed. Results: The conceptual model to health information registration obtained goes beyond the demands of administration, since its focus is the individual - source of all the information that generates health demands. The central structure of the information registry model comprised four groups of information, which were called pillars: Data Gathering, Diagnosis, Care Plan and Evaluation. Each of these pillars presented subgroups important to the different professions, whose complexity limit of detail of information stood on the complexity of primary health care. Conclusion: This study represents a joint effort to establish an architecture of essential information for creating an electronic record in interoperable and necessary to meet the individual's health in primary care.
Há vários sistemas de informação em saúde em uso no país, que servem a propósitos distintos, contudo não são interoperáveis. Para assegurar a interoperabilidade na elaboração de um modelo que atende diferentes profissões de saúde realizou-se esta pesquisa, cujo objetivo foi definir um modelo conceitual para o registro da informação em saúde na atenção primária. Métodos: Esta pesquisa-ação, com abordagem analítica, foi realizada em conjunto com um painel de profissionais que, por meio de reuniões de discussão identificou e sistematizou informações essenciais para a avaliação da saúde geral do indivíduo, no contexto das demandas multiprofissionais da atenção primária, gerando um modelo preliminar. Esse modelo foi validado pelo método Delphi e um modelo consensual foi proposto. Resultados: O modelo conceitual de registro da informação em saúde obtido extrapola as demandas da gestão administrativa, visto que o seu foco foi o indivíduo – fonte de todas as informações que geram as demandas em saúde. A estrutura central do modelo compreendeu quatro grupos de informações, denominados de pilares: Coleta de Dados, Diagnóstico, Plano de Cuidados e Avaliação. Cada um desses pilares apresentaram subgrupos importantes para as diferentes profissões, cujo limite de complexidade e detalhamento da informação situou-se na atenção primária em saúde. Conclusão: Este estudo representa um esforço conjunto para o estabelecimento de uma arquitetura de informações essenciais para a criação de um registro eletrônico em saúde interoperável e necessárias para o atendimento do indivíduo na atenção primária.
Tilman, Laora. "L’utilisation des technologies de l’information et de la communication à l’hôpital face au droit." Thesis, Lille 2, 2017. http://www.theses.fr/2017LIL20008/document.
Повний текст джерелаThe use of ICT has become increasingly important in hospitals. However, the legal framework structuring its use is very complex to grasp. Indeed, it is made up of general laws as well as specific ones and makes this framework sometimes unconsistent. To provide an optimal legal framework for the ICT to expand safely, the legislator needs to strike the right balance between protecting fundamental rights and securing practices. As the current legal framework does not provide this delicate balance, public authorities have a strategic role to play to ensure a secure use of ICT within hospitals. To guarantee the development of consistent projects, a strong governance has to set up a national leadership. The legal framework needs to be rehabilitated to support digital innovation in Healthcare and to ensure a legal protection required for an appropriate use of ICT. Hospitals have then a key role to play in securing their practices
Maiorano, Picone Pasquale Carlo. "Applicazioni Android per accesso a personal health record." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2013. http://amslaurea.unibo.it/5761/.
Повний текст джерелаTourille, Julien. "Extracting Clinical Event Timelines : Temporal Information Extraction and Coreference Resolution in Electronic Health Records." Thesis, Université Paris-Saclay (ComUE), 2018. http://www.theses.fr/2018SACLS603/document.
Повний текст джерелаImportant information for public health is contained within Electronic Health Records (EHRs). The vast majority of clinical data available in these records takes the form of narratives written in natural language. Although free text is convenient to describe complex medical concepts, it is difficult to use for medical decision support, clinical research or statistical analysis.Among all the clinical aspects that are of interest in these records, the patient timeline is one of the most important. Being able to retrieve clinical timelines would allow for a better understanding of some clinical phenomena such as disease progression and longitudinal effects of medications. It would also allow to improve medical question answering and clinical outcome prediction systems. Accessing the clinical timeline is needed to evaluate the quality of the healthcare pathway by comparing it to clinical guidelines, and to highlight the steps of the pathway where specific care should be provided.In this thesis, we focus on building such timelines by addressing two related natural language processing topics which are temporal information extraction and clinical event coreference resolution.Our main contributions include a generic feature-based approach for temporal relation extraction that can be applied to documents written in English and in French. We devise a neural based approach for temporal information extraction which includes categorical features.We present a neural entity-based approach for coreference resolution in clinical narratives. We perform an empirical study to evaluate how categorical features and neural network components such as attention mechanisms and token character-level representations influence the performance of our coreference resolution approach
Postaci, Senan. "An Advanced Personal Health Record Platform For Patient Empowerment." Master's thesis, METU, 2012. http://etd.lib.metu.edu.tr/upload/12614583/index.pdf.
Повний текст джерелаElectonic Health Records (EHRs) from external sources. However, current PHRs can provide access to only a small number of EHR systems, since there are many dierent interfaces, data formats and medical terminologies among dierent systems. When this is the case, all these diversity yields high integration costs. Development of such systems is dicult and expensive because of the reasons such as accessing to evidence based medical information, utilization of social networks to share information, incorporation of available medical knowledge models, etc. Due to the technical diversity of external information systems, a developer of a PHR system faces a dicult integration process when he wants to integrate a new source or service. Integration of medical devices is also important and necessary in a PHR system. However, most of the medical device vendors use proprietary formats and protocols for communicating their devices with external systems
again, causing high integration eorts and costs. In this thesis, these problems and challenges are addressed by providing an on-line personal iv healthcare management platform, i.e. eSaglikKaydim which is built on top of a highly modular architecture and provides services based on worldwide standards. In this way, eSaglikKaydim platform can be integrated with any external health information service and medical device so that it maximizes the data variety retrieved from all kinds of external health data sources. The work presented in this thesis is part of the OSAmI project supported by European ITEA and funded by the TU¨
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Huang, Qian, and Qin Yin. "Study on Electronic Health Record and its Implementation." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-9464.
Повний текст джерелаXin, Zhang. "Distributed Electronic Health Record System based on Middleware." Thesis, Mittuniversitetet, Institutionen för informationsteknologi och medier, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-18947.
Повний текст джерелаSimpson, Johnnie Lee Jr. "Examining differences in electronic health record adoption and motivations." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3637298.
Повний текст джерелаMy dissertation research aims to provide greater knowledge about the healthcare industry and federal budgets, within the education and infrastructure. The view point of the financials spent in the United States on healthcare is supported by the economic reports and facts dealing with the studies that the current cost is unstainable. It is also likely that rates of EHR adoption increased after the healthcare legislation associated with the administration of President Barack Obama.
Together, these two pieces of legislation represent a challenge for healthcare providers in the United States, as such providers will have not only to adopt EHR if they have not done so already, but they must also prepare for a torrent of new patients who typically have not had medical care—especially those eligible for Medicaid benefits.
One problem raised by the new healthcare legislation, according to Frenkel (2010), is that it unknown how the adoption of EHR will affect smaller healthcare providers financially and in terms of service, especially those that accept Medicaid reimbursement. Most EHR literature addresses circumstances before the passage of the ARRA of 2009 and the PPACA. While there are reliable figures for nationwide EHR adoption, Frenkel (2010) argued that some key questions remain unanswered:
1. Are Medicaid providers more advanced in EHR adoption than non-Medicaid providers?
2. What are the main obstacles to, and incentives for, adopting EHR in the new era of American healthcare?
3. Are obstacles and incentives different from those in the past before the new healthcare legislation, or are they similar to previous obstacles and incentives?
Avillach, Paul. "Du système d'information clinique au système d'information épidémiologique : apport de l'intéropérabilité sémantique." Thesis, Aix-Marseille 2, 2011. http://www.theses.fr/2011AIX20697.
Повний текст джерелаMedical information collected during clinical care must be re-used to address other more collective goals. In this context of re-using data from a clinical information system for epidemiological research, the objective of this work is to study the contribution of semantic interoperability across a number of practical situations we have met and discussed which illustrate the nature of semantic consistency problems associated with processing of medical data.Coexistence at a given time, of several semantic repositories should not be considered as an obstacle to interoperability. Generic tools can be designed and developed to move seamlessly from one component to another with as little loss of information as possible. The Unified Medical Language System (UMLS) is one of the semantic integration tools. Its use in this work shows the generality of this method and its potential for solving this class of semantic interoperability problems.The richness of each of the terminology can, when combined into a single pivot semantic repository, enrich the set of terminologies individually for a better representation of knowledge.Semantic interoperability improves the availability and quality of reusable data for public health research. It also enriches existing data. It provides access to new sources of data, aggregated in a valid manner, allowing benchmarking or richer analysis
ZHENG, YAO. "Privacy-Preserving Personal Health Record System Using Attribute-Based Encryption." Digital WPI, 2011. https://digitalcommons.wpi.edu/etd-theses/902.
Повний текст джерелаSundvall, Erik. "Scalability and Semantic Sustainability in Electronic Health Record Systems." Doctoral thesis, Linköpings universitet, Medicinsk informatik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-87702.
Повний текст джерелаSyftet med denna avhandling är ytterst att göra informationssystem som används i hälso- och sjukvård, särskilt patientjournaler, mer användbara och lättarbetade. Om systemen vore lättare att utveckla och underhålla skulle fler resurser kunna läggas på att tillföra nya och mer användarvänliga funktioner. Om journalsystem och datorprogram kan ”begripa” vad olika saker i journalen är och betyder så kan de vara till större hjälp, t.ex. genom att visa bättre patientöversikter och bidra med beslutsstöd. En del i att göra journalinnehållet begripligt och hanterbart för datorer är att använda sig av terminologisystem som t.ex. ICD-10 och SNOMED CT. En annan viktig del är datastrukturerna där man stoppar in text, mätvärden, koderna från terminologisystem etc. De flesta journalsystem har någon sorts mallar som datastrukturer. Projektet openEHR har tagit fram ett sätt att dela specifikationer av datastrukturer mellan olika journalsystem så att man lättare kan dela och återanvända dem och den journaldata som matats in i dem. Dessa specifikationer kallas ”arketyper” och arketyp-metoden beskrivs även i standarden ISO 13606. Om två olika journalsystem använder samma datastruktur, t.ex. med hjälp av samma arketyper, så kan de utväxla patientdata mellan varandra (de uppnår s.k. semantisk interoperabilitet). Begreppet ”Semantic sustainability” definieras i avhandlingen som ett förhållningssätt som är bredare än semantisk interoperabilitet. Det syftar till att möjliggöra långsiktigt hållbar utveckling av semantik (betydelse) i journalsystem och genom att hantera risker och resurser förståndigt. Förhållningssättet baserar sig på forskning och erfarenheter från systemutveckling och hantering av komplexa system och är avsett att stödja beslutsfattare, och de som utvecklar och underhåller journalsystem, relaterade system och strukturer. För att datorsystem ska kunna växa vid ökad användning ,utan att hamna i återvändsgränder avseende prestanda, så bör vissa designprinciper för skalbarhet följas. Avhandlingen presenterar en systemarkitektur baserad på sådana principer och på arketyp-metoden. Denna arkitektur gör det möjligt att bygga system med delsystem från flera olika leverantörer. Skalbarheten i några lagringslösningar redovisas också. Slutligen redovisas prototyper av gränssnitt för patientöversikter och journalläsning.
Barry, Sacha (Sacha M. ). "Critical factors for successful electronic health record (EHR) implementation." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/104546.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 68-75).
Since the 1970s, the healthcare industry has been moving from paper-based documents towards computer information systems in an effort to increase timely access to quality information, with the ultimate objective of wide dissemination and adoption of Electronic Health Records (EHRs). EHRs are electronic collections of patient health information that are recorded by physicians, nurses and patients themselves, before being approved by physicians and shared across diverse settings. EHR implementation can improve care quality and efficiency and physician productivity and reduce healthcare costs. However, implementation often proves to be difficult. This paper reviews several common issues associated with EHR adoption including negative impacts on quality of care, physicians' productivity, patients' safety and organizations' financials from high maintenance and implementation costs. It then summarizes critical success factors found in the literature. It eventually examines two cases studies of Enterprise Resource Planning (ERP) implementation in the automotive and food and beverage industries and leverages ERP implementation best practices to develop a practical framework for successful HER adoption. Hopefully, it will be useful for future EHR adoption projects in the U.S. and other regions of the world.
by Sacha Barry.
S.M. in Management Studies
Barnawi, Abdullah. "Risk management of electronic health record system in hospitals." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/10411.
Повний текст джерелаWissel, Benjamin D. "Generalizability of Electronic Health Record-Based Machine Learning Models." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1627659161796896.
Повний текст джерелаVelte, Linda Maria. "Electronic health record repository based on the openEHR standard." Master's thesis, Universidade de Aveiro, 2011. http://hdl.handle.net/10773/7479.
Повний текст джерелаAn Electronic Health Record (EHR) aggregates all relevant medical information regarding a single patient, allowing a patient centric storage approach. This way the complete medical history of a patient is stored together in one record, making it possible to save time and work by allowing the sharing of information between health care institutions. To make this sharing possible there has to be agreed on the format in which the information is saved. There are many standards to de ne the way health information is stored, exchanged and retrieved. One of this standards is the Open Electronic Health Record (OpenEHR). The goal of this thesis is to create a repository which allows to store and manage patient records which follow the OpenEHR standard. The result of the implementation consists in three software parts, being them a Extensible Markup Language (XML) repository to store health information, a set of services allowing to manage and query the information stored and a web interface to demonstrate the implemented functionalities.
Um registo electrónico de saúde agrega toda a informação médica relevante de um paciente, permitindo uma filosofia de armazenamento orientada ao mesmo. Desta forma todo o historial médico do paciente encontra-se armazenado num único registo, permitindo a optimização de custos e tempo gasto nas diferentes tarefas, através de partilha de informação entre diferentes instituições médicas. Para possibilitar esta partilha é necessário definir um formato comum em que a informação é armazenada. Para tal foram definidas diversas normas que ditam as regras de armazenamento, troca e recuperação de informação médica. Uma destas normas é o Open Electronic Health Record (OpenEHR). O objectivo desta dissertação e criar um reposit orio que permite o armazenamento de registos médicos que sigam a norma OpenEHR. A implementação dá origem a três componentes de software, sendo eles uma base de dados Extensible Markup Language (XML) para armazenamento de registos médicos, um conjunto de serviços para gestão e pesquisa da informação armazenada e uma interface web para demonstração das funcionalidades implementadas.
Malta, André Filipe Domingues. "Open-source electronic health record system for neglected diseases." Master's thesis, Universidade de Aveiro, 2016. http://hdl.handle.net/10773/18342.
Повний текст джерелаLow-resource countries are primarily the ones afected by tropical diseases where environmental factors play a major role. Means for controlling these diseases are often lacking in these countries in part due to their poor support of Health Information Technology. Nowadays, with the advances of standards and software in the health-field, several open-source electronic health record systems (EHR) exist which can assist facilities to capture of information, aiding to research and better health-care of neglected diseases in these countries. In this work, we performed a systematic review of several of such solutions to select the most appropriate candidate to satisfy the requirements of a testbed in a low-resource country - Gondar in Ethiopia. The implementation was conducted with a strong focus on adapting the existing paper-based workflow of the institution to the proposed system, to assure that all the information generated in this center can be captured in a digital way. As a final result, a working prototype was deployed and some conclusions are obtained from all this process.
Países sub-desenvolvidos são os principalmente afectados por um conjunto de doenças tropicais onde factores ambientais desempenham uma contribuição maior na sua origem. No geral estes países não dispõem de métodos para controlar estas doenças eficazmente, em parte devido à fraca implementação de Tecnologias da Informação em Saúde. Atualmente, com o avanço em standards e software na área da saúde, existem diversos sistemas opensource de registos clínicos que podem auxiliar centros de cuidados médicos na captura de informação útil à melhoria dos serviços prestados e há investigação de doenças negligenciadas. Nesta dissertação efectuámos uma revisão sistemática de tais soluções de maneira a escolher um candidato apropriado aos requisitos de uma cama de teste de um país sub-desenvolvido - Gondar, Etiópia. A implementação foi conduzida com ênfase à adaptação do fluxo de trabalho baseado em papel da instituição para o sistema proposto, assegurando que toda a informação gerada pelo centro pode ser capturada de forma digital. Como resultado final, um protótipo foi criado e algumas conclusões obtidas de todo este processo.
Foster, Christopher A. "Electronic Health Record Implementation Strategies for Decreasing Healthcare Costs." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6426.
Повний текст джерелаMoner, Cano David. "Archetype development and governance methodologies for the electronic health record." Doctoral thesis, Universitat Politècnica de València, 2021. http://hdl.handle.net/10251/164916.
Повний текст джерела[CA] La interoperabilitat semàntica de la informació sanitària és un requisit imprescindible per a la sostenibilitat de l'atenció sanitària, i és fonamental per a afrontar els nous reptes sanitaris d'un món globalitzat. Aquesta tesi aporta noves metodologies per a abordar alguns dels aspectes fonamentals de la interoperabilitat semàntica, específicament aquells relacionats amb la definició i govern de models d'informació clínica expressats en forma d'arquetip. Les aportacions de la tesi són: - Estudi de les metodologies de modelatge existents de components d'interoperabilitat semàntica que influiran en la definició d'una metodologia de modelatge d'arquetips. - Anàlisi comparativa dels sistemes i iniciatives existents per al govern de models d'informació clínica. - Una proposta de Metodologia de Modelatge d'Arquetips unificada que formalitza les fases de desenvolupament de l'arquetip, els participants requerits i les bones pràctiques a seguir. - Identificació i definició de principis i característiques de govern d'arquetips. - Disseny i desenvolupament d'eines que brinden suport al modelatge i al govern d'arquetips. Les aportacions d'aquesta tesi s'han posat en pràctica en múltiples projectes i experiències de desenvolupament. Aquestes experiències varien des d'un projecte local dins d'una sola organització que va requerir la reutilització de dades clíniques basades en principis d'interoperabilitat semàntica, fins al desenvolupament de projectes d'història clínica electrònica d'abast nacional.
[EN] Semantic interoperability of health information is an essential requirement for the sustainability of healthcare, and it is essential to face the new health challenges of a globalized world. This thesis provides new methodologies to tackle some of the fundamental aspects of semantic interoperability, specifically those aspects related to the definition and governance of clinical information models expressed in the form of archetypes. The contributions of the thesis are: - Study of existing modeling methodologies of semantic interoperability components that will influence in the definition of an archetype modeling methodology. - Comparative analysis of existing clinical information model governance systems and initiatives. - A proposal of a unified Archetype Modeling Methodology that formalizes the phases of archetype development, the required participants, and the good practices to be followed. - Identification and definition of archetype governance principles and characteristics. - Design and development of tools that provide support to archetype modeling and governance. The contributions of this thesis have been put into practice in multiple projects and development experiences. These experiences vary from a local project inside a single organization that required a reuse on clinical data based on semantic interoperability principles, to the development of national electronic health record projects.
This thesis was partially funded by the Ministerio de Economía y Competitividad, ayudas para contratos para la formación de doctores en empresas “Doctorados Industriales”, grant DI-14-06564 and by the Agencia Valenciana de la Innovación, ayudas del Programa de Promoción del Talento – Doctorados empresariales (INNODOCTO), grant INNTA3/2020/12.
Moner Cano, D. (2021). Archetype development and governance methodologies for the electronic health record [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/164916
TESIS
Mejia, Susan. "Strategies Rural Hospital Leaders Use to Implement Electronic Health Record." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5225.
Повний текст джерелаReid, Jr Marvin Leon. "Adoption of Electronic Health Record Systems Within Primary Care Practices." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2228.
Повний текст джерелаSan, Jose Rhoda Lynn Atienza. "Educating Nurses on Workflow Changes from Electronic Health Record Adoption." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3321.
Повний текст джерелаBorek, Jarrod. "Managerial Strategies for Maximizing Benefits From Electronic Health Record Systems." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4959.
Повний текст джерелаEyoh, Unyime. "Polypharmacy, the Electronic Medical Record, and Adverse Drug Events." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2535.
Повний текст джерелаDewart, Courtney McAlear. "Evaluating Risk Factors for Antimicrobial Resistance Using Electronic Health Record Data." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555234514305512.
Повний текст джерелаDelespierre, Tiba. "Du dossier résident informatisé à la recherche en santé publique : Application des méthodes de surveillance en temps réel à des données médico-sociales de la personne âgée et exploration de données de cohorte pour la santé publique." Thesis, Université Paris-Saclay (ComUE), 2018. http://www.theses.fr/2018SACLV030/document.
Повний текст джерелаFrench population is rapidly aging. Senior citizens ratio is increasing and our society needs to rethink its organization, taking into account this change, better knowing this fast growing population group.Even if numerous cohorts of elderly people already exist worldly with four in France and, even as they live in growing numbers in nursing homes and out-patient treatment clinics, knowledge of this population segment is still missing.Today several health and medico-social structures groups as Korian and Orpéa invest in big relational data bases enabling them to get real-time information about their patients/residents. Since 2010 all Korian residents’ files are dematerialized and accessible by requests. They contain at the same time, structured medico-social data describing the residents as well as their treatments and pathologies, but also free-textual data detailing their daily care by the medical staff.Through time and as the computerized resident file (DRI) was mainly conceived as a data base management application, it appeared essential to mine these data and build a decision-making tool intended to improve the care efficiency. The Ageing Well Institute becoming meanwhile the Korian Ageing Well Foundation chose then, working in a private/public partnership, to finance a research work intented to better understand these datas’ informative potential, to assess their reliability and response to public health threats. This research work and this thesis were then designed in several steps:- First, a content analysis of the data warehouse DRI, the objective being to build a research data base, with a social side and a health side. This was the first paper subject.- Then, by direct extraction of the residents’ socio-demographic information at nursing home (NH) entry, adding hospitalizations and deaths, and finally, by an iterative textual extraction process of the transmissions data and by using the Delphi method, we created twenty-four syndromes, added hospitalizations and deaths and built a syndromic data base, the Ageing Well data base. This information system of a new kind, allowed the constitution of a public health cohort for elderly people from the BBV residents’population and its syndromic longitudinal follow-up. The BBV was also scientifically assessed for surveillance and public health research through present situation analysis: content, periodicity and data quality. This cohort then gave us the opportunity to build a surveillance tool and follow the residents’ population in real-time by watching their 26 daily frequency syndromic distributions. The methodology for that assessment, Atlanta CDCs’ health surveillance systems method, was used for flu and acute gastro enteritis syndroms and was the second paper subject.- Finally, the building of a new public health tool: each syndrom’s distribution through time (transmissions dates) and space (transmissions NH ids) opened the research field to new data exploration methods. I used these to study different health problems afflicting senior citizens: frequent falls, cancer, vaccinations and the end of life
Kantanka, Nana Sarfo. "Personal health record as a backbone for primary healthcare in developing countries." Thesis, Norwegian University of Science and Technology, Department of Computer and Information Science, 2007. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-9630.
Повний текст джерелаIncreasingly, the ability to improve the efficiency, safety and quality of care is being recognized across the primary health sector. Increased focus on "seamless delivery of care", particularly for those with complex care needs, has highlighted the requirement for improved information exchange between health service providers. Personal Health records (PHR) as a transmission of personal health information can be powerful tools for linking the fragmented information that exists between services and allow providers immediate access to essential clinical information. This research is to make known how personal health records (PHR) can be of a greater support or possible as a backbone for continual of service for primary health care. The acquisition of knowledge by this research is about how personal health records can contribute to the planning of efficient patients information which in the long run helps in acquiring the rightful treatment and which also results in the benefit of primary health organization members in the whole. The results illustrate the conceptions of the need to in cooperate and encourage the use of personal health records which in the long effect can serve as a backbone for the existing primary healthcare.
Nguyen, Quynh. "The views and expectations of young healthy adults about using an online personal health record." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104516.
Повний текст джерелаCONTEXTE: Les dossiers de santé personnels (DSP) sont des outils qui permettent aux individus d'accéder, de partager et de gérer l'information sur leur santé en ligne. Ils ont obtenu beaucoup d'intérêt et des investissements considérables ces dernières années puisqu'on considère que les DSP ont le potentiel de promouvoir une plus grande implication des patients dans la gestion de leurs propres soins. Malgré l'intérêt public apparent et une prolifération des options, les taux d'adoption des DSP restent faibles. Notre compréhension des raisons pour lesquelles les gens choisissent d'utiliser ou non les DSP et de ce que les différentes populations d'utilisateurs pourraient vouloir d'un tel outil est limitée. En particulier, les jeunes adultes pourraient être un bon groupe à cibler en ce qui concerne les possibilités de prévention avec un DSP puisque la technologie est beaucoup plus intégrée dans leur vie quotidienne.OBJECTIF: Cette étude qualitative descriptive vise donc à explorer les points de vue et les attentes des jeunes adultes en bonne santé à propos de l'utilisation d'un dossier de santé personnel. METHODES: Quatre tables rondes ont été menées avec un total de 29 participants (18-34 ans) dans un milieu communautaire de Montréal, au Canada. Les entrevues ont été transcrites et ensuite analysées avec la méthode d'analyse thématique inductive. RÉSULTATS: En ce qui concerne ce que les jeunes adultes pensent à propos des DSP, trois grands thèmes ont été identifiés: les avantages perçus, les futurs utilisateurs et les préoccupations au sujet des DSP. En terme de ce qu'eux-mêmes attendaient d'un DSP, différents thèmes ont été élaborés: les caractéristiques d'un DSP «idéal»; la contribution des DSP à la santé préventive en prenant plus de contrôle sur leur santé, et l'aspect pratique des DSP. Un cadre conceptuel des facteurs ayant une influence sur les attentes des participants à propos des DSP est proposé. CONCLUSION: Les résultats suggèrent que ce que les jeunes adultes perçoivent comme avantages d'un DSP ne sont pas les mêmes choses qui les motivent à se servir d'une PHR. Cela souligne l'importance de comprendre l'utilisation prévue et les attentes des populations d'utilisateurs spécifiques dans la conception d'un outil centré sur le patient. Le cadre proposé peut constituer une base pour de plus amples recherches sur l'adoption des DSP.
Fernández, Alexis Martínez. "Authorization schema for electronic health-care records : For Uganda." Thesis, KTH, Kommunikationssystem, CoS, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101165.
Повний текст джерелаDetta examensarbete projektet startade vid Karolinska Universitetssjukhuset. Denna avhandling diskuterar hur man designar ett tillstånd schema fokuserat på att säkerställa varje patients dataskydd inom ett sjukhus informationssystem. Det börjar med en översikt över det aktuella problemet, följt av en genomgång av arbete. Projektets övergripande mål är att skapa och utvärdera ett tillstånd schema som kan garantera varje patient data sekretess. Bemyndigande har för närvarande blivit en mycket viktig aspekt i informationssystem, till den grad att vara nödvändigt att genomföra komplett system för hantering av åtkomstkontroll i vissa komplexa miljöer. Detta är i själva verket den strategi som detta examensarbete tar för att effektivt resonemang om en ansökan om godkännande i situationer där ett stort antal parametrar kan påverka i åtkomstkontroll bedömningen. Denna studie är en del av ICT4MPOWER projektet utvecklades i Sverige av både offentliga och privata organisationer i syfte att förbättra stödet sjukvård i Uganda med användning av informations-och kommunikationsteknik.<p> Mer konkret definierar detta arbete ett tillstånd schema som kan hantera de ökande behoven av sofistikerade metoder för åtkomstkontroll där en komplex miljö finns och politik kräver en viss flexibilitet.
Poon, Wai-yin, and 潘慧賢. "Review of the implementation of electronic health record in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50257456.
Повний текст джерелаpublished_or_final_version
Politics and Public Administration
Master
Master of Public Administration
Aldajani, Mouhamad. "Electronic patient record security policy in Saudi Arabia National Health Service." Thesis, De Montfort University, 2012. http://hdl.handle.net/2086/6016.
Повний текст джерелаFareed, Naleef. "Hospital Electronic Health Record Adoption and its Influence on Postoperative Sepsis." VCU Scholars Compass, 2013. https://scholarscompass.vcu.edu/etd/3003.
Повний текст джерелаWeagraff, Joseph B. "Health Care Leaders' Experiences of Electronic Medical Record Adoption and Use." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3216.
Повний текст джерелаSesay, Nanah Sheriff. "Development of an Electronic Health Record Educational Project for Staff Nurses." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1214.
Повний текст джерелаKiihamäki, S.-P. (Simo-Pekka). "A latent class approach:characterizing the willingness to share personal health information in Finland." Master's thesis, University of Oulu, 2019. http://jultika.oulu.fi/Record/nbnfioulu-201908232813.
Повний текст джерелаJing, Xia. "Constructing a bio-health knowledge base for access via a standardised electronic health record prototype." Thesis, University of Salford, 2009. http://usir.salford.ac.uk/26738/.
Повний текст джерелаFylan, F., L. Caveney, A. Cartwright, and Beth Fylan. "Making it work for me: beliefs about making a personal health record relevant and useable." 2018. http://hdl.handle.net/10454/16382.
Повний текст джерелаBackground: A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their health information, e.g. data from their medical records and data collected by apps. However, engagement with their record can be low if people do not find it beneficial to their health, wellbeing or interactions with health and other services. We have explored the beliefs potential users have about a PHR, how it could be made personally relevant, and barriers to its use. Methods: A qualitative design comprising eight focus groups, each with 6–8 participants. Groups included adults with long-term health conditions, young people, physically active adults, data experts, and members of the voluntary sector. Each group lasted 60–90 min, was audio recorded and transcribed verbatim. We analysed the data using thematic analysis to address the question “What are people’s beliefs about making a Personal Health Record have relevance and impact?” Results: We found four themes. Making it work for me is about how to encourage individuals to actively engage with their PHR. I control my information is about individuals deciding what to share and who to share it with. My concerns is about individuals’ concerns about information security and if and how their information will be acted upon. Potential impact shows the potential benefits of a PHR such as increasing self-efficacy, uptake of health-protective behaviours, and professionals taking a more holistic approach to providing care and facilitating behaviour change. Conclusions: Our research shows the functionality that a PHR requires in order for people to engage with it. Interactive functions and integration with lifestyle and health apps are particularly important. A PHR could increase the effectiveness of behaviour change apps by specifying evidence-based behaviour change techniques that apps should incorporate. A PHR has the potential to increase health-protective behaviours and facilitate a more person-driven health and social care system. It could support patients to take responsibility for self-managing their health and treatment regimens, as well as helping patients to play a more active role when care transfers across boundaries of responsibility.
Leeds Informatics Board
Amarante, Fábio André da Silva. "Extracting medical information from personal child health records." Master's thesis, 2018. https://repositorio-aberto.up.pt/handle/10216/111181.
Повний текст джерелаAmarante, Fábio André da Silva. "Extracting medical information from personal child health records." Dissertação, 2018. https://repositorio-aberto.up.pt/handle/10216/111181.
Повний текст джерелаGuarin, Desmond Medina. "The Effect of Stakeholders’ Background on Perceptions of Usability and Usefulness on Personal Health Records." Thesis, 2013. http://hdl.handle.net/1828/5117.
Повний текст джерелаGraduate
0723
0769
0984
dguarin@uvic.ca
Eastway, Julia Sara. "Adult patients’ experiences of using electronic personal health records for self-management of chronic non-communicable disease: a qualitative systematic review." Thesis, 2020. http://hdl.handle.net/2440/126623.
Повний текст джерелаThesis (MClinSc.) -- University of Adelaide, The Joanna Briggs Institute, 2020
Clark, Wayne Voisey. "Diffusion of personal health information : self-determining and empowering practices for Manitoba Inuit." 2012. http://hdl.handle.net/10170/522.
Повний текст джерелаPedrosa, Tiago. "Electronic health records for mobile citizens: a secure and collaborative architecture." Doctoral thesis, 2013. http://hdl.handle.net/10198/9014.
Повний текст джерелаDurante as últimas décadas, os registos de saúde electrónicos (EHR) têm evoluído para se adaptar a novos requisitos. O cidadão tem-se envolvido cada vez mais na prestação dos cuidados médicos, sendo mais pró activo e desejando potenciar a utilização do seu registo. A mobilidade do cidadão trouxe mais desafios, a existência de dados dispersos, heterogeneidade de sistemas e formatos e grande dificuldade de partilha e comunicação entre os prestadores de serviços. Para responder a estes requisitos, diversas soluções apareceram, maioritariamente baseadas em acordos entre instituições, regiões e países. Estas abordagens são usualmente assentes em cenários federativos muito complexos e fora do controlo do paciente. Abordagens mais recentes, como os registos pessoais de saúde (PHR), permitem o controlo do paciente, mas levantam dúvidas da integridade clinica da informação aos profissionais clínicos. Neste cenário os dados saem de redes e sistemas controlados, aumentando o risco de segurança da informação. Assim sendo, são necessárias novas soluções que permitam uma colaboração confiável entre os diversos actores e sistemas. Esta tese apresenta uma solução que permite a colaboração aberta e segura entre todos os actores envolvidos nos cuidados de saúde. Baseia-se numa arquitectura orientada ao serviço, que lida com a informação clínica usando o conceito de envelope fechado. Foi modelada recorrendo aos princípios de funcionalidade e privilégios mínimos, com o propósito de fornecer protecção dos dados durante a transmissão, processamento e armazenamento. O controlo de acesso é estabelecido por políticas definidas pelo paciente. Cartões de identificação electrónicos, ou certificados similares são utilizados para a autenticação, permitindo uma inscrição automática. Todos os componentes requerem autenticação mútua e fazem uso de algoritmos de cifragem para garantir a privacidade dos dados. Apresenta-se também um modelo de ameaça para a arquitectura, por forma a analisar se as ameaças possíveis foram mitigadas ou se são necessários mais refinamentos. A solução proposta resolve o problema da mobilidade do paciente e a dispersão de dados, capacitando o cidadão a gerir e a colaborar na criação e manutenção da sua informação de saúde. A arquitectura permite uma colaboração aberta e segura, possibilitando que o paciente tenha registos mais ricos, actualizados e permitindo o surgimento de novas formas de criar e usar informação clínica ou complementar.
Programa PROTEC, bolsa SFRH/BD/49765/2009