Sri Lanka Journal of Bio-medical Informatics最新文献

{"title":"eClinics Integration Techniques for Clinical Information Systems Moving in to a National Network","authors":"Dinusha Vatsalan, Shiromi Arunatilake, K. Chapman, Saatviga Sudhahar, C. Abeywardhana","doi":"10.4038/SLJBMI.V2I4.2257","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I4.2257","url":null,"abstract":"Patients in rural areas in developing countries have less access to specialised consultations within their hometown. They are required to incur a great cost, time and effort to reach a health institute that provides specialized health care. Yet, it is discovered that through the utilisation of comparatively cheaper Information and Communication Technology advances, it is possible to provide better health services for developing regions. Compared to other developing nations, Sri Lanka has a good healthcare service and a relatively well developed telecom and mobile infrastructure. However, due to inequality of resource distributions, specialised care is restricted to urban areas. Hence ‘ViduSuwa’, an internationally recognized award winning tele-medicine solution was introduced to provide specialized healthcare facilities to the remote areas of Sri Lanka. In compliance with the health policy of Sri Lanka, the main emphasis of Vidusuwa is on setting up of eConsultation centers and eClinics to link the specialist in a general hospital in a city with a patient in a peripheral setting. This paper discusses the integration techniques for clinical information systems moving in to a wider network using the well tested concept ‘ViduSuwa’. The proof of this concept was implemented with one-to-one integration in the first stage connecting two hospitals. However when replicating the solution to other hospitals and moving in to a national network, other integration techniques must also be considered. The paper presents the methodology, architecture, features and security enforcements incorporated into the Electronic Medical Record (EMR) system which is a main component of the ‘ViduSuwa’ telemedicine solution, in order to ensure the sustainability and replication of the concept. DOI: http://dx.doi.org/10.4038/sljbmi.v2i4.2257","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122128579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of adapting Cloud Computing Technology in health care industry","authors":"G. Raghavendra","doi":"10.4038/SLJBMI.V2I4.2259","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I4.2259","url":null,"abstract":"This paper targets on the productivity of cloud computing technology in healthcare industry. Even though Information Technology entered healthcare sector with telemedicine in 1940s, we do not see much new technology adaption trend in healthcare. Healthcare sector is one of the largest service sectors in the world. Healthcare industry depends mainly on Information Technology to provide best service and accuracy of information to their patients. This paper deals with using cloud technology to create network between patients, doctors, and healthcare institutions by providing applications, services and also by keeping the data in the cloud . This paper encompasses the impact of cloud computing which simplifies data availability anywhere and accessible to the patient in need of healthcare info in patient care and service especially in India. With the pros and cons of cloud computing this paper also highlights the learning and sharing opportunities from the class room to workspace. DOI: http://dx.doi.org/10.4038/sljbmi.v2i4.2259","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127740751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of eHealth policies that underpin global health care digitization","authors":"P. Sylva, B. Abeysinghe, C. C. James, A. Jayatilake, Sonali A. Lunuwila, Deepaka Sanath, W.K.D.K.K. Wijayaweera, A. Wijekoon","doi":"10.4038/SLJBMI.V2I4.2447","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I4.2447","url":null,"abstract":"Healthcare systems in both the developed and the developing world face many challenges including higher demand, demand for higher quality and equitable distribution. The healthcare organizations and the governments alike have focused on eHealth as an adjunct to overcome these challenges. In the backdrop of sporadic initiatives running parallel to this thought, the realization of the need for long term strategy, policy guidelines and standards has been indeed swift. Thus, most pioneers of healthcare digitization have drafted and implemented such policies to varying degrees, to date. This review was aimed at analyzing eHealth strategy and policy related documents existing in the present day and identifying crucial policy issues which need higher emphasis over others. Academic articles on eHealth policy and policy related documents of USA, Australia, Canada, Ethiopia, Scotland Europe, WHO and Commonwealth were included in this study. These articles were reviewed based on a set of predetermined eHealth policy related issues comprising of ; 1.Vision, Mission, Goals and Objectives 2.Operational Framework 3.Legislation 4.ICT Management 5.eHealth Infrastructure 6.Capacity Building in ICT 7.Financial Resource Assessment and 8.Procurement and Contractual Issues. While most policies did not address all the predetermined criteria considered in this review, some deficiencies were due to variations in ICT usage and existing infrastructure of the observed countries. Elements of interoperability through data, software, hardware, web and mHealth standards, data security and privacy, accessibility and reliability formed the backbone of all eHealth policies, though none of the documents under review expressed expected levels of completeness. Thus, further work is needed to scientifically map the ground situations of ICT usage and infrastructure to policy issues addressed and to analyze outcomes to justify the emphasis given to such issues. Though, the task of identifying the perfect mantra for eHealth policy seems daunting, it is indeed worthwhile, since the unimaginable array of benefits of healthcare digitization awaits every nation. DOI: http://dx.doi.org/10.4038/sljbmi.v2i4.2447","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131230697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ICT Proficiency of Dental Students in Sri Lanka","authors":"J. U. Weerasinghe, P. Wijekoon","doi":"10.4038/SLJBMI.V2I3.3796","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I3.3796","url":null,"abstract":"The Faculty of Dental Sciences, University of Peradeniya has been conducting formal introductory courses in ICT for undergraduates at their entry level. Although senior students do not get an opportunity for ICT education they will be required to perform tasks such as assignments, reports, referencing using ICT tools. Dental undergraduate students’ proficiency in ICT was tested on randomly selected groups from three senior batches. Total performance of  all  students  tested showed  that  the  MCQ  score (53.4, SD 8.0)  has  exceeded  the  pass  mark  and  practical  test  (44.0, SD 7.2)  has recorded well below. Individual tests on the Practical components also showed that students were extremely weak in Excel (8.1, SD 2.2) and well below passmark in Word (16.9, SD 2.9) and Powerpoint (19.0, SD 5.3) tasks. This indicates that considering the basic nature of the questions in this ICT proficiency test, students have displayed a low level of skill in the practical component. However the total aggregate for the overall student performance (48.8, SD 5.4) has recorded just below the pass mark of 50%. These results reiterate the need for development of a formal supplementary training course in ICT for students in senior batches in the Faculty of Dental Sciences. DOI: http://dx.doi.org/10.4038/sljbmi.v2i3.3796 Sri Lanka Journal of Bio-Medical Informatics 2011;2(3):107-111","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133080286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change of perceived ICT skills of medical students over four years: a follow up study","authors":"M. Kommalage","doi":"10.4038/SLJBMI.V2I3.4286","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I3.4286","url":null,"abstract":"Information and Communication Technology (ICT) skills of doctors are a great advantage when implementing ICT based components in health services. ICT skills acquired by medical undergraduates will be beneficial in their career. Medical undergraduates are involved in many ICT related assignments during their training in the Faculty of Medicine, University of Ruhuna. The aim of this study is to investigate the improvement of perceived ICT skills during a four-year study period in a group of medical students. Perceived ICT knowledge of a single group of medical undergraduates in the University of Ruhuna was investigated during their first year and fourth year using the same questionnaire. Several aspects of ICT knowledge such as ability to prepare documents using Microsoft Word (MS Word), composing and sending e-mails, browsing the internet and finding required information were assessed in the questionnaire. A score was calculated for each skill obtained for MS Word, e-mail and Internet skills. Results reveal that only internet, e-mail and the total ICT scores showed significant improvement, while MS Word skills did not change significantly. Females showed significant development in internet skills and the total ICT scores whereas males did not show such a significant change. This shows that perceived ICT skills in relation to internet and email skills have improved during the students’ stay at the Medical Faculty. This was not seen in MS Word skills. Female students who had comparatively poor skills during their first year showed greater improvement than their male counterparts. DOI: http://dx.doi.org/10.4038/sljbmi.v2i3.4286 Sri Lanka Journal of Bio-Medical Informatics 2011;2(3):102-106","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125760779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating e-learning material with optimal utilization of limited resources","authors":"C. Gunawardena, A. Pathirana","doi":"10.4038/SLJBMI.V2I3.2263","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I3.2263","url":null,"abstract":"Sri Lanka is a country with comparatively high standards of healthcare, but a poor distribution of resources. While gaining access to expert trainers is relatively easy in the western province, the same cannot be said of regions like the eastern and north central provinces. With access to broadband crossing all regional and geographic boundaries and an 84% penetration rate for mobile phones, internet access is becoming the one resource that is uniformly distributed across the island. An eLearning solution therefore is the only practical means to ensure that training resources are available to everyone, anytime, anywhere in the island. The paper proposes a hosted eLearning solution incorporating video based lessons supplemented by text, animations and voiceovers to provide postgraduate level training for medical personnel. The process of creating training material will be non intrusive and not require any additional time or expensive resources as it will be primarily based on capturing of actual cases including consultations, surgery and other day to day activities as videos. A simple webcam attached to a laptop or even a relatively high resolution mobile phone with sufficient storage capacity is all that is required to capture the core training content. Assembly of the training course using these videos can be done by eLearning domain specialists, along with instructional design and preparation of rich content such as animations; only the knowledge and information needs to be provided by subject matter experts. The proposed approach ensures that the most valuable resource consumed in this process, the time of the expert practitioner, is used optimally and in a manner that has the least impact on his or her primary responsibility, that of providing care to patients. DOI: http://dx.doi.org/10.4038/sljbmi.v2i3.2263 Sri Lanka Journal of Bio-Medical Informatics 2011;2(3):112-115","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116799094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Multimedia Integrated Learning Framework for Medical Education","authors":"J. Weerasinghe, Nishantha Giguruwa, Y. Hayashida","doi":"10.4038/SLJBMI.V2I3.3798","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I3.3798","url":null,"abstract":"In recent years, information and communication technology and multimedia technology have increasingly altered the landscape of the educational field particularly in higher education. In that, student is becoming the key focus of the educational process, where students’ creativity and interactions are strongly encouraged through IT enabled systems. The learning management system (LMS) is the system responsible for integrating all learning services and managing teaching and learning activities. It provides a collection of tools and functions to support teaching and learning processes, usually including course management tools, online group discussion, homework collections and grading; and course evaluation. The amount of multimedia support facilitated by the e-learning systems has given significant consideration in order to make distance education as effective as classroom education and make the blended leaning experience more effective. While the technology is moving toward a multimedia rich learning management system, its practical deployments is still far away, due to many unsolved technical and pedagogical problems. In this paper we present a framework for implementing a content integrated learning management system with specific focus on multimedia enrichment in learning content. It can be used effectively for teaching courses in medicine as well as to support complementary education for clinicians through channels such as telemedicine which can be integrated as an important component of epidemiology. We discuss two implementation examples: (a) UMELMS implementation in Ritsumeikan Asia Pacific University, and (b) telemedicine implementation to support international medical collaboration to present our concept of new generation medical education system design.  DOI: http://dx.doi.org/10.4038/sljbmi.v2i3.3798 Sri Lanka Journal of Bio-Medical Informatics 2011;2(3):86-101","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133491421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plausible role of ICT in transforming medical education","authors":"J. Weerasinghe","doi":"10.4038/SLJBMI.V2I3.3859","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I3.3859","url":null,"abstract":"This is the Editorial DOI: http://dx.doi.org/10.4038/sljbmi.v2i3.3859 Sri Lanka Journal of Bio-Medical Informatics 2011;2(3):84-85","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"267 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131742419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic Patient Records in an ultra-specialty hospital: An evaluation","authors":"R. Sinha, D. Saha, Smriti Rawat","doi":"10.4038/SLJBMI.V2I2.4158","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I2.4158","url":null,"abstract":"Objective: To compare an Electronic Patient Record (EPR) System in practice with Health Information Management System Society Electronic Health Record Definitional Model Version 1.0 (HIMSSv1) and assess the level of satisfaction among healthcare staff about the existing EPR system. Method: The study was conducted in a super-specialty hospital in India. A checklist consisting of 30 features based on HIMSS standard was used to check the compliance of the present EPR in practice. A validated and pre-tested questionnaire, based on a five point Likert scale from ‘strongly agree to strongly disagree’, was used to measure the pre and post implementation EPR satisfaction among 62 healthcare professionals including doctors, nurses and administrative staff. A forum was also established to identify problems and give necessary recommendation to resolve issues involved in the acceptability of the present EPR in practice. Result: It was observed that the EPR was only compliant with 12 features out of 30 in HIMSS. The employee satisfaction survey showed that 73% of doctors and nurses and 59% of administrative staff were dissatisfied with the pre-implementation assessment whereas 57% of doctors, 53% of nurses and 59% of administrative staff were dissatisfied with the customisation of the EPR in practice. A total of 40% of doctors, 53% of nurses and 59% of administrative staff felt that the core incompetency with the present EPR was the present physical infrastructure. The post implementation survey result showed that 90% of doctors, 94% of nurses, and 88% of administrative staff were satisfied with the suggestions and changes to the existing EPR. Conclusion: Understanding the factors that contribute to end user satisfaction and reinforcing them with trainings and awareness adds value and assists in continuous quality improvement, acceptability and sustainability of EPR. DOI: http://dx.doi.org/10.4038/sljbmi.v2i2.3541","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"355 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131840806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Information Communication Technology (ICT) in communicable disease surveillance – a review of literature","authors":"K. Chandrasekar","doi":"10.4038/SLJBMI.V2I2.3541","DOIUrl":"https://doi.org/10.4038/SLJBMI.V2I2.3541","url":null,"abstract":"Panic set out by newly emerging and re-emerging communicable diseases is taking a global dimension. A functional surveillance system is essential in all countries to provide the necessary information required for preventive action against communicable diseases and to make decisions on public health related issues. This article discusses the importance of such ‘communicable disease surveillance systems (CDSS)’ and problems with existing CDSS. Most of the studies conducted were related to the attributes such as completeness and timeliness of communicable disease notification. As a solution to overcome the difficulties experienced by the existing systems, some countries have introduced computerised systems for the surveillance of communicable diseases. Studies focused on the evaluation of these electronic systems reported improvements in the quality of the systems with respect to the previous systems. During the last few years, studies were directed towards the development and evaluation of ‘early warning systems’ and ‘syndromic surveillance systems’ for early detection and monitoring of epidemics and bioterrorist-initiated infectious disease outbreaks. The WHO envisages an integrated approach to communicable disease surveillance and this strategy has been recognised by all Member States and is being adapted in the African region and activities are under way in the Eastern Mediterranean, Europe and South-East Asia. DOI: http://dx.doi.org/10.4038/sljbmi.v2i2.3541","PeriodicalId":129773,"journal":{"name":"Sri Lanka Journal of Bio-medical Informatics","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123322706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}