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International Journal of Electronic Healthcare最新文献

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Role-based access control through on-demand classification of electronic health record 通过按需分类电子健康记录进行基于角色的访问控制
International Journal of Electronic Healthcare Pub Date : 2015-09-09 DOI: 10.1504/IJEH.2015.071637
B. Tiwari, Abhay Kumar
{"title":"Role-based access control through on-demand classification of electronic health record","authors":"B. Tiwari, Abhay Kumar","doi":"10.1504/IJEH.2015.071637","DOIUrl":"https://doi.org/10.1504/IJEH.2015.071637","url":null,"abstract":"Electronic health records (EHR) provides convenient method to exchange medical information of patients between different healthcare providers. Access control mechanism in healthcare services characterises authorising users to access EHR records. Role Based Access Control helps to restrict EHRs to users in a certain role. Significant works have been carried out for access control since last one decade but little emphasis has been given to on-demand role based access control. Presented work achieved access control through physical data isolation which is more robust and secure. We propose an algorithm in which selective combination of policies for each user of the EHR database has been defined. We extend well known data mining technique 'classification' to group EHRs with respect to the given role. Algorithm works by taking various roles as class and defined their features as a vector. Here, features are used as a Feature Vector for classification to describe user authority.","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"8 1 1","pages":"9-24"},"PeriodicalIF":0.0,"publicationDate":"2015-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2015.071637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66760900","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}
引用次数: 18
Exploring mobile health in a private online social network 在私人在线社交网络中探索移动医疗
International Journal of Electronic Healthcare Pub Date : 2015-09-09 DOI: 10.1504/IJEH.2015.071643
Q. Memon, A. Mustafa
{"title":"Exploring mobile health in a private online social network","authors":"Q. Memon, A. Mustafa","doi":"10.1504/IJEH.2015.071643","DOIUrl":"https://doi.org/10.1504/IJEH.2015.071643","url":null,"abstract":"Health information is very vulnerable. Certain individuals or corporate organisations will continue to steal it similar to bank account data once data is on wireless channels. Once health information is part of a social network, corresponding privacy issues also surface. Insufficiently trained employees at hospitals that pay less attention to creating a privacy-aware culture will suffer loss when mobile devices containing health information are lost, stolen or sniffed. In this work, a social network system is explored as a m-health system from a privacy perspective. A model is developed within a framework of data-driven privacy and implemented on Android operating system. In order to check feasibility of the proposed model, a prototype application is developed on Facebook for different services, including: i) sharing user location; ii) showing nearby friends; iii) calculating and sharing distance moved, and calories burned; iv) calculating, tracking and sharing user heart rate; etc.","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"8 1 1","pages":"51-75"},"PeriodicalIF":0.0,"publicationDate":"2015-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2015.071643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66760956","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}
引用次数: 5
Task and error analysis balancing benefits over business of electronic medical records. 任务和错误分析平衡了电子病历对业务的好处。
International Journal of Electronic Healthcare Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064333
Deborah Sater Carstens, Walter Rodriguez, Michael B Wood
{"title":"Task and error analysis balancing benefits over business of electronic medical records.","authors":"Deborah Sater Carstens,&nbsp;Walter Rodriguez,&nbsp;Michael B Wood","doi":"10.1504/IJEH.2014.064333","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064333","url":null,"abstract":"<p><p>Task and error analysis research was performed to identify: a) the process for healthcare organisations in managing healthcare for patients with mental illness or substance abuse; b) how the process can be enhanced and; c) if electronic medical records (EMRs) have a role in this process from a business and safety perspective. The research question is if EMRs have a role in enhancing the healthcare for patients with mental illness or substance abuse. A discussion on the business of EMRs is addressed to understand the balancing act between the safety and business aspects of an EMR. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"331-48"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617773","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}
引用次数: 1
An ANN-based HRV classifier for cardiac health prognosis. 基于人工神经网络的HRV分类器对心脏健康预后的影响
International Journal of Electronic Healthcare Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064332
Ramesh Kumar Sunkaria, Vinod Kumar, Suresh Chandra Saxena, Achala M Singhal
{"title":"An ANN-based HRV classifier for cardiac health prognosis.","authors":"Ramesh Kumar Sunkaria,&nbsp;Vinod Kumar,&nbsp;Suresh Chandra Saxena,&nbsp;Achala M Singhal","doi":"10.1504/IJEH.2014.064332","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064332","url":null,"abstract":"<p><p>A multi-layer artificial neural network (ANN)-based heart rate variability (HRV) classifier has been proposed, which gives the cardiac health status as the output based on HRV of the patients independently of the cardiologists' view. The electrocardiogram (ECG) data of 46 patients were recorded in the out-patient department (OPD) of a hospital and HRV was evaluated using self-designed autoregressive-model-based technique. These patients suspected to be suffering from cardiac abnormalities were thoroughly examined by experienced cardiologists. On the basis of symptoms and other investigations, the attending cardiologists advised them to be classified into four categories as per the severity of cardiac health. Out of 46, the HRV data of 28 patients were used for training and data of 18 patients were used for testing of the proposed classifier. The cardiac health classification of each tested patient with the proposed classifier matches with the medical opinion of the cardiologists. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"315-30"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617772","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}
引用次数: 5
Role of mobile phone technology in health education in Asian and African countries: a systematic review. 移动电话技术在亚洲和非洲国家健康教育中的作用:系统回顾。
International Journal of Electronic Healthcare Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064327
Madhusmita Sahu, Ashoo Grover, Ashish Joshi
{"title":"Role of mobile phone technology in health education in Asian and African countries: a systematic review.","authors":"Madhusmita Sahu,&nbsp;Ashoo Grover,&nbsp;Ashish Joshi","doi":"10.1504/IJEH.2014.064327","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064327","url":null,"abstract":"<p><p>The objective of this systematic review was to explore the role of mobile phone technologies in delivering health education programs in Asian and African countries. The search engine used was Pubmed during 2008-2011. Randomised controlled trials or controlled studies that improved health outcomes through delivery of health educational interventions using cell phone or text messaging were included in the review. Results showed studies from six Asian and African countries including Philippines, China, Kenya, South Korea, Taiwan and India. Mobile phone technology has shown to improve health outcomes for chronic disease conditions such as diabetes, heart disease and hypertension. Additional conditions include obesity and cardiopulmonary resuscitation guidance. Other studies have shown improvement in self management of breast cancer and post-hospitalisation HIV and pharmaceutical care. Overall results of the present review showed that mobile phone technologies can be a possible solution to improve healthcare outcome. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"269-86"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617769","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}
引用次数: 38
E-prescription as a tool for improving services and the financial viability of healthcare systems: the case of the Greek national e-prescription system. 电子处方作为改善服务和医疗保健系统财务可行性的工具:希腊国家电子处方系统的案例。
International Journal of Electronic Healthcare Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064331
G Pangalos, V Sfyroeras, I Pagkalos
{"title":"E-prescription as a tool for improving services and the financial viability of healthcare systems: the case of the Greek national e-prescription system.","authors":"G Pangalos,&nbsp;V Sfyroeras,&nbsp;I Pagkalos","doi":"10.1504/IJEH.2014.064331","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064331","url":null,"abstract":"<p><p>E-prescription systems can help improve patient service, safety and quality of care. They can also help achieve better compliance for the patients and better alignment with the guidelines for the practitioners. The recently implemented national e-prescription system in Greece already covers approximately 85% of all prescriptions prescribed in Greece today (approximately 5.5 million per month). The system has not only contributed already in significant changes towards improving services and better monitoring and planning of public health, but also substantially helped to contain unnecessary expenditure related to medication use and improve transparency and administrative control. Such issues have gained increasing importance not only for Greece but also for many other national healthcare systems that have to cope with the continuous rise of medication expenditure. Our implementation has, therefore, shown that besides their importance for improving services, national e-prescription systems can also provide a valuable tool for better utilisation of resources and for containing unnecessary healthcare costs, thus contributing to the improvement of the financial stability and viability of the overall healthcare system. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"301-14"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617771","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}
引用次数: 6
Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line. 计算机化提供者订单输入系统对护理工作流程、患者安全和用药错误的影响:来自前线的观点。
International Journal of Electronic Healthcare Pub Date : 2014-01-01 DOI: 10.1504/IJEH.2014.064328
Fatimah Alsweed, Anwar Alshaikh, Anwar Ahmed, Faisel Yunus, Mowafa Househ
{"title":"Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line.","authors":"Fatimah Alsweed,&nbsp;Anwar Alshaikh,&nbsp;Anwar Ahmed,&nbsp;Faisel Yunus,&nbsp;Mowafa Househ","doi":"10.1504/IJEH.2014.064328","DOIUrl":"https://doi.org/10.1504/IJEH.2014.064328","url":null,"abstract":"<p><p>There is a paucity of research on the impact of computerised provider order entry (CPOE) system on the front line staff. We assessed nurses perspectives of the impact of CPOE system implementation on their workflow, patient safety and medication errors in a Saudi Arabian hospital. We conducted a cross-sectional survey involving 112 nurses between April and May 2012. The workflow was easy to manage for nurses who rated CPOE training as of good quality (p = 0.001) and they found that CPOE helped in reducing medication errors (p = 0.001). The nurses who rated CPOE training as of good quality also stated that patient safety was better with CPOE implementation and its use (p < 0.05). Provision of adequate CPOE training improves nurses' perception of the system's role in their workflow, patient safety and medication errors, and is critical in the success of CPOE use and its long-term adoption. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 4","pages":"287-300"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2014.064328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32617770","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}
引用次数: 10
Practising cloud-based telemedicine in developing countries. 在发展中国家实施基于云的远程医疗。
International Journal of Electronic Healthcare Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057407
Juha Puustjärvi, Leena Puustjärvi
{"title":"Practising cloud-based telemedicine in developing countries.","authors":"Juha Puustjärvi,&nbsp;Leena Puustjärvi","doi":"10.1504/IJEH.2013.057407","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057407","url":null,"abstract":"<p><p>In industrialised countries, telemedicine has proven to be a valuable tool for enabling access to knowledge and allowing information exchange, and showing that it is possible to provide good quality of healthcare to isolated communities. However, there are many barriers to the widespread implementation of telemedicine in rural areas of developing countries. These include deficient internet connectivity and sophisticated peripheral medical devices. Furthermore, developing countries have very high patients-per-doctor ratios. In this paper, we report our work on developing a cloud-based health information system, which promotes telemedicine and patient-centred healthcare by exploiting modern information and communication technologies such as OWL-ontologies and SQL-triggers. The reason for using cloud technology is twofold. First, cloud service models are easily adaptable for sharing patients health information, which is of prime importance in patient-centred healthcare as well as in telemedicine. Second, the cloud and the consulting physicians may locate anywhere in the internet. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"181-204"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31833343","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}
引用次数: 9
A need for a health IT portal to disseminate information about national health programmes in India. 需要一个卫生信息技术门户网站，以传播有关印度国家卫生方案的信息。
International Journal of Electronic Healthcare Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057409
Anjali Nanda, Ashoo Grover, Ashish Joshi
{"title":"A need for a health IT portal to disseminate information about national health programmes in India.","authors":"Anjali Nanda,&nbsp;Ashoo Grover,&nbsp;Ashish Joshi","doi":"10.1504/IJEH.2013.057409","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057409","url":null,"abstract":"<p><p>The objective of our study is to evaluate information about the national health programmes in India, available over the internet and to study the challenges faced while acquiring this information. To achieve our objective, we used the key words national health programmes OR public health programmes OR health programs AND India in Google from January 1-January 10 2012, to find information about the existing health programmes. We chose first 20 web links across all the three search terms to yield 60 websites, which were then reviewed for their relevance. Only 16 websites were found to be relevant that met the inclusion criteria. The study showed that there was inadequate information about the existing national health programmes in India. This suggests a need to develop a national public health IT portal that can disseminate information about the various health programmes in a more structured manner and which is tailored to the needs of diverse group of stakeholders. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"221-35"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31833345","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}
引用次数: 1
An empirical analysis of executive behaviour with hospital executive information systems in Taiwan. 台湾医院行政资讯系统对行政行为之实证分析。
International Journal of Electronic Healthcare Pub Date : 2013-01-01 DOI: 10.1504/IJEH.2013.057411
Wei-Min Huang
{"title":"An empirical analysis of executive behaviour with hospital executive information systems in Taiwan.","authors":"Wei-Min Huang","doi":"10.1504/IJEH.2013.057411","DOIUrl":"https://doi.org/10.1504/IJEH.2013.057411","url":null,"abstract":"<p><p>Existing health information systems largely only support the daily operations of a medical centre, and are unable to generate the information required by executives for decision-making. Building on past research concerning information retrieval behaviour and learning through mental models, this study examines the use of information systems by hospital executives in medical centres. It uses a structural equation model to help find ways hospital executives might use information systems more effectively. The results show that computer self-efficacy directly affects the maintenance of mental models, and that system characteristics directly impact learning styles and information retrieval behaviour. Other results include the significant impact of perceived environmental uncertainty on scan searches; information retrieval behaviour and focused searches on mental models and perceived efficiency; scan searches on mental model building; learning styles and model building on perceived efficiency; and finally the impact of mental model maintenance on perceived efficiency and effectiveness. </p>","PeriodicalId":39775,"journal":{"name":"International Journal of Electronic Healthcare","volume":"7 3","pages":"236-47"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJEH.2013.057411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31832159","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}
引用次数: 0
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