The Development of Intelligent Patient-Centric Systems for Health Care

2018 ◽  
pp. 355-373
Author(s):  
Arturo Caronongan ◽  
Hannah Gorgui-Naguib ◽  
Raouf N. G. Naguib
Keyword(s):  
Health Care ◽  
Patient Centric

scholarly journals Health Care Applicability of A Patient-Centric Web Portal For Patients' Medication Experience

2016 ◽  
Vol 19 (7) ◽  
pp. A871
Author(s):  
SH Hong ◽  
Y Alruthia ◽  
W Lee
Keyword(s):  
Health Care ◽  
Web Portal ◽  
Medication Experience ◽  
Patient Centric

Efficacious Study of Specific Co-Creation Policies in the Healthcare Ecosystem

2020 ◽  
pp. 199-220
Author(s):  
Shagun Adlakha ◽  
Deepak Chhabra ◽  
Rajat Vashistha
Keyword(s):  
Health Care ◽  
Case Studies ◽  
Physical Space ◽  
Empirical Validation ◽  
Psychological Space ◽  
Symbolic Space ◽  
Environmental Jolts ◽  
Care Approach ◽  
Patient Centric

Co-creation involves amalgamation of essential layers of an ecosystem to work together for enhancing whole sum effectiveness. In context of healthcare ecosystem, co-creation is vital as it synergizes dependency of providers, policymakers, and seekers. Also, for assessing patient centric approaches where priority is patient prerequisites, the term specific promotes co-creation in a refined manner. Therefore, this chapter reviews the influence of specific co-creation practices in health care ecosystems by analyzing development and empirical validation along with quantitative and qualitative measures for interactions between actors. Furthermore, proximity between different actors is outlined in terms of physical space, psychological space, and symbolic space. The relationships between actors in the ecosystem using different models of bonding, bridging, and linking are also investigated in lieu of merits and demerits of environmental jolts. It is revealed how adopting a patient-centric care approach changes the co-creation practices with different case studies of patients.

scholarly journals Two visions of clinical integration: perspectives from health system leaders

2014 ◽  
Vol 4 (1) ◽  
pp. 36 ◽  
Author(s):  
Wenke Hwang ◽  
Joseph Andrie ◽  
Michelle LaClair ◽  
Harold Paz
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Systems ◽  
Health Care Professionals ◽  
Success Factors ◽  
Leadership Roles ◽  
Health Care Environment ◽  
Clinical Integration ◽  
System Leaders ◽  
Patient Centric

Objective: Clinical Integration has been implicated as the key to achieving higher quality of care at a lower cost. However,ambiguity regarding the meaning of clinical integration poses challenges as health care professionals strive to adapt to the rapidlyevolving health care environment. This study aims to solicit insights from health system executives about what it means to beclinically integrated.Methods: The authors interviewed 13 health system executives from 11 different institutions in Pennsylvania ranging fromsmall community hospitals to large academic medical centers.Results: Two major viewpoints of clinical integration were identified from the interviews: patient-centric, which emphasized theimportance of the patient’s experience and strengthening patient involvement in their own healthcare, and provider-centric, whichfocused on leadership roles, organizational structure, and physician alignment. Participants with provider-centric viewpointswere associated with larger medical centers and were more likely to describe their health systems as highly clinically integrated.Conversely, patient-centric perspectives were affiliated with smaller health systems/hospitals and were more likely to describetheir health systems as less integrated. Participants also identified five key success factors of clinical integration: physicianalignment, shared data and analytics, culture, patient engagement, and an emphasis on primary care.Conclusions: Despite the central role of clinical integration in emerging health systems, there is not a shared understanding ofits definition. A better understanding of the varied perspectives regarding clinical integration can help current and future healthcare professionals to better communicate with one another about clinical integration and the practical steps necessary to achieveit.

Hassle-Free Vitals: BioWireleSS for a Patient-Centric Health-Care Paradigm

2014 ◽  
Vol 15 (7) ◽  
pp. S25-S33 ◽  
Author(s):  
Syed Kamrul Islam ◽  
Aly Fathy ◽  
Yazhou Wang ◽  
Michael Kuhn ◽  
Mohamed Mahfouz
Keyword(s):  
Health Care ◽  
Patient Centric

scholarly journals Hot Topic: Molecular Therapy Drives Patient-Centric Health Care Paradigms

2010 ◽  
Vol 3 (4) ◽  
pp. 170-171 ◽  
Author(s):  
Scott A. Waldman ◽  
Andre Terzic
Keyword(s):  
Health Care ◽  
Molecular Therapy ◽  
Patient Centric

scholarly journals PAUSE: A Patient-Centric Tool to Support Patient-Provider Engagement on Menopause

2018 ◽  
Vol 11 ◽  
pp. 1179562X1875746 ◽  
Author(s):  
Rebecca Ashkenazy ◽  
Mary Elizabeth Peterson
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Research And Development ◽  
Women’S Health ◽  
Women's Health ◽  
Life Stage ◽  
Vasomotor Symptoms ◽  
Digital Revolution ◽  
Urogenital Symptoms ◽  
Patient Centric

There are powerful demographic, political, and environmental trends shaping women’s health. Increases in life expectancy, literacy, and empowerment are fueling expansions in education and advocacy. Research and development focuses on women’s health and fertility across an expanded age spectrum. There is also a cultural emphasis on antiaging and aesthetics. In parallel, the digital revolution is changing how health care is accessed by and delivered to women. A women’s journey through menopause is at the crossroads of these transformations. Medical and social platforms encourage women to embrace menopause as a pivotal life stage. Yet, many women are reticent to discuss “the transition” due to embarrassment about its symptoms, lack of awareness of its physical manifestations, or fear of aging. We introduce a patient-centric framework to support patient-provider engagement on menopause: prevention, anxiety, urogenital symptoms, vasomotor symptoms, and education. Although not comprehensive, PAUSE represents an acronym and reminder to focus a portion of the medical interaction on menopause.

scholarly journals ACTION-EHR: Patient-Centric Blockchain-Based Electronic Health Record Data Management for Cancer Care (Preprint)

2019 ◽  
Author(s):  
Alevtina Dubovitskaya ◽  
Furqan Baig ◽  
Zhigang Xu ◽  
Rohit Shukla ◽  
Pratik Sushil Zambani ◽  
...  
Keyword(s):  
Health Care ◽  
Data Management ◽  
Patient Care ◽  
Data Sharing ◽  
Cancer Care ◽  
Health Care Services ◽  
Health Records ◽  
Care Services ◽  
Electronic Health ◽  
Patient Centric

BACKGROUND With increased specialization of health care services and high levels of patient mobility, accessing health care services across multiple hospitals or clinics has become very common for diagnosis and treatment, particularly for patients with chronic diseases such as cancer. With informed knowledge of a patient’s history, physicians can make prompt clinical decisions for smarter, safer, and more efficient care. However, due to the privacy and high sensitivity of electronic health records (EHR), most EHR data sharing still happens through fax or mail due to the lack of systematic infrastructure support for secure, trustable health data sharing, which can also cause major delays in patient care. OBJECTIVE Our goal was to develop a system that will facilitate secure, trustable management, sharing, and aggregation of EHR data. Our patient-centric system allows patients to manage their own health records across multiple hospitals. The system will ensure patient privacy protection and guarantee security with respect to the requirements for health care data management, including the access control policy specified by the patient. METHODS We propose a permissioned blockchain-based system for EHR data sharing and integration. Each hospital will provide a blockchain node integrated with its own EHR system to form the blockchain network. A web-based interface will be used for patients and doctors to initiate EHR sharing transactions. We take a hybrid data management approach, where only management metadata will be stored on the chain. Actual EHR data, on the other hand, will be encrypted and stored off-chain in Health Insurance Portability and Accountability Act–compliant cloud-based storage. The system uses public key infrastructure–based asymmetric encryption and digital signatures to secure shared EHR data. RESULTS In collaboration with Stony Brook University Hospital, we developed ACTION-EHR, a system for patient-centric, blockchain-based EHR data sharing and management for patient care, in particular radiation treatment for cancer. The prototype was built on Hyperledger Fabric, an open-source, permissioned blockchain framework. Data sharing transactions were implemented using chaincode and exposed as representational state transfer application programming interfaces used for the web portal for patients and users. The HL7 Fast Healthcare Interoperability Resources standard was adopted to represent shared EHR data, making it easy to interface with hospital EHR systems and integrate a patient’s EHR data. We tested the system in a distributed environment at Stony Brook University using deidentified patient data. CONCLUSIONS We studied and developed the critical technology components to enable patient-centric, blockchain-based EHR sharing to support cancer care. The prototype demonstrated the feasibility of our approach as well as some of the major challenges. The next step will be a pilot study with health care providers in both the United States and Switzerland. Our work provides an exemplar testbed to build next-generation EHR sharing infrastructures.

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