Exploiting Cloud-Based Personal Health Information Systems in Practicing Patient Centered Care Model

Author(s):  
Juha Puustjärvi ◽  
Leena Puustjärvi
2013 ◽  
Vol 7 (4) ◽  
pp. 22-36 ◽  
Author(s):  
Francis Akowuah ◽  
Xiaohong Yuan ◽  
Jinsheng Xu ◽  
Hong Wang

The information maintained by Health Information Systems (HIS) is often faced with security threats from a wide range of sources. Some government's regulations require healthcare organizations and custodians of personal health information to take practical steps to address the security and privacy needs of personal health information. Standards help to ensure an adequate level of security is attained, resources are used efficiently and the best security practices are adopted. In this paper, the authors survey security standards applicable to healthcare industry including Control OBjective for Information and related Technology (COBIT), ISO/IEC 27002:2005, ISO/IEC 27001:2005, NIST Special Publication 800-53, ISO 27799:2008, HITRUST Common Security Framework (CSF), ISO 17090:2008, ISO/TS 25237:2008, etc. This survey informs the audience currently available standards that can guide the implementation of information security programs in healthcare organizations, and provides a starting point for IT management in healthcare organizations to select a standard suitable for their organizations.


2019 ◽  
Vol 8 (5) ◽  
pp. 58
Author(s):  
Kristine R. Hearld ◽  
Larry R. Hearld ◽  
Henna Budhwani ◽  
Deirdre McCaughey ◽  
Leandra Y. Celaya ◽  
...  

Objective: Our interest in patient attitudes and beliefs and how they contribute to health and health seeking behaviors is based on growing interest in fostering more patient-centered care. This is particularly relevant for cancer screening in women, where the procedures may be viewed as deeply personal and emotionally invasive. There is convincing evidence that health attitudes and beliefs are strong associates of cancer screening among women. The goal of this paper is to examine if accessibility and use of personal health information (PHI) is a positive predictive of cancer related health detection behaviors among United States women. This study is relevant and timely considering the growing focus on prevention in patient-centered care delivery.Methods: Using data from the 2017 Health Information National Trends Survey (HINTS), this paper employed multivariable path analysis to investigate whether PHI use is related to engaged women’s health detection behaviors, and if this relationship is mediated by self-perceived health status and patient attitudes regarding confidence in their self-care abilities.Results: This study found that PHI use worked directly on health detection behaviors for intermediate levels of health information only. Our findings also suggest that patient attitudes may only act as a mediator at low levels of information use and when both confidence in self-care abilities and self-assessed health status are considered simultaneously.Conclusions: As prevention continues to be a key focus of health care, efforts promoting enhanced population health are critically important. With greater expansion of patient portals, health systems and providers are expecting access to greater PHI will promote increased engagement by patients in their self-health. The results of our research suggest that PHI is positive for patients up until a point and that health care delivery professionals may wish to assess the amount and type of information made readily available to the patients they serve related to breast and cervical cancer screenings.


2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.


2015 ◽  
Vol 24 (01) ◽  
pp. 8-10 ◽  
Author(s):  
B. Séroussi ◽  
M.-C. Jaulent ◽  
C. U. Lehmann

Summary Objectives: To provide an editorial introduction to the 2015 IMIA Yearbook of Medical Informatics. Methods: We provide a brief overview of the 2015 special topic “Patient-Centered Care Coordination”, discuss the addition of two new sections to the Yearbook, Natural Language Processing and Public Health & Epidemiology Informatics, and present our editorial plans for the upcoming celebration of the 25th anniversary of the Yearbook. Results: Care delivery currently occurs through the processing of complex clinical pathways designed for increasingly multi-morbid patients by various practitioners in different settings. To avoid the consequences of the fragmentation of services, care should be organized to coordinate all providers, giving them the opportunity to share the same holistic view of the patient’s condition, and to be informed of the planned clinical pathway that establishes the roles and interventions of each one. The adoption and use of electronic health records (EHRs) is a solution to address health information sharing and care coordination challenges. However, while EHRs are necessary, they are not sufficient to achieve care coordination, creating information availability does not mean the information will be accessed. This edition of the Yearbook acknowledges the fact that health information technology (HIT), and EHRs in particular, are not yet fully addressing the challenges in care coordination. Emerging trends, tools, and applications of HIT to support care coordination are presented through the keynote paper, survey papers, and working group contributions. Conclusions: In 2015, the IMIA Yearbook has been extended to emphasize two fields of biomedical informatics through new sections. Next year, the 25th anniversary of the Yearbook will be celebrated in grand style! A special issue with a touch of reflection, a bit of rediscovery, and some “science-fiction” will be published in addition to the usual edition.


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