An abstract architecture design for medical information exchange

2016 ◽  
Author(s):  
Ahmed Ibrahim ◽  
Mukesh Singhal
Keyword(s):  
Information Exchange ◽  
Medical Information ◽  
Architecture Design ◽  
Abstract Architecture

scholarly journals Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

2020 ◽  
Vol 17 (4) ◽  
pp. 1136 ◽  
Author(s):  
Zhigang Li ◽  
Xu Xu
Keyword(s):  
Social Capital ◽  
Information Exchange ◽  
Information Dissemination ◽  
Medical Information ◽  
Service Levels ◽  
Health Community ◽  
Professional Titles ◽  
Health Communities ◽  
Social Capital Perspective ◽  
Doctor Communication

In tandem with internet development and widespread social media use, e-health communities have begun to emerge in recent years. These communities allow doctors to access forums anywhere, anytime, seek or exchange medical information online, find literature, and so on. This is convenient and can solve some problems for doctors while also promoting doctor communication. This study collected and collated 102 doctors in the “Lilac Forum” and used social network tools to quantify the overall network density, centrality, core–periphery structure, and structural hole indicators of doctors’ information exchange from a social-capital perspective. The results showed that the frequency of interaction between doctors differed because of differences in the identities and participation of doctors in the e-health community. The density of the doctors’ information dissemination network (0.228) and network cohesion (0.610) were relatively high. Thus, the doctors were more closely connected, and information was easily spread. At the same time, doctors with higher professional titles had obvious location characteristics, familiarity and trust, and high levels of reciprocity. They could obtain redundant information in the network and were more likely to influence the behavior of other doctors. This study’s findings provide support for improving information exchange among doctors in e-health communities and improving the service levels of the platforms.

Missing Link of the Health Information Exchange Loop

2017 ◽  
pp. 1185-1196
Author(s):  
Alice Noblin ◽  
Kendall Cortelyou-Ward
Keyword(s):  
Health Information ◽  
Patient Engagement ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Medical Data ◽  
Patient Portals ◽  
Record Keeping ◽  
Care Industry ◽  
Basic Services

Since 2004, the services of the Florida Health Information Exchange (HIE) have grown, and in 2011, the state contracted with Harris Corporation to provide some basic services to the Florida health care industry and provide functional improvements to the expanding state-wide HIE. The endeavors of this public-private partnership continue to the present day; however, as HIE services have expanded, challenges continue to be encountered. Ultimately, successful exchange of medical data requires patient engagement and “buy-in.” The purpose of this article will consider why patient engagement is important for HIE success, offer recommendations to improve both patient and provider interest, and consider the importance of online patient portals to increase the effectiveness of health record keeping and the sharing of vital patient medical information needed by caregivers and their patients.

scholarly journals Consumer perceptions of health IT utilization and benefits

JAMIA Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Sue S Feldman ◽  
Grishma P Bhavsar ◽  
Benjamin L Schooley
Keyword(s):  
Conceptual Framework ◽  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Consumer Perceptions ◽  
Bivariate Analysis ◽  
Health It ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjectivesThe objective of this article is to examine consumer perceptions of health information technology (health IT) utilization and benefits through an integrated conceptual framework.Materials and MethodsThis article employs an integrated conceptual framework to examine consumer perceptions of health IT. A consumer survey yielded 1125 completed responses. A factor-based scale was developed for each sub-construct. Bivariate analysis using χ2 tests was performed to determine differences in the percentage of respondents who agreed with each sub-construct based on whether their physician used an electronic health record (EHR) system. Multivariable logistic regression that controlled for demographic characteristics of respondents was performed to determine adjusted odds of agreeing with selected opinions of health information exchange (HIE).ResultsResults indicate that respondents whose physicians used an EHR system were significantly more likely to agree that there was a perceived benefit with HIE and to care provided; that the patient should have control over the record; that they trust the physician and security of the medical information; that they understand the need for HIE, and that HIE must be easy to use.DiscussionThe results suggest that consumers who have experienced the use of one technology in the healthcare setting can recognize the potential benefit of another technology. Race/ethnicity, gender, and education played some role in respondents’ views of EHRs and HIE, more specifically, non-Hispanic African American participants indicated lower levels of trust in HIE when compared with non-Hispanic Whites.ConclusionThis cross-sectional survey indicated that physician use of EHRs significantly increases the odds of consumers’ seeing perceived benefits of HIE and understanding the need for HIE.

scholarly journals Exploring the Relational Aspects of Patient and Doctor Communication

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Richard Hovey ◽  
Helen Massfeller
Keyword(s):  
Information Exchange ◽  
Medical Information ◽  
Therapeutic Potential ◽  
Treatment Options ◽  
Communication Process ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Response ◽  
Medical Encounter ◽  
Doctor Communication

The alliance concept is an essential component of therapeutic relationships. Contrary to empirical evidence, its relevance is often not acknowledged in medical encounters. This circumstance invites the question, ‘‘How can the doctor and patient connect relationally with each other to improve the communication process and promote healing?’’ We propose that healing can be accomplished through dialog that emphasizes the collaborative nature of the partnership between the doctor and patient. The typical conversation in a medical encounter may be reduced to an information exchange and a medium for prescribing directives. This being-with approach can override patients’ involvement in the process. A positive doctor–patient relationship may be one of the most important, and most frequently overlooked, factors for predicting patient response to negative medical information. Receiving such news is potentially upsetting for the patient and may require the doctor to let go of the conversational medical agenda and adopt a being-for mode of relationship. We propose that this approach invites the doctor and patient to work together and negotiate how to manage the chronic illness eliciting patient-preferred treatment options. The authors propose the adoption of the being-for relationship as a way of enhancing the therapeutic potential of the doctor–patient relationship.

scholarly journals Implementation of Medical Information Exchange System Based on EHR Standard

2010 ◽  
Vol 16 (4) ◽  
pp. 281 ◽  
Author(s):  
Soon Hwa Han ◽  
Min Ho Lee ◽  
Sang Guk Kim ◽  
Jun Yong Jeong ◽  
Bi Na Lee ◽  
...  
Keyword(s):  
Information Exchange ◽  
Medical Information ◽  
Exchange System

scholarly journals Patient and healthcare provider knowledge, attitudes and barriers to handover and healthcare communication during chronic disease inpatient care in India: a qualitative exploratory study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028199 ◽  
Author(s):  
Claire Humphries ◽  
Suganthi Jaganathan ◽  
Jeemon Panniyammakal ◽  
Sanjeev K Singh ◽  
Shifalika Goenka ◽  
...  
Keyword(s):  
Healthcare Provider ◽  
Information Exchange ◽  
Inpatient Care ◽  
Medical Information ◽  
Communicable Disease ◽  
Healthcare Management ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Medical Documents ◽  
Healthcare Communication

Objectives1) To investigate patient and healthcare provider (HCP) knowledge, attitudes and barriers to handover and healthcare communication during inpatient care. 2) To explore potential interventions for improving the storage and transfer of healthcare information.DesignQualitative study comprising 41 semi-structured, individual interviews and a thematic analysis using the Framework Method with analyst triangulation.SettingThree public hospitals in Himachal Pradesh and Kerala, India.ParticipantsParticipants included 20 male (n=10) and female (n=10) patients with chronic non-communicable disease (NCD) and 21 male (n=15) and female (n=6) HCPs. Purposive sampling was used to identify patients with chronic NCDs (cardiovascular disease, chronic respiratory disease, diabetes or hypertension) and HCPs.ResultsPatient themes were (1) public healthcare service characteristics, (2) HCP to patient communication and (3) attitudes regarding medical information. HCP themes were (1) system factors, (2) information exchange practices and (3) quality improvement strategies. Both patients and HCPs recognised public healthcare constraints that increased pressure on hospitals and subsequently limited consultation times. Systemic issues reported by HCPs were a lack of formal handover systems, training and accessible hospital-based records. Healthcare management communication during admission was inconsistent and lacked patient-centredness, evidenced by varying reports of patient information received and some dissatisfaction with lifestyle advice. HCPs reported that the duty of writing discharge notes was passed from senior doctors to interns or nurses during busy periods. A nurse reported providing predominantly verbal discharge instructions to patients. Patient-held medical documents facilitated information exchange between HCPs, but doctors reported that they were not always transported. HCPs and patients expressed positive views towards the idea of introducing patient-held booklets to improve the organisation and transfer of medical documents.ConclusionsHandover and healthcare communication during chronic NCD inpatient care is currently suboptimal. Structured information exchange systems and HCP training are required to improve continuity and safety of care during critical transitions such as referral and discharge. Our findings suggest that patient-held booklets may also assist in enhancing handover and patient-centred practices.

scholarly journals Drivers of information disclosure on health information exchange platforms: insights from an exploratory empirical study

2015 ◽  
Vol 22 (6) ◽  
pp. 1183-1186 ◽  
Author(s):  
Niam Yaraghi ◽  
Raj Sharman ◽  
Ram Gopal ◽  
Ranjit Singh ◽  
R Ramesh
Keyword(s):  
Primary Care ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Information Disclosure ◽  
Primary Care Physicians ◽  
Medical Information ◽  
Health Information Exchange ◽  
Care Physician ◽  
Willingness To Disclose

Abstract Objective The objective of this research is to empirically explore the drivers of patients’ consent to sharing of their medical records on health information exchange (HIE) platforms. Materials and Methods The authors analyze a dataset consisting of consent choices of 20 076 patients in Western New York. A logistic regression is applied to empirically investigate the effects of patients’ age, gender, complexity of medical conditions, and the role of primary care physicians on patients’ willingness to disclose medical information on HIE platforms. Results The likelihood of providing consent increases by age (odds ratio (OR) = 1.055; P  < .0001). Female patients are more likely to provide consent (OR = 1.460; P  = .0003). As the number of different physicians involved in the care of the patient increases, the odds of providing consent slightly increases (OR = 1.024; P  = .0031). The odds of providing consent is significantly higher for the patients whom a primary care physician has been involved in their medical care (OR = 1.323; P  < .0001). Conclusion Individual-level characteristics are important predictors of patients’ willingness to disclose their medical information on HIE platforms.

scholarly journals MEDICAL DROP BOX (MDB)

2010 ◽  
Vol 23 (04) ◽  
Author(s):  
Imran Khan ◽  
Muhammad Sher ◽  
Samina Aslam ◽  
Syed M. Saqlain ◽  
M. Usman Ashraf ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Technological Development ◽  
Personal Control ◽  
Medical Application ◽  
Geographic Region ◽  
Medical Data ◽  
New System

Introduction: National Health Information Exchange (NHIX) Systems are rapidlyevolving. Due to the cyber infrastructure and improvements in communication technology, itis possible to share healthcare related data within a geographic region electronically amonghealthcare related autonomous entities such as physicians, hospitals, test laboratories, insurers,emerging Health Information Organizations (HIO), and even government departments. StudyDesign: Whether data are collected with the RCT, Quasi-experimentation or Triangulationetc., we present to explore a NHIX system for EHR that has also been implemented as atest case. We particularly propose to demonstrate a concept application, Medical Drop Box(MDB) with the key technological components of a future NHIX System for medical industry.Setting: Data from different medical settings have been used for testing the new system butthe technological development has been done at IIU, Islamabad. Period: The proposed systemis not time bond in terms of data collection. Basically the proposed system can handle datacollected in any chunk of time in the history and can provide information as and when neededin future. Material & Methods: With MDB, a person is able to collect his/her health data andshare it with the whole medical industry according to his/her own preferences and setting.Besides the technology for handing numerous forms of health care data, the main challengeof NHIX system is to allow individuals and associated medical entities to manage and sharetheir medical information based on personal control and preferences given to each by medicallaws, information rights and privacy rules. The main focus in this research paper is to make astandard medical application for the medical data that is in exchangeable format according tothe standards defined in HL7. Results: The new system is able to make standardized Clinicaldocument for medical data in exchangeable format according to HL7 standard. The MDB isthe first step to setup NHIX system. With the help of MDB “Statistical Analyzer” now the healthindustry of the country can perform a variety of analysis for the future improvements in differenthealth settings. Conclusions: The availability of medical data of patients on MDB cloud hasimproved Clinical Impact, created new Business & Services opportunities and reduced theoverall Treatment Cost.

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