A novel approach to population-based risk stratification, comprising individualized lifestyle intervention in Danish general practice to prevent chronic diseases: Results from a feasibility study

2016 ◽  
Vol 23 (4) ◽  
pp. 249-259 ◽  
Author(s):  
Lars Bruun Larsen ◽  
Jens Soendergaard ◽  
Anders Halling ◽  
Trine Thilsing ◽  
Janus Laust Thomsen
Keyword(s):  
General Practice ◽  
Early Detection ◽  
Chronic Diseases ◽  
Electronic Patient Record ◽  
Risk Estimation ◽  
Population Based ◽  
Patient Record ◽  
Electronic Patient Records ◽  
Lifestyle Risk Factors ◽  
Record Data

Early detection of patients at risk seems to be effective for reducing the prevalence of lifestyle-related chronic diseases. We aim to test the feasibility of a novel intervention for early detection of lifestyle-related chronic diseases based on a population-based stratification using a combination of questionnaire and electronic patient record data. The intervention comprises four elements: (1) collection of information on lifestyle risk factors using a short 15-item questionnaire, (2) electronic transfer of questionnaire data to the general practitioners’ electronic patient records, (3) identification of patients already diagnosed with a lifestyle-related chronic disease, and (4) risk estimation and stratification of apparently healthy patients using questionnaire and electronic patient record data on validated risk estimation models. We show that it is feasible to implement a novel intervention that identifies and stratifies patients for further examinations in general practice or behaviour change interventions at the municipal level without any additional workload for the general practitioner.

scholarly journals The Electronic Patient Record as an Organizational Artifact

2011 ◽  
pp. 78-89 ◽  
Author(s):  
Pieter Toussaint ◽  
Marc Berg
Keyword(s):  
Electronic Patient Record ◽  
Healthcare Professionals ◽  
Research Effort ◽  
Patient Record ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Specific Research ◽  
Technological Bias

The research effort on Electronic Patient Records (EPRs) has rapidly increased in the last decade. Much of this research focussed on standardisation and technical realizations. We will describe such a research effort in this chapter and evaluate its success. Our main finding is that the lack of success of this specific research effort is mainly due to its technological bias. Although standards (both conceptual and technical) are important prerequisites for the realisation of an EPR, organisational issues are decisive for success. The role played by these organisational issues will be illustrated by analysing the findings of the case study presented in the chapter. We will argue that research on EPRs should be more focussed on the role of an EPR as an organisational artefact that coordinates the work of healthcare professionals, in order to lead to successful implementations.

scholarly journals Section 2: Patient Records: Electronic Patient Records and their Benefit for Patient Care

2006 ◽  
Vol 15 (01) ◽  
pp. 40-42
Author(s):  
P. Knaup ◽  
Keyword(s):  
Patient Care ◽  
Electronic Patient Record ◽  
Patient Record ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Quality Patient Care ◽  
Access To Health ◽  
Excellent Research ◽  
Therapy Attitudes ◽  
Ward Rounds

SummaryTo summarize current excellent research in the field of patient records.Synopsis of the articles selected for the IMIA Yearbook 2006.Current research in the field of patient records analyses users’ needs and attitudes as well as the potential and limitations of electronic patient record systems. Particular topics are the questions physicians have when assessing patients during ward rounds, the timeliness of results when ordered electronically, the quality of documenting haemophilia home therapy, attitudes towards patient access to health records and adequate strategies for record linkage in dependence on the intended purpose.The best paper selection of articles on patient records shows examples of excellent research on methods used for the management of patient records and for processing their content as well as assessing the potential, limitations of and user attitudes towards electronic patient record systems. Computerized patient records are mature, so that they can contribute to high quality patient care and efficient patient management.

Political Attitudes on the Dutch Electronic Patient Record

2016 ◽  
pp. 1207-1221
Author(s):  
Evert Mouw
Keyword(s):  
The Netherlands ◽  
Electronic Patient Record ◽  
Political Attitudes ◽  
Patient Record ◽  
The Political ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Political Debate ◽  
Opt Out ◽  
The Law

In the Netherlands, the introduction of a nationwide electronic patient record (EPR) infrastructure was rejected in 2011 after a heated political debate. Such debate is influenced by the political attitudes of politicians and voters, such as their trust in governments. The objective is to explore the relation between political attitudes of individuals and the priority they give to health privacy. The method is from a new survey that was developed; the Health Privacy and Political Attitudes Survey. The survey is as compatible as possible with a few well-known surveys. With 218 respondents enough data was collected for a first explorative study. Little correlations were found between political attitudes and the individual's priorisation of health privacy or their trust in a nationwide EPR. In general, most respondents valued their health privacy highly and trust in a nationwide EPR was low, irrespective of their political affiliation or their political attitudes. One exception were respondents with authoritarian attitudes. Such individuals had, on average, more trust in (government regulated) electronic records. More trust in the law correlates with less fear for problems with the EPR. Interestingly, higher educated and older respondents have, on average, the same level of trust in the EPR as others but are more apt to act when they distrust the system (opt-out). In general, political attitudes and one's trust in electronic patient records (EPRs) are not strongly related, but individuals who score high on authoritarian attitudes and trust in the law are more likely to also trust EPRs. Still, nearly everybody places a high value on health privacy, so EPR providers should be careful in this regard.

Political Attitudes on the Dutch Electronic Patient Record

2014 ◽  
Vol 2 (1) ◽  
pp. 34-50
Author(s):  
Evert Mouw
Keyword(s):  
Electronic Patient Record ◽  
Political Attitudes ◽  
Patient Record ◽  
Electronic Records ◽  
Political Affiliation ◽  
Electronic Patient Records ◽  
Political Debate ◽  
Explorative Study ◽  
Opt Out ◽  
The Law

In the Netherlands, the introduction of a nationwide electronic patient record (EPR) infrastructure was rejected in 2011 after a heated political debate. Such debate is influenced by the political attitudes of politicians and voters, such as their trust in governments. The objective is to explore the relation between political attitudes of individuals and the priority they give to health privacy. The method is from a new survey that was developed; the Health Privacy and Political Attitudes Survey. The survey is as compatible as possible with a few well-known surveys. With 218 respondents enough data was collected for a first explorative study. Little correlations were found between political attitudes and the individual's priorisation of health privacy or their trust in a nationwide EPR. In general, most respondents valued their health privacy highly and trust in a nationwide EPR was low, irrespective of their political affiliation or their political attitudes. One exception were respondents with authoritarian attitudes. Such individuals had, on average, more trust in (government regulated) electronic records. More trust in the law correlates with less fear for problems with the EPR. Interestingly, higher educated and older respondents have, on average, the same level of trust in the EPR as others but are more apt to act when they distrust the system (opt-out). In general, political attitudes and one's trust in electronic patient records (EPRs) are not strongly related, but individuals who score high on authoritarian attitudes and trust in the law are more likely to also trust EPRs. Still, nearly everybody places a high value on health privacy, so EPR providers should be careful in this regard.

Pain process of patients with cardiac surgery—Semantic annotation of electronic patient record data

2019 ◽  
Vol 28 (9-10) ◽  
pp. 1555-1567
Author(s):  
Kristiina Heikkilä ◽  
Anna Axelin ◽  
Laura‐Maria Peltonen ◽  
Juho Heimonen ◽  
Pauliina Anttila ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Electronic Patient Record ◽  
Semantic Annotation ◽  
Patient Record ◽  
Record Data
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