Factors Associated in the Implementation and Adoption of  Electronic Health Records (EHR) in Private Healthcare

Coreference resolution is a challenging part of natural language processing (NLP) with applications in machine translation, semantic search and other information retrieval, and decision support systems. Coreference resolution requires linguistic preprocessing and rich language resources for automatically identifying and resolving such expressions. Many rarer and under-resourced languages (such as Lithuanian) lack the required language resources and tools. We present a method for coreference resolution in Lithuanian language and its application for processing e-health records from a hospital reception. Our novelty is the ability to process coreferences with minimal linguistic resources, which is important in linguistic applications for rare and endangered languages. The experimental results show that coreference resolution is applicable to the development of NLP-powered online healthcare services in Lithuania.

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Use and Reuse of Electronic Health Records

Healthcare Informatics and Analytics - Advances in Healthcare Information Systems and Administration ◽

10.4018/978-1-4666-6316-9.ch011 ◽

2015 ◽

pp. 212-226

Author(s):

Michele Ceruti ◽

Silvio Geninatti ◽

Roberta Siliquini

Keyword(s):

Medical Records ◽

Healthcare Services ◽

Single Individual ◽

Health Issues ◽

Validity And Reliability ◽

Health Records ◽

Related Information ◽

Large Populations ◽

Health Related ◽

Electronic Health

Electronic Health Record (EHR) is a term with several meanings, even if its very definition allows distinguishing it from other electronic records of healthcare interest, such as Electronic Medical Records (EMR) and Personal Health Records (PHR). EMR is the electronic evolution of paper-based medical records, while PHR is mainly the collection of health-related information of a single individual. All of these have many points in common, but the interchangeable use of the terms leads to several misunderstandings and may threaten the validity and reliability of EHR applications. EHRs are more structured and conform to interoperability standards, and include a huge quantity of data of very large populations. Thus, they have proven to be useful for both theoretical and practical purposes, especially for Public Health issues. In this chapter, the authors argue that the appropriate use of EHR requires a realistic comprehensive concept of e-health by all the involved professions. They also show that a change in the “thinking” of e-health is necessary in order to achieve tangible results of improvement in healthcare services through the use of EHR.

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On-the-job training of health professionals for electronic health record and electronic medical record use: A scoping review

Knowledge Management & E-Learning: An International Journal ◽

10.34105/j.kmel.2015.07.029 ◽

2015 ◽

pp. 436-469

Keyword(s):

Electronic Medical Records ◽

Health Professionals ◽

Medical Records ◽

Health Informatics ◽

Clinical Care ◽

Training Methods ◽

Health Records ◽

Ovid Medline ◽

Electronic Health ◽

Orientation Training

The implementation of electronic health records (EHRs) or electronic medical records (EMRs) is well documented in health informatics literature yet, very few studies focus primarily on how health professionals in direct clinical care are trained for EHR or EMR use. Purpose: To investigate how health professionals in direct clinical care are trained to prepare them for EHR or EMR use. Methods: Systematic searches were conducted in CINAHL, EMBASE, Ovid MEDLINE, PsycINFO, PubMed and ISI WoS and, the Arksey and O’Malley scoping methodological framework was used to collect the data and analyze the results. Results: Training was done at implementation, orientation and post-implementation. Implementation and orientation training had a broader scope while post-implementation training focused on proficiency, efficiency and improvement. The multiplicity of training methods, types and levels of training identified appear to suggest that training is more effective when a combination of training methods are used.

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Application of an Electronic System to the Management of Medical Records

Mousaion ◽

10.25159/2663-659x/5126 ◽

2019 ◽

Vol 37 (1) ◽

Author(s):

Ngoako Solomon Marutha

Keyword(s):

Service Delivery ◽

Medical Records ◽

Quantitative Data ◽

Healthcare Service ◽

System Analysis ◽

Electronic System ◽

Healthcare Services ◽

Healthcare Sector ◽

Records Management ◽

Peace Of Mind

The management of functions in any sector including the healthcare sector is highly dependent on the application of electronic technology to achieve effective results and to give peace of mind to the organisation. The manual modus operandi for the management of medical records in healthcare institutions brings about many discrepancies that regularly result in chaos in healthcare services, which always affects patients negatively. This study sought to investigate the application of an electronic system for the management of medical records in the Limpopo province of South Africa to support healthcare services. The study used a survey questionnaire to collect quantitative data from a sample of 306 (49%) out of a total of 622 records management officials. The response rate was 70.9 per cent (217), and system analysis and observation were applied to augment the quantitative data. The study discovered that the electronic system has not yet been applied for the management of medical records in healthcare institutions but is only used for capturing the personal information and financial status of patients or for billing purposes, although records management modules were available in the same system, and that negatively affects healthcare services and patients directly. The study recommends the application or enhancement of the current business administration system for healthcare patients or the development of a new electronic system to cater for the electronic management of medical records to support healthcare service delivery. The study further proposes a framework for the application of an electronic system for the management of medical records to support healthcare service delivery.

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NORMALIZATION OF HEALTH RECORDS IN THE SERBIAN LANGUAGE WITH THE AIM OF SMART HEALTH SERVICES REALIZATION

Facta Universitatis Series Mathematics and Informatics ◽

10.22190/fumi2003825a ◽

2020 ◽

pp. 825

Author(s):

Aldina R. Avdić ◽

Ulfeta A. Marovac ◽

Dragan S. Janković

Keyword(s):

Medical Records ◽

Smart Cities ◽

Healthcare Services ◽

Health Records ◽

Smart Healthcare ◽

Textual Data ◽

Efficient Data ◽

Electronic Recording ◽

Smart Health ◽

Textual Form

The development of information technology increases its use in various spheres of human activity, including healthcare. Bundles of data and reports are generated and stored in textual form, such as symptoms, medical history, and doctor’s observations of patients' health. Electronic recording of patient data not only facilitates day-to-day work in hospitals, enables more efficient data management and reduces material costs, but can also be used for further processing and to gain knowledge to improve public health. Publicly available health data would contribute to the development of telemedicine, e-health, epidemic control, and smart healthcare within smart cities. This paper describes the importance of textual data normalization for smart healthcare services. An algorithm for normalizing medical data in Serbian is proposed in order to prepare them for further processing (F1-score=0,816), in this case within the smart health framework. By applying this algorithm, in addition to the normalized medical records, corpora of keywords and stop words, which are specific to the medical domain, are also obtained and can be used to improve the results in the normalization of medical textual data.

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Use and Reuse of Electronic Health Records

E-Health and Telemedicine ◽

10.4018/978-1-4666-8756-1.ch049 ◽

2016 ◽

pp. 961-975 ◽

Cited By ~ 2

Author(s):

Michele Ceruti ◽

Silvio Geninatti ◽

Roberta Siliquini

Keyword(s):

Medical Records ◽

Healthcare Services ◽

Single Individual ◽

Health Issues ◽

Validity And Reliability ◽

Health Records ◽

Related Information ◽

Large Populations ◽

Health Related ◽

Electronic Health

Electronic Health Record (EHR) is a term with several meanings, even if its very definition allows distinguishing it from other electronic records of healthcare interest, such as Electronic Medical Records (EMR) and Personal Health Records (PHR). EMR is the electronic evolution of paper-based medical records, while PHR is mainly the collection of health-related information of a single individual. All of these have many points in common, but the interchangeable use of the terms leads to several misunderstandings and may threaten the validity and reliability of EHR applications. EHRs are more structured and conform to interoperability standards, and include a huge quantity of data of very large populations. Thus, they have proven to be useful for both theoretical and practical purposes, especially for Public Health issues. In this chapter, the authors argue that the appropriate use of EHR requires a realistic comprehensive concept of e-health by all the involved professions. They also show that a change in the “thinking” of e-health is necessary in order to achieve tangible results of improvement in healthcare services through the use of EHR.

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Computerization of the Patient History -Patient Answers Compared with Medical Records

Methods of Information in Medicine ◽

10.1055/s-0038-1635472 ◽

1986 ◽

Vol 25 (04) ◽

pp. 222-228 ◽

Cited By ~ 5

Author(s):

M. J. Quaak ◽

R. F. Westerman ◽

J. A. Schouten ◽

A. Hasman ◽

J. H. Bemmel

Keyword(s):

Internal Medicine ◽

Medical Records ◽

Patient Record ◽

Frequency Of Occurrence ◽

History Taking ◽

Patient History ◽

Patient Complaints ◽

Computerized Patient Record ◽

Extensive Information ◽

Experienced Physician

SummaryComputerized medical history taking, in which patients answer questions by using a terminal, is compared with the written medical record for a group of 99 patients in internal medicine. Patient complaints were analysed with respect to their frequency of occurrence for all important tracts, such as the respiratory, the gastro-intestinal and the uro-genital tracts. About 36% of over 3,200 patient answers were identical in the patient record and the written record, but a considerable percentage of complaints (56%), that were present in the patient record, were missing in the written record; the reverse was true for 4.5%. A computerized patient record appears to contain more extensive information about patient complaints, still to be interpreted by the experienced physician.

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Health Informatics. HL7 Electronic Health Records-System Functional Model, Release 2 (EHR FM)

10.3403/30259714 ◽

2015 ◽

Keyword(s):

Electronic Health Records ◽

Health Informatics ◽

Functional Model ◽

Health Records ◽

Electronic Health

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Factors associated with preterm birth at Wachemo University Nigist Eleni Mohammed memorial hospital, southern Ethiopia: case-control study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03503-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Negeso Gebeyehu Gejo ◽

Melaku Tesfaye W/mariam ◽

Biruk Assefa Kebede ◽

Ritbano Ahmed Abdo ◽

Abebe Alemu Anshebo ◽

...

Keyword(s):

Preterm Birth ◽

Antenatal Care ◽

Medical Records ◽

Case Control Study ◽

Southern Ethiopia ◽

Preterm Neonates ◽

Factors Associated ◽

Induced Hypertension ◽

Control Study

Abstract Background Preterm birth is defined as the birth of a baby before 37 completed weeks of gestation. Worldwide, prematurity is the second foremost cause of death in children under the age of 5 years. Preterm birth also gives rise to short and long term complications. Therefore, the primary aim of this study was to identify the factors associated with preterm birth in Wachemo University Nigist Eleni Mohammed Memorial referral hospital, Hadiya Zone, Southern Ethiopia. Methods An institution-based unmatched case-control study was conducted from July 01, 2018 to June 30, 2019 among mothers who gave birth in Wachemo University Nigest Eleni Mohammed Memorial referral hospital. A retrospective one-year data was retrieved from medical records of mothers with their index neonates. Simple random sampling technique was employed to recruit study participants. SPSS version 20 software was used for data entry and computing statistical analysis. Both bivariable and multivariable logistic regression analyses were used to determine the association of each independent variable with the dependent variable. Odds ratio with their 95% confidence intervals was computed to identify the presence and strength of association, and statistical significance was affirmed if p < 0.05. Result The current study evaluated 213 medical records of mothers with index neonates (71 cases and 142 controls). Urban residency [AOR = 0.48; 95% Cl; 0.239, 0.962], antenatal care follow up [AOR = 0.08; 95 Cl; 0.008, 0.694], premature rupture of membranes [AOR = 3.78; 95% Cl; 1.467, 9.749], pregnancy induced hypertension [AOR = 3.77; 95% Cl; 1.408, 10.147] and multiple pregnancies [AOR = 5.53; 95% Cl; 2.467, 12.412] were the factors associated with preterm birth. More than one-third (36.6%) preterm neonates died in the present study. Conclusions The present study found that urban residency, antenatal care follow up, premature rupture of membranes, pregnancy induced hypertension and multiple pregnancies were factors associated with preterm birth. The mortality among preterm neonates is high. Enhancing antenatal care follow up and early detection and treatment of disorders among pregnant women during antenatal care and undertaking every effort to improve outcomes of preterm birth and reduce neonatal mortality associated with prematurity is decisive.

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A meta-ethnographic study of fathers’ experiences of caring for a child with a life-limiting illness

Palliative Medicine ◽

10.1177/0269216320979153 ◽

2020 ◽

pp. 026921632097915

Author(s):

Gianina-Ioana Postavaru ◽

Helen Swaby ◽

Rabbi Swaby

Keyword(s):

English Language ◽

Psychosocial Interventions ◽

Healthcare Services ◽

Ethnographic Study ◽

Qualitative Studies ◽

Future Research ◽

Care Experience ◽

Care Giving ◽

Critical Appraisal Skills ◽

Limiting Condition

Background: There is a growing body of qualitative studies examining parents’ experiences of caring for a child with a life-limiting condition, coinciding with recent evidence that indicates an increasing incidence of paediatric life-limiting conditions. However, research focusing on fathers’ needs remains sparse and is often diluted among a predominant ‘mother’s voice’, raising questions about whether practices in clinical settings meet fathers’ needs. Aim: To provide an in-depth assembly of the current state of knowledge around fathers’ experiences of caring for their children diagnosed with life-limiting conditions and understand the implications for healthcare services and policies. Design: A meta-ethnography was conducted to synthesise findings from existing qualitative studies exploring fathers’ experiences of caring. Data sources: Four electronic databases (PubMed, PsycINFO, CINAHL and Science Direct) were searched up until April 2020. Qualitative studies exploring fathers’ care experience and published in English language were included. The Critical Appraisal Skills Programme (CASP) checklist was employed for study quality appraisal. No temporal limits were used. Results: Sixty-three studies met the inclusion criteria. Thirty life-limiting conditions were included. Based on responses from 496 fathers, a conceptual model was developed which translates key experiences within the fathers’ caregiving journeys. The overarching concepts identified were: the paradox of support, challenges in the caring process, ‘nobody thinks of men’, impact on family life and the fall of the curtain: an irrevocably altered world. These and associated sub-concepts are discussed, with recommendations for future research and practice provided. Conclusion: The findings indicate the value of a family-oriented approach to develop psychosocial interventions and support channels for fathers, thus empowering them whilst reducing the care-giving burden on the family unit.

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