Registers of Healthcare Systems of Northen European Countries

2021 ◽  
pp. 21-37
Author(s):  
M. V. PUHACHOVA ◽  
О. М. GLADUN

The introduction of electronic register systems for all spheres of state functioning is becoming more widespread in developed countries. It is the systems, not individual registers, that create the conditions for the comprehensive and effective use of available information in the field of state and local government, research, business planning, and so on. In our opinion, health care registries are the most important among other systems, so it is important to study the experience of the most developed countries in the field of creating electronic medical information resources. The use of the experience gained by advanced European countries in this area is especially useful for Ukraine, where such a system is being developed. The purpose of the article is to summarize the experience of Northern European countries in the use of electronic information resources of health care for its implementation in Ukraine. The novelty of the article is a generalized and comparative analysis of health registry systems in Denmark, Norway, the Netherlands, Estonia, Sweden, Finland and a study of the role of medical, statistical and scientific institutions in the development of these systems. The research methodology is based on the application of the following methods: system analysis, scientific generalization, comparative analysis, research methods of complex systems. The article examines the health care systems of six northern European countries, compares the composition and features of these systems. The focus is on electronic information resources, which are introduced only in some countries. It is established that the Danish and Norwegian systems are the most branched among the systems of other studied countries and contain not only a larger number of specialized registers, but also have the largest number of organizations that maintain these registers. The holders of registers and databases in different countries are not only the relevant ministries but also research institutes and universities. In addition, statistical authorities also create registers that are used for society’s statistical information needs. The study thus summarizes the experience of creating and operating electronic information resources in the field of health care in Northern European countries, concludes that it can be used in the implementation of a similar Ukrainian, the process of which began several years ago.

2008 ◽  
Vol 3 (1) ◽  
pp. 78
Author(s):  
Martha Ingrid Preddie

A review of: McKibbon, K. Ann, and Douglas B. Fridsma. “Effectiveness of Clinician-selected Electronic Information Resources for Answering Primary Care Physicians’ Information Needs.” Journal of the American Medical Informatics Association 13.6 (2006): 653-9. Objective – To determine if electronic information resources selected by primary care physicians improve their ability to answer simulated clinical questions. Design – An observational study utilizing hour-long interviews and think-aloud protocols. Setting – The offices and clinics of primary care physicians in Canada and the United States. Subjects – 25 primary care physicians of whom 4 were women, 17 were from Canada, 22 were family physicians, and 24 were board certified. Methods – Participants provided responses to 23 multiple-choice questions. Each physician then chose two questions and looked for the answers utilizing information resources of their own choice. The search processes, chosen resources and search times were noted. These were analyzed along with data on the accuracy of the answers and certainties related to the answer to each clinical question prior to the search. Main results – Twenty-three physicians sought answers to 46 simulated clinical questions. Utilizing only electronic information resources, physicians spent a mean of 13.0 (SD 5.5) minutes searching for answers to the questions, an average of 7.3 (SD 4.0) minutes for the first question and 5.8 (SD 2.2) minutes to answer the second question. On average, 1.8 resources were utilized per question. Resources that summarized information, such as the Cochrane Database of Systematic Reviews, UpToDate and Clinical Evidence, were favored 39.2% of the time, MEDLINE (Ovid and PubMed) 35.7%, and Internet resources including Google 22.6%. Almost 50% of the search and retrieval strategies were keyword-based, while MeSH, subheadings and limiting were used less frequently. On average, before searching physicians answered 10 of 23 (43.5%) questions accurately. For questions that were searched using clinician-selected electronic resources, 18 (39.1%) of the 46 answers were accurate before searching, while 19 (42.1%) were accurate after searching. The difference of one correct answer was due to the answers from 5 (10.9%) questions changing from correct to incorrect, while the answers to 6 questions (13.0%) changed from incorrect to correct. The ability to provide correct answers differed among the various resources. Google and Cochrane provided the correct answers about 50% of the time while PubMed, Ovid MEDLINE, UpToDate, Ovid Evidence Based Medicine Reviews and InfoPOEMs were more likely to be associated with incorrect answers. Physicians also seemed unable to determine when they needed to search for information in order to make an accurate decision. Conclusion – Clinician-selected electronic information resources did not guarantee accuracy in the answers provided to simulated clinical questions. At times the use of these resources caused physicians to change self-determined correct answers to incorrect ones. The authors state that this was possibly due to factors such as poor choice of resources, ineffective search strategies, time constraints and automation bias. Library and information practitioners have an important role to play in identifying and advocating for appropriate information resources to be integrated into the electronic medical record systems provided by health care institutions to ensure evidence based health care delivery.


2018 ◽  
Vol 26 (2) ◽  
pp. 48-73
Author(s):  
Virginia Ilie ◽  
Sweta Sneha

Deriving the benefits of electronic information resources as provided by electronic medical record systems (EMR) on a global scale is critically dependent on physicians' adoption and continued use of such resources. Yet, there is little known about the factors that motivate physicians to adopt and continue to use electronic information resources. The purpose of this article is to investigate the motivational factors leading to adoption and usage of electronic information resources in diverse regions of the world including developing countries (India and Egypt) and developed countries (the US). Based on the socio-cognitive theory and the decomposed theory of planned behavior, the authors surveyed 314 physicians in three countries in order to assess their engagement with electronic information resources. Data was analyzed via PLS for direct and indirect effects of socio-cognitive constructs and their impact on electronic information resources' use intentions. The authors' results suggest there are similarities as well as differences in factors impacting adoption and usage of electronic information resources pre and post EMR implementation in both developing and developed countries. They found that physicians' perceptions of effort expectations, technological infrastructure and support, and computer self-efficacy were the strongest direct drivers influencing intentions to use electronic information resources both in pre and post-EMR implementations in all three countries that were studied. However, a richer set of factors contributed to physicians' intentions to continue to use electronic information resources, post-EMR, in developed countries as compared to pre-EMR in developing countries. Social influences had a strong indirect effects, influencing physicians' perceptions of effort expectations post-EMR as well as perceptions of performance expectations pre-EMR implementation. Computer self-efficacy was a significant predictor of effort expectations of an electronic information resource both pre and post-EMR implementation while compatibility with physicians' practices significantly influenced performance expectations in both pre and post EMR implementations in all three countries studied. The authors' study provides important theoretical and practical implications for successful management and implementation of electronic information resources such that they are adopted and used in the healthcare environment.


Author(s):  
Martha Sabelli ◽  
Jorge Rasner ◽  
María Cristina Pérez Giffoni ◽  
Eduardo Álvarez Pedrosian ◽  
Laura González ◽  
...  

This chapter focuses on multidisciplinary research about needs and the behavior of real and potential information users. The research is carried out in a university context to address social issues as well as to find solutions appropriate to the Uruguayan context, which is rather different from the one in developed countries. The chapter focuses on the discussion of the research results, on the developed electronic information resources, and on the impact on the target population and social mediators. The chapter also focuses on the multidisciplinary work experience, which carries out the research group through meetings and workshops with social actors and decision makers on social policies. This research constitutes a step forward in the development of information and communication sciences as well as to improve the information domain in Uruguay.


Author(s):  
Lyudmila Cherednyk

Purpose of the article. The article considers topical issues of the introduction of electronic information resources in the field of health care of Ukraine. Scientific research analyzes the most common forms of application of e-documents in the medical field, namely: concluding an e-declaration with a family doctor, online registration with a doctor, video consultations with a doctor, e-register of insulin-dependent patients, electronic medical card, e-medical program Baby, e-hospital, creating a patient profile, electronic card of a pregnant woman. The author also investigates the economic effect of the introduction of various types of electronic services that are becoming widespread in domestic medicine. The methodology includes the use of the descriptive method, method of analysis, and synthesis to identify the significance of the use of electronic information resources in the medical field. The scientific novelty lies in comprehensive characterization of most typical forms of e-documents used in the modern Ukrainian medical field. Conclusions. A detailed analysis of the term "e-health" proves that it has been actively used in practice since the beginning of the XXI century. Much earlier, the concept of "e-document" entered the practice of European and American physicians, but in recent years in connection with medical reform is becoming popular in Ukraine. The development of information technology significantly changes the process of providing medical services, reorienting the activities of medical institutions to patient-centered care. The use of electronic information resources in the health care system has a number of advantages associated with saving time, a significant increase in the pace of service delivery, the inclusion of cost reductions, and so on. In addition, the ability to communicate with the patient through the media significantly reduces the need for forced travel, which is extremely important in a COVID-19 pandemic. The introduction of electronic documents makes it impossible to forge and falsify them. Electronic service in the medical field of Ukraine has wide prospects for the introduction of its new forms.


Mousaion ◽  
2020 ◽  
Vol 38 (2) ◽  
Author(s):  
Kehinde Abayomi Owolabi ◽  
Basirat.Olubukola Diyaolu ◽  
Nurudeen Adeniyi Aderibigbe ◽  
Mudasiru A Yusuf

The advent of information and communication technologies (ICTs) has revolutionised how library resources are made and transmitted to end-users. It has effectively improved the standard of education and research in tertiary institutions worldwide by providing various essential resources, including e-books, journals and databases. However, it has been observed that students still abstain from making the best usage of the digital library, instead using search engines rather than institutional digital libraries. This study investigated the factors influencing the behavioural intention of postgraduate (PG) students to use electronic information resources (EIRs). The Unified Theory of Acceptance of Technology (UTAUT) model was adopted. A cross-sectional research design was used to assess the factors influencing the use of EIRs. A sample of 362 PG students was determined using a Monte Carlo simulation approach. Data were collected from participants via the administration of 400 copies of the questionnaire. Confirmatory Factor Analysis (CFA) and the Covariance-Based Structural Equation Modelling (CB-SEM) were used to analyse data collected. The findings revealed that performance expectancy (PE) and effort expectancy (EE) were the two constructs that influenced PG students’ behavioural intention to use EIRs. In contrast, social influence (SI) and facilitating condition (FC) did not change the PG students’ behavioural plan to use EIRs. The study recommended the need for adequate training for postgraduate (PG) students on the obligation to accept and use EIRs.


2019 ◽  
Vol 9 (2) ◽  
pp. 103-105
Author(s):  
S. Saravana Raj ◽  
K. Vijayakumar

The present study deals with Utilization of ICT among the faculty members of Siddha Colleges and various level of operating system with the information accessed by the faculty through the internet. The survey was conducted with the help of the questionnaire and personal interview. The responses received from the available faculty are presented in tables and data is analyzed by using simple statistical method. The findings reveals that the access of electronic information is an important component of research activities for faculty members like E-Journals, E-books, E-databases are most preferred electronic information resources.


2018 ◽  
Vol 8 (3) ◽  
pp. 71-74
Author(s):  
B. Vasantha ◽  
B. M. Meera ◽  
M. Dhanamjaya

Tremendous advancement in Information and Communication Technology has its impact on all walks of life. The advent of Internet and the World Wide Web has particularly impacted Library and Information domain. Library and Information Centers today play an important role in enhancing the quality of academic environment and influence basic and core activity of the research centers. They help the users to identify and access the variety knowledge resources in different formats such as electronic information resources in academic institutions. The purpose of this paper to it understands the usage pattern of electronic information resources in an academic institute by the research scholars. A survey method is adopted to know the frequency of use, level of satisfaction with different resources, and the problems encountered while using electronic information resources at REVA University, Bengaluru.


2019 ◽  
Vol 9 (1) ◽  
pp. 58-61
Author(s):  
M. Josephine Nirmala ◽  
K. Divyananda

The present study discusses the attitude of information seeking behavior among the scientists of Defence Avionics Research Establishment. The study describes about the scientists those who are involved in the research of Airborne Electronic Warfare, Airborne Processors and Testing & Evaluation of Electronic Warfare (EW) systems and their persuasiveness towards electronic information resources, level of satisfaction, and barriers in all aspects of using electronic resources. For the purpose of the study seventy two scientists listed category–wise were determined as the sample through purposive sampling technique. The primary data were collected through questionnaire survey and thus collected data were analyzed using statistical tools.


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