Defining and Characterizing the Landscape of E-Health

Author(s):  
Yvonne O'Connor ◽  
Ciara Heavin

There has been a surge of electronic health (e-health) technologies encompassing a range of services available to various stakeholders within the healthcare system in both developed and developing countries. As technology has evolved, the features and functionalities offered by e-health technologies have grown dramatically, leading to a proliferation of advanced technical solutions. As a result of this increased focus, various definitions for what constitutes the term e-health have emerged in the literature. This lack of consensus is further inhibited by a dearth of research documenting the characteristics (i.e., features and functionalities) of such e-health technologies. The authors propose to define and characterize the landscape of e-health technologies from an information systems (IS) perspective in this chapter. By examining existing literature and reviewing the market place, this study reveals that there is a need to integrate the various features and functions of e-health technologies, thereby arguing that integration and interoperability is important for the growth of e-health.

Author(s):  
Yvonne O'Connor ◽  
Ciara Heavin

There has been a surge of electronic health (eHealth) technologies encompassing a range of services available to various stakeholders within the health care system in both developed and developing countries. As technology has evolved, the features and functionalities offered by eHealth technologies have grown dramatically leading to a proliferation of advanced technical solutions. As a result of this increased focus various definitions for what constitutes the term eHealth have emerged in the literature. This lack of consensus is further inhibited by a dearth of research documenting the characteristics (i.e. features and functionalities) of such eHealth technologies. The authors propose to define and characterise the landscape of eHealth technologies from an Information Systems (IS) perspective in this chapter. By examining existing literature and reviewing the market place, this study reveals that there is a need to integrate the various features and functions of eHealth technologies, thereby arguing that integration and interoperability is important for the growth of eHealth.


2021 ◽  
Vol 13 (11) ◽  
pp. 5889
Author(s):  
Faiza Hashim ◽  
Khaled Shuaib ◽  
Farag Sallabi

Electronic health records (EHRs) are important assets of the healthcare system and should be shared among medical practitioners to improve the accuracy and efficiency of diagnosis. Blockchain technology has been investigated and adopted in healthcare as a solution for EHR sharing while preserving privacy and security. Blockchain can revolutionize the healthcare system by providing a decentralized, distributed, immutable, and secure architecture. However, scalability has always been a bottleneck in blockchain networks due to the consensus mechanism and ledger replication to all network participants. Sharding helps address this issue by artificially partitioning the network into small groups termed shards and processing transactions parallelly while running consensus within each shard with a subset of blockchain nodes. Although this technique helps resolve issues related to scalability, cross-shard communication overhead can degrade network performance. This study proposes a transaction-based sharding technique wherein shards are formed on the basis of a patient’s previously visited health entities. Simulation results show that the proposed technique outperforms standard-based healthcare blockchain techniques in terms of the number of appointments processed, consensus latency, and throughput. The proposed technique eliminates cross-shard communication by forming complete shards based on “the need to participate” nodes per patient.


Author(s):  
Rajeshwari Vittal ◽  
Juliet Roshini Mohan Raj ◽  
Ballamoole Krishna Kumar ◽  
Indrani Karunasagar

Abstract Legionella is a fastidious organism that is difficult to culture in the lab but is widely distributed in environmental, domestic, and hospital settings. The clinical manifestations due to Legionella infections range from mild fever to fatal pneumonia and multiorgan pathologies. Legionella outbreaks though prevalent globally are not reported in developing countries due to difficulties in isolating this organism and the lack of simple diagnostic protocols. Here, we review the literature from across countries to present various methods used to detect Legionella from environmental and clinical samples. We compare the sensitivity and the specificity of the conventional culture-based assays with the recent methods and discuss approaches to develop better detection and diagnostic tests. With better cost-effective detection techniques and regular monitoring of the susceptible sites, which may harbor Legionella colonies, most of the Legionella infections can be prevented. As a result, considerable burden, caused by Legionella infections, on the healthcare system, in especially economically weaker countries, can be mitigated.


Survey Review ◽  
1987 ◽  
Vol 29 (225) ◽  
pp. 131-142
Author(s):  
B. E. Furmston ◽  
I. T. Logan

2021 ◽  
Author(s):  
Samuel Yigzaw ◽  
Ilkka Jormanainen ◽  
Markku Tukiainen

2010 ◽  
Vol 19 (01) ◽  
pp. 25-29 ◽  
Author(s):  
A.B. Marcelo

Summary Objectives: The objective of this paper is to perform a survey of excellent research on health information systems (HIS) analysis and design, and their underlying theoretical frameworks. It classifies these frameworks along major themes, and analyzes the different approaches to HIS development that are practical in resource-constrained environments. Method: Literature review based on PubMed citations and conference proceedings, as well as Internet searches on information systems in general, and health information systems in particular. Results: The field of health information systems development has been studied extensively. Despite this, failed implementations are still common. Theoretical frameworks for HIS development are available that can guide implementers. Conclusion: As awareness, acceptance, and demand for health information systems increase globally, the variety of approaches and strategies will also follow. For developing countries with scarce resources, a trial-and-error approach can be very costly. Lessons from the successes and failures of initial HIS implementations have been abstracted into theoretical frameworks. These frameworks organize complex HIS concepts into methodologies that standardize techniques in implementation. As globalization continues to impact healthcare in the developing world, demand for more responsive health systems will become urgent. More comprehensive frameworks and practical tools to guide HIS implementers will be imperative.


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