Quality Issues in Personalized E-Health, Mobile Health and E-Health Grids

2011 ◽  
pp. 118-131 ◽  
Author(s):  
Anastasia N. Kastania ◽  
Sophia Kossida

The electronic healthcare in the modern society has the possibility of converting the practice of delivery of health care. Currently, chaos of information is characterizing the public health care, which leads to inferior decision-making, increasing expenses and even loss of lives. Technological progress in the sensors, integrated circuits, and the wireless communications have allowed designing low cost, microscopic, light, and smart sensors. These smart sensors are able to feel, transport one or more vital signals, and they can be incorporated in wireless personal or body networks for remote health monitoring. Sensor networks promise to drive innovation in health care allowing cheap, continuous, mobile and personalized health management of electronic health records with the Internet. The e-health applications imply an exciting set of requirements for Grid middleware and provide a rigorous testing ground for Grid. In the chapter, the authors present an overview of the current technological achievements in the electronic healthcare world combined with an outline of the quality dimensions in healthcare.

Author(s):  
Anastasia N. Kastania ◽  
Sophia Kossida

The electronic healthcare in the modern society has the possibility of converting the practice of delivery of health care. Currently, chaos of information is characterizing the public health care, which leads to inferior decision-making, increasing expenses and even loss of lives. Technological progress in the sensors, integrated circuits, and the wireless communications have allowed designing low cost, microscopic, light, and smart sensors. These smart sensors are able to feel, transport one or more vital signals, and they can be incorporated in wireless personal or body networks for remote health monitoring. Sensor networks promise to drive innovation in health care allowing cheap, continuous, mobile and personalized health management of electronic health records with the Internet. The e-health applications imply an exciting set of requirements for Grid middleware and provide a rigorous testing ground for Grid. In the chapter, the authors present an overview of the current technological achievements in the electronic healthcare world combined with an outline of the quality dimensions in healthcare.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Harriet R. Kagoya ◽  
Dan Kibuule

Background: An efficient health management information system (HMIS) improves health care delivery and outcomes. However, in most rural settings in Uganda, paper-based HMIS are widely used to monitor public health care services. Moreover, there are limited capabilities and capacity for quality HMIS in remote settings such as Kayunga district.Objectives: The quality assurance practices of HMIS in health centres (HCs) in Kayunga district were evaluated.Method: A cross-sectional descriptive study design was used to assess the quality of HMIS at 21 HCs in Kayunga district. Data were collected through in-depth interviews of HMIS focal persons as well as document analysis of HMIS records and guidelines between 15 June 2010 and 15 July 2010. The main outcomes were quality assurance practices, the HMIS programmatic challenges and opportunities. The practice of HMIS was assessed against a scale for good quality assurance practices. Qualitative data were coded and thematically analysed, whereas quantitative data were analysed by descriptive statistics using SPSS v22 software.Results: All the 21 HCs had manual paper-based HMIS. Less than 25% of HCs practised quality assurance measures during collection, compilation, analysis and dissemination of HMIS data. More than 50% of HCs were not practising any type of quality assurance during analysis and dissemination of data. The main challenges of the HMIS were the laborious and tedious manual system, the difficulty to archive and retrieve records, insufficient HMIS forms and difficulty in delivering hard copies of reports to relevant stakeholders influenced quality of data. Human resource challenges included understaffing where 43% of participating HCs did not have a designated HMIS staff.Conclusion: The HMIS quality assurance practices in Kayunga were suboptimal. Training and support supervision of HMIS focal persons is required to strengthen quality assurance of HMIS. Implementation of electronic HMIS dashboards with data quality checks should be integrated alongside the manual system.


2013 ◽  
Vol 4 (10) ◽  
pp. 461-466
Author(s):  
John Walsh

The health industry in Thailand is changing as a result of several important changes in society and projected future changes. These include the need for political and social reasons to extend low cost and easy access health care further to every sector of society in all regions of the country, the continuing aspiration to become an international hub for health tourism, the need to adjust to the potential flow of professionals across Southeast Asia resulting from the projected 2015 ASEAN Economic Community and the restructuring of the labour force as part of the effort to exit from the Middle Income Trap. These changes are nation-wide and require cooperation from a range of ministries, as well as requiring the support of society as a whole; that support will result from fostering of social solidarity through, in part, better explanation of why policies are changing and what the objectives will be in the short, medium and long-terms. It is, of course, essential that proper management of quality and health care within involved organizations – i.e. clinical governance – is also fostered and maintained at the highest possible level in both the public and private sectors.


Author(s):  
Dan Michaeli

Public health care systems in countries all over the world are confronted with increasing difficulties. The problems are mainly economic, but they also reflect difficulties of adaptation to changes both in society as a whole and within the health care services.The atmosphere of a crisis results from internal struggles within the health care system and with other welfare and social services that face economical difficulties, while confronting accelerated demographical, social, technological, and cultural changes.The situation is more acute because of the inability of modern society to provide the public health care system with resources (human and financial) according to the expectations that have developed in the welfare state since the end of World War II.New welfare policy, adjusted to the changes that occur within the society, is needed. In this struggle, the public health services find themselves in the center of the discussion as one of the whole of public social services and in competition with other public welfare systems.Economical and organizational problems are the most acute and attract a great deal of interest, and they are amply discussed in many articles and conferences. I shall not deal with them in this article.


2021 ◽  
Vol 25 (1) ◽  
pp. 20-39
Author(s):  
Lars Johan Danbolt ◽  
Hetty Zock ◽  
Anne Austad ◽  
Anne Hege Grung ◽  
Hans Stifoss-Hanssen

Abstract Data from a recent survey on pastoral care consultations (PCC) in Norway (N=408) is presented, showing that PCC is a service priests and deacons provide for people in the municipality, independent of faith affiliation. The most common PCC themes regarded mental and social distress, such as grief, conflicts, and loneliness. Furthermore, illness-related themes were prominent, and a specter of religious and moral issues. We discuss the results in the context of ongoing changes and reforms in both church and health care, and point at possible health promoting dimensions of PCC as existential assistance in the space between personal network support and public health care.


2015 ◽  
pp. 537-558
Author(s):  
Nuria Novas ◽  
José Antonio Gázquez ◽  
Marina Noguerol

This chapter discusses the development and implementation methodology of a real-time biomedical telemetry system for ambulances. Comparable systems, together with their authors' claimed improvements, are evaluated and analysed in this chapter. The authors start by providing an overview of the most relevant systems, and then introduce the reader to the methodology used to develop and implement a real-time communications system that allows low-cost data transmission from a medical monitor and haematology analyser installed in an ambulance. This system was evaluated in terms of how well it can provide health assistance within a 50 km radius of the Torrecardenas Hospital (part of the public health-care system in southern Spain). Results have been technically and medically validated, and encourage further implementation of this technology, since it was proved to be reliable, while the transmitted data allow a correct and thorough patient evaluation throughout the patient's transportation to the hospital.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 565-576
Author(s):  
Mr. R. Mohan ◽  
Dr. K. Jayaraman

Public health care is an important public good in a modern society. At the domestic extent, it has been development in the commitment of the BRICS nations as Brazil, Russia, India, China and South Africa to rise up public health care financing. In the international level, it is observed by the global community progress on the three health-related Millennium Development Goals. In spite of successes in curbing infectious diseases and curtailing CMR and MMR, old risks continues and new challenges emerge, coming post the 2008 global financial meltdown, the present slower economic growth and increasing economic inequality. The BRICS nations see these obstacles and have started cooperation on public health delivery.


Author(s):  
Nuria Novas ◽  
José Antonio Gázquez ◽  
Marina Noguerol

This chapter discusses the development and implementation methodology of a real-time biomedical telemetry system for ambulances. Comparable systems, together with their authors’ claimed improvements, are evaluated and analysed in this chapter. The authors start by providing an overview of the most relevant systems, and then introduce the reader to the methodology used to develop and implement a real-time communications system that allows low-cost data transmission from a medical monitor and haematology analyser installed in an ambulance. This system was evaluated in terms of how well it can provide health assistance within a 50 km radius of the Torrecardenas Hospital (part of the public health-care system in southern Spain). Results have been technically and medically validated, and encourage further implementation of this technology, since it was proved to be reliable, while the transmitted data allow a correct and thorough patient evaluation throughout the patient’s transportation to the hospital.


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