presentation ehealth
TRANSCRIPT
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e-Health, an exploratory study using a systematic
literature review
Aida Isabel Tavares
FEUC, Feb. 2015
PhD programme in es!"o # Ci$n%ia Apli%ada & De%is"o
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Aims
A1: exploratory research in the emergentresearch area of ehealth
A2: accomplish the evaluation requirements ofeGovernment; use a manager references
software; learn how to do systematicliterature review
A3: provide answers to the research questions
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Introduction 1/6
eHealth importance for society
deliver' o( high )*ali!' and a((ordable heal!h%are
improve !he )*ali!' o( !rea!men! and broaden a%%ess !o medi%al %are
i! %an help !o red*%e press*res on p*bli% heal!h%are b*dge!s
i! allo+s heal!h %are pro(essionals !o pla%e pa!ien!s ra!her !han b*dge!s a!
!he %en!re o( !heir heal!h s's!ems
E*ropean Commission has pla%ed eeal!h a%!ivi!ies a! !he %en!re o( !he
In(orma!ion -o%ie!' and i!s eE*rope A%!ion Plan
EU have (*nded more !han 500 million E*ros o( /D in !he eeal!h area
200, (or 15'3
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Introduction 2/6
uropean !ommission"s eHealth Action #lan 2$12 % 2$2$
provides a roadmap !o empo+er pa!ien!s and heal!h%are +or4ers, lin4 *p
devi%es and !e%hnologies, and inves! in resear%h !o+ards !he personalised
medi%ine o( !he (*!*re.
This means providing smar!er, sa(er and pa!ien!%en!red heal!h servi%es.
iven !he (as! gro+ing *p!a4e o( smar!phones and !able!s, !he a%!ion plan
also in%l*des a spe%i(i% (o%*s on mobile heal!h meal!h3.
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Introduction &/6
'lo(al )(servatory for eHealth *+H) h!!p66+++.+ho.in!6goe6en6
ission
improve heal!h b' providing 7ember -!a!es +i!h s!ra!egi% in(orma!ion and
g*idan%e on e((e%!ive pra%!i%es and s!andards in eeal!h
)(.ectives
provide relevan! and high)*ali!' eviden%e and in(orma!ion !o s*ppor!
na!ional governmen!s and in!erna!ional bodies in improving poli%', pra%!i%e,
and managemen! o( eeal!h8
in%rease a+areness and %ommi!men! o( governmen!s and o( !he priva!e
se%!or !o inves!, promo!e, and advan%e eeal!h8
genera!e 4no+ledge !ha! %on!rib*!e !o !he improvemen! o( heal!h !hro*gh
!he *se o( ICT8
dissemina!e resear%h (indings !hro*gh p*bli%a!ions on 4e' eeal!h
resear%h !opi%s as a re(eren%e (or governmen!s and poli%'ma4ers.
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Introduction /6
'lo(al survey *+H) 2$$0 / 2$$ / 2$1&
s*mmari9es !he needs (or eeal!h !ools and servi%es o( :; member
s!a!es
eeal!h !ools servi%es
Electronic Health Records(eHR)
National drug registries
atient !nformation "ystems(!") #irectories of healthcareprofessionals andinstitutions
Hospital !nformation"ystems (H!")
#ecision "upport "ystems(#"")
General ractitioner!nformation "ystems (G!") $elehealth
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Introduction 0/6
#ortugal profile - p136
A!las eeal!h %o*n!r' pro(iles based on !he (indings o( !he se%ond global
s*rve' on eeal!h, :; 20113
h!!p66apps.+ho.in!6iris6bi!s!ream6102=15
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Introduction 6/6
4everal other 5 initiatives
eeal!h Be+s Por!al
h!!p66+++.eheal!hne+s.e*6
E*ropean eeal!h overnan%e Ini!ia!ive
h!!p66+++.ehgi.e*6de(a*l!.asp
eID EU overnan%e (or eeal!h -ervi%es8 -eman!i% and Te%hni%al In!eroperabili!'8 Da!a Pro!e%!ion8 Pa!ien! -*mmar'
and ;!her Priori!ies
/epor!
/edesign heal!h in E*rope (or 2020, E*ropean Union 2012
http://www.ehealthnews.eu/http://www.ehgi.eu/default.aspxhttp://www.ehgi.eu/default.aspxhttp://www.ehealthnews.eu/
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!oncepts 1/2
e-Health *+H) glossary - !he *se o( ICT (or heal!h and more
I! is !he !rans(er o( heal!h reso*r%es and heal!h %are b' ele%!roni% means.
I! %overs main areas
i3 The deliver' o( heal!h in(orma!ion, (or heal!h pro(essionals and heal!h
%ons*mers, !hro*gh !he In!erne! and !ele%omm*ni%a!ions.
ii3 Using !he po+er o( IT and e%ommer%e !o improve p*bli% heal!h servi%es,
e.g. !hro*gh !he ed*%a!ion and !raining o( heal!h +or4ers.
iii3 The *se o( e%ommer%e and eb*siness pra%!i%es in heal!h s's!ems
managemen!.
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!oncepts 1/2
e-Health *+H) glossary, cont
eheal!h i! provides a ne+ me!hod (or *sing heal!h reso*r%es s*%h as
in(orma!ion, mone', and medi%ines and in !ime sho*ld help !o improve
e((i%ien! *se o( !hese reso*r%es.
The In!erne! also provides a ne+ medi*m (or in(orma!ion dissemina!ion,
and (or in!era%!ion and %ollabora!ion among ins!i!*!ions, heal!h
pro(essionals, heal!h providers and p*bli%.
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!oncepts 2/2
lectronic health records H*7 electronic medical records
a re%ord in digi!al (orma! !ha! is %apable o( being shared a%ross di((eren!
heal!h%are se!!ings, b' being embedded in ne!+or4 %onne%!ed en!erprise+ide in(orma!ion s's!ems.
da!a in%l*des demographi%s, medi%al his!or', medi%a!ion and allergies,
imm*ni9a!ion s!a!*s, labora!or' !es! res*l!s, radiolog' images, vi!al signs,
personal s!a!s li4e age and +eigh!, and billing in(orma!ion3
E7/ # i! is !he legal pa!ien! re%ord %rea!ed in hospi!als and amb*la!or'
environmen!s !ha! is !he da!a so*r%e (or !he E/
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esearch 8uestions
Q1: %hat are the drivers and the difficultiesfor implementing and adopting ehealthinitiatives& mainly concerned with electronichealth records& in the healthcare systemsduring the period '*'+,
Q2: %hat is the evaluation of the ehealthinitiatives during that period,
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esearch method
4ystematic literature approach
D'ba e! al., 200?3 and i!%henham, 200=3
1. De(ine sear%h !erms8
2. -ele%! so*r%es digi!al libraries3 on +hi%h !o per(orm sear%h8
. Appli%a!ion o( sear%h !erms on so*r%es8 and
=. -ele%!ion o( primar' s!*dies b' appli%a!ion o( in%l*sion and e%l*sion%ri!eria on sear%h res*l!s.
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4earch strategy 1/2
ehealthe-health
6051
ehealthe-health
677
2010-2015
Academic journalsIntegral text
refine the
search
9-on / 9i(lioteca da :5!
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4earch strategy 1/2
#rocedure for identifying primary studies
15Exclusion :
ehealth not intitle
ehealthe-health
537 ehealthe-health
171
2010-2015
-cademic .ournals!ntegral text
#isciplines/ 0usiness and 1anagement& u2lic Health
ehealth
e-healthelectronic hrecords
67
ehealthe-healthelectronic hrecords
21!urther criteria:*a"aila#ilit$ %ordo&nload* exclusion non-scienti%ic &or'* exclusion out o%health %ield
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4earch strategy 1/2
#rocedure for identifying primary studies
ehealthe-health
2010-2015
-cademic .ournals!ntegral text
#isciplines/ 0usiness and 1anagement& u2lic Health
ehealth
e-healthelectronic hrecords
67 15
!urther criteria:- no du(licaton*a"aila#ilit$ %ordo&nload* exclusion non-scienti%ic &or'* exclusion out o%health %ield*-excusion: ehealthnot in title
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)verview of included studies 1/&
)esearch methodstheoretical; qualitative multi*method multicase;study design; qualitative research; quantitativeresearch; experimental methods; case study;argumentative
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)verview of included studies 2/&
*ountries+origin data,
+ developing countries
-ustralia3anada#enmar4Germany5uwait
Netherlands
"cotland"outh -frica
6"-
ournals +15,
013 u2lic Health ()Health 1anagement $echnology ()Health olicy and $echnology (7)!nformation "ystems 8ronteirs (7)!nternational 9 EnvironmentalResearch and u2lic Health ()!nternational 9 Healthcare1anagement (')9ournal of -dvertising Research()
1il2an4 :uarterly ()Nurse eader ():uality in rimary 3are ()
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)verview of included studies &/&
.tage %ocus o%selected articles
Implemen!a!ion andadop!ion 53
Assessmen! andeval*a!ion 103
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eferences - endley
Implementation
Gal4a, :hi!eho*se, Coa!es, Andr*sie4, 20113 13
e, Hang, Comp!on, Ta'lor, 20123 13
*sse', Adams, -ha((er, 20153 23
B*) A*ber!, 2013 23
:eberahn4e, P, Topaloglo*, 20123 13
;wo focus<
13 In!eroperabili!' o(
in(orma!ion s's!ems
23 Use o( eheal!h b' heal!h
%are pro(essionals
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eferences - endley
valuation and assessment
Con+a' e! al., 201=3
Delano, 20113
reenhalgh, /*ssell, Ash%ro(!, Parsons, 20113
endri4, van de :e!ering, P, Ga!enb*rg, 2013
ove, Pae4, Isaa%son, 20113
ier4egaard, 20153
lo%4er, Gernna!, Jei!, 20153
/ein+and, De Jries, , :iener!, Kipp4e, 2013
Jan L'l, o!9e, Ka*bs%her, 201=3
Libri4 e! al., 20153
:our :ocus
13 Pa!ien!s and *sers
23 Poli%'ma4ers
3 -!a4eholders
=3 -everal
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!riticism and limitations
1 ;ime constraints
2 9-on search engines are imperfect<
!i!les +i!ho*! provided +ord eheal!h3
ar!i%les no! %overing !he E7/ d*pli%a!ion o( en!ries
& :uture improvements<Di((eren! s!ra!eg' (or ar!i%les sele%!ion