Presentation Ehealth

8/16/2019 Presentation Ehealth

1/22

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


2/22

Aida Isabel Tavares, FEUC/2015

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


3/22


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


4/22


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.


5/22


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.


6/22


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


7/22Aida Isabel Tavares, FEUC/2015

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



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/



!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!.


10/22


!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%.


11/22


!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/


12/22


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,


13/22


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.


14/22


4earch strategy 1/2

ehealthe-health

6051

ehealthe-health

677

2010-2015

Academic journalsIntegral text

refine the

search

9-on / 9i(lioteca da :5!


15/22


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


16/22


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


17/22


)verview of included studies 1/&

)esearch methodstheoretical; qualitative multi*method multicase;study design; qualitative research; quantitativeresearch; experimental methods; case study;argumentative


18/22


)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 ()


19/22


)verview of included studies &/&

.tage %ocus o%selected articles

Implemen!a!ion andadop!ion 53

Assessmen! andeval*a!ion 103


20/22


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


21/22


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


22/22


!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

Presentation Ehealth

Documents

Transcript of Presentation Ehealth