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Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems

Book Description

Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems provides multidisciplinary best practices and experiences in knowledge management relevant to the healthcare industry. This Handbook of Research presents an in-depth examination of common approaches to shared problems in the management of knowledge within e-health services.

Table of Contents

  1. Copyright
  2. Editorial Advisory Board
  3. Foreword
  4. Preface
    1. CHAPTER OVERVIEW
  5. 1. Biomedical Knowledge Management Systems
    1. 1. Telemedicine and Biotelemetry for E-Health Systems:Theory and Applications
      1. ABSTRACT
      2. INTRODUCTION
      3. TELEMEDICINE TECHNOLOGIES
      4. TELEMEDICINE INFRASTRUCTURE
      5. APPLICATIONS OF TELEMEDICINE
      6. THE COMPONENTS OF A BIOTELEMETRY SYSTEM
      7. TYPES OF TELEMETRY
      8. APPLICATIONS OF BIOTELEMETRY
      9. CONCLUSION
      10. FUTURE RESEARCH DIRECTIONS
      11. REFERENCES
      12. KEY TERMS AND DEFINITIONS
        1. Glossary
    2. 2. The Use of Artificial Intelligence Systems for Support of Medical Decision-Making
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. CT SCAN DATA AND SOM BASED TEXT MINING
        1. CT Scan Data Preprocessing
      5. METHODOLOGY: CLUSTER EXPLORATION, MODEL DEVELOPMENT AND TESTING
        1. Model
        2. Model Testing
      6. RESULTS
        1. Classifying and Testing
        2. Clusters
      7. CONCLUSION
        1. Future Work
      8. ACKNOWLEDGMENT
      9. REFERENCES
    3. 3. Digitizing Healthcare: Electronic Medication Administration Record (eMAR) and Bedside Medication Verification (BMV)
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
        1. The Value of eMAR and BMV to Promote Patient Safety
      4. INTEGRATION OF EMAR AND BMV IN TO CURRENT HEALTHCARE PROCESSES
      5. CONCLUSION
      6. FUTURE TRENDS AND RESEARCH DIRECTIONS
      7. REFERENCES
      8. KEY TERMS AND DEFINITIONS
        1. Glossary
    4. 4. Electronic Health Records System Using HL7 and DICOM in Ophthalmology
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. HL7
      5. DICOM
      6. ISO/TC 215
      7. CEN/TC 251
        1. OpenEHR
      8. IHE
      9. A WEB-BASED APPLICATION TO EXCHANGE AND STORE EHRS: TELEOFTALWEB 3.2
        1. Application Overview
        2. System Specifications
        3. Data Modeling
        4. Manager Module
        5. User Module
      10. CONCLUSION
      11. FUTURE RESEARCH DIRECTIONS
      12. REFERENCES
      13. KEY TERMS AND DEFINITIONS
        1. Glossary
    5. 5. Electronic Medical Prescription: An Overview of Current Status and Issues
      1. ABSTRACT
      2. INTRODUCTION
      3. MEDICAL PRESCRIPTION: CURRENT PRACTICES AND THEIR LIMITATIONS
      4. ELECTRONIC PRESCRIPTION
        1. Advantages of E-Prescription
      5. E-PRESCRIPTION MODELS AND SYSTEMS
        1. Status of E-Prescription
        2. Pilot Models of E-Prescription
          1. Transcript Consortium Model
          2. The Pharmacy2U Consortium Model
          3. The SchlumbergerSema Consortium Model (Flexiscript model)
          4. The University of Salford ETP Model
      6. E-PRESCRIPTION: ISSUES AND BARRIERS TO IMPLEMENTATION
        1. Issues and Limitations of E-Prescription
        2. Overcoming Barriers to Implementation
      7. E-PRESCRIPTION IMPLEMENTATION STRATEGY
        1. Implementation Phases
          1. Phase 1: Initial Implementation
          2. Phase 2: Nationwide Implementation
          3. Phase 3: Transition
          4. Phase 4: Full ETP
      8. CONCLUSION
      9. REFERENCES
      10. KEY TERMS AND DEFINITIONS
        1. Glossary
    6. 6. Data–Mining Techniques for an Analysis of Non–Conventional Methodologies: Deciphering of Alternative Medicine
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. DATA MINING METHODOLOGY
        1. Kohonen Self Organizing Maps (SOM) and Clementine Web Graphs
      5. MODELING THE DATA TO PREDICT A BALANCED STATE
      6. CONCLUSION
      7. REFERENCES
    7. 7. Ethical Issues of Health Management Predictive Modeling
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
        1. Predictive Modeling
        2. Health Management
        3. Ethics
      4. ETHICS IN HEALTH MANAGEMENT PREDICTIVE MODELING
        1. Nonmaleficence
        2. Beneficence
        3. Distributive Justice
        4. Autonomy
        5. Value Judgments
        6. Human Rights
      5. CONCLUSION
      6. REFERENCES
      7. KEY TERMS AND DEFINITIONS
        1. Glossary
  6. 2. Applications: Extending the Scope of Health Care Beyond Conventional Boundaries
    1. 8. Persistent Clinical Encounters in User Driven E-Health Care
      1. ABSTRACT
      2. INTRODUCTION
      3. PERSISTENT CLINICAL ENCOUNTERS AND CONTINUITY OF CARE
        1. Health Information Sharing Systems for Continuity of Care
        2. Relevance of Daily E Logs to Solve Individual Patient/Health Professional User Needs
      4. SHARING AND COMMUNICATING VALUABLE INDIVIDUAL PATIENT DATA
        1. Medical Students as a Vital Force in E Learning and Improvement of Patient Care
        2. Individual Patient Learning and Communicating from Global Experiences
      5. CREATING PERSISTENT CLINICAL ENCOUNTERS THROUGH USER DRIVEN E-HEALTH CARE TO ANSWER MULTIDIMENSIONAL INFORMATION NEEDS IN INDIVIDUAL PATIENTS
        1. Introducing and Sustaining the Conceptual Model in Routine Clinical Practice
      6. CREATING PERSISTENT CLINICAL ENCOUNTERS THROUGH USER DRIVEN HEALTH CARE PROJECTS
        1. The Role of Individual Patients, Health Professionals and IT Collaborators in the Trial
          1. Role of Patients Participating in the Project
          2. Role of Physicians Involved in the Project
          3. Role of the Research Assistant/Clinical Care Co-Coordinator
          4. Role of Mobile Phone Based Web Support Staff
        2. Prototype Development
        3. Network Architecture
      7. ANSWERING MULTIDIMENSIONAL INFORMATIONAL NEEDS (AMIN)
      8. CAREGIVER NEEDS
      9. FUTURE DIRECTIONS
      10. CONCLUSION
      11. ACKNOWLEDGMENT
      12. REFERENCES
    2. 9. Incorporating Radiological Patient Data Acquired at Other Hospitals into the Local Workflow
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
        1. Involvement of Standards
      4. IMPLEMENTATION OF A DECENTRALIZED UPLOAD SYSTEM
        1. Implementation Details
        2. Implementation Overview
          1. Login Screen
          2. Main Menu
          3. Uploading DICOM Data
          4. Status Overview
          5. Status Details
          6. Processing Overview
          7. Processing Details
        3. Technical Implementation
          1. Technical Framework
          2. Usage Statistics
        4. User Satisfaction with the System
          1. Clinical Relevance
      5. DISCUSSION AND CONCLUSION
        1. Trends Towards Telemedicine
      6. CONCLUSION
        1. Future Research Directions
      7. REFERENCES
    3. A. APPENDIX A
      1. Key Terms and Definitions
    4. 10. User-Centric and Inclusive Design Methods: Implications for E-Healthcare
      1. ABSTRACT
      2. INTRODUCTION
      3. CONTEXT
        1. The Age Shift
        2. Drivers in Healthcare Policy
          1. Change Towards People-Led Policies
          2. Patient Pathways
        3. The Changing Nature and Role of Design
          1. Inclusive Design: From Margin to Mainstream
          2. Inclusive and User-Centred Processes and Methods
      4. CASE STUDIES
        1. Case Study 1: Design and Healthcare
          1. Inclusive Process
          2. Focus on Stroke
          3. Mapping Pathways
        2. Case Study 2: Visualizing Data and Information on Older Adults
          1. Context
          2. Capturing Data
          3. Understanding Data
          4. Other Tools and Models Used in Design
          5. The Glasgow Prototype
          6. Further Value from the Visualisations
        3. Case Study 3: Designing for Age and Generation Effects in Products for Older Populations
          1. Ageing Effects
          2. Memory, Learning and Generation Effects
          3. Generation Timeline Tool
          4. The 'Generation' Concept – Results From Experiments
      5. DISCUSSION: DESIGN AND E-HEALTH
      6. CONCLUSION
      7. ACKNOWLEDGMENT
      8. REFERENCES
      9. KEY TERMS AND DEFINITIONS
        1. Glossary
    5. 11. Telederm: A Web-Based Decision Support System for Medical Practitioners
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
        1. Telemedicine
        2. Store-and-Forward
        3. Video-Conferencing
        4. Teledermatology
        5. Case-Based Reasoning
      4. PROBLEMS TO BE ADDRESSED
        1. GP-Patient Query Process Problem
        2. Knowledge Validation Problem
      5. OUR APPROACH
      6. THE TELEDERM SYSTEM
        1. The GP Subsystem
          1. The Specific Question Approach
          2. The General Question Approach
        2. Consultant Subsystem
          1. The Misclassification Approach
          2. The Formal Concept Analysis Approach
      7. EVALUATION
        1. Evaluation Process
        2. Results and Discussion
      8. CONCLUSION
      9. FUTURE WORK
      10. REFERENCES
    6. B. APPENDIX
      1. KEY TERMS AND DEFINITIONS
    7. 12. A Stroke Information System (SIS): Critical Issues and Solutions
      1. ABSTRACT
      2. INTRODUCTION
      3. TACMIS FOR STROKE CARE
        1. Stroke Special Unit Practice and Information Sharing
      4. HEALTH CARE ISSUES AND DATA CAPTURE SOLUTIONS
      5. HIMS-SIS ISSUES AND SOLUTIONS
      6. STROKE PATIENT DATA FOR SIS
      7. FUTURE WORK
      8. CONCLUSION
      9. ACKNOWLEDGMENT
      10. REFERENCES
      11. ENDNOTES
    8. 13. Human Factors in Dynamic E-Health Systems and Digital Libraries
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. TYPES OF USER-DRIVEN CHANGES
      5. HUMAN ERROR IN CLINICAL SYSTEMS AND CHANGE MANAGEMENT
        1. Safety
        2. Trust and Security Issues
        3. User Interface Issues
      6. AN AGENT-ASSISTED FRAMEWORK FOR PARTICIPATIVE CHANGE MANAGEMENT
        1. Change Capture Agents
        2. Learner Agent
        3. Reasoning Agent
        4. Negotiation Agent
      7. FUTURE TRENDS
      8. DISCUSSION
      9. REFERENCES
      10. KEY TERMS AND DEFINITIONS
        1. Glossary
  7. 3. Selected Case Studies
    1. 14. The Use of Laboratory Test Results in Health Care Management
      1. ABSTRACT
      2. INTRODUCTION
      3. THE REFERENCE RANGE
        1. Statistical Procedures
      4. HAEMATOLOGICAL REFERENCE RANGE PARAMETERS FOR SRI LANKAN ADULTS
        1. Sample Selection
        2. Methodology
        3. Results and Data Processing
      5. DISCUSSION
        1. Age Related Trends
      6. CONCLUSION
      7. ACKNOWLEDGMENT
      8. REFERENCES
    2. 15. Sun, Surgery and Cyberspace: The Role of the Internet in the Rise of Medical Tourism
      1. ABSTRACT
      2. INTRODUCTION: THE RISE OF MEDICAL TOURISM
      3. MEDICAL TOURISM AND LIFESTYLE MIGRATION
      4. THE CAUSES OF THE MEDICAL TOURISM PHENOMENON
        1. Supply Factors
        2. Demand Factors
        3. Travel and Medical Care
          1. Who Offers What? The Geography of Medical Tourism
      5. THE ROLE OF THE INTERNET
      6. MEDICAL TOURISM AS MORAL PANIC
      7. CONCLUSION
      8. REFERENCES
    3. 16. The Use of Public Health Surveillance Data for Preventive Control of Diseases that Depend on Individual Risky Behavior: The Case of HIV Infection in Japan
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. DECISION TREE ANALYSIS
      5. THE INFLUENCE OF RELATIONSHIP STYLE ON RISK
        1. Health Screening
      6. CONCLUSION
      7. REFERENCES
    4. 17. E-Health in Brazil: Less Care for the Poor?
      1. ABSTRACT
      2. INTRODUCTION
      3. E-HEALTH AND THE SMART CARD
        1. Smart Cards
      4. HERMENEUTIC RESEARCH AND THE HEALTH CARD
      5. CONCLUSION
      6. REFERENCES
    5. 18. Mental Health Management in New Zealand: The Pathways Model for Client—Based Treatment
      1. ABSTRACT
      2. INTRODUCTION: PATHWAYS NEW ZEALAND
      3. OUTCOMES FOCUSSED SERVICES AND EVIDENCE BASED PRACTICE
        1. Supported Living
          1. Mobile and Enhanced Mobile Support
          2. Respite Options
          3. Residential-Based Support Solutions
        2. Housing Management
          1. Keys Living Choices
        3. Life Management
          1. Workwise
        4. Workforce Management
          1. The Blue Print Centre for Learning
        5. Healthy Lifestyles
        6. The Use of Information Technology
      4. THE HEALTHY LIFESTYLES WEIGHT-LOSS PROGRAM
        1. Methodology
        2. Results
      5. DISCUSSION AND CONCLUSION
      6. REFERENCES
      7. KEY TERMS AND DEFINITIONS
        1. Glossary
    6. 19. An Exploratory Study to Understand the Drivers and Inhibitors for the Successful Adoption of Wireless Technology in Australian Healthcare Systems
      1. ABSTRACT
      2. INTRODUCTION
      3. ADOPTION AND BACKGROUND
      4. RESEARCH DESIGN
        1. Qualitative Data Collection and Data Analysis
          1. Results
        2. Quantitative Data Collection and Data Analysis
      5. DISCUSSION
      6. CONCLUSION
      7. REFERENCES
    7. 20. The Role of Wireless Technology in Addressing Sleeping Disorders in Aged Care
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
      4. PROBLEMS IN SLEEP CARE RESEARCH IN AGED PEOPLE
      5. WIRELESS TECHNOLOGY SOLUTION FOR SLEEPING DISORDERS
      6. MAIN FOCUS OF THE CHAPTER
      7. LEGAL ISSUES
        1. Collection of Data
        2. Use and Disclosure
        3. Data Quality
        4. Openness
        5. Access and Correction
        6. Identifiers
        7. Anonymity
        8. Trans-Border Data Flow
        9. Data Security
        10. Sensitive Information
      8. SOLUTIONS AND RECOMMENDATIONS
      9. CONCLUSION
      10. FUTURE RESEARCH DIRECTIONS
      11. REFERENCES
      12. KEY TERMS AND DEFINITIONS
        1. Glossary
    8. 21. Development of an Online Sleep Diary
      1. ABSTRACT
      2. INTRODUCTION
      3. THE IMPORTANCE OF SLEEP
        1. Costs of Sleep Disorders
        2. Effects of Sleep Disorders
        3. Sleep Hygiene
      4. THE BENEFITS OF A SLEEP DIARY
        1. The Benefits of an Online Sleep Diary
      5. ONLINE TOOLS USED FOR DEVELOPMENT
      6. DEVELOPMENT OF THE SLEEP DIARY
        1. Online Sleep Diary
      7. CONCLUSION
      8. FUTURE RESEARCH DIRECTIONS
      9. REFERENCES
      10. KEY TERMS AND DEFINITIONS
        1. Glossary
    9. 22. Doctors Using Patient Feedback to Establish Professional Learning Goals: Results from a Communication Skill Development Program
      1. ABSTRACT
      2. INTRODUCTION
      3. BACKGROUND
        1. Issues and Problems
      4. METHOD
      5. ANALYSIS
      6. DISCUSSION
      7. CONCLUSION
      8. REFERENCES
    10. 23. TACMIS: A Total Access Care and Medical Information System
      1. ABSTRACT
      2. INTRODUCTION
        1. Background, Aims and Focus
      3. TACMIS
        1. System Design and Key Questions
      4. ACCESS TECHNOLOGIES: THE TAP-TAS CORE CONCEPT AND OTHER SELECTED TECHNOLOGIES
      5. THE BROAD CANVAS OF HEALTH INFORMATICS ISSUES: INTEGRATION AS THE KEY TO INCLUSION AND EMPOWERMENT
      6. FOCUS ON STROKE DISABILITY: AN ANALYSIS OF PATIENT JOURNEYS AND THE PATHWAYS OF CARE
      7. CONCLUSION: CONTRIBUTIONS TO INCLUSIVE DESIGN
      8. REFERENCES
    11. 24. IT Applications for Medical Services in Japan
      1. ABSTRACT
      2. INTRODUCTION
      3. THE IT REVOLUTION AND JAPANESE GOVERNMENT INITIATIVES
      4. THE NATIONAL HEALTH SERVICE SYSTEM AND MEDICAL EXPENSE CONTROL
      5. E-JAPAN STRATEGY II AND TARGETS IN THE MEDICAL SERVICE SECTOR
      6. APPLICATIONS OF IT IN THE OTHER MEDICAL SERVICE AREAS
      7. CONCLUSION
      8. REFERENCES
  8. Compilation of References
  9. About the Contributors