Mobile Business Briefing
“Specialised handset vendor Doro is attempting to prove that a successful business model can be achieved from offering smartphones and multimedia content to the senior market.
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Armin Scheuer, Healthcare IT News
“For nearly 2,000 care workers in Stockholm, a smart phone has become the most important tool in their daily operations. The goal is to make life easier for care workers and care providers and to give relatives access to various eServices that are provided via the city’s website.
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WHO
“Life expectancy in Sweden is high and the country performs well in comparisons related to disease-oriented indicators of health service outcomes and quality of care. The Swedish health system is committed to ensuring the health of all citizens and abides by the principles of human dignity, need and solidarity, and cost–effectiveness. The state is responsible for overall health policy, while the funding and provision of services lies largely with the county councils and regions. The municipalities are responsible for the care of older and disabled people.
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Adam Turner, SMH
“Patients in remote parts of Sweden are seeing doctors more promptly, owing to the country’s nationwide broadband policy.
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Gray BH et al, The Commonwealth Fund, Volume 28
Research has shown that the United States lags many other countries in the adoption of electronic health records (EHRs). The U.S. has now embarked on a major effort to achieve “meaningful use” of health information technology by clinicians and hospitals. This issue brief describes the extent of meaningful use in three countries with very high levels of health information technology adoption—Denmark, New Zealand, and Sweden.
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Øvretveit J et al, Health Policy, 84(2-3)
There is evidence that health information technology can improve quality, safety and reduce costs but that health care providers needed more information about how to implement these technologies to realise its potential. This paper summarises the research and proposes a theory of implementation based on the research evidence.
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Sparud-Lundin C et al, BMC Medical Informatics and Decision Making, 11(1)
BACKGROUND:
In the childbearing period women use the internet both to seek information and as an important source of communication. For women with type 1 diabetes, pregnancy and early motherhood constitute a more complex situation than for women in general. This implies need for support from various professionals and a way of bridging any discontinuity in care would be to develop a website providing complementary social support and information. The objective of this study was to explore internet use, needs, and expectations regarding web-based information and communication in childbearing women with type 1 diabetes.
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Winman T, Rystedt H. Health Informatics Journal, 17(1)
The implementation of generic models for organizing information in complex institutions like those in healthcare creates a gap between standardization and the need for locally relevant knowledge. The present study addresses how this gap can be bridged by focusing on the practical work of healthcare staff in transforming information in EPRs into knowledge that is useful for everyday work. Video recording of shift handovers on a rehabilitation ward serves as the empirical case.
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Ståhl Y et al, Journal of Nursing Management, 19(2)
Aim
To investigate how nurses and physicians in the Child and School Health Services view the documentation and transfer of health information. Another aim concerns their perceptions of a nationally standardized electronic health record.
Background
Problems of mental health among children and adolescents currently pose one of the greatest challenges facing all European countries. The continuity of health work demands that all health information follow the child’s development, disregarding the organizational arrangement.
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Heather Leslie, Archetypical
“National approaches to eHealth program development have been varied, and unfortunately we can all probably identify more failed attempts than successes. Just recently we have seen a spectacular regrouping within the UK NHS in the face of cost blow-outs and underperformance – a stellar example of how a project commonly described as the biggest computing exercise in the world, outside the military, has hit the proverbial brick wall.
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Jessica Zigmond, ModernHealthcare
“HHS National Coordinator for Health Information Technology David Blumenthal said the U.S. has four problems it must overcome to be able to have a strong healthcare IT system.
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Vernmark K et al, Behaviour Research and Therapy, 48(5)
Internet-delivered psychological treatment of major depression has been investigated in several trials, but the role of personalized treatment is less investigated. Studies suggest that guidance is important and that automated computerized programmes without therapist support are less effective. Individualized e-mail therapy for depression has not been studied in a controlled trial. Eighty-eight individuals with major depression were randomized to two different forms of Internet-delivered cognitive behaviour therapy (CBT), or to a waiting-list control group. One form of Internet treatment consisted of guided self-help, with weekly modules and homework assignments.
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Kristianson KJ et al, Health Informatics Journal, 15(4)
The use of clinical data from electronic medical records (EMRs) for clinical research and for evaluation of quality of care requires an extraction process. Many efforts have failed because the extracted data seemed to be unstructured, incomplete and ridden by errors. We have developed and tested a concept of extracting semi-structured EMRs (Journal III, Profdoc) data from 776 diabetes patients in a general practice clinic over a 5 year period. We used standard database management techniques commonly applied in clinical research in the pharmaceutical industry to clean up the data and make the data available for statistical analysis.
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Ano Lobb, Justmeans
“The first posting in this series outlined how Kaiser Permanente has developed a registry of joint replacements as one approach to creating meaningful measures of health care outcomes.
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Boman I et al, Disability and Rehabilitation. Assistive Technology, 5(5)
Purpose.
The purposes of this study was to examine the possibilities of a home-based electronic memory aid with sensors for persons with memory impairments, as support to carry out everyday activities in their own home environments.
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Gartner
“The Ministry launched an initiative in 2008 to improve the understanding of how improvements in healthcare can be supported by technology and how these technologies are connected to political goals. This was accomplished by using a new benefit model in which benefits of continued implementation of technologies are calculated based on current medical and technology status.
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Øvretveit J et al, Health Policy, 2010
Research and citizens have noted failures in coordinating health and social services and professionals, and the need to address this issue to realize benefits from increasing specialisation. Different methods have been proposed and one has been structural integration of separate services within one organisation. This paper reports an empirical longitudinal study of the development of an integrated health and social care organisation in Sweden combining service provision, purchasing and political governance for a defined population.
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Nordfeldt S et al, J Med Internet Res, 12(2)
Background:
The Internet has undergone rapid development, with significant impact on social life and on modes of communication. Modern management of type 1 diabetes requires that patients have access to continuous support and learning opportunities. Although Web 2.0 resources can provide this support, few pediatric clinics offer it as part of routine diabetes care.
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Jon Hoeksma, e-Health Europe
“Swedish wireless technology provider, Ascom and GE Healthcare have partnered to launch a new wireless messaging system to improve communications between healthcare providers.
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Bexelius C et al, J Med Internet Res, 12(1)
Background:
Physical activity is associated with reduced risks of many chronic diseases. Data collected on physical activity in large epidemiological studies is often based on paper questionnaires. The validity of these questionnaires is debated, and more effective methods are needed.
Objective:
This study evaluates repeated measures of physical activity level (PAL) and the feasibility of using a Java-based questionnaire downloaded onto cell phones for collection of such data. The data obtained were compared with reference estimates based on the doubly labeled water method and indirect calorimetry (PALref).
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