‘Observational medicine’: registries and Electronic Health Recording for science and health systems governance

2016 ◽  
Vol 18 (9) ◽  
pp. 1093-1095 ◽  
Author(s):  
Luigi Tavazzi ◽  
Carlo Ventura
Keyword(s):  
Health Systems ◽  
Electronic Health ◽  
Health Systems Governance

scholarly journals Frameworks to assess health systems governance: a systematic review

2017 ◽  
Vol 32 (5) ◽  
pp. 710-722 ◽  
Author(s):  
Thidar Pyone ◽  
Helen Smith ◽  
Nynke van den Broek
Keyword(s):  
Systematic Review ◽  
Health Systems ◽  
Health Systems Governance

Mobile Health Systems and Electronic Health Record

2019 ◽  
pp. 15-33
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Health Care ◽  
Global Health ◽  
Electronic Health Record ◽  
Health Systems ◽  
Mobile Health ◽  
Health Record ◽  
Care Services ◽  
Global Health Care ◽  
Mobile Health Systems ◽  
Electronic Health

This chapter reveals the overview of mobile health systems; the adoption of mobile health systems; mobile health systems and patient monitoring; the overview of mobile health technology; the advanced issues of Electronic Health Record (EHR); and the challenges of EHR in global health care. Mobile health helps deliver the health care services with quality care, improved workflow, and increased patient interaction while minimizing complexity and cost to achieve the desired goals in health care settings. EHR systems are the real-time and patient-centered records that make information available instantly and securely to authorized users. The chapter argues that applying mobile health systems and EHR has the potential to improve health care efficiency and gain sustainable competitive advantage in global health care.

scholarly journals Examining attitudes toward and ability to interact with an online personal health record: A case study in Saudi Arabia

2019 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Bandar Faisal Al-Mifgai ◽  
Joseph Sharit ◽  
Arzu Onar-Thomas ◽  
Shihab Asfour
Keyword(s):  
Saudi Arabia ◽  
Health Literacy ◽  
Health Systems ◽  
Health Management ◽  
Personal Health Record ◽  
The Internet ◽  
Personal Health ◽  
Health Record ◽  
Health Numeracy ◽  
Electronic Health

Objective: This study examined the ability for adults from a developing country to use a personal health record (PHR) to perform health-management tasks. The effects of gender differences as well as differences in attitudes about using the internet to manage health prior to and after exposure to the PHR were also investigated.Methods: A simulation of a PHR based on a well-established U.S. online patient portal was designed and tailored for this particular study population. Two hundred and three adults with a mean age of 40.9 years were recruited from various areas in Saudi Arabia and asked to perform seven common health-management tasks of varying degrees of difficulty. Their electronic health literacy and health numeracy, as well as their attitudes about using online health systems for managing their health prior to and following their interaction with the PHR, were assessed using questionnaires.Results: After controlling for education, perceived health status, and comfort using the internet, electronic health literacy and health numeracy were still found to be significant predictors of participants’ task performance, but only for the more challenging health-management tasks. No important differences based on gender were found. Exposure to the PHR significantly increased the acceptability of using the internet for managing their health.Conclusions: The change in attitudes following interaction with the PHR suggests that many adults in this society could benefit from these electronic health systems, including females who, due to cultural considerations, may desire greater control in managing their health. However, the importance of electronic health literacy and health numeracy suggests the need for designs that minimize the impact of these factors for successful performance of health-management tasks.

scholarly journals Collaborating for Competency—A Model for Single Electronic Health Record Onboarding for Medical Students Rotating among Separate Health Systems

2018 ◽  
Vol 09 (01) ◽  
pp. 199-204 ◽  
Author(s):  
Anne Pereira ◽  
Michael Kim ◽  
Marcus Seywerd ◽  
Brooke Nesbitt ◽  
Michael Pitt ◽  
...  
Keyword(s):  
Medical Students ◽  
Electronic Health Record ◽  
Health Systems ◽  
Clinical Training ◽  
Single Type ◽  
Health Record ◽  
Clinical Rotations ◽  
Academic Medical ◽  
Competency Based ◽  
Electronic Health

Background Use of the electronic health record (EHR) is widespread in academic medical centers, and hands-on EHR experience in medical school is essential for new residents to be able to meaningfully contribute to patient care. As system-specific EHR training is not portable across institutions—even when the same EHR platform is used—students rotating across health systems are often required to spend time away from clinical training to complete each system's, often duplicative, EHR training regardless of their competency within the EHR. Methods We aimed to create a single competency-based Epic onboarding process that would be portable across all the institutions in which our medical students complete clinical rotations. In collaboration with six health systems, we created online EHR training modules using a systematic approach to curriculum development and created an assessment within the Epic practice environment. Results All six collaborating health systems accepted successful completion of the developed assessment in lieu of standard site-specific medical student EHR training. In the pilot year, 443 students (94%) completed the modules and assessment prior to their clinical training and successfully entered clinical rotations without time consuming, often repetitive onsite training, decreasing the cumulative time as student might be expected to engage in Epic onboarding as much as 20-fold. Conclusion Medical schools with multisystem training sites with a single type of EHR can adopt this approach to minimize training burden for their learners and to allow them more time in the clinical setting with optimized access to the EHR.

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