Usefulness of a Regional Health Care Information System in primary care

2008 ◽  
Vol 91 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Marianne C. Maass ◽  
Paula Asikainen ◽  
Tiina Mäenpää ◽  
Olli Wanne ◽  
Tarja Suominen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Information System ◽  
Health Care Information ◽  
Regional Health ◽  
Regional Health Care ◽  
Care Information

scholarly journals Active Surveillance of Adverse Events Following Human Papillomavirus Vaccination: Feasibility Pilot Study Based on the Regional Health Care Information Platform in the City of Ningbo, China (Preprint)

2019 ◽  
Author(s):  
Zhike Liu ◽  
Liang Zhang ◽  
Yu Yang ◽  
Ruogu Meng ◽  
Ting Fang ◽  
...  
Keyword(s):  
Health Care ◽  
Active Surveillance ◽  
Hpv Vaccination ◽  
Vaccine Safety ◽  
Health Care Information ◽  
Regional Health ◽  
Information Platform ◽  
Regional Health Care ◽  
Identity Card ◽  
Care Information

BACKGROUND Comprehensive safety data for vaccines from post-licensure surveillance, especially active surveillance, could guide administrations and individuals to make reasonable decisions on vaccination. Therefore, we designed a pilot study to assess the capability of a regional health care information platform to actively monitor the safety of a newly licensed vaccine. OBJECTIVE This study aimed to conduct active surveillance of human papillomavirus (HPV) vaccine safety based on this information platform. METHODS In 2017, one of China’s most mature information platforms with superior data linkage was selected. A structured questionnaire and open-ended interview guidelines were developed to investigate the feasibility of active surveillance following HPV vaccination using the regional health care information platform in Ningbo. The questionnaire was sent to participants via email, and a face-to-face interview was conducted to confirm details or resolve discrepancies. RESULTS Five databases that could be considered essential to active surveillance of vaccine safety were integrated into the platform starting in 2015. Except for residents' health records, which had a coverage rate of 87%, the data sources covered more than 95% of the records that were documented in Ningbo. All the data could be inherently linked using the national identity card. There were 19,328 women who received the HPV vaccine, and 37,988 doses were administered in 2017 and 2018. Women aged 30-40 years accounted for the largest proportion. Quadrivalent vaccination accounted for 73.1% of total vaccination, a much higher proportion than that of bivalent vaccination. Of the first doses, 60 (60/19,328, 0.31%) occurred outside Ningbo. There were no missing data for vaccination-relevant variables, such as identity card, vaccine name, vaccination doses, vaccination date, and manufacturer. ICD-10 coding could be used to identify 9,180 cases using a predefined list of the outcomes of interest, and 1.88% of these cases were missing the identity card. During the 90 days following HPV vaccination, 4 incident cases were found through the linked vaccination history and electronic medical records. The combined incident rate of rheumatoid arthritis, optic neuritis, and Henoch-Schonlein purpura was 8.84/100,000 doses of bivalent HPV, and the incidence rate of rheumatoid arthritis was 3.75/100,000 doses of quadrivalent HPV. CONCLUSIONS This study presents an available approach to initiate an active surveillance system for adverse events following HPV vaccination, based on a regional health care information platform in China. An extended observation period or the inclusion of additional functional sites is warranted to conduct future hypothesis-generating and hypothesis-confirming studies for vaccine safety concerns.

scholarly journals Active Surveillance of Adverse Events Following Human Papillomavirus Vaccination: Feasibility Pilot Study Based on the Regional Health Care Information Platform in the City of Ningbo, China

10.2196/17446 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e17446
Author(s):  
Zhike Liu ◽  
Liang Zhang ◽  
Yu Yang ◽  
Ruogu Meng ◽  
Ting Fang ◽  
...  
Keyword(s):  
Health Care ◽  
Active Surveillance ◽  
Hpv Vaccination ◽  
Vaccine Safety ◽  
Health Care Information ◽  
Regional Health ◽  
Information Platform ◽  
Regional Health Care ◽  
Identity Card ◽  
Care Information

Background Comprehensive safety data for vaccines from post-licensure surveillance, especially active surveillance, could guide administrations and individuals to make reasonable decisions on vaccination. Therefore, we designed a pilot study to assess the capability of a regional health care information platform to actively monitor the safety of a newly licensed vaccine. Objective This study aimed to conduct active surveillance of human papillomavirus (HPV) vaccine safety based on this information platform. Methods In 2017, one of China’s most mature information platforms with superior data linkage was selected. A structured questionnaire and open-ended interview guidelines were developed to investigate the feasibility of active surveillance following HPV vaccination using the regional health care information platform in Ningbo. The questionnaire was sent to participants via email, and a face-to-face interview was conducted to confirm details or resolve discrepancies. Results Five databases that could be considered essential to active surveillance of vaccine safety were integrated into the platform starting in 2015. Except for residents' health records, which had a coverage rate of 87%, the data sources covered more than 95% of the records that were documented in Ningbo. All the data could be inherently linked using the national identity card. There were 19,328 women who received the HPV vaccine, and 37,988 doses were administered in 2017 and 2018. Women aged 30-40 years accounted for the largest proportion. Quadrivalent vaccination accounted for 73.1% of total vaccination, a much higher proportion than that of bivalent vaccination. Of the first doses, 60 (60/19,328, 0.31%) occurred outside Ningbo. There were no missing data for vaccination-relevant variables, such as identity card, vaccine name, vaccination doses, vaccination date, and manufacturer. ICD-10 coding could be used to identify 9,180 cases using a predefined list of the outcomes of interest, and 1.88% of these cases were missing the identity card. During the 90 days following HPV vaccination, 4 incident cases were found through the linked vaccination history and electronic medical records. The combined incident rate of rheumatoid arthritis, optic neuritis, and Henoch-Schonlein purpura was 8.84/100,000 doses of bivalent HPV, and the incidence rate of rheumatoid arthritis was 3.75/100,000 doses of quadrivalent HPV. Conclusions This study presents an available approach to initiate an active surveillance system for adverse events following HPV vaccination, based on a regional health care information platform in China. An extended observation period or the inclusion of additional functional sites is warranted to conduct future hypothesis-generating and hypothesis-confirming studies for vaccine safety concerns.

Ontology and Terminology Servers in Agent-based Health-care Information Systems

1997 ◽  
Vol 36 (01) ◽  
pp. 30-43 ◽  
Author(s):  
G. Lanzola ◽  
M. Stefanelli ◽  
S. Falasconi
Keyword(s):  
Health Care ◽  
Information System ◽  
Distributed Applications ◽  
Multi Agent System ◽  
Health Care Information ◽  
Agent System ◽  
Semantic Coherence ◽  
Architectural Framework ◽  
Care Information ◽  
Multi Agent

Abstract:A new research paradigm is emerging based on the multi-agent system architectural framework, allowing human and software agents to interoperate and thus cooperate within common application areas. Within a multi-agent system, the different “views of the world” of knowledgeable agents are to be bridged through their commitment to common ontologies and terminologies. We developed a general methodology for the design or integration of new components into a Health-care Information System conceived as a network of software and human agents. In our view, ontological and terminological services are entrusted to dedicated agents, namely ontology and terminology servers, allowing the configuration of suitable application ontologies for distributed applications. The role is described that such servers, operatively coordinated in order to preserve semantic coherence, should play within a distributed Health-care Information System.

A health care information system for neonatology support

2003 ◽  
Author(s):  
C.N. Gorga ◽  
J.N. Marchaukoski ◽  
M.S. Sunye ◽  
O.R.P. Bellon ◽  
L. Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Information ◽  
Care Information

scholarly journals Structural factors for public dental health services in Regional Health Care Network 13: an analysis of the Brazilian National Program for Improving Access and Quality of Primary Care

2018 ◽  
Vol 47 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Lucila Brandão HIROOKA ◽  
Guilherme Vinícius CATANANTE ◽  
Hélio Souza PORTO ◽  
Maria do Carmo Gullaci Guimarães CACCIA-BAVA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Regional Health ◽  
Regional Health Care ◽  
Quality Of Primary Care ◽  
Access And Quality

Abstract Introduction The Brazilian National Program for Improving Access and Quality of Primary Care aims to induce the institution of processes that expand the capacity of federal, state and municipal administrations and Primary Care teams to offer services that ensure greater access and quality. Objective To identify the characteristics of infrastructure for the dental health care of the health units from the Regional Health Care Network 13, from the perspective of a health evaluation. Material and method This is a descriptive and cross-sectional study in which is used the Module V database of the External Evaluation instrument of 156 health units of this region that participated of the 2nd cycle of the referred program, which discuss the modality of the health teams, structure and environment of the dental office, the hours of operation, equipment, instruments and dental supplies. Result In general, the oral health units of this study have dental offices with good structural conditions and sufficient equipment and supplies to carry out clinical activities, except those for dental prostheses, possibly due to the permanence of this service in secondary care. However, they point out that advances in access and coverage by oral health services are still necessary. Conclusion Although the theme includes other studies and reflections, the present work may contribute to discussions about the present condition, and it is recommended the active participation of all the actors involved in the care, in the search for the qualification of oral health services in this region.

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