The Rhône-Alpes Health Platform

2007 ◽  
Vol 46 (04) ◽  
pp. 451-457 ◽  
Author(s):  
T. Durand ◽  
H. Spacagna ◽  
P. Biron ◽  
A. Flory ◽  
C. Verdier
Keyword(s):  
Direct Connection ◽  
User Centered Design ◽  
Web Interface ◽  
Medical Decisions ◽  
Health Networks ◽  
Information Platform ◽  
Healthcare Facilities ◽  
Community Health Networks ◽  
Medical Documents ◽  
Regional Hospitals

Summary Objectives: The purpose of this workis to develop a health information platform connecting most health facilities in the Rhône-Alpes region. The health platform called SIS-RA is used through a Web interface. An iconic interface is dedicated to the platform and presents information in a unique way for all users. Methods: Newtechniques have been used to develop this platform which will be used by a great number of Rhône-Alpes doctors in the future. We chose a user-centered design which takes into account doctors’ requirements (hospital and GP). We also consider that no system has to be rebuilt, but a direct connection to the legacysystems should be provided. Results: The platform permits fast and more appropriate medical decisions than those made without this information system. The iconic interface presents all medical documents in a uniform way. Currently, 11 healthcare facilities and 15 community health networks are connected to SIS-RA sharing more than 60,000 records with 1.2 million indexed items. 3200 doctors use the system. Conclusion: The platform is approved by French supervision authorities (regional hospitals association (ARH)), regional practitioners union (URML) and Rhônes-Alpes region administration and is known as the official shared health record.

scholarly journals Can HCI Help Increase People’s Engagement in Sustainable Development? A Case Study on Energy Literacy

2021 ◽  
Vol 13 (14) ◽  
pp. 7543
Author(s):  
Carla Pestana ◽  
Luísa Barros ◽  
Sabrina Scuri ◽  
Mary Barreto
Keyword(s):  
Renewable Energy Sources ◽  
User Centered Design ◽  
Card Sorting ◽  
Structured Interviews ◽  
Information Platform ◽  
Energy Education ◽  
Initial Results ◽  
User Centered ◽  
Education Initiatives

The adoption of energy efficiency practices and increased penetration of renewable energy sources in the power system are estimated to play a key role in the decarbonization of the energy sector, helping reduce greenhouse gas emissions and ultimately fight climate change. To foster energy transition, energy education initiatives should primarily target the citizens and be designed adopting a User-Centered Design (UCD) approach and HCI methodologies. This paper describes how UCD/HCI can inform the design of citizens’ energy education initiatives by presenting a case study—the development of an information platform targeting Madeiran citizens. The article describes the design process, from ideation to prototype and validation. Methods used in each phase (card sorting, semi-structured interviews, brainstorming sessions, think-aloud protocol and surveys) are described. Results of each phase and how they have informed the following steps are presented, together with a detailed description of the resulting information platform and initial results in terms of acceptance and interaction with the system. Our initial results support the hypothesis that adopting an HCI perspective can nurture the development of energy education initiatives targeting citizens, bringing a user-centered approach to the design of such initiatives.

How Should We Organise Community Health Services?

1997 ◽  
Vol 3 (1) ◽  
pp. 6 ◽  
Author(s):  
Hal Swerissen
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Community Health Services ◽  
Community Services ◽  
Health Networks ◽  
General Direction ◽  
Functional Relations ◽  
Community Health Networks ◽  
The Creation

This paper reviews the organisation of Victorian community health services in the context of the general direction of reform for the Australian and Victorian health systems. It notes that the emphasis has shifted to a greater focus on improving the efficiency of the relationship between needs, resources, services and outcomes. Within this context, in addition to public health measures, national reforms have advocated the creation of funding and organisational arrangements around three service functions: general care, acute care and co-ordinated care. It is argued that the organisation of community services should be driven by these functional relations, not vice versa. The efficiency of vertical and horizontal integration and the creation of community health networks is considered in relation to transaction costs, organisational scale, transition costs and distributional equity. It is concluded that community health networks offer the most efficient model for the delivery of community based public health and general, acute and co-ordinated care services.

scholarly journals A Web Interface for Antibiotic Prescription Recommendations in Primary Care: User-Centered Design Approach

10.2196/25741 ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. e25741
Author(s):  
Ronni Madar ◽  
Adrien Ugon ◽  
Damir Ivanković ◽  
Rosy Tsopra
Keyword(s):  
Antibiotic Treatment ◽  
Large Scale ◽  
Antibiotic Prescription ◽  
Public Health Problem ◽  
Clinical Decision ◽  
User Centered Design ◽  
Web Interface ◽  
User Friendliness ◽  
Health Authorities ◽  
The Web

Background Antibiotic misuse is a serious public health problem worldwide. National health authorities release clinical practice guidelines (CPGs) to guide general practitioners (GPs) in their choice of antibiotics. However, despite the large-scale dissemination of CPGs, GPs continue to prescribe antibiotics that are not recommended as first-line treatments. This nonadherence to recommendations may be due to GPs misunderstanding the CPGs. A web interface displaying antibiotic prescription recommendations and their justifications could help to improve the comprehensibility and readability of CPGs, thereby increasing the adoption of recommendations regarding antibiotic treatment. Objective This study aims to design and evaluate a web interface for antibiotic prescription displaying both the recommended antibiotics and their justifications in the form of antibiotic properties. Methods A web interface was designed according to the same principles as e-commerce interfaces and was assessed by 117 GPs. These GPs were asked to answer 17 questions relating to the usefulness, user-friendliness, and comprehensibility and readability of the interface, and their satisfaction with it. Responses were recorded on a 4-point Likert scale (ranging from “absolutely disagree” to “absolutely agree”). At the end of the evaluation, the GPs were allowed to provide optional, additional free comments. Results The antibiotic prescription web interface consists of three main sections: a clinical summary section, a filter section, and a recommended antibiotics section. The majority of GPs appreciated the clinical summary (90/117, 76.9%) and filter (98/117, 83.8%) sections, whereas 48.7% (57/117) of them reported difficulty reading some of the icons in the recommended antibiotics section. Overall, 82.9% (97/117) of GPs found the display of drug properties useful, and 65.8% (77/117) reported that the web interface improved their understanding of CPG recommendations. Conclusions The web interface displaying antibiotic recommendations and their properties can help doctors understand the rationale underlying CPG recommendations regarding antibiotic treatment, but further improvements are required before its implementation into a clinical decision support system.

scholarly journals Editorial

1997 ◽  
Vol 3 (1) ◽  
pp. 5
Author(s):  
Heather Gardner
Keyword(s):  
Community Health ◽  
Community Health Services ◽  
Community Services ◽  
Coordinated Care ◽  
Community Based ◽  
Health Networks ◽  
Care Services ◽  
Functional Relations ◽  
Community Health Networks ◽  
General Care

How should we organise community health services? This is the question posed by Swerissen in his paper in the Forum section of this issue. Within the context of reforms to the health system with an increased focus on improving efficiency, he argues that the organisation of community services should be driven by the functional relations between general care, acute care and co-ordinated care. The efficiency of vertical and horizontal integration and the creation of community health networks is considered in relation to a number of issues including distributional equity. He concludes that community health networks offer the most efficient model for the delivery of community based public health and general, acute and coordinated care services. It is hoped that this paper and the arguments presented will give rise to debate within the primary health care sector.

scholarly journals Telemedicine Technologies in Psychiatry and Narcology: Specialists’ Point of View

2019 ◽  
pp. 49-54
Author(s):  
Vadim Sergeevich Skripov ◽  
Nataliia Vladimirovna Semenova ◽  
Larisa Valerianovna Kochorova ◽  
Anastasiia Aleksandrovna Shvedova ◽  
Viktor Leonidovich Sazhin ◽  
...  
Keyword(s):  
Medical Care ◽  
Federal District ◽  
Point Of View ◽  
Point Scale ◽  
Length Of Service ◽  
Medical Documents ◽  
Drug Provision ◽  
Regional Hospitals ◽  
Research Institute

Objective: To identify the main problems in the system of medical care provided with the help of telemedicine technologies based on the specialists’ survey (psychiatrists, narcologists, psychotherapists and medical psychologists). Material and methods. The survey was conducted with the questionnaire developed by employees of Bekhterev Psychoneurological Research Institute. The questionnaire contained general questions (gender, age, length of service, specialization, federal district in which the specialist works) and questions about the prospects, opportunities, and challenges of using telemedicine counseling in psychiatry and narcology. The doctors’ willingness to conduct such consultations and refer patients to them was also evaluated. 235 respondents took part in the survey, 55.3% were psychiatrists, narcologists accounted for 31.9%, and the remainder consisted of psychotherapists, medical psychologists and doctors who indicated several specialties. Results. Statistically significant differences were found in the evaluation of the usefulness of telemedicine consultations in psychiatry and narcology. Doctors who referred patients before to such consultations rated their usefulness at 3.95 points (on a five-point scale), while doctors without such experience rated their usefulness at 3.0 points. Interviewees also noted the greater effectiveness of video conferences if compared with the flow of medical documents, 3.5 points versus 2.9 points. Number of problems where identified, including the lack of doctors’ awareness about the possibilities of telemedicine, lack of necessary equipment and insufficient drug provision in the regions, which does not allow to implement the recommendations of the consultant in full. Conclusion. Organizational and methodological work with telemedicine specialists is necessary, resolving the issue of equipping regional hospitals with equipment and medicines.

Pediatric Emergency Telehealth

2021 ◽  
pp. 160-170
Author(s):  
Kylie Taylor ◽  
Ameer Mody
Keyword(s):  
Health Care ◽  
Urban Communities ◽  
Pediatric Emergency ◽  
Direct Patient Care ◽  
Care Needs ◽  
Health Networks ◽  
Care Services ◽  
Primary Care Services ◽  
Rural And Urban ◽  
Community Health Networks

Pediatric Emergency Telehealth (PET) has enormous potential to help address the health care needs of children and families. In some regions, health care is particularly fragmented or difficult to access for the pediatric patient. Telehealth may bridge those gaps, improve continuity of care, and enhance communication between children’s hospitals and general pediatricians practicing in both rural and urban communities. Launching a PET service requires careful preparation with community health networks and stakeholders to ensure that the model is providing adjunct services as opposed to on-demand primary care services. General pediatricians’ offices that lack the capability to implement a virtual care system may seek consultation from the PET service in terms of triage, recommendations, or direct patient care. A substantial effort is required at initiation of a PET program but is useful in mitigating disease exposure such as Covid-19, as well as improving emergency department metrics such as patient satisfaction, length of stay, wait times, and revenue capture.

scholarly journals Modeling the sustainability of community health networks: novel approaches for analyzing collaborative organization partnerships across time

2013 ◽  
Vol 4 (1) ◽  
pp. 46-59 ◽  
Author(s):  
Mark A Manning ◽  
Aliccia Bollig-Fischer ◽  
Lisa Berry Bobovski ◽  
Peter Lichtenberg ◽  
Robert Chapman ◽  
...  
Keyword(s):  
Community Health ◽  
Health Networks ◽  
Community Health Networks ◽  
Novel Approaches

scholarly journals A Web Interface for Antibiotic Prescription Recommendations in Primary Care: User-Centered Design Approach (Preprint)

2020 ◽  
Author(s):  
Ronni Madar ◽  
Adrien Ugon ◽  
Damir Ivanković ◽  
Rosy Tsopra
Keyword(s):  
Antibiotic Treatment ◽  
Large Scale ◽  
Antibiotic Prescription ◽  
Public Health Problem ◽  
Clinical Decision ◽  
User Centered Design ◽  
Web Interface ◽  
User Friendliness ◽  
Health Authorities ◽  
The Web

BACKGROUND Antibiotic misuse is a serious public health problem worldwide. National health authorities release clinical practice guidelines (CPGs) to guide general practitioners (GPs) in their choice of antibiotics. However, despite the large-scale dissemination of CPGs, GPs continue to prescribe antibiotics that are not recommended as first-line treatments. This nonadherence to recommendations may be due to GPs misunderstanding the CPGs. A web interface displaying antibiotic prescription recommendations and their justifications could help to improve the comprehensibility and readability of CPGs, thereby increasing the adoption of recommendations regarding antibiotic treatment. OBJECTIVE This study aims to design and evaluate a web interface for antibiotic prescription displaying both the recommended antibiotics and their justifications in the form of antibiotic properties. METHODS A web interface was designed according to the same principles as e-commerce interfaces and was assessed by 117 GPs. These GPs were asked to answer 17 questions relating to the usefulness, user-friendliness, and comprehensibility and readability of the interface, and their satisfaction with it. Responses were recorded on a 4-point Likert scale (ranging from “absolutely disagree” to “absolutely agree”). At the end of the evaluation, the GPs were allowed to provide optional, additional free comments. RESULTS The antibiotic prescription web interface consists of three main sections: a clinical summary section, a filter section, and a recommended antibiotics section. The majority of GPs appreciated the clinical summary (90/117, 76.9%) and filter (98/117, 83.8%) sections, whereas 48.7% (57/117) of them reported difficulty reading some of the icons in the recommended antibiotics section. Overall, 82.9% (97/117) of GPs found the display of drug properties useful, and 65.8% (77/117) reported that the web interface improved their understanding of CPG recommendations. CONCLUSIONS The web interface displaying antibiotic recommendations and their properties can help doctors understand the rationale underlying CPG recommendations regarding antibiotic treatment, but further improvements are required before its implementation into a clinical decision support system.

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