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P091 - European Conference on eHealth 2006

https://dl.gi.de/handle/20.500.12116/23984
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Auflistung P091 - European Conference on eHealth 2006 nach Erscheinungsdatum

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  • Konferenzbeitrag
    Situational change engineering in healthcare
    (European Conference on eHealth 2006, 2006) Gericke, Anke; Winter, Robert
    Many developed countries are confronted with continuously increasing healthcare costs. Most administrations believe that a fundamental reorganization of the healthcare sector is inevitable. Transformation processes are often enabled by information and communication technologies. For healthcare, a plethora of eHealth strategies have been proposed, many of them being aimed at reducing healthcare costs by optimizing administrative processes. Although lots of strategies have been proposed, there is a lack of clear guideline for setting up transformation projects successfully. Since many healthcare systems are characterized by a high degree auf autonomy and many local regulations, a situational approach for setting up transformation projects is necessary. In change management as well as in method engineering, situational approaches have been proposed. But there are few publications on how to combine situational change management with situational method engineering. Regarding applying such an approach to healthcare, there is no work at all. Therefore the aim of this paper is to propose a `situational change engineering' framework for the healthcare sector. Three steps are essential: (1) to classify change projects in the healthcare sector with regard to certain transformation attributes, (2) to identify reusable method fragments that have been deployed in change projects of a certain type, and (3) to develop a procedure which creates a situational method from appropriate method fragments for the respective type of change. In addition to outlining this approach, a hypothesis for the first step is presented, i.e. a scheme is developed to classify change projects in the healthcare sector. The paper ends with a recommendation for implementing the `situational change engineering' framework in the healthcare sector.
  • Konferenzbeitrag
    Next generation network infrastructure enabling telemonitoring services
    (European Conference on eHealth 2006, 2006) Dijkstra, Sietse J.; Essen, Erik van; Westers, Robert
    In the next few decades one of the main problems to deal with in Western Europe is the aging of the population. The healthcare sector will face rising costs and increasing workload. Telemonitoring and networks of professional and voluntary health workers are promising solution directions to deal with both the cost and workload challenges. In this paper a study on telemonitoring services with a network of health workers using next generation network infrastructure is presented. Next generation network infrastructure technologies like Session Initiation Protocol and IP Multimedia Subsystem offer service enablers that help realise a telemonitoring solution that can call in a dynamic network of health workers. Content repurposing is an important component in this solution enabling the distribution of multimedia content to the large variety of devices.
  • Konferenzbeitrag
    SAPHIRE - intelligent healthcare monitoring based on semantic interoperability platform - the homecare scenario -
    (European Conference on eHealth 2006, 2006) Hein, Andreas; Nee, Oliver; Willemsen, Detlev; Scheffold, Thomas; Dogac, Asuman; Laleci, Gokce Banu
    The SAPHIRE project aims to develop an intelligent healthcare monitoring and decision support system on a platform integrating the wireless medical sensor data with hospital information systems. In the SAPHIRE project, patient monitoring will be achieved by using agent technology where the "agent behaviour" will be supported by intelligent clinical decision support systems which will be based on computerized clinical practice guidelines, and will access the patient medical history stored in medical information systems through semantically enriched Web services to tackle the interoperability problem. In this paper one of the two demonstrator environments – the homecare scenario – will be described from the medical and technical point of view.
  • Konferenzbeitrag
    "Nursing ICT" methodological approach to analyse patients' needs and expectations
    (European Conference on eHealth 2006, 2006) Heuwinkel, Kerstin
    Many European healthcare systems face extensive changes as traditional forms of medical treatment cannot be financed anymore. Structures erode and gaps emerge. eHealth is said to be the solution appropriate to the needs of patients and healthcare professionals. But, although a broad variety of promising eHealth applications can be found, a deeper understanding of reasons for success and failure is missing. Based on the fundamental presumption that illness means more than a physical defect, especially in the case of chronic illness this paper argues that developers of eHealth solutions have to understand patients' needs and expectations. Requirements engineering for eHealth solutions thus has to take not only rational arguments into account but has to obey emotional as well as social facts. In this paper, we present a methodological approach to analyse patients' needs and expectations using psychological and sociological theories. Interviews with patients are used to illustrate the theoretical findings.
  • Konferenzbeitrag
    Context-aware secure service composition planning and execution on e-Health environments
    (European Conference on eHealth 2006, 2006) Lopes, António; Costa, Paulo; Bergenti, Federico; Klusch, Matthias; Blankenburg, Bastian; Möller, Thorsten; Schuld, Heiko
    Emergency Health-Care based scenarios provide the motivation to develop supporting technologies for dealing with situations where people need medical assistance because of a sudden disease or emergency. The innovative combination of intelligent agent technology, semantic Web services, peer-to-peer, and mobile computing for intelligent peer-to-peer mobile service environments is the corner stone of the CASCOM project, which aims at providing a value-added support for business services for mobile workers and users across mobile and fixed networks, especially for e-Health environments. In this paper, we describe the technical approach developed in the CASCOM project for the context-aware secure composition planning and execution of Semantic Web Services.
  • Konferenzbeitrag
    Context-aware service coordination for mobile e-Health applications
    (European Conference on eHealth 2006, 2006) Bergenti, Federico; Caceres, Cesar; Fernandez, Alberto; Fröhlich, Nadine; Helin, Heikki; Keller, Oliver; Kinnunen, Ari; Klusch, Matthias; Laamanen, Heimo; Lopes, António; Ossowski, Sascha; Schuldt, Heiko; Schumacher, Michael
    In this paper, we present a general architecture for service delivery and coordination in intelligent peer-to-peer (IP2P) environments that has been developed within the CASCOM research project. Our essential approach is an innovative combination of agent technology, Semantic Web Services, peer-to-peer, context-awareness, and mobile computing for intelligent peer-to-peer mobile service environments. Services are provided by software agents exploiting the coordination infrastructure to efficiently operate in highly dynamic environments. Our infrastructure includes efficient communication means, support for contextaware adaptation techniques, as well as dynamic service discovery and composition planning. For end users, the architecture provides seamless access to Semantic Web Services anytime, anywhere, and using any device. Our architecture is being evaluated using a sample ad-hoc emergency healthcare assistance application scenario. We deployed a prototype of an open IP2P service environment and expect results on methods for service provision, discovery, composition, and monitoring in mobile environments.
  • Konferenzbeitrag
    Building flexible eHealth processes using business rules
    (European Conference on eHealth 2006, 2006) Hüsemann, Stefan; Schäfer, Mike
    This article describes how business agility in a health insurance company can benefit from more flexible business processes. The suggested architecture for a flexible information system is service-oriented and uses a business rule management system to externalize rules. At the organizational level the business rule approach helps to identify and formalize rules.
  • Konferenzbeitrag
    Research issues in pervasive information mangement for health monitoring and e-inclusion
    (European Conference on eHealth 2006, 2006) Schek, Hans-Jörg; Brettlecker, Gert
    Pervasive Computing leads to dramatic changes in information technology in general: As a consequence of enormous progress in processor speed and storage capacity and - at the same time - extreme reduction in size and power consumption computers will be more and more invisible. They can be embedded into clothes or into tools of our daily life. Progress in wireless communication technology leads to a "network of everything" [Mat01] and to an information exchange between these. Closely related to these technologies are new developments in the database and information systems area.. Information will be ubiquitous: Relevant information must be made available to anybody anytime and everywhere, depending on the context.
  • Konferenzbeitrag
    Process based data logistics: data integration for healthcare applications
    (European Conference on eHealth 2006, 2006) Jablonski, Stefan
    Data integration in medical applications is a crucial and sensitive task. It turns out that there are rigid factors like heterogeneous, distributed data sources, security, and complex, dynamically changing application requirements that require a highly sophisticated and flexible data integration concept which – in a final stage – has to cover the whole healthcare landscape. We have developed a process based data logistic approach that is coping with these requirements. It is based on process technology including workflow management and database technology including ontologies and terminology management.
  • Konferenzbeitrag
    Intermediation in the healthcare system: the example of Switzerland
    (European Conference on eHealth 2006, 2006) Walser, Konrad; Myrach, Thomas
    The paper analyzes the situation of intermediaries and their business models in the Swiss health system. Various intermediary roles are positioned within the value-added chain of the healthcare system. Particular attention is paid to cost-benefit relationships of intermediation for partners of the intermediary and for the intermediary itself. With regard to the connection between healthcare providers and health insurers, three intermediaries – namely the Trust Centers, Medidata, and H-Net – are featured in greater detail and studied in terms of differences of their business and revenue model.