Auflistung P118 - European Conference on eHealth 2007 nach Erscheinungsdatum
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- KonferenzbeitragBalancing of Benefits and Disadvantages using IT-integration to support the health care value-added chain(European Conference on eHealth 2007, 2007) Konrad, Walser; Peter, HaasThe implementation of national eHealth interoperability platforms is one answer to the problematic financial situation of health care systems in many places. Using IT-supported integration between IT systems and processes of health care institutions should make the health care value-added chain more effective and more transparent. This article will present the capabilities for interoperability in the integration of added-value in connection with the benefits and disadvantages, which arise from the various players (with diverse characteristics in some circumstances). A better consideration of the balancing of disadvantages or benefits of the IT-supported integration in health care value-added chain can lead to increased preparedness on behalf of the health care institutions to the development and financing of interoperability platforms.
- KonferenzbeitragSensors for health-related parameters and data fusion approaches(European Conference on eHealth 2007, 2007) Wolf, Klaus-H.; Marschollek, Michael; Bott, Oliver J.; Howe, Juergen; Haux, ReinholdLiving a long lasting self-dependent and self-determined life is not a mere selfish aim, but becomes an economical need in our ageinig societies. Knowledge about the current state of health and personal risks is necessary for informed and healthy decisions in every day life. Due to recent developements health enabling technologies are on the horizon allowing everyone to access one's own personal state of health along with associated risks and recommendations as well as reminders for behavioural changes. Increase of computational power along with the miniarurisation of electronic components and new developements in sensor technology allow for the ubiquitous deployment of sensors for health related parameters. Based on literature reviews and experiences from ongoing projects a categorization of sensors for health-related parameters is provided. Examples for the combination of sensors to monitor an individual state of health based on relevant diseases are presented. The problems arising with the expected amounts of data are discussed and data stream management systems are introduced as a possible way to address the problem. The growing field of sensor networks for health related parameters needs to address the problem of configurable and adaptable analysis of resulting data, preferable in a distributed fashion.
- KonferenzbeitragA Comprehensive Modeling Language for Clinical Processes(European Conference on eHealth 2007, 2007) Faerber, Matthias; Jablonski, Stefan; Schneider, TobiasIn this paper we present a comprehensive modeling language for clinical processes that integrates requirements from the medical, organizational and economical dimension into a single clinical process model. The design of this modeling language is heavily influenced by the experiences we made when documenting the processes at several clinics in Germany. Thus, we introduce the features of this modeling language by examples. We show that extensibility is one of the key features of this type of domain specific language and describe the principle idea of its implementation in the second part of the paper.
- KonferenzbeitragSecure Multimedia Streaming over Wireless Ad-Hoc Networks for Telehealth Systems(European Conference on eHealth 2007, 2007) Hohmann, Bernhard; Debbah, Mérouane; Leistner, Christian; Kröpfl, AndreasIn this paper we give a detailed state-of-the-art review for the design and implementation of embedded wireless ad-hoc systems as they are applied for multimedia data transmission. More precisely, this paper focuses on eHealth applications with specific quality of service (QoS) constraints which have to be treated differently compared to other, already standardized systems. Different techniques to secure as well as enhance the reliability of the transmission will be discussed. Furthermore, we present the design of an embedded interactive system for distributed multimedia processing for telehealth. In this interactive home care system, speech recognition is used to enable easy user control. Additionally, the system consists of several wireless network cameras to perform full indoor patient surveillance.
- KonferenzbeitragUsage of Accelerometers in Home Care for multiple sclerosis patients(European Conference on eHealth 2007, 2007) Rashid, Asarnusch; Schlüfter, Florian; Holtmann, Carsten; Kunze, Christophe; Thaler, Kathrin; Daumer, Martin; Schlesinger, Stefan; Griewing, BerndPervasive Computing is developing fast and is presenting new opportunities for medical care. Unfortunately, technology selection and adoption in the healthcare sector and by physicians is typically an intricate process. Exemplified by Multiple Sclerosis (MS) this paper describes the assessment of a dedicated PC technology with respect to medical usefulness in real life applicability. MS is a chronic disease that typically affects the patient’s mobility and quality of life. Triaxial accelerometers can be used to gain more information about the particular state of the disability. This technology can provide medical staff with objective and more comprehensive information. We present the design of a real life experiment and how the evaluation is designed to analyse the technology’s developmental status, its acceptance, and its medical usefulness.
- KonferenzbeitragSensor-enhanced health information system architectures for home and telecare: concept and prototype(European Conference on eHealth 2007, 2007) Bott, Oliver J.; Marschollek, Michael; Bergmann, Joachim; Wolf, Klaus-H.; Tegtbur, Uwe; Haux, ReinholdDemographic trends towards an aging society motivate the search for alternative health care paradigms. Information technology driven home-care and telecare are popular concepts, and a lot of projects resulted in corresponding systems. Thus the question arises what implications for health information system (HIS) architectures emerge and how sensor technology as a core technology for home and telecare can systematically be integrated into HIS architectures. Based on respective literature and previous experience in home and telecare projects basic components and services of a sensor-enhanced HIS are identified and exemplified by a research prototype of a sensor enhanced telematics platform. The research prototype makes intensive use of international standards (e.g. HL7 CDA and the Arden syntax). The results of first evaluations of the prototype system in a laboratory environment and in the context of telemedical surveillance of home exercises in case of cardio-vascular diseases are described. First evaluations demonstrate the feasibility of the approach. Further work is needed towards ensuring ad hoc connectivity of sensor systems and further elaborating cascaded sensor data analysis.
- KonferenzbeitragPortal Technologies for Patient-centred Integrated Care(European Conference on eHealth 2007, 2007) Shaikh Ali, Ali; Rana, Omer F.; Hardisty, Alex; Subramanian, Mahesh; Luzio, Stephen; Owens, David R.; Conley, Edward C.Integrated care pathways (ICP) are increasingly used in clinical settings to provide more effective care to patients. ICPs form part of local working agreements to assist co-ordination of multi-disciplinary teams to deliver evidence-based care plans to individual patients. They also document the expected progress of specific patient groups as part of clinical records. To anticipate increased use of ICPs, we have developed Healthcare@Home, a research-phase demonstrator for improving integration of information along the patient path. Healthcare@Home includes support for at-home, in-clinic and mobile wireless sensor devices feeding patient-proximal data hubs, timeline-based physiological trend analysis, data aggregation/dashboarding and individualised risk stratification. These and other decision support tools are embedded in portal designs supporting ‘end-to-end’ workflows as focused by the composite needs of a National Service Framework (NSF) for patients with diabetes. Health-care@Home thus represents a scaleable, extensible personalised healthcare information system driven directly from national policy on disease early detection and prevention. Individual portlets have been mapped to stages in the ICP. The portal technologies employed, running on PCs, mobile phones or TVs are capable of highly cost-effective ‘end-to-end, anywhere-to-anywhere’ information integration.
- KonferenzbeitragCARA-D: Data Elements for a Computer based Cancer Risk Assessment System(European Conference on eHealth 2007, 2007) Yang, Gi-Chul; Oh, Haeng-UnData elements are important part of a computer based cancer risk assessment system. The selection of the data elements are more important for the system built based on Case Based Reasoning (CBR) technology. The system CARA is a computer based cancer risk assessment system that adapts CBR technology. The data elements and an overall architecture that can assure high performance of the CARA are described in this article.
- KonferenzbeitragEvaluation of E-Learning Practices in Undergraduate Medical Education: Results of a Survey in Sri Lanka(European Conference on eHealth 2007, 2007) Edirippulige, Sisira; Marasinghe, Rohana B.; Smith, Anthony C; Fujisawa, Yoshikazu; Herath, Walisundara B; Jiffry, M T M; Wootton, RichardObjective: The present study investigates the knowledge, perceptions and the utilisation of e-learning modalities in medical education by the students in Sri Lanka. We also examined the potential barriers which may prevent the uptake of e-learning strategies in health and medical education. Methods: A questionnaire focusing on the knowledge, attitudes and expectations of medical students towards e-learning was distributed to all final year medical students (n=136) at the Faculty of Medicine, Sri Jayewardenepura University, Sri Lanka. The survey was conducted during their regular lectures and completed questionnaires were collected after their classes. Findings: 100 surveys (74%) were completed and returned. Nearly half of the respondents (43%) admitted that they were familiar with the term e-learning. Only 19% of respondents stated that they had used e-learning modalities for educational purposes. The majority of respondents said that they had not used web-based learning material or multimedia resources for medical education. However, more than half of (56%) respondents agreed that e-learning modalities would be useful tools in medical education and 49% said that e-learning must be expanded in medical education. Conclusions: Despite the majority of respondents believed that e-learning modalities can be a useful tool to address some of the problems in medical education in developing countries, a lack of technology and learning opportunities have restricted the potential benefits.
- KonferenzbeitragEPR Access Authorization of Medical Teams Based on Patient Consent(European Conference on eHealth 2007, 2007) Eskeland, Sigurd; Oleshchuk, VladimirElectronic patient records (EPR) may contain highly confidential and personal medical information. It is therefore essential that medical data is properly protected and managed. Today, it is widely recognized that patients have a right to self- determination and to exert control of their own medical data by consent. In this paper, we present a cryptographic EPR access authorization scheme that incorporates patient consent as a basis for granting EPR access to medical teams or practitioners. This ensures that only the medical practitioners specified by a consenting patient are granted EPR access. If a patient is unconscious, the variation of the scheme allows an emergency or security team to act on behalf of the patient.