Abstract. Many areas of the healthcare sector are information-rich and data-intensive, and often lack of time is a problem. Patient-specific medication information is often seen as highly important part of patient data for patients' safe treatment and therefore the availability of it should be guaranteed. The aim of this paper is to study healthcare professionals' perceptions of their utilization of sources of medication information and to assess it in the light of national e-Health scenarios using a Finnish primary care organization as a case study. The healthcare professionals reported frequent use of the patient as a source of information as they could not be convinced of the correctness of the medication lists in the electronic patient record. The future e-Health solutions should be usable and guarantee the correctness and completeness of the medication information if the clinical workers are expected to use them. The valuable information provided by the patients could be also exploited more efficiently in the future.
Health care applications are technically complex and the software and hardware markets for medical technologies are less mature than for many other fields. Although there should be an interplay between design and the usage of systems, this is often not the case in the health care sector. Currently, information is often bound to a location or institution due to fragmented information systems. Using the notion of asset specificity as a theoretical background, the authors conducted interviews in the Finnish primary health care system. The interviews were analyzed and examples of real life situations are provided to guide designers of information systems for the health care sector.
Abstract. Information on patient's medication is often vital especially when patient's condition is critical. However, the information does not yet move freely between different health care units and organizations. Before reaching the point of putting into practice any system that makes the interorganizational medication information transmission possible, some prerequisites and characteristics of the information in different user organization should be defined. There are for instance units with different level of urgency and data/information intensity (e.g. emergency department vs. medical floor). The higher the urgency level, the more vulnerable the medication information flow is to different discontinuation situations. As a conceptual framework, a scoring system based on the asset specificity in the transaction cost theory and previous literacy on information flows of different health care units is created to define the vulnerability of the information flows. As there is a national medication database under planning, the scoring system could be used to assess the prerequisites for the medication database in Finland.
Abstract. Increased access to medical information can lead to information overload among both the employees in the healthcare sector as well as among healthcare consumers. Moreover, medical information can be hard to understand for consumers who have no prerequisites for interpreting and understanding it. Information systems (e.g. electronic patient records) are normally designed to meet the demands of one professional group, for instance those of physicians. Therefore, the same information in the same form is presented to all the users of the systems regardless of the actual need or prerequisites. The purpose of this article is to illustrate the differences in information needs across different stakeholders in healthcare. A literature review was conducted to collect examples of these different information needs. Based on the findings the role of more user specific information systems is discussed.
Monitieteisyys, poikkitieteisyys, tieteidenvälisyys ja tieteiden välisten rajojen tahi raja-aitojen ylittäminen ovat ajan hengen mukaisia käsitteitä opetuksen kehittämisessä. Pohdimme artikkelissamme monitieteisyyden problematiikkaa ja käsitettä sekä monitieteisen opetuksen elementtejä kahden opintojakson avulla. Kirjoittajille monitieteinen opetus avautuu argumentaation, yhteistoiminnan sekä tiedonhankinnan ja -hallinnan taitojen kautta. Esittelemme kaksi opintojaksoa, joista toinen perehdyttää argumentaation ja retoriikan perusteisiin ja toinen teledemokratian ilmiöön. Käytämme näitä kahta sisällöltään ja toteutustavaltaan erilaista opintojaksoa esimerkkinä siitä, millaista etua monitieteisestä opetuksesta voi olla opiskelijoille ja opettajille.
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