A software solution for ambulatory healthcare facilities in the Republic of Serbia

Rajkovic, Petar; Janković, Dragan; Tošić, Vladimir

doi:10.1109/health.2009.5406195

Cited by 10 publications

(2 citation statements)

References 5 publications

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“…As a base system, for prescription and notification services, we decided to use the existing medical information system (MIS) called Medis.NET and its mobile notification tool. Mentioned MIS is developed by our research group and used continually in more than 20 ambulatory and primary care medical institutions in Republic of Serbia for more than three years [1]. Also, one variant of Medis.NET is adapted to be used by the students of medical schools as an e-learning tool [2].…”

Section: Introductionmentioning

confidence: 99%

A software model of mobile notification system for medication misuse prevention

Rajkovic

Janković

Milenković

2013

2013 IEEE 15th International Conference on E-Health Networking, Applications and Services (Healthcom 2013)

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The one of the most common problems affecting older patients is the misuse of prescribed therapies. The patients, in many cases, forget to take their therapy, use it twice or even use the wrong medication. Since all of the mentioned cases can trigger further serious health problems, and since the majority of the population in Serbia already uses mobile phones, we decided to extend our existing medical information system with a prescription service that will allow the development of mobiledevice based notification system. The notification system will then help patients with medication timing and dosing issues to take their therapies more accurate and to prevent possible health complications. In this paper we present the existing mobile services offered by the medical information system Medis.NET, as well as an architectural solution for the extension of the existing software with a prescription and notification service. The architectural solution is followed by the example of an initial implementation, description of the most important use-cases and related test results. In a near future, we plan to improve the proposed solution by offering new options to the patients, easing the connection with third party services and by developing a smartphone application that can improve the complete interaction with patients.

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Section: Introductionmentioning

confidence: 99%

A software model of mobile notification system for medication misuse prevention

Rajkovic

Janković

Milenković

2013

2013 IEEE 15th International Conference on E-Health Networking, Applications and Services (Healthcom 2013)

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“…Massive use of the medical information systems within the primary healthcare of the Republic of Serbia starts from 2010-2011 with the great support of the Ministry of Health. Health Care Center in Niš, as the leading regional health center, started the implementation of the medical information system as the pilot project with the Faculty of Electronic Engineering in Niš (5,6). Information system, named MEDIS.NET had been in full use since January 2012, and after that was installed in twenty more healthcare centers in South and East Serbia.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Level of Use and Accepta Nce of the Medical Information System in Primary Health Car E

Rajkovic¹,

Janković²,

Milenković³

et al. 2018

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This paper presents the analysis of use and acceptance of the medical information system (MIS) within the primary healthcare. Analysis is mostly based on data from the Health Care Center Niš, although the conclusion was made on data from a dozen health care centers which use the medical information system MEDIS.NET developed within the Laboratory for Medical Informatics at the Faculty of Electronic Engineering in Niš. Analysis of the use of MIS is based on calculating the percentage of successfully entered records of visits, provided medical services, recipes, referral letters and physical examinations. In the context of the analysis of the use of MIS, successfully entered medical service is actually the service that was not changed or deleted later. Results of this analysis are significant for further technical development of the medical information system, and support the identification of these functionalities that are hardly accepted by the end-users and should be further developed. The acceptance of MIS is analyzed in the light of the technology acceptance model. Registration of provided services and keeping the record of physical examinations are taken as representative functionalities. Registration of provided services has been observed as a functionality that is accepted by the users due to simplicity of use (perceived ease of use), while the registration of physical examinations is observed as functionality is presumed to be accepted by the users as useful (perceived usefulness). For the functionalities with the expected acceptance based on the simplicity of use, the rate of correct data input is over 90% in each of the category. However, the rate of correct data inputs for visits and provided services is more than 99%. This is very significant having in mind the fact that these functionalities are often used and the high rate of incorrect inputs would slow down the work of doctors. On the other hand, the percentage of use of special functionalities for input of physical examinations varies considerably. Specially designed functionality for the most common physical examinations of children is used in more than two thirds of cases (sometimes more than 97%), while for the registration of adult's physical examinations the percentage is lower than 20%. Since the users could input data on physical examinations using the form for visit input, as well as with special form, they will probably use the other option only when the frequency of use is high enough or when the improved functionality of the specialized form provides improved system performances. Under users of MIS we consider the medical staff which uses MIS functionalities in accordance with their duties and privileges (doctors, nurses, medical technicians, etc.). Acta Medica Medianae 2018;57(4):122-136.

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