Interoperability and mHealth – Precondition for Successful eCare

BackgroundTelemonitoring and web-based interventions are increasingly used in primary-care practices in many countries for more effective management of patients with diabetes mellitus (DM). A new approach in treating patients with diabetes mellitus in family practices, based on ICT use and nurse practitioners, has been introduced and evaluated in this study.MethodFifteen Slovene family practices enrolled 120 DM patients treated only with a diet regime and/or tablets into the study. 58 of them were included into the interventional group, and the other 62 DM patients into the control group, within one-year-long interventional, randomised controlled trial. Patients in the control group had conventional care for DM according to Slovenian professional guidelines, while the patients in the interventional group were using also the eDiabetes application. Patients were randomised through a balanced randomisation process.ResultsSignificant reductions of glycated haemoglobin (HbA1c) values were found after 6 and 12 months among patients using this eDiabetes application (p<0.05). Among these patients, a significant correlation was also found between self-monitored blood pressure and the final HbA1c values. Diabetic patients’ involvement in web-based intervention had only transient impact on their functional health status.ConclusionThis eDiabetes application was confirmed to be an innovative approach for better self-management of DM type 2 patients not using insulin. Both a significant reduction of HbA1c values and a significant correlation between the average self-measured blood pressure and the final HbA1c values in the interventional group were found. Nurse practitioners – as diabetes care coordinators – could contribute to better adherence in diabetes e-care.

show abstract

“…The minimal clinically important difference (MCID) was set to one standard error of the mean in the outcome score ( 27 , 28 ).…”

Section: Methodology and Study Designmentioning

confidence: 99%

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Iljaž

Brodnik

Zrimec

et al. 2017

Slovenian Journal of Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Our previous work on defining an EA framework for IH-ICT in Slovenia is elaborated in detail in [39]. Work presented in [40,41] includes an openEHR based project, and also a document that describes a conceptual plan for the national eHealth in Slovenia based on Integrating the Healthcare Enterprise (IHE) [42]. This work has been the foundation for the core technical standards, functions and certification to support adoption and optimization of health ICT products and services on the national eHealth implementation level in Slovenia.…”

Section: Background and Significancementioning

confidence: 99%

“…Adding openEHR and SNOMED to the overall stack is a major step towards semantic interoperability. Authors of [40] have also touched the topic of adding the adaptive clinical process layer and achieving the standardization of processes, which is an evident next step in the future work section.…”

Section: Potential Interoperability Approachesmentioning

confidence: 99%

Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth

Beštek

Stanimirović²

2017

Appl Clin Inform

Self Cite

View full text Add to dashboard Cite

Provided insights and identified success factors could serve as a constituent of the strategic starting points for continuous integration of interoperability principles into the healthcare domain. Moreover, the general implementation of the identified success factors could facilitate better penetration of ICT into the healthcare environment and enable the eHealth-based transformation of the health system especially in the countries which are still in an early phase of eHealth planning and development and are often confronted with differing interests, requirements, and contending strategies.

show abstract

“…In fact, it is a relevant aspect when we deal with cross‐border situations [29]. Several security services such as PKI [30] are dealing with regulations, and there are several experiences documented [31]. In addition, these aspects including ontologies [32] are also important aspects for interoperability among systems because formats, exchange mechanisms and protocols are required to set an interoperable system.…”

Section: Introductionmentioning

confidence: 99%

Assessing source code vulnerabilities in a cloud‐based system for health systems: OpenNCP

2019

View full text Add to dashboard Cite

Healthcare systems have been improved in order to provide support to cross-border situations where one citizen from one country travels to another country and requires the use of their health records. Several initiatives have been carried out to tackle this problem. This is the case for the OpenNCP which is supported by the European Commission by providing a common network and an infrastructure to connect different national healthcare systems which most of the times are cloud-based systems. The OpenNCP plays a key role in communicating health records among European Union's member states, and therefore it manages sensitive information. Therefore, this study provides a security analysis of this platform and a prototype is developed for identifying secure patterns in source code.

show abstract

Interoperability and mHealth – Precondition for Successful eCare

Cited by 7 publications

References 27 publications

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth

Assessing source code vulnerabilities in a cloud‐based system for health systems: OpenNCP

Contact Info

Product

Resources

About