Medical informatics—the state of the art in the Hospital Authority

Cheung, Ngai Tseung; Fung, Kin Wah; Wong, Kevin; Cheung, A; Cheung, Joycelyne; Ho, William; Cheung, Clara; Shung, E.; Fung, Vicky; Fung, Hong

doi:10.1016/s1386-5056(01)00155-1

Cited by 32 publications

(22 citation statements)

References 12 publications

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“…Data were retrospectively collected from 1 January 2008 to 31 December 2010. [15] Four monitoring stations of the Hong Kong Government’s Environmental Protection Department were matched to the five GOPCs according to their geographic locations; one of the monitoring stations served both GOPC 2 and GOPC 3 (Figure 1). …”

Section: Methodsmentioning

confidence: 99%

“…The GOPCs are heavily subsidised by the government; the charge per consultation in these clinics (HK$45 or ∼US$6) is around a quarter of the median charges in private clinics, which range from US$19 to US$26. [14] The Hospital Authority (HA), a Hong Kong government-funded ‘statutory board’, manages the public GOPC network, and since 1999, medical records in these clinics have progressively been computerised [15].…”

Section: Introductionmentioning

confidence: 99%

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Association between Air Pollution and General Outpatient Clinic Consultations for Upper Respiratory Tract Infections in Hong Kong

Tam

Wong

et al. 2014

PLoS ONE

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Background and ObjectivesMany studies have shown the adverse effects of air pollution on respiratory health, but few have examined the effects of air pollution on service utilisation in the primary care setting. The aim of this study was to examine the association between air pollution and the daily number of consultations due to upper respiratory tract infections (URTIs) in general outpatient clinics (GOPCs) in Hong Kong.MethodsDaily data on the numbers of consultations due to URTIs in GOPCs, the concentrations of major air pollutants, and the mean values of metrological variables were retrospectively collected over a 3-year period (2008–2010, inclusive). Generalised additive models were constructed to examine the association between air pollution and the daily number of consultations, and to derive the relative risks and 95% confidence intervals (95% CI) of GOPC consultations for a unit increase in the concentrations of air pollutants.ResultsThe mean daily consultations due to URTIs in GOPCs ranged from 68.4 to 253.0 over the study period. The summary relative risks (and 95% CI) of daily consultations in all GOPCs for the air pollutants PM10, NO2, O3, and SO2 were 1.005 (1.002, 1.009), 1.010 (1.006, 1.013), 1.009 (1.006, 1.012), and 1.004 (1.000, 1.008) respectively, per 10 µg/m3 increase in the concentration of each pollutant.ConclusionSignificant associations were found between the daily number of consultations due to URTIs in GOPCs and the concentrations of air pollutants, implying that air pollution incurs a substantial morbidity and increases the burden of primary health care services.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between Air Pollution and General Outpatient Clinic Consultations for Upper Respiratory Tract Infections in Hong Kong

Tam

Wong

et al. 2014

PLoS ONE

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“…In Hong Kong, The Hong Kong Hospital Authority has supported the development and implementation of EMRS initiatives (Holliday and Tam, 2004;Cheung et al, 2001) in hospitals. All in all, these EMRS initiatives help medical organizations to save cost and raise medical services standard.…”

Section: This Is the Pre-published Versionmentioning

confidence: 99%

An integrated electronic medical record system (iEMRS) with decision support capability in medical prescription

Ting

Tsang

et al. 2012

Journal of Systems and Information Technology

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Purpose: This study presents how a clinical decision support system can help in prescription and knowledge acquisition processes.Design/methodology/approach: An integrated Electronic Medical Records System (iEMRS) is designed to enhance the decision support quality in prescription.Findings: By evaluating the system performance through 135 prescription records collected from a Hong Kong medical organization, iEMRS shows a satisfactory result in suggesting medicines that is properly the same as the decisions made by the physicians.Originality/value: Compared with the static clinical guidelines built (manually) in the traditional clinical decision support system, knowledge in iEMRS is generated by the knowledge discovery result from professional experiences of various physicians and patient histories, which are more dynamic in nature. A treatment algorithm, designed in data mining technique, is introduced to improve information management in medical organization by integration of decision support capability and EMRS, and supplement the deficiencies of traditional clinical decision support system.

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“…Since then, the CMS has been implemented in all acute and non-acute hospitals under the HA since 2002. Around 2300 doctors, 16,000 nurses and 3500 other healthcare staff now use the CMS [21,22]. A total of 3500 CMS workstations are available in about 480 wards and other sites such as operating rooms, physicians' rooms, pharmacies, radiology and pathology departments [21].…”

Section: The Clinical Management System In Hong Kongmentioning

confidence: 99%

“…(3) retrieval of laboratory and radiology results; (4) provision of medication history; and (5) electronic booking of appointments, as well as generation of referral, reply letters and a variety of reports [22].…”

Section: The Clinical Management System In Hong Kongmentioning

confidence: 99%

Investigating nurses' knowledge, attitudes, and skills patterns towards clinical management system: Results of a cluster analysis

Chan

2006

Medical Informatics and the Internet in Medicine

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To determine whether definable subtypes exist within a cohort of Hong Kong nurses as related to the clinical management system use in their clinical practices based on their knowledge, attitudes, skills, and background factors. Data were collected using a structured questionnaire. The sample of 242 registered nurses was recruited from three hospitals in Hong Kong. The study employs personal and demographic variables, knowledge, attitudes, and skills scale. A cluster analysis yielded two clusters. Each cluster represents a different profile of Hong Kong nurses on the clinical management system use in their clinical practices. The first group (Cluster 1) was labeled 'lower attitudes, less skilful and average knowledge' group, and represented 55.4% of the total respondents. The second group (Cluster 2) was labeled as 'positive attitudes, good knowledge but less skilful'. They comprised almost 44.6% of this nursing sample. Cluster 2 had more older nurses, the majority were educated to the baccalaureate or above level, with more than 10 years working experience, and they held a more senior ranking then Cluster 1. A clear profile of Hong Kong nurses may benefit healthcare professionals in making appropriate education or assistance to prompt the use of the clinical management system by nurses an officially recognized profession. The findings were useful in determining nurse-users' specific needs and their preferences for modification of the clinical management system. Such findings should be used to formulate strategies to encourage nurses to resolve actual problems following computer training and to increase the depth and breadth of nurses' knowledge, attitudes, and skills toward such system.

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Medical informatics—the state of the art in the Hospital Authority

Cited by 32 publications

References 12 publications

Association between Air Pollution and General Outpatient Clinic Consultations for Upper Respiratory Tract Infections in Hong Kong

Association between Air Pollution and General Outpatient Clinic Consultations for Upper Respiratory Tract Infections in Hong Kong

An integrated electronic medical record system (iEMRS) with decision support capability in medical prescription

Investigating nurses' knowledge, attitudes, and skills patterns towards clinical management system: Results of a cluster analysis

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