Medical support system for continuation of care based on XML web technology

Stalidis, George; Prentza, Andriana; Vlachos, I; Maglavera, Stavroula; Koutsouris, Dimitris

doi:10.1016/s1386-5056(01)00195-2

Cited by 29 publications

(15 citation statements)

References 5 publications

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“…39 -41 These pilot projects have sought to demonstrate the ability to combine information from multiple settings and information systems and distribute the information securely. 39,40 The challenge of developing an acceptably secure and usable system should not be understated, however. Because the problem being addressed is that of providers needing rapid access to the medical information of patients who "roam" from provider to provider, the system would need to allow all Medicaid providers access to the records of any given child in foster care.…”

Section: Discussionmentioning

confidence: 99%

Continuity of Care for Children in Foster Care

DiGiuseppe

Christakis

2003

Pediatrics

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ABSTRACT. Objective. To compare the continuity of care experienced by children who are in foster care with that of children who are not in foster care and are covered under Medicaid managed care and Medicaid fee-for-service (FFS).Methods. This retrospective cohort study used Medicaid claims/encounter data from Washington state. A total of 903 children who were in foster care and continuously enrolled in Medicaid for 24 months (1998 -1999) were matched by age, gender, and rural/urban residence to 903 Medicaid managed care enrollees and 903 FFS beneficiaries who were not in foster care. Indices of the continuity of primary care experienced were calculated for each patient, and differences in continuity among the cohorts were assessed by running 3 multiple linear regression models for all possible pairings of cohorts, controlling for age, gender, rural/urban residence, and total number of primary care visits.Results. Foster care status was associated with decreased continuity of care relative to nonfoster managed care status (␤ ‫؍‬ ؊0.12; 95% confidence interval [CI]: ؊0.15 to ؊0.09). Nonfoster FFS status was associated with lower continuity than managed care (␤ ‫؍‬ ؊0.09; 95% CI: ؊0.12 to ؊0.06) and slightly higher continuity than foster care status (␤ ‫؍‬ 0.03; 95% CI: 0.01-0.06). Conclusion.Although not dramatically different, continuity seems somewhat lacking for children in foster care. It is unclear to what degree the observed difference is confounded by the managed care/FFS distinction. As the enrollment of children in foster care into managed care plans has been controversial, efforts to promote the consistency of contact with providers while maintaining the flexibility afforded by FFS coverage seem warranted. Pediatrics 2003;111:e208 -e213. URL: http: //www.pediatrics.org/cgi/content/full/111/3/e208; foster home care, continuity of patient care, child, Medicaid.ABBREVIATIONS. COC, continuity of care; FFS, fee-for-service.T he estimated number of children in relative and nonrelative foster family homes in the United States as of March 31, 2000, was roughly 430 000. 1 The plight of these children as medically vulnerable, disproportionately high users of mental and health care services has been repeatedly described in the literature. 2-23 Previous authors have characterized children in foster care as having been abused and neglected by biological parents, 2,15,16,18 having lived in poverty, 11,16,17,22 having a high prevalence of chronic conditions, 5,6,11,14 -16,18,21 and receiving inadequate health care services once in the foster care system. 3,4,6,8,11,13,15,17,18,21,22 The medical and social needs of children in foster care have prompted the American Academy of Pediatrics to issue multiple calls for continuity of care (COC) for these children. [23][24][25] There is a growing body of evidence that COC is associated with desirable outcomes in pediatric populations, including increased immunization rates, decreased emergency department and inpatient utilization, increased patient perceptions of quality,...

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Section: Discussionmentioning

confidence: 99%

Continuity of Care for Children in Foster Care

DiGiuseppe

Christakis

2003

Pediatrics

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“…The Web is used both as a universal interface and as the underlying infrastructure for Intelligent Web Information Systems (Yao et al 2001). There is an emerging and fast growing interest in computerized support systems in many other domains such as information retrieval support systems (Yao & Yao 2003, Yao 2002, research support systems (Yao 2003), teaching and learning support systems (Fan 2003), computerized medical support systems (Stalidis et al 2001), knowledge management support systems (Ginsburg & Kambil 1999), and many more. The recent development of the Web generates further momentum to the design and implementation of support systems (Yao 2005).…”

Section: _____________________________________________________________mentioning

confidence: 99%

An Introduction to Web-based Support Systems

Yao

2008

Journal of Intelligent Systems

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We view Web-based Support Systems (WSS) as a multidisciplinary research area that focuses on supporting human activities in specific domains or fields based on computer science, information technology, and Web technology. Research on WSS is motivated by the challenges and opportunities of the Internet and the Web. The recent advancements of computer and Web technologies make the implementation of WSS feasible. This paper presents the fundamental issues of WSS, a framework of WSS, and research on WSS. We also present preliminary studies on two examples of WSS, Web-based research support systems (WRSS) and Web-based information retrieval support systems (WIRSS).

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“…The use of intranets is growing in numerous domains, including business (Murgolo-Poore, Pitt, & Ewing, 2002), medicine (Stalidis, Prentza, Vlachos, Maglavera, & Koutsouris, 2001), and higher education (Browning & Williams, 1997). Intranets are computing networks that are used internally by an organization to disseminate important or useful information to its members; typically an intranet is implemented as an internal Web, based on the same technology as external World Wide Web (Web) sites.…”

Section: Introductionmentioning

confidence: 99%

The Psychometric Evaluation of Educational Intranets

Schaik

Ling

2005

Journal of Educational Computing Research

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A major determinant of the success of educational intranet sites is their usability. In addition to measures of task performance and navigation behavior, psychometric instruments are used to evaluate usability and the quality of human-computer interaction more generally. However, there is a lack of validated instruments for the evaluation of sites. The aim of the present study was to establish the psychometric properties of scales for measuring the quality of interaction with educational intranets. In two experiments, undergraduates (n = 81 and n = 109, respectively) performed an information retrieval task using different versions of the same university intranet site. Psychometric properties of the instruments were analyzed. The quality of the scales is evaluated, recommendations for their use are given, and further research into the scales is outlined.

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Medical support system for continuation of care based on XML web technology

Cited by 29 publications

References 5 publications

Continuity of Care for Children in Foster Care

Continuity of Care for Children in Foster Care

An Introduction to Web-based Support Systems

The Psychometric Evaluation of Educational Intranets

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