The Taiwanese method for providing patients data from multiple hospital EHR systems

Jian, Wen-Shan; Wen, Hsyien-Chia; Scholl, Jeremiah; Syed-Abdul, Shabbir; Lee, Peisan; Hsu, Chien‐Yeh; Li, Yu-Chuan

doi:10.1016/j.jbi.2010.11.004

Cited by 28 publications

(15 citation statements)

References 21 publications

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“…Information will be updated from the reception desk when the patients are discharged or after outpatient visit from the participating hospitals. The overall design architecture is presented in our other paper [9]. In this paper a general concept of the design is presented.…”

Section: Methodsmentioning

confidence: 99%

“…TMT is a local electronic record template that has been developed by adopting international standards such as HL7 Clinical Document Architecture (CDA), which is supposed to provide interoperability within healthcare systems [8]. The present research is centered on a USB-based Health Records project that promises to develop a fully interoperable and portable PHR system in Taiwan [9]. …”

Section: Introductionmentioning

confidence: 99%

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Factors influencing consumer adoption of USB-based Personal Health Records in Taiwan

Jian

Syed-Abdul

Sood

et al. 2012

BMC Health Serv Res

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BackgroundUsually patients receive healthcare services from multiple hospitals, and consequently their healthcare data are dispersed over many facilities’ paper and electronic-based record systems. Therefore, many countries have encouraged the research on data interoperability, access, and patient authorization. This study is an important part of a national project to build an information exchange environment for cross-hospital digital medical records carried out by the Department of Health (DOH) of Taiwan in May 2008. The key objective of the core project is to set up a portable data exchange environment in order to enable people to maintain and own their essential health information.This study is aimed at exploring the factors influencing behavior and adoption of USB-based Personal Health Records (PHR) in Taiwan.MethodsQuota sampling was used, and structured questionnaires were distributed to the outpatient department at ten medical centers which participated in the DOH project to establish the information exchange environment across hospitals. A total of 3000 questionnaires were distributed and 1549 responses were collected, out of those 1465 were valid, accumulating the response rate to 48.83%.Results1025 out of 1465 respondents had expressed their willingness to apply for the USB-PHR. Detailed analysis of the data reflected that there was a remarkable difference in the “usage intention” between the PHR adopters and non-adopters (χ2 =182.4, p < 0.001). From the result of multivariate logistic regression analyses, we found the key factors affecting patients’ adoption pattern were Usage Intention (OR, 9.43, 95%C.I., 5.87-15.16), Perceived Usefulness (OR, 1.60; 95%C.I., 1.11-2.29) and Subjective Norm (OR, 1.47; 95%C.I., 1.21-1.78).ConclusionsHigher Usage Intentions, Perceived Usefulness and Subjective Norm of patients were found to be the key factors influencing PHR adoption. Thus, we suggest that government and hospitals should promote the potential usefulness of PHR, and physicians should encourage patients' to adopt the PHR.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors influencing consumer adoption of USB-based Personal Health Records in Taiwan

Jian

Syed-Abdul

Sood

et al. 2012

BMC Health Serv Res

Self Cite

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“…Results of this study showed that data exchange and data sharing methods are issues that could be mentioned in transferring data. Media like USBs, mobiles or data repositories store and keep data and exchange them among the care spectrum using the Internet and online or offline databanks between various service providers (17, 18, 24), while another study recommended presenting data to patients using USBs (31). In a study under the title of “Telehomecare and Reducing Healthcare Expenditures”, Noel et al installed a monitor in patients’ homes for the supervision of nurses in the central station and provided the connection between patient and care provider via video conference.…”

Section: Discussionmentioning

confidence: 99%

Information management flow for tele-homecare for the elderly; An emerging need for continuity of care

Jeddi¹,

Akbari²,

Rasouli³

2017

Electron Physician

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Background and objectivesTele-homecare methods can be used to provide home care for the elderly, if information management is provided. The aim of this study was to compare the places and methods of the data collection and media that use Tele-homecare for the elderly in selected countries in 2015.MethodsA comparative-applied library study was conducted in 2015. The study population were five countries, including Canada, Australia, England, Denmark, and Taiwan. The data collection tool was a checklist based on the objectives of study. Persian and English papers from 1998 to 2014, related to the Electronic Health Record, home care and the elderly were extracted from authentic journals and reference books as well as academic and research websites. Data were collected by reviewing the papers. After collecting data, comparative tables were prepared and the weak and strong points of each case were investigated and analyzed in selected countries.ResultsClinical, laboratory, imaging and pharmaceutical data were obtained from hospitals, physicians’ offices, clinics, pharmacies and long-term healthcare centers. Mobile and tablet-based technologies and personal digital assistants were used to collect data. Data were published via Internet, online and offline databanks, data exchange and dissemination via registries and national databases. Managed care methods were telehealth management systems and point of service.ConclusionFor continuity of care, it is necessary to consider managed care and equipment with regard to obtaining data in various forms from various sources, sharing data with registries and national databanks as well as the Electronic Health Record. With regard to the emergence of wearable technology and its use in home care, it is suggested to study the integration of its data with Electronic Health Records.

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“…With electronic transfer systems, personal health records or transfer documents are electronically recorded in apps or electronic health records (Jian et al . , Nazi et al . ).…”

Section: Discussionmentioning

confidence: 99%

Nursing home nurses’ experiences of resident transfers to the emergency department: no empathy for our work environment difficulties

Tsai

Huang

2016

Journal of Clinical Nursing

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The Taiwanese method for providing patients data from multiple hospital EHR systems

Cited by 28 publications

References 21 publications

Factors influencing consumer adoption of USB-based Personal Health Records in Taiwan

Factors influencing consumer adoption of USB-based Personal Health Records in Taiwan

Information management flow for tele-homecare for the elderly; An emerging need for continuity of care

Nursing home nurses’ experiences of resident transfers to the emergency department: no empathy for our work environment difficulties

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