Using Health Smart Cards to Check Drug Allergy History: The Perspective from Taiwan’s Experiences

Hsu, Min‐Huei; Yen, Ju‐Chuan; Chiu, Wen-Ta; Tsai, Shu‐Ling; Liu, Chien-Tsai; Li, Yu-Chuan

doi:10.1007/s10916-009-9391-5

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…Moreover, because of the catalytic effect of the electronic claiming, many medical institutions started to digitize other functions as well. The promotion of the Health Insurance IC card (Health Smart Card) is another important milestone of eHealth in Taiwan [16]. At the start of the National Health Insurance, paper-based health insurance cards were issued to each insured person.…”

Section: Introductionmentioning

confidence: 99%

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Yen

Chiu

et al. 2015

Computer Methods and Programs in Biomedicine

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Section: Introductionmentioning

confidence: 99%

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Yen

Chiu

et al. 2015

Computer Methods and Programs in Biomedicine

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“…Penicillin G has been the first-line treatment for syphilis for a long time in all global guidelines; however, we cannot ignore that the prevalence of penicillin allergy reported in the United States is approximately 8% to 10%, and might be even higher in developing countries. [25,26] In this situation, US doctors recommend desensitization in consultation with a specialist, whereas Chinese doctors choose alternative, inexpensive drugs that may easily be accepted by patients to avoid the application of penicillin. However, the intense controversy regarding alternatives to penicillin G continues because of a lack of data and research.…”

Section: Discussionmentioning

confidence: 99%

Could lengthening minocycline therapy better treat early syphilis?

Song

Guo²,

Shi³

et al. 2016

Medicine

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Syphilis is a sexually transmitted disease caused by Treponema pallidum. Minocycline, a representative tetracycline derivative, has the greatest antimicrobial activity among all tetracyclines. There are few reports about treating syphilis with minocycline because there is a lack of efficacy data from controlled trials. We compared the rates of serological cure in patients with early syphilis who were treated with minocycline or benzathine penicillin G (BPG).During the study period, a total of 40 syphilis patients received the BPG treatment, which was a single intramuscular dose of 2.4 million units of BPG, and 156 patients were treated with minocycline; 77 patients were placed in the 2-week, standard minocycline therapy group and received 100 mg of minocycline orally, twice daily for 14 days, and 79 patients were placed in the 4-week, lengthened minocycline therapy group and received 100 mg of minocycline orally, twice daily for 28 days. The outcome of interest was the rate of serological cure in these patients.At the end of the 2-year follow-up, the serological cure rate of the 4-week, lengthened minocycline therapy group (87.34%) was higher than that of both the 2-week, standard minocycline therapy group (72.73%) and the BPG treatment group (77.50%). In addition, the curative effect of the 4-week, lengthened minocycline therapy was significantly greater than that of the 2-week, standard minocycline therapy in patients who were aged >40 years; exhibited an initial rapid plasma reagin titer ≥1: 32; or exhibited secondary syphilis (P = 0.000, 0.008, 0.000; <0.05).Minocycline appears to be an effective agent for treating early syphilis, especially when applied as a 4-week, lengthened therapy.

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“…2 As a result, health care providers can use the card as a powerful tool to retain continuity of care. We hold all the cards.…”

Section: Patient-centred Carementioning

confidence: 99%

Rearranging deck chairs

McElroy¹

2010

Canadian Medical Association Journal

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We agree completely with Dr. Hébert's position that performance measurement should be a major priority. 1 He poses the question: "So why do measuring performance and health outcomes elude us?" We suggest an additional reason not mentioned by himmeasuring quality of care is complex because it is a vague concept that means different things to different people. As a result, different groups derive different indicators. Health systems need to be strategic in moving this agenda forward. We recommend four investments, which we predict will have a large and synergistic impact. One, there should be increased investment in information management technologies that can support performance measurement. Two, there needs to be enhanced training of statisticians, epidemiologists, economists, clinicians and managers to use the clinical data to support informed decision-making. Three, there needs to be increased funding to support thoughtful evaluations of innovations designed to improve quality of care. Four, we need to support collaborations among health system institutions. Patient-centred careOur health care system is controlled by the Ministry of Health and the physicians. We hold all the cards. Your editorial "Measuring performance is essential to patient-centred care" 1 emphasizes the importance of a third group: the patients. The most common complaints here in Dufferin County are wait times in doctors' waiting rooms and in the emergency department. Our "fee for service" system rewards the physician but perhaps not always the outcome. So your statement "align funding with performance" cannot be dismissed. Yes, the measurement of performance will not be easy. But it is possible. Our number one priority is to make the start.

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Using Health Smart Cards to Check Drug Allergy History: The Perspective from Taiwan’s Experiences

Cited by 16 publications

References 10 publications

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Building a National Electronic Medical Record Exchange System – Experiences in Taiwan

Could lengthening minocycline therapy better treat early syphilis?

Rearranging deck chairs

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