finland
Heiro E, Mäntymäki M. Health and Technology, 2012
The health care sector is highly data and information intensive. For clinicians, efficient management of information is a key resource. Patient-specific medication information is one of the essential parts of information used to support the clinical decision-making. This multi-method study at hand combines qualitative and quantitative data to investigate Finnish physicians’ perceptions of EPRs and their use, mainly focusing on the management of medication information. Based on the empirical material, the EPRs had an important role in clinical practice, and the physicians used them in managing patients’ medication information.
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Published:
23 April 2012 |
Keyword(s): Electronic Health Records, Finland, Medication information, Physicians
Viitanen J et al, International Journal of Medical Informatics, 2011
Objective
In the health informatics field, usability studies typically focus on evaluating a single information system and involve a rather small group of end-users. However, little is known about the usability of clinical information and communication technology (ICT) environment in which healthcare professionals work daily. This paper aims at contributing to usability research and user-oriented development of healthcare technologies with three objectives: inform researchers and practitioners about the current state of usability of clinical ICT systems, increase the understanding of usability aspects specific for clinical context, and encourage a more holistic approach on studying usability issues in health informatics field.
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Published:
23 July 2011 |
Keyword(s): Electronic Health Records, Evaluation, Finland, Medical Informatics, Patient Care, Questionnaires, Usability, User-Computer Interface
Puustjarvi J, Puustjarvi L. International Journal of Electronic Healthcare, 6(1)
Patient-centred healthcare subscribes to the belief that the patient has strengths, values and experiences that are important in the healthcare experience and relationship between those providing care and the patient. It requires patients to have the ability to obtain and understand health information, and make appropriate health decisions. The main problem here is that though the e-health applications provide patients and consumer with access to health information, each application is still individually used and the used and produced information remains within each system.
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Published:
2011 |
Keyword(s): Finland, information-therapy, Interoperability, Knowledge Management, Ontology, Personal Health, Personal Health Records, Semantic Interoperability
Winblad I et al, Telemedicine and e-Health, 17(2)
Objective:
Considerable expectations have been placed on information and communication technology (ICT) in improving the processes and quality of healthcare. Our purpose was to find out which element is found positive in healthcare ICT implementation.
Materials and Methods:
An online questionnaire on e-Health implementation submitted to all Finnish public health service providers and a sample from the private sector included an open question about which the electronic working methods, systems, or applications have most positively influenced the fluency or quality of service processes.
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Published:
8 March 2011 |
Keyword(s): Electronic Health Records, Finland, Health Information Technology, Implementation, Medical Informatics, PACS, Telemedicine, Teleradiology
Häyrinen K, Saranto K. MEDINFO 2010
The purpose of this study is to describe and discuss physicians’ and nurses’ documentation of the patient’s needs assessment in electronic health records (EHR) in the neurological care setting. Both physicians and nurses collect, record and interpret data during patient care episodes. Assessment of patient’s need for care and treatment is an important part of the care process. Planning, implementation and outcome assessment of the care process are based on needs assessment data. The data of this study consist of 48 neurological medical narratives and nursing care plans. The data were analyzed using descriptive statistics and content analysis.
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Published:
2010 |
Keyword(s): Documentation, Electronic Health Records, Finland, Medical Informatics, Medical Record Systems, Narrative, Neurology, Nursing Informatics
Mäkelä K et al, Telemedicine and e-Health, 16(10)
We investigated factors that could govern the use and user competence of electronic patient record (EPR) systems used in Finnish primary healthcare in the county of South Ostrobothnia. A structured questionnaire was sent to 400 health center (HC) staff (general practitioner, nurse, and clerical) from eight HCs. The questions dealt with Information Technology (IT) management, use, and potential problems with EPR and user EPR training within the HC. The response rate to the questionnaire was 79%. This study shows that there are large differences in working practices and in the way EPR systems are managed and utilized in the primary care organizations studied.
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Published:
8 November 2010 |
Keyword(s): Electronic Health Records, Finland, Information Technology, Primary Care
Pinciroli F et al, ElectronicHealthcare, 9(3)
The diffusion of smart cards within the health field is common in many countries and regions throughout the world. Italy’s Regione Lombardia enjoys one of the more successful applications of health information technology in Europe, and the current state of its accomplishments is examined in this article.
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Published:
29 September 2010 |
Keyword(s): Austria, Belgium, Consent, Data Protection, e-Referral, Electronic Prescribing, Finland, France, Germany, Insurance, Italy, Slovenia, Smart Card, Spain
Häyrinen K, et al, International Journal of Medical Informatics, 2010
Purpose
The purpose of this study was to describe and evaluate whether nurses have documented patient care in compliance with the national nursing documentation model in electronic health records, which means the use of the nursing process and the use of standardized terminology in different phases of the nursing process.
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Published:
1 June 2010 |
Keyword(s): Classification, Electronic Health Records, Electronic nursing documentation, Evaluation, Finland, Terminology
Lammintakanen, Johanna et al, International Journal of Medical Informatics, 2010
Purpose
The purpose of this study is to describe nurse managers’ perceptions of the use of electronic information systems in their daily work. Several kinds of software are used for administrative and information management purposes in health care organizations, but the issue has been studied less from nurse managers’ perspective.
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Published:
8 March 2010 |
Keyword(s): Finland, Information Systems, Management, MeSH, Nursing
Alasaarela, Esko, International Journal of Electronic Healthcare, 5(2)
Wireless solutions are a good choice for healthcare development in Finland. A survey of 135 experts in Finland show that (1) the competences needed for developing wireless solutions exist (2) the Finnish healthcare system is integrated enough and (3) the technology industry in this area is too weak for global marketing.
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Published:
2009 |
Keyword(s): e-Health, Finland, mHealth, Wireless
Laippala, Veronika et al, International Journal of Medical Informatics, 78(12)
Introduction
In this paper, we present steps taken towards more efficient automated processing of clinical Finnish, focusing on daily nursing notes in a Finnish Intensive Care Unit (ICU). First, we analyze ICU Finnish as a sublanguage, identifying its specific features facilitating, for example, the development of a specialized syntactic analyser. The identified features include frequent omission of finite verbs, limitations in allowed syntactic structures, and domain-specific vocabulary. Second, we develop a formal grammar and a parser for ICU Finnish, thus providing better tools for the development of further applications in the clinical domain.
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Published:
20 March 2009 |
Keyword(s): Finland, Intensive Care Units, Narrative, Nursing Narratives, Parser
Merilahti, Juho et al, J Telemed Telecare, 15(6)
We developed a system consisting of both wearable and ambient technologies designed to monitor personal wellbeing for several months during daily life. The variables monitored included bodyweight, blood pressure, heart-rate variability and air temperature. Two different user groups were studied: there were 17 working-age subjects participating in a vocational rehabilitation programme and 19 elderly people living in an assisted living facility. The working-age subjects collected data for a total of 1406 days; the average participation period was 83 days (range 43-99). The elderly subjects collected data for a total of 1593 days; the average participation period was 84 days (range 19-107). Usage, technical feasibility and usability of the system were also studied.
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Published:
1 September 2009 |
Keyword(s): Ambient, Elderly, Finland, Rehabilitation, Telemedicine, Telemonitoring, Wearable
Vuononvirta, Tiina et al, J Telemed Telecare, 15(6)
A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland. During the period 2004-2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals’ attitudes toward telehealth and to see how the attitudes were connected to telehealth usage.
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Published:
1 September 2009 |
Keyword(s): Attitude of Health Personnel, Diabetes, Education, Finland, Networks, Teleconsultation, Telehealth, Telemedicine
Lähteenmäki, Jaakko et al, eHealth International Journal, 5(1)
Telemedicine is gaining popularity due to its high potential for cost savings and increased efficiency in healthcare delivery. However, most telemedicine systems available in the markets are limited to particular applications and lack interoperability with other information systems and measurement devices. In this paper, we present a generic service platform, which is applicable in a wide range of telemedicine applications and in other areas involving the need for confidential information exchange. The platform particularly addresses the security challenges in the case when the information technology (IT) is outsourced to an external company.
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Published:
March 2009 |
Keyword(s): Applications, Finland, Interoperability, Platform, Semantic Interoperability, Telemedicine
Hailey, David et al, J Telemed Telecare, 15(1)
Telepsychiatry is well established in many countries, but there is still little information about its use in routine health care. We reviewed the literature for information on the use of telepsychiatry in mental health services. From 1033 publications identified in the literature search and through references from a separate project, 16 studies or descriptions of the routine use of telepsychiatry services were selected for further review. Eleven of these articles dealt primarily with videoconferencing and five with telephone- based services.
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Published:
January 2009 |
Keyword(s): Canada, Finland, Mental Health, Telemedicine, Telepsychiatry, Videoconferencing
Nikkanen, Tuula et al, J Telemed Telecare, 14(6)
We studied a new teamwork-based teleconsultation model for treating patients with diabetes, where a specialist in diabetes care, a diabetes nurse and a patient attended by videoconference. The study series consisted of all the patients (n = 101) at three health centres in northern Finland whose care was provided by a single physician at a remote diabetes clinic. A total of 101 patients with diabetes (19 of type 1 and 82 of type 2) were studied at baseline and at 10-14 months after the first consultation.
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Published:
September 2008 |
Keyword(s): Diabetes Mellitus Type 2, Finland, Patient Satisfaction, Quality of Health Care, Teleconsultation, Videoconferencing
Ohinmaa, Arto et al, J Telemed Telecare, 14(5)
The utilization of telemental health (TMH) services in Finland was surveyed in 2006. In total, 135 health-care units provided responses. Eighty-four responses were received from primary care units (health-care centres and clinics) and eight from other clinics, in all hospital districts. The overall rate of TMH consultations was 4 per 100,000 population. The highest TMH consultation per population ratio, 22 per 100,000, was in northern Finland. Most of the sites used telepsychiatry services for less than 10% of clinical outpatient services.
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Published:
July 2008 |
Keyword(s): Finland, Mental Disorders, Mental Health, Survey, Telemedicine, Videoconferencing
Ruotsalainen, Pekka et al, Medical and Care Compunetics 5, 2008
The strategy for utilizing information technology in the field of social welfare and health care in Finland was published in 1996. It was redefined in the year 2006. This updated strategy defined basic principles how digitized EHRs should be stored, accessed, disclosed and archived. The strategy together with new legislation opened the right to patients and citizens to access their own EHRs, ePrescriptions and audit-logs via the Internet. A national WEB-service platform forms the base for both public and private eHealth applications.
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Published:
June 2008 |
Keyword(s): Artificial Intelligence, Computer Security, Consent, Consumer Health Information, Electronic Health Records, Electronic Prescribing, Finland, Health Plan Implementation, Internet, Patient Record Access, Public Policy
