taiwan
Lee Y-Y et al,
Objectives
Obtaining an accurate medication history upon admission to the hospital can be challenging and time-consuming. This study evaluated the efficacy of a medication reconciliation program, conducted by pharmacists, with the assistance of medication usage data from the Taiwan National Health Insurance (NHI). Characteristics of patients at high risk for drug discrepancies were also determined.
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Published:
11 February 2013 |
Keyword(s): Health Information Technology, Medication Reconciliation, Taiwan
Liang T-H. J Med Internet Res, 14(1)
BACKGROUND
The digital divide usually refers to access or usage, but some studies have identified two other divides: awareness and demand (want). Given that the hierarchical stages of the innovation adoption process of a customer are interrelated, it is necessary and meaningful to analyze the digital divide in eHealth services through three main stages, namely, awareness, want, and adoption.
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Published:
13 February 2012 |
Keyword(s): Adoption, Awareness, Behavior, Digital Divide, e-Health, Taiwan
Chang Y-T et al, International Journal of Medical Informatics, 2011
Background
Nosocomial infections (NIs) are among the important indicators used for evaluating patients’ safety and hospital performance during accreditation of hospitals. NI rate is higher in Intensive Care Units (ICUs) than in the general wards because patients require intense care involving both invasive and non-invasive clinical procedures. The emergence of Superbugs is motivating health providers to enhance infection control measures. Contact behavior between health caregivers and patients is one of the main causes of cross infections. In this technology driven era remote monitoring of patients and caregivers in the hospital setting can be performed reliably, and thus is in demand. Proximity sensing using radio frequency identification (RFID) technology can be helpful in capturing and keeping track on all contact history between health caregivers and patients for example.
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Published:
19 October 2011 |
Keyword(s): Intensive care unit, Nosocomial infections, Proximity sensing, RFID, Taiwan
This paper compares the interoperability approaches of three countries: Taiwan, Denmark and Canada. The work maps out how various countries have addressed the interoperability problems as well as what factors affect decisions and the result, and in what manner.
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Published:
2011 |
Keyword(s): Canada, Denmark, Interoperability, Taiwan
Li S et al, Journal of Medical Systems, 2010
For the aging population and for people with dominant chronic diseases, countries all over the world are promoting an “Aging in Place” program with its primary focus on the implementation of telecare. In 2009, Taiwan held a “Health Care Value-Added Platinum Program” with the goal of promoting the development of “Telecare” services by integrating medical treatment, healthcare, information communication, medical equipments and materials and by linking related cross-discipline professions to enable people to familiarize themselves with preventive healthcare services offered in their household and community environments. In addition, this program can be utilized to effectively provide diversified healthcare service benefitting society as a whole.
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Published:
30 October 2010 |
Keyword(s): Chronic Diseases, Design, Elderly, Implementation, Platform, Service Oriented Architecture, Taiwan, Telecare, Telemedicine
Chen J et al, electronic Journal of Health Informatics, 5(2)
Objective:
The professional benefits of mobile computing and communication devices such as the smartphone promise to alter the delivery of healthcare services. Historically the healthcare industry has trailed other business sectors in the adoption of technology. Yet, it appears that smartphones are increasingly being embraced by healthcare professionals such as physicians and nurses. Thus, the objective of this study was to investigate the potential factors that may affect the adoption of a smartphone by healthcare professionals.
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Published:
9 December 2010 |
Keyword(s): Acceptance, Healthcare professionals, mHealth, mobile, Smart Phone, Taiwan, United States
Jian W et al, Journal of Biomedical Informatics,
Personal Health Record (PHR) systems are growing in popularity and are receiving increased attention from the Biomedical Informatics research community. Information Collection is one PHR research topic and includes system functionality that helps patients retrieve their data from external sources. One of the most potentially useful external sources of information is the data stored in patients’ EHRs at medical institutions. PHR systems that support Information Collection from EHR systems are thus interesting to investigate.
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Published:
29 November 2010 |
Keyword(s): Data Integration, Electronic Health Records, Information collection, Personal Health Records, Taiwan
Huang C et al, BMC Medical Informatics and Decision Making, 10(1)
Background
Internet social networking tools and the emerging web 2.0 technologies are providing a new way for web users and health workers in information sharing and knowledge dissemination. Based on the characters of immediate, two-way and large scale of impact, the internet social networking tools have been utilized as a solution in emergency response during disasters. This paper highlights the use of internet social networking in disaster emergency response and public health management of disasters by focusing on a case study of the typhoon Morakot disaster in Taiwan.
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Published:
6 October 2010 |
Keyword(s): Disaster, Information Sharing, Internet, Knowledge dissemination, Mobile Technology, Public Health, Social Networks, Taiwan, Web 2.0
Hung M, Jen W. Journal of Medical Systems, 2010
As their populations age, many countries are facing the increasing economic pressure of providing healthcare to their people. In Taiwan, this problem is exacerbated by an increasing rate of obesity and obesity-related conditions. Encouraging the adoption of personal health management services is one way to maintain current levels of personal health and to efficiently manage the distribution of healthcare resources. This study introduces Mobile Health Management Services (MHMS) and employs the Technology Acceptance Model (TAM) to explore the intention of students in Executive Master of Business Management programs to adopt mobile health management technology.
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Published:
29 September 2010 |
Keyword(s): Adoption, Health Care, Health Management, mHealth, mobile, Personal Health, Taiwan
Chen J et al, Journal of Medical Systems, 2010
Nowadays, patients usually take more than three drugs for diseases such as hypertension, diabetes, and dyslipidemia. Hence, nuclear medicine physicians should be very careful about the medication history of each patient and ensure that their medication will not cause false positive or false negative imaging results, because either condition will interfere with adequate treatment of the patient and result in a wrong diagnosis. The aim of the present paper is to develop an ontology-based medication search and alert system for scintiphotography of Chang Gung Memorial hospital at Kaohsiung.
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Published:
23 July 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Nuclear medicine, Ontology, Patient Safety, Search, Taiwan
Lin C. Gerontechnology, 9(3)
Telecare is believed to be one of the solutions to keep older people independent and reduce medical costs in an aging society. The government of Taiwan has initiated pilot telecare for homes, communities, and institutions, all based on Taiwan’s excellent National Information Infrastructure (NII). The pilots also promote the development of the local telecare industry and implement Aging-in-Place.
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Published:
June 2010 |
Keyword(s): Elderly, Taiwan, Telecare, Telemedicine
Hsu M et al, Computer Methods and Programs in Biomedicine, 97(3)
The aging population is a global phenomenon. The skyrocketing costs of healthcare and the shortage of healthcare providers will soon become a crucial issue all over the world. Taiwan’s government executed the Taiwan’s Telehealth Pilot Project (TTPP) from July 1, 2008 to December 31, 2008, using healthcare information technology to tackle these problems. The system has three different models, the home-care, the community-care, and the residential-care model to assist the elderly in the pursuit of better healthcare and improved quality of life.
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Published:
22 January 2010 |
Keyword(s): Elderly, Health Information Technology, Long-Term Care, Taiwan, Telemedicine
Cheng P et al, Telemedicine and e-Health, 16(3)
This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day.
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Published:
20 April 2010 |
Keyword(s): Decision Support Systems, Health Information Exchange, Health Information Systems, Taiwan, Web based system
Chen C et al, Journal of Medical Systems, 2010
Discharge summary note is one of the essential clinical data in medical records, and it concisely capsules a patient’s status during hospitalization. In the article, we adopt web-based architecture in developing a new discharge summary system for the Healthcare Information System of National Taiwan University Hospital, to improve the traditional client/sever architecture.
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Published:
5 April 2010 |
Keyword(s): Discharge Summary, Electronic Health Records, Hospital Information Systems, Quality of Health Care, Taiwan
Chen, Wei, and Chien-Chou Shih, Journal of Medical Systems, 2010
Due to increasing occurrence of accidents and illness during business trips, travel, or overseas studies, the requirement for portable EMR (Electronic Medical Records) has increased. This study proposes integrating streaming media technology into the EMR system to facilitate referrals, contracted laboratories, and disease notification among hospitals. The current study encoded static and dynamic medical images of patients into a streaming video format and stored them in a Flash Media Server (FMS). Based on the Taiwan Electronic Medical Record Template (TMT) standard, EMR records can be converted into XML documents and used to integrate description fields with embedded streaming videos.
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Published:
16 February 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Portable, Record exchange, Streaming media, Taiwan, XML
Jen, Wen-Yuan, and Ming-Chien Hung, Telemedicine and e-Health, 16(1)
In an aging society, the issue of increased medical costs troubles both government agencies and families with aging parents. Many elderly people require long-term care, and the medical and financial problems associated with long-term care worry their entire family. Mobile healthcare service (MHS) has been widely applied by medical practitioners and researchers for years. Unfortunately, the elderly often fear both the technology and the cost its use incurs; hence, they seldom actively adopt MHS without the prompting and support of other family members. This study highlights this issue of long-term healthcare for the elderly and extracts the factors affecting their family’s intentions in adopting MHS.
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Published:
13 January 2010 |
Keyword(s): Acceptance, Adoption, Elderly, Mobile Healthcare Service, Taiwan
Chen, Kung et al, International Journal of Medical Informatics, 79(3)
Objectives
Maintaining proper access control to Electronic Medical Records (EMR) is essential to protecting patients’ privacy. We aim to develop mechanisms and tools that can support fine-grained and adaptable access control for EMR.
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Published:
1 February 2010 |
Keyword(s): Access control, Aspect-oriented programming, Electronic Health Records, Electronic Medical Records, Privacy, Taiwan
Tan, Tan-Hsu et al, Journal of Medical Systems, 2009
This work presents a portable Linux-based electrocardiogram (ECG) signals measurement and monitoring system. The proposed system consists of an ECG front end and an embedded Linux platform (ELP). The ECG front end digitizes 12-lead ECG signals acquired from electrodes and then delivers them to the ELP via a universal serial bus (USB) interface for storage, signal processing, and graphic display. The proposed system can be installed anywhere (e.g., offices, homes, healthcare centers and ambulances) to allow people to self-monitor their health conditions at any time. The proposed system also enables remote diagnosis via Internet.
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Published:
14 November 2009 |
Keyword(s): Cardiology, ECG, Internet, Open Source, Portable, Remote Diagnosis, Self-monitoring, Taiwan, USB
Yang T-H et al, Journal of Medical Systems, 35(3)
Many existing healthcare information systems are composed of a number of heterogeneous systems and face the important issue of system scalability. This paper first describes the comprehensive healthcare information systems used in National Taiwan University Hospital (NTUH) and then presents a service-oriented architecture (SOA)-based healthcare information system (HIS) based on the service standard HL7. The proposed architecture focuses on system scalability, in terms of both hardware and software. Moreover, we describe how scalability is implemented in rightsizing, service groups, databases, and hardware scalability.
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Published:
24 September 2009 |
Keyword(s): Health Information Systems, HL7, SOA, Taiwan
Physicians have to deal with a broad range of medical problems in clinical practice, thus making the timely acquisition of relevant information is a critical skill for physicians to improve care quality. The current national study investigates how physicians search for medical information and analyses how they use online medical databases. A structured questionnaire survey was conducted, with 457 valid returns collected. Internet-based resources (Web portals, online databases, and electronic journals) were more often accessed by physicians to look for medical information than personal or paper ones. Almost universally, physicians have accessed online databases. MEDLINE was the most frequently accessed database.
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Published:
September 2009 |
Keyword(s): Evidence-Based Medicine, Hospitals, Information Access, Internet, Medical Information, Physicians, Survey, Taiwan
