Keywords: drawbacks of ehealth, benefits of e health
Introduction:
Information systems created for specific targets. Today, lots of information systems are made to help medical care industry. One of the primary systems is Health Information System, which has made for collecting, storing, handling and providing available patient information important to the medical care delivery system.
One field of health information systems is hospital information system. This system records the patient related data and upgrade the data and make it designed for clinical staff for monitoring the patient and diagnosis and to make treatment decisions by medical center professions.
Designing process:
Information technology has recently changed the ways of services in clinics, and be one of the key things to consider in modern nursing homes, but often bad designed IT alternatives may have problems to communicate with the personnel.
The main purpose of System Design is to produce a complex solution that fulfills the efficient demands for the system. There are several challenges to create a good IT system; organizations in any healthcare items can enhance the implementation process by using the following five elements:
Comprehensive Business Plan: Defines the reason behind taking the duty for the job and the expected results.
Demand administrative Dedication and Authority: Success needs brave control and a full commitment. Once the go-forward decision is manufactured, those who accountable for the treatment of the look process must stand behind the authority.
Set Realistic Objectives: keep away from looking for the extreme solution and attempting to handle all areas of the system simultaneously. The selection may focus on a sequence of expectations involving software performance, with gratifying the medical goals within a reasonable budget.
Secure Operational Ownership of the Job: the supplier has experience; customers have to specify their own vision and demands. The timetable of process and approach to use among customers could be different within an extreme manner.
Lead the Implementation: The pilot site idea allows the company, medical and IT staffs to review procedures, establish future point out workflows, and develop suggestions and techniques.
The absence of any essential factor may leads to medical professional disappointment and less adoption with the system. the machine itself also must fulfill following demands:
- Make connection between care occupations and patients and also their family members.
- It must be beneficial to keep carefully the patent data not limited to diagnosis but also for prevention and maintaining health.
- Easy enough to use by clinical personnel.
- IT will need to have interconnection between other healthcare systems in other hospitals and good care centers.
- The system must be learnable enough and has no considerable mistakes in mailing and receiving data.
Evaluation:
The evaluation commences during program development and can be divided into veriЇcation, validation, evaluation of individuals factors and clinical assessment of specialized medical impact (Engelbrecht et al. 1995; Ohmann & Belenky 1995; Ohmann et al. 1998; see also Van Bemmel & Musen 1997). ,
Verification checks development of the machine according to its speciЇcation and conЇrms reliability, completeness and correctness of the system. Validation checks that the machine performs the tasks for which it's been designed in the real working environment. Analysis of human being factors is the next phase of system evaluation. Even if something has been veriЇed and validated, it can be so clumsily designed that it cannot be included in real life, because using the machine is either too inconvenient or uses a lot of time. [3]
In this part the main thought must be how to evaluate the system continually to make certain that the machine is efficient enough such as good care delivery or cost. It means that the system should not impact the individual data, because any change in patient data may cause bad examination and incorrect treatment delivery, and the machine must be in budget. One essential aspect in analysis is to define correct analysis goals. Without proper goals the evaluation has no sense. The main purposes of evaluation are user-based evaluation for design feedback, which bank checks whether users can perform their careers through the machine or not and makes a responses to system, and User-based analysis for metrics.
Technology Popularity:
Resistance of nursing homes' staff arises when they can not take up IT applications easily, so obstacle in design is to incorporate the ICT to their workflow. Staff members may be afraid to learn new technology, or they may be afraid that the system will eliminate their job, so they insist to keep employed in traditional paper-base system. Additionally, physicians assign multiple reasons why they can not choose ICT systems. Some point out about difficulty, or they are not sufficiently in typing. There are also considering making eye connection with patients. Making interconnection between hospital personnel and their co-workers who are currently using ICT systems, will illustrate that the machine increase physician-patient marriage and also the system does not eliminate hospital staff jobs nonetheless it may cause changes in their workflow.
Training requirements:
In order to teach the personnel, system dealer must develop training materials, training plan and also lead the correct training program for personnel, i. e. perform gross annual workshops to improve the computer and IT knowledge of staff continuously. Clinic training department can assist supplier in expanding and performing this program and can ensure contribution of all users in workout sessions. The training section also should perform computerized training programs for both new arrived nurses and medical doctors to make them ready for the machine that clinic is working with. By this process It is likely medical center will have a favorable response in convincing the personnel.
Advantages and disadvantages with Ehealth system:
After execution an Ehealth system some advantages and disadvantages may identified when comparing the system to paper-based documentation.
Ehealth system advantages:
- reduces personnel stress.
- makes a competent and accessible patient record.
- Time cutting down and reducing indirect works, that contributes to more direct care and attention delivery.
- Causes keeping staff in their ownership and bringing in them.
Ehealth system disadvantages:
- changes communication operations with staff.
- training of staff is quite time-consuming.
Conclusion:
In final result, a good Ehealth information system must concentrate on providing information and services to ensure the best results for the individual care. There is a strong demand for utilizing personnel with health informatics skills to supervise this technique and to keep carefully the management part of the hospital in a higher standard level because these workers will play an important role in the machine design, system execution and evaluation of the machine.
Discussion:
References:
[1]Development and Analysis of Information Systems for Shared Homecare(ISABELLA SCANDURRA)
[2]acceptance---
[3]----full text----evaluation
[7] J. K. H. Tan, Health Management information Systems; Methods and useful Applications. 2001.
