oru.sePublications
Change search
Refine search result
1 - 5 of 5
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Hägglund, Maria
    et al.
    Scandurra, Isabella
    Centre for eHealth, Uppsala University, Uppsala, Sweden.
    Studying intersection points – an analysis of information needs in shared homecare of elderly2009In: Journal on Information Technology in Healthcare, ISSN 1479-649X, The journal on information technology in healthcare, ISSN 1479-649X, Vol. 7, no 1, p. 23-42Article in journal (Refereed)
    Abstract [en]

    Objectives: Elderly patients are increasingly receiving care in their own homes but this process is not well supported by existing systems which suffer from limited integration of health and social care services. The result is fragmentation of care, lack of coordination between services, duplication of services, and limited participation of patients and informal carers in the care process. In this study we attempt to identify the key intersection points, i.e. where different actors involved in the homecare of elderly patients interact, and to analyse their individual information requirements. How these requirements can be met using information and communication technology (ICT) is discussed.

    Methods: The study involved 13 participants representing professional health and social careworkers, patients and relatives. Their interactions and information needs were obtained using a variety of methods including multi-disciplinary thematic seminars, participatory observations, interviews, inventory of current information systems, scenarios, sketching and prototyping. 

    Results: The key intersection points where information exchange between different actors isneeded are (i) Initiation of patient specific changes in homecare provision, (ii) Consultations, (iii) Delegation of duties, (iv) Referrals, (v) Important health events and general care (vi) Coordination of planned activities. Shared information objects which would be beneficial include(i) Contact information of all parties, (ii) Patient care plan, (iii) Patient's medication list, (iv) Risk factors, (v) Updates to medical records, (vi) Patient medical summaries, (vii) Patient centred calendar (viii) Assessment of their homecare needs. An ICT solution implemented to meet these requirements must be integrated with existing systems to minimise any additional work that staff will have to do and also address major issues such as security, design of mobile applications (including both interface design and synchronisation issues), interoperability and ethical and legal aspects. 

    Conclusion: This study has identified the information that needs to be shared at key intersection points between different actors involved in providing homecare for the elderly. It has also indicated how this information can be made available through ICT and highlighted the challenges that will have to be overcome in order to support patient centred care.

  • 2.
    Hägglund, Maria
    et al.
    Department of Medical Sciences, Biomedical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Scandurra, Isabella
    Department of Medical Sciences, Biomedical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Koch, Sabine
    Department of Medical Sciences, Biomedical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Integrated Care Plan for Shared Home Care: the technical architecture2005In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 3, no 5, p. 287-294Article in journal (Refereed)
    Abstract [en]

    The move towards decentralising healthcare services from traditional care settings towards home care has produced new requirements for care planning and documentation of procedures performed in the home environment. To meet these requirements, a virtual care plan (VCP) has been developed that gives both district nurses and home help service personnel (HHS) access to their respective care plans in a mobile work situation. In this paper we present the technical architecture of this VCP, and describe how it integrates information from different feeder systems and allows for documentation at the point of care (POC) using mobile devices.

  • 3.
    Scandurra, Isabella
    et al.
    Medical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Hägglund, Maria
    Medical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Koch, Sabine
    Medical Informatics and Engineering, Uppsala University, University Hospital, Uppsala, Sweden.
    Specific demands for developing ICT systems for shared home care: a user centred approach2005In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 3, no 5, p. 279-285Article in journal (Refereed)
    Abstract [en]

    When different care professionals are involved in patient care without proper coordination, the care process may not be meaningfully integrated. To address this issue we have analysed the specific demands for shared home care employing a user-centred system development method and working in close cooperation with district nurses, home helpers and general practitioners. Through this experience we have gained insight into the specific demands that should be taken into consideration when developing information communication technology (ICT) systems for shared home care. This paper describes these requirements and also how a user-centred system engineering approach can assist in improving cooperation in shared home care.

  • 4.
    Scandurra, Isabella
    et al.
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Moström, Dennis
    XLENT technology.
    Koch, Sabine
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Heuristic Evaluation Extended by User Analysis: A fast and efficient method to identify Potential Usability Problems in Health Information Systems2006In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 4, no 5, p. 317-325Article in journal (Refereed)
    Abstract [en]

    Heuristic evaluation is a usability testing method for computer software that helps to identify usability problems in the user interface (UI) design. It specifically involves evaluators examining the interface and judging its compliance with recognised usability principles (the "heuristics"). Despite the benefits of this practice, to our knowledge formal heuristic evaluation is rarely performed for healthcare software applications, and particularly for those used in home care. In this paper we present a heuristic evaluation aimed at improving the usability of a virtual health record used by district nurses in home care. A user analysis was added to the conventional evaluation, defining specific characteristics of district nurses in home care, e.g. expertise, skills, knowledge, cognitive capacities and frequency of system use. The evaluation was performed by 6 people, half of which had both heuristic evaluation experience and medical domain knowledge. The evaluators used 10 heuristics to categorise heuristic violations and usability problems. Fifty-eight heuristic violations and 44 usability problems were identified. Based on a scale of 1 (cosmetic) to 4 (catastrophic) the average severity ratings of all heuristic violations identified was 1.78. The most frequently violated were "Consistency and Standards" for novice users and "Flexibility and efficiency of use" for Experienced users. The most severe violations were found in "Visibility of system status". The results of our study indicate that heuristic evaluation combined with user analysis provides a richer assessment than heuristic evaluation alone for the development of Health Information Systems where heterogeneous user groups are common.

  • 5.
    Scandurra, Isabella
    et al.
    Centre for eHealth, Uppsala University, Sweden.
    Moström, Dennis
    Hägglund, Maria
    Introducing a Mobile ICT system in Homecare: Evaluation of a Socio-technical Implementation Process 2008In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 6, no 5, p. 356-366Article in journal (Refereed)
1 - 5 of 5
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf