Are we comparing Apples with Oranges?The Pitfalls of Comparing Psychiatric Rehospitalisation Rates Derived from Routine Health Care Data.Christa Straßmayr, Heinz Katschnig, Florian Endel, IMEHPS research
Psychiatric readmissions and their association with physical comorbidity variables: A systematic literature review. Lilijana Šprah, Mojca Zvezdana Dernovšek, Research Centre of the Slovenian Academy of Sciences and Arts, Ljubljana
This document summarizes a systematic review of pre-discharge factors associated with readmission after psychiatric hospitalization. The review identified 59 studies meeting inclusion criteria. Several patient characteristics were analyzed as potential predictors of readmission, including demographic factors, clinical diagnoses and history, and length of hospital stay. Length of stay and history of prior admissions most consistently predicted increased readmission risk across studies. However, results were not always consistent and many relationships require further investigation.
SNIIRAM: PRIMARY AND SECONDARY CARE RESOURCE USE IN FRANCEZoe Mitchell
This document summarizes information from the SNIIRAM database in France. It discusses:
- SNIIRAM is a national database containing medical claims data from primary, secondary, and tertiary care.
- It allows linkage of data between different levels of care to study patient pathways.
- Examples of studies using SNIIRAM data include analyzing inhaled corticosteroid use patterns in asthma patients, comparing effectiveness of allergen immunotherapy in children with rhinitis, and assessing montelukast's impact on asthma control in infants.
This document discusses Denmark's national health registries and their use for epidemiological research. It notes that Denmark assigns unique personal identification numbers to all citizens, allowing accurate linkage between various health registries. This enables large population-based cohort studies with long-term follow up. The registries contain information on healthcare utilization, prescriptions, and diagnoses. Several studies are described that use the registries to study topics like MMR vaccination and autism, quality of diabetes care, and blood pressure control. Challenges with using registry data include ensuring validity of diagnoses and missing data. However, strengths include no selection bias, large sample sizes, and prospectively collected data.
Hungary is situated in the heart of CEE and has 10 million inhabitantsAttila L?rinczi M.D.
Hungary has over 10 million inhabitants and conducts around 300 new clinical trials annually. It is an advantageous location for clinical trials due to its favorable EU-harmonized legislation, quality human resources, centralized healthcare system, and drug naive patients. Patient recruitment in Hungary is typically three to four times faster than in Western countries, as Hungarian patients are highly motivated to participate in trials for access to new treatments. Clinical trials also provide patients with excellent medical care. Healthcare professionals in Hungary adhere closely to study protocols and Good Clinical Practice guidelines, resulting in fewer deviations and lower dropout rates of less than 5%. The Hungarian government also offers incentives for biotech and pharmaceutical companies to conduct research in Hungary.
The document discusses the importance of global health information systems and challenges in building sustainable systems in resource-constrained countries. It highlights issues such as lack of integrated interventions and siloed disease-specific systems. It also outlines opportunities for librarians and universities to help address gaps through educational programs, research, and training the next generation of health informatics professionals.
Psychiatric readmissions and their association with physical comorbidity variables: A systematic literature review. Lilijana Šprah, Mojca Zvezdana Dernovšek, Research Centre of the Slovenian Academy of Sciences and Arts, Ljubljana
This document summarizes a systematic review of pre-discharge factors associated with readmission after psychiatric hospitalization. The review identified 59 studies meeting inclusion criteria. Several patient characteristics were analyzed as potential predictors of readmission, including demographic factors, clinical diagnoses and history, and length of hospital stay. Length of stay and history of prior admissions most consistently predicted increased readmission risk across studies. However, results were not always consistent and many relationships require further investigation.
SNIIRAM: PRIMARY AND SECONDARY CARE RESOURCE USE IN FRANCEZoe Mitchell
This document summarizes information from the SNIIRAM database in France. It discusses:
- SNIIRAM is a national database containing medical claims data from primary, secondary, and tertiary care.
- It allows linkage of data between different levels of care to study patient pathways.
- Examples of studies using SNIIRAM data include analyzing inhaled corticosteroid use patterns in asthma patients, comparing effectiveness of allergen immunotherapy in children with rhinitis, and assessing montelukast's impact on asthma control in infants.
This document discusses Denmark's national health registries and their use for epidemiological research. It notes that Denmark assigns unique personal identification numbers to all citizens, allowing accurate linkage between various health registries. This enables large population-based cohort studies with long-term follow up. The registries contain information on healthcare utilization, prescriptions, and diagnoses. Several studies are described that use the registries to study topics like MMR vaccination and autism, quality of diabetes care, and blood pressure control. Challenges with using registry data include ensuring validity of diagnoses and missing data. However, strengths include no selection bias, large sample sizes, and prospectively collected data.
Hungary is situated in the heart of CEE and has 10 million inhabitantsAttila L?rinczi M.D.
Hungary has over 10 million inhabitants and conducts around 300 new clinical trials annually. It is an advantageous location for clinical trials due to its favorable EU-harmonized legislation, quality human resources, centralized healthcare system, and drug naive patients. Patient recruitment in Hungary is typically three to four times faster than in Western countries, as Hungarian patients are highly motivated to participate in trials for access to new treatments. Clinical trials also provide patients with excellent medical care. Healthcare professionals in Hungary adhere closely to study protocols and Good Clinical Practice guidelines, resulting in fewer deviations and lower dropout rates of less than 5%. The Hungarian government also offers incentives for biotech and pharmaceutical companies to conduct research in Hungary.
The document discusses the importance of global health information systems and challenges in building sustainable systems in resource-constrained countries. It highlights issues such as lack of integrated interventions and siloed disease-specific systems. It also outlines opportunities for librarians and universities to help address gaps through educational programs, research, and training the next generation of health informatics professionals.
Auditing Medication errors in hospitalised patients at Chiradzulu and QECH Ho...Samson Rangford Chilambe
A proposal for Pharmacy year undergraduate research study for Samson Chilambe and Frank Chadewa. The proposal was approved by the COMREC hence the study was conducted at a small scale level in . Should funding be there, it shall be conducted at larger scale.
The document discusses integrated communicable disease surveillance and efforts towards integration in several countries in the Eastern Mediterranean region. It notes that integrated surveillance allows for more efficient data collection, analysis, and response across disease programs. Several countries are making progress on establishing integrated electronic platforms and national surveillance systems through partnerships with international organizations. Fully implementing integrated surveillance remains an ongoing challenge that requires resources, training, and political commitment over the long term.
The Integrated Disease Surveillance Project (IDSP) aims to establish a decentralized disease surveillance system in India to improve disease control. It integrates existing surveillance programs, coordinates surveillance activities, and establishes quality data collection, analysis, and feedback using information technology. The IDSP covers diseases like malaria, acute diarrheal diseases, tuberculosis, and measles. It is implemented in phases across states and union territories of India and involves strengthening laboratories, training health professionals, and creating an IT network to link surveillance sites. The goal is to provide data to enable efficient public health decision making and interventions for priority diseases.
Coauthors: Ms Christa Maria Joel and Ms Meera Ann John
Supervisors: Dr Saurabh Kumar
Department of Community Medicine
Father Muller Medical College
3rd Year MBBS
Developing the health examination protocol for asylum seekers in FinlandTHL
Natalia Skogberg's presentation about the national development project TERTTU, which aims to develop the health examination protoco for asylum seekers in Finland.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Adrian Towse outlined four priorities for his term as ISPOR President: 1) continuing globalization of ISPOR; 2) responding to growing payer demand for evidence of value; 3) raising HEOR scientific standards; and 4) supporting the next generation of researchers. He noted that ISPOR must anticipate diverse health systems' different challenges and respond to their needs by breaking out of narrow perspectives. Providing efficient healthcare globally requires understanding decision-making in different countries and using tools like HTA to support universal coverage in a way that incentivizes better outcomes and performance measurement.
Study of substance abuse among medical students Murali Prasath
The study aimed to estimate the prevalence of substance abuse among medical students in a private college in Southern India. A survey of 300 randomly selected students found that 37% had used alcohol, 12% smoked, and 8% had used drugs. The most common reasons for substance abuse were fun (36%) and stress relief (40%). The results suggest the need for intervention programs to promote healthy lifestyle practices among medical students.
This document is a resume for Dr. Abdul Jamil Choudhry. It outlines his education, positions held, relevant experience, skills, academic honors, and research projects. Some key details include:
- He has over 30 years of experience in epidemiology, public health, teaching, and research in Pakistan and Saudi Arabia.
- Positions held include roles as a consultant epidemiologist, professor, and head of departments in Pakistan and Saudi Arabia.
- Relevant experience includes conducting epidemiological investigations, surveillance, data management and analysis, disease control, teaching, and research coordination.
- He has extensive experience in epidemiology, public health, and teaching at both the undergraduate and postgraduate levels
A decentralized system of disease surveillance for timely and effective public health action with a focus on functional integration of surveillance components of various vertical programmes.
Crowd sourced health care studies have implications for the pharmaceutical industry. They can shorten study time, facilitate recruitment of rare disease patients over wide areas, and lower costs compared to traditional studies. However, they also have critiques including lack of verification of data and need for oversight of study design, bias, and funding. Crowd sourced studies are classified as researcher-organized like PatientsLikeMe which collects self-reported data, or participant-organized like Genomera where individuals self-track data. They have applications to pharma like post-market surveillance, comparative studies, and discovering variances in drug response to facilitate personalized medicine.
Early Warning And Reporting System (EWARS) in NepalPublic Health
The Early Warning and Reporting System (EWARS) is a hospital-based sentinel surveillance system in Nepal that monitors six priority infectious diseases. EWARS was established in 1997 with 8 sentinel sites and has since expanded to 118 sites including central, provincial, and district hospitals. The main objectives of EWARS are to strengthen disease information flow and facilitate prompt outbreak response. Sentinel sites report disease data weekly or immediately to the Epidemiology and Disease Control Division, which analyzes trends, provides feedback, and coordinates rapid response teams if an outbreak is detected.
Integrated Disease Surveillance ProjectSandeep Das
The document describes India's Integrated Disease Surveillance Project (IDSP), which aims to establish a decentralized, district-based system for surveillance of communicable and non-communicable diseases. Key elements of IDSP include integrating existing surveillance activities, strengthening public health laboratories, using information technology, and developing human resources for surveillance and response at the district, state, and national levels. IDSP collects surveillance data on various diseases through syndromic, presumptive, and confirmed case reporting. Data flows from the district to state and national levels to allow for analysis and coordinated response.
The document discusses two examples of using linked administrative data to drive innovation in aging societies. The Western Australian Data Linkage System links over 30 health databases to analyze outcomes like rates of adverse drug reactions in the elderly. Analysis showed reaction rates were double what medical coding showed and identified inappropriate medications linked to hospitalizations. The Institute of Urban Indigenous Health used linked data to measure outcomes of chronic disease interventions, calculate cost savings, and conduct geographic planning to improve access to care.
International Medical Corps (IMC) conducted an assessment of the tuberculosis (TB) situation in Chechnya and Ingushetia, areas of the North Caucasus with high TB burdens. The assessment found serious gaps in TB control services including understaffing, inadequate testing facilities, and a lack of adherence to treatment standards. Only 12.8-10.8% of TB cases were being detected by primary care in recent years. IMC is working with local ministries of health to strengthen TB control services, improve early detection training, and mobilize community health activists to help manage TB treatment adherence. If left unaddressed, the epidemiological factors present could lead to a major TB epidemic in the region.
Surveillance involves the ongoing collection and analysis of disease data to inform prevention and control measures. In Nepal, disease surveillance occurs through both routine monthly HMIS reporting from all health facilities, as well as sentinel surveillance through the Early Warning and Response System (EWARRS) which collects weekly data from selected sites. EWARRS focuses on priority diseases like polio, measles, neonatal tetanus, malaria, kala azar, and Japanese encephalitis to allow for early detection and response to outbreaks. The data collected through these surveillance systems are used for monitoring disease trends, outbreak detection, evaluating health services, and informing public health policies and programs.
Presentation of original research given at the Disaster Information Symposium held at the National Institutes of Health, Bethesda MD on March 29-30th, 2011
The National Mental Health Programme is a programme run by the Ministry of Health and Family Welfare (MoHFW) under the National Health Mission (NHM). This presentation deals with the rationale behind setting up this programme, and also has a critical appraisal of this programme.
Cardiovascular Health Research Training and Mentorship in ArgentinaLisandro Colantonio
1) Health research in Argentina is conducted with public funds and at universities, but there is minimal training in epidemiology and clinical research methods.
2) Formal education programs in epidemiology and clinical research are lacking, though some management and health policy master's programs exist. Local research funding is limited and does not typically cover training.
3) International research training opportunities aim to build capacity, and include formal mentoring. Pursuing independence as a researcher requires obtaining a PhD, engaging in advocacy, and balancing multiple paid and unpaid activities.
Psychiatric readmissions and their association with environmental and health system characteristics: A systematic review of the literature.Jorid Kalseth, Eva Lassemo SINTEF Health Research, Norway
Auditing Medication errors in hospitalised patients at Chiradzulu and QECH Ho...Samson Rangford Chilambe
A proposal for Pharmacy year undergraduate research study for Samson Chilambe and Frank Chadewa. The proposal was approved by the COMREC hence the study was conducted at a small scale level in . Should funding be there, it shall be conducted at larger scale.
The document discusses integrated communicable disease surveillance and efforts towards integration in several countries in the Eastern Mediterranean region. It notes that integrated surveillance allows for more efficient data collection, analysis, and response across disease programs. Several countries are making progress on establishing integrated electronic platforms and national surveillance systems through partnerships with international organizations. Fully implementing integrated surveillance remains an ongoing challenge that requires resources, training, and political commitment over the long term.
The Integrated Disease Surveillance Project (IDSP) aims to establish a decentralized disease surveillance system in India to improve disease control. It integrates existing surveillance programs, coordinates surveillance activities, and establishes quality data collection, analysis, and feedback using information technology. The IDSP covers diseases like malaria, acute diarrheal diseases, tuberculosis, and measles. It is implemented in phases across states and union territories of India and involves strengthening laboratories, training health professionals, and creating an IT network to link surveillance sites. The goal is to provide data to enable efficient public health decision making and interventions for priority diseases.
Coauthors: Ms Christa Maria Joel and Ms Meera Ann John
Supervisors: Dr Saurabh Kumar
Department of Community Medicine
Father Muller Medical College
3rd Year MBBS
Developing the health examination protocol for asylum seekers in FinlandTHL
Natalia Skogberg's presentation about the national development project TERTTU, which aims to develop the health examination protoco for asylum seekers in Finland.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Adrian Towse outlined four priorities for his term as ISPOR President: 1) continuing globalization of ISPOR; 2) responding to growing payer demand for evidence of value; 3) raising HEOR scientific standards; and 4) supporting the next generation of researchers. He noted that ISPOR must anticipate diverse health systems' different challenges and respond to their needs by breaking out of narrow perspectives. Providing efficient healthcare globally requires understanding decision-making in different countries and using tools like HTA to support universal coverage in a way that incentivizes better outcomes and performance measurement.
Study of substance abuse among medical students Murali Prasath
The study aimed to estimate the prevalence of substance abuse among medical students in a private college in Southern India. A survey of 300 randomly selected students found that 37% had used alcohol, 12% smoked, and 8% had used drugs. The most common reasons for substance abuse were fun (36%) and stress relief (40%). The results suggest the need for intervention programs to promote healthy lifestyle practices among medical students.
This document is a resume for Dr. Abdul Jamil Choudhry. It outlines his education, positions held, relevant experience, skills, academic honors, and research projects. Some key details include:
- He has over 30 years of experience in epidemiology, public health, teaching, and research in Pakistan and Saudi Arabia.
- Positions held include roles as a consultant epidemiologist, professor, and head of departments in Pakistan and Saudi Arabia.
- Relevant experience includes conducting epidemiological investigations, surveillance, data management and analysis, disease control, teaching, and research coordination.
- He has extensive experience in epidemiology, public health, and teaching at both the undergraduate and postgraduate levels
A decentralized system of disease surveillance for timely and effective public health action with a focus on functional integration of surveillance components of various vertical programmes.
Crowd sourced health care studies have implications for the pharmaceutical industry. They can shorten study time, facilitate recruitment of rare disease patients over wide areas, and lower costs compared to traditional studies. However, they also have critiques including lack of verification of data and need for oversight of study design, bias, and funding. Crowd sourced studies are classified as researcher-organized like PatientsLikeMe which collects self-reported data, or participant-organized like Genomera where individuals self-track data. They have applications to pharma like post-market surveillance, comparative studies, and discovering variances in drug response to facilitate personalized medicine.
Early Warning And Reporting System (EWARS) in NepalPublic Health
The Early Warning and Reporting System (EWARS) is a hospital-based sentinel surveillance system in Nepal that monitors six priority infectious diseases. EWARS was established in 1997 with 8 sentinel sites and has since expanded to 118 sites including central, provincial, and district hospitals. The main objectives of EWARS are to strengthen disease information flow and facilitate prompt outbreak response. Sentinel sites report disease data weekly or immediately to the Epidemiology and Disease Control Division, which analyzes trends, provides feedback, and coordinates rapid response teams if an outbreak is detected.
Integrated Disease Surveillance ProjectSandeep Das
The document describes India's Integrated Disease Surveillance Project (IDSP), which aims to establish a decentralized, district-based system for surveillance of communicable and non-communicable diseases. Key elements of IDSP include integrating existing surveillance activities, strengthening public health laboratories, using information technology, and developing human resources for surveillance and response at the district, state, and national levels. IDSP collects surveillance data on various diseases through syndromic, presumptive, and confirmed case reporting. Data flows from the district to state and national levels to allow for analysis and coordinated response.
The document discusses two examples of using linked administrative data to drive innovation in aging societies. The Western Australian Data Linkage System links over 30 health databases to analyze outcomes like rates of adverse drug reactions in the elderly. Analysis showed reaction rates were double what medical coding showed and identified inappropriate medications linked to hospitalizations. The Institute of Urban Indigenous Health used linked data to measure outcomes of chronic disease interventions, calculate cost savings, and conduct geographic planning to improve access to care.
International Medical Corps (IMC) conducted an assessment of the tuberculosis (TB) situation in Chechnya and Ingushetia, areas of the North Caucasus with high TB burdens. The assessment found serious gaps in TB control services including understaffing, inadequate testing facilities, and a lack of adherence to treatment standards. Only 12.8-10.8% of TB cases were being detected by primary care in recent years. IMC is working with local ministries of health to strengthen TB control services, improve early detection training, and mobilize community health activists to help manage TB treatment adherence. If left unaddressed, the epidemiological factors present could lead to a major TB epidemic in the region.
Surveillance involves the ongoing collection and analysis of disease data to inform prevention and control measures. In Nepal, disease surveillance occurs through both routine monthly HMIS reporting from all health facilities, as well as sentinel surveillance through the Early Warning and Response System (EWARRS) which collects weekly data from selected sites. EWARRS focuses on priority diseases like polio, measles, neonatal tetanus, malaria, kala azar, and Japanese encephalitis to allow for early detection and response to outbreaks. The data collected through these surveillance systems are used for monitoring disease trends, outbreak detection, evaluating health services, and informing public health policies and programs.
Presentation of original research given at the Disaster Information Symposium held at the National Institutes of Health, Bethesda MD on March 29-30th, 2011
The National Mental Health Programme is a programme run by the Ministry of Health and Family Welfare (MoHFW) under the National Health Mission (NHM). This presentation deals with the rationale behind setting up this programme, and also has a critical appraisal of this programme.
Cardiovascular Health Research Training and Mentorship in ArgentinaLisandro Colantonio
1) Health research in Argentina is conducted with public funds and at universities, but there is minimal training in epidemiology and clinical research methods.
2) Formal education programs in epidemiology and clinical research are lacking, though some management and health policy master's programs exist. Local research funding is limited and does not typically cover training.
3) International research training opportunities aim to build capacity, and include formal mentoring. Pursuing independence as a researcher requires obtaining a PhD, engaging in advocacy, and balancing multiple paid and unpaid activities.
Psychiatric readmissions and their association with environmental and health system characteristics: A systematic review of the literature.Jorid Kalseth, Eva Lassemo SINTEF Health Research, Norway
Psychiatric inpatient care in Finland – Challenges for deinstitutionalization,factors in rehospitalisation.Peija Haaramo Niko Marola, Kristian Wahlbeck
Despite the enormous burden that mental ill-health imposes on individuals, their families, society, health systems and the economy, mental health care remains a neglected area of health policy in too many countries. Mental disorders represent a considerable disease burden, and have a significant impact on the lives of the OECD population, and account for considerable direct and indirect costs. This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality. The disproportionate focus on severe mental illness has meant that mild-to-moderate mental illnesses, which makes up the largest burden of disease, have remained overwhelmingly neglected. This book addresses the high cost of mental illness, weaknesses and innovative developments in the organisation of care, changes and future directions for the mental health workforce, the need to develop better indicators for mental health care and quality, and tools for better governance of the mental health system. The high burden of mental ill health and the accompanying costs in terms of reduced quality of life, loss of productivity, and premature mortality, mean that making mental health count for all OECD countries is a priority.
This fourth edition of Health at a Glance: Europe presents key indicators of health and health systems in the 28 EU countries, 5 candidate countries to the EU and 3 EFTA countries. This 2016 edition contains two main new features: two thematic chapters analyse the links between population health and labour market outcomes, and the important challenge of strengthening primary care systems in European countries; and a new chapter on the resilience, efficiency and sustainability of health systems in Europe, in order to align the content of this publication more closely with the 2014 European Commission Communication on effective, accessible and resilient health systems. This publication is the result of a renewed collaboration between the OECD and the European Commission under the broader "State of Health in the EU" initiative, designed to support EU member states in their evidence-based policy making.
The document is a report from the OECD titled "Health at a Glance 2015" that provides data on key health indicators across OECD countries. It includes sections on health status, risk factors, health workforce, health spending, and quality of care. Some of the key findings summarized are: average life expectancy has increased over 10 years to over 80 years across OECD countries; obesity and smoking rates have also risen but are declining in some countries; healthcare spending has grown but pharmaceutical spending has been cut in many countries through increased generic drug use; and countries vary in terms of physician and nurse pay and the proportion that are foreign-trained.
The document describes various alert and sentinel systems for identifying work-related diseases. It discusses compensation-based systems, systems for data collection and statistics, and sentinel systems. Compensation-based systems collect data for compensation purposes and are usually mandatory. Systems for data collection aim to measure trends in occupational safety and health. Sentinel systems monitor work-related diseases and see each case as a potential signal, with some focusing on specific exposures or diseases. The document provides examples of different types of systems from several European countries.
Automatic Support for Improving Management and Treatment of Patients with Obt...Eloisa Vargiu
To improve patients’ compliance and achieve better follow-up, we developed a system that, connecting the CPAP with Internet and providing patients with an app in their smartphone, gives support to both patients and pulmonologists.
The Informing Healthier Choices Programme was established by the UK Department of Health to improve the availability and use of health information and intelligence across England. It had four aims: 1) improving workforce training, 2) improving local data and tools, 3) strengthening organizations' use of intelligence, and 4) developing web-based support. Major outcomes included enhanced online training, local health profiles and disease models, tools for health impact assessments, and a public health portal. The programme was delivered on time and under budget through collaborative working groups and oversight from a steering committee representing key stakeholders.
Liliana Bisigniano Argentina - Monday 28 - Data Systems and National Regist...incucai_isodp
SINTRA is an informatics system used in Argentina to manage organ, tissue, and stem cell transplantation activities from donor to recipient. It consists of several modules including a national registry for end-stage renal failure patients, organ waiting lists, procurement data, transplantation data, and follow-up information. SINTRA provides traceability throughout the donation and transplantation process, allows for management and auditing of tasks, and guarantees transparency. It is a long-term project that has grown steadily since 2003 to improve coordination between stakeholders and centralize information.
Management of patient information trends and challenges in member statesDr Lendy Spires
The document discusses trends and challenges in managing patient information based on findings from the second global survey on eHealth conducted by the WHO Global Observatory for eHealth. It analyzes results related to collection and use of patient data at local, regional, and national levels. Many countries still rely on paper-based systems while use of electronic systems is growing. Electronic systems are used more for aggregated data than individual patient records. Standards adoption is progressing to facilitate data exchange, though low-income countries face challenges developing large-scale electronic medical record systems.
Public health surveillance involves the continuous collection and analysis of health data to support public health practices. It can be used for immediate detection of epidemics or long-term monitoring of disease trends. Active surveillance employs staff to directly collect data while passive surveillance relies on voluntary reporting from healthcare providers. Syndromic surveillance monitors clinical symptoms before confirmation of diagnoses. Integrated disease surveillance at national and global levels aims to strengthen communicable disease monitoring through standardized guidelines and collaboration across networks.
This document provides background on the development of resource allocation formulas in the NHS in England. Key points include:
- Previous formulas used area-level proxy variables for health needs due to a lack of individual-level data.
- It has been difficult to disentangle the effects of need, utilization, and supply using these area-level data.
- Recent advances in availability of individual-level data now allow the potential to develop a more accurate person-based formula.
- The current project aims to develop such a formula using multiple sources of individual-level data on diagnoses, healthcare encounters, and prescribing.
Augmented Personalized Health: using AI techniques on semantically integrated...Amit Sheth
Keynote @ 2018 AAAI Joint Workshop on Health Intelligence (W3PHIAI 2018), 2 February 2018, New Orleans, LA [Video: https://youtu.be/GujvoWRa0O8]
Related article: https://ieeexplore.ieee.org/document/8355891/
Abstract
Healthcare as we know it is in the process of going through a massive change - from episodic to continuous, from disease-focused to wellness and quality of life focused, from clinic centric to anywhere a patient is, from clinician controlled to patient empowered, and from being driven by limited data to 360-degree, multimodal personal-public-population physical-cyber-social big data-driven. While the ability to create and capture data is already here, the upcoming innovations will be in converting this big data into smart data through contextual and personalized processing such that patients and clinicians can make better decisions and take timely actions for augmented personalized health. In this talk, we will discuss how use of AI techniques on semantically integrated patient-generated health data (PGHD), environmental data, clinical data, and public social data is exploited to achieve a range of augmented health management strategies that include self-monitoring, self-appraisal, self-management, intervention, and Disease Progression Tracking and Prediction. We will review examples and outcomes from a number of applications, some involving patient evaluations, including asthma in children, bariatric surgery/obesity, mental health/depression, that are part of the Kno.e.sis kHealth personalized digital health initiative.
Background: Background: http://bit.ly/k-APH, http://bit.ly/kAsthma, http://j.mp/PARCtalk
This document discusses the need for a paradigm shift in using information and communication technologies (ICT) and health information technology (HIT) to improve population health outcomes. It argues that current approaches focusing primarily on improving healthcare delivery have failed to address the "tsunami" of preventable poor health affecting many countries. The document proposes leveraging crowdsourced health data from individuals and communities through non-invasive sensors and other means. Combined with advanced modeling and nudging technologies, this could enable more predictive, preventive, and evidence-based public health policy approaches. The goal is to optimize human performance and health at the population level through ICT-enabled co-production of scientific knowledge, rather than just treating diseases within the existing healthcare system.
Implementation And Adoption Of Nationwide Electronic Health Records In Second...Rochelle Schear
Implementation And Adoption Of Nationwide Electronic Health Records In Secondary Care In England Qualitative Analysis Of Interim Results From A Prospective
The BRIDGE Health project involves 31 institutes from 16 European countries. It aims to develop a strategic policy paper and technical blueprints for a future integrated European health information system covering both public health and healthcare. The project will disseminate results through technical reports, workshops, and meetings to target audiences like policymakers, researchers, and the general public. It seeks to ensure sustainability of health information activities and enhance synergy between domains like population health monitoring, disease registries, and clinical data collection.
RIWC_PARA_A186 who, global disability action plan....Marco Muscroft
The Learning Health System for Spinal Cord Injury (LHS-SCI) is a WHO initiative to improve health outcomes for people living with spinal cord injuries. It has three stages: 1) generating evidence through the International Spinal Cord Injury Survey (InSCI) and country reports analyzing health systems, 2) implementing recommendations through national stakeholder dialogues, and 3) building research and policy capacity. The InSCI survey collects data on functioning, health, and well-being from people in over 20 countries to inform the dialogues. Country reports analyze each health system's response to SCI. Together, this evidence aims to identify unmet needs and gaps to develop better policies, services, and care for people living with S
The document discusses New Zealand's national eHealth initiatives and priorities. It outlines the goals of establishing a core set of personal health information for all New Zealanders electronically by 2014 to improve healthcare quality and safety. Key programs include implementing health identity standards, developing universal medication lists and e-prescribing capabilities, and establishing clinical data repositories accessible across care settings. Governance involves multiple groups providing oversight and accountability for achieving the eHealth plan.
Designing Mobile Health Technology for Bipolar DisorderA Fi.docxcarolinef5
Designing Mobile Health Technology for Bipolar Disorder:
A Field Trial of the MONARCA System
Jakob E. Bardram, Mads Frost,
Károly Szántó
The Pervasive Interaction Technology Laboratory
IT University of Copenhagen, Denmark
{bardram,madsf,ksza}@itu.dk
Maria Faurholt-Jepsen, Maj Vinberg
and Lars Vedel Kessing
Psychiatric Center Copenhagen,
University Hospital of Copenhagen, Denmark
<firstname.lastname>@regionh.dk
ABSTRACT
An increasing number of pervasive healthcare systems are be-
ing designed, that allow people to monitor and get feedback
on their health and wellness. To address the challenges of
self-management of mental illnesses, we have developed the
MONARCA system – a personal monitoring system for bipo-
lar patients. We conducted a 14 week field trial in which
12 patients used the system, and we report findings focus-
ing on their experiences. The results were positive; compared
to using paper-based forms, the adherence to self-assessment
improved; the system was considered very easy to use; and
the perceived usefulness of the system was high. Based on
this study, the paper discusses three HCI questions related to
the design of personal health technologies; how to design for
disease awareness and self-treatment, how to ensure adher-
ence to personal health technologies, and the roles of different
types of technology platforms.
Author Keywords
Bipolar disorder; mental health; personal health systems;
mobile application
ACM Classification Keywords
H.5.m. Information Interfaces and Presentation (e.g. HCI):
Miscellaneous
INTRODUCTION
According to WHO, mental illness is one of the most pressing
healthcare concerns worldwide [34]. Bipolar disorder in par-
ticular, has a community lifetime prevalence of 4% [16] and
is associated with high morbidity and disability [25]. Per-
sonal health technologies hold promise for helping bipolar
patients to monitor their mood patterns and symptoms, rec-
ognize so-called ‘early warning signs’, and to handle medica-
tion. Health technologies can – based on subjective and ob-
jective sensor input – provide timely feedback to the patient
and thereby increase their awareness of the disease. Smart-
phones are a promising platform for such personal feedback
systems due to their ubiquitous availability and connectivity.
Permission to make digital or hard copies of all or part of this work for
personal or classroom use is granted without fee provided that copies are
not made or distributed for profit or commercial advantage and that copies
bear this notice and the full citation on the first page. To copy otherwise, or
republish, to post on servers or to redistribute to lists, requires prior specific
permission and/or a fee.
CHI 2013, April 27–May 2, 2013, Paris, France.
Copyright 2013 ACM 978-1-4503-1899-0/13/04...$15.00.
Consequently, a number of personal monitoring and feedback
systems have been suggested for the management of a wide
range of health-related conditions. In general, these types of
syste.
This document summarizes ECDC projects and collaborations on digital surveillance. It discusses two proof-of-concept studies: 1) Surveillance of pan-drug resistance which would use laboratory and electronic health record data through existing networks like WHONet. 2) Surveillance for priority diseases using electronic health records to describe cases with more complete risk factor data than currently available. The document outlines opportunities and challenges for these studies and proposes a multi-year implementation model to engage countries, address obstacles, and establish sustainable EU data flows and analyses.
National Kanta Services Support Clinical Work in FinlandTHL
National Kanta Services support clinical work in Finland by providing digital services including a prescription center, patient data repository, and personal health record. Kanta services are implemented in stages to integrate many existing health data systems and bring benefits to citizens, pharmacies, and the healthcare sector by facilitating secure access and exchange of health information. Countries in northern Europe like Finland, Sweden, and Denmark are global leaders in digitalization and implementation of national eHealth strategies.
This document describes a scalable architecture to support the National Health Information Network (NHIN) concurrently for public health, research, and clinical care activities. The architecture is based on the Shared Pathology Informatics Network (SPIN) model which uses a distributed database approach across independent institutions to protect privacy and autonomy while allowing controlled data sharing. The SPIN model has been validated in cancer research and forms the basis of an architecture developed under the Office of the National Coordinator to fulfill the biosurveillance use case. This architecture supports real-time analysis of anonymized clinical records while enabling re-identification of potentially affected patients during public health investigations.
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Kirsimarja Raitasalo, THL: Miksi päihdehaittoja on tärkeää ehkäistä kouluissa ja oppilaitoksissa - Nuorten päihteidenkäytön yleiskuva. Ehkäisevä päihdetyö lasten ja nuorten hyvinvoinnin tukijana kouluissa ja oppilaitoksissa -verkkoaineisto sujuvamman työn tueksi -webinaari, 10.10.2022
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Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
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PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
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https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
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TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
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