Information Technology Solutions for Healthcare 2006 ed. [Kõva köide]

SERIES PREFACE		v
PREFACE		vii
INTRODUCTION		ix
ACKNOWLEDGMENTS		xii
1 EVOLUTION OF IT-ENHANCED HEALTHCARE: FROM TELEMEDICINE TO E-HEALTH		1	(21)
1 CONDITIONS FOR TELEMEDICINE DEVELOPMENT		5	(2)
2 TYPES OF APPLICATIONS		7	(4)
3 E-HEALTH AS UBIQUITOUS ENVIRONMENT FOR TRANSACTIONS		11	(3)
4 THE IMPACT ON RELATIONS IN HEALTHCARE		14	(1)
5 EVALUATION OF THE BENEFITS		15	(2)
6 LEGAL AND ETHICAL BARRIERS		17	(1)
7 REIMBURSEMENT POLICIES		18	(1)
8 SUMMARY		19	(1)
9 BIBLIOGRAPHY		19	(3)
2 ACCESS TECHNOLOGIES IN TELECARE		22	(20)
1 OVERVIEW OF ACCESS TECHNIQUES		22	(8)
2 EMERGING SOLUTIONS		30	(3)
3 HOSPITAL - HOSPITAL SCENARIO		33	(1)
4 HOSPITAL - PATIENT SCENARIO		34	(2)
5 CASE STUDIES		36	(4)
6 SUMMARY		40	(1)
7 BIBLIOGRAPHY		40	(2)
3 INTERNET TECHNOLOGIES IN MEDICAL SYSTEMS		42	(21)
1 REQUIREMENTS OF MEDICAL SYSTEMS IN THE INTERNET ENVIRONMENT		42	(2)
2 INTERNET MEDICAL SYSTEM ARCHITECTURES		44	(3)
3 INTERNET-BASED TELEMEDICAL SERVICES		47	(2)
4 NEXT-GENERATION POINT-OF-CARE INFORMATION SYSTEMS		49	(2)
5 INTERNET ACCESS TECHNOLOGIES IN TELECARE		51	(4)
6 CASE STUDIES		55	(5)
7 SUMMARY		60	(1)
8 BIBLIOGRAPHY		61	(2)
4 SECURITY AND SAFETY OF TELEMEDICAL SYSTEMS		63	(22)
1 E-MEDICAL SECURE ENVIRONMENT REQUIREMENTS		64	(2)
2 SYSTEM ARCHITECTURE MODELING FOR SECURITY		66	(4)
3 TECHNIQUES FOR MAKING E-MEDICAL SYSTEMS SECURE		70	(4)
4 ACCESS CONTROL MODELS		74	(3)
5 SERVICE-ORIENTED SECURITY ARCHITECTURE		77	(1)
6 RAD CASE STUDY		78	(4)
7 SUMMARY		82	(1)
8 BIBLIOGRAPHY		82	(3)
5 WIRELESS SYSTEMS IN E-HEALTH		85	(25)
1 AN OVERVIEW OF WIRELESS COMMUNICATION TECHNOLOGIES		85	(4)
2 WIRELESS SYSTEM SECURITY ASPECTS		89	(2)
3 WIRELESS RADIO INTERFERENCE ISSUE		91	(2)
4 WIRELESS HOSPITAL APPLICATIONS		93	(3)
5 CASE STUDY: CONCEPT OF AN ENVIRONMENT FOR MOBILE MEDICINE		96	(5)
6 CASE STUDY: ACCESS TO RADIOLOGY DATABASE FROM HANDHELD DEVICES		101	(2)
7 CASE STUDY: GPRS ACCESS TO DATABASE		103	(5)
8 SUMMARY		108	(1)
9 BIBLIOGRAPHY		108	(2)
6 RELEVANCE OF TERMINOLOGICAL STANDARDS AND SERVICES IN TELEMEDICINE		110	(25)
1 TERMINOLOGY		112	(10)
2 THE TOSCA PROJECT		122	(10)
3 SUMMARY		132	(1)
4 BIBLIOGRAPHY		132	(3)
7 ELECTRONIC HEALTH RECORDS		135	(47)
1 CHALLENGES FACING CLINICAL CARE		137	(4)
2 VISIONS OF A COMPREHENSIVE EHR		141	(5)
3 CHARACTERISTICS OF A GOOD EHR		146	(3)
4 RESEARCH INTO REPRESENTING THE GENERIC EHR		149	(1)
5 REQUIREMENTS FOR REPRESENTING THE EHR		150	(7)
6 SCOPE OF THE EHR		157	(3)
7 ADOPTING AN ARCHITECTURAL APPROACH TO REPRESENTING THE EHR		160	(5)
8 EHR INTEROPERABILITY STANDARDS		165	(4)
9 INTEGRATING REMINDERS, ALERTS AND DECISION SUPPORT		169	(1)
10 THE OPENEHR FOUNDATION		170	(1)
11 THE CHALLENGE OF ACCESS CONTROL		171	(3)
12 SUMMARY		174	(2)
13 BIBLIOGRAPHY		176	(6)
8 DECISION SUPPORT SYSTEMS IN MEDICINE		182	(23)
1 DECISION SUPPORT SYSTEMS		184	(2)
2 KNOWLEDGE-BASED AND EXPERT SYSTEMS		186	(5)
3 PROBABILISTIC DECISION SUPPORT SYSTEMS		191	(7)
4 LOGICAL DECISION SUPPORT SYSTEMS		198	(4)
5 SUMMARY		202	(1)
6 BIBLIOGRAPHY		203	(2)
9 HEALTH TELEMATICS NETWORKS		205	(20)
1 TRANSPORT LAYER IN TELEMATICS NETWORKS		205	(2)
2 HEALTH DIGITAL DATA STANDARDS		207	(5)
3 TELEMATICS NETWORK ORGANIZATIONAL MODEL		212	(4)
4 E-HEALTH NETWORK SERVICES		216	(5)
5 CASE STUDY - CAS		221	(2)
6 SUMMARY		223	(1)
7 BIBLIOGRAPHY		224	(1)
10 IT APPLICATIONS FOR THE REMOTE TESTING OF HEARING		225	(23)
1 METHODOLOGY OF HEARING SCREENING		226	(4)
2 METHOD OF COMPUTER-AIDED ADJUSTMENT OF HEARING AIDS		230	(9)
3 DIGITAL TECHNOLOGY IN DIAGNOSING AND TREATING TINNITUS		239	(6)
4 SUMMARY		245	(1)
5 ACKNOWLEDGEMENTS		246	(1)
6 BIBLIOGRAPHY		246	(2)
11 MODEL OF CHRONIC CARE ENABLED WITH INFORMATION TECHNOLOGY		248	(23)
1 SYSTEMIC APPROACH TO CHRONIC CONDITIONS		249	(2)
2 IMPLEMENTATION OF INFORMATION TECHNOLOGIES FOR BETTER CARE		251	(3)
3 FOCUS ON DELIVERY OF CARE TO PATIENT'S HOME		254	(1)
4 PATIENT-CENTRED ROLE IN SYMPTOM MONITORING		255	(2)
5 MANAGEMENT PLANS DEVELOPED IN E-HEALTH ENVIRONMENT		257	(2)
6 THE EXPERIENCE FROM SPECIFIC AREAS OF CHRONIC CARE		259	(5)
7 SUMMARY		264	(1)
8 BIBLIOGRAPHY		265	(6)
12 COMPUTER-AIDED INTERVENTIONS		271	(17)
1 NAVIGATION IN LAPAROSCOPIC SURGERY		273	(5)
2 INTRAOPERATIVE IMAGING		278	(1)
3 MULTIMODAL IMAGING IN MINIMALLY INVASIVE SURGERY		279	(3)
4 SUMMARY		282	(1)
5 BIBLIOGRAPHY		283	(5)
13 BIOSIGNAL MONITORING AND RECORDING		288	(14)
1 BASICS OF MONITORING AND RECORDING		289	(3)
2 SIGNAL ACQUISITION CONDITIONS		292	(2)
3 SIGNAL PROCESSING ALGORITHMS		294	(4)
4 MULTI-PARAMETER BIOSIGNAL DATABASE		298	(1)
5 BIOSIGNAL DATABASE QUALITY		299	(1)
6 BIOSIGNAL ARCHIVING CONSIDERATIONS		300	(1)
7 SUMMARY		300	(1)
8 BIBLIOGRAPHY		300	(2)
14 ENHANCING MEDICAL EDUCATION THROUGH TELELEARNING		302	(26)
1 IMPORTANCE OF MEDICAL STUDIES WHAT Is SPECIFIC IN THEM		303	(3)
2 COMPUTER-BASED TRAINING STANDARDS AND STANDARDIZATION ORGANIZATIONS		306	(2)
3 REQUIREMENTS OF DISTANCE LEARNING PLATFORM FOR MEDICINE		308	(2)
4 OVERVIEW OF EXISTING DISTANCE LEARNING PLATFORMS		310	(2)
5 CASE STUDIES		312	(12)
6 SUMMARY		324	(1)
7 BIBLIOGRAPHY		324	(4)
15 ACRONYMS		328	(7)
INDEX		335

The idea of publishing the book on the use of information technology for improvement of healthcare delivery systems from the PRO-ACCESS initiative (ImPROving ACCESS of Associated States to Advanced Concepts in Medical Telematics, IST-2001-38626) focused on the better access of new associated countries (now countries accessing European Union) to modern e-health technologies developed in leading European centers.



The book brings a comprehensive view of all those areas in which application of computer and telecommunication technologies have or will have in near future extensive impact on the quality and availability of health care services. It is addressed to broad audience of readers representing health professionals community, related professional environment, managers and policy-makers focused on health maintence problems.



The PRO-ACCESS initiative focuses on creating a platform for promotion, dissemination and transfer of advanced health telematics concepts and experiences from development and deployment of telemedicine solutions to NAS. To achieve this, a Centre of Competence will be established to broaden the formula of the Krakow Telemedicine CoE existing in Poland, in order to coordinate publishing activities, events, trainings and intake of solutions from cooperating partners within EU and NAS. The main impact of the Centre will be a substantially improved awareness of state-of- the-art medical telematics technologies in NAS. The Krakow Telemedicine CoE will be thereby strengthened by increasing its networking with leading RTD centres in EU and NAS, and by training of research and professional staff of the Centre and target user groups of e-health solutions developed in the CoE.