Review article: Biomedical intelligence
Vol. 142 No. 2324 (2012)
eHealth: easing the transitions in healthcare
Our complex healthcare systems are fragmented, and their functioning, both in terms of efficiency and quality, are plagued by multiple discontinuities. eHealth has the potential to ease transitions between the many settings and stakeholders of healthcare. eHealth can improve the continuity of healthcare information flow, can facilitate the re-engineering of care processes so that they become much more patient-owned and patient-controlled, and can enable better ways of accessing and producing care. Such capabilities evolve with the development of our information and knowledge-based society, reflected by the various generations of the world-wide-web. Starting with the “read-only Web” where the main task was to give access to health information, it has evolved into the “social Web” and provides support of patient-centred, collaborative care, and is reaching a stage where pervasive computing tools can intelligently partner with citizens to help them take better care of their health.
- Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320:791–4.
- Moore C, Wisnievsky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2003;18:646–51.
- Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med. 2004;140:533–6.
- To Err Is Human: Building a safer health system. Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, eds. Washington, D.C: National Academy Press, 2000.
- Shojania KG, Duncan BW, McDonald KM, et al., eds. Making health care safer: A critical analysis of patient safety practices. Evidence report/technology assessment No. 43 (prepared by the University of California at San Francisco–Stanford Evidence-based Practice Center under Contract No. 290-97-0013), AHRQ Publication No. 01-E058, Rockville, MD: Agency for Healthcare Research and Quality. July 2001.
- Institute of,edicine, crossing the quality chasm: A new health system for the twenty-first century. eds. Washington, D.C: National Academy Press 2001.
- Revolutionizing health care through information technology, president’s information technology advisory committee, June 2004, http://www.nitrd.gov/pitac/reports/20040721_hit_report.pdf, last accessed on February 20, 2012.
- Jackie Fenn, “When to leap on the hype cycle” Gartner Group, http://www.gartner.com/technology/research/methodologies/hype-cycle.jsp, last accessed on February 20, 2012.
- Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC, Bayir H, Orr RA. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005;116(6):1506–12.
- Amarasingham R, Plantinga L, Diener-West M, Gaskin DJ, Powe NR. Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108–14.
- Cebul RD, Love TE, Jain AK, Hebert CJ. Electronic health records and quality of diabetes care. N Engl J Med. 2011;365(9):825–33.
- Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387.
- Pew Research Center. The Social Life of Health Information, 2011. http://pewinternet.org/Reports/2011/Social-Life-of-Health-Info.aspx, last accessed on February 28, 2012.
- Boyer C, Baujard V, Geissbuhler A. Evolution of health web certification through the HONcode experience. Stud Health Technol Inform. 2011;169:53–7.
- Pew Research Center. Peer-to-Peer Healthcare, 2011. http://pewinternet.org/Reports/2011/P2PHealthcare.aspx, last accessed on February 28, 2012.
- http://www.nhs.uk, last accessed on February 28, 2012.
- Geissbuhler A, Spahni S, Assimacopoulos A, Raetzo MA, Gobet G. Design of a patient-centered, multi-institutional healthcare information network using peer-to-peer communication in a highly distributed architecture. Stud Health Technol Inform. 2004;107:1048–52.
- e-toile web site, http://www.e-toile-ge.ch, last accessed on February 28, 2012.
- Campbell H, Hotchkiss R, Bradshaw N, Porteous M. Integrated care pathways. BMJ. 1998;316(7125):133–7.
- Majeed A, Khunti K. Shared care guidelines and protocols in the United Kingdom. J Ambul Care Manage. 2008;31(3):239–43.