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Personalized E-Health Management System for Monitoring and Empowering Patients

Computer Technology and Application 2011年第9期2卷 691-697页

作者： Nuria Aresti Bartolome Amaia Mendez Zorrilla Begona Garcia Zapirain DeustoTech-Life Unit DeustoTech Institute of Technology Bilbao 48007 Spain

This paper presents the design and development of a health information system following the requirements of Spanish law as well as physicians and patients. In Spain, these systems are relatively new because, until recently, ownership of patients＇ medical records belonged to the health institution. The proposed system gives patients all the information about their medical records, online. The difference from other initiatives is that the hospital provides patients with information and the latter are responsible for its future use. Importantly, this application allows physicians to carry out a personalized and individualized monitoring and treatment of each patient. The tests were conducted with real patients, all with a chronic disease （to show each patient the personalized data）. They all expressed their appreciation of this application＇s usefulness, and obtained satisfaction level was very high. Thanks to having medical information stored on the proposed system, it can be provided to other specialists to improve the knowledgement about the patient.

关键词： E-health monitoring clinical records patients interaction

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Health Workers’ Documentation Process as a Prerequisite to the Integration of Patient Care at a Regional Referral Hospital in Uganda

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Open Journal of Nursing 2022年第9期12卷 616-632页

作者： Mary Grace Nakate Mary Moleki Ahmed Sarki Valerie Fleming School of Nursing and Midwifery Aga Khan University Kampala Uganda School of Social Sciences University of South Africa Pretoria South Africa Family and Youth Health Initiative (FAYOHI) Dutse Nigeria School of Nursing and Allied Health Liverpool John Moores University Liverpool UK

Background: Integrated patient care is necessary for better care outcomes. Documentation enhances the integration of care;however, in the Ugandan setting, documentation of care is poor (e.g., omissions and incomplete records) and integration of patient care is not visible. This study presents a review of patient health records that was undertaken to understand documentation of care at a regional referral hospital in Eastern Uganda. This information will help in developing a documentation model to facilitate the integration of patient care in Uganda. Methodology: This retrospective review involved 513 patient health records from the medical-surgical, pediatric, and obstetric/gynecological departments of Jinja Regional Referral Hospital. Data were collected using checklists. Stratified sampling was used to capture variations in ward unit records and identify a fair representation of each department. Data were analyzed with descriptive and inferential statistics. All analyses were performed with SPSS version 22. Results: On average, the study hospital attended to 1000 patients per day and discharged 100 patients per ward unit per month. Our record review showed that documentation by both nurses and doctors was incomplete, and care was fragmented. However, doctors documented care more often than nurses, although the integration of patient care was not evident in doctors’ documentation. Conclusion: To establish integrated patient care, documentation must meet standards set by relevant professional bodies. The findings of this study will inform the development of a feasible documentation model to facilitate the integration of patient care in Uganda.

关键词： Documentation clinical records Integrated Patient Care Audit records Uganda

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