Evaluating a Proof-of-Concept Approach of the German Health Telematics Infrastructure in the Context of Discharge Management.
Identifieur interne : 000105 ( PubMed/Checkpoint ); précédent : 000104; suivant : 000106Evaluating a Proof-of-Concept Approach of the German Health Telematics Infrastructure in the Context of Discharge Management.
Auteurs : Ursula Hübner ; Georg Schulte ; Björn Sellemann ; Matthias Quade ; Thorsten Rottmann ; Matthias Fenske ; Nicole Egbert ; Raik Kuhlisch ; Otto RienhoffSource :
- Studies in health technology and informatics [ 0926-9630 ] ; 2015.
Abstract
Although national eHealth strategies have existed now for more than a decade in many countries, they have been implemented with varying success. In Germany, the eHealth strategy so far has resulted in a roll out of electronic health cards for all citizens in the statutory health insurance, but in no clinically meaningful IT-applications. The aim of this study was to test the technical and organisation feasibility, usability, and utility of an eDischarge application embedded into a laboratory Health Telematics Infrastructure (TI). The tests embraced the exchange of eDischarge summaries based on the multiprofessional HL7 eNursing Summary standard between a municipal hospital and a nursing home. All in all, 36 transmissions of electronic discharge documents took place. They demonstrated the technical-organisation feasibility and resulted in moderate usability ratings. A comparison between eDischarge and paper-based summaries hinted at higher ratings of utility and information completeness for eDischarges. Despite problems with handling the electronic health card, the proof-of-concept for the first clinically meaningful IT-application in the German Health TI could be regarded as successful.
PubMed: 26262099
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xml:lang="en">Evaluating a Proof-of-Concept Approach of the German Health Telematics Infrastructure in the Context of Discharge Management.</title><author><name sortKey="Hubner, Ursula" sort="Hubner, Ursula" uniqKey="Hubner U" first="Ursula" last="Hübner">Ursula Hübner</name><affiliation><nlm:affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</nlm:affiliation><wicri:noCountry code="subField">Osnabrück Germany</wicri:noCountry></affiliation></author><author><name sortKey="Schulte, Georg" sort="Schulte, Georg" uniqKey="Schulte G" first="Georg" last="Schulte">Georg Schulte</name><affiliation><nlm:affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</nlm:affiliation><wicri:noCountry code="subField">Osnabrück Germany</wicri:noCountry></affiliation></author><author><name sortKey="Sellemann, Bjorn" sort="Sellemann, Bjorn" uniqKey="Sellemann B" first="Björn" last="Sellemann">Björn Sellemann</name><affiliation><nlm:affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</nlm:affiliation><wicri:noCountry code="subField">Göttingen Germany</wicri:noCountry></affiliation></author><author><name sortKey="Quade, Matthias" sort="Quade, Matthias" uniqKey="Quade M" first="Matthias" last="Quade">Matthias Quade</name><affiliation><nlm:affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</nlm:affiliation><wicri:noCountry code="subField">Göttingen Germany</wicri:noCountry></affiliation></author><author><name sortKey="Rottmann, Thorsten" sort="Rottmann, Thorsten" uniqKey="Rottmann T" first="Thorsten" last="Rottmann">Thorsten Rottmann</name><affiliation><nlm:affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</nlm:affiliation><wicri:noCountry code="subField">Göttingen Germany</wicri:noCountry></affiliation></author><author><name sortKey="Fenske, Matthias" sort="Fenske, Matthias" uniqKey="Fenske M" first="Matthias" last="Fenske">Matthias Fenske</name><affiliation><nlm:affiliation>Diakoniewerk Osnabrück, Osnabrück Germany.</nlm:affiliation><wicri:noCountry code="subField">Osnabrück Germany</wicri:noCountry></affiliation></author><author><name sortKey="Egbert, Nicole" sort="Egbert, Nicole" uniqKey="Egbert N" first="Nicole" last="Egbert">Nicole Egbert</name><affiliation><nlm:affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</nlm:affiliation><wicri:noCountry code="subField">Osnabrück Germany</wicri:noCountry></affiliation></author><author><name sortKey="Kuhlisch, Raik" sort="Kuhlisch, Raik" uniqKey="Kuhlisch R" first="Raik" last="Kuhlisch">Raik Kuhlisch</name><affiliation><nlm:affiliation>Fraunhofer FOKUS, Berlin Germany.</nlm:affiliation><wicri:noCountry code="subField">Berlin Germany</wicri:noCountry></affiliation></author><author><name sortKey="Rienhoff, Otto" sort="Rienhoff, Otto" uniqKey="Rienhoff O" first="Otto" last="Rienhoff">Otto Rienhoff</name><affiliation><nlm:affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</nlm:affiliation><wicri:noCountry code="subField">Göttingen Germany</wicri:noCountry></affiliation></author></analytic><series><title level="j">Studies in health technology and informatics</title><idno type="ISSN">0926-9630</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although national eHealth strategies have existed now for more than a decade in many countries, they have been implemented with varying success. In Germany, the eHealth strategy so far has resulted in a roll out of electronic health cards for all citizens in the statutory health insurance, but in no clinically meaningful IT-applications. The aim of this study was to test the technical and organisation feasibility, usability, and utility of an eDischarge application embedded into a laboratory Health Telematics Infrastructure (TI). The tests embraced the exchange of eDischarge summaries based on the multiprofessional HL7 eNursing Summary standard between a municipal hospital and a nursing home. All in all, 36 transmissions of electronic discharge documents took place. They demonstrated the technical-organisation feasibility and resulted in moderate usability ratings. A comparison between eDischarge and paper-based summaries hinted at higher ratings of utility and information completeness for eDischarges. Despite problems with handling the electronic health card, the proof-of-concept for the first clinically meaningful IT-application in the German Health TI could be regarded as successful.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">26262099</PMID><DateCreated><Year>2015</Year><Month>08</Month><Day>12</Day></DateCreated><Article PubModel="Print"><Journal><ISSN IssnType="Print">0926-9630</ISSN><JournalIssue CitedMedium="Internet"><Volume>216</Volume><PubDate><Year>2015</Year></PubDate></JournalIssue><Title>Studies in health technology and informatics</Title><ISOAbbreviation>Stud Health Technol Inform</ISOAbbreviation></Journal><ArticleTitle>Evaluating a Proof-of-Concept Approach of the German Health Telematics Infrastructure in the Context of Discharge Management.</ArticleTitle><Pagination><MedlinePgn>492-6</MedlinePgn></Pagination><Abstract><AbstractText>Although national eHealth strategies have existed now for more than a decade in many countries, they have been implemented with varying success. In Germany, the eHealth strategy so far has resulted in a roll out of electronic health cards for all citizens in the statutory health insurance, but in no clinically meaningful IT-applications. The aim of this study was to test the technical and organisation feasibility, usability, and utility of an eDischarge application embedded into a laboratory Health Telematics Infrastructure (TI). The tests embraced the exchange of eDischarge summaries based on the multiprofessional HL7 eNursing Summary standard between a municipal hospital and a nursing home. All in all, 36 transmissions of electronic discharge documents took place. They demonstrated the technical-organisation feasibility and resulted in moderate usability ratings. A comparison between eDischarge and paper-based summaries hinted at higher ratings of utility and information completeness for eDischarges. Despite problems with handling the electronic health card, the proof-of-concept for the first clinically meaningful IT-application in the German Health TI could be regarded as successful.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hübner</LastName><ForeName>Ursula</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schulte</LastName><ForeName>Georg</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sellemann</LastName><ForeName>Björn</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Quade</LastName><ForeName>Matthias</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rottmann</LastName><ForeName>Thorsten</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fenske</LastName><ForeName>Matthias</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Diakoniewerk Osnabrück, Osnabrück Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Egbert</LastName><ForeName>Nicole</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Health Informatics Research Group, Hochschule Osnabrück, Osnabrück Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuhlisch</LastName><ForeName>Raik</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Fraunhofer FOKUS, Berlin Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rienhoff</LastName><ForeName>Otto</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Medical Informatics, University Medical Centre, Göttingen Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Stud Health Technol Inform</MedlineTA><NlmUniqueID>9214582</NlmUniqueID><ISSNLinking>0926-9630</ISSNLinking></MedlineJournalInfo><CitationSubset>T</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26262099</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Egbert, Nicole" sort="Egbert, Nicole" uniqKey="Egbert N" first="Nicole" last="Egbert">Nicole Egbert</name><name sortKey="Fenske, Matthias" sort="Fenske, Matthias" uniqKey="Fenske M" first="Matthias" last="Fenske">Matthias Fenske</name><name sortKey="Hubner, Ursula" sort="Hubner, Ursula" uniqKey="Hubner U" first="Ursula" last="Hübner">Ursula Hübner</name><name sortKey="Kuhlisch, Raik" sort="Kuhlisch, Raik" uniqKey="Kuhlisch R" first="Raik" last="Kuhlisch">Raik Kuhlisch</name><name sortKey="Quade, Matthias" sort="Quade, Matthias" uniqKey="Quade M" first="Matthias" last="Quade">Matthias Quade</name><name sortKey="Rienhoff, Otto" sort="Rienhoff, Otto" uniqKey="Rienhoff O" first="Otto" last="Rienhoff">Otto Rienhoff</name><name sortKey="Rottmann, Thorsten" sort="Rottmann, Thorsten" uniqKey="Rottmann T" first="Thorsten" last="Rottmann">Thorsten Rottmann</name><name sortKey="Schulte, Georg" sort="Schulte, Georg" uniqKey="Schulte G" first="Georg" last="Schulte">Georg Schulte</name><name sortKey="Sellemann, Bjorn" sort="Sellemann, Bjorn" uniqKey="Sellemann B" first="Björn" last="Sellemann">Björn Sellemann</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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