Integration Of Health Telematics Into Medical Practice

Title page -- Preface -- Acknowledgements -- Contents -- A Telemedicine Guideline for the Practice of Teleconsultation -- Medical Telematics in Disaster Response -- Architecture and Tools for Open, Interoperable and Portable EHRs -- Telemedicine in Extreme Environments: Analogs for Space Flight -- Development of a Robotic Navigation and Fracture Fixation System -- A Readiness Model for Telehealth Is it possible to Pre-Determine How Prepared Communities are to Implement Telehealth? -- An Automated Diagnostic System for Tubular Carcinoma of the Breast - An Overview of Approach and Considerations -- Data Analysis Now and Then: Significant Changes in Approaches and Results -- Software Agents in Surgery: An Update -- Technologies for Haptic Systems in Telemedicine -- Cybercare NDMS: An Improved Strategy for Biodefense Using Information Technologies -- A Communication-Theory Based View on Telemedical Communication -- Implementation of TeleCare Services: Benefit Assessment and Organisational Models -- LifeGuard - Recording, Evaluation and Wireless Transmission of Medical Data -- NOAH - A Mobile Emergency Care System -- Author Index

A comprehensive text that guides the reader through all aspects of health.

Electronic communications are already revolutionizing the delivery of health care in homes and communities. The medium will have increasing impact on the delivery of health care in response to the pressure to use limited resources cost-effectively. To date much of telematics in health care has focused on hospital-based bio-medicine. In this book a case is made for reorientation of telematic activity towards the use of "low tech" (social) technologies supported by "Health for All" philosophies. This book uses several case studies of pilot schemes to illustrate how the models can be applied in a variety of settings. Experience of telematics in America, Canada, Germany, Italy, The Netherlands, Portugal and Wales is shared for an international readership of innovators in health care management.

Title Page -- Table of Contents -- Chapter 1: A PICTURE OF PRIMARY HEALTH CARE IN EUROPE -- Chapter 2: THE MISSING LINK -- Chapter 3: A SNAPSHOT OF PRIMARY CARE -- Chapter 4: "THE EPIDEMIOLOGICAL BRIDGE": Role of telematics in the collection of epidemiological data from general practice -- Chapter 5: TOWARD A DIFFERENT APPROACH OF THE ASSESSMENT OF INFORMATION TECHNOLOGY AND TELEMATICS IN PRIMARYCARE -- Chapter 6: CONCLUSIONS AND RECOMMENDATIONS -- Appendices -- Appendix 1: The Funen Conference, september 9-11, 1994. List of Participants -- Appendix 2: Description of six communication projects (see chapter 2), H.B. Jensen, Denmark -- Appendix 3: List of National Projects. Neill Jones, United Kingdom. -- Author Index

This book contains examples of "convincing cases" that were selected from all over Europe and presented by experienced users and healthcare decision-makers. These examples are based on successful cases of implementation of health telematics applications and services such as electronic healthcare records and hospital information systems, specialised departmental systems, emergency telemedicine, and regional healthcare networks. Examples of experiences relating to medical informatics education are also included since the education is a crucial factor in the area of user acceptance. Cases of successful promotion of good quality applications and other issues related to users and technology are included in the last section. The readers will find qualitative and quantitative descriptions of many useful experiences of implementation and use of health telematics systems and services. The text of many of the papers is very rich in quantitative analysis and statistics providing good source of reference.

Why and How Will Knowledge Based Systems Become an Established Technology within Health Care? -- Signal and Image Processing Applications -- Future Prospects in ECG Signal Interpretation -- Industrial Perspectives for Research and Development in Knowledge Processing and Decision Support -- Legal Issues Incurred from KBS Use -- Legal Issues in Cognition, Knowledge Processing and Decision Making Techniques in the Health Sector -- Human Intelligence and Computer Intelligence -- Cooperation Between Human Brain and Computer -- Part 3. The EPISTOL Reports -- Munich Workshop -- The Role of Knowledge Based Systems in Clinical Practice -- How Will KBS Techniques Be Incorporated into Commercial Products? -- Trends in Knowledge Based Research that Will Enable its Use in Routine Applications -- Distributed Knowledge Based Systems and Telematics in a Changing Health Care Environment -- Brussels Seminar -- The Brussels Seminar -- Appendices -- Munich Workshop: Participants and Contributors -- Brussels Seminar: Participants and Contributors -- Author Index

The Information Society is bringing about radical changes in the way people work and interact with each other and with information. In contrast to previous information processing paradigms, where the vast majority of computer-mediated tasks were business-oriented and executed by office workers using the personal computer in its various forms (i. e. , initially alphanumeric terminals and later on graphical user interfaces), the Information Society signifies a growth not only in the range and scope of the tasks, but also in the way in which they are carried out and experienced. To address the resulting dimensions of diversity, the notion of universal access is critically important. Universal access implies the accessibility and usability of Information Society technologies by anyone, anywhere, anytime. Universal access aims to enable equitable access and active participation of potentially all citizens in existing and emerging computer-mediated human activities by developing universally accessible and usable products and services, which are capable of accommodating individual user requirements in different contexts of use and independently of location, target machine, or run-time environment. In the context of the emerging Information Society, universal access becomes predominantly an issue of design, pointing to the compelling need for devising systematic and cost-effective approaches to designing systems that accommodate the requirements of the widest possible range of end-users. Recent developments have emphasized the need to consolidate progress by means of establishing a common vocabulary and a code of design practice, which addresses the specific challenges posed by universal access.

Health Telematics Applications and User Acceptance from a Medical Student's point of view -- Author Index

This book presents the state of the art and trends in Health Care Telematics, the valuable results of the research and development work carried out by more than 50 projects during the AIM programme 1991-94. Project information regarding the dissemination and validation of the project results is elaborated and in the annex a full list of the participants in each project including contact details can be found. The second part of the book focuses on the shift of paradigm in the Health Care sector within the Information Society. This shift is characterised by a general turn from informatics towards multimedia telematics including the Health Care Telematics. The new Telematics Application Programme under the Fourth Framework Programme for Research and Technological Development is user driven and focuses on the need for industry and users to collaborate and develop common solutions to secure validation and exploitation of the research results. The book gives an insight into the state of the art in a world wide context and helps the reader to understand the trends in Health Telematics. The target groups for reading the book are besides experts, researchers and industry in the area as well as decision makers and potential users of Health Telematics. Covered by Current Contents, Life Sciences (ISI), volume 39, no. 9, Februari 1996, p. 15-18 "The book gives insight into the state of the art in a worldwide context and helps the reader to understand current trends in European health telematics" Health Informatics Europe, volume 4, no. 1, March 1996, p. 14