Suchen und Finden
Digital Communication in Medical Practice
von: Nancy B. Finn, William F. Bria
Springer-Verlag, 2009
ISBN: 9781848823556 , 171 Seiten
Format: PDF, OL
Kopierschutz: Wasserzeichen
Preis: 53,49 EUR
Foreword
6
Enabling the Complexity of Communication in Health Care
6
Series Preface
8
Acknowledgments
10
Contents
13
A Visit to the Doctor: Three Scenarios
17
Scenario #1
17
Scenario #2
18
Scenario #3
18
eHealth and Patient Safety
23
Medical Error: Woe is Me; Woe is You
24
Keeping Patients Safe
25
The eHealth Triangle / The eHealth Professional
27
The eHospital
29
Case Study: The VA has HIT Covered
29
Case Study: The Dana Farber Cancer Institute
30
Reducing Errors in the Emergency Department
31
Case Study: The Dashboard at BIDMC
31
ePatients
32
eHealth Around the World
33
Europe
33
Asia
34
Key Points
35
References and Notes
36
New Health Care Models
37
Continuous Available Information on Every Patient
38
EHR in the Hospital Setting
40
Driving the Adoption of the EHR in Small Group and Solo Practices
40
Case Study: Group Health Cooperative
41
Installation, Implementation, and Impediments
42
EHR Early Adopters Around the World
44
Health Information Exchange and Compatibility
45
Regional Health Information Organizations Information Exchange
46
Case Study: The Indiana Network for Patient Care and Indiana Health Information Exchange
47
Case Study: The Taconic Health Information Network and Community
48
Santa Barbara Country Care Data Exchange (SBCCDE)
49
Computer Physician Order Entry
50
Personal Health Records
51
Case Study: EMC Corporation
54
Key Points
55
References and Notes
56
Communication
58
The Media, the Message, and the Internet
58
The Telephone
59
Smart Phones and PDAs
60
Electronic Mail
61
Obstacles to Email Use
62
Email Benefits
63
Email Guidelines
64
Portals
65
Case Study: Kaiser Permanente
66
The eVisit
67
Case Study: Medem
69
Case Study: Relay Health
69
Key Points
71
References and Notes
72
Telemedicine
73
Why Telemedicine?
73
Telemedicine Technologies and Infrastructure
74
Obstacles
75
Cost
75
Reimbursement Policies
76
Licensing of Medical Professionals
77
Cultural Barriers
78
Standards
78
Telemonitoring and Home Healthcare
78
Telemedicine for Patients in Remote Areas
80
Case Study: Hayes Medical Center
80
Case Study: St. Alexius Telecare Network of North Dakota
81
Telerehabilitation
82
Speech and Language Therapy
82
Physical Therapy
83
Mental Health Services
83
Telehospice: Death with Dignity
84
Telemedicine around the World
84
The eICU: Remote Monitoring for Intensive Care
84
Key Points
85
References and Notes
86
Information Access: Information Overload
88
Healthcare Finds the Internet
88
Information Access Telecare Network of North Dakota
89
Information Overload
90
Resources for Physicians and Patients
93
Institutional Web Sites
97
Professional Organizations
97
Online Resources for Cancer
97
Online Resources for Cardiac and Lung Disease
98
Online Resources for Diabetes and Kidney Disease
98
Online Resources for HIV
99
Online Resources for Ordering Drugs
99
Key Points
101
References and Notes
102
Keeping Health Information Away from Prying Eyes
103
Medical Information is no Longer Private
104
Privacy Issues Concern Physicians and Patients
105
Protecting Data with a Secure Network
106
US Federal Regulations Regarding Privacy (HIPAA)
108
The European Union on Privacy
111
The Internet
111
Email
111
Case Study: CVS
114
Key Points
116
References and Notes
117
Medicating Your Patients
118
Medication Error
118
Electronic Prescribing (E-Prescribing)
119
Patient Information and Collaborative Drug Therapy
122
Hospital Policies
123
Confusion in the Naming of Drugs
124
Adherence
126
Online Pharmacies
127
Direct-to-Consumer Advertising
129
Resources for Safe Healthcare and Medication Advice
129
Key Points
130
References and Notes
131
All About Money
132
How We Measure Healthcare Costs
132
The Underinsured and the Uninsured
134
Controlling Health Expenses with Information Technology
137
Consumer-Directed Health Plans (CDHP)
138
Health Reimbursement Accounts (HRA)
139
Health Savings Accounts (HSA)
139
Pay-for-Performance (P4P)
140
Key Points
141
References and Notes
142
The Quality Quotient
143
A Broken System
144
Why Quality is so Hard to Achieve
145
Health Information Technology
145
Evidence-Based Healthcare Delivery
147
Quality Initiatives Require Change
148
Lessons Learned
150
Resources
150
Key Points
156
References and Notes
157
Heathcare 2020
158
A Portrait
158
Devices and Enablers
161
The Practice of Medicine in Healthcare 2020
165
Key Points
167
References and Notes
168
Glossary
169
Index
176
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