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PubMed1993

[Current and future perspectives of medical information network systems for community health using personal computers and IC cards].

Recent developments in computer and communication technology were studied in relation to medical information network systems, using computers and IC cards, to solve problems in community health. Trial use of personal computer network systems among physicians and IC card systems for personal health data management are already in existence in some parts of Japan. These trials were studied and analyzed based on a questionnaire survey of physicians and patients. Results of the study produced some useful points that should be considered when introducing these systems. These included: 1) details on expectations and specifications for these systems by physicians and patients, 2) easy access to valuable information is a key point for active network systems among physicians, 3) plausibility of improvement of communication between physicians and patients by using these systems, 4) recognition that an important problem concerns patient information privacy and must be considered before introducing these systems. A study of practical merits of these systems and methodology for realization indicates that participation by active and attractive providers of information can be expected to stimulate frequent use of the network system. The cost of introducing these systems can be partially borne by eliminating the large investment now allocated for processing requests for reimbursement of medical services. Investigation into the introduction of medical information systems provides a good opportunity to elucidate problems in the present medical systems.

Computer Communication Networks↗
PubMed1991

[Survey of attitudes among general practitioners regarding the introduction of a personal computer medical network system in community health care].

General practitioners (GPs) play an important part in community health care. Their opinion regarding introduction of a medical information network system using a personal computer and factors influencing the decision to introduce such a system were surveyed among 977 randomly sampled GPs. A response from 727 GPs was obtained. Based on a two stage selection method, 20 factors were selected as effective factors among the 73 factors surveyed, with the following results: (1) Responses to the question concerning the approval of system introduction were classified into three groups: "not necessary + too early to make a decision (DA)" (DA group), "approve (A)" (A group) and "undecided (UD)" (UD group). Each group had nearly equal numbers of respondees. (2) Significant effective factors were "experience with personal computers", "a desire to use a personal computer", "a desire to use a computer-diagnosis-system", "cost", and "a volition to operate a computer by himself". (3) The "A group" had high experience and affirmative opinions, while the "DA group" had low experience and negative opinions. The "UD group" also tended to respond with "do not know" regarding the factors. (4) Approval of system introduction requires providing basic knowledge on computers, opportunities for positive experience with computers, and practical examples of problem solutions in a general practitioner's work.

Adult↗
PubMed2002

[Community activities in primary care in Spain. An analysis based on the network of the Program of Community Activities (PACAP)].

OBJECTIVE: To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. DESIGN: Description of the activities within this Network.Setting. Network of Community Activities of the Spanish Society of Family and Community Medicine. MAIN MEASUREMENTS: Specifications of the variables of geography, target population and experience descriptives were obtained from the qualitative analysis of the activity summary composed by its authors. The measurements are frequency tables expressed in graphs and analysis of the summaries contributed by the groups on objectives, kinds of programme, methodologies, evaluation and conclusions reached. The community orientation activities undertaken by the health centres registered on the Network came mostly (54%) from the autonomous communities of Madrid and Andalusia. A great many of them were aimed at the adult population, tackling problems of chronic diseases, and particularly at women, in this case tackling gender themes such as menopause and pregnancy, etc. CONCLUSIONS: There was uneven distribution between autonomous communities of the experiences included on the web. Central to community orientation are the replies to questions such as: inside or out of the health centre?, the importance of transferring leadership to society, and adaptation to the needs and demands of the population cared for.

Adult↗
PubMed1994

CHIN (community healthcare information network) provides vital healthcare linkages.

When the term "electronic data interchange" (EDI) was first introduced, it referred to purchase orders, electronic claims, and electronic remittance processing. Those EDI applications are becoming commonplace now, however, and new applications for EDI technology are being developed. Healthcare financial managers should expect that the electronic data highways used for claims traffic eventually will transport both financial and clinical information. These electronic exchanges will not only be between payers and providers but also between hospitals, laboratories, physicians, and allied health professionals. The name commonly given to this view of an electronically linked healthcare world is the community healthcare information network (CHIN).

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2006

[The present status and the future prospects of the medical network--from the standpoint of a community hospital].

Our hospital receives elderly patients who are disabled and have dementia, dysphagia, infectious diseases, and/or decubitus from acute hospitals. We treat, rehabilitate, and return those patients to their home. For this purpose we have many rehabilitation staff and several teams such as a nutrition support team, an infection control team, and a decubitus control team. Hospitals treating acute conditions do not have enough rehabilitation staff, and frail elderly patients tend to suffer a decrease in their activities of daily living. Therefore a close relationship between hospitals treating acute conditions and rehabilitation hospitals is important to avoid disuse syndrome. We also treat in-home patients. Those patients are often more disabled and financially burdened than in previous years. Therefore they need more help from the medical and social welfare system of Japan.

Community Networks↗
PubMed1990

[Vocational education of the handicapped in the European Community--experiences from the network of vocational rehabilitation services].

Organized cooperation in the field of vocational rehabilitation has been established at EC-level more than fifteen years ago, the first meeting of the community network of rehabilitation centres having taken place on the 20th of October, 1975. This cooperation has been intensified and extended by HELIOS, the second action programme on behalf of disabled persons adopted by the Council of Ministers in April 1988, to continue the efforts started by the initial action programme. In the fields of occupational qualification, languages, and new technologies, "Europe 92" will give rise to new challenges that imperatively ask for closer cooperation among rehabilitation workers in the Community. In the framework of HELIOS, this cooperation has already been started.

Persons with Disabilities↗
PubMed2006

Effective interdisciplinary training: lessons from the University of North Carolina's student health action coalition.

PURPOSE: To identify essential elements of effective interdisciplinary training through an evaluation of the University of North Carolina's Student Health Action Coalition (SHAC), an interdisciplinary service learning program for health science students. METHOD: In 2004, 516 SHAC volunteers were asked to complete a 52-item, online questionnaire. Responses were tallied by volunteer role, and four of the resulting "divisions" (counseling, medical care, interpretation, and community outreach) were analyzed using qualitative and quantitative rating schemas. The four divisions were compared on volunteers' perception of two concepts: (1) the level of interdisciplinary training achieved and (2) the potential for working together, or "community capacity." RESULTS: A total of 283 students accessed the online questionnaire, and 281 provided consent and filled out some portion of the questionnaire, an overall response rate of 54%. A total of 159 of the 281 respondents (57%) reported volunteering most often for one of the four divisions of interest. The respondents in each volunteer division reported a level of interdisciplinary training similar to that division's level of community capacity. The division responsible for counseling services indicated the least interdisciplinary training, earning 4 points on an 8-point rating schema. This group also reported low levels of participation, group skills, information sharing, shared values, sense of community, and social networks. The community outreach division reported the highest level of interdisciplinary training, receiving 8 out of 8 points. They also had high levels of participation, group skills, information sharing, networking, and sense of community. CONCLUSIONS: Effective interdisciplinary training goes hand in hand with five elements identified from the community capacity literature: participation, training in group skills, information sharing, networking, and critical reflection. Program planners and evaluators should pay particular attention to the social environment so as not to reinforce professional stereotypes that interdisciplinary programs are meant to dispel.

Community Health Services↗
PubMed1996

Community social alarm network in Slovenia.

The article deals with a case report on the technology transfer of the Lifeline community social alarm system to Slovenia. The main reason the project was initiated is the ageing of the Slovenian population (11% of the population is 65 or over). With this system we intend to support the public's wish to allow the elderly to remain in their own homes for as long as possible instead of placing them in institutional care. Between 1992 and 1995 the following results were achieved: the acceptability of the system in the social environment was increased; a pilot control centre in Ljubljana was established and has been operational for two-and-a-half years; a national dissemination plan was prepared; the integration of the programme into other information systems has been started. One of the main conclusions is that for the successful transfer of a technology which also affects social values in society, a social innovation must support the process.

Aged↗
PubMed2006

Clustering algorithm for determining community structure in large networks.

We propose an algorithm to find the community structure in complex networks based on the combination of spectral analysis and modularity optimization. The clustering produced by our algorithm is as accurate as the best algorithms on the literature of modularity optimization; however, the main asset of the algorithm is its efficiency. The best match for our algorithm is Newman's fast algorithm, which is the reference algorithm for clustering in large networks due to its efficiency. When both algorithms are compared, our algorithm outperforms the fast algorithm both in efficiency and accuracy of the clustering, in terms of modularity. Thus, the results suggest that the proposed algorithm is a good choice to analyze the community structure of medium and large networks in the range of tens and hundreds of thousand vertices.

Journal Article↗