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Telematics in prehospital emergency care: the Hector Pilot of Crete.

Emergency Medicine is considered the neglected specialty of contemporary medicine, although it is widely acknowledged that improvement in the outcome of the acutely and critically ill depends on its timely and effective management during the critical first hour [1], the so called "golden hour". The crucial question therefore is whether Telematics can affect this outcome and in particular how they can assist the existing models of Prehospital Emergency Medical Services (EMS) to meet this goal. The Hector Pilot of Crete tries to give a convincing answer to this question, taking into account the concept and some of the requirements of Emergency Medicine.

Emergency Medical Services↗

[Inforad 98].

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Computer Systems↗

A study on development of a home health care support information system.

As the need for home health care has been increasing with the rising number of the elderly in Japan, the application of medical informatics to home health care delivery is considered to be useful. Therefore, development of a home health care support information system was planned. The system can collect patient's PHD (Personal Health Data) such as data of ECG, complaints, etc. at patient's home and can send the PHD to medical facilities. We designed and constructed two subsystems on a trial basis. One subsystem has function of gathering, recording and transmitting vital signs of the aged such as ECG, physical activity rate, oxygen saturation rate in arterial blood. Another subsystem can collect and send image data of the old people at their home. Experiments for trial use of the system was conducted and it was recognized that the PHD can be smoothly collected and recorded at home of the elderly and can be sent to the medical facilities with good success by using the system.

Aged↗

The Health On the Net Code of Conduct for medical and health web sites.

The growth in the number of medical and health web sites and the varying quality of medical and health information currently available on the World-Wide Web has created the need for guidelines to help homogenise this quality. Health On the Net Foundation (HON) has initiated the Code of Conduct (HON-code) in response to concerns expressed to the Foundation, by members of the Net community. This article presents the HON-code's principles since its launch in 1996 and its status in 1997. This initiative offers information providers good practice guidelines and offers users an indication of commitment to quality by those providers.

Confidentiality↗

Healthcare systems process reengineering for developing countries: a report to IMIA Working Group 9.

To discover what kinds of health informatics the developing countries need, we look first to the underlying social structures that informatics is to support. Developing countries face severe problems in their goal of assuring access to quality healthcare to their citizens. Nor is it comforting to look to the example of the developed countries, themselves uncomfortable with the tremendous commitment of resources that they use. It seems clear that if developing countries are to succeed their systems for assuring health will need to achieve radical improvements over those currently employed by the developed countries. They need to build systems that are directed to the heart of the problems; they need to make the best use of their existing human and economic resources; and they need to do this while respecting the human potential and aspirations of their people. Any such system will need to be built around planning, organizing and measuring the long-term, rather than episodic, health of citizens. In particular, health interventions need to be moved upstream where they are more effective and less expensive. The job of health informatics is to provide the fundamental enabling infrastructure that would allow individuals to cooperate in the fluid, effective ways required. We describe some of the requisites for such a system. Certainly, its construction will depend on the use of an open, standards-based distributed object software architecture.

Delivery of Health Care↗

Nurses' requirements for information technology in the next millennium.

The main purpose of this study was to identify nurses' requirements for information technology in the next millennium. We distributed 350 questionnaires in a teaching hospital in Brazil and in the USA. We received 86 from Brazil and 78 from USA. Besides the capabilities of computers to be used in different sectors of human actions, nurses' requirements for information technology can not be considered sophisticated. Nurses in Brazil prefer a standalone system. In contrast, in USA they prefer systems that could be integrated to the whole healthcare system. Also, in the USA, nurses were more comfortable with use of computers than nurses in Brazil. In general terms, nurses in both countries feel that computer systems could make their practice easier and more efficient.

Attitude to Computers↗

UCMP and the Internet help hospital libraries share resources.

The Medical Library Center of New York (MLCNY), a medical library consortium founded in 1959, has specialized in supporting resource sharing and fostering technological advances. In 1961, MLCNY developed and continues to maintain the Union Catalog of Medical Periodicals (UCMP), a resource tool including detailed data about the collections of more than 720 medical library participants. UCMP was one of the first library tools to capitalize on the benefits of computer technology and, from the beginning, invited hospital libraries to play a substantial role in its development. UCMP, beginning with products in print and later in microfiche, helped to create a new resource sharing environment. Today, UCMP continues to capitalize on new technology by providing access via the Internet and an Oracle-based search system providing subscribers with the benefits of: a database that contains serial holdings information on an issue specific level, a database that can be updated in real time, a system that provides multi-type searching and allows users to define how the results will be sorted, and an ordering function that can more precisely target libraries that have a specific issue of a medical journal. Current development of a Web-based system will ensure that UCMP continues to provide cost effective and efficient resource sharing in future years.

Catalogs as Topic↗