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Results for “Health data integration”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 1,009 records · Page 56Linked to original sources
PubMed1999

Health practices of adult Hispanic women.

The purpose of this focused ethnography was to discover the patterns and variability of health practices used by Hispanic women aged 20-40 years. Seven adult Hispanic women from an urban New Mexico county were interviewed four to seven times each about their health practices. The women described their views of good health. They were aware of current health promotion practices such as good nutrition and exercise. They also practised safety measures for themselves and their families. These women did not report any information on specific cultural disease prevention behaviours and described few practices related to their Hispanic culture. A theme that also emerged from the data was an emphasis on the importance of spirituality and the integration of the spiritual dimension as important to healthy living. Implications for health care providers include knowing that urban adult Hispanic women are versed in contemporary health literature and take better care of their families than of themselves.

Adult↗
PubMed1981

The role of a nurse-clinician in joint practice with gynecologic oncologists.

Increasing interest in nurse-physician collaborative practice resulted in a study proposing to profile a nurse-clinician in joint practice with gynecologic oncologists. The functions performed in the work setting and the undertaking of other activities in professional life are seen as the instrumental features of the nursing role. Nurses and physicians responded to a questionnaire related to nursing functions involving teaching, research, professional development and the independent and medically overlapping activities of patient care. Physicians indicated a perception of the nurse in a liaison role. Nurses perceived a strong obligation to perform functions relating to professional development. Psychosocially oriented care components ranked prominently in the perception of both groups. Data from the study suggests that the specialized nurse occupies an integrating role with physicians in meeting health care needs of patients. Implications from the findings are translated to the practical setting through a description of duties of the gynecologic oncology nurse.

Gynecology↗
PubMed2001

Chronic fatigue syndrome and fibromyalgia: clinical assessment and treatment.

Chronic fatigue syndrome (CFS) and fibromyalgia (FM) are closely related illnesses of uncertain etiology. This article reviews the research literature on these biobehavioral conditions, with an emphasis on explanatory models, clinical evaluation of comorbid psychiatric disorders, assessment of stress factors, pharmacologic and alternative therapies, and cognitive-behavioral treatment studies. Furthermore, clinical protocols suitable for professional practice are presented based on an integration of the authors' clinical observations with published data. The article concludes with the recognition that mental health professionals can offer substantial help to these patients.

Adaptation, Psychological↗
PubMed2003

Implications of pharmacogenetics for individualizing drug treatment and for study design.

Adverse drug reactions and ineffective drug treatment are responsible for a large health care burden. Considerable variability in drug response makes the prediction of the individual reaction difficult. Pharmacogenetics can help to individualize drug treatment in accordance with the genetic make-up of the patient. Drug response is best understood as a complex interplay between pharmacokinetics, pharmacodynamics, and other disease-associated factors. There are a large number of genetic variants in the enzymes of phase I and phase II drug metabolism, in drug transporters, and drug targets, all of which account for differences in drug response. The polymorphisms in the cytochrome P450 enzyme system have been investigated most extensively. Genotype-based dose adjustment which should ensure "bioequivalent" drug concentrations in all patients has been derived from pharmacokinetic parameters, but this approach will have to be verified in prospective studies. Drug transport has recently been recognized as a further crucial determinant in pharmacokinetics. The effect of genetics on disease susceptibility and drug treatment has been studied quite extensively; however, hardly any of this progress is at present reflected in routine health care. The integration of pharmacogenetic factors in clinical trials requires novel considerations for study design and data interpretation. It is to be hoped that the new science bioinformatics will (a) help us identify the contribution of genetics to disease and treatment response and will (b) create data-processing devices which help the physician in the face of the enormously expanding scientific knowledge in selecting the best individually adapted treatment for the patient.

ATP Binding Cassette Transporter, Subfamily B, Mem↗
PubMed2001

Assessing a computerized routine health information system in Mali using LQAS.

BACKGROUND: Between 1987 and 1998 Save the Children conducted a child survival programme in Mali with the goal of reducing maternal and child morbidity and mortality. An integral part of this programme was a computerized demographic surveillance and health information system (HIS) that gathered data on individuals on an on-going basis. OBJECTIVE: To assess the overall coverage and quality of the data in the HIS, to identify specific health districts that needed improvements in data collection methods, and to determine particular areas of weakness in data collection. METHODS: Random samples of 20 mothers with children <5 years were selected in each of 14 health districts. Mothers were interviewed about pregnancies, live births, deaths of children <5, and children's growth monitoring and immunization status. The Lot Quality Assurance Method (LQAS) was used to identify districts in which records and interview results did not meet predetermined levels of acceptability. Data collected in the interviews were combined to estimate overall coverage and quality. RESULTS: When all variables were analyzed, all 14 lots were rejected, and it was estimated that 52% of all events occurring in the community were registered in ProMIS. Much of this poor performance was due to immunization and growth monitoring data, which were not updated due to printer problems. Coverage of events increased (92%) when immunizations and growth monitoring were excluded, and no lots were rejected. When all variables were analyzed for quality of data recorded, six lots were rejected and the overall estimation was 83%. With immunizations and growth monitoring excluded, overall quality was 86% and no lots were rejected. CONCLUSIONS: The comprehensive computerized HIS did not meet expectations. This may be due, in part, to the ambitious objective of complete and intensive monitoring of a large population without adequate staff and equipment. Future efforts should consider employing a more targeted and streamlined HIS so that data can be more complete and useful.

Adolescent↗
PubMed2004

Customer focused health-care performance instruments: making a case for local measures.

In the face of increasing pressure to improve patient satisfaction, the health-care industry must continue to seek improved methods to measure the effects of its continuous improvement efforts. While measurement instruments in this area abound, most are global in perspective and inflexible in form, sometimes leading to less than optimally germane outputs. Patient satisfaction information is critically important to the health-care provider, and this paper presents the results provided by an instrument that was locally designed to provide the most utile aggregation and presentation of patient satisfaction information for individual health-care providers. These results provide substantial evidence to support the notion that local, rather than global, measurement instruments are needed to provide the most relevant and useful results when assessing patient satisfaction as part of a continuous improvement effort.

Continuity of Patient Care↗
PubMed1997

When it comes to information systems, too often the blind lead the blind.

A new survey of health care systems' chief information officers (CIOs) indicates that most are not able to collect the cost information they need to make decisions. Some 60% admit that they cannot calculate whether their managed care contracts are profitable or not. While 70% of these organizations benchmark other health care organizations, only 8% go outside the industry. Leading health system CIOs and benchmarking experts say systems managers must benchmark outside the health care industry if they want current and competitive information technology.

Administrative Personnel↗
PubMed1999

Planning and managing computerized order entry: a case study of IT-enabled organizational transformation.

This article uses a model for technology-enabled organizational transformation to analyze a case study of computerized order entry at a medium-sized, urban hospital. The hospital achieved initial goals for direct order entry by physicians and improvements in patient care and is now using the system to implement disease management policies. The authors use the model to examine decisions and actions that facilitated or constrained effective implementation of the system and discuss the model's implications for managing implementation of computerized order entry technologies in health care systems.

Decision Support Systems, Clinical↗
PubMed1999

Applying the desiderata for controlled medical vocabularies to drug information databases.

Medication history has always been an integral part of the patient's medical record. With the advent of the computerized medical record and the longitudinal clinical data repository, having the medication history has enabled the development of clinical decision support system that alerts for drug to drug interactions and drug allergies. Furthermore, medication data is increasingly being analyzed from a utilization and clinical outcomes standpoint. For these activities to occur, a controlled pharmacy vocabulary akin to a controlled medical vocabulary is essential. Drug information databases are well-established sources of information for pharmacy-related data and products. However, do they measure up as a controlled vocabulary? Recent experience reviewing drug information databases and integrating pharmacy-related information into a data dictionary in real-time clinical use at multiple health care institutions have revealed several challenges and issues. These are discussed according to Cimino's desiderata for controlled medical vocabularies.

Databases, Factual↗
PubMed2004

Clinical management. Where medicine meets management. Way to go.

When setting up an ICP, invite participation from all relevant healthcare professionals in both primary and secondary care. Gather all research and best practice using national guidelines or best available evidence. Consult patients: they often have knowledge unavailable to medical professionals.

Benchmarking↗