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Requirements and prototyping of a home health care application based on emerging JAVA technology.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
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2002 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, Vol. 68, no 1-3, 129-139 p.Article in journal (Refereed) Published
Abstract [en]

IT support for home health care is an expanding area within health care IT development. Home health care differs from other in- or outpatient care delivery forms in a number of ways, and thus, the introduction of home health care applications must be based on a rigorous analysis of necessary requirements to secure safe and reliable health care. This article reports early experiences from the development of a home health care application based on emerging technologies. A prototype application for the follow-up of diabetes patients is presented and discussed in relation to a list of general requirements on home health care applications.

Place, publisher, year, edition, pages
2002. Vol. 68, no 1-3, 129-139 p.
Keyword [en]
Home health care, Diabetes patients, Requirements, Monitoring, JAVA technology
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-14167DOI: 10.1016/S1386-5056(02)00071-0OAI: oai:DiVA.org:liu-14167DiVA: diva2:22775
Available from: 2006-11-30 Created: 2006-11-30 Last updated: 2013-11-13
In thesis
1. Towards Effortless Use of Information Technology in Home Healthcare with a Networked Digital Pen
Open this publication in new window or tab >>Towards Effortless Use of Information Technology in Home Healthcare with a Networked Digital Pen
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

When care is moved from the hospital to the home the demands for high quality care still remain. For problems arising from the geographical separation of patients and professional caregivers, information and communication technology may offer important solutions. The overall aim of this thesis was to describe relevant requirements, to design and implement an IT-based system, and finally to evaluate the system’s influence on symptom control and support for both patients/next-of-kin and professional caregivers in advanced home healthcare. Of importance were needs in basic as well as advanced home healthcare, as were usability perspectives of both patients and professional caregivers. Requirement areas such as security, mobility, and responsibility, which should be considered when monitoring patients in the home, were identified. A prototype system for everyday assistance for diabetes patients was designed, and a system for frequent pain assessment for palliative home healthcare patients using a pain diary, digital pen and mobile Internet technology, was developed and evaluated through a qualitative content analysis approach. Twelve palliative cancer patients and six professional caregivers participated. The data collected included an ease-of-use questionnaire, and interviews with patients, spouses and professional caregivers. Patients expressed increased and improved contact with the caregivers, increased participation in their own care, a sense of increased security, and easiness in using the equipment in spite of severe illness and difficulties in comprehending the technology and system intervention. The professional caregivers showed a shifting outlook towards the pain assessment method; an initial cautious outlook due to low expectations of the patients’ abilities to use the pain assessment method and the caregivers’ own reluctance to use the system and change their way-of-working. Despite this, the professional caregivers experienced positive outcomes in terms of an increased awareness of pain, and positive patient influences including increased participation in their care, increased security and improved changes in pain treatment as a response to reported pain assessments. In conclusion, the networked digital pen system provided an effortless method for pain assessment and had positive influences on the care. The results imply that digital pen technology is suitable for the assessment of symptoms by palliative patients since these patients often have a limited capacity to handle technology due to their state of health.

Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 1039
Keyword
Home care services, Hospital-based, Requirements, Pain Assessment, Visual Analogue Scale, Palliative care, Digital pens, Mobile phones, Internet
National Category
Biomedical Laboratory Science/Technology
Identifiers
urn:nbn:se:liu:diva-7840 (URN)91-85523-17-8 (ISBN)
Public defence
2006-10-06, Linden, Hälsouniversitetet, Campus US, Linköpings Universitet, Linköping, 09:15 (English)
Opponent
Supervisors
Note
On the day of the public defence date of the doctoral thesis the status of article III and IV was Submitted.Available from: 2006-11-30 Created: 2006-11-30 Last updated: 2009-03-05
2. The use of information technology in home healthcare: requirements and application development
Open this publication in new window or tab >>The use of information technology in home healthcare: requirements and application development
2003 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The population's wish to receive care in the own home instead of at a hospital fits well with the Health Services' development in the direction of increasing home healthcare even when severe illness is involved. However, when care is moved from the hospital to the home the demands for high quality care still remain. Information and telecommunication technologies used in applications which are tailored to support caregivers and patients in home healthcare, can be part of the facilitation of this development towards an increasing home healthcare service. Remote monitoring of the patient in the home can support assuring this quality of care but such monitoring involves considering several requirement areas.

This thesis describes problem areas in both basic and advanced home healthcare where information technology can be a part of the solution. Further, the thesis describes requirement areas to be considered when monitoring patients in the home, both in regard to subjective and objective variables. The requirement areas, which are described in the thesis, include security, mobility, and responsibility. Network solutions for home healthcare are discussed and two information technology applications in home healthcare are described. The first application concerns diabetes care and the second application concerns the use of digital pen technology for symptom assessments in advanced palliative home healthcare.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2003. 41 p.
Series
Linköping Studies in Science and Technology. Thesis, ISSN 0280-7971 ; 1066
Series
LiU-TEK-LIC, 65
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-23608 (URN)3098 (Local ID)91-7373-879-4 (ISBN)3098 (Archive number)3098 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-11-13

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Lind, LeiliSundvall, ErikKarlsson, DanielShahsavar, NosratÅhlfeldt, Hans

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