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The use of information technology in home healthcare: requirements and application development
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, The Institute of Technology.
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: urn:nbn:se:liu:diva-23608Local ID: 3098ISBN: 91-7373-879-4 (print)OAI: oai:DiVA.org:liu-23608DiVA: diva2:243923
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-11-13
List of papers
1. Requirements and prototyping of a home health care application based on emerging JAVA technology.
Open this publication in new window or tab >>Requirements and prototyping of a home health care application based on emerging JAVA 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.

Keyword
Home health care, Diabetes patients, Requirements, Monitoring, JAVA technology
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-14167 (URN)10.1016/S1386-5056(02)00071-0 (DOI)
Available from: 2006-11-30 Created: 2006-11-30 Last updated: 2013-11-13
2. Network solutions for home health care applications
Open this publication in new window or tab >>Network solutions for home health care applications
2003 (English)In: Technology and Health Care, ISSN 0928-7329, E-ISSN 1878-7401, Vol. 11, no 2, 77-87 p.Article in journal (Refereed) Published
Abstract [en]

The growing number of the elderly in industrialised countries is increasing the pressure on respective health care systems. This is one reason for recent trends in the development and expansion of home health care organisations. With Internet access available to everyone and the advent of wireless technologies, advanced telehomecare is a possibility for a large proportion of the population.

In the near future, one of the authors plans to implement a home health care infrastructure for patients with congestive heart failure and patients with chronic obstructive pulmonary disease. The system is meant to support regular and ad-hoc measurements of medical parameters in patient homes and transmission of measurement data to the home health care provider.

In this paper we look at network technologies that connect sensors and input devices in the patient home to a home health care provider. We consider wireless and Internet technologies from functional and security-related perspectives and arrive at a recommendation for our system.

Security and usability aspects of the proposed network infrastructures are explored with special focus on their impact on the patient home.

National Category
Computer Science
Identifiers
urn:nbn:se:liu:diva-24386 (URN)6479 (Local ID)6479 (Archive number)6479 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
3. Symptom assessment in palliative advanced home healthcare using digital pens
Open this publication in new window or tab >>Symptom assessment in palliative advanced home healthcare using digital pens
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Symptom control is one of the most important components of delivering effective palliative care, and adequate symptom assessment is a prerequisite for good symptom control. Patient receiving treatment in palliative home healthcare is geographically separated from the caregivers making symptom control a challenge, a challenge that could be met by the use of information and communication technology.

This paper describes experiences from a project focused on symptom assessment using digital pen technology in advanced palliative home healthcare. As part of an ongoing quality assurance work within the hospital-based home care clinic at Linköping University Hospital, the project has designed, developed and implemented an IT-support system for pain assessments for patients at home using digital pen technology. The system uses mobile Internet technology together with digital pen technology from Anoto™ AB. From December 2002 to August 2003 the system was in use at the hospital-based home care clinic. Alternative techniques, for example the use of a PC or a touch-tone telephone for symptom assessment, are discussed.

Keyword
Digital Pens; Computer Terminals; Cellular Phones; Internet; Home Care Services, Hospital-Based
National Category
Engineering and Technology
Identifiers
urn:nbn:se:liu:diva-100837 (URN)
Available from: 2013-11-13 Created: 2013-11-13 Last updated: 2013-11-13

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