Skip to main content

An Expository Discourse of E-Health

  • Chapter
  • First Online:
Systems Analysis Tools for Better Health Care Delivery

Part of the book series: Springer Optimization and Its Applications ((SOIA,volume 74))

  • 1297 Accesses

Abstract

Population health patterns alter the disease burden, while a higher level of education and increased availability of information raise expectations of healthcare delivery. Therefore, changes in healthcare delivery have become so widespread and numerous that the idea of e-health has become one of excitement and prediction rather than intervention. On the other hand, the endorsement e-health is spreading slowly. Few companies focus on population-oriented e-health tools partly because of perceptions about the viability and capacity of the market. Moreover, developers of e-health resources are a highly diverse group with differing skills and resources while a common problem for developers is finding the balance between risk and outcome. On the other hand, e-health presents risks to patient health information that involve not only appropriate protocols but also laws, regulations, and appropriate safety culture. Breaches of network security and international viruses have elevated the public awareness of online information and computer security, although the overwhelming majority of security breaches do not directly involve health-related data. Finally, as we believe in the implications of the genetic components of disease, we expect a significant increase in the genetic information of clinical records. The future vision is mobile-personalized e-health in a patient centered and patient safety context.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pate, C., Turner-Ferrier, J.: Expoloring linkages between Quality, E-health and Healthcare Education. In: Kastania, A., Moumtzoglou, A. (eds.) E-Health Systems Quality and Reliability: Models and Standards. IGI Global, Hershey, PA (2010)

    Google Scholar 

  2. Moumtzoglou, A.: E-health as the realm of healthcare quality: a mental image of the future. In: Kastania, A., Moumtzoglou, A. (eds.) E-Health Systems Quality and Reliability: Models and Standards. IGI Global, Hershey, PA (2010)

    Chapter  Google Scholar 

  3. Kluge, E.H.: Secure e-health: managing risks to patient health data. Int. J. Med. Informat. 76(5–6), 402–406 (2007)

    Article  Google Scholar 

  4. Eysenbach, G.: What is e-health? J. Med. Internet Res. 3(2), e20 (2001)

    Article  Google Scholar 

  5. Pagliari, C., Sloan, D., Gregor, P., et al. What is eHealth?: a scoping exercise to map the field. J. Med. Internet Res. 31:7(1):e9 (2005)

    Google Scholar 

  6. Harrison, J., Lee, A.: The role of e-health in the changing health care environment. Nurs. Econ. 24(6), 283–289 (2006)

    Google Scholar 

  7. Wilson, P.: E-health—building on strength to provide better healthcare anytime anywhere. Paper presented at the eHealth 2005 Conference, Tromsø, Norway (2005)

    Google Scholar 

  8. Blumenthal, D., Glaser, J.: Information technology comes to medicine. New Engl. J. Med. 356(24), 2527–34 (2007)

    Article  Google Scholar 

  9. Richardson, R., Schug, S., Bywater, M., Lloyd-Williams, D.: Development of eHealth in Europe: Position Paper. European Health Telematics Association, Brussels (2004)

    Google Scholar 

  10. Ferrer-Roca, O., Iuindicissa, M.S.: Handbook of Telemedicine. Studies in Health Technology and Informatics, vol. 54, IOS Press/Ohmhsa, Amsterdam (1998)

    Google Scholar 

  11. Ferrer-Roca, O.: Standards in telemedicine. In: Kastania, A., Moumtzoglou, A. (eds.) E-Health Systems Quality and Reliability: Models and Standards. IGI Global, Hershey, PA (2010)

    Google Scholar 

  12. Kastania, A., Kossida, S.: Quality issues in personalized e-health, mobile health and e-health Grids. In: Kastania, A., Moumtzoglou, A. (eds.) E-Health Systems Quality and Reliability: Models and Standards. IGI Global, Hershey, PA (2010)

    Google Scholar 

  13. Zimeras, S., Kastania, A.: Statistical models for EHR security in Web healthcare information systems. In: Varlamis, I., Chryssanthou, A., Apostolakis, I. (eds.) Certification and Security in Health-Related Web Applications: Concepts and Solutions. IGI Global, Hershey, PA (2010)

    Google Scholar 

  14. Kastania, A., Zimeras, S.: Quality and reliability aspects in telehealth systems. In: Siassiakos, K., Lazakidou, A. (eds.) Handbook of Research on Distributed Medical Informatics and E-Health. IGI Global, Hershey, PA (2008)

    Google Scholar 

  15. Field, M.: Telemedicine—A Guide to Assessing Telecommunications in Health Care. Institute of Medicine, National Academy Press, Atlanta (1996)

    Google Scholar 

  16. World Health Organization. eHealth tools and services—needs of the member states, Report of the WHO Global Observatory for eHealth, WHO Press, Geneva (2006a)

    Google Scholar 

  17. World Health Organization. Building Foundations for e-health: Progress of Member States, Report of the WHO Global Observatory for eHealth, WHO Press, Geneva (2006b)

    Google Scholar 

  18. World Health Organization. Telemedicine—Opportunities and developments in Member States, Global Observatory for eHealth series—Volume 2. http://www.who.int/goe/publications/ehealth_series_vol2/en/index.html (2011). Accessed 16 Mar 2011

  19. Konstantas, D., Jones, V., Herzog, R.: MobiHealth-innovative 2.5/3G mobile services and applications for healthcare. Paper presented at the Eleventh Information Society Technologies (IST) Mobile and Wireless Telecommunications (2002)

    Google Scholar 

  20. Milenković, A., Otto, C., Jovanov, E.: Wireless sensor networks for personal health monitoring: issues and an implementation. Comp. Commun. (Special issue: Wireless Sensor Networks: Performance, Reliability, Security, and Beyond) 29(13–14):2521–2533 (2006)

    Google Scholar 

  21. Wac, K.: Towards QoS-awareness of context-aware mobile applications and services. Paper presented at the On the Move to Meaningful Internet Systems 2005: OTM Workshops, Ph.D. Student Symposium (2005)

    Google Scholar 

  22. Broens, T., van Halteren, A., van Sinderen, M., Wac, K.: Towards an application framework for context-aware m-health applications. Int. J. Internet Protocol. Technol. 2(2), 109–116 (2007)

    Article  Google Scholar 

  23. Hanak, D., Szijarto, G., Takacs, B.: A mobile approach to ambient assisted living. Paper presented at the IADIS Wireless Applications and Computing (2007)

    Google Scholar 

  24. Archer, N.: Mobile eHealth: Making the Case Euromgov2005: Mobile Government Consortium International. (2005)

    Google Scholar 

  25. Kratz, M., Silverstein, J., Dev, P. HealthGrid: Grid Technologies for Biomedicine. Telemedicine & Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command, Fort Detrick, Maryland (2007)

    Google Scholar 

  26. Koufi, V., Malamateniou, F., Vassilacopoulos, G.: A medical diagnostic and treatment advice system for the provision of home care. Paper presented at the 1st international conference on PErvasive Technologies Related to Assistive Environments (2008)

    Google Scholar 

  27. Austin, C.J., Boxerman, S.B.: Information systems for health services administration, 5th edn. Health Administration Press, Chicago, IL (1998)

    Google Scholar 

  28. Ginter, P.M., Swayne, L.E., Duncan, W.J.: Strategic management of health care organizations, 3rd edn. Blackwell Publishers Inc., MA (1998)

    Google Scholar 

  29. Donabedian, A.: Evaluating the quality of medical care. Milbank Q. 83(4), 691–729 (2005)

    Article  Google Scholar 

  30. Flood, A.B., Zinn, J.S., Shortell, S.M., Scott, W.R.: Organizational performance: managing for success. In: Shortell S.M., Kaluzny A.D. (eds.) Health Care Management: Organization Design and Behavior. Delmar, NY (2000)

    Google Scholar 

  31. Chaudhry, B., Jerome, W., Shinyi, W., Maglione, M., Mojica, W., Roth, E., et al.: Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann. Intern. Med. 144(10), E12–W18 (2006)

    Google Scholar 

  32. Olive, C., O’Connor, T.M., Mannan, M.S.: Relationship of safety culture and process safety. J. Hazard. Mater. 130(1–2), 133–140 (2006)

    Article  Google Scholar 

  33. Ginsburg, L., Gilin, D., Tregunno, D., Norton, P.G., Flemons, W., Fleming, M.: Advancing measurement of patient safety culture. Health Serv. Res. 44(1), 205–224 (2009)

    Article  Google Scholar 

  34. Singer, S.J., Falwell, A., Gaba, D.M., Baker, L.C.: Patient safety climate in US hospitals: variation by management level. Med. Care 46(11), 1149–1156 (2008)

    Article  Google Scholar 

  35. Ruchlin, H.S., Dubbs, N.L., Callahan, M.A.: The role of leadership in instilling a culture of safety: lessons from the literature. J. Healthc. Manag. 49(1), 47–58 (2004)

    Google Scholar 

  36. Simmons, B., Wagner, S.: Assessment of continuing interprofessional education: lessons learned. J. Contin. Educ. Health Prof. 29(3), 168–171 (2009)

    Article  Google Scholar 

  37. Riegman, P.H., Morente, M.M., Betsou, F., de Blasio, P., Geary, P.: Biobanking for better healthcare. Mol. Oncol. 2(3), 213–222 (2008)

    Article  Google Scholar 

  38. Ormond, K.E., Cirino, A.L., Helenowski, I.B., Chisholm, R.L., Wolf, W.A.: Assessing the understanding of biobank participants. Am. J. Med. Genet. 149A(2), 188–198 (2009)

    Article  Google Scholar 

  39. Day, J.G., Stacey, G.N.: Biobanking. Mol. Biotechnol. 40(2), 202–213 (2008)

    Article  Google Scholar 

  40. Fan, Z.H., Das, C., Chen, H.: Two-dimensional electrophoresis in a chip. In: Keith E., Herold, K., Rasooly, A. (eds.) Lab-on-a-Chip Technology: Biomolecular Separation and Analysis. Caister Academic Press, Norfolk (2009)

    Google Scholar 

  41. Cady, N.C.: Microchip-based PCR Amplification Systems. Lab-on-a-Chip Technology: Biomolecular Separation and Analysis. Caister Academic Press, Portland (2009)

    Google Scholar 

  42. Lang, M., Kirpekar, N., Burkle, T., Laumann, S., Prokosch, H.U.: Results from data mining in a radiology department: the relevance of data quality. Stud. Health Tech. Informat. 129(Pt 1), 576–580 (2007)

    Google Scholar 

  43. Norén, G.N., Bate, A., Hopstadius, J., Star, K., Edwards, I.R.: Temporal pattern discovery for trends and transient effects: its application to patient records. Proceedings of the Fourteenth International Conference on Knowledge Discovery and Data Mining SIGKDD 2008, pp 963–971. Las Vegas NV (2008)

    Google Scholar 

  44. Jones, A.R.: Data mining can support quality assurance. J. Roy. Soc. Med. 102(9), 358–359 (2009)

    Article  Google Scholar 

  45. Johnstone, P.A., Crenshaw, T., Cassels, D.G., Fox, T.H.: Automated data mining of a proprietary database system for physician quality improvement. Int. J. Radiat. Oncol. Biol. Phys. 70(5), 1537–1541 (2008)

    Article  Google Scholar 

  46. Harper, P.: Combining data mining tools with health care models for improved understanding of health processes and resource utilisation. Clin. Invest. Med. 28(6), 338–341 (2005)

    Google Scholar 

  47. Cordero, F., Botta, M., Calogero, R.A.: Microarray data analysis and mining approaches. Brief. Funct. Genomic Proteomic. 6(4), 265–281 (2007)

    Article  Google Scholar 

  48. Laghaee, A., Malcolm, C., Hallam, J., Ghazal, P.: Artificial intelligence and robotics in high throughput post-genomics. Drug Discov. Today 10(18), 1253–1259 (2005)

    Article  Google Scholar 

  49. Weissleder, R., Mahmood, U.: Molecular imaging. Radiology 219, 316–333 (2001)

    Google Scholar 

  50. Wagner, V., Dullaart, A., Bock, A.K., Zweck, A.: The emerging nanomedicine landscape. Nat. Biotechnol. 24(10), 1211–1217 (2006)

    Article  Google Scholar 

  51. Freitas Jr., R.A.: What is Nanomedicine? Nanomedicine: Nanotech. Biol. Med. 1(1), 2–9 (2005)

    Article  Google Scholar 

  52. Pesquita, C., Faria, D., Falcao, A.O., Lord, P., Couto, F.M.: Semantic similarity in biomedical ontologies. PLoS Comput. Biol. 5(7), e1000443 (2009)

    Article  MathSciNet  Google Scholar 

  53. Anderson, N., Anderson, N.G.: Proteome and proteomics: new technologies, new concepts, and new words. Electrophoresis 19(11), 1853–61 (1998)

    Article  Google Scholar 

  54. Blackstock, W.P., Weir, M.P.: Proteomics: quantitative and physical mapping of cellular proteins. Trends. Biotechnol. 17(3), 121–7 (1999)

    Article  Google Scholar 

  55. Carroll, J.D., Messenger, J.C.: Medical simulation: the new tool for training and skill assessment. Perspect Biol. Med. 51(1), 47–60 (2008)

    Article  Google Scholar 

  56. Nishisaki, A., Keren, R., Nadkarni, V.: Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Anesthesiol. Clin. 25(2), 225–36 (2007)

    Article  Google Scholar 

  57. Murphy, D., Challacombe, B., Nedas, T., Elhage, O., Althoefer, K., Seneviratne, L., Dasgupta, P.: Equipment and technology in robotics (in Spanish; Castilian). Archivos espanoles de urologia 60(4), 349–55 (2007)

    Google Scholar 

  58. Kilbridge, P.: Crossing the Chasm with Information Technology: Bridging the Quality Gap in Health Care. California HealthCare Foundation, CA (2002)

    Google Scholar 

  59. Halamka, J.: Making smart investments in health information technology: core principles. Health Aff. (Millwood) 28, 385–389 (2009)

    Article  Google Scholar 

  60. Hess, R., Bryce, C., Paone, S., Fischer, G., McTigue, K., Olshansky, E., Zickmund, S., Fitzgerald, K., Siminerio, L.: Exploring challenges and potentials of personal health records in diabetes self-management: implementation and initial assessment. Telemed. E Health 13(5), 509–18 (2007)

    Article  Google Scholar 

  61. Kupchunas, W.R.: Personal health record: new opportunity for patient education. Orthop. Nurs. 26(3), 185–91 (2007)

    Article  Google Scholar 

  62. Lee, M., Delaney, C., Moorhead, S.: Building a personal health record from a nursing perspective. Int. J. Med. Informat. 76(Suppl 2), S308–S316 (2007)

    Article  Google Scholar 

  63. Morales Rodriguez, M., Casper, G., Brennan, P.F.: Patient-centered design. The potential of user-centered design in personal health records. J. Am. Health Inform. Manage. Assoc. 78(4), 44–6 (2007)

    Google Scholar 

  64. Nelson, R.: The personal health record. Am. J. Nurs. 107(9), 27–8 (2007)

    Article  Google Scholar 

  65. Pagliari, C., Detmer, D., Singleton, P.: Potential of electronic personal health records. Br. Med. J. 335(7615), 330–3 (2007)

    Article  Google Scholar 

  66. Smith, S.P., Barefield, A.C.: Patients meet technology: the newest in patient-centered care initiatives. Health Care Manag. (Frederick) 26(4), 354–62 (2007)

    Google Scholar 

  67. Anand, S., Feldman, M., Geller, D., Bisbee, A., Bauchner, H.: A content analysis of e-mail communication between primary care providers and parents. Pediatrics 115, 1283–1288 (2005)

    Article  Google Scholar 

  68. Car, J., Sheikh, A.: Email consultations in health care: 2—acceptability and safe application. Br. Med. J. 329, 439–442 (2004)

    Article  Google Scholar 

  69. Kleiner, K., Akers, R., Burke, B., Werner, E.: Parent and physician attitudes regarding electronic communication in pediatric practices. Pediatrics 109, 740–744 (2002)

    Article  Google Scholar 

  70. Leong, S., Gingrich, D., Lewis, P., Mauger, D., George, J.: Enhancing doctor-patient communication using email: a pilot study. J. Am. Board Fam. Pract. 18(3), 180–8 (2005)

    Article  Google Scholar 

  71. Stalberg, P., Yeh, M., Ketteridge, G., Delbridge, H., Delbridge, L.: E-mail access and improved communication between patient and surgeon. Arch. Surg. 143(2), 64–169 (2008)

    Article  Google Scholar 

  72. Davenport, K.: Navigating American Health Care: How Information Technology Can Foster Health Care Improvement. Center for American Progress, http://www.americanprogress.com (2007). Accessed 24 Apr 2009

  73. Hodge Jr., J.G., Gostin, L.O., Jacobson, P.D.: Legal issues concerning electronic health information: privacy, quality, and liability. J. Am. Med. Assoc. 282(15), 1466–71 (1999)

    Article  Google Scholar 

  74. Anderson, J.G.: Social, ethical and legal barriers to e-health. Int. J. Med. Informat. 76(5–6), 480–3 (2007)

    Article  Google Scholar 

  75. Iakovidis, I.: Towards personal health record: current situation, obstacles, and trends in implementation of electronic healthcare record in Europe. Int. J. Med. Informat. 52, 105–115 (1998)

    Article  Google Scholar 

  76. Burton, L.C., Anderson, G.F., Kues, I.W.: Using health records to help coordinate care. Milbank Q. 82(3), 457–481 (2004)

    Article  Google Scholar 

  77. Berg, M.: Implementing information systems in health care organizations: myths and challenges. Int. J. Med. Informat. 64, 143–156 (2001)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anastasius Moumtzoglou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Moumtzoglou, A., Kastania, A. (2013). An Expository Discourse of E-Health. In: Pardalos, P., Georgiev, P., Papajorgji, P., Neugaard, B. (eds) Systems Analysis Tools for Better Health Care Delivery. Springer Optimization and Its Applications, vol 74. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5094-8_4

Download citation

Publish with us

Policies and ethics