eHealth,telehealth,and telemedicine in the management of the COVID-19 pandemic and beyond:Lessons learned and future perspectives

In this article,we discuss evidence supporting the effective implementation of e Health,telehealth,and telemedicine during the coronavirus disease 2019 pandemic,with a view towards its permanent future integration in healthcare.We performed a literature search for articles describing the use of telehealth/telemedicine in the pandemic context using five databases.The articles selected describe the use of telemedicine as its advantages in terms of practicality and costeffectiveness.This synthesis of articles is applicable to high-,middle-and lowincome countries.Some of the notable benefits include breaking down geographical and time barriers,reducing waiting lists and crowding in healthcare facilities,and saving on national healthcare expenditure.However,there are a number of difficulties with the widespread implementation of telemedicine services that mainly relate to bureaucratic and regulatory concerns.Moreover,it is also important to make healthcare professionals and providers aware of the limits of this tool to avoid potential cases of negligence.Patients in turn will have to be made aware of and be educated on the use of this new healthcare modality before it is accepted by them.In the current socio-economic climate,it is therefore essential to implement a telehealth model aimed at efficiency and continuity of healthcare,as well as leading to an improvement in the quality of life of patients,whilst optimising existing resources and reducing costs.In that regard,the adoption of e Health,telehealth,and telemedicine services should be considered highly timely,despite current existing limitations.

Building an Architectural Component Model for a Telehealth Service

Models of services, processes and technology are useful tools for conceptualizing complex systems such as healthcare. The application of a component architecture helps illustrate the processes and technologies that are important to the operation of a health service and conceptualize the relationships between each component. Telehealth services are relatively recent and have characteristics that do not fit neatly into established models of health services. This paper analyzes the components used to build a telehealth in the home service in South Australia and the design choices that were taken. The service used commodity-based devices and systems to deliver simple to use, low-cost in the home care. Building on this analysis, the components required in an architectural component model of a telehealth service are identified enabling a provisional architecture for telehealth services to be derived from an existing internationally recognized architectural model for eHealth systems. Situated within the broad family of eHealth architectures, a Telehealth Architectural Model of telehealth processes, software, devices, common systems and ICT infrastructure is proposed that represents the components required to support telehealth and allows for customization of services according to clinical models of care.

mHealth和eHealth在中医诊断、非药物疗法及传统功法中推广应用探讨

随着5G通讯技术的发展和人民防病诊疗方式需求的增加,mHealth和eHealth技术逐渐参与现代诊疗及运动健康,但在中医诊疗中运用较少。本文主要探讨mHealth和eHealth技术在中医诊断、非药物疗法和传统功法中的运用。基于mHealth和eHealth技术发展并完善中医体系,大力推进健康医疗大数据应用,是未来中医诊疗的趋势。同时,新的诊疗模式将发挥中医科技创新和信息化支撑作用,形成具有中国特色、促进全民健康的体系。

Content Characteristics of Knowledge Integration in the eHealth Field:An Analysis Based on Citation Contexts

Purpose:This study attempts to disclose the characteristics of knowledge integration in an interdisciplinary field by looking into the content aspect of knowledge.Design/methodology/approach:The eHealth field was chosen in the case study.Associated knowledge phrases(AKPs)that are shared between citing papers and their references were extracted from the citation contexts of the eHealth papers by applying a stem-matching method.A classification schema that considers the functions of knowledge in the domain was proposed to categorize the identified AKPs.The source disciplines of each knowledge type were analyzed.Quantitative indicators and a co-occurrence analysis were applied to disclose the integration patterns of different knowledge types.Findings:The annotated AKPs evidence the major disciplines supplying each type of knowledge.Different knowledge types have remarkably different integration patterns in terms of knowledge amount,the breadth of source disciplines,and the integration time lag.We also find several frequent co-occurrence patterns of different knowledge types.Research limitations:The collected articles of the field are limited to the two leading open access journals.The stem-matching method to extract AKPs could not identify those phrases with the same meaning but expressed in words with different stems.The type of Research Subject dominates the recognized AKPs,which calls on an improvement of the classification schema for better knowledge integration analysis on knowledge units.Practical implications:The methodology proposed in this paper sheds new light on knowledge integration characteristics of an interdisciplinary field from the content perspective.The findings have practical implications on the future development of research strategies in eHealth and the policies about interdisciplinary research.Originality/value:This study proposed a new methodology to explore the content characteristics of knowledge integration in an interdisciplinary field.

浅谈电子健康技术(eHealth)与护理应用

本文简介了电子健康(eHealth)技术与护理应用的部分领域,展示了老年健康及社区和家庭医疗护理方面的应用前景。

Usability Test of eHealth Promotion @HKIEd—A Community of Practice Platform to Promote Healthy Lifestyles

Community of Practice (CoP) has been proved as an effective means for co-creation of knowledge. It is not yet widely used in health promotion, not to mention to utilize technological environment such as Web 2.0 to add value to the CoP. Under this study, an eHealth promotion @HKIEd, a CoP platform to promote healthy lifestyles was designed and constructed. It helped facilitate the CoP to share useful health information, locate expertise, promote health related events, communicate health updates effectively, co-construct shared repertoire of knowledge and build shared best practice on effective health promotion which was not limited to time, space and distance. Usability test was conducted to evaluate user acceptance of the eHealth promotion CoP platform using the Computer System Usability Questionnaire. A random sample of eighty-three active participants was recruited. Fifty females and thirty-three males with mean (S.D.) aged 21.1 were asked to evaluate the e-platform. The average scores of each domain were calculated with the corresponding means of the average scores of System Use, Information Quality and Interface Quality being 2.69, 2.83 and 2.74 respectively. The overall usability was 2.48 and the eHealth promotion @HKIEd demonstrated a high usability. It will provide a promising way to disseminate information for the public in health awareness promotion.

Activity Theory Based Ontology Model for Efficient Knowledge Sharing in eHealth

Knowledge sharing has become an important issue that challenges the efficient healthcare delivery in eHealth system. It also rises as one of the most demanding applications with reference to dynamic interactivities among various healthcare actors (e.g. doctors, nurses, patients, relatives of patients). In this paper, we suggest an activity theory based ontology model to represent various healthcare actors. The goal of the suggested model is to enhance interactivities among these healthcare actors for conducting more efficient knowledge sharing, which helps to design eHealth system. To validate the feasibility of suggested ontology model, three typical use cases are further studied. A questionnaire based survey is carried out and the corresponding survey results are reported, together with the detailed discussions.

eHealth Management Platform for Screening and Prediction of Down’s Syndrome in the Republic of Panama

Through engineering projects, we have integrated software engineering, geographical information systems and HL7 standard to propose a model of an eHealth management platform for Down’s syndrome screening, replicable in all the country. It will use real time sample information acquired from the local population and will geographically reference this information in the territory of Panama for future research.

eHealth技术在重症新生儿探视中应用的研究进展

对国内外eHealth技术在重症新生儿探视中的相关研究进行综述,为进一步推进eHealth探视技术在我国重症新生儿中的应用及制定适合我国国情的远程探视模式提供参考依据。

赋权消费者:电子健康研究的现状与趋势——第八届国际电子健康会议(eHealth 2016)综述

[目的 /意义]电子健康会议(e Health)在国际健康信息学领域有着重要的影响,通过对本次会议相关研讨主题的总结,以期为国内健康信息学的研究带来启示。[方法 /过程]在葡萄牙丰沙尔举行的e Health 2016会议,共收录研究长论文(full paper)20篇,此外,还收录了部分短论文、思考论文和海报等。通过综述这些论文的主要研究内容、研究方法和结果,展示欧洲主导的健康信息学研究的现状、新兴领域和发展趋势。[结果 /结论]第八届国际电子健康会议作为健康信息学领域重要的学术会议,所涉及的主题涵盖了当前健康信息学理论研究与应用实践的最新成果,能够代表国际上此方面学术研究和技术发展的前沿。随着电子健康(e Health)和移动健康(m Health)的发展,"赋权消费者"已成为此领域研究的趋势。

CONSORT-EHEALTH报告规范的解读与应用现状分析

随着移动技术和智能手机的发展,移动健康干预项目应运而生,为医疗保健事业的发展提供了新契机,也成为政策驱动下各类基金重点资助的对象,但截至目前却鲜有移动健康干预高质量的证据产生,其中原因可能是该领域研究报告的规范性欠佳,从而阻碍了研究项目的评价、复制和推广。基于此,本文对CONSORTEHEALTH报告规范进行解读与分析,以期为国内开展移动健康领域研究提供参考。

护理学生口腔健康素养现状及影响因素分析

目的了解护理学生口腔健康素养现状,并探讨其影响因素。方法采用便利抽样法,选取安徽省3所护理院校的572名护理学生作为研究对象。采用一般资料调查表、口腔健康素养量表、口腔保健自我效能量表、电子健康素养量表对其进行调查。结果护理学生口腔健康素养得分(31.91±6.54)分,口腔保健自我效能得分(50.84±8.55)分,电子健康素养得分(30.18±5.43)分。多元线性回归分析结果显示,学历层次、家庭居住地、家庭月收入、接受过口腔健康教育、自评口腔健康状况、口腔不适时及时就诊、每天刷牙≥2次、口腔保健自我效能、电子健康素养是护理学生口腔健康素养的影响因素(均P<0.05),共解释口腔健康素养总变异的35.0%。结论护理学生口腔健康素养水平有待进一步提高,应加强对学生的口腔健康培训及开设相关课程,以提高其口腔健康素养水平。

中青年糖尿病患者共享决策现状及影响因素的路径分析

目的探究中青年糖尿病患者共享决策现状、影响因素及作用路径,为患者共享决策研究和干预提供参考。方法采用一般资料调查表、领悟社会支持量表、决策自我效能量表、电子健康素养量表、简易版疾病感知问卷及共享决策问卷对215例中青年糖尿病患者进行调查。利用结构方程模型分析共享决策影响因素及作用路径。结果中青年糖尿病患者共享决策得分为85.36±13.23,疾病感知、电子健康素养、领悟社会支持、决策自我效能是患者共享决策的影响因素,直接效应分别为-0.345、0.280、0.274、0.163(均P<0.05)。疾病感知、电子健康素养、领悟社会支持分别通过决策自我效能间接影响共享决策(均P<0.05)。结论中青年糖尿病患者共享决策水平处于中等偏上水平,患者决策自我效能可直接影响共享决策,也可发挥间接效应影响共享决策水平。降低患者负性疾病感知,提高其电子健康素养、领悟社会支持、决策自我效能水平能提高患者共享决策参与度。

数字健康素养量表的汉化、修订及信效度检验

目的汉化、修订数字健康素养量表(Digital Health Literacy Instrument,DHLI),并检验其信度和效度。方法根据Brislin翻译模型,将数字健康素养量表进行直译和回译,并对其进行文化调适;2022年7月—8月采用便利抽样法,借助在线问卷平台对458名调查对象进行调查,2周后从中随机抽取25名调查对象进行重测,检验中文版DHLI的信效度。结果中文版DHLI共28个条目(21个自我评估主观条目和7个客观条目),其中21个主观条目经探索性因子分析提取出4个公因子,累计方差贡献率为71.630%。验证性因子分析结果显示,中文版DHLI的结果模型拟合较好(χ2/df=2.850,CFI=0.924,IFI=0.924,TLI=0.904,RMSEA=0.088,RMR=0.046)。量表的条目内容效度指数为0.833~1.00,全体一致内容效度指数为0.964,平均内容效度指数为0.994;Cronbach’sα为0.929,重测信度系数为0.828。结论中文版DHLI量表具有良好的信效度,可作为实施数字健康服务的有效评估工具。

老年慢性病病人电子健康素养干预的研究进展

阐述老年慢性病病人电子健康素养的概念与发展、评估工具以及基于理论的干预现状和干预策略这3个主要方面。旨在明确构建电子健康素养干预方案时可借鉴的相关理论模型和干预策略,为我国老年慢性病病人构建基于理论的干预方案提供有力的参考。

糖尿病病人电子健康素养影响因素与干预策略研究进展

通过多角度综述糖尿病病人电子健康素养的内涵及其影响因素,总结国内外电子健康素养的干预措施,为促进糖尿病病人充分正确应用网络健康信息资源、提高医疗决策能力、延缓疾病发生发展提供借鉴。

老年COPD患者电子健康素养水平及其影响因素分析

目的分析老年慢性阻塞性肺疾病(COPD)患者电子健康素养现状及其相关影响因素。方法选取2020年6月至2021年12月366例老年COPD患者,采用自制一般情况调查表和电子健康素养水平量表进行调查分析。结果老年COPD患者的电子健康信息素养得分为(19.74±5.13)分,年龄、婚姻状态、文化程度、互联网使用频率、健康相关应用程序的使用经历是主要影响因素(P<0.05)。结论老年COPD患者电子健康素养得分较低,建议增强家庭和同伴支持,丰富健康信息资源,提高电子使用技能,增加网络使用频率,营造良好的网络环境等方式以提高老年COPD患者的电子健康素养水平。

医学本科生电子健康素养现状及影响因素研究

为探究医学本科生电子健康素养的影响因素,对安徽省三所医学院校2260名医学本科生进行问卷调查。结果显示,医学本科生的电子健康素养得分(73.26±10.82)分;回归分析显示,变量差异中是否接触健康促进相关课程、母亲受教育程度、年级、是否独生子女、性别,动机因素中健康自我管理能力、自评健康状态、对健康的态度,以及效能因素中网络自我效能感是医学本科生电子健康素养的影响因素;中介效应检测发现,网络效能感在健康自我管理能力与电子健康素养之间起着部分中介作用。在电子健康使用互动模型视角下,应充分发挥动机因素和效能因素的作用,提升医学本科生电子健康素养水平。

脑胶质瘤患者术前自我准备度现状及影响因素分析

目的基于自我调节常识模型探究脑胶质瘤患者术前自我准备度现状及影响因素,为针对性术前健康教育方案的制定提供参考。方法便利选取在神经外科行手术治疗的221例脑胶质瘤患者为研究对象,采用一般资料调查问卷、择期手术患者术前自我准备度量表、电子健康素养量表、患者积极度量表、正性负性情绪量表进行问卷调查,采用多元线性分层回归分析脑胶质瘤患者术前自我准备度的影响因素。结果脑胶质瘤患者术前自我准备度得分为(57.63±13.70)分。术前自我准备度与电子健康素养、积极度、正性情绪呈正相关(均P<0.05),与负性情绪呈负相关(P<0.05)。控制一般资料后,电子健康素养、积极度、正性情绪、负性情绪是术前自我准备度的主要影响因素(均P<0.05),可解释总变异的53.7%。结论脑胶质瘤患者术前自我准备度处于中等水平,仍需进一步提高。医护人员应针对不同特征患者进行个性化术前健康教育,以提升患者术前自我准备水平。

电子健康素养在慢性心力衰竭患者社会支持与益处发现间的中介效应

目的探讨电子健康素养在慢性心力衰竭患者社会支持与益处发现间的中介效应。方法采用一般资料调查表、社会支持量表、电子健康素养量表、中文版益处发现量表对河南省某三级甲等医院的292例慢性心力衰竭患者进行调查。结果慢性心力衰竭患者益处发现总分为(49.32±11.46)分,电子健康素养总分为(24.50±3.89)分,社会支持总分为(40.29±8.18)分。电子健康素养在慢性心力衰竭患者社会支持与益处发现间起部分中介作用,中介效应值为0.057,中介效应占总效应的20.36%。结论建议临床医护人员加强慢性心力衰竭患者的社会支持,提高其电子健康素养水平,进而提高其益处发现水平。