Barriers and facilitators to continuity and co-ordination of healthcare for under 18 years old: a systematic review.

Objective: To determine views and experiences of babies, children and young people relating to continuity of their healthcare.

Design: Qualitative systematic review.

Setting: Primary research from UK settings where NHS-commissioned or local authority-commissioned healthcare is provided.

Proposed model for ONCHIT pre-case biosurveillance using multiple array sensing and non-invasive data capture.

Recent initiatives by the US ONCHIT highlight the need for electronic population health data collection relating to aspects of Public Health Case (PH Case) reporting and Adverse Event (AE) reporting. Proposed solutions to date have been primarily provider-based, limited by organization-wide startup & maintenance costs, and hampered by risk-averse data distribution policies. Little attention has been given to consumer-focused, distributed data collection models, where objective, consumer-provided standardized data can be used prior to case identification to facilitate earlier use of extensible and distributed information networks in biosurveillance.

Advanced data capture in the assisted medical home: a model for distributed and multimedia technologies.

Expanding the role of distributed health care, recent ONCHIT initiatives highlight the utilization of remote and home-based monitoring as a model for health care that is accessible, comprehensive and coordinated, delivered in the context of family and community. Extensible information technology in this context can be used to collect and store expanded data about patients and their environment, especially in assisted living and group home environments. Proposed here is a distributed model for meeting related ONC mandates, which include emerging patient data collection opportunities, especially within nursing homes, assisted living, and other group home arrangements.

Communicating e-health research across organisational boundaries: a medical model for temporary or limited communities of practice.

The growth of collaborative, cross-organisational medical research in recent years has seen extensive and impressive innovations in the use of supporting technologies. Greater collaboration, however, presents new communication challenges. Given the diverse and varied organisational structures involved, there exists the need for a common and neutral work area, in effect creating a Temporary Virtual Organisation (TVO), which respects the needs and restrictions of widely varied organisational structures without becoming dominated by any one entity.

Clinical knowledge management using computerized patient record systems: is the current infrastructure adequate?

The proliferation of technology in health care, spurred by environmental factors encouraging the adoption of computerized patient records (CPRs), has led to a widely held perception of fully computerized patient information systems as the industry norm. To test the validity of this assumption, using data from a national survey of certified health information managers, we examined the CPR technology adoption rates reported by health information managers, assessing variation across practice settings, regions, and organizational types. Results show that significant nonadoption, and regional variation, exists in the implementation of CPRs.

Incremental adoption of information security in health-care organizations: implications for document management.

The incremental adoption of electronic media in U.S. health care has created increased risk of security and privacy violations in provider organizations.

Counseling versus antidepressant therapy for the treatment of mild to moderate depression in primary care: economic analysis.

Objective: To compare the cost-effectiveness of generic psychological therapy (counseling) with routinely prescribed antidepressant drugs in a naturalistic general practice setting for a follow-up period of 12 months.

Methods: Economic analysis alongside a randomized clinical trial with patient preference arm. Comparison of depression-related health service costs at 12 months.