https://scholars.lib.ntu.edu.tw/handle/123456789/470978
標題: | The dilemma of "to be or not to be": Developing electronically e-health & cloud computing documents for overseas transplant patients from taiwan organ transplant health professionals' perspective | 作者: | Shih F.-J. Fan Y.-W. Chiu C.-M. Shih F.-J. SHOEI-SHEN WANG |
公開日期: | 2012 | 卷: | 44 | 期: | 4 | 起(迄)頁: | 835-838 | 來源出版物: | Transplantation Proceedings | 摘要: | Aims: The development of mutually accessible e-health documents (ehD) and cloud computing (CC) for overseas organ transplant health professionals (OTHP) in two medical parties (domestic and overseas) would ensure better quality of care. This project attempted to compare pro and con arguments from the perspective of Taiwan's OTHP. Methods: A sample was obtained from three leading medical centers in Taiwan. Results: Eighty subjects including transplant surgeons (n = 20), registered nurses (RN; n = 30), coordinating nurses (OTCN; n = 15), and e-health information and communication technologies experts (ehICTs; n = 15) participated in this research. The pros of developing ehD were: (1) better and continuous care through communication and cooperation in two parties (78%); (2) better collaborative efforts between health professionals, information technology experts in two medical parties is (74%); (3) easier retrieval and communication of personal health documents with the trustworthy OTHP in the different countries (71%); and (4) CC may help develop transplant patients medical cloud based on the collaboration between medical systems in political parties of Taiwan and mainland China (69%). The cons of developing ehD and CC included: (1) inadequate knowledge of benefits and manuals of developing ehD and CC (75%); (2) no reliable communication avenues in developing ehD and CC (73%); (3) increased workload in direct care and documentation in developing new ehD and CC (70%); (4) lack of coaching and accreditation systems in medical, electronic, and law aspects to settle discrepancies in medical diagnosis and treatment protocols between two parties (68%); and (5) lacking systematic ehD and CC plans developed by interdisciplinary teams in two parties (60%). Conclusion: In this initial phase, the establishment of an interdisciplinary team including transplant leaders, transplant surgeon, RN, OTCN, ehICTs, and law experts from two parties might be helpful in working out developing plans with careful monitoring mechanisms. ? 2012 Elsevier Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860774043&doi=10.1016%2fj.transproceed.2012.02.001&partnerID=40&md5=627167748a85f4102562f2df7f8c57b6 https://scholars.lib.ntu.edu.tw/handle/123456789/470978 |
ISSN: | 0041-1345 | DOI: | 10.1016/j.transproceed.2012.02.001 | SDG/關鍵字: | accreditation; China; clinical protocol; conference paper; documentation; electronic medical record; health care quality; health practitioner; human; information retrieval; information technology; interdisciplinary research; medical information system; medical society; organ transplantation; priority journal; Taiwan; workload; Access to Information; Asian Continental Ancestry Group; Attitude of Health Personnel; Cooperative Behavior; Delivery of Health Care, Integrated; Electronic Health Records; Health Knowledge, Attitudes, Practice; Humans; Information Systems; Interinstitutional Relations; International Cooperation; Medical Tourism; Models, Organizational; Organ Transplantation; Patient Care Team; Quality of Health Care; Taiwan |
顯示於: | 醫學系 |
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