The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality

Autor: Lars Pape, Reinhard Brunkhorst, Tanja Schleef, Nils Schneider, Mario Schiffer, Ulrike Junius-Walker, Birger Haarbrandt, Hermann Haller, Hans-Ulrich Prokosch, Nils Hellrung, Michael Marschollek
Rok vydání: 2019
Předmět:
Quality of life
Decision support system
020205 medical informatics
Psychological intervention
Expert Systems
Health Informatics
02 engineering and technology
Clinical decision support system
lcsh:Computer applications to medicine. Medical informatics
Health informatics
Kidney transplantation
Study Protocol
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Medizinische Fakultät
Germany
0202 electrical engineering
electronic engineering
information engineering
medicine
eHealth
Humans
ddc:610
030212 general & internal medicine
Quality of Health Care
Primary Health Care
business.industry
Health Policy
Graft survival
Decision Support Systems
Clinical
Interoperability
medicine.disease
Telemedicine
Computer Science Applications
Nephrology
Data exchange
Patient survival
lcsh:R858-859.7
Medical emergency
business
Software
Health care quality
Zdroj: BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-6 (2019)
BMC Medical Informatics and Decision Making
ISSN: 1472-6947
Popis: Even though a high demand for sector spanning communication exists, so far no eHealth platform for nephrology is established within Germany. This leads to insufficient communication between medical providers and therefore suboptimal nephrologic care. In addition, Clinical Decision Support Systems have not been used in Nephrology until now. The aim of NEPHRO-DIGITAL is to create a eHealth platform in the Hannover region that facilitates integrated, cross-sectoral data exchange and includes teleconsultation between outpatient nephrology, primary care, pediatricians and nephrology clinics to reduce communication deficits and prevent data loss, and to enable the creation and implementation of an interoperable clinical decision support system. This system will be based on input data from multiple sources for early identification of patients with cardiovascular comorbidity and progression of renal insufficiency. Especially patients will be able to enter and access their own data. A transfer to a second nephrology center (metropolitan region of Erlangen-Nuremburg) is included in the study to prove feasibility and scalability of the approach. A decision support system should lead to earlier therapeutic interventions and thereby improve the prognosis of patients as well as their treatment satisfaction and quality of life. The system will be integrated in the data integration centres of two large German university medicine consortia (HiGHmed ( highmed.org ) and MIRACUM ( miracum.org )). ISRCTN16755335 (09.07.2019).
Databáze: OpenAIRE
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