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 |
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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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