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  Subjects -> HEALTH AND SAFETY (Total: 1379 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (88 journals)
    - HEALTH AND SAFETY (587 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (386 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (106 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (587 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 12)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 27)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 214)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 5)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 20)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 42)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 3)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 52)
Health Psychology Bulletin     Open Access  
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IJS Global Health     Open Access  
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)

        1 2 3 | Last

Journal Cover
Finnish Journal of eHealth and eWelfare : Finjehew
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1798-0798
Published by Finnish Social and Health Informatics Association Homepage  [1 journal]
  • SOTETITE – Sosiaali- ja terveydenhuollon tietotekniikan ja
           tiedonhallinnan 21. tutkimuspäivät

    • Authors: Kristiina Häyrinen
      PubDate: 2018-05-21
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Sote kohtaa digitalisaation – haasteet ja mahdollisuudet

    • Authors: Kristiina Häyrinen
      Pages: 183– - 183–
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.70352
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Social and health care meets digitalization – challenges and
           possibilities

    • Authors: Kristiina Häyrinen
      Pages: 186– - 186–
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.70350
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Conferences

    • Authors: Kristiina Häyrinen
      Pages: 189– - 189–
      PubDate: 2018-05-21
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Thermal imaging in skin trauma evaluation: observations by CAT S60 mobile
           phone

    • Authors: Jarmo Alametsä, Markku Oikarainen, Jarmo Perttunen, Jari Viik, Annikki Vaalasti
      Pages: 192– - 192–
      Abstract: The purpose of this study was to evaluate the usability of a mobile phone with inbuilt thermal camera in wound imaging for medical purposes. Thermal imaging could help in evaluating wound healing and in assisting doctors in diagnose making. By using CAT S60 smart phone with an inbuilt Flir thermal camera, thermal pictures from skin wounds and lower limbs were taken from six people in order to find out if thermal imaging could help the treatment and diagnosis of a patient. Thermal images were taken in order to find and visualize temperature changes (being normally invisible) in skin damage areas including deep skin damages especially from limbs and extremities. By using thermal imaging the beginning of treatment could be hastened and the monitoring of the state of a patient would be more efficient thus improving the prognosis of a patient. The thermal pictures taken from skin damages suggest that thermal imaging with CAT S60 smart phone can be used to improve nursing methods and may also help in diagnosis. Non-invasive thermal imaging may be a valuable asset and for its part hasten the beginning of treatment. The resolution and properties of CAT S60 smart phone was sufficient to detect skin damage temperature changes. This may suggest the usage of the CAT S60 smart in hospital, emergency ward and in home care services.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69150
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Suomen lääkemääräysten seurannan ensimmäiset yksitoista kuukautta
           vuonna 2017

    • Authors: Vesa Jormanainen, Haari Nurmi, Riitta Konttinen, Kristian Sandler, Jussi Lemmetty, Marina Lindgren
      Pages: 200– - 200–
      Abstract: Electronic prescription is mandatory in Finland since 1 January, 2017. A physician or a dentist can issue a written or a telephone prescription under exceptional circumstances, and the reason for issuing must be given. Because of the administrative nationwide change it was the first time possible to find out prescription volume in Finland. Written and telephone prescriptions were typed in to the national Prescription Centre at the 815 pharmacies. Electronic prescriptions were sent to the Prescription Centre (ePrescription Service) from electronic patient data systems, or Kelain web prescription service. Data from the Prescription Centre were extracted from 1 January till 30 November, 2017. There were 29.477 Million (100%) new electronic prescriptions, of which 96.6% were from electronic patient data systems and 1.0% from Kelain web service. Altogether 0.375 Million (1.3%) prescriptions were typed in at the pharmacies, of which 0.246 Million (0.8%) were written and 0.122 Million (0.4%) telephone prescriptions. Approximately half of the prescriptions typed in at the pharmacies were written prescriptions that were issued because of a technical failure. In this study we report the first time prescription volume in Finland. All the prescriptions in the national Prescription Centre are electronic, and only 1.3% of the prescriptions were typed in at the pharmacies in the first eleven months since the electronic prescription became mandatory 1 January, 2017. Written prescriptions were issued because a technical failure occurred in local or areal data or software systems.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.68867
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • The role of healthcare personnel in motivating and guiding patients in the
           use of eHealth services

    • Authors: Nina Karisalmi, Johanna Kaipio, Sari Kujala
      Pages: 210– - 210–
      Abstract: The number of eHealth services supporting patients’ self-care and self-management is increasing. Patients are expected to participate more actively in their care, but nevertheless chronically ill patients use eHealth services less frequently than healthy citizens. The healthcare personnel’s motivation and guidance could increase willingness and capability of patients to use eHealth services. This article reports a study, which investigates what kind of support patients receive and how patients wish the healthcare personnel to support them in using eHealth services as well as what kind of eHealth services patients want to use in future. The study was conducted in Finland. A total of 397 patients representing three patient organizations for chronic illnesses (heart disease, diabetes or cancer) answered to the online questionnaire. Most of the respondents had used at least one eHealth service (92%) and the most common purpose was to seek information. eHealth services were mostly used on the patients’ own initiative. Only less than half of the patients (47%) had received information about eHealth services from the healthcare personnel. Even less participants had been encouraged (30%) or advised (21%) how to use these services by the healthcare personnel. The study shows that patients wish for a more active manner from the healthcare personnel in informing about the availability of eHealth services as well as providing guidance and encouragement in using the services. The wishes about future eHealth services were rather modest. Respondents wished for a more versatile digital booking of medical appointments and novel, easy-to-use communication channels with the personnel. The results suggest that it is not only sufficient to increase the number of eHealth services, but also the active patients need more information about eHealth services as well as guidance in their use.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69145
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Johtamisen hyvät käytännöt sähköisten omahoitopalveluiden
           käyttöönotossa

    • Authors: Sari Kujala, Iiris Hörhammer, Minna Ervast, Heta Kolanen, Minna Rauhala
      Pages: 221– - 221–
      Abstract: The ODA (Self-Treatment and Digital Value Services) and Virtuaalisairaala 2.0 projects develop new eHealth services for citizens in Finland. eHealth services change health professionals’ work and professionals often resist change. The successful implementation of eHealth services from planning and piloting to the organizational adoption requires that the changes are systematically incorporated within organizational practices. In this study, we reviewed the existing literature and collected experiences of the ODA and Virtuaalisairaala 2.0 projects to identify good implementation practices and understand their use. First, we collected survey-based data from supervisors and leaders who worked in the 14 health care organizations participating in the ODA project. The supervisors and leaders were asked about their expectations about the implementation of the ODA services. Second, we interviewed four project managers or coordinators about their experiences of implementing services developed in the Virtuaalisairaala 2.0 project. The results suggest that the experiences of the implementing practices supporting successful eHealth service adoption are similar in the Finnish eHealth projects and in international studies. For example, the identified good practices were communicating clear visions and goals for service adoption, leadership support, informing about service implementation and its benefits, and user participation in planning. According the ODA survey results, good implantation practices were not very widely used in Finnish health organizations. The research results give advice for implementing teams, leaders and supervisors how to support systematic implementation leading to successful outcomes. Supervisors have an important role in institutionalization of eHealth services and the identified implementation practices will be used in developing training materials for them.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69140
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Lääkärit ja hoitajat parempien tietojärjestelmien kehittämistyössä:
           kyvykkäät ja innokkaat käyttäjät alihyödynnettyinä

    • Authors: Susanna Martikainen, Jaana Kotila, Johanna Kaipio, Tinja Lääveri
      Pages: 236– - 236–
      Abstract: End user participation in healthcare IT system development is essential in order to develop systems that fit together with healthcare professionals’ work tasks and needs. National questionnaire studies were conducted to explore how nurses and physicians participate in system development and what kind of experiences they have on participation. The questionnaire to nurses was conducted in spring 2017. Similarly, the questionnaire to physicians was conducted in spring 2017 but also earlier in 2010 and in 2014. The number of respondents was 4018 for physicians and 3607 for nurses. Participation rates in the system development were following: 46% of the nurses and 49% of the physicians had participated in the system development. 21% of the nurses were willing to participate in the development groups and 20% were not willing to participate at all. The physicians’ rates were 18% and 16% in 2014, respectively. Depending on the used software, 43 - 93 % of the respondents felt that software vendors were not interested in the views and opinions of the end users, nor did the proposed improvements take place in the desired manner or quick enough. Compared to years 2010 and 2014, physicians’ opinions had not changed more positive. The study results indicate that a large number of the end users would be willing to participate in healthcare IT system development. However, suitable methods and appropriate practices on how to involve end users in development work seem to be lacking. The results indicate that end users feel not to be able to influence to the development in the way they wish. The participation should take place as a part of the daily work. Healthcare organisations need to recognise the importance of participating in development work and, for example, enable career paths for IT physicians and nurses. It is important that the clinical work of physicians and nurses who develop information systems, will continue alongside the development to keep the practical “touch” to work in which systems are being used.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.70097
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Structures for recording patient care data – Nursing discharge
           summary

    • Authors: Minna Mykkänen, Merja Miettinen, Kaija Saranto
      Pages: 251– - 251–
      Abstract: The aim of this study was to evaluate how the data structure of a national nursing discharge summary and the contents of nursing records of a transferring patient were followed within nursing discharge summaries. In this study, we described the overlapping data structures of nursing discharge summaries that had been compiled by both nurses and doctors. In addition, we described what other data structures were used. The data (N=87) were collected from the electronic patient record system in electronic format from nine inpatient wards of the research organization. The data were analyzed by calculating the frequencies and percentages of the use of data structures. The link between the different headings of the data was tested with the chi-square test and the odds rations were calculated to describe the strength of association between headings. According to the results, although the national data structure of the nursing discharge summary was used well, its use was not systematic within the same summary, and regional content titles were only partially used. Overlapping data structures were used in both nursing discharge summaries and medical summaries. Non-structured designs, which do not belong to the national structure, were also used. Therefore, health care electronic data structures must be further developed to ensure uniform completion per the determined data structure. In addition, health care professionals must be thoroughly trained to use the determined data structures; patients require uniform summaries that contain clear and usable information to support their own treatment.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.68899
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • The experiences of elderly people regarding the use of health care
           electronic services and utilizing experiences in developing services

    • Authors: Milla Rosenlund, Ulla-Mari Kinnunen
      Pages: 264– - 264–
      Abstract: Electronic services are becoming more common in the near future also in social and health care. One of their purposes is to activate and support people’s ability to take responsibility of their own health and well-being. However, new technologies and electronic services can cause disparity between demographic groups as, for example, technology related skills are lower among elderly people. The share of elderly people is heavily increasing in the near future due to a large number of retirement, a low rate of mortality and, on the other hand, a lowering share of children and working-age people. Consequently, elderly people are becoming more and more important users of social and health services. The objective of this descriptive review is to describe what kind of experiences elderly people have of using electronic health services, and which factors influence their use of electronic health services. Moreover, the objective is to find out usability factors that arise during the use of electronic services and which issues related to elderly people should be taken into consideration during system development. Based on 36 studies selected, it was observed that elderly people feel mainly positive about using electronic services. However, many factors affect their use of electronic health services. In general, problems were noticed in relation to usability issues such as too small fonts, unclear symbols and buttons difficult navigation structure. Worries about information security and confidentiality as well as being marked were also noticed.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69136
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Tiedonhallinnan prosessimallin hyödyntäminen sosiaali- ja
           terveydenhuollon tiedonhallintaa koskevissa tutkimuksissa

    • Authors: Marjo-Riitta Valkonen, Ulla-Mari Kinnunen, Kaija Saranto
      Pages: 285– - 285–
      Abstract: Scientific research is based on a selected theory or a theoretical model which also will serve a basis for reviewing the results. Information management cycle has been used as a theoretical model in social and health care studies, but gathered information on the usability of the model in social and health care research has been lacking. The aim of this study is to reduce this lack of information. A descriptive literature review was used and in total 16 social and health care studies were selected for the study. Information management cycle was used to review the results and to develop new information management models. The studies were mainly qualitative and informants mainly social and health care professionals. Information from data warehouses was used only in three studies. Studies results were reviewed according to information management cycle. The use of information was mainly reviewed in the studies were results were reviewed according to every phase of the information management cycle or in which also information needs and/or information acquisition were reviewed. This study showed that information management cycle is well applicable in social and health care studies. This study also showed that social- and health care information management research needs more quantitative and register research. This article reviewed studies, dissertations and master’s theses which had been carried out in social and health care context and in which information management cycle was used.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69121
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Physicians as usability evaluators – first aid for poor EHR
           usability'

    • Authors: Nico Vehmas, Johanna Kaipio
      Pages: 297– - 297–
      Abstract: According to earlier studies, Finnish physicians suffer from stress caused by poor usability of their digital tools and feel excluded from healthcare IT development. Active participation in usability evaluation could help involve doctors into developmental work, but more effective and participatory methods are needed. The objective of this study was to research whether physicians with no training in usability evaluation are able to discover usability problems using heuristic walkthrough technique. In addition, we wanted to find out if the level of EHR user experience affects the nature of the usability problems found. Heuristic walkthrough using a modified set of Nielsen’s heuristics and clinical tasks was performed to evaluate usability of a widely used Electronic Health Record (EHR) in Finland. Medical students and physicians with no previous experience in usability evaluation and 1) with or 2) without prior experience in using the EHR in question were recruited as evaluators. A control group of usability experts was used. Physicians were able to identify usability problems, ranging from cosmetic flaws to problems concerning patient safety and significant hindrance for work. Analysis of the found usability problems revealed that experienced EHR users discovered usability problems in nearly all major functions within the given scenario and time span. Physicians as evaluators in heuristic walkthrough has the potential to produce relevant data about EHR usability. The arrangement benefits participating physicians by introducing them to usability. Further research needs to find out, whether the suggested method could support better communication and collaboration between end-users and software developers.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69162
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Lapsus-tutkimushanke: Näkökulmia lapsiperheen potilaskokemukseen

    • Authors: Johanna Kaipio, Hanna Stenhammar, Nina Karisalmi, Susanna Immonen, Marko Nieminen, Mika P Nieminen, Petri Mannonen, Lauri Litovuo, Leena Aarikka-Stenroos, Pekka Lahdenne
      Pages: 310– - 310–
      Abstract: Patient experience of children, adolescents and their families has been studied only a little. Patient experience is a multidimensional and ambiguous concept and thus, it is challenging to define and measure. Lapsus research project investigates the perspectives of pediatric patients and their families on hospital visits, received care and services, and the everyday life with the illness. The project is funded by Tekes and is closely related to the design of the New Children’s Hospital. Lapsus is a joint project of two universities, Aalto University and Tampere University of Technology, and three children’s hospitals, Hospital District of Helsinki and Uusimaa, Oulu University Hospital and Turku University Hospital. The aim of the research project is to promote that the experiences of the families with pediatric patients are taken into consideration when constructing new hospitals and improving healthcare services. From the scientific standpoint, the key objectives include describing the dimensions of patient experience from the perspectives of pediatric patients and their families, developing methodology and instrumentation for monitoring patient experience and value creation, and linking patient experience data to continuous improvement. The project consists of several sub-studies: A) The dimensions of the patient experience and patient journeys of families with pediatric patients, B) Questionnaires for measuring the patient experience of parents, C) Video diary as an instrument for studying the patient experience of adolescents, D) Photo elicitation method for studying children’s patient experience, E) Ecosystem’s role in patient experience, F) Collecting and utilizing patient feedback in children’s hospital. The research methods developed in the Lapsus project together with the practical experiences gained from the studies, help to understand which issues are meaningful and valuable for the patients and how patient experience data can be collected and utilized to improve the services of children’s hospital.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69180
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Launching a video consultation service for child psychiatry in
           Pohjois-Savo region: opinions and experiences of the trained target groups
           

    • Authors: Kirsi Bykachev, Jussi Karppi, Hannele Turunen
      Pages: 319– - 319–
      Abstract: Video conferencing (VC) and other telemedicine tools may help to improve the quality and availability of care in remote, sparsely populated areas. The transnational “eHealth Services for Child and Adolescent Psychiatry (eCAP), 2015-2018” project aims at developing new solutions for mental health care for children and adolescents in remote communities. In Finland, the Department of Child Psychiatry at Kuopio University Hospital (KUH) launched in early 2017 an online booking system and a browser-based VC solution to support the primary healthcare and other professionals working with children in Pohjois-Savo region by facilitating video-based consultations, supervision and support for treatment. Over 200 professionals in the region were trained to use the service. For evaluating the provided training and gaining insight for the revealed non-use of the service, an online survey was administered to the trained persons in December 2017-January 2018. The respondents (n=89, response rate 45 %) demonstrated high satisfaction with the provided training, yet majority of them had not used the service and could not assess its functionality. They embraced the idea of video consultations, but there had been no need for that in practice yet, or more training or reminding about the service was desired. Some had faced technical problems preventing them from using the service. However, nearly 90 % of the respondents said that they will or might use the service in the future – often conditionally, “if there will be a need”. The results clearly demonstrate the importance of customer-orientation, training, constant promotion and reinforcement when introducing new telemedicine services.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69178
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • Scenarios for occupational health services - case project Työke

    • Authors: Tarja Meristö, Jukka Laitinen
      Pages: 326– - 326–
      Abstract: The goal of Työke project is to ensure the integration of the occupational health care and the rest of the social and health care. European Social Fund together with the research partners will finance the project. Finnish Institute of Occupational Health coordinates the project and other partners are University of Helsinki, University of Eastern Finland, Central Finland Health Care District and Laurea UAS. FuturesLab CoFi Laurea will create alternative futures scenarios for occupational health care to support the renewal of Finnish social and health care system. Driving forces are new requirements in working life challenging occupational health care both in structures and in action. Digitalization, robotics and globalization will change the working life not only among the customers of occupational health care but among professionals in the field, too.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69154
      Issue No: Vol. 10, No. 2-3 (2018)
       
  • The Digi-NewB project for preterm infant sepsis risk and maturity analysis

    • Authors: Alpo Värri, Antti Kallonen, Elina Helander, Andres Ledesma, Patrick Pladys
      Pages: 330– - 330–
      Abstract: It is known from the literature that the careful analysis of the heart rate variability of a preterm infant can be used as a predictor of sepsis. The Digi-NewB project aims at collecting a database of at least 750 preterm infants including physiological signals, video and clinical observations. These data are used to design a decision support system for the early detection of sepsis and for the evaluation of the infant maturity. The preparation of the data for the exploratory analysis has turned out to be time-consuming. 190 infants have been recorded by March 2018 and of these, the R-R interval analysis of the ECG signals has been completed of 136 infants. The results of the project are still preliminary but seven heart rate variability parameters have been found to be different in preterm and full-term infants with a P value less than 0.01. The video analysis algorithm detecting the presence of personnel or relatives reached 96.8% of sensitivity and 95.1% of specificity.
      PubDate: 2018-05-21
      DOI: 10.23996/fjhw.69152
      Issue No: Vol. 10, No. 2-3 (2018)
       
 
 
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