Berglind Smaradottir
Department of Information and Communication Technologies, University of Agder, Norway
Elisabeth Holen-Rabbersvik
Department of Health and Nursing Sciences, University of Agder, Norway
Elin Thygesen
Department of Health and Nursing Sciences, University of Agder, Norway
Rune Fensli
Department of Information and Communication Technologies, University of Agder, Norway
Santiago Martinez
Department of Health and Nursing Sciences, University of Agder, Norway
Ladda ner artikelIngår i: Scandinavian Conference on Health Informatics; August 22; 2014; Grimstad; Norway
Linköping Electronic Conference Proceedings 102:7, s. 45-51
Publicerad: 2014-08-20
ISBN: 978-91-7519-241-3
ISSN: 1650-3686 (tryckt), 1650-3740 (online)
Despite that paper-based medical procedures have historically been the most common way of registering and exchanging patient data; it does not avoid the potential risks of unauthenticated access; unregistered data loss; legibility and difficulty to share the data with third parties. The Coordination Reform 2009 (Samhandlingsreformen) has demanded from municipalities to implement health services for citizens based on electronic messaging that eases the access to and sharing of patient data. In the context of the Research project “Collaboration without borders” (Samhandling uten grenser); electronic forms and collaborative assessment report by videoconference have been usability tested in this study in order to evaluate the potential application of these electronic tools in an inter-municipality workflow of dementia assessment. The results showed that electronic forms helped to reduce the paper load of the process; allowing repeated access to the forms for retrospective amendments and reviews. The videoconference with document sharing was reported to be a very effective and satisfactory tool to cooperatively work on the final report of the assessment between the members of the dementia team.
eHealth; dementia; health care team; health information technology; videoconference; collaboration
[1] Report No. 47 (2008-2009) to the Storting. (2009). The
Coordination Reform; Proper treatment – at the right
place and right time. Oslo: Norwegian Ministry of Health
and Care Services Retrieved from:
http://www.regjeringen.no/upload/HOD/Dokumenter%20INFO/Samhandling%20engelsk_PDFS.pdf
[2] Kommunesektorens organisasjon (NO). ARTEArbeidskraft
og teknologi i KS 2009. 2009 Feb [cited 2014
Jul 4]. Available from: http://www.ks.no/PageFiles/43061/ARTErapport.pdf
[3] Fensli R; Holen-Rabbersvik E; Thygesen E. Shared Access
to Electronic Health records for Inter-organizational Care
Teams using a Treatment Pathway Health Record. A case
study. BMC Medical Informatics and Decision Making;
(Submitted for publication; BMC Medical Informatics& Decision Making).
[4] Borson S; Scanlan J; Hummel J; Gibbs K; Lessig M; and
Zuhr E. Implementing routine cognitive screening of older
adults in primary care: process and impact on physician
behavior. Journal of general internal medicine 2007; 22(6);
811-817.
[5] Borson S; Scanlan JM; Watanabe J; Tu SP; and Lessig M.
Improving identification of cognitive impairment in primary
care. International journal of geriatric psychiatry;
2006; 21(4); 349-355.
[6] Bush C; Kozak J; and Elmslie T. Screening for cognitive
impairment in the elderly. Canadian Family Physician;
1997; 43; 1763.
[7] Callahan CM; Hendrie HC; and Tierney WM. Documentation
and evaluation of cognitive impairment in elderly primary
care patients. Annals of internal medicine; 1995;
122(6); 422-429.
[8] Evans DA; Funkenstein HH; Albert MS; Scherr PA; Cook
NR; Chown MJ; Hebert LE; Hennekens CH; and Taylor
JO. Prevalence of Alzheimer’s disease in a community population
of older persons: higher than previously reported.
Jama 262; 1989; no. 18; 2551-2556.
[9] Valcour VG; Masaki KH; Curb JD; and Blanchette PL.
The detection of dementia in the primary care setting. Archives
of Internal Medicine; 2000; 160(19); 2964-2968.
[10] Boise L; Camicioli R; Morgan DL; Rose JH; and Congleton
L. Diagnosing dementia: perspectives of primary care
physicians. The Gerontologist; 1999; 39(4); 457-464.
[11] Boustani M; Callahan CM; Unverzagt; FW; Austrom MG;
Perkins AJ; Fultz BA; Hui SL; and Hendrie HC. Implementing
a screening and diagnosis program for dementia in
primary care. Journal of general internal medicine; 2005;
20(7); 572-577.
[12] Harvan JR; and Cotter VT. An evaluation of dementia
screening in the primary care setting. Journal of the American
Academy of Nurse Practitioners; 2006; 18(8); 351-360.
[13] Boise L; Camicioli R; Morgan DL; Rose JH; and Congleton
L. Diagnosing dementia: perspectives of primary care
physicians. The Gerontologist; 1999; 39(4); 457-464.
[14] Miller RH; and Sim I. Physicians’ use of electronic medical
records: barriers and solutions. Health affairs; 2004;
23(2); 116-126.
[15] Rao M; Teran N; Savard M; and Medtronic AVE.. Improving
workflow in home healthcare industry: A case study.
Journal of International Technology and Information Management;
2004; 131; 61-72.
[16] Aldring og helse. Nasjonalt kompetansesenter. Demensutredning
i kommunehelsetjenesten. Helsedirektoratet; 2011
[cited 2014 Jul 4]. Available from:
http://www.aldringoghelse.no/ViewFile.aspx?ItemID=1492
[17] Svanæs D; Alsos OA; and Dahl Y. Usability testing of
mobile ICT for clinical settings: Methodological and practical
challenges. International journal of medical informatics
2010: 79(4); e24-e34.
[18] Lazar J; Feng JH; and Hochheiser H. Research methods in
human-computer interaction. John Wiley & Sons 2010.
[19] http://www.qsrinternational.com/products_nvivo.aspx?utm
_source=NVivo+10+for+Mac
[20] http://www.nsd.uib.no/personvern
[21] Nielsen J; and Landauer TK. A mathematical model of the
finding of usability problems. Proceedings of ACM
INTERCHI’93 Conference. Amsterdam; The etherlands;
24-29 April 1993; pp. 206-213.
[22] Laxmisan A; Hakimzada F; Sayan OR; Green RA; Zhang
J; and Patel VL. The multitasking clinician: decisionmaking
and cognitive demand during and after team handoffs
in emergency care. International journal of medical
informatics; 2007; 76(11); 801-811.
[23] Bates DW; and Bitton A. The future of health information
technology in the patient-centered medical home. Health
Affairs; 2010; 29(4); 614-621.
[24] Blumenthal D. Launching HIteCH. New England Journal
of Medicine; 2010; 362(5); 382-385.
[25] Bowens FM; Frye PA; Jones WA. Health information
technology: integration of clinical workflow into meaningful
use of electronic health records. Perspect Health Inf
Manag 2010; 7:1d.