eHealth in medicine and oncology – new horizons of clinical practice
Authors:
M. Lekárová 1; Z. Barešová 1; M. Světlák 1; A. Slezáčková 1; T. Malatincová 1; R. Šumec 1,2
Authors‘ workplace:
Ústav psychologie a psychosomatiky, LF MU Brno
1; I. neurologická klinika LF MU a FN u sv. Anny v Brně
2
Published in:
Klin Onkol 2021; 34(5): 366-373
Category:
Reviews
doi:
https://doi.org/10.48095/ccko2021366
Overview
Background: Implementation of information and communication technologies in healthcare is a highly relevant topic nowadays. The speed of today‘s technological progress often exceeds our ability to adapt to changes. The possibilities for integrating eHealth into healthcare are enormous. Nevertheless, implementation of this pillar of contemporary healthcare is in its very beginnings in the Czech Republic, especially in oncology. Purpose: The article offers a systematic classification and definition of the benefits of eHealth with regard to the practical use by healthcare professionals, focusing mainly on the oncological practice in the Czech and global healthcare systems. The aim of the article is to provide relevant information about current challenges and solutions in eHealth programs in the Czech Republic to healthcare professionals. Conclusion: Effective employment of e-Health in medical practice consists in the integration of the entire community of healthcare professionals, modern technologies and relevant parts of the political and economic system.
Keywords:
Telemedicine – eHealth – medical oncology – mobile applications
Sources
1. Středa L, Hána K. Ehealth a telemedicína: učebnice pro vysoké školy. 1. vyd. Praha: Grada Publishing 2016.
2. Della Mea V. What is e-health (2): the death of telemedicine? J Med Internet Res 2001; 3 (2): E22. doi: 10.2196/jmir.3.2.e22.
3. Eysenbach G. What is e-health? J Med Internet Res 2001; 3 (2): E20. doi: 10.2196/jmir.3.2.e20.
4. Shaw T, McGregor D, Brunner M et al. What is ehealth (6) ? Development of a conceptual model for ehealth: qualitative study with key informants. J Med Internet Res 2017; 19 (10): e324. doi: 10.2196/jmir.8106.
5. Eurostat.eu. Eurostat Data Browser. [online]. Available from: https: //ec.europa.eu/eurostat/databrowser/ view/isoc_ci_ac_i/default/table?lang=en.
6. Ahadzadeh AS, Pahlevan Sharif S, Ong FS et al. Integrating health belief model and technology acceptance model: an investigation of health-related internet use. J Med Internet Res 2015; 17 (2): e45. doi: 10.2196/jmir.3564.
7. Health Innovation Network. Health Innovation Network South London. What is person-centred care?. [online]. Available from: https: //healthinnovationnetwork.com/resources/what-is-person-centred-care/.
8. European Commision. European Commision. eHealth application to improve care for cancer patients. [online]. Available from: https: //ec.europa.eu/programmes/horizon2020/en/news/ehealth-application-improve-care-cancer-patients.
9. Lu DJ, Girgis M, David JM et al. Evaluation of mobile health applications to track patient-reported outcomes for oncology patients: a systematic review. Adv Radiat Oncol 2021; 6 (1): 100576. doi: 10.1016/j.adro.2020.09. 016.
10. Gibson F, Aldiss S, Taylor RM et al. Utilization of the medical research council evaluation framework in the development of technology for symptom management: the ASyMS-YG study. Cancer Nurs 2010; 33 (5): 343352. doi: 10.1097/NCC.0b013e3181cb4bad.
11. Maguire R, Fox PA, McCann L et al. The eSMART study protocol: a randomised controlled trial to evaluate electronic symptom management using the advanced symptom management system (ASyMS) remote technology for patients with cancer. BMJ Open 2017; 7 (5): e015016. doi: 10.1136/bmjopen-2016-015016.
12. Basch E, Deal AM, Dueck AC et al. Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA 2017; 318 (2): 197–198. doi: 10.1001/jama.2017.7156.
13. Wang W, Krishnan E. Big data and clinicians: a review on the state of the science. JMIR Med Inform 2014; 2 (1): e1. doi: 10.2196/medinform.2913.
14. Vickers AJ. Prediction models in cancer care. CA Cancer J Clin 2011; 61 (5): 315–326. doi: 10.3322/caac.20118.
15. Goshen R, Mizrahi B, Akiva P et al. Predicting the presence of colon cancer in members of a health maintenance organisation by evaluating analytes from standard laboratory records. Br J Cancer 2017; 116 (7): 944–950. doi: 10.1038/bjc.2017.53.
16. EPACS. E.ICZ a. s. [online]. Available from: http: //www.epacs.cz/epacs/faces/pages/index.xhtml.
17. Dr.Sejf. OR-CZ spol. s. r. o. Sdílení zdravotnických dat rychle a bezpečně. [online]. Dostupné z: https: //www.drsejf.cz/faq.
18. Mujpacient. Představení programu Mujpacient a reakce lékařů. [online]. Dostupné z: https: //www.mujpacient.cz/o-projektu.
19. Pecina J, Šedo J, Schmiedová J. Keynote speech Jiřího Peciny. Forbes NEXT Big Thing; 2020. [online]. Dostupné z: https: //www.youtube.com/watch?v=1ro9TJ_LUBg&t=1655s.
20. Světláková L, Sláma O, Světlák M et al. Prevalence symptomů úzkosti deprese a jejich vliv na kvalitu života u pacientů v paliativní onkologické léčbě – projekt PALINT. Klin Onkol 2019; 32 (3): 201–207. doi: 10.14735/ amko2019201.
21. Dušek L, Májek O, Klimeš D et al. Stav a vývoj informační základny pro hodnocení onkologických screeningových programů v České republice. Klin Onkol 2014; 27 (Suppl 2): 2S49–2S58.
22. Vyzula R, Dušek L, Prausová J et al. XVIII. fórum onkologů, zpráva z jednání v Brně dne 5. 11. 2010. Klin Onkol 2011; 24 (1): 58–66.
23. Česká onkologická společnost ČLS JEP. Klinické registry. [online]. Dostupné z: https: //www.linkos.cz/lekar-a-multidisciplinarni-tym/ekonomika/sledovani-a-predikce-dat-v-onkologii/klinicke-registry/.
24. Ministerstvo zdravotnictví České republiky. Národní strategie elektronického zdravotnictví. [online]. Dostupné z: https: //ncez.mzcr.cz/cs/narodni-strategie-elektronickeho-zdravotnictvi/narodni-strategie-elektronickeho-zdravotnictvi.
25. Ministerstvo zdravotnictví České republiky. Vize elektronického zdravotnictví ČR. [online]. Dostupné z: https: //ncez.mzcr.cz/cs/narodni-strategie-elektronickeho-zdravotnictvi/vize-elektronickeho-zdravotnictvi-cr.
26. Ministerstvo zdravotnictví České republiky. 6 principů elektronizace zdravotnictví. [online]. Dostupné z: https: //ncez.mzcr.cz/cs/narodni-strategie-elektronickeho-zdravotnictvi/6-principu-elektronizace- zdravotnictvi.
27. Ministerstvo zdravotnictví České republiky. Vybudování základní resortní infrastruktury eHealth – informační a datové resortní rozhraní. [online]. Dostupné z: https: //ncez.mzcr.cz/cs/projekty/vybudovani-zakladni-resortni-infrastruktury-ehealth-informacni-datove-resortni-rozhrani.
28. Zdravotnický deník. Návrh zákona o eHealth je hotový. Nastavuje základní pravidla, není to žádná revoluce, tvrdí ministerstvo i ÚZIS. [online]. Dostupné z: https: //www.zdravotnickydenik.cz/2020/08/navrh-zakona-ehealth-hotovy-nastavuje-zakladni-pravidla-neni-zadna-revoluce-tvrdi-ministerstvo-i-uzis/.
29. Fakultní nemocnice Olomouc. Národní telemedicínské centrum. [online]. Dostupné z: https: //ntmc.fnol.cz/ntmc.
30. Robinson L, Schulz J, Blank G et al. Digital inequalities 2.0: legacy inequalities in the information age. First Monday 2020; 25 (7). doi: 10.5210/fm.v25i7.10842.
31. Holroyd-Leduc JM, Lorenzetti D, Straus SE et al. The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence. J Am Med Inform Assoc 2011; 18 (6): 732–737. doi: 10.1136/amiajnl-2010-000019.
32. Wang C. The impact of health practitioners’use of communication technologies on temporal capital and autonomy. In: Hale TM, Wen-Ying SCh, Cotten SR et al (eds). EHealth: current evidence, promises, perils and future direction. CA, USA: Emerald Publishing Limited 2018: 93–122.
33. Český rozhlas. Čím dál více lékařů je v důchodovém věku. Potřebujeme dostat absolventy do terénu, říká ministr. [online]. Dostupné z: https: //radiozurnal.rozhlas.cz/cim-dal-vic-lekaru-je-v-duchodovem-veku-potrebujeme-dostat-absolventy-do-terenu-8138055?fbclid=IwAR1cqGQNUMKl7XlHdMo9dM2BCA_Yy2dHWm4wprbw_veHxxVP-0oUbfPYUck.
34. Schiza EC, Panos G, David C et al. Integrated electronic health record database management system: a proposal. Stud Health Technol Inform 2015; 213: 187–190.
35. Newman LH. Medical devices are the next security nightmare. [online]. Available from: https: //www.wired.com/2017/03/medical-devices-next-security-nightmare/?xing_share=news.
36. Ministerstvo zdravotnictví České republiky. Kybernetická bezpečnost. [online]. Dostupné z URL: https: //ncez.mzcr.cz/cs/kyberneticka-bezpecnost/kyberneticka-bezpecnost.
37. Best J. Could implanted medical devices be hacked? BMJ 2020; 368: m102. doi: 10.1136/bmj.m102. PMID: 31937555.
38. European Commission. Medical devices – sector. [online]. Available from: https: //ec.europa.eu/health/md_sector/overview_en.
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Paediatric clinical oncology Surgery Clinical oncologyArticle was published in
Clinical Oncology
2021 Issue 5
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