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Volume 39 Number 1: >> Innovations and applications in health ICT.

 

What information do general practitioners need to care for patients
with lung cancer?
A survey of general practitioners perceptions.
Stella Rowlands, Joanne Callen and Johanna Westbrook p8  PDF file of
this article will be made available within 6 months 

Abstract
General practitioners (GPs) are an integral part of the
multidisciplinary team that care for patients with lung cancer. It is
essential that patient information including results of tests,
management plans, treatment, and follow-up arrangements are
communicated between hospital-based carers and the community-based GP.
The aim of this study was to explore GPs’ views about the information
they need from hospital-based health professionals in the management
of their patients with lung cancer. This exploration is undertaken
within the context of a multidisciplinary model of care, a relatively
new concept in service delivery for cancer patients. Data were
collected using a questionnaire that was distributed to the population
of 433 GPs from one Australian regional Division of General Practice.
Questions related to from whom, what, when and how GPs would like to
receive information from the multidisciplinary hospital-based lung
cancer team. GPs reported that they wanted information from all
members of the multidisciplinary hospital-based lung cancer team, not
just physicians. The key triggers for communication included: any
change in the patient’s condition; following initial outpatient visit;
at admission and discharge; and following treatment milestones. Both
medical and social information were seen as important to GPs and there
was strong support to receive information electronically. This study
illustrates the desire by GPs to receive information from all members
of the hospital-based lung cancer team if it is relevant to the
ongoing care of their patient. Technology-enabled solutions, such as
an electronic multidisciplinary discharge summary, the electronic
health record and the person-controlled electronic health record,
offer strategies to improve both timeliness and access to information.

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ICT applications as e-health solutions in rural healthcare in the
Eastern Cape Province of South Africa.
Nkqubela L. Ruxwana, Marlien E Hereselman and D Pieter Conradie p17
 PDF file of this article will be made available within 6 months 

Abstract
Information and Communication Technology (ICT) solutions (e.g.
e-health, telemedicine, e-education) are often viewed as vehicles to
bridge the digital divide between rural and urban healthcare centres
and to resolve shortcomings in the rural health sector. This study
focused on factors perceived to influence the uptake and use of ICTs
as e-health solutions in selected rural Eastern Cape healthcare
centres, and on structural variables relating to these facilities and
processes. Attention was also given to two psychological variables
that may underlie an individual’s acceptance and use of ICTs:
usefulness and ease of use. Recommendations are made with regard to
how ICTs can be used more effectively to improve health systems at
five rural healthcare centres where questionnaire and interview data
were collected: St. Lucy’s Hospital, Nessie Knight Hospital, the
Tsilitwa Clinic, the Madzikane Ka-Zulu Memorial Hospital and the
Nelson Mandela General Hospital.

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The development and design of an electronic patient record using open
source web-based technology.
Sharifah Mastura Syed-Mohamad, Siti Hawa Ali and Mohd Nazri Mat-Husin
p31
 PDF file of this article will be made available within 6 months 

Summary
This paper describes the method used to develop the One Stop Crisis
Centre (OSCC) Portal, an open source web-based electronic patient
record system (EPR) for the One Stop Crisis Center, Hospital
Universiti Sains Malaysia (HUSM) in Kelantan, Malaysia. Features and
functionalities of the system are presented to demonstrate the
workflow. Use of the OSCC Portal improved data integration and data
communication and contributed to improvements in care management. With
implementation of the OSCC portal, improved coordination between
disciplines and standardisation of data in HUSM were noticed. It is
expected that this will in turn result in improved data
confidentiality and data integrity. The collected data will also be
useful for quality assessment and research. Other low-resource centers
with limited computer hardware and access to open-source software
could benefit from this endeavour.

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© 2010 Health Information Management Journal of the Health Information
Management Association of Australia Ltd

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