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Barriers and facilitators for eHealth adoption by general practitioners in Belgium / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Barriers and facilitators for eHealth adoption by general practitioners in Belgium : Analysis based on the integrated allowance for GP practices [printed text] / Jens Detollenaere , Author ; Wendy Christiaens , Author ; Dorien Dossche, Author ; Cécile Camberlin , Author ; Mélanie Lefevre , Author ; Stephan Devriese , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 167 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 337C) .
ISSN : D/2020/10.273/42 : € 0,00
Languages : English (eng)
Descriptors: Classification
W 83 Telemedicine (General)
Indexation
2017-13 ; Belgium ; Medical Informatics Applications ; Physicians, Family ; R337 ; TelemedicineContents note: SCIENTIFIC REPORT 12 -- 1 BACKGROUND AND INTRODUCTION 12 -- 1.1 DEFINING EHEALTH AND SCOPE 12 -- 1.2 RESEARCH QUESTIONS 15 -- 1.3 METHODS 15 -- 2 EHEALTH SERVICES IN THE RIZIV – INAMI INTEGRATED ALLOWANCE FOR GP PRACTICES 17 -- 2.1 SCOPE 17 -- 2.2 THE EHEALTH-PLATFORM 17 -- 2.2.1 A public institution of social security 17 -- 2.2.2 Basic electronic services 20 -- 2.3 EHEALTH SERVICES FOR GPS 28 -- 2.3.1 Recip-e – Electronic prescriptions 28 -- 2.3.2 MyCareNet 31 -- 2.3.3 First line digital vaults 40 -- 2.3.4 Cebam Evidence Linker 45 -- 2.3.5 Medic-e – Disabled persons form 45 -- 3 INTEGRATED ALLOWANCE FOR GP PRACTICES AS AN INCENTIVE FOR EHEALTH UPTAKE 46 -- 3.1 KEY POINTS 46 -- 3.2 THE SYSTEM OF INTEGRATED ALLOWANCE FOR THE GP PRACTICE 46 -- 3.3 MEASURING EHEALTH UPTAKE BY GPS USING THE INTEGRATED PRACTICE ALLOWANCE CRITERIA 49 -- 3.3.1 Data source 49 -- 3.3.2 Methods 49 -- 3.3.3 Results 49 -- 4 FACTORS INFLUENCING EHEALTH ADOPTION: AN UMBRELLA REVIEW 62 -- 4.1 KEY POINTS 62 -- 4.2 AIM 63 -- 4.3 METHODS 63 -- 4.3.1 Quality assessment 66 -- 4.4 RESULTS 66 -- 4.4.1 Characteristics of the included publications 68 -- 4.4.2 Factors influencing eHealth adoption: mapping in the clinical adoption framework 71 -- 4.5 CONCLUSION 80 -- 5 BARRIERS AND FACILITATORS OF EHEALTH UPTAKE IN BELGIUM: LESSONS LEARNED FROM THE GREY LITERATURE 81 -- 5.1 KEY POINTS 81 -- 5.2 METHODS 81 -- 5.3 WHAT IS TROUBLING THE EHEALTH ADOPTION IN BELGIUM? 84 -- 6 GPS’ PERSPECTIVE ON THE USE OF EHEALTH SERVICES: A QUALITATIVE STUDY 85 -- 6.1 KEY POINTS 85 -- 6.2 INTRODUCTION 85 -- 6.3 METHODS 85 -- 6.3.1 Recruitment and sample 85 -- 6.3.2 Interview guide 86 -- 6.3.3 Online focus group interviews 86 -- 6.3.4 Analysis 86 -- 6.4 FINDINGS 87 -- 6.4.1 Problems with eHealth use 87 -- 6.4.2 Barriers to the use of eHealth application 89 -- 6.4.3 Facilitators of eHealth use 95 -- 6.4.4 Ideas to improve the use of eHealth services 97 -- 6.4.5 Impact of COVID-19 on the use of eHealth services in general practice 99 -- 7 DISCUSSION 100 -- 7.1 UPTAKE RATES 100 -- 7.2 FACTORS CONTRIBUTING TO EHEALTH ADOPTION 100 -- 7.2.1 Facilitators 105 -- 7.2.2 Barriers 105 -- APPENDICES 108 Link for e-copy: https://doi.org/10.57598/R337C Format of e-copy: PDF (6,3 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4705 Collaborative Patient Centred eHealth / Etienne De Clercq / Amsterdam : IOS Press (2008)
Collaborative Patient Centred eHealth [printed text] / Etienne De Clercq, Author ; Georges De Moor, Author ; Joseph Bellon, Author ; Michel Foulon, Author ; Johan Van der Lei, Author . - Amsterdam : IOS Press, 2008 . - 215 p. : ill., ; 22 cm. - (Studies in Health Technology and Informatics, ISSN 0926-9630; 141) .
ISBN : 978-1-58603-922-6 : € 100,00
Proceedings of the HIT@HealthCare 2008 Joint Event: 25th MIC Congress, 3rd International Congress Sixi, Special ISV-NVKVV Event, 8th Belgian eHealth Symposium
Languages : English (eng)
Descriptors: Classification
W 26.5 Informatics. Health informatics
Indexation
Hospital Records ; Medical Informatics Applications ; Medical Records ; Medical Records Systems, Computerized ; Patient Participation ; Primary Health Care ; Secondary PreventionAbstract: In Medical Informatics three types of processes play a central role: organizational, patient-related and decision making-related processes. The first type deals with settings, such as a hospital care setting or a primary care setting; the second is related to health and disease (i.e. to patients); the third type of process aims at assisting in decision making and therapy and evolves in the brains of healthcare professionals. Hence, in all domains data, information and knowledge play a key role. As these three processes evolve, dealing with individuals – patients, doctors and nurses – because of that human factor there are obviously limitations imposed by formalization and standardization. In the past, there have been some unrealistic expectations regarding the possible contributions of medical informatics to healthcare. However, such contributions appeared to be very modest, to say the least. The same applies to the overly optimistic expectations regarding the introduction of electronic health records. Although the technology is widely available, all these developments appear to be far more complex than expected. The need for an improved understanding of the nature of medical knowledge to better serve health remains to be emphasized. Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3412 Hold
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Barcode Call number Media type Location Section Status 10273-02911 W 26.5 / DEC Book KCE Library (10.124) Available Creating an Electronic Out-of-Hours Health Record / Koen Thomeer / Leuven [Belgium] : Katholieke Universiteit Leuven (KUL) (2007)
Creating an Electronic Out-of-Hours Health Record : Designing, creating and testing a new Web-Based Electronic Health Record for Out-of-Hours use with special emphasis on coding matters. [printed text] / Koen Thomeer, Author . - Leuven [Belgium] : Katholieke Universiteit Leuven (KUL), 2007 . - 8 p. : ill.
€ 0,00
Master thesis Health Information Management
Languages : English (eng)
Descriptors: Classification
W 26.5 Informatics. Health informatics
Indexation
Academic Dissertations ; Medical Informatics ApplicationsLink for e-copy: http://koen.thomeer.be/ThesisWM.pdf Format of e-copy: Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=861 Copies(0)
Status No copy Gebruik van eGezondheidsdiensten door Belgische huisartsen / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Gebruik van eGezondheidsdiensten door Belgische huisartsen : Analyse op basis van de geïntegreerde praktijkpremie huisartsgeneeskunde – Synthese [printed text] / Jens Detollenaere , Author ; Wendy Christiaens , Author ; Dorien Dossche, Author ; Cécile Camberlin , Author ; Mélanie Lefevre , Author ; Stephan Devriese , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 28 p. : ill., ; A4. - (KCE Reports A. Health Services Research (HSR); 337AS) .
ISSN : D/2020/10.273/40 : € 0,00
Languages : Dutch (nla)
Descriptors: Classification
W 83 Telemedicine (General)
Indexation
2017-13 ; Belgium ; Medical Informatics Applications ; Physicians, Family ; R337 ; TelemedicineAbstract: Vele federale diensten digitaliseren in sneltempo, en de gezondheidszorg is daarop geen uitzondering. Voor huisartsen verloopt de overgang niet altijd even soepel als verwacht, ook al heeft de COVID-19 epidemie het proces aanzienlijk versneld. Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) werd gevraagd om de factoren te identificeren die het gebruik van eGezondheidsdiensten door deze centrale spelers in onze gezondheidszorg kunnen faciliteren. Na het beluisteren van de huisartsen, het analyseren van RIZIV-data en bestuderen van de internationale literatuur hebben de onderzoekers een aantal pistes geïdentificeerd die het gebruik van eGezondheidsdiensten kunnen verbeteren: het verbeteren van de werking, de interoperabiliteit en de technische ondersteuning van de aangeboden diensten; bewustmaking, opleiding en financiële ondersteuning van de artsen, maar ook - en dit is meer onverwacht - het meer betrekken van de artsen bij het ontwerp en de ontwikkeling van de diensten, waarvan zij uiteindelijk de belangrijkste gebruikers zullen zijn. Contents note: 1. INLEIDING 4 -- 1.1. DOELSTELLINGEN VAN DIT RAPPORT 4 -- 1.2. WAT IS EHEALTH EN EGEZONDHEID? 5 -- 1.3. METHODE 6 -- 2. BESCHRIJVING VAN DE E-GEZONDHEIDSDIENSTEN DIE HUISARTSEN OP DIT MOMENT KUNNEN GEBRUIKEN 6 -- 2.1. HET EHEALTH-PLATFORM 6 -- 2.2. RECIP-E – ELEKTRONISCHE VOORSCHRIFTEN 7 -- 2.3. MYCARENET 8 -- 2.4. SUMEHRS, MEDICATIESCHEMA'S, DIGITALE KLUIZEN EN TOESTEMMING VAN DE PATIËNT 8 -- 2.5. CEBAM EVIDENCE LINKER 9 -- 2.6. MEDIC-E 9 -- 3. GEBRUIK VAN E-GEZONDHEIDSDIENSTEN DOOR BELGISCHE HUISARTSEN 9 -- 3.1. GEÏNTEGREERDE PRAKTIJKPREMIE 9 -- 3.2. GEBRUIK VAN EGEZONDHEID DOOR HUISARTSEN 11 -- 3.2.1. Bron van de gegevens 11 -- 3.2.2. Algemene kenmerken van de huisartsenpopulatie (cijfers 2018) 11 -- 3.2.3. Gebruik van eGezondheid per criterium 11 -- 3.2.4. Gebruik van eGezondheid per regio 13 -- 4. FACTOREN DIE EEN INVLOED HEBBEN OP HET GEBRUIK VAN E-GEZONDHEIDSDIENSTEN DOOR HUISARTSEN 16 -- 4.1. REVIEW VAN DE INTERNATIONALE LITERATUUR 16 -- 4.2. ANALYSE VAN HET DISCOURS IN DE BELGISCHE GRIJZE LITERATUUR 18 -- 4.3. PROBLEMEN DIE AAN HET LICHT KWAMEN TIJDENS DE FOCUSGROEPEN MET HUISARTSEN. 18 -- 4.3.1. Belemmeringen bij het gebruik van eGezondheidsdiensten in het algemeen 18 -- 4.3.2. Specifieke belemmeringen die gelinkt zijn aan bepaalde eGezondheidsdiensten 19 -- 4.3.3. Faciliterende factoren in het gebruik van eGezondheidsdiensten 20 -- 4.3.4. Enkele ideeën om de eGezondheidsdiensten verder te ontwikkelen 20 -- 4.3.5. Impact van de COVID-19-crisis op het gebruik van eGezondheidsdiensten 21 -- 5. CONCLUSIES 22 -- AANBEVELINGEN 25 Link for e-copy: https://doi.org/10.57598/R337AS Format of e-copy: PDF (1.9 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4707 Using hospital administrative data to evaluate the knowledge-to-action gap in pressure ulcer preventive care / P Van Herck in Journal of evaluation in clinical practice, 15(2009)02 ([04/01/2009])
[article] Using hospital administrative data to evaluate the knowledge-to-action gap in pressure ulcer preventive care [printed text] / P Van Herck, Author ; Walter Sermeus, Author ; V. Jylha, Author ; Koen Van Den Heede , Author . - 2009 . - p. 375-382.
Languages : English (eng)
in Journal of evaluation in clinical practice > 15(2009)02 [04/01/2009] . - p. 375-382
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Belgium ; Child ; Evidence-Based Medicine ; Health Knowledge, Attitudes, Practice ; Intensive Care Units ; Journal Article ; Medical Informatics Applications ; Peer Review ; Pressure Ulcer ; Quality of Health Care ; statistics and numerical data [Subheading]Abstract: RATIONALE, AIMS AND OBJECTIVES: Issues of overuse, underuse and misuse are paramount and lead to avoidable morbidity and mortality. Although evidence-based practice is advocated, the widespread implementation of this kind of practice remains a challenge. This is also the case for evidence-based practice related to the prevention of pressure ulcers, which varies widely in process and outcome in Belgian hospital care. One major obstacle to bridging this knowledge-to-action gap is data availability. We propose using large-scale hospital administrative data combined with the latest evidence-based methods as part of the solution to this problem. METHOD: To test our proposal, we applied this approach to pressure ulcer prevention, using an administrative dataset with regard to 6030 patients in 22 Belgian hospitals as a sample of nationally available data. Methods include a systematic review approach, evidence grading, recommendations formulation, algorithm construction, programming of the rule set and application on the database. RESULTS: We found that Belgian hospitals frequently failed to provide appropriate prevention care. Significant levels of underuse, up to 28.4% in pressure ulcer prevention education and 17.5% in the use of dynamic systems mattresses, were detected. Figures for overuse were mostly not significant. Misuse couldn't be assessed. CONCLUSIONS: These results demonstrate that this approach can indeed be successfully used to bridge the knowledge-to-action gap in medical practice, by implementing an innovative method to assess underuse and overuse in hospital care. The integrative use of administrative data and clinical applications should be replicated in other patient groups, other datasets and other countries. Link for e-copy: https://doi.org/10.1111/j.1365-2753.2008.01019.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4121 [article]Utilisation des services e-santé par les médecins généralistes belges / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
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