1,720,961 research outputs found
Update on eHealth developments in Europe
Get PDFThe European Union (EU) has long aspired to support the freedom of movement of its citizens between member states by facilitating the transfer of their health records across borders. This is not as simple as might first seem, because few countries have a robust legal basis for such a transfer, records in different European countries are often in different languages, and the structure of health records varies greatly from country to country. At present most exchanges are informal and unstructured; hardly the best formula for safe and efficient healthcare. Cross-border exchange of personal health data was first piloted during the epSOS (European Patient – Smart Open Services) project. This was a large-scale pilot that ran from 2008 to 2014 and involved not only most EU countries but also Norway, Switzerland and Turkey. It focused on how to transfer patient summaries and ePrescriptions when citizens need unplanned health care while travelling outside their home country. Malta took part from 2011 onwards, and succeeded in exchanging patient summaries with various countries, including Italy, Portugal and Slovenia. The epSOS project drew up specifications for other use cases, such as transfer of a health care encounter report back to the patient’s home country, and direct patient access to the cross-border data. However, these use cases have not been widely tested yet. The European Commission is now encouraging countries to set up cross-border health data exchange as a routine service, and is supporting this by making funds available from its Connecting Europe Facility (CEF). A call for applications opened in November 2015, inviting proposals from EU member states interested in connecting to the EU’s new eHealth Digital Service Infrastructure (DSI). The call closed in March 2016 (CEF-TC-2015-2); twenty countries submitted a proposal, and it is expected that the eHealth DSI will go live in the first quarter of 2018. In parallel, the EU has been actively cooperating with the US in the specification and testing of an International Patient Summary standard that draws upon EU epSOS and the US Meaningful Use experience.peer-reviewe
The content of general practice in Malta : a pilot study comparing health centre and private practice in Malta with each other and with general practice (as reported for other countries)
Get PDFThe effective planning of a system and the training of personnel to run it requires accurate data regarding the use to be made of the system. For a health care system such data, apart from actual numbers of patients, will include age/sex distribution, patient requests and expectations, and common presenting symptoms and diagnoses. Studies have been conducted in various countries to collect such data and while they have demonstrated general similarities among countries, they have also shown important regional differences. The present study arose as a result of discussions during a course on Family Medicine held by the University of Malta attended by ten doctors working in Government Health Centres, as it was noted that no such information has been published for Malta. The main objectives of the study were to determine the content of general practice in Malta; compare general practice experience in Government Health Centres and in private practice; determine and compare referral rates in Government Health Centres and in private practice.peer-reviewe
A national health information strategy for Malta
Get PDFIn 1992 a national health information strategy was developed jointly by the Department of Health and the Information Systems Division. A detailed strategy study report was compiled, with recommendations for the development of a number of information systems. The main system proposed was an integrated and comprehensive health care information system encompassing all of Malta’s hospitals and health centres, based on a single Patient Master Index. This system would support the concepts of an integrated health record and of a person-based view for resource management.peer-reviewe
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Digital health in Malta
Get PDFThis article looks at the most important advances that have taken place in the fields of healthcare computing, eHealth and Digital Health in the Maltese Islands since the Malta Association of Public Health Medicine was born in 1999. In the Health IT world, the jargon keeps changing, and it is now fashionable to speak of “digital health”, but in essence we are talking about the use of information and communication technologies for the provision of better health services. In Malta, public health physicians have been at the forefront of advances in Health IT, often acting as human interfaces between the medical and technological worlds.peer-reviewe
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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