Exploiting Cloud-Based Personal Health Information Systems in Practicing Patient Centered Care Model - Biomedical Engineering Systems and Technologies - page 326

The new patient remote monitoring technology holds significant promise of im-
proving on major health care delivery problems. However, there are many functions
in the emerging healthcare models (including patient centered care, pharmaceutical
care and chronic care models) that the modern monitoring devices and systems do not
support as they only provide the communication between patient and healthcare pro-
vider. Instead the emerging healthcare models require Information and Communica-
tion Technology (ICT) support for the co-operation of patient's healthcare team and
the support in delivering relevant educational material for the patient and the mem-
bers of the healthcare team.
Our studies have shown that the ICT-support of these requirements requires the in-
tegration of patient's e-health tools as it significantly simplifies patients' interaction
with the services, enables the co-operation within the healthcare team and the devel-
opment of new services such as automated information therapy.
From technology point of view we have integrated e-heath tools through the
shared PHIS-ontology that is stored in the knowledge base, which exploits semantic
web technologies such as OWL and RDF. The management of the shared ontology
requires that in importing data the documents that are not compliant with the ontology
have to be transformed by XSLT transformation into the RDF-format that is com-
pliant with the ontology, i.e., a stylesheet has to be defined for each non-compliant
document type.
In our future work we will study the effects of introducing cloud-based health in-
formation systems on the mind-set of patient and healthcare personnel as the introduc-
tion of these technologies also changes the daily duties of the patient and many
healthcare employees. Therefore we assume the most challenging aspect will not be
the technology but rather the changing the mind-set of patient's healthcare team.
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