E-health progresses in Romania

Moisil, Ioana; Jitaru, Elena

doi:10.1016/j.ijmedinf.2005.08.013

Cited by 16 publications

(10 citation statements)

References 1 publication

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“…In fact, an e-procurement system's ability to reduce procurement costs is likely the single most important factor for medicines e-procurement systems adoption [28]. For example, a 2006 review of e-Health interventions in Romania found that e-procurement was used by the Ministry of Health for the acquisition of medicines for HIV/AIDS, tuberculosis, oncology, nephrology, diabetes, hematology, and psychiatry [30][31][32][33][34]. One of the key factors for this technology adoption was the expected cost savings of some US$1.5 million [30].…”

Section: Importance Of Cost-savings Generationmentioning

confidence: 99%

“…For example, a 2006 review of e-Health interventions in Romania found that e-procurement was used by the Ministry of Health for the acquisition of medicines for HIV/AIDS, tuberculosis, oncology, nephrology, diabetes, hematology, and psychiatry [30][31][32][33][34]. One of the key factors for this technology adoption was the expected cost savings of some US$1.5 million [30]. Cost-savings can come in the form of process improvements, such as a 2010 study describing a pilot e-procurement system in Greek, Spanish, and Belgian hospitals [35].…”

Section: Importance Of Cost-savings Generationmentioning

confidence: 99%

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An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement

Mackey

Cuomo

2020

Global Health Action

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Background: Pharmaceutical corruption is a serious challenge in global health. Digital technologies that can detect and prevent fraud and corruption are particularly important to address barriers to access to medicines, such as medicines availability and affordability, stockouts, shortages, diversion, and infiltration of substandard and falsified medicines. Objectives: To better understand how digital technologies are used to combat corruption, increase transparency, and detect fraud in pharmaceutical procurement systems to improve population health outcomes. Methods: We conducted a multidisciplinary review of the health/medicine, engineering, and computer science literature. Our search queries included keywords associated with medicines procurement and digital technology in combination with terms associated with transparency and anti-corruption initiatives. Our definition of 'digital technology' focused on Internetbased communications, including online portals and management systems, supply chain tools, and electronic databases. Results: We extracted 37 articles for in-depth review based on our inclusion criteria focused on the utilization of digital technology to improve medicines procurement. The vast majority of articles focused on electronic data transfer and/or e-procurement systems with fewer articles discussing emerging technologies such as machine learning and blockchain distributed ledger solutions. In the context of e-procurement, slow adoption, justifying cost-savings, and need for technical standards setting were identified as key challenges for current and future utilization. Conclusions: Though there is a significant promise for digital technologies, particularly e-procurement, overall adoption of solutions that can enhance transparency, accountability and concomitantly combat corruption, is still underdeveloped. Future efforts should focus on tying cost-saving measurements with anti-corruption indicators, prioritizing centralization of e-procurement systems, establishing regulatory harmonization with standards setting, and incorporating additional anti-corruption technologies into procurement processes for improving access to medicines and to reach the overall goal of Universal Health Coverage. ARTICLE HISTORY

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Section: Importance Of Cost-savings Generationmentioning

confidence: 99%

Section: Importance Of Cost-savings Generationmentioning

confidence: 99%

An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement

Mackey

Cuomo

2020

Global Health Action

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“…So that the trustee, policy makers, implementers and operators of information technology are not exactly clear and various institutions claim to be the trusteeship of the country's ICT and separately ratify the related acts. Implementations of e-health concept in European countries were possible by strong support and cooperation of Ministry of Health, Ministry of Information and Technology, Ministry of Education and Research and non-governmental organizations (Moisil and Jitaru, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…One of the first steps could be providing the hardware, national standardization of protocols and improvement of computer skills of caregivers (Tran et al, 2006;Kluge, 2007;Yu et al, 2009). Support of different ministries and non-governmental organizations is important in effective e-health implementation (Moisil and Jitaru, 2006).…”

Section: Introductionmentioning

confidence: 99%

Effective elements on e-health deployment in Iran

Nasiripour

Rahmani²,

Radfar³

et al. 2012

Afr. J. Bus. Manage.

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The structural features of Iran's health system obligate the development of information technology in medical field and design of an effective e-health system. Due to the importance of this issue, the current study was performed to identify the effective elements on e-health deployment in order to codify a comprehensive plan for Iran. The practical, descriptive-comparative study was conducted using semiqualitative methods with mathematical analysis. The study populations included the following countries: Australia, Germany, Japan, Sweden, Britain, Turkey and Iran. Due to the comparative nature of the study, there were no samples and the selected countries were chosen as the sources of information. This study was performed in four stages including studying the current situation and the history of issue in Iran through documents and evidences, comprehensive study of e-health in selected countries by searching through books, materials and also the web, suggesting the primary proposal and eventually determining the proposal's credibility and presenting the final plan using the semi-Delphi technique. The findings of the study indicated that e-health deployment priorities included individual health care identifier (IHI), patient ID, e-health card, increasing investment in information technology, electronic appointment registration, electronic prescribing and finally, telemedicine service. Strategies commonly aimed to use the information technology to provide health care services based on patients centrality. E-health infrastructures included physical networks, legal infrastructures, education, preparation and performance of e-health operation. The necessary resources to establish ehealth included financial, data and other resources. The deployment of e-health included e-health record, e-health card, telemedicine service and health portals. The major obstacles to establish e-health in Iran included lack of a specific strategy, ambiguous and complicated information technology infrastructure, two cultural and educational problems in relation to training and practice in information technology and communication skills, rapid changes of managers especially in Ministry of Health and Welfare, not being able to attract skilled information technology technicians in e-health field, unclear mechanism to fund e-health system, lack of codified technical standards and weak health service implementation methods. Infrastructure of information and communication technology in Iran is complex and ambiguous and e-health strategies and priorities have not been determined yet.

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“…As a matter of fact, EMR is a primary domain of e-health [5]. In the most recent e-health research, EMR and electronic health record records (EHR) are frequently interchangeable definitions.…”

Section: Research Backgroundmentioning

confidence: 99%

Recent Research Areas and Grand Challenges in Electronic Medical Record: A Literature Survey Approach

Najaftorkaman¹,

Ghapanchi²,

Talaei-Khoei³

et al. 2013

ITMR

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This study undertook a literature survey to provide a taxonomy that represents research areas of Electronic Medical Record (EMR). We identified the following areas of research and classified them into eight main categories: design and implementation, evaluation, adoption, impacts, medical research, integration, EMR data design and management, and policy and standards. Even though EMR improves care quality and efficiency in a positive way, some negative perceptions by the health user community (health professionals and health service managers) should not be neglected. By categorizing EMR research articles, we reveal a clear set of grand challenges of EMR in the future education and research in health informatics, biomedical engineering, and related areas. A big picture of EMR research areas presented in this study helps health community to find scientific methods for various grand challenges in EMR.

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E-health progresses in Romania

Cited by 16 publications

References 1 publication

An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement

An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement

Effective elements on e-health deployment in Iran

Recent Research Areas and Grand Challenges in Electronic Medical Record: A Literature Survey Approach

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