Knowledge-driven delivery of home care services

Batet, Montserrat; Isern, David; Marin, Lucas; Mart́ınez, Sergio; Moreno, Antonio; Sánchez, David; Valls, Aïda; Gibert, Karina

doi:10.1007/s10844-010-0145-0

Cited by 14 publications

(17 citation statements)

References 42 publications

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“…Although several promising prototypes have been done in academia [11,13,1,5], yet there are many challenges and hurdles to overcome before having a realistic homecare solution [12,9]. Based on our study, we observed that existing solutions have not addressed dynamic provisioning and its requirements as much as other challenges such as distributed and heterogeneous application service providers [23].…”

Section: Introductionmentioning

confidence: 88%

Dynamic Homecare Service Provisioning: A Field Test and Its Results

Zarghami

Zarifi

Sinderen

et al. 2013

Lecture Notes in Computer Science

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Abstract. Providing IT-based care support for elderly at home is proposed as a highly promising appraoch to address the aging population problem. With the emergence of homecare application service providers, a homecare system can be seen as a linked set of services. Configuring and composing existing homecare application services to create new homecare composite applications can reduce the application development cost. The idea even looks more promising if the service provisioning is dynamic, i.e., if applications can update their behaviors with respect to the contextual changes without or with minimum manpower. Dynamic service provisioning can play an important role to accept homecare systems in practical settings. This motivated us to develop a Dynamic Homecare Service Provisioning (DHSP) platform to address the homecare context changes in an effective and efficient manner. As a proof of concept, we have developed a software prototype of our platform. The prototype was subsequently used in a real-world field test at a care institution in the Netherlands to validate the approach. This paper describes the design of the field test and reflects on the outcome of the validation experiments.

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Section: Introductionmentioning

confidence: 88%

Dynamic Homecare Service Provisioning: A Field Test and Its Results

Zarghami

Zarifi

Sinderen

et al. 2013

Lecture Notes in Computer Science

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“…Batet et al [28] describe a CGS for home care services that supports both modularization (using a distributed architecture) and parameterization with respect to individual intervention plans.…”

Section: Methodsmentioning

confidence: 99%

Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts

Shah

Allard

Enberg

et al. 2012

BMC Med Inform Decis Mak

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BackgroundA large body of work in the clinical guidelines field has identified requirements for guideline systems, but there are formidable challenges in translating such requirements into production-quality systems that can be used in routine patient care. Detailed analysis of requirements from an implementation perspective can be useful in helping define sub-requirements to the point where they are implementable. Further, additional requirements emerge as a result of such analysis. During such an analysis, study of examples of existing, software-engineering efforts in non-biomedical fields can provide useful signposts to the implementer of a clinical guideline system.MethodsIn addition to requirements described by guideline-system authors, comparative reviews of such systems, and publications discussing information needs for guideline systems and clinical decision support systems in general, we have incorporated additional requirements related to production-system robustness and functionality from publications in the business workflow domain, in addition to drawing on our own experience in the development of the Proteus guideline system (http://proteme.org).ResultsThe sub-requirements are discussed by conveniently grouping them into the categories used by the review of Isern and Moreno 2008. We cite previous work under each category and then provide sub-requirements under each category, and provide example of similar work in software-engineering efforts that have addressed a similar problem in a non-biomedical context.ConclusionsWhen analyzing requirements from the implementation viewpoint, knowledge of successes and failures in related software-engineering efforts can guide implementers in the choice of effective design and development strategies.

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“…Batet et al [269] proposed the knowledge-based personalization aspects that have been incorporated in the K4Care platform, as shown in Figure 9-71. An important characteristic of this platform is that it separates medical and organizational knowledge, which are modeled by means of several machine-readable knowledge and data sources, from the software components responsible for to the execution of the system.…”

Section: Knowledge-driven Delivery Of Home Care Servicesmentioning

confidence: 99%

“…Baffo et al [266], Batet et al [269] and Urovi et al [270] follow similar approaches, as they employed software agents for controlling clinical tasks and coordinating the exchange of EHR content. In these approaches, ubiquitous technologies were not applied and we did in our work.…”

Section: Software Agent Technologiesmentioning

confidence: 99%

Methodological support to develop interoperable applications for pervasive healthcare

Moraes¹

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The healthcare model currently being used in most countries will soon be inadequate, due to the increasing care costs of a growing population of elderly people, the rapid increase of chronic diseases, the growing demand for new treatments and technologies, and the relative decrease in the number of healthcare professionals with respect to the population increase. This healthcare model, which is centered on highly specialized people, located in large hospitals, needs to change into a distributed model, in order to produce faster responses and to allow patients to manage their own health. This centralized healthcare model also implies that patients and healthcare professionals have to move to the same place (a hospital or clinic) for the healthcare services to be delivered, and it is often expensive and inefficient. A distributed healthcare model that pervades the daily lives of the citizens is more appropriate to provide less expensive and more effective and timely healthcare, and characterizes Pervasive Healthcare. In Pervasive Healthcare, novel information and communication technologies are applied to support the provision of health services anywhere, at anytime and to anyone.This thesis aims at demonstrating the feasibility of using healthcare standards, ubiquitous computing technologies, service-oriented architecture principles, and software agents, to develop interoperable applications for exchanging messages in Pervasive Healthcare environments. This thesis presents a Reusable Architecture and a Message Generator that employ these technologies for achieving its aim. Our Reusable Architecture and Message Generator also meet the requirements of interoperability between heterogeneous healthcare information systems that are usually found in Pervasive Healthcare environments.In this work, a case study was performed in a realistic distributed healthcare environment, where three usage scenarios were defined in the cardiology domain: delivery of laboratory analysis results, schedule of an appointment for pacemaker evaluation, and support of a medical staff II ABSTRACT meeting to prepare for a cardiac surgery. Using the Reusable Architecture and the Message Generator, three applications were built for these scenarios, and they were employed and evaluated by both healthcare professionals and patients. The experiments were conducted in a distributed environment that consists of three cardiology clinics, one analysis laboratory, and the cardiology department of the Santa Casa Hospital of Marília (São Paulo, Brazil). The evaluation of these applications was carried out using the Technology Acceptance Model (TAM), since this model is generally considered as appropriate to explain technology acceptance. The evaluation involved a limited but representative set of healthcare professionals and patients.We showed that the methodology proposed in this thesis truly facilitates the development of Pervasive Healthcare. The proposed methodology preserves the investment in the legacy healthcare information systems and allow...

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Knowledge-driven delivery of home care services

Cited by 14 publications

References 42 publications

Dynamic Homecare Service Provisioning: A Field Test and Its Results

Dynamic Homecare Service Provisioning: A Field Test and Its Results

Requirements for guidelines systems: implementation challenges and lessons from existing software-engineering efforts

Methodological support to develop interoperable applications for pervasive healthcare

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