A Mobile Alerting System for the Support of Patients with Chronic Conditions

In today's healthcare environment, information systems are mostly used to support clinical staff. However, in current information systems, for patients assistance in the management of their chronic conditions is neglected. Yet, it is vital that patients with chronic conditions are actively involved in their disease management. This promotes personal responsibility, encourages understanding of their condition, gives them more control over their treatment and fosters their compliance. In this paper we propose the concept of a mobile system for supporting the management of the conditions of patients with chronic diseases. This system will allow for monitoring the patient’s health and the notification of doctors if emergency action is required. Also patients themselves may specify personal alerts for condition-related issues. Further, we show a comparison of existing systems against use cases we have developed in respect to their applicability to our approach. Finally, deduced from our use case analysis, we present a conceptual and architectural design of this system.

[1]  Xie Guo-qin.  Location and Time-based Information Delivery , 2006 .

[2]  Kai Zheng,et al.  An Adoption Study of a Clinical Reminder System in Ambulatory Care Using A Developmental Trajectory Approach , 2004, MedInfo.

[3]  M. Michael Shabot,et al.  Wireless clinical alerts for physiologic, laboratory and medication data , 2000, AMIA.

[4]  David W. Forslund,et al.  Federation of the Person Identification Service between enterprises , 2000, AMIA.

[5]  D. Bates,et al.  Improving response to critical laboratory results with automation: results of a randomized controlled trial. , 1999, Journal of the American Medical Informatics Association : JAMIA.

[6]  Paul Robinson,et al.  'Knowledge Management' for health: What 'tools' can improve the performance of workgroups, clinicians and patients? , 2004, MedInfo.

[7]  Andreas Geppert,et al.  Event-based distributed work-flow execution with eve , 2009 .

[8]  George Hripcsak,et al.  Mining complex clinical data for patient safety research: a framework for event discovery , 2003, J. Biomed. Informatics.

[9]  Stephen Chu,et al.  Facilitating Chronic Disease Management through Electronic Information Interchange: A Proof of Concept Project , 2003 .

[10]  A. Erler.  [Introduction of disease management programmes in Germany as reflected by differing interests of health insurance companies and the federal association of statutory health insurance physicians]. , 2002, Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)).

[11]  Bing Wu,et al.  PLAN: a framework and specification language with an event-condition-action (ECA) mechanism for clinical test request protocols , 2001, Proceedings of the 34th Annual Hawaii International Conference on System Sciences.

[12]  Julie M. Fiskio,et al.  Real-Time Notification of Laboratory Data Requested by Users through Alphanumeric Pagers , 2001, AMIA.

[13]  Paul P Stork,et al.  A randomized trial of electronic versus paper pain diaries in children: impact on compliance, accuracy, and acceptability , 2004, Pain.

[14]  Bernd Blobel.  Comparing Concepts for Electronic Healthcare Record Architectures , 2002 .

[15]  Ross Anderson,et al.  Security in Clinical Information Systems , 1996 .

[16]  K. Major,et al.  Wireless Clinical Alerts and Patient Outcomes in the Surgical Intensive Care Unit , 2002, The American surgeon.

[17]  Michael M. Wagner,et al.  Preferences of interns and residents for E-mail, paging, or traditional methods for the delivery of different types of clinical information , 1998, AMIA.

[18]  Michael M. Wagner,et al.  Clinical event monitoring at the University of Pittsburgh , 1997, AMIA.

[19]  Julian Zelingher,et al.  A Comprehensive Computerized Critical Laboratory Results Alerting System for Ambulatory and Hospitalized Patients , 2001, MedInfo.

[20]  Der-Ming Liou,et al.  Design and implementation of a real-time clinical alerting system for intensive care unit , 2002, AMIA.

[21]  C. Guinovart,et al.  The role of mobile phones in improving vaccination rates in travelers. , 2004, Preventive medicine.

[22]  Riccardo Bellazzi,et al.  A careflow management system for chronic patients , 2004, MedInfo.

[23]  Lowell Vizenor,et al.  Actions in Health Care Organizations: An Ontological Analysis , 2004, MedInfo.