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Supporting chronic disease care quality: Design and implementation of a health service and its integration with electronic health records

Published: 30 May 2012 Publication History

Abstract

Chronic medical conditions take a huge toll on lives of a growing number of people and are a major contributor to the rising costs in healthcare. As patients are increasingly willing to take an active part in managing their conditions, chronic disease self-management programs and information systems that support them are recognized for their potential to improve the quality of healthcare delivery. These programs often rely on recording longitudinal patient data and analyzing it. Therefore, maintaining appropriate data quality is important for self-management programs to be efficient and safe. We designed and implemented a prototype of a health self-management service for chronically ill people. It is a distributed application that supports patients with diabetes at tracking their blood glucose levels. The main design goals were usability, extensibility, security, and interoperability. The system integrates with the Microsoft HealthVault and Google Health personal health record platforms. It utilizes industry-strength storage and security mechanisms, is scalable, and as a result, can be used to gather, securely store, and analyze patient data over long periods of time. In this article we examine how software information technology can support chronic disease self-management and its impact on the quality of patient data. Furthermore, we describe the requirements that drove the system's development, its architecture, and design decisions.

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cover image Journal of Data and Information Quality
Journal of Data and Information Quality  Volume 3, Issue 2
May 2012
37 pages
ISSN:1936-1955
EISSN:1936-1963
DOI:10.1145/2184442
Issue’s Table of Contents
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Publication History

Published: 30 May 2012
Accepted: 01 April 2012
Revised: 01 October 2010
Received: 01 January 2010
Published in JDIQ Volume 3, Issue 2

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Author Tags

  1. Data quality
  2. chronic disease management
  3. health management system
  4. personal health records

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