Paula Asikainen

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The goal of this paper is to describe some benefits and possible cost consequences of computer based access to specialised health care information. A before-after activity analysis regarding 20 diabetic patients' clinical appointments was performed in a Health Centre in Satakunta region in Finland. Cost data, an interview, time-and-motion studies, and flow(More)
Seamless service chains and information processes to support them was the main goal of Satakunta Macro Pilot project in 1999 2002. This paper describes the idea of customer centric seamless service chains within health and social care and requirements for the secure interorganizational information processes. The modeling of the information processes using(More)
The resulting regional healthcare information systems were expected to have effects and impacts on health care procedures, work practices and treatment outcomes. The aim is to find out how health information systems have been investigated, what has been investigated and what are the outcomes. A systematic review was carried out of the research on the(More)
BACKGROUND The implementation of a technology such as health information exchange (HIE) through a Regional Health Information System (RHIS) may improve the mobilization of health care information electronically across organizations. There is a need to coordinate care and bring together regional and local stakeholders. OBJECTIVES To describe how HIE had(More)
This study describes nurses' experiences of stress in primary healthcare settings, and examines correlations between stress and personal factors. There were 187 nurses from 18 public primary care centers participating, drawn from one county of Lithuania. The Expanded Nursing Stress Scale was used to evaluate the study data. The study indicates that in(More)
Background: The big challenge in social and health care is to integrate social and health care services, to develop patient empowering care models and to develop integrated electronic health records. Object: The purpose of this study was to evaluate the implementation and first trial of the Regional Information System as experienced by professionals.(More)
The aim of this paper is to describe nursing staff's experiences with the Electronic Nursing Discharge Summary (ENDS) [Hoitotyön yhteenveto, HOIY]. This study is a part of the Salpa project of the Satakunta Hospital District (SHD). The goal of the project was to implement the Regional Information System (Fiale System) for social and health care in(More)
The objective of this study is to formulate a clearer picture of how a regional healthcare information system affects the completeness of patient health care and health care delivery. The purpose is to study how the implementation of regional health information systems has influenced outcomes in health care delivery in one hospital area in Finland. The(More)
UNLABELLED Interest in improving quality and effectiveness is the primary driver for health information exchange efforts across a health care system to improve the provision of public health care services. OBJECTIVE The aim here was to describe and identify the impact of a regional health information exchange (HIE) using quantitative statistics for(More)
The aim of the study was to examine the differentiation of organizational contexts within Finnish public health and social services both at the workplace and at the local governmental (municipality) level. We focused on climate, comprising individual level experience, and on culture, comprising collective level as “the way things are done in organization”.(More)