Finnish Journal of eHealth and eWelfare 2019-07-13T15:46:39+03:00 Kristiina Häyrinen Open Journal Systems <p><em>Finnish Journal of eHealth and eWelfare (FinJeHeW)</em> is a scientific journal established by the Finnish Social and Health Informatics Association (FinnSHIA) and the Finnish Society of Telemedicine and eHealth (FSTeH).<strong><br></strong>ISSN 1798-0798</p> <p><strong><img src="/public/site/images/riaittam/VA_tunnus_tekstein_pieni_netti23.jpg" alt=""></strong></p> Kuinka varmistetaan tiedonhallinnan osaaminen sosiaali- ja terveydenhuollon murroksessa? 2019-07-13T15:46:39+03:00 Kristiina Häyrinen Ulla-Mari Kinnunen 2019-05-05T21:43:00+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare How to ensure informatics skills and competencies in the transformation of social and health care? 2019-07-13T15:46:08+03:00 Kristiina Häyrinen Ulla-Mari Kinnunen 2019-05-05T21:44:13+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Konferenssit / Conferences 2019-05-06T00:05:09+03:00 Kristiina Häyrinen 2019-05-05T21:45:40+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Sähköinen valtakirjaan perustuva puolesta-asiointi terveydenhuollossa 2019-07-13T15:45:38+03:00 Pirjo Hilama Minna Rauhala Virpi Jylhä Ulla-Mari Kinnunen <p>The electronic power of attorney to authorize someone else was first available in Finland December 2017 in a few regional e-Health services, such as South-Savo and Oulu Currently the electronic power of attorneys are saved in the national authorization register with the online service. The development work for acting on behalf of someone else was started due to feedback from the citizens. Legislative and other regulations are on the key role of electronic power of attorney in social and health care. The National Institute for Health and Welfare (THL) assembled a functional specification document for the development work in 2016. Implementation for service users proceeded through functional definition, and technological implementation and facilitation.</p> <p>The aim of the research was to find out in which health care matters would citizens grant an electronic authorisation for somebody else to act on their behalf, to define how important they consider this matter at present and to obtain more knowledge of the needs of citizens to grant an authorisation (power of attorney) for somebody else to act on their behalf.</p> <p>This research confirmed the knowledge of people using electronic services and their opinions. Citizens want to authorize their own children to act on their behalf in health care. They prefer to authorize to make the appointment for health care, and watching and renewing prescriptions. The more things off acting on behalf was close the disease itself or were related to care or treating illness, the more they hesitate to authorize electronically (power off attorney). Based on the results of this survey, it seems that the need for a person to act on behalf of someone else in health care cannot fully be imagined before the situation and the real needs are at hand.</p> 2019-05-05T21:54:56+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Implementation and adoption of the national Kanta services in community pharmacies and municipality public health care centres in 2010–2016 in Finland 2019-07-13T15:45:08+03:00 Vesa Jormanainen <p>The study objective was to investigate time to adoption of the Finnish national Kanta services (,e.g. Prescription Centre, and Patient Data Repository (PDR)) in community pharmacies and public primary health care centres (PHC) based on dates of adoption in 2010–2016. Adoption of the services were analysed on national and regional (Specific Catchment Areas (SCA), Hospital Districts (HD)) levels and by electronic health record brand (EHR) and number of PHCs. Adoption of both the services nationally took 5.5 years (in mean 4.6 years in SCAs and 3.6 years in HDs). Adoption of the Prescription Centre for use in community pharmacies and PHCs took 3.4 years (in mean 2.3 years in SCAs and 1.1 years in HDs). Prescription Centre was adopted in 7 December 2016 in Åland Islands. Prescription Centre was adopted in community pharmacies nationally in 2.4 years (in mean 1.3 years in SCAs and 0.6 years in HDs), and nationally in 3.4 years in PHCs (in mean 2.0 years in SCAs and 0.6 years in HDs). PDR is in use in the mainland Finland, but not in Åland Islands. PDR was adopted nationally in 2.0 years in PHCs (in mean 1.5 years in SCAs and 0.6 years in HDs). The PHCs used five different EHRs in 2010–2016. The adoption of the PDR took the longer time the more municipalities were adopting the service. In general, the less numbers of EHRs were in use in HDs the shorter were the service adoption times.</p> 2019-05-05T21:57:04+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Professionals' views of using technology and remote services in occupational health services 2019-07-13T15:44:37+03:00 Tiina Annamari Koivisto Johanna Koroma Johanna Ruusuvuori <p>Technology and remote services are becoming more common in occupational health services (OHS), as technology becomes more centrally integrated into health care organizations’ use and work processes. To date, research on remote health care has not focused on OHS. The study’s purpose was to examine occupational health physicians’, nurses’, physiotherapists’ and psychologists’ experiences of using technology and remote services in their own work. The survey was conducted in February–March 2018. The data consisted of the responses to the questionnaires’ open-ended questions. The method of analysis was data-based thematic analysis.</p> <p>The results show that the respondents’ attitudes to using technology and remote services are mostly positive. Positive experiences were related to the smoother flow of work, as well as to more effective communication and improved availability of services. The attitudes to the resulting changes in work tasks were ambivalent: on the one hand, work tasks were considered more enriched, but on the other, more fragmented. Less face-to-face meetings and technical problems were perceived as negative, as were both professionals’ and clients’ insufficient readiness and technical skills. We observed two extremes in the professionals’ learning needs. Some use technology in their work very little or not at all, and thus have great learning needs, whereas others only need to update their skills in newer technology and applications.</p> <p>Using technology and remote services presents opportunities to renew OHS practices to meet client workplace needs with better quality and speed. The results can be used in developing current working methods.</p> 2019-05-05T21:58:50+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Tekoälyn hyödyntäminen terveydenhuollossa terveysriskien ja riskitekijöiden tunnistamiseksi ja ennustamiseksi 2019-07-13T15:44:07+03:00 Anna Marika Kristiina Vahteristo Ulla-Mari Kinnunen <p>The interest in using artificial intelligence in health care has increased. Previous studies have for example tried to identify health risks and risk factors, to evaluate medications and to evaluate the results received from different sensors. The objective of this integrative review was to describe how artificial intelligence has been used in health care to identify or predict health risks and risk factors. The aim of this review was to provide more information about how artificial intelligence can be used in preventive health care, and in occupational health care. Searches for recent literature were conducted in scientific databases following the principles of integrative review.</p> <p>According to this integrative review, artificial intelligence has been used to identify different health risks and risk factors by using structured and unstructured data from the electronic medical records and other applications used in health care. The methods of the models used to identify or to predict the health risks or risk factors vary. Evaluation of the different methods used in the models is difficult, but generally the results have been promising and clearly indicate that artificial intelligence can be used to identify and predict health risks and risk factors.</p> <p>Artificial intelligence provides new methods for the use of health care. Different models of identifying and predicting health risks and risk factors can promote the development of preventive health care. However, more research is needed to evaluate the different models. Also, the new methods raise the need for ethical discussion of the use of artificial intelligence to identify and predict health risks and risk factors and how information obtained can be used.</p> 2019-05-05T22:01:05+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Sosiaali- ja terveydenhuollon tiedonhallinnan tutkimuskohteet Itä-Suomen yliopistossa – paradigman todentuminen tietohallinnon maisteri- ja tohtorikoulutuksessa 2019-07-13T15:43:37+03:00 Kaija Saranto Ulla-Mari Kinnunen <p>The recommendations of the International Medical Informatics Association (IMIA) on education in biomedical and health informatics have been used as the basis for the master’s in health and human services informatics program at the University of Eastern Finland. Accredited in 2012 and 2018 by IMIA, the program responds to current challenges by focusing on informatics knowledge and skills among citizens and professionals, along with knowledge management and research and development of information management and systems as described in Finnish eHealth strategies. The purpose of this paper was to describe research focused on defining the health and human services informatics paradigm adopted in health and human services informatics programs. The aim was to describe the distribution in the research areas covered in master’s and doctoral theses and to use that information in the development of courses and theses guidance. The research data consisted of master’s theses (N=158) from the years 2002–2018 and doctoral theses (N=14) from the years 2011–2018. The data were analyzed using descriptive statistics to show distribution with frequenses and percentages. The master’s theses focused mostly on the steering and organizing of information management in work processes (n=55) such as modelling or assessing processes and the use of information and communication technology (n=48) such as assessing information systems’ implementations or digital services. The doctoral theses focused mostly on the steering and organizing of information management in work processes (n=5) and data models and structures (n=5) such as describing data elements or terminology usage. By percentages, both master’s and doctoral theses highlighted research on steering and organizing of information management in work processes (36% and 35%, respectively) and knowledge management and informatics competencies (21% and 22%, respectively). The study findings are connected to the visions of national eHealth and eSocial strategies to support citizens’ well-being and service renewal. In the future, both master’s and doctoral theses should also be directed to knowledge management and informatics competencies among citizens and professionals.</p> 2019-05-05T22:04:17+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare The current state of Nursing Informatics – An international cross-sectional survey 2019-07-13T15:42:07+03:00 Laura-Maria Peltonen Lisiane Pruinelli Charlene Ronquillo Raji Nibber Erika Lozarda Peresmitre Lorraine Block Haley Deforest Adrienne Lewis Dari Alhuwail Samira Ali Martha K Badger Gabrielle Jacklin Eler Mattias Georgsson Tasneem Islam Eunjoo Jeon Hyunggu Jung Chiu Hsiang Kuo Raymond Francis R Sarmiento Janine Arlette Sommer Jude Tayaben Maxim Topaz <p>An international survey to explore current and future trends in Nursing Informatics (NI) was done in 2015. This article explores responses to questions about: what should be done to further develop NI as an independent discipline; existing policies and standards influencing NI; perceived support towards NI as a discipline; and advice from NI specialists to students and emerging professionals.</p> <p>Nurse and allied health professionals in academia and practice were reached with snowball sampling. Open-ended questions were analysed with thematic content analysis and the mean and standard deviation is reported for the perceived support towards NI (scale ranging from 1 (not at all supportive) to 10 (very supportive)).</p> <p>A total of 507 respondents from 46 countries responded to the survey. Respondents reported mediocre support towards NI from the environment (M 5.79, SD 2.60). Results showed that NI education needs development to better meet practice demands, that current NI resources seem insufficient, that NI expertise is not used to its full potential in health institutions and the community, and that NI needs to show its value through research and increase visibility to be recognised among stakeholders worldwide.</p> <p>In conclusion, there is a need to clarify NI as a discipline and a need for strong leadership to impact policy making. An increase in NI teaching at undergraduate level in nursing as well as an increase in postgraduate NI programmes worldwide would better support practice demands. National policies and international white papers in NI are needed to guide resource distribution to better support practice.</p> 2019-05-05T23:28:34+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare The national SotePeda 24/7 project develops future professional competencies for the digital health and social care sector in Finland 2019-07-13T15:43:07+03:00 Alpo Olavi Värri Ulla-Mari Kinnunen Päivi Pöyry-Lassila Outi Ahonen <p>The SotePeda 24/7 project, financed by the Finnish Ministry of Education and Culture, aims at increasing competencies in developing digital services in the health and social care sector, and to create digital pedagogical solutions to support multidisciplinary learning. The national project, encompassing practically all the relevant universities of applied sciences educating health and social care workers, and two universities in Finland, defines the required eHealth skills and develops educational material, pedagogy and learning environments for the participating organizations. The project covers also eHealth service design skills, management skills, co-developing and the ethical aspects in the new digitally supported health and social care environments.</p> 2019-05-05T22:17:04+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare Lectio praecursoria, Information needs in the day-to-day operations management of hospital units 2019-07-13T15:42:37+03:00 Laura-Maria Peltonen 2019-05-05T22:21:37+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare SOTETITE – Sosiaali- ja terveydenhuollon tietotekniikan ja tiedonhallinnan 22. tutkimuspäivät 2019-05-06T00:02:57+03:00 Kristiina Häyrinen 2019-05-05T22:24:13+03:00 Copyright (c) 2019 Finnish Journal of eHealth and eWelfare