Finnish Journal of eHealth and eWelfare <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 alt="" src="/public/site/images/riaittam/VA_tunnus_tekstein_pieni_netti23.jpg"></strong></p> Finnish Social and Health Informatics Association en-US Finnish Journal of eHealth and eWelfare 1798-0798 <p>Authors transfer copyright to the Finnish Journal of eHealth and eWelfare (FinJeHeW). The CC-BY-NC-ND license allows users to copy and distribute the Article, provided this is not done for commercial purposes and further does not permit distribution of the Article if it is changed or edited in any way, and provided the user gives appropriate credit (with a link to the formal publication through the relevant DOI) and information about authors, title of the article, title of journal, journal volume and issue.</p> <p>Please read;</p> eHealth2018: Special issue on “Health communities facing cyber transformation” Jarmo Reponen Elina Kontio Pirkko Kouri ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 334–335 334–335 10.23996/fjhw.76799 CALL FOR PAPERS Sosiaali- ja terveydenhuollon tietojenkäsittelyn 22. tutkimuspäivät Kristiina Häyrinen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 336 336 Konferenssit / Conferences Kristiina Häyrinen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 337–338 337–338 How to improve communication using technology in emergency medical services? A case study from Finland <p>The field of emergency medical services (EMS) is a challenging environment for ensuring fluent information exchange between stakeholders because several different kinds of organizations are involved in EMS missions. Solutions for information and communication technology can vary significantly depending on the organization. This study aims to identify current communication bottlenecks between EMS professionals, understand the technological challenges behind them, and describe technologies that can improve EMS communication in the future.</p> <p>Information for the study about current EMS processes, technologies, and technology needs was collected from EMS professionals during three workshops, five personal interviews, and one email questionnaire. All surveyed health care professionals were working in the county of Northern Ostrobothnia. Information about proposed technologies for EMS was obtained from literature and interviews with five technology companies.</p> <p>The principal problem in EMS communication is scattered health data. This leads to a lack of common situational awareness for professionals and incomplete medical histories for patients. The reasons behind those problems are different information systems which do not communicate with each other and the lack of a common electronic patient care record (ePCR) for use by stakeholders. Personal health measurements, sensors, telemedicine, and artificial intelligence will create opportunities for further improving the flow of communication in EMS, provided those tools can be integrated into decision-making systems.&nbsp;</p> Jari Haverinen Maarit Kangas Lasse Raatiniemi Matti Martikainen Jarmo Reponen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 339– 353 339– 353 10.23996/fjhw.74143 Comprehensive approach to the National Network of Teleaudiology in World Hearing Center in Kajetany, Poland <p>To improve the quality of patient care, the Institute of Physiology and Pathology of Hearing (IPPH) developed and implemented into the clinical practice in 2009 the National Network of Teleaudiology (NNT). NNT is a specialized network allowing the use of the internet and modern IT tools to provide medical care, rehabilitation and technical support for patients visiting a one of the affiliated policlinics of the Institute. This was the basis for the development and implementation of the implant fitting procedure, using modern internet and telediagnostic technologies - telefiting. This procedure, implemented in several centers throughout the country and aboard, solves the growing need for constant specialist care, check-ups and periodic reviews of speech processors. Clinical engineers, through teleconferencing links, can carry out the whole process of assessing and fitting the cochlear implant assisted by auxiliary staff of the cooperating center.</p> <p>Material of this study consisted of 316 cochlear implant users scheduled for telefitting in one of 8 centers selected for this study. Each patient underwent a teleconsultation procedure. After telefitting the patient was presented with a questionnaire consisting of questions relating to the quality and time effectiveness of telefitting and the preparation process, assessment of the ease of contact with the audiologist, the sense of security and calm during the session, and an overall assessment of its usefulness as an alternative to different kinds of standard visits.</p> <p>Significantly smaller distances that have to be overcome by patients to cooperating centers have significantly reduced the travel time. The benefits of the telefitting program include the results of surveys, the satisfaction of which was reported by majority of them.</p> Piotr Henryk Skarżyński Weronika Świerniak Łukasz Bruski Maciej Ludwikowski Henryk Skarżyński ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 354–363 354–363 10.23996/fjhw.74101 Students as partners to organize an international conference. What did they learn? <p>In Finland higher education system consists of both theoretical universities and universities of applied sciences (UASs). Today students in higher education institutions are encouraged to find their way and teaching and learning occurs in different environments. A scientific conference provides prerequisites for high-quality, working-life based higher education experience as well as familiarizes with research, development and innovation practices. Furthermore, an international conference offers both new possibilities to disseminate one’s research and development work and to build international co-operation and new networks. The Finnish Society for Telemedicine and eHealth (FTeHS) works on voluntary basis and needs extra help in conference building. This offers a great opportunity to cooperation with students. The recruitment criteria for the students were e.g. prior experience in conferences or equivalent, and good English language skills. The master level students, five of them, were chosen in late autumn 2017 from the two Universities of Applied sciences. The article enlightens students’ experiences related to the preparatory and execution phases of the conference. The instructions are given what the conference work is. The article describes how students are planning, realizing and evaluating the conference in collaboration with conference organizations, and simultaneously having a fruitful and many-sided learning experience. The research data was collected via meeting notes made by the student in meeting’s secretary role, students’ learning reports, emailing messages and WhatsApp messages. Article focuses on student’s learning more than teaching.</p> Pirkko Kouri Outi Maria Ahonen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 364–369 364–369 10.23996/fjhw.74507 eHealth Game Jams provide prototypes for health care <p>Digitalisation and Information and Communication Technologies (ICT) for health and wellbeing are crucial today for providing high - quality care. Gamified solutions can be used in health care to promote health of the customers or to train health care professionals.</p> <p>Games for Health Finland network activates co-creation workshops, Game Jams, for creating prototypes for more efficient health care. These events bring together people with different backgrounds with a spark of innovation and to get a break from their normal routines and working environment.</p> <p>During the eHealth2018 conference a short Game Jam that lasted only 18 hours was organized, with 20 jammers from across the Finland. As a result we got 5 prototypes that was introduced at the end of the conference to the conference audience.</p> Tiina Arpola ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 370–372 370–372 10.23996/fjhw.74428 Living Lab services promoting health in the community through participation <p>In the time of urban growth, people should be at the heart of development, too often they are forgotten. However, growth poses also a great possibility. Cities can transform into open innovation Living Labs, places to experiment and co-create with creative ideas to improve people’s health and wellbeing.</p> <p>Open innovation Living Lab is one-step for city towards smart and healthy society. This requires bold political choices, strategic level approach, open-minded governance and new operational models. The City of Kuopio has taken this opportunity into action together with Kuopio University Hospital.</p> <p>Living Lab operates as an authentic co-creation environment to enable collaboration between citizens, industry, academia and public sector (Quadruple Helix Open Innovation model). This was implemented through primary health care services bringing together community and citizens´ homes for co-creation of new solutions, which helps people, live longer in their homes and increase the quality of life.</p> <p>The elderly and their close relatives have been enthusiastically involved in the services. Participation opportunities and the feeling of social cohesion have increased. Critical success factors are support from strategic level, well-coordinated services, governance, a broad customer base and solutions made from the genuine need.</p> <p>Collaboration between all stakeholders has made it possible to provide better products and services that can improve health and wellbeing of the community in all sectors of life. At the same time, it promotes citizens’ participation and supports co-creation of new ideas arising from the community and the growth of healthy city.</p> Arto Holopainen Pauliina Kämäräinen Merita Kaunisto Heli Kekäläinen Kirsimarja Metsävainio ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 373–380 373–380 10.23996/fjhw.74405 Large-scale implementation and adoption of the Finnish national Kanta services in 2010–2017: a prospective, longitudinal, indicator-based study <p>In Finland, implementation and adoption of the national Kanta services’ second phase services were carried out step-by-step from May 2010 till December 2017. The Kanta services currently include integrated, interoperable health information from EMR, EHR, PHR and social welfare sources that can benefit patients, care providers and policy makers.&nbsp;In Finland, the Ministry of Social Affairs and Health steers the Kanta services, and was responsible of the first phase implementation activities since July 2007. For the second phase of implementation and adoption of the services, a new national operational coordination function was established by law in January 2011. The adoption and implementation of the Kanta services would not have been possible without joint efforts of stakeholders and provision of adequate (state) funding.&nbsp;A set of indicators for various prospective, longitudinal monthly follow-up were used. The current principal Kanta services include My Kanta Pages (since May 2010), Prescription Centre (May 2010), Pharmaceutical Database (May 2010), Patient Data Repository and Patient Data Management Service (November 2013), Kelain (September 2016), and Client Data Archive for Social Welfare Services (May 2018) and Kanta Personal Health Record (May 2018).</p> Vesa Jormanainen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 381–395 381–395 10.23996/fjhw.74511 Creating an operational framework for digital multi-disciplinary oral health promotion in children - the ODA pilot in Kuopio public oral health care <p>Health care professionals are in the front line to identify signals of life issues. In Finnish school healthcare 25% of the children are raising concern from the professional’s perspective. In oral health care, ill oral health may be an indicator of issues and vice versa. However, the early inter-professional cross-talk is minimal. The aim of this project was to recognize the patients that would raise concern among oral health care professionals. Holistic interventions of these patients would secondarily improve oral health. Targeting the group with heaviest disease and social burden, the morbidity would cease in the total population.</p> <p>The staff of Kuopio public oral health care was trained for early patient recognition and referral to an oral health intervention clinic. The clinic focused on speaking out the patient’s life situation and individual oral health education. If needed, a multi-professional primary healthcare support team was gathered. With the most complex problems, the family services and child protection services were consulted.</p> <p>In 2017 and 2018 there were 264 and 344 recognized concerning individuals. Through tailored intervention strategies, the target group was able to increase brushing, lower the plague index and improve self-reported oral health (SOH). Total population indicators (decayed-missing-filled index, DMFT and invasive treatment) showed decreasing trends but have too many background variables for reliable effect assessment.</p> <p>Oral health can play an integral role in recognizing compromised individuals. The operational changes created during the project will act as platform for future digital tools.</p> Anni Palander Heidi Liukkonen Tuula Miettinen Maija Rajamaa Katariina Savolainen ##submission.copyrightStatement## 2018-12-04 2018-12-04 10 4 396–404 396–404 10.23996/fjhw.74578