ArticleJMIR research protocols2012
Filling the Gaps in a Fragmented Health Care System: Development of the Health and Welfare Information Portal (ZWIP).
Article in JMIR research protocols, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Fragmentation of healthcare systems: challenges through patients' eyes.International journal of qualitative studies on health and well-being · 2025Article
- A field study to explore user experiences with socially assistive robots for older adults: emphasizing the need for more interactivity and personalisation.Frontiers in robotics and AI · 2025Article
- Electronic health card: a technological solution to promote the Chinese integrated healthcare system in the digital age.BMJ health & care informatics · 2023Article
- Illuminating the importance of adding patient knowledge to continual improvement in healthcare.Integrated healthcare journal · 2022Article
- Patient involvement in quality improvement - a 'tug of war' or a dialogue in a learning process to improve healthcare?BMC health services research · 2020Article
- The influence of integrated geriatric outpatient clinics on the health care utilization of older people.BMC geriatrics · 2020Article
- Article
- How might patient involvement in healthcare quality improvement efforts work-A realist literature review.Health expectations : an international journal of public participation in health care and health policy · 2019Review
- Coordinating care for older adults in primary care settings: understanding the current context.BMC family practice · 2018Article
- Shared decision-making using personal health record technology: a scoping review at the crossroads.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals.Journal of medical Internet research · 2016Article
- How a Fully Automated eHealth Program Simulates Three Therapeutic Processes: A Case Study.Journal of medical Internet research · 2016Article
- First experiences with a two-step method for discussing goals with community-dwelling frail older people.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Informed Choice for Participation in Down Syndrome Screening: Development and Content of a Web-Based Decision Aid.JMIR research protocols · 2015Article
- Which frail older patients use online health communities and why? A mixed methods process evaluation of use of the Health and Welfare portal.Journal of medical Internet research · 2014Article
- Evaluation of an eHealth intervention in chronic care for frail older people: why adherence is the first target.Journal of medical Internet research · 2014Article
- Balancing Pragmatism and Sustainability: A Case Study of an Interorganisational Network to Improve Integrated Care for the Elderly.International journal of integrated careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent health care systems are not optimally designed to meet the needs of our aging populations. First, the fragmentation of care often results in discontinuity of care that can undermine the quality of care provided. Second, patient involvement in care decisions is not sufficiently facilitated.
objectiveTo describe the development and the content of a program aimed at: (1) facilitating self-management and shared decision making by frail older people and informal caregivers, and (2) reducing fragmentation of care by improving collaboration among professionals involved in the care of frail older people through a combined multidisciplinary electronic health record (EHR) and personal health record (PHR).
methodsWe used intervention mapping to systematically develop our program in six consecutive steps. Throughout this development, the target populations (ie, professionals, frail older people, and informal caregivers) were involved extensively through their participation in semi-structured interviews and working groups.
resultsWe developed the Health and Welfare Information Portal (ZWIP), a personal, Internet-based conference table for multidisciplinary communication and information exchange for frail older people, their informal caregivers, and professionals. Further, we selected and developed methods for implementation of the program, which included an interdisciplinary educational course for professionals involved in the care of frail older people, and planned the evaluation of the program.
conclusionsThis paper describes the successful development and the content of the ZWIP as well as the strategies developed for its implementation. Throughout the development, representatives of future users were involved extensively. Future studies will establish the effects of the ZWIP on self-management and shared decision making by frail older people as well as on collaboration among the professionals involved.
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