E-tervise rakenduste ja teenuste uurimisrühm
TalTech prioriteetne teadussuund
Klassifikaator (Frascati)
Uurimisrühma juht
Uurimisrühma liige
Doktorant
Võtmesõna
tervishoiu digitaliseerimine
digitervis
muutuste juhtimine tervishoius
digitaalsete tervisetehnoloogiate hindamine
Ülevaade
Uurimisrühma põhitegevuseks on uurimistöö valdkondades, mis käsitlevad terviseandmete mudeleid, kliinilisi otsustustugesid, digitaalsete tervisetehnoloogiate hindamist, inimese terviseandmetega seonduvat käitumist veebis ning tervishoiu digitaliseerimise komponente ja tegureid.Uurimisrühma spetsiifilisem tegevus on seotud meditsiinis ja tervishoius kasutatavate digitaalsete andmete kvaliteedi, arhitektuuri ja andmemudelitega, digitaalsete tervisetehnoloogiate hindamise ja kasutusvaldkondadega ning digitervise lahenduste tasustamise raamistiku koostamisega. Jätkub personaalmeditsiiniga seonduvate infotehnoloogiliste lahenduste uurimine.
Tähtsamad tulemused
2023. aastal valmisid keskuses kahe rahvusvahelise projekti (HealthSense, NORDeHEALTH) tulemusel digitaalsete terviseandmete ja teenuste edasist arendamist suunavad põhjapanevad uurimused, mille tulemused pakuvad kaasaegsel tasemel lahendusi digitervise valdkonda standardiseerimiseks. Väljatöötatud mudelid valmisid koostöös Eesti tervishoiusüsteemi osapooltega (Tervisekassa, TEHIK, mitmed digitervise ettevõtted) ja seega sobituvad uue põlvkonna tervise infosüsteemi (upTIS) arendusse. Täiendavalt uurisime ContSys (ISO 13940) standardit ja demonstreerisime selle rakendamist, mis on samuti uudne maailmas. Töötasime koos arenduspartneriga välja terminoloogia andmebaasi erialase sõnavara ja koodisüsteemi haldamiseks, kus sõnad on süstematiseeritud tähenduse järgi. Jagatud andmebaas lihtsustab andmelevitust - kaob vajadus iga andmevoo juures mõistetes eraldi kokkuleppimiseks.
Hägglund, M.; Kharko, A.; Hagström, J.; Bärkås, A.; Blease, C.; Cajander, Å.; DesRoches, C.; Fagerlund, A.J.; Haage, B.; Huvila, I.; Hörhammer, I.; Kane, B.; Klein, G.O.; Kristiansen, E.; Luks, K.; Moll, J.; Muli, I.; Raphaug, E.H.; Rexhepi, H.; Riggare, S. ... Johansen, M.A. (2023). The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia. Journal of Medical Internet Research, 25, e47573−e47573. DOI: 10.2196/47573
Seotud projektid
Seotud struktuuriüksus
- Bertl, M., Ross, P., Draheim, D. A survey on AI and decision support systems in psychiatry – Uncovering a dilemma // Expert Systems with Applications (2022) vol. 202, art. 117464, 14 p. : ill.
https://doi.org/10.1016/j.eswa.2022.117464 - Boyko, A., Therapontos, C., Horakova, D., Gross-Paju, K. et al. Approaches and challenges in the diagnosis and management of secondary progressive multiple sclerosis : a Central Eastern European perspective from healthcare professionals // Multiple sclerosis and related disorders (2021) vol. 50, art. 102778, 12 p. : ill.
https://doi.org/10.1016/j.msard.2021.102778 - Laissaar, M., Hallik, R., Sillaste, P., Ragun, U., Pärn, M.-L., Suija, K. Translation and cultural adaptation of IPOS (integrated palliative care outcome scale) in Estonia // Journal of Patient-reported Outcomes (2021) vol. 5, art. 15.
https://doi.org/10.1186/s41687-021-00288-z - Kõrv, J., Antsov, K., Gross-Paju, K., Kalju, I., Kreis, A., Liigant, A., Vibo, R. Developments in quality of stroke care in Estonia // European Stroke Journal (2023) Vol. 8, Issue 1_suppl., p. 35-43.
https://doi.org/10.1177/23969873221110745 - Vovk, O., Piho, G., Ross, P. Anonymization methods of structured health care data : a literature review // Model and Data Engineering : 10th International Conference, MEDI 2021, Tallinn, Estonia, June 21–23, 2021 : proceedings. Cham : Springer Nature, 2021. p. 175-189. (Lecture notes in computer science ; 12732).
https://doi.org/10.1007/978-3-030-78428-7_14 - Hagström, J., Blease, C., Haage, B., Scandurra, I., Hansson, S., Hägglund, M. Views, use, and experiences of web-based access to pediatric electronic health records for children, adolescents, and parents : scoping review // Journal of Medical Internet Research (2022) vol. 24, 11, art. e40328.
https://doi.org/10.2196/40328 - Bertl, M., Metsallik, J., Ross, P. A systematic literature review of AI-based digital decision support systems for post-traumatic stress disorder // Frontiers in Psychiatry (2022) vol. 13, art. 923613, 13 p. : ill.
https://doi.org/10.3389/fpsyt.2022.923613 - Bertl, M., Ross, P., Draheim, D. Predicting psychiatric diseases using autoAI : a performance analysis based on health insurance billing data // Database and Expert Systems Applications : 32nd International Conference, DEXA 2021, Virtual Event, September 27-30, 2021 : proceedings. Part I. Cham : Springer, 2021. p. 104-111. (Lecture notes in computer science ; 12923).
https://doi.org/10.1007/978-3-030-86472-9_9 - Lubi, K., Simm, K., Lempu, K., Zameska, J., Eensalu-Lind, A. ‘Other patients become a secondary priority:’ perceptions of Estonian frontline healthcare professionals on the influence of COVID-19 on health (in)equality and ethical decision-making // Journal of communication in healthcare : strategies, media and engagement in global health (2022) vol. 15, 1, p. 54-63.
https://doi.org/10.1080/17538068.2021.2013055 - Sharma, R., Kaushik, M., Arakkal Peious, S., Markus, B., Ankit, V., Ashwani, K., Draheim, D. Detecting Simpson’s paradox : a step towards fairness in machine learning // New Trends in Database and Information Systems : ADBIS 2022 Short Papers, Doctoral Consortium and Workshops : DOING, K-GALS, MADEISD, MegaData, SWODCH, Turin, Italy, September 5-8, 2022 : proceedings. Cham : Springer, 2022. p. 67-76 : ill. (Communications in computer and information science ; 1652).
https://doi.org/10.1007/978-3-031-15743-1_7 - Kankainen, K. J. I. Usages of the ContSys Standard : a position paper // Advances in Model and Data Engineering in the Digitalization Era : MEDI 2021 International Workshops : DETECT, SIAS, CSMML, BIOC, HEDA, Tallinn, Estonia, June 21–23, 2021 : proceedings. : Springer, 2021. p. 314−324. (Communications in computer and information science ; 1481).
https://doi.org/10.1007/978-3-030-87657-9_24 - Gross-Paju, K., Thomson, U., Adlas, R., Jaakmees, H., Kannel, K., Mallene, S. M., Mironenko, S., Reitsnik, A., Vares, A., Ütt, S. Implementation of the Helsinki Model at West Tallinn Central Hospital // Medicina (2022) vol. 58, 9, art. 1173.
https://doi.org/10.3390/medicina58091173 - Kask, M., Piho, G., Ross, P. Systematic literature review of methods for maintaining data integrity // Advances in Model and Data Engineering in the Digitalization Era : MEDI 2021 International Workshops: DETECT, SIAS, CSMML, BIOC, HEDA, Tallinn, Estonia, June 21–23, 2021 : proceedings. Cham : Springer Nature, 2021. p. 259–268. (Communications in computer and information science ; 1481).
https://doi.org/10.1007/978-3-030-87657-9_20 - Lubi, K., Savicka, V., Koor, M., Nool, I., Tupits, M., Mets-Oja, S. Practice theoretical approach on the reasons why target group women refrain from taking breast cancer screening // Patient education and counseling (2021) vol. 14, 12, p. 3053-3058.
https://doi.org/10.1016/j.pec.2021.03.028 - Vovk, O., Piho, G., Ross, P. Evaluation of anonymization tools for health data // Advances in Model and Data Engineering in the Digitalization Era : MEDI 2021 International Workshops: DETECT, SIAS, CSMML, BIOC, HEDA, Tallinn, Estonia, June 21–23, 2021 : proceedings. Cham : Springer Nature, 2021. p. 302−313. (Communications in computer and information science ; 1481).
https://doi.org/10.1007/978-3-030-87657-9_23 - Krieger, B., Hallik, R., Kala, K. et al. Validation of mobile-based funduscope for diabetic retinopathy screening in Estonia // European journal of ophthalmology (2022) vol. 32, 1, p. 508-513 : ill.
https://doi.org/10.1177/1120672120972027 - Simm, K., Zameska, J., Lubi, K. Frontline healthcare professionals' views regarding the impact of COVID-19 on ethical decision-making : a multicentre mixed-methods study from Estonia // Healthcare (2022) vol. 10, 4, art. 711.
https://doi.org/10.3390/healthcare10040711 - Lubi, K., Raal, A., Taba, P. Ethnic identity in transition : the potential impact of ethnicity on chronic illness’ medication adherence in Post-Soviet Country // Journal of Racial and Ethnic Health Disparities (2022) vol. 9, 3, p. 1089-1095.
https://doi.org/10.1007/s40615-021-01048-x - Lubi, K., Sepp, K., Rass, H., Roostar, K., Volmer, D. A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency : the prism of social practice theory // Public Health in Practice (2021) Vol. 2, art. 100212 : ill.
https://doi.org/10.1016/j.puhip.2021.100212 - Kankainen, K., Klementi, T., Piho, G., Ross, P. Using SNOMED CT as a semantic model for controlled natural language guided capture of clinical data // HEDA 2022 : Proceedings of the International Health Data Workshop, co-located with 10th International Conference on Petrinets, Petri Nets 2022. Aachen : CEUR-WS, 2022. 13 p.. (CEUR Workshop Proceedings ; 3264).
https://ceur-ws.org/Vol-3264/HEDA22_paper_9.pdf - Lubi, K., Sildver, K., Sokolova, D., Savicka, V., Nool, I., Mets-Oja, S., Tupits, M. Existing health practices in shaping the decision to participate during breast cancer screening among 50-69 years old women in Estonia // SAGE Open Nursing (2022) vol. 8, art. 23779608221124293.
https://doi.org/10.1177/23779608221124293 - Bossenko, I., Piho, G., Ross, P. Forward and backward compatibility design techniques applying the HL7 FHIR standard // HEDA 2022 : Proceedings of the International Health Data Workshop, co-located with 10th International Conference on Petrinets, Petri Nets 2022. : CEUR-WS, 2022. p. 1-14. (CEUR Workshop Proceedings ; 3264).
https://ceur-ws.org/Vol-3264/HEDA22_paper_14.pdf - Bossenko, I., Linna, K., Piho, G., Ross, P. Migration from HL7 CDA to FHIR in infectious disease system of Estonia // Studies in Health Technology and Informatics ; 299. : IOS Press, 2022. p. 275-278. (pHealth 2022).
https://doi.org/10.3233/SHTI220998 - Metsallik, J., Ross, P. Testing the applicability of digital decision support on a nationwide EHR // Digital Economy. Emerging Technologies and Business Innovation : 6th International Conference on Digital Economy, ICDEc 2021, Tallinn, Estonia, July 15–17, 2021 : proceedings. Cham : Springer Nature, 2021. p. 134−146. (Lecture notes in business information processing ; 431).
https://doi.org/10.1007/978-3-030-92909-1_9 - Randmaa, R., Bossenko, I., Klementi, T., Piho, G., Ross, P. Evaluating business meta-models for semantic interoperability with FHIR resources // HEDA 2022 : Proceedings of the International Health Data Workshop, co-located with 10th International Conference on Petrinets, Petri Nets 2022. : CEUR-WS, 2022. p. 1-14. (CEUR Workshop Proceedings ; 3264).
https://ceur-ws.org/Vol-3264/HEDA22_paper_5.pdf - Sogomonjan, M., Kerikmäe, T., Ööpik, P., Ross, P. A report on the survey. Attitudes of Estonian healthcare professionals to internet-delivered cognitive behavioural therapy // Cogent psychology (2019) vol. 6, 1, art. 1637623, 12 p.
https://doi.org/10.1080/23311908.2019.1637623 - Kuusik, A., Alam, M.M., Kask, T., Gross-Paju, K. Wearable m-assessment system for neurological disease patients // Proceedings : IEEE 4th World Forum on Internet of Things. [S.l.] : IEEE, 2018. p. 201-206 : ill.
https://doi.org/10.1109/WF-IoT.2018.8355165 - Metsallik, J., Ross, P., Draheim, D., Piho, G. Ten years of the e-Health system in Estonia // Proceedings of the 3rd International Workshop on (Meta)Modelling for Healthcare Systems : Bergen, Norway, June 13th, 2018. Aachen : CEUR-WS.org, 2018. p. 6-15 : ill. (CEUR workshop proceedings ; 2336).
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063545781&partnerID=40&md5=f41245c5435512866e6bcbaf5a03ba85 http://ceur-ws.org/Vol-2336/ - Essen, A., Scandurra, I., Gerrits, R., Ross, P. et al. Patient access to electronic health records : differences across ten countries // Health policy and technology (2018) vol. 7, p. 44–56.
https://doi.org/10.1016/j.hlpt.2017.11.003 - Bar-Or, A., Wiendl, H., Montalban, X., Alvarez, E., Davydovskaya, M., Delgado, S. R., Evdoshenko, E. P., Giedraitiene, N., Gross-Paju, K., Haldre, S. et al. Rapid and sustained B-cell depletion with subcutaneous ofatumumab in relapsing multiple sclerosis : APLIOS, a randomized phase-2 study // Multiple Sclerosis Journal (2022) vol. 28, 6, p. 849-1002.
https://doi.org/10.1177/13524585211044479 - Hagström, J., Scandurra, I., Moll, J., Blease, C., Haage, B., Hörhammer, I., Hägglund, M. Minor and parental access to electronic health records : differences across four countries // Challenges of Trustable AI and Added-Value on Health. Amsterdam : IOS Press BV, 2022. p. 495 - 499. (Studies in health technology and informatics ; 294).
https://doi.org/10.3233/SHTI220508 - Lubi, K., Metsoja, E., Eha, K., Mets-Oja, S., Ruuben, L. “Surm on ainus, mis hirmutab”: viirusnakkushaiguste ja nendega seotud vaktsineerimise tähenduse loomine gripi ja koroonaviiruse näitel // Mäetagused : hüperajakiri (2021) Nr. 79, lk. 113−136.
https://doi.org/10.7592/MT2021.79.vaktsiin - Essén, A., Scandurra, I., Gerrits, R., Humphrey, G., Johansen, M.A., Kierkegaard, P., Ross, P. et al. Corrigendum to “Patient Access to Electronic Health Records: Differences Across Ten Countries” [Health Policy and Technology, 7 (2018), 44–56] (S2211883717300722) (10.1016/j.hlpt.2017.11.003)) // Health Policy and Technology (2018) Vol. 7, 2, p. 224.
https://doi.org/10.1016/j.hlpt.2018.04.001 - Sarv, S., Kahre, T., Vaidla, E., Pajusalu, S., Muru, K., Põder, H., Gross-Paju, K., Ütt, S., Žordania, R., Talvik, I. et al. The birth prevalence of spinal muscular atrophy: a population specific approach in Estonia // Frontiers in genetics (2021) vol. 12, art. 796862.
https://doi.org/10.3389/fgene.2021.796862 - Klementi, T., Kankainen, K.J.I., Piho, G., Ross, P. Prospective research topics towards preserving electronic health records in decentralised content-addressable storage networks // HEDA 2022 : The International Health Data Workshop HEDA 2022. Aachen : CEUR-WS, 2022. code 184051. (CEUR Workshop Proceedings ; 3264).
https://ceur-ws.org/Vol-3264/HEDA22_paper_7.pdf - Bertl, M., Ross, P., Draheim, D. Systematic AI support for decision-making in the healthcare sector : obstacles and success factors // Health policy and technology (2023) vol. 12, 3, art. 100748, 8 p. : ill.
https://doi.org/10.1016/j.hlpt.2023.100748 - Vovk, O., Piho, G., Ross, P. Methods and tools for healthcare data anonymization : a literature review // International Journal of General Systems (2023) vol. 52, 3, p. 326-342 : ill.
https://doi.org/10.1080/03081079.2023.2173749 - Bertl, M., Shahin, M., Ross, P., Draheim, D. Finding indicator diseases of psychiatric disorders in BigData using Clustered Association rule mining // SAC '23: proceedings of the 38th ACM/SIGAPP Symposium on Applied Computing : Tallinn Estonia, March 27-31, 2023. New York : ACM, 2023. art. 4, p. 826-833 : tab.
https://doi.org/10.1145/3555776.3577594 - Bertl, M., Kankainen, K.J.I., Piho, G., Draheim, D., Ross, P. Evaluation of data quality in the Estonian National Health Information System for digital decision support // Proceedings of the 3rd International Health Data Workshop (HEDA 2023) co-located with Software Technologies: Applications and Foundations (STAF 2023) : Leicester, United Kingdom, July 21, 2023. Vol. 3440. Aachen : RWTH Aachen University, 2023. paper 1, 13 p. : ill.
https://ceur-ws.org/Vol-3440/paper1.pdf - Rump, A., Ratas, K., Lepasepp, T. K., Suurväli, J., Smolander, O‐P., Gross‐Paju, K., Toomsoo, T., Kanellopoulos, J., Rüütel Boudinot, S. Sex‐dependent expression levels of VAV1 and P2X7 in PBMC of Multiple Sclerosis patients // Scandinavian journal of immunology (2023) vol. 98, 2, art. e13283, 15 p. : ill.
https://doi.org/10.1111/sji.13283 - Lubi, K., Varsamaa, M., Kala, L., Torop, A., Sildver, K., Rooden, M. Implementation of person-centredness under structural constraints: a case of HPV vaccination // Proceedings of the Estonian Academy of Sciences (2023) vol. 72, 3, p. 303-312.
https://doi.org/10.3176/proc.2023.3.12 - Trei, H.-M., Lubi, K., Haage, B. Men's perceptions of the supportive use of health communication tools during the ante- und postnatal period // Proceedings of the Estonian Academy of Sciences (2023) vol. 72, 3, p. 259-266.
https://doi.org/10.3176/proc.2023.3.08 - Aasmäe, B., Lubi, K. Factors influencing participation in shared decision making in the oncological setting // Proceedings of the Estonian Academy of Sciences (2023) vol. 72, 3, p. 196-205.
https://doi.org/10.3176/proc.2023.3.02