title: The dilemma of "to be or not to be": developing electronically e-health & cloud computing documents for overseas transplant patients from Taiwan organ transplant health professionals' perspective.
abstract: OBJECTIVE
  The development of mutually accessible e-health documents (ehD) and cloud computing (CC) for overseas organ transplant health professionals (OTHP) in two medical parties (domestic and overseas) would ensure better quality of care. This project attempted to compare pro and con arguments from the perspective of Taiwan's OTHP.
  
  
  METHODS
  A sample was obtained from three leading medical centers in Taiwan.
  
  
  RESULTS
  Eighty subjects including transplant surgeons (n = 20), registered nurses (RN; n = 30), coordinating nurses (OTCN; n = 15), and e-health information and communication technologies experts (ehICTs; n = 15) participated in this research. The pros of developing ehD were: (1) better and continuous care through communication and cooperation in two parties (78%); (2) better collaborative efforts between health professionals, information technology experts in two medical parties is (74%); (3) easier retrieval and communication of personal health documents with the trustworthy OTHP in the different countries (71%); and (4) CC may help develop transplant patients medical cloud based on the collaboration between medical systems in political parties of Taiwan and mainland China (69%). The cons of developing ehD and CC included: (1) inadequate knowledge of benefits and manuals of developing ehD and CC (75%); (2) no reliable communication avenues in developing ehD and CC (73%); (3) increased workload in direct care and documentation in developing new ehD and CC (70%); (4) lack of coaching and accreditation systems in medical, electronic, and law aspects to settle discrepancies in medical diagnosis and treatment protocols between two parties (68%); and (5) lacking systematic ehD and CC plans developed by interdisciplinary teams in two parties (60%).
  
  
  CONCLUSIONS
  In this initial phase, the establishment of an interdisciplinary team including transplant leaders, transplant surgeon, RN, OTCN, ehICTs, and law experts from two parties might be helpful in working out developing plans with careful monitoring mechanisms.
authors.affiliation: Department of Information Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan. fjshih@ym.edu.tw
authors.forename: F-J
authors.initials: FJ
authors.lastname: Shih
authors.forename: Y-W
authors.initials: YW
authors.lastname: Fan
authors.forename: C-M
authors.initials: CM
authors.lastname: Chiu
authors.forename: F-Ji
authors.initials: FJ
authors.lastname: Shih
authors.forename: S-S
authors.initials: SS
authors.lastname: Wang
mesh_terms: D022126:Access to Information; D044466:Asian People / Q000523:psychology / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel / Q000208:ethnology*; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000458:organization & administration / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration / Q000706:statistics & numerical data; D007373:Interinstitutional Relations; D007391:International Cooperation; D057193:Medical Tourism / Q000706:statistics & numerical data; D017146:Models, Organizational; D016377:Organ Transplantation / Q000706:statistics & numerical data; D010348:Patient Care Team; D011787:Quality of Health Care; D013624:Taiwan