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Alhur A, Aldosari B. Strengths and Obstacles of Health Informatics and Health Information Management Education and Professions in Hail City, Kingdom of Saudi Arabia: A Qualitative Study. Cureus 2024; 16:e52619. [PMID: 38374838 PMCID: PMC10875908 DOI: 10.7759/cureus.52619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2024] [Indexed: 02/21/2024] Open
Abstract
Health and higher education ministries in Saudi Arabia recognize the need for a highly qualified workforce specializing in health informatics and information management (HIIM). Therefore, KSA colleges and universities offer HIIM programs, health information systems, and health information technology. It is critical to investigate the HIIM professions and education in Hail City due to differences in these educational programs. This study examined HIIM professions and education in Hail City, Saudi Arabia, and provided strategies and recommendations. Based on a qualitative research approach, we interviewed 39 academicians, health informaticians, and other stakeholders in Hail City. The strengths, weaknesses, opportunities, threats (SWOT) framework was used to explore HIIM status and make recommendations. According to participants, HIIM Saudi professionals in Hail City have been growing and motivated, as have the university's undergraduate and postgraduate programs. Informants indicated several weaknesses, but many opportunities were found, including Saudi Vision 2030 and a new HIIM faculty at the University of Hail. According to our findings, relevant specialties control HIIM leadership while unspecialized academicians provide instruction. The extraordinary transmission of digital health in Saudi Arabia promises to enhance HIIM professions and education strengths and opportunities and reduce their weaknesses and threats.
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Affiliation(s)
- Anas Alhur
- Health Informatics, College of Public Health and Health Informatics, University of Hail, Hail, SAU
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2
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Denecke K, Romero OR, Petersen C, Benham-Hutchins M, Cabrer M, Davies S, Grainger R, Hussein R, Lopez-Campos G, Martin-Sanchez F, McKillop M, Merolli M, Miron-Shatz T, Trigo JD, Wright G, Wynn R, Hullin Lucay Cossio C, Gabarron E. Defining and Scoping Participatory Health Informatics: An eDelphi Study. Methods Inf Med 2023; 62:90-99. [PMID: 36787885 PMCID: PMC10462430 DOI: 10.1055/a-2035-3008] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 10/08/2022] [Indexed: 02/16/2023]
Abstract
BACKGROUND Health care has evolved to support the involvement of individuals in decision making by, for example, using mobile apps and wearables that may help empower people to actively participate in their treatment and health monitoring. While the term "participatory health informatics" (PHI) has emerged in literature to describe these activities, along with the use of social media for health purposes, the scope of the research field of PHI is not yet well defined. OBJECTIVE This article proposes a preliminary definition of PHI and defines the scope of the field. METHODS We used an adapted Delphi study design to gain consensus from participants on a definition developed from a previous review of literature. From the literature we derived a set of attributes describing PHI as comprising 18 characteristics, 14 aims, and 4 relations. We invited researchers, health professionals, and health informaticians to score these characteristics and aims of PHI and their relations to other fields over three survey rounds. In the first round participants were able to offer additional attributes for voting. RESULTS The first round had 44 participants, with 28 participants participating in all three rounds. These 28 participants were gender-balanced and comprised participants from industry, academia, and health sectors from all continents. Consensus was reached on 16 characteristics, 9 aims, and 6 related fields. DISCUSSION The consensus reached on attributes of PHI describe PHI as a multidisciplinary field that uses information technology and delivers tools with a focus on individual-centered care. It studies various effects of the use of such tools and technology. Its aims address the individuals in the role of patients, but also the health of a society as a whole. There are relationships to the fields of health informatics, digital health, medical informatics, and consumer health informatics. CONCLUSION We have proposed a preliminary definition, aims, and relationships of PHI based on literature and expert consensus. These can begin to be used to support development of research priorities and outcomes measurements.
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Affiliation(s)
- Kerstin Denecke
- Bern University of Applied Sciences, Department Engineering and Computer Science, Institute for Medical Informatics, Bern, Switzerland
| | - Octavio Rivera Romero
- Instituto de Ingeniería Informática (I3US), Universidad de Sevilla, Sevilla, Spain
- Department of Electronic Technology, Universidad de Sevilla, Sevilla, Spain
| | | | - Marge Benham-Hutchins
- College of Nursing and Health Sciences, Texas A&M University Corpus Christi, Texas, Corpus Christi, United States
| | | | - Shauna Davies
- Faculty of Nursing, University of Regina, Regina, SK, Canada
| | - Rebecca Grainger
- Department of Medicine, University of Otago, Wellington, New Zealand
| | - Rada Hussein
- Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria
| | - Guillermo Lopez-Campos
- Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, United Kingdom
| | | | | | - Mark Merolli
- Department of Physiotherapy, School of Health Sciences, the University of Melbourne, Melbourne, Australia
- Centre for Digital Transformation of Health, The University of Melbourne, Melbourne, Australia
| | - Talya Miron-Shatz
- Faculty of Business Administration, Ono Academic College, Kiryat Ono, Israel
| | - Jesús Daniel Trigo
- Department of Electrical, Electronic and Communications Engineering, Public University of Navarra, Institute of Smart Cities (ISC), Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
| | - Graham Wright
- Department of Information Systems, Rhodes University, Grahamstown, South Africa
| | - Rolf Wynn
- Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway
| | - Carol Hullin Lucay Cossio
- Data Governance Manager, Victoria Legal Aid, Melbourne, Australia
- College Economy & Business, The University of Tasmania, Tasmania, Australia
- Digital Innovation Centre for Latinoamerican Region, Temuco, Chile
| | - Elia Gabarron
- Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway
- Department of Education, ICT and Learning, Østfold University College, Halden, Norway
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3
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Ali N, Dzandu MD. A paradigm shift for medical health care to focus on a service-value approach to achieve greater patient satisfaction. J Health Organ Manag 2023; ahead-of-print. [PMID: 36710262 DOI: 10.1108/jhom-06-2022-0180] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
PURPOSE This study takes a divergent approach to exploring which construct is more predictive of patient satisfaction (SAT) in a service dominant economy within the context of a healthcare setting. DESIGN/METHODOLOGY/APPROACH Applying a critical analysis of literature, a service value (SV) model for customer SAT is proposed in this study, which is validated and confirmed with survey data from outpatients at Moorfields Eye Hospital - a world class specialist hospital based in the UK. FINDINGS Quality of service had the strongest impact on SV but SV had the strongest impact and mediation effect on patient SAT. RESEARCH LIMITATIONS/IMPLICATIONS The study concludes that since SV rather than quality of service is more predictive of patient SAT, health service providers should focus more on SV in addition to quality of service, if they are to meet the dynamic expectations of their patients. PRACTICAL IMPLICATIONS Health service providers should focus more on SV in addition to quality of service, if they are to meet the dynamic expectations of their patients. SOCIAL IMPLICATIONS This poses a strong argument in favour of a paradigm shift in focus from quality of service-based model to service value-based model for greater patient satisfaction. ORIGINALITY/VALUE This is the first study exploring the inter-relationship of four constructs of patient SAT within the context of a leading major UK healthcare hospital service.
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Affiliation(s)
- Naser Ali
- Moorfields Eye Hospital City Road Campus, London, UK
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Meckawy R, Stuckler D, Mehta A, Al-Ahdal T, Doebbeling BN. Effectiveness of early warning systems in the detection of infectious diseases outbreaks: a systematic review. BMC Public Health 2022; 22:2216. [PMCID: PMC9707072 DOI: 10.1186/s12889-022-14625-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/14/2022] [Indexed: 11/30/2022] Open
Abstract
Abstract
Background
Global pandemics have occurred with increasing frequency over the past decade reflecting the sub-optimum operationalization of surveillance systems handling human health data. Despite the wide array of current surveillance methods, their effectiveness varies with multiple factors. Here, we perform a systematic review of the effectiveness of alternative infectious diseases Early Warning Systems (EWSs) with a focus on the surveillance data collection methods, and taking into consideration feasibility in different settings.
Methods
We searched PubMed and Scopus databases on 21 October 2022. Articles were included if they covered the implementation of an early warning system and evaluated infectious diseases outbreaks that had potential to become pandemics. Of 1669 studies screened, 68 were included in the final sample. We performed quality assessment using an adapted CASP Checklist.
Results
Of the 68 articles included, 42 articles found EWSs successfully functioned independently as surveillance systems for pandemic-wide infectious diseases outbreaks, and 16 studies reported EWSs to have contributing surveillance features through complementary roles. Chief complaints from emergency departments’ data is an effective EWS but it requires standardized formats across hospitals. Centralized Public Health records-based EWSs facilitate information sharing; however, they rely on clinicians’ reporting of cases. Facilitated reporting by remote health settings and rapid alarm transmission are key advantages of Web-based EWSs. Pharmaceutical sales and laboratory results did not prove solo effectiveness. The EWS design combining surveillance data from both health records and staff was very successful. Also, daily surveillance data notification was the most successful and accepted enhancement strategy especially during mass gathering events. Eventually, in Low Middle Income Countries, working to improve and enhance existing systems was more critical than implementing new Syndromic Surveillance approaches.
Conclusions
Our study was able to evaluate the effectiveness of Early Warning Systems in different contexts and resource settings based on the EWSs’ method of data collection. There is consistent evidence that EWSs compiling pre-diagnosis data are more proactive to detect outbreaks. However, the fact that Syndromic Surveillance Systems (SSS) are more proactive than diagnostic disease surveillance should not be taken as an effective clue for outbreaks detection.
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Alenoghena CO, Onumanyi AJ, Ohize HO, Adejo AO, Oligbi M, Ali SI, Okoh SA. eHealth: A Survey of Architectures, Developments in mHealth, Security Concerns and Solutions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13071. [PMID: 36293656 PMCID: PMC9603507 DOI: 10.3390/ijerph192013071] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/28/2022] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Abstract
The ramifications of the COVID-19 pandemic have contributed in part to a recent upsurge in the study and development of eHealth systems. Although it is almost impossible to cover all aspects of eHealth in a single discussion, three critical areas have gained traction. These include the need for acceptable eHealth architectures, the development of mobile health (mHealth) technologies, and the need to address eHealth system security concerns. Existing survey articles lack a synthesis of the most recent advancements in the development of architectures, mHealth solutions, and innovative security measures, which are essential components of effective eHealth systems. Consequently, the present article aims at providing an encompassing survey of these three aspects towards the development of successful and efficient eHealth systems. Firstly, we discuss the most recent innovations in eHealth architectures, such as blockchain-, Internet of Things (IoT)-, and cloud-based architectures, focusing on their respective benefits and drawbacks while also providing an overview of how they might be implemented and used. Concerning mHealth and security, we focus on key developments in both areas while discussing other critical topics of importance for eHealth systems. We close with a discussion of the important research challenges and potential future directions as they pertain to architecture, mHealth, and security concerns. This survey gives a comprehensive overview, including the merits and limitations of several possible technologies for the development of eHealth systems. This endeavor offers researchers and developers a quick snapshot of the information necessary during the design and decision-making phases of the eHealth system development lifecycle. Furthermore, we conclude that building a unified architecture for eHealth systems would require combining several existing designs. It also points out that there are still a number of problems to be solved, so more research and investment are needed to develop and deploy functional eHealth systems.
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Affiliation(s)
| | - Adeiza James Onumanyi
- Next Generation Enterprises and Institutions, Council for Scientific and Industrial Research (CSIR), Pretoria 0001, South Africa
| | - Henry Ohiani Ohize
- Department of Telecommunication Engineering, Federal University of Technology, Minna P.M.B. 65, Nigeria
| | - Achonu Oluwole Adejo
- Department of Telecommunication Engineering, Federal University of Technology, Minna P.M.B. 65, Nigeria
| | - Maxwell Oligbi
- Department of Telecommunication Engineering, Federal University of Technology, Minna P.M.B. 65, Nigeria
| | - Shaibu Ibrahim Ali
- Department of Telecommunication Engineering, Federal University of Technology, Minna P.M.B. 65, Nigeria
| | - Supreme Ayewoh Okoh
- Department of Telecommunication Engineering, Federal University of Technology, Minna P.M.B. 65, Nigeria
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Vittorini P, Chamoso P, De la Prieta F. A device and an app for the diagnosis and self-management of tinnitus. J Integr Bioinform 2022; 19:jib-2022-0004. [PMID: 36039680 PMCID: PMC9534487 DOI: 10.1515/jib-2022-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 06/12/2022] [Indexed: 11/22/2022] Open
Abstract
Tinnitus is an annoying ringing in the ears, in varying shades and intensities. Tinnitus can affect a person’s overall health and social well-being (e.g., sleep problems, trouble concentrating, anxiety, depression and inability to work). The diagnostic procedure of tinnitus usually consists of three steps: an audiological examination, psychoacoustic measurement, and a disability evaluation. All steps are performed by physicians, who use specialised hardware/software and administer questionnaires. This paper presents a system, to be used by patients, for the diagnosis and self-management of tinnitus. The system is made up of an app and a device. The app is responsible for executing – through the device – a part of the required audiological and psychoacoustic examinations, as well as administering questionnaires that evaluate disability. The paper reviews the quality of the automated audiometric reporting and the user experience provided by the app. Descriptive and inferential statistics were used to support the findings. The results show that automated reporting is comparable with that of physicians and that user experience was improved by re-designing and re-developing the acufenometry of the app. As for the user experience, two experts in Human-Computer Interaction evaluated the first version of the app: their agreement was good (Cohen’s K = 0.639) and the average rating of the app was 1.43/2. Also patients evaluated the app in its initial version: the satisfactory tasks (audiometry and questionnaires) were rated as 4.31/5 and 4.65/5. The unsatisfactory task (acufenometry) was improved and the average rating increased from 2.86/5 to 3.96/5 (p = 0.0005). Finally, the general usability of the app was increased from the initial value of 73.6/100 to 85.4/100 (p = 0.0003). The strengths of the project are twofold. Firstly, the automated reporting feature, which – to the best of our knowledge – is the first attempt in this area. Secondly, the overall app usability, which was evaluated and improved during its development. In summary, the conclusion drawn from the conducted project is that the system works as expected, and despite some weaknesses, also the replication of the device would not be expensive, and it can be used in different scenarios.
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Affiliation(s)
- Pierpaolo Vittorini
- Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - Pablo Chamoso
- IBSAL/BISITE Research Group, University of Salamanca, Calle Espejo 12, Edificio I+D+i, 37007 Salamanca, Spain
| | - Fernando De la Prieta
- IBSAL/BISITE Research Group, University of Salamanca, Calle Espejo 12, Edificio I+D+i, 37007 Salamanca, Spain
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7
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Timakum T, Song M, Kim G. Integrated entitymetrics analysis for health information on bipolar disorder using social media data and scientific literature. ASLIB J INFORM MANAG 2022. [DOI: 10.1108/ajim-02-2022-0090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThis study aimed to examine the mental health information entities and associations between the biomedical, psychological and social domains of bipolar disorder (BD) by analyzing social media data and scientific literature.Design/methodology/approachReddit posts and full-text papers from PubMed Central (PMC) were collected. The text analysis was used to create a psychological dictionary. The text mining tools were applied to extract BD entities and their relationships in the datasets using a dictionary- and rule-based approach. Lastly, social network analysis and visualization were employed to view the associations.FindingsMental health information on the drug side effects entity was detected frequently in both datasets. In the affective category, the most frequent entities were “depressed” and “severe” in the social media and PMC data, respectively. The social and personal concerns entities that related to friends, family, self-attitude and economy were found repeatedly in the Reddit data. The relationships between the biomedical and psychological processes, “afraid” and “Lithium” and “schizophrenia” and “suicidal,” were identified often in the social media and PMC data, respectively.Originality/valueMental health information has been increasingly sought-after, and BD is a mental illness with complicated factors in the clinical picture. This paper has made an original contribution to comprehending the biological, psychological and social factors of BD. Importantly, these results have highlighted the benefit of mental health informatics that can be analyzed in the laboratory and social media domains.
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Radu F, Radu V, Turkeș MC, Ivan OR, Tăbîrcă AI. A research of service quality perceptions and patient satisfaction: Case study of public hospitals in Romania. Int J Health Plann Manage 2021; 37:1018-1048. [PMID: 34787918 DOI: 10.1002/hpm.3375] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 10/06/2021] [Accepted: 10/18/2021] [Indexed: 11/05/2022] Open
Abstract
The quality of medical services provided by public hospitals has become a crucial principle in health. Awareness and satisfaction of patients are increasing in pace with technological processes and therapeutic procedures. Therefore, Romania's public hospitals must provide quality to patients and assure medical staff's efficiency and professionalism, a high level of satisfaction, and patient safety. This paper aimed to evaluate patient satisfaction measures used in Romania's Healthcare System. Between January and February 2019, an exploratory study was conducted. Data were collected through face-to-face interviews based on a questionnaire only with patients who used the health system last year. The results showed that only 39.71% of Romanians are satisfied with the quality of medical services, which means that 61.29% of respondents are disappointed by the health system. Because it is free of charge, the public sector is the only option available for a wide range of patients. The study's results may be an essential basis in developing and successfully improving marketing research on the quality of medical services provided through public hospitals especially considering that Romania must improve the health care system perception. Findings suggest that traditional patient satisfaction measures fail, and new ways must be taken into consideration.
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Affiliation(s)
- Florin Radu
- Department of Accounting and Finance, Valahia University of Targoviste, Târgoviște, Romania
| | - Valentin Radu
- Department of Accounting and Finance, Valahia University of Targoviste, Târgoviște, Romania
| | - Mirela Cătălina Turkeș
- Department of Finance, Banking and Accountancy, Faculty of Accountancy and Audit, Dimitrie Cantemir Christian University, București, Romania
| | - Oana Raluca Ivan
- Department of Finance and Accounting, Faculty of Economic Science, 1 Decembrie 1918 University of Alba Iulia, Alba-Iulia, Romania
| | - Alina Iuliana Tăbîrcă
- Department of Accounting and Finance, Valahia University of Targoviste, Târgoviște, Romania
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9
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Fernandez-Luque L, Kushniruk AW, Georgiou A, Basu A, Petersen C, Ronquillo C, Paton C, Nøhr C, Kuziemsky CE, Alhuwail D, Skiba D, Huesing E, Gabarron E, Borycki EM, Magrabi F, Denecke K, Peute LWP, Topaz M, Al-Shorbaji N, Lacroix P, Marcilly R, Cornet R, Gogia SB, Kobayashi S, Iyengar S, Deserno TM, Mettler T, Vimarlund V, Zhu X. Evidence-Based Health Informatics as the Foundation for the COVID-19 Response: A Joint Call for Action. Methods Inf Med 2021; 59:183-192. [PMID: 33975375 PMCID: PMC8279811 DOI: 10.1055/s-0041-1726414] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Background
As a major public health crisis, the novel coronavirus disease 2019 (COVID-19) pandemic demonstrates the urgent need for safe, effective, and evidence-based implementations of digital health. The urgency stems from the frequent tendency to focus attention on seemingly high promising digital health interventions despite being poorly validated in times of crisis.
Aim
In this paper, we describe a joint call for action to use and leverage evidence-based health informatics as the foundation for the COVID-19 response and public health interventions. Tangible examples are provided for how the working groups and special interest groups of the International Medical Informatics Association (IMIA) are helping to build an evidence-based response to this crisis.
Methods
Leaders of working and special interest groups of the IMIA, a total of 26 groups, were contacted via e-mail to provide a summary of the scientific-based efforts taken to combat COVID-19 pandemic and participate in the discussion toward the creation of this manuscript. A total of 13 groups participated in this manuscript.
Results
Various efforts were exerted by members of IMIA including (1) developing evidence-based guidelines for the design and deployment of digital health solutions during COVID-19; (2) surveying clinical informaticians internationally about key digital solutions deployed to combat COVID-19 and the challenges faced when implementing and using them; and (3) offering necessary resources for clinicians about the use of digital tools in clinical practice, education, and research during COVID-19.
Discussion
Rigor and evidence need to be taken into consideration when designing, implementing, and using digital tools to combat COVID-19 to avoid delays and unforeseen negative consequences. It is paramount to employ a multidisciplinary approach for the development and implementation of digital health tools that have been rapidly deployed in response to the pandemic bearing in mind human factors, ethics, data privacy, and the diversity of context at the local, national, and international levels. The training and capacity building of front-line workers is crucial and must be linked to a clear strategy for evaluation of ongoing experiences.
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Affiliation(s)
| | - Andre W Kushniruk
- School of Health Information Science, University of Victoria, Victoria, Canada
| | - Andrew Georgiou
- Australian Institute of Health Innovation, Macquarie University, Macquarie, New South Wales, Australia
| | - Arindam Basu
- School of Health Sciences, University of Canterbury, Christchurch, New Zealand
| | - Carolyn Petersen
- Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, United States
| | - Charlene Ronquillo
- Daphne Cockwell School of Nursing, Ryerson University, Ryerson, Toronto, Canada
| | - Chris Paton
- Department of Information Science, University of Otago, Dunedin, New Zealand.,Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
| | - Christian Nøhr
- Centre for Health Informatics and Technology, Maersk McKinney Moller Institute, University of Southern Denmark, Denmark
| | - Craig E Kuziemsky
- Office of Research Services, MacEwan University, Edmonton, AB, Canada
| | - Dari Alhuwail
- Department of Information Science, Kuwait University, Kuwait.,Health Informatics Unit, Dasman Diabetes Institute, Kuwait
| | - Diane Skiba
- University of Colorado, Denver, Colorado, United States
| | | | - Elia Gabarron
- Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway
| | - Elizabeth M Borycki
- School of Health Information Science, University of Victoria, Victoria, Canada
| | - Farah Magrabi
- Australian Institute of Health Innovation, Macquarie University, Macquarie, New South Wales, Australia
| | - Kerstin Denecke
- Institute for Medical Informatics, Bern University of Applied Sciences, Bern, Switzerland
| | - Linda W P Peute
- Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Max Topaz
- Columbia University Medical Center, Data Science Institute, Columbia University, Columbia, United States
| | | | | | - Romaric Marcilly
- Univ. Lille, Inserm, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France
| | - Ronald Cornet
- Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Shashi B Gogia
- Society for Administration of Telemedicine and Healthcare Informatics, New Delhi, India
| | | | | | - Thomas M Deserno
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany
| | - Tobias Mettler
- Swiss Graduate School of Public Administration, University of Lausanne, Lausanne, Switzerland
| | - Vivian Vimarlund
- Department of Computer and Information Science (IDA), School of Engineering and Technology, Linköping University, Linköping, Sweden
| | - Xinxin Zhu
- Center for Biomedical Data Science, Yale University, New Haven, Connecticut, United States
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Chai Y, Bian Y, Liu H, Li J, Xu J. Glaucoma diagnosis in the Chinese context: An uncertainty information-centric Bayesian deep learning model. Inf Process Manag 2021. [DOI: 10.1016/j.ipm.2020.102454] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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11
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Fu Z, Hong S, Zhang R, Du S. Artificial-Intelligence-Enhanced Mobile System for Cardiovascular Health Management. SENSORS 2021; 21:s21030773. [PMID: 33498892 PMCID: PMC7865877 DOI: 10.3390/s21030773] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/19/2021] [Accepted: 01/20/2021] [Indexed: 12/25/2022]
Abstract
The number of patients with cardiovascular diseases is rapidly increasing in the world. The workload of existing clinicians is consequently increasing. However, the number of cardiovascular clinicians is declining. In this paper, we aim to design a mobile and automatic system to improve the abilities of patients’ cardiovascular health management while also reducing clinicians’ workload. Our system includes both hardware and cloud software devices based on recent advances in Internet of Things (IoT) and Artificial Intelligence (AI) technologies. A small hardware device was designed to collect high-quality Electrocardiogram (ECG) data from the human body. A novel deep-learning-based cloud service was developed and deployed to achieve automatic and accurate cardiovascular disease detection. Twenty types of diagnostic items including sinus rhythm, tachyarrhythmia, and bradyarrhythmia are supported. Experimental results show the effectiveness of our system. Our hardware device can guarantee high-quality ECG data by removing high-/low-frequency distortion and reverse lead detection with 0.9011 Area Under the Receiver Operating Characteristic Curve (ROC–AUC) score. Our deep-learning-based cloud service supports 20 types of diagnostic items, 17 of them have more than 0.98 ROC–AUC score. For a real world application, the system has been used by around 20,000 users in twenty provinces throughout China. As a consequence, using this service, we could achieve both active and passive health management through a lightweight mobile application on the WeChat Mini Program platform. We believe that it can have a broader impact on cardiovascular health management in the world.
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Affiliation(s)
- Zhaoji Fu
- School of Management, University of Science and Technology of China, Hefei 230026, China; (Z.F.); (S.D.)
- HeartVoice Medical Technology, Hefei 230027, China
| | - Shenda Hong
- National Institute of Health Data Science at Peking University, Peking University, Beijing 100191, China
- Institute of Medical Technology, Health Science Center of Peking University, Beijing 100191, China
- Correspondence:
| | - Rui Zhang
- Division of Life Science and Medicine, University of Science and Technology of China, Hefei 230026, China;
| | - Shaofu Du
- School of Management, University of Science and Technology of China, Hefei 230026, China; (Z.F.); (S.D.)
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12
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Health Communication and Behavioural Practice towards Ending Hepatitis B Virus in Southwest Nigeria. ScientificWorldJournal 2021; 2020:4969687. [PMID: 33424487 PMCID: PMC7773454 DOI: 10.1155/2020/4969687] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 08/14/2020] [Accepted: 12/09/2020] [Indexed: 12/20/2022] Open
Abstract
Responding to the international call for strategic information to understand viral hepatitis, this study investigated the health communication practice on hepatitis B virus in Southwest Nigeria. Existing studies on HBV in Nigeria have primarily concentrated on health practitioners and their patients while neglecting detailed empirical data on semiurban and urban demographic information. This study examines health communication channels as predictors of knowledge, attitude, and behavioural practices with an emphasis on three Southwest states (Lagos, Oyo, and Ogun) in Nigeria that have the highest prevalence rate of HBV. Data were gathered through a survey from a total of 600 respondents of Southwest Nigeria randomly selected through the multistage sampling technique. The hypotheses were tested with the use of multiple regression. The result reveals that health communication channels for hepatitis B virus management had a significant influence on knowledge (F = 12.708, Df = 581, P < 0.05, Sig. at 0.000), attitude (F = 3.430, Df = 581, P < 0.05, Sig. at 0.000), and preventive practices (F = 11.075, Df = 581, P < 0.05, Sig. at 0.000) of residents of Southwest Nigeria, respectively. The study concludes that health communication channels such as the television, Internet, radio, newspaper, and health workers positively influence the behavioural practices of residents of Southwest Nigeria. The study recommends the development of a nationwide communication system on HBV targeted at putting an end to the disease in line with the 2030 global elimination objective of Sustainable Development Goal 3.
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Aligning Concerns in Telecare: Three Concepts to Guide the Design of Patient-Centred E-Health. Comput Support Coop Work 2018. [DOI: 10.1007/s10606-018-9309-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Griffiths FE, Armoiry X, Atherton H, Bryce C, Buckle A, Cave JAK, Court R, Hamilton K, Dliwayo TR, Dritsaki M, Elder P, Forjaz V, Fraser J, Goodwin R, Huxley C, Ignatowicz A, Karasouli E, Kim SW, Kimani P, Madan JJ, Matharu H, May M, Musumadi L, Paul M, Raut G, Sankaranarayanan S, Slowther AM, Sujan MA, Sutcliffe PA, Svahnstrom I, Taggart F, Uddin A, Verran A, Walker L, Sturt J. The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study. HEALTH SERVICES AND DELIVERY RESEARCH 2018. [DOI: 10.3310/hsdr06090] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BackgroundYoung people (aged 16–24 years) with long-term health conditions tend to disengage from health services, resulting in poor health outcomes. They are prolific users of digital communications. Innovative UK NHS clinicians use digital communication with these young people. The NHS plans to use digital communication with patients more widely.ObjectivesTo explore how health-care engagement can be improved using digital clinical communication (DCC); understand effects, impacts, costs and necessary safeguards; and provide critical analysis of its use, monitoring and evaluation.DesignObservational mixed-methods case studies; systematic scoping literature reviews; assessment of patient-reported outcome measures (PROMs); public and patient involvement; and consensus development through focus groups.SettingTwenty NHS specialist clinical teams from across England and Wales, providing care for 13 different long-term physical or mental health conditions.ParticipantsOne hundred and sixty-five young people aged 16–24 years living with a long-term health condition; 13 parents; 173 clinical team members; and 16 information governance specialists.InterventionsClinical teams and young people variously used mobile phone calls, text messages, e-mail and voice over internet protocol.Main outcome measuresEmpirical work – thematic and ethical analysis of qualitative data; annual direct costs; did not attend, accident and emergency attendance and hospital admission rates plus clinic-specific clinical outcomes. Scoping reviews–patient, health professional and service delivery outcomes and technical problems. PROMs: scale validity, relevance and credibility.Data sourcesObservation, interview, structured survey, routinely collected data, focus groups and peer-reviewed publications.ResultsDigital communication enables access for young people to the right clinician when it makes a difference for managing their health condition. This is valued as additional to traditional clinic appointments. This access challenges the nature and boundaries of therapeutic relationships, but can improve them, increase patient empowerment and enhance activation. Risks include increased dependence on clinicians, inadvertent disclosure of confidential information and communication failures, but clinicians and young people mitigate these risks. Workload increases and the main cost is staff time. Clinical teams had not evaluated the impact of their intervention and analysis of routinely collected data did not identify any impact. There are no currently used generic outcome measures, but the Patient Activation Measure and the Physicians’ Humanistic Behaviours Questionnaire are promising. Scoping reviews suggest DCC is acceptable to young people, but with no clear evidence of benefit except for mental health.LimitationsQualitative data were mostly from clinician enthusiasts. No interviews were achieved with young people who do not attend clinics. Clinicians struggled to estimate workload. Only eight full sets of routine data were available.ConclusionsTimely DCC is perceived as making a difference to health care and health outcomes for young people with long-term conditions, but this is not supported by evidence that measures health outcomes. Such communication is challenging and costly to provide, but valued by young people.Future workFuture development should distinguish digital communication replacing traditional clinic appointments and additional timely communication. Evaluation is needed that uses relevant generic outcomes.Study registrationTwo of the reviews in this study are registered as PROSPERO CRD42016035467 and CRD42016038792.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Affiliation(s)
| | - Xavier Armoiry
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Helen Atherton
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Carol Bryce
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Abigail Buckle
- Warwick Medical School, University of Warwick, Coventry, UK
| | | | - Rachel Court
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Kathryn Hamilton
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
| | - Thandiwe R Dliwayo
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
| | | | - Patrick Elder
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Vera Forjaz
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
| | - Joe Fraser
- Patient and public involvement representative, London, UK
| | - Richard Goodwin
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
| | | | | | | | - Sung Wook Kim
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Peter Kimani
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Jason J Madan
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Harjit Matharu
- University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
| | - Mike May
- Warwick Medical School, University of Warwick, Coventry, UK
| | | | - Moli Paul
- Coventry and Warwickshire Partnership Trust, Coventry, UK
| | - Gyanu Raut
- King’s College Hospital NHS Foundation Trust, London, UK
| | | | | | - Mark A Sujan
- Warwick Medical School, University of Warwick, Coventry, UK
| | | | | | | | - Ayesha Uddin
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Alice Verran
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Leigh Walker
- Warwick Medical School, University of Warwick, Coventry, UK
| | - Jackie Sturt
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
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Rugoho T, Maphosa F. Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: The case of Chitungwiza town. Afr J Disabil 2017; 6:252. [PMID: 28730062 PMCID: PMC5502473 DOI: 10.4102/ajod.v6i0.252] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 08/22/2016] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities. OBJECTIVES The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe. METHOD The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants' ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data. RESULTS Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved. CONCLUSION The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.
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Affiliation(s)
- Tafadzwa Rugoho
- Livelihoods Programme, Leonard Cheshire Disability Zimbabwe, Zimbabwe
| | - France Maphosa
- Department of Sociology, University of Botswana, Botswana
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Marcinkowski M. Data, ideology, and the developing critical program of social informatics. J Assoc Inf Sci Technol 2016. [DOI: 10.1002/asi.23483] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Michael Marcinkowski
- College of Information Sciences and TechnologyThe Pennsylvania State University 309G Information Sciences and Technology Building University Park PA 16802
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Hansen KS, Mukkamala R, Hussain A, Grønli TM, Langberg H, Vatrapu R. Big Social Data in Public Health: A Mixed-methods Case Study of Sundhed.dk's Facebook Strategy, Engagement, and Performance. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.procs.2016.09.046] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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May L, Zatorski C, Vora D. The Role of Technology in Translational Science. WORLD MEDICAL & HEALTH POLICY 2013. [DOI: 10.1002/wmh3.69] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Muhammad I, Teoh SY, Wickramasinghe N. The Need for a Socio-Technical Analysis in E-Health. INTERNATIONAL JOURNAL OF E-HEALTH AND MEDICAL COMMUNICATIONS 2013. [DOI: 10.4018/jehmc.2013040105] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Healthcare systems around the globe are facing a number of challenges. Thus Increasing focus is being placed on constructing appropriate healthcare reforms which are attempting to address how to tackle these challenges. A critical enabler in these reforms is the adoption of an e-health solution. Such e-health solutions are not only expensive and complex endeavours, but also have far reaching implications. Given that the implementation and adoption of these e-health solutions is so important, not to mention also requiring a substantial investment in various resources such as time and money, it is therefore essential to ensure their success. The following proffers a socio-technical analysis as an appropriate strategy to ensure more successful outcomes. An exemplar case study of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution by the Australian government is provided to illustrate the benefits such an analysis might provide
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Affiliation(s)
- Imran Muhammad
- Epworth Research Institute, School of Business IT and Logistics,RMIT University, Melbourne, VIC, Australia
| | - Say Yen Teoh
- Health Innovations Research Institute, School of Business IT and Logistics, RMIT University, Melbourne, VIC, Australia
| | - Nilmini Wickramasinghe
- Epworth HealthCare, Health Innovations Research Institute, School of Business IT and Logistics, RMIT University, Melbourne, VIC, Australia
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Information management and quality of palliative care in general practices: Secondary analysis of a UK study. J Inf Sci 2013. [DOI: 10.1177/0165551512470045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Palliative care seeks to improve quality of life for patients with terminal, chronic or life-long, illnesses. In the UK, most palliative care occurs in primary care, for example, through general practices. A recent national UK survey of palliative care within general practices concluded that practices that utilized recognized initiatives to promote palliative care demonstrated better clinical care and higher perceived quality of palliative care. This paper reports on secondary analyses from that survey to investigate the management of information related to palliative care within practices. Relatively high levels of information provision to families and carers were reported, over two-thirds of practices reported having unified records for palliative care patients and over 90% of practices reported having a cancer/palliative care register that was fully or mostly operational. Larger practices, those using the Gold Standards Framework and practices using unified record keeping for palliative care, were independently more likely to give information to families and carers and were more likely to have a mostly or fully operational palliative care register. When testing for the relationship between measures of the structures and processes of information management and the perceived quality of care, as an outcome, within the practices, practices with a fully operational palliative care register and practices that had higher scores on the record-keeping scale were more likely to rate the quality of their palliative care as very good.
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Bath PA, Sen BA, Raptis DA, Mettler T. Understanding how information and ICTs can improve health. Expert Rev Pharmacoecon Outcomes Res 2012; 12:11-4. [DOI: 10.1586/erp.11.91] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Inthiran A, Alhashmi SM, Ahmed PK. Medical Information Retrieval Strategies. INTERNATIONAL JOURNAL OF HEALTHCARE INFORMATION SYSTEMS AND INFORMATICS 2012. [DOI: 10.4018/jhisi.2012010103] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Medical search engines are frequently used not only by people in the medical fraternity but also amongst non-medical professionals. It is likely that non-medical professionals and first time medical searches may find the activity of searching for medical information to be an overwhelming experience. The use of appropriate terminology is essential for a successful search. Similarly, the ability to comprehend presented search results is equally important. In this paper, the authors review information retrieval techniques used in medical search engines. The authors focus on their strategies and comment on their suitability. The authors then conducted an exploratory survey to provide real-life examples of how non-medical professionals perform medical based searches. Results of the study provide insight to the medical search behavior of non-medical professionals. Based on the study results the authors mapped search behavior of non-medical professionals against information retrieval strategies to determine how these strategies help improve a search session. Finally, the authors conclude the paper by providing innovate ideas for the development of better information retrieval strategies on medical search engines.
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Transforming a Paper based Process to a Natural user Interfaces Process in a Chronic Care Hospital. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/j.procs.2012.10.020] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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CANATO ANNA, GIANGRECO ANTONIO. Gurus or Wizards? A Review of the Role of Management Consultants. EUROPEAN MANAGEMENT REVIEW 2011. [DOI: 10.1111/j.1740-4762.2011.01021.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Enwald HPK, Niemelä RM, Keinänen-Kiukaanniemi S, Leppäluoto J, Jämsä T, Herzig KH, Oinas-Kukkonen H, Huotari MLA. Human information behaviour and physiological measurements as a basis to tailor health information. An explorative study in a physical activity intervention among prediabetic individuals in Northern Finland. Health Info Libr J 2011; 29:131-40. [PMID: 22630361 DOI: 10.1111/j.1471-1842.2011.00968.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Heidi P K Enwald
- Information Studies, Faculty of Humanities, University of Oulu, Oulu, Finland Institute of Health Sciences, Unit of General Practice, University of Oulu, Oulu, Finland
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Cabitza F. “Remain Faithful to the Earth!”*: Reporting Experiences of Artifact-Centered Design in Healthcare. Comput Support Coop Work 2011. [DOI: 10.1007/s10606-011-9143-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Peirce SC, Hardisty AR, Preece AD, Elwyn G. Designing and implementing telemonitoring for early detection of deterioration in chronic disease: Defining the requirements. Health Informatics J 2011; 17:173-90. [DOI: 10.1177/1460458211409717] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Patients with chronic disease may suffer frequent acute deteriorations and associated increased risk of hospitalisation. Earlier detection of these could enable successful intervention, improving patients’ well-being and reducing costs; however, current telemonitoring systems do not achieve this effectively. We conducted a qualitative study using stakeholder interviews to define current standards of care and user requirements for improved early detection telemonitoring. We determined that early detection is not a concept that has informed technology or service design and that telemonitoring is driven by the available technology rather than by users’ needs. We have described a set of requirements questions to inform the design and implementation of telemonitoring systems and suggested the research needed to develop successful early detection telemonitoring. User-centred design and genuine interdisciplinary approaches are needed to create solutions that are fit for purpose, sustainable and address the real needs of patients, clinicians and healthcare organisations.
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Hardisty AR, Peirce SC, Preece A, Bolton CE, Conley EC, Gray WA, Rana OF, Yousef Z, Elwyn G. Bridging two translation gaps: a new informatics research agenda for telemonitoring of chronic disease. Int J Med Inform 2011; 80:734-44. [PMID: 21890403 DOI: 10.1016/j.ijmedinf.2011.07.002] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2010] [Revised: 07/20/2011] [Accepted: 07/21/2011] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To propose a research agenda that addresses technological and other knowledge gaps in developing telemonitoring solutions for patients with chronic diseases, with particular focus on detecting deterioration early enough to intervene effectively. DESIGN A mixed methods approach incorporating literature review, key informant, and focus group interviews to gain an in-depth, multidisciplinary understanding of current approaches, and a roadmapping process to synthesise a research agenda. RESULTS Counter to intuition, the research agenda for early detection of deterioration in patients with chronic diseases is not only primarily about advances in sensor technology but also much more about the problems of clinical specification, translation, and interfacing. The ultimate aim of telemonitoring is not fully agreed between the actors (patients, clinicians, technologists, and service providers). This leads to unresolved issues such as: (1) How are sensors used by patients as part of daily routines? (2) What are the indicators of early deterioration and how might they be used to trigger alerts? (3) How should alerts lead to appropriate levels of responses across different agencies and sectors? CONCLUSION Attempts to use telemonitoring to improve the care of patients with chronic diseases over the last two decades have so far failed to lead to systems that are embedded in routine clinical practice. Attempts at implementation have paid insufficient attention to understanding patient and clinical needs and the complex dynamics and accountabilities that arise at the level of service models. A suggested way ahead is to co-design technology and services collaboratively with all stakeholders.
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Affiliation(s)
- Alex R Hardisty
- School of Computer Science and Informatics, Cardiff University, Cardiff, United Kingdom.
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Luppicini R, Aceti V. Exploring the Effect of mHealth Technologies on Communication and Information Sharing in a Pediatric Critical Care Unit. INTERNATIONAL JOURNAL OF HEALTHCARE INFORMATION SYSTEMS AND INFORMATICS 2011. [DOI: 10.4018/jhisi.2011070101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Communication and information sharing is an important aspect of healthcare information technology and mHealth management. A main requirement in the quality of patient care is the ability of all health care participants to communicate. Research illustrates that the complexity of communicating within the health care system hinders the quality of health care service delivery. Health informatics have been touted as a way to improve communication deficiencies, which has led to the exponential growth of health informatics integration. However, research still lags in understanding how health informatics affects patient care, health professional work routines, and the overall health care system. This study investigates the extent to which mHealth technologies influence communication information sharing patterns between interdisciplinary health care providers in the delivery of health care services. This study was conducted at Hamilton Health Sciences and through a sociotechnical approach, focuses on both the end user’s experiences with mHealth in daily work communication scenarios, and the extent to which mHealth use affects interdisciplinary communication. Results indicate that there are several mitigating factors which influence communication patterns using mHealth technologies, including: information sharing, mobility, ergonomic and system design.
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Bembridge E, Levett-Jones T, Jeong SYS. The transferability of information and communication technology skills from university to the workplace: a qualitative descriptive study. NURSE EDUCATION TODAY 2011; 31:245-252. [PMID: 21093125 DOI: 10.1016/j.nedt.2010.10.020] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2010] [Revised: 10/12/2010] [Accepted: 10/18/2010] [Indexed: 05/30/2023]
Abstract
AIM This paper presents the findings from a study that explored whether the information and communication technology (ICT) skills nurses acquired at university are relevant and transferable to contemporary practice environments. BACKGROUND Whilst universities have attempted to integrate information and communication technology into nursing curricula it is not known whether the skills developed for educational purposes are relevant or transferable to clinical contexts. METHODS A qualitative descriptive study was used to explore the perspectives of a small group of new graduate nurses working in a regional/semi-metropolitan healthcare facility in New South Wales, Australia. Semi-structured interviews were used and the data thematically analysed. FINDINGS The themes that emerged from the study are presented in accordance with the conceptual framework and structured under the three headings of pre-transfer, transition and post-transfer. The transferability of information and communication technology skills from university to the workplace is impacted by a range of educational, individual, organisational and contextual factors. CONCLUSION Access to adequate ICT and the necessary training opportunities influences new graduates' work satisfaction and their future employment decisions. The ability to effectively use information and communication technology was viewed as essential to the provision of quality patient care.
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Affiliation(s)
- Elizabeth Bembridge
- School of Nursing and Midwifery, The University of Newcastle, Northern Sydney Central Coast Area Health Service, Po Box 3452, Tuggerah NSW 2259, Australia.
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Neal DM, Campbell AJ, Williams LY, Liu Y, Nussbaumer D. “I did not realize so many options are available”: Cognitive authority, emerging adults, and e-mental health. LIBRARY & INFORMATION SCIENCE RESEARCH 2011. [DOI: 10.1016/j.lisr.2010.07.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bath PA. Special issue editorial: The changing face of health informatics and health information management. Health Informatics J 2010; 15:163-5. [PMID: 19753692 DOI: 10.1177/1460458209337422] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Bath PA. From research to development to implementation: challenges in health informatics and health information management. Health Informatics J 2008; 14:243-5. [PMID: 19093319 DOI: 10.1177/1460458208096553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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