Analizando la brecha digital en la eSalud
La bitácora de Fran Sánchez Laguna
“Normalmente nos referimos a la brecha digital en términos de acceso o uso. Pero otros estudios han identificado otros, como la conciencia y la demanda.
[ More ]
Design
Are EHRs being used to stifle physicians?
Marla Durben Hirsch, FierceEMR
“Many physicians have been reluctant to embrace electronic health record systems, with concerns about their costs, usability and impact on workflow.
[ More ]
5 dos and don’ts of EHR interface design
Michelle McNickle, Healthcare IT News
“Sometimes, small tweaks can make a big difference, and according to Bob Hunchberger, a clinical informaticist for a 500-bed hospital, that couldn’t be truer when it comes to your EHR.
[ More ]
La Historia Clínica en los tiempos de la Sanidad Híbrida
Apiscam
“La historia clínica es una herramienta fundamental para la práctica de la medicina. Sin embargo, pese a los intentos de que este documento evolucione y pase a ser única y electrónica, los modelos con los que se trabaja actualmente no dejan de ser reproducciones de su versión en papel.
[ More ]
Requirements and Design for Smart Healthcare Applications
Stevenson D. electronic Journal of Health Informatics, 6(2)
When developing a “smart healthcare” application that takes the participants beyond their experience of the conventional analogue of that application, a challenge is to gather the requirements for the application and to map those requirements onto a successful design. Some requirements will come from the conventional way of delivering the healthcare service. Some will come from the domains of the technologies that have been used to create the smart healthcare application. Some requirements, however, particularly for point-of-care applications, will emerge from the interplay of the actual clinical situation and the novelty of the smart healthcare application.
[ More ]
Consumer health technologies need to be simple
Brian Eastwood, Health IT Pulse
“Although many factors hinder the adoption of consumer health technologies, poor design remains the biggest obstacle. This phenomenon isn’t limited to devices that are difficult to use — patient portals and personal health record services aren’t catching on either.
[ More ]
How might we think about EHRs globally while acting locally?
Brian Klepper and David C. Kibbe, KevinMD
“American health care information technology is undergoing two enormous leaps.
First, it is moving onto Web-based and mobile platforms – which are less expensive and facilitate information exchange – and away from client-server enterprise-centric technologies, which are more expensive and have limited interoperability.
[ More ]
JAMIA: Long-term EHR usability depends on design
CMIO
“Recent research published in the Journal of American Medical Informatics Association suggested that factors related to technology design have strong effects on acceptance, even one year after an EHR implementation.
[ More ]
Design of medical devices–a home perspective
Bitterman N. European Journal of Internal Medicine, 22(1)
Health care services are moving out to the community and into the home; e-health services, remote monitoring technology and self-management are replacing hospitalization and visits to medical clinics and custom-tailored medicines are making inroads into normative treatment. These developments have great implications for the scope and design of home health care equipment. The paper discusses the unique nature of home medical devices, from a human-environment-machine perspective, focusing on the nature of users, environment and tasks performed. We call for increased awareness and active continuous involvement of health care personnel together with bioengineers, human factors experts, architects, designers and end users–patients and caregivers–in defining the objectives of health care devices and services at home in terms of “all family” use, integrated into the overall surroundings (”smart home”), and as part of a collaborative patient-physician disease management team.
5 Ways to Engage Patients in PHRs
Gienna Shaw, HealthLeaders Media
“One of the “five pillars” of meaningful use is to engage patients and their families in electronic health data. But engaging patients and families with electronic health data isn’t just about HITECH requirements and stimulus money – - it’s also a way to foster collaborative decision-making between provider and patient, which, in turn, improves the patient experience, leads to better outcomes, and can reduce readmissions.
[ More ]
Can iPad Usability help EMRs?
Art Gross, Entegration
“Have you ever looked over a doctor’s shoulder when they are using an EMR? What you see is hard to describe. Picture a crowded screen with fields, data, buttons and menus that fill up the entire screen. Picture a screen so crowded that if you wanted to add another data field you would be hard pressed to find some real estate on the already crowded screen.
[ More ]
[An evaluation of the quality of health web pages using a validated questionnaire.]
Conesa Fuentes MDC, Atencion Primaria, 43(1)
OBJECTIVE:
The objective of the present study was to evaluate the quality of general health information in Spanish language web pages, and the official Regional Services web pages from the different Autonomous Regions. DESIGN: It is a cross-sectional study. We have used a previously validated questionnaire to study the present state of the health information on Internet for a lay-user point of view.
[ More ]
An evaluation of telehealth websites for design, literacy, information and content
Whitten P et al, J Telemed Telecare, 17(1)
We examined 62 telehealth websites using four assessment criteria: design, literacy, information and telehealth content. The websites came from the member list of the American Telemedicine Association and the Office for the Advancement of Telehealth and partner sites, and were included if they were currently active and at least three clicks deep. Approximately 130 variables were examined for each website by two independent researchers.
[ More ]
Ruminations on ‘design’ in e-health
Thomas Beale, Woland's Cat
“I have often bemoaned the state of standards for the e-health sector. Earlier posts provide details. The main argument is that the key specifications the sector needs are for interoperable data, information and knowledge, but that the main approach to getting these is via standards agencies, whose processes almost guarantee failure. Hence the ‘standards crisis’ in health informatics. The failure is not innate in standards agencies as such; it is just that standards agency committees in the e-health sector are doing the wrong thing.
[ More ]
Design and Implementation of a Telecare Information Platform
Li S et al, Journal of Medical Systems, 2010
For the aging population and for people with dominant chronic diseases, countries all over the world are promoting an “Aging in Place” program with its primary focus on the implementation of telecare. In 2009, Taiwan held a “Health Care Value-Added Platinum Program” with the goal of promoting the development of “Telecare” services by integrating medical treatment, healthcare, information communication, medical equipments and materials and by linking related cross-discipline professions to enable people to familiarize themselves with preventive healthcare services offered in their household and community environments. In addition, this program can be utilized to effectively provide diversified healthcare service benefitting society as a whole.
[ More ]
Model-based design of clinical information systems
Mathe J et al, Methods of Information in Medicine, 47(5)
Objective:
The goal of this research is to provide a framework to enable the model-based development, simulation, and deployment of clinical information system prototypes with mechanisms that enforce security and privacy policies.
[ More ]
Can hospital EMR adoption lessons be used for ambulatory practices?
Robert Rowley, EHR Bloggers
“Adoption of Electronic Health Records (EHR) systems remains a challenge, both for hospitals as well as for physicians in ambulatory practice. The process of adoption, implementation, and meaningful use of EHRs (let us keep in mind) is actually quite different between those two setting.
[ More ]
Practice Fusion EMR – Live in Five
John, EMR and HIPAA
“It must have been a couple years ago when I first heard about a Free EMR called Practice Fusion. Shortly after hearing about this Free EMR, I got a note saying that Practice Fusion had a Live in Five program that would get a practice live on the Practice Fusion EMR in 5 minutes. Check out my initial reaction to the Practice Fusion Live in Five program from early 2009.
[ More ]
Health information technology: fallacies and sober realities
Karsh B et al, J Am Med Inform Assoc, 17(6)
Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT.
[ More ]
Project HealthDesign: Rethinking the power and potential of personal health records
Brennan PF et al, Journal of Biomedical Informatics, 43(5 S1)
Project HealthDesign, a multi-year, multi-site project sponsored by the Robert Wood Johnson Foundation with additional support from the California HealthCare Foundation, is designed to stimulate innovation in personal health records (PHRs). Project HealthDesign teams employed user-centered design processes to create designs and prototypes of computer-based applications to support and enhance human health for a wide range of patients, from children with chronic health conditions to elders transitioning from hospital to home.
[ More ]
