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12
February, 2012
Sunday

Medical Informatics

A service model for improving healthcare delivery in rural developing communities

Leach RJ et al, International Journal of Services, Economics and Management, 4(1)

The infrastructure needed in developing countries, especially in rural areas, often makes providing state-of-the-art healthcare cost prohibitive. We describe a highly asynchronous service model for healthcare delivery that is inexpensive, at least compared to the usual implementation of telemedicine, and involves technical service, public health, training and political aspects.
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23 December 2011 | No Comments »
Categories: Science | Tag(s): Developing Countries, Medical Informatics, Public Health, Rural, Telemedicine

Health-enabling technologies for the elderly – An overview of services based on a literature review

Ludwig W et al, Computer Methods and Programs in Biomedicine, 2011

Background
Services for the elderly based on health-enabling technologies promise to contribute significantly to the efficiency and effectiveness of future health care. Due to this promise, over the last years the scientific community has designed a complex variety of these valuable innovations. A systematic overview of the developed services would help to better understand their opportunities and limitations.
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25 November 2011 | No Comments »
Categories: Science | Tag(s): Ambient-Assisted-Living, e-Health, Elderly, Medical Informatics, Telecare, Telemedicine

Medical Informatics — The Debate of Art vs. Science Is Over

Daniel Essin, Physicians Practice

“The name change from SCAMC to AMIA has not fundamentally altered how medical informatics is perceived. Doctors that practice the computer trade can be very knowledgeable and technically proficient but they have not, for the most part, succeeded in convincing universities that they are scientists, and frankly, most aren’t. Scientists get Nobel Prizes, practitioners get board certified. In retrospect, even those that lamented the lack of academic recognition have fostered the view that it is not science.
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22 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Medical Informatics

Educating the patient: challenges and opportunities with current technology

Gordon J. The Nursing Clinics of North America, 46(3)

Patients using the Internet are inundated with abundant information on health care that may be correct and may be incorrect. It is becoming the role of clinicians to enable patients to educate themselves by providing information about accurate and reliable Web sites, and to answer questions from literature that patients encounter.
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7 October 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): e-Mail, Education, Health Information, Internet, Medical Informatics, Patient, phr, Search, Teleconsultation

Operating room coordination with the eWhiteboard: the fine line between successful and challenged technology adoption

Taneva S et al, Health and Technology, 2011

With the goal to achieve a better understanding of the challenges to communication technology adoption in the clinical setting, we conducted intensive observations of activities of clinical and administrative staff in a large teaching hospital’s surgical unit prior to and 8-months post-implementation of an electronic whiteboard communication tool (eWhiteboard). The hospital IT department developed the e-Whiteboard for the support of inter-team coordination of patient status within the surgical flow. After the system had been integrated into the work process for 8 months, we conducted another round of intensive observations. The RATE data collection platform was utilized in both studies. Data were coded and analyzed quantitatively. Qualitative observational notes complemented the statistical results. We compared the pre- and post-implementation observational data with regard to communication load, types of coordination breakdowns, triggers, and consequences. Additionally, a questionnaire on perceived usefulness of the eWhiteboard was administered.
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26 September 2011 | No Comments »
Categories: Science | Tag(s): Adoption, Communication, Medical Informatics, Trust, Whiteboards

National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability

Viitanen J et al, International Journal of Medical Informatics, 2011

Objective
In the health informatics field, usability studies typically focus on evaluating a single information system and involve a rather small group of end-users. However, little is known about the usability of clinical information and communication technology (ICT) environment in which healthcare professionals work daily. This paper aims at contributing to usability research and user-oriented development of healthcare technologies with three objectives: inform researchers and practitioners about the current state of usability of clinical ICT systems, increase the understanding of usability aspects specific for clinical context, and encourage a more holistic approach on studying usability issues in health informatics field.
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24 July 2011 | No Comments »
Categories: Science | Country: Finland | EHR: EHR, EHR Finland | Tag(s): Evaluation, Medical Informatics, Usability, user interface

Usability and accessibility in consumer health informatics current trends and future challenges

Goldberg L et al, American Journal of Preventive Medicine, 40(5 Suppl 2)

It is a truism that, for innovative eHealth systems to have true value and impact, they must first and foremost be usable and accessible by clinicians, consumers, and other stakeholders. In this paper, current trends and future challenges in the usability and accessibility of consumer health informatics will be described. Consumer expectations of their healthcare providers and healthcare records in this new era of consumer-directed care will be explored, and innovative visualizations, assistive technologies, and other ways that healthcare information is currently being provided and/or shared will be described.
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24 July 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Access, Health Information, Medical Informatics, phr, Satisfaction, Usability

Health care delivery. Open mHealth architecture: an engine for health care innovation

Estrin D, Sim I. Science, 330(6005)

Chronic diseases like diabetes, asthma, and obesity account for 46% of global disease burden. The traditional model of episodic care in clinic and hospital-based settings is suboptimal for improving chronic disease outcomes. Mobile communication devices, in conjunction with Internet and social media, present opportunities to enhance disease prevention and management by extending health interventions beyond the reach of traditional care—an approach referred to as mHealth.
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10 July 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Cellphone, Innovation, Internet, Medical Informatics, mHealth, Open architecture, Telemedicine

Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study

Horvath M et al, J Med Internet Res, 13(2)

BACKGROUND
Internet portal technologies that provide access to portions of electronic health records have the potential to revolutionize patients’ involvement in their care. However, relatively few descriptions of the demographic characteristics of portal enrollees or of the effects of portal technology on quality outcomes exist. This study examined data from patients who attended one of seven Duke Medicine clinics and who were offered the option of enrolling in and using the Duke Medicine HealthView portal (HVP). The HVP allows patients to manage details of their appointment scheduling and provides automated email appointment reminders in addition to the telephone and mail reminders that all patients receive.
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29 May 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Appointments, Health Information Technology, Medical Informatics, Portal

Building consensus about eHealth in Slovene primary health care: Delphi study

Iljaž RJ et al, BMC Medical Informatics and Decision Making, 11

BACKGROUND
Slovenia’s national eHealth strategy aims to develop an efficient, flexible and modern health care informatics framework that would be comparable to the most successful EU countries. To achieve this goal, the gap between availability and usage of information and communication technology by primary care physicians needs to be reduced.As recent efforts show, consensus on information and communication technology purpose and usage in primary care needs to be established before any national information and communication technology solutions are developed.The aim of this study was to identify the most appropriate measures in implementation of Slovene national eHealth strategy and to suggest an appropriate model for success by using the three round Delphi study.
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25 May 2011 | No Comments »
Categories: Science | Country: Slovenia | Tag(s): e-Health, Medical Informatics, Primary Care

Health and Technology announced

Springer

“Health and Technology is a truly cross-disciplinary journal for everyone involved in health technologies, from physicians and patients, nurses, and clinical staff, to biomedical engineers and medical physicists.
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11 April 2011 | No Comments »
Categories: News | Tag(s): Health Information Technology, Medical Informatics, medical technology

What is found positive in healthcare information and communication technology implementation?-The results of a nationwide survey in Finland

Winblad I et al, Telemedicine and e-Health, 17(2)

Objective:
Considerable expectations have been placed on information and communication technology (ICT) in improving the processes and quality of healthcare. Our purpose was to find out which element is found positive in healthcare ICT implementation.

Materials and Methods:
An online questionnaire on e-Health implementation submitted to all Finnish public health service providers and a sample from the private sector included an open question about which the electronic working methods, systems, or applications have most positively influenced the fluency or quality of service processes.
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13 March 2011 | No Comments »
Categories: Science | Country: Finland | EHR: EHR, EHR Finland | Tag(s): Health Information Technology, Implementation, Medical Informatics, PACS, Telemedicine, Teleradiology

Review of Extracting Information From the Social Web for Health Personalization

Fernandez-Luque L et al, J Med Internet Res, 13(1)

In recent years the Web has come into its own as a social platform where health consumers are actively creating and consuming Web content. Moreover, as the Web matures, consumers are gaining access to personalized applications adapted to their health needs and interests. The creation of personalized Web applications relies on extracted information about the users and the content to personalize. The Social Web itself provides many sources of information that can be used to extract information for personalization apart from traditional Web forms and questionnaires.
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29 January 2011 | No Comments »
Categories: Science | Tag(s): Communication, Data Mining, Internet, Medical Informatics, NLP

Patients’ needs assessment documentation in multidisciplinary electronic health records

Häyrinen K, Saranto K. MEDINFO 2010

The purpose of this study is to describe and discuss physicians’ and nurses’ documentation of the patient’s needs assessment in electronic health records (EHR) in the neurological care setting. Both physicians and nurses collect, record and interpret data during patient care episodes. Assessment of patient’s need for care and treatment is an important part of the care process. Planning, implementation and outcome assessment of the care process are based on needs assessment data. The data of this study consist of 48 neurological medical narratives and nursing care plans. The data were analyzed using descriptive statistics and content analysis.
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19 January 2011 | No Comments »
Categories: Science | Country: Finland | EHR: EHR, EHR Finland | Tag(s): Documentation, Medical Informatics, Narrative, Neurology, Nursing Informatics

Comparative Effectiveness Research and Medical Informatics

D'Avolio LW et al, The American Journal of Medicine

As is the case for environmental, ecological, astronomical, and other sciences, medical practice and research finds itself in a tsunami of data. This data deluge, due primarily to the introduction of digitalization in routine medical care and medical research, affords the opportunity for improved patient care and scientific discovery. Medical informatics is the subdiscipline of medicine created to make greater use of information in order to improve healthcare.
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30 December 2010 | No Comments »
Categories: Science | Tag(s): Data Aggregation, Effectiveness, Medical Informatics, Research

The role of standardized data and terminological systems in computerized clinical decision support systems: Literature review and survey

Ahmadian L et al, International Journal of Medical Informatics, 2010

Introduction
Clinical decision support systems (CDSSs) should be seamlessly integrated with existing clinical information systems to enable automatic provision of advice at the time and place where decisions are made. It has been suggested that a lack of agreed data standards frequently hampers this integration. We performed a literature review to investigate whether CDSSs used standardized (i.e. coded or numerical) data and which terminological systems have been used to code data. We also investigated whether a lack of standardized data was considered an impediment for CDSS implementation.
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30 December 2010 | No Comments »
Categories: Science | Tag(s): Decision Support, ICD-10, LOINC, Medical Informatics, Standards, Terminology

Design and evaluation in eHealth: challenges and implications for an interdisciplinary field

Pagliari C. J Med Internet Res, 9(2)

Much has been written about insufficient user involvement in the design of eHealth applications, the lack of evidence demonstrating impact, and the difficulties these bring for adoption. Part of the problem lies in the differing languages, cultures, motives, and operational constraints of producers and evaluators of eHealth systems and services. This paper reflects on the benefits of and barriers to interdisciplinary collaboration in eHealth, focusing particularly on the relationship between software developers and health services researchers.
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28 December 2010 | No Comments »
Categories: Science | Tag(s): e-Health, Evaluation, Internet, Medical Informatics, Research, Software

What is a physician technologist?

Joseph Kim, Medicine and Technology

“What is a physician technologist? You won’t find this job description too often. There is no formal medical specialty that gives anyone the title or designation of “physician technologist.”
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14 December 2010 | No Comments »
Categories: News | Tag(s): Healthcare Technology, Medical Informatics

Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning

Aziz SR, Ziccardi VB. Journal of Oral and Maxillofacial Surgery, 67(11)

Telemedicine is the specialty of medicine that uses the evolving telecommunications industry combined with medical information technology to provide remote medical services. The use of smartphone telemedicine is an efficient and effective way for remote specialist consultation and should be considered by the oral and maxillofacial surgeon.
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4 October 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Communication, Image, Medical Informatics, smartphone, Surgery, Teleconsultation, Telemedicine, Treatment

Medical Informatics Combines Healthcare and Technology

Carol Sorgen, The Washington Post

“When it comes to job growth in the coming years, the U.S. Department of Labor forecasts that the two fields projected to have the most jobs are technology and healthcare. In the developing area of biomedical and health informatics, you can get the best of both worlds.
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30 August 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Medical Informatics, Nursing Informatics

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