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International Journal of Medical Informatics

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https://www.readbyqxmd.com/read/29605386/resolving-embarrassing-medical-conditions-with-online-health-information
#1
Sarah Redston, Sharon de Botte, Carl Smith
PURPOSE: Reliance on online health information is proliferating and the Internet has the potential to revolutionize the provision of public health information. The anonymity of online health information may be particularly appealing to people seeking advice on 'embarrassing' health problems. The purpose of this study was to investigate (1) whether data generated by the embarrassingproblems.com health information site showed any temporal patterns in problem resolution, and (2) whether successful resolution of a medical problem using online information varied with the type of medical problem...
March 27, 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29602629/the-role-of-digital-health-in-supporting-the-achievement-of-the-sustainable-development-goals-sdgs
#2
EDITORIAL
David Novillo-Ortiz, Heimar De Fátima Marin, Francesc Saigí-Rubió
No abstract text is available yet for this article.
March 22, 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779724/the-emerging-use-of-social-media-for-health-related-purposes-in-low-and-middle-income-countries-a-scoping-review
#3
Emily Hagg, V Susan Dahinten, Leanne M Currie
BACKGROUND: Social media allows for instant access to, and dissemination of, information around the globe. Access to social media in low- and middle-income countries has increased exponentially in recent years due to technological advances. Despite this growth, the use of social media in low- and middle-income countries is less well-researched than in high-income countries. OBJECTIVE: To identify, explore and summarize the current state of the literature on the use of social media for health in low- and middle-income countries...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779723/checking-the-potential-shift-to-perceived-usefulness-the-analysis-of-users-response-to-the-updated-electronic-health-record-core-features
#4
Petar Rajković, Dejan Aleksić, Dragan Janković, Aleksandar Milenković, Ivan Petković
OBJECTIVE: The primary objective of this paper is to identify the main factors which have an impact on the users' attitude towards the functionalities representing the perceived ease of use and to those representing the perceived usefulness. Another objective is to examine whether there occurred a shift towards the perceived usefulness of users' behavior over a period of time. To support these objectives, two different cases are examined - the case in which users are simultaneously offered basic and updated functionalities, and the one in which users are offered a completely new set of features...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779722/the-impact-of-using-an-intravenous-workflow-management-system-ivwms-on-cost-and-patient-safety
#5
Alex C Lin, Yihong Deng, Hilal Thaibah, John Hingl, Jonathan Penm, Marianne F Ivey, Mark Thomas
PURPOSE: The aim of this study was to determine the financial costs associated with wasted and missing doses before and after the implementation of an intravenous workflow management system (IVWMS) and to quantify the number and the rate of detected intravenous (IV) preparation errors. METHOD: A retrospective analysis of the sample hospital information system database was conducted using three months of data before and after the implementation of an IVWMS System (DoseEdge® ) which uses barcode scanning and photographic technologies to track and verify each step of the preparation process...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779721/evaluation-of-an-ontology-based-system-for-computerized-cognitive-rehabilitation
#6
Anna Alloni, Silvana Quaglini, Silvia Panzarasa, Elena Sinforiani, Sara Bernini
OBJECTIVES: This paper describes the results of a randomized clinical trial about the effectiveness of a computerized rehabilitation treatment on a sample of 31 patients affected by Parkinson disease. METHODS: Computerized exercises were administered by the therapists to the intervention group (n = 17) through the CoRe tool, which automatically generates a big variety of exercises leveraging on a stimuli set (words, sounds and images) organized into a dedicated ontology...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779720/search-engines-news-wires-and-digital-epidemiology-presumptions-and-facts
#7
Fatemeh Kaveh-Yazdy, Ali-Mohammad Zareh-Bidoki
BACKGROUND: Digital epidemiology tries to identify diseases dynamics and spread behaviors using digital traces collected via search engines logs and social media posts. However, the impacts of news on information-seeking behaviors have been remained unknown. METHODS: Data employed in this research provided from two sources, (1) Parsijoo search engine query logs of 48 months, and (2) a set of documents of 28 months of Parsijoo's news service. Two classes of topics, i...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779719/a-framework-for-ehealth-readiness-of-dietitians
#8
Kirsty Maunder, Karen Walton, Peter Williams, Maree Ferguson, Eleanor Beck
AIM: To develop a framework for assessing the eHealth readiness of dietitians. METHODS: Using an inductive approach, this research was divided into three stages: 1. a systematic literature review to identify models or frameworks on eHealth readiness; 2. data synthesis to identify eHealth readiness themes and develop a framework; and 3. semi-structured interviews with Australian nutrition informatics experts to gain consensus and validate the framework. RESULTS: Two hundred and forty one unique citations were identified, of which twenty four met the research criteria and were included in the review and subsequent synthesis...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779718/the-impact-of-three-discharge-coding-methods-on-the-accuracy-of-diagnostic-coding-and-hospital-reimbursement-for-inpatient-medical-care
#9
Rosy Tsopra, Daniel Peckham, Paul Beirne, Kirsty Rodger, Matthew Callister, Helen White, Jean-Philippe Jais, Dipansu Ghosh, Paul Whitaker, Ian J Clifton, Jeremy C Wyatt
BACKGROUND: Coding of diagnoses is important for patient care, hospital management and research. However coding accuracy is often poor and may reflect methods of coding. This study investigates the impact of three alternative coding methods on the inaccuracy of diagnosis codes and hospital reimbursement. METHODS: Comparisons of coding inaccuracy were made between a list of coded diagnoses obtained by a coder using (i)the discharge summary alone, (ii)case notes and discharge summary, and (iii)discharge summary with the addition of medical input...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779717/the-design-and-evaluation-of-an-antimicrobial-resistance-surveillance-system-for-neonatal-intensive-care-units-in-iran
#10
Peyman Rezaei-Hachesu, Taha Samad-Soltani, Sajad Yaghoubi, Marjan GhaziSaeedi, Kayvan Mirnia, Hossein Masoumi-Asl, Reza Safdari
INTRODUCTION: Neonatal intensive care units (NICUs) have complex patients in terms of their diagnoses and required treatments. Antimicrobial treatment is a common therapy for patients in NICUs. To solve problems pertaining to empirical therapy, antimicrobial stewardship programs have recently been introduced. Despite the success of these programs in terms of data collection, there is still inefficiency in terms of analyzing and reporting the data. Thus, to successfully implement these stewardship programs, the design of antimicrobial resistance (AMR) surveillance systems is recommended as a first step...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779716/clinical-3d-printing-a-protected-health-information-phi-and-compliance-perspective
#11
Henry Feldman, Parisa Kamali, Samuel J Lin, John D Halamka
Advanced manufacturing techniques such as 3-dimensional (3D) printing, while mature in other industries, are starting to become more commonplace in clinical care. Clinicians are producing physical objects based on patient clinical data for use in planning care and educating patients, all of which should be managed like any other healthcare system data, except it exists in the "real" world. There are currently no provisions in the Health Insurance Portability and Accountability Act (HIPAA) either in its original 1996 form or in more recent updates that address the nature of physical representations of clinical data...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779715/evaluating-satisfaction-of-patients-with-stutter-regarding-the-tele-speech-therapy-method-and-infrastructure
#12
Maryam Eslami Jahromi, Leila Ahmadian
OBJECTIVE: Investigating the required infrastructure for the implementation of telemedicine and the satisfaction of target groups improves the acceptance of this technology and facilitates the delivery of healthcare services. The aim of this study was to assess the satisfaction of patients with stutter concerning the therapeutic method and the infrastructure used to receive tele-speech therapy services. METHODS: This descriptive-analytical study was conducted on all patients with stutter aged between 14 and 39 years at Jahrom Social Welfare Bureau (n = 30)...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779714/self-monitoring-induced-savings-on-type-2-diabetes-patients-travel-and-healthcare-costs
#13
Aapeli Leminen, Markku Tykkyläinen, Tiina Laatikainen
BACKGROUND: Type 2 diabetes (T2DM) is a major health concern in most regions. In addition to direct healthcare costs, diabetes causes many indirect costs that are often ignored in economic analyses. Patients' travel and time costs associated with the follow-up of T2DM patients have not been previously calculated systematically over an entire healthcare district. The aim of the study was to develop a georeferenced cost model that could be used to measure healthcare accessibility and patient travel and time costs in a sparsely populated healthcare district in Finland...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779713/regional-differences-in-electronic-medical-record-adoption-in-japan-a-nationwide-longitudinal-ecological-study
#14
Hideaki Kawaguchi, Soichi Koike, Kazuhiko Ohe
PURPOSE: Regional differences in the adoption of electronic medical records (EMR) are a major problem, yet little is known about these differences internationally. We analyzed regional differences in EMR adoption in Japan and evaluated factors associated with these differences. METHODS: This nationwide ecological study used secondary data from all secondary medical service areas (SMSAs) in fiscal years 2008 (n = 348) and 2014 (n = 344). For each SMSA we collected the following information from a Japanese national database: the number of medical facilities that had adopted EMR, the population density, the average per capita income, the number of working doctors per 1000 people, and the proportion of interns to all working doctors...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779712/seeking-and-using-intention-of-health-information-from-doctors-in-social-media-the-effect-of-doctor-consumer-interaction
#15
Tailai Wu, Zhaohua Deng, Donglan Zhang, Paula R Buchanan, Dongqing Zha, Ruoxi Wang
OBJECTIVE: The aim of this study is to investigate how doctor-consumer interaction in social media influences consumers' health information seeking and usage intention. METHODS: Based on professional-client interaction theory and expectation confirmation theory, we propose that doctor-consumer interaction can be divided into instrumental interaction and affective interaction. These two types of interaction influence consumers' health information seeking and usage intention through consumer satisfaction and trust towards doctors...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779711/mortality-prediction-system-for-heart-failure-with-orthogonal-relief-and-dynamic-radius-means
#16
Zhe Wang, Lijuan Yao, Dongdong Li, Tong Ruan, Min Liu, Ju Gao
OBJECTIVE: This paper constructs a mortality prediction system based on a real-world dataset. This mortality prediction system aims to predict mortality in heart failure (HF) patients. Effective mortality prediction can improve resources allocation and clinical outcomes, avoiding inappropriate overtreatment of low-mortality patients and discharging of high-mortality patients. This system covers three mortality prediction targets: prediction of in-hospital mortality, prediction of 30-day mortality and prediction of 1-year mortality...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29779710/comorbidity-network-for-chronic-disease-a-novel-approach-to-understand-type-2-diabetes-progression
#17
Arif Khan, Shahadat Uddin, Uma Srinivasan
BACKGROUND: Chronic diseases management outside expensive hospital settings has become a major target for governments, funders and healthcare service providers. It is well known that chronic diseases such as Type 2 Diabetes (T2D) do not occur in isolation, and has a shared aetiology common to many other diseases and disorders. Diabetes Australia reports that it is associated with a myriad of complications, which affect the feet, eyes, kidneys, and cardiovascular health. For instance, nerve damage in the lower limbs affects around 13% of Australians with diabetes, diabetic retinopathy occurs in over 15% of Australians with diabetes, and diabetes is now the leading cause of end-stage kidney disease...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29673609/hospital-enterprise-architecture-framework-study-of-iranian-university-hospital-organization
#18
Atefehsadat Haghighathoseini, Hossein Bobarshad, Fatehmeh Saghafi, Mohammad Sadegh Rezaei, Nader Bagherzadeh
BACKGROUNDS: Nowadays developing smart and fast services for patients and transforming hospitals to modern hospitals is considered a necessity. Living in the world inundated with information systems, designing services based on information technology entails a suitable architecture framework. OBJECTIVES: This paper aims to present a localized enterprise architecture framework for the Iranian university hospital. METHODS AND RESULTS: Using two dimensions of implementation and having appropriate characteristics, the best 17 enterprises frameworks were chosen...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29673608/scadi-a-standard-dataset-for-self-care-problems-classification-of-children-with-physical-and-motor-disability
#19
M S Zarchi, S M M Fatemi Bushehri, M Dehghanizadeh
Self-care problems diagnosis and classification is an important challenge in exceptional children health care systems. Since, self-care problems classification is a time-consuming process and requires expert occupational therapists, using an expert system in classifying these problems can decrease cost and time, efficiently. Expert systems refer to the systems that are based on artificial intelligence methods, which have the ability to learn, infer, and predict. In order to configure and train an expert system, a standard dataset is critical for the learning phase...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29673607/impact-of-a-hybrid-decision-support-system-to-improve-the-adherence-to-implantable-cardioverter-defibrillator-therapy-guidelines-for-primary-prevention-of-sudden-cardiac-death
#20
Nicolás Vecchio, Diego Belardi, Mariano Benzadón, Leonardo Seoane, Gustavo Daquarti, Fernando Scazzuso
OBJECTIVES: Despite the well-documented benefit of implantable cardioverter defibrillator (ICD) in patients with severe left ventricular dysfunction, there is a large number of patients who had not been offered this therapy. The aim of this study is to evaluate the utility of a hybrid decision support system (hCDSS) to improve the adherence to indicate ICD therapy in our institution. METHODS: We conducted a retrospective, observational and single-center study. An hCDSS focused on patients with severe deterioration of the left ventricular function was implemented, creating a mandatory field containing the value of left ejection fraction and three options to choose: >35%, ≤ 35% or unknown...
June 2018: International Journal of Medical Informatics
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