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International Journal of Medical Informatics

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https://www.readbyqxmd.com/read/29887236/erratum-to-the-state-of-knowledge-on-technologies-and-their-use-for-fall-detection-a-scoping-review-int-j-med-inform-111-2018-58-71
#1
N Lapierre, N Neubauer, A Miguel-Cruz, A Rios Rincon, L Liu, J Rousseau
No abstract text is available yet for this article.
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887235/laboratory-testing-in-primary-care-a-systematic-review-of-health-it-impacts
#2
REVIEW
Éric Maillet, Guy Paré, Leanne M Currie, Louis Raymond, Ana Ortiz de Guinea, Marie-Claude Trudel, Josianne Marsan
INTRODUCTION: Laboratory testing in primary care is a fundamental process that supports patient management and care. Any breakdown in the process may alter clinical information gathering and decision-making activities and can lead to medical errors and potential adverse outcomes for patients. Various information technologies are being used in primary care with the goal to support the process, maximize patient benefits and reduce medical errors. However, the overall impact of health information technologies on laboratory testing processes has not been evaluated...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887234/a-pilot-study-of-daily-telemonitoring-to-predict-acute-exacerbation-in-chronic-obstructive-pulmonary-disease
#3
Joanna Miłkowska-Dymanowska, Adam J Białas, Waldemar Obrębski, Paweł Górski, Wojciech J Piotrowski
BACKGROUND: Exacerbations of COPD (ECOPD) are important events in the course of COPD and they accelerate the rate of decline of lung function, and exacerbations requiring hospitalization are associated with significant mortality. Therefore, developing approaches of prevention and early treatment of ECOPDs are of special clinical interests. One of such approaches is telecare, including home telemonitoring. MATERIAL AND METHODS: Daily telemonitoring of HR, BP, SpO2 and spirometry was performed...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887233/central-or-peripheral-cognition-elaboration-cues-effect-on-users-continuance-intention-of-mobile-health-applications-in-the-developing-markets
#4
Yuan Chen, Lvle Yang, Min Zhang, Jun Yang
PURPOSE: Cognition elaboration cues play critical roles in the innovation diffusion process of Internet innovative products. This paper aims to theorize and examine how central cognition elaboration cue and peripheral cognition elaboration cue impact users' continuance intention of mobile health applications in the context of the developing markets. DESIGN/METHODOLOGY/APPROACH: Applying the elaboration likelihood model as the basic theoretical framework, this paper proposed the hypotheses and research model to explore the internal formation mechanism of users' continuance intention of mobile health applications...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887232/a-machine-learning-based-approach-to-identify-protected-health-information-in-chinese-clinical-text
#5
Liting Du, Chenxi Xia, Zhaohua Deng, Gary Lu, Shuxu Xia, Jingdong Ma
BACKGROUND: With the increasing application of electronic health records (EHRs) in the world, protecting private information in clinical text has drawn extensive attention from healthcare providers to researchers. De-identification, the process of identifying and removing protected health information (PHI) from clinical text, has been central to the discourse on medical privacy since 2006. While de-identification is becoming the global norm for handling medical records, there is a paucity of studies on its application on Chinese clinical text...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887231/the-impact-of-a-medication-record-sharing-program-among-diabetes-patients-under-a-single-payer-system-the-role-of-inquiry-rate
#6
Jin-Hung Lin, Shou-Hsia Cheng
OBJECTIVE: Taiwan's single health insurer introduced a medication record exchange platform, the PharmaCloud program, in 2013. This study aimed to evaluate the effects of the medication record inquiry rate on medication duplication among patients with diabetes. MATERIALS AND METHODS: A retrospective pre-post design with a comparison group was conducted using nationwide health insurance claim data of diabetic patients from 2013 to 2014. Patients whose medication record inquiry rate fell within the upper 25th percentile were classified as the high-inquiry group, and the others as the low-inquiry group...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887230/comparison-of-variable-selection-methods-for-clinical-predictive-modeling
#7
L Nelson Sanchez-Pinto, Laura Ruth Venable, John Fahrenbach, Matthew M Churpek
OBJECTIVE: Modern machine learning-based modeling methods are increasingly applied to clinical problems. One such application is in variable selection methods for predictive modeling. However, there is limited research comparing the performance of classic and modern for variable selection in clinical datasets. MATERIALS AND METHODS: We analyzed the performance of eight different variable selection methods: four regression-based methods (stepwise backward selection using p-value and AIC, Least Absolute Shrinkage and Selection Operator, and Elastic Net) and four tree-based methods (Variable Selection Using Random Forest, Regularized Random Forests, Boruta, and Gradient Boosted Feature Selection)...
August 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29887229/interactive-data-visualization-based-on-conventional-statistical-findings-for-antihypertensive-prescriptions-using-national-health-insurance-claims-data
#8
Inseok Ko, Hyejung Chang
BACKGROUND: Interactive visualization is an important approach to help to understand and to explain large amounts of data, particularly in light of decision support. Although data visualization have been introduced in healthcare and clinical fields, analytics has often been performed by data experts, focused on specific subjects, or insufficient statistical evidence. Therefore, this study suggests the procedures of effective and efficient visualization of big data for general healthcare researchers...
August 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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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