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Health Informatics Journal

Mette Terp Høybye, Pia Riis Olsen, Helena Eva Hansson, David Spiegel, Henrik Bennetsen, Ewen Cheslack-Postava
Bringing virtual environments into cancer support may offer a particular potential to engage patients and increase adherence to treatment. Developing and pilot-testing an online real-time multi-user three-dimensional platform, this study tested the use of an early prototype of the platform among adolescent and young adult cancer patients. Data were collected with an online questionnaire and using ethnographic methods of participant observation. The adolescent and young adult patients tested basic features of the virtual environment and some conducted brief in-world interactions with fellow patients during hospitalization...
November 28, 2016: Health Informatics Journal
Rodrigo Vazquez Guillamet, Oleg Ursu, Gary Iwamoto, Pope L Moseley, Tudor Oprea
Chronic obstructive pulmonary disease is a heterogeneous disease. In this retrospective study, we hypothesize that it is possible to identify clinically relevant phenotypes by applying clustering methods to electronic medical records. We included all the patients >40 years with a diagnosis of chronic obstructive pulmonary disease admitted to the University of New Mexico Hospital between 1 January 2011 and 1 May 2014. We collected admissions, demographics, comorbidities, severity markers and treatments...
November 17, 2016: Health Informatics Journal
Prudence W Dalrymple, Michelle Rogers, Lisl Zach, Anthony Luberti
Understanding the information-seeking preferences and Internet access habits of the target audiences for a patient portal is essential for successful uptake. The resource must deliver culturally and educationally appropriate information via technology that is accessible to the intended users and be designed to meet their needs and preferences. Providers must consider multiple perspectives when launching a portal and make any needed adjustments once the launch is underway. We report results of a study of 270 parents and caregivers of paediatric patients in a major health system during the process of implementing a patient portal...
November 6, 2016: Health Informatics Journal
Juan Jose Saldaña Barrios, Luis Mendoza, Edgardo Pitti, Miguel Vargas
In this work, the authors present two eHealth platforms that are examples of how health systems are migrating from client-server architecture to the web-based and ubiquitous paradigm. These two platforms were modeled, designed, developed and implemented with positive results. First, using ambient-assisted living and ubiquitous computing, the authors enhance how palliative care is being provided to the elderly patients and patients with terminal illness, making the work of doctors, nurses and other health actors easier...
October 21, 2016: Health Informatics Journal
Iris Reychav, Avi Parush, Roger McHaney, Maya Hazan, Rami Moshonov
This article focuses on a conceptual framework that can be applied to the use of mobile technology in the waiting room with the goal of empowering women recently diagnosed with abnormal Pap test results. It further describes trends which indicate a need for improved and timely information dissemination. Genecology practice outpatients report a predominant feeling of worry on receipt of abnormal medical test results, along with a clearly expressed wish for additional information. This research suggests that there is room for improvement in existing processes through use of mobile technology with carefully vetted materials which indicate a doctor is interested in the patient's well-being...
October 13, 2016: Health Informatics Journal
Alexis Quesada-Arencibia, Enrique Pérez-Brito, Carmelo R García-Rodríguez, Ana Pérez-Brito
For this project, we have used new technologies to create a new channel of communication between doctors and patients in the treatment of mental disorders. We have created a web application using an adaptable design accessible from any mobile device, which allows doctors to adapt their patients' therapy to real-time knowledge of their current condition. In turn, patients can express their mood state with respect to the component elements of their therapy.
September 30, 2016: Health Informatics Journal
Esperanza Johnson, Ramón Hervás, Carlos Gutiérrez López de la Franca, Tania Mondéjar, Sergio F Ochoa, Jesús Favela
Assistive technologies can improve the quality of life of people diagnosed with different forms of social communication disorders. We report on the design and evaluation of an affective avatar aimed at engaging the user in a social interaction with the purpose of assisting in communication therapies. A human-avatar taxonomy is proposed to assist the design of affective avatars aimed at addressing social communication disorder. The avatar was evaluated with 30 subjects to assess how effectively it conveys the desired emotion and elicits empathy from the user...
September 30, 2016: Health Informatics Journal
Adrian Rodriguez Aguiñaga, Miguel Angel Lopez Ramirez
This article describes a methodology to recognize emotional states through an electroencephalography signals analysis, developed with the premise of reducing the computational burden that is associated with it, implementing a strategy that reduces the amount of data that must be processed by establishing a relationship between electrodes and Brodmann regions, so as to discard electrodes that do not provide relevant information to the identification process. Also some design suggestions to carry out a pattern recognition process by low computational complexity neural networks and support vector machines are presented, which obtain up to a 90...
September 18, 2016: Health Informatics Journal
Iben Fasterholdt, Marie Gerstrøm, Benjamin Schnack Brandt Rasmussen, Knud Bonnet Yderstræde, Kristian Kidholm, Kjeld Møller Pedersen
This study compared the cost-effectiveness of telemonitoring with standard monitoring for patients with diabetic foot ulcers. The economic evaluation was nested within a pragmatic randomised controlled trial. A total of 374 patients were randomised to either telemonitoring or standard monitoring. Telemonitoring consisted of two tele-consultations in the patient's own home and one consultation at the outpatient clinic; standard monitoring consisted of three outpatient clinic consultations. Total healthcare costs were estimated over a 6-month period at individual patient level, from a healthcare sector perspective...
September 16, 2016: Health Informatics Journal
Eva Broendum, Charlotte Suppli Ulrik, Thorbjorn Gregersen, Ejvind Frausing Hansen, Allan Green, Thomas Ringbaek
The aim of this analysis is to investigate reasons why patients with chronic obstructive pulmonary disease decline to participate in a controlled trial of telemedicine. Patients with previous chronic obstructive pulmonary disease exacerbations were invited to participate in a 6-month randomized telemedicine trial. For eligible patients, reasons for refusal were registered. Of 560 eligible patients, 279 (50%) declined to participate in the trial, 257 (92%) reported a reason: 53 (20.6%) technical concerns, 164 (63...
September 16, 2016: Health Informatics Journal
Robert C Block, Amir Abdolahi, Christopher P Niemiec, C Scott Rigby, Geoffrey C Williams
There is a lack of research on the use of electronic tools that guide patients toward reducing their cardiovascular disease risk. We conducted a 9-month clinical trial in which participants who were at low (n = 100) and moderate (n = 23) cardiovascular disease risk-based on the National Cholesterol Education Program III's 10-year risk estimator-were randomized to usual care or to usual care plus use of an Interactive Cholesterol Advisory Tool during the first 8 weeks of the study. In the moderate-risk category, an interaction between treatment condition and Framingham risk estimate on low-density lipoprotein and non-high-density lipoprotein cholesterol was observed, such that participants in the virtual clinician treatment condition had a larger reduction in low-density lipoprotein and non-high-density lipoprotein cholesterol as their Framingham risk estimate increased...
December 2016: Health Informatics Journal
Lisa Lee, Robin Williams, Aziz Sheikh
The aim of this article is to explore the effect of the joint procurement model adopted during the English National Programme for Information Technology (NPfIT) on the customisation, design and usability of a hospital ePrescribing system. Drawing on qualitative data collected at two case study sites deploying an ePrescribing system jointly procured within one of the NPfIT's geographical clusters, we explain how procurement decisions, difficult relationships with the supplier and strict contractual arrangements contributed to usability issues and difficulties in the customisation process...
December 2016: Health Informatics Journal
Simon Bo Larsen, Nanna Skovgaard Sørensen, Matilde Grøndahl Petersen, Gitte Friis Kjeldsen
: Although evidence of the effectiveness of telemedicine is accumulating, knowledge of how to make best use of telemedicine is limited. This article presents results from a multi-stakeholder project that developed a new concept, a 'shared service centre' for telemedicine that is envisioned as working across different telemedical initiatives to support the implementation and wider adoption of telemedicine. One year of participatory design and analysis of the shared service centre concept involved stakeholders, such as clinicians, patients, technicians, policy makers, lawyers, economists and information technology architects...
December 2016: Health Informatics Journal
Joseph P Lyons, Salvatore A Sanders, Daniel Fredrick Cesene, Christopher Palmer, Valerie L Mihalik, Tracy Weigel
A replication survey of physicians' expectations and experience with speech recognition technology was conducted before and after its implementation. The expectations survey was administered to emergency medicine physicians prior to training with the speech recognition system. The experience survey consisting of similar items was administered after physicians gained speech recognition technology experience. In this study, 82 percent of the physicians were initially optimistic that the use of speech recognition technology with the electronic medical record was a good idea...
September 2016: Health Informatics Journal
Young Sup Woo, Won-Myong Bahk, Jeongwan Hong, Bo-Hyun Yoon, Tae-Yeon Hwang, Moon-Doo Kim, Duk-In Jon
This study describes the use of a smartphone application based on the Korean version of the Mood Disorder Questionnaire in screening for bipolar spectrum disorders in a large general population. All data were collected between May 2011 and July 2011. A total of 27,159 individuals participated in the survey, using a smartphone application. The prevalence of positive screening results for bipolar spectrum disorders among 27,159 participants using the smartphone Korean Mood Disorder Questionnaire application was 8...
September 2016: Health Informatics Journal
Jeffrey Allen Gold, Laurel E Stephenson, Adriel Gorsuch, Keshav Parthasarathy, Vishnu Mohan
Numerous reports describe unintended consequences of electronic health record implementation. Having previously described physicians' failures to recognize patient safety issues within our electronic health record simulation environment, we now report on our use of eye and screen-tracking technology to understand factors associated with poor error recognition during an intensive care unit-based electronic health record simulation. We linked performance on the simulation to standard eye and screen-tracking readouts including number of fixations, saccades, mouse clicks and screens visited...
September 2016: Health Informatics Journal
André Blondiau, Tobias Mettler, Robert Winter
In recent years, a wide range of generic and domain-specific maturity models have been developed in order to improve organizational design and learning of healthcare organizations. While many of these studies describe methods on how to measure dedicated aspects of a healthcare organization's "maturity," little evidence exists on how to effectively implement and deploy them into practice. This article therefore delineates the encountered challenges during the design and implementation of three maturity models for distinct improvement areas in hospitals...
September 2016: Health Informatics Journal
Lori Wozney, Patrick J McGrath, Amanda Newton, Anna Huguet, Marcia Franklin, Kaitlin Perri, K Leuschen, Elaine Toombs, Patricia Lingley-Pottie
Evaluation of an eHealth platform, Intelligent Research and Intervention Software was undertaken via cross-sectional survey of staff users and application performance monitoring. The platform is used to deliver psychosocial interventions across a range of clinical contexts, project scopes, and delivery modalities (e.g. hybrid telehealth, fully online self-managed, randomized control trials, and clinical service delivery). Intelligent Research and Intervention Software supports persuasive technology elements (e...
September 2016: Health Informatics Journal
Ofir Ben-Assuli, Moshe Leshno
In the last decade, health providers have implemented information systems to improve accuracy in medical diagnosis and decision-making. This article evaluates the impact of an electronic health record on emergency department physicians' diagnosis and admission decisions. A decision analytic approach using a decision tree was constructed to model the admission decision process to assess the added value of medical information retrieved from the electronic health record. Using a Bayesian statistical model, this method was evaluated on two coronary artery disease scenarios...
September 2016: Health Informatics Journal
Ruth A Bush, Aubyn C Stahmer, Cynthia D Connelly
This qualitative project used structured interviews with nine parents to examine perceptions of the electronic health record (EHR) and associated patient portal in the treatment of their child's autism spectrum disorder. Thematic analysis identified six complementary themes including: Familiarity and exposure to the EHR, changing experience of care (streamlining appointments, providing more rapid medical record access, increasing clinician awareness of the complexity of their child's medical treatment, and facilitating prescriptions), portal use, patient/EHR/portal interaction, interoperability, and mother as care coordinator...
September 2016: Health Informatics Journal
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