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Health Informatics Journal

Kyung Jung Han, Roma Subramanian, Glen T Cameron
Given the increasingly widespread use of mobile phones in the developing world, the application of this technology for healthcare (also referred to as m-health) has tremendous potential. However, there is a need for more research on factors that influence the sustainable and scalable adoption of m-health in developing countries. To fill this gap, in this study, drawing on the theory of diffusion of innovation, we conducted in-depth interviews with 29 health professionals in Sri Lanka to understand their views on the benefits and barriers to adopting m-health...
August 1, 2017: Health Informatics Journal
Robert G Drake
Following a decade of dissemination, particularly within the British National Health Service, electronic rostering systems were recently endorsed within the Carter Review. However, electronic rostering necessitates the formal codification of the roster process. This research investigates that codification through the lens of the 'Roster Policy', a formal document specifying the rules and procedures used to prepare staff rosters. This study is based upon analysis of 27 publicly available policies, each approved within a 4-year period from January 2010 to July 2014...
August 1, 2017: Health Informatics Journal
Dimitris Spathis, Panayiotis Vlamos
This study examines the clinical decision support systems in healthcare, in particular about the prevention, diagnosis and treatment of respiratory diseases, such as Asthma and chronic obstructive pulmonary disease. The empirical pulmonology study of a representative sample (n = 132) attempts to identify the major factors that contribute to the diagnosis of these diseases. Machine learning results show that in chronic obstructive pulmonary disease's case, Random Forest classifier outperforms other techniques with 97...
August 1, 2017: Health Informatics Journal
Mian Yan, Calvin Or
This study tested a structural model examining the effects of perceived usefulness, perceived ease of use, attitude, subjective norm, perceived behavioral control, health consciousness, and application-specific self-efficacy on the acceptance (i.e. behavioral intention and actual usage) of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension. The model was tested using partial least squares structural equation modeling, with 119 observations that were obtained by pooling data across three time points over a 12-week period...
August 1, 2017: Health Informatics Journal
Julian Hamm, Arthur G Money, Anita Atwal, Gheorghita Ghinea
The assistive equipment provision process is routinely carried out with patients to mitigate fall risk factors via the fitment of assistive equipment within the home. However, currently, over 50% of assistive equipment is abandoned by the patients due to poor fit between the patient and the assistive equipment. This paper explores clinician perceptions of an early stage three-dimensional measurement aid prototype, which provides enhanced assistive equipment provision process guidance to clinicians. Ten occupational therapists trialled the three-dimensional measurement aid prototype application; think-aloud and semi-structured interview data was collected...
August 1, 2017: Health Informatics Journal
Muhammad Afzal, Maqbool Hussain, Robert Brian Haynes, Sungyoung Lee
Processing huge repository of medical literature for extracting relevant and high-quality evidences demands efficient evidence support methods. We aim at developing methods to automate the process of finding quality evidences from a plethora of literature documents and grade them according to the context (local condition). We propose a two-level methodology for quality recognition and grading of evidences. First, quality is recognized using quality recognition model; second, context-aware grading of evidences is accomplished...
August 1, 2017: Health Informatics Journal
Carmen Verhoeks, Doreth Teunissen, Anke van der Stelt-Steenbergen, Antoine Lagro-Janssen
There is a gap in knowledge of women's perceptions of e-health treatment. This review aims to investigate women's expectations and experiences regarding e-health. A search was conducted in MEDLINE, EMBASE, CINAHL and PsycInfo in March 2016. We included articles published between 2000 and March 2016, reporting on e-health interventions. The initial search yielded 2987 articles. Eventually, 16 articles reporting on 16 studies were included. Barriers to e-health treatment were lower for women than barriers to face-to-face treatment, such as feelings of shame and time constraints...
August 1, 2017: Health Informatics Journal
Ayan Nasir, Xinliang Liu, Varadraj Gurupur, Zaeem Qureshi
Patient data completeness is an important characteristic in maintaining accurate health records and providing the highest standard of care. Furthermore, finding discrepancies in care based on different subpopulation parameters is important to identify areas of underlying systemic issues in order to address concerns and alleviate those discrepancies. In this project, the investigators use the Data Completeness Analysis Package to find trends in patient record completeness using Healthcare Cost and Utilization Project's State Inpatient Database for the state of Florida, specifically focusing on finding discrepancies among subpopulations along the variables of age, race, and gender...
July 1, 2017: Health Informatics Journal
Ilham Kadi, Ali Idri, José Luis Fernandez-Aleman
Data mining provides the methodology and technology to transform huge amount of data into useful information for decision making. It is a powerful process to extract knowledge and discover new patterns embedded in large data sets. Data mining has been increasingly used in medicine, particularly in cardiology. In fact, data mining applications can greatly benefits all parts involved in cardiology such as patients, cardiologists and nurses. This article aims to perform a systematic mapping study so as to analyze and synthesize empirical studies on the application of data mining techniques in cardiology...
July 1, 2017: Health Informatics Journal
Sari Palojoki, Kaija Saranto, Lasse Lehtonen
The European Union Medical Device Directive 2007/47/EC1 defines software with a medical purpose as a medical device. The implementation of health information technology suffers from patient safety problems that require effective post-market surveillance. The purpose of this study was to review, classify and discuss the incident data submitted to a nationwide database of the Finnish National Competent Authority with other forms of data. We analysed incident reports submitted to the authority database by users of electronic health records from 2010 to 2015...
July 1, 2017: Health Informatics Journal
Jessica Berner, Marja Aartsen, Dorly Deeg
Research has indicated the need to consider the ageing process with technology adoption by older adults. This study examined psychological, health, social and demographic predictors with starting and stopping Internet use by older adults (2002-2012). Data were used from the Longitudinal Aging Study Amsterdam, and Cox regression analyses were done to test predictors over time with starting or stopping Internet use. The results indicated that older adults starting to use the Internet (11.6%) outnumbered those who stopped (3...
July 1, 2017: Health Informatics Journal
Ellen Anna Andreassen Jaatun, Marie Fallon, Anders Kofod-Petersen, Kristin Halvorsen, Dagny Faksvåg Haugen
Quality pain management implies a thorough pain assessment with structured communication between patients and healthcare providers. Pain distribution is an important dimension of cancer pain. Assessment of pain distribution is commonly performed on a pain body map. This study explores how a computerized pain body map may function as a communication tool and visualize pain in patients with advanced cancer. In previous studies, we have developed a tablet-based computerized pain body map for use in cancer patients...
July 1, 2017: Health Informatics Journal
Maarten Cuypers, Romy Ed Lamers, Paul Jm Kil, Regina The, Klemens Karssen, Lonneke V van de Poll-Franse, Marieke de Vries
Many new decision aids are developed while aspects of existing decision aids could also be useful, leading to a sub-optimal use of resources. To support treatment decision-making in prostate cancer patients, a pre-existing evidence-based Canadian decision aid was adjusted to Dutch clinical setting. After analyses of the original decision aid and routines in Dutch prostate cancer care, adjustments to the decision aid structure and content were made. Subsequent usability testing (N = 11) resulted in 212 comments...
July 1, 2017: Health Informatics Journal
Elizabeth A Madigan
Fitness bands are widely available and assist with tracking the number of steps taken. However, for older people with slow gaits, shorter step widths and/or use of ambulatory devices, the accuracy of fitness bands for step counting has not been well studied. Using four commercially available fitness bands (Garmin Vivofit2™, Fitbit Flex™, Up3™ and Microsoft Band™), we studied 30 older people with varying ambulatory abilities. We videotaped participants walking and compared the videotaped step count with the fitness band counts...
July 1, 2017: Health Informatics Journal
Grishma P Bhavsar, Janice C Probst, Kevin J Bennett, James W Hardin, Zaina Qureshi
This study sought to determine how the proportion of physicians using electronic prescribing in nine US states was associated with the hospitalization rate for adverse drug events among older adult patients. A discharge-level analysis of the relationship between county electronic prescribing and adverse drug event hospitalization rates was conducted. Data from the 2011 State Inpatient Databases, the Office of the National Coordinator Health IT Dashboard, and the Area Health Resource File were obtained for nine US states...
July 1, 2017: Health Informatics Journal
Zain Khan, Bill Kapralos
Research has shown that the quality of care is compromised when healthcare providers respond inappropriately to patient language and cultural factors. However, research indicates that medical education is not keeping pace with the changing composition of the patient population in culturally diverse societies such as Canada and the United States, and many healthcare providers do not possess the attitudes or skills required to be effective within a culturally diverse healthcare setting. Here, we present Fydlyty, a web-based, low-fidelity serious game for medical-based cultural competence education...
July 1, 2017: Health Informatics Journal
Jessica Gall Myrick, Jessica Fitts Willoughby
This study combined conceptual frameworks from health information seeking, appraisal theory of emotions, and social determinants of health literatures to examine how emotional states and education predict online health information seeking. Nationally representative data from the Health Information National Trends Survey (HINTS 4, Cycle 3) were used to test the roles of education, anxiety, anger, sadness, hope, happiness, and an education by anxiety interaction in predicting online health information seeking...
July 1, 2017: Health Informatics Journal
João Vidal Carvalho, Álvaro Rocha, António Abreu
Maturity models facilitate organizational management, including information systems management, with hospital organizations no exception. This article puts forth a study carried out with a group of experts in the field of hospital information systems management with a view to identifying the main influencing factors to be included in an encompassing maturity model for hospital information systems management. This study is based on the results of a literature review, which identified maturity models in the health field and relevant influencing factors...
July 1, 2017: Health Informatics Journal
Camilla Lindahl, Stefan Wagner, Niels Uldbjerg, Jacob Mørup Schlütter, Olav Bertelsen, Puk Sandager
Hypertensive disease and preeclampsia are serious medical disorders affecting pregnancy. Screening in early pregnancy may identify women at risk of developing hypertensive disease and enable prophylactic treatment. Accurate blood pressure measurement is an important part of this screening. The aim of this study was to investigate whether patients, with the aid of a context-aware sensor-based blood pressure self-measurement system, were able to correctly self-measure their blood pressure adhering to internationally established recommendations...
July 1, 2017: Health Informatics Journal
Francisco Nunes, Tariq Andersen, Geraldine Fitzpatrick
People living with Parkinson's disease engage in self-care for most of the time but, two or three times a year, they meet with doctors to re-evaluate the condition and adjust treatment. Patients and (informal) carers participate actively in these encounters, but their engagement might change as new patient-centred technologies are integrated into healthcare infrastructures. Drawing on a qualitative study that used observations and interviews to investigate consultations, and digital ethnography to understand interactions in an online community, we describe how patients and carers living with Parkinson's participate in the diagnosis and treatment decisions, engage in discussions to learn about certain topics, and address inappropriate medication...
June 1, 2017: Health Informatics Journal
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