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Informatics for Health & Social Care

P W Handayani, A N Hidayanto, A A Pinem, P I Sandhyaduhita, I Budi
This study aimed to identify and rank user acceptance factors regarding the implementation of hospital information systems (HIS) based on the views of the following user groups: doctors, nurses, hospital management, and administrative staff (operators). The results should provide guidance for hospital management and HIS developers on meeting user requirements. The study was carried out using both qualitative and quantitative methods. The authors conducted interviews and distributed questionnaires to doctors, nurses, hospital management, and administrative staff in a government-owned Indonesian public hospital...
January 31, 2017: Informatics for Health & Social Care
Yew Kong Lee, Ping Yein Lee, Chirk Jenn Ng, Chin Hai Teo, Ahmad Ihsan Abu Bakar, Khatijah Lim Abdullah, Ee Ming Khoo, Nik Sherina Hanafi, Wah Yun Low, Thiam Kian Chiew
This study aimed to evaluate the usability (ease of use) and utility (impact on user's decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording...
January 31, 2017: Informatics for Health & Social Care
Marjo Kurki, Minna Anttila, Marita Koivunen, Mauri Marttunen, Maritta Välimäki
BACKGROUND: Internet-based applications are potentially useful and effective interventions to reach and support adolescents with mental health problems. Adolescents' commitment to the use of a new Internet-based intervention is closely related to the support they receive from healthcare professionals. This study describes nurses' experiences of the use of an Internet-based support system for adolescents with depressive disorders. METHOD: Qualitative descriptive study design including individual interviews with nine nurses at two psychiatric outpatient clinics...
January 31, 2017: Informatics for Health & Social Care
Femke De Backere, Pieter Bonte, Stijn Verstichel, Femke Ongenae, Filip De Turck
In 2013, the Flemish Government launched the Vitalink platform. This initiative focuses on the sharing of health and welfare data to support primary healthcare. In this paper, the objectives and mission of the Vitalink initiative are discussed. Security and privacy measures are reviewed, and the technical implementation of the Vitalink platform is presented. Through a case study, the possibility of interaction with cloud solutions for healthcare is also investigated upon; this was initially not the focus of Vitalink...
January 13, 2017: Informatics for Health & Social Care
Lihong Zhou
OBJECTIVE: This paper reports on a research study, which aims to identify, qualify, and theorize the external barriers that prevent and hinder the exercises and activities of patient-centered knowledge sharing (KS) in healthcare organizations. METHODS: The project adopted a qualitative secondary analysis approach as the overarching methodology to guide the analysis of data collected in a previously completed research study. Specifically, 46 semi-structured interview data were included and analyzed using a thematic analysis approach...
January 13, 2017: Informatics for Health & Social Care
Mohammad S Alyahya, Heba H Hijazi, Hussam A Alshraideh, Amjad D Al-Nasser
BACKGROUND: There is a growing concern that reduction in hospital length of stay (LOS) may raise the rate of hospital readmission. This study aims to identify the rate of avoidable 30-day readmission and find out the association between LOS and readmission. METHODS: All consecutive patient admissions to the internal medicine services (n = 5,273) at King Abdullah University Hospital in Jordan between 1 December 2012 and 31 December 2013 were analyzed. To identify avoidable readmissions, a validated computerized algorithm called SQLape was used...
January 13, 2017: Informatics for Health & Social Care
Douglas G Manuel, Kasim E Abdulaziz, Richard Perez, Sarah Beach, Carol Bennett
In the clinical setting, previous studies have shown personalized risk assessment and communication improves risk perception and motivation. We evaluated an online health calculator that estimated and presented six different measures of life expectancy/mortality based on a person's sociodemographic and health behavior profile. Immediately after receiving calculator results, participants were invited to complete an online survey that asked how informative and motivating they found each risk measure, whether they would share their results and whether the calculator provided information they need to make lifestyle changes...
January 9, 2017: Informatics for Health & Social Care
Michael A Cucciare, Andrea L Jamison, Ann S Combs, Gauri Joshi, Ramsey C Cheung, Catherine Rongey, Joe Huggins, Keith Humphreys
OBJECTIVE: This study adapted an existing computer-delivered brief alcohol intervention (cBAI) for use in Veterans with the hepatitis C virus (HCV) and examined its acceptability and feasibility in this patient population. METHODS: A four-stage model consisting of initial pilot testing, qualitative interviews with key stakeholders, development of a beta version of the cBAI, and usability testing was used to achieve the study objectives. RESULTS: In-depth interviews gathered feedback for modifying the cBAI, including adding HCV-related content such as the health effects of alcohol on liver functioning, immune system functioning, and management of HCV, a preference for concepts to be displayed through "newer looking" graphics, and limiting the use of text to convey key concepts...
January 9, 2017: Informatics for Health & Social Care
Ying He, Chris Johnson
Security incidents can have negative impacts on healthcare organizations, and the security of medical records has become a primary concern of the public. However, previous studies showed that organizations had not effectively learned lessons from security incidents. Incident learning as an essential activity in the "follow-up" phase of security incident response lifecycle has long been addressed but not given enough attention. This paper conducted a case study in a healthcare organization in China to explore their current obstacles in the practice of incident learning...
January 9, 2017: Informatics for Health & Social Care
Zhangxiang Zhu, Yongmei Liu, Xiaoling Che, Xiaohong Chen
Mobile chronic disease management systems (MCDMS) have become increasingly important in recent years, but in China, challenges remain for their adoption. Existing empirical studies have not completely explored the adoption behavior of potential MCDMS users. This article presents a study in which we investigated factors that influence chronically ill patients in China and their families to adopt or decline to use MCDMS. We applied a research model based on the technology acceptance model (TAM) as well as four contextual constructs (perceived disease threat, perceived risk, initial trust, and technology anxiety) to a survey of 279 potential MCDMS service participants in China...
January 9, 2017: Informatics for Health & Social Care
Nina Dethlefs, Maarten Milders, Heriberto Cuayáhuitl, Turkey Al-Salkini, Lorraine Douglas
Currently, an estimated 36 million people worldwide are affected by Alzheimer's disease or related dementias. In the absence of a cure, non-pharmacological interventions, such as cognitive stimulation, which slow down the rate of deterioration can benefit people with dementia and their caregivers. Such interventions have shown to improve well-being and slow down the rate of cognitive decline. It has further been shown that cognitive stimulation in interaction with a computer is as effective as with a human...
January 9, 2017: Informatics for Health & Social Care
Dong Wen, Pengcheng Guan, Xingting Zhang, Jianbo Lei
BACKGROUND: Good communication between physicians and nurses is important for the understanding of disease status and treatment feedback; however, certain issues in Chinese hospitals could lead to suboptimal physician-nurse communication in clinical work. METHODS: Convenience sampling was used to recruit participants. Questionnaires were sent to clinical physicians in three top tertiary Grade-A teaching hospitals in China and six hundred and seventeen physicians participated in the survey...
January 9, 2017: Informatics for Health & Social Care
Maria Andersson Marchesoni, Karin Axelsson, Ylva Fältholm, Inger Lindberg
BACKGROUND: Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context. OBJECTIVE: To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care...
March 2017: Informatics for Health & Social Care
Xiaofei Zhang, Xiaocui Han, Yuanyuan Dang, Fanbo Meng, Xitong Guo, Jiayue Lin
With the swift emergence of electronic medical information, the global popularity of mobile health (mHealth) services continues to increase steadily. This study aims to investigate the efficacy factors that directly or indirectly influence individuals' acceptance of mHealth services. Based on the technology acceptance model, this research incorporates efficacy factors into the acceptance decision process. A research model was proposed involving the direct and indirect effects of self-efficacy and response-efficacy on acceptance intention, along with their moderating effects...
March 2017: Informatics for Health & Social Care
Alice Noblin, Madhu Shettian, Kendall Cortelyou-Ward, Judi Schack Dugre
PRIMARY OBJECTIVE: The use of mobile apps in clinical settings is becoming a widely accepted tool for many healthcare professionals. Physical therapists (PTs) have been underresearched in this area, leaving little information regarding the challenges in using mobile apps in the PT environment. The FITT framework provides a theoretical underpinning for this investigation. RESEARCH DESIGN AND METHODS: A survey was developed based on the FITT framework and research questions...
March 2017: Informatics for Health & Social Care
P Fuster-Parra, J Vidal-Conti, P A Borràs, P Palou
OBJECTIVE: The present study sought to discover the relationships among different features characterizing Spanish university students' habits through a Bayesian network (BN). The set of features with the strongest influence in specific features can be determined. METHODS: A BN was built from a dataset composed of 13 relevant features, determining the dependencies and conditional independencies from empirical data in a multivariate context. The structure was learned with the bnlearn package in R language introducing prior knowledge, and the parameters were obtained with Netica software...
March 2017: Informatics for Health & Social Care
Mina Sayyah Gilani, Mohammad Iranmanesh, Davoud Nikbin, Suhaiza Zailani
Electronic medical records (EMRs) have been proven to be effective tools for improving the safety and quality of healthcare despite their relatively low usage rate in hospitals. The long-term development by EMRs depends on the continued use of healthcare professionals. In this study, technology continuance theory (TCT) was used to evaluate the short-term and long-term continuance acceptance of EMRs among healthcare professionals. Data were gathered by surveying 195 medical professionals in Iran. The data were analyzed using the partial least squares (PLS) technique...
March 2017: Informatics for Health & Social Care
Femke Ongenae, Thomas Vanhove, Femke De Backere, Filip De Turck
The medical staff in a hospital could benefit from a specialized task management system, considering their high workload covering different patients. This article presents an intelligent task management platform that automatically prioritizes and (re-)assigns tasks to the appropriate caregivers based on the current health care context captured in a continuous care ontology. Moreover, this platform provides the caregivers with a smartphone allowing them to easily view and process their assigned tasks.
March 2017: Informatics for Health & Social Care
Dan English, Kalyani Ankem, Kathleen English
INTRODUCTION: There are clinical and economic benefits to incorporating clinical decision support systems (CDSSs) in patient care interventions in the clinical pharmacy setting. However, user dissatisfaction and resistance to HIT can prevent optimal use of such systems, particularly when users employ system workarounds and overrides. OBJECTIVES: The present study applied a modified version of the unified theory of acceptance and use of technology (UTAUT) to evaluate the disposition and satisfaction with CDSS among clinical pharmacists who perform surveillance to identify potential medication therapy interventions on patients in the hospital setting...
March 2017: Informatics for Health & Social Care
Paulina Sockolow, Seran Schug, Jichen Zhu, T J Smith, Yalini Senathirajah, Sandra Bloom
BACKGROUND/PURPOSE: Adolescents from urban, socioeconomically disadvantaged communities of color encounter high rates of adverse childhood experiences. To address the resulting multidimensional problems, we developed an innovative approach, Experiential Participatory and Interactive Knowledge Elicitation (EPIKE), using remote experiential needs elicitation methods to generate design and content requirements for a mobile health (mHealth) psychoeducational intervention. METHODS: At a community-based organization in a northeastern city, the research team developed EPIKE by incorporating elicitation of input on the graphics and conducting remotely recorded experiential meetings and iterative reviews of the design to produce an mHealth smartphone story application (app) prototype for the participants to critique...
January 2017: Informatics for Health & Social Care
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