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Journal of Innovation in Health Informatics

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https://www.readbyqxmd.com/read/27869583/patient-facing-technology-for-identification-of-copd-in-primary-care
#1
David Kevin Ahern, Donna Parker, Charles Eaton, Caitlin Rafferty, Joseph Wroblewski, Roberta Goldman
BACKGROUND: The proliferation of mobile devices and emergence of interoperable 'mHealth' apps is accelerating development and deployment of patient-facing risk assessments in primary care. The present study describes a user-centered design and an agile development approach to creation of an app for assessing lungfunction as part of a randomized controlled trial for the   dentification of chronic obstructive lung disease in primary care. METHOD: Seventeen patients recruited from a hospital-based, ambulatory family medicine clinic agreed to be videotaped while using the app, Lung Age, on a first-generation iPad prior to their provideR encounter...
July 15, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869579/the-acceptability-to-patients-of-video-consulting-in-general-practice-semi-structured-interviews-in-three-diverse-general-practices
#2
Sophie Leng, Margaret MacDougall, Brian McKinstry
BACKGROUND: To improve patient access to healthcare, the UK government has encouraged technology-based approaches including internet video-consulting. However, little is known about patient acceptance of video-consulting as a consulting method. We aimed to explore primary care patients' views video-consulting. METHOD:  We used semi-structured interviews to survey 270 patients in NHS Lothian. Three diverse General Practices were chosen purposively and sequential patients attending the practice at a range of different times of day were invited to participate...
July 15, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869577/in-this-issue-realising-benefits-and-that-informatics-is-all-about-the-patient
#3
Simon De Lusignan
None.
July 15, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869585/the-critical-components-of-an-electronic-care-plan-tool-for-primary-care-an-exploratory-qualitative-study
#4
Lisa Rotenstein, Suhavi Tucker, Rose Kakoza, Lori Tishler, Adrian Zai, Charlotte Wu
BACKGROUND: A critical need exists for effective electronic tools that facilitate multidisciplinary care for complex patients in patient-centered medical homes.Objective To identify the essential components of a primary care (PC) based electronic care plan (ECP) tool that facilitates coordination of care for complex patients. METHOD: Three focus groups and nine semi-structured interviews were conducted at an academic PC practice in order to identify the ideal components of an ECP...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869584/the-melbourne-east-monash-general-practice-database-magnet-using-data-from-computerised-medical-records-to-create-a-platform-for-primary-care-and-health-services-research
#5
Danielle Mazza, Christopher Pearce, Lyle Robert Turner, Maria De Leon-Santiago, Adam McLeod, Jason Ferriggi, Marianne Shearer
The Melbourne East MonAsh GeNeral PracticE DaTabase (MAGNET) research platform was launched in 2013 to provide a unique data source for primary care and health services research in Australia.  MAGNET contains information from the computerised records of 50 participating general practices and includes data from the computerised medical records of more than 1,100,000 patients.  The data extracted is patient-level episodic information and includes a variety of fields related to patient demographics and historical clinical information, along with the characteristics of the participating general practices...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869582/implementing-and-using-a-patient-portal-a-qualitative-exploration-of-patient-and-provider-perspectives-on-engaging-patients
#6
Bridget L Ryan, Judith Belle Brown, Amanda Terry, Sonny Cejic, Moira Stewart, Amardeep Thind
BACKGROUND: The use of portals might be expected to rise; however, adoption has been slow. Development of portals has occurred with limited patient involvement. This paper fills a need for literature concerning perspectives regarding the value of portals, how best to organize and provide portals, and critically how to seek patient involvement in implementation.ObjectiveThe objective was to explore the feelings, ideas, and expectations of patients and primary care providers concerning the implementation and use of patient portals...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869581/physical-activity-in-ankylosing-spondylitis-evaluation-and-analysis-of-an-ehealth-tool
#7
Jess Shelagh Tyrrell, Clare Helen Redshaw
BACKGROUND: Ankylosing spondylitis (AS) is a chronic inflammatory condition characterised by spinal arthritis and exercise is often recommended to reduce the symptoms and improve mobility. However, very little evidence exists for the value of exercise in AS. OBJECTIVES: Firstly, this pilot study aimed to evaluate an eHealth tool, the AS Observer, specifically designed to monitor symptoms, quality of life and physical activity in AS, in terms of patient experience and suitability in generating data for epidemiological studies...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869580/qualitative-analysis-of-multi-disciplinary-round-table-discussions-on-the-acceleration-of-benefits-and-data-analytics-through-hospital-electronic-prescribing-eprescribing-systems
#8
Kathrin Cresswell, Jamie Coleman, Pam Smith, Charles Swainson, Ann Slee, Aziz Sheikh
BACKGROUND: Electronic systems that facilitate prescribing, administration and dispensing of medicines (ePrescribing systems) are at the heart of international efforts to improve the safety, quality and efficiency of medicine management. Considering the initial costs of procuring and maintaining ePrescribing systems, there is a need to better understand how to accelerate and maximise the financial benefits associated with these systems. OBJECTIVES: We sought to investigate how different sectors are approaching the realisation of returns on investment from ePrescribing systems in U...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27869578/open-source-paradigm-a-synopsis-of-the-cathedral-and-the-bazaar-for-health-and-social-care
#9
Tim Benson
BACKGROUND: Open source software (OSS) is becoming more fashionable in health and social care, although the ideas are not new. However progress has been slower than many had expected. OBJECTIVE: The purpose is to summarise the Free/Libre Open Source Software (FLOSS) paradigm in terms of what it is, how it impacts users and software engineers and how it can work as a business model in health and social care sectors. METHOD: Much of this paper is a synopsis of Eric Raymond's seminal book The Cathedral and the Bazaar, which was the first comprehensive description of the open source ecosystem, set out in three long essays...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348492/commentary-a-lack-of-a-comparator-group-makes-it-hard-to-be-sure-whether-computerised-medical-record-system-implementation-achieved-a-better-or-worse-outcome
#10
Simon De Lusignan, John Williams, William Hinton, Neil Munro
No abstract text is available yet for this article.
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348491/in-this-issue-benefits-and-disbenefits-of-computerised-medical-records-cmr-clinical-patient-centred-implementation-and-sociotechnical-factors
#11
Simon De Lusignan
No abstract text is available yet for this article.
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348490/accessible-modelling-of-complexity-in-health-amoch-and-associated-data-flows-asthma-as-an-exemplar
#12
Harshana Liyanage, Daniela Luzi, Simon De Lusignan, Fabrizio Pecoraro, Richard McNulty, Oscar Tamburis, Paul Krause, Michael Rigby, Mitch Blair
Background Modelling is an important part of information science. Models are abstractions of reality. We use models in the following contexts: (1) to describe the data and information flows in clinical practice to information scientists, (2) to compare health systems and care pathways, (3) to understand how clinical cases are recorded in record systems and (4) to model health care business models.Asthma is an important condition associated with a substantial mortality and morbidity. However, there are difficulties in determining who has the condition, making both its incidence and prevalence uncertain...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348489/mining-reflective-continuing-medical-education-data-for-family-physician-learning-needs
#13
Denice Colleen Lewis, Pierre Pluye, Charo Rodriguez, Roland Grad
A mixed methods research (sequential explanatory design) studied the potential of mining the data from the consumers of continuing medical education (CME) programs, for the developers of CME programs. The quantitative data generated by family physicians, through applying the information assessment method to CME content, was presented to key informants from the CME planning community through a qualitative description study.The data were revealed to have many potential applications including supporting the creation of CME content, CME program planning and personal learning portfolios...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348488/using-the-diffusion-of-innovations-theory-to-assess-socio-technical-factors-in-planning-the-implementation-of-an-electronic-health-record-alert-across-multiple-primary-care-clinics
#14
Ching-Pin Lin, Janelle Guirguis-Blake, Gina A Keppel, Sharon Dobie, Justin Osborn, Allison M Cole, Laura-Mae Baldwin
BACKGROUND: Adverse drug events (ADEs) are a leading cause of death in the United States. Patients with stage 3 and 4 chronic kidney disease (CKD) are at particular risk because many medications are cleared by the kidneys. Alerts in the electronic health record (EHR) about drug appropriateness and dosing at the time of prescription have been shown to reduce ADEs for patients with stage 3 and 4 CKD in inpatient settings, but more research is needed about the implementation and effectiveness of such alerts in outpatient settings...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348487/designing-patient-facing-health-information-technologies-for-the-outpatient-settings-a-literature-review
#15
Yushi Yang, Onur Asan
UNLABELLED: HASH(0x3422930) INTRODUCTION: The implementation of health information technologies (HITs) has changed the dynamics of doctor-patient communication in outpatient settings. Designing patient-facing HITs provides patients with easy access to healthcare information during the visit and has the potential to enhance the patient-centred care.  OBJECTIVES: The objectives of this study are to systematically review how the designs of patient-facing HITs have been suggested and evaluated, and how they may potentially affect the doctor-patient communication and patient-centred care...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348486/young-adults-on-the-perceived-benefits-and-expected-use-of-personal-health-records-a-qualitative-descriptive-study
#16
Quynh Nguyen, Gillian Bartlett, Charo Rodriguez, Pierre-Paul Tellier
BACKGROUND: Personal health records (PHRs) are tools that allow individuals to access, share and manage their health information online. Despite apparent interest, adoption rates remain low. There is a gap in our understanding as to what different populations of users, in particular young adults, might want from such a tool. OBJECTIVE: To describe and interpret the views and expectations of young healthy adults about using an online PHR. METHODS: A qualitative descriptive study was carried out...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348485/computerised-provider-order-entry-adoption-rates-favourably-impact-length-of-stay
#17
Richard Schreiber, Steven H Shaha
Background Research regarding return on investment for electronic health records (EHRs) is sparse.Objective To extend previously established research and examine rigorously whether increasing the adoption of computer-based provider/prescriber order entry (CPOE) leads to a decrease in length of stay (LOS), and to demonstrate that the two are inversely and bidirectionally proportional even while other efforts to decrease LOS are in place.Method The study assessed CPOE, LOS and case mix index (CMI) data in a community hospital in the United States, using a mature and nearly fully deployed vendor product EHR...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27348484/the-adoption-of-an-electronic-health-record-did-not-improve-a1c-values-in-type-2-diabetes
#18
Harry B Burke, Dorothy A Becher, Albert Hoang, Ronald W Gimbel
BACKGROUND: A major justification for the clinical adoption of electronic health records (EHRs) was the expectation that it would improve the quality of medical care. No longitudinal study has tested this assumption. OBJECTIVE: We used hemoglobin A1c, a recognized clinical quality measure directly related to diabetes outcomes, to assess the effect of EHR use on clinical quality. METHODS: We performed a five-and-one-half-year multicentre longitudinal retrospective study of the A1c values of 537 type 2 diabetic patients...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/26855273/what-does-eprescribing-mean-for-patients-a-case-study-of-the-perspectives-of-hospital-renal-patients
#19
Lisa Lee, Robin Williams, Aziz Sheikh
BACKGROUND: Hospital ePrescribing systems are expected to improve quality of care for patients, yet the perspectives of patients themselves have seldom been explored in the context of ePrescribing deployments. OBJECTIVE: We sought to understand the significance of ePrescribing for patients through a case study of renal in-patients on a hospital ward, before and after the introduction of an ePrescribing system. METHODS: Three data sources were drawn on as part of the case study: interviews with representatives from national patient groups (n = 10), in-patients on a renal ward (n = 11 pre-implementation; n = 12 post-implementation) and fieldnotes (n = 25) of observations made on the case study ward...
November 23, 2015: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/26245241/structuring-and-coding-in-health-care-records-a-qualitative-analysis-using-diabetes-as-a-case-study
#20
Ann R R Robertson, Bernard Fernando, Zoe Morrison, Dipak Kalra, Aziz Sheikh
BACKGROUND: Globally, diabetes mellitus presents a substantial and increasing burden to individuals, health care systems and society. Structuring and coding of information in the electronic health record underpin attempts to improve sharing and searching for information. Digital records for those with long-term conditions are expected to bring direct and secondary uses benefits, and potentially to support patient self-management. AIMS AND OBJECTIVES: We sought to investigate if how and why records for adults with diabetes were structured and coded and to explore a range of UK stakeholders' perceptions of current practice in the National Health Service...
March 27, 2015: Journal of Innovation in Health Informatics
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