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https://www.readbyqxmd.com/read/28528365/the-value-of-evidence-in-the-decision-making-process-for-reimbursement-of-pharmacogenetic-dosing-of-warfarin
#1
Andrej Janzic, Igor Locatelli, Mitja Kos
BACKGROUND: After early clinical trials that evaluated pharmacogenetic (PG) algorithms, many healthcare payers were reluctant to cover this technology and, consequently, PG dosing of warfarin could not be translated into clinical practice. OBJECTIVE: The aim of this study was to estimate the value of upgrading evidence relating to PG dosing of warfarin from the healthcare payer perspective. METHODS: Randomized controlled trials (RCTs) that evaluated PG dosing of warfarin were identified through a systematic literature search, and their findings were combined by a cumulative meta-analysis...
May 20, 2017: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
https://www.readbyqxmd.com/read/28526026/a-qualitative-study-of-telehealth-patient-information-leaflets-tils-are-we-giving-patients-enough-information
#2
Reem Kayyali, Iman Hesso, Evelyn Ejiko, Shereen Nabhani Gebara
BACKGROUND: The provision of patient information leaflets regarding telehealth has been perceived by potential consumers as a strategy to promote awareness and adoption of telehealth services. However, such leaflets need to be designed carefully if adoption and awareness among potential users is to be promoted. Therefore, the aims of this study were: first, to see how telehealth was portrayed in some of the existing telehealth leaflets (THLs). Second, to explore patients' perceptions of the existing THLs and their engagement with the concept and how THLs can be optimised...
May 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28524710/integrating-end-user-feedback-in-the-concept-stage-of-development-of-a-novel-sensor-access-system-for-environmental-control
#3
Susan Koch Fager, Tabatha Sorenson, Susanne Butte, Alexander Nelson, Nilanjan Banerjee, Ryan Robucci
PURPOSE: This article illustrates user-centred design of a novel sensor access system for environmental control in the concept stage of development. METHODS: Focus groups of individuals with disabilities and rehabilitation healthcare professionals were provided with video illustration of the technology and asked to provide quantitative and qualitative feedback through a semistructured interview process. Qualitative methods were employed to analyse transcribed comments to develop themes supporting ongoing development of the technology...
May 19, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28521785/expect-with-me-development-and-evaluation-design-for-an-innovative-model-of-group-prenatal-care-to-improve-perinatal-outcomes
#4
Shayna D Cunningham, Jessica B Lewis, Jordan L Thomas, Stephanie A Grilo, Jeannette R Ickovics
BACKGROUND: Despite biomedical advances and intervention efforts, rates of preterm birth and other adverse outcomes in the United States have remained relatively intransigent. Evidence suggests that group prenatal care can reduce these risks, with implications for maternal and child health as well as substantial cost savings. However, widespread dissemination presents challenges, in part because training and health systems have not been designed to deliver care in a group setting. This manuscript describes the design and evaluation of Expect With Me, an innovative model of group prenatal care with a strong integrated information technology (IT) platform designed to be scalable nationally...
May 18, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28516176/examining-menstrual-tracking-to-inform-the-design-of-personal-informatics-tools
#5
Daniel A Epstein, Nicole B Lee, Jennifer H Kang, Elena Agapie, Jessica Schroeder, Laura R Pina, James Fogarty, Julie A Kientz, Sean A Munson
We consider why and how women track their menstrual cycles, examining their experiences to uncover design opportunities and extend the field's understanding of personal informatics tools. To understand menstrual cycle tracking practices, we collected and analyzed data from three sources: 2,000 reviews of popular menstrual tracking apps, a survey of 687 people, and follow-up interviews with 12 survey respondents. We find that women track their menstrual cycle for varied reasons that include remembering and predicting their period as well as informing conversations with healthcare providers...
May 2, 2017: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
https://www.readbyqxmd.com/read/28514530/curious-thoughtful-and-affirmative-young-children-s-meanings-of-participation-in-healthcare-situations-when-using-an-interactive-communication-tool
#6
Anna Stålberg, Anette Sandberg, Thomas Larsson, Imelda Coyne, Maja Söderbäck
AIM: to describe young children's demonstrated participation in healthcare situations while using an interactive communication tool. BACKGROUND: participation is a multidimensional concept influenced by situational and contextual issues. In child participation, verbal and non-verbal communicative expressions are of interest, as both demonstrate the child's perspective. Children have a right to participate in all situations that matter to them, for instance healthcare situations...
May 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28508809/health-information-system-in-a-cloud-computing-context
#7
Farahnaz Sadoughi, Leila Erfannia
Healthcare as a worldwide industry is experiencing a period of growth based on health information technology. The capabilities of cloud systems make it as an option to develop eHealth goals. The main objectives of the present study was to evaluate the advantages and limitations of health information systems implementation in a cloud-computing context that was conducted as a systematic review in 2016. Science direct, Scopus, Web of science, IEEE, PubMed and Google scholar were searched according study criteria...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28508796/emedication-meets-ehealth-with-the-electronic-medication-management-assistant-emma
#8
Mauro Tschanz, Tim Lucas Dorner, Kerstin Denecke
BACKGROUND: A patient's healthcare team is often missing a complete overview on the prescribed and dispensed medication. This is due to an inconsistent information flow between the different actors of the healthcare system. Often, only the patient himself knows exactly which drugs he is actually taking. OBJECTIVES: Our objective is to exploit different eHealth technologies available or planned in Switzerland to improve the information flow of the medication data among the stakeholder and to support the patient in managing his medication...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28507610/improving-patient-safety-in-hospitals-through-usage-of-cloud-supported-video-surveillance
#9
Predrag Dašić, Jovan Dašić, Bojan Crvenković
BACKGROUND: Patient safety in hospitals is of equal importance as providing treatments and urgent healthcare. With the development of Cloud technologies and Big Data analytics, it is possible to employ VSaaS technology virtually anywhere, for any given security purpose. AIM: For the listed benefits, in this paper, we give an overview of the existing cloud surveillance technologies which can be implemented for improving patient safety. MATERIAL AND METHODS: Modern VSaaS systems provide higher elasticity and project scalability in dealing with real-time information processing...
April 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28506225/healthrecsys-a-semantic-content-based-recommender-system-to-complement-health-videos
#10
Carlos Luis Sanchez Bocanegra, Jose Luis Sevillano Ramos, Carlos Rizo, Anton Civit, Luis Fernandez-Luque
BACKGROUND: The Internet, and its popularity, continues to grow at an unprecedented pace. Watching videos online is very popular; it is estimated that 500 h of video are uploaded onto YouTube, a video-sharing service, every minute and that, by 2019, video formats will comprise more than 80% of Internet traffic. Health-related videos are very popular on YouTube, but their quality is always a matter of concern. One approach to enhancing the quality of online videos is to provide additional educational health content, such as websites, to support health consumers...
May 15, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28505027/automated-surveillance-of-healthcare-associated-infections-state-of-the-art
#11
Meander E Sips, Marc J M Bonten, Maaike S M van Mourik
PURPOSE OF REVIEW: This review describes recent advances in the field of automated surveillance of healthcare-associated infections (HAIs), with a focus on data sources and the development of semiautomated or fully automated algorithms. RECENT FINDINGS: The availability of high-quality data in electronic health records and a well-designed information technology (IT) infrastructure to access these data are indispensable for successful implementation of automated HAI surveillance...
May 12, 2017: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/28499764/-personal-health-records-on-the-internet-a-narrative-review-of-attitudes-expectations-utilization-and-effects-on-health-outcomes
#12
REVIEW
Dominik Ose, Ines Baudendistel, Sabrina Pohlmann, Eva C Winkler, Aline Kunz, Joachim Szecsenyi
BACKGROUND: The integration of information and communication technologies (ICT) is increasingly considered in the development of healthcare structures. This fact is also recognised in the e-Health Act. In this context, personal health records (PHR) have a specific meaning. The aim of this paper is to provide an overview on utilization, barriers and possible effects on the implementation of PHR. METHODS: This analysis is based on a literature search in Web of Science (Core Collection) (01/2000 to 12/2014) using the following terms: "personal health record", "personal medical record", "personal electronic health record", "interpersonal health record", "personally controlled health record"...
May 9, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28495349/factors-that-impact-patient-web-portal-readiness-pwpr-among-the-underserved
#13
Priya Nambisan
OBJECTIVE: Healthcare organizations in the US are increasingly using Patient Portals as a means to provide patients with partial access to their health records and thereby comply with the 'meaningful use' of Health Information Technology policy issued by the US federal government. Patient portals are used to not only provide access to parts of the health records such as lab results but also offer services such as customized educational materials and appointment scheduling. While prior studies examining the adoption rates of these patient portals have not offered consistent findings, many of the studies have reported limited adoption and use [1] of patient portals, especially among the underserved population...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28495348/development-of-a-tripolar-model-of-technology-acceptance-hospital-based-physicians-perspective-on-ehr
#14
Mher Beglaryan, Varduhi Petrosyan, Edward Bunker
BACKGROUND AND PURPOSE: In health care, information technologies (IT) hold a promise to harness an ever-increasing flow of health related information and bring significant benefits including improved quality of care, efficiency, and cost containment. One of the main tools for collecting and utilizing health data is the Electronic Health Record (EHR). EHRs implementation can face numerous barriers to acceptance including attitudes and perceptions of potential users, required effort attributed to their implementation and usage, and resistance to change...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28495344/does-adoption-of-electronic-health-records-improve-the-quality-of-care-management-in-france-results-from-the-french-e-si-preps-sips-study
#15
Morgane Plantier, Nathalie Havet, Thierry Durand, Nicolas Caquot, Camille Amaz, Pierre Biron, Irène Philip, Lionel Perrier
BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the "Hôpital numérique 2012-2017" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28491310/achieving-optimal-technology-use-a-proposed-model-for-health-technology-reassessment
#16
Lesley Jj Soril, Gail MacKean, Tom W Noseworthy, Laura E Leggett, Fiona M Clement
BACKGROUND: Healthcare providers, managers and policy-makers in many jurisdictions are focused on a common goal: optimizing value and quality of care provided to their citizens within a resource envelope. Health technology reassessment is a structured, evidence-based assessment of the clinical, social, ethical and economic effects of a technology currently used in the healthcare system to inform optimal use of that technology in comparison with its alternatives. There are, however, few practical experiences with health technology reassessment and, as such, a nascent theoretical and methodological base...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28490614/value-in-cardiovascular-care
#17
REVIEW
Steven M Bradley, Craig E Strauss, P Michael Ho
Healthcare value, defined as health outcomes achieved relative to the costs of care, has been proposed as a unifying approach to measure improvements in the quality and affordability of healthcare. Although value is of increasing interest to payers, many providers remain unfamiliar with how value differs from other approaches to the comparison of cost and outcomes (ie, cost-effectiveness analysis). While cost-effectiveness studies can be used by policy makers and payers to inform decisions about coverage and reimbursement for new therapies, the assessment of healthcare can guide improvements in the delivery of healthcare to achieve better outcomes at lower cost...
May 10, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28487932/towards-usable-e-health-a-systematic-review-of-usability-questionnaires
#18
Vanessa E C Sousa, Karen Dunn Lopez
BACKGROUND: The use of e-health can lead to several positive outcomes. However, the potential for e-health to improve healthcare is partially dependent on its ease of use. In order to determine the usability for any technology, rigorously developed and appropriate measures must be chosen. OBJECTIVES: To identify psychometrically tested questionnaires that measure usability of e-health tools, and to appraise their generalizability, attributes coverage, and quality...
May 10, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28481167/impact-of-a-mobile-health-application-on-user-engagement-and-pregnancy-outcomes-among-wyoming-medicaid-members
#19
James Bush, Dilek E Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
BACKGROUND: Pregnancy and birth outcomes are a critical area of healthcare, yet negative outcomes like C-sections and preterm births remain widespread. Studies show that early and ongoing prenatal care can improve outcomes; however, in-person care is difficult to deliver in rural areas. This article examines the impact of mobile health technology on user engagement and birth outcomes in a Wyoming pilot study. The pilot did face some limitations; namely, the small app user group size and scant demographic information collected from users...
May 8, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28480476/the-role-of-free-libre-and-open-source-software-in-learning-health-systems
#20
C Paton, T Karopka
OBJECTIVE: To give an overview of the role of Free/Libre and Open Source Software (FLOSS) in the context of secondary use of patient data to enable Learning Health Systems (LHSs). METHODS: We conducted an environmental scan of the academic and grey literature utilising the MedFLOSS database of open source systems in healthcare to inform a discussion of the role of open source in developing LHSs that reuse patient data for research and quality improvement. RESULTS: A wide range of FLOSS is identified that contributes to the information technology (IT) infrastructure of LHSs including operating systems, databases, frameworks, interoperability software, and mobile and web apps...
May 8, 2017: Yearbook of Medical Informatics
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