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https://www.readbyqxmd.com/read/29449297/delivering-safe-and-effective-test-result-communication-management-and-follow-up-a-mixed-methods-study-protocol
#1
Maria R Dahm, Andrew Georgiou, Johanna I Westbrook, David Greenfield, Andrea R Horvath, Denis Wakefield, Ling Li, Ken Hillman, Patrick Bolton, Anthony Brown, Graham Jones, Robert Herkes, Robert Lindeman, Michael Legg, Meredith Makeham, Daniel Moses, Dauda Badmus, Craig Campbell, Rae-Anne Hardie, Julie Li, Euan McCaughey, Gorkem Sezgin, Judith Thomas, Nasir Wabe
INTRODUCTION: The failure to follow-up pathology and medical imaging test results poses patient-safety risks which threaten the effectiveness, quality and safety of patient care. The objective of this project is to: (1) improve the effectiveness and safety of test-result management through the establishment of clear governance processes of communication, responsibility and accountability; (2) harness health information technology (IT) to inform and monitor test-result management; (3) enhance the contribution of consumers to the establishment of safe and effective test-result management systems...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29445952/-a-k-anonymous-scheme-for-privacy-preserving-data-collection-in-iot-based-healthcare-services-systems
#2
Hongtao Li, Feng Guo, Wenyin Zhang, Jie Wang, Jinsheng Xing
The widely use of IoT technologies in healthcare services has pushed forward medical intelligence level of services. However, it also brings potential privacy threat to the data collection. In healthcare services system, health and medical data that contains privacy information are often transmitted among networks, and such privacy information should be protected. Therefore, there is a need for privacy-preserving data collection (PPDC) scheme to protect clients (patients) data. We adopt (a,k)-anonymity model as privacy pretection scheme for data collection, and propose a novel anonymity-based PPDC method for healthcare services in this paper...
February 14, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29442336/handling-missing-data-in-within-trial-cost-effectiveness-analysis-a-review-with-future-recommendations
#3
REVIEW
Andrea Gabrio, Alexina J Mason, Gianluca Baio
Cost-effectiveness analyses (CEAs) alongside randomised controlled trials (RCTs) are increasingly designed to collect resource use and preference-based health status data for the purpose of healthcare technology assessment. However, because of the way these measures are collected, they are prone to missing data, which can ultimately affect the decision of whether an intervention is good value for money. We examine how missing cost and effect outcome data are handled in RCT-based CEAs, complementing a previous review (covering 2003-2009, 88 articles) with a new systematic review (2009-2015, 81 articles) focussing on two different perspectives...
June 2017: PharmacoEconomics open
https://www.readbyqxmd.com/read/29442333/cost-benefit-analysis-of-telemedicine-systems-units-in-greek-remote-areas
#4
Marios-Nikolaos Kouskoukis, Charalambos Botsaris
BACKGROUND: Telemedicine units and information technology systems provide special healthcare services to remote populations using telecommunication technology, in order to reduce or even remove the usual and typical face-to-face contact between doctor and patient. This innovative approach to medical care delivery has been expanding for several years and currently covers various medical specialties. OBJECTIVE: To facilitate installation of telemedicine systems/units in Greek remote areas, this article presents results of a cost-benefit analysis for two Greek islands, Patmos and Leros, using specific economic criteria...
June 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441511/-cardiology-telemedicine-solutions-opinion-of-the-committee-of-informatics-and-telemedicine-of-polish-society-of-cardiology-section-of-non-invasive-electrocardiology-and-telemedicine-of-polish-society-of-cardiology-and-clinical-sciences-committee-of-the
#5
Ryszard Piotrowicz, Paweł Krzesiński, Paweł Balsam, Maciej Kempa, Renata Główczyńska, Marcin Grabowski, Łukasz Kołtowski, Ewa Lewicka, Michał Peller, Ewa Piotrowicz, Jakub Podolec, Adam Stańczyk, Justyna Zajdel, Grzegorz Opolski
For several years, we have observed the dynamic development of technologies that allow patients to access medical care from the comfort of their homes, without direct contact with the doctor. Innovative solutions based on telemedicine improve care coordination and communication among clinicians, patients, and their families, as well as increases patients' security and gives them greater independence, thus eliminating health care inequalities. The rapidly growth of telemedicine and the adoption of new technologies in clinical practice is also observed in Poland...
February 14, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29440214/-it-has-saved-thousands-of-lives-so-why-change-it-content-analysis-of-objections-to-cervical-screening-programme-changes-in-australia
#6
Helena M Obermair, Rachael H Dodd, Carissa Bonner, Jesse Jansen, Kirsten McCaffery
OBJECTIVES: The incidence and mortality of cervical cancer have halved since introduction of the Australian cervical screening programme in 1991, involving 2-yearly Pap smears from ages 18-69 years. In 2017, the programme changed to 5- yearly primary human papillomavirus (HPV) testing for women aged 25-74 years. This study investigated reasons for opposition to the renewed screening programme within the open-ended comments of an online petition, 'Stop May 1st Changes to Pap Smears-Save Women's Lives', opposing the changes, which received over 70 000 signatures and almost 20 000 comments...
February 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29436815/si-nanostrip-optical-waveguide-for-on-chip-broadband-molecular-overtone-spectroscopy-in-near-infrared
#7
Aviad Katiyi, Alina Karabchevsky
The ability to probe the molecular fundamental or overtones (high harmonics) vibrations is fundamental to modern healthcare monitoring techniques and sensing technologies since it provides an information about the molecular structure. However, since the absorption cross-section of molecular vibrations overtones is much smaller compared to the absorption cross-section of fundamental vibrations, their detection is challenging. Here, a silicon nanostrip rib waveguide structure is proposed for label-free on-chip overtone spectroscopy in near-infrared (NIR)...
February 13, 2018: ACS Sensors
https://www.readbyqxmd.com/read/29435335/health-care-for-all-effective-community-supported-healthcare-with-innovative-use-of-telemedicine-technology
#8
EDITORIAL
Tariq Kazim Shah, Tasneem Tariq, Roger Phillips, Steve Davison, Adam Hoare, Syed Shahzad Hasan, Zaheer-Ud-Din Babar
Almost half of the world's total population reside in rural and remote areas and a large number of these people remain deprived of most basic facilities like healthcare and education. It is deemed impossible for government with scarce resources in developing countries to open and run a health facility in every remote community using conventional means. One increasingly popular unconventional mean is the use of existing technology to improve exchange of medical information for the purpose of improving health of underprivileged communities...
2018: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/29428688/privacy-boundaries-and-smart-homes-for-health-an-ethnographic-study
#9
Alison Burrows, David Coyle, Rachael Gooberman-Hill
This article explores how people negotiate borders and boundaries within the home, in the context of health and the introduction of new technologies. We draw on an ethnographic study involving a socially diverse group of people, which included people with experience of telecare or smart home energy systems. Participants engaged in various strategies to regulate the borders of their home, even though new technologies have begun to change the nature of these borders. Participants managed health conditions but also their use of technology through boundary work that permitted devices to be more or less visible and integrated within the home...
February 8, 2018: Health & Place
https://www.readbyqxmd.com/read/29425636/computerised-decision-support-in-physical-activity-interventions-a-systematic-literature-review
#10
REVIEW
Andreas Triantafyllidis, Dimitris Filos, Jomme Claes, Roselien Buys, Véronique Cornelissen, Evangelia Kouidi, Ioanna Chouvarda, Nicos Maglaveras
BACKGROUND: The benefits of regular physical activity for health and quality of life are unarguable. New information, sensing and communication technologies have the potential to play a critical role in computerised decision support and coaching for physical activity. OBJECTIVES: We provide a literature review of recent research in the development of physical activity interventions employing computerised decision support, their feasibility and effectiveness in healthy and diseased individuals, and map out challenges and future research directions...
March 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29425626/emergency-information-management-needs-and-practices-of-older-adults-a-descriptive-study
#11
Anne M Turner, Katie Osterhage, Julie Loughran, Ian Painter, George Demiris, Andrea L Hartzler, Elizabeth A Phelan
OBJECTIVE: To better understand how older adults currently manage emergency information, the barriers and facilitators to planning and management of emergency information, as well as the potential role of information technology to facilitate emergency planning and management. INTRODUCTION: Older adults face a much higher risk of sudden illness/injury and are the age group with the largest percentages of emergent and urgent healthcare visits. Emergency information (health information needed in an emergency situation such as emergency contact information, diagnoses, and advance directives) needs to be maintained and easily accessible to ensure older adults get appropriate care and treatment consistent with their wishes in emergency situations...
March 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29425378/government-cloud-computing-policies-potential-opportunities-for-advancing-military-biomedical-research
#12
Frank J Lebeda, Jeffrey J Zalatoris, Julia B Scheerer
Introduction: This position paper summarizes the development and the present status of Department of Defense (DoD) and other government policies and guidances regarding cloud computing services. Due to the heterogeneous and growing biomedical big datasets, cloud computing services offer an opportunity to mitigate the associated storage and analysis requirements. Having on-demand network access to a shared pool of flexible computing resources creates a consolidated system that should reduce potential duplications of effort in military biomedical research...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29422678/clinical-translation-of-tethered-confocal-microscopy-capsule-for-unsedated-diagnosis-of-eosinophilic-esophagitis
#13
Nima Tabatabaei, DongKyun Kang, Minkyu Kim, Tao Wu, Catriona N Grant, Mireille Rosenberg, Norman S Nishioka, Paul E Hesterberg, John Garber, Qian Yuan, Aubrey J Katz, Guillermo J Tearney
Esophagogastroduodenoscopy (EGD) is a widely used procedure, posing significant financial burden on both healthcare systems and patients. Moreover, EGD is time consuming, sometimes difficult to tolerate, and suffers from an imperfect diagnostic yield as the limited number of collected biopsies does not represent the whole organ. In this paper, we report on technological and clinical feasibility of a swallowable tethered endomicroscopy capsule, which is administered without sedation, to image large regions of esophageal and gastric mucosa at the cellular level...
February 8, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29420549/contexts-of-vulnerability-and-the-acceptability-of-new-biomedical-hiv-prevention-technologies-among-key-populations-in-south-africa-a-qualitative-study
#14
Millicent Atujuna, Peter A Newman, Melissa Wallace, Megan Eluhu, Clara Rubincam, Ben Brown, Linda-Gail Bekker
BACKGROUND: New biomedical prevention technologies (NPTs) may contribute to substantially reducing incident HIV infections globally. We explored acceptability and preferences for NPTs among key and other vulnerable populations in two South African townships. METHODS: We conducted six focus groups and 12 in-depth interviews with adolescents, and adult heterosexual men, women, and men who have sex with men (MSM) (n = 48), and eight in-depth interviews with key informant healthcare workers...
2018: PloS One
https://www.readbyqxmd.com/read/29416943/understanding-value-in-health-data-ecosystems-a-review-of-current-evidence-and-ways-forward
#15
Marjanovic Sonja, Ghiga Ioana, Yang Miaoqing, Knack Anna
The potential of health data to improve the efficiency and effectiveness of health research and development, healthcare delivery, and health systems more widely is substantial. There are many initiatives across the EU that are experimenting with ways to capture value and address the nexus of technical, legal, ethics-related, governance and data protection-related, and cultural challenges to delivering potential benefits for society and the economy. The field of health data research and policy is highly dynamic and there is a need for further reflection, thematic learning and evaluation to better understand how to create and connect receptive places, to inform future interventions and to identify transferable lessons...
January 2018: Rand Health Quarterly
https://www.readbyqxmd.com/read/29411948/challenges-of-identifying-unpublished-data-from-clinical-trials-getting-the-best-out-of-clinical-trials-registers-and-other-novel-sources
#16
Jaana Isojarvi, Hannah Wood, Carol Lefebvre, Julie Glanville
Clinical trial data are essential for assessments of the effectiveness of healthcare interventions. Information about ongoing or completed, but not yet formally published, trials has been more difficult to identify until the development of clinical trials registers and portals. This paper summarises research evidence on identifying sources of trial data, how and when to search those sources and which future developments may enhance access to and retrieval of unpublished trial evidence. We conducted a literature search for relevant studies and provide a narrative review of the evidence from these studies...
February 7, 2018: Research Synthesis Methods
https://www.readbyqxmd.com/read/29406837/optimization-of-medication-use-at-accountable-care-organizations
#17
Chrisanne Wilks, Erik Krisle, Kimberly Westrich, Kristina Lunner, David Muhlestein, Robert Dubois
BACKGROUND: Optimized medication use involves the effective use of medications for better outcomes, improved patient experience, and lower costs. Few studies systematically gather data on the actions accountable care organizations (ACOs) have taken to optimize medication use. OBJECTIVES: To (a) assess how ACOs optimize medication use; (b) establish an association between efforts to optimize medication use and achievement on financial and quality metrics; (c) identify organizational factors that correlate with optimized medication use; and (d) identify barriers to optimized medication use...
May 30, 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29401018/innovative-use-of-electronic-consultations-in-preoperative-anesthesiology-evaluation-at-va-medical-centers-in-new-england
#18
Melissa K Afable, Gouri Gupte, Steven R Simon, Jessica Shanahan, Varsha Vimalananda, Eun Ji Kim, Judith Strymish, Jay D Orlander
Electronic consultations (e-consults) improve access to specialty care without requiring face-to-face patient visits. We conducted a mixed-methods descriptive study to understand the variability in e-consult use across anesthesiology departments in the Veterans Affairs New England Healthcare System (VANEHS). In the period 2012-15, the system experienced a rapid increase in the use of anesthesiology e-consults: 5,023 were sent in 2015, compared with 103 in 2012. Uptake across sites varied from near-universal use of e-consults for preoperative assessment to use for only selected low-risk patients or no use...
February 2018: Health Affairs
https://www.readbyqxmd.com/read/29398108/-health-councils-as-an-instrument-of-community-participation-a-qualitative-research-in-la-rioja-spain
#19
Pablo Alberto Sáinz-Ruiz, Jorge Mínguez-Arias, José Ramón Martínez-Riera
OBJECTIVE: To describe the functioning and regulations of health councils in La Rioja (Spain) as vehicles for citizen participation in health management. METHOD: A qualitative analysis was conducted triangulating the national and regional institutional framework reviews of health councils, the official minutes of 58 meetings, and 11 semi-structured interviews with related persons. RESULTS: The analysis revealed a predominantly biomedical-technological standpoint, a lack of training in community participation dynamics, and an absence of structure in council operations...
February 2, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29395987/humanitarian-health-computing-using-artificial-intelligence-and-social-media-a-narrative-literature-review
#20
Luis Fernandez-Luque, Muhammad Imran
INTRODUCTION: According to the World Health Organization (WHO), over 130 million people are in constant need of humanitarian assistance due to natural disasters, disease outbreaks, and conflicts, among other factors. These health crises can compromise the resilience of healthcare systems, which are essential for achieving the health objectives of the sustainable development goals (SDGs) of the United Nations (UN). During a humanitarian health crisis, rapid and informed decision making is required...
January 25, 2018: International Journal of Medical Informatics
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