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https://www.readbyqxmd.com/read/29930962/utilizing-standard-data-transactions-and-public-private-partnerships-to-support-healthy-weight-within-the-community
#1
Sean P Mikles, Jennifer L Wiltz, Lori Reed-Fourquet, Ian S Painter, William B Lober
Context: Obesity is a significant health issue in the United States that both clinical and public health systems struggle to address. Electronic health record data could help support multi-sectoral interventions to address obesity. Standards have been identified and created to support the electronic exchange of weight-related data across many stakeholder groups. Case Description: The Centers for Disease Control and Prevention initiated a public-private partnership including government, industry, and academic technology partners to develop workflow scenarios and supporting systems to exchange weight-related data through standard transactions...
December 6, 2017: EGEMS
https://www.readbyqxmd.com/read/29928006/the-long-term-costs-for-treating-multiple-sclerosis-in-a-16-year-retrospective-cohort-study-in-brazil
#2
Isabela Maia Diniz, Augusto Afonso Guerra, Livia Lovato Pires de Lemos, Kathiaja M Souza, Brian Godman, Marion Bennie, Björn Wettermark, Francisco de Assis Acurcio, Juliana Alvares, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia, Vânia Eloisa de Araújo
BACKGROUND: Multiple Sclerosis (MS) is a disease that appreciably impacts on the quality of life of patients and is associated with high expenditure. MS is a chronic multifactorial disease, characterized by inflammation, demyelination and axonal loss. The Brazilian public health system provides pharmacological treatment as well as hospital and outpatient care for patients with relapsing-remitting and secondary progressive multiple sclerosis. However, we are not aware of any previous publications assessing total direct medical costs in patients with a long follow-up within the Brazilian healthcare system...
2018: PloS One
https://www.readbyqxmd.com/read/29923774/healthcare-resource-waste-associated-with-patient-nonadherence-and-early-discontinuation-of-traditional-continuous-glucose-monitoring-in-real-world-settings-a-multicountry-analysis
#3
Shengsheng Yu, Biju Varughese, Zhiyi Li, Pam R Kushner
BACKGROUND: Traditional continuous glucose monitoring (CGM) provides detailed information on glucose patterns and trends to inform daily diabetes management decisions, which is particularly beneficial for patients with a history of hypoglycemia unawareness. However, a high level of patient adherence (≥70%) is required to achieve clinical benefits. The aim of this study was to assess the impact of real-world patient nonadherence and early discontinuation on healthcare resource use. METHODS: A cost calculator was designed to evaluate monthly healthcare resource waste within the first year of traditional CGM initiation by combining estimates of real-world nonadherence and early discontinuation from the literature with the wholesale acquisition costs of the current technology in the United States (for a commercial payer and for Medicare), or its equivalent in Sweden, Germany, or the Netherlands...
June 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29922349/a-retrospective-review-of-the-clinical-characteristics-and-blood-glucose-data-from-cellnovo-system-users-using-data-collected-from-the-cellnovo-online-platform
#4
REVIEW
Olivia Hautier-Suply, Yasmin Friedmann, Julian Shapley
Technological advances have led to innovative insulin delivery systems for patients with type 1 diabetes mellitus. In particular, the combination of miniature engineering and software algorithms contained in continuous subcutaneous insulin infusion (CSII) system pumps provide the user and the healthcare practitioner with an opportunity to review and adjust blood glucose (BG) levels according to system feedback, and to modify or programme their regimen according to their needs. While CSII pumps record a number of data parameters such as BG level, carbohydrate intake, activity and insulin delivered, these data are generally 'locked in' and can only be accessed by uploading to a cloud-based system, thus information is not contemporaneous...
April 2018: European Endocrinology
https://www.readbyqxmd.com/read/29917118/considering-systemic-barriers-to-treating-tobacco-use-in-clinical-settings-in-the-united-states
#5
Alana M Rojewski, Steffani R Bailey, Steven L Bernstein, Nina A Cooperman, Ellen R Gritz, Maher A Karam-Hage, Megan E Piper, Nancy A Rigotti, Graham W Warren
The Comorbidity Workgroup of the Tobacco Treatment Research Network, within the Society for Research on Nicotine and Tobacco, previously highlighted the need to provide tobacco treatment to patients diagnosed with comorbid physical and mental health conditions. Yet, systemic barriers in the United States healthcare system prevent many patients who present for medical treatment from getting the evidence-based tobacco treatment that they need. The identified barriers include insufficient training in the epidemiologic impact of tobacco use, related disorders, and pharmacological and behavioral treatment approaches; misunderstanding among clinicians about the effectiveness of tobacco treatment; lack of therapeutic support from clinical staff; insufficient use of health information technology to improve tobacco use identification and treatment; and limited time and reimbursement for clinicians to provide treatment...
June 15, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29916738/emerging-technologies-for-diabetes-care
#6
Timothy S Bailey, John Walsh, Jenine Y Stone
New therapies, monitoring, and revolutionary enabling technologies applied to healthcare represent an historic opportunity to improve the lives of people with diabetes. These advances enable more meaningful monitoring of blood glucose values with the facilitation of more optimal insulin dosing and delivery. Newer insulins and delivery systems are in development that seek to mitigate both hyperglycemia and hypoglycemia and increase time in range. Information systems now exist that may be leveraged to merge data from previously discrete systems into new models of connected care...
June 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29911697/30th-annual-drug-information-association-dia-europe-2018-april-17-19-2018-basel-switzerland
#7
S Hamaui Cuadrado, M Guinart Vidal
The Drug Information Association (DIA) Europe held its annual meeting from April 17-19, 2018, in Basel, Switzerland. The key topics discussed in the 3-day meeting were related to pharmacovigilance, clinical development, patient engagement, data and data standards, preclinical development and early-phase clinical research, regulatory science, translational medicine and science, and value and access. The program was principally focused on the current opportunities and future landscape of the healthcare system as a result of the increasingly innovative technologies and effective utilization of big data...
May 2018: Drugs of Today
https://www.readbyqxmd.com/read/29911515/historical-development-of-the-htasialink-network-and-its-key-determinants-of-success
#8
Yot Teerawattananon, Karlena Luz, Chalarntorn Yothasmutra, Raoh-Fang Pwu, Jeonghoon Ahn, Asrul Akmal Shafie, Kalipso Chalkidou, Sripen Tantivess, Benjarin Santatiwongchai, Waranya Rattanavipapong, Saudamini Dabak
OBJECTIVES: The aim of this study was to describe the historical development of the HTAsiaLink network, draw lessons for other similar initiatives globally, and to analyze key determinants of its success and challenges for its future development. METHODS: This study is based on the collective and direct experiences of the founding members of the HTAsiaLink Network. Data were collected from presentations they made at various international forums and additional information was reviewed...
June 18, 2018: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/29909476/the-use-of-ehealth-to-promote-physical-activity-in-cancer-survivors-a-systematic-review
#9
Ciarán Haberlin, Tom O'Dwyer, David Mockler, Jonathan Moran, Dearbhaile M O'Donnell, Julie Broderick
PURPOSE: Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors...
June 16, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29905763/idp-denovo-de-novo-transcriptome-assembly-and-isoform-annotation-by-hybrid-sequencing
#10
Shuhua Fu, Yingke Ma, Hui Yao, Zhichao Xu, Shilin Chen, Jingyuan Song, Kin Fai Au
Motivation: In the past years, the long read (LR) sequencing technologies, such as Pacific Biosciences and Oxford Nanopore Technologies, have been demonstrated to substantially improve the quality of genome assembly and transcriptome characterization. Compared to the high cost of genome assembly by LR sequencing, it is more affordable to generate LRs for transcriptome characterization. That is, when informative transcriptome LR data are available without a high-quality genome, a method for de novo transcriptome assembly and annotation is of high demand...
February 23, 2018: Bioinformatics
https://www.readbyqxmd.com/read/29905084/test-results-management-and-distributed-cognition-in-electronic-health-record-enabled-primary-care
#11
Michael W Smith, Ashley M Hughes, Charnetta Brown, Elise Russo And, Traber D Giardina, Praveen Mehta, Hardeep Singh
Managing abnormal test results in primary care involves coordination across various settings. This study identifies how primary care teams manage test results in a large, computerized healthcare system in order to inform health information technology requirements for test results management and other distributed healthcare services. At five US Veterans Health Administration facilities, we interviewed 37 primary care team members, including 16 primary care providers, 12 registered nurses, and 9 licensed practical nurses...
June 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29903648/cybersecurity-in-healthcare-a-narrative-review-of-trends-threats-and-ways-forward
#12
REVIEW
Lynne Coventry, Dawn Branley
Electronic healthcare technology is prevalent around the world and creates huge potential to improve clinical outcomes and transform care delivery. However, there are increasing concerns relating to the security of healthcare data and devices. Increased connectivity to existing computer networks has exposed medical devices to new cybersecurity vulnerabilities. Healthcare is an attractive target for cybercrime for two fundamental reasons: it is a rich source of valuable data and its defences are weak. Cybersecurity breaches include stealing health information and ransomware attacks on hospitals, and could include attacks on implanted medical devices...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29903647/from-a-to-z-wearable-technology-explained
#13
REVIEW
A Godfrey, V Hetherington, H Shum, P Bonato, N H Lovell, S Stuart
Wearable technology (WT) has become a viable means to provide low-cost clinically sensitive data for more informed patient assessment. The benefit of WT seems obvious: small, worn discreetly in any environment, personalised data and possible integration into communication networks, facilitating remote monitoring. Yet, WT remains poorly understood and technology innovation often exceeds pragmatic clinical demand and use. Here, we provide an overview of the common challenges facing WT if it is to transition from novel gadget to an efficient, valid and reliable clinical tool for modern medicine...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29901658/blockchain-technology-a-data-framework-to-improve-validity-trust-and-accountability-of-information-exchange-in-health-professions-education
#14
Eric Funk, Jeff Riddell, Felix Ankel, Daniel Cabrera
Health professions educators face multiple challenges, among them the need to adapt educational methods to new technologies. In the last decades multiple new digital platforms have appeared in the learning arena, including massive open online courses and social media-based education. The major critique of these novel methods is the lack of the ability to ascertain the origin, validity, and accountability of the knowledge that is created, shared, and acquired. Recently, a novel technology based on secured data storage and transmission, called blockchain, has emerged as a way to generate networks where validity, trust, and accountability can be created...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29898713/what-are-the-effective-elements-in-patient-centered-and-multimorbidity-care-a-scoping-review
#15
Marie-Eve Poitras, Marie-Eve Maltais, Louisa Bestard-Denommé, Moira Stewart, Martin Fortin
BACKGROUND: Interventions to improve patient-centered care for persons with multimorbidity are in constant growth. To date, the emphasis has been on two separate kinds of interventions, those based on a patient-centered care approach with persons with chronic disease and the other ones created specifically for persons with multimorbidity. Their effectiveness in primary healthcare is well documented. Currently, none of these interventions have synthesized a patient-centered care approach for care for multimorbidity...
June 14, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29894811/greater-patient-health-information-control-to-improve-the-sustainability-of-health-information-exchanges
#16
Mohamed Abdelhamid
Health information exchanges (HIEs) are multisided platforms that facilitate the sharing of patient health information (PHI) between providers and payers across organizations within a region, community or hospital system. The benefits of HIEs to payers and providers include lower cost, faster services, and better health outcome. However, most HIEs have configured the patient healthcare consent process to give all providers who sign up with the exchange access to PHI for all consenting patients, leaving no control to patients in customized what information to share and with who...
June 9, 2018: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/29888661/-information-and-communication-technologies-in-the-integrated-care-of-people-with-dementia
#17
Péter Osváth, Attila Kovács, Adrienn Boda-Jörg, Tamás Tényi, Sándor Fekete, Viktor Vörös
Modern information and communication tools have increasingly become an indispensable part of our everyday life. Research data demonstrate that it can be used effectively to preserve and restore health, not just among young people but also among the elderly, as for nowadays the use of the internet is widespread among the elderly, but healthcare applications are less well-known. This supports the significance of our project since it is important to develop and introduce disease-specific healthcare applications...
June 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29888145/a-community-based-iot-personalized-wireless-healthcare-solution-trial
#18
Philip A Catherwood, David Steele, Mike Little, Stephen Mccomb, James Mclaughlin
This paper presents an advanced Internet of Things point-of-care bio-fluid analyzer; a LoRa/Bluetooth-enabled electronic reader for biomedical strip-based diagnostics system for personalized monitoring. We undertake test simulations (technology trial without patient subjects) to demonstrate potential of long-range analysis, using a disposable test 'key' and companion Android app to form a diagnostic platform suitable for remote point-of-care screening for urinary tract infection (UTI). The 868 MHz LoRaWAN-enabled personalized monitor demonstrated sound potential with UTI test results being correctly diagnosed and transmitted to a remote secure cloud server in every case...
2018: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/29888095/i2b2-implemented-over-smart-on-fhir
#19
Nicolas Paris, Michael Mendis, Christel Daniel, Shawn Murphy, Xavier Tannier, Pierre Zweigenbaum
Integrating Biology and the Bedside (i2b2) is the de-facto open-source medical tool for cohort discovery. Fast Healthcare Interoperability Resources (FHIR) is a new standard for exchanging health care information electronically. Substitutable Modular third-party Applications (SMART) defines the SMART-on-FHIR specification on how applications shall interface with Electronic Health Records (EHR) through FHIR. Related work made it possible to produce FHIR from an i2b2 instance or made i2b2 able to store FHIR datasets...
2018: AMIA Summits on Translational Science Proceedings
https://www.readbyqxmd.com/read/29887765/how-will-the-internet-of-things-enable-augmented-personalized-health
#20
Amit Sheth, Utkarshani Jaimini, Hong Yung Yip
The Internet of Things refers to network-enabled technologies, including mobile and wearable devices, which are capable of sensing and actuation as well as interaction and communication with other similar devices over the Internet. The IoT is profoundly redefining the way we create, consume, and share information. Ordinary citizens increasingly use these technologies to track their sleep, food intake, activity, vital signs, and other physiological statuses. This activity is complemented by IoT systems that continuously collect and process environment-related data that has a bearing on human health...
January 2018: IEEE Intelligent Systems
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