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ehealth adoption and use

Sabur Safi, Thomas Thiessen, Kurt Jg Schmailzl
BACKGROUND: This study discusses the acceptance of new medical technologies in health care settings and resistance to these technologies from hospitals, doctors' surgical centers, electronic health (eHealth) centers, and related institutions. We suggest a novel method of identifying factors that influence the acceptance of, and resistance to, new technologies by medical staff and patients. OBJECTIVE: The objective of this study was to determine and evaluate the factors that influence acceptance and resistance to achieve a successful implementation of new technologies...
December 4, 2018: JMIR Research Protocols
Henry A Ogoe, James A Asamani, Harry Hochheiser, Gerald P Douglas
BACKGROUND: eHealth-the proficient application of information and communication technology to support healthcare delivery-has been touted as one of the best solutions to address quality and accessibility challenges in healthcare. Although eHealth could be of more value to health systems in low- and middle-income countries (LMICs) where resources are limited, identification of a competent workforce which can develop and maintain eHealth systems is a key barrier to adoption. Very little is known about the actual or optimal states of the eHealth workforce needs of LMICs...
November 27, 2018: Human Resources for Health
Camille E Short, Ann DeSmet, Catherine Woods, Susan L Williams, Carol Maher, Anouk Middelweerd, Andre Matthias Müller, Petra A Wark, Corneel Vandelanotte, Louise Poppe, Melanie D Hingle, Rik Crutzen
Engagement in electronic health (eHealth) and mobile health (mHealth) behavior change interventions is thought to be important for intervention effectiveness, though what constitutes engagement and how it enhances efficacy has been somewhat unclear in the literature. Recently published detailed definitions and conceptual models of engagement have helped to build consensus around a definition of engagement and improve our understanding of how engagement may influence effectiveness. This work has helped to establish a clearer research agenda...
November 16, 2018: Journal of Medical Internet Research
Alessandra Gorini, Ketti Mazzocco, Stefano Triberti, Valeria Sebri, Lucrezia Savioni, Gabriella Pravettoni
In recent years, technology has been developed as an important resource for health care management, especially in regard to chronic conditions. In the broad field of eHealth, mobile technology (mHealth) is increasingly used to empower patients not only in disease management but also in the achievement of positive experiences and experiential growth. mHealth tools are considered powerful because, unlike more traditional Internet-based tools, they allow patients to be continuously monitored and followed by their own mobile devices and to have continual access to resources (e...
2018: Frontiers in Psychology
Erica A Abel, Stephanie L Shimada, Karen Wang, Christine Ramsey, Melissa Skanderson, Joseph Erdos, Linda Godleski, Thomas K Houston, Cynthia A Brandt
BACKGROUND: Access to mental health care is challenging. The Veterans Health Administration (VHA) has been addressing these challenges through technological innovations including the implementation of Clinical Video Telehealth, two-way interactive and synchronous videoconferencing between a provider and a patient, and an electronic patient portal and personal health record, My HealtheVet. OBJECTIVE: This study aimed to describe early adoption and use of My HealtheVet and Clinical Video Telehealth among VHA users with mental health diagnoses...
November 7, 2018: Journal of Medical Internet Research
Andon Tchechmedjiev, Amine Abdaoui, Vincent Emonet, Stella Zevio, Clement Jonquet
BACKGROUND: Despite a wide adoption of English in science, a significant amount of biomedical data are produced in other languages, such as French. Yet a majority of natural language processing or semantic tools as well as domain terminologies or ontologies are only available in English, and cannot be readily applied to other languages, due to fundamental linguistic differences. However, semantic resources are required to design semantic indexes and transform biomedical (text)data into knowledge for better information mining and retrieval...
November 6, 2018: BMC Bioinformatics
Malin Tistad, Sara Lundell, Maria Wiklund, André Nyberg, Åsa Holmner, Karin Wadell
BACKGROUND: New strategies are urgently needed to support self-management for people with chronic obstructive pulmonary disease (COPD) in primary care. The use of electronic health (eHealth) solutions is promising. However, there is a lack of knowledge about how such eHealth tools should be designed in order to be perceived as relevant and useful and meet the needs and expectations of the health professionals as well as people with COPD and their relatives. OBJECTIVE: The objective of this study was to explore the aspects of an eHealth tool design and content that make it relevant and useful for supporting COPD-related self-management strategies from the perspective of health care professionals, people with COPD and their relatives, and external researchers...
October 26, 2018: JMIR Human Factors
Sabina Lissitsa, Galit Madar
BACKGROUND: The current research focuses on trends of Internet adoption and digital uses among people with disabilities over a thirteen-year period. METHODS: The study is based on data elicited from a repeated cross-sectional study collected by means of Annual Social Surveys conducted by Israel's Central Bureau of Statistics between 2003 and 2015. The sample included 95,145 respondents, among them 22,290 respondents with disabilities. RESULTS: The rate of Internet access and digital uses increased continuously among disabled people; however the gap between them and the population without disabilities was preserved...
October 26, 2018: Israel Journal of Health Policy Research
Mirjam Pot, Robert A C Ruiter, Theo W G M Paulussen, Annerieke Heuvelink, Hester E de Melker, Hans J A van Vliet, Hilde M van Keulen
Background: Currently, the eHealth field calls for detailed descriptions of theory-based interventions in order to support improved design of such interventions. This article aims to provide a systematic description of the design rationale behind an interactive web-based tailored intervention promoting HPV-vaccination acceptability. Methods: The 6-step Intervention Mapping (IM) protocol was used to describe the design rationale. After the needs assessment in Step 1, intervention objectives were formulated in Step 2...
2018: Frontiers in Public Health
Alexander R Lucas, Michael B Bass, Nan E Rothrock, Mary L O'Connor, Mia R Sorkin, Jason Nawyn, Fahd Albinali, Lynne I Wagner
BACKGROUND: Capturing and Analyzing Sensor and Self-Report Data for Clinicians and Researchers (COMPASS) is an electronic health (eHealth) platform designed to improve cancer care delivery through passive monitoring of patients' health status and delivering customizable reports to clinicians. Based on data from sensors and context-driven administration of patient-reported outcome (PRO) measures, key indices of patients' functional status can be collected between regular clinic visits, supporting clinicians in the delivery of patient care...
October 22, 2018: JMIR Medical Informatics
Bassey Ebenso, Matthew John Allsop, Babasola Okusanya, Godwin Akaba, Jamilu Tukur, Kehinde Okunade, David Akeju, Adegbenga Ajepe, Osasuyi Dirisu, Ramsey Yalma, Abubakar Isa Sadeeq, Okey Okuzu, Tolga Ors, Terence Jagger, Joseph Paul Hicks, Tolib Mirzoev, James Nicholas Newell
INTRODUCTION: eHealth solutions that use internet and related technologies to deliver and enhance health services and information are emerging as novel approaches to support healthcare delivery in sub-Saharan Africa. Using digital technology in this way can support cost-effectiveness of care delivery and extend the reach of services to remote locations. Despite the burgeoning literature on eHealth approaches, little is known about the effectiveness of eHealth tools for improving the quality and efficiency of health systems functions or client outcomes in resource-limited countries...
October 18, 2018: BMJ Open
Ruth Ann Marrie, Stella Leung, Tuula Tyry, Gary R Cutter, Robert Fox, Amber Salter
BACKGROUND: Health communication has evolved substantially over the last few years as the field of electronic health (eHealth) technologies has emerged. It is unknown what demographic and clinical characteristics are associated with use of eHealth technologies in MS. As these technologies are more widely adopted in health settings, it is important that health care providers understand who is using them, and to recognize potential disparities if they exist. OBJECTIVE: We aimed to examine the use of eHealth technologies among persons with multiple sclerosis (MS), including the adoption of mobile Health (mHealth) applications (apps) and telehealth, perceived benefits of using mHealth apps, and sociodemographic and clinical characteristics associated with use of these technologies...
October 2, 2018: Multiple Sclerosis and related Disorders
Louise Poppe, Celien Van der Mispel, Geert Crombez, Ilse De Bourdeaudhuij, Helene Schroé, Maïté Verloigne
BACKGROUND: eHealth interventions show stronger effects when informed by solid behavioral change theories; for example, self-regulation models supporting people in translating vague intentions to specific actions have shown to be effective in altering health behaviors. Although these theories inform developers about which behavioral change techniques should be included, they provide limited information about how these techniques can be engagingly implemented in Web-based interventions...
October 1, 2018: Journal of Medical Internet Research
James Kiberd, Usman Khan, Cynthia Stockman, Arun Radhakrishnan, Matthew Phillips, Bryce A Kiberd, Kenneth A West, Steven Soroka, Christopher Chan, Karthik K Tennankore
Background: Improving a patient's experience with their care through an online interface for communication (an eHealth patient portal) has been shown to be beneficial in some studies of chronic disease populations. However, little is known about the effectiveness of an eHealth portal for delivery of care to home dialysis patients. Objectives: Primary: To determine whether an eHealth portal is effective at improving a patient's experience with their home dialysis care...
2018: Canadian Journal of Kidney Health and Disease
Christopher G Kemp, Jennifer Velloza
PURPOSE OF REVIEW: We review recent implementation science focusing on eHealth interventions to improve outcomes along the HIV care cascade. We highlight several gaps in the eHealth implementation literature and propose areas for future study. RECENT FINDINGS: We identified 17 studies conducted in North America, Europe, and sub-Saharan Africa assessing the acceptability, appropriateness, adoption, cost, feasibility, fidelity, penetration, or sustainability of eHealth interventions targeting the HIV care cascade...
September 1, 2018: Current HIV/AIDS Reports
Catherine Wexler, Melinda Brown, Emily A Hurley, Martin Ochieng, Kathy Goggin, Brad Gautney, May Maloba, Raphael Lwembe, Samoel Khamadi, Sarah Finocchario-Kessler
BACKGROUND: Literature suggests that electronic health (eHealth) interventions can improve the efficiency and accuracy of health service delivery and improve health outcomes and are generally well received by patients; however, there are limited data on provider experiences using eHealth interventions in resource-limited settings. The HIV Infant Tracking System (HITSystem) is an eHealth intervention designed to improve early infant diagnosis (EID) outcomes among HIV-exposed infants. OBJECTIVE: We aimed to compare provider experiences with standard EID and HITSystem implementation at 6 Kenyan hospitals and 3 laboratories...
August 22, 2018: JMIR MHealth and UHealth
David Brieger, John Amerena, John R Attia, Beata Bajorek, Kim H Chan, Cia Connell, Ben Freedman, Caleb Ferguson, Tanya Hall, Haris M Haqqani, Jeroen Hendriks, Charlotte M Hespe, Joseph Hung, Jonathan M Kalman, Prashanthan Sanders, John Worthington, Tristan Yan, Nicholas A Zwar
Atrial fibrillation (AF) is increasing in prevalence and is associated with significant morbidity and mortality. The optimal diagnostic and treatment strategies for AF are continually evolving and care for patients requires confidence in integrating these new developments into practice. These clinical practice guidelines will assist Australian practitioners in the diagnosis and management of adult patients with AF. Main recommendations: These guidelines provide advice on the standardised assessment and management of patients with atrial fibrillation regarding: screening, prevention and diagnostic work-up; acute and chronic arrhythmia management with antiarrhythmic therapy and percutaneous and surgical ablative therapies; stroke prevention and optimal use of anticoagulants; and integrated multidisciplinary care...
October 15, 2018: Medical Journal of Australia
H Almond, E Cummings, P Turner
Internationally, shared digital health records are becoming an important addition to improving contemporary healthcare provision. In 2012, Australia launched its version of a shared digital health record, My Health Record, but enrolment is slow and there remain challenges in its practical implementation. Further, people living with complex and chronic conditions in rural and remote communities often experience challenges in obtaining equitable access to contemporary healthcare provision, including eHealth services...
2018: Studies in Health Technology and Informatics
Eirini C Schiza, Theodoros Kyprianou, Nicolai Petkov, Christos N Schizas
The European Union (EU)'s keen concern about citizens' health and well-being protection and advancement has been expressed at all levels. It has been understood that at present, it can only be achieved through coordinated actions at the individual member states' level based on EU directives, as well as through promoting and funding quadruple helix R&D and expanding the use of eHealth technologies. Despite the diversities and particularities among member states, common values such as universal access to good quality healthcare, equity and solidarity have been widely accepted across EU...
May 14, 2018: IEEE Journal of Biomedical and Health Informatics
Chiranjeev Sanyal, Paul Stolee, Don Juzwishin, Don Husereau
BACKGROUND: Innovations in eHealth technologies have the potential to help older adults live independently, maintain their quality of life, and to reduce their health system dependency and health care expenditure. The objective of this study was to systematically review and appraise the quality of cost-effectiveness or utility studies assessing eHealth technologies in study populations involving older adults. METHODS: We systematically searched multiple databases (MEDLINE, EMBASE, CINAHL, NHS EED, and PsycINFO) for peer-reviewed studies published in English from 2000 to 2016 that examined cost-effectiveness (or utility) of eHealth technologies...
2018: PloS One
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