Developing requirements for a mobile app to support citizens in dealing with ticks and tick bites via end-user profiling
Tick bites and tick-borne infections are an increasingly large problem. There is a wide range of precautions that citizens can take, but compliance is low. Mobile technology can offer a solution here, as they allow citizens to access health information in context. In this article, we discuss the development of requirements for a mobile app to support citizens in dealing with ticks and tick bites. First, we identified organizational stakeholders based on relevant protocols, and primary end-users via a systematic risk determination procedure. Then, we profiled end-users based on 25 in-depth interviews. We consulted organizat...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: van Velsen, L., Beaujean, D. J., Wentzel, J., Van Steenbergen, J. E., van Gemert-Pijnen, J. E. Tags: Articles Source Type: research

Development and usability testing of a web-based cancer symptom and quality-of-life support intervention
The feasibility and acceptability of computerized screening and patient-reported outcome measures have been demonstrated in the literature. However, patient-centered management of health information entails two challenges: gathering and presenting data using "patient-tailored" methods and supporting "patient-control" of health information. The design and development of many symptom and quality-of-life information systems have not included opportunities for systematically collecting and analyzing user input. As part of a larger clinical trial, the Electronic Self-Report Assessment for Cancer–II project, participatory ...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Wolpin, S., Halpenny, B., Whitman, G., McReynolds, J., Stewart, M., Lober, W., Berry, D. Tags: Articles Source Type: research

General practice and the Internet revolution. Use of an Internet social network to communicate information on prevention in France
The popularity of social networks and the huge number of exchanges have made them immensely important for the communication of information. This French study explored prevention in hereditary breast cancer using a social Internet network to communicate information. The principal objective was to inform French women aged from 20 to 50 years, using the social network Facebook, about the warning signs of breast cancer in cases of a predisposition to the disease due to a genetic mutation. The secondary objectives were to inform people about screening. An information page entitled "hereditary breast cancer: and if I was concern...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Veuillotte, I., Morel, G., Pitois, S., Haler, R., Mercier, P., Aubry, C., Cannet, D. Tags: Articles Source Type: research

University of California, Irvine-Pathology Extraction Pipeline: The pathology extraction pipeline for information extraction from pathology reports
We describe Pathology Extraction Pipeline (PEP)—a new Open Health Natural Language Processing pipeline that we have developed for information extraction from pathology reports, with the goal of populating the extracted data into a research data warehouse. Specifically, we have built upon Medical Knowledge Analysis Tool pipeline (MedKATp), which is an extraction framework focused on pathology reports. Our particular contributions include additional customization and development on MedKATp to extract data elements and relationships from cancer pathology reports in richer detail than at present, an abstraction layer tha...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Ashish, N., Dahm, L., Boicey, C. Tags: Articles Source Type: research

Tuberculosis-Diagnostic Expert System: An architecture for translating patients information from the web for use in tuberculosis diagnosis
Conclusion: Several existing expert systems have been developed for the purpose of supporting different medical diagnoses, but none is designed to translate tuberculosis patients’ symptomatic data for online pre-laboratory screening. Our Tuberculosis–Diagnosis Expert System is an effective solution for the implementation of the needed web-based expert system diagnosis. (Source: Health Informatics Journal)
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Osamor, V. C., Azeta, A. A., Ajulo, O. O. Tags: Articles Source Type: research

Accessibility, usability, and usefulness of a Web-based clinical decision support tool to enhance provider-patient communication around Self-management TO Prevent (STOP) Stroke
This article reports redesign strategies identified to create a Web-based user-interface for the Self-management TO Prevent (STOP) Stroke Tool. Members of a Stroke Quality Improvement Network (N = 12) viewed a visualization video of a proposed prototype and provided feedback on implementation barriers/facilitators. Stroke-care providers (N = 10) tested the Web-based prototype in think-aloud sessions of simulated clinic visits. Participants’ dialogues were coded into themes. Access to comprehensive information and the automated features/systematized processes were the primary accessibility and usability facilitator th...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Anderson, J. A., Godwin, K. M., Saleem, J. J., Russell, S., Robinson, J. J., Kimmel, B. Tags: Articles Source Type: research

Reproductive health professionals' adoption of emerging technologies for health promotion
The purpose of this study was to assess reproductive health professionals’ familiarity with and use of various electronic technologies to support health promotion. The study also examined the relationship between demographic characteristics and attitudes and beliefs of the effectiveness of new technologies and perceived barriers for usage. A total of 165 reproductive health professionals at two conferences related to reproductive health in the United States completed the study survey. Personal and organizational factors affected the adoption of electronic technologies for health promotion. This included lack of knowl...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Smith, P. B., Buzi, R. S. Tags: Articles Source Type: research

The impact of using electronic patient records on practices of reading and writing
The aim of this study was to investigate the use of electronic patient records in daily practice. In four wards of a large hospital district in Finland, N = 43 patients’ care and activities were observed and analysed in terms of the Grounded Theory method. The findings revealed that using electronic patient records created a particular process of writing and reading. Wireless technology enabled simultaneous patient involvement and point-of-care documentation, additionally supporting real-time reading. Remote and retrospective documentation was distant in terms of both space and time. The remoteness caused double docu...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Laitinen, H., Kaunonen, M., Astedt-Kurki, P. Tags: Articles Source Type: research

Using advanced mobile devices in nursing practice - the views of nurses and nursing students
This study aims at describing registered nurses’ and nursing students’ views regarding the use of advanced mobile devices in nursing practice. A cross-sectional study was completed in 2012; a total of 398 participants replied to a questionnaire, and descriptive statistics were applied. Results showed that the majority of the participants regarded an advanced mobile device to be useful, giving access to necessary information and also being useful in making notes, planning their work and saving time. Furthermore, the advanced mobile device was regarded to improve patient safety and the quality of care and to incr...
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Johansson, P., Petersson, G., Saveman, B.-I., Nilsson, G. Tags: Regular Article Source Type: research

Beyond bureaucracy: Emerging trends in social care informatics
Existing information technology systems in much of UK social care have been designed to serve the interests of the bureaucracy rather than supporting professional practice or improving services to the public. The ill-starred Integrated Children’s System in statutory children’s services is typical. The Integrated Children’s System is a system for form-filling, micro-managing professional practice through an enforced regime of standard processes and time scales. In this article, we argue against this dominant design. We provide several examples where technology has enabled alternative modes of support for p...
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Wastell, D., White, S. Tags: Special Issue Articles Source Type: research

Organizational learning in the implementation and adoption of national electronic health records: Case studies of two hospitals participating in the National Programme for Information Technology in England
Conclusion: Despite the turbulent overall national "roll out" of electronic health record systems into the English hospitals, considerable opportunities for organizational learning were offered by sequential delivery of the electronic health record software into "early adopter" hospitals. We argue that understanding the process of organizational learning and its enabling factors has the potential to support efforts at implementing national electronic health record implementation endeavors. (Source: Health Informatics Journal)
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Takian, A., Sheikh, A., Barber, N. Tags: Special Issue Articles Source Type: research

Fitness for purpose when there are many different purposes: Who are electronic patient records for?
Electronic patient record systems serve many purposes for many different kinds of users. Four case studies are reported of the use made by health-care staff of electronic patient record systems that supported health-care pathways. The results demonstrate that the systems fit the purposes of strategic and managerial users of the record, but they are problematic as tools for use by the frontline staff delivering care. As a result, these staff frequently resort to workarounds to accomplish their work goals. An analysis of the design processes that created these systems shows that the specification of the systems was based on ...
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Eason, K., Waterson, P. Tags: Special Issue Articles Source Type: research

Electronic patient information systems and care pathways: The organisational challenges of implementation and integration
We report on the development and implementation of four such pathways within two National Health Service primary care trusts in England: (a) frail elderly care, (b) stroke care, (c) diabetic retinopathy screening and (d) intermediate care. The pathways were selected because each represents a different type of information and data ‘couplings’, in terms of task interdependency with some pathways/systems reflecting more complex coordinating patterns than others. Our aim here is identify and explain how health professionals and information specialists in two organisational National Health Service primary care trust...
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Dent, M., Tutt, D. Tags: Special Issue Articles Source Type: research

Digital health care: Cementing centralisation?
This article reviews large-scale digital developments in the National Health Service in England in recent years and argues that there is a mismatch between digital and organisational thinking and practice. The arguments are based on new institutional thinking, where the digital infrastructure is taken to be an institution, which has been shaped over a long period, and which in turn shapes the behaviour of health professionals, managers and others. Many digital services are still being designed in line with a bureaucratic data processing model. Yet health services are increasingly based on a network model, where health prof...
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Keen, J. Tags: Special Issue Articles Source Type: research

Electronic information in health and social care - promises and pitfalls
(Source: Health Informatics Journal)
Source: Health Informatics Journal - September 2, 2014 Category: Information Technology Authors: Dent, M., Eason, K. Tags: Special Issue Articles Source Type: research