Family perceptions of the usability and value of chronic disease web-based patient portals
In conclusion, the results of this study support the notion that web-based patient portals have the potential to be a useful tool for parents of children with a chronic disease. (Source: Health Informatics Journal)
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Byczkowski, T. L., Munafo, J. K., Britto, M. T. Tags: Articles Source Type: research
Website design: Technical, social and medical issues for self-reporting by elderly patients
There is growing interest in the use of the Internet for interacting with patients, both in terms of healthcare information provision and information gathering. In this article, we examine the issues in designing healthcare websites for elderly users. In particular, this article uses a year-long case study of the development of a web-based system for self-reporting of symptoms and quality of life with a view to examine the issues relating to website design for elderly users. The issues identified included the technical, social and medical aspects of website design for elderly users. The web-based system developed was based...
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Taylor, M. J., Stables, R., Matata, B., Lisboa, P. J., Laws, A., Almond, P. Tags: Articles Source Type: research
"Willing but Unwilling": Attitudinal barriers to adoption of home-based health information technology among older adults
While much research focuses on adoption of electronic health-care records and other information technology among health-care providers, less research explores patient attitudes. This qualitative study examines barriers to adoption of home-based health information technology, particularly personal electronic health records, among older adults. We conducted in-depth interviews (30–90 min duration) with 35 American adults, aged 46–72 years, to determine their perceptions of and attitudes toward home-based health information technology. Analysis of interview data revealed that most barriers to adoption fell under f...
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Young, R., Willis, E., Cameron, G., Geana, M. Tags: Articles Source Type: research
Cyborg practices: Call-handlers and computerised decision support systems in urgent and emergency care
This article draws on data collected during a 2-year project examining the deployment of a computerised decision support system. This computerised decision support system was designed to be used by non-clinical staff for dealing with calls to emergency (999) and urgent care (out-of-hours) services. One of the promises of computerised decisions support technologies is that they can ‘hold’ vast amounts of sophisticated clinical knowledge and combine it with decision algorithms to enable standardised decision-making by non-clinical (clerical) staff. This article draws on our ethnographic study of this computerised...
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Pope, C., Halford, S., Turnbull, J., Prichard, J. Tags: Articles Source Type: research
Health-oriented electronic oral health record: Development and evaluation
This study aims to develop and evaluate a new Health-oriented Electronic Oral Health Record that implements the health-oriented status and intervention index. The index takes the principles of holistic oral healthcare and applies them to the design and implementation of the Health-oriented Electronic Oral Health Record. We designed an experiment using focus groups and a consensus (Delphi process) method to develop a new health-oriented status and intervention index and graphical user interface. A comparative intervention study with qualitative and quantitative methods was used to compare an existing Electronic Oral Health ...
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Wongsapai, M., Suebnukarn, S., Rajchagool, S., Beach, D., Kawaguchi, S. Tags: Articles Source Type: research
Analysing the diffusion and adoption of mobile IT across social worlds
The diffusion and adoption of information technology innovations (e.g. mobile information technology) in healthcare organizations involves a dynamic process of change with multiple stakeholders with competing interests, varying commitments, and conflicting values. Nevertheless, the extant literature on mobile information technology diffusion and adoption has predominantly focused on organizations and individuals as the unit of analysis, with little emphasis on the environment in which healthcare organizations are embedded. We propose the social worlds approach as a promising theoretical lens for dealing with this limitatio...
Source: Health Informatics Journal - May 8, 2014 Category: Information Technology Authors: Nielsen, J. A., Mengiste, S. A. Tags: Articles Source Type: research
Analysis of mobile health applications for a broad spectrum of consumers: A user experience approach
Mobile health (m-health) apps can bring health prevention and promotion to the general population. The main purpose of this article is to analyze different m-health apps for a broad spectrum of consumers by means of three different experiences. This goal was defined following the strategic documents generated by the main prospective observatories of Information and Communications Technology for health. After a general exploration of the app markets, we analyze the entries of three specific themes focused in this article: type 2 diabetes, obesity, and breast-feeding. The user experiences reported in this study mostly cover ...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Garcia-Gomez, J. M., de la Torre-Diez, I., Vicente, J., Robles, M., Lopez-Coronado, M., Rodrigues, J. J. Tags: Articles Source Type: research
A mixed methods pilot study to investigate the impact of a hospital-specific iPhone application (iTreat) within a British junior doctor cohort
We present a pilot study to investigate the impact of introducing a hospital-specific smartphone application into a cohort of British junior doctors. We created the iPhone application ‘iTreat’ that contained disease management and antibiotic dosing guidelines specific to our hospital, together with a postgraduate education department really simple syndication feed, a contact number phonebook and a favourites section. This intervention was trialled in a group of 39 foundation grade junior doctors, in a UK hospital, for a time period of 4 months. Mixed methods data capture, utilising survey and semi-structured in...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Payne, K. F., Weeks, L., Dunning, P. Tags: Articles Source Type: research
Empowering patients through social media: The benefits and challenges
Conclusions are that such technology holds promise for improving patient engagement and empowerment and community building. Social media has a future in healthcare, especially with regard to patient engagement and empowerment; however, there are several challenges to overcome before the technology can achieve its potential. (Source: Health Informatics Journal)
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Househ, M., Borycki, E., Kushniruk, A. Tags: Articles Source Type: research
Sources of variation in primary care clinical workflow: Implications for the design of cognitive support
This article identifies sources of variation in clinical workflow and implications for the design and implementation of electronic clinical decision support. Sources of variation in workflow were identified via rapid ethnographic observation, focus groups, and interviews across a total of eight medical centers in both the Veterans Health Administration and academic medical centers nationally regarded as leaders in developing and using clinical decision support. Data were reviewed for types of variability within the social and technical subsystems and the external environment as described in the sociotechnical systems theor...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Militello, L. G., Arbuckle, N. B., Saleem, J. J., Patterson, E., Flanagan, M., Haggstrom, D., Doebbeling, B. N. Tags: Articles Source Type: research
The challenges of linking health insurer claims with electronic medical records
This article explores the challenges inherent in linking data from disparate sources—electronic medical records (EMR) and health insurer claims—and the probable benefits of doing so to evaluate several quality measures associated with diabetes. Using the business associate agreement provision of the Health Insurance Portability and Accountability Act, we were able to link health insurer claims with EMR data; however, when restricting the linked data to patients with at least one medication and one diagnosis in the evaluation year, we lost 90 percent of our linked population. Whether this loss was due to difficu...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: West, S. L., Johnson, W., Visscher, W., Kluckman, M., Qin, Y., Larsen, A. Tags: Articles Source Type: research
The use of weblogs within palliative care: A systematic literature review
The objective of this article is to review current research on palliative care service users’ experience of using weblogs. A search was conducted in MEDLINE, PsycINFO and PubMed from 2002 to 2012 focusing on weblogs in palliative care. After extensive searches and assessment, six articles were included in the review. Results show that palliative care bloggers find blogging therapeutic and beneficial. Weblogs empowered individuals leading to health behaviour change while also giving them access to social support thus fostering well-being. However, there is lack of robust evidence showing the benefits of blogging using...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Ngwenya, N. B., Mills, S. Tags: Articles Source Type: research
Increased electronic information sharing by sexual health services: Confidentiality and consent
In this study, we investigated patient attitudes towards a change in practice to support an integrated care model. Outcomes showed that confidentiality remains a significant concern, and routine sharing of patient information may create barriers to attendance for some, leading to a potential increase in untreated infections. We conclude that sexual health services may be able to change their information management practices to an opt-out consent system and routinely share health information with other health providers, but further public discussion to ensure informed consent is needed before this can happen. Regardless of ...
Source: Health Informatics Journal - February 18, 2014 Category: Information Technology Authors: Hunter, I., Haining Ede, G., Whiddett, R. Tags: Articles Source Type: research
Mobile health platform for pressure ulcer monitoring with electronic health record integration
This article presents a mobile pressure ulcer monitoring platform (mULCER), which helps control a patient’s ulcer status during all stages of treatment. Beside its stand-alone version, it can be integrated with electronic health record systems as mULCER synchronizes ulcer data with any electronic health record system using HL7 standards. It serves as a tool to integrate nursing care among hospital departments and institutions. mULCER was experimented with in different mobile devices such as LG Optimus One P500, Samsung Galaxy Tab, HTC Magic, Samsung Galaxy S, and Samsung Galaxy i5700, taking into account the user&rsq...
Source: Health Informatics Journal - November 19, 2013 Category: Information Technology Authors: Rodrigues, J. J., Pedro, L. M., Vardasca, T., de la Torre-Diez, I., Martins, H. M. Tags: Articles Source Type: research
Online anonymous discussion between service users and health professionals to ascertain stakeholder concerns in using e-health services in mental health
Implementation of e-health in mental health services requires that we are aware of stakeholders’ concerns. We ascertained the views of mental health professionals and mental health service users through the (1) development of 12 topics based on the research literature, (2) presentation to 31 participants (19 mental health professionals and 12 mental health service users) and discussion in three 1-week programmes, (3) thematic analysis of transcripts, and (4) comparison with the literature to identify areas requiring attention in e-health implementation. This method of engaging mental health service users and mental h...
Source: Health Informatics Journal - November 19, 2013 Category: Information Technology Authors: Jones, R. B., Ashurst, E. J. Tags: Articles Source Type: research
