The ICMCC Science Pages offer you bibliographical information on scientific articles from journals and books, related to medical and care compunetics (the social, societal and ethical aspects of the use of ICT), based on the links contained in the ICMCC database (actually 2557 articles (2363 from 511 journals and 194 book articles/chapters) and 26 books and proceedings and growing).
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Recently Published
Nsanzimana S et al, Journal of Acquired Immune Deficiency Syndromes, 59(2)
BACKGROUND
Monitoring and evaluation of antiretroviral treatment (ART) scale-up has been challenging in resource-limited settings. We describe an innovative cell-phone-based and internet-based reporting system (TRACnet) utilized in Rwanda.
METHODS
From January 2004 to June 30, 2010, all health facilities with ART services submitted standardized monthly aggregate reports of key indicators. National cohort data were analyzed to examine trends in characteristics of patients initiating ART and cumulative cohort outcomes. Estimates of HIV-infected patients eligible for ART were obtained from Joint United Nations Program on HIV/AIDS (Estimation and Projection Package-Spectrum, 2010).
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Added: 27 January 2012 | Published:
1 February 2012 |
Mathias JS et al, J Am Med Inform Assoc, 2012
Background
National organizations historically focused on increasing use of effective services are now attempting to identify and discourage use of low-value services. Electronic health records (EHRs) could be used to measure use of low-value services, but few studies have examined this. The aim of the study was to: (1) determine if EHR data can be used to identify women eligible for an extended Pap testing interval; (2) determine the proportion of these women who received a Pap test sooner than recommended; and (3) assess the consequences of these low-value Pap tests.MethodsElectronic query of EHR data identified women aged 30-65 years old who were at low-risk of cervical cancer and therefore eligible for an extended Pap testing interval of 3 years (as per professional society guidelines). Manual chart review assessed query accuracy.
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Added: 27 January 2012 | Published:
19 January 2012 |
Atalag K et al, electronic Journal of Health Informatics, 7(1)
Maintaining health information systems over time requires significant effort and time. This is especially marked in clinical information systems where most, if not all, functional software requirements are dependent on healthcare concepts and processes which are prone to high rate of change. Software engineering literature indicates that maintenance tasks alone may constitute 70-80% of the total development cost. It has been suggested that openEHR based systems will effectively tackle this by separating domain knowledge from software code. The objective of this paper is to assess the maintainability of an openEHR based clinical application with comparison to another application based on the same functional requirements but implemented using traditional development methods.
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Added: 26 January 2012 | Published:
24 January 2012 |
Haug S et al, BMC Public Health, 12(1)
BACKGROUND:
Particularly in groups of adolescents with lower educational level the smoking prevalence is still high and constitutes a serious public health problem. There is limited evidence of effective smoking cessation interventions in this group. Individualised text messaging (SMS) based interventions are promising to support smoking cessation and could be provided to adolescents irrespective of their motivation to quit. The aim of the current paper is to outline the study protocol of a trial testing the efficacy of an SMS based intervention for smoking cessation in apprentices.
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Added: 26 January 2012 | Published:
19 January 2012 |
Schuemie MJ et al, Pharmacoepidemiology and Drug Safety, 2012
PURPOSE:
Increasingly, patient information is stored in electronic medical records, which could be reused for research. Often these records comprise unstructured narrative data, which are cumbersome to analyze. The authors investigated whether text mining can make these data suitable for epidemiological studies and compared a concept recognition approach and a range of machine learning techniques that require a manually annotated training set. The authors show how this training set can be created with minimal effort by using a broad database query.
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Added: 26 January 2012 | Published:
24 January 2012 |
Dumortier J, Verhenneman G. SSRN, 2011
This chapter critically analyzes the legal and regulatory framework for Electronic Health Records in Europe and the US. At both parts of the world, the development of EHRs is evolving quickly, but many different approaches have proven possible. Different approaches resulted in different EHR solutions and different regulatory instruments. In Europe governmental bodies have been the driving force behind the development and implementation of EHRs. Consequently many European countries established a new legal framework simultaneously with the roll-out of government-initiated eHealth structures.
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Added: 26 January 2012 | Published:
22 December 2011 |
Won BY, Park HG. Angewandte Chemie International Edition, 51(3)
Touchscreen testing: A biomolecular detection platform is presented that utilizes a capacitive touchscreen to measure DNA concentration.
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Added: 25 January 2012 | Published:
15 November 2011 |
McCartney M. BMJ, 344
Professionalism and social media can be an uneasy mix. In the police force, Freedom of Information data have shown that, in the past four years, two officers have been sacked, seven resigned, and over 150 been disciplined for placing “inappropriate” photographs or comments online. Nurses have been sacked after making comments about patients and colleagues online, posting photographs of themselves exposing their breasts while in uniform, and putting pictures of patients online.
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Added: 25 January 2012 | Published:
23 January 2012 |
Herrin J et al, Health Services Research, 2012
Objective
To assess the impact of electronic health record (EHR) implementation on primary care diabetes care.
Data Sources
Charts were abstracted semi-annually for 14,051 diabetes patients seen in 34 primary care practices in a large, fee-for-service network from January 1, 2005 to December 31, 2010. The study sample was limited to patients aged 40 years or older.
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Added: 25 January 2012 | Published:
17 January 2012 |
Newsham D et al, ElectronicHealthcare, 10(3)
Significant progress is being made in the clinical adoption of electronic records in hospitals, regions, clinics, communities and jurisdictions across Canada. The goal of such adoption is to enable continuing improvements in patient care quality, safety and effectiveness at a time when the healthcare system faces increasing performance, capacity and sustainability pressures. We know that transformative changes involving the implementation of new information systems and technologies do not occur overnight – adoption is a journey and the realization of the full benefits of our investments will require sustained effort, innovation and continuous learning for health informatics professionals along with our clinical colleagues.
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Added: 25 January 2012 | Published:
15 January 2012 |
Vreeman DJ et al, Journal of Biomedical Informatics, 2012
Interoperable health information exchange depends on adoption of terminology standards, but international use of such standards can be challenging because of language differences between local concept names and the standard terminology. To address this important barrier, we describe the evolution of an efficient process for constructing translations of LOINC terms names, the foreign language functions in RELMA, and the current state of translations in LOINC. We also present the development of the Italian translation to illustrate how translation is enabling adoption in international contexts. We built a tool that finds the unique list of LOINC Parts that make up a given set of LOINC terms.
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Added: 23 January 2012 | Published:
21 February 2012 |
Kobayashi S, Tatsukawa A. Advanced Computational Intelligence and Intelligent Informatics, 16(1)
The openEHR project has developed specifications for future-proof interoperable Electronic Health Record (EHR) systems. This project provides the specifications and implementation on which the ISO/CEN 13606 standards are based. The implementation has been formally described in Eiffel, C# and Java, but not in scripting languages (which are popular because of their higher efficiency and faster development).
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Added: 23 January 2012 | Published:
2012 |
Fleisher L et al, Journal of Health Communication, 17(1)
Given the extensive use of the Internet for health information, Web-based health promotion interventions are widely perceived as an effective communication channel. The authors conducted this study to determine use of a Web-based intervention intended to improve colorectal cancer screening in a population of women who are at average risk and noncompliant to current screening recommendations. The study was a randomized controlled trial designed to compare the effectiveness of colorectal cancer screening educational materials delivered using the Internet versus a printed format. In 3 years, 391 women seen for routine obstetrics/gynecology follow-up at 2 academic centers provided relevant survey information. Of these, 130 were randomized to the Web intervention.
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Added: 22 January 2012 | Published:
4 January 2012 |
Recently Added/Updated
Ross SE et al, J Med Internet Res, 13(3)
BACKGROUND
Adverse drug events are a major safety issue in ambulatory care. Improving medication self-management could reduce these adverse events. Researchers have developed medication applications for tethered personal health records (PHRs), but little has been reported about medication applications for interoperable PHRs.
OBJECTIVE
Our objective was to develop two complementary personal health applications on a common PHR platform: one to assist children with complex health needs (MyMediHealth), and one to assist older adults in care transitions (Colorado Care Tablet).
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Added: 26 January 2012 | Published:
12 July 2011 |
Johnson KB et al, J Am Med Inform Assoc, 18(5)
OBJECTIVE
Health information exchange (HIE) systems are being developed across the nation. Understanding approaches taken by existing successful exchanges can help new exchange efforts determine goals and plan implementations. The goal of this study was to explore characteristics of use and users of a successful regional HIE.
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Added: 23 January 2012 | Published:
September 2011 |
Hasan A, Paul V. European Heart Journal, 32(12)
Clinical management of refractory heart failure remains challenging, with a high rate of rehospitalizations despite advances in medical and device therapy. Care can be provided in person, via telehomecare (by telephone), or telemonitoring, which involves wireless technology for remote follow-up. Telemonitoring wirelessly transmits parameters such as weight, heart rate, or blood pressure for review by health-care professionals. Cardiac implantable devices (defibrillators and cardiac resynchronization therapy) also transmit continually interrogated physiological data, such as heart rate variability or intrathoracic impedance, which may be of value to predict patients at greater risk of hospitalization for heart failure.
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Added: 16 January 2012 | Published:
2 February 2011 |
Webster PC, Kondro W. CMAJ, 183(5)
“Canada Health Infoway’s plans for highly-centralized electronic health records (EHR) systems within each province containing patient records that can be shared nationwide may not be feasible, a chorus of experts say.
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Updated: 16 January 2012 | Published:
22 March 2011 |
Were MC, Meslin EM. AMIA, Annual Symposium Proceedings, 2011
Electronic Health Record systems (EHRs) are increasingly being used in many developing countries, several of which have moved beyond isolated pilot projects to active large-scale implementation as part of their national health strategies. Despite growing enthusiasm for adopting EHRs in resource poor settings, almost no attention has been paid to the ethical issues that might arise.
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Added: 11 January 2012 | Published:
22 October 2011 |
Williams F, Boren SA. Informatics in Primary Care, 16(2)
Objective:
Most countries in Europe and the USA are increasingly using an electronic medical record (EMR) to help improve healthcare quality. Unfortunately, most developing countries face many challenges ranging from epidemics and civil wars to disasters: they also lack a robust healthcare infrastructure in the form of information and communications technology (ICT) to ensure continuity of patient health which many research studies consider a lifesaving resource. The aim of this systematic review is to examine the benefits of an EMR and its contribution to the development of healthcare delivery in developing countries.
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Updated: 11 January 2012 | Published:
July 2008 |
Kutney-Lee A, Kelly D. The Journal of Nursing Administration, 41(11)
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states.
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Updated: 10 January 2012 | Published:
November 2011 |
Polisena J et al, Journal of Telemedicine and Telecare, 16(3)
We conducted a systematic review of the literature about home telehealth for chronic obstructive pulmonary disease (COPD) compared with usual care. An electronic literature search identified 6241 citations. From these, nine original studies (10 references) relating to 858 patients were selected for inclusion in the review. Four studies compared home telemonitoring with usual care, and six randomized controlled trials compared telephone support with usual care.
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Added: 9 January 2012 | Published:
2 March 2010 |
Vitacca M et al, Expert Review of Respiratory Medicine, 4(6)
The demographic profile and, as a consequence, the health profile of the population are changing [1]. The greatest challenge that we will face over the next 20 years is the management of chronic diseases in aged populations [1], especially in rural areas [2]. The fast epidemiological transition from acute to chronic health problems – from inpatient to outpatient care – presents an urgent need to apply new skills in the healthcare system, together with an increased interest in improving delivery of effective care at home. The patient affected by a chronic disease is a complex subject, characterized by progressive functional decline, difficult individualized prognoses, serious episodes of relapse with, consequently, a high risk of hospitalizations and multiple comorbidities. He or she is also likely to be a heavy burden on the family and/or carer.
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Updated: 9 January 2012 | Published:
December 2010 |
Overberg, Regina et al, Psycho-Oncology, 16(10)
The study aims to elicit user requirements for internet-based applications disclosing fellow patients’ illness stories for the benefit of breast cancer patients. Twenty-six breast cancer patients, recruited via the Dutch Patient Organization for Breast Cancer, were interviewed about their preferences with regards to content, appearance, and search options concerning fellow patients’ illness stories online. The interviews were analysed quantitatively (SPSS) and qualitatively (NVivo). Participants were mainly interested in fellow patients’ experiences about how to cope with emotions, the impact of cancer in daily life, and physical discomforts.
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Updated: 4 January 2012 | Published:
2 February 2007 |
Kim J et al, Healthcare Informatics Research, 17(1)
OBJECTIVES
The purpose of this study was to review history and trends of personal health record research in PubMed and to provide accurate understanding and categorical analysis of expert opinions.
METHODS
For the search strategy, PubMed was queried for ‘personal health record, personal record, and PHR’ in the title and abstract fields. Those containing different definitions of the word were removed by one-by-one analysis from the results, 695 articles. In the end, total of 229 articles were analyzed in this research.
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Updated: 2 January 2012 | Published:
31 March 2011 |
Carrington JM, Effken JA. Computers Informatics Nursing, 29(6)
The purpose of this research was to compare nurses’ perceptions of the strengths and limitations of the electronic health record with and without nursing languages for documenting and retrieving patient information regarding a clinical event. The effectiveness of the electronic health record to facilitate nurse-to-nurse communication is not well understood. Furthermore, little is known how nurse-to-nurse communication influences patient safety and failure-to-rescue events.
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Updated: 2 January 2012 | Published:
June 2011 |
Benjamin R. N Engl J Med, 363(6)
“The recent oil spill off the Gulf Coast may prove to be one of the great environmental challenges of our lifetime. It is yet another devastating blow to the Gulf region, a place I call home. My heart goes out to the people there who are concerned about how this latest disaster will affect their livelihood and their health.
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Updated: 23 December 2011 | Published:
5 August 2010 |
Martínez-Ramos, Carlos et al, Telemedicine and e-Health, 15(6)
A pilot study was done to address the efficacy of a General Packet Radio Service mobile phone-based telemedicine system used to improve follow-up after ambulatory surgery. The method involves sending images of surgical wounds or other areas from the patient’s home, to assess local complications and avoid unnecessary hospital visits. Ninety-six (N = 96) patients were enrolled in the study. The phone used was a Nokia 6600, which provides images in Joint Photographic Experts Group format. These images were sent via e-mail and visualized on a standard 17-inch screen of a personal computer.
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Updated: 23 December 2011 | Published:
30 June 2009 |
Logan AG et al, Circulation, 122(21_MeetingAbstracts)
Background and Study Hypothesis:
Previously we described an inexpensive fully automated mobile phone-based telemonitoring system that improved blood pressure (BP) control by providing immediate feedback and action messages to patients and summary reports of home BP readings and critical alerts to physicians. In the present study, we tested the hypothesis that this system will improve BP treatment compared to home BP monitoring without teletransmission capability.
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Updated: 23 December 2011 | Published:
23 November 2010 |
Ryan BL et al, Canadian Family Physician, 57(9)
The pace of EMR adoption among family physicians in Canada is accelerating and the potential of EMR research is tantalizing for physicians, researchers, and policy makers. This 4-part series, written by a team of clinicians and researchers who have expertise in EMR implementation and research, addresses considerations for EMR adoption when the goal is not only individual patient care but also research.
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Updated: 16 December 2011 | Published:
September 2011 |
Terry AL et al, Family Practice, 27(1)
In Canada, use of electronic medical records (EMRs) among primary health care (PHC) providers is relatively low. However, it appears that EMRs will eventually become more ubiquitous in PHC. This represents an important development in the use of health care information technology as well as a potential new source of PHC data for research. However, care in the use of EMR data is required. Four years ago, researchers at the Centre for Studies in Family Medicine, The University of Western Ontario created an EMR-based research project, called Deliver Primary Health Care Information. Implementing this project led us to two conclusions about using PHC EMR data for research: first, additional time is required for providers to undertake EMR training and to standardize the way data are entered into the EMR and second, EMRs are designed for clinical care, not research.
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Added: 16 December 2011 | Published:
February 2010 |
Meskó B, Dubecz A. Orvosi Hetilap, 148(44)
The importance of the internet and some new generation services of the web (so-called web 2.0) is exponentially growing. As web 2.0 is based on collaboration, feedback and communities, it can ease the work of physicians. The authors give a short overview of the web 2.0 tools created for physicians.
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Updated: 12 December 2011 | Published:
4 November 2007 |
Chae YM et al, Healthcare Informatics Research, 17(3)
OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
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Added: 28 November 2011 | Published:
September 2011 |
Cocosila M, Archer N. Electronic Markets, 2010
This research is an unbiased empirical evaluation of user reasons to accept or resist a mobile information and communication technology (ICT) application for health promotion. This innovative use of mobile ICT consists of developing services that educate people to stay healthy, with clear benefits for both individuals and society. Receiving customized health advice through mobile devices may be an attractive service. However, despite their ability to support users, mobile services may sometimes irritate by being too intrusive.
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Added: 25 November 2011 | Published:
13 November 2010 |
