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May, 2013
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Improving diabetes management with electronic health records and patients’ health records

Benhamou P-Y. Diabetes & Metabolism, 37S4

The lack of patient engagement and clinical inertia both contribute to suboptimal diabetes care. However, both obstacles are amenable to informatics- and Internet-based interventions. The use of electronic medical records (EMRs) is now established as being useful for improving diabetes care. Intelligent records that integrate computerized decision-support systems are now able to recommend care protocols tailored to risk levels. Web-based personal health record (PHR) systems, shared with healthcare providers, could also provide added value by promoting self-management of the behaviours related to diabetes. These Web-based programmes include patients’ access to EMRs, uploading of glucose monitoring results, a glucose diary, secure e-mail with providers, manual or automated feedback on blood glucose readings and other risk factors, an educational website, and an online diary for entering personal information on exercise, diet and medication.
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Published: December 2011 |
Keyword(s): Diabetes Mellitus, Electronic Health Records, France, Internet, Personal Health Records, Web

Internet use, needs, and expectations of web-based information and communication in childbearing women with type 1 diabetes

Sparud-Lundin C et al, BMC Medical Informatics and Decision Making, 11(1)

BACKGROUND:
In the childbearing period women use the internet both to seek information and as an important source of communication. For women with type 1 diabetes, pregnancy and early motherhood constitute a more complex situation than for women in general. This implies need for support from various professionals and a way of bridging any discontinuity in care would be to develop a website providing complementary social support and information. The objective of this study was to explore internet use, needs, and expectations regarding web-based information and communication in childbearing women with type 1 diabetes.
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Published: 7 July 2011 |
Keyword(s): Diabetes type 1, Health Information, Internet, Pregnancy, Sweden, Web

Factors affecting home care patients’ acceptance of a web-based interactive self-management technology

Or CKL et al, J Am Med Inform Assoc, 18(1)

Objective
With the advent of personal health records and other patient-focused health technologies, there is a growing need to better understand factors that contribute to acceptance and use of such innovations. In this study, we employed the Unified Theory of Acceptance and Use of Technology as the basis for determining what predicts patients’ acceptance (measured by behavioral intention) and perceived effective use of a web-based, interactive self-management innovation among home care patients.
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Published: 3 December 2010 |
Keyword(s): Behaviour, Home Care, Innovation, Patient, Perceived usefulness, Self Management, Web

Emerging technologies and web accessibility: research challenges and opportunities focussing on vision issues

Harper S, Yesilada Y. Disability and Rehabilitation. Assistive Technology, 2010

This is a technological review paper focussed on identifying both the research challenges and opportunities for further investigation arising from emerging technologies, and it does not aim to propose any recommendation or standard. It is focussed on blind and partially sighted World Wide Web (Web) users along with others who use assistive technologies. The Web is a fast moving interdisciplinary domain in which new technologies, techniques and research is in perpetual development. It is often difficult to maintain a holistic view of new developments within the multiple domains which together make up the Web.
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Published: 24 December 2010 |
Keyword(s): Assistive Technology, Web, Web accessibility

The integration of Information and Communication Technology into nursing

Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 18(1)

Objectives
To identify and characterise different profiles of nurses’ utilization of Information and Communication Technology (ICT) and the Internet and to identify factors that can enhance or inhibit the use of these technologies within nursing.

Methods
An online survey of the 13,588 members of the Nurses Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model was undertaken.
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Published: 10 December 2010 |
Keyword(s): Delivery of Health Care, ICT, Internet, Nurses, Patients, Web

Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial

Webster R et al, J Med Internet Res, 12(3)

Background:
Elevated low-density lipoprotein (LDL) cholesterol is a leading risk factor for cardiovascular disease. Despite the availability of proven interventions to lower LDL cholesterol, their use remains subobtimal. Many websites provide interactive, tailored advice on cardiovascular risk in an attempt to help bridge this evidence-practice gap, yet there is little evidence that provision of such a tool is effective in changing practice.
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Published: 13 September 2010 |
Keyword(s): Australia, Cardiology, Cholesterol, Computers, Internet, Randomized Controlled Trials, Web

Supporting Informed Decision Making Online in 20 Minutes: An Observational Web-log Study of a PSA Test Decision Aid

Joseph-Williams N et al, J Med Internet Res, 12(2)

Background:
Web-based decision aids are known to have an effect on knowledge, attitude, and behavior; important components of informed decision making. We know what decision aids achieve in randomized controlled trials (RCTs), but we still know very little about how they are used and how this relates to the informed decision making outcome measures.
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Published: 16 May 2010 |
Keyword(s): Decision aid, Decision Making, Internet, Oncology, Web, Weblog Analysis

The integration of Information and Communication Technology into medical practice

Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 79(7)

Objectives
To identify doctors’ utilization of ICT; to develop and characterise a typology of doctors’ utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies within medical practice.

Methods
An online survey of the 16,531 members of the Physicians Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model were undertaken.
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Published: 17 May 2010 |
Keyword(s): Adoption, Delivery of Health Care, ICT, Internet, Patient, Physicians, Web

Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems

Wakefield DS et al, International Journal of Medical Informatics, 2010

Purpose
Patients are increasingly interested in using Internet-based technologies to communicate with their providers, schedule clinic visits, request medication refills, and view their medical records electronically. However, healthcare organizations face significant challenges in providing such highly personal and sensitive communication in an effective and user-friendly manner.
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Published: 14 May 2010 |
Keyword(s): Communication, Patient-provider communication, Portal, Security, Web

Using the internet for health-related activities: findings from a national probability sample

Atkinson, Nancy L. et al, J Med Internet Res, 11(1)

Background:
eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups.

Objective
:
The purpose of this study was to examine the prevalence and predictors of participation in specific online health-related activities.
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Published: 20 February 2009 |
Keyword(s): Consumer, Health Behavior, Health Surveys, Internet, United States, Web

Untangling the Web — Patients, Doctors, and the Internet

Hartzband, Pamela, and Jerome Groopman, N Engl J Med, 362(12)

Medicine has built on a long history of innovation, from the stethoscope and roentgenogram to magnetic resonance imaging and robotics. Doctors have embraced each new technology to advance patient care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet.
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Published: 25 March 2010 |
Keyword(s): Health Information, Internet, Patient, Physicians, Web

Computer and internet use in vascular outpatients–ready for interactive applications?

Richter, J. G. et al, VASA, 38(4)

Background:
Exploring patients’ computer and internet use, their expectations and attitudes is mandatory for successful introduction of interactive online health-care applications in Angiology.

Patients and methods:
We included 165 outpatients suffering from peripheral arterial disease (PAD; n = 62) and chronic venous and / or lymphatic disease (CVLD; n = 103) in a cross-sectional-study. Patients answered a paper-based questionnaire.
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Published: November 2009 |
Keyword(s): Germany, Health Information, Internet, Self Management, Web

Real-Time Multimedia Applications in a Web-Based Robotic Telecare System

Hou, Chunhai et al, Journal of Intelligent and Robotic Systems, 38(2)

In this paper, real-time multimedia applications are integrated into a Web-based robotic telecare system. Using Java media framework (JMF), a video/audio conference system is developed to improve the interaction among caregivers, and switches remote robot manipulating privilege with the help of a centralized management server.
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Published: 1 October 2003 |
Keyword(s): Multimedia, Robotics, Telecare, Web

The use of mobile phones as a data collection tool: A report from a household survey in South Africa

Tomlinson, Mark et al, BMC Medical Informatics and Decision Making, 9(1)

Background
To investigate the feasibility, the ease of implementation, and the extent to which community health workers with little experience of data collection could be trained and successfully supervised to collect data using mobile phones in a large baseline survey.
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Published: 23 December 2009 |
Keyword(s): Benefits, Data Collection, Mobile phones, Mobile Technology, South-Africa, Web

A score to predict early risk of recurrence after ischemic stroke

Ay, H. et al, Neurology, 2009

Background:
There is currently no instrument to stratify patients presenting with ischemic stroke according to early risk of recurrent stroke. We sought to develop a comprehensive prognostic score to predict 90-day risk of recurrent stroke.
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Published: 16 December 2009 |
Keyword(s): Risk Assessment, Stroke, United States, Web

Disparities by race and ethnicity in cancer survivor stories available on the web

Eddens, Katherine S. et al, J Med Internet Res, 11(4)

Background:
The rapid growth of eHealth could have the unintended effect of deepening health disparities between population subgroups. Most concerns to date have focused on population differences in access to technology, but differences may also exist in the appropriateness of online health content for diverse populations.
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Published: 30 November 2009 |
Keyword(s): Disparities, Ethnic Disparities, Narrative, Oncology, United States, Web

Participatory Storytelling Online: A Complementary Model of Patient Satisfaction

Born, Karen et al, ElectronicHealthcare, 8(2)

Measuring patient satisfaction is an important quality improvement technique. The World Wide Web offers new approaches to understanding patient satisfaction and stories about healthcare encounters. In this paper, we suggest that there is a wealth of patients’ stories being told online, in real-time, on social networking and on social rating Web sites.
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Published: 2009 |
Keyword(s): Narrative, Patient, Patient Satisfaction, Social Networks, Web

Challenges to using an electronic personal health record by a low-income elderly population

Kim E-H et al, J Med Internet Res, 11(4)

Background:
Electronic personal health records (PHRs) are increasingly recognized and used as a tool to address various challenges stemming from the scattered and incompatible personal health information that exists in the contemporary US health care system. Although activity around PHR development and deployment has increased in recent years, little has been reported regarding the use and utility of PHRs among low-income and/or elderly populations.
[ More ]

Published: 27 October 2009 |
Keyword(s): Elderly, Electronic Health Records, Internet, Personal Health Records, United States, Web

Web-based hearing screening test

Seren, Erdal, Telemedicine and e-Health, 15(7)

This article describes a Web-based hearing screening system developed for real-time application via Internet and compares efficacy with conventional screening. The present prospective study used 36 adult participants in a double-blind study of two different systems: a conventional audiometer and a Web-based hearing screening test. The audiometric thresholds assessed by these two systems varied by no more than 1.78 dB for air conduction.
[ More ]

Published: 20 August 2009 |
Keyword(s): Audiometry, Effectiveness, Turkey, Web

Analysis of Clinical Record Data for Anticoagulation Management within an EHR System

Austin, T. et al, The Open Medical Informatics Journal, 3

Objectives:
This paper reports an evaluation of the properties of a generic electronic health record information model that were actually required and used when importing an existing clinical application into a generic EHR repository.
[ More ]

Published: 19 August 2009 |
Keyword(s): Electronic Health Records, European Union, Generic Information Models, Generic Repository, Web

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