Showing papers in "International Journal of Medical Informatics in 2007"

TL;DR: Insight is provided into factors that are likely to be significant antecedents of planning and implementing mobile healthcare to enhance professionals' MHS acceptance and the proposed model variables explained 70% of the variance in behavioral intention to use MHS.

TL;DR: The results show that the nature of the communication process in the ED is complex and cognitively taxing for the clinicians, which can compromise patient safety and the need to tailor existing generic electronic tools to support adaptive processes like multitasking and handoffs in a time-constrained environment is discussed.

TL;DR: The results of the study indicate that physicians in general perceive benefits to information technology, but also cite major barriers to its implementation in their practices, and overcoming these barriers will require subsidies and performance incentives by payers and government.

TL;DR: A project that examines ICT acceptance and utilisation by Australian occupational therapists is outlined, which uses a thoroughly constructed research model, with potentially the largest sample size ever tested, to extend technology acceptance research into the health sector.

TL;DR: A greater understanding of which aspects of context are important in a health care setting is required; the inherent sociotechnical nature of context-aware applications in health care; and the need to draw on a number of disciplines to conduct this research are concluded.

TL;DR: Consequences of implementing and reimplementing clinical systems are complex and the expanded Diffusion of Innovations theory framework is a useful tool for analyzing such consequences.

TL;DR: This study focuses on identifying the core functional factors in designing and operating health information websites, and 'usage support' and 'customization' are two key functional characteristics in the extended TAM framework for health information website.

TL;DR: A proper understanding of CPOE as a collaborative effort and the transformation of the health care activities into integrated care programs requires an understanding of how orders are created and processed, how C POE as part of an integrated system can support the workflow, and how risks affecting patient care can be identified and reduced.

TL;DR: In this article, the authors outline theories and methods used in information systems (IS) research that can inform our understanding of health care IT applications and outcomes, and discuss some general differences in the focus and methods of MI and IS research to identify broad opportunities.

TL;DR: The research confirms that policies concerning the disclosure of electronic health records can be reliably and efficiently enforced and audited at the database level and shows that web services and commutative encryption can be used to share sensitive information selectively among autonomous entities without compromising security or privacy.

TL;DR: Observational data indicates that patients engage in a range of tasks that identify, prevent, and recover from medical errors in outpatient cancer care, and point to the importance of considering patients and their work in both the design of patient-care information systems and the structure of clinical-care environments that enable safe and effective health care.

TL;DR: A strong emphasis is put on the development of capacities for the creation, maintenance, and publication of quality medical didactic contents in the context of multisectorial development.

TL;DR: ICT can improve the nurse-patient relationship and augment well-being for consumers and more research is needed to measure consumers' experiences and factors that influence it.

TL;DR: The goals of EAV database modeling are introduced to describe the situations where entity-attribute-value (EAV) modeling is a useful alternative to conventional relational methods of database modeling, and the fine points of implementation in production systems are described.

TL;DR: The process of design itself can be seen as a socio-technical one, and understanding the decision to design itself may allow us one day to stop designing for people, and create STS that sustainably design themselves.

TL;DR: It is concluded that while some data suggest that CPOE systems are beneficial for clinical and laboratory work processes, these data are limited, and further research is needed.

TL;DR: The findings clearly demonstrate the importance of treating any PACS deployment not simply as a rollout of new technology but as a project that will transform the organization, and of adopting a proactive implementation strategy that takes into consideration all the technical, economic, organizational, and human factors from the first phase of the innovation process.

TL;DR: Automatic argumentative classification using Bayesian learners is feasible on MEDLINE abstracts and should help user navigation in such repositories.

TL;DR: It is speculated that copying and pasting of exams degrades the quality of the medical record, and that studying this behavior is integral to the understanding of phenomenology of the electronic medical record.

TL;DR: The usability study brought research on (re)designing and evaluating clinical computer applications at a higher status in this institution and revealed that usability evaluation studies that will support good quality of clinical practice are highly important.

TL;DR: Technology-assisted education using a digital video delivered via PDA is a convenient and potentially powerful way to deliver health messages.

TL;DR: Contextual design methodology in conjunction with participatory design was an effective method to design this antibiotic decision support tool that resulted in immediate uptake and ongoing use of the system.

TL;DR: It is recommended to conceptually consider the necessity of system evolution in systems architectures and also in future integration standards by distinguishing between technical and semantic Integration on the one hand, and data and functional integration on the other hand.

TL;DR: Policy recommendations are offered to stimulate debate and development of suitable strategies to minimise the impact of this potentially catastrophic system failure and pose a critical barrier to e-health and future healthcare systems.

TL;DR: This work proposes MedIMob, its own architecture for a secure enterprise IM service for use in healthcare, and shows that most of the proposed risk treatment measures must be implemented to obtain an acceptable risk level.

TL;DR: CPOE systems can have a major impact on the nature of the work of pathology laboratories and understanding how and why these changes occur can be enhanced through considering the organizational and social contexts involved.

TL;DR: The need for the tight coupling between the roles of both the administrative and the clinical managers in HCOs in order to champion TM adoption and diffusion and to overcome many of the barriers that could hinder telemedicine success in H COs in NZ is stressed.

TL;DR: Findings from this study provide evidence that the hybrid model of categorization is more complete than either a deductive or an inductive method alone.

TL;DR: Using an automatic detecting tool is a promising method for identifying quality criteria of health information, and eventually it can be used to develop instruments for evaluating the quality of health Websites.

TL;DR: The obtained results indicate that discrimination between cancerous and non-cancerous tissue is possible to a certain degree and the computer-aided system helps an inexperienced user to make a better diagnosis, however it must be able to perform better in order to be useful in a real-world clinical context.