Showing papers in "International Journal of Medical Informatics in 2014"

TL;DR: In this article, the authors provide an overview of factors influencing the acceptance of electronic technologies that support aging in place by community-dwelling older adults, including concerns regarding technology, high cost, privacy implications and usability factors; expected benefits of technology (e.g., increased safety and perceived usefulness); need for technology, perceived need and subjective health status); alternatives to technology; social influence, influence of family, friends and professional caregivers; and characteristics of older adults.

TL;DR: A lack of socio-technical connectives between the clinician, the patient and the technology in developing and implementing EHR and future developments in patient-accessible EHR are suggested.

TL;DR: A research model based on the value attitude behavior model, theory of planned behavior, and four aging characteristic constructs revealed that perceived value, attitude, perceived behavior control, and resistance to change can be used to predict intention to use mobile health services for the middle-aged group.

TL;DR: Barriers must be addressed for these tools to be available to this growing population of elderly people, and design, education, research, and policy all play roles in addressing these barriers to acceptance and use.

TL;DR: Sociotechnical factors play a powerful role in explaining the adoption intention for home healthcare robots, and monitoring vital signs and facilitating communication with family and medication reminders are the most preferable tasks and applications for robots.

TL;DR: Positive messages about the benefits of falls technologies for promoting healthy active ageing and independence are critical, as is ensuring that the technologies are simple, reliable and effective and tailored to individual need.

TL;DR: A critical overview of the current state of the art for TM related to cancer is provided and a strong bias towards symbolic methods is highlighted, e.g. named entity recognition based on dictionary lookup and information extraction relying on pattern matching.

TL;DR: This study demonstrated that the Telemedicine Service Acceptance model was feasible and could explain the acceptance of telemedicines services by physicians, and identified important factors for increasing the involvement of physicians in teleMedicine practice.

TL;DR: Evidence is provided that clinical leaders can positively contribute to successful IT adoption in healthcare organisations and cultivate the necessary IT competencies, establish mutual partnerships with IT professionals, and execute proactive IT behaviours to achievesuccessful IT adoption.

TL;DR: A natural language processing procedure to identify Framingham HF signs and symptoms among primary care patients, using electronic health record (EHR) clinical notes, as a prelude to pattern analysis and clinical decision support for early detection of HF.

TL;DR: eHealth research that is intended to translate into policy and practice should be more contextual, report more on setting factors, employ more responsive and pragmatic designs and report results more transparently on issues important to potential adopting patients, clinicians and organizational decision makers.

TL;DR: Findings suggest that these interventions, although promising, present some usability problems that need to be considered in future research, and adjustments are essential before the widespreading of telemonitoring.

TL;DR: The Delphi study reveals that private medical practices are hindered by four types of barriers when faced with the initial decision to invest in an EMR system, namely, behavioral, cognitive or knowledge-based, economic, and technological.

TL;DR: Findings show that while individuals appreciate the value of having this record, they do not appear to regard it as particularly useful at present, nor is it particularly compatible with their current engagement with e-services.

TL;DR: The use of CHITs in supporting diabetes self-management appears to have potential benefits for patients' self- management of diabetes, however, the effectiveness of the technologies in improving patient outcomes still awaits confirmation in future studies.

TL;DR: How promising the refinement of knowledge bases is in order to increase specificity and decrease alert burden is outlined and how to structure knowledge bases to refine DDI alerting is suggested.

TL;DR: Usability evaluation results suggest that participants considered PGx information important for improving prescribing decisions; and that they would incorporate PGx-CDS when information is presented in relevant and useful ways.

TL;DR: Several patterns of patient-physician interaction with electronic health record systems are identified, consistent with previous studies, physician initiated gaze is an important driver of the interactions between patient and physician and patient and technology.

TL;DR: The reduction in CHW training time, CVDrisk screening time, lack of errors in calculation of a CVD risk score and end user satisfaction when using a mobile phone application, has implications in terms of adoption and sustainability of this primary prevention strategy.

TL;DR: It is suggested that a wide range of e-prescribing errors is encountered in community pharmacies, and Pharmacists and technicians perceive that causes are multidisciplinary and multifactorial, that is to say e- Prescription errors can originate from technology used in prescriber offices and pharmacies.

TL;DR: Investigating the rate of automation bias - the propensity of people to over rely on automated advice and the factors associated with it adds to the literature surrounding automation bias in terms of its potential frequency and influencing factors.

TL;DR: In this article, the authors examine health IT implementation processes and identify a beginning set of implementation best practices, which could begin to address gaps in the health IT body of knowledge, and recommendations for future study and application.

TL;DR: The Department of Veterans Affairs' (VA) Virtual Lifetime Health Electronic Record (VLER) pilot phase in 12 communities to exchange health information with private sector health care organizations and the Department of Defense led to VA-wide deployment of this data sharing capability in 2013.

TL;DR: CPOE with basic CDSS contributes to a decreased risk of preventable harm and the extra costs of CPOE/CDSS needed to prevent one ME or one pADE seem to be acceptable.

TL;DR: Wide interhospital variations in adoption bear implications for policy-making and funding intervention, and identified areas of weakness require action to increase the degree of adoption and usefulness of EHR systems.

TL;DR: Comparisons of user experiences of different regional health information exchange system (RHIE) types as well as the factors related to the experienced level of success of different RHIE system types revealed user preferences for the integrated virtual RHIE-system (type 3) over the master index model or web distribution model (type 2).

TL;DR: Unexpected downtimes related to EHRs appear to be fairly common among institutions in a survey, and most institutions had only partially implemented comprehensive contingency plans to maintain safe and effective healthcare during unexpected E HRs downtimes.

TL;DR: Interview and survey methods were found not to be sufficient by themselves, but when used in conjunction with the user testing method, they provided a comprehensive evaluation of the EHR.

TL;DR: The findings show that cognitive impairment often co-occurs in patients with chronic disease, along with age-related increases in multiple chronic illnesses and lack of technology efficacy, can be obstacles to Internet and mobile support for chronic disease self-management.

TL;DR: The design and students' response to an interactive web-based course using streaming video technology tailored to students' needs and the course objectives of the fundamentals of nursing skills clinical course yields a high level of nursing student satisfaction, self-efficacy, and achievement.