Medical Informatics and The Internet in Medicine 

About: Medical Informatics and The Internet in Medicine is an academic journal. The journal publishes majorly in the area(s): The Internet & Health care. It has an ISSN identifier of 1463-9238. Over the lifetime, 215 publications have been published receiving 4901 citations.

Older adults' attitudes towards and perceptions of ‘smart home’ technologies: a pilot study

Abstract: Primary objective: The study aim is to explore the perceptions and expectations of seniors in regard to 'smart home' technology installed and operated in their homes with the purpose of improving their quality of life and/or monitoring their health status. Research design and methods: Three focus group sessions were conducted within this pilot study to assess older adults' perceptions of the technology and ways they believe technology can improve their daily lives. Themes discussed in these groups included participants' perceptions of the usefulness of devices and sensors in health-related issues such as preventing or detecting falls, assisting with visual or hearing impairments, improving mobility, reducing isolation, managing medications, and monitoring of physiological parameters. The audiotapes were transcribed and a content analysis was performed. Results: A total of 15 older adults participated in three focus group sessions. Areas where advanced technologies would benefit older adult residents included emergency help, prevention and detection of falls, monitoring of physiological parameters, etc. Concerns were expressed about the user-friendliness of the devices, lack of human response and the need for training tailored to older learners. Conclusions: All participants had an overall positive attitude towards devices and sensors that can be installed in their homes in order to enhance their lives.

Quality of data on subsequent events in a routine Medical Birth Register

Abstract: Background: The maintenance of health registers has become routine. The main prerequisite for their use is that registers be complete and that their contents correspond to reality. Methods: Data on all primiparous women who gave birth between 1987 and 1989 (N=73 009) and on their second (N=55 388) and third births (N=22 904) in the 1987-1998 period were retrieved from the Finnish Medical Birth Register (MBR). The consistency of the MBR data on reproductive history and on previous Caesarean section was investigated by comparing the records on subsequent births. Main results: In total 98.5% of the information on reproductive history corresponded with the previous data in the MBR. Data quality decreased over time and with increasing parity. There were problems with the registration of rare cases, e.g. several extrauterine pregnancies or stillbirths. The quality deteriorated in the late 1990s, because no data on previous induced abortions and extrauterine pregnancies were collected between 1991 and 1995. The ...

The effect of source credibility on consumers' perceptions of the quality of health information on the Internet

Abstract: Recent use of the Internet as a source of health information has raised concerns about consumers' ability to tell 'good' information from 'bad' information. Although consumers report that they use source credibility to judge information quality, several observational studies suggest that consumers make little use of source credibility. This study examines consumer evaluations of web pages attributed to a credible source as compared to generic web pages on measures of message quality. In spring 2005, a community-wide convenience survey was distributed in a regional hub city in Ohio, USA. 519 participants were randomly assigned one of six messages discussing lung cancer prevention: three messages each attributed to a highly credible national organization and three identical messages each attributed to a generic web page. Independent sample t-tests were conducted to compare each attributed message to its counterpart attributed to a generic web page on measures of trustworthiness, truthfulness, readability, and completeness. The results demonstrated that differences in attribution to a source did not have a significant effect on consumers' evaluations of the quality of the information.Conclusions. The authors offer suggestions for national organizations to promote credibility to consumers as a heuristic for choosing better online health information through the use of media co-channels to emphasize credibility.

The digital divide: Internet and e-mail use by the elderly

Abstract: The elderly are the fastest growing population group. Along with their rise in numbers is their volume of use of health care services, in both number and intensity. Since many elderly live alone, can their independence be maintained such that health care costs can decrease? With the rise in technology utilization, specifically the Internet, can the elderly utilize the Internet for health care purposes? Survey methodologies conducted for this study showed that the elderly can learn to use computers and are looking for methods to stay connected and be informed. Further longitudinal research is needed to measure clinical outcomes.

Psychological barriers to Internet usage among older adults in the UK.

Abstract: The Internet is an important tool in assisting the older population to lead independent and social lives. However, the majority of Internet users are under 55. This study investigated the following psychological barriers to Internet use by older adults: perceived usefulness, perceived ease of use, Internet efficacy, perceived complexity of navigation and perceived complexity of terminology. Twenty-three subjects (aged 55 – 75 years) were interviewed in the UK. The influences of age, computer and Internet experience, and training on these psychological barriers were explored. The results showed that the majority of the older adults who had a positive perception of usefulness, ease of use, and efficacy of the Internet or e-mail, used the Internet or e-mail more often. In addition, it was found that computer or Internet experience increased perceptions of ease of use and efficacy of the Internet and reduced perceived complexity of navigation. There was no difference between the two age groups (55 – 65 and 66...