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Journals Studies in Health Technology a...

Studies in Health Technology and Informatics

https://read.qxmd.com/read/38682516/comparison-of-websocket-and-hypertext-transfer-protocol-for-transfer-of-electronic-health-records
#21
COMPARATIVE STUDY
Nikola Kirilov
BACKGROUND: Electronic health records (EHR) emerged as a digital record of the data that is generated in the healthcare. OBJECTIVES: In this paper the transfer times of EHRs using the Hypertext Transfer Protocol and WebSocket in both local network and wide area network (WAN) are compared. METHODS: A python web application to serve Fast Health Interoperability Resources (FHIR) records is created and the transfer times of the EHRs over both HTTP and WebSocket connection are measured...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682515/visualizing-study-profiles-using-the-gmds-competency-catalog-for-medical-informatics-programs
#22
JOURNAL ARTICLE
Elske Ammenwerth, Peter Haas, Oliver J Bott
BACKGROUND: Medical informatics programs cover a variety of topics. OBJECTIVES: To test the utility of the GMDS medical informatics competency catalog in comparing programs by developing study profiles. METHODS: Coverage of 234 competencies is recorded and visualized in a spider diagram. RESULTS: Spider diagrams allow visualizing various study profiles. CONCLUSION: The GMDS catalog seems useful for comparing medical informatics study programs, e...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682514/kijani-designing-a-physical-activity-promoting-collaborative-augmented-reality-game
#23
JOURNAL ARTICLE
Florian Schweizer, Laura Willinger, Renate Oberhoffer-Fritz, Jan Müller, Stephan Jonas, Lara Marie Reimer
BACKGROUND: There is an increased need for physical activity among children and adolescents. KIJANI, a mobile augmented reality game, is designed to increase physical activity through gamified exercises. OBJECTIVES: The primary aim of this study is to get feedback on the design and implementation of potentially physical activity-increasing features in KIJANI. METHODS: A mixed-method study (n=13) evaluates newly implemented game design features quantitatively through measuring physical activity and qualitatively through participant feedback...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682513/towards-an-electronic-health-prevention-record-based-on-hl7-fhir-and-the-omop-common-data-model
#24
JOURNAL ARTICLE
Markus Falgenhauer, Aaron Lauschensky, Karl Kreiner, Stefan Beyer, Kristina Reiter, Andreas Ziegl, Robert Modre-Osprian, Bernhard Pfeifer, Sabrina Neururer, Susanne Krestan, Hanna Wagner, Andreas Huber, Sandra Plaikner, Sarah Kuppelwieser, Martin Widschwendter, Günter Schreier
BACKGROUND: Approximately 40% of all recorded deaths in Austria are due to behavioral risks. These risks could be avoided with appropriate measures. OBJECTIVES: Extension of the concept of EHR and EMR to an electronic prevention record, focusing on primary and secondary prevention. METHODS: The concept of a structured prevention pathway, based on the principles of P4 Medicine, was developed for a multidisciplinary prevention network. An IT infrastructure based on HL7 FHIR and the OHDSI OMOP common data model was designed...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682512/editing-physicians-responses-using-gpt-4-for-academic-research
#25
JOURNAL ARTICLE
Magdalena T Weber, Jannik Schaaf, Holger Storf, Thomas O F Wagner, Alexandra Berger, Richard Noll
UNLABELLED: The integration of Artificial Intelligence (AI) into digital healthcare, particularly in the anonymisation and processing of health information, holds considerable potential. OBJECTIVES: To develop a methodology using Generative Pre-trained Transformer (GPT) models to preserve the essence of medical advice in doctors' responses, while editing them for use in scientific studies. METHODS: German and English responses from EXABO, a rare respiratory disease platform, were processed using iterative refinement and other prompt engineering techniques, with a focus on removing identifiable and irrelevant content...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682511/should-we-better-stick-to-pen-and-paper-an-empirical-investigation-on-functionality-privacy-and-data-security-of-physiotherapy-telehealth-applications
#26
JOURNAL ARTICLE
Lukas Maul, Ines Kramer, Lena Rettinger, Franz Werner
BACKGROUND: Telehealth and mHealth apps become increasingly popular in health professions such as physiotherapy calling for increased awareness on functionality, privacy, and data security. OBJECTIVES: This work presents a functionality, privacy, and data-security evaluation of four telehealth services commonly used in physiotherapy. METHODS: We examined functionality and features, data protection, privacy implementations and data-security with a questionnaire and performed an in-depth investigation of the services...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682510/user-personas-for-a-better-design-of-nation-wide-ehrs-based-on-thorough-expert-evaluation-and-field-analysis-modeling-users-as-individuals-plus-family-members-for-an-enhanced-mapping-of-healthcare-situations
#27
JOURNAL ARTICLE
Daniela Glatz, Alexander Zeiringer, Johannes Harms, René Baranyi, Karin Kappel, Thomas Grechenig
Electronic Health Records (EHRs) are pivotal in prevention, therapy, and care. Their design necessitates the representation of users, activities, context, and technology. Among various participative and ethnographic design methods, user personas are an effective tool for encapsulating users in the design process. Goals and methods: This research focused on the creation of user personas for the design of a nation-wide EHR, specifically the German "elektronische Patientenakte" (ePA). We employed qualitative methods, such as field analysis and expert workshops, to generate, assess, and refine a set of user personas that can cover the complexity of real-life familial care environments...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682509/exploring-the-environmental-impact-of-telemedicine-a-life-cycle-assessment
#28
JOURNAL ARTICLE
Anna Savoldelli, Daniele Landi, Caterina Rizzi
BACKGROUND: Telemedicine has emerged as a potential solution to mitigate the significant greenhouse gas emissions of the healthcare sector. A comprehensive evaluation is required to quantify the environmental benefits of its implementation. OBJECTIVES: The study aims to compare the environmental sustainability of in-person and virtual examinations for heart failure patients. METHODS: A standard life cycle assessment has been applied to quantify the equivalent CO2 of direct and indirect activities required to release a medical examination (virtual or physical) for a patient in an Italian hospital...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682508/generating-actionable-insights-from-patient-medical-records-and-structured-clinical-knowledge
#29
JOURNAL ARTICLE
Natasha Trajkovska, Michael Roiss, Sophie Bauernfeind, Mohammad Alnajdawi, Simone Sandler, Daniel Herzmanek, Matthias Winkler, Michael Haider, Oliver Krauss
While adherence to clinical guidelines improves the quality and consistency of care, personalized healthcare also requires a deep understanding of individual disease models and treatment plans. The structured preparation of medical routine data in a certain clinical context, e.g. a treatment pathway outlined in a medical guideline, is currently a challenging task. Medical data is often stored in diverse formats and systems, and the relevant clinical knowledge defining the context is not available in machine-readable formats...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682507/a-sustainable-approach-to-telerehabilitation-in-europe-patients-are-ready-but-caregivers-are-essential
#30
JOURNAL ARTICLE
Andrea Cattaneo, Andrea Vitali, Daniele Regazzoni, Caterina Rizzi
BACKGROUND: Several studies have demonstrated the effectiveness of telerehabilitation. However, it remains unclear what proportion of people in need of rehabilitation can confidently use telecommunications networks and related devices. OBJECTIVES: The aim of this study is to estimate the proportion of patients who possess either the requisite digital literacy to perform telerehabilitation independently or have a family caregiver capable of providing effective support...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682506/unpacking-sociotechnical-discourses-on-telehealth-use-and-data-protection-a-path-towards-digital-health-value-creation
#31
JOURNAL ARTICLE
Javad Pool, Farhad Fatehi, Salma Sharifi, Morteza Namvar, Saeed Akhlaghpour
BACKGROUND: Telehealth uptake will remain sub-optimal without consumer trust. Safeguarding the security and privacy of health information plays an important role in building trust and acceptance of telehealth. OBJECTIVES: This study seeks to unpack the sociotechnical discourses on the use of telehealth with a focus on privacy and security in the context of United States health services. METHODS: A search of the media outlets facilitated via the Factiva database was conducted...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682505/diga-in-primary-care-and-the-influence-of-patient-related-factors-results-of-a-survey-of-family-doctors
#32
JOURNAL ARTICLE
Anna-Lena Brecher, Julia Herrgen, Tobias Mueller
BACKGROUND: In 2019, the Digital Healthcare Act created the legal basis for prescribable mobile health applications, referred to as DiGA (in German: Digitale Gesundheitsanwendungen), as a novel healthcare delivery option in Germany [1, 2]. OBJECTIVES: The aim of this study is to analyze the use of DiGA in primary care, focusing on the influence of socio-demographic characteristics of family doctors (FDs) and patient-related factors. METHODS: Pen-and-paper survey among 97 FDs in the district of Giessen, Hesse, Germany...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682504/dual-implementation-guides-in-fhir-and-cda
#33
JOURNAL ARTICLE
Nikola Tanjga, Oliver Krauss
BACKGROUND: The Fast Healthcare Interoperability Resources (FHIR) and Clinical Document Architecture (CDA) are standards for the healthcare industry, designed to improve the exchange of health data by interoperability. Both standards are constrained through what are known as Implementation Guides (IG) for specific use. OBJECTIVES: Both of these two standards are widely in use and play an important role in the Austrian healthcare system. Concepts existing in CDA and FHIR must be aligned between both standards...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682503/evaluation-of-a-digital-dementia-registry-s-it-architecture-after-a-three-year-period-in-practice-digidem-bayern
#34
JOURNAL ARTICLE
Michael Zeiler, Nikolas Dietzel, Peter L Kolominsky-Rabas, Elmar Graessel, Hans-Ulrich Prokosch
INTRODUCTION: The project "digiDEM Bayern" aims to set up a registry with long-term follow-up data on people with dementia and their family caregivers. For that purpose an Electronic Data Capture (EDC) system linked with a Participant Management (PM) system has been established. This study evaluates the acceptance and usability of the IT tools supporting all data management processes in order to further improve the system and associated processes. METHODS: For this purpose we collected the key numbers of the registry, and used the System Usability Scale (SUS) to evaluate the interactions of the data management systems in a wide area...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682502/symbiosis-of-technology-and-ethics-preliminary-results-of-an-inquiry-into-the-moral-dimensions-in-the-use-of-robotic-systems-in-patient-care
#35
JOURNAL ARTICLE
Carolin Mirbeth, Christoph Ohneberg, Inge Eberl
The present study aims to describe ethical and social requirements for technical and robotic systems for caregiving from the perspective of users. Users are interviewed in the ReduSys project during the development phase (prospective viewpoint) and after technology testing in the clinical setting (retrospective viewpoint). The preliminary results presented here refer to the prospective viewpoint.
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682501/supporting-well-being-exploring-the-value-of-a-digital-coach-for-older-adults-in-the-transition-from-work-to-retirement
#36
JOURNAL ARTICLE
Katja Neureiter, Leen Broeckx, Markus Garschall, Kim Helsen, Johannes Kropf
Supporting older adults' health and well-being in the transition from work to retirement requires a holistic perspective and needs to address physical, mental, and social aspects of life. In a field study, applying a mixed-methods approach, we investigated to what extent the prototype of a digital coach can support older adults in this sensitive phase. We aim at answering the central research question: How can a digital coach support older adults in the transition from work to retirement to establish and maintain a healthy lifestyle? Overall, 32 participants from Austria and Belgium took part in an eight-week trial...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682500/mapping-the-bulgarian-diabetes-register-to-omop-cdm-application-results
#37
JOURNAL ARTICLE
Evgeniy Krastev, Emanuil Markov, Simeon Abanos, Ralitsa Krasteva, Dimitar Tcharaktchiev
BACKGROUND: The Bulgaria Diabetes Register (BDR) contains more than 380 millions of pseudonymized outpatient records with proprietary data structures and format. OBJECTIVES: This paper presents the application results and experience acquired during the process of mapping such observational health data to OMOP CDM with the objective of publishing it in the European Health Data and Evidence Network (EHDEN) Portal. METHODS: The data mapping follows the activities of the well-structured Extract-Transform-Load process...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682499/large-language-model-based-evaluation-of-medical-question-answering-systems-algorithm-development-and-case-study
#38
JOURNAL ARTICLE
Daniel Reichenpfader, Philipp Rösslhuemer, Kerstin Denecke
BACKGROUND: Healthcare systems are increasingly resource constrained, leaving less time for important patient-provider interactions. Conversational agents (CAs) could be used to support the provision of information and to answer patients' questions. However, information must be accessible to a variety of patient populations, which requires understanding questions expressed at different language levels. METHODS: This study describes the use of Large Language Models (LLMs) to evaluate predefined medical content in CAs across patient populations...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682498/acceptance-of-telepresence-robotics-telecare-and-teletherapy-among-stroke-patients-relatives-and-therapy-staff
#39
JOURNAL ARTICLE
Edda Currle, Sonja Haug
BACKGROUND: Stroke as a cause of disability in adulthood causes an increasing demand for therapy and care services, including telecare and teletherapy. OBJECTIVES: Aim of the study is to analyse the acceptance of telepresence robotics and digital therapy applications. METHODS: Longitudinal study with a before and after survey of patients, relatives and care and therapy staff. RESULTS: Acceptance of the technology analysed is high in all three groups...
April 26, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38682497/enhancing-dementia-risk-mitigation-standardized-digital-monitoring-in-clinical-trials-and-platform-design-for-at-risk-elderly-individuals
#40
JOURNAL ARTICLE
Hannes Hilberger, Bianca Buchgraber-Schnalzer, Simone Huber, Theresa Weitlaner, Helena Untersteiner, Carina Seerainer, Sten Hanke
BACKGROUND: Dementia is becoming a significant public health concern, affecting approximately 130,000 individuals in Austria, whereby nearly 40% of the cases are attributed to modifiable risk factors. Multidomain lifestyle interventions have thereby demonstrated significant effects in reducing the risk of dementia. OBJECTIVES: The goal was to define an interoperability framework to conduct standardized monitoring in clinical trials for enhancing dementia risk mitigation...
April 26, 2024: Studies in Health Technology and Informatics
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