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Informatics in Primary Care

Siaw-Teng Liaw, Christopher Pearce, Harshana Liyanage, Gladys S S Liaw, Simon de Lusignan
INTRODUCTION: Increasing investment in eHealth aims to improve cost effectiveness and safety of care. Data extraction and aggregation can create new data products to improve professional practice and provide feedback to improve the quality of source data. A previous systematic review concluded that locally relevant clinical indicators and use of clinical record systems could support clinical governance. We aimed to extend and update the review with a theoretical framework. METHODS: We searched PubMed, Medline, Web of Science, ABI Inform (Proquest) and Business Source Premier (EBSCO) using the terms curation, information ecosystem, data quality management (DQM), data governance, information governance (IG) and data stewardship...
2014: Informatics in Primary Care
Marc Jamoulle, Elena Cardillo, Joseph Roumier, Maxime Warnier, Robert Vander Stichele
INTRODUCTION: With growing sophistication of eHealth platforms, medical information is increasingly shared across patients, health care providers, institutions and across borders. This implies more stringent demands on the quality of data entry at the point-of-care. Non-native English-speaking general practitioners (GPs) experience difficulties in interacting with international classification systems and nomenclatures to facilitate the secondary use of their data and to ensure semantic interoperability...
2014: Informatics in Primary Care
Siriporn Monyarit, Wirichada Pan-ngum, Saranath Lawpoolsri, Surapon Yimsamran, Suporn Pongnumkul, Jaranit Kaewkungwal, Pratap Singhasivanon
AIMS: To compare the quality of data collection via electronic data capture (EDC) with voiced questionnaire (QNN) and data image capture features using a tablet versus standard paper-based QNN, to assess the user's perception of using the EDC tool, and to compare user satisfaction with the two methods. STUDY DESIGN: Randomised cross-over study. Study sites: This study was conducted in two villages along the Thailand-Myanmar border. METHODOLOGY: This study included 30 community health volunteers (CHVs) and 120 Karen hill tribe villagers...
2014: Informatics in Primary Care
Christopher Pearce, Jenny Bartlett, Adam Mcleod, Paula Eustace, Rod Amos, Marianne Shearer
BACKGROUND: Change management in health care is a complex and time-consuming endeavour, and no less so in implementing technological systems. In deploying a nationwide programme, the personally controlled electronic health record (PCEHR), the Australian Government employed a number of national and local change management programmes. OBJECTIVE: This article describes the processes undertaken and the experiences of introducing the PCEHR into 74 general practices across a specific area of metropolitan Melbourne...
2014: Informatics in Primary Care
Onur Asan, Enid Montague
OBJECTIVE: The purpose of this paper is to describe the use of video-based observation research methods in primary care environment and highlight important methodological considerations and provide practical guidance for primary care and human factors researchers conducting video studies to understand patient-clinician interaction in primary care settings. METHODS: We reviewed studies in the literature which used video methods in health care research, and we also used our own experience based on the video studies we conducted in primary care settings...
2014: Informatics in Primary Care
Frank Sullivan
Dr. John Bryden was the executive officer of European Federation for Medical Informatics for a decade between 1998 and 2008. When he retired from active work within the federation, he was awarded an honorary fellowship. In one of his early papers from the 1960s, he described how some relatively novel machines called computers might replace the punched cards that were being used at the time. He saw, before many others, that computers could be used for the care of individual patients and even more so for groups of patients...
2014: Informatics in Primary Care
Simon de Lusignan
No abstract text is available yet for this article.
2014: Informatics in Primary Care
David Barrett, S T Liaw, Simon de Lusignan
Even though informatics is a term used commonly in healthcare, it can be a confusing and disengaging one. Many definitions exist in the literature, and attempts have been made to develop a clear taxonomy. Despite this, informatics is still a term that lacks clarity in both its scope and the classification of sub-terms that it encompasses. This paper reviews the importance of an agreed taxonomy and explores the challenges of establishing exactly what is meant by health informatics (HI). It reviews what a taxonomy should do, summarises previous attempts at categorising and organising HI and suggests the elements to consider when seeking to develop a system of classification...
2014: Informatics in Primary Care
Nancy Pandhi, Wan-Lin Yang, Zaher Karp, Alexander Young, John W Beasley, Sally Kraft, Pascale Carayon
BACKGROUND: Although the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality. OBJECTIVE: To examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system. METHODS: A qualitative study was conducted...
2014: Informatics in Primary Care
Filipe Prazeres
BACKGROUND: This study compares general practitioners (GPs) and general practice trainees (GPTs) on the adaptation to the electronic health records (EHRs) and how they perceive its impact on medical consultations. METHODS: Cross-sectional, descriptive study. The link for an online questionnaire was sent to mainland Portuguese health care centre groups. RESULTS: A total of 147 physicians (100 females and 47 males). GPs had more learning difficulties in using the EHR (P < 0...
2014: Informatics in Primary Care
Ruth A Bush, Vijaya M Vemulakonda, Sean T Corbett, George J Chiang
BACKGROUND: Non-attendance at paediatric urology outpatient appointments results in the patient's failure to receive medical care and wastes health care resources. OBJECTIVE: To determine the utility of using routinely collected electronic health record (EHR) data for multi-centre analysis of variables predictive of patient noshows (NS) to identify areas for future intervention. METHODS: Data were obtained from Children's Hospital Colorado, Rady Children's Hospital San Diego and University of Virginia Hospital paediatric urology practices, which use the EpicĀ® EHR system...
2014: Informatics in Primary Care
Zoe Morrison, Bernard Fernando, Dipak Kalra, Kathrin Cresswell, Ann Robertson, Aziz Sheikh
BACKGROUND: Although the collection of patient ethnicity data is a requirement of publicly funded healthcare providers in the UK, recording of ethnicity is sub-optimal for reasons that remain poorly understood. AIMS AND OBJECTIVES: We sought to understand enablers and barriers to the collection and utilisation of ethnicity data within electronic health records, how these practices have developed and what benefit this information provides to different stakeholder groups...
2014: Informatics in Primary Care
Sharon Levy, Lisa Henderson, Caroline McAlpine
BACKGROUND: Many young people with chronic ill health use technology for self-care activities, but little is known about the use of telehealth amongst those with spina bifida. The limited availability of specialist continence nurses in primary care settings, for this client group in the UK, exacerbates their reliance on parents or carers. OBJECTIVES: 1. Exploring the way in which home-based and technology-enabled clinical interventions affect young people's engagement in continence self-care...
2014: Informatics in Primary Care
Eva Pietrzak, Cristina Cotea, Stephen Pullman
BACKGROUND: Falls in older Australians are an increasingly costly public health issue, driving the development of novel modes of intervention, especially those that rely on computer-driven technologies. OBJECTIVE: The aim of this paper was to gain an understanding of the state of the art of research on smart homes and computer-based monitoring technologies to prevent and detect falls in the community-dwelling elderly. METHOD: Cochrane, Medline, Embase and Google databases were searched for articles on fall prevention in the elderly using pre-specified search terms...
2014: Informatics in Primary Care
Simon de Lusignan
No abstract text is available yet for this article.
2014: Informatics in Primary Care
Simon de Lusignan, Benjamin Sun, Christopher Pearce, Christopher Farmer, Paul Steven, Simon Jones
OBJECTIVE: There is no standard method of publishing the code ranges in research using routine data. We report how code selection affects the reported prevalence and precision of results. DESIGN: We compared code ranges used to report the impact of pay-for-performance (P4P), with those specified in the P4P scheme, and those used by our informatics team to identify cases. We estimated the positive predictive values (PPV) of people with chronic conditions who were included in the study population, and compared the prevalence and blood pressure (BP) of people with hypertension (HT)...
2014: Informatics in Primary Care
Roderick L B Neame
BACKGROUND: The protection of personal information privacy has become one of the most pressing security concerns for record keepers: this will become more onerous with the introduction of the European General Data Protection Regulation (GDPR) in mid-2014. Many institutions, both large and small, have yet to implement the essential infrastructure for data privacy protection and patient consent and control when accessing and sharing data; even more have failed to instil a privacy and security awareness mindset and culture amongst their staff...
2014: Informatics in Primary Care
Kathrin M Cresswell, Aziz Sheikh
There is an increasing international recognition that the evaluation of health information technologies should involve assessments of both the technology and the social/organisational contexts into which it is deployed. There is, however, a lack of agreement on definitions, published guidance on how such 'sociotechnical evaluations' should be undertaken, and how they distinguish themselves from other approaches. We explain what sociotechnical evaluations are, consider the contexts in which these are most usefully undertaken, explain what they entail, reflect on the potential pitfalls associated with such research, and suggest possible ways to avoid these...
2014: Informatics in Primary Care
Jane Chung, Blaine Reeder, Amanda Lazar, Jonathan Joe, George Demiris, Hilaire J Thompson
BACKGROUND: Sensor technologies are designed to assist independent living of older adults. However, it is often difficult for older adults to make an informed decision about adopting sensor technologies. OBJECTIVE: To explore Bruce's framework of informed decision making (IDM) for in-home use of sensor technologies in community-dwelling elders. METHOD: The IDM framework guided development of a semi-structured interview. A theory-driven coding approach was used for analysis...
2014: Informatics in Primary Care
Montassar Amri, Kaliyadan Feroz
BACKGROUND: Several previous studies have tried to assess the usefulness of Google search as a diagnostic aid. The results were discordant and have led to controversies. OBJECTIVES: To investigate how often Google search is helpful to reach correct diagnoses in dermatology. METHODS: Two fifth-year students (A and B) and one demonstrator (C) have participated as investigators in this paper. Twenty-five diagnostic dermatological cases were selected from all the clinical cases published in the Web only images in clinical medicine from March 2005 to November 2009...
2014: Informatics in Primary Care
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