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Journal of Innovation in Health Informatics

Chi Yan Hui, Brian McKinstry, Robert Walton, Hilary Pinnock
BACKGROUND: Apps can potentially support asthma self-management, however attracting downloads and encouraging on-going adherence is challenging. OBJECTIVES: We observed the impact of different recruitment strategies and app features on adoption and continued use. METHODS: Practice nurses in five practices in Lothian/Oxford approached adults with active asthma to try out a prototype app. We also advertised the app via social media (Asthma UK; AUK Centre for Applied Research)...
January 9, 2019: Journal of Innovation in Health Informatics
Kathrin Cresswell, Brian McKinstry, Maria Wolters, Anoop Shah, Aziz Sheikh
The integration of patient/person generated health data into clinical applications is a key strategic priority internationally. However, despite agreement on the overall direction of travel, there are still a range of challenges that inhibit progress in this area. These include technology-related factors (such as interoperability), use-related factors (such as data overload) and characteristics of the strategic environment (such as existing standards). Building on important policy deliberations from the United States that aim to navigate these challenges, we here apply emerging policy frameworks to the United Kingdom and outline five key priority areas that are intended to help policy makers make important strategic decisions in attempting to integrate patient/person generated data into electronic health records...
January 4, 2019: Journal of Innovation in Health Informatics
Ather Akhlaq, Brian McKinstry, Aziz Sheikh
INTRODUCTION: Due to the many advantages of open source software (OSS), including reduced cost of licensing, more flexibility in terms of customisation and redistribution, better quality and no vendor lock-in, OSS in healthcare is increasingly gaining importance. Various open source health information technologies (OS-HITs) are continuously being designed and developed for different areas of healthcare to increase organisational efficiencies and quality of care at minimum costs. The objective of this scoping review is to identify the kinds of existing OS-HITs, their characteristics (e...
December 31, 2018: Journal of Innovation in Health Informatics
Emily Nina Satinsky, Corine Driessens, David Crepaz-Keay, Antonis Kousoulis
BACKGROUND: To improve health services, social, economic and health data should be shared and linked to create a full narrative of lived experience. Mental health data sharing is often considered a particularly sensitive area. OBJECTIVE: To assess mental health service users' perceptions regarding the current practice of administrative data-driven research. METHOD: We conducted a focus group using case study scenarios. Themes and subthemes were analysed using qualitative methods...
December 31, 2018: Journal of Innovation in Health Informatics
Haleh Ayatollahi, Sara Karimi, Maryam Ahmadi
INTRODUCTION: Different countries use a variety of methods to manage the newborn screening data. In this study, we aimed to compare the experiences of the selected countries to propose a framework for managing the newborn screening data in Iran. METHODS: In this comparative study, data were collected using electronic databases and the official website of the Department of Health in America, England and Australia. Data related to the process of newborn screening in Iran were collected using an open-ended questionnaire and reviewing the published documents...
December 31, 2018: Journal of Innovation in Health Informatics
Emily Jennings, Simon De Lusignan, Georgios Michalakidis, Paul Krause, Frank Sullivan, Harshana Liyanage, Brendan Delaney
PURPOSE: The Translational Research and Patients safety in Europe (TRANSFoRm) project aims to integrate primary care with clinical research whilst improving patient safety. The TRANSFoRm International Research Readiness survey (TIRRE) aims to demonstrate data use through two linked data studies and by identifying clinical data repositories and genetic databases or disease registries prepared to participate in linked research. METHOD: The TIRRE survey collects data at micro-, meso- and macro-levels of granularity; to fulfil data, study specific, business, geographical and readiness requirements of potential data providers for the TRANSFoRm demonstration studies...
December 31, 2018: Journal of Innovation in Health Informatics
Chibuzo Ottih, Kevin Cussen, Mahmud Mustafa
BACKGROUND:  Health supply chain managers are unable to effectively monitor the performance of the Immunization supply chain in Nigeria. As a result, they are unable to make effective, data-driven decisions. This results in poor vaccine availability at some service delivery points. A lack of reliable data for evidence-based decision making is a significant contributor to this challenge. METHOD: The Visibility and Analytics Network ("VAN") principles were introduced to enable end-to-end visibility in the immunization supply chain and logistics (ISCL) system and make more accurate data available to health supply chain managers...
December 31, 2018: Journal of Innovation in Health Informatics
Simon De Lusignan
No abstract text is available yet for this article.
December 31, 2018: Journal of Innovation in Health Informatics
Simon De Lusignan
 No abstract - In This Issue for Issue No 4.
December 30, 2018: Journal of Innovation in Health Informatics
Afeezat Olajumoke Oyeyemi, Philip Scott
A great asset of any healthcare system is "information" which includes, but not limited to patient data, clinical history and treatments. It is no secret that there is a growing demand for healthcare, however, this demand is yet to be achieved due to the challenge in the limitation of resources and the complexity of the problem area.
October 31, 2018: Journal of Innovation in Health Informatics
Simon Antranik Sarkisian, Andrew Kagel
No abstract text is available yet for this article.
October 31, 2018: Journal of Innovation in Health Informatics
Jennifer Mannik, Andrea Figol, Vanessa Churchill, James Aw, Stacy Francis, Ezekiel Karino, Julius Kibet Chesire, Danet Opot, Benard Ochieng, Michael Thomas Hawkes
BACKGROUND: An increasing burden of cardiovascular disease (CVD) in low-resource settings demands innovative public health approaches. OBJECTIVES: To design and test a novel mHealth tool for use by community health workers (CHWs) to identify individuals at high CVD risk who would benefit from education and/or pharmacologic interventions. METHODS: We designed and implemented a novel two-way mobile phone application, "AFYACHAT," to rapidly screen for CVD risk in rural Kenya...
October 31, 2018: Journal of Innovation in Health Informatics
Tanisha Tate Woodson, Rose Gunn, Khaya D Clark, Bijal A Balasubramanian, Katelyn K Jetelina, Brianna Muller, Benjamin F Miller, Timothy E Burdick, Deborah J Cohen
BACKGROUND: Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. OBJECTIVE: Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology needs, and develop EHR tools to address them. METHOD: A mixed-methods, comparative-case study of six community health centers (CHCs) in Oregon, each with at least one BHC integrated in their primary care team...
October 31, 2018: Journal of Innovation in Health Informatics
Simon De Lusignan
 In this issue we publish articles about how digital health and the skills needed to use it may increase disparities.
October 31, 2018: Journal of Innovation in Health Informatics
Srinivas Emani, Ellen Peters, Sonali Desai, Andrew S Karson, Stuart R Lipsitz, Rajani LaRocca, John Stone, Vlas Suric, Jonathan S Wald, Amy Wheeler, Deborah H Williams, David W Bates
BACKGROUND: Patient portals have emerged as an important tool through which patients can access online health information and engage in their health care. However, we know little about how patients perceive portals and whether patient perceptions might influence portal adoption. OBJECTIVE: Apply the diffusion of innovation (DOI) theory to assess perceptions of adopters and non-adopters of a patient portal. METHODS: We conducted a cross-sectional survey of adopters and non-adopters of the portal...
October 25, 2018: Journal of Innovation in Health Informatics
Ian Litchfield, Alice Turner, Ruth Backman, João Bosco Ferreira Filho, Mark Lee
BACKGROUND: The number of people in the UK with three or more long-term conditions continues to grow and the management of patients with co-morbidities is complex. In treating patients with multimorbidities, a fundamental problem is understanding and detecting points of conflict between different guidelines which to date has relied on individual clinicians collating disparate information. OBJECTIVE: We will develop a framework for modelling a diverse set of care pathways, and investigate how conflicts can be detected and resolved automatically...
October 25, 2018: Journal of Innovation in Health Informatics
Richard Williams, Richard Keers, Wouter T Gude, Mark Jeffries, Colin Davies, Benjamin Brown, Evangelos Kontopantelis, Anthony J Avery, Darren M Ashcroft, Niels Peek
BACKGROUND: Patient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research demonstrated that the number of patients exposed to potentially hazardous prescribing can be reduced by interrogating the electronic health record (EHR) database of general practices and providing feedback to general practitioners in a pharmacist-led intervention. We aimed to develop and roll out an online dashboard application that delivers this audit and feedback intervention in a continuous fashion...
October 18, 2018: Journal of Innovation in Health Informatics
Naren Gunja, Ian Dunlop, Milan Vaghasiya, Kevin Kuan, Simon Poon
BACKGROUND: Traditional implementations of electronic medication management (EMM) systems have involved two common formats - a 'big bang' approach on the day of go-live, or a phased ward-by-ward approach over months. OBJECTIVE: To describe the patient-centric roll-out, a novel implementation model in converting from paper to EMM. METHOD: This model iteratively converted a large tertiary teaching hospital to electronic from paper medication charts, commencing the roll-out in the emergency department (ED)...
October 18, 2018: Journal of Innovation in Health Informatics
Muzawir Arief, Sari Rissanen, Kaija Saranto
BACKGROUND: Internet use among the elderly is influenced by various demographic backgrounds, social life and health factors. OBJECTIVE: This study aims to identify the impact of several demographic features on 60- to 79-year-old individuals' intention to use the Internet. METHOD: Finland population data (N = 2508) from the 2012 IKIPOSA project was used with two cohorts: 60s group (n = 1515) and 70s group (n = 990). Descriptive statistic and two binomial logistic regressions have been used with the unadjusted effect and Forward LR method to measure each predictor's contribution to the model...
October 18, 2018: Journal of Innovation in Health Informatics
Mark Chun Moon, Rebecca Hills, George Demiris
BACKGROUND: Little is known about optimization of electronic health records (EHR) systems in the hospital setting while adoption of EHR systems continues in the United States. OBJECTIVE: To understand optimization processes of EHR systems undertaken in leading healthcare organizations in the United States. METHODS: Informed by grounded theory approach, a qualitative study was undertaken that involved 11 in-depth interviews and a focus group with the EHR experts from the high performing healthcare organizations across the United States...
June 30, 2018: Journal of Innovation in Health Informatics
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