Healthcare Informatics Research最新文献_第9页

Coaching for Asthma to Achieve Better Health Outcomes with Coach McLungsSM Through Primary Care Implementation 通过初级保健实施教练McLungsSM实现哮喘更好的健康结果

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.4016

K. Reeves, H. Tapp, K. Boehmer, C. Patterson, Katherine O’Hare, Lindsay Shade, R. Beesley, Lyn Nuse, Jeremy L Thomas, Melinda Manning, T. Ludden, C. Courtlandt, A. DeSantis, Christopher W. Shea

引用次数: 0

Frailty Prediction Using Doctor’s Communications in Primary Care System: eConsult 初级保健系统中使用医生沟通的衰弱预测:咨询

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3933

Arya Rahgozar, D. Archibald, S. Karunananthan, C. Liddy, A. Afkham, E. Keely

引用次数: 0

Application of a Multi-Layer Perceptron in Preoperative Screening for Orthognathic Surgery. 多层感知器在正颌手术术前筛查中的应用。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.16

Natkritta Chaiprasittikul, Bhornsawan Thanathornwong, Suchaya Pornprasertsuk-Damrongsri, Somchart Raocharernporn, Somporn Maponthong, Somchai Manopatanakul

{"title":"Application of a Multi-Layer Perceptron in Preoperative Screening for Orthognathic Surgery.","authors":"Natkritta Chaiprasittikul, Bhornsawan Thanathornwong, Suchaya Pornprasertsuk-Damrongsri, Somchart Raocharernporn, Somporn Maponthong, Somchai Manopatanakul","doi":"10.4258/hir.2023.29.1.16","DOIUrl":"https://doi.org/10.4258/hir.2023.29.1.16","url":null,"abstract":"Objectives: Orthognathic surgery is used to treat moderate to severe occlusal discrepancies. Examinations and measurements for preoperative screening are essential procedures. A careful analysis is needed to decide whether cases require orthognathic surgery. This study developed screening software using a multi-layer perceptron to determine whether orthognathic surgery is required.Methods: In total, 538 digital lateral cephalometric radiographs were retrospectively collected from a hospital data system. The input data consisted of seven cephalometric variables. All cephalograms were analyzed by the Detectron2 detection and segmentation algorithms. A keypoint region-based convolutional neural network (R-CNN) was used for object detection, and an artificial neural network (ANN) was used for classification. This novel neural network decision support system was created and validated using Keras software. The output data are shown as a number from 0 to 1, with cases requiring orthognathic surgery being indicated by a number approaching 1.Results: The screening software demonstrated a diagnostic agreement of 96.3% with specialists regarding the requirement for orthognathic surgery. A confusion matrix showed that only 2 out of 54 cases were misdiagnosed (accuracy = 0.963, sensitivity = 1, precision = 0.93, F-value = 0.963, area under the curve = 0.96).Conclusions: Orthognathic surgery screening with a keypoint R-CNN for object detection and an ANN for classification showed 96.3% diagnostic agreement in this study.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"16-22"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/03/hir-2023-29-1-16.PMC9932311.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Healthcare Information Technology: A Systematic Mapping Study. 医疗保健信息技术:一个系统的地图研究。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.4

Enrique Maldonado Belmonte, Salvador Otón Tortosa, Luis de-Marcos Ortega, José-María Gutiérrez-Martínez

{"title":"Healthcare Information Technology: A Systematic Mapping Study.","authors":"Enrique Maldonado Belmonte, Salvador Otón Tortosa, Luis de-Marcos Ortega, José-María Gutiérrez-Martínez","doi":"10.4258/hir.2023.29.1.4","DOIUrl":"https://doi.org/10.4258/hir.2023.29.1.4","url":null,"abstract":"Objectives: This paper presents a systematic mapping of studies related to information systems and technology in the field of healthcare, enabling a visual mapping of the different lines of knowledge that can provide an overview of the scientific literature in this field. This map can help to clarify critical aspects of healthcare informatics, such as the main types of information systems, the ways in which they integrate with each other, and the technological trends in this field.Methods: Systematic mapping refers to a process of classifying information in a given area of knowledge. It provides an overview of the state of the art in a particular discipline or area of knowledge, establishing a map that describes how knowledge is structured in that particular area. In this study, we proposed and carried out a specific implementation of the methodology for mapping. In total, 1,619 studies that combine knowledge related to information systems, computer science, and healthcare were selected and compiled from prestigious publications.Results: The results established a distribution of the available literature and identified papers related to certain research questions, thereby providing a map of knowledge that structures the different trends and main areas of research, making it possible to address the research questions and serving as a guide to deepen specific aspects of the field of study.Conclusions: We project and propose future research for the trends that stand out because of their interest and the possibility of exploring these topics in greater depth.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"4-15"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/c0/hir-2023-29-1-4.PMC9932305.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Present and Future of Utilizing Healthcare Data. 利用医疗保健数据的现在和未来。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.1

In Young Choi

引用次数: 0

Clinical Decision Support System for Geriatric Dental Treatment Using a Bayesian Network and a Convolutional Neural Network. 使用贝叶斯网络和卷积神经网络的老年牙科治疗临床决策支持系统。

IF 2.3

Healthcare Informatics Research Pub Date : 2023-01-01 Epub Date: 2023-01-31 DOI: 10.4258/hir.2023.29.1.23

Bhornsawan Thanathornwong, Siriwan Suebnukarn, Kan Ouivirach

{"title":"Clinical Decision Support System for Geriatric Dental Treatment Using a Bayesian Network and a Convolutional Neural Network.","authors":"Bhornsawan Thanathornwong, Siriwan Suebnukarn, Kan Ouivirach","doi":"10.4258/hir.2023.29.1.23","DOIUrl":"10.4258/hir.2023.29.1.23","url":null,"abstract":"Objectives: The aim of this study was to evaluate the performance of a clinical decision support system (CDSS) for therapeutic plans in geriatric dentistry. The information that needs to be considered in a therapeutic plan includes not only the patient's oral health status obtained from an oral examination, but also other related factors such as underlying diseases, socioeconomic characteristics, and functional dependency.Methods: A Bayesian network (BN) was used as a framework to construct a model of contributing factors and their causal relationships based on clinical knowledge and data. The faster R-CNN (regional convolutional neural network) algorithm was used to detect oral health status, which was part of the BN structure. The study was conducted using retrospective data from 400 patients receiving geriatric dental care at a university hospital between January 2020 and June 2021.Results: The model showed an F1-score of 89.31%, precision of 86.69%, and recall of 82.14% for the detection of periodontally compromised teeth. A receiver operating characteristic curve analysis showed that the BN model was highly accurate for recommending therapeutic plans (area under the curve = 0.902). The model performance was compared to that of experts in geriatric dentistry, and the experts and the system strongly agreed on the recommended therapeutic plans (kappa value = 0.905).Conclusions: This research was the first phase of the development of a CDSS to recommend geriatric dental treatment. The proposed system, when integrated into the clinical workflow, is expected to provide general practitioners with expert-level decision support in geriatric dental care.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"23-30"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/c3/hir-2023-29-1-23.PMC9932303.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Epidemiology and Artificial Intelligence to Describe a Complex Primary Care Population in a Learning Health System 使用流行病学和人工智能来描述学习卫生系统中复杂的初级保健人群

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.1370/afm.21.s1.3552

Jacqueline K. Kueper, J. Rayner, M. Zwarenstein, D. Lizotte

引用次数: 0

Keyword Network Analysis of Infusion Nursing from Posts on the Q&A Board in the Intravenous Nurses Café. 关键词输液护理网络分析——从静脉护士咖啡吧问答栏的帖子看。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.75

Jeong Yun Park, Jinkyu Lee, Bora Hong

{"title":"Keyword Network Analysis of Infusion Nursing from Posts on the Q&A Board in the Intravenous Nurses Café.","authors":"Jeong Yun Park, Jinkyu Lee, Bora Hong","doi":"10.4258/hir.2023.29.1.75","DOIUrl":"https://doi.org/10.4258/hir.2023.29.1.75","url":null,"abstract":"Objectives: Portal sites have become places to share queries about performing nursing and obtain expert know-how. This study aimed to analyze topics of interest in the field of infusion nursing among nurses working in clinical settings.Methods: In total, 169 user query data were collected from October 5, 2018 to December 25, 2021. This exploratory study analyzed the semantic structure of posts on the nurse question-and-answer board of an infusion nursing-related internet portal by extracting major keywords through text data analysis and conducting term frequency (TF) and term frequency-inverse document frequency (TF-IDF) analysis, N-gram analysis, and CONvergence of iteration CORrelation (CONCOR) analysis. Word cloud visualization was conducted utilizing the \"wordcloud\" package of Python to provide a visually engaging and concise summary of information about the extracted terms.Results: \"Infusion\" was the most frequent keyword and the highest-importance word. \"Infusion→line\" had the strongest association, followed by \"vein→catheter,\" \"line→change,\" and \"peripheral→vein.\" Three topics were identified: the replacement of catheters, maintenance of the patency of the catheters, and securement of peripheral intravenous catheters, and the subtopics were blood sampling through central venous catheter, peripherally inserted central catheter management, evidence-based infusion nursing, and pediatric infusion nursing.Conclusions: These findings indicate that nurses have various inquiries in infusion nursing. It is necessary to re-establish the duties and roles of infusion nurses, and to develop effective infusion nursing training programs.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"75-83"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/13/hir-2023-29-1-75.PMC9932308.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Healthcare Professionals' Expectations of Medical Artificial Intelligence and Strategies for its Clinical Implementation: A Qualitative Study. 医疗专业人员对医疗人工智能的期望及其临床实施策略:一项定性研究。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.64

Junsang Yoo, Sujeong Hur, Wonil Hwang, Won Chul Cha

{"title":"Healthcare Professionals' Expectations of Medical Artificial Intelligence and Strategies for its Clinical Implementation: A Qualitative Study.","authors":"Junsang Yoo, Sujeong Hur, Wonil Hwang, Won Chul Cha","doi":"10.4258/hir.2023.29.1.64","DOIUrl":"https://doi.org/10.4258/hir.2023.29.1.64","url":null,"abstract":"Objectives: Although medical artificial intelligence (AI) systems that assist healthcare professionals in critical care settings are expected to improve healthcare, skepticism exists regarding whether their potential has been fully actualized. Therefore, we aimed to conduct a qualitative study with physicians and nurses to understand their needs, expectations, and concerns regarding medical AI; explore their expected responses to recommendations by medical AI that contradicted their judgments; and derive strategies to implement medical AI in practice successfully.Methods: Semi-structured interviews were conducted with 15 healthcare professionals working in the emergency room and intensive care unit in a tertiary teaching hospital in Seoul. The data were interpreted using summative content analysis. In total, 26 medical AI topics were extracted from the interviews. Eight were related to treatment recommendation, seven were related to diagnosis prediction, and seven were related to process improvement.Results: While the participants expressed expectations that medical AI could enhance their patients' outcomes, increase work efficiency, and reduce hospital operating costs, they also mentioned concerns regarding distortions in the workflow, deskilling, alert fatigue, and unsophisticated algorithms. If medical AI decisions contradicted their judgment, most participants would consult other medical staff and thereafter reconsider their initial judgment.Conclusions: Healthcare professionals wanted to use medical AI in practice and emphasized that artificial intelligence systems should be trustworthy from the standpoint of healthcare professionals. They also highlighted the importance of alert fatigue management and the integration of AI systems into the workflow.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"64-74"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/14/hir-2023-29-1-64.PMC9932312.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Prevalence of Nomophobia in University Students: A Systematic Review and Meta-Analysis. 大学生无手机恐惧症的流行:系统回顾与元分析。

IF 2.9

Healthcare Informatics Research Pub Date : 2023-01-01 DOI: 10.4258/hir.2023.29.1.40

Kimberly G Tuco, Sharong D Castro-Diaz, David R Soriano-Moreno, Vicente A Benites-Zapata

{"title":"Prevalence of Nomophobia in University Students: A Systematic Review and Meta-Analysis.","authors":"Kimberly G Tuco, Sharong D Castro-Diaz, David R Soriano-Moreno, Vicente A Benites-Zapata","doi":"10.4258/hir.2023.29.1.40","DOIUrl":"https://doi.org/10.4258/hir.2023.29.1.40","url":null,"abstract":"Objectives: The aim of this study was to assess the prevalence of nomophobia in university students.Methods: A systematic search was conducted of the following databases: Web of Science/ Core Collection, Scopus, PubMed, Embase, and Ovid/ MEDLINE until March 2021. Cross-sectional studies reporting the prevalence of nomophobia in undergraduate or postgraduate university students that assessed nomophobia with the 20-item Nomophobia Questionnaire (NMP-Q) tool were included. Study selection, data extraction, and risk of bias assessment were performed in duplicate. A meta-analysis of proportions was performed using a random-effects model. Heterogeneity was assessed using sensitivity analysis according to the risk of bias, and subgrouping by country, sex, and major.Results: We included 28 cross-sectional studies with a total of 11,300 participants from eight countries, of which 23 were included in the meta-analysis. The prevalence of mild nomophobia was 24% (95% confidence interval [CI], 20%-28%; I2 = 95.3%), that of moderate nomophobia was 56% (95% CI, 53%-60%; I2 = 91.2%), and that of severe nomophobia was 17% (95% CI, 15%-20%; I2 = 91.7%). Regarding countries, Indonesia had the highest prevalence of severe nomophobia (71%) and Germany had the lowest (3%). The prevalence was similar according to sex and major.Conclusions: We found a high prevalence of moderate and severe nomophobia in university students. Interventions are needed to prevent and treat this problem in educational institutions.","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"29 1","pages":"40-53"},"PeriodicalIF":2.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/16/hir-2023-29-1-40.PMC9932304.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4