Health Informatics Journal最新文献

Bright visions, shady days: Exploring hospital staff expectations and early experiences with a new EHR system in Norway. 光明的前景，阴暗的日子：探索医院工作人员的期望和早期经验与新的电子病历系统在挪威。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-20 DOI: 10.1177/14604582251344839

Line Melby, Kirsti Sarheim Anthun, Pieter J Toussaint

{"title":"Bright visions, shady days: Exploring hospital staff expectations and early experiences with a new EHR system in Norway.","authors":"Line Melby, Kirsti Sarheim Anthun, Pieter J Toussaint","doi":"10.1177/14604582251344839","DOIUrl":"10.1177/14604582251344839","url":null,"abstract":"Background: The preparation phase of an IT implementation may have consequences for the outcomes. To increase the chance of a successful implementation, many organisations invest in preparing the organisation through organisational readiness projects and similar activities. Objective: To determine how hospital staff in Central Norway were prepared for a new electronic health record (EHR) system and how expectations were met during the go-live and early use phase. Methods: Semi-structured interviews with the implementation team and staff members of a University hospital. Results: Preparations were carefully planned, but the staff considered them insufficient. The staff were positive towards the aim of the new EHR but found the training and practical preparations inadequate, resulting in unmet expectations and frustrations. Conclusion: Readiness activities in socio-technical implementations should emphasise to users that the information system presents opportunities, not necessarily fixed-use recipes, and is continuously evolving. Contextual information can help users align their expectations with the possibilities.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251344839"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of non-small cell lung cancer online videos in China: A cross-sectional study on quality, content, understandability, actionability, and reliability. 中国非小细胞肺癌在线视频的评估：质量、内容、可理解性、可操作性和可靠性的横断面研究

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-04-03 DOI: 10.1177/14604582251328930

Xiaoqing Feng, Yuhui Xu, Yi Yang, Yifan Zheng, Jia Li

{"title":"Assessment of non-small cell lung cancer online videos in China: A cross-sectional study on quality, content, understandability, actionability, and reliability.","authors":"Xiaoqing Feng, Yuhui Xu, Yi Yang, Yifan Zheng, Jia Li","doi":"10.1177/14604582251328930","DOIUrl":"10.1177/14604582251328930","url":null,"abstract":"Objective: This study aims to conduct a multidimensional evaluation of non-small cell lung cancer (NSCLC)-related videos on social media platforms in China (TikTok, Bilibili, and Red).Methods: Validated tools were used to evaluate video quality (DISCERN instrument), reliability (Journal of the American Medical Association [JAMA] benchmarks), understandability, and actionability (Patient Education Materials Assessment Tool [PEMAT]).Results: This study included 96 videos, primarily created by medical professionals (n = 63). The median DISCERN score was 30.0 (IQR 28.5-34.4), indicating poor quality overall. Compared to videos rated as \"good\", the \"poor\" videos had significantly shorter durations (P = 0.040). The overall median understandability and actionability scores were 81.8% (IQR 75.0-90.9%) and 0% (IQR 0.0-66.7%), respectively, indicating good understandability but extremely poor actionability. Only one met all four JAMA benchmarks. TikTok videos with the shortest durations garnered the highest numbers of \"likes\", \"comments\", and \"bookmarks\", while Bilibili videos exhibited a relatively high overall quality.Conclusions: To guide the public in making informed medical decisions, Chinese NSCLC videos need improvement in various aspects.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251328930"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Workshop on evaluating medical apps using the mobile app Rubric for learning. 使用移动应用程序Rubric进行学习评估医疗应用程序的研讨会。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-04-29 DOI: 10.1177/14604582251338663

Raniah N Aldekhyyel, Jwaher A Almulhem

{"title":"Workshop on evaluating medical apps using the mobile app Rubric for learning.","authors":"Raniah N Aldekhyyel, Jwaher A Almulhem","doi":"10.1177/14604582251338663","DOIUrl":"https://doi.org/10.1177/14604582251338663","url":null,"abstract":"Objective: With rising digital tool use and lack of standard evaluation criteria in medical education, students should learn to assess the quality of medical apps. We designed a workshop to equip medical students with app evaluation skills. This study describes the workshop and experiences of students and faculty with the Mobile App Rubric for Learning (MARuL) instrument. Methods: The study used qualitative design and consecutive sampling, including all third-year medical students enrolled in a medical informatics course. Faculty facilitators introduced students to the MARuL instrument and trained them on its use. Students, grouped based on their familiarity with medical apps, conducted evaluations, and feedback was collected through an online form. The data were analyzed using thematic content analysis. Faculty also reflected on the workshop's implementation and the effectiveness of the instrument. Results: A total of 275 students participated, identifying challenges such as the instrument's length, complex terminology, scoring difficulties, limited answer options, and the lack of open-ended questions. Faculty reported difficulties in explaining the MARuL and conducting the workshop effectively. Conclusion:The findings suggest the importance of integrating standard medical apps evaluation tools into the medical curriculum. These tools should be time-efficient, easy to understand, and simple to interpret for their utilization in an educational setting.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251338663"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The design process and development of MySleepSolutions - A sleep module for a lifestyle self-management app for low back pain. MySleepSolutions的设计过程和开发-这是一款针对腰痛的生活方式自我管理应用程序的睡眠模块。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-17 DOI: 10.1177/14604582251340548

Kate Roberts, Paula Beckenkamp, Josielli Comachio, Carlos Mesa Castrillon, Anelise Moreti Cabral Silveira, Emma Ho, Julian Comis, Christian Jensen, Chris Gordon, Paulo Ferreira

{"title":"The design process and development of MySleepSolutions - A sleep module for a lifestyle self-management app for low back pain.","authors":"Kate Roberts, Paula Beckenkamp, Josielli Comachio, Carlos Mesa Castrillon, Anelise Moreti Cabral Silveira, Emma Ho, Julian Comis, Christian Jensen, Chris Gordon, Paulo Ferreira","doi":"10.1177/14604582251340548","DOIUrl":"https://doi.org/10.1177/14604582251340548","url":null,"abstract":"Background: Mobile health applications for the management of chronic conditions may be an effective method of supporting self-management. Objective: This report aims to describe the design process of a novel mHealth sleep retraining program for people with low back pain (LBP). Methods: This report includes a detailed description of the design and implementation process which utilized a four-stage framework: (i) concept development, (ii) therapeutic/design approaches, and app features/functionality), (iii) implementation metrics, and (iv) clinical outcomes in end-users. Results: The content of MySleepSolutions which is user-centered, personalized and evidence-based, is grounded in Cognitive Behavior Therapy for Insomnia (CBT-I) techniques and follows best practice guidelines. Conclusions: This detailed description of the design and development of MySleepSolutions ensures the program is comprehensive and has a sound theoretical basis while providing transparency and supporting future research into the development of mHealth retraining programs for sleep disturbance associated with LBP.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251340548"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A data quality assurance process to improve the precision of analysis of routinely collected administrative data for the NHS (National Health Service) UK. 数据质量保证程序，以提高对英国国民保健服务（NHS）例行收集的行政数据的分析精度。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-21 DOI: 10.1177/14604582251334338

Robert M Cook, Alisen Dube, Md Asaduzzaman, Tim Beales, Ross Pearce, Luke Blackwell, Claire Whitehouse, Joshua Miller, Malcolm Gough, Mark Radford, Alison Leary, Sarahjane Jones

{"title":"A data quality assurance process to improve the precision of analysis of routinely collected administrative data for the NHS (National Health Service) UK.","authors":"Robert M Cook, Alisen Dube, Md Asaduzzaman, Tim Beales, Ross Pearce, Luke Blackwell, Claire Whitehouse, Joshua Miller, Malcolm Gough, Mark Radford, Alison Leary, Sarahjane Jones","doi":"10.1177/14604582251334338","DOIUrl":"https://doi.org/10.1177/14604582251334338","url":null,"abstract":"Objective: This paper demonstrates a data quality assurance (DQA) process as a means to identify and handle flaws in data, and hence improve the accuracy of an investigation into the prevalence of harmful versus non-harmful/near-miss incident reports in a single NHS acute provider.Methods: The three-step DQA process consists of an initial univariate data quality analysis, followed by a bivariate missingness analysis, and concluding with the design of appropriate multiple imputation techniques. With data quality established, the acuity and incident data were aggregated and aligned to the Ward-Month level for the period August 2015 to December 2020 inclusive. The final analysis was performed using binary regression, pooling results via Reuben's Rule.Results: The application of our three-step quality assurance process was able to detect and correct for common data quality issues. The resulting analysis identified a Ward dependency for the effect of Covid-19 lockdown measures on incident reporting culture which would have been missed without the applied imputation strategy.Conclusions: Our approach outlines a replicable methodology for understanding and fixing data quality issues in operational data. As daily operational decisions are being guided by data, it is important to leverage appropriate imputation techniques and ensure an optimal decision is reached.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251334338"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural language processing to describe primary care requests for eConsult specialty care: A simple and practical application. 自然语言处理，以描述初级保健请求咨询专科护理：一个简单而实际的应用。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-24 DOI: 10.1177/14604582251345319

Stephanie Grim, Anne Fuhlbrigge, John F Thomas, Rodger Kessler

{"title":"Natural language processing to describe primary care requests for eConsult specialty care: A simple and practical application.","authors":"Stephanie Grim, Anne Fuhlbrigge, John F Thomas, Rodger Kessler","doi":"10.1177/14604582251345319","DOIUrl":"https://doi.org/10.1177/14604582251345319","url":null,"abstract":"Objective: Free text fields embedded within electronic consultation (eConsult) orders serve as rich sources of descriptive information regarding common uses of this novel telehealth technology. Simple text mining and language processing may efficiently extract key insights that help inform providers and administrators. Methods: Text data from eConsult orders placed within a single academic medical center were extracted from the electronic health record and examined. N-gram frequencies were used to describe the content of eConsult clinical questions and care recommendations. Results: 18,609 eConsults were ordered, with volumes ranging from 12 to 3839 orders across 28 subspecialties. Median character length for the clinical question was 189 and 1393 for specialist response text. Frequency count for top bigram varied greatly by specialty, with a high of 190 (\"thyroid nodule\") in Endocrinology and a low of 6 (\"shoulder pain\") in Orthopedics for clinical questions, and a high of 3139 (\"ref range\") in Endocrinology and a low of 6 (\"surgical oncology\") in Medical Oncology for specialist response. Discussion: Descriptive word sequences from NLP may provide limited insight into common use cases for eConsult across many subspecialties, though pre-processing was required to generate meaningful results.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251345319"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing comprehensive hypertension ontology: Addressing data integration gaps to improve healthcare results. 发展全面的高血压本体：解决数据集成差距以改善医疗保健结果。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-26 DOI: 10.1177/14604582251339418

Fariya Sultana Prity, Mohammad Mahmudul Hasan, Nafiz Fahad, Kah Ong Michael Goh, Md Jakir Hossen, Md Munjurul Islam

引用次数: 0

Consumer trust in telemedicine in Indonesia. 印度尼西亚消费者对远程医疗的信任。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-23 DOI: 10.1177/14604582251345328

Yasintha Soelasih, Sumani, Efendi

{"title":"Consumer trust in telemedicine in Indonesia.","authors":"Yasintha Soelasih, Sumani, Efendi","doi":"10.1177/14604582251345328","DOIUrl":"https://doi.org/10.1177/14604582251345328","url":null,"abstract":"Objectives: Advances in technology have improved the lives of Indonesians. For example, the health sector. This is indicated by the emergence of telemedicine to facilitate health services. This study aims to test the effect of individual trust on the intention to use telemedicine applications. Therefore, the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) are used as the basis for answering the questions posed by this research. Methods: Sampling was conducted online and involved 402 respondents who all came from the Indonesian island of Java. Validity, reliability, and hypothesis testing used Structural Equation Modeling (SEM) with Smart-PLS 4 tools. Result: The results show that effort expectancy, performance expectancy, and social influence have a positive influence on individual belief; intention to use is influenced by individual belief and behavioral intentions. The results of the hypothesis testing show that behavioral intention has the greatest influence on intention to use with a t value of 31.315 and a β value of 0.801. Conclusion: The novelty of this study is that it includes individual belief variables that are influenced by variables from UTAUT, namely effort expectancy, performance expectancy, social influence, and facilitating conditions.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251345328"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A hybrid cloud data lake architecture supporting the integration of clinical and genomics data. 支持临床和基因组学数据集成的混合云数据湖架构。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-06-18 DOI: 10.1177/14604582251353440

Apollo McOwiti, Heidi Dowst, Fei Zheng, Susan Hilsenbeck, Christopher Amos

{"title":"A hybrid cloud data lake architecture supporting the integration of clinical and genomics data.","authors":"Apollo McOwiti, Heidi Dowst, Fei Zheng, Susan Hilsenbeck, Christopher Amos","doi":"10.1177/14604582251353440","DOIUrl":"https://doi.org/10.1177/14604582251353440","url":null,"abstract":"Objective: Cancer centers must quickly integrate clinical genomics data from different vendors for oncology operations and research. Clinical data warehouse architectures are costly to construct and brittle, and they are not readily amenable to the rapid changes in oncology research. We introduce a cost-effective hybrid cloud Data Lake architecture for storing clinical genomic data from different vendors, aiding both clinical and research workflows. Methods: We created a Data Lake architecture based on the zone architecture, with four layers: ingestion, storage, transformation, and interaction. The layers are implemented with a hybrid cloud architecture. Rich metadata created from patient and genomic data enables patient-based queries, with access to data controlled through a data governance workflow. Results: Genomic data are stored in the cloud, synchronized with vendors' storage, and managed by a governance committee. The architecture implementation includes genomic test results from two vendors and supports independent clinical sites. The implementation serves 149 clinicians across 31 disease groups and stores 240 TB of data on 5800 patients at a monthly cost of approximately $350. Conclusion: The Data Lake architecture offers flexibility and scalability, making it suitable for organizations of all sizes to integrate clinical and genomic data efficiently for clinical and research purposes.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251353440"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building the foundation for immunization information system interoperability: Lessons from the Canadian context. 建立免疫信息系统互操作性的基础：来自加拿大的经验教训。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-06-17 DOI: 10.1177/14604582251337602

Taylor Rubens-Augustson, Lindsay A Wilson, Cameron Bell, Kumanan Wilson

{"title":"Building the foundation for immunization information system interoperability: Lessons from the Canadian context.","authors":"Taylor Rubens-Augustson, Lindsay A Wilson, Cameron Bell, Kumanan Wilson","doi":"10.1177/14604582251337602","DOIUrl":"https://doi.org/10.1177/14604582251337602","url":null,"abstract":"Introduction: Accurate, real-time immunization data is integral to the success of immunization programs. Standardized data can be aggregated, analyzed, and leveraged to conduct robust public health surveillance and inform strategic public health planning and prioritization. Standardization is also critical to the interoperability and portability of immunization records within and between jurisdictions. The Canadian Vaccine Catalogue (CVC), which aggregated standardized immunization data from multiple sources, was created to support interoperable immunization systems in Canada. Recommendations: Drawing on our experiences with the CVC and the broader Canadian healthcare system, we propose several recommendations to promote immunization standards adoption, including establishing robust governance processes, bridging the gap between public health and information technology partners, strategizing adoption of standards among electronic medical record vendors, and providing support for standards adoption. Conclusion: The CVC was a critical resource for supporting immunization interoperability in Canada, and provides valuable lessons for other jurisdictions seeking to develop a similar resource.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251337602"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0