Health Informatics Journal最新文献_第5页

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 2.3 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

Navigating large-scale EHR implementations in public health systems: Lessons learned and recommendations from a rapid review. 引导公共卫生系统大规模实施电子健康档案：快速审查的经验教训和建议

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-28 DOI: 10.1177/14604582251347120

Louis Raymond, Aude Motulsky, Gregory Vial, Mickaël Ringeval, Guy Paré

{"title":"Navigating large-scale EHR implementations in public health systems: Lessons learned and recommendations from a rapid review.","authors":"Louis Raymond, Aude Motulsky, Gregory Vial, Mickaël Ringeval, Guy Paré","doi":"10.1177/14604582251347120","DOIUrl":"10.1177/14604582251347120","url":null,"abstract":"Objective: This review systematically synthesizes empirical evidence from past NEHR initiatives to identify critical gaps between knowledge and practice and provide actionable insights for policymakers, health IT leaders, and practitioners.Materials and Methods: A rapid review approach was employed, focusing on qualitative content analysis of empirical studies published between 2010 and 2024. The search covered the Scopus, PubMed, Medline, and CINAHL databases. A total of 24 studies met the eligibility criteria and were analyzed across key dimensions.Results: Our analysis reveals that successful NEHR implementation hinges on three interdependent factors: (1) Stakeholder engagement and governance-meaningful clinician involvement and adaptive leadership strategies are crucial for system adoption; (2) Institutional and cultural alignment-the tension between centralized mandates and local adaptation must be carefully managed; and (3) Technological and process standardization-balancing interoperability with customizability remains a persistent challenge. Notably, rigid top-down implementations often face resistance, whereas hybrid \"middle-out\" approaches tend to facilitate smoother transitions.Conclusions: NEHR deployments require a nuanced approach that integrates strategic decision-making, continuous stakeholder engagement, and flexible governance models. Policymakers and project leaders should prioritize participatory implementation strategies, adaptive standardization, and mechanisms for iterative learning to enhance the sustainability and effectiveness of these systems.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251347120"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163959","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

COVID-19 open data: An ecological study and international collaboration examining pandemic trends in Northern Periphery arctic countries. COVID-19开放数据：一项生态研究和国际合作，研究北部边缘北极国家的大流行趋势。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-09 DOI: 10.1177/14604582251315588

Michael E O'Callaghan, Monica Casey, Dana Pearl, Olivia Hickey, Anette Fosse, Sigurður E Sigurðsson, David W Savage, Katri Vehviläinen-Julkunen, Kirsi Bykachev, Anndra Parviainen, Holly Parker, Joan Condell, Gerry Leavey, Nigel Hart, Pál Weihe, Maria S Petersen, Liam Glynn

{"title":"COVID-19 open data: An ecological study and international collaboration examining pandemic trends in Northern Periphery arctic countries.","authors":"Michael E O'Callaghan, Monica Casey, Dana Pearl, Olivia Hickey, Anette Fosse, Sigurður E Sigurðsson, David W Savage, Katri Vehviläinen-Julkunen, Kirsi Bykachev, Anndra Parviainen, Holly Parker, Joan Condell, Gerry Leavey, Nigel Hart, Pál Weihe, Maria S Petersen, Liam Glynn","doi":"10.1177/14604582251315588","DOIUrl":"10.1177/14604582251315588","url":null,"abstract":"Objectives: In the early stages of the COVID-19 pandemic, evidence generation lagged behind public health responses. This study describes an international collaboration of frontline clinicians who used open data describing COVID-19 trends to generate \"practice-based evidence\". Methods: Open data resources from nine Northern Periphery and Arctic (NPA) countries were harnessed using the open-source programming language 'R' and our collaborations analyses and insights were published on a public-facing website. The website's visualisations guided teleconference discussions from September 2020 to March 2021, focusing on contextualizing national responses, especially in rural regions. Results: This project facilitated shared learning from COVID-19 trends and highlighted key aspects of national responses. Notably, rural NPA regions experienced less COVID-19 cases and mortality in the first year of the pandemic. Conclusion: This international collaborative effort, driven by open data analysis, provided a platform to share real-world insights. The study offers a potential template for future pandemics and emphasises the importance of sustaining open data resources, including granular data like excess mortality, for effective pandemic learning.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251315588"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060781","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 a BI-based framework for assessing the smart levels of hospitals. 制定基于bi的框架，以评估医院的智能水平。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-06-19 DOI: 10.1177/14604582251353546

Minh Chuong Truong, Phuoc Luong Le, Quoc Trung Pham, Van Tuan Nguyen

{"title":"Developing a BI-based framework for assessing the smart levels of hospitals.","authors":"Minh Chuong Truong, Phuoc Luong Le, Quoc Trung Pham, Van Tuan Nguyen","doi":"10.1177/14604582251353546","DOIUrl":"https://doi.org/10.1177/14604582251353546","url":null,"abstract":"Objective: Business intelligence (BI) applications can result in higher smartness in hospitals. However, up to now, there has been a shortage of validated frameworks for assessing the smart levels of hospitals. Therefore, this study aims to develop a BI-based framework to assess the smart levels of hospitals. Methods: The research method is a combination of literature review, pilot test, and multi-case study. Results: The results of a multiple-case study approve the applicability of the framework since it can explain the status quo of the hospitals. Based on results of framework validity assessment with eight hospitals in Vietnam, the managerial implications for hospital directors to improve their smartness are suggested. Conclusions: The framework is anticipated to give hospitals the knowledge they need to address issues and difficulties in an organized manner, serving as both a benchmark for evaluating current capabilities and a guide for future development. However, the frameworks should be validated in other countries with the involvement of patients for more generalization.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251353546"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334523","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 blockchain-based health insurance model enhanced with quadratic voting. 基于区块链的健康保险模型，增强了二次投票。

IF 2.2 3区医学

Health Informatics Journal Pub Date : 2025-04-01 Epub Date: 2025-05-02 DOI: 10.1177/14604582251339422

Saeed Shouri, Rasoul Ramezani

{"title":"A blockchain-based health insurance model enhanced with quadratic voting.","authors":"Saeed Shouri, Rasoul Ramezani","doi":"10.1177/14604582251339422","DOIUrl":"https://doi.org/10.1177/14604582251339422","url":null,"abstract":"Background: The health insurance industry faces challenges like inefficiencies, fraud, lack of transparency, and limited customization. With its decentralized structure, smart contracts, and immutable records, blockchain technology offers a transformative solution by enhancing transparency and operational efficiency. Objective: This study proposes a blockchain-based health insurance model to improve transparency, fairness, and efficiency while addressing existing limitations. Methods: The proposed framework integrates smart contracts with quadratic voting (QV) and advanced validation techniques, creating a democratic, secure, and customizable insurance process. Results: The model tailors personalized insurance plans to collective preferences using QV-based decision-making and dynamic pricing. Blockchain enhances trust and system reliability, while the inclusion of QV fosters inclusivity and fairness. Conclusion: By combining blockchain's decentralized architecture with QV, the proposed system overcomes the limitations of traditional insurance, offering a scalable, efficient, and equitable alternative that aligns individual preferences with societal health goals.","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"31 2","pages":"14604582251339422"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035772","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