Jorge Telchi, Miguel Terrones, Aziz Guergachi, Karim Keshavjee
{"title":"Achieving Interoperability in Primary Care in Canada: A Stakeholder Analysis Study.","authors":"Jorge Telchi, Miguel Terrones, Aziz Guergachi, Karim Keshavjee","doi":"10.3233/SHTI250011","DOIUrl":"https://doi.org/10.3233/SHTI250011","url":null,"abstract":"<p><p>Canada's healthcare system is undergoing rapid technological changes, alongside increasing demand for services, clinician burnout, and rising costs. Achieving interoperability between primary care electronic medical records (EMRs) is critical to addressing these challenges by enabling real-time data sharing and informed decision-making. This study analyzes stakeholder requirements for interoperability, utilizing an adapted House of Quality matrix to map the contributions needed from healthcare providers, vendors, government, researchers, and technology deployment partners. The findings emphasize the necessity of cross-sector collaboration, with vendors playing a central role in providing technological solutions and providers and the government ensuring alignment with clinical standards and policies. The study highlights the importance of coordinated governance and identifies key areas for stakeholder collaboration to drive value for all interest holders in the healthcare ecosystem.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca Ataman, Daniel Thamotharem, Alex Reis, Paul Co, Karine Baser, Moe Fawal, David Kaplan, Kevin Chung
{"title":"Bridging the Evidence-to-Practice Gap at Scale: Evolving Evidence2Practice Ontario by Using the Pan-Canadian HALO Framework.","authors":"Rebecca Ataman, Daniel Thamotharem, Alex Reis, Paul Co, Karine Baser, Moe Fawal, David Kaplan, Kevin Chung","doi":"10.3233/SHTI250022","DOIUrl":"https://doi.org/10.3233/SHTI250022","url":null,"abstract":"<p><p>Clinical decision support tools such as Evidence2Practice Ontario (E2P) can be an effective way to reduce the 17-year gap between clinical innovation and its use in practice. To enhance the interoperability and scalability of E2P we propose leveraging the pan-Canadian Health Application Lightweight Protocol (HALO) framework. Public and private developers could be informed by E2P as the initial use case to test the capability of HALO to support clinical decision support tools.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"72-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing Hypertension Care Through Telementoring Education Platform in Jonglei State, South Sudan: A Framework of Extension of Community Healthcare Outcome-ECHO Project.","authors":"Kuol Maper Alier, Karim Keshavjee","doi":"10.3233/SHTI250029","DOIUrl":"https://doi.org/10.3233/SHTI250029","url":null,"abstract":"<p><p>South Sudan faces a critical public health crisis in managing hypertension, driven by a severe shortage of trained healthcare providers, inadequate infrastructure, and limited access to continuous medical education. With over 25% of the adult population affected by hypertension, the country bears one of the highest prevalence rates in Africa, contributing to a significant burden of disease. Hypertension-related complications, including stroke and heart disease, are among the leading causes of death. According to WHO data published in 2020, stroke deaths in South Sudan reached 3,541, representing 1.35% of total deaths, with an age-adjusted death rate of 78.18 per 100,000, placing the country 96th globally in mortality rates. Previous efforts, such as in-person training programs by the Ministry of Health, have been unsustainable due to financial and logistical challenges. This paper advocates the implementation of a Telementoring ECHO (Extension for Community Healthcare Outcome) platform as a scalable and innovative solution to these barriers. Through a detailed analysis of the current healthcare landscape, a review of past interventions, and a data-driven proposal for digital solutions, this paper presents a compelling case for a sustainable model to meet the urgent healthcare needs of low-resource settings like Jonglei State.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"85-86"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Pape, Iman Kassam, Hwayeon Danielle Shin, Jessica Kemp, Jessica D'Arcey, Sean Kidd, Gillian Strudwick
{"title":"The Emergent Role of Digital Navigators: Case Examples.","authors":"Charlotte Pape, Iman Kassam, Hwayeon Danielle Shin, Jessica Kemp, Jessica D'Arcey, Sean Kidd, Gillian Strudwick","doi":"10.3233/SHTI250007","DOIUrl":"https://doi.org/10.3233/SHTI250007","url":null,"abstract":"<p><p>Recent years have been marked by technological growth in the healthcare sectors without the necessary support to guide users towards effective digital tool utilization. To address this challenge, the Digital Navigator role was established. This paper will provide a brief overview of the role and describe the key ways in which it lays a foundation for the success of digital health interventions.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sabrina Yu, Paul Aiello, Aby Mathews Maluvelil, Obed Ehoneah, Vishva Shah, Samuel Numor
{"title":"Developing an Evidence-Based Evaluation Framework for mHealth Applications.","authors":"Sabrina Yu, Paul Aiello, Aby Mathews Maluvelil, Obed Ehoneah, Vishva Shah, Samuel Numor","doi":"10.3233/SHTI250025","DOIUrl":"https://doi.org/10.3233/SHTI250025","url":null,"abstract":"<p><p>The rapid growth of mobile health (mHealth) applications underscores the pressing need for robust evaluation platforms that ensure quality, efficacy, and stakeholder alignment. This paper introduces a quantitative, evidence-based framework that addresses these gaps through dynamic attribute weighting and multi-criteria decision analysis. The platform integrates methodologies such as CRITIC-TOPSIS and AI-driven attribute prioritization, validated through systematic reviews and expert analyses. Preliminary evaluations demonstrate potential for generating actionable insights tailored to diverse mHealth applications and stakeholder needs. Future work includes detailed literature reviews, platform development and real-life use case deployment to refine its applicability and impact.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"78-79"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Guide for Implementing an A.I-Driven Initiative in Rural Northern Ontario.","authors":"Obinna Emmanuel Ezeani, Ezinne V C Onwuekwe","doi":"10.3233/SHTI250019","DOIUrl":"https://doi.org/10.3233/SHTI250019","url":null,"abstract":"<p><p>Diagnosing pulmonary embolism (PE) often requires specialized expertise in interpreting x-rays and radiographic images, resources that are mostly limited in rural settings. This paper explores the development of an electronic health record (EHR) system and an AI-based clinical decision support system (CDSS) to aid in the diagnosis of pulmonary embolism (PE) in rural Northern Ontario. It assesses potential challenges with implementing these digital health technologies and provides mitigating strategies.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"66-67"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monzur Morshed Patwary, Saiyeed Mashkur Al-Hakim, Naimul Islam
{"title":"Digital Transformation During the Pandemic: Lessons from BRAC Health Program's Experience in Bangladesh.","authors":"Monzur Morshed Patwary, Saiyeed Mashkur Al-Hakim, Naimul Islam","doi":"10.3233/SHTI250015","DOIUrl":"https://doi.org/10.3233/SHTI250015","url":null,"abstract":"<p><p>The COVID-19 pandemic accelerated digital transformation in public health and development organizations worldwide such as BRAC Health Program (BHP). Key success factors included early adoption of digital collaboration tools, systematic workforce training, and a phased implementation approach. The experiences of BHP offer insights that can be insightful for other nations.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"58-59"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hwayeon Danielle Shin, Jaejun Lee, Iman Kassam, Federica Guccini
{"title":"Mining Public Voices: Analyzing Suicide-Related Thoughts and Behaviors in YouTube Videos and Comments Using Topic Modeling.","authors":"Hwayeon Danielle Shin, Jaejun Lee, Iman Kassam, Federica Guccini","doi":"10.3233/SHTI250003","DOIUrl":"https://doi.org/10.3233/SHTI250003","url":null,"abstract":"<p><p>YouTube has become a common platform for sharing difficult experiences and sensitive information, including suicide-related thoughts and behaviors. This study analyzes YouTube videos and their comments using topic modeling to explore the common themes discussed within the online community. Our findings show that these videos and comments not only focus on personal stories but also provide encouragement and healthcare-related information, highlighting social media's role in health promotion and peer support. Given that millions of people use various social media platforms to discuss a wide range of topics, these platforms serve as a rich source of data. As such, YouTube videos and comments offer health services researchers a valuable source of public opinion data, providing insights into societal attitudes and perceptions that may differ from those collected through traditional research methods.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seyed-Mohammad Fereshtehnejad, Karim Keshavjee, Abbas Zavar
{"title":"Personalized Multi-Domain Digital Platform for Dementia Prevention.","authors":"Seyed-Mohammad Fereshtehnejad, Karim Keshavjee, Abbas Zavar","doi":"10.3233/SHTI250030","DOIUrl":"https://doi.org/10.3233/SHTI250030","url":null,"abstract":"<p><p>The Personalized Multi-Domain Digital Platform for Dementia Prevention (PM(DP)*2) is a conceptualized evidence-based initiative designed to reduce dementia burden through tailored interventions. By collecting and analyzing multidimensional data on modifiable risk factors, including lifestyle, cardiovascular health, and environmental exposures, the platform creates individualized risk profiles and recommends personalized prevention strategies. Machine learning models and generative AI enhance the platform's ability to offer dynamic, evidence driven recommendations.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"87-88"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roya Farzanegan, Pooyeh Graili, Aziz Guergachi, Karim Keshavjee
{"title":"Competing Visions for the Soul of Canada's Health and Healthcare System.","authors":"Roya Farzanegan, Pooyeh Graili, Aziz Guergachi, Karim Keshavjee","doi":"10.3233/SHTI250031","DOIUrl":"https://doi.org/10.3233/SHTI250031","url":null,"abstract":"<p><p>Canada's healthcare system faces a critical choice between two futures: \"Cyborgville,\" driven by advanced medical technologies and AI, or a wellness-focused approach inspired by Blue Zones, which emphasize healthy lifestyles and environments. This commentary paper explores the benefits and challenges of each path. Blue Zones promote longevity through natural practices like plant-based diets and physical activity but face adaptation challenges in Canada's diverse climate and culture. Cyborg technologies offer cutting-edge healthcare but raise ethical concerns and high costs. Health informatics is key to both models, supporting personalized care, data-driven health interventions, and population management. A balanced, hybrid approach combining Blue Zone principles with technological advancements could provide a sustainable, equitable healthcare system, positioning Canada as a leader in global health innovation.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"322 ","pages":"89-90"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}