articles.csv

key,title,year,month,day,journal,issn,volume,issue,pages,authors,url,language,publisher,location,abstract,notes,doi,keywords,pubmed_id,pmc_id
rayyan-1115027523,The effect of digital technologies adoption in healthcare industry: a case based analysis,2018,,,Business Process Management Journal,1463-7154,24,5,1124-1144,"Laurenza, Elena and Quintano, Michele and Schiavone, Francesco and Vrontis, Demetris",https://doi.org/10.1108/BPMJ-04-2017-0084,,Emerald Publishing Limited,,"Purpose The purpose of this paper is to contribute to the extant literature regarding the exploitation of digital technologies by illustrating how this type of IT can influence business process improvements in the healthcare industry. Design/methodology/approach The paper reports an illustrative case study for MSD Italy, the Italian subsidiary of the USA-based company Merck & Co., Inc. The group sells drugs for human use in Italy but is also active in the veterinary (MSD Animal Health) industry, with Vree Health, and in solutions and software-based services for the healthcare industry. Findings The results show that the adoption of digital technologies could improve the performance of main healthcare business processes, particularly those processes that can be simplified with the adoption of information technology. More specifically, digital technologies could increase efficiency and, at the same time, allow for the delivery of better quality and reduced response times, with many benefits for several stakeholders, such as national health systems, clinicians and patients. Originality/value Although some studies report the need for effective business processes for sustainable healthcare systems, there is a lack of literature regarding the specific implications of the adoption of such digital technologies for the business process management of healthcare firms. This paper attempts to fill in this gap.",RAYYAN-LABELS: High Focus,10.1108/BPMJ-04-2017-0084,"",,
rayyan-1115027524,Caregivers and Computers: Key Lessons From the Adoption and Implementation of EMR in New York State Nursing Homes,2012,,,Advances in Industrial and Labor Relations,"978-1-78190-378-0, 978-1-78190-377-3",20,,75-104,"Lipsky, David B. and Avgar, Ariel C.",https://doi.org/10.1108/S0742-6186(2012)0000020006,,Emerald Group Publishing Limited,,"This chapter presents an overview of our evaluation of the introduction of electronic medical records (EMR) in 20 nursing homes located in the New York City region. These organizations were part of an EMR demonstration project cosponsored by the for-profit segment of the nursing home industry in the region and 1199SEIU United Health Care Workers East, the union that represented frontline staff in these organizations. We report central lessons from our evaluation, which took place over the course of four years and included multiple data sources. The primary purpose of our research was to examine the effects of EMR adoption on employment and labor relations in the participating organizations. Findings are based on a longitudinal study of EMR adoption in 15 of the 20 organizations that received the EMR technology and five “control” organizations, which did not receive the technology, employing a mixed methodological design with both quantitative and qualitative data collection methods. Results from our research inform the existing EMR adoption discussion in two ways. First, we find mixed evidence associated with EMR implementation. The adoption of this new technology enhances certain organizational outcomes, but it seems to hinder others. Second, findings from our research highlight the importance of preexisting organizational factors as predictors of EMR-associated outcomes. EMR-associated outcomes, positive or negative, are likely to be contingent on key organizational characteristics and on managerial adoption strategies. Our study's findings imply that the meaningful use of EMR needs to take into account not only the technical specifications of EMR but also the organizational characteristics of the physician practices and healthcare facilities adopting the technology. Healthcare organizations vary in their capacity and ability to make optimal use of health information technology, which should be incorporated into public policy and organizational practices designed to increase adoption.",RAYYAN-LABELS: High Focus,10.1108/S0742-6186(2012)0000020006,"",,
rayyan-1115027526,An empirical study of wearable technology acceptance in healthcare,2015,,,Industrial Management & Data Systems,0263-5577,115,9,1704-1723,"Gao, Yiwen and Li, He and Luo, Yan",https://doi.org/10.1108/IMDS-03-2015-0087,,Emerald Group Publishing Limited,,"Purpose  – The purpose of this paper is to investigate the factors associated with consumer’s intention to adopt wearable technology in healthcare, and to examine the moderating effects of product type on consumer’s adoption intention.  Design/methodology/approach  – An integrated acceptance model was developed based on unified theory of acceptance and use of technology 2 (UTAUT2), protection motivation theory (PMT), and privacy calculus theory. The model was tested with 462 respondents using a survey.  Findings  – Consumer’s decision to adopt healthcare wearable technology is affected by factors from technology, health, and privacy perspectives. Specially, fitness device users care more about hedonic motivation, functional congruence, social influence, perceived privacy risk, and perceived vulnerability, but medical device users pay more attention to perceived expectancy, self-efficacy, effort expectancy, and perceived severity.  Originality/value  – This study is among the first to investigate healthcare wearable device from behavioral perspective. It also helps to comprehensively understand emerging health information technology (HIT) acceptance from technology, health, and privacy perspectives.",RAYYAN-LABELS: Some Focus,10.1108/IMDS-03-2015-0087,"",,
rayyan-1115027527,Implementing and adopting electronic health record systems,2011,,,Clinical Governance: An International Journal,1477-7274,16,4,320-336,"Cresswell, Kathrin and Worth, Allison and Sheikh, Aziz",https://doi.org/10.1108/14777271111175369,,Emerald Group Publishing Limited,,"Purpose This paper aims to outline an approach to study the implementation and adoption of information technology systems in healthcare. Design/methodology/approach The authors use the introduction of electronic health records, part of the English National Programme of Information Technology, as an example to illustrate how theoretical lenses need to be effectively integrated with practical considerations in order to help researchers to overcome the theory‐practice gap in relation to research in this area. Findings Integrating actor‐network theory (ANT) with other theoretical lenses can usefully inform the design of evaluation of the implementation of electronic health record systems into healthcare settings, but it is necessary that such deliberations are informed by guidance on how to use conceptual considerations in practice. Originality/value The paper outlines how combining a case study‐based approach informed by multi‐sited ethnography and drawing on ANT offers a method for a theoretically‐based approach to such evaluations.",RAYYAN-LABELS: Some Focus,10.1108/14777271111175369,"",,
rayyan-1115027528,The individual in multiple interacting activity systems: IT-supported diabetes management,2014,,,Information Technology & People,0959-3845,27,4,463-481,"Waycott, Jenny and Scheepers, Rens and Davis, Hilary and Howard, Steve and Sonenberg, Liz",https://doi.org/10.1108/ITP-11-2013-0195,,Emerald Group Publishing Limited,,"Purpose  – The purpose of this paper is to examine how pregnant women with type 1 diabetes integrate new information technology (IT) into their health management activities, using activity theory as an analytical framework.  Design/methodology/approach  – The research is a multiple case design, based on interviews with 15 women with type 1 diabetes who were pregnant, considering pregnancy, or had recently given birth. A thematic analysis, sensitised by activity theory, was used to analyse the data.  Findings  – Health management in this setting involves negotiations and contradictions across boundaries of interacting activities. Participants play an active role in managing their health and using new IT tools in particular ways to support their health management. Using new technologies creates both opportunities and challenges. IT-enabled healthcare devices and other information systems open up new treatment possibilities, but also generate new contradictions between interacting activity systems.  Research limitations/implications  – The research was conducted with a small sample in a specific context of health management. Further research is needed to extend the findings to other contexts.  Practical implications  – Healthcare providers need to accommodate a bottom-up approach to the adoption and use of new technologies in settings where empowered patients play an active role in managing their health.  Originality/value  – The findings highlight opportunities to further develop activity theory to accommodate the central role that individuals play in resolving inherent contradictions and achieving alignment between multiple interacting activity systems when incorporating new IT tools into health management activities.",RAYYAN-LABELS: High Focus,10.1108/ITP-11-2013-0195,"",,
rayyan-1115027529,Knowledge capture within the biopharmaceutical clinical trials environment,2008,,,VINE,0305-5728,38,1,118-132,"Grossman, Martin and Bates, Stephen",https://doi.org/10.1108/03055720810870932,,Emerald Group Publishing Limited,,"Purpose The purpose of this paper is to provide an overview of knowledge capture in the biopharmaceutical industry, focusing primarily on the transition from paper‐based to electronic data capture (EDC) systems. Design/methodology/approach The paper draws on biopharmaceutical industry literature and data from example clinical studies to describe the issues involved in transitioning to EDC in the clinical trials environment. Findings While electronic data capture systems provide greater efficiencies along the clinical trial supply chain, the industry is still far from achieving wide scale utilization of such technologies. The barriers to successful implementation are multifaceted, involving not only the information technology itself, but also user acceptance issues, lack of interoperability standards, and regulatory compliance. Major shifts in organizational culture and a unified effort within the industry will be necessary in order to derive full benefits from electronic capture systems in the future. Research limitations/implications This study was limited in that case data from only one company was used to supplement the literature review. Further research is warranted to better understand the factors that facilitate adoption of electronic knowledge capture systems in the biopharmaceutical industry. Originality/value While the need for knowledge management in the healthcare industry is indisputable, there has been remarkably slow progress in this area, and a dearth of research exploring implementation issues. The value of this type of inquiry is profound as it will help us better understand the issues in implementation and adoption, and ultimately to deliver more effective and safe drugs to the public in a more efficient manner.",RAYYAN-LABELS: High Focus,10.1108/03055720810870932,"",,
rayyan-1115027531,Distance is no longer a barrier to healthcare services: current state and future trends of telehealth research,2023,,,Internet Research,1066-2243,33,3,890-944,"Sahoo, Saumyaranjan and Sahoo, Junali and Kumar, Satish and Lim, Weng Marc and Ameen, Nisreen",https://doi.org/10.1108/INTR-10-2021-0774,,Emerald Publishing Limited,,"Purpose Taking a business lens of telehealth, this article aims to review and provide a state-of-the-art overview of telehealth research. Design/methodology/approach This research conducts a systematic literature review using the scientific procedures and rationales for systematic literature reviews (SPAR-4-SLR) protocol and a collection of bibliometric analytical techniques (i.e. performance analysis, keyword co-occurrence, keyword clustering and content analysis). Findings Using performance analysis, this article unpacks the publication trend and the top contributing journals, authors, institutions and regions of telehealth research. Using keyword co-occurrence and keyword clustering, this article reveals 10 major themes underpinning the intellectual structure of telehealth research: design and development of personal health record systems, health information technology (HIT) for public health management, perceived service quality among mobile health (m-health) users, paradoxes of virtual care versus in-person visits, Internet of things (IoT) in healthcare, guidelines for e-health practices and services, telemonitoring of life-threatening diseases, change management strategy for telehealth adoption, knowledge management of innovations in telehealth and technology management of telemedicine services. The article proposes directions for future research that can enrich our understanding of telehealth services. Originality/value This article offers a seminal state-of-the-art overview of the performance and intellectual structure of telehealth research from a business perspective.",RAYYAN-LABELS: High Focus,10.1108/INTR-10-2021-0774,"",,
rayyan-1115027532,Change management and adoption of health information technology (HIT)/eHealth in public hospitals in Ghana: A qualitative study,2022,,,Applied Computing and Informatics,"2634-1964, 2210-8327",18,3,279-289,"Yusif, Salifu and Hafeez-Baig, Abdul and Soar, Jeffrey",https://doi.org/10.1016/j.aci.2019.11.007,,Emerald Publishing Limited,,"In Ghana, as with other developing countries, there are several health information technology (HIT) initiatives as interventions to improve healthcare delivery. HIT implementation undoubtedly results in change. However, most studies relating to HIT implementation readiness have constantly neglected the role of change in successfully implementing HIT. This study intends to identify factors affecting successful change management as part of preparation towards successfully implementing HIT in public hospital in Ghana. To carry out this study, we conducted in-depth interviews with a matrix of HIT senior managers and thematically analyzed the data. The data was transcribed and uploaded into a Nvivo 11 software for analysis using thematic analysis techniques. Five (5) themes were discovered. They are: 1) Stakeholder participation; 2) Proof of experience in similar project; 3) Availability of committed change agents/all-levels-change representatives; 4) Clearly articulated change implementation strategy; and 5) Training and improvement mechanism (post-implementation). A fresh call is made for more attention to be paid to change as part of preparatory measures towards the adoption of HIT in Ghana using the five cardinal approaches identified as a guide.",RAYYAN-LABELS: High Focus,10.1016/j.aci.2019.11.007,"",,
rayyan-1115027533,Towards logic models for the analysis and evaluation of the criticalities in chronic patients' care paths,2011,,,International Journal of Pharmaceutical and Healthcare Marketing,1750-6123,5,4,318-348,"Bonacci, Isabella and Tamburis, Oscar",https://doi.org/10.1108/17506121111190130,,Emerald Group Publishing Limited,,"Purpose The aim of the present paper is to examine how the introduction of information and communication technologies (ICTs) can have positive implications in a territorial context, where healthcare organizations are characterized by limited organizational independence and lack of individual statutory autonomy, with limited level of integration between the involved parties (healthcare operators, managers, and patients) and an uneven management of data and of information‐sharing. Design/methodology/approach The approach taken was an investigation based on a combination of quantitative and qualitative methods for information‐gathering and data‐analysis in the context of diabetes care. A case study approach was adopted with the aim of enhancing general practitioners' (GPs') performance levels through an evaluation monitoring and by controlling care paths dynamics. Findings The realization of the target care path for chronic–degenerative pathologies in the Local Health Trust “Naples 4” in Campania Region (Italy) led to the identification of a suitable framework that modifies, through the implementation of ICT tools, the communications dynamics and the interaction/integration for those actors involved in a patient's care path. Originality/value Healthcare markets are currently experiencing an acceleration of technological developments; the study tries to show how the appropriate adoption of new technologies can lead to improvements for the quality of care, managing at the same time the consequent rising costs in the sector.",RAYYAN-LABELS: Some Focus,10.1108/17506121111190130,"",,
rayyan-1115027534,An exploratory study of reverse exchange systems used for medical devices in the UK National Health Service (NHS),2016,,,Supply Chain Management: An International Journal,1359-8546,21,2,194-215,"Xie, Ying and Breen, Liz and Cherrett, Tom and Zheng, Dingchang and Allen, Colin James",https://doi.org/10.1108/SCM-07-2015-0278,,Emerald Group Publishing Limited,,"Purpose  – This study aims to provide insights into the scale and use of information and communication technology (ICT) in managing medical devices in the National Health Service (NHS), with a focus on reverse exchange (RE) systems as a part of the broader reverse logistics (RL) systems, within which medical devices are returned and exchanged.  Design/methodology/approach  – Two case studies were conducted with NHS Hospital Trusts, whilst another was built upon secondary resources. Primary findings were triangulated with the information collected from the NHS Trusts’ reports, direct observation and a preliminary round of consultations with 12 health-care professionals working in other NHS Trusts or Integrated Equipment Community Services.  Findings  – The findings of this paper suggest that the sophistication of ICT implementation increases with the risks and value associated with medical devices. Operational attributes are derived from ICT implementations which can positively affect RE performance. The forces that drive the adoption of ICT in the NHS include pressure from government, business partners and patients; competitive pressure; perceived benefits; organisation size; top management support; and the availability of sufficient resources. Obstacles are mainly centred around the lack of sufficient resources.  Research limitations/implications  – Although the trusts that participated in this research are representative of different regions, the generalisation of the study results may be limited by the size of the sample organisations, so the results can only provide insights into the research problem. As this work is exploratory in nature, there is insufficient data on which to form definitive recommendations.  Practical implications  – NHS Trusts may use the six operational attributes identified and verified by the case studies to benchmark their ICT implementation for device management. The actual and potential benefits of ICT implementation could inform technology development and encourage the uptake of ICT in healthcare. Governmental bodies can utilise this information to develop directives to actively drive ICT adoption in device management and the associated RE system. A well-considered training programme is needed to improve staff ICT skills to fully realise the potential of ICT systems which support the effective RE of medical devices.  Originality/value  – The results of this paper suggest that the reverse management of medical devices backs up the supply chain attained through using ICT, which in turn reduces capital costs, medical risk and increases the finance available for frontline medical treatment.",RAYYAN-LABELS: High Focus,10.1108/SCM-07-2015-0278,"",,
rayyan-1115027535,Ontology based intercultural patient practitioner assistive communications from qualitative gap analysis,2016,,,Information Technology & People,0959-3845,29,2,280-317,"Forbes, David and Wongthongtham, Pornpit",https://doi.org/10.1108/ITP-08-2014-0166,,Emerald Group Publishing Limited,,"Purpose  – There is an increasing interest in using information and communication technologies to support health services. But the adoption and development of even basic ICT communications services in many health services is limited, leaving enormous gaps in the broad understanding of its role in health care delivery. The purpose of this paper is to address a specific (intercultural) area of healthcare communications consumer disadvantage; and it examines the potential for ICT exploitation through the lens of a conceptual framework. The opportunity to pursue a new solutions pathway has been amplified in recent times through the development of computer-based ontologies and the resultant knowledge from ontologist activity and consequential research publishing.  Design/methodology/approach  – A specific intercultural area of patient disadvantage arises from variations in meaning and understanding of patient and clinician words, phrases and non-verbal expression. Collection and localization of data concepts, their attributes and individual instances were gathered from an Aboriginal trainee nurse focus group and from a qualitative gap analysis (QGA) of 130 criteria-selected sources of literature. These concepts, their relationships and semantic interpretations populate the computer ontology. The ontology mapping involves two domains, namely, Aboriginal English (AE) and Type II diabetes care guidelines. This is preparatory to development of the Patient Practitioner Assistive Communications (PPAC) system for Aboriginal rural and remote patient primary care.  Findings  – The combined QGA and focus group output reported has served to illustrate the call for three important drivers of change. First, there is no evidence to contradict the hypothesis that patient-practitioner interview encounters for many Australian Aboriginal patients and wellbeing outcomes are unsatisfactory at best. Second, there is a potent need for cultural competence knowledge and practice uptake on the part of health care providers; and third, the key contributory component to determine success or failures within healthcare for ethnic minorities is communication. Communication, however, can only be of value in health care if in practice it supports shared cognition; and mutual cognition is rarely achievable when biopsychosocial and other cultural worldview differences go unchallenged.  Research limitations/implications  – There has been no direct engagement with remote Aboriginal communities in this work to date. The authors have initially been able to rely upon a cohort of both Indigenous and non-Indigenous people with relevant cultural expertise and extended family relationships. Among these advisers are health care practitioners, academics, trainers, Aboriginal education researchers and workshop attendees. It must therefore be acknowledged that as is the case with the QGA, the majority of the concept data is from third parties. The authors have also discovered that urban influences and cultural sensitivities tend to reduce the extent of, and opportunity to, witness AE usage, thereby limiting the ability to capture more examples of code-switching. Although the PPAC system concept is qualitatively well developed, pending future work planned for rural and remote community engagement the authors presently regard the work as mostly allied to a hypothesis on ontology-driven communications. The concept data population of the AE home talk/health talk ontology has not yet reached a quantitative critical mass to justify application design model engineering and real-world testing.  Originality/value  – Computer ontologies avail us of the opportunity to use assistive communications technology applications as a dynamic support system to elevate the pragmatic experience of health care consultations for both patients and practitioners. The human-machine interactive development and use of such applications is required just to keep pace with increasing demand for healthcare and the growing health knowledge transfer environment. In an age when the worldwide web, communications devices and social media avail us of opportunities to confront the barriers described the authors have begun the first construction of a merged schema for two domains that already have a seemingly intractable negative connection. Through the ontology discipline of building syntactically and semantically robust and accessible concepts; explicit conceptual relationships; and annotative context-oriented guidance; the authors are working towards addressing health literacy and wellbeing outcome deficiencies of benefit to the broader communities of disadvantage patients.",RAYYAN-LABELS: Some Focus,10.1108/ITP-08-2014-0166,"",,
rayyan-1115027536,Logistics practices in healthcare organizations in Bogota,2018,,,Academia Revista Latinoamericana de Administración,1012-8255,31,3,519-533,"Velasco, Nubia and Moreno, Juan-Pablo and Rebolledo, Claudia",https://doi.org/10.1108/ARLA-08-2016-0219,,Emerald Publishing Limited,,"Purpose The purpose of this paper is to explore the current state of logistics practices in healthcare organizations in Bogota, Colombia. Design/methodology/approach The assessment is based on case study research using open interviews, focused interviews, a questionnaire and direct observations as sources of evidence. Seven Colombian health care settings are analyzed: four public hospitals and three private clinics. Cross-case analysis allows the identification of patterns regarding supply management, inventory management, replenishment and use of information and communication technologies. Findings Manual procedures, poor planning, little recognition from top management and a lack of specialized personnel characterize the current situation. Innovative practices with a potential to improve the efficacy of logistics activities are rare, particularly in public hospitals. Research avenues Future research could replicate this study in other Colombian cities, in order to generalize the results to the whole country. It could also be interesting to document successful and less successful implementations of innovative logistics practices in Colombian hospitals to guide and promote their adoption. Research limitations/implications The small number of cases considered, and the fact that the research is concentrated in one city, limits the generalizability of the results. Originality/value To the best of the authors’ knowledge, this research is the first to explore the state of healthcare logistics practices in Colombia. Objetivo Este artículo explora el estado actual de las prácticas logísticas en los hospitales de Bogotá, Colombia. Diseño/metodología/enfoque La evaluación se basa en la investigación de un estudio de caso utilizando entrevistas abiertas, entrevistas centradas, un cuestionario y observaciones directas como fuentes de evidencia. Se analizan siete establecimientos de salud colombianos: cuatro hospitales públicos y tres clínicas privadas. El análisis cruzado de casos permite la identificación de patrones relacionados con la gestión del abastecimiento, la gestión de inventarios, la reposición y el uso de las tecnologías de la información y la comunicación (TIC). Resultados Los procedimientos manuales, la mala planificación, el escaso reconocimiento de la alta dirección y la falta de personal especializado caracterizan la situación actual. Las prácticas innovadoras con un potencial para mejorar la eficacia de las actividades logísticas son raras, particularmente en los hospitales públicos. Investigación futura Este estudio se podría replicar en otras ciudades colombianas, con el fin de generalizar los resultados a todo el país. También podría ser interesante documentar implementaciones exitosas y menos exitosas de prácticas logísticas innovadoras en hospitales colombianos para guiar y promover su adopción. Limitaciones de la investigación/implicaciones El pequeño número de casos considerados, y el hecho de que la investigación se concentra en una ciudad, limita la generalización de nuestros resultados. Originalidad/valor Según nuestro conocimiento, esta investigación es la primera en explorar el estado de las prácticas de logística hospitalaria en Colombia.",RAYYAN-LABELS: Some Focus,10.1108/ARLA-08-2016-0219,"",,
rayyan-1115027539,Exploring the promotion of blockchain adoption in the healthcare industry through government subsidies,2023,,,Kybernetes,0368-492X,,,,"Li, Keqing and Liang, Changyong",https://doi.org/10.1108/K-04-2023-0683,,Emerald Publishing Limited,,"Purpose Blockchain technology has been recognized as a potential solution to the challenges in managing healthcare information. Its adoption in the healthcare industry has garnered the attention of healthcare institutions and governments. Given the significant role of subsidies in promoting technology adoption, this study applies evolutionary game theory to examine the impact of government subsidies on the adoption of blockchain technology by healthcare institutions. Design/methodology/approach First, the authors analyze the interests of government administration departments and healthcare institutions separately in regards to blockchain adoption. Subsequently, the authors develop the payoff matrix of both participants and construct the evolutionary game model. And then, the authors calculate the replication dynamic equations and analyze the decision evolution of both participants through the replication dynamic equations and numerical experiments. Findings The numerical experiments demonstrate that government subsidies are effective in encouraging healthcare institutions to adopt blockchain technology. The study also reveals the necessary amount of subsidy required to guide healthcare institutions towards adoption. Additionally, the validity of the evolutionary game model in analyzing the interaction between governments and healthcare institutions is confirmed by the results. Originality/value Blockchain adoption in the healthcare industry differs from other emerging technologies, as there is the potential for it to reduce revenue for healthcare institutions. This study contributes to the analysis of theoretical models for promoting blockchain in the healthcare industry through subsidies. Additionally, it demonstrates the potential of evolutionary game theory in analyzing the adoption of blockchain technology, and the interaction between governments and healthcare institutions.",RAYYAN-LABELS: High Focus,10.1108/K-04-2023-0683,"",,
rayyan-1115027540,Factors impacting the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia,2016,,,Journal of Enterprise Information Management,1741-0398,29,5,650-676,"Alkraiji, Abdullah Ibrahim and Jackson, Thomas and Murray, Ian",https://doi.org/10.1108/JEIM-11-2014-0111,,Emerald Group Publishing Limited,,"Purpose Recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low worldwide although health data standards have been perceived to be an essential tool for interoperability barriers within health information systems. The relevant literature still lacks significant studies concerning the issues of the adoption process of health data standards in healthcare organisations, and in particular those in developing nation. In addressing this gap in knowledge, the purpose of this paper is to investigate the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia, and to develop a technology-organisation-environment list that contains the critical factors influencing their adoption. Design/methodology/approach A multiple-case study methodology was conducted in Saudi Arabia and different data collection methods were used included semi-structured interviews with different decision makers at various levels and departments of the subject organisations, and documents analysis to identify critical factors to the adoption decision of health data standards. Findings The findings demonstrated a list of key factors from different aspects impacting the adoption decision of health data standards in the subject organisations. The technological factors are complexity and compatibility of health data standards, IT infrastructure, switching costs, market uncertainties, systems integration and enhancing the use of advanced systems. The main organisational factors are the lack of adequate policies and procedures and information management plan, resistance to change, data analysis and accreditation. The core environmental factors are the lack of national regulator and data exchange plan, national healthcare system and the shortage of professionals. Research limitations/implications The results from the qualitative data were difficult to generalise to other populations. For example, the structure of the health sector varies from country to country as each health sector has its own characteristics that affect and are affected by national circumstances. In order to provide a more grounded theory resulting from a qualitative study, further examination by conducting quantitative studies is required. In addition, the TOE approach does not take into account the sociotechnical issues and further research is required in this area. Practical implications The investigation into the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia has led to the development of a technology-organisation-environment list that contains the critical factors influencing their adoption. The research outcome has addressed the gap in knowledge of the adoption of health data standards in healthcare organisations. It also provides the decision maker, and in particular those in developing nations, with better understanding of the adoption process of those standards to better judge and to develop suitable strategy of adoption interventions. Originality/value Although recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low, the prior studies related to health data standards missed out on the exploration of the adoption decision of different types of health data standards in healthcare organisations and the critical factors influencing their adoption. Research on health data standards adoption based out of a developing country such as Saudi Arabia can also potentially provide several new insights on standards practices.",RAYYAN-LABELS: High Focus,10.1108/JEIM-11-2014-0111,"",,
rayyan-1115027541,Improving service engagement in healthcare through internet of things based healthcare systems,2023,,,Journal of Science and Technology Policy Management,2053-4620,14,1,53-73,"Bhatt, Vaidik and Chakraborty, Samyadip",https://doi.org/10.1108/JSTPM-03-2021-0040,,Emerald Publishing Limited,,"Purpose The purpose of the study was to empirically validate the linkages between IoT adoption and how it overarched influenced the patient care service engagement. This contributes to the body of knowledge and helps hospital managers to understand the relationship and relevance of IoT adoption; otherwise healthcare sector are late movers towards technology adoption. This gives a nuanced framework towards establishing empirically validated framework which will motivate healthcare services providers to be motivated to adopt and implement IoT enabled care delivery. The physician patient interaction and alignment during decision making will foster positive word of mouth, superior care service and reduce extra overheads for healthcare providers without compromise or rather with increment in service delivery proposition. Design/methodology/approach The study theoretically and empirically describes that with the adoption of internet of things (IoT) devices in health care, better services can be provided to patients by using partial least square – structure equation modelling-based robust technique and explains the better understanding of the health-care process with the help of information pervasiveness, physician-patient orientation and improved patient and physician involvement in the decision-making process. Findings This study shows that wearable IoT device adoption in health-care service delivery opens new opportunities and disrupts the conventional and traditional way of health-care service delivery by empowering the patient to take part in decision-making and enhancing their engagement in health-care service delivery. Research limitations/implications The study might influence by generalizability. Perception-based cross-examination knowledge from the patient’s perspective. It is likely that patients who use these devices will grow accustomed to using them and become more capable of using them. Thus, time-series tests have not been used to catch enhanced skills. New patients’ experiences will be altered over time. Regardless, non-response bias and traditional process bias received excessive interest. Practical implications The study aims at unravelling how the adoption of IoT enabled practices and usage of IoT devices bolsters the available data points in the context of healthcare especially with respect to patient care delivery. The study conceptualizes and empirically validates how the usage of IoT interface enabled technology enables better patient treatment and caregiver participation. The study puts forth a nuanced understanding regarding how pervasively available ubiquitous care information fosters shared decision making. This study further emphasizes that importance of ensuring a reliable computing environment devoid of privacy and security risks. The study attempts at Emphasizing empirically how the enhanced information pervasiveness catapults the patient-provider interactions, through health data exchange. Highlighting the importance of search feature in cloud storage and recovery mechanisms. The study not only fulfills the overarching linkage between enhanced service engagement with IoT adoption, it provides a mental map and ready to refer framework for hospital and healthcare experts to refer to, which prescribes thar care providers must build new methods aimed at empowerment of patients to participate and take more inclusive role. This unique confluence between patients and physicians will unravel the sync; helping not only avoid costly decision errors, but also improve patient care delivery environment. Patients should be permitted to participate in decision-making,inspire patients to be participatory. Originality/value The study efforts to empirically investigate and discover the link between how wearable sensor-based IoT enhances health-care service engagement is underway. Using primary data this linkage validation allows the community and readers at large to gain a nuanced understanding of how superior interaction is enabled by a digital-health-care process with the help of IoT-enabled information pervasiveness, physician-patient orientation and empowered involvement.",RAYYAN-LABELS: Some Focus,10.1108/JSTPM-03-2021-0040,"",,
rayyan-1115027542,Configural paths for IoTs and big data analytics acceptance for healthcare improvement: a fuzzy-set qualitative comparative analysis,2023,,,Aslib Journal of Information Management,2050-3806,,,,"Edu, Abeeku Sam",https://doi.org/10.1108/AJIM-10-2022-0465,,Emerald Publishing Limited,,"Purpose This study investigates the pathways for adopting IoTs and BDA technologies to improve healthcare management. Design/methodology/approach The study relied on 445 healthcare professionals' perspectives to explore different causal pathways to IoTs and BDA adoption and usage for daily healthcare management. The Fussy-set Qualitative Comparative Analysis was adopted to explore the underlying pathways for healthcare management. Findings The empirical analysis revealed six different configural paths influencing the acceptance and use of IoTs and BDA for healthcare improvement. Two key user topologies from the six configural paths, digital literacy and ease of use and social influence and behavioural intentions, mostly affect the paths for using digital health technologies by healthcare physicians. Research limitations/implications Despite this study's novel contributions, limitations include the fsQCA methodology, perceptual data and the context of the study. The fsQCA methodology is still evolving with different interpretations, although it reveals new insights and as such further studies are required to explain the configural paths of social phenomena. Additionally, future research should consider other constructs beyond the UTAUT and digital literacy to illustrate configural paths to healthcare technology acceptance and usage. Again, the views of healthcare professionals are perceptual data. Hence future research on operational data will support significant contributions towards pathways to accept and use emerging technologies for healthcare improvement. Lastly, this study is from a developing country perspective where emerging digital healthcare technology is still emerging to support healthcare management. Hence, more investigation from other cross-country analyses of configural paths for digital technology deployment in healthcare will enhance the conversation with IoTs and BDA for healthcare management. Practical implications Holistically, the acceptance and use of healthcare technologies and platforms is not solely on their capabilities, but a combination of distinct factors driven by users' perspectives. This offers healthcare administrators and institutions to essentially reflect on the distinct combinations of conditions favourable to health professionals who can use IoTs and BDA for healthcare improvement. Originality/value This study is among the few scholarly works to empirically investigate the configural paths to support healthcare improvement with emerging technologies. Using fsQCA is a unique contribution to existing information system literature for configural paths for healthcare improvement with emerging digital technologies.",RAYYAN-LABELS: High Focus,10.1108/AJIM-10-2022-0465,"",,
rayyan-1115027543,Toward digital transformation in healthcare: a framework for remote monitoring adoption,2022,,,The TQM Journal,1754-2731,34,6,1772-1799,"Binci, Daniele and Palozzi, Gabriele and Scafarto, Francesco",https://doi.org/10.1108/TQM-04-2021-0109,,Emerald Publishing Limited,,"Purpose Digital transformation (DT) is a priority for the healthcare sector. In many countries, it is still considered in the early stages with an underestimation of its benefits and potentiality. Especially in Italy, little is known about the impact of digitalization – particularly of the Internet of Things (IoT) – on the healthcare sector, for example, in terms of clinician's jobs and patient's experience. Drawing from such premises, the paper aims to focus on an overlooked healthcare area related to the chronic heart diseases field and its relationship with DT. The authors aim at exploring and framing the main variables of remote Monitoring (RM) adoption as a specific archetype of healthcare digitalization, both on patients and medical staff level, by shedding some lights on its overall implementation. Design/methodology/approach The authors empirically inquiry the RM adoption within the context of the Cardiology Department of the Casilino General Hospital of Rome. To answer our research question, the authors reconstruct the salient information by using induction-type reasoning, direct observation and interviewees with 12 key informants, as well as secondary sources analysis related to the hospital (internal documentation, presentations and technical reports). Findings According to a socio-technical framework, the authors build a model composed of five main variables related to medical staff and patients. The authors classify such variables into an input-process-output (I-P-O) model. RM adoption driver represents the input; cultural digital divide, structure flexibility and reaction to change serve the process and finally, RM outcome stands for the output. All these factors, interacting together, contribute to understanding the RM adoption process for chronic disease management. Research limitations/implications The authors' research presents two main limitations. The first one is related to using a qualitative method, which is less reliable in terms of replication and the interpretive role of researchers. The second limitation, connected to the first one, is related to the study's scale level, which focuses on a mono-centric consistent level of analysis. Practical implications The paper offers a clear understanding of the RM attributes and a comprehensive view for improving the overall quality management of chronic diseases by suggesting that clinicians carefully evaluate both hard and soft variables when undertaking RM adoption decisions. Social implications RM technologies could impact on society both in ordinary situations, by preventing patient mobility issues and transport costs, and in extraordinary times (such as a pandemic), where telemedicine contributes to supporting hospitals in swapping in-person visits with remote controls, in order to minimize the risk of coronavirus disease (COVID-19) contagion or the spread of the virus. Originality/value The study enriches the knowledge and understanding of RM adoption within the healthcare sector. From a theoretical perspective, the authors contribute to the healthcare DT adoption debate by focusing on the main variables contributing to the DT process by considering both medical staff and patient's role. From a managerial perspective, the authors highlight the main issues for RM of chronic disease management to enable the transition toward its adoption. Such issues range from the need for awareness of the medical staff about RM advantages to the need for adapting the organizational structure and the training and education process of the patients.",RAYYAN-LABELS: High Focus,10.1108/TQM-04-2021-0109,"",,
rayyan-1115027544,Adoption of electronic medical records: the role of network effects,2009,,,Journal of Product & Brand Management,1061-0421,18,2,127-135,"Ayers, Douglas J. and Menachemi, Nir and Ramamonjiarivelo, Zo and Matthews, Michael and Brooks, Robert G.",https://doi.org/10.1108/10610420910949022,,Emerald Group Publishing Limited,,"Purpose This paper aims to examine the role of network effects (defined as increased utility for users of a technology that occurs when adoption increases among other users) in the adoption of electronic medical records (EMR) systems. EMR systems, which have experienced slow adoption rates, promise to improve the efficiency of the healthcare system by facilitating information exchange among physicians caring for the same patients. Design/methodology/approach Survey responses from physicians are used to test several hypotheses. The authors are interested in how market level EMR adoption was related to physician adoption intentions. The authors also test the “strong ties” notion of network effects by examining whether EMR adoption among generalists, and specialist physicians, had differing influences on adoption intentions in a given market. Findings Support for network effects is found; each one unit increase in market‐level EMR adoption is associated with a significant increase in overall physician adoption intention in that market. Secondary analyses suggest adoption of EMRs by specialists is significantly predictive of generalists' adoption intentions in a given market. However, as predicted, EMR among generalists does not influence other generalists' intentions; nor does EMR adoption by a specialists influence other specialists' intentions. Research implications Network effects play a role in the EMR adoption among physicians. Decision‐makers wanting to influence adoption should target defined market segments in an effort to build a critical mass of adoption then move to adjacent segments once network effects take hold. Originality/value This paper applies network effects theory to help explain the suboptimal adoption rates of an important healthcare technology.",RAYYAN-LABELS: High Focus,10.1108/10610420910949022,"",,
rayyan-1115027545,RFID‐enabled healthcare systems: risk‐benefit analysis,2010,,,International Journal of Pharmaceutical and Healthcare Marketing,1750-6123,4,3,282-300,"Zare Mehrjerdi, Yahia",https://doi.org/10.1108/17506121011076192,,Emerald Group Publishing Limited,,"Purpose The purpose of this technical paper is to provide a review of the applications of radio frequency identification (RFID) in healthcare management systems. It seeks to describe RFID's key points, adoptions, risks and benefits, and the areas of its applications. Some applications of RFID in healthcare management are briefly reviewed and three cases are discussed. Design/methodology/approach The paper provides key information on RFID and the integration of healthcare systems and RFID for generating new systems with higher levels of profitability, efficiency, and productivity. Findings To make healthcare systems functional and successfully operational, the healthcare industry can use RFID solutions to reduce operating costs by decreasing the labor costs, insurance claims, the risks associated with medical errors, and errors in medication filling pharmacies. This will help the healthcare industry to increase the operating income by reducing working capital through reductions in inventory level and lowering appropriate costs. Such strategies can bring higher levels of profitability and productivity to the healthcare systems. Practical implications Owing to the fact that a better management of healthcare system is related to the full understanding of RFID technologies and the system under consideration, sufficient background on the RFID technology along with its risks and benefits are provided and its impact on the healthcare management system including profitability and productivity enhancement are discussed. Originality/value In this paper, author has discussed about the RFID active and passive tags, the costs of tags, its producers, and frequencies.",RAYYAN-LABELS: High Focus,10.1108/17506121011076192,"",,
rayyan-1115027546,Assessing individual behavior towards adoption of telemedicine application during COVID-19 pandemic: evidence from emerging market,2022,,,Library Hi Tech,0737-8831,40,2,394-420,"Rahi, Samar",https://doi.org/10.1108/LHT-01-2021-0030,,Emerald Publishing Limited,,"Purpose This study attempts to gain insight into what factors influence individual behavior towards the adoption of telemedicine application during coronavirus disease 2019 (COVID-19) pandemic. The research model incorporates two well-known theories namely the extended unified theory of acceptance and use of technology (UTAUT2) and DeLone and McLean information success model to examine individual behavior towards the adoption of telemedicine application. Design/methodology/approach The research design of this study is based on quantitative research approach. During research survey, 350 valid responses were received from Pakistani citizens and examined to understand citizen's behavior towards the adoption of telemedicine applications. The research model was empirically tested with the latest statistical approach namely variance-based structural equation modeling (VB-SEM). Findings The results of the structural equation modeling have revealed that altogether performance expectancy, social influence, effort expectancy, facilitating condition, habit, hedonic motivation, price values, information quality, system quality and service quality explained 77.9% variance in determining user behavior towards adoption of telemedicine application. The predictive relevance of the research model was found substantial in measuring user behavior to adopt telemedicine applications. The research framework is further extended with moderating role of perceived severity between the relationship of user intention and actual usage behavior. Results confirmed that the positive relationship between intention to adopt telemedicine health application and usage behavior will be stronger when perceived severity is higher. Practical implications Theoretically, this study integrates extended UTAUT2 and DeLone and McLean information success model and contributes to e-health literature. Practically, this research suggests that by improving user performance expectancy and effort expectancy, managers and healthcare professionals can boost user confidence towards the adoption of telemedicine applications. Originality/value This study is unique as it integrates the extended UTAUT2 with DeLone and McLean information success model and perceived severity to investigate user behavior towards adoption of telemedicine application during COVID-19 pandemic. Additionally, the integration of theories contributes to information system literature in the context of the adoption of telemedicine applications.",RAYYAN-LABELS: High Focus,10.1108/LHT-01-2021-0030,"",,
rayyan-1115027548,Exploratory study to understand the phenomena of adoption of wireless handheld devices in the Australian healthcare system,2009,,,Journal of Systems and Information Technology,1328-7265,11,1,43-56,"Hafeez‐Baig, Abdul and Gururajan, Raj",https://doi.org/10.1108/13287260910932403,,Emerald Group Publishing Limited,,"Purpose The purpose of this paper is to understand the phenomenal of wireless handheld technology in healthcare environment. Design/methodology/approach The paper adopts a mixed method approach and a qualitative approach with focus group and survey techniques. Findings The study indicates that organizational readiness, technical readiness, clinical practice, social aspects as well as compatibility of new hardware with the existing system, play a crucial role in the adoption of wireless handheld devices in Australian healthcare systems Research limitations/implications Future research in this domain needs to examine implications of wireless handheld technology at an organizational level in the healthcare environment and its adoptability to unique healthcare settings Originality/value The research has established that access to data, communication enhancements, policy development, high quality information transmission and easy interfaces, are some of the factors influencing the acceptance of wireless technology in Australian healthcare systems. The study also identified challenges, such as the lack of management commitment, in realizing the acceptance.",RAYYAN-LABELS: Some Focus,10.1108/13287260910932403,"",,
rayyan-1115027549,Innovation adoption in inter-organizational healthcare networks – the role of artificial intelligence,2022,,,European Journal of Innovation Management,1460-1060,25,6,758-774,"Cannavale, Chiara and Esempio Tammaro, Anna and Leone, Daniele and Schiavone, Francesco",https://doi.org/10.1108/EJIM-08-2021-0378,,Emerald Publishing Limited,,"Purpose This paper explores innovation adoption in inter-organizational healthcare networks. The authors develop theoretical speculations to investigate better the role of artificial intelligence (AI) as an innovative tool to improve buyer-supplier relationships, creating better performance outcomes. Design/methodology/approach The research is based on a theoretical investigation aiming at exploring the role of AI-based solutions for managing buyer-supplier relationships. The conceptual approach allows us to identify some research streams (e.g. co-working collaborations in supply chain management) by proposing a matrix that helps clarify the analysis's directions. Findings The results show the importance of AI that can help the operator in accessing supplier information, including current prices, available stocks, and delivery status, thereby reducing the risk of information asymmetry. AI is intended not only as a technology tool but also as an innovative solution to promote business relationships and support vertical alliances through the value chain between buyer and supplier. Originality/value This paper can help healthcare actors examine the choices behind their operational strategies by providing transparency of the activities and availability of information in real-time. Finally, our study reflects the future directions to enhance the cooperation and innovation adoption among healthcare operators.",RAYYAN-LABELS: Some Focus,10.1108/EJIM-08-2021-0378,"",,
rayyan-1115027550,Smart healthcare,2020,,,PSU Research Review,2399-1747,4,2,149-168,"Zeadally, Sherali and Siddiqui, Farhan and Baig, Zubair and Ibrahim, Ahmed",https://doi.org/10.1108/PRR-08-2019-0027,,Emerald Publishing Limited,,"Purpose The aim of this paper is to identify some of the challenges that need to be addressed to accelerate the deployment and adoption of smart health technologies for ubiquitous healthcare access. The paper also explores how internet of things (IoT) and big data technologies can be combined with smart health to provide better healthcare solutions. Design/methodology/approach The authors reviewed the literature to identify the challenges which have slowed down the deployment and adoption of smart health. Findings The authors discussed how IoT and big data technologies can be integrated with smart health to address some of the challenges to improve health-care availability, access and costs. Originality/value The results of this paper will help health-care designers, professionals and researchers design better health-care information systems.",RAYYAN-LABELS: High Focus,10.1108/PRR-08-2019-0027,"",,
rayyan-1115027551,Diffusion of videos on US hospital web sites,2009,,,International Journal of Pharmaceutical and Healthcare Marketing,1750-6123,3,4,347-362,"Huang, Edgar",https://doi.org/10.1108/17506120911006047,,Emerald Group Publishing Limited,,"Purpose The purpose of this paper is to examine the adoption of videos on US hospital web sites in an attempt to find out how this new medium had been used by hospitals for marketing purposes. Design/methodology/approach Based on a systematic probability sample of the 6,456 US hospital web sites, a content analysis is conducted to measure the effects that hospital service quality, hospital size, hospital affiliation, and geographic population had on the diffusion of online videos. Findings The paper has found that, although the critical mass for using videos on hospital web sites has been reached, for the overwhelming majority of the hospitals, including those that are already using videos, there is still a long way to go in learning how to harness the power of video for marketing and to make videos an integral and routine part of their marketing strategy. Research limitations/implications Further studies need to be conducted to uncover hospitals' attitudes and users' attitudes toward new media adoption on hospital web sites for presenting healthcare information. Practical implications The paper gives readers an overview of the current state of hospitals' efforts in adopting new media for marketing and can greatly help hospitals better position their marketing strategies to serve their patients, communities, and hospital staff, and invest in the right technology and new recruits. Originality/value The literature search indicates that this is the first study of its kind that has attempted to find out how hospitals have taken advantage of video, a salient Web 2.0 phenomenon, to present healthcare information on their web sites as a marketing strategy.",RAYYAN-LABELS: Less Focus,10.1108/17506120911006047,"",,
rayyan-1115027552,Exploring individuals’ adoption of COVID-19 contact-tracing apps: a mixed-methods approach,2022,,,Library Hi Tech,0737-8831,40,2,376-393,"Nguyen, Tin Trung and Nguyen, Tony Cat Anh Hung and Tran, Cong Duc",https://doi.org/10.1108/LHT-06-2021-0180,,Emerald Publishing Limited,,"Purpose During the challenging time of lockdown and isolation due to the coronavirus disease (COVID-19), contact-tracing apps have played a critical role in health communication and preventive healthcare. This study proposed and tested an extended technology acceptance model (TAM) with key health factors (i.e. health risk perception from COVID-19, health information orientation to COVID-19 and health consciousness) to understand individuals' adoption of COVID-19 contact-tracing apps. Design/methodology/approach A two-stage online survey was conducted to collect data on US individuals’ intention and actual use of COVID-19 contact-tracing apps. The sample comprises 288 valid responses. Partial least squares structural equation modeling (PLS-SEM) and fuzzy set/qualitative comparative analysis (fsQCA) were employed as the complementary approaches. Findings The findings from PLS-SEM revealed that health risk perception, health information orientation and perceived usefulness have positive net effects on behavioral intention, which, in turn, affects actual use. The results from fsQCA highlighted the explanatory power of the extended TAM to COVID-19 contact-tracing app adoption. Originality/value Although TAM is considerably effective in measuring technology acceptance, the phenomenon is highly context-driven. How technological and health factors simultaneously motivate the use of contact-tracing apps has not been well documented. The present study offers some implications for practitioners concerned about fostering the adoption of mobile health services in the time of COVID-19. Methodologically, this study is among the first to blend PLS-SEM and fsQCA to measure the explanatory power of a structural model.",RAYYAN-LABELS: Less Focus,10.1108/LHT-06-2021-0180,"",,
rayyan-1115027553,"E-health system characteristics, medical performance and healthcare quality at UNRWA-Palestine health centers",2021,,,Journal of Enterprise Information Management,1741-0398,34,4,1004-1036,"Dahleez, Khalid Abed and Bader, Imad and Aboramadan, Mohammed",https://doi.org/10.1108/JEIM-01-2019-0023,,Emerald Publishing Limited,,"Purpose This study aims to investigate how e-health system characteristics (information quality, system quality, perceived ease of use, perceived usefulness) contribute to the enhancement of medical staff performance, patient care, and doctor–patient relationships at UNRWA-Gaza healthcare centers. It aims at testing an integrative single model comprising Technology Acceptance Model (TAM), D&M model and e-health system utilization. Design/methodology/approach This study followed the quantitative methodology and the deductive research approach. Data were collected from 241 medical staff who use the system employed in 19 different healthcare centers across the Gaza Strip. Partial least square/structural equation modeling technique was used to analyze the collected data and to test study hypotheses. Findings Study concluded that information quality of the adopted Health Information System (HIS) has both direct and indirect positive impact on staff performance, only direct positive impact on patient care and only positive indirect impact on doctor–patient relationship. System quality, on the other hand, was found to have negative direct impact and positive indirect impact on staff performance and has both direct and indirect positive impact on both doctor-patient relationship and patient care. Research limitations/implications Noteworthy that HIS has availability, speed and error detection and error prevention issues. It is recommended that these shortfalls be addressed together with improving user perception towards ease of use and usefulness of the system. Practical implications Management should also work to raise confidence in its medical staff to improve the effect of HIS on medical performance and patient care. It is also recommended that UNRWA should implement crowed management techniques such as queuing systems and on-phone booking to minimize patient waiting time. Originality/value The importance of the study stems from its context being conducted in a developing region (Gaza Strip-Palestine) which has a fragile economic, political and social environment with many other complexities. It is also conducted at United Nations Relief and Work Agency (UNRWA) healthcare centers, which provide medical services to Palestinian refugees. In addition, this study is among the few studies that address the impact of individual e-health success factors on both doctor-patient relationship and patient care constructs. Most previous studies concentrated on the impact of health system adoption as a whole on these two subject variables and one can hardly ever stop at studies that address effect of individual success factors on them. It also integrated both D&M system success model and TAM model with some additional amendments creating and tested a new model.",RAYYAN-LABELS: Some Focus,10.1108/JEIM-01-2019-0023,"",,
rayyan-1115027554,Electronic detailing (e‐detailing) of pharmaceuticals to physicians: a review,2008,,,International Journal of Pharmaceutical and Healthcare Marketing,1750-6123,2,3,235-245,"Alkhateeb, Fadi M. and Doucette, William R.",https://doi.org/10.1108/17506120810903999,,Emerald Group Publishing Limited,,"Purpose Electronic detailing (e‐detailing) has been introduced in the last few years by the pharmaceutical industry as a new communication channel to promote pharmaceutical products to physicians. E‐detailing means using digital technology: internet, video conferencing, and interactive voice response. Because of the rapid adoption of e‐detailing among physicians and because of the potential effects of e‐detailing on the physician prescribing behavior, it is important to summarize research about e‐detailing. The purpose of this article is to review the literature on e‐detailing of pharmaceuticals to physicians. Design/methodology/approach A review of the literature was conducted to address reasons behind e‐detailing emergence, e‐detailing as a replacement for traditional detailing, different definitions of e‐detailing, e‐detailing processes, the prevalence of e‐detailing among physicians, types of e‐detailing, drivers for e‐detailing adoption among physicians, and adopters' characteristics. Findings Based on the literature review, there are two types of e‐detailing: interactive (virtual) and video. Several factors including convenience, quality of information, and incentives are common reasons for physicians' adoption of e‐detailing. E‐detailing adopters are more likely to be residents, younger, primary care physicians, practicing in rural areas, and working in solo practice. Originality/value This paper provides timely review about e‐detailing for pharmaceutical industry practitioners and institutional healthcare policy makers. However, well designed research studies on the effects of e‐detailing on prescribing are needed. From the pharmaceutical companies perspective, more research should be conducted to determine the best ways to maximize the value pharmaceutical companies can gain through the utilization of e‐detailing tools.",RAYYAN-LABELS: Less Focus,10.1108/17506120810903999,"",,
rayyan-1115027556,Exploring the use of social media sites for health professionals' engagement and productivity in public sector hospitals,2021,,,Employee Relations: The International Journal,0142-5455,43,5,1029-1051,"Naeem, Muhammad and Ozuem, Wilson",https://doi.org/10.1108/ER-08-2020-0391,,Emerald Publishing Limited,,"Purpose Competitive pressure and social influence for technology adoption have increased among developed, developing and emerging countries. The influence of social structure, organizational forces and political forces varies between public sector hospitals in countries where there are more social media restrictions. This study aims to explore how the use of social media can influence employee engagement and productivity in the workplaces of public sector hospitals. Design/methodology/approach The study follows a social constructivist approach to understand employee attitudes, motivation culture, political forces and the local context. Data were collected from health professionals of five public sector hospitals using a non-directive and semi-structured interview method. Findings The results show that the use of social media sites has increased collaboration, coordination and cooperation among health professionals, especially in critical situations. They are more socialized, connected and engaged, thus helping them to exchange useful knowledge using instant messaging apps. Conversely, there are no organizational polices and specific laws and too little support from management and senior doctors to drive the use of social networking sites in public hospitals. The use of social media has enhanced health professionals' engagement and productivity as they are able to share their expertise, knowledge and information with their colleagues and subordinates. Research limitations/implications The results can guide policy-makers, researchers, hospitals, doctors and the Ministry of Health about the positive use of social networking sites in the workplace. The positive use of social networking sites in the workplace can enhance information, knowledge and coordination which may help to enhance employee engagement and productivity. Originality/value The present study has provided a social media health organization workplace (SMHOW) model which explains how individual and organizational contexts can influence the actual use of social media in healthcare organizations.",RAYYAN-LABELS: Some Focus,10.1108/ER-08-2020-0391,"",,
rayyan-1115027840,The impact of health information technology on patient safety.,2017,12,,Saudi medical journal,1658-3175 (Electronic),38,12,1173-1180,Alotaibi YK and Federico F,https://pubmed.ncbi.nlm.nih.gov/29209664/,eng,,Saudi Arabia,"Since the original Institute of Medicine (IOM) report was published there has been an accelerated development and adoption of health information technology with varying degrees of evidence about the impact of health information technology on patient safety.  This article is intended to review the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes. We conclude that health information technology improves patient's safety by reducing medication errors, reducing adverse drug reactions, and improving compliance to practice guidelines. There should be no doubt that health information technology is an important tool for improving healthcare quality and safety. Healthcare organizations need to be selective in which technology to invest in, as literature shows that some technologies have limited evidence in improving patient safety outcomes.",RAYYAN-LABELS: High Focus,10.15537/smj.2017.12.20631,"Humans;*Medical Informatics;National Academies of Science, Engineering, and Medicine, U.S., Health and           Medicine Division;*Patient Safety;United States",29209664,PMC5787626
rayyan-1115027841,Electronic Health Record Implementation: A SWOT Analysis.,2017,10,,Acta medica Iranica,1735-9694 (Electronic),55,10,642-649,Shahmoradi L and Darrudi A and Arji G and Farzaneh Nejad A,https://pubmed.ncbi.nlm.nih.gov/29228530/,eng,,Iran,"Electronic Health Record (EHR) is one of the most important achievements of information technology in healthcare domain, and if deployed effectively, it can yield predominant results. The aim of this study was a SWOT (strengths, weaknesses, opportunities, and threats) analysis in electronic health record implementation. This is a descriptive, analytical study conducted with the participation of a 90-member work force from Hospitals affiliated to Tehran University of Medical Sciences (TUMS). The data were collected by using a self-structured questionnaire and analyzed by SPSS software. Based on the results, the highest priority in strength analysis was related to timely and quick access to information. However, lack of hardware and infrastructures was the most important weakness. Having the potential to share information between different sectors and access to a variety of health statistics was the significant opportunity of EHR. Finally, the most substantial threats were the lack of strategic planning in the field of electronic health records together with physicians' and other clinical staff's resistance in the use of electronic health records. To facilitate successful adoption of electronic health record, some organizational, technical and resource elements contribute; moreover, the consideration of these factors is essential for HER implementation.",RAYYAN-LABELS: High Focus,,*Attitude of Health Personnel;*Attitude to Computers;Electronic Health Records/*organization & administration;Hospitals;Humans;Iran;Software,29228530,
rayyan-1115027842,Impact of electronic health record systems on information integrity: quality and safety implications.,2013,,,Perspectives in health information management,1559-4122 (Electronic),10,,1c,Bowman S,https://pubmed.ncbi.nlm.nih.gov/24159271/,eng,,United States,"While the adoption of electronic health record (EHR) systems promises a number of substantial benefits, including better care and decreased healthcare costs, serious unintended consequences from the implementation of these systems have emerged. Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality of care. These unintended consequences also may increase fraud and abuse and can have serious legal implications. This literature review examines the impact of unintended consequences of the use of EHR systems on the quality of care and proposed solutions to address EHR-related errors. This analysis of the literature on EHR risks is intended to serve as an impetus for further research on the prevalence of these risks, their impact on quality and safety of patient care, and strategies for reducing them.",RAYYAN-LABELS: High Focus,,*Computer Security;Electronic Health Records/*standards;Humans;Medical Errors/prevention & control;Medical Informatics;*Patient Safety;*Quality Control,24159271,PMC3797550
rayyan-1115027843,The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.,2018,9,29,Journal of medical systems,1573-689X (Electronic),42,11,214,Kruse CS and Stein A and Thomas H and Kaur H,https://pubmed.ncbi.nlm.nih.gov/30269237/,eng,,United States,"Electronic health records (EHRs) have emerged among health information technology as ""meaningful use"" to improve the quality and efficiency of healthcare, and health disparities in population health. In other instances, they have also shown lack of interoperability, functionality and many medical errors. With proper implementation and training, are electronic health records a viable source in managing population health? The primary objective of this systematic review is to assess the relationship of electronic health records' use on population health through the identification and analysis of facilitators and barriers to its adoption for this purpose. Authors searched Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE (PubMed), 10/02/2012-10/02/2017, core clinical/academic journals, MEDLINE full text, English only, human species and evaluated the articles that were germane to our research objective. Each article was analyzed by multiple reviewers. Group members recognized common facilitators and barriers associated with EHRs effect on population health. A final list of articles was selected by the group after three consensus meetings (n = 55). Among a total of 26 factors identified, 63% (147/232) of those were facilitators and 37% (85/232) barriers. About 70% of the facilitators consisted of productivity/efficiency in EHRs occurring 33 times, increased quality and data management each occurring 19 times, surveillance occurring 17 times, and preventative care occurring 15 times. About 70% of the barriers consisted of missing data occurring 24 times, no standards (interoperability) occurring 13 times, productivity loss occurring 12 times, and technology too complex occurring 10 times. The analysis identified more facilitators than barriers to the use of the EHR to support public health. Wider adoption of the EHR and more comprehensive standards for interoperability will only enhance the ability for the EHR to support this important area of surveillance and disease prevention. This review identifies more facilitators than barriers to using the EHR to support public health, which implies a certain level of usability and acceptance to use the EHR in this manner. The public-health industry should combine their efforts with the interoperability projects to make the EHR both fully adopted and fully interoperable. This will greatly increase the availability, accuracy, and comprehensiveness of data across the country, which will enhance benchmarking and disease surveillance/prevention capabilities.",RAYYAN-LABELS: High Focus,10.1007/s10916-018-1075-6,*Electronic Health Records;Humans;Meaningful Use;*Population Health,30269237,PMC6182727
rayyan-1115027844,Barriers to Electronic Health Record Adoption: a Systematic Literature Review.,2016,12,,Journal of medical systems,1573-689X (Electronic),40,12,252,Kruse CS and Kristof C and Jones B and Mitchell E and Martinez A,https://pubmed.ncbi.nlm.nih.gov/27714560/,eng,,United States,"Federal efforts and local initiatives to increase adoption and use of electronic health records (EHRs) continue, particularly since the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Roughly one in four hospitals not adopted even a basic EHR system. A review of the barriers may help in understanding the factors deterring certain healthcare organizations from implementation. We wanted to assemble an updated and comprehensive list of adoption barriers of EHR systems in the United States. Authors searched CINAHL, MEDLINE, and Google Scholar, and accepted only articles relevant to our primary objective. Reviewers independently assessed the works highlighted by our search and selected several for review. Through multiple consensus meetings, authors tapered articles to a final selection most germane to the topic (n = 27). Each article was thoroughly examined by multiple authors in order to achieve greater validity. Authors identified 39 barriers to EHR adoption within the literature selected for the review. These barriers appeared 125 times in the literature; the most frequently mentioned barriers were regarding cost, technical concerns, technical support, and resistance to change. Despite federal and local incentives, the initial cost of adopting an EHR is a common existing barrier. The other most commonly mentioned barriers include technical support, technical concerns, and maintenance/ongoing costs. Policy makers should consider incentives that continue to reduce implementation cost, possibly aimed more directly at organizations that are known to have lower adoption rates, such as small hospitals in rural areas.",RAYYAN-LABELS: High Focus,10.1007/s10916-016-0628-9,Confidentiality;Costs and Cost Analysis;Electronic Health Records/economics/*statistics & numerical data;Hospital Administration/economics/*statistics & numerical data;Humans;Inservice Training;Time Factors;United States;Workflow,27714560,PMC5054043
rayyan-1115027845,United States of America: health system review.,2013,,,Health systems in transition,1817-6127 (Electronic),15,3,1-431,Rice T and Rosenau P and Unruh LY and Barnes AJ and Saltman RB and van Ginneken E,https://pubmed.ncbi.nlm.nih.gov/24025796/,eng,,Denmark,"This analysis of the United States health system reviews the developments in organization and governance, health financing, health-care provision, health reforms and health system performance. The US health system has both considerable strengths and notable weaknesses. It has a large and well-trained health workforce, a wide range of high-quality medical specialists as well as secondary and tertiary institutions, a robust health sector research program and, for selected services, among the best medical outcomes in the world. But it also suffers from incomplete coverage of its citizenry, health expenditure levels per person far exceeding all other countries, poor measures on many objective and subjective measures of quality and outcomes, an unequal distribution of resources and outcomes across the country and among different population groups, and lagging efforts to introduce health information technology. It is difficult to determine the extent to which deficiencies are health-system related, though it seems that at least some of the problems are a result of poor access to care. Because of the adoption of the Affordable Care Act in 2010, the United States is facing a period of enormous potential change. Improving coverage is a central aim, envisaged through subsidies for the uninsured to purchase private insurance, expanded eligibility for Medicaid (in some states) and greater protection for insured persons. Furthermore, primary care and public health receive increased funding, and quality and expenditures are addressed through a range of measures. Whether the ACA will indeed be effective in addressing the challenges identified above can only be determined over time.",RAYYAN-LABELS: Some Focus,,Delivery of Health Care/*economics/*methods;Evaluation Studies as Topic;Health Care Reform/economics/methods;Health Systems Plans/*economics/*organization & administration;Healthcare Financing;Humans;*Quality of Health Care;United States,24025796,
rayyan-1115027846,Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies.,2018,3,,Scandinavian journal of caring sciences,1471-6712 (Electronic),32,1,24-44,Koivunen M and Saranto K,https://pubmed.ncbi.nlm.nih.gov/28771752/,eng,,Sweden,"The aim of the study was to synthesise the best available research evidence on nursing professionals' experiences of the facilitators and barriers to the use of online telehealth services in nursing practice. Telehealth is used to deliver healthcare services and health-related information by means of information and communication technology (ICT). The systematic review of qualitative studies was conducted using thematic synthesis of previous studies. International electronic databases PubMed, CINAHL, Eric, Web of Science/Web of Knowledge and Scopus, and Finnish databases Medic and Ohtanen were searched in spring 2013. In addition, the search was complemented in fall 2015. Following critical appraisal, 25 studies from 1998 to fall 2015 were reviewed and the findings were synthesised. Both facilitators and barriers were grouped into five main categories which were related to nurses' skills and attitudes, nurses' work and operations, organisational factors, patients and technology. The highest number of facilitators and barriers was found in the category focusing on nurses' work and operations. Based on the findings, nurses' skills and attitudes are preventing factors in the implementation of telehealth. There is also a need to focus on patients' role in telehealth usage although the findings support positive adoption of ICT tools among patients. The findings call for further development of technological tools used in nursing practice and healthcare services. The change from traditional face-to-face nursing to the use of telehealth calls for local agreements and further discussions among professionals on how this change will be accepted and implemented into practice. In addition, organisations need to make sure that nurses have enough resources and support for telehealth use.",RAYYAN-LABELS: Some Focus,10.1111/scs.12445,"Adult;Aged;Aged, 80 and over;*Attitude to Computers;*Communication;Female;Humans;Internet/*statistics & numerical data;Male;Middle Aged;Nursing Staff/*psychology;Qualitative Research;Telemedicine/*methods;Telenursing/*methods;Telephone/*statistics & numerical data",28771752,
rayyan-1115027847,Adoption and use of health information technology in physician practice organisations: systematic review.,2010,,,Informatics in primary care,1476-0320 (Print),18,4,245-58,Police RL and Foster T and Wong KS,https://pubmed.ncbi.nlm.nih.gov/22040851/,eng,,England,"BACKGROUND: Health information technology (HIT) has the potential to improve clinical outcomes, increase health provider productivity and reduce healthcare costs. Over half of all patient care is delivered in physician practice organisations, yet adoption and utilisation of HIT in these groups lags behind inpatient facilities. OBJECTIVE: To better understand current utilisation rates along with benefits and barriers to HIT adoption in physician practice organisations. METHODS: Published literature on the adoption and use of HIT in physician practice organisations within the USA between 12 January 2004 and 12 January 2009 and indexed in MEDLINE and EMBASE was included in the systematic review. Grey literature was also searched. Studies related to the adoption and use of HIT in hospitals and community health centres were excluded. RESULTS: A total of 119 articles were eligible for inclusion in the review. Adoption rates across physician groups remain low, with between 9% and 29% of practices having implemented electronic medical records. HIT improves clinical outcomes, increases the use of vaccinations and improves medication adherence. Furthermore, HIT adoption leads to cost savings for physician groups, improves staff productivity and enriches patient-provider interactions. The largest barrier to HIT adoption in physician groups is the high initial and ongoing costs of electronic systems. Lack of sufficient training, a disorganised or non-receptive practice culture and technological problems such as inadequate connectivity appear to impede effective HIT use. CONCLUSIONS: HIT has the potential to positively impact on physician practice organisations, although significant and diverse barriers block adoption. Research into these obstacles should be coupled with efforts to understand barriers to effective implementation after HIT adoption.",RAYYAN-LABELS: High Focus,10.14236/jhi.v18i4.780,"*Attitude of Health Personnel;Costs and Cost Analysis;Electronic Health Records/economics/statistics & numerical data;Group Practice/economics/organization & administration/*trends;Humans;Medical Informatics/economics/*trends;Medical Records Systems, Computerized/economics/statistics & numerical data;Practice Patterns, Physicians'/organization & administration/*trends;United States",22040851,
rayyan-1115027848,"Transforming healthcare with information technology in Japan: a review of policy, people, and progress.",2011,3,,International journal of medical informatics,1872-8243 (Electronic),80,3,157-70,Abraham C and Nishihara E and Akiyama M,https://pubmed.ncbi.nlm.nih.gov/21292546/,eng,,Ireland,"PURPOSE: Healthcare reform as part of the economic recovery plan in Japan is placing emphasis on the use of healthcare information technology (HIT). This research mainly focuses on the HIT efforts in Japan with reference to the US for context. The purpose is to: (a) provide detail on governmental policy impacting promotion of HIT adoption to provide services to the people of Japan, (b) describe the outcomes of past and present policy impacting progress based on a case study of HIT use in the Kyoto Yamashina area, and (c) discuss issues for refinement of current policy. METHODS: The method is case study, and data collection techniques include: (a) interviews of people involved in policy making for HIT in Japan (Japanese healthcare professionals, government officials, and academics involved in HIT research in Japan) and use in the medical community of HIT in the Kyoto Yamashina area, (b) archived document analysis of reports regarding government policy for HIT policy and user assessment for HIT mainly in the case study site, and (c) the literature review about HIT progression and effectiveness assessments to explore and describe issues concerning the transformation with HIT in Japan. RESULTS: This study reveals the aspects of governmental policy that have been effective in promoting successful HIT initiatives as well as some that have been detriments in Japan to help solve pressing social issues regarding healthcare delivery. For example, Japan has stipulated some standardized protocols and formats for HIT but does not mandate exactly how to engage in inter-organizational or intra-organizational health information exchange. This provides some desired autonomy for healthcare organizations and or governments in medical communities and allows for more advanced organizations to leverage current resources while providing a basis for lesser equipped organizations to use in planning the initiative. The insights gained from the Kyoto Yamashina area initiative reflect the success of past governmental policy efforts and the current intent to promote HIT adoption. Insights from the case study as well as other social issues facing Japan warrant some refinement of policy. The refinement concerns: (a) the necessity for leadership and IT knowledge in the medical communities, (b) provider incentives, (c) legislation regarding accountability, security, privacy and confidentiality, (d) inclusion of stakeholders in solution development, and (e) creating sustainable business models. CONCLUSION: The research highlights the efforts of Japan for using HIT in healthcare reform. We present outcomes from a case study of the Kyoto Yamashina area medical community as proof of concept for past and present policy in Japan that are insightful for proliferation of successful projects in Japan and adoption of HIT in general.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2011.01.002,"Health Care Reform/*legislation & jurisprudence;Health Policy/*trends;Hospitals;Humans;*Information Science;Japan;*Policy Making;Quality Assurance, Health Care/*standards",21292546,
rayyan-1115027849,Health information technology adoption and acceptance of Turkish physicians-A model proposal and empirical assessment.,2022,4,,Health informatics journal,1741-2811 (Electronic),28,2,14604582221096041,Turan AH and Koç T,https://pubmed.ncbi.nlm.nih.gov/35636431/,eng,,England,"Health Information Technology (HIT) systems are receiving increasing attention in recent years. Yet, individual adoption research in health care settings, especially in developing countries are quite limited. Moreover, large body of Information Systems research has focused on user perceptions to form intentions to use a particular technology. However, the antecedents and consequences of perceptions remained largely unanswered in existing research. This study aims to fill this gap by proposing and testing a research model based on a modified Technology Acceptance Model (m - TAM) which incorporates socio psychological and cognitive factors to assess the HIT's adoption level of Turkish physicians. To do so, two different methods were used to collect data from head physicians, assistant head physicians, and physicians: face to face and online survey. Total 212 useful responses were returned. 174 of them were face-to-face surveys which were administrated to all the first level and some second and third level health organizations. The rest of the surveys were administrated to the second and third level healthcare organizations via online participation. Data were analyzed by Structural Equation Modelling via SmartPLS software program. Results present that commitment is a strong predictor of HIT usage, whereas neither motivation nor resistance has a significant impact on HIT usage.",RAYYAN-LABELS: Some Focus,10.1177/14604582221096041,Humans;Information Systems;Intention;*Medical Informatics;*Physicians/psychology;Surveys and Questionnaires,35636431,
rayyan-1115027850,Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review.,2013,5,,International journal of medical informatics,1872-8243 (Electronic),82,5,e73-86,Cresswell K and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/23146626/,eng,,Ireland,"PURPOSE: Implementations of health information technologies are notoriously difficult, which is due to a range of inter-related technical, social and organizational factors that need to be considered. In the light of an apparent lack of empirically based integrated accounts surrounding these issues, this interpretative review aims to provide an overview and extract potentially generalizable findings across settings. METHODS: We conducted a systematic search and critique of the empirical literature published between 1997 and 2010. In doing so, we searched a range of medical databases to identify review papers that related to the implementation and adoption of eHealth applications in organizational settings. We qualitatively synthesized this literature extracting data relating to technologies, contexts, stakeholders, and their inter-relationships. RESULTS: From a total body of 121 systematic reviews, we identified 13 systematic reviews encompassing organizational issues surrounding health information technology implementations. By and large, the evidence indicates that there are a range of technical, social and organizational considerations that need to be deliberated when attempting to ensure that technological innovations are useful for both individuals and organizational processes. However, these dimensions are inter-related, requiring a careful balancing act of strategic implementation decisions in order to ensure that unintended consequences resulting from technology introduction do not pose a threat to patients. CONCLUSIONS: Organizational issues surrounding technology implementations in healthcare settings are crucially important, but have as yet not received adequate research attention. This may in part be due to the subjective nature of factors, but also due to a lack of coordinated efforts toward more theoretically-informed work. Our findings may be used as the basis for the development of best practice guidelines in this area.",RAYYAN-LABELS: Less Focus,10.1016/j.ijmedinf.2012.10.007,Evidence-Based Medicine/*organization & administration;Health Plan Implementation/*organization & administration;Humans;Medical Informatics/*organization & administration;*Organizational Innovation,23146626,
rayyan-1115027851,Organizational influences on healthcare system adoption and use of advanced health information technology capabilities.,2019,1,1,The American journal of managed care,1936-2692 (Electronic),25,1,e21-e25,Norton PT and Rodriguez HP and Shortell SM and Lewis VA,https://pubmed.ncbi.nlm.nih.gov/30667614/,eng,,United States,"OBJECTIVES: The adoption of advanced health information technology (HIT) capabilities, such as predictive analytic functions and patient access to records, remains variable among healthcare systems across the United States. This study is the first to identify characteristics that may drive this variability among health systems. STUDY DESIGN: Responses from the 2017/2018 National Survey of Healthcare Organizations and Systems were used to assess the extent to which healthcare system organizational structure, electronic health record (EHR) standardization, and resource allocation practices were associated with use of 5 advanced HIT capabilities. Of 732 systems surveyed, 446 responded (60.9%), 425 (58.1%) met sample inclusion criteria, and 389 (53.1%) reported consistent EHR use. METHODS: Measures of adoption, resource allocation, and organizational structure were developed based on survey responses. Multivariate linear regression with control variables estimated the relationships. RESULTS: Adoption of advanced HIT capabilities is low and variable, with a mean of 2.4 capabilities adopted and only 8.4% of systems reporting widespread adoption of all 5 capabilities. In adjusted analyses, EHR standardization (β = 0.76; P = .001) was the strongest predictor of the number of advanced capabilities adopted, and ownership and management of medical groups (β = 0.32; P = .04) was also a significant predictor. CONCLUSIONS: Health systems that standardize their EHRs and that own and manage hospitals and medical groups have higher rates of advanced HIT adoption and use. System leaders looking to increase the use of advanced HIT capabilities should consider ways to better standardize their EHRs across organizations.",RAYYAN-LABELS: High Focus,,Delivery of Health Care/*organization & administration/*statistics & numerical           data;Electronic Health Records/standards/statistics & numerical data;Health Care Rationing/organization & administration;Humans;Linear Models;Medical Informatics/*statistics & numerical data;Ownership;United States,30667614,PMC6581444
rayyan-1115027852,Factors affecting the adoption of healthcare information technology.,2013,,,EXCLI journal,1611-2156 (Print),12,,413-36,Phichitchaisopa N and Naenna T,https://pubmed.ncbi.nlm.nih.gov/26417235/,eng,,Germany,"In order to improve the quality and performance of healthcare services, healthcare information technology is among the most important technology in healthcare supply chain management. This study sets out to apply and test the Unified Theory of Acceptance and Use of Technology (UTAUT), to examine the factors influencing healthcare Information Technology (IT) services. A structured questionnaire was developed and distributed to healthcare representatives in each province surveyed in Thailand. Data collected from 400 employees including physicians, nurses, and hospital staff members were tested the model using structural equation modeling technique. The results found that the factors with a significant effect are performance expectancy, effort expectancy and facilitating conditions. They were also found to have a significant impact on behavioral intention to use the acceptance healthcare technology. In addition, in Thai provincial areas, positive significance was found with two factors: social influence on behavioral intention and facilitating conditions to direct using behavior. Based on research findings, in order for healthcare information technology to be widely adopted and used by healthcare staffs in healthcare supply chain management, the healthcare organizational management should improve healthcare staffs' behavioral intention and facilitating conditions.",RAYYAN-LABELS: High Focus,,"",26417235,PMC4566918
rayyan-1115027853,Association between Electronic Medical Record System Adoption and Healthcare Information Technology Infrastructure.,2018,10,,Healthcare informatics research,2093-3681 (Print),24,4,327-334,Lee YT and Park YT and Park JS and Yi BK,https://pubmed.ncbi.nlm.nih.gov/30443421/,eng,,Korea (South),"OBJECTIVES: The objective of this study was to investigate the relationship between the level of Electronic Medical Record (EMR) system adoption and healthcare information technology (IT) infrastructure. METHODS: Both survey and various healthcare administrative datasets in Korea were used. The survey was conducted during the period from June 13 to September 25, 2017. The chief information officers of hospitals were respondents. Among them, 257 general hospitals and 273 small hospitals were analyzed. A logistic regression analysis was conducted using the SAS program. RESULTS: The odds of having full EMR systems in general hospitals statistically significantly increased as the number of IT department staff members increased (odds ratio [OR] = 1.058, confidence interval [CI], 1.003-1.115; p = 0.038). The odds of having full EMR systems was significantly higher for small hospitals that had an IT department than those of small hospitals with no IT department (OR = 1.325; CI, 1.150-1.525; p < 0.001). Full EMR system adoption had a positive relationship with IT infrastructure in both general hospitals and small hospitals, which was statistically significant in small hospitals. The odds of having full EMR systems for small hospitals increased as IT infrastructure increased after controlling the covariates (OR = 1.527; CI, 1.317-4.135; p = 0.004). CONCLUSIONS: This study verified that full EMR adoption was closely associated with IT infrastructure, such as organizational structure, human resources, and various IT subsystems. This finding suggests that political support related to these areas is indeed necessary for the fast dispersion of EMR systems into the healthcare industry.",RAYYAN-LABELS: High Focus,10.4258/hir.2018.24.4.327,"",30443421,PMC6230536
rayyan-1115027854,Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals.,2012,6,,Journal of medical systems,0148-5598 (Print),36,3,1965-77,Lin C and Lin IC and Roan J,https://pubmed.ncbi.nlm.nih.gov/21336605/,eng,,United States,"Prior research on technology usage had largely overlooked the issue of user resistance or barriers to technology acceptance. Prior research on the Electronic Medical Records had largely focused on technical issues but rarely on managerial issues. Such oversight prevented a better understanding of users' resistance to new technologies and the antecedents of technology rejection. Incorporating the enablers and the inhibitors of technology usage intention, this study explores physicians' reactions towards the electronic medical record. The main focus is on the barriers, perceived threat and perceived inequity. 115 physicians from 6 hospitals participated in the questionnaire survey. Structural Equation Modeling was employed to verify the measurement scale and research hypotheses. According to the results, perceived threat shows a direct and negative effect on perceived usefulness and behavioral intentions, as well as an indirect effect on behavioral intentions via perceived usefulness. Perceived inequity reveals a direct and positive effect on perceived threat, and it also shows a direct and negative effect on perceived usefulness. Besides, perceived inequity reveals an indirect effect on behavioral intentions via perceived usefulness with perceived threat as the inhibitor. The research finding presents a better insight into physicians' rejection and the antecedents of such outcome. For the healthcare industry understanding the factors contributing to physicians' technology acceptance is important as to ensure a smooth implementation of any new technology. The results of this study can also provide change managers reference to a smooth IT introduction into an organization. In addition, our proposed measurement scale can be applied as a diagnostic tool for them to better understand the status quo within their organizations and users' reactions to technology acceptance. By doing so, barriers to physicians' acceptance can be identified earlier and more effectively before leading to technology rejection.",RAYYAN-LABELS: Some Focus,10.1007/s10916-011-9656-7,"*Attitude to Computers;*Diffusion of Innovation;Electronic Health Records/statistics & numerical data;Factor Analysis, Statistical;Health Care Surveys;*Hospitals;Humans;*Medical Informatics;Physicians/*psychology",21336605,
rayyan-1115027855,"Medication reconciliation process: Assessing value, adoption, and the potential of information technology from pharmacists' perspective.",2021,1,,Health informatics journal,1741-2811 (Electronic),27,1,1460458220987276,Al Anazi A,https://pubmed.ncbi.nlm.nih.gov/33467954/,eng,,England,"The Medication Reconciliation (MedRec) process aims to improve patient safety through safe prescription and medication administration. A validated survey was carried out to address aspects related to MedRec process, its obstacles, the role of information technology, and the required functionalities for optimizing the MedRec process. A total of 81% of the survey's respondents acknowledged the roles of EHR (62% of respondents), PHR (41%), and electronic medication registration list (33%) as necessary technology tools for MedRec. Most respondents emphasized the need to compile multiple medications' entries of information technology systems into one application (96.4%), allowing the entries from community pharmacies (90.6%). Further, incorporating information technology into the MedRec process presents a challenge in terms of legal responsibility (92 %) and the ability to integrate medications with other hospitals and community medications (78.6%). Findings affirm the need for a well-designed MedRec process aided with information technology solutions. The external data and user preferences should be considered when redesigning the MedRec process. The study also suggests initiating a policy that mandates sharing data necessary for creating a compiled medication list for each patient. MedRec is an indispensable tool for building a fruitful medication management system in a healthcare organization.",RAYYAN-LABELS: High Focus,10.1177/1460458220987276,Humans;Information Technology;*Medication Reconciliation;Patient Safety;*Pharmacists;User-Computer Interface,33467954,
rayyan-1115027856,"Impact of information technology reliance and innovativeness on rural healthcare services: study of dindigul district in Tamilnadu, India.",2012,6,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),18,5,360-70,Lakshmi KB and Rajaram M,https://pubmed.ncbi.nlm.nih.gov/22568437/,eng,,United States,"PURPOSE: The aim of this report was to analyze the influence of information technology (IT) applications and innovativeness on the acceptance of rural healthcare services. METHODS: The impact of IT application, domain-specific innovativeness, and technology acceptance model (TAM) variables on future health IT (HIT) utilization intention has been tested through structural equation modeling techniques. The sample consisted of 465 rural health personnel from the Dindigul District of Tamilnadu, India, who had never had access to IT. RESULTS: Data analysis showed that health workers' innovativeness and IT application have a direct and positive influence on future HIT utilization intention and that the basic TAM hypotheses are fulfilled. IT application can be increased with interfaces that are easier to use, but only if perceived usefulness remains high. Health personnel's innovativeness positively influences technology exposure and the ease of use perception of the IT medium, referred to throughout this article as the ""health channel."" CONCLUSIONS: This research enables health departments to know which aspects of their communication strategies to highlight in order to get health personnel and other service providers to adopt IT. Perceived ease of use and IT application has a significant influence on health personnel's willingness to adopt HIT. This shows that health information and adoption by health personnel are key tools in the increase of future HIT. It is also recommended that health directors target some of their health campaigns to the more innovative beneficiaries. There are still too few studies that have analyzed the effects of innovativeness and IT adoption on behavior of health personnel. This work aimed to combine the influence of IT adoption, innovativeness, and the traditional TAM in order to construct an improved model for HIT acceptance. It will require an integrated model to do so.",RAYYAN-LABELS: Less Focus,10.1089/tmj.2011.0191,"Adult;Aged;Attitude to Computers;Consumer Health Information/methods;Female;Health Knowledge, Attitudes, Practice;*Health Personnel;Humans;Income;India;Internet;Male;Management Information Systems;Medical Informatics/*organization & administration;Middle Aged;*Perception;Rural Health Services/*organization & administration",22568437,
rayyan-1115027857,Level of agreement on health information technology adoption and use in survey data: a mixed-methods analysis of ambulatory clinics in 1 US state.,2019,7,,JAMIA open,2574-2531 (Electronic),2,2,231-237,Rudin RS and Shi Y and Fischer SH and Shekelle P and Amill-Rosario A and Shaw B and Ridgely MS and Damberg CL,https://pubmed.ncbi.nlm.nih.gov/31984358/,eng,,United States,"OBJECTIVE: Adoption of health information technology (HIT) is often assessed in surveys of organizations. The validity of data from such surveys for ambulatory clinics has not been evaluated. We compared level of agreement between 1 ambulatory statewide survey and 2 other data sources: a second survey and interviews with survey respondents. MATERIALS AND METHODS: We used 2016 data from 2 surveys of ambulatory providers in Minnesota-the Healthcare Information and Management Systems Society (HIMSS) survey and the Minnesota HIT Ambulatory Clinic Survey-and primary data collected through qualitative interviews with survey respondents. We conducted a concurrent triangulation mixed-methods assessment of the Minnesota HIT survey by assessing level of agreement between it and HIMSS, and a thematic analysis of interview data to assess the respondent's understanding of what was being asked and their approach to responding. RESULTS: We find high agreement between the 2 surveys on questions related to common HIT functionalities-such as computerized provider order entry, medication-based decision support, and e-prescribing-which were widely adopted by respondents' organizations. Qualitative data suggest respondents found wording of items about these functionalities clear but encountered multiple challenges including interpreting items for less commonly adopted functionalities, estimating degree of HIT usage, and indicating relevant barriers. Respondents identified multiple errors in responses and likely reported greater within-group homogeneity than actually existed. CONCLUSIONS: Survey items related to the presence or absence of widely adopted HIT functionalities may be more valid than items about less common functionalities, degree of usage, and barriers.",RAYYAN-LABELS: Some Focus,10.1093/jamiaopen/ooz004,"",31984358,PMC6951962
rayyan-1115027858,Human factors and health information technology: current challenges and future directions.,2014,8,15,Yearbook of medical informatics,2364-0502 (Electronic),9,1,58-66,Patel VL and Kannampallil TG,https://pubmed.ncbi.nlm.nih.gov/25123724/,eng,,Germany,"OBJECTIVES: Recent federal mandates and incentives have spurred the rapid growth, development and adoption of health information technology (HIT). While providing significant benefits for better data integration, organization, and availability, recent reports have raised questions regarding their potential to cause medication errors, decreased clinician performance, and lowered efficiency. The goal of this survey article is to (a) examine the theoretical and foundational models of human factors and ergonomics (HFE) that are being advocated for achieving patient safety and quality, and their use in the evaluation of healthcare systems; (b) and the potential for macroergonomic HFE approaches within the context of current research in biomedical informatics. METHODS: We reviewed literature (2007-2013) on the use of HFE approaches in healthcare settings, from databases such as Pubmed, CINAHL, and Cochran. RESULTS: Based on the review, we discuss the systems-oriented models, their use in the evaluation of HIT, and examples of their use in the evaluation of EHR systems, clinical workflow processes, and medication errors. We also discuss the opportunities for better integrating HFE methods within biomedical informatics research and its potential advantages. CONCLUSIONS: The use of HFE methods is still in its infancy - better integration of HFE within the design lifecycle, and quality improvement efforts can further the ability of informatics researchers to address the key concerns regarding the complexity in clinical settings and develop HIT solutions that are designed within the social fabric of the considered setting.",RAYYAN-LABELS: Some Focus,10.15265/IY-2014-0005,"Diffusion of Innovation;*Ergonomics;Humans;*Medical Informatics/trends;Medical Records Systems, Computerized;*Patient Safety",25123724,PMC4287067
rayyan-1115027859,"Characteristics of the healthcare information technology workforce in the HITECH era: underestimated in size, still growing, and adapting to advanced uses.",2018,10,,JAMIA open,2574-2531 (Electronic),1,2,188-194,Hersh WR and Boone KW and Totten AM,https://pubmed.ncbi.nlm.nih.gov/31984332/,eng,,United States,"OBJECTIVE: There is little readily available data about the size and characteristics of the healthcare information technology workforce. We sought to update a previous description of the size, growth, and characteristics of this workforce based on the Healthcare Information Management Systems Society (HIMSS) Analytics(®) Database, a resource that includes hospital size, number of beds, amount of staffing, and an eight-stage model of electronic health record adoption (Electronic Medical Record Adoption Model, EMRAM℠). MATERIALS AND METHODS: We updated an analysis done using a 2007 snapshot of the HIMSS Analytics Database with a comparable snapshot from 2014 in order to estimate the size of the current workforce and project future needs. For the 2014 data, we applied the same weighted average analysis used in 2007 to obtain a ratio of information technology (IT) hospital full-time equivalent (FTE) to staffed beds, extrapolate the results to all US hospitals, and project the workforce needs as hospitals achieve higher EMRAM stages. RESULTS: Our estimated size of the healthcare information technology workforce in the US in 2014 was 161 160, which was 8.0% larger than the estimate based on the 2007 data. Based on the new data, we project a potential need for an additional 19 852 and 153 114 FTE, if all hospitals were to achieve EMRAM Stages 6 and 7, respectively. The distribution of FTE across job function category varies by EMRAM stage. DISCUSSION AND CONCLUSIONS: Although these data are limited, especially for EMRAM Stage 7, there is likely need for substantial workforce growth as hospitals increase their adoption of advanced healthcare information technology. Further research with data better focused on workforce characteristics will provide a better picture of staffing requirements.",RAYYAN-LABELS: Some Focus,10.1093/jamiaopen/ooy029,"",31984332,PMC6952018
rayyan-1115027860,Acceptance and use of health information technology by community-dwelling elders.,2014,9,,International journal of medical informatics,1872-8243 (Electronic),83,9,624-35,Fischer SH and David D and Crotty BH and Dierks M and Safran C,https://pubmed.ncbi.nlm.nih.gov/24996581/,eng,,Ireland,"OBJECTIVES: With the worldwide population growing in age, information technology may help meet important needs to prepare and support patients and families for aging. We sought to explore the use and acceptance of information technology for health among the elderly by reviewing the existing literature. METHODS: Review of literature using PubMed and Google Scholar, references from relevant papers, and consultation with experts. RESULTS: Elderly people approach the Internet and health information technology differently than younger people, but have growing rates of adoption. Assistive technology, such as sensors or home monitors, may help 'aging in place', but these have not been thoroughly evaluated. Elders face many barriers in using technology for healthcare decision-making, including issues with familiarity, willingness to ask for help, trust of the technology, privacy, and design challenges. CONCLUSIONS: Barriers must be addressed for these tools to be available to this growing population. Design, education, research, and policy all play roles in addressing these barriers to acceptance and use.",RAYYAN-LABELS: Less Focus,10.1016/j.ijmedinf.2014.06.005,"Aged;Attitude to Computers;*Community Health Services;*Health Services for the Aged;Humans;*Medical Informatics;*Patient Acceptance of Health Care;Technology Assessment, Biomedical/*statistics & numerical data",24996581,PMC4144164
rayyan-1115027861,Transfer and adoption of advanced information technology solutions in resource-poor environments: the case of telemedicine systems adoption in Ethiopia.,2010,4,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),16,3,327-43,Kifle M and Payton FC and Mbarika V and Meso P,https://pubmed.ncbi.nlm.nih.gov/20406120/,eng,,United States,"The study of the adoption of information technology (IT) by individuals has taken two approaches, one emphasizing rationalistic goal-oriented behavior and the other focusing on poignant forces that influence an individual's reaction to a new IT. These approaches are not necessarily mutually exclusive. Individuals' acceptance and subsequent usage of a new IT is predicated on both. Additionally, the tendency in past studies has been to examine either the rational or the poignant factors in the context of a ""resource-rich"" environment-one in which there is an abundance of IT, adequate infrastructure, and a high level of acculturation to technology solutions. Consequently, there is a clear need for the examination of these factors in resource-poor environments, where assumptions on technology abundance and technology culturation do not hold. We empirically test a model that explains the intention of physicians in a resource-poor environment (epitomized by rural Ethiopia) to adopt telemedicine systems. This model integrates the rational factors driving goal-oriented behavior with the poignant/emotive factors that are an innate part of each adopter's reaction to the new technology. We use the model to expose salient contextual factors that explain the acceptance behavior of individuals toward complex information and communications technology (ICT) solutions and implications of these on the management of technology transfer initiatives in a resource-poor environment. The model is parsimonious, yet explains 28% of the variance in the intention to adopt telemedicine systems and 58% in perceived ease of use. The theoretical and practical implications of this model are discussed. Namely, Sub-Saharan African, in general, and Ethiopian culture, in particular, plays an integral role in the adoption of ICT solutions. Organizational positions and roles among physicians, clinical professionals, and superiors stand to impact the adoption of telemedicine and other healthcare applications. Last, the degree to which users perceive that ICT is easy to use (i.e., ease of use) can be a function of technology experience and can influence perceived usefulness on behalf of users and healthcare organizations.",RAYYAN-LABELS: High Focus,10.1089/tmj.2009.0008,Adult;*Diffusion of Innovation;Ethiopia;Female;Humans;Male;Middle Aged;Pilot Projects;*Poverty;Surveys and Questionnaires;*Technology Transfer;Telemedicine/*statistics & numerical data;Young Adult,20406120,
rayyan-1115027862,Assessing the level of healthcare information technology adoption in the United States: a snapshot.,2006,1,5,BMC medical informatics and decision making,1472-6947 (Electronic),6,,1,Poon EG and Jha AK and Christino M and Honour MM and Fernandopulle R and Middleton B and Newhouse J and Leape L and Bates DW and Blumenthal D and Kaushal R,https://pubmed.ncbi.nlm.nih.gov/16396679/,eng,,England,"BACKGROUND: Comprehensive knowledge about the level of healthcare information technology (HIT) adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap. METHODS: We segmented HIT into eight major stakeholder groups and identified major functionalities that should ideally exist for each, focusing on applications most likely to improve patient safety, quality of care and organizational efficiency. We then conducted a multi-site qualitative study in Boston and Denver by interviewing key informants from each stakeholder group. Interview transcripts were analyzed to assess the level of adoption and to document the major barriers to further adoption. Findings for Boston and Denver were then presented to an expert panel, which was then asked to estimate the national level of adoption using the modified Delphi approach. We measured adoption level in Boston and Denver was graded on Rogers' technology adoption curve by co-investigators. National estimates from our expert panel were expressed as percentages. RESULTS: Adoption of functionalities with financial benefits far exceeds adoption of those with safety and quality benefits. Despite growing interest to adopt HIT to improve safety and quality, adoption remains limited, especially in the area of ambulatory electronic health records and physician-patient communication. Organizations, particularly physicians' practices, face enormous financial challenges in adopting HIT, and concerns remain about its impact on productivity. CONCLUSION: Adoption of HIT is limited and will likely remain slow unless significant financial resources are made available. Policy changes, such as financial incentivesto clinicians to use HIT or pay-for-performance reimbursement, may help health care providers defray upfront investment costs and initial productivity loss.",RAYYAN-LABELS: High Focus,10.1186/1472-6947-6-1,"*Attitude of Health Personnel;Boston;Colorado;*Consensus;Delphi Technique;*Diffusion of Innovation;Efficiency, Organizational;Humans;Information Systems/*statistics & numerical data;Interviews as Topic;Medical Records Systems, Computerized/*statistics & numerical data;Quality Assurance, Health Care;Safety Management;Systems Integration;United States",16396679,PMC1343543
rayyan-1115027863,Penetration and adoption of health information technology (IT) in Thailand's community health centers (CHCs): a national survey.,2007,,,Studies in health technology and informatics,0926-9630 (Print),129,,1154-8,Kijsanayotin B and Pannarunothai S and Speedie S,https://pubmed.ncbi.nlm.nih.gov/17911896/,eng,,Netherlands,"A universal healthcare coverage program has been implemented in Thailand since 2001 and the Thailand Ministry of Public Health (MOPH) is restructuring its health information systems to support the management of this reform. The MOPH believes that health information technology (IT) is fundamental to the development of an effective health information system, and that users' adoption of health IT is one of the most important factors to the success of health IT implementation projects. However, there is no national data available regarding the penetration and adoption of health IT in Thai community health centers (CHCs). This cross sectional survey was designed to study the penetration and adoption of health IT in the country's community health centers. A random sample of 1,607 regionally stratified CHC's from a total of 9,806 CHCs was selected. With an 82% response rate, the data showed that people who worked in CHCs were currently heavy users of health IT. They exhibited high IT acceptance and positive attitudes toward using health IT. CHCs' staff was less resistant to adopt health IT than previously anticipated. These results are similar in all of the country's geographic regions. Health IT is pervasive in CHCs across the country and penetrates all regions.",RAYYAN-LABELS: Some Focus,,Attitude of Health Personnel;Attitude to Computers;Community Health Centers/*organization & administration;Cross-Sectional Studies;*Diffusion of Innovation;Humans;Information Systems/*statistics & numerical data;National Health Programs;Organizational Innovation;Thailand;Universal Health Insurance,17911896,
rayyan-1115027864,The digital divide: Racial disparities in adoption and utilization of health information technology among patients with lymphoid cancers.,2023,9,,Cancer medicine,2045-7634 (Electronic),12,18,19013-19020,Ailawadhi S and Ailawadhi M and Dutta N and Parrondo RD and Roy V and Sher T and Baksh M and Rasheed A and Das S and Fernandez AJ and Paulus A and Chanan-Khan AA,https://pubmed.ncbi.nlm.nih.gov/37587868/,eng,,United States,"INTRODUCTION: Health information technology (HIT) has the potential to improve healthcare delivery and engagement. Studying racial-ethnic disparities in HIT engagement will help understand and overcome challenges to healthcare utilization. METHODS: We undertook a patient-reported survey among patients with lymphoid malignancies at two campuses of Mayo Clinic, Florida to explore HIT-related disparities. Variables between Whites and non-Whites, and non-Whites from the two campuses were compared. RESULTS: The survey was completed by 1004 respondents, with 71% whites, 27% non-Whites (race-ethnicity not reported by 2%). Non-Whites included 30% responders at the main campus and 64% at an inner-city campus. Whites were significantly older and had higher education, while non-Whites had lesser access to a computer. Only 51% of non-Whites were registered to use electronic medical records (EMR) as compared to 72% Whites (p < 0.001) and significantly lesser number of non-Whites even knew that EMR existed (81% vs. 92%, p < 0.001). Encouragingly, a higher number of non-Whites wanted to engage in EMR. Non-Whites from the main campus were older, more educated and had more access to a computer as compared to those from the inner-city campus. Similar disparate factors were noted among minorities from the two campuses, suggesting impact of socioeconomic backgrounds on EMR usage among non-Whites. Linguistic barriers were more striking among inner-city campus non-Whites. CONCLUSIONS: Non-Whites continue to struggle with suboptimal utilization of the healthcare system and barriers related to integration in HIT, including disparities representing socioeconomic differences. Efforts need to be made at several levels to help racial-ethnic minorities overcome awareness, access, and linguistic barriers to HIT utilization.",RAYYAN-LABELS: Less Focus,10.1002/cam4.6454,"",37587868,PMC10557846
rayyan-1115027865,Estimating the Impacts of Hospitals' Organisational and Geographical Characteristics on the Adoption of Health Information Technology in Mongolian Hospitals.,2021,,,Journal of healthcare engineering,2040-2309 (Electronic),2021,,8836625,Tsagaankhuu S and Amgalan E and Damba T and Zhang X,https://pubmed.ncbi.nlm.nih.gov/34046155/,eng,,England,"BACKGROUND: The adoption of health information technology (HIT) is an important measure for improving healthcare quality and safety, which is affected by many hospital factors, but it has not yet been estimated in the Mongolian hospital sectors. This study examines how hospitals' organisational and geographical characteristics influence the adoption of HIT in Mongolian tertiary and secondary care hospitals. METHODS: А cross-sectional study involving the executive directors and medical equipment engineers was conducted in 39 hospitals. Data acquired from questionnaires are (1) hospitals' organisational and geographical characteristics, including bed-size capacity, ownership type, status, and location of the hospitals, and (2) the adoption rate of HIT, and its categories are based on the Health Information and Management Systems Society's classification (2002). The dependent variable was measured as numbers and the rate of HIT programs adopted clinical, administrative, and strategic information technologies (IT). A regression analysis was used to estimate the factors of impact on the adoption of clinical, administrative, and strategic IT. RESULTS: We found a concerning relationship between the characteristics and adoption of HITs. On average, the number of HIT programs adopted was 18, covering nine clinical IT programs, six administrative IT programs, and three strategic IT programs. The adoption rate of overall HIT was 33.29% in the hospitals. In regression analysis, the organisational and geographical characteristics' impact and HIT adoption of hospitals was positively associated with large bed-size (clinical IT: β = 0.256, P < 0.001; administrative IT: β = 0.3654, P < 0.001; strategic IT: β = 0.0006, P < 0.001), for-profit (strategic IT: β = 0.1995, P < 0.01), teaching (clinical IT: β = 0.2560, P < 0.05; administrative IT: β = 0.1985, P < 0.05; strategic IT: β = 0.2236, P < 0.01), and urban location (clinical IT: β = 0.2840, P < 0.001, administrative IT: β = 0.2256, P < 0.01; strategic IT: β = 0.2256, P < 0.001). CONCLUSION: Our study found that the HIT adoption rate in Mongolia is poor, and its adoption is mainly positively associated with bed-size capacity, status, and location of the hospitals. Also, we found that the ownership type is partially affected HIT adoption.",RAYYAN-LABELS: High Focus,10.1155/2021/8836625,Cross-Sectional Studies;*Hospital Administration;Hospitals;Humans;*Medical Informatics;Quality of Health Care,34046155,PMC8128548
rayyan-1115027866,The role of trust and habit in the adoption of mHealth by older adults in Hong Kong: a healthcare technology service acceptance (HTSA) model.,2023,2,4,BMC geriatrics,1471-2318 (Electronic),23,1,73,Liu JYW and Sorwar G and Rahman MS and Hoque MR,https://pubmed.ncbi.nlm.nih.gov/36737712/,eng,,England,"BACKGROUND: Evidence from the literature suggests that mobile health (mHealth) services can potentially improve healthcare outcomes among older adults. Hence, the government of Hong Kong has recently taken several community and information technology (IT) services initiatives to train older adults on how to enhance their abilities and interest in using mHealth technology. Although mHealth services have been widely implemented globally, their adoption and use by older adults are very low, including those in Hong Kong. This study aims to understand key factors influencing mHealth use intention among the older Chinese population in Hong Kong. METHODS: We extended the Unified Theory of Acceptance and Use of Technology (UTAUT2) as the basis of our conceptual framework. We applied Partial Least Squares path modeling method to conduct the Structural Equation Model (SEM) technique that allows measuring the theoretical validity of any conceptual framework. Convenience and snowball sampling methods were used to recruit participants aged 65 or above. In total, 201 valid responses were used for testing the theoretical validity of the proposed conceptual framework. RESULTS: The primary finding shows that the widely used UTAUT2 model falls short in explaining mHealth service acceptance behavior in the Chinese older population in Hong Kong. We further propose a simplified model, the Healthcare Technology Service Acceptance (HTSA) model, to understand the formation of mHealth service acceptance behavior. The findings show that trust is an important component of technology service acceptance intention behavior that was missing in the UTAUT2 model. The results also show that several antecedent factors (i.e., social influence, government policy, and service quality) are critical in forming technology trust beliefs. CONCLUSIONS: The study shows that the HTSA model can better explain mHealth acceptance behavior than the UTAUT2 model. This study advances knowledge in the mHealth technology adoption domain by proposing a simplified new version of the UTAUT2 model for understanding healthcare technology service acceptance and use intention among older adults. The findings of the study provide valuable information to the Hong Kong government and healthcare organizations for wider adoption of mHealth services, especially in older adults.",RAYYAN-LABELS: Some Focus,10.1186/s12877-023-03779-4,Humans;Aged;Hong Kong;*Trust;*Telemedicine;Delivery of Health Care;Technology;Habits,36737712,PMC9898708
rayyan-1115027867,The impact of clinical leadership on health information technology adoption: systematic review.,2014,6,,International journal of medical informatics,1872-8243 (Electronic),83,6,393-405,Ingebrigtsen T and Georgiou A and Clay-Williams R and Magrabi F and Hordern A and Prgomet M and Li J and Westbrook J and Braithwaite J,https://pubmed.ncbi.nlm.nih.gov/24656180/,eng,,Ireland,"PURPOSE: To conduct a systematic review to examine evidence of associations between clinical leadership and successful information technology (IT) adoption in healthcare organisations. METHODS: We searched Medline, Embase, Cinahl, and Business Source Premier for articles published between January 2000 to May 2013 with keywords and subject terms related to: (1) the setting--healthcare provider organisations; (2) the technology--health information technology; (3) the process--adoption; and (4) the intervention--leadership. We identified 3121 unique citations, of which 32 met our criteria and were included in the review. Data extracted from the included studies were assessed in light of two frameworks: Bassellier et al.'s IT competence framework; and Avgar et al.'s health IT adoption framework. RESULTS: The results demonstrate important associations between the attributes of clinical leaders and IT adoption. Clinical leaders who have technical informatics skills and prior experience with IT project management are likely to develop a vision that comprises a long-term commitment to the use of IT. Leaders who possess such a vision believe in the value of IT, are motivated to adopt it, and can maintain confidence and stability through the adversities that IT adoptions often entail. This leads to proactive leadership behaviours and partnerships with IT professionals that are associated with successful organisational and clinical outcomes. CONCLUSIONS: This review provides evidence that clinical leaders can positively contribute to successful IT adoption in healthcare organisations. Clinical leaders who aim for improvements in the processes and quality of care should cultivate the necessary IT competencies, establish mutual partnerships with IT professionals, and execute proactive IT behaviours to achieve successful IT adoption.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2014.02.005,Clinical Competence/*standards;*Health Personnel;Humans;*Leadership;Medical Informatics/*organization & administration/*standards;*Physician's Role,24656180,
rayyan-1115027869,Patient-Empowered Electronic Health Records.,2019,8,21,Studies in health technology and informatics,1879-8365 (Electronic),264,,1765-1766,Sahama T and Stranieri A and Butler-Henderson K,https://pubmed.ncbi.nlm.nih.gov/31438333/,eng,,Netherlands,"Electronic Health Records (EHRs) constitute evidence of online health information management. Critical healthcare information technology (HIT) infrastructure facilitates health information exchange of 'modern' health systems. The growth and implementation of EHRs are progressing in many countries while the adoption rate is lagging and lacking momentum amidst privacy and security concerns. This paper uses an interrupted time series (ITS) analysis of OECD data related to EHRs from many countries to make predictions about EHR adoption. The ITS model can be used to explore the impact of various HIT on adoption. Assumptions about the impact of Information Accountability are entered into the model to generate projections if information accountability technologies are developed. In this way, the OECD data and ITS analysis can be used to perform simulations for improving EHR adoption.",RAYYAN-LABELS: Some Focus,10.3233/SHTI190637,*Electronic Health Records;Humans;*Privacy,31438333,
rayyan-1115027870,Rethinking the role and impact of health information technology: informatics as an interventional discipline.,2016,3,29,BMC medical informatics and decision making,1472-6947 (Electronic),16,,40,Payne PR and Lussier Y and Foraker RE and Embi PJ,https://pubmed.ncbi.nlm.nih.gov/27025583/,eng,,England,"Recent advances in the adoption and use of health information technology (HIT) have had a dramatic impact on the practice of medicine. In many environments, this has led to the ability to achieve new efficiencies and levels of safety. In others, the impact has been less positive, and is associated with both: 1) workflow and user experience dissatisfaction; and 2) perceptions of missed opportunities relative to the use of computational tools to enable data-driven and precise clinical decision making. Simultaneously, the ""pipeline"" through which new diagnostic tools and therapeutic agents are being developed and brought to the point-of-care or population health is challenged in terms of both cost and timeliness. Given the confluence of these trends, it can be argued that now is the time to consider new ways in which HIT can be used to deliver health and wellness interventions comparable to traditional approaches (e.g., drugs, devices, diagnostics, and behavioral modifications). Doing so could serve to fulfill the promise of what has been recently promoted as ""precision medicine"" in a rapid and cost-effective manner. However, it will also require the health and life sciences community to embrace new modes of using HIT, wherein the use of technology becomes a primary intervention as opposed to enabler of more conventional approaches, a model that we refer to in this commentary as ""interventional informatics"". Such a paradigm requires attention to critical issues, including: 1) the nature of the relationships between HIT vendors and healthcare innovators; 2) the formation and function of multidisciplinary teams consisting of technologists, informaticians, and clinical or scientific subject matter experts; and 3) the optimal design and execution of clinical studies that focus on HIT as the intervention of interest. Ultimately, the goal of an ""interventional informatics"" approach can and should be to substantially improve human health and wellness through the use of data-driven interventions at the point of care of broader population levels. Achieving a vision of ""interventional informatics"" will requires us to re-think how we study HIT tools in order to generate the necessary evidence-base that can support and justify their use as a primary means of improving the human condition.",RAYYAN-LABELS: High Focus,10.1186/s12911-016-0278-3,*Clinical Studies as Topic;Humans;*Medical Informatics/trends,27025583,PMC4812636
rayyan-1115027871,More than just a question of technology: factors related to hospitals' adoption and implementation of health information exchange.,2010,12,,International journal of medical informatics,1872-8243 (Electronic),79,12,797-806,Vest JR,https://pubmed.ncbi.nlm.nih.gov/20889370/,eng,,Ireland,"INTRODUCTION: The provisions of the American Recovery & Reinvestment Act increased the likelihood of more widespread health information exchange (HIE), the electronic transfer of patient-level information between organizations, by essentially mandating the use of electronic health record systems. While important, the sparse body of research on HIE efforts and anecdotal reports indicate the barriers to HIE adoption and implementation include factors beyond simply the presence or absence of a specific technology. METHODS: This paper examines those technological, organizational, and environmental factors that are associated with both HIE adoption and implementation in a sample of 4830 U.S. hospitals. Factors associated with adoption and implementation were modeled using random-intercept logistic regression. RESULTS: Consistent with a perspective that adoption and implementation are different phenomena, many factors associated with an increased odds of adoption, were unassociated with implementation and vice versa. Non-profit status, public hospitals, more live and operation applications, more emergency room visits, network membership, and the presence of physician portals all increased hospitals' odds of HIE adoption. However, only network membership increased the odds of HIE implementation, whereas competition decreased those odds significantly. CONCLUSIONS: This study agreed with earlier case-studies and anecdotal reports that factors beyond technology were important to both adoption and implementation. While current U.S. policy on healthcare information technology adoption focuses on technological barriers, many other non-technological factors may ultimately hinder effective HIE.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2010.09.003,"American Recovery and Reinvestment Act;Electronic Health Records/organization & administration/*statistics & numerical           data;Health Care Reform;*Health Plan Implementation;Hospital Information Systems/*statistics & numerical data;Humans;Medical Laboratory Science;*Medical Record Linkage;Medical Records Systems, Computerized/*statistics & numerical data;Organizational Innovation;United States",20889370,
rayyan-1115027872,"Blockchain Technology in Healthcare: An Analysis of Strengths, Weaknesses, Opportunities, and Threats.",2022,7,1,Journal of healthcare management / American College of Healthcare Executives,1096-9012 (Print),67,4,244-253,Poquiz WA,https://pubmed.ncbi.nlm.nih.gov/35802926/,eng,,United States,"The dawn of the crypto age has highlighted the potential of blockchain technology in an array of functions for multiple industries. Blockchain technology disrupts existing architecture by offering an efficient and decentralized data management platform. It provides a potential solution to current health information technology problems. The strengths of blockchain are interoperability, data accuracy, security, and transparency. Its weaknesses include a lack of standardization, accessibility, ownership, and change management. Applications in healthcare include revenue cycle management, physician credentialing, electronic health records, and supply chain management, although potential government regulation and internal attacks pose threats to its wider adoption.",RAYYAN-LABELS: Some Focus,10.1097/JHM-D-22-00106,"*Blockchain/standards;Computer Security;*Delivery of Health Care/methods/standards;Electronic Health Records;Humans;Medical Records Systems, Computerized",35802926,
rayyan-1115027873,Using Patient and Family Engagement Strategies to Improve Outcomes of Health Information Technology Initiatives: Scoping Review.,2019,10,8,Journal of medical Internet research,1438-8871 (Electronic),21,10,e14683,Leung K and Lu-McLean D and Kuziemsky C and Booth RG and Collins Rossetti S and Borycki E and Strudwick G,https://pubmed.ncbi.nlm.nih.gov/31596241/,eng,,Canada,"BACKGROUND: Many health care organizations around the world have implemented health information technologies (ITs) to enhance health service efficiency, effectiveness, and safety. Studies have demonstrated that promising outcomes of health IT initiatives can be obtained when patients and family members participate and engage in the adoption, use, and evaluation of these technologies. Despite knowing this, there is a lack of health care organizations using patient and family engagement strategies to enhance the use and adoption of health ITs, specifically. OBJECTIVE: This study aimed to answer the following three research questions (RQs): (1) what current frameworks or theories have been used to guide patient and family engagement in health IT adoption, use, implementation, selection, and evaluation?, (2) what studies have been done on patient and family engagement strategies in health IT adoption, use, implementation, selection, and evaluation?, and (3) what patient and family engagement frameworks, studies, or resources identified in the literature can be applied to health IT adoption, use, implementation, selection, and evaluation? METHODS: This scoping review used a five-step framework developed by Arksey and O'Malley and adapted by Levac et al. These steps include the following: (1) identifying the RQ, (2) identifying relevant studies, (3) selecting studies, (4) charting relevant data, and (5) summarizing and reporting the result. Retrieved academic and grey literature records were evaluated using a literature review software based on inclusion and exclusion criteria by two independent reviewers. If consensus was not achieved, two reviewers would resolve conflicts by discussion. Research findings and strategies were extracted from the studies and summarized in data tables. RESULTS: A total of 35 academic articles and 23 gray literature documents met the inclusion criteria. In total, 20 of the 35 included studies have been published since 2017. Frameworks found include the patient engagement framework developed by Healthcare Information and Management Systems Society and the patient and family engagement framework proposed by Carman et al. Effective strategies include providing patients with clear expectations and responsibilities and providing reimbursement for time and travel. The gray literature sources outlined key considerations for planning and supporting engagement initiatives such as providing patients with professional development opportunities, and embedding patients in existing governance structures. CONCLUSIONS: Several studies have reported their findings regarding successful strategies to engage patients and family members in health IT initiatives and the positive impact that can emerge when patients and family members are engaged in such initiatives in an effective manner. Currently, no framework has consolidated all of the key strategies and considerations that were found in this review to guide health care organizations when engaging patients and family members in a health IT-specific project or initiative. Further research to evaluate and validate the existing strategies would be of value.",RAYYAN-LABELS: High Focus,10.2196/14683,Family;Humans;Medical Informatics/*methods;Patient Participation/*trends,31596241,PMC6806121
rayyan-1115027874,Image Sharing in Radiology-A Primer.,2017,3,,Academic radiology,1878-4046 (Electronic),24,3,286-294,Chatterjee AR and Stalcup S and Sharma A and Sato TS and Gupta P and Lee YZ and Malone C and McBee M and Hotaling EL and Kansagra AP,https://pubmed.ncbi.nlm.nih.gov/28193378/,eng,,United States,"By virtue of its information technology-oriented infrastructure, the specialty of radiology is uniquely positioned to be at the forefront of efforts to promote data sharing across the healthcare enterprise, including particularly image sharing. The potential benefits of image sharing for clinical, research, and educational applications in radiology are immense. In this work, our group-the Association of University Radiologists (AUR) Radiology Research Alliance Task Force on Image Sharing-reviews the benefits of implementing image sharing capability, introduces current image sharing platforms and details their unique requirements, and presents emerging platforms that may see greater adoption in the future. By understanding this complex ecosystem of image sharing solutions, radiologists can become important advocates for the successful implementation of these powerful image sharing resources.",RAYYAN-LABELS: High Focus,10.1016/j.acra.2016.12.002,Humans;Information Dissemination/*methods;*Radiology Information Systems,28193378,
rayyan-1115027875,"Incorporating Pharmacogenomics into Health Information Technology, Electronic Health Record and Decision Support System: An Overview.",2017,2,,Journal of medical systems,1573-689X (Electronic),41,2,19,Alanazi A,https://pubmed.ncbi.nlm.nih.gov/27987157/,eng,,United States,"As the adoption of information technology in healthcare is rising, the potentiality of moving Pharmacogenomics from benchside to bedside is aggravated. This paper reviews the current status of Pharmacogenomics (PGx) information and the attempts for incorporating them into the Electronic Health Record (EHR) system through Decision Support Systems (DSSs). Rigorous review strategies of PGx information and providing context-relevant recommendations in form of action plan- dose adjustment, lab tests rather than just information- would be ideal for making clinical recommendations out of PGx information. Lastly, realistic projections of what pharmacogenomics can provide is another important aspect in incorporating Pharmacogenomics into health information technology.",RAYYAN-LABELS: Some Focus,10.1007/s10916-016-0673-4,"*Databases, Pharmaceutical;Decision Support Systems, Clinical/*organization & administration;Electronic Health Records/*organization & administration;Expert Systems;Humans;Pharmacogenetics/*methods",27987157,
rayyan-1115027876,Digital health and patient safety: Technology is not a magic wand.,2020,12,,Health informatics journal,1741-2811 (Electronic),26,4,2295-2299,Sujan M and Scott P and Cresswell K,https://pubmed.ncbi.nlm.nih.gov/31581891/,eng,,England,"The use of novel health information technology provides avenues for potentially significant patient benefit. However, it is also timely to take a step back and to consider whether the use of these technologies is safe - or more precisely what the current evidence for their safety is, and what kinds of evidence we should be looking for in order to create a convincing argument for patient safety. This special issue on patient safety includes eight papers that demonstrate an increasing focus on qualitative approaches and a growing recognition that the sociotechnical lens of examining health information technology-associated change is important. We encourage a balanced approach to technology adoption that embraces innovation, but nonetheless insists upon suitable concerns for safety and evaluation of outcomes.",RAYYAN-LABELS: Less Focus,10.1177/1460458219876183,Humans;*Medical Informatics;Patient Safety;*Technology,31581891,
rayyan-1115027877,Examining Consumers' Adoption of Wearable Healthcare Technology: The Role of Health Attributes.,2019,6,26,International journal of environmental research and public health,1660-4601 (Electronic),16,13,,Cheung ML and Chau KY and Lam MHS and Tse G and Ho KY and Flint SW and Broom DR and Tso EKH and Lee KY,https://pubmed.ncbi.nlm.nih.gov/31247962/,eng,,Switzerland,"With the advancement of information technology, wearable healthcare technology has emerged as one of the promising technologies to improve the wellbeing of individuals. However, the adoption of wearable healthcare technology has lagged when compared to other well-established durable technology products, such as smartphones and tablets, because of the inadequate knowledge of the antecedents of adoption intention. The aim of this paper is to address an identified gap in the literature by empirically testing a theoretical model for examining the impact of consumers' health beliefs, health information accuracy, and the privacy protection of wearable healthcare technology on perceived usefulness. Importantly, this study also examines the influences of perceived usefulness, consumer innovativeness, and reference group influence on the adoption intention of wearable healthcare technology. The model seeks to enhance understanding of the influential factors in adopting wearable healthcare technology. Finally, suggestions for future research for the empirical investigation of the model are provided.",RAYYAN-LABELS: High Focus,10.3390/ijerph16132257,"Confidentiality;*Health Knowledge, Attitudes, Practice;Humans;*Intention;*Models, Theoretical;Perception;Wearable Electronic Devices/*psychology",31247962,PMC6650855
rayyan-1115027878,Five constants of information technology adoption in healthcare.,2007,,,Hospital topics,0018-5868 (Print),85,1,17-25,Bernstein ML and McCreless T and Côté MJ,https://pubmed.ncbi.nlm.nih.gov/17405421/,eng,,United States,"The healthcare industry has developed a dependence on information technology (IT) for maintaining and improving both clinical and business operations. Whether IT is used for office automation or for reducing medical errors, there are five constants that routinely influence the successful integration of IT in healthcare. These constants are the proper use and maintenance of the IT budget, the role of supportive leadership, the use of project management, the process of implementation, and the significance of end user involvement. These constants challenge healthcare organizations to efficiently and effectively use their financial and human resources when adopting new IT. These constants also shape how the healthcare industry approaches the adoption and utilization of new IT. A collective understanding of these constants and their interrelationships will enable healthcare organizations to better integrate new IT and achieve organizational goals of developing a solid technological infrastructure to truly enhance the delivery of quality healthcare.",RAYYAN-LABELS: High Focus,10.3200/HTPS.85.1.17-26,"Decision Making, Organizational;*Diffusion of Innovation;*Hospital Information Systems;United States",17405421,
rayyan-1115027879,Factors that affect health information technology adoption by seniors: A systematic review.,2020,11,,Health & social care in the community,1365-2524 (Electronic),28,6,1827-1842,Kavandi H and Jaana M,https://pubmed.ncbi.nlm.nih.gov/32378769/,eng,,England,"The number of seniors and prevalence of chronic conditions are increasing worldwide, resulting in more pressure on health systems. Health Information Technologies (HIT) present opportunities to support the healthcare needs of seniors. Although prior studies have investigated HIT and seniors, it remains unclear what factors significantly affect the adoption of different HIT by elderly people in the community. A Systematic Review (SR) was conducted between December 2017 and February 2018 (with a search update in 2018-2019) to critically appraise and synthesise existing evidence on HIT adoption factors among seniors. Following the PRISMA guidelines, five major databases were consulted (PubMed, Medline, CINAHL, Scopus and Web of Science). The inclusion criteria consisted of empirical studies, published in English, and reporting impacts of specific factors on HIT adoption among seniors in the community. A total of 41 studies were included in this review, mostly published between 2014 and 2017 in Europe and the US; the level of evidence in these studies was low to moderate. The factors that affect HIT adoption did not differ across types of technologies or age groups. The findings reveal that seniors adopt HIT that are perceived as useful and requiring low effort commitment; price/cost value were reported as adoption barriers. Social influence, facilitating conditions, senior-friendly product design, self-efficacy, Intrinsic Technology Quality, experience/training and technology anxiety may affect HIT adoption by seniors, although the evidence on these impacts remains weak and limited. Mixed and inconclusive evidence was observed on the impacts of socio-demographic variables, health condition, habit and privacy/security. Given the reported low level of HIT adoption among seniors, we call for more rigorous research in this area using a 'senior-centred' approach, which takes into account the discourse/interaction between seniors and their collective environment to better understand the factors that affect their technology adoption and address their needs.",RAYYAN-LABELS: Some Focus,10.1111/hsc.13011,"Aged;Aged, 80 and over;*Attitude to Health;Diffusion of Innovation;Europe;Health Education/*methods;Health Records, Personal/psychology;Health Services Needs and Demand/*statistics & numerical data;Health Services for the Aged;Humans;Medical Informatics/*methods;*Patient Outcome Assessment",32378769,
rayyan-1115027880,Health information technology in urologic care: current status and implications for quality of care.,2013,12,,Current urology reports,1534-6285 (Electronic),14,6,535-40,Dowling RA,https://pubmed.ncbi.nlm.nih.gov/23881730/,eng,,United States,"Health information technology (HIT) is expected to transform the delivery of health care in the United States, but implementation and adoption vary widely across settings, specialties, and geographies. Significant barriers to high-level adoption persist despite federal incentives to hospitals and health-care providers. This article will review the current status and future impact of HIT in the specialty of urology, with emphasis on the intersection of HIT and quality measurement.",RAYYAN-LABELS: High Focus,10.1007/s11934-013-0356-3,"Humans;*Medical Informatics;*Quality Assurance, Health Care;*Quality of Health Care;United States;*Urology",23881730,
rayyan-1115027881,Health information technology adoption in California community health centers.,2015,12,1,The American journal of managed care,1936-2692 (Electronic),21,12,e677-83,Kim KK and Rudin RS and Wilson MD,https://pubmed.ncbi.nlm.nih.gov/26760431/,eng,,United States,"OBJECTIVES: National and state initiatives to spur adoption of electronic health records (EHRs) and health information exchange (HIE) among providers in rural and underserved communities have been in place for 15 years. Our goal was to systematically assess the impact of these initiatives by quantifying the level of adoption and key factors associated with adoption among community health centers in California. STUDY DESIGN: Cross-sectional statewide survey. METHODS: We conducted a telephone survey of all California primary care community health centers (CHCs) from August to September 2013. Multiple logistic regressions were fit to test for associations between various practice characteristics and adoption of EHRs, meaningful use-certified EHRs, and HIE. For the multivariable model, we included those variables which were significant at the P = .10 level in the univariate tests. RESULTS: We received responses from 194 CHCs (73.5% response rate). Adoption of any EHRs (80.3%) and meaningful use-certified EHRs (94.6% of those with an EHR) was very high. Adoption of HIE is substantial (48.7%) and took place within a few years (mean = 2.61 years; SD = 2.01). More than half (54.7%) of CHCs are able to receive data into the EHR indicating some level of interoperability. Patient engagement capacity is moderate, with 21.6% offering a PHR, and 55.2% electronic visit summaries. Rural location and belonging to a multi-site clinic organization both increase the odds of adoption of EHRs, HIE, and electronic visit summary, with the odds ratio ranging from 0.63 to 3.28 (all P values < .05). CONCLUSIONS: Greater adoption of health information technology (IT) in rural areas may be the result of both federal and state investments. As CHCs lack access to capital for investments, continued support of technology infrastructure may be needed for them to further leverage health IT to improve healthcare.",RAYYAN-LABELS: High Focus,,California;Community Health Centers/*statistics & numerical data;Cross-Sectional Studies;Electronic Health Records/*statistics & numerical data;Humans;Meaningful Use/statistics & numerical data;Medical Informatics/*statistics & numerical data;Primary Health Care;Surveys and Questionnaires,26760431,PMC4948293
rayyan-1115027882,Health information technology adoption in U.S. acute care hospitals.,2013,4,,Journal of medical systems,1573-689X (Electronic),37,2,9907,Zhang NJ and Seblega B and Wan T and Unruh L and Agiro A and Miao L,https://pubmed.ncbi.nlm.nih.gov/23340826/,eng,,United States,"Previous studies show that the healthcare industry lags behind many other economic sectors in the adoption of information technology. The purpose of this study is to understand differences in structural characteristics between providers that do and that do not adopt Health Information Technology (HIT) applications. Publicly available secondary data were used from three sources: American Hospital Association (AHA) annual survey, Healthcare Information and Management Systems Society (HIMSS) analytics annual survey, and Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) databases. Fifty-two information technologies were grouped into three clusters: clinical, administrative, and strategic decision making ITs. Negative binomial regression was applied with adoption of technology as the dependent variables and eight organizational and contextual factors as the independent variables. Hospitals adopt a relatively larger proportion of administrative information technology as compared to clinical and strategic IT. Large size, urban location and HMO penetration were found to be the most influential hospital characteristics that positively affect information technology adoption. There are still considerable variations in the adoption of information technology across hospitals and in the type of technology adopted. Organizational factors appear to be more influential than market factors when it comes to information technology adoption. The future research may examine whether the Electronic Health Record (EHR) Incentive Program in 2011 would increase the information technology uses in hospitals as it provides financial incentives for HER adoptions and uses among providers.",RAYYAN-LABELS: High Focus,10.1007/s10916-012-9907-2,"Confidence Intervals;Databases, Factual;Decision Support Systems, Clinical;*Diffusion of Innovation;*Emergency Service, Hospital;Hospital Information Systems/*statistics & numerical data;United States",23340826,
rayyan-1115027883,Gaps in standards for integrating artificial intelligence technologies into ophthalmic practice.,2021,9,1,Current opinion in ophthalmology,1531-7021 (Electronic),32,5,431-438,Baxter SL and Lee AY,https://pubmed.ncbi.nlm.nih.gov/34231531/,eng,,United States,"PURPOSE OF REVIEW: The purpose of this review is to provide an overview of healthcare standards and their relevance to multiple ophthalmic workflows, with a specific emphasis on describing gaps in standards development needed for improved integration of artificial intelligence technologies into ophthalmic practice. RECENT FINDINGS: Healthcare standards are an essential component of data exchange and critical for clinical practice, research, and public health surveillance activities. Standards enable interoperability between clinical information systems, healthcare information exchange between institutions, and clinical decision support in a complex health information technology ecosystem. There are several gaps in standards in ophthalmology, including relatively low adoption of imaging standards, lack of use cases for integrating apps providing artificial intelligence -based decision support, lack of common data models to harmonize big data repositories, and no standards regarding interfaces and algorithmic outputs. SUMMARY: These gaps in standards represent opportunities for future work to develop improved data flow between various elements of the digital health ecosystem. This will enable more widespread adoption and integration of artificial intelligence-based tools into clinical practice. Engagement and support from the ophthalmology community for standards development will be important for advancing this work.",RAYYAN-LABELS: Some Focus,10.1097/ICU.0000000000000781,*Artificial Intelligence/standards;Delivery of Health Care/*standards;Diffusion of Innovation;Humans;*Ophthalmology/standards;Professional Practice/*standards;Quality of Health Care/standards;Workflow,34231531,PMC8373825
rayyan-1115027884,Technology Acceptance and Adoption of Innovative Smartphone Uses among Hospital Employees.,2014,10,,Healthcare informatics research,2093-3681 (Print),20,4,304-12,Moon BC and Chang H,https://pubmed.ncbi.nlm.nih.gov/25405067/,eng,,Korea (South),"OBJECTIVES: The number of healthcare institutions adopting smartphones continues to increase, implying that their utilization is undoubtedly gaining attention. Understanding the needs of smartphone users will provide a greater opportunity for successful information technology acceptance by expanding the scope of its utilization. This study focuses on how smartphones are accepted and utilized in hospitals and analyzes the factors influencing users' attitude, social influence, and intention of use. METHODS: For the study model, the researcher has mainly adopted the Theory of Reasoned Action and further modified and used the models of Technology Acceptance and Information Systems Success. To test the model empirically, a survey was conducted with 122 professionals on information development teams in Korean tertiary hospitals. RESULTS: The common smartphone usage modes were Internet searching, e-mail, scheduling, and social networking in consecutive order. Phone calls consisted of 51.4% of work-related purposes, while other functions, such as text message, Web browser, and scheduling, were mostly used for personal purposes. Costs, contents quality, innovation, ease of use, and support were shown to have statistically significant effects on user attitude, and social influence, portability, security, content quality, and innovation were significant. User attitude and social influence were both statistically significant with respect to intention of use, with user attitude greater than social influence. CONCLUSIONS: The participating staff were analyzed as having strong personal faith and principles, independent from their external environment. Timely information exchanges among medical staff will facilitate appropriate communication and improved health services to patients in need.",RAYYAN-LABELS: Some Focus,10.4258/hir.2014.20.4.304,"",25405067,PMC4231181
rayyan-1115027885,Health information technology: help or hindrance?,2014,7,,Advances in chronic kidney disease,1548-5609 (Electronic),21,4,365-70,Ketchersid T,https://pubmed.ncbi.nlm.nih.gov/24969389/,eng,,United States,"The practice of medicine in general and nephrology in particular grows increasingly complex with each passing year. In parallel with this trend, the purchasers of health care are slowly shifting the reimbursement paradigm from one based on rewarding transactions, or work performed, to one that rewards value delivered. Within this context, the health-care value equation is broadly defined as quality divided by costs. Health information technology has been widely recognized as 1 of the foundations for delivering better care at lower costs. As the largest purchaser of health care in the world, the Centers for Medicare and Medicaid Services has deployed a series of interrelated programs designed to spur the adoption and utilization of health information technology. This review examines our known collective experience in the practice of nephrology to date with several of these programs and attempts to answer the following question: Is health information technology helping or hindering the delivery of value to the nation's health-care system? Through this review, it was concluded overall that the effect of health information technology appears positive; however, it cannot be objectively determined because of the infancy of its utilization in the practice of medicine.",RAYYAN-LABELS: Some Focus,10.1053/j.ackd.2014.02.014,"Centers for Medicare and Medicaid Services, U.S.;*Electronic Prescribing;Humans;*Meaningful Use;*Medical Informatics;*Quality Assurance, Health Care;United States;Value-Based Purchasing",24969389,
rayyan-1115027886,Patients' Perceptions of Applying Information and Communication Technology Tools in Self-care and Factors Affecting It.,2018,6,,Acta informatica medica : AIM : journal of the Society for Medical Informatics of           Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH,0353-8109 (Print),26,2,102-105,Zare Z and Jebraeily M,https://pubmed.ncbi.nlm.nih.gov/30061780/,eng,,Bosnia and Herzegovina,"INTRODUCTION: In recent years patient self-care has emerged as an important component of disease management programs. The ICT tools facilitate the self-care process with improved access to information resources, effective communication between patients and healthcare professionals, and social support services. AIM: The purpose of this study was identifying the perception of patients from the application of information communication technology in self-care in educational centers of Urmia University of Medical Sciences. MATERIAL AND METHODS: This is a descriptive cross-sectional study conducted in 2018. The studied population consisted 540 hospitalized patients from educational hospitals affiliated to Urmia university of medical sciences. For data collection, a self-designed questionnaire was developed which valid and reliable instrument to be measured. The statistical analysis of data was done using the SPSS Software. RESULTS: more patients' interest to use of ICT tools in case of social media (34%), computer-based (25%) and the most common applications ICT tools included patient education (34%) and searching health information (23%). The most factors effective in the usage of ICT tools by patients were related to ease of using ICT tools (4.82), ICT tools reliability (4.73) and design ICT tools based on patient needs and preferences (4.68) respectively. CONCLUSION: The ICT tools are critical to patient self- care. To encourage more ICT adoption, patients should be made aware of the benefits of ICT and active involvement in the process of technology development. It seems necessary; ICT tools should be designed user-friendly, easy to use, reliable and usable.",RAYYAN-LABELS: High Focus,10.5455/aim.2018.26.102-105,"",30061780,PMC6029921
rayyan-1115027887,Health information technology in hospitals: current issues and future trends.,2015,2,,Future hospital journal,2055-3323 (Print),2,1,50-56,Cresswell KM and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/31098079/,eng,,England,"Healthcare is at an important crossroads in that current models of care are increasingly seen by politicians and policymakers as unsustainable. Furthermore, there is a need to move away from the reactive, doctor-centred model of care to one that is more patient-centred and that consistently delivers accessible, high-quality and safe care to all. Greater use of health information technology (HIT) is seen by many key decision makers as crucial to this transformation process and, hence, substantial investments are made in this area. However, healthcare, particularly in UK hospitals, remains a laggard in HIT adoption. To uncover the underlying reasons, we discuss current implementation and adoption challenges and explore potential ways to address these. We outline strategic, organisational, technical and social factors that can 'make or break' technological implementations. Most importantly, we suggest that efforts should be characterised by an underlying awareness of the complexity of the hospital environment and the need to develop tools that support provision of integrated multidisciplinary care. We conclude with a discussion of promising future developments, including increased patient involvement; access and contribution to shared records; the penetration of smart devices; greater health information exchange and interoperability; and innovative real-time secondary uses of data. We argue that there is considerable merit in evaluating the introduction of these interventions to help ensure that they are optimised for effectiveness, support efficient working and minimise the possibility of inadvertently introducing new risks into already complex health systems. Our over-riding message is that HIT should be seen as, where appropriate, a potential enabler and an important source of data to support healthcare redesign and that critical, ongoing evaluation is key to maximising benefits. However, it should not be seen as a silver bullet.",RAYYAN-LABELS: High Focus,10.7861/futurehosp.2-1-50,"",31098079,PMC6465875
rayyan-1115027888,Meaningful use of health information technology and declines in in-hospital adverse drug events.,2017,7,1,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),24,4,729-736,Furukawa MF and Spector WD and Rhona Limcangco M and Encinosa WE,https://pubmed.ncbi.nlm.nih.gov/28339642/,eng,,England,"OBJECTIVE: Nationwide initiatives have promoted greater adoption of health information technology as a means to reduce adverse drug events (ADEs). Hospital adoption of electronic health records with Meaningful Use (MU) capabilities expected to improve medication safety has grown rapidly. However, evidence that MU capabilities are associated with declines in in-hospital ADEs is lacking. METHODS: Data came from the 2010-2013 Medicare Patient Safety Monitoring System and the 2008-2013 Healthcare Information and Management Systems Society (HIMSS) Analytics Database. Two-level random intercept logistic regression was used to estimate the association of MU capabilities and occurrence of ADEs, adjusting for patient characteristics, hospital characteristics, and year of observation. RESULTS: Rates of in-hospital ADEs declined by 19% from 2010 to 2013. Adoption of MU capabilities was associated with 11% lower odds of an ADE (95% confidence interval [CI], 0.84-0.96). Interoperability capability was associated with 19% lower odds of an ADE (95% CI, 0.67- 0.98). Adoption of MU capabilities explained 22% of the observed reduction in ADEs, or 67,000 fewer ADEs averted by MU. DISCUSSION: Concurrent with the rapid uptake of MU and interoperability, occurrence of in-hospital ADEs declined significantly from 2010 to 2013. MU capabilities and interoperability were associated with lower occurrence of ADEs, but the effects did not vary by experience with MU. About one-fifth of the decline in ADEs from 2010 to 2013 was attributable to MU capabilities. CONCLUSION: Findings support the contention that adoption of MU capabilities and interoperability spurred by the Health Information Technology for Economic and Clinical Health Act contributed in part to the recent decline in ADEs.",RAYYAN-LABELS: High Focus,10.1093/jamia/ocw183,Adult;Aged;Drug-Related Side Effects and Adverse Reactions/*epidemiology;Electronic Health Records/legislation & jurisprudence/*statistics & numerical           data;Female;*Health Information Interoperability;Hospitals/*statistics & numerical data;Humans;Male;*Meaningful Use/legislation & jurisprudence;Medical Informatics/legislation & jurisprudence;Medicare;Medication Errors/prevention & control/*trends;Middle Aged;United States/epidemiology,28339642,PMC7787251
rayyan-1115027889,Digital scribe utility and barriers to implementation in clinical practice: a scoping review.,2021,,,Health and technology,2190-7188 (Print),11,4,803-809,Ghatnekar S and Faletsky A and Nambudiri VE,https://pubmed.ncbi.nlm.nih.gov/34094806/,eng,,Germany,"Electronic health records (EHRs) allow for meaningful usage of healthcare data. Their adoption provides clinicians with a central location to access and share data, write notes, order labs and prescriptions, and bill for patient visits. However, as non-clinical requirements have increased, time spent using EHRs eclipsed time spent on direct patient care. Several solutions have been proposed to minimize the time spent using EHRs, though each have limitations. Digital scribe technology uses voice-to-text software to convert ambient listening to meaningful medical notes and may eliminate the physical task of documentation, allowing physicians to spend less time on EHR engagement and more time with patients. However, adoption of digital scribe technology poses many barriers for physicians. In this study, we perform a scoping review of the literature to identify barriers to digital scribe implementation and provide solutions to address these barriers. We performed a literature review of digital scribe technology and voice-to-text conversion and information extraction as a scope for future research. Fifteen articles met inclusion criteria. Of the articles included, four were comparative studies, three were reviews, three were original investigations, two were perspective pieces, one was a cost-effectiveness study, one was a keynote address, and one was an observational study. The published articles on digital scribe technology and voice-to-text conversion highlight digital scribe technology as a solution to the inefficient interaction with EHRs. Benefits of digital scribe technologies included enhancing clinician ability to navigate charts, write notes, use decision support tools, and improve the quality of time spent with patients. Digital scribe technologies can improve clinic efficiency and increase patient access to care while simultaneously reducing physician burnout. Implementation barriers include upfront costs, integration with existing technology, and time-intensive training. Technological barriers include adaptability to linguistic differences, compatibility across different clinical encounters, and integration of medical jargon into the note. Broader risks include automation bias and risks to data privacy. Overcoming significant barriers to implementation will facilitate more widespread adoption. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12553-021-00568-0.",RAYYAN-LABELS: High Focus,10.1007/s12553-021-00568-0,"",34094806,PMC8169416
rayyan-1115027890,Ten key considerations for the successful implementation and adoption of large-scale health information technology.,2013,6,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),20,,e9-e13,Cresswell KM and Bates DW and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/23599226/,eng,,England,"The implementation of health information technology interventions is at the forefront of most policy agendas internationally. However, such undertakings are often far from straightforward as they require complex strategic planning accompanying the systemic organizational changes associated with such programs. Building on our experiences of designing and evaluating the implementation of large-scale health information technology interventions in the USA and the UK, we highlight key lessons learned in the hope of informing the on-going international efforts of policymakers, health directorates, healthcare management, and senior clinicians.",RAYYAN-LABELS: High Focus,10.1136/amiajnl-2013-001684,Health Plan Implementation/methods;Inservice Training;Medical Informatics/*organization & administration;*Medical Informatics Applications;*Organizational Innovation,23599226,PMC3715363
rayyan-1115027891,Examining Individual Transition from Healthcare to Information Technology Roles Using the Theory of Planned Behavior.,2021,,,Perspectives in health information management,1559-4122 (Electronic),18,,1b,Johnston R and HewittHewitt B and McLeod A and Moczygemba J,https://pubmed.ncbi.nlm.nih.gov/34035783/,eng,,United States,"Many health information management (HIM) positions, including coders and transcriptionists, are evolving due to the widespread adoption of electronic health records (EHR) and other automated entry systems. Thus, focus for roles associated with those positions are changing and new positions to manage and manipulate the data collected in the new systems. This study seeks to identify which factors influence HIM professionals' decision to transition from a traditional HIM role to an information technology (IT) position. An online survey was sent to these individuals to determine which factors influenced their decision to consider a transition from healthcare roles to information technology using the theory of planned behavior. In other words, this study explored whether these individuals were influenced by attitudes, normative beliefs, and self-efficacy to consider transitioning from healthcare roles to information technology positions. In order to better understand whether education played a role in this behavior, an additional element, education efficacy was added. The findings revealed that these health information management professionals are not considering a transition from healthcare positions to IT roles.",RAYYAN-LABELS: High Focus,,"*Career Mobility;Electronic Health Records;Female;*Health Information Management;Humans;*Information Technology;Male;Models, Theoretical;*Professional Role;Psychological Theory;Surveys and Questionnaires",34035783,PMC8120678
rayyan-1115027892,Evaluating healthcare information technology outside of academia: observations from the national resource center for healthcare information technology at the Agency for Healthcare Research and Quality.,2009,9,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),16,5,631-6,Poon EG and Cusack CM and McGowan JJ,https://pubmed.ncbi.nlm.nih.gov/19567800/,eng,,England,"The National Resource Center for Health Information Technology (NRC) was formed in the fall of 2004 as part of the Agency for Healthcare Research and Quality (AHRQ) health IT portfolio to support its grantees. One of the core functions of the NRC was to assist grantees in their evaluation efforts of Health IT. This manuscript highlights some common challenges experienced by health IT project teams at nonacademic institutions, including inappropriately scoped and resourced evaluation efforts, inappropriate choice of metrics, inadequate planning for data collection and analysis, and lack of consideration of qualitative methodologies. Many of these challenges can be avoided or overcome. The strategies adopted by various AHRQ grantees and the lessons learned from their projects should become part of the toolset for current and future implementers of health IT as the nation moves rapidly towards its widespread adoption.",RAYYAN-LABELS: Some Focus,10.1197/jamia.M3033,*Health Plan Implementation;Health Planning Technical Assistance;Humans;Information Systems/*organization & administration;Program Evaluation/*methods;United States;United States Agency for Healthcare Research and Quality,19567800,PMC2744713
rayyan-1115027893,Health information technology and hospital patient safety: a conceptual model to guide research.,2013,9,,Joint Commission journal on quality and patient safety,1553-7250 (Print),39,9,415-25,Paez K and Roper RA and Andrews RM,https://pubmed.ncbi.nlm.nih.gov/24147353/,eng,,Netherlands,"BACKGROUND: The literature indicates that health information technology (IT) use may lead to some gains in the quality and safety of care in some situations but provides little insight into this variability in the results that has been found. The inconsistent findings point to the need for a conceptual model that will guide research in sorting out the complex relationships between health IT and the quality and safety of care. METHODS: A conceptual model was developed that describes how specific health IT functions could affect different types of inpatient safety errors and that include contextual factors that influence successful health IT implementation. The model was applied to a readily available patient safety measure and nationwide data (2009 AHA Annual Survey Information Technology Supplement and 2009 Healthcare Cost and Utilization Project State Inpatient Databases). FINDINGS: The model was difficult to operationalize because (1) available health IT adoption data did not characterize health IT features and extent of usage, and (2) patient safety measures did not elucidate the process failures leading to safety-related outcomes. The sample patient safety measure--Postoperative Physiologic and Metabolic Derangement Rate--was not significantly related to self-reported health IT capabilities when adjusted for hospital structural characteristics. CONCLUSION: These findings illustrate the critical need for collecting data that are germane to health IT and the possible mechanisms by which health IT may affect inpatient safety. Well-defined and sufficiently granular measures of provider's correct use of health IT functions, the contextual factors surrounding health IT use, and patient safety errors leading to health care-associated conditions are needed to illuminate the impact of health IT on patient safety.",RAYYAN-LABELS: High Focus,10.1016/s1553-7250(13)39055-2,Communication;Data Collection/methods;*Hospital Administration;Humans;Information Systems/*organization & administration/standards;Medical Errors/prevention & control;Patient Care Management/organization & administration;*Patient Safety;Safety Management/*organization & administration/standards,24147353,
rayyan-1115027894,Trending health information technology adoption among New York nursing homes.,2014,11,,The American journal of managed care,1936-2692 (Electronic),20,11,eSP53-9,Abramson EL and Edwards A and Silver M and Kaushai R,https://pubmed.ncbi.nlm.nih.gov/25811820/,eng,,United States,"OBJECTIVES: Federal policies are incentivizing hospitals and providers to adopt and meaningfully use electronic health records (EHRs). Nursing homes are not eligible for incentives. However, understanding health information technology (HIT) adoption among nursing homes will be critical to developing HIT policies for this sector. Our objective was to assess the pace of EHR adoption, changes in computerized function adoption, and participation in health information exchange by New York state nursing homes over time. STUDY DESIGN: We used a repeated, cross-sectional study design. METHODS: We surveyed all New York state nursing homes between February and May 2013, comparing results to the same survey administered in 2012. RESULTS: We received responses from 472 of 630 nursing homes (74.9%). Rates of EHR adoption increased from 48.6% to 56.3% (P = .03). Participation in health information exchange remained unchanged (54.5% to 55.3%, P = .8). The top barriers to EHR adoption cited were: a) the initial cost of HIT investment (67.9%, n = 133), b) lack of technical IT staff (46.4%, n = 91), and c) lack of fiscal incentives (45.8%, n = 88). Comparing nursing homes with EHRs in 2012 to nursing homes with EHRs in 2013, the availability of many types of computerized functionalities significantly increased, although no gains were seen for order entry or clinical tools. CONCLUSIONS: While some gains are being made by nursing homes, HIT adoption generally lags behind that of other sectors. Public policy focusing on building HIT infrastructure is essential to ensure that nursing homes keep up with other healthcare segments.",RAYYAN-LABELS: High Focus,,Cross-Sectional Studies;Electronic Health Records/*statistics & numerical data;Health Information Exchange/statistics & numerical data;Homes for the Aged/*statistics & numerical data;Humans;Medical Informatics/statistics & numerical data;New York;Nursing Homes/*statistics & numerical data;Ownership,25811820,
rayyan-1115027895,A National Report of Nursing Home Quality and Information Technology: Two-Year Trends.,2018,,,Journal of nursing care quality,1550-5065 (Electronic),33,3,200-207,Alexander GL and Madsen R,https://pubmed.ncbi.nlm.nih.gov/29787455/,eng,,United States,"Health Information Technology is transforming healthcare delivery. This research report describes 2 year trends in technology adoption, called information technology sophistication, defined as capabilities, extent of use, and integration of technology. Trends are identified using a validated annual survey. In Year 1, 815 facilities participated in the survey; in Year 2, 484 nursing homes repeated the survey representing every US state. Statistically significant increases in information technology sophistication were found in resident care and total scores. Sample homes tended to be smaller and from small town/rural areas. There were more information technology gains than losses in technology sophistication over the 2 years in the sample. Significant correlations were identified between differences in information technology sophistication and 12 different quality measures.",RAYYAN-LABELS: High Focus,10.1097/NCQ.0000000000000328,Humans;Information Technology/*trends;Longitudinal Studies;Nursing Homes/organization & administration/*standards/trends;Quality of Health Care/*standards/trends;Surveys and Questionnaires,29787455,PMC7268780
rayyan-1115027896,eHealth and telemedicine: Practices and beliefs among healthcare professionals and medical students at a medical university.,2019,,,PloS one,1932-6203 (Electronic),14,2,e0213067,Wernhart A and Gahbauer S and Haluza D,https://pubmed.ncbi.nlm.nih.gov/30818348/,eng,,United States,"Digitalization affects almost every aspect of modern daily life including healthcare delivery. Successful adoption and sustainable integration of information technology-based eHealth and telemedicine concepts in clinical practice depend on constant evaluation of end user needs, proficiencies, and preferences. We therefore assessed how current and future healthcare professionals perceived health technology solutions and whether their perceptions differed. We conducted an online survey among a purposive sample of employees and students at the Medical University of Vienna, Austria. The structured questionnaire collected self-reported practices and beliefs in the context of eHealth and telemedicine among 905 participants (59.0% females), of which 48.4% were employees and 51.6% were students. Participants expressed moderate knowledge of eHealth and telemedicine concepts with higher levels among employees compared to students (both: p<0.05). Compared to employees, students were less convinced that online health information improves patient knowledge (p<0.001), but were more optimistic that telemedicine reduces healthcare costs (p<0.05). Participants doubted that telemedicine services would enhance the doctor-patient relationship and raised concerns regarding data security and privacy issues. Accordingly, quantitative context analysis of free text comments revealed that the four most frequently mentioned themes were related to issues concerning data privacy and security, questions of responsibility, doctor-patient interaction, and reliability of information. This study provides valuable insights into how current and future healthcare professionals differ in their perceptions regarding eHealth and telemedicine. These findings raise awareness of the need to bridge the gap between digital age groups and professional groups, especially in clinical healthcare delivery in a clocked-through, strenuous academic setting as found at a medical university.",RAYYAN-LABELS: High Focus,10.1371/journal.pone.0213067,"Adult;Attitude of Health Personnel;Austria;Cross-Sectional Studies;Female;Health Knowledge, Attitudes, Practice;*Health Personnel/psychology;Humans;Male;Middle Aged;Physician-Patient Relations;*Students, Medical/psychology;Surveys and Questionnaires;*Telemedicine;Universities;Young Adult",30818348,PMC6394957
rayyan-1115027897,The Broken Health Information Technology Innovation Pipeline: A Perspective from the NODE Health Consortium.,2017,9,,Digital biomarkers,2504-110X (Electronic),1,1,64-72,Makhni S and Atreja A and Sheon A and Van Winkle B and Sharp J and Carpenter N,https://pubmed.ncbi.nlm.nih.gov/32095746/,eng,,Switzerland,"BACKGROUND: The Network of Digital Evidence (NODE) was formed to further advance the field of health information technology (HIT) and evidence-based digital medicine at different healthcare institutions nationwide. As the NODE network reviewed the state of the field, it was noted that despite substantial financial and human capital investments, the processes and results of HIT innovation seem chaotic and subpar, especially in comparison to the more well-established drug and device industries. During the course of this white paper, we will explore the causes for this observed phenomenon as well as propose possible solutions to improve the state of HIT. METHODS: We compared the entire process of discovery, proof of concept, Food and Drug Administration (FDA) review, and postmarket monitoring and distribution/implementation of HIT innovations to the equivalent processes for drugs and devices. Whereas drug and device innovations are subject to a standardized pipeline of production, HIT innovations are not held to equivalent standards. CONCLUSIONS: As a result, HIT lags behind the more mature drug and device industries in producing effective and reliable products. This leads to an inefficient use of already scarce healthcare resources. The authors believe that the HIT industry must adopt many of the mechanisms implemented by the drug and device industries as dictated by their innovation pipelines of discovery, proof of concept, FDA review, and postmarket monitoring and distribution/implementation. We propose an eight-point plan to fundamentally evolve the HIT lifecycle, including reforms for institutions such as neutral government agencies, new health system boards and management systems, modified incentive structures, improved relationships with financial investors and start-ups, patient engagement, and enhanced mechanisms to improve HIT adoption.",RAYYAN-LABELS: High Focus,10.1159/000479017,"",32095746,PMC7015377
rayyan-1115027898,Utilizing Health Information Technology to Support Universal Healthcare Delivery: Experience of a National Healthcare System.,2015,9,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),21,9,742-7,Syed-Abdul S and Hsu MH and Iqbal U and Scholl J and Huang CW and Nguyen PA and Lee P and García-Romero MT and Li YC and Jian WS,https://pubmed.ncbi.nlm.nih.gov/25919111/,eng,,United States,"Recent discussions have focused on using health information technology (HIT) to support goals related to universal healthcare delivery. These discussions have generally not reflected on the experience of countries with a large amount of experience using HIT to support universal healthcare on a national level. HIT was compared globally by using data from the Ministry of the Interior, Republic of China (Taiwan). Taiwan has been providing universal healthcare since 1995 and began to strategically implement HIT on a national level at that time. Today the national-level HIT system is more extensive in Taiwan than in many other countries and is used to aid administration, clinical care, and public health. The experience of Taiwan thus can provide an illustration of how HIT can be used to support universal healthcare delivery. In this article we present an overview of some key historical developments and successes in the adoption of HIT in Taiwan over a 17-year period, as well as some more recent developments. We use this experience to offer some strategic perspectives on how it can aid in the adoption of large-scale HIT systems and on how HIT can be used to support universal healthcare delivery.",RAYYAN-LABELS: High Focus,10.1089/tmj.2014.0189,Delivery of Health Care/*organization & administration;Health Policy;Humans;Medical Informatics/*trends;Taiwan;*Universal Health Insurance,25919111,
rayyan-1115027899,The efficiency analysis and spatial implications of health information technology: A regional exploratory study in China.,2020,9,,Health informatics journal,1741-2811 (Electronic),26,3,1700-1713,Li D and Chao J and Kong J and Cao G and Lv M and Zhang M,https://pubmed.ncbi.nlm.nih.gov/31793803/,eng,,England,"The new adoption of healthcare information technology is costly, and effects on healthcare performance can be questionable. This nationwide study in China investigated the efficient performance of healthcare information technology and examined its spatial correlation. Panel data were extracted from the Annual Investigation Report on Hospital Information in China and the China Health Statistics Yearbook for 2007 through 2015 (279 observations). Stochastic frontier analysis was employed to estimate the technical efficiency of healthcare information technology performance and related factors at the regional level. Healthcare information technology performance was positively associated with electronic medical records, total input, and cost of inpatient stay, while picture archiving and communication systems and net assets were negatively related. Local Indicators of Spatial Association showed that there existed significant spatial autocorrelation. Governmental policies would best make distinctions among different forms of healthcare information technology, especially between electronic medical records and picture archiving and communication systems. Policies should be formulated to improve healthcare information technology adoption and reduce regional differences.",RAYYAN-LABELS: High Focus,10.1177/1460458219889794,China;*Electronic Health Records;Health Facilities;*Hospitals;Humans,31793803,
rayyan-1115027900,Connecting the dots: Kerala's use of digital technology during the COVID-19 response.,2021,7,,BMJ global health,2059-7908 (Print),6,,,Ummer O and Scott K and Mohan D and Chakraborty A and LeFevre AE,https://pubmed.ncbi.nlm.nih.gov/34312152/,eng,,England,"Digital tools are increasingly being applied to support the response to the ongoing COVID-19 pandemic in India and elsewhere globally. This article draws from global frameworks to explore the use of digital tools in the state of Kerala across the domains of communication, surveillance, clinical management, non-clinical support, and core health system readiness and response. Kerala is considered India's first digital state, with the highest percentage of households with computers (24%) and the internet (51%) in India, 95% mobile phone penetration, 62% smartphone penetration and 75% digital literacy. Kerala has long been a model for the early adoption of digital technology for education and health. As part of the pandemic response, technology has been used across private and public sectors, including law enforcement, health, information technology and education. Efforts have sought to ensure timely access to health information, facilitate access to entitlements, monitor those under quarantine and track contacts, and provide healthcare services though telemedicine. Kerala's COVID-19 pandemic response showcases the diverse potential of digital technology, the importance of building on a strong health system foundation, the value of collaboration, and the ongoing challenges of data privacy and equity in digital access.",RAYYAN-LABELS: High Focus,10.1136/bmjgh-2021-005355,*COVID-19;Digital Technology;Humans;India/epidemiology;*Pandemics;SARS-CoV-2,34312152,PMC8300548
rayyan-1115027901,Use of health information technology among racial and ethnic underserved communities.,2011,1,1,Perspectives in health information management,1559-4122 (Electronic),8,,1f,Christopher Gibbons M,https://pubmed.ncbi.nlm.nih.gov/21307989/,eng,,United States,"This article examines the potential role of health IT in addressing healthcare disparities among racial and ethnic minority populations. An overview of health IT utilization among healthcare providers notes certain characteristics that may disproportionately affect minority populations. Current and emerging health IT use among racial and ethnic minority populations is examined, highlighting areas in which technology use in these populations differs from that of nonminority populations and emphasizing the importance of new social media applications in healthcare education and delivery. Following a discussion of adoption and utilization barriers for providers as well as for patients and caregivers, specific opportunities to address healthcare disparities through health IT use are identified at the provider, patient/caregiver, and healthcare system levels. The article identifies several technical, practical, and human challenges to health IT adoption and stresses the need for the healthcare system to embrace the full spectrum of emerging health IT opportunities to address healthcare disparities.",RAYYAN-LABELS: High Focus,,"*Access to Information;Cultural Diversity;Culture;Ethnicity/*statistics & numerical data;Health Knowledge, Attitudes, Practice;Health Services Accessibility/statistics & numerical data;*Health Status Disparities;Hospital Information Systems/economics/organization & administration/*statistics           & numerical data;Humans;Maryland;Medical Records Systems, Computerized/economics/statistics & numerical data;*Medically Underserved Area;Patient Satisfaction;Physician-Patient Relations;Racial Groups/*statistics & numerical data;United States",21307989,PMC3035830
rayyan-1115027902,Association between Health Information Technology and Case Mix Index.,2017,10,,Healthcare informatics research,2093-3681 (Print),23,4,322-327,Park YT and Lee J and Lee J,https://pubmed.ncbi.nlm.nih.gov/29181242/,eng,,Korea (South),"OBJECTIVES: Health information technology (IT) can assist healthcare providers in ordering medication and adhering to guidelines while improving communication among providers and the quality of care. However, the relationship between health IT and Case Mix Index (CMI) has not been thoroughly investigated; therefore, this study aimed to clarify this relationship. METHODS: To examine the effect of health IT on CMI, a generalized estimation equation (GEE) was applied to two years of California hospital data. RESULTS: We found that IT was positively associated with CMI, indicating that increased IT adoption could lead to a higher CMI or billing though DRG up-coding. This implies that hospitals' revenue could increase around $40,000 by increasing IT investment by 10%. CONCLUSIONS: The positive association between IT and CMI implies that IT adoption itself could lead to higher patient billings. Generally, a higher CMI in a hospital indicates that the hospital provides expensive services with higher coding and therefore receives more money from patients. Therefore, measures to prevent upcoding through IT systems should be implemented.",RAYYAN-LABELS: Some Focus,10.4258/hir.2017.23.4.322,"",29181242,PMC5688032
rayyan-1115027903,Health information technology in oncology practice: a literature review.,2014,,,Cancer informatics,1176-9351 (Print),13,,131-9,Fasola G and Macerelli M and Follador A and Rihawi K and Aprile G and Della Mea V,https://pubmed.ncbi.nlm.nih.gov/25506195/,eng,,United States,"The adoption and implementation of information technology are dramatically remodeling healthcare services all over the world, resulting in an unstoppable and sometimes overwhelming process. After the introduction of the main elements of electronic health records and a description of what every cancer-care professional should be familiar with, we present a narrative review focusing on the current use of computerized clinical information and decision systems in oncology practice. Following a detailed analysis of the many coveted goals that oncologists have reached while embracing informatics progress, the authors suggest how to overcome the main obstacles for a complete physicians' engagement and for a full information technology adoption, and try to forecast what the future holds.",RAYYAN-LABELS: Less Focus,10.4137/CIN.S12417,"",25506195,PMC4254653
rayyan-1115027904,Health information exchange between jails and their communities: a bridge that is needed under healthcare reform.,2014,,,Perspectives in health information management,1559-4122 (Electronic),11,,1b,Butler B,https://pubmed.ncbi.nlm.nih.gov/24808809/,eng,,United States,"Jails have often been compared to islands because they are thought to be cut off from the community both physically and perceptually. Few people understand that besides being places of confinement, jails function as health care providers. The separation of jails from community results in disjointed health care services and treatment for individuals cycling in and out of jail. Healthcare providers in the community have little knowledge of the care their patients have received in jail; the same can be said of jail health providers about care provided in the community. With the passage of the Affordable Care Act (ACA) and the Health Information Technology for Economic and Clinical Health Act (HITECH), the federal government took the lead respectively in expanding health insurance coverage and in spurring the adoption of electronic health records (EHRs) and the development of health information exchanges (HIEs). Taken together, these initiatives place a strong emphasis on promoting continuity of care. With the expansion of Medicaid under the ACA, many of the individuals leaving jail will have access to health insurance for the first time. Community-based providers to the newly insured will want to know about the care that was provided in the jail. The developing technological infrastructure would seem to offer the best way to access this information. However linking the community and jail information systems is not just a technological issue, but requires the cooperation of all stakeholders. THIS PAPER PRESENTS TWO CASE STUDIES: one in which a single champion made the decision to link the jail health care system to the local HIE and the other where all stakeholders were included in the process. In the first case study, the jail healthcare system reverted to its ""island"" status when the HIE was abandoned without protest from community stakeholders. In the second case study, the multiple stakeholder approach, while not necessarily a complete guarantee of long-term success, ensured that the jail healthcare system could not so easily go back to being an island cut off from the rest of the community.",RAYYAN-LABELS: Some Focus,,Communication;Continuity of Patient Care/organization & administration;Electronic Health Records/*organization & administration;*Health Information Exchange;Humans;*Interinstitutional Relations;Internet;Patient Protection and Affordable Care Act;Prisons/*organization & administration;*Residence Characteristics;United States,24808809,PMC3995481
rayyan-1115027905,Health information technology and physician career satisfaction.,2010,9,1,Perspectives in health information management,1559-4122 (Electronic),7,,,Elder KT and Wiltshire JC and Rooks RN and Belue R and Gary LC,https://pubmed.ncbi.nlm.nih.gov/20808606/,eng,,United States,"PURPOSE: Health information technology (HIT) and physician career satisfaction are associated with higher-quality medical care. However, the link between HIT and physician career satisfaction, which could potentially reduce provider burnout and attrition, has not been fully examined. This study uses a nationally representative survey to assess the association between key forms of HIT and career satisfaction among primary care physicians (PCPs) and specialty physicians. METHODS: We performed a retrospective, cross-sectional analysis of physician career satisfaction using the Community Tracking Study Physician Survey, 2004-2005. Nine specific types of HIT as well as the overall adoption of HIT in the practice were examined using multivariate logistic regression. RESULTS: Physicians who used five to six (odds ratio [OR] = 1.46) or seven to nine (OR = 1.47) types of HIT were more likely than physicians who used zero to two types of HIT to be ""very satisfied"" with their careers. Information technology usages for communicating with other physicians (OR = 1.31) and e-mailing patients (OR = 1.35) were positively associated with career satisfaction. PCPs who used technology to write prescriptions were less likely to report career satisfaction (OR = 0.67), while specialists who wrote notes using technology were less likely to report career satisfaction (OR = 0.75). CONCLUSIONS: Using more information technology was the strongest positive predictor of physicians being very satisfied with their careers. Toward that end, healthcare organizations working in conjunction with providers should consider exploring ways to integrate various forms of HIT into practice.",RAYYAN-LABELS: Some Focus,,"Adult;Aged;*Attitude of Health Personnel;Computers, Handheld/*statistics & numerical data;Cross-Sectional Studies;Disease Management;Family Practice/statistics & numerical data;Female;Humans;*Job Satisfaction;Logistic Models;Male;Medical Records Systems, Computerized/*statistics & numerical data;Middle Aged;Odds Ratio;Practice Patterns, Physicians'/*statistics & numerical data;*Professional Autonomy;Retrospective Studies;Specialization/statistics & numerical data;Surveys and Questionnaires",20808606,PMC2921302
rayyan-1115027906,"Information technology-enabled team-based, patient-centered care: The example of depression screening and management in cancer care.",2017,3,,Health policy and technology,2211-8837 (Print),6,1,67-71,Randhawa GS and Ahern DK and Hesse BW,https://pubmed.ncbi.nlm.nih.gov/28948138/,eng,,Netherlands,"The existing healthcare delivery systems across the world need to be redesigned to ensure high-quality care is delivered to all patients. This redesign needs to ensure care is knowledge-based, patient-centered and systems-minded. The rapid advances in the capabilities of information and communication technology and its recent rapid adoption in healthcare delivery have ensured this technology will play a vital role in the redesign of the healthcare delivery system. This commentary highlights promising new developments in health information technology (IT) that can support patient engagement and self-management as well as team-based, patient-centered care. Collaborative care is an effective approach to screen and treat depression in cancer patients and it is a good example of the benefits of team-based and patient-centered care. However, this approach was developed prior to the widespread adoption and use of health IT. We provide examples to illustrate how health IT can improve prevention and treatment of depression in cancer patients. We found several knowledge gaps that limit our ability to realize the full potential of health IT in the context of cancer and comorbid depression care. These gaps need to be filled to improve patient engagement; enhance the reach and effectiveness of collaborative care and web-based programs to prevent and treat depression in cancer patients. We also identify knowledge gaps in health IT design and implementation. Filling these gaps will help shape policies that enable clinical teams to deliver high-quality cancer care globally.",RAYYAN-LABELS: High Focus,10.1016/j.hlpt.2016.08.001,"",28948138,PMC5609681
rayyan-1115027908,A bio-medical informatics perspective on human factors: how human factors influence adoption of healthcare information technology.,2010,,,Yearbook of medical informatics,2364-0502 (Electronic),,,21-4,Meyer R,https://pubmed.ncbi.nlm.nih.gov/20938565/,eng,,Germany,"OBJECTIVES: To select and summarize excellent research papers published in 2009 in the field of human factors in bio-medical informatics. METHODS: We attempt to derive a synthetic overview of the activity and new trends in this field, from a selection of research papers published in 2009. RESULTS: It is possible to identify commonalities in this diverse domain: healthcare information technologies (HIT) adoption still occupies a central role in the field with research focused mainly on measuring impact and influence of this adoption. CONCLUSION: The HIT community is giving birth to interdisciplinary research and clear methods to optimize implementation and subsequent achievement of managerial objectives. It also tries to synthesize the major findings in workshops, meetings and networks. The best paper selection of articles on human factors shows examples of excellent research on methods concerning original options to assess the importance of healthcare personnel psycho-sociology when confronted to the adoption of new tools and process which still does not prevent failures but will help learning from them.",RAYYAN-LABELS: Some Focus,,"Awards and Prizes;Diffusion of Innovation;Electronic Health Records/statistics & numerical data;*Ergonomics;Humans;*Medical Informatics;Societies, Medical",20938565,
rayyan-1115027909,Environmental factors and health information technology management strategy.,2011,7,,Health care management review,1550-5030 (Electronic),36,3,275-85,Menachemi N and Shin DY and Ford EW and Yu F,https://pubmed.ncbi.nlm.nih.gov/21646886/,eng,,United States,"BACKGROUND: : Previous studies have provided theoretical and empirical evidence that environmental forces influence hospital strategy. PURPOSES: : Rooted in resource dependence theory and the information uncertainty perspective, this study examined the relationship between environmental market characteristics and hospitals' selection of a health information technology (HIT) management strategy. METHODOLOGY/APPROACH: : A cross-sectional design is used to analyze secondary data from the American Hospital Association Annual Survey, the Healthcare Information and Management Systems Society Analytics Database, and the Area Resource File. Univariate and multinomial logistic regression analyses are used. FINDINGS: : Overall, 3,221 hospitals were studied, of which 60.9% pursed a single-vendor HIT management strategy, 28.9% pursued a best-of-suite strategy, and 10.2% used a best-of-breed strategy. Multivariate analyses controlling for hospital characteristics found that measures of environmental factors representing munificence, dynamism, and/or complexity were systematically associated with various hospital HIT management strategy use. Specifically, the number of generalist physicians per capita was positively associated with the single-vendor strategy (B = -5.64, p = .10). Hospitals in urban markets were more likely to pursue the best-of-suite strategy (B = 0.622, p < .001). Dynamism, measured as the number of managed care contracts for a given hospital, was negatively associated with the single-vendor strategy (B = 0.004, p = .049). Lastly, complexity, measured as market competition, was positively associated with the best-of-breed strategy (B = 0.623, p = .042). PRACTICE IMPLICATIONS: : By and large, environmental factors are associated with hospital HIT management strategies in mostly theoretically supported ways. Hospital leaders and policy makers interested in influencing the adoption of hospital HIT should consider how market conditions influence HIT management decisions as part of programs to promote meaningful use.",RAYYAN-LABELS: High Focus,10.1097/HMR.0b013e3182048e7e,American Hospital Association;Benchmarking;Commerce/organization & administration;Cross-Sectional Studies;Health Care Sector/*organization & administration;Health Services Needs and Demand/organization & administration;Hospital Administration/*methods;*Hospital Information Systems/economics/statistics & numerical data;Medical Informatics/*organization & administration/*statistics & numerical data;Multivariate Analysis;Organizational Innovation;Physicians;Population Surveillance;United States,21646886,
rayyan-1115027910,Using Technology Adoption Theory and a Lifespan Approach to Develop a Theoretical Framework for eHealth Literacy: Extending UTAUT.,2020,11,,Health communication,1532-7027 (Electronic),35,12,1435-1446,Magsamen-Conrad K and Wang F and Tetteh D and Lee YI,https://pubmed.ncbi.nlm.nih.gov/31328567/,eng,,England,"Advancements in health information technology (HealthIT) and the electronic exchanges of health information have ""revolutionized"" health systems in the US. However, adopting technological developments into the healthcare system has the potential to benefit populations with more resources, further exacerbating health status disparities. Efficacious utilization of HealthIT requires eHealth literacy. Although eHealth literacy is comprised of six factors, new research indicates that the components related to technology literacy may be more impactful in eHealth literacy among certain populations (e.g., older populations who shoulder a greater illness-management burden). Recognizing the importance of technology literacy in eHealth literacy across the lifespan, we investigate generational differences in New Communication Technology (NCT) use and eHealth literacy, especially considering how NCT adoption theory might systematically inform scholars' understanding of eHealth literacy. Participants included 525 adults primarily in the Midwestern United States. We found significant differences between generational groups across all variables. We found that UTAUT determinants such as performance expectancy and effort expectancy explained 38% of the variance in eHealth literacy, controlling for age, sex, level of education, and prior online health information seeking. Finally, we engaged with early critiques of UTAUT, finding that when applying UTAUT in voluntary (vs. mandatory) contexts, scholars should reconsider variables previously dismissed, such as attitude. In doing this, we extend UTAUT in three ways: new contexts (voluntary NCT adoption), endogenous theoretical mechanisms (eHealth literacy), and exogenous variables (attitude; lifespan). These findings underscore a need for a targeted approach to improve eHealth literacy and health self-management across generations.",RAYYAN-LABELS: Some Focus,10.1080/10410236.2019.1641395,Adult;*Health Literacy;Humans;Internet;Longevity;Midwestern United States;Surveys and Questionnaires;Technology;*Telemedicine,31328567,
rayyan-1115027911,"Peers, regulators, and professions: the influence of organizations in health information technology adoption.",2010,11,13,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2010,,86-90,Campion TR and Gadd CS,https://pubmed.ncbi.nlm.nih.gov/21346946/,eng,,United States,"According to the U.S. National Research Council, current health information technology (HIT) efforts are insufficient and arguably detrimental to healthcare transformation. Many hospitals have already implemented HIT, and federal stimulus funding will further adoption efforts. Organizations become more similar through the adoption of innovations like HIT, but the effects of the changes do not necessarily improve efficiency. This view from sociology and organizational studies, called institutional isomorphism, suggests that organizations pursue changes endorsed by peers, regulators, and professional societies through mimetic, coercive, and normative mechanisms, respectively, that improve legitimacy, a socially constructed value that determines an organization's ability to obtain resources and survive. In this paper we examine mimetic, coercive, and normative influences in the adoption of three HIT innovations as well as evidence of resulting inefficiency. Institutional isomorphism provides a useful framework for researchers and practitioners to examine variation in HIT adoption.",RAYYAN-LABELS: High Focus,,*Delivery of Health Care;Humans;*Medical Informatics;United States,21346946,PMC3041341
rayyan-1115027913,Profiles of eHealth Adoption in Persons with Multiple Sclerosis and Their Caregivers.,2021,8,19,Brain sciences,2076-3425 (Print),11,8,,Haase R and Voigt I and Scholz M and Schlieter H and Benedict M and Susky M and Dillenseger A and Ziemssen T,https://pubmed.ncbi.nlm.nih.gov/34439706/,eng,,Switzerland,"(1) Background: Persons with multiple sclerosis (pwMS) are often characterized as ideal adopters of new digital healthcare trends, but it is worth thinking about whether and which pwMS will be targeted and served by a particular eHealth service like a patient portal. With our study, we wanted to explore needs and barriers for subgroups of pwMS and their caregivers when interacting with eHealth services in care and daily living. (2) Methods: This study comprises results from two surveys: one collecting data from pwMS and their relatives (as informal caregivers) and another one providing information on the opinions and attitudes of healthcare professionals (HCPs). Data were analyzed descriptively and via generalized linear models. (3) Results: 185 pwMS, 25 informal caregivers, and 24 HCPs in the field of MS participated. Nine out of ten pwMS used information technology on a daily base. Individual impairments like in vision and cognition resulted in individual needs like the desire to actively monitor their disease course or communicate with their physician in person. HCPs reported that a complete medication overview, additional medication information, overview of future visits and a reminder of medication intake would be very helpful eHealth features for pwMS, while they themselves preferred features organizing and enriching future visits. (4) Conclusions: A closer look at the various profiles of eHealth adoption in pwMS and their caregivers indicated that there is a broad and robust enthusiasm across several subgroups that does not exclude anyone in general, but constitutes specific areas of interest. For pwMS, the focus was on eHealth services that connect previously collected information and make them easily accessible and understandable.",RAYYAN-LABELS: Some Focus,10.3390/brainsci11081087,"",34439706,PMC8392753
rayyan-1115027914,Factors of adoption of mobile information technology by homecare nurses: a technology acceptance model 2 approach.,2010,1,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),28,1,49-56,Zhang H and Cocosila M and Archer N,https://pubmed.ncbi.nlm.nih.gov/19940621/,eng,,United States,"Pervasive healthcare support through mobile information technology solutions is playing an increasing role in the attempt to improve healthcare and reduce costs. Despite the apparent attractiveness, many mobile applications have failed or have not been implemented as predicted. Among factors possibly leading to such outcomes, technology adoption is a key problem. This must be investigated early in the development process because healthcare is a particularly sensitive area with vital social implications. Moreover, it is important to investigate technology acceptance using the support of scientific tools validated for relevant information systems research. This article presents an empirical study based on the Technology Acceptance Model 2 in mobile homecare nursing. The study elicited the perceptions of 91 Canadian nurses who used personal digital assistants for 1 month in their daily activities. A partial least squares modeling data analysis revealed that nurse's perception of usefulness is the main factor in the adoption of mobile technology, having subjective norm and image within the organization as significant antecedents. Overall, this study was the first attempt at investigating scientifically, through a pertinent information systems research model, user adoption of mobile systems by homecare nursing personnel.",RAYYAN-LABELS: High Focus,10.1097/NCN.0b013e3181c0474a,"*Attitude of Health Personnel;*Diffusion of Innovation;*Home Care Services;Information Services/*organization & administration;Models, Theoretical;*Nurses;Workforce",19940621,
rayyan-1115027916,How to Improve Information Technology to Support Healthcare to Address the COVID-19 Pandemic: an International Survey with Health Informatics Experts.,2021,8,,Yearbook of medical informatics,2364-0502 (Electronic),30,1,61-68,Topaz M and Peltonen LM and Mitchell J and Alhuwail D and Barakati SS and Lewis A and Moen H and Veeranki SPK and Block L and Risling T and Ronquillo C,https://pubmed.ncbi.nlm.nih.gov/33882605/,eng,,Germany,"OBJECTIVES: To identify the ways in which healthcare information and communication technologies can be improved to address the challenges raised by the COVID-19 pandemic. METHODS: The study population included health informatics experts who had been involved with the planning, development and deployment of healthcare information and communication technologies in healthcare settings in response to the challenges presented by the COVID-19 pandemic. Data were collected via an online survey. A non-probability convenience sampling strategy was employed. Data were analyzed with content analysis. RESULTS: A total of 65 participants from 16 countries responded to the conducted survey. The four major themes regarding recommended improvements identified from the content analysis included: improved technology availability, improved interoperability, intuitive user interfaces and adoption of standards of care. Respondents also identified several key healthcare information and communication technologies that can help to provide better healthcare to patients during the COVID-19 pandemic, including telehealth, advanced software, electronic health records, remote work technologies (e.g., remote desktop computer access), and clinical decision support tools. CONCLUSIONS: Our results help to identify several important healthcare information and communication technologies, recommended by health informatics experts, which can help to provide better care to patients during the COVID-19 pandemic. The results also highlight the need for improved interoperability, intuitive user interfaces and advocating the adoption of standards of care.",RAYYAN-LABELS: High Focus,10.1055/s-0041-1726491,*COVID-19;Health Information Interoperability;Humans;*Information Technology;Internationality;*Medical Informatics;*Medical Informatics Applications;Software;Surveys and Questionnaires;Telemedicine,33882605,PMC8416206
rayyan-1115027917,"Toward System-Wide Implementation of Patient-Reported Outcome Measures: A Framework for Countries, States, and Regions.",2022,9,,Value in health : the journal of the International Society for Pharmacoeconomics           and Outcomes Research,1524-4733 (Electronic),25,9,1539-1547,Ernst SK and Steinbeck V and Busse R and Pross C,https://pubmed.ncbi.nlm.nih.gov/35610145/,eng,,United States,"OBJECTIVES: This study aimed to develop a framework facilitating (1) the maturity assessment of healthcare systems regarding patient-reported outcome measure (PROM) implementation and (2) the comparison of different healthcare systems' PROM implementation levels to guide discussions and derive lessons for regional, state-level, and national PROM initiatives. METHODS: Guided by the grounded theory methodology, a PROM healthcare system implementation framework was developed following multiple steps. Based on interviews with 28 experts from 12 countries and a literature review, a framework was drafted and refined through 29 additional validation interviews. RESULTS: The resulting framework comprises 5 implementation stages along 7 dimensions. Implementation stages range from ""first experimentation"" to ""system-wide adoption and a vibrant ecosystem."" The dimensions are grouped into patient-reported outcome (PRO) measurement and PRO utilization, the former with the dimensions ""scope and condition coverage,"" ""metric and process standardization,"" and ""tools and information technology-based solutions"" and the latter with ""patient empowerment and clinical decision support,"" ""reporting and quality improvement,"" and ""rewarding and contracting."" The ""culture and stakeholder involvement"" dimension connects both groups. Although a concerted implementation approach across dimensions can be observed in advanced countries, others show a more uneven adoption. CONCLUSIONS: The framework and its preliminary application to different healthcare systems demonstrate (1) the importance of coherent progress across complementing dimensions and (2) the relevance of PROM integration across clinical specialties and care sectors to strengthen patient-centered care. Overall, the framework can facilitate dialogues between stakeholders to analyze the current PROM implementation status and strategies to advance it.",RAYYAN-LABELS: Some Focus,10.1016/j.jval.2022.04.1724,Data Collection;Delivery of Health Care;*Ecosystem;Humans;Patient Reported Outcome Measures;*Quality Improvement,35610145,
rayyan-1115027918,Predicting the impact of hospital health information technology adoption on patient satisfaction.,2012,10,,Artificial intelligence in medicine,1873-2860 (Electronic),56,2,123-35,Roham M and Gabrielyan AR and Archer NP,https://pubmed.ncbi.nlm.nih.gov/22964161/,eng,,Netherlands,"OBJECTIVES: To develop and explore the predictability of patient perceptions of satisfaction through the hospital adoption of health information technology (HIT), leading to a better understanding of the benefits of increased HIT investment. DATA AND METHODS: The solution proposed is based on comparing the predictive capability of artificial neural networks (ANNs) with the adaptive neuro-fuzzy inference system (ANFIS). The latter integrates artificial neural networks and fuzzy logic and can handle certain complex problems that include fuzziness in human perception, and non-normal and non-linear data. Secondary data from two surveys were combined to develop the model. Hospital HIT adoption capability and use indicators in the Canadian province of Ontario were used as inputs, while patient satisfaction indicators of healthcare services in acute hospitals were used as outputs. RESULTS: Eight different types of models were trained and tested for each of four patient satisfaction dimensions. The accuracy of each predictive model was evaluated through statistical performance measures, including root mean square error (RMSE), and adjusted coefficient of determination R(2)(Adjusted). For all four patient satisfaction indicators, the performance of ANFIS was found to be more effective (R(Adjusted)(2)=0.99) when compared with the results of ANN modeling in predicting the impact of HIT adoption on patient satisfaction (R(Adjusted)(2)=0.86-0.88). CONCLUSIONS: The impact of HIT adoption on patient satisfaction was obtained for different HIT adoption scenarios using ANFIS simulations. The results through simulation scenarios revealed that full implementation of HIT in hospitals can lead to significant improvement in patient satisfaction. We conclude that the proposed ANFIS modeling technique can be used as a decision support mechanism to assist government and policy makers in predicting patient satisfaction resulting from the implementation of HIT in hospitals.",RAYYAN-LABELS: Some Focus,10.1016/j.artmed.2012.08.001,"Fuzzy Logic;Humans;*Medical Informatics;Models, Theoretical;Neural Networks, Computer;Ontario;*Patient Satisfaction",22964161,
rayyan-1115027919,Nurses' experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran.,2020,9,21,BMC medical informatics and decision making,1472-6947 (Electronic),20,1,240,Farokhzadian J and Khajouei R and Hasman A and Ahmadian L,https://pubmed.ncbi.nlm.nih.gov/32958042/,eng,,England,"BACKGROUND: Information technology (IT) plays an important role in nursing practice. Hence, nurses' experiences and viewpoints about IT integration into healthcare help improve nurses' adoption of IT. This study aimed to explore the nurses' experiences and viewpoints about the benefits of IT integration and adoption in healthcare. METHODS: This study was conducted with a qualitative research approach. Participants included 14 nurses from four hospitals affiliated to a large medical university in Iran, who were selected using a purposive sampling method. Data were collected through semi-structured interviews and analyzed using the conventional content analysis of Lundman and Graneheim. RESULTS: Six categories in the study reflected the nurses' experiences and viewpoints about the benefits of integrating IT into health care. These categories included improving the quality and efficiency of medical services and care, facilitating the communication management in the technological environment, improving information documentation, management, and monitoring, improving resource management, improving management performance and policymaking, and facilitating pathways of organizational and professional growth. CONCLUSIONS: Lessons learned in this study can help overcoming the barriers of IT adoption, and developing appropriate strategies to familiarize nurses with the benefits of IT in healthcare settings. Healthcare managers are recommended to investigate the experiences of nurses with IT in their hospitals and organize courses to orient hesitant nurses toward adopting IT.",RAYYAN-LABELS: High Focus,10.1186/s12911-020-01260-5,*Delivery of Health Care;Hospitals;Humans;*Information Technology;Iran;Qualitative Research,32958042,PMC7507818
rayyan-1115027920,E-health: potential benefits and challenges in providing and accessing sexual health services.,2013,8,30,BMC public health,1471-2458 (Electronic),13,,790,Minichiello V and Rahman S and Dune T and Scott J and Dowsett G,https://pubmed.ncbi.nlm.nih.gov/23987137/,eng,,England,"BACKGROUND: E-health has become a burgeoning field in which health professionals and health consumers create and seek information. E-health refers to internet-based health care and information delivery and seeks to improve health service locally, regionally and worldwide. E-sexual health presents new opportunities to provide online sexual health services irrespective of gender, age, sexual orientation and location. DISCUSSION: The paper used the dimensions of the RE-AIM model (reach, efficacy, adoption, implementation and maintenance) as a guiding principle to discuss potentials of E-health in providing and accessing sexual health services. There are important issues in relation to utilising and providing online sexual health services. For healthcare providers, e-health can act as an opportunity to enhance their clients' sexual health care by facilitating communication with full privacy and confidentiality, reducing administrative costs and improving efficiency and flexibility as well as market sexual health services and products. Sexual health is one of the common health topics which both younger and older people explore on the internet and they increasingly prefer sexual health education to be interactive, non-discriminate and anonymous. This commentary presents and discusses the benefits of e-sexual health and provides recommendations towards addressing some of the emerging challenges. FUTURE DIRECTIONS: The provision of sexual health services can be enhanced through E-health technology. Doing this can empower consumers to engage with information technology to enhance their sexual health knowledge and quality of life and address some of the stigma associated with diversity in sexualities and sexual health experiences. In addition, e-sexual health may better support and enhance the relationship between consumers and their health care providers across different locations. However, a systematic and focused approach to research and the application of findings in policy and practice is required to ensure that E-health benefits all population groups and the information is current and clinically valid and effective, including preventative approaches for various client groups with diverse needs.",RAYYAN-LABELS: High Focus,10.1186/1471-2458-13-790,Australia;Communication Barriers;*Health Services Accessibility;Humans;Information Dissemination;*Internet;Public Health;*Reproductive Health;Rural Population;Sexual Behavior;Urban Population,23987137,PMC3844360
rayyan-1115027921,Mobile technology in health (mHealth) and antenatal care-Searching for apps and available solutions: A systematic review.,2019,7,,International journal of medical informatics,1872-8243 (Electronic),127,,1-8,Haddad SM and Souza RT and Cecatti JG,https://pubmed.ncbi.nlm.nih.gov/31128820/,eng,,Ireland,"BACKGROUND: Medical Information Technology may be understood as an interdisciplinary study of the conception, design, development, adoption and use of Information Technology (IT) innovations for healthcare provision, management and planning. Concerning the use of IT in reproductive health, the aim of the diverse range of currently available applications (apps) is to assist in family planning, antenatal, intrapartum and postpartum care, along with neonatal and infant healthcare. End users are healthcare workers or women. Studies evaluating the effectiveness of these solutions have demonstrated promising results reflecting adherence to healthcare services and recommendations, information on management and risk identification in pregnancy, improvement in women's satisfaction with healthcare received, in addition to financial benefits for the healthcare system. OBJECTIVE: The aim of the present review was to identify main apps and software that are currently available in mHealth, designed for use by health professionals during antenatal care. METHODS: A systematic review of the literature was conducted through a search for digital health solutions (mhealth/ehealth), apps and/or software, in publications after 2014, during antenatal care provision, in the Pubmed/Medline, Google Scholar databases and Google Play platform. Furthermore, relevant publications cited in bibliographic references of articles selected and unconventional sources (grey literature) were evaluated. Inclusion criteria for analysis of publications or tools were title or abstract descriptions of the following functions: use by health professionals during antenatal care provision, patient electronic record, integration of the app connecting the pregnant woman to the healthcare professional, clinical decision support system and use of mobile technology. The most recent article of duplicated information on apps or mobile health solutions was considered. Systematic review protocol (number CRD42017080501) was registered on PROSPERO in 2017. RESULTS: A search in the Pubmed/Medline database produced 235 results between Jan 2014 and June 2018, 7840 publications in the Google Scholar database; 422 apps in Google Play. The first review of article abstracts and/or descriptors of products available resulted in the exclusion of 8483 sources of data, remaining 14 apps for detailed analysis. Of these, 5 were excluded for failing to meet inclusion criteria or lack of clarity or availability of sufficient data for inclusion. CONCLUSION: The systematic review demonstrated that it is an arduous task to search for mobile digital solutions that meet the guidelines for clinical use during antenatal care. Although the apps analyzed have great potential for use in different contexts, the bulk of these software systems are unavailable for ""prompt delivery"", since the test version cannot be downloaded or access is restricted.",RAYYAN-LABELS: Some Focus,10.1016/j.ijmedinf.2019.04.008,"Decision Support Systems, Clinical;Electronic Health Records;Female;Health Personnel;Humans;Mobile Applications/standards;Pregnancy;*Telemedicine/methods",31128820,
rayyan-1115027922,Adoption of Speech Recognition Technology in Community Healthcare Nursing.,2016,,,Studies in health technology and informatics,1879-8365 (Electronic),225,,649-53,Al-Masslawi D and Block L and Ronquillo C,https://pubmed.ncbi.nlm.nih.gov/27332294/,eng,,Netherlands,"Adoption of new health information technology is shown to be challenging. However, the degree to which new technology will be adopted can be predicted by measures of usefulness and ease of use. In this work these key determining factors are focused on for design of a wound documentation tool. In the context of wound care at home, consistent with evidence in the literature from similar settings, use of Speech Recognition Technology (SRT) for patient documentation has shown promise. To achieve a user-centred design, the results from a conducted ethnographic fieldwork are used to inform SRT features; furthermore, exploratory prototyping is used to collect feedback about the wound documentation tool from home care nurses. During this study, measures developed for healthcare applications of the Technology Acceptance Model will be used, to identify SRT features that improve usefulness (e.g. increased accuracy, saving time) or ease of use (e.g. lowering mental/physical effort, easy to remember tasks). The identified features will be used to create a low fidelity prototype that will be evaluated in future experiments.",RAYYAN-LABELS: Some Focus,,"Attitude of Health Personnel;Canada;Community Health Nursing/*statistics & numerical data;Humans;Information Storage and Retrieval/*statistics & numerical data;Nurses, Community Health/*statistics & numerical data;Nursing Records/*statistics & numerical data;Practice Patterns, Nurses'/statistics & numerical data;Speech Recognition Software/*statistics & numerical data;Technology Assessment, Biomedical/methods;Utilization Review;Wounds and Injuries/*nursing",27332294,
rayyan-1115027923,Use of information and communication technologies (ICTs) in cancer multidisciplinary team meetings: an explorative study based on EU healthcare professionals.,2022,10,6,BMJ open,2044-6055 (Electronic),12,10,e051181,Prades J and Coll-Ortega C and Dal Lago L and Goffin K and Javor E and Lombardo C and de Munter J and Ponce J and Regge D and Salazar R and Valentini V and Borras JM,https://pubmed.ncbi.nlm.nih.gov/36202578/,eng,,England,"OBJECTIVES: Multidisciplinary teams in cancer care are increasingly using information and communication technology (ICT), hospital health information system (HIS) functionalities and ICT-driven care components. We aimed to explore the use of these tools in multidisciplinary team meetings (MTMs) and to identify the critical challenges posed by their adoption based on the perspective of professionals representatives from European scientific societies. DESIGN: This qualitative study used discussion of cases and focus group technique to generate data. Thematic analysis was applied. SETTING: Healthcare professionals working in a multidisciplinary cancer care environment. PARTICIPANTS: Selection of informants was carried out by European scientific societies in accordance with professionals' degree of experience in adopting the implementation of ICT and from different health systems. RESULTS: Professionals representatives of 9 European scientific societies were involved. Up to 10 ICTs, HIS functionalities and care components are embedded in the informational and decision-making processes along three stages of MTMs. ICTs play a key role in opening MTMs to other institutions (eg, by means of molecular tumour boards) and information types (eg, patient-reported outcome measures), and in contributing to the internal efficiency of teams. While ICTs and care components have their own challenges, the information technology context is characterised by the massive generation of unstructured data, the lack of interoperability between systems from different hospitals and HIS that are conceived to store and classify information rather than to work with it. CONCLUSIONS: The emergence of an MTM model that is better integrated in the wider health system context and incorporates inputs from patients and support systems make traditional meetings more dynamic and interconnected. Although these changes signal a second transition in the development process of multidisciplinary teams, they occur in a context marked by clear gaps between the information and management needs of MTMs and the adequacy of current HIS.",RAYYAN-LABELS: Some Focus,10.1136/bmjopen-2021-051181,Communication;Delivery of Health Care;Humans;*Information Technology;*Neoplasms/therapy;Patient Care Team,36202578,PMC9540836
rayyan-1115027924,Digital Leadership: Attributes of Modern Healthcare Leaders.,2022,2,,Cureus,2168-8184 (Print),14,2,e21969,Alanazi AT,https://pubmed.ncbi.nlm.nih.gov/35282530/,eng,,United States,"Background Living in the current digital era requires widespread adoption of information technology in the modern healthcare industry. Objective The current research aimed to study key attributes and behaviors related to successful leaders' need to achieve the vision and ensure successful health IT adoption. Methods A Delphi technique with three rounds was employed and guided by structured questions. Part of the study was conducted online due to COVID-19 guidelines on distancing norms and lockdown in some areas. The answers of the participants were evaluated on a five-point Likert scale. Results The findings showed that similar leadership qualities are required in the healthcare sector as well as other sectors. For digital innovations in the rapidly changing healthcare space, leaders need to play a more proactive role, be visionary and dynamic, and should lead by example to take the organization to the next level. Conclusions Leaders need to come out of their comfort zone, understand the fast-evolving scenario where outstanding leadership qualities are essential to prove their mettle, outshine others, and create a strong foundation for the adoption of modern, efficient, customized digital technology in the fast-growing healthcare sector.",RAYYAN-LABELS: Some Focus,10.7759/cureus.21969,"",35282530,PMC8906562
rayyan-1115027925,"Adoption of information technology in primary care physician offices in New Zealand and Denmark, part 1: healthcare system comparisons.",2008,,,Informatics in primary care,1476-0320 (Print),16,3,183-7,Protti D and Bowden T and Johansen I,https://pubmed.ncbi.nlm.nih.gov/19094404/,eng,,England,"Denmark and New Zealand are two small countries whose primary care physicians are at the forefront of the use of electronic medical records (EMRs). This is the first of a series of five papers which contrasts the health care systems in Denmark and New Zealand. Though the delivery of care at the patient level is virtually the same in New Zealand and Denmark the way in which the health care is financed, administered and managed does vary. This paper highlights the differences, particularly in terms of the approaches taken to primary care and out-of-office-hours services.",RAYYAN-LABELS: Some Focus,10.14236/jhi.v16i3.692,"*Delivery of Health Care;Denmark;*Diffusion of Innovation;Medical Records Systems, Computerized/*statistics & numerical data;New Zealand;*Physicians' Offices;*Primary Health Care",19094404,
rayyan-1115027926,"Toward clinical digital phenotyping: a timely opportunity to consider purpose, quality, and safety.",2019,,,NPJ digital medicine,2398-6352 (Electronic),2,,88,Huckvale K and Venkatesh S and Christensen H,https://pubmed.ncbi.nlm.nih.gov/31508498/,eng,,England,"The use of data generated passively by personal electronic devices, such as smartphones, to measure human function in health and disease has generated significant research interest. Particularly in psychiatry, objective, continuous quantitation using patients' own devices may result in clinically useful markers that can be used to refine diagnostic processes, tailor treatment choices, improve condition monitoring for actionable outcomes, such as early signs of relapse, and develop new intervention models. If a principal goal for digital phenotyping is clinical improvement, research needs to attend now to factors that will help or hinder future clinical adoption. We identify four opportunities for research directed toward this goal: exploring intermediate outcomes and underlying disease mechanisms; focusing on purposes that are likely to be used in clinical practice; anticipating quality and safety barriers to adoption; and exploring the potential for digital personalized medicine arising from the integration of digital phenotyping and digital interventions. Clinical relevance also means explicitly addressing consumer needs, preferences, and acceptability as the ultimate users of digital phenotyping interventions. There is a risk that, without such considerations, the potential benefits of digital phenotyping are delayed or not realized because approaches that are feasible for application in healthcare, and the evidence required to support clinical commissioning, are not developed. Practical steps to accelerate this research agenda include the further development of digital phenotyping technology platforms focusing on scalability and equity, establishing shared data repositories and common data standards, and fostering multidisciplinary collaborations between clinical stakeholders (including patients), computer scientists, and researchers.",RAYYAN-LABELS: Some Focus,10.1038/s41746-019-0166-1,"",31508498,PMC6731256
rayyan-1115027927,Brief review: Adoption of electronic medical records to enhance acute pain management.,2014,2,,Canadian journal of anaesthesia = Journal canadien d'anesthesie,1496-8975 (Electronic),61,2,164-79,Goldstein DH and Phelan R and Wilson R and Ross-White A and VanDenKerkhof EG and Penning JP and Jaeger M,https://pubmed.ncbi.nlm.nih.gov/24233770/,eng,,United States,"PURPOSE: The purpose of this paper is to examine physician barriers to adopting electronic medical records (EMRs) as well as anesthesiologists' experiences with the EMRs used by the acute pain management service at two tertiary care centres in Canada. SOURCE: We first review the recent literature to determine if physician barriers to adoption are changing given the exponential growth of information technology and the evolving healthcare environment. We next report on institutional experience from two academic health sciences centres regarding the challenges they encountered over the past ten years in developing and implementing an electronic medical record system for acute pain management. PRINCIPAL FINDINGS: The key identified barriers to adoption of EMRs are financial, technological, and time constraints. These barriers are identical to those reported in a systematic review performed prior to 2009 and remain significant factors challenging implementation. These challenges were encountered during our institution's process of adopting EMRs specific to acute pain management. In addition, our findings emphasize the importance of physician participation in the development and implementation stages of EMRs in order to incorporate their feedback and ensure the EMR system is in keeping with their workflow. CONCLUSIONS: Use of EMRs will inevitably become the standard of care; however, many barriers persist to impede their implementation and adoption. These challenges to implementation can be facilitated by a corporate strategy for change that acknowledges the barriers and provides the resources for implementation. Adoption will facilitate benefits in communication, patient management, research, and improved patient safety.",RAYYAN-LABELS: High Focus,10.1007/s12630-013-0069-6,Acute Pain/*therapy;Anesthesiology/*methods;Canada;Diffusion of Innovation;*Electronic Health Records;Humans;Physicians/organization & administration;Tertiary Care Centers;Workflow,24233770,
rayyan-1115027930,The Relationship between Health Information Technology Laboratory Tracking Systems and Hospital Financial Performance and Quality.,2019,7,,Hospital topics,1939-9278 (Electronic),97,3,99-106,Zhao M and Hamadi H and Rob Haley D and White-Williams C and Liu X and Spaulding A,https://pubmed.ncbi.nlm.nih.gov/31166151/,eng,,United States,"The objective of this study is to explore the relationship between hospitals Health Information Technology (HIT), and financial and quality performance. The study merged the 2017 Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Report Information System, American Hospital Association Annual Survey, and two CMS Hospital Compare datasets. A total of 3002 hospitals were analyzed using multivariate analysis. We found that hospitals with laboratory tracking systems reported better financial performance on five financial performance measures. Policymakers should consider developing policies that facilitate exploration and adoption of various hospital HIT capabilities that measurably improves hospital quality of care.",RAYYAN-LABELS: High Focus,10.1080/00185868.2019.1623735,"Clinical Laboratory Techniques/economics/*methods/statistics & numerical data;Health Care Costs/statistics & numerical data;Humans;Laboratories/*economics/standards/statistics & numerical data;Medicaid/statistics & numerical data;Medical Informatics/methods/*standards;Medicare/statistics & numerical data;Patient Identification Systems/economics/*methods/standards;Quality Indicators, Health Care;Regression Analysis;United States",31166151,
rayyan-1115027931,Improving Evaluation to Address the Unintended Consequences of Health Information Technology:. a Position Paper from the Working Group on Technology Assessment & Quality Development.,2016,11,10,Yearbook of medical informatics,2364-0502 (Electronic),,1,61-69,Magrabi F and Ammenwerth E and Hyppönen H and de Keizer N and Nykänen P and Rigby M and Scott P and Talmon J and Georgiou A,https://pubmed.ncbi.nlm.nih.gov/27830232/,eng,,Germany,"BACKGROUND AND OBJECTIVES: With growing use of IT by healthcare professionals and patients, the opportunity for any unintended effects of technology to disrupt care health processes and outcomes is intensified. The objectives of this position paper by the IMIA Working Group (WG) on Technology Assessment and Quality Development are to highlight how our ongoing initiatives to enhance evaluation are also addressing the unintended consequences of health IT. METHODS: Review of WG initiatives Results: We argue that an evidence-based approach underpinned by rigorous evaluation is fundamental to the safe and effective use of IT, and for detecting and addressing its unintended consequences in a timely manner. We provide an overview of our ongoing initiatives to strengthen study design, execution and reporting by using evaluation frameworks and guidelines which can enable better characterization and monitoring of unintended consequences, including the Good Evaluation Practice Guideline in Health Informatics (GEP-HI) and the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI). Indicators to benchmark the adoption and impact of IT can similarly be used to monitor unintended effects on healthcare structures, processes and outcome. We have also developed EvalDB, a web-based database of evaluation studies to promulgate evidence about unintended effects and are developing the content for courses to improve training in health IT evaluation. CONCLUSION: Evaluation is an essential ingredient for the effective use of IT to improve healthcare quality and patient safety. WG resources and skills development initiatives can facilitate a proactive and evidence-based approach to detecting and addressing the unintended effects of health IT.",RAYYAN-LABELS: Some Focus,10.15265/IY-2016-013,"Humans;*Medical Informatics/education;Organizational Policy;Patient Safety;Societies, Medical;Technology Assessment, Biomedical/methods/*standards;*Telemedicine",27830232,PMC5171579
rayyan-1115027932,Health Outcomes and Healthcare Efficiencies Associated with the Use of Electronic Health Records in Hospital Emergency Departments: a Systematic Review.,2020,10,19,Journal of medical systems,1573-689X (Electronic),44,12,200,Mullins A and O'Donnell R and Mousa M and Rankin D and Ben-Meir M and Boyd-Skinner C and Skouteris H,https://pubmed.ncbi.nlm.nih.gov/33078276/,eng,,United States,"Healthcare organisations and governments have invested heavily in electronic health records in anticipation that they will deliver improved health outcomes for consumers and efficiencies across emergency departments. Despite such investment, electronic health records designed to support emergency care have been poorly evaluated. Given the accelerated development and adoption of information technology across healthcare, it is timely that a systematic review of this evidence base is updated in order to drive improvements to design, interoperability and overall clinical utility of electronic health record systems implemented in emergency departments. To assess the impact of electronic health records on healthcare outcomes and efficiencies in the emergency department we carried out a systematic review of published studies on this topic. This is the first review to summarise the cost efficiencies associated with electronic health record use outside of just the United States of America. A systematic search was performed in three scientific databases (MEDLINE, EMcare and EMBASE), of literature published between January 2000 and September 2019. Studies were included in this review if they evaluated electronic health records or health information exchanges (and synonyms for these terms), reported patient outcome and/or healthcare efficiency benefits, were peer-reviewed and published in English. Out of 6635 articles, 23 studies met our inclusion criteria. Wide variation regarding electronic health record access in the emergency department was reported (1.46-56.6%), yet was most frequently reported as less than 20%. Seven different types of health outcomes and three different types of efficiency improvements associated with electronic health record use in the emergency department were identified. The most frequently reported findings were efficiencies, including reductions in diagnostic tests, imaging and costs. This review is the first to report moderate to significant increases in admission rates are associated with electronic health record use in the emergency department, contrasting the findings of previous reviews. Diversity in the methodology employed across the included studies emphasises the need for further research to examine the impact of electronic health record implementation and system design on the findings reported, in order to ensure return on investment for stakeholders and optimised consumer care.",RAYYAN-LABELS: High Focus,10.1007/s10916-020-01660-0,"*Delivery of Health Care;*Electronic Health Records;Emergency Service, Hospital;Hospitals;Humans;Outcome Assessment, Health Care",33078276,
rayyan-1115027933,Technology alignment in the presence of regulatory changes: The case of meaningful use of information technology in healthcare.,2018,2,,International journal of medical informatics,1872-8243 (Electronic),110,,42-51,Nair A and Dreyfus D,https://pubmed.ncbi.nlm.nih.gov/29331254/,eng,,Ireland,"OBJECTIVES: Using the context of the healthcare sector, this study examines the impact of regulatory change on technology implementation and use. Hospitals are now federally mandated to showcase meaningful use of information technology (IT). We theorize that IT plan scope structured prior to a regulatory change by means of a long-term planning horizon, top management involvement, and steering committee engagement impacts organizations' ability to fulfill meaningful use requirements three to five years later. Furthermore, we contend that this impact is contingent on the specific IT adoption strategy. METHODS: Data from the HIMSS and HITECH Act databases were combined to analyze 688 hospitals. Regression analyses were used to test the hypotheses. RESULTS: The results of this longitudinal study show that frequency of steering committee meetings and length of planning horizon broaden IT plan scope. Broader IT plan scope is positively associated with the ability of organizations to meaningfully use IT. CONCLUSIONS: The link between IT plan scope and meaningful use metric is particularly significant for organizations that adopt a more integrated approach towards IT adoption. Average reimbursement amount differences are provided and discussed between the different IT adoption strategies.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2017.11.012,"Databases, Factual;Delivery of Health Care/organization & administration/*standards;Electronic Health Records/*legislation & jurisprudence;Hospitals/*standards;Humans;Information Technology/*legislation & jurisprudence/*standards;Longitudinal Studies;Meaningful Use/*legislation & jurisprudence",29331254,
rayyan-1115027934,The Inpatient Nursing Leadership Perspective of Using Mobile Technology at the Bedside.,2022,11,1,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),40,11,763-768,Giannini RC,https://pubmed.ncbi.nlm.nih.gov/35234701/,eng,,United States,"Introducing technology to support patient care in today's complex healthcare organizations can be innovative yet challenging. Managers are often not included in technology decisions that affect their nursing units, and less often is manager insight into the project taken into consideration. Studies that describe the executive-level role and information technology are helpful but not specific to managers' perspectives. The purpose of this project was to identify the factors related to managers' perceptions about the use of mobile technology at the bedside. Mobile technology includes using smartphones for communication and documentation of patient care. Inpatient nurse managers participated in focus groups; semi-structured interview questions were administered. Nurse managers overwhelmingly indicated they should be involved in technology-related projects that affect their units. Nurse managers have a central role in supporting changes that occur with implementing technology and should be involved at the inception of the innovation. Understanding these associated complex factors is necessary to address issues and promote strategies for the successful implementation of mobile technology. Manager inclusion has far-reaching potential as they can serve as sounding boards and conduits to nursing staff, subsequently promoting engagement and adoption of the technology.",RAYYAN-LABELS: High Focus,10.1097/CIN.0000000000000873,Humans;*Leadership;Inpatients;*Nurse Administrators;Technology;Focus Groups,35234701,
rayyan-1115027935,Innovative use of the integrative review to evaluate evidence of technology transformation in healthcare.,2015,12,,Journal of biomedical informatics,1532-0480 (Electronic),58,,114-121,Phillips AB and Merrill JA,https://pubmed.ncbi.nlm.nih.gov/26429591/,eng,,United States,"Healthcare is in a period significant transformational activity through the accelerated adoption of healthcare technologies, new reimbursement systems that emphasize shared savings and care coordination, and the common place use of mobile technologies by patients, providers, and others. The complexity of healthcare creates barriers to transformational activity and has the potential to inhibit the desired paths toward change envisioned by policymakers. Methods for understanding how change is occurring within this complex environment are important to the evaluation of delivery system reform and the role of technology in healthcare transformation. This study examines the use on an integrative review methodology to evaluate the healthcare literature for evidence of technology transformation in healthcare. The methodology integrates the evaluation of a broad set of literature with an established evaluative framework to develop a more complete understanding of a particular topic. We applied this methodology and the framework of punctuated equilibrium (PEq) to the analysis of the healthcare literature from 2004 to 2012 for evidence of technology transformation, a time during which technology was at the forefront of healthcare policy. The analysis demonstrated that the established PEq framework applied to the literature showed considerable potential for evaluating the progress of policies that encourage healthcare transformation. Significant inhibitors to change were identified through the integrative review and categorized into ten themes that describe the resistant structure of healthcare delivery: variations in the environment; market complexity; regulations; flawed risks and rewards; change theories; barriers; ethical considerations; competition and sustainability; environmental elements, and internal elements. We hypothesize that the resistant nature of the healthcare system described by this study creates barriers to the direct consumer involvement and engagement necessary for transformational change. Future policies should be directed at removing these barriers by demanding and emphasizing open technologies and unrestricted access to data versus as currently prescribed by technology vendors, practitioners, and policies that perpetuate market equilibrium.",RAYYAN-LABELS: High Focus,10.1016/j.jbi.2015.09.014,Delivery of Health Care/*organization & administration;*Information Services,26429591,PMC4684715
rayyan-1115027936,Adoption factors associated with electronic health record among long-term care facilities: a systematic review.,2015,1,28,BMJ open,2044-6055 (Electronic),5,1,e006615,Kruse CS and Mileski M and Alaytsev V and Carol E and Williams A,https://pubmed.ncbi.nlm.nih.gov/25631311/,eng,,England,"OBJECTIVES: The Health Information Technology for Economic and Clinical Health (HITECH) Act created incentives for adopting electronic health records (EHRs) for some healthcare organisations, but long-term care (LTC) facilities are excluded from those incentives. There are realisable benefits of EHR adoption in LTC facilities; however, there is limited research about this topic. The purpose of this systematic literature review is to identify EHR adoption factors for LTC facilities that are ineligible for the HITECH Act incentives. SETTING: We conducted systematic searches of Cumulative Index of Nursing and Allied Health Literature (CINAHL) Complete via Ebson B. Stephens Company (EBSCO Host), Google Scholar and the university library search engine to collect data about EHR adoption factors in LTC facilities since 2009. PARTICIPANTS: Search results were filtered by date range, full text, English language and academic journals (n=22). INTERVENTIONS: Multiple members of the research team read each article to confirm applicability and study conclusions. PRIMARY AND SECONDARY OUTCOME MEASURES: Researchers identified common themes across the literature: specifically facilitators and barriers to adoption of the EHR in LTC. RESULTS: Results identify facilitators and barriers associated with EHR adoption in LTC facilities. The most common facilitators include access to information and error reduction. The most prevalent barriers include initial costs, user perceptions and implementation problems. CONCLUSIONS: Similarities span the system selection phases and implementation process; of those, cost was the most common mentioned. These commonalities should help leaders in LTC facilities align strategic decisions to EHR adoption. This review may be useful for decision-makers attempting successful EHR adoption, policymakers trying to increase adoption rates without expanding incentives and vendors that produce EHRs.",RAYYAN-LABELS: High Focus,10.1136/bmjopen-2014-006615,*Attitude to Computers;*Diffusion of Innovation;*Electronic Health Records;Humans;*Long-Term Care,25631311,PMC4316426
rayyan-1115027937,Framework to Enhance Nurses' Use of EMR.,2018,7,,Hospital topics,1939-9278 (Electronic),96,3,85-93,Parthasarathy R and Steinbach T and Knight J and Knight L,https://pubmed.ncbi.nlm.nih.gov/30277450/,eng,,United States,"The ability of nurses to adopt and successfully use EMR is expected to have a significant impact on achieving benefits such as reduction in healthcare costs and improvement in healthcare quality. A review of the current research literature reveals issues and concerns relating to the adoption and use of EMR by nurses in hospital environments. This article presents a literature review of such issues and concerns, and suggests a framework for enhancing the adoption and use of EMR by nurses and hospitals.",RAYYAN-LABELS: High Focus,10.1080/00185868.2018.1488545,*Attitude of Health Personnel;*Attitude to Computers;Electronic Health Records/*statistics & numerical data;Humans;Nurses/standards/*statistics & numerical data;Surveys and Questionnaires;User-Computer Interface,30277450,
rayyan-1115027939,Factors influencing health information technology adoption in Thailand's community health centers: applying the UTAUT model.,2009,6,,International journal of medical informatics,1872-8243 (Electronic),78,6,404-16,Kijsanayotin B and Pannarunothai S and Speedie SM,https://pubmed.ncbi.nlm.nih.gov/19196548/,eng,,Ireland,"BACKGROUND: One of the most important factors for the success of health information technology (IT) implementation is users' acceptance and use of that technology. Thailand has implemented the national universal healthcare program and has been restructuring the country's health IT system to support it. However, there is no national data available regarding the acceptance and use of health IT in many healthcare facilities, including community health centers (CHCs). This study employed a modified Unified Theory of Acceptance and Use of Technology (UTAUT) structural model, to understand factors that influence health IT adoption in community health centers in Thailand and to validate this extant IT adoption model in a developing country health care context. METHODS: An observational research design was employed to study CHCs' IT adoption and use. A random sample of 1607 regionally stratified CHC's from a total of 9806 CHCs was selected. Data collection was conducted using a cross-sectional survey by means of self-administered questionnaire with an 82% response rate. The research model was applied using the partial least squares (PLS) path modeling. RESULTS: The data showed that people who worked in CHCs exhibited a high degree of IT acceptance and use. The research model analyses suggest that IT acceptance is influenced by performance expectancy, effort expectancy, social influence and voluntariness. Health IT use is predicted by previous IT experiences, intention to use the system, and facilitating conditions. CONCLUSIONS: Health IT is pervasive and well adopted by CHCs in Thailand. The study results have implications for both health IT developmental efforts in Thailand and health informatics research. This study validated the UTAUT model in the field context of a developing country's healthcare system and demonstrated that the PLS path modeling works well in a field study and in exploratory research with a complex model.",RAYYAN-LABELS: Less Focus,10.1016/j.ijmedinf.2008.12.005,Biomedical Technology/organization & administration/statistics & numerical data;Community Health Centers/*statistics & numerical data;Computer Simulation;Public Health Informatics/*organization & administration/*statistics & numerical           data;Thailand,19196548,
rayyan-1115027940,"Impacts of technology implementation on nurses' work motivation, engagement, satisfaction and well-being: A realist review.",2023,9,,Journal of clinical nursing,1365-2702 (Electronic),32,17,6037-6060,Jedwab RM and Manias E and Redley B and Dobroff N and Hutchinson AM,https://pubmed.ncbi.nlm.nih.gov/37082879/,eng,,England,"AIM: To examine current literature for causal explanations on how, why and under what circumstances, implementation of a new hospital electronic medical record system or similar technology impacts nurses' work motivation, engagement, satisfaction or well-being. BACKGROUND: Implementation of new technology, such as electronic medical record systems, affects nurses and their work, workflows and inter-personal interactions in healthcare settings. Multiple individual and organisational-level factors can affect technology adoption by nurses and may have negative consequences for nurses and patient safety. DESIGN: Five-step realist review method and Realist And Meta-narrative Evidence Syntheses: Evolving Standards checklist was used to guide this review. Eight initial theories (programme theories) were used as the basis to explore, examine and refine literature from a range of sources. DATA SOURCES: Literature from five databases (APA PsycInfo, CINAHL, Embase, IEEE Xplore and MEDLINE Complete) and grey literature (from 1 January 2000 to 31 October 2021) were systematically searched and retrieved on 4 November 2021. RESULTS: In all, 8980 records were screened at the title and abstract level, of which 1027 full texts were screened and 10 were included in the review. Seven studies assessed concepts in both pre- and post-technology implementation. Most common contexts related to knowledge, rationale and skills to use new technology. Mechanisms that impacted nurses or nursing care delivery included: nurses' involvement in technology implementation processes; nurses' perceptions, understanding and limitations of technology impact(s) on patient care delivery; social supports; skills; implementation attitude and hardware. Work satisfaction was the most frequently examined outcome. An analysis led to nine final programme theories (including two original, six revised and one new programme theory). CONCLUSION: Nurses must be informed about the rationale for new technology and have the knowledge and skills for its use. Understanding nurses' work motivation and attitudes related to technology adoption in the workplace can support work engagement, satisfaction and well-being. IMPLICATIONS FOR THE PROFESSION: Complex contexts and mechanisms play a role in nurses' work motivation, engagement, satisfaction and well-being with the implementation of new technology into healthcare settings. RELEVANCE TO CLINICAL PRACTICE: Nurses, their work and workflows are all influenced by the implementation of new technologies (such as electronic medical records), which in turn has consequences for patient safety and quality of care. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. PROSPERO REGISTRATION NUMBER: CRD42020131875 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=131875).",RAYYAN-LABELS: Less Focus,10.1111/jocn.16730,Humans;*Motivation;Delivery of Health Care;Workplace;Personal Satisfaction;*Nurses,37082879,
rayyan-1115027941,Health Information Technologies-Academic and Commercial Evaluation (HIT-ACE) methodology: description and application to clinical feedback systems.,2016,9,22,Implementation science : IS,1748-5908 (Electronic),11,1,128,Lyon AR and Lewis CC and Melvin A and Boyd M and Nicodimos S and Liu FF and Jungbluth N,https://pubmed.ncbi.nlm.nih.gov/27659426/,eng,,England,"BACKGROUND: Health information technologies (HIT) have become nearly ubiquitous in the contemporary healthcare landscape, but information about HIT development, functionality, and implementation readiness is frequently siloed. Theory-driven methods of compiling, evaluating, and integrating information from the academic and commercial sectors are necessary to guide stakeholder decision-making surrounding HIT adoption and to develop pragmatic HIT research agendas. This article presents the Health Information Technologies-Academic and Commercial Evaluation (HIT-ACE) methodology, a structured, theory-driven method for compiling and evaluating information from multiple sectors. As an example demonstration of the methodology, we apply HIT-ACE to mental and behavioral health measurement feedback systems (MFS). MFS are a specific class of HIT that support the implementation of routine outcome monitoring, an evidence-based practice. RESULTS: HIT-ACE is guided by theories and frameworks related to user-centered design and implementation science. The methodology involves four phases: (1) coding academic and commercial materials, (2) developer/purveyor interviews, (3) linking putative implementation mechanisms to hit capabilities, and (4) experimental testing of capabilities and mechanisms. In the current demonstration, phase 1 included a systematic process to identify MFS in mental and behavioral health using academic literature and commercial websites. Using user-centered design, implementation science, and feedback frameworks, the HIT-ACE coding system was developed, piloted, and used to review each identified system for the presence of 38 capabilities and 18 additional characteristics via a consensus coding process. Bibliometic data were also collected to examine the representation of the systems in the scientific literature. As an example, results are presented for the application of HIT-ACE phase 1 to MFS wherein 49 separate MFS were identified, reflecting a diverse array of characteristics and capabilities. CONCLUSIONS: Preliminary findings demonstrate the utility of HIT-ACE to represent the scope and diversity of a given class of HIT beyond what can be identified in the academic literature. Phase 2 data collection is expected to confirm and expand the information presented and phases 3 and 4 will provide more nuanced information about the impact of specific HIT capabilities. In all, HIT-ACE is expected to support adoption decisions and additional HIT development and implementation research.",RAYYAN-LABELS: Less Focus,10.1186/s13012-016-0495-2,"",27659426,PMC5034443
rayyan-1115027942,Understanding and Predicting the Adoption of Fitness Mobile Apps: Evidence from China.,2021,7,,Health communication,1532-7027 (Electronic),36,8,950-961,Wei J and Vinnikova A and Lu L and Xu J,https://pubmed.ncbi.nlm.nih.gov/32041437/,eng,,England,"Increasing global interest in diet and fitness mobile applications (apps) has prompted the question: What are the factors affecting users' adoption and usage behaviors on a specific fitness app? By combining the unified theory of acceptance and use of technology (UTAUT) with the health belief model (HBM), and including risk perception of information technology with the farsighted planner and myopic doer from the theory of self-control, we explore the understanding of this academic question. We analyzed data from 8,840 users of Boohee, a diet and fitness app (ranked first in the weight-loss category on the App Store in China). Structural equation modeling revealed that self-efficacy as well as the perceived benefits, barriers, and threats of weight loss significantly influence a fitness app's performance expectancy, which, in turn, predicts users' intention to adopt it. Furthermore, actual usage behavior (i.e., diet, exercise, weight, and login records within 30 days after respondents completed the questionnaire) is positively affected by weight-loss intention and behavioral intention to use the app and negatively affected by users' risk perception. The main findings of this research could help healthcare practitioners and app developers find better ways to encourage people to adopt health apps for various reasons. App developers should attach more importance to users' actual continuous use behavior than to their intention to use an app. They should provide sufficient introductory information about their apps, thereby reducing users' risk perception and generating reasonable performance expectancy of the app, so as to improve users' actual continuous use behavior.",RAYYAN-LABELS: Less Focus,10.1080/10410236.2020.1724637,China;Exercise;Humans;Intention;*Mobile Applications;Surveys and Questionnaires,32041437,
rayyan-1115027943,The Challenges in Personal Health Record Adoption.,2019,3,,Journal of healthcare management / American College of Healthcare Executives,1096-9012 (Print),64,2,104-109,Alanazi A and Anazi YA,https://pubmed.ncbi.nlm.nih.gov/30845058/,eng,,United States,"Communication between patient and healthcare provider is an essential part of care planning. A patient's personal health record (PHR) contains medical information that can be easily accessed, updated, and used via the Internet to facilitate and improve treatment plans. However, PHRs are not widely adopted. The goal of this study was to explore the challenges and design a roadmap to adoption. Data were collected via semistructured face-to-face interviews and analyzed with a qualitative approach. This study included 35 subjects selected from a sample of CEOs, chief information officers (CIOs), and health informatics project managers (HIPMs); the sample included key executives and project managers in the health information technology business. This study revealed that executives see the PHR as a tool to improve communication and patient care and reduce cost. However, a lack of electronic health record (EHR) systems, poor PHR integration with EHR systems, lack of user experience, and computer and health illiteracy were identified as barriers to PHR adoption. Therefore, adoption was not found to be a top priority for executives. Nevertheless, the PHR ought to be part of the information technology strategy in every hospital. Effective staff training, better patient orientation, and dedicated health informaticians can ensure a smooth and safe journey toward a useful PHR.",RAYYAN-LABELS: Less Focus,10.1097/JHM-D-17-00191,"Adult;*Attitude of Health Personnel;*Attitude to Computers;Electronic Health Records/*statistics & numerical data;Female;Health Personnel/*psychology;Health Records, Personal/*psychology;Humans;Information Dissemination/*methods;Male;Middle Aged",30845058,
rayyan-1115027944,The growing need for microservices in bioinformatics.,2016,,,Journal of pathology informatics,2229-5089 (Print),7,,45,Williams CL and Sica JC and Killen RT and Balis UG,https://pubmed.ncbi.nlm.nih.gov/27994937/,eng,,United States,"OBJECTIVE: Within the information technology (IT) industry, best practices and standards are constantly evolving and being refined. In contrast, computer technology utilized within the healthcare industry often evolves at a glacial pace, with reduced opportunities for justified innovation. Although the use of timely technology refreshes within an enterprise's overall technology stack can be costly, thoughtful adoption of select technologies with a demonstrated return on investment can be very effective in increasing productivity and at the same time, reducing the burden of maintenance often associated with older and legacy systems. In this brief technical communication, we introduce the concept of microservices as applied to the ecosystem of data analysis pipelines. Microservice architecture is a framework for dividing complex systems into easily managed parts. Each individual service is limited in functional scope, thereby conferring a higher measure of functional isolation and reliability to the collective solution. Moreover, maintenance challenges are greatly simplified by virtue of the reduced architectural complexity of each constitutive module. This fact notwithstanding, rendered overall solutions utilizing a microservices-based approach provide equal or greater levels of functionality as compared to conventional programming approaches. Bioinformatics, with its ever-increasing demand for performance and new testing algorithms, is the perfect use-case for such a solution. Moreover, if promulgated within the greater development community as an open-source solution, such an approach holds potential to be transformative to current bioinformatics software development. CONTEXT: Bioinformatics relies on nimble IT framework which can adapt to changing requirements. AIMS: To present a well-established software design and deployment strategy as a solution for current challenges within bioinformatics. CONCLUSIONS: Use of the microservices framework is an effective methodology for the fabrication and implementation of reliable and innovative software, made possible in a highly collaborative setting.",RAYYAN-LABELS: Less Focus,10.4103/2153-3539.194835,"",27994937,PMC5139451
rayyan-1115027945,Adoption of enterprise architecture for healthcare in AeHIN member countries.,2020,7,,BMJ health & care informatics,2632-1009 (Electronic),27,1,,Jonnagaddala J and Guo GN and Batongbacal S and Marcelo A and Liaw ST,https://pubmed.ncbi.nlm.nih.gov/32616479/,eng,,England,"BACKGROUND: Healthcare organisations are undergoing a major transformational shift in the use of information and digital health technologies. Enterprise architecture (EA) has been incrementally adopted in many healthcare organisations globally to facilitate this change. EA can increase the effectiveness of an organisation's digital health capabilities and resources. However, little is known about the status of EA adoption in low-income and middle-income countries. This study aimed to evaluate the challenges, goals and benefits associated with adoption of EA for healthcare in the Asia eHealth Information Network (AeHIN) member countries . METHODS: We developed an EA Adoption Evaluation framework with four principal layers: governance, strategy, EA and performance. The framework guided the development of a questionnaire to investigate the goals, challenges and benefits faced before and during EA adoption by healthcare organisations. SAMPLE: 26 participants from 18 healthcare organisations in the Asia-Pacific region representing 11 countries. Organisations included Ministries of Health, Universities, Non-Governmental Organisations and Technical Advisory Groups. FINDINGS: Only 5 of the 18 organisations had begun adopting EA. The goals expressed for EA adoption were to address issues such as interoperability, lack of technical infrastructure and poor alignment of business and information technology strategies. Cost reduction was less emphasised. The main challenges to adopting EA was the lack of EA knowledge, leadership and involvement of senior management. CONCLUSION: The adoption of EA is incipient in AeHIN member healthcare organisations. To encourage EA adoption, these organisations need to invest in internal capacity building, senior management training and seek independent EA expert advice to systematically identify and address the barriers to adopting EA.",RAYYAN-LABELS: Some Focus,10.1136/bmjhci-2020-100136,Asia;*Capacity Building;Delivery of Health Care/*standards;Developing Countries;*Health Information Interoperability;Health Resources;Humans;Information Services/*organization & administration;Surveys and Questionnaires,32616479,PMC7333875
rayyan-1115027948,Classification of antecedents towards safety use of health information technology: A systematic review.,2015,11,,International journal of medical informatics,1872-8243 (Electronic),84,11,877-91,Salahuddin L and Ismail Z,https://pubmed.ncbi.nlm.nih.gov/26238706/,eng,,Ireland,"OBJECTIVES: This paper provides a systematic review of safety use of health information technology (IT). The first objective is to identify the antecedents towards safety use of health IT by conducting systematic literature review (SLR). The second objective is to classify the identified antecedents based on the work system in Systems Engineering Initiative for Patient Safety (SEIPS) model and an extension of DeLone and McLean (D&M) information system (IS) success model. METHODS: A systematic literature review (SLR) was conducted from peer-reviewed scholarly publications between January 2000 and July 2014. SLR was carried out and reported based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The related articles were identified by searching the articles published in Science Direct, Medline, EMBASE, and CINAHL databases. Data extracted from the resultant studies included are to be analysed based on the work system in Systems Engineering Initiative for Patient Safety (SEIPS) model, and also from the extended DeLone and McLean (D&M) information system (IS) success model. RESULTS: 55 articles delineated to be antecedents that influenced the safety use of health IT were included for review. Antecedents were identified and then classified into five key categories. The categories are (1) person, (2) technology, (3) tasks, (4) organization, and (5) environment. Specifically, person is attributed by competence while technology is associated to system quality, information quality, and service quality. Tasks are attributed by task-related stressor. Organisation is related to training, organisation resources, and teamwork. Lastly, environment is attributed by physical layout, and noise. CONCLUSIONS: This review provides evidence that the antecedents for safety use of health IT originated from both social and technical aspects. However, inappropriate health IT usage potentially increases the incidence of errors and produces new safety risks. The review cautions future implementation and adoption of health IT to carefully consider the complex interactions between social and technical elements propound in healthcare settings.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2015.07.004,Attitude of Health Personnel;Attitude to Computers;Electronic Health Records;Humans;Medical Errors/*prevention & control;*Medical Informatics/methods/organization & administration/standards;Meta-Analysis as Topic;*Patient Safety/standards;Quality of Health Care,26238706,
rayyan-1115027950,Impact of Thailand universal coverage scheme on the country's health information systems and health information technology.,2013,,,Studies in health technology and informatics,1879-8365 (Electronic),192,,989,Kijsanayotin B,https://pubmed.ncbi.nlm.nih.gov/23920763/,eng,,Netherlands,"Thailand achieved universal healthcare coverage with the implementation of the Universal Coverage Scheme (UCS) in 2001. This study employed qualitative method to explore the impact of the UCS on the country's health information systems (HIS) and health information technology (HIT) development. The results show that health insurance beneficiary registration system helps improve providers' service workflow and country vital statistics. Implementation of casemix financing tool, Thai Diagnosis-Related Groups, has stimulated health providers' HIS and HIT capacity building, data and medical record quality and the adoption of national administrative data standards. The system called ""Disease Management Information Systems"" aiming at reimbursement for select diseases increased the fragmentation of HIS and increase burden on data management to providers. The financial incentive of outpatient data quality improvement project enhance providers' HIS and HIT investment and also induce data fraudulence tendency. Implementation of UCS has largely brought favorable impact on the country HIS and HIT development. However, the unfavorable effects are also evident.",RAYYAN-LABELS: High Focus,,Health Information Systems/*economics/*statistics & numerical data;Medical Informatics/*economics/*statistics & numerical data;National Health Programs/*economics/statistics & numerical data;Thailand;Universal Health Insurance/*economics/*statistics & numerical data,23920763,
rayyan-1115027951,Drivers and barriers in health IT adoption: a proposed framework.,2012,,,Applied clinical informatics,1869-0327 (Electronic),3,4,488-500,Avgar AC and Litwin AS and Pronovost PJ,https://pubmed.ncbi.nlm.nih.gov/23646093/,eng,,Germany,"Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or enablers at different stages of the adoption process - investment, implementation, and use - and at different levels of organizational decision-making - strategic, operational, and frontline. This framework will aid both policymakers and organizational actors as they make sense of the transition from paper-based to electronic systems.",RAYYAN-LABELS: High Focus,10.4338/ACI-2012-07-R-0029,*Attitude;Decision Making;Investments;*Medical Informatics/economics/organization & administration,23646093,PMC3631941
rayyan-1115027952,The role of organizational factors in the adoption of healthcare information technology in Florida hospitals.,2008,3,,Health care management science,1386-9620 (Print),11,1,1-9,Hikmet N and Bhattacherjee A and Menachemi N and Kayhan VO and Brooks RG,https://pubmed.ncbi.nlm.nih.gov/18390163/,eng,,Netherlands,"This study examines whether specific organizational characteristics, such as hospital size, geographic location (urban versus rural), system membership (stand-alone versus system-affiliated), and tax status (for-profit versus non-profit), influence adoption of healthcare information technologies (HIT) in hospitals. We hypothesize the above organizational characteristics to be related to hospitals' adoption of clinical, administrative, and strategic HIT, as well as all HIT in general. Using survey data collected from 98 Florida hospitals, we demonstrate that hospital size, system membership, and tax status, but not geographic location, are systematically related to HIT adoption, and that such factors explain about 28-41% of the adoption variance. A mixed pattern of effects emerge for clinical, administrative, and strategic HIT. For instance, hospital size appears to be less relevant for administrative HIT, where its effect is compensated by those of system membership and tax status. Implications for future HIT research and practice are discussed.",RAYYAN-LABELS: Some Focus,10.1007/s10729-007-9036-5,"Diffusion of Innovation;Florida;Geography/statistics & numerical data;Health Services Research;*Hospital Administration;Hospital Bed Capacity/statistics & numerical data;Humans;Information Systems/*statistics & numerical data;Organizational Affiliation/statistics & numerical data;Organizational Objectives;Organizations, Nonprofit/statistics & numerical data",18390163,
rayyan-1115027953,Handling Big Data in Modern Healthcare.,2016,11,,Laboratory medicine,1943-7730 (Electronic),47,4,e38-e41,Aziz HA,https://pubmed.ncbi.nlm.nih.gov/27708172/,eng,,England,"The constant growth of medical knowledge and the increases in specialization in clinical practice have created a significant need to share and access patient information with speed and efficiency. However, current technology is centered on processing data, rather than gathering information. To realize the potential of modern technology in improving patient health, merely collecting and storing data are insufficient: one must convert these data into information and knowledge. In this article, I present an overview of 2 recent advances in technology and their assimilation into the practice of medicine, in the attempt to make clinical data meaningful and then to learn from aggregated clinical data. We address the emergence of clinical data warehouses (CDWs) and health information exchanges (HIEs), as features of the Health Information Technology for Economic and Clinical Health (HITECH) Act. This act, enacted in the United States as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009, to promote the adoption and meaningful use of health information technology.",RAYYAN-LABELS: High Focus,10.1093/labmed/lmw038,"Data Collection/*methods;*Data Interpretation, Statistical;Humans;Medical Informatics/*methods;United States",27708172,
rayyan-1115027954,The value of provider-to-provider telehealth.,2008,6,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),14,5,446-53,Pan E and Cusack C and Hook J and Vincent A and Kaelber DC and Bates DW and Middleton B,https://pubmed.ncbi.nlm.nih.gov/18578679/,eng,,United States,"Telehealth has great potential to improve access to care, but its adoption in routine healthcare has been slow. The lack of clarity about the value of telehealth implementations has been one reason cited for this slow adoption. The Center for Information Technology Leadership has examined the value of telehealth encounters in which there is a provider both with the patient and at a distance from the patient. We considered three models of telehealth: store-and-forward, real-time video, and hybrid systems. Evidence from the literature was extrapolated using a computer simulation, which found that the hybrid model was the most cost effective. The simulation predicted savings of $4.3 billion per year if hybrid telehealth systems were implemented in emergency rooms, prisons, nursing home facilities, and physician offices across the United States. We also conducted a sensitivity analysis to determine which factors most influence costs and savings. Payers, providers, and policymakers should work together to remove the barriers to the adoption of telehealth so that this cost savings can be realized in the U.S. healthcare system.",RAYYAN-LABELS: High Focus,10.1089/tmj.2008.0017,Computer Simulation;Cost-Benefit Analysis;*Diffusion of Innovation;*Health Personnel;Humans;*Telemedicine;United States,18578679,
rayyan-1115027955,Scoping review protocol to map the use of text-based two-way communication between patients and healthcare professionals after hospital discharge and identify facilitators and barriers to implementation.,2022,9,22,BMJ open,2044-6055 (Electronic),12,9,e062087,Jensen LWH and Ghaffari A and Dinesen BI and Rahbek O and Kold S,https://pubmed.ncbi.nlm.nih.gov/36137634/,eng,,England,"INTRODUCTION: After discharge, patients face multiple risks where timely communication with healthcare professionals is required. eHealth has proposed new possibilities for asynchronous text-based two-way communication between patients and healthcare professionals during this time, and studies show positive effects on clinical outcomes, care coordination and patient satisfaction. However, there are challenges to the adoption of text-based two-way communication, potentially undermining the positive effects in clinical practice. Knowledge of these factors may inform future research and implementations. No reviews have provided an overview of the use of text-based two-way communication after discharge and the identified facilitators and barriers. Therefore, the objective of this scoping review is to systematically identify and map available research that assess the use of text-based two-way communication between patients and healthcare professionals after hospital discharge, including facilitators and barriers to implementation. METHODS AND ANALYSIS: We will include all studies describing the use of text-based two-way communication between patients and healthcare professionals after discharge from hospital. A preliminary search of PubMed (PubMed.gov), EMBASE (Elsevier), CINAHL (EBSCO), PsycINFO (Ovid), Cochrane Library (Wiley), Web of Science (Clarivate) and Scopus (Elsevier) was undertaken on 9 November 2021. The search will be updated for the full scoping review, and reference lists of relevant papers reviewed. Two reviewers will independently screen the literature for inclusion. Data will be extracted and charted in accordance with a data extraction form developed from the research questions and inspired by Consolidated Framework Implementation Research. Findings will be presented in tabular format and a descriptive summary, and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. ETHICS AND DISSEMINATION: This scoping review will not require ethics approval. The dissemination strategy involves peer review publication and presentation at conferences.",RAYYAN-LABELS: High Focus,10.1136/bmjopen-2022-062087,Communication;Delivery of Health Care;*Health Personnel;Hospitals;Humans;*Patient Discharge;Research Design;Review Literature as Topic;Systematic Reviews as Topic,36137634,PMC9511569
rayyan-1115027956,Health information technology vendor selection strategies and total factor productivity.,2013,7,,Health care management review,1550-5030 (Electronic),38,3,177-87,Ford EW and Huerta TR and Menachemi N and Thompson MA and Yu F,https://pubmed.ncbi.nlm.nih.gov/22543825/,eng,,United States,"OBJECTIVE: The aim of this study was to compare health information technology (HIT) adoption strategies' relative performance on hospital-level productivity measures. DATA SOURCES: The American Hospital Association's Annual Survey and Healthcare Information and Management Systems Society Analytics for fiscal years 2002 through 2007 were used for this study. STUDY DESIGN: A two-stage approach is employed. First, a Malmquist model is specified to calculate hospital-level productivity measures. A logistic regression model is then estimated to compare the three HIT adoption strategies' relative performance on the newly constructed productivity measures. PRINCIPAL FINDINGS: The HIT vendor selection strategy impacts the amount of technological change required of an organization but does not appear to have either a positive or adverse impact on technical efficiency or total factor productivity. CONCLUSIONS: The higher levels in technological change experienced by hospitals using the best of breed and best of suite HIT vendor selection strategies may have a more direct impact on the organization early on in the process. However, these gains did not appear to translate into either increased technical efficiency or total factor productivity during the period studied. Over a longer period, one HIT vendor selection strategy may yet prove to be more effective at improving efficiency and productivity.",RAYYAN-LABELS: Less Focus,10.1097/HMR.0b013e3182572c7b,"*Commerce/organization & administration;Decision Making, Organizational;*Efficiency, Organizational;Hospital Administration;Medical Informatics/*organization & administration;Planning Techniques;Purchasing, Hospital/organization & administration",22543825,
rayyan-1115027957,Addressing Disparities in Diabetes Management Through Novel Approaches to Encourage Technology Adoption and Use.,2017,7,13,JMIR diabetes,2371-4379 (Electronic),2,2,e16,Sheon AR and Bolen SD and Callahan B and Shick S and Perzynski AT,https://pubmed.ncbi.nlm.nih.gov/30291090/,eng,,Canada,"Type 2 diabetes (T2D) is one of the nation's leading drivers of disability and health care utilization, with elevated prevalence among individuals with lower education, income, and racial/ethnic minorities. Health information technology (HIT) holds vast potential for helping patients, providers, and payers to address T2D and the skyrocketing rates of chronic illness and associated health care costs. Patient portals to electronic health records (EHRs) serve as a gateway to consumer use of HIT. We found that disparities in portal use portend growing T2D disparities. Little progress has been made in addressing identified barriers to technology adoption, especially among populations with elevated risk of T2D. Patients often lack digital literacy skills and continuous connectivity and fear loss of the relationship with providers. Providers may experience structural disincentives to promoting patient use of HIT and apply hidden biases that inhibit portal use. Health care systems often provide inadequate training to patients and providers in use of HIT, and lack resources devoted to obtaining and optimizing use of data generated by HIT. Lastly, technology-related barriers include inadequate consideration of user perspectives, lack of evidence for patient-focused apps, and lack of features to enable providers and health care systems to readily obtain aggregate data to improve care and facilitate research. After discussing these barriers in detail, we propose possible solutions and areas where further research is needed to ensure that individuals and health care systems obtain the full benefit of the nation's planned $38 billion HIT investment. A digital inclusion framework sheds new light on barriers posed for patients with social health inequalities. We have determined that partnerships with community organizations focused on digital inclusion could help health systems explore and study new approaches, such as universal screening and referral of patients for digital skills, health literacy, and Internet connectivity.",RAYYAN-LABELS: High Focus,10.2196/diabetes.6751,"",30291090,PMC6238861
rayyan-1115027958,Meeting the challenge: Health information technology's essential role in achieving precision medicine.,2021,6,12,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),28,6,1345-1352,Zayas-Cabán T and Chaney KJ and Rogers CC and Denny JC and White PJ,https://pubmed.ncbi.nlm.nih.gov/33749793/,eng,,England,"Precision medicine can revolutionize health care by tailoring treatments to individual patient needs. Advancing precision medicine requires evidence development through research that combines needed data, including clinical data, at an unprecedented scale. Widespread adoption of health information technology (IT) has made digital clinical data broadly available. These data and information systems must evolve to support precision medicine research and delivery. Specifically, relevant health IT data, infrastructure, clinical integration, and policy needs must be addressed. This article outlines those needs and describes work the Office of the National Coordinator for Health Information Technology is leading to improve health IT through pilot projects and standards and policy development. The Office of the National Coordinator for Health Information Technology will build on these efforts and continue to coordinate with other key stakeholders to achieve the vision of precision medicine. Advancement of precision medicine will require ongoing, collaborative health IT policy and technical initiatives that advance discovery and transform healthcare delivery.",RAYYAN-LABELS: Some Focus,10.1093/jamia/ocab032,Delivery of Health Care;Humans;*Medical Informatics;*Precision Medicine,33749793,PMC8263078
rayyan-1115027960,Hospital quality of care: does information technology matter? The relationship between information technology adoption and quality of care.,2008,1,,Health care management review,0361-6274 (Print),33,1,51-9,Menachemi N and Chukmaitov A and Saunders C and Brooks RG,https://pubmed.ncbi.nlm.nih.gov/18091444/,eng,,United States,"BACKGROUND: Hospitals have been slow to adopt information technology (IT) largely because of a lack of generalizable evidence of the value associated with such adoption. PURPOSE: To explore the relationship between IT adoption and quality of care in acute-care hospitals. METHODS: Primary data on hospital IT adoption were combined with secondary hospital discharge data. Regression analyses were used to examine the relationship between various measures of IT adoption and several quality indicators after controlling for confounders. Adoption of IT was measured using a previously validated method that considers clinical, administrative, and strategic IT capabilities of acute-care hospitals. Quality measures included the Inpatient Quality Indicators developed by the Agency for Healthcare Research and Quality. RESULTS: Data from 98 hospitals were available for analyses. Hospitals adopted an average of 11.3 (45.2%) clinical IT applications, 15.7 (74.8%) administrative IT applications, and 5 (50%) strategic IT applications. In multivariate regression analyses, hospitals that adopted a greater number of IT applications were significantly more likely to have desirable quality outcomes on seven Inpatient Quality Indicator measures, including risk-adjusted mortality from percutaneous transluminal coronary angioplasty, gastrointestinal hemorrhage, and acute myocardial infarction. An increase in clinical IT applications was also inversely correlated with utilization of incidental appendectomy, and an increase in the adoption of strategic IT applications was inversely correlated with risk-adjusted mortality from craniotomy and laparoscopic cholecystectomy. PRACTICE IMPLICATIONS: Hospital adoption of IT is associated with desirable quality outcomes across hospitals in Florida. These findings will assist hospital leaders interested in understanding better the effect of costly IT adoption on quality of care in their institutions.",RAYYAN-LABELS: Some Focus,10.1097/01.HMR.0000304497.89684.36,"*Diffusion of Innovation;Florida;Health Care Surveys;Hospital Administration/*standards;Hospital Information Systems/*statistics & numerical data;Hospital Mortality;Humans;Organizational Innovation;Quality Indicators, Health Care;*Quality of Health Care;Regression Analysis;Surveys and Questionnaires",18091444,
rayyan-1115027961,A biomedical informatics perspective on human factors - How human factors influence information technology adoption.,2011,,,Yearbook of medical informatics,2364-0502 (Electronic),6,,58-62,Meyer R,https://pubmed.ncbi.nlm.nih.gov/21938326/,eng,,Germany,"OBJECTIVES: to select and summarize excellent research published in 2010 in the field of bio-medical informatics human factors. METHODS: we attempt to derive a synthetic overview of the activity and new trends in this field, from a selection of worldwide research papers published during 2010. RESULTS: this year again, healthcare information technology (HIT) adoption occupies a central role in the field and leads to research focused mainly on measuring impact and factors influencing it. One of the selected papers especially dissects the anatomy of a nationwide personal electronic health record adoption failure. CONCLUSIONS: Due to the vast and increasing amount of excellent works, choosing the best papers in human factors is a challenge. More and more the published work takes into account fundamental principles expressed in Grudin's Laws, one form of which is: ""When those who beneût from a technology are not those who do the work, then the technology is likely to fail or be subverted."".",RAYYAN-LABELS: Less Focus,,Biomedical Technology;*Diffusion of Innovation;Electronic Health Records;Humans;*Medical Informatics,21938326,
rayyan-1115027962,Innovation in health care through information technology (IT): The role of incentives.,2021,11,,Social science & medicine (1982),1873-5347 (Electronic),289,,114441,Zweifel P,https://pubmed.ncbi.nlm.nih.gov/34592541/,eng,,England,"For several years now, information technology (IT) has been hailed as an innovation that will revolutionize medicine and health care more generally. Yet adoption of new IT in the healthcare sector has been slow, possibly reflecting a lack of interest. In economic terms, the incentives of the major players in health care may work against new IT, which fosters process and organizational innovation much more than product innovation. While product innovation causes an increase in consumers' willingness to pay and is therefore welcomed by those working in the healthcare sector, process innovation is resisted because it often means performing the same service but at a lower cost. This is also true of organizational innovation, which frequently entails vertical integration and hence a loss of autonomy (as evidenced by the difficulties of creating Managed Care Organizations). The objective of this paper therefore is to predict the circumstances in which (both current and potential) patients, physicians, hospitals, health insurers, and governments are likely to support innovation in health care through IT.",RAYYAN-LABELS: Some Focus,10.1016/j.socscimed.2021.114441,Delivery of Health Care;Diffusion of Innovation;Hospitals;Humans;*Information Technology;*Motivation;Organizational Innovation,34592541,
rayyan-1115027963,Electronic medical records for otolaryngology office-based practice.,2008,2,,Current opinion in otolaryngology & head and neck surgery,1531-6998 (Electronic),16,1,32-7,Chernobilsky B and Boruk M,https://pubmed.ncbi.nlm.nih.gov/18197019/,eng,,United States,"PURPOSE OF REVIEW: Pressure is mounting on physicians to adopt electronic medical records. The field of health information technology is evolving rapidly with innovations and policies often outpacing science. We sought to review research and discussions about electronic medical records from the past year to keep abreast of these changes. RECENT FINDINGS: Original scientific research, especially from otolaryngologists, is lacking in this field. Adoption rates are slowly increasing, but more of the burden is shouldered by physicians despite policy efforts and the clear benefits to third-party payers. Scientific research from the past year suggests lack of improvements and even decreasing quality of healthcare with electronic medical record adoption in the ambulatory care setting. The increasing prevalence and standardization of electronic medical record systems results in a new set of problems including rising costs, audits, difficulties in transition and public concerns about security of information. SUMMARY: As major players in healthcare continue to push for adoption, increased effort must be made to demonstrate actual improvements in patient care in the ambulatory care setting. More scientific studies are needed to demonstrate what features of electronic medical records actually improve patient care. Otolaryngologists should help each other by disseminating research about improvement in patient outcomes with their systems since current adoption and outcomes policies do not apply to specialists.",RAYYAN-LABELS: High Focus,10.1097/MOO.0b013e3282f20ac0,"*Ambulatory Care Information Systems;Humans;*Medical Records Systems, Computerized;*Otolaryngology",18197019,
rayyan-1115027964,Migrating to electronic health record systems: A comparative study between the United States and the United Kingdom.,2018,11,,"Health policy (Amsterdam, Netherlands)",1872-6054 (Electronic),122,11,1232-1239,Wilson K and Khansa L,https://pubmed.ncbi.nlm.nih.gov/30193980/,eng,,Ireland,"The goal of this research is to compare the healthcare information technology (HIT)-related policies and infrastructures of two very differently-run countries: The United States (US) that owns the largest private healthcare system in the world, and the United Kingdom (UK) that has the largest public healthcare system worldwide. The paper specifically focuses on the differences between the two countries' adoption of electronic healthcare record (EHR) systems, and their efforts toward interoperability, healthcare information security and privacy, and patient safety. Both authors on the paper are professionals in the HIT field and have firsthand experience designing and implementing electronic health record (EHR) systems. As a result, they both have a real-world grasp of HIT economics and the pressure of regulatory compliance. To complement their combined expertise and insight, the authors thoroughly reviewed the peer-reviewed and grey literature on healthcare policy. The paper's findings suggest that although EHR implementation and adoption are on the rise in the US and the UK alike, both countries are facing considerable hurdles in executing their vision of establishing their respective nationwide EHR systems. To improve patient health and ensure patient safety, interoperability standards that enable seamless communication amongst differing healthcare systems and proper security and privacy regulations for data collection, data handling, and data sharing are paramount.",RAYYAN-LABELS: High Focus,10.1016/j.healthpol.2018.08.013,Computer Security/legislation & jurisprudence;Electronic Health Records/*standards;Health Information Interoperability/standards;*Health Policy;Humans;Patient Safety;Privacy/legislation & jurisprudence;United Kingdom;United States,30193980,
rayyan-1115027965,Human factors in healthcare IT: Management considerations and trends.,2023,3,,Healthcare management forum,0840-4704 (Print),36,2,72-78,Kushniruk AW and Borycki EM,https://pubmed.ncbi.nlm.nih.gov/36847593/,eng,,United States,"A range of human factors issues are recognized as critical to the success of projects involving Health Information Technology (HIT). Problems related to the usability of HIT have come to the fore, with continued reports of systems that are non-intuitive and difficult to use and that may even pose safety risks. In this article, we consider a number of approaches from usability engineering and human factors that can be applied to improve the chances of system success and adoption. A range of methods focused around human factors can be employed throughout the system development cycle of HIT. The purpose of this article is to discuss human factors approaches that can be used to improve the likelihood of successful system adoption and also provide input into the selection and procurement process of HIT. The article concludes with recommendations regarding how understanding of human factors can be integrated into healthcare organizational decision making.",RAYYAN-LABELS: Some Focus,10.1177/08404704221139219,"Humans;*Decision Making, Organizational;*Health Facilities;Biomedical Technology",36847593,PMC9975892
rayyan-1115027967,Assessing mobile health applications with twitter analytics.,2018,5,,International journal of medical informatics,1872-8243 (Electronic),113,,72-84,Pai RR and Alathur S,https://pubmed.ncbi.nlm.nih.gov/29602436/,eng,,Ireland,"INTRODUCTION: Advancement in the field of information technology and rise in the use of Internet has changed the lives of people by enabling various services online. In recent times, healthcare sector which faces its service delivery challenges started promoting and using mobile health applications with the intention of cutting down the cost making it accessible and affordable to the people. OBJECTIVES: The objective of the study is to perform sentiment analysis using the Twitter data which measures the perception and use of various mobile health applications among the citizens. METHODS: The methodology followed in this research is qualitative with the data extracted from a social networking site ""Twitter"" through a tool RStudio. This tool with the help of Twitter Application Programming Interface requested one thousand tweets each for four different phrases of mobile health applications (apps) such as ""fitness app"", ""diabetes app"", ""meditation app"", and ""cancer app"". Depending on the tweets, sentiment analysis was carried out, and its polarity and emotions were measured. RESULTS: Except for cancer app there exists a positive polarity towards the fitness, diabetes, and meditation apps among the users. Following a system thinking approach for our results, this paper also explains the causal relationships between the accessibility and acceptability of mobile health applications which helps the healthcare facility and the application developers in understanding and analyzing the dynamics involved the adopting a new system or modifying an existing one.",RAYYAN-LABELS: Some Focus,10.1016/j.ijmedinf.2018.02.016,Diabetes Mellitus/therapy;Exercise;Health Care Sector;Humans;*Internet;*Mobile Applications;Neoplasms/therapy;Self-Management/*methods;*Social Networking;*Telemedicine,29602436,
rayyan-1115027968,Associations Between Lean IT Management and Financial Performance in US Hospitals.,2023,10,11,Quality management in health care,1550-5154 (Electronic),,,,Lee J and Hung DY and Reponen E and Rundall TG and Tierney AA and Fournier PL and Shortell SM,https://pubmed.ncbi.nlm.nih.gov/37817320/,eng,,United States,"BACKGROUND AND OBJECTIVES: To understand the relationship between Lean implementation in information technology (IT) departments and hospital performance, particularly with respect to operational and financial outcomes. METHODS: Primary data were sourced from 1222 hospitals that responded to the National Survey of Lean (NSL)/Transformational Performance Improvement, which was fielded to 4500 general medical-surgical hospitals across the United States. Secondary sources included hospital performance data from the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS). We performed 2 sets of multivariable regressions using data gathered from US hospitals, linked to AHRQ and CMS performance outcomes. We examined 10 different outcomes measuring financial performance, quality of care, and patient experience, and their associations with Lean adoption within hospital IT departments. We then focused only on those hospitals that adopted Lean in IT to identify specific practices associated with performance. RESULTS: Controlling for other factors, adoption of Lean IT management was associated with lower length of stay (b = -0.098, P = .018) and inpatient expense per discharge (b = -0.112, P = .090). Specifically, use of visual management tools (eg, A3 storyboards, status sheets) was associated with lower adjusted inpatient expense per discharge (b = -0.176, P = .034) and higher earnings before interest, taxes, depreciation, and amortization margin (b = 0.124, P = .042). Such tools were also associated with hospital participation in bundled payment programs (odds ratio = 2.326; P = .046; 95% confidence interval, 0.979-5.527) and percentage of net revenue paid on a shared risk basis (b = 0.188, P = .031). CONCLUSIONS: Lean IT management was associated with positive financial performance, particularly with hospital participation in value-based payment. More detailed study is needed to understand other influential factors and types of work processes, activities, or mechanisms by which high-functioning IT can contribute to financial outcomes.",RAYYAN-LABELS: High Focus,10.1097/QMH.0000000000000440,"",37817320,
rayyan-1115027969,Healthcare providers' readiness for electronic health record adoption: a cross-sectional study during pre-implementation phase.,2022,3,2,BMC health services research,1472-6963 (Electronic),22,1,282,Ngusie HS and Kassie SY and Chereka AA and Enyew EB,https://pubmed.ncbi.nlm.nih.gov/35232436/,eng,,England,"BACKGROUND: The adoption of an electronic health record (EHR) in the healthcare system has the potential to make healthcare service delivery effective and efficient by providing accurate, up-to-date, and complete information. Despite its great importance, the adoptions of EHR in low-income country settings, like Ethiopia, were lagging and increasingly failed. Assessing the readiness of stakeholders before the actual adoption of EHR is considered the prominent solution to tackle the problem. However, little is known about healthcare providers' EHR readiness in this study setting. Accordingly, this research was conducted aiming at examining healthcare providers' readiness for EHR adoption and associated factors in southwestern Ethiopia. METHODS: An institutional-based cross-sectional study was conducted from September 1 to October 30, 2021. A total of 423 healthcare providers working in public hospitals were selected using a simple random sampling technique. Multivariable logistic regression was fitted to identify determinant factors of overall healthcare providers' readiness after the other covariates were controlled. RESULT: In this study, the overall good readiness level of EHR adoption was 52.8% (n = 204) [95% CI of 47.9% to 56.6%]. Age, computer literacy, computer access at health facilities, attitude towards EHRs, awareness about EHRs, perceived benefit, and perceived technology self-efficacy were significantly associated with the overall health care providers' readiness for the adoption of EHR using a cut point of P-value less than 0.05. CONCLUSION: Around half of the respondents had a good level of overall healthcare providers' readiness for the adoption of EHR which was considered inadequate. This finding implied that a huge effort is required to improve readiness before the actual implementation of EHRs. The finding implied that younger-aged groups were more ready for such technology which in turn implied; the older one needs more concern. Enhancing computer literacy, confidence building to raise self-efficacy of such technology, addressing the issue of computer availability at health facilities, building a positive attitude, awareness campaign of EHR, and recognizing the usefulness of such systems were the necessary measures to improve EHR readiness in this setting. Additionally, further studies are recommended to encompass all types of EHR readiness such as organizational readiness, technology readiness, societal readiness, and so on. Additionally, exploring the healthcare provider opinion with qualitative study and extending the proposed study to other implementation settings are recommended to be addressed by future works.",RAYYAN-LABELS: High Focus,10.1186/s12913-022-07688-x,Aged;Computer Literacy;Cross-Sectional Studies;*Electronic Health Records;*Health Personnel;Humans;Surveys and Questionnaires,35232436,PMC8889777
rayyan-1115027970,The Emergence of Distance Health Technologies.,2018,8,,The Journal of arthroplasty,1532-8406 (Electronic),33,8,2345-2351,Schaffer JL and Rasmussen PA and Faiman MR,https://pubmed.ncbi.nlm.nih.gov/29887358/,eng,,United States,"Removing the geographic barriers to health care and extending care to the home has been the goal of the health-care system for decades as the introduction of new information technology capabilities has driven operational efficiencies in our daily lives. Patient demand for convenience and access continues to surge as these technologies are used for their personal lives. Coupled with the need to lower our health-care cost structure, distance health technologies are emerging as a care facilitator for our arthroplasty patients. A critical aspect of introducing distance health technologies is the requirement to define the entire episode of care. Once defined, metrics to assess success can be measured, and clinical and technical outcomes can be determined. Distance health technologies are emerging in the management of the arthroplasty episode of care through the preponderance of connectivity coupled with the adoption of mobile technologies, ushering in a new era of improved efficiency, efficacy, satisfaction, and outcomes while providing greater value for our patients.","",10.1016/j.arth.2018.04.017,*Arthroplasty;Delivery of Health Care/*trends;Humans;Telemedicine/*trends,29887358,
rayyan-1115027971,Impact of Heath Information Technology on the Quality of Patient Care.,2015,,,On-line journal of nursing informatics,1089-9758 (Print),19,,,Hessels A and Flynn L and Cimiotti JP and Bakken S and Gershon R,https://pubmed.ncbi.nlm.nih.gov/27570443/,eng,,United States,"OBJECTIVE: To examine the relationships among Electronic Health Record (EHR) adoption and adverse outcomes and satisfaction in hospitalized patients. MATERIALS AND METHODS: This secondary analysis of cross sectional data was compiled from four sources: (1) State Inpatient Database from the Healthcare Cost Utilization Project; (2) Healthcare Information and Management Systems Society (HIMSS) Dorenfest Institute; (3) Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) and (4) New Jersey nurse survey data. The final analytic sample consisted of data on 854,258 adult patients discharged from 70 New Jersey hospitals in 2006 and 7,679 nurses working in those same hospitals. The analytic approach used ordinary least squares and multiple regression models to estimate the effects of EHR adoption stage on the delivery of nursing care and patient outcomes, controlling for characteristics of patients, nurses, and hospitals. RESULTS: Advanced EHR adoption was independently associated with fewer patients with prolonged length of stay and seven-day readmissions. Advanced EHR adoption was not associated with patient satisfaction even when controlling for the strong relationships between better nursing practice environments, particularly staffing and resource adequacy, and missed nursing care and more patients reporting ""Top-Box,"" satisfaction ratings. CONCLUSIONS: This innovative study demonstrated that advanced stages of EHR adoption show some promise in improving important patient outcomes of prolonged length of stay and hospital readmissions. Strongly evident by the relationships among better nursing work environments, better quality nursing care, and patient satisfaction is the importance of supporting the fundamentals of quality nursing care as technology is integrated into practice.","",,"",27570443,PMC5001503
rayyan-1115027972,Feasibility of a Hospital Information System for a Military Public Organization in the Light of the Multi-Criteria Analysis.,2022,10,28,"Healthcare (Basel, Switzerland)",2227-9032 (Print),10,11,,Pereira RCA and Moreira MÂL and Costa IPA and Tenório FM and Barud NA and Fávero LP and Al-Qudah AA and Gomes CFS and Santos MD,https://pubmed.ncbi.nlm.nih.gov/36360488/,eng,,Switzerland,"The healthcare environment presents a large volume of personal and sensitive patient data that needs to be available and secure. Information and communication technology brings a new reality to healthcare, promoting improvements, agility and integration. Regarding high-level and complex decision-making scenarios, the Brazilian Navy (BN), concerning its healthcare field, is seeking to provide better management of its respective processes in its hospital facilities, allowing accurate control of preventive and curative medicine to members who work or have served there in past years. The study addresses the understanding, structure and clarifying variables related to the feasibility of technological updating and installing of a Hospital Information System (HIS) for BN. In this scenario, through interviews and analysis of military organization business processes, criteria and alternatives were established based on multi-criteria methodology as a decision aid. As methodological support for research and data processing, THOR 2 and PROMETHEE-SAPEVO-M1 methods were approached, both based on the scenarios of outranking alternatives based on the preferences established by the stakeholders in the problem. As a result of the methodological implementation, we compare the two implemented methods in this context, exposing the Commercial Software Purchase and Adoption of Free Software, integrated into Customization by the Marine Studies Foundation, as favorable actions to be adopted concerning HIS feasibility. This finding generates a comprehensive discussion regarding the BN perspective and changes in internal development in the military environment, prospecting alignment to the culture of private organizations in Information Technology for healthcare management. In the end, we present some conclusions concerning the study, exploring the main points of the decision-making analysis and for future research.","",10.3390/healthcare10112147,"",36360488,PMC9690232
rayyan-1115027973,Re-examining health IT policy: what will it take to derive value from our investment?,2015,3,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),22,2,459-64,Riskin L and Koppel R and Riskin D,https://pubmed.ncbi.nlm.nih.gov/25326600/,eng,,England,"Despite substantial investments in health information technology (HIT), the nation's goals of reducing cost and improving outcomes through HIT remain elusive. This period of transition, with new Office of National Coordinator for HIT leadership, upcoming Meaningful Use Stage III definitions, and increasing congressional oversight, is opportune to consider needed course corrections in HIT strategy. This article describes current problems and recommended changes in HIT policy, including approaches to usability, interoperability, and quality measurement. Recommendations refrain from interim measures, such as electronic health record adoption rates, and instead focus on measurable national value to benefit the economy, to reduce healthcare costs, and to improve clinical efficiency and care quality.","",10.1136/amiajnl-2014-003065,"Diffusion of Innovation;*Health Care Costs;*Health Policy/economics/legislation & jurisprudence;Investments;Meaningful Use/economics;Medical Informatics/economics/legislation & jurisprudence/*organization &           administration;Medical Records Systems, Computerized/economics/*organization &           administration/standards;Software;*Systems Integration;United States",25326600,
rayyan-1115027974,Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review.,2012,8,17,BMC medical informatics and decision making,1472-6947 (Electronic),12,,90,Wu HW and Davis PK and Bell DS,https://pubmed.ncbi.nlm.nih.gov/22900537/,eng,,England,"BACKGROUND: Greater use of computerized decision support (DS) systems could address continuing safety and quality problems in healthcare, but the healthcare field has struggled to implement DS technology. This study surveys DS experience across multiple non-healthcare disciplines for new insights that are generalizable to healthcare provider decisions. In particular, it sought design principles and lessons learned from the other disciplines that could inform efforts to accelerate the adoption of clinical decision support (CDS). METHODS: Our systematic review drew broadly from non-healthcare databases in the basic sciences, social sciences, humanities, engineering, business, and defense: PsychINFO, BusinessSource Premier, Social Sciences Abstracts, Web of Science, and Defense Technical Information Center. Because our interest was in DS that could apply to clinical decisions, we selected articles that (1) provided a review, overview, discussion of lessons learned, or an evaluation of design or implementation aspects of DS within a non-healthcare discipline and (2) involved an element of human judgment at the individual level, as opposed to decisions that can be fully automated or that are made at the organizational level. RESULTS: Clinical decisions share some similarities with decisions made by military commanders, business managers, and other leaders: they involve assessing new situations and choosing courses of action with major consequences, under time pressure, and with incomplete information. We identified seven high-level DS system design features from the non-healthcare literature that could be applied to CDS: providing broad, system-level perspectives; customizing interfaces to specific users and roles; making the DS reasoning transparent; presenting data effectively; generating multiple scenarios covering disparate outcomes (e.g., effective; effective with side effects; ineffective); allowing for contingent adaptations; and facilitating collaboration. The article provides examples of each feature. The DS literature also emphasizes the importance of organizational culture and training in implementation success. The literature contrasts ""rational-analytic"" vs. ""naturalistic-intuitive"" decision-making styles, but the best approach is often a balanced approach that combines both styles. It is also important for DS systems to enable exploration of multiple assumptions, and incorporation of new information in response to changing circumstances. CONCLUSIONS: Complex, high-level decision-making has common features across disciplines as seemingly disparate as defense, business, and healthcare. National efforts to advance the health information technology agenda through broader CDS adoption could benefit by applying the DS principles identified in this review.","",10.1186/1472-6947-12-90,"*Decision Support Systems, Clinical;*Diffusion of Innovation;Program Development;*Technology Transfer",22900537,PMC3524755
rayyan-1115027976,Virtual team-based care planning with older persons in formal care settings: a scoping review protocol.,2021,11,16,BMJ open,2044-6055 (Electronic),11,11,e054900,Gao H and Yous ML and Connelly D and Hung L and Garnett A and Hay ME and Snobelen N and Salatino S,https://pubmed.ncbi.nlm.nih.gov/34785560/,eng,,England,"INTRODUCTION: COVID-19 has necessitated greater adoption of virtual care (eg, telephone (audio), videoconference) delivery models. Virtual care provides opportunities for innovative practice in care planning with older persons and meaningful family engagement by synchronously involving multiple care providers. Nevertheless, there remains a paucity of summarising evidence regarding virtual team-based care planning for older persons. The purpose of this scoping review is to summarise evidence on the utilisation of virtual team-based care planning for older persons in formal care settings. Specifically, (1) what has been reported in the literature on the impact or outcomes of virtual team-based care planning? (2) What are the facilitators and barriers to implementation? METHODS AND ANALYSIS: This scoping review will follow a rigorous and well-established methodology by the Joanna Briggs Institute, supplemented by the Arksey & O'Malley and Levac, Colquhoun, & O'Brien frameworks. A three-step search strategy will be used to conduct a search on virtual team-based care planning for older persons in formal care settings. Keywords and index terms will be identified from an initial search in PubMed and AgeLine, and used to conduct the full search in the databases PubMed, EMBASE, CINAHL, AgeLine, PsycInfo and Scopus. Reference lists of included articles and grey literature retrieved through Google and Google Scholar will also be reviewed. Three researchers will screen titles and abstracts, and will conduct full-text review for inclusion. Extracted data will be mapped in a table. ETHICS AND DISSEMINATION: Research ethics approval is not required for data collection from publicly accessible information. Findings will be presented at conferences, submitted for open-access publication in a peer-reviewed journal and made accessible to multiple stakeholders. The scoping review will summarise the literature on virtual team-based care planning for the purpose of informing the implementation of a virtual PIECES™ intervention (Physical/Intellectual/Emotional health, Capabilities, Environment, and Social).","",10.1136/bmjopen-2021-054900,"Aged;Aged, 80 and over;*COVID-19;Delivery of Health Care;Humans;Peer Review;*Research Design;Review Literature as Topic;SARS-CoV-2",34785560,PMC8595297
rayyan-1115027977,"Computer-assisted clinical coding: A narrative review of the literature on its benefits, limitations, implementation and impact on clinical coding professionals.",2020,1,,Health information management : journal of the Health Information Management           Association of Australia,1833-3575 (Electronic),49,1,5-18,Campbell S and Giadresco K,https://pubmed.ncbi.nlm.nih.gov/31159578/,eng,,Australia,"BACKGROUND: Information technology has the potential to streamline processes in healthcare for improved efficiency, quality and safety, while reducing costs. Computer-assisted clinical coding (CAC) has made it possible to automate the clinical coding process by assigning diagnoses and procedures from electronic sources of clinical documentation. Implementation of CAC requires both investigation of the clinical coding workflow and exploration of how the clinical coding professional's role might change and evolve as a result of this technology. OBJECTIVE: To examine the benefits and limitations of CAC technology; best practices for CAC adoption; the impact of CAC on traditional coding practices and roles in the inpatient setting. METHOD: This narrative review explores the current literature available on CAC. Literature indexed in ProQuest, Medline and other relevant sources between January 2006 and June 2017 was considered. RESULTS: A total of 38 journal articles, published dissertations and case studies revealed that CAC has demonstrated value in improving clinical coding accuracy and quality, which can be missed during the manual clinical coding process. CONCLUSION: Clinical coding professionals should view CAC as an opportunity not a threat. CAC will allow clinical coding professionals to further develop their clinical coding skills and knowledge for future career progression into new roles such as clinical coding editors and clinical coding analysts. Sound change management strategies are essential for successful restructuring of the clinical coding workflows during the implementation of CAC.","",10.1177/1833358319851305,*Automation;Clinical Coding/*standards;*Data Accuracy;Forms and Records Control/*standards;Humans;International Classification of Diseases;Medical Record Administrators/*standards;Medical Records/standards;Professional Competence;*Professional Role,31159578,
rayyan-1115027978,Patient Acceptance of e-Health Services in Saudi Arabia: An Integrative Perspective.,2019,9,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),25,9,847-852,AlBar AM and Hoque MR,https://pubmed.ncbi.nlm.nih.gov/30452333/,eng,,United States,"Background: e-Health has been expansively considered as a technological intervention for fundamental enhancement in the healthcare sector to mitigate the enormous demand and supply of healthcare in both developed and developing nations. In 2000, the Saudi government established a committee for health reform to develop an information technology strategic plan for healthcare and for deploying e-health applications within the country. The objective of e-health systems was to provide better healthcare to patients and to increase the efficiency of healthcare organizations. Despite numerous e-health interventions to provide healthcare services, very little is studied about the adoption process of e-health from users' viewpoints in Saudi Arabia. This study minimizes this knowledge gap by studying the factors affecting the adoption and acceptance of e-health in the context of Saudi Arabia.Materials and Methods: This study has combined theTechnology Acceptance Model and Theory of Planned Behavior frameworks to evaluate the factors influencing the patient acceptance of e-health services in Saudi Arabia. Data were collected from patients at various private and public hospitals in Saudi Arabia. The partial least square technique based on structural equation modeling was applied to analyze the survey data.Results: The study shows the significant influence of perceived usefulness and perceived ease of use on the attitude. Furthermore, attitude and subjective norm (p < 0.05) significantly influence patient behavioral intention (BI) to use e-health services. However, perceived behavioral control (p > 0.05) had no significant influence on patient BI to use e-health services.Conclusions: The findings of this study might be useful to policymakers, the government, and healthcare service providers in Saudi Arabia and other developing countries.","",10.1089/tmj.2018.0107,"Adaptation, Psychological;*Cultural Characteristics;Developing Countries;Female;Health Care Reform/*methods;Health Services/*trends;Humans;Male;Patient Acceptance of Health Care/*psychology/statistics & numerical data;Risk Assessment;Saudi Arabia;Telemedicine/*organization & administration",30452333,
rayyan-1115027979,"""Willing but unwilling"": attitudinal barriers to adoption of home-based health information technology among older adults.",2014,6,,Health informatics journal,1741-2811 (Electronic),20,2,127-35,Young R and Willis E and Cameron G and Geana M,https://pubmed.ncbi.nlm.nih.gov/24056750/,eng,,England,"While much research focuses on adoption of electronic health-care records and other information technology among health-care providers, less research explores patient attitudes. This qualitative study examines barriers to adoption of home-based health information technology, particularly personal electronic health records, among older adults. We conducted in-depth interviews (30-90 min duration) with 35 American adults, aged 46-72 years, to determine their perceptions of and attitudes toward home-based health information technology. Analysis of interview data revealed that most barriers to adoption fell under four themes: technological discomfort, privacy or security concerns, lack of relative advantage, and perceived distance from the user representation. Based on our findings, systems to promote home-based health information technology should incorporate familiar computer applications, alleviate privacy and security concerns, and align with older adults' active and engaged self-image.","",10.1177/1460458213486906,"Aged;*Attitude;Attitude to Computers;Confidentiality;Electronic Health Records/*organization & administration;Female;Health Knowledge, Attitudes, Practice;Home Care Services/*organization & administration;Humans;Interviews as Topic;Male;Medical Informatics;Middle Aged",24056750,
rayyan-1115027980,Managing health IT risks: reflections and recommendations.,2018,3,15,Journal of innovation in health informatics,2058-4563 (Electronic),25,1,952,Sujan M,https://pubmed.ncbi.nlm.nih.gov/29717949/,eng,,England,"Health information technology (IT) offers exciting opportunities for providing novel services to patients, and for improving the quality and safety of care.  However, the introduction of IT can lead to unintended consequences, and create opportunities for failure, which can have significant effects on patient safety.  In this paper I argue that many health IT patient safety risks are probably quite predictable, but are often not considered at the time.  This puts patients at risk, and it threatens the successful adoption of health IT.  I recommend that healthcare providers focus on strengthening their processes for organisational learning, promote proactive risk management strategies, and make risk management decisions transparent and explicit.","",10.14236/jhi.v25i1.952,"Electronic Health Records/standards;Health Personnel/education;Humans;Medical Informatics/*methods/*standards;*Models, Organizational;*Patient Safety;Risk Management/*standards;Security Measures/standards",29717949,
rayyan-1115027981,The determinants of home healthcare robots adoption: an empirical investigation.,2014,11,,International journal of medical informatics,1872-8243 (Electronic),83,11,825-40,Alaiad A and Zhou L,https://pubmed.ncbi.nlm.nih.gov/25132284/,eng,,Ireland,"BACKGROUND: Home healthcare robots promise to make clinical information available at the right place and time, thereby reducing error and increasing safety and quality. However, it has been frequently reported that more than 40% of previous information technology (IT) developments have failed or been abandoned due to the lack of understanding of the sociotechnical aspects of IT. OBJECTIVE: Previous home healthcare robots research has focused on technology development and clinical applications. There has been little discussion of associated social, technical and managerial issues that are arguably of equal importance for robot success. To fill this knowledge gap, this research aims to understand the determinants of home healthcare robots adoption from these aspects by applying technology acceptance theories. METHODS: We employed both qualitative and quantitative methods. The participants were recruited from home healthcare agencies located in the U.S. (n=108), which included both patients and healthcare professionals. We collected data via a survey study to test a research model. RESULTS: The usage intention of home healthcare robots is a function of social influence, performance expectancy, trust, privacy concerns, ethical concerns and facilitating conditions. Among them, social influence is the strongest predictor. Monitoring vital signs and facilitating communication with family and medication reminders are the most preferable tasks and applications for robots. CONCLUSION: Sociotechnical factors play a powerful role in explaining the adoption intention for home healthcare robots. The findings provide insights on how home healthcare service providers and robot designers may improve the success of robot technologies.","",10.1016/j.ijmedinf.2014.07.003,*Attitude to Health;Health Personnel/*statistics & numerical data;Home Care Services/*organization & administration/statistics & numerical data;Humans;Patient Acceptance of Health Care/psychology/*statistics & numerical data;Robotics/*statistics & numerical data;United States;*Utilization Review,25132284,
rayyan-1115027982,Approaches to promoting the appropriate use of antibiotics through hospital electronic prescribing systems: a scoping review.,2017,2,,The International journal of pharmacy practice,2042-7174 (Electronic),25,1,5-17,Cresswell K and Mozaffar H and Shah S and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/27198585/,eng,,England,"OBJECTIVE: To identify approaches of using stand-alone and more integrated hospital ePrescribing systems to promote and support the appropriate use of antibiotics, and identify gaps in order to inform future efforts in this area. METHODS: A systematic scoping review of the empirical literature from 1997 until 2015, searching the following databases: MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Google Scholar, Clinical Trials, International Standard Randomised Controlled Trial Number Registry, Economic Evaluation database and International Prospective Register of Systematic Reviews. Search terms related to different components of systems, hospital settings and antimicrobial stewardship. Two reviewers independently screened papers and mutually agreed papers for inclusion. We undertook an interpretive synthesis. KEY FINDINGS: We identified 143 papers. The majority of these were single-centre observational studies from North American settings with a wide range of system functionalities. Most evidence related to computerised decision support (CDS) and computerised physician order entry (CPOE) functionalities, of which many were extensively customised. We also found some limited work surrounding integration with laboratory results, pharmacy systems and organisational surveillance. Outcomes examined included healthcare professional performance, patient outcomes and health economic evaluations. We found at times conflicting conclusions surrounding effectiveness, which may be due to heterogeneity of populations, technologies and outcomes studied. Reports of unintended consequences were limited. CONCLUSIONS: Interventions are centred on CPOE and CDS, but also include additional functionality aiming to support various facets of the medicines management process. Wider organisational dimensions appear important to supporting adoption. Evaluations should consider processes, clinical, economic and safety outcomes in order to generate generalisable insights into safety, effectiveness and cost-effectiveness.","",10.1111/ijpp.12274,"Anti-Bacterial Agents/*therapeutic use;Decision Support Systems, Clinical;*Electronic Prescribing;Humans;Medical Order Entry Systems",27198585,
rayyan-1115027983,An Exploratory Study of the Readiness of Public Healthcare Facilities in Developing Countries to Adopt Health Information Technology (HIT)/e-Health: the Case of Ghana.,2020,6,,Journal of healthcare informatics research,2509-4971 (Print),4,2,189-214,Yusif S and Hafeez-Baig A and Soar J,https://pubmed.ncbi.nlm.nih.gov/35415442/,eng,,Switzerland,"There are myriad of factors used in assessing health information technology (HIT)/e-Health of healthcare institutions in developing countries and beyond. In this paper, we intended to identify and gain a deeper understanding of factors used in assessing HIT/e-Health readiness in developing countries through the identification of contextual attributes using Ghana as an exemplary developing country. Through in-depth interviews using aide memoire as interview guide, we explored Core readiness, Engagement readiness, Technological readiness, HIT funding readiness, Regulatory and policy readiness, Workforce readiness and Change Management readiness. We adapted the systematic thematic analysis of qualitative data guide suggested by Braun and Clarke (2013) and O'Connor and Gibson (Pimatisiwin 1: 63-90, 2003) in order to generate codes and build over-arching themes. While Organizational cultural readiness was found to be a more applicable theme/factor in place of Engagement readiness and Change management readiness, Resource readiness wasalso deemed a more appropriate theme for HIT funding readiness and Workforce readiness respectively. A total of 23 factors likely to promote HIT adoption in Ghana and 29 factors capable of impeding HIT adoption in Ghana and potentially in other developing countries were identified. For effective assessment of HIT readiness factors, there is a critical need for a deeper understanding of their applicability in differing settings. The outcome of this study offers a valuable insight into improving circumstances under which HIT/e-Health is adopted. When effectually carried out, assessment of this nature could be help side-step losses on large money, effort, time, delay and importantly, dissatisfaction among stakeholders while enabling change processes healthcare institutions and communities involved. This study also contributes to the limited literature on HIT/e-Health implementation scenarios while offering basis for theory-building.","",10.1007/s41666-020-00070-8,"",35415442,PMC8982759
rayyan-1115027984,Cognitive evaluation: how to assess the usability of information technology in healthcare.,1997,9,,Computer methods and programs in biomedicine,0169-2607 (Print),54,1,19-28,Beuscart-Zéphir MC and Brender J and Beuscart R and Ménager-Depriester I,https://pubmed.ncbi.nlm.nih.gov/9290916/,eng,,Ireland,"As the adoption of information technology has increased, so too has the demands that these systems become more adapted to the physicians and nurses environments, to make access and management of information easier. The developers of information systems in Healthcare must use quality management techniques to ensure that their product will satisfy given requirements. This underlines the importance of the preliminary phase where Users Requirements are elicited. Some methodologies, such as KAVAS (E.M.S. Van Gennip, F. Grémy, Med. Inform. 18, 1993, 179) chose to use a continuous assessment protocol as a key strategy for quality management. At each stage of the conception and development of a prototype, the assessment checks that it conforms to the expectation of the users' requirements. The methodology of evaluation is then seen as a dynamic process which is able to improve the design and development of a dedicated system. The purpose of this paper is to demonstrate the necessity to include a cognitive evaluation phase in the process of evaluation by: (1) evaluating the integration (usability) of the I.T. in the activity of the users; and (2) understanding the motives underlying their management of information. This will help the necessary integration of information management in the workload of the healthcare professionals and the compatibility of the prototypes with the daily activity of the users.","",10.1016/s0169-2607(97)00030-8,*Cognition;Consumer Behavior;Database Management Systems;Humans;Information Management;*Information Systems;Nurses;Physicians;Quality Control;Software Design;Software Validation;Systems Integration;*User-Computer Interface,9290916,
rayyan-1115027985,mHealth adoption in low-resource environments: a review of the use of mobile healthcare in developing countries.,2015,,,Journal of health communication,1087-0415 (Electronic),20,1,4-34,Chib A and van Velthoven MH and Car J,https://pubmed.ncbi.nlm.nih.gov/24673171/,eng,,United States,"The acknowledged potential of using mobile phones for improving healthcare in low-resource environments of developing countries has yet to translate into significant mHealth policy investment. The low uptake of mHealth in policy agendas may stem from a lack of evidence of the scalable, sustainable impact on health indicators. The mHealth literature in low- and middle-income countries reveals a burgeoning body of knowledge; yet, existing reviews suggest that the projects yield mixed results. This article adopts a stage-based approach to understand the varied contributions to mHealth research. The heuristic of inputs-mechanism-outputs is proposed as a tool to categorize mHealth studies. This review (63 articles comprising 53 studies) reveals that mHealth studies in developing countries tend to concentrate on specific stages, principally on pilot projects that adopt a deterministic approach to technological inputs (n = 32), namely introduction and implementation. Somewhat less studied were research designs that demonstrate evidence of outputs (n = 15), such as improvements in healthcare processes and public health indicators. The review finds a lack of emphasis on studies that provide theoretical understanding (n = 6) of adoption and appropriation of technological introduction that produces measurable health outcomes. As a result, there is a lack of dominant theory, or measures of outputs relevant to making policy decisions. Future work needs to aim for establishing theoretical and measurement standards, particularly from social scientific perspectives, in collaboration with researchers from the domains of information technology and public health. Priorities should be set for investments and guidance in evaluation disseminated by the scientific community to practitioners and policymakers.","",10.1080/10810730.2013.864735,Cell Phone/*statistics & numerical data;*Developing Countries;Humans;Randomized Controlled Trials as Topic;Telemedicine/*organization & administration,24673171,
rayyan-1115027986,"Consumer Opinions of Health Information Exchange, e-Prescribing, and Personal Health Records.",2015,,,Perspectives in health information management,1559-4122 (Electronic),12,,1e,Cochran GL and Lander L and Morien M and Lomelin DE and Brittin J and Reker C and Klepser DG,https://pubmed.ncbi.nlm.nih.gov/26604874/,eng,,United States,"BACKGROUND: Consumer satisfaction is a crucial component of health information technology (HIT) utilization, as high satisfaction is expected to increase HIT utilization among providers and to allow consumers to become full participants in their own healthcare management. OBJECTIVE: The primary objective of this pilot study was to identify consumer perspectives on health information technologies including health information exchange (HIE), e-prescribing (e-Rx), and personal health records (PHRs). METHODS: Eight focus groups were conducted in seven towns and cities across Nebraska in 2013. Each group consisted of 10-12 participants. Discussions were organized topically in the following categories: HIE, e-Rx, and PHR. The qualitative analysis consisted of immersion and crystallization to develop a coding scheme that included both preconceived and emergent themes. Common themes across focus groups were identified and compiled for each discussion category. RESULTS: The study had 67 participants, of which 18 (27 percent) were male. Focus group findings revealed both perceived barriers and benefits to the adoption of HIT. Common HIT concerns expressed across focus groups included privacy and security of medical information, decreases in quality of care, inconsistent provider participation, and the potential cost of implementation. Positive expectations regarding HIT included better accuracy and completeness of information, and improved communication and coordination between healthcare providers. Improvements in patient care were expected as a result of easy physician access to consolidated information across providers as well as the speed of sharing and availability of information in an emergency. In addition, participants were optimistic about patient empowerment and convenient access to and control of personal health data. CONCLUSION: Consumer concerns focused on privacy and security of the health information, as well as the cost of implementing the technologies and the possibility of an unintended negative impact on the quality of care. While negative perceptions present barriers for potential patient acceptance, benefits such as speed and convenience, patient oversight of health data, and safety improvements may counterbalance these concerns.","",,Computer Security;Confidentiality;Electronic Health Records;*Electronic Prescribing;Female;Focus Groups;Health Education/organization & administration;*Health Information Exchange;Humans;Male;Nebraska;*Patient Satisfaction;*Perception;Pilot Projects;Quality of Health Care,26604874,PMC4632874
rayyan-1115027987,Electronic Health Record Portals adoption: Empirical model based on UTAUT2.,2018,3,,Informatics for health & social care,1753-8165 (Electronic),43,2,109-125,Tavares J and Goulão A and Oliveira T,https://pubmed.ncbi.nlm.nih.gov/29035646/,eng,,England,"BACKGROUND: The future of healthcare delivery is becoming more citizen centered, as today's user is more active and better informed. Governmental institutions are promoting the deployment and use of online services such as Electronic Health Record (EHR) portals. This makes the adoption of EHR portals an important field to study and understand. OBJECTIVE: The aim of this study is to understand the factors that drive individuals to adopt EHR portals. METHODS: This study applies the extended unified theory of acceptance and usage technology (UTAUT2) to explain patients' individual adoption of EHR portals. An online questionnaire was administered. We collected 386 valid responses. RESULTS: The statistically significant drivers of behavioral intention are performance expectancy ([Formula: see text]=0.17; p < 0.01), effort expectancy ([Formula: see text]=0.17; p < 0.01), social influence ([Formula: see text]=0.10; p < 0.05), and habit ([Formula: see text]=0.37; p < 0.001). Habit ([Formula: see text]=0.28; p < 0.001) and behavioral intention ([Formula: see text]=0.24; p < 0.001) are the statistically significant drivers of technology use. The model explains 52% of the variance in behavioral intention and 31% of the variance in technology use. CONCLUSIONS: By testing an information technology acceptance model, we are able to determine what is more valued by patients when it comes to deciding whether to adopt EHR portals or not.","",10.1080/17538157.2017.1363759,Adolescent;Adult;Age Factors;*Attitude to Computers;Electronic Health Records/*organization & administration;Female;Humans;Male;Motivation;Patient Portals/*statistics & numerical data;Sex Factors;Social Environment;Young Adult,29035646,
rayyan-1115027988,Applications of Business Analytics in Healthcare.,2014,9,,Business horizons,0007-6813 (Print),57,5,571-582,Ward MJ and Marsolo KA and Froehle CM,https://pubmed.ncbi.nlm.nih.gov/25429161/,eng,,United States,"The American healthcare system is at a crossroads, and analytics, as an organizational skill, figures to play a pivotal role in its future. As more healthcare systems capture information electronically and as they begin to collect more novel forms of data, such as human DNA, how will we leverage these resources and use them to improve human health at a manageable cost? In this article, we argue that analytics will play a fundamental role in the transformation of the American healthcare system. However, there are numerous challenges to the application and use of analytics, namely the lack of data standards, barriers to the collection of high-quality data, and a shortage of qualified personnel to conduct such analyses. There are also multiple managerial issues, such as how to get end users of electronic data to employ it consistently for improving healthcare delivery, and how to manage the public reporting and sharing of data. In this article, we explore applications of analytics in healthcare, barriers and facilitators to its widespread adoption, and how analytics can help us achieve the goals of the modern healthcare system: high-quality, responsive, affordable, and efficient care.","",10.1016/j.bushor.2014.06.003,"",25429161,PMC4242091
rayyan-1115027990,"Exploring digital divides: an examination of eHealth technology use in health information seeking, communication and personal health information management in the USA.",2011,9,,Health informatics journal,1741-2811 (Electronic),17,3,224-43,Lustria ML and Smith SA and Hinnant CC,https://pubmed.ncbi.nlm.nih.gov/21937464/,eng,,England,"Recent government initiatives to deploy health information technology in the USA, coupled with a growing body of scholarly evidence linking online heath information and positive health-related behaviors, indicate a widespread belief that access to health information and health information technologies can help reduce healthcare inequalities. However, it is less clear whether the benefits of greater access to online health information and health information technologies is equitably distributed across population groups, particularly to those who are underserved. To examine this issue, this article employs the 2007 Health Information National Trends Survey (HINTS) to investigate relationships between a variety of socio-economic variables and the use of the web-based technologies for health information seeking, personal health information management and patient-provider communication within the context of the USA. This study reveals interesting patterns in technology adoption, some of which are in line with previous studies, while others are less clear. Whether these patterns indicate early evidence of a narrowing divide in eHealth technology use across population groups as a result of the narrowing divide in Internet access and computer ownership warrants further exploration. In particular, the findings emphasize the need to explore differences in the use of eHealth tools by medically underserved and disadvantaged groups. In so doing, it will be important to explore other psychosocial variables, such as health literacy, that may be better predictors of health consumers' eHealth technology adoption.","",10.1177/1460458211414843,"Adult;Age Distribution;Aged;Aged, 80 and over;Community Participation/methods/*statistics & numerical data;Female;Health Education/*methods/*statistics & numerical data;Health Surveys;Humans;Information Storage and Retrieval/*methods;Internet/*statistics & numerical data;Logistic Models;Male;Middle Aged;Sex Distribution;Socioeconomic Factors;Surveys and Questionnaires;Technology Assessment, Biomedical;United States;User-Computer Interface;Young Adult",21937464,
rayyan-1115027992,An information technology framework for strengthening telehealthcare service delivery.,2012,10,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),18,8,596-603,Chen LC and Chen CW and Weng YC and Shang RJ and Yu HC and Chung Y and Lai F,https://pubmed.ncbi.nlm.nih.gov/23061641/,eng,,United States,"OBJECTIVE: Telehealthcare has been used to provide healthcare service, and information technology infrastructure appears to be essential while providing telehealthcare service. Insufficiencies have been identified, such as lack of integration, need of accommodation of diverse biometric sensors, and accessing diverse networks as different houses have varying facilities, which challenge the promotion of telehealthcare. This study designs an information technology framework to strengthen telehealthcare delivery. MATERIALS AND METHODS: The proposed framework consists of a system architecture design and a network transmission design. The aim of the framework is to integrate data from existing information systems, to adopt medical informatics standards, to integrate diverse biometric sensors, and to provide different data transmission networks to support a patient's house network despite the facilities. The proposed framework has been evaluated with a case study of two telehealthcare programs, with and without the adoption of the framework. RESULTS: The proposed framework facilitates the functionality of the program and enables steady patient enrollments. The overall patient participations are increased, and the patient outcomes appear positive. The attitudes toward the service and self-improvement also are positive. CONCLUSIONS: The findings of this study add up to the construction of a telehealthcare system. Implementing the proposed framework further assists the functionality of the service and enhances the availability of the service and patient acceptances.","",10.1089/tmj.2011.0267,Biometry/*instrumentation/methods;Computer Systems;Delivery of Health Care/methods/*organization & administration;Humans;Information Systems/*organization & administration;Medical Informatics/methods/*organization & administration;Program Evaluation;Systems Analysis;Telemedicine/*organization & administration;United States,23061641,PMC3466923
rayyan-1115027993,The wave has finally broken: now what?,2013,6,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),20,,e21-5,Simborg DW and Detmer DE and Berner ES,https://pubmed.ncbi.nlm.nih.gov/23538723/,eng,,England,"In 2005, the authors published a paper, 'Will the wave finally break? A brief view of the adoption of electronic medical records in the United States', which predicted that rapid adoption of electronic health records (EHR) would occur in the next 5 years given appropriate incentives. The wave has finally broken with the stimulus of the health information technology for economic and clinical health legislation in 2009, and there have been both positive and negative developments in the ensuing years. The positive developments, among others described, are increased adoption of EHR, the emergence of a national network infrastructure and the recognition of clinical informatics as a medical specialty. Problems that still exist include, among others described, continued user interface problems, distrust of EHR-generated notes and an increased potential for fraud and abuse. It is anticipated that in the next 5 years there will be near universal EHR adoption, greater emphasis on standards and interoperability, greater involvement of Congress in health information technology (IT), breakthroughs in user interfaces, compelling online medical and IT education, both increased use of data analytics for personalized healthcare and a realization of the difficulties of this approach, a blurring of the distinction between EHR and telemedicine, a resurgence of computer-assisted diagnosis and the emergence of a 'continuously learning' healthcare system.","",10.1136/amiajnl-2012-001508,American Recovery and Reinvestment Act;*Diffusion of Innovation;Electronic Health Records/*statistics & numerical data/*trends;Meaningful Use/statistics & numerical data;United States,23538723,PMC3715345
rayyan-1115027994,Adoption of health technologies for effective health information system: Need of the hour for Pakistan.,2021,,,PloS one,1932-6203 (Electronic),16,10,e0258081,Malik M and Kazi AF and Hussain A,https://pubmed.ncbi.nlm.nih.gov/34618842/,eng,,United States,"Health information technology systems have the capacity to improve health outcomes for the patients thus ensuring quality and efficient services. Health information systems (HIS) are important tools in guidance towards patient safety and better outcomes. However, still, morbidity and mortality attributed to medical errors remain an important issue that needs to be addressed. The objective of the present study was to assess the health information system in terms of technological, environmental, organizational and human factors affecting the adoption as well as the perceptions of stakeholders along with barriers and constraints related to successful implementation. A descriptive cross-sectional study design was used. Prospective data was collected from primary sources by self-administering the pre-validated questionnaires as well as by physical verification of the availability of equipment. After data collection, data was analyzed to assess the health information management systems. The results of the present study showed that the health information system in Pakistan is not up to the mark. The equipment was mostly unavailable at the primary healthcare facilities. The staff was also unsatisfied with the available services. Administrative, financial and human constraints were identified as the major barriers towards successful implementation and management of HIS. The present study concluded that the health information system of Pakistan needs to be revamped. Health information management system partially existed at district and sub-district offices, while was completely absent at tertiary, secondary and primary healthcare levels. The poor adoption of health information technology systems at healthcare facilities might largely be attributed to insufficient human resources with limited resources and budget allocation for health in Pakistan. Effective and timely strategies involving all important stakeholders and healthcare professionals must be designed and implemented at the National level to restructure an affordable, resilient and quality healthcare system.","",10.1371/journal.pone.0258081,Biomedical Technology/*trends;*Health Facilities;Health Information Systems/*trends;Health Personnel;Health Services Accessibility;Humans;Pakistan/epidemiology;*Primary Health Care;Quality of Health Care;Rural Health Services,34618842,PMC8496784
rayyan-1115027995,Security practices and regulatory compliance in the healthcare industry.,2013,1,1,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),20,1,44-51,Kwon J and Johnson ME,https://pubmed.ncbi.nlm.nih.gov/22955497/,eng,,England,"OBJECTIVE: Securing protected health information is a critical responsibility of every healthcare organization. We explore information security practices and identify practice patterns that are associated with improved regulatory compliance. DESIGN: We employed Ward's cluster analysis using minimum variance based on the adoption of security practices. Variance between organizations was measured using dichotomous data indicating the presence or absence of each security practice. Using t tests, we identified the relationships between the clusters of security practices and their regulatory compliance. MEASUREMENT: We utilized the results from the Kroll/Healthcare Information and Management Systems Society telephone-based survey of 250 US healthcare organizations including adoption status of security practices, breach incidents, and perceived compliance levels on Health Information Technology for Economic and Clinical Health, Health Insurance Portability and Accountability Act, Red Flags rules, Centers for Medicare and Medicaid Services, and state laws governing patient information security. RESULTS: Our analysis identified three clusters (which we call leaders, followers, and laggers) based on the variance of security practice patterns. The clusters have significant differences among non-technical practices rather than technical practices, and the highest level of compliance was associated with hospitals that employed a balanced approach between technical and non-technical practices (or between one-off and cultural practices). CONCLUSIONS: Hospitals in the highest level of compliance were significantly managing third parties' breaches and training. Audit practices were important to those who scored in the middle of the pack on compliance. Our results provide security practice benchmarks for healthcare administrators and can help policy makers in developing strategic and practical guidelines for practice adoption.","",10.1136/amiajnl-2012-000906,American Recovery and Reinvestment Act;Cluster Analysis;*Computer Security;*Confidentiality;Discriminant Analysis;*Guideline Adherence;Health Care Surveys;Health Insurance Portability and Accountability Act;Humans;*Medical Informatics;United States,22955497,PMC3555315
rayyan-1115027996,Examining Disparities in Ownership and Use of Digital Health Technology Between Rural and Urban Adults in the US: An Analysis of the 2019 Health Information National Trends Survey.,2023,5,,Cureus,2168-8184 (Print),15,5,e38417,Okobi E and Adigun AO and Ozobokeme OE and Emmanuel O and Akinsanya PA and Okunromade O and Okobi OE and Aiwuyo HO and Dick AI and Sadiq-Onilenla RA and Ogunlana FA,https://pubmed.ncbi.nlm.nih.gov/37273368/,eng,,United States,"BACKGROUND: Although research shows that digital health tools (DHT) are increasingly integrated with healthcare in the United States, very few studies have investigated the rural-urban differences in DHT adoption at the national level. Individuals in rural communities experience disproportionately greater rates of chronic diseases and face unique challenges in accessing health care. Studies have shown that digital technology can improve access and support rural health by overcoming geographic barriers to care. OBJECTIVE:  To evaluate the rates of ownership and preferences for utilization of DHT as a measure of interest among rural adults compared to their urban counterparts in the United States using a National Inpatient Survey. METHODS:  Data was drawn from the 2019 (n= 5438) iteration of the Health Information National Trends Survey (HINTS 5 cycle 3). Chi-square tests and weighted multivariable logistic regressions were conducted to examine rural-urban differences regarding ownership, usage, and use of digital health tools to interact with health care systems while adjusting for health-related characteristics and sociodemographic factors. RESULTS: The ownership rates of digital health technology (DHT) devices, including tablets, smart phones, health apps, and wearable devices, were comparable between rural and urban residents. For tablets, the ownership rates were 54.52% among rural residents and 60.24% among urban residents, with an adjusted odds ratio (OR) of 0.87 (95% confidence interval {CI}: 0.61, 1.24). The ownership rates of health apps were 51.41% and 53.35% among rural and urban residents, respectively, with an adjusted OR of 0.93 (95% CI: 0.62, 1.42). For smartphones, the ownership rates were 81.64% among rural residents and 84.10% among urban residents, with an adjusted OR of 0.81 (95% CI: 0.59, 1.11). Additionally, rural residents were equally likely to use DHT in managing their healthcare needs. Both groups were equally likely to have reported their smart device as helpful in discussions with their healthcare providers (OR 0.90; 95% CI 63 - 1.30; p = 0.572). Similarly, there were similar odds of reporting that DHT had helped them to track progress on a health-related goal (e.g., quitting smoking, losing weight, or increasing physical activity) (OR 1.17; 95% CI 0.75 - 1.83; p = 0.491), and to make medical decisions (OR 1.05; 95% CI 0.70 - 1.59; p = 0.797). However, they had lower rates of internet access and were less likely to use DHT for communicating with their healthcare providers. CONCLUSION:  We found that rural residents are equally likely as urban residents to own and use DHT to manage their health. However, they were less likely to communicate with their health providers using DHT. With increasing use of DHT in healthcare, future research that targets reasons for geographical digital access disparities is warranted.","",10.7759/cureus.38417,"",37273368,PMC10233341
rayyan-1115027997,Implementation of information and communication technologies for health in Bangladesh.,2015,11,1,Bulletin of the World Health Organization,1564-0604 (Electronic),93,11,806-9,Islam SM and Tabassum R,https://pubmed.ncbi.nlm.nih.gov/26549909/,eng,,Switzerland,"PROBLEM: Bangladesh has yet to develop a fully integrated health information system infrastructure that is critical to guiding policy development and planning. APPROACH: Initial pilot telemedicine and eHealth programmes were not coordinated at national level. However, in 2011, a national eHealth policy was implemented. LOCAL SETTING: Bangladesh has made substantial improvements to its health system. However, the country still faces public health challenges with limited and inequitable access to health services and lack of adequate resources to meet the demands of the population. RELEVANT CHANGES: In 2008, eHealth services were introduced, including computerization of health facilities at sub-district levels, internet connections, internet servers and an mHealth service for communicating with health-care providers. Health facilities at sub-district levels were provided with internet connections and servers. In 482 upazila health complexes and district hospitals, an mHealth service was set-up where an on-duty doctor is available for patients at all hours to provide consultations by mobile phone. A government operated telemedicine service was initiated and by 2014, 43 fully equipped centres were in service. These centres provide medical consultations by qualified physicians to patients visiting rural and remote community clinics and union health centres. LESSONS LEARNT: Despite early pilot interventions and successful implementation, progress in adopting eHealth strategies in Bangladesh has been slow. There is a lack of common standards on information technology for health, which causes difficulties in data management and sharing among different databases. Limited internet bandwidth and the high cost of infrastructure and software development are barriers to adoption of these technologies.","",10.2471/BLT.15.153684,Bangladesh;Health Policy;*Health Services Accessibility;Humans;Medical Informatics/methods/organization & administration;Private Sector;Public Sector;Rural Health Services;Telemedicine/*methods/*organization & administration,26549909,PMC4622159
rayyan-1115027998,Analysis of Two Diverse Nursing Records Applications: Mixed Methods Approach.,2022,9,,Zdravstveno varstvo,0351-0026 (Print),61,3,137-144,Drnovšek R and Milavec Kapun M and Rajkovič V and Rajkovič U,https://pubmed.ncbi.nlm.nih.gov/35855380/,eng,,Poland,"INTRODUCTION: Poor adoption of electronic health records among healthcare workers can diminish their impact. Healthcare informatics solutions development should diligently acknowledge end-user needs. This study compares a user experience and perceived quality of the nursing process integration in two different applications for electronic documentation of the nursing care plan. Both applications were designed and tested in Slovenia. METHODS: In the first phase, final year undergraduate nursing students were recruited (n=73) and randomly assigned into two groups. Each group used one of the applications for a duration of five hours. A survey among students was conducted. In the second phase, additional students were recruited (n=40) and invited to participate in qualitative analysis of the unfavourably rated application. RESULTS: The modern, visually improved application was favourably rated by students in terms of all aspects of application usability. However, students reported a significant number of inadequacies regarding the nursing process methodology integration. On the contrary, the students using the poorly rated and visually outdated application reported no such concerns. Qualitative analysis of student reflections identified additional positive features of software design that were not detected in survey results analysis. CONCLUSION: This study showed that a user-centred approach can be used to compare diverse electronic solutions. Detected discrepancies in findings using qualitative and quantitative analysis show the importance of integrating diverse research approaches for adequate evaluation of software solutions. Furthermore, this study design promotes empowerment of healthcare workers to participate in the development and critical evaluations of software solutions.","",10.2478/sjph-2022-0019,"",35855380,PMC9245498
rayyan-1115027999,Measure of clinical information technology adoption.,2013,3,,Healthcare informatics research,2093-3681 (Print),19,1,56-62,Lee J and Park YT,https://pubmed.ncbi.nlm.nih.gov/23626919/,eng,,Korea (South),"OBJECTIVES: The objective of this study was to create a new measure for clinical information technology (IT) adoption as a proxy variable of clinical IT use. METHODS: Healthcare Information and Management Systems Society (HIMSS) data for 2004 were used. The 18 clinical IT applications were analyzed across 3,637 acute care hospitals in the United States. After factor analysis was conducted, the clinical IT adoption score was created and evaluated. RESULTS: Basic clinical IT systems, such as laboratory, order communication/results, pharmacy, radiology, and surgery information systems had different adoption patterns from advanced IT systems, such as cardiology, radio picture archiving, and communication, as well as computerized practitioner order-entry. This clinical IT score varied across hospital characteristics. CONCLUSIONS: Different IT applications have different adoption patterns. In creating a measure of IT use among various IT components in hospitals, the characteristics of each type of system should be reflected. Aggregated IT adoption should be used to explain technology acquisition and utilization in hospitals.","",10.4258/hir.2013.19.1.56,"",23626919,PMC3633173
rayyan-1115028000,Improved efficiency of coding systems with health information technology.,2021,5,13,Scientific reports,2045-2322 (Electronic),11,1,10294,Lee J and Choi JY,https://pubmed.ncbi.nlm.nih.gov/33986440/,eng,,England,"This study aimed to investigate the impact of health information technology (IT) on the Case Mix Index (CMI). This study was a retrospective cohort study using hospital financial data from the Office of Statewide Health Planning and Development (OSHPD) in California. A total of 309 unique hospitals were included in the study for 7 years, from 2009 to 2015, resulting in 2,135 hospital observations. The effects of health information technology (IT) on the Case Mix Index (CMI) was evaluated using dynamic panel data analysis to control endogeneity issues. This study found that more health IT adoption could lead to a lower CMI by improving coding systems. Policy makers, researchers, and healthcare providers must be cautious when interpreting the effect of health IT on the CMI. To encourage the adoption of health IT, the cost savings and reimbursement reductions resulting from health IT adoption should be compared. If any profit loss occurs (i.e., the cost savings is less than reimbursement reduction), more incentives should be provided to healthcare providers.","",10.1038/s41598-021-89869-y,"Clinical Coding/*standards;*Efficiency, Organizational;Humans;*Medical Informatics;United States",33986440,PMC8119452
rayyan-1115028001,"The Integrated Tracking, Referral, and Electronic Decision Support, and Care Coordination (I-TREC) program: scalable strategies for the management of hypertension and diabetes within the government healthcare system of India.",2020,11,9,BMC health services research,1472-6963 (Electronic),20,1,1022,Patel SA and Sharma H and Mohan S and Weber MB and Jindal D and Jarhyan P and Gupta P and Sharma R and Ali M and Ali MK and Narayan KMV and Prabhakaran D and Gupta Y and Roy A and Tandon N,https://pubmed.ncbi.nlm.nih.gov/33168004/,eng,,England,"BACKGROUND: Hypertension and diabetes are among the most common and deadly chronic conditions globally. In India, most adults with these conditions remain undiagnosed, untreated, or poorly treated and uncontrolled. Innovative and scalable approaches to deliver proven-effective strategies for medical and lifestyle management of these conditions are needed. METHODS: The overall goal of this implementation science study is to evaluate the Integrated Tracking, Referral, Electronic decision support, and Care coordination (I-TREC) program. I-TREC leverages information technology (IT) to manage hypertension and diabetes in adults aged ≥30 years across the hierarchy of Indian public healthcare facilities. The I-TREC program combines multiple evidence-based interventions: an electronic case record form (eCRF) to consolidate and track patient information and referrals across the publicly-funded healthcare system; an electronic clinical decision support system (CDSS) to assist clinicians to provide tailored guideline-based care to patients; a revised workflow to ensure coordinated care within and across facilities; and enhanced training for physicians and nurses regarding non-communicable disease (NCD) medical content and lifestyle management. The program will be implemented and evaluated in a predominantly rural district of Punjab, India. The evaluation will employ a quasi-experimental design with mixed methods data collection. Evaluation indicators assess changes in the continuum of care for hypertension and diabetes and are grounded in the Reach, Effectiveness, Adoption Implementation, and Maintenance (RE-AIM) framework. Data will be triangulated from multiple sources, including community surveys, health facility assessments, stakeholder interviews, and patient-level data from the I-TREC program's electronic database. DISCUSSION: I-TREC consolidates previously proven strategies for improved management of hypertension and diabetes at single-levels of the healthcare system into a scalable model for coordinated care delivery across all levels of the healthcare system hierarchy. Findings have the potential to inform best practices to ultimately deliver quality public-sector hypertension and diabetes care across India. TRIAL REGISTRATION: The study is registered with Clinical Trials Registry of India (registration number CTRI/2020/01/022723 ). The study was registered prior to the launch of the intervention on 13 January 2020. The current version of protocol is version 2 dated 6 June 2018.","",10.1186/s12913-020-05851-w,"Adult;Databases as Topic;*Decision Support Systems, Clinical;*Delivery of Health Care/organization & administration;Diabetes Mellitus/*therapy;Electronic Health Records;Humans;Hypertension/*therapy;India;Referral and Consultation;Research Design;Rural Population",33168004,PMC7652581
rayyan-1115028002,Multilevel influences on patient engagement and chronic care management.,2023,4,,The American journal of managed care,1936-2692 (Electronic),29,4,196-202,Miller-Rosales C and Brewster AL and Shortell SM and Rodriguez HP,https://pubmed.ncbi.nlm.nih.gov/37104834/,eng,,United States,"OBJECTIVES: Physician practices are increasingly owned by health systems, which may support or hinder adoption of innovative care processes for adults with chronic conditions. We examined health system- and physician practice-level capabilities associated with adoption of (1) patient engagement strategies and (2) chronic care management processes for adult patients with diabetes and/or cardiovascular disease. STUDY DESIGN: We analyzed data collected from the National Survey of Healthcare Organizations and Systems, a nationally representative survey of physician practices (n = 796) and health systems (n = 247) (2017-2018). METHODS: Multivariable multilevel linear regression models estimated system- and practice-level characteristics associated with practice adoption of patient engagement strategies and chronic care management processes. RESULTS: Health systems with processes to assess clinical evidence (β = 6.54 points on a 0-100 scale; P = .004) and with more advanced health information technology (HIT) functionality (β = 2.77 points per SD increase on a 0-100 scale; P = .03) adopted more practice-level chronic care management processes, but not patient engagement strategies, compared with systems lacking these capabilities. Physician practices with cultures oriented to innovation, more advanced HIT functionality, and with a process to assess clinical evidence adopted more patient engagement strategies and chronic care management processes. CONCLUSIONS: Health systems may be better able to support the adoption of practice-level chronic care management processes, which have a strong evidence base for implementation, compared with patient engagement strategies, which have less evidence to guide effective implementation. Health systems have an opportunity to advance patient-centered care by expanding practice-level HIT functionality and developing processes to appraise clinical evidence for practices.","",10.37765/ajmc.2023.89348,Humans;Patient Participation;*Cardiovascular Diseases/therapy;*Diabetes Mellitus/therapy;Patient-Centered Care;Chronic Disease/therapy;*Disease Management;*Delivery of Health Care/organization & administration,37104834,
rayyan-1115028004,"EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes.",2015,,,"EGEMS (Washington, DC)",2327-9214 (Print),3,2,1159,Foraker RE and Kite B and Kelley MM and Lai AM and Roth C and Lopetegui MA and Shoben AB and Langan M and Rutledge NL and Payne PR,https://pubmed.ncbi.nlm.nih.gov/26290891/,eng,,England,"BACKGROUND: Electronic health records (EHRs) have the potential to enhance patient-provider communication and improve patient outcomes. However, in order to impact patient care, clinical decision support (CDS) and communication tools targeting such needs must be integrated into clinical workflow and be flexible with regard to the changing health care landscape. DESIGN: The Stroke Prevention in Healthcare Delivery Environments (SPHERE) team developed and implemented the SPHERE tool, an EHR-based CDS visualization, to enhance patient-provider communication around cardiovascular health (CVH) within an outpatient primary care setting of a large academic medical center. IMPLEMENTATION: We describe our successful CDS alert implementation strategy and report adoption rates. We also present results of a provider satisfaction survey showing that the SPHERE tool delivers appropriate content in a timely manner. Patient outcomes following implementation of the tool indicate one-year improvements in some CVH metrics, such as body mass index and diabetes. DISCUSSION: Clinical decision-making and practices change rapidly and in parallel to simultaneous changes in the health care landscape and EHR usage. Based on these observations and our preliminary results, we have found that an integrated, extensible, and workflow-aware CDS tool is critical to enhancing patient-provider communications and influencing patient outcomes.","",10.13063/2327-9214.1159,"",26290891,PMC4537147
rayyan-1115028005,Enablers Supporting the Implementation of Knowledge Management in the Healthcare of Pakistan.,2018,12,10,International journal of environmental research and public health,1660-4601 (Electronic),15,12,,Karamat J and Shurong T and Ahmad N and Waheed A and Mahmood K,https://pubmed.ncbi.nlm.nih.gov/30544770/,eng,,Switzerland,"Knowledge is considered to be an important resource; it is the source of competitive advantage. However, if knowledge is managed well with Knowledge Management (KM), then it becomes a source for sustainable competitive advantage for organizations. If KM is implemented in an organization, it would improve the organizational competitiveness, performance, and productivity, and facilitate the efficient use of resources. Due to intense competition in the global market, many organizations are moving towards the adoption of KM. The healthcare sectors of many developed countries have moved towards the implementation of KM because it can improve the procuring of knowledge from ongoing activities by the effective use of data repositories. Developing countries have now realized the potential and benefits of KM adoption. Pakistan is one of the developing countries that have recently shown an inclination towards the adoption of KM in its healthcare sector to improve performance of its healthcare. This study was composed of two main research phases. Firstly, the enablers of KM were reviewed from earlier studies. Secondly, interpretive structural modeling (ISM) and MICMAC (Cross-Impact Matrix Multiplication Applied to Classification) techniques were used to show the interrelationships between KM enablers and driving and dependence power of each enabler. The application of ISM and MICMAC technique shows that policy incentive, long-term strategic planning, Information Technology (IT), and alignment of KM efforts with business strategy are the main enablers of KM adoption in the healthcare of Pakistan. Focusing on the identified enablers will help in the implementation of KM. Policy incentives can work as a catalyst to promote KM adoption in the healthcare of Pakistan.","",10.3390/ijerph15122816,Delivery of Health Care/*methods/statistics & numerical data;*Knowledge Management;Pakistan,30544770,PMC6313559
rayyan-1115028006,Understanding health information management practices in public hospitals in Kuwait.,2020,5,,Health information management : journal of the Health Information Management           Association of Australia,1833-3575 (Electronic),49,2,127-136,Alhuwail D,https://pubmed.ncbi.nlm.nih.gov/30894029/,eng,,Australia,"BACKGROUND: Health information technology (IT) solutions can aid healthcare reform efforts, but without proper information management, these efforts are futile. In this study, we used Kuwait as an example of a high per-capita gross domestic product country that faces information management challenges to draw insights that can be generalised to other developed countries. OBJECTIVE: (i) to uncover the status quo of information management practices in public hospitals and (ii) to offer recommendations to improve them. METHOD: This study analysed qualitative and quantitative accreditation-related data pertaining to the compliance with the information management standard at all secondary care public hospitals over two accreditation cycles. RESULTS: Overall, public hospitals had made positive progress in their compliance with the information management standard. However, issues still existed with (i) developing and implementing an information management plan, (ii) involving the appropriate stakeholders in selecting health IT solutions and (iii) access to the Internet by staff and patients. CONCLUSION: Evidence underscored the importance of proper information management driven by clear centralised strategic plans. IMPLICATIONS: With the rapid adoption of digital health systems, the role of health information management leaders should not be undervalued. Embracing health IT solutions with strong information management practices can aid healthcare reform efforts.","",10.1177/1833358319837247,"Accreditation;Guideline Adherence;Health Care Reform;Health Information Management/*standards;*Hospitals, Public;Kuwait;Quality Improvement",30894029,
rayyan-1115028007,"Adoption of information technology in primary care physician offices in Alberta and Denmark, Part 1: Historical, technical and cultural forces.",2007,,,"Healthcare quarterly (Toronto, Ont.)",1710-2774 (Print),10,3,"95-102, 4",Protti D and Edworthy S and Johansen I,https://pubmed.ncbi.nlm.nih.gov/17626551/,eng,,Canada,"Denmark and Alberta are both advanced in the application of the Western scientific model of healthcare and both currently enjoy similar levels of economic prosperity. This article evaluates the current state, driving forces and general health system factors that have impacted two culturally and historically different medical jurisdictions--Denmark and Alberta, Canada.","",,"Alberta;Denmark;*Diffusion of Innovation;*Information Systems;*Physicians' Offices;*Physicians, Family",17626551,
rayyan-1115028008,Adoption of Electronic Health Records (EHRs) in China During the Past 10 Years: Consecutive Survey Data Analysis and Comparison of Sino-American Challenges and Experiences.,2021,2,18,Journal of medical Internet research,1438-8871 (Electronic),23,2,e24813,Liang J and Li Y and Zhang Z and Shen D and Xu J and Zheng X and Wang T and Tang B and Lei J and Zhang J,https://pubmed.ncbi.nlm.nih.gov/33599615/,eng,,Canada,"BACKGROUND: The adoption rate of electronic health records (EHRs) in hospitals has become a main index to measure digitalization in medicine in each country. OBJECTIVE: This study summarizes and shares the experiences with EHR adoption in China and in the United States. METHODS: Using the 2007-2018 annual hospital survey data from the Chinese Health Information Management Association (CHIMA) and the 2008-2017 United States American Hospital Association Information Technology Supplement survey data, we compared the trends in EHR adoption rates in China and the United States. We then used the Bass model to fit these data and to analyze the modes of diffusion of EHRs in these 2 countries. Finally, using the 2007, 2010, and 2014 CHIMA and Healthcare Information and Management Systems Services survey data, we analyzed the major challenges faced by hospitals in China and the United States in developing health information technology. RESULTS: From 2007 to 2018, the average adoption rates of the sampled hospitals in China increased from 18.6% to 85.3%, compared to the increase from 9.4% to 96% in US hospitals from 2008 to 2017. The annual average adoption rates in Chinese and US hospitals were 6.1% and 9.6%, respectively. However, the annual average number of hospitals adopting EHRs was 1500 in China and 534 in the US, indicating that the former might require more effort. Both countries faced similar major challenges for hospital digitalization. CONCLUSIONS: The adoption rates of hospital EHRs in China and the United States have both increased significantly in the past 10 years. The number of hospitals that adopted EHRs in China exceeded 16,000, which was 3.3 times that of the 4814 nonfederal US hospitals. This faster adoption outcome may have been a benefit of top-level design and government-led policies, particularly the inclusion of EHR adoption as an important indicator for performance evaluation and the appointment of public hospitals.","",10.2196/24813,China;*Data Analysis;Electronic Health Records/*standards;Humans;Surveys and Questionnaires;Time Factors;United States,33599615,PMC7932845
rayyan-1115028009,Health Information Technologies: Which Nursing Homes Adopted Them?,2016,5,1,Journal of the American Medical Directors Association,1538-9375 (Electronic),17,5,441-7,Zhang N and Lu SF and Xu B and Wu B and Rodriguez-Monguio R and Gurwitz J,https://pubmed.ncbi.nlm.nih.gov/27107160/,eng,,United States,"PURPOSE: Long-term care facilities have lagged heavily behind other health providers in adopting health information technology (IT). This article examines the facility characteristics that are associated with health IT adoption. DESIGN AND METHODS: This study is a secondary data analysis of information gathered between 2005 and 2011 about nursing facility characteristics contained in the Online Certification & Reporting (OSCAR) files and information about health IT adoption in each nursing home contained in the Healthcare Information and Management Systems Society (HIMSS) Analytics Database. Multivariate regression analysis is conducted. RESULTS: Nursing homes with licensed nursing staff levels above the state average were 20% more likely to adopt computer-provided order entry (CPOE) than homes with licensed nursing staff below average. Resident resources (more Medicare-paid patients and fewer Medicaid patients) were positively correlated to health IT adoption, particularly to a clinical data repository (CDR), clinical decision support systems (CDSS), and an order entry (OE) system. Other characteristics, including chain affiliation, ownership, and market competition, are also related to some health IT adoption within nursing homes. IMPLICATION: Nursing homes with more personnel or resident resources are more likely to adopt health IT. Other factors such as market competition are also important predictors. Future research is needed to examine what factors motivate nursing homes to adopt health IT.","",10.1016/j.jamda.2016.02.028,*Diffusion of Innovation;Humans;*Medical Informatics;*Nursing Homes;Quality of Health Care;Regression Analysis;Surveys and Questionnaires;United States,27107160,
rayyan-1115028010,Adoption rates of electronic health records in Turkish Hospitals and the relation with hospital sizes.,2020,10,21,BMC health services research,1472-6963 (Electronic),20,1,967,Kose I and Rayner J and Birinci S and Ulgu MM and Yilmaz I and Guner S,https://pubmed.ncbi.nlm.nih.gov/33087106/,eng,,England,"BACKGROUND: Nation-wide adoption of electronic health records (EHRs) in hospitals has become a Turkish policy priority in recognition of their benefits in maintaining the overall quality of clinical care. The electronic medical record maturity model (EMRAM) is a widely used survey tool developed by the Healthcare Information and Management Systems Society (HIMSS) to measure the rate of adoption of EHR functions in a hospital or a secondary care setting. Turkey completed many standardizations and infrastructural improvement initiatives in the health information technology (IT) domain during the first phase of the Health Transformation Program between 2003 and 2017. Like the United States of America (USA), the Turkish Ministry of Health (MoH) applied a bottom-up approach to adopting EHRs in state hospitals. This study aims to measure adoption rates and levels of EHR use in state hospitals in Turkey and investigate any relationship between adoption and use and hospital size. METHODS: EMRAM surveys were completed by 600 (68.9%) state hospitals in Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions and their use were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated. RESULTS: We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which compares favourably to the results of Korean hospitals in 2017, but unfavorably to the results of US hospitals in 2015 and 2017. Our findings suggest that smaller hospitals are better at adopting certain EHR functions than larger hospitals. CONCLUSION: Measuring the overall adoption rates of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all state hospitals in a country using EMRAM. The bottom-up approach to adopting EHR in state hospitals that was successful in the USA has also been found to be successful in Turkey. The results are used by the Turkish MoH to disseminate the nation-wide benefits of EHR functions.","",10.1186/s12913-020-05767-5,"Electronic Health Records/*organization & administration/statistics & numerical           data;Health Facility Size/*statistics & numerical data;Hospitals, State/*organization & administration/statistics & numerical data;Humans;Surveys and Questionnaires;Turkey",33087106,PMC7580017
rayyan-1115028011,Factors that impact Patient Web Portal Readiness (PWPR) among the underserved.,2017,6,,International journal of medical informatics,1872-8243 (Electronic),102,,62-70,Nambisan P,https://pubmed.ncbi.nlm.nih.gov/28495349/,eng,,Ireland,"OBJECTIVE: Healthcare organizations in the US are increasingly using Patient Portals as a means to provide patients with partial access to their health records and thereby comply with the 'meaningful use' of Health Information Technology policy issued by the US federal government. Patient portals are used to not only provide access to parts of the health records such as lab results but also offer services such as customized educational materials and appointment scheduling. While prior studies examining the adoption rates of these patient portals have not offered consistent findings, many of the studies have reported limited adoption and use [1] of patient portals, especially among the underserved population. This study explores the factors behind the reduced adoption rate of patient portals among the underserved by focusing on their Patient Web Portal Readiness (PWPR). DESIGN: The study empirically evaluates the impact of three important variables on PWPR among the underserved: (a) Personal Health Information Management (PHIM) activities, (b) patient attitude toward personal health record keeping; and (c) use of Internet for health information seeking. The study also incorporates three other factors: (d) access to Internet; (e) demographics; and (f) presence of chronic illness. MEASUREMENTS: Data were collected through a survey from 132 patients from the underserved population who visited 5 free clinics in the Northern Virginia area in the US. The paper-based survey was administered to the patients who visited these free clinics for care. RESULTS: The study findings show support for the hypotheses related to the impact of the two key factors - Personal Health Information Management (PHIM) activities and attitude toward personal health record keeping - on PWPR. The findings also indicate that the use of Internet for health information seeking has relatively more impact than patient's Internet access on PWPR. Overall, the findings imply the critical importance of complementary activities - e.g., PHIM activities, Internet-based health information seeking - to enhance PWPR among the underserved population.","",10.1016/j.ijmedinf.2017.03.004,"Adolescent;Adult;*Attitude to Computers;Chronic Disease;Electronic Health Records/*statistics & numerical data;Female;Health Information Management/*statistics & numerical data;Health Records, Personal/*psychology;Humans;Internet/*statistics & numerical data;Male;Meaningful Use;Middle Aged;Patient Portals/*statistics & numerical data;Surveys and Questionnaires;Young Adult",28495349,
rayyan-1115028013,"Adoption and Barriers to Adoption of Electronic Health Records by Nurses in Three Governmental Hospitals in Eastern Province, Saudi Arabia.",2015,,,Perspectives in health information management,1559-4122 (Electronic),12,,1f,El Mahalli A,https://pubmed.ncbi.nlm.nih.gov/26604875/,eng,,United States,"Although electronic health records (EHRs) have been implemented in many hospitals and healthcare providers benefit from their effective and efficient data processing, their evaluation from nurses has received little attention. This project aimed to assess the adoption and barriers to the use of an EHR system by nurses at three governmental hospitals implementing the same EHR software and functionalities in Eastern Province, Saudi Arabia. The study was a cross-sectional, paper-based questionnaire study. SPSS version 20 was used for data entry and analysis, and descriptive statistics were calculated. The study found underutilization of almost all functionalities among all hospitals and no utilization of any communication tools with patients. In addition, there were no instances of ""allowing patients to use the Internet to access parts of their health records."" The most frequently cited barrier among all hospitals was ""loss of access to medical records transiently if computer crashes or power fails"" (88.6 percent). This was followed by ""lack of continuous training/ support from information technology staff in hospital"" (85.9 percent), ""additional time required for data entry"" (84.9 percent), and ""system hanging up problem"" (83.8 percent). Complexity of technology (81.6 percent) and lack of system customizability (81.1 percent) were also frequently reported problems. The formation of an EHR committee to discuss problems with the system in Saudi hospitals is recommended.","",,"Adult;*Attitude of Health Personnel;Cross-Sectional Studies;Diffusion of Innovation;Electronic Health Records/*statistics & numerical data;Female;Hospitals, Public/*organization & administration;Humans;Inservice Training;Knowledge;Male;Nursing Staff, Hospital/*psychology;Saudi Arabia;Time Factors",26604875,PMC4632875
rayyan-1115028014,Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators.,2011,,,Applied clinical informatics,1869-0327 (Print),2,2,165-76,Grabenbauer L and Fraser R and McClay J and Woelfl N and Thompson CB and Cambell J and Windle J,https://pubmed.ncbi.nlm.nih.gov/23616868/,eng,,Germany,"OBJECTIVE: Less than 20% of hospitals in the US have an electronic health record (EHR). In this qualitative study, we examine the perspectives of both academic and private physicians and administrators as stakeholders, and their alignment, to explore their perspectives on the use of technology in the clinical environment. METHODS: Focus groups were conducted with 74 participants who were asked a series of open-ended questions. Grounded theory was used to analyze the transcribed data and build convergent themes. The relevance and importance of themes was constructed by examining frequency, convergence, and intensity. A model was proposed that represents the interactions between themes. RESULTS: Six major themes emerged, which include the impact of EHR systems on workflow, patient care, communication, research/outcomes/billing, education/learning, and institutional culture. Academic and private physicians were confident of the future benefits of EHR systems, yet cautious about the current implementations of EHR, and its impact on interactions with other members of the healthcare team and with patients, and the amount of time necessary to use EHR's. Private physicians differed on education and were uneasy about the steep learning curve necessary for use of new systems. In contrast to physicians, university and hospital administrators are optimistic, and value the availability of data for use in reporting. CONCLUSION: The results of our study indicate that both private and academic physicians concur on the need for features that maintain and enhance the relationship with the patient and the healthcare team. Resistance to adoption is related to insufficient functionality and its potential negative impact on patient care. Integration of data collection into clinical workflows must consider the unexpected costs of data acquisition.","",10.4338/ACI-2011-01-RA-0003,"",23616868,PMC3631919
rayyan-1115028015,Patient Access to Personal Health Information: Regulation vs. Reality.,2015,,,Perspectives in health information management,1559-4122 (Electronic),12,,1c,Murphy-Abdouch K,https://pubmed.ncbi.nlm.nih.gov/26807075/,eng,,United States,"Patient-centered healthcare initiatives are underway to enable patients to take more responsibility for their healthcare. To do so, patients must be able to access, utilize, and share their health information. Access to health information through patient portals and other electronic means is increasing with the adoption of electronic health records (EHRs), but not all providers have EHRs or patient portals and not all information may be available electronically. Patients are expected to continue to request paper and electronic copies of their medical records. This research project was initiated to obtain up-to-date data regarding health information management (HIM) practices related to patients' access to their health information.","",,Electronic Health Records/legislation & jurisprudence/*organization &           administration;Health Insurance Portability and Accountability Act/*legislation & jurisprudence;Humans;Patient Access to Records/*legislation & jurisprudence;United States,26807075,PMC4700868
rayyan-1115028016,Hospital information system survey in qatar.,2013,,,Studies in health technology and informatics,1879-8365 (Electronic),192,,959,Al-Ali R and Reti S and Feldman H and Safran C and Niaz R and Erskine A and Elmagarmid A and Al-Musleh A,https://pubmed.ncbi.nlm.nih.gov/23920733/,eng,,Netherlands,"Healthcare can be enhanced by the effective use of information technology to improve the quality and safety of care and many healthcare providers are adopting advanced health information technology to improve their healthcare delivery process. Qatar is a relatively young Middle Eastern country with an ambitious and progressive national strategy to develop its healthcare system, including an advanced e-health infrastructure delivering the right medical information at the right time to clinicians and patients. To assess the effectiveness of such programs, it is important to have a pre-intervention baseline from which comparisons, performance against target measures and forward thinking strategic planning can be grounded. This study presents the first published campus wide survey of Hospital Information Systems in large public and private hospitals in Qatar. OBJECTIVE: To qualitatively assess and describe the current state of Hospital Information Systems in large hospitals in Qatar, and to establish a baseline or reference point for Qatar's readiness for, and adoption of Hospital Information Systems.","",,"Clinical Laboratory Information Systems/*statistics & numerical data;Electronic Health Records/*statistics & numerical data;*Health Care Surveys;Hospital Bed Capacity/*statistics & numerical data;Hospital Information Systems/*statistics & numerical data;Medication Systems, Hospital/*statistics & numerical data;Qatar;Radiology Information Systems/*statistics & numerical data",23920733,
rayyan-1115028017,Adoption of anesthesia information management systems by US anesthesiologists.,2011,4,,Journal of clinical monitoring and computing,1573-2614 (Electronic),25,2,129-35,Trentman TL and Mueller JT and Ruskin KJ and Noble BN and Doyle CA,https://pubmed.ncbi.nlm.nih.gov/21728057/,eng,,Netherlands,"OBJECTIVE: Electronic medical records (EMR) may increase the safety and efficiency of healthcare. Anesthesia care is a significant component of the perioperative period, yet little is known about the adoption of anesthesia information management systems (AIMS) by US anesthesiologists, particularly in non-academic settings. Herein, we report the results of a survey of US anesthesiologists regarding adoption of AIMS and anesthesiologist-perceived advantages and barriers to AIMS adoption. METHODS: Using the e-mail database of the American Society of Anesthesiologists, we solicited randomly selected US anesthesiologists to participate in a survey of their AIMS adoption, perceived advantages and barriers to AIMS. Two and then 3 weeks after the initial mailing, a follow-up e-mail was sent to each anesthesiologist. The study was closed 4 weeks after the initial mailing. RESULTS: Five thousand anesthesiologists were solicited; 615 (12.3%) responses were received. Twenty-four percent of respondents had installed an AIMS, while 13% were either installing a system now or had selected one, and an additional 13% were actively searching. Larger anesthesiology groups with large case loads, urban settings, and government affiliated or academic institutions were more likely to have adopted AIMS. Initial cost was the most frequently cited AIMS barrier. The most commonly cited benefit was more accurate clinical documentation (79%), while unanticipated need for ongoing information technology support (49%) and difficult integration of AIMS with an existing EMR (61%) were the most commonly cited problems. There were no barriers cited significantly more often by non-adopters than adopters. CONCLUSIONS: At least 50% of our survey respondents were currently using, installing, planning to install, or searching for an AIMS. However, the strength of any conclusion is undermined by a low survey response rate and potential bias as respondents using or searching for an AIMS may be more likely to participate. Nonetheless, challenges exist for anesthesiologists considering AIMS adoption including cost. Furthermore, important questions remain regarding payment for anesthesia services and the relationship of AIMS and ""meaningful use"" as defined by the Centers for Medicare & Medicaid Services.","",10.1007/s10877-011-9289-x,"Anesthesiology/*methods;Data Collection;Diffusion of Innovation;Humans;Information Management;*Management Information Systems;Medical Records Systems, Computerized/organization & administration/*statistics &           numerical data;Practice Patterns, Physicians';Surveys and Questionnaires;United States",21728057,
rayyan-1115028018,Opportunities for Technology-Assisted Healthy Ageing in a Local Government Context.,2020,3,2,Studies in health technology and informatics,1879-8365 (Electronic),268,,77-86,Gordon S and Bidargaddi N and Immanuel S and Fouyaxis J and Foley K and Hall K and Baker N,https://pubmed.ncbi.nlm.nih.gov/32141880/,eng,,Netherlands,"Current legislation aims to enable older Australians to age in place, and puts public healthcare within the remit of local governments. As Australia's population ages, local governments will need to explore new methods of service delivery in order to meet the increasing need for services that promote healthy ageing. Information technology (IT) may provide one such solution, however older Australian adults are reported to have low levels of technology use. In this simple descriptive qualitative study, focus groups with local government staff and community-dwelling older adults explored their perspectives regarding: a) IT solutions that councils could use to promote community-based healthy ageing, and (b) the enablers and challenges for adopting such solutions. Twenty-four adults participated in focus groups, and eleven of these adults also provided written data in response to visual prompts. Field notes were recorded by attending researchers. These three data sources were combined through narrative synthesis. Local government staff and community-dwellers alike perceived the utility of IT solutions in connecting community members, and connecting people to services (such as transport and providers of health information). While local government staff identified that IT solutions could provide benefits to the council when implemented in conjunction with existing services (e.g., to track data and identify information about community engagement and needs), community-dwellers placed stronger emphasis on adopting technology which had a clear purpose for its use. Due to limited digital literacy and some ambivalence towards embracing technology, IT solutions should be implemented with support to increase digital literacy, be widely advertised, and be centered in community needs. Personas have been generated and provided as possible case studies for technology adoption.","",10.3233/SHTI200007,Aged;*Attitude to Computers;Australia;Focus Groups;*Healthy Aging;Humans;Independent Living;*Information Dissemination;Information Systems;Qualitative Research;*Technology,32141880,
rayyan-1115028020,Defining the priorities and challenges for the adoption of Information Technology in HealthCare: opinions from an expert panel.,2003,,,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2003,,881,Jha AK and Poon EG and Bates DW and Blumenthal D and Middleton B and Kuperman GJ and Kaushal R,https://pubmed.ncbi.nlm.nih.gov/14728386/,eng,,United States,"The Harvard Interfaculty Initiative developed a tool to assess the level of Information Technology adoption at healthcare organizations and asked an expert panel to rate the clinical functions where IT-based solutions can impact quality of care. The experts were asked to identify high priority areas where IT might impact quality, and to rate the difficulty in implementation associated with that solution. While scores from the expert panel varied widely in assessing difficulties in implementation of IT, there was broad consensus on high priority areas.","",,Delivery of Health Care;*Diffusion of Innovation;Humans;*Management Information Systems;Organizational Innovation;Quality of Health Care;United States,14728386,PMC1480244
rayyan-1115028021,Modeling the adoption of personal health record (PHR) among individual: the effect of health-care technology self-efficacy and gender concern.,2018,12,,The Libyan journal of medicine,1819-6357 (Electronic),13,1,1500349,Dutta B and Peng MH and Sun SL,https://pubmed.ncbi.nlm.nih.gov/30037314/,eng,,United States,"BACKGROUND: With the development of information technology (IT) and medical technology, medical information has been developed from traditional paper-based records into up-to-date medical information exchange system called personal health record (PHR). Empowering PHR provides health awareness and intention for health promotion. OBJECTIVE: The purpose of this study was to present a research framework to examine individuals' intention to PHR use. METHODS: This cross-sectional study used the questionnaire to collect data from the individual in Taiwan. Individual's intention to use PHR has been examined by a framework based on extended technology acceptance model (TAM), with gender and health-care technology self-efficacy (HTSE) as external variables. Additionally, gender differences were explored in perceptions and relationships among factors influencing an individual's intention to PHR use. The research framework was evaluated by structural equation modeling (SEM) and represented by Analysis of a Moment Structures (AMOS). RESULTS: A total of 234 valid responses were used for analysis. The results suggest that the extended TAM model explains 40.6% of the variance of intention to PHR use (R(2) = 0.406). The findings also supported that perceived usefulness, perceived ease of use, and attitude toward using PHR significantly influenced individual's intention to PHR use. Additionally, results also indicated that women were more strongly influenced by perceptions of HTSE. CONCLUSIONS: The extended TAM model contributes reasonable explanation for interprets and anticipates of individuals' intention to use and adopt PHR. Moreover, the results have provided support for HTSE and gender as significant variables in TAM. However, the study identified three relevant factors directly and one factor indirectly influencing on individuals' intention to PHR use. Thus, health care providers and hospital authorities must take these factors and gender difference into consideration in the development and validation of the theories regarding the acceptance of PHR. Based on the findings, the theoretical and practical implications are discussed.","",10.1080/19932820.2018.1500349,"Adult;Biomedical Technology;Cross-Sectional Studies;Female;Health Records, Personal/*psychology;Humans;*Intention;Male;Middle Aged;Patient Acceptance of Health Care/*psychology;Perception;*Self Efficacy;*Sex Factors;Surveys and Questionnaires;Taiwan;Young Adult",30037314,PMC6060373
rayyan-1115028022,Digital Platforms as a Method of Invention for Infection Surveillance.,2019,10,,Surgical infections,1557-8674 (Electronic),20,7,581-583,Pollock DA,https://pubmed.ncbi.nlm.nih.gov/31343385/,eng,,United States,"Background: The history of large-scale technological advances, such as the digital revolution in our era, suggests that core technologies yield wide benefits by serving as a method of invention, spawning new tools and techniques that surpass the performance of their predecessors. Methods: Digital platforms provide a method of invention in the health sector by enabling innovations in data collection, use, and sharing. Although wide adoption of computerized information technology in healthcare has produced mixed results, the advent of mobile health (mHealth) creates new opportunities for device-mediated advances in surgical and public health practice. Conclusion: Mobile solutions for collecting, using, and sharing patient-generated health data after surgery can yield important benefits for post-operative monitoring, whether the data are used to evaluate and manage individual patients or track infections and other outcomes in patient populations.","",10.1089/sur.2019.147,*Data Collection;Electronic Data Processing/*methods;*Epidemiological Monitoring;Humans;Medical Informatics/*methods;Telemedicine/methods,31343385,
rayyan-1115028024,Promising adoption of an electronic clinical decision support system for antenatal and intrapartum care in rural primary healthcare facilities in sub-Saharan Africa: The QUALMAT experience.,2015,9,,International journal of medical informatics,1872-8243 (Electronic),84,9,647-57,Sukums F and Mensah N and Mpembeni R and Massawe S and Duysburgh E and Williams A and Kaltschmidt J and Loukanova S and Haefeli WE and Blank A,https://pubmed.ncbi.nlm.nih.gov/26073076/,eng,,Ireland,"BACKGROUND: The QUALMAT project has successfully implemented an electronic clinical decision support system (eCDSS) for antenatal and intrapartum care in two sub-Saharan African countries. The system was introduced to facilitate adherence to clinical practice guidelines and to support decision making during client encounter to bridge the know-do gap of health workers. OBJECTIVES: This study aimed to describe health workers' acceptance and use of the eCDSS for maternal care in rural primary health care (PHC) facilities of Ghana and Tanzania and to identify factors affecting successful adoption of such a system. METHODS: This longitudinal study was conducted in Lindi rural district in Tanzania and Kassena-Nankana district in Ghana between October 2011 and December 2013 employing mixed methods. The study population included healthcare workers who were involved in the provision of maternal care in six rural PHC facilities from one district in each country where the eCDSS was implemented. RESULTS: All eCDSS users participated in the study with 61 and 56 participants at the midterm and final assessment, respectively. After several rounds of user training and support the eCDSS has been successfully adopted and constantly used during patient care in antenatal clinics and maternity wards. The eCDSS was used in 71% (2703/3798) and 59% (14,189/24,204) of all ANC clients in Tanzania and Ghana respectively, while it was also used in 83% (1185/1427) and 67% (1435/2144) of all deliveries in Tanzania and in Ghana, respectively. Several barriers reported to hinder eCDSS use were related to individual users, tasks, technology, and organization attributes. CONCLUSION: Implementation of an eCDSS in resource-constrained PHC facilities in sub-Saharan Africa was successful and the health workers accepted and continuously used the system for maternal care. Facilitators for eCDSS use included sufficient training and regular support whereas the challenges to sustained use were unreliable power supply and perceived high workload. However our study also shows that most of the perceived challenges did not substantially hinder adoption and utilization of the eCDSS during patient care.","",10.1016/j.ijmedinf.2015.05.002,"Adult;Africa South of the Sahara;*Attitude of Health Personnel;Decision Support Systems, Clinical/*standards;Female;Health Personnel;Humans;Longitudinal Studies;Male;Maternal Health Services/*standards;Pregnancy;Prenatal Care/*standards;Primary Health Care/*standards;Rural Health Services/*organization & administration",26073076,
rayyan-1115028025,Experience of Home Telehealth Technology in Older Patients With Diabetes.,2017,10,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),35,10,530-537,Chang CP and Lee TT and Mills ME,https://pubmed.ncbi.nlm.nih.gov/28291156/,eng,,United States,"The incidence of diabetes, a common chronic disease among older adults, is increasing annually. The lack of blood glucose regulation can result in severe diabetes-related complications and substantial healthcare costs, making self-care programs specific to this population especially important. Combined with reduced numbers of healthcare professionals, the integration of healthcare and information technology and the older adults' adoption of telehealth services have become increasingly important. This study used a qualitative method to interview 18 older study participants who used a telehealth service. Subject perceptions and suggestions regarding using such a service for diabetes management were investigated. Content analysis was used to examine the interview data and determine the older patients' acceptance and perceived benefits of telehealth service. Four main themes emerged: (1) initial trial encouragement from the doctors, nurses, and financial incentives; (2) enhanced self-management capability through continuous device use for better outcomes; (3) ambivalent feelings regarding dependence on others for problem solving; and (4) consideration for continual technology use for an uncertain future. These results serve as a reference for promoting, assessing, and verifying telehealth models for older patients with diabetes.","",10.1097/CIN.0000000000000341,"Aged;Aged, 80 and over;Diabetes Mellitus/psychology/*therapy;Female;Humans;Male;Patient Acceptance of Health Care/*psychology;*Patient Satisfaction;Qualitative Research;Taiwan;Technology Assessment, Biomedical/*methods;Telemedicine/methods/*standards",28291156,
rayyan-1115028026,Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers.,2010,4,1,Perspectives in health information management,1559-4122 (Electronic),7,,1f,Schooley BL and Horan TA and Lee PW and West PA,https://pubmed.ncbi.nlm.nih.gov/20697468/,eng,,United States,"This multimethod pilot study examined patient and practitioner perspectives on the influence of spatial barriers to healthcare access and the role of health information technology in overcoming these barriers. The study included a survey administered to patients attending a Department of Veterans Affairs (VA) health visit, and a focus group with VA care providers. Descriptive results and focus group findings are presented. Spatial distance is a significant factor for many rural veterans when seeking healthcare. For this sample of rural veterans, a range of telephone, computer, and Internet technologies may become more important for accessing care as Internet access becomes more ubiquitous and as younger veterans begin using the VA health system. The focus group highlighted the negative impact of distance, economic considerations, geographic barriers, and specific medical conditions on access to care. Lack of adequate technology infrastructure was seen as an obstacle to utilization. This study discusses the need to consider distance, travel modes, age, and information technology infrastructure and adoption when designing health information technology to care for rural patients.","",,"Adult;Age Factors;Communication Barriers;Female;*Health Knowledge, Attitudes, Practice;Health Services Accessibility/*statistics & numerical data;Hospitals, Veterans/organization & administration;Humans;Internet/statistics & numerical data;Male;Middle Aged;Patient Acceptance of Health Care/*statistics & numerical data;Pilot Projects;Rural Health Services/*organization & administration;Rural Population/*statistics & numerical data;Telephone/statistics & numerical data;United States;United States Department of Veterans Affairs;Veterans/*statistics & numerical data;Young Adult",20697468,PMC2889372
rayyan-1115028027,Factors affecting sustainable adoption of e-health technology in developing countries: an exploratory survey of Nigerian hospitals from the perspective of healthcare professionals.,2018,,,PeerJ,2167-8359 (Print),6,,e4436,Zayyad MA and Toycan M,https://pubmed.ncbi.nlm.nih.gov/29507830/,eng,,United States,"BACKGROUND: E-health technology applications are essential tools of modern information technology that improve quality of healthcare delivery in hospitals of both developed and developing countries. However, despite its positive benefits, studies indicate that the rate of the e-health adoption in some developing countries is either low or underutilized. This is due in part, to barriers such as resistance from healthcare professionals, poor infrastructure, and low technical expertise among others. OBJECTIVE: The aim of this study is to investigate, identify and analyze the underlying factors that affect healthcare professionals decision to adopt and use e-health technology applications in developing countries, with particular reference to hospitals in Nigeria. METHODS: The study used a cross sectional approach in the form of a close-ended questionnaire to collect quantitative data from a sample of 465 healthcare professionals randomly selected from 15 hospitals in Nigeria. We used the modified Technology Acceptance Model (TAM) as the dependent variable and external factors as independent variables. The collected data was then analyzed using SPSS statistical analysis such as frequency test, reliability analysis, and correlation coefficient analysis. RESULTS: The results obtained, which correspond with findings from other researches published, indicate that perceived usefulness, belief, willingness, as well as attitude of healthcare professionals have significant influence on their intention to adopt and use the e-health technology applications. Other strategic factors identified include low literacy level and experience in using the e-health technology applications, lack of motivation, poor organizational and management policies. CONCLUSION: The study contributes to the literature by pinpointing significant areas where findings can positively affect, or be found useful by, healthcare policy decision makers in Nigeria and other developing countries. This can help them understand their areas of priorities and weaknesses when planning for e-health technology adoption and implementation.","",10.7717/peerj.4436,"",29507830,PMC5835346
rayyan-1115028028,An Experience of Electronic Health Records Implementation in a Mexican Region.,2020,4,22,Journal of medical systems,1573-689X (Electronic),44,6,106,Uc BM and Castillo-Sánchez G and Marques G and Arambarri J and de la Torre-Díez I,https://pubmed.ncbi.nlm.nih.gov/32323000/,eng,,United States,"Employing software engineering to build an integrated, standardized, and scalable solution is closely associated with the healthcare domain. Furthermore, new diagnostic techniques have been developed to obtain better results in less time, saving costs, and bringing services closer to the most unprotected areas. This paper presents the integration of a top-notch component, such as hardware, software, telecommunications, and medical equipment, to produce a complete system of Electronic Health Record (EHR). The EHR implementation aims to contribute to the expansion of the health services offer concerning people who live in locations where typically have difficult access to medical care. The methodology throughout the work is a Strategic Planning to set priorities, focus energy and resources, strengthen operations, ensure that directors, managers, employees, and other stakeholders are working toward common goals, establish agreement around intended outcomes/results. A medical and technical team is incorporated to complete the tasks of process and requirements analysis, software coding and design, technical support, training, and coaching for EHR system users throughout the implementation process. The adoption of those tools reflect notably some expected results and benefits on patient care. The EHR implementation ensures that information collection does not duplicate already existing information or duplicate effort and maximize the practical use of the data collected. Moreover, the EHR reduces mistakes in hospital readmissions, improves paperwork, promotes the progress of the state's health care system providing emergency, specialty, and primary health care in a rural area of Campeche. The EHR implementation is critical to support decision making and to promote public health. The total number of consults increased markedly from 2012 (14021) to 2019 (34751). The most commonly treated diseases in this region of Mexico are hypertension (17632) and diabetes (13156). The best results are obtained in the Nutrition (20,61%) and clinical psychology services (16,67%), and the worst levels are registered in pediatric and surgical oncology services where only 1,59% and 1,97% of the patients are admitted in less than 30 min, respectively.","",10.1007/s10916-020-01575-w,"*Attitude of Health Personnel;Attitude to Computers;Decision Support Systems, Clinical/*organization & administration;Electronic Health Records/*statistics & numerical data;Health Plan Implementation/*organization & administration;Humans;Medical Records Systems, Computerized/organization & administration;Mexico;Primary Health Care/*organization & administration",32323000,
rayyan-1115028029,Patients' perspectives on video consultation for non-communicable diseases: qualitative study in Singapore.,2023,8,17,BJGP open,2398-3795 (Electronic),,,,Tan MS and Kang GC and Jin Kai Fong R and Cheong NK and Shi H and Tan NC,https://pubmed.ncbi.nlm.nih.gov/37591556/,eng,,England,"BACKGROUND: Telemedicine is increasingly used to provide primary care services amidst the COVID-19 pandemic. Understanding patients' perspectives on telemedicine is pivotal for its wider adoption in managing non-communicable diseases (NCD) in the community. AIM: This study explores the views and concerns of patients who have yet to use video consultation (VC) for NCD management in Singapore. DESIGN & SETTING: This qualitative study was conducted in a Singapore primary care clinic. METHOD: 16 patients with type-2 diabetes mellitus (T2DM) and/or hypertension and/or hyperlipidaemia without prior VC experience participated in individual in-depth interviews in this study. They were purposively enrolled in the polyclinic. Audited transcripts were independently coded by two investigators. Thematic analysis was performed to identify perspectives on telemedicine based on the health, information, and technology zones of the Health Information Technology Acceptance Model (HITAM). RESULTS: Three themes emerged: perceived benefits of VC utility, perceived barriers towards VC adoption, and potential challenges of VC. Participants viewed VC as safe and convenient if they had stable NCD. They voiced concerns on possible suboptimal care due to the absence of physical examination, network connectivity, and personal medical data security. Participants highlighted challenges of VC uptake such as digital health familiarity, availability of their own mobile and telemonitoring devices, and healthcare costs consideration. CONCLUSION: Addressing the concerns and challenges highlighted by non-VC users can help physicians and policy-makers explore ways to scale up telemedicine in Singapore. A hybrid clinical care model comprising in-person visits and VC may be the way forward for NCD management.","",10.3399/BJGPO.2023.0103,"",37591556,
rayyan-1115028030,Improving Digital Hospital Transformation: Development of an Outcomes-Based Infrastructure Maturity Assessment Framework.,2019,1,11,JMIR medical informatics,2291-9694 (Print),7,1,e12465,Williams PA and Lovelock B and Cabarrus T and Harvey M,https://pubmed.ncbi.nlm.nih.gov/30632973/,eng,,Canada,"BACKGROUND: Digital transformation in health care is being driven by the need to improve quality, reduce costs, and enhance the patient experience of health care delivery. It does this through both the direct intervention of technology to create new diagnostic and treatment opportunities and also through the improved use of information to create more engaging and efficient care processes. OBJECTIVE: In a modern digital hospital, improved clinical and business processes are often driven through enhancing the information flows that support them. To understand an organization's ability to transform their information flows requires a clear understanding of the capabilities of an organization's information technology infrastructure. To date, hospital facilities have been challenged by the absence of uniform ways of describing this infrastructure that would enable them to benchmark where they are and create a vision of where they would like to be. While there is an industry assessment measure for electronic medical record (EMR) adoption using the Healthcare Information and Management Systems Society Analytics EMR Adoption Model, there is no equivalent for assessing the infrastructure and associated technology capabilities for digital hospitals. Our aim is to fill this gap, as hospital administrators and clinicians need to know how and why to invest in information infrastructure to support health information technology that benefits patient safety and care. METHODS: Based on an operational framework for the Capability Maturity Model, devised specifically for health care, we applied information use characteristics to define eight information systems maturity levels and associated technology infrastructure capabilities. These levels are mapped to user experiences to create a linkage between technology infrastructure and experience outcomes. Subsequently, specific technology capabilities are deconstructed to identify the technology features required to meet each maturity level. RESULTS: The resulting assessment framework clearly defines 164 individual capabilities across the five technology domains and eight maturity levels for hospital infrastructure. These level-dependent capabilities characterize the ability of the hospital's information infrastructure to support the business of digital hospitals including clinical and administrative requirements. Further, it allows the addition of a scoring calculation for each capability, domain, and the overall infrastructure, and it identifies critical requirements to meet each of the maturity levels. CONCLUSIONS: This new Infrastructure Maturity Assessment framework will allow digital hospitals to assess the maturity of their infrastructure in terms of their digital transformation aligning to business outcomes and supporting the desired level of clinical and operational competency. It provides the ability to establish an international benchmark of hospital infrastructure performance, while identifying weaknesses in current infrastructure capability. Further, it provides a business case justification through increased functionality and a roadmap for subsequent digital transformation while moving from one maturity level to the next. As such, this framework will encourage and guide information-driven, digital transformation in health care.","",10.2196/12465,"",30632973,PMC6329893
rayyan-1115028031,Factors influencing nurses' acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology.,2014,,,Health information management : journal of the Health Information Management           Association of Australia,1833-3575 (Electronic),43,3,23-8,Sharifian R and Askarian F and Nematolahi M and Farhadi P,https://pubmed.ncbi.nlm.nih.gov/27009793/,eng,,Australia,"User acceptance is a precondition for successful implementation of hospital information systems (HISs). Increasing investment in information technology by healthcare organisations internationally has made user acceptance an important issue in technology implementation and management. Despite the increased focus on hospital information systems, there continues to be user resistance. The present study aimed to investigate the factors affecting hospital information systems nurse-user acceptance of HISs, based on the Unified Theory of Acceptance and Use of Technology (UTAUT), in the Shiraz University of Medical Sciences teaching hospitals. A descriptive-analytical research design was employed to study nurses' adoption and use of HISs. Data collection was undertaken using a cross-sectional survey of nurses (n=303). The research model was examined using the LISREL path confirmatory modeling. The results demonstrated that the nurses' behavioural intention (BI) to use hospital information systems was predicted by Performance Expectancy (PE) (β= 2.34, p<0.01), Effort Expectancy (EE) (β= 2.21, p<0.01), Social Influence (SI) (β= 2.63, p<0.01) and Facilitating Conditions (FC) (β= 2.84, p<0.01). The effects of these antecedents of BI explained 72.8% of the variance in nurses' intention to use hospital information systems (R2 = 0.728). Application of the research model suggested that nurses' acceptance of HISs was influenced by performance expectancy, effort expectancy, social influence and facilitating conditions, with performance expectancy having the strongest effect on user intention.","",10.1177/183335831404300303,"Adult;*Attitude of Health Personnel;Cross-Sectional Studies;Electronic Health Records/*standards;Female;Hospital Information Systems/*standards;Hospitals, Teaching;Humans;Iran;Male;*Nursing Staff, Hospital;Surveys and Questionnaires",27009793,
rayyan-1115028032,Impact of the HITECH Act on physicians' adoption of electronic health records.,2016,3,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),23,2,375-9,Mennemeyer ST and Menachemi N and Rahurkar S and Ford EW,https://pubmed.ncbi.nlm.nih.gov/26228764/,eng,,England,"BACKGROUND AND OBJECTIVE: The Health Information Technology for Economic and Clinical Health (HITECH) Act has distributed billions of dollars to physicians as incentives for adopting certified electronic health records (EHRs) through the meaningful use (MU) program ultimately aimed at improving healthcare outcomes. The authors examine the extent to which the MU program impacted the EHR adoption curve that existed prior to the Act. METHODS: Bass and Gamma Shifted Gompertz (G/SG) diffusion models of the adoption of ""Any"" and ""Basic"" EHR systems in physicians' offices using consistent data series covering 2001-2013 and 2006-2013, respectively, are estimated to determine if adoption was stimulated during either a PrePay (2009-2010) period of subsidy anticipation or a PostPay (2011-2013) period when payments were actually made. RESULTS: Adoption of Any EHR system may have increased by as much as 7 percentage points above the level predicted in the absence of the MU subsidies. This estimate, however, lacks statistical significance and becomes smaller or negative under alternative model specifications. No substantial effects are found for Basic systems. The models suggest that adoption was largely driven by ""imitation"" effects (q-coefficient) as physicians mimic their peers' technology use or respond to mandates. Small and often insignificant ""innovation"" effects (p-coefficient) are found suggesting little enthusiasm by physicians who are leaders in technology adoption. CONCLUSION: The authors find weak evidence of the impact of the MU program on EHR uptake. This is consistent with reports that many current EHR systems reduce physician productivity, lack data sharing capabilities, and need to incorporate other key interoperability features (e.g., application program interfaces).","",10.1093/jamia/ocv103,*American Recovery and Reinvestment Act;Diffusion of Innovation;Electronic Health Records/*statistics & numerical data;*Meaningful Use;*Physicians;United States,26228764,PMC7784315
rayyan-1115028033,Beyond the threshold: real-time use of evidence in practice.,2013,4,15,BMC medical informatics and decision making,1472-6947 (Electronic),13,,47,Jones JB and Stewart WF and Darer JD and Sittig DF,https://pubmed.ncbi.nlm.nih.gov/23587225/,eng,,England,"In two landmark reports on Quality and Information Technology, the Institute of Medicine described a 21st century healthcare delivery system that would improve the quality of care while reducing its costs. To achieve the improvements envisioned in these reports, it is necessary to increase the efficiency and effectiveness of the clinical decision support that is delivered to clinicians through electronic health records at the point of care. To make these dramatic improvements will require significant changes to the way in which clinical practice guidelines are developed, incorporated into existing electronic health records (EHR), and integrated into clinicians' workflow at the point of care. In this paper, we: 1) discuss the challenges associated with translating evidence to practice; 2) consider what it will take to bridge the gap between the current limits to use of CPGs and expectations for their meaningful use at the point of care in practices with EHRs; 3) describe a framework that underlies CDS systems which, if incorporated in the development of CPGs, can be a means to bridge this gap, 4) review the general types and adoption of current CDS systems, and 5) describe how the adoption of EHRs and related technologies will directly influence the content and form of CPGs. Achieving these objectives should result in improvements in the quality and reductions in the cost of healthcare, both of which are necessary to ensure a 21st century delivery system that consistently provides safe and effective care to all patients.","",10.1186/1472-6947-13-47,*Computer Systems;*Evidence-Based Practice;Humans,23587225,PMC3639800
rayyan-1115028034,Assessing E-Health adoption readiness using diffusion of innovation theory and the role mediated by each adopter's category in a Mauritian context.,2022,5,2,International health,1876-3405 (Electronic),14,3,236-249,Putteeraj M and Bhungee N and Somanah J and Moty N,https://pubmed.ncbi.nlm.nih.gov/34114007/,eng,,England,"BACKGROUND: The preparedness of healthcare institutes for the foreseen changes expected to arise through the implementation of E-Health is a significant turning point in determining its success. This should be evaluated through the awareness and readiness of healthcare workers to adopt E-Health technology to reduce health information technology failures. METHODS: This study investigated the relationship between the perceived attributes of innovation and E-Health adoption decisions of healthcare workers as part of a preimplementation process. Using a cross-sectional quantitative approach, the dimensions of the diffusion of innovation (DOI) theory were used to assess the E-Health readiness of 110 healthcare workers in a Mauritian specialized hospital. RESULTS: A strong inclination towards E-Health adoption was observed, where the prime stimulators were perceived as modernization of healthcare management (84.1%, ẋ=4.19), increased work efficiency through reduction of duplication (77.6%, ẋ=4.10) and faster generation of results (71.1%, ẋ=4.07). The findings of this study also validated the use of five DOI dimensions (i.e. relative advantage, compatibility, complexity, trialability and observability) in a predictability model (F(5, 101)=17.067, p<0.001) towards E-Health adoption. A significant association between 'adopter category' and 'willingness to recommend E-Health adoption' (χ2(8)=74.89, p<0.001) endorsed the fact that physicians and nursing managers have central roles within a social ecosystem to facilitate the diffusion of technology and influence the adoption of innovation. CONCLUSION: This is the first study of its kind in Mauritius to successfully characterize each adopter's profile and demonstrate the applicability of the DOI framework to predict the diffusion rate of E-Health platforms, while also highlighting the importance of identifying key opinion leaders who can be primed by innovators regarding the benefits of E-Health platforms, thus ensuring non-disruptive evolutionary innovation in the Mauritian healthcare sector.","",10.1093/inthealth/ihab035,Cross-Sectional Studies;Delivery of Health Care;Diffusion of Innovation;*Ecosystem;Humans;*Telemedicine,34114007,PMC9070468
rayyan-1115028035,REDCap on FHIR: Clinical Data Interoperability Services.,2021,9,,Journal of biomedical informatics,1532-0480 (Electronic),121,,103871,Cheng AC and Duda SN and Taylor R and Delacqua F and Lewis AA and Bosler T and Johnson KB and Harris PA,https://pubmed.ncbi.nlm.nih.gov/34298155/,eng,,United States,"BACKGROUND: Despite widespread use of electronic data capture (EDC) systems for research and electronic health records (EHR), most transfer of data between EHR and EDC systems is manual and error prone. Increased adoption of Health Level Seven Fast Healthcare Interoperability Resource (FHIR) application programming interfaces (APIs) in recent years by EHR systems has increased the availability of patient data for external applications such as REDCap. OBJECTIVE: Describe the development of the REDCap Clinical Data Interoperability Services (CDIS) module that provides seamless data exchange between the REDCap research EDC and any EHR system with a FHIR API. CDIS enables end users to independently set up their data collection projects, map EHR data to fields, and adjudicate data transfer without project-by-project involvement from Health Information Technology staff. METHODS: We identified two use cases for EHR data transfer into REDCap. Clinical Data Pull (CDP) automatically pulls EHR data into user-defined REDCap fields and replaces the workflow of having to transcribe or copy and paste data from the EHR. Clinical Data Mart (CDM) collects all specified data for a patient over a given time period and replaces the process of importing EHR data for registries from research databases. With an iterative process, we designed our access control, authentication, variable selection, and mapping interfaces in such a way that end users could easily set up and use CDIS. RESULTS: Since its release, the REDCap CDIS has been used to pull over 19.5 million data points for 82 projects at Vanderbilt University Medical Center. Software and documentation are available through the REDCap Consortium. CONCLUSIONS: The new REDCap Clinical Data and Interoperability Services (CDIS) module leverages the FHIR standard to enable real-time and direct data extraction from the EHR. Researchers can self-service the mapping and adjudication of EHR data into REDCap. The uptake of CDIS at VUMC and other REDCap consortium sites is improving the accuracy and efficiency of EHR data collection by reducing the need for manual transcription and flat file uploads.","",10.1016/j.jbi.2021.103871,Data Warehousing;Delivery of Health Care;*Electronic Health Records;*Health Level Seven;Humans;Workflow,34298155,PMC9217161
rayyan-1115028036,Immunization registries in the EMR Era.,2013,,,Online journal of public health informatics,1947-2579 (Print),5,2,211,Stevens LA and Palma JP and Pandher KK and Longhurst CA,https://pubmed.ncbi.nlm.nih.gov/23923096/,eng,,Canada,"BACKGROUND: The CDC established a national objective to create population-based tracking of immunizations through regional and statewide registries nearly 2 decades ago, and these registries have increased coverage rates and reduced duplicate immunizations. With increased adoption of commercial electronic medical records (EMR), some institutions have used unidirectional links to send immunization data to designated registries. However, access to these registries within a vendor EMR has not been previously reported. PURPOSE: To develop a visually integrated interface between an EMR and a statewide immunization registry at a previously non-reporting hospital, and to assess subsequent changes in provider use and satisfaction. METHODS: A group of healthcare providers were surveyed before and after implementation of the new interface. The surveys addressed access of the California Immunization Registry (CAIR), and satisfaction with the availability of immunization information. Information Technology (IT) teams developed a ""smart-link"" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database. RESULTS: Use of the tool has increased in the months since its initiation, and over 20,000 new immunizations have been exported successfully to CAIR since the hospital began sharing data with the registry. Survey data suggest that providers find this tool improves workflow and overall satisfaction with availability of immunization data. (p=0.009). CONCLUSIONS: Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.","",10.5210/ojphi.v5i2.4696,"",23923096,PMC3733755
rayyan-1115028037,Real-world implementation evaluation of an electronic health record-integrated consumer informatics tool that collects patient-generated contextual data.,2022,9,,International journal of medical informatics,1872-8243 (Electronic),165,,104810,Holt JM and Spanbauer C and Cusatis R and Winn AN and Talsma A and Asan O and Somai M and Hanson R and Moore J and Makoul G and Crotty BH,https://pubmed.ncbi.nlm.nih.gov/35714549/,eng,,Ireland,"OBJECTIVE: Use the RE-AIM framework to examine the implementation of a patient contextual data (PCD) Tool designed to share patients' needs, values, and preferences with care teams ahead of clinical encounters. MATERIALS & METHODS: Observational study that follows initial PCD Tool scaling across primary care at a Midwestern academic health network. Program invitations, enrollment, patient submissions, and clinician views were tracked over a 1-year study period. Logistic regression modeled the likelihood of using the PCD Tool, accounting for patient covariates. RESULTS: Of 58,874 patients who could be contacted by email, 9,183 (15.6%) became PCD Tool users. Overall, 76% of primary care providers had patients who used the PCD Tool. Older age, female gender, non-minority race, patient portal activation, and Medicare coverage were significantly associated with increased likelihood of use. Number of office visits, medical issues, and behavioral health conditions also associated with use. Primary care staff viewed 18.7% of available PCD Tool summaries, 1.1% to 57.6% per clinic. DISCUSSION: The intervention mainly reached non-minority patients and patients who used more health services. Given the requirement for an email address on file, some patients may have been underrepresented. Overall, patient reach and adoption and clinician adoption, implementation, and maintenance of this Tool were modest but stable, consistent with a non-directive approach to fostering adoption by introducing the Tool in the absence of clear expectations for use. CONCLUSION: Healthcare organizations must implement effective methods to increase the reach, adoption, implementation, and maintenance of PCD tools across all patient populations. Assisting people, particularly racial minorities, with PCD Tool registration and actively supporting clinician use are critical steps in implementing technology that facilitates care.","",10.1016/j.ijmedinf.2022.104810,Aged;*Electronic Health Records;Female;Humans;Informatics;*Medicare;Research Design;United States,35714549,
rayyan-1115028039,Adoption and utilization of electronic health record systems by long-term care facilities in Texas.,2012,,,Perspectives in health information management,1559-4122 (Electronic),9,,1g,Wang T and Biedermann S,https://pubmed.ncbi.nlm.nih.gov/22737099/,eng,,United States,"Long-term care (LTC) is an important sector in the healthcare industry; however, the adoption of electronic health record (EHR) systems in LTC facilities lags behind that in other sectors of healthcare. This study examines the adoption and utilization of EHRs in LTC facilities in Texas and identifies the barriers preventing implementation of EHRs. A survey instrument was mailed to all Texas LTC facilities between October 2010 and March 2011. The survey found that in Texas, 39.5 percent of LTC facilities have fully or partially implemented EHR systems and 15 percent of LTC facilities have no plans to adopt EHRs yet. There is significant variation in the use of EHR functionalities across the LTC facilities in Texas. In the LTC facilities, the administrative functions of EHRs have been more widely adopted and are more widely utilized than the clinical functions of EHRs. Among the clinical functions adopted, the resident assessment, physician orders, care management plan, and census management are the leading functions used by the LTC facilities in Texas. Lack of capital resources is still the greatest barrier to EHR adoption and implementation. Policy makers, vendors, LTC administrators, educators, and researchers should make more effort to improve EHR adoption in LTC facilities.","",,Cross-Sectional Studies;*Diffusion of Innovation;Electronic Health Records/*statistics & numerical data;Humans;*Residential Facilities;Texas,22737099,PMC3329211
rayyan-1115028040,Assessing the relationship between patient safety culture and EHR strategy.,2016,7,11,International journal of health care quality assurance,0952-6862 (Print),29,6,614-27,Ford EW and Silvera GA and Kazley AS and Diana ML and Huerta TR,https://pubmed.ncbi.nlm.nih.gov/27298060/,eng,,England,"Purpose - The purpose of this paper is to explore the relationship between hospitals' electronic health record (EHR) adoption characteristics and their patient safety cultures. The ""Meaningful Use"" (MU) program is designed to increase hospitals' adoption of EHR, which will lead to better care quality, reduce medical errors, avoid unnecessary cost, and promote a patient safety culture. To reduce medical errors, hospital leaders have been encouraged to promote safety cultures common to high-reliability organizations. Expecting a positive relationship between EHR adoption and improved patient safety cultures appears sound in theory, but it has yet to be empirically demonstrated. Design/methodology/approach - Providers' perceptions of patient safety culture and counts of patient safety incidents are explored in relationship to hospital EHR adoption patterns. Multi-level modeling is employed to data drawn from the Agency for Healthcare Research and Quality's surveys on patient safety culture (level 1) and the American Hospital Association's survey and healthcare information technology supplement (level 2). Findings - The findings suggest that the early adoption of EHR capabilities hold a negative association to the number of patient safety events reported. However, this relationship was not present in providers' perceptions of overall patient safety cultures. These mixed results suggest that the understanding of the EHR-patient safety culture relationship needs further research. Originality/value - Relating EHR MU and providers' care quality attitudes is an important leading indicator for improved patient safety cultures. For healthcare facility managers and providers, the ability to effectively quantify the impact of new technologies on efforts to change organizational cultures is important for pinpointing clinical areas for process improvements.","",10.1108/IJHCQA-10-2015-0125,"Electronic Health Records/*organization & administration;Health Information Management/organization & administration;Humans;Meaningful Use/*organization & administration;*Organizational Culture;*Patient Safety;Perception;Quality Indicators, Health Care;Reproducibility of Results;Safety Management/*organization & administration;United States",27298060,
rayyan-1115028041,Electronic health record adoption and use by Nebraska pharmacists.,2011,,,Perspectives in health information management,1559-4122 (Electronic),8,,1d,Fuji KT and Gait KA and Siracuse MV and Christoffersen JS,https://pubmed.ncbi.nlm.nih.gov/21796266/,eng,,United States,"There is a national focus on electronic health records (EHRs) and health information exchange to improve quality, efficiency, and safety across healthcare settings. The purpose of this study is to describe pharmacists' views and practices about the adoption and use of EHRs and the sharing of health information by pharmacists in the state of Nebraska. A U.S. mail survey of all pharmacists holding a Nebraska license (N = 1,953) was conducted in June-August 2008. Only 12 percent of pharmacists indicated using an EHR. Most pharmacists (63 percent) indicated that their pharmacy had no plans to adopt an EHR system, while 13 percent indicated their pharmacy planned to adopt an EHR system in the future. Only 8 percent of respondents currently had access to EHRs for their patients created by other providers. Despite a national focus on electronic health information exchange, there remains a low uptake of EHRs by pharmacists.","",,"*Attitude of Health Personnel;*Attitude to Computers;Health Care Surveys;Humans;Medical Informatics;Medical Records Systems, Computerized/*statistics & numerical data/trends;Nebraska;Pharmacists/*statistics & numerical data/trends;Practice Patterns, Physicians'/*statistics & numerical data/trends",21796266,PMC3142138
rayyan-1115028042,Building consensus toward a national nursing home information technology maturity model.,2019,6,1,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),26,6,495-505,Alexander GL and Powell K and Deroche CB and Popejoy L and Mosa ASM and Koopman R and Pettit L and Dougherty M,https://pubmed.ncbi.nlm.nih.gov/30889245/,eng,,England,"OBJECTIVES: We describe the development of a nursing home information technology (IT) maturity model designed to capture stages of IT maturity. MATERIALS AND METHODS: This study had 2 phases. The purpose of phase I was to develop a preliminary nursing home IT maturity model. Phase II involved 3 rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of the nursing home IT maturity model proposed in phase I. RESULTS: All participants (n = 31) completed Delphi rounds 1-3. Over the 3 Delphi rounds, the nursing home IT maturity staging model evolved from a preliminary, 5-stage model (stages 1-5) to a 7-stage model (stages 0-6). DISCUSSION: Using innovative IT to improve patient outcomes has become a broad goal across healthcare settings, including nursing homes. Understanding the relationship between IT sophistication and quality performance in nursing homes relies on recognizing the spectrum of nursing home IT maturity that exists and how IT matures over time. Currently, no universally accepted nursing home IT maturity model exists to trend IT adoption and determine the impact of increasing IT maturity on quality. CONCLUSIONS: A 7-stage nursing home IT maturity staging model was successfully developed with input from a nationally representative sample of U.S. based nursing home experts. The model incorporates 7-stages of IT maturity ranging from stage 0 (nonexistent IT solutions or electronic medical record) to stage 6 (use of data by resident or resident representative to generate clinical data and drive self-management).","",10.1093/jamia/ocz006,Consensus;Delphi Technique;*Information Technology;*Medical Informatics;*Nursing Homes/organization & administration;Surveys and Questionnaires;United States,30889245,PMC7647342
rayyan-1115028043,The value of health information technology: filling the knowledge gap.,2014,11,,The American journal of managed care,1936-2692 (Electronic),20,11,eSP1-8,Rudin RS and Jones SS and Shekelle P and Hillestad RJ and Keeler EB,https://pubmed.ncbi.nlm.nih.gov/25811814/,eng,,United States,"Despite rapid growth in the rate of adoption of health information technology (HIT), and in the volume of evaluation studies, the existing knowledge base for the value of HIT is not advancing at a similar rate. Most evaluation articles are limited in that they use incomplete measures of value and fail to report the important contextual and implementation characteristics that would allow for an adequate understanding of how the study results were achieved. To address these deficiencies, we present a conceptual framework for measuring HIT value and we propose a checklist of characteristics that should be considered in HIT evaluation studies. The framework consists of 3 key principles: 1) value includes both costs and benefits; 2) value accrues over time; and 3) value depends on which stakeholder's perspective is used. Through examples, we show how these principles can be used to guide and improve HIT evaluation studies. The checklist includes a list of contextual and implementation characteristics that are important for interpretation of results. These improvements will make future studies more useful for policy makers and more relevant to the current needs of the healthcare system.","",,Cost-Benefit Analysis;Humans;Medical Informatics/*economics/organization & administration;*Research Design;Time Factors,25811814,
rayyan-1115028044,Innovative health information technology training: exploring blended learning.,2012,2,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),30,2,104-9,Edwards G and Kitzmiller RR and Breckenridge-Sproat S,https://pubmed.ncbi.nlm.nih.gov/21915046/,eng,,United States,"Healthcare staff members are faced with an ever-increasing technology-enabled care environment as hospitals respond to financial and regulatory pressures to implement comprehensive electronic health record systems. Health information technology training may prove to facilitate user acceptance and overall adoption of advanced technologies. However, there is little evidence regarding best methods of providing health information technology training. This study retrospectively examined the difference in staff satisfaction between two training methods: traditional instructor-led and blended learning and found that participants were equally satisfied with either method. Furthermore, regardless of how much time was provided for practice, participants expressed a desire for more. These findings suggest that healthcare staff are open to new methods of training delivery and that, as adult learners, they desire increased opportunities to engage in hands-on activities.","",10.1097/NCN.0b013e31822f7f7a,"Adult;*Attitude of Health Personnel;Diffusion of Innovation;Emergency Service, Hospital;Hospital Information Systems;Humans;Inservice Training/*methods;Learning;Medical Informatics/*education;Nursing Education Research;Nursing Methodology Research;Nursing Staff, Hospital/*education/psychology;Personal Satisfaction;Retrospective Studies",21915046,
rayyan-1115028045,"Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations.",2020,9,,International journal of medical informatics,1872-8243 (Electronic),141,,104232,Al-Samarraie H and Ghazal S and Alzahrani AI and Moody L,https://pubmed.ncbi.nlm.nih.gov/32707430/,eng,,Ireland,"BACKGROUND: Despite attempts to reform the healthcare delivery system in the Middle East, expectations for its progress have been-and for some still are-somewhat slow. OBJECTIVE: This study reviewed progress in the use and adoption of telemedicine in Middle Eastern countries. The key dimensions affecting the progress of telemedicine in these countries were identified. METHOD: A systematic review of the literature was conducted on 43 peer reviewed articles from 2010 to 2020. The review followed the scientific process of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines of identification, selection, assessment, synthesis, and interpretation of findings. RESULTS: The results showed that progress made in the utilization of telemedicine was insufficient and varies across Middle Eastern countries. Certain cultural, financial, organizational, individual, technological, legal, and regulatory challenges were found to prevent telemedicine from being fully used to the point where the full range of medical services can be provided. For example, doctor and patient resistance, poor infrastructure, lack of funding, poor system quality, and lack of information technology training were associated with the low adoption of telemedicine in the region. CONCLUSION: This review provides a number of recommendations that will help policymakers to move toward the integration of innovative technologies in order to facilitate access to health information, health services, and training. It also recommends that health initiatives should focus on health education and health promotion in order to increase public awareness of the benefits of telemedicine services in the region.","",10.1016/j.ijmedinf.2020.104232,Health Promotion;Humans;Middle East;Policy;*Telemedicine,32707430,
rayyan-1115028046,"Investigating healthcare IT innovations: a ""conceptual blending"" approach.",2015,,,Journal of health organization and management,1758-7247 (Electronic),29,7,1131-48,Cranfield S and Hendy J and Reeves B and Hutchings A and Collin S and Fulop N,https://pubmed.ncbi.nlm.nih.gov/26556172/,eng,,England,"PURPOSE: The purpose of this paper is to better understand how and why adoption and implementation of healthcare IT innovations occur. The authors examine two IT applications, computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) at the meso and micro levels, within the context of the National Programme for IT in the English National Health Service (NHS). DESIGN/METHODOLOGY/APPROACH: To analyse these multi-level dynamics, the authors blend Rogers' diffusion of innovations theory (DoIT) with Webster's sociological critique of technological innovation in medicine and healthcare systems to illuminate a wider range of interacting factors. Qualitative data collected between 2004 and 2006 uses semi-structured, in-depth interviews with 72 stakeholders across four English NHS hospital trusts. FINDINGS: Overall, PACS was more successfully implemented (fully or partially in three out of four trusts) than CPOE (implemented in one trust only). Factors such as perceived benefit to users and attributes of the application - in particular speed, ease of use, reliability and flexibility and levels of readiness - were highly relevant but their influence was modulated through interaction with complex structural and relational issues. PRACTICAL IMPLICATIONS: Results reveal that combining contextual system level theories with DoIT increases understanding of real-life processes underpinning implementation of IT innovations within healthcare. They also highlight important drivers affecting success of implementation, including socio-political factors, the social body of practice and degree of ""co-construction"" between designers and end-users. ORIGINALITY/VALUE: The originality of the study partly rests on its methodological innovativeness and its value on critical insights afforded into understanding complex IT implementation programmes.","",10.1108/JHOM-08-2015-0121,"*Diffusion of Innovation;Interviews as Topic;*Inventions;*Medical Informatics;Models, Theoretical;Qualitative Research;State Medicine;United Kingdom",26556172,
rayyan-1115028047,Healthcare Informatics Schemata: A Paradigm Shift over Time.,2016,,,Studies in health technology and informatics,1879-8365 (Electronic),225,,786-8,Erdley WS,https://pubmed.ncbi.nlm.nih.gov/27332341/,eng,,Netherlands,"The schemata ""A paradigm shift over time©"" (Sackett &amp; Erdley, 2006) a graphic model, visualizes development and progression of informatics in health over time. The model portrays information technology trends, from computers as resource through computational ubiquity, and the shift to social networking and e-Health. The discrepancy between ""real"" and ""proposed"" suggests gaps involving issues such as value, interoperability and ontology requiring attention, development and ultimately adoption, hinging on a universal standards framework. The workshop objective is to review previous and current models of healthcare informatics to springboard revisions of the schemata for current and future use.","",,Humans;Medical Informatics/*trends;Social Media/trends;Telemedicine/trends,27332341,
rayyan-1115028048,Determinants of clinical information system post-adoption success.,2010,,,Studies in health technology and informatics,0926-9630 (Print),160,,213-7,Palm JM and Grant A and Moutquin JM and Degoulet P,https://pubmed.ncbi.nlm.nih.gov/20841680/,eng,,Netherlands,"The diffusion of information technology (IT) in healthcare systems to support clinical processes makes the evaluation of physician and nurse post-adoption an important challenge for clinical information systems (CIS). This paper examines the relationships between the determinants of success of a CIS based on an expectation-confirmation paradigm in a cross-sectional survey performed at the Sherbrooke University Hospital (CHUS). 32.2% (161) of physicians and 27.1% (352) of nurses responded to the survey questionnaires. Results suggested that physician and nurse satisfaction is determined differently according to post-adoption expectations: compatibility, confirmation of expectations, usefulness, ease of use, and support. The best predictor of physician satisfaction was perceived usefulness (r=.25, p=.0003) whereas for nurses it was ease of use (r=.18, p=.0003). Confirmation of expectations was strongly associated with each post-adoption expectation and positions its importance in CIS design and redesign. This study draws attention to the differences between physician and nurse perceptions of information technology and emphasizes post-adoption evaluation to measure CIS success. Physicians and nurses post-adoption expectations were key factors to warn again potential discontinuance.","",,"*Attitude of Health Personnel;Decision Support Systems, Clinical/*statistics & numerical data;Electronic Health Records/*statistics & numerical data;Health Care Surveys/*methods;Nurses/*statistics & numerical data;Physicians/*statistics & numerical data;Quebec;Utilization Review/*methods",20841680,
rayyan-1115028049,"Teleradiology in India during the COVID-19 pandemic: merits, pitfalls and future perspectives.",2022,10,12,Health policy and planning,1460-2237 (Electronic),37,9,1203-1206,Rackimuthu S and Hasan MM and Ray I and Sahito AM and Chawla P and Ghosh D,https://pubmed.ncbi.nlm.nih.gov/35699565/,eng,,England,"The field of teleradiology has been of interest for almost 55 years and its potential prospects for healthcare have been constantly assessed and investigated. In view of the global preventive measures, such as social distancing and hand hygiene, the ongoing COVID-19 pandemic has further accentuated the necessity for telemedicine and teleradiology. In a country as densely populated as India wherein radiology services are often fragmented, teleradiology can prove to be a lifesaving technology and aid dampen the repercussions stemming from the highly skewed doctor to patient ratio. Although innovative, the effective adoption of teleradiology faces several obstacles in India, such as inadequate technological infrastructure, a lack of knowledge among most medical practitioners, urban-rural disparities and a lack of financing. Similar challenges continue to also be faced by several other developing countries across the globe. This article therefore aims to elaborate on the most important facets of implementation of teleradiology observed in the Indian context to help provide salient pointers for the readership of relevant jurisdictions who may be embracing comparable teleradiology challenges. Despite the hurdles, the future of teleradiology seems promising. The respective governments, policymakers and all relevant stakeholders must continue to take decisive action to ensure that this potential is fully exploited by allocation of necessary funds, strengthening of information technology and its related fields, involvement of human resources with adequate technical and administrative expertise as well as taking continued action to improve existing telemedicine and teleradiology services.","",10.1093/heapol/czac045,*COVID-19/epidemiology;Humans;Pandemics/prevention & control;Physical Distancing;*Telemedicine;*Teleradiology,35699565,PMC9214175
rayyan-1115028050,Facility and state-level factors associated with telemental health (TMH) adoption among mental health facilities in the United States.,2021,5,,Journal of telemedicine and telecare,1758-1109 (Electronic),27,4,244-257,Zhao X and Innes KE and Bhattacharjee S and Dwibedi N and LeMasters TM and Sambamoorthi U,https://pubmed.ncbi.nlm.nih.gov/31475879/,eng,,England,"INTRODUCTION: Telemental health (TMH) is a promising approach to increase access to mental healthcare. This study examined the TMH adoption rates and associations with facility- and state-level factors among US mental health (MH) facilities. METHODS: This retrospective, cross-sectional study used linked data for 2016 from the National Mental Health Services Survey (N = 11,833), Area Health Resources File, and national reports for broadband access and telehealth policies. The associations of facility and state-level characteristics with TMH adoption were examined with multi-level logistic regressions. RESULTS: Overall, 25.9% had used TMH. Having veteran affiliation [Adjusted Odds Ratio (AOR) = 18.53, 95% Confidence Interval (95%CI): 10.66-32.21] and greater Information Technology (IT) capacity [AOR(95%CI): 2.89(2.10-3.98)] were the strongest correlates of TMH adoption. Other facility characteristics associated with higher likelihood of TMH adoption were: public ownership, high patient volumes, having comprehensive MH treatments or Quality Improvement practices, having private or non-Medicaid public payers, and treating elderly patients (AORs: 1.16-2.41). TMH adoption was less likely among facilities treating more African Americans or patients with substance abuse disorders. TMH adoption varied substantially across states, with adoption more likely in states issuing special telehealth licences and those with more rural counties. DISCUSSION: One in four MH facilities adopted TMH in 2016. TMH adoption varied by multiple facility- and state-level factors. Our findings suggest that: legal/regulatory burden and lower facility IT capacity may discourage TMH adoption; significant racial disparities exist in TMH adoption; and there is a need to increase TMH use for substance abuse disorders.","",10.1177/1357633X19868902,Aged;Cross-Sectional Studies;Health Facilities;Humans;*Mental Health Services;Retrospective Studies;*Telemedicine;United States,31475879,PMC7203624
rayyan-1115028051,The Journey to Become a Health Literate Organization: A Snapshot of Health System Improvement.,2017,,,Studies in health technology and informatics,1879-8365 (Electronic),240,,203-237,Brach C,https://pubmed.ncbi.nlm.nih.gov/28972519/,eng,,Netherlands,"A health literate health care organization is one that makes it easy for people to navigate, understand, and use information and services to take care of their health. This chapter explores the journey that a growing number of organizations are taking to become health literate. Health literacy improvement has increasingly been viewed as a systems issue, one that moves beyond siloed efforts by recognizing that action is required on multiple levels. To help operationalize the shift to a systems perspective, members of the U.S. National Academies of Sciences, Engineering, Medicine Roundtable on Health Literacy defined ten attributes of health literate health care organizations. External factors, such as payment reform in the U.S., have buoyed health literacy as an organizational priority. Health care organizations often begin their journey to become health literate by conducting health literacy organizational assessments, focusing on written and spoken communication, and addressing difficulties in navigating facilities and complex systems. As organizations' efforts mature, health literacy quality improvement efforts give way to transformational activities. These include: the highest levels of the organization embracing health literacy, making strategic plans for initiating and spreading health literate practices, establishing a health literacy workforce and supporting structures, raising health literacy awareness and training staff system-wide, expanding patient and family input, establishing policies, leveraging information technology, monitoring policy compliance, addressing population health, and shifting the culture of the organization. The penultimate section of this chapter highlights the experiences of three organizations that have explicitly set a goal to become health literate: Carolinas Healthcare System (CHS), Intermountain Healthcare, and Northwell Health. These organizations are pioneers that approached health literacy in a systematic fashion, each exemplifying different routes an organization can take to become health literate. CHS provides an example of how, even when the most senior leadership drives the organization to become health literate, continued progress requires constant reinvigoration. At Intermountain Healthcare, the push to become a health literate organization was the natural consequence of organizational adoption of a model of shared accountability that necessitated patient engagement for its success. Northwell Health, on the other hand, provides a model of how a persistent champion can elevate health literacy to become a system priority and how system-wide policies and procedures can advance effective communication across language differences, health literacy, and cultures. The profiles of the three systems make clear that the opportunities for health literacy improvement are vast. Success depends on the presence of a perfect storm of conditions conducive to transformational change. This chapter ends with lessons learned from the experiences of health literacy pioneers that may be useful to organizations embarking on the journey. The journey is long, and there are bumps along the road. Nonetheless, discernable progress has been made. While committed to transformation, organizations seeking to be health literate recognize that it is not a destination you can ever reach. A health literate organization is constantly striving, always knowing that further improvement can be made.","",,"*Delivery of Health Care;*Health Literacy;Humans;*Leadership;Quality Assurance, Health Care",28972519,PMC5666686
rayyan-1115028052,How patients want to engage with their personal health record: a qualitative study.,2013,7,30,BMJ open,2044-6055 (Electronic),3,7,,Kerns JW and Krist AH and Longo DR and Kuzel AJ and Woolf SH,https://pubmed.ncbi.nlm.nih.gov/23901027/,eng,,England,"OBJECTIVE: To assess factors related to use and non-use of a sophisticated interactive preventive health record (IPHR) designed to promote uptake of 18 recommended clinical preventive services; little is known about how patients want to use or be engaged by such advanced information tools. DESIGN: Descriptive and interpretive qualitative analysis of transcripts and field notes from focus groups of the IPHR users and of patients who were invited but did not use the IPHR (non-users). Grounded theory techniques were then applied via an editing approach for key emergent themes. SETTING: Primary care patients in eight practices of the Virginia Ambulatory Care Outcomes Research Network (ACORN). PARTICIPANTS: Three focus groups involved a total of 14 IPHR users and two groups of non-users totalled 14 participants. OUTCOMES/RESULTS: For themes identified (relevance, trust and functionality) participants indicated that endorsement and use of the IPHR by their personal clinician was vital. In particular, participants' comments linked the IPHR use to: (1) integrating the IPHR into current care, (2) promoting effective patient-clinician encounters and communication and (3) their confidence in the accuracy, security and privacy of the information. CONCLUSIONS: In addition to patients' stated desires for advanced functionality and information accuracy and privacy, successful adoption of the IPHRs by primary care patients depends on such technology's relevance, and on its promotion via integration with primary care practices' processes and the patient-clinician relationship. Accordingly, models of technological success and adoption, when applied to primary care, may need to include the patient-clinician relationship and practice workflow. These findings are important for healthcare providers, the information technology industry and policymakers who share an interest in encouraging patients to use personal health records. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT00589173.","",10.1136/bmjopen-2013-002931,"",23901027,PMC3731712
rayyan-1115028053,Diffusion and Use of Tethered Personal Health Records in Primary Care.,2015,,,Perspectives in health information management,1559-4122 (Electronic),12,,1c,Vydra TP and Cuaresma E and Kretovics M and Bose-Brill S,https://pubmed.ncbi.nlm.nih.gov/26755897/,eng,,United States,"BACKGROUND: Personal health records (PHRs) enable patients to access their healthcare information in a secure environment, increasing patient engagement in medical care. PHRs can be tethered to a patient's electronic health record (EHR). Tethered PHRs, also known as patient portals, allow patients to access relevant medical information from their provider. Despite recent policy efforts to promote the use of health information technology and increased availability of PHRs in the clinical setting, PHR adoption rates remain relatively low overall. This article examines physician characteristics of high vs. low PHR adopters. OBJECTIVE: The objectives of this study were to (1) examine PHR use patterns in the primary care setting, (2) identify physician characteristics affecting PHR adoption, and (3) explore physician perspectives encouraging and deterring use. METHODS: Information technology records provided data on primary care patient portal use at a large Midwestern academic medical center. Electronic surveys were administered to affiliated primary care physicians to measure their perceived use of patient portals. A focus group consisting of physician providers who completed the survey was used to further elucidate the trends and perceived utilization of the patient portal in the clinical setting. RESULTS: While they expended significant time communicating with patients using the portal, physicians generally overestimated the time spent per week on the system. Physicians who had been in practice longer estimated a higher average time spent on the system when compared to newer physicians. Patient portal activation rates and use decreased with increased years in practice. During the focus groups, physicians voiced motivation to use patient portals because they perceived improved patient communication and satisfaction with use. However, continued lack of reimbursement for time spent in portal communication was reported as a major barrier to providers' engagement with this technology. DISCUSSION: Physician endorsement and engagement is critical to achieve widespread adoption of PHRs. Such endorsement can be obtained through (1) providing rewards from health system employers for high use of PHRs, (2) providing financial reimbursement for time spent electronically communicating with patients via the PHR from federal initiatives incentivizing meaningful use of health information technology, (3) building robust support staff assistance for PHR communication into primary care workflows, and (4) integrating more PHR-specific education into providers' EHR training.","",,"Adult;Aged;Communication;Electronic Health Records/*statistics & numerical data;Female;Focus Groups;Humans;Inservice Training;Insurance, Health, Reimbursement;Male;Middle Aged;*Patient Access to Records;Patient Satisfaction;Physician-Patient Relations;Physicians/*statistics & numerical data;Practice Patterns, Physicians'/*statistics & numerical data;Primary Health Care/*organization & administration;Time Factors;Young Adult",26755897,PMC4696089
rayyan-1115028054,Trends in e-visit adoption among U.S. office-based physicians: Evidence from the 2011-2015 NAMCS.,2019,9,,International journal of medical informatics,1872-8243 (Electronic),129,,260-266,Hong YR and Turner K and Yadav S and Huo J and Mainous AG 3rd,https://pubmed.ncbi.nlm.nih.gov/31445265/,eng,,Ireland,"BACKGROUND: Electronic visits (e-visits) have the potential to expand patients' access to care and reduce healthcare costs. We aimed to describe trends in e-visit adoption among the U.S. office-based physicians and examine physician-and practice-level factors associated with e-visit adoption. METHODS: This was a retrospective observational study of 2011-2015 National Ambulatory Medical Care Survey. We used the Cochran-Armitage tests to evaluate trend changes in e-visit adoption among the U.S. office-based physicians. Multivariable logistic regression was used to calculate the odds of adopting e-visits adjusting for physician and practice characteristics. RESULTS: Our sample included 10,767 respondents, representing 327,836 office-based physicians in the U.S. Our analysis indicated that, in 2015, 15.9% of physicians adopted e-visits, which is a minor increase of 2.2% in total utilization of 13.7% in 2011. The likelihood of adopting e-visits was 2.7 times higher for physicians who have fully implemented electronic health records systems compared (odds ratio, 2.66, [95% CI, 2.16-3.28]) to physicians who have not implemented EHRs. Other predictors of e-visit adoption included primary care rather than specialty care, capitated payment model, and having a secure messaging capability. CONCLUSIONS: Our study demonstrates that overall e-visit adoption is low and has not been implemented as rapidly as other health information technologies. While use of secure information technology could be a facilitator for e-visit implementation, there are other barriers affecting widespread adoption. E-visits are a promising strategy for increasing patients' access to care. Future research is needed to explore implementation barriers that might be impeding e-visit adoption.","",10.1016/j.ijmedinf.2019.06.025,Electronic Health Records;*Health Care Surveys;Humans;Office Visits/statistics & numerical data;Physicians/statistics & numerical data;Primary Health Care/statistics & numerical data;Retrospective Studies;United States,31445265,
rayyan-1115028055,User Acceptance Level of and Attitudes towards Telemedicine in the United Arab Emirates: A quantitative study.,2021,5,,Sultan Qaboos University medical journal,2075-0528 (Electronic),21,2,e203-e209,Abdool S and Abdallah S and Akhlaq S and Razzak HA,https://pubmed.ncbi.nlm.nih.gov/34221467/,eng,,Oman,"OBJECTIVES: This study aimed to examine acceptance levels of and attitudes towards telemedicine among users in the United Arab Emirates (UAE) and assess associations between perceived usefulness (PU), perceived ease of use (PEOU), attitudes towards use (ATU) and behavioural intention of use (BIU) in relation to telemedicine technology. METHODS: This cross-sectional study used a simple random sampling design to obtain an appropriate sample from throughout the UAE. The technology acceptance model (TAM) and Rogers' diffusion of innovations (DOI) theory were applied as the conceptual basis for this study. An Arabic/English version of the questionnaire was distributed via email to physicians and nurses, members of the public (including patients), healthcare directors and information technology professionals. Data were collected from 1st March to 30th August 2019 and analysed using Statistical Package for the Social Sciences (SPSS). RESULTS: A total of 330 participants were included (response rate: 85.7%). BIU and PU were considered important elements of TAM in the adoption of telemedicine services compared to the other variables. The association between PEOU (beta = 0.033, P = 0.692), PU (beta = 0.034; P = 0.679) and ATU (beta = 0.055; P = 0.421) in relation to telemedicine were positive but not significant. However, BIU was found to be a strong significant predictor of actual usage (beta = 0.224; P = 0.003). CONCLUSION: This study confirms TAM's applicability in the adoption of telemedicine services in the UAE. The results show that users' perceptions were significantly related to their behavioural intention to use telemedicine. Factors influencing telemedicine technology are likely to vary as technology acceptance in other geographical areas may differ from the sample presented here.","",10.18295/squmj.2021.21.02.008,"Adolescent;Adult;Aged;Cross-Sectional Studies;Female;*Health Knowledge, Attitudes, Practice;Humans;Intention;Male;Middle Aged;Patient Acceptance of Health Care/*psychology;Telemedicine/*methods/statistics & numerical data;United Arab Emirates;Young Adult",34221467,PMC8219325
rayyan-1115028056,Information technology systems in public sector health facilities in developing countries: the case of South Africa.,2013,1,24,BMC medical informatics and decision making,1472-6947 (Electronic),13,,13,Cline GB and Luiz JM,https://pubmed.ncbi.nlm.nih.gov/23347433/,eng,,England,"BACKGROUND: The public healthcare sector in developing countries faces many challenges including weak healthcare systems and under-resourced facilities that deliver poor outcomes relative to total healthcare expenditure. Global references demonstrate that information technology has the ability to assist in this regard through the automation of processes, thus reducing the inefficiencies of manually driven processes and lowering transaction costs. This study examines the impact of hospital information systems implementation on service delivery, user adoption and organisational culture within two hospital settings in South Africa. METHODS: Ninety-four interviews with doctors, nurses and hospital administrators were conducted in two public sector tertiary healthcare facilities (in two provinces) to record end-user perceptions. Structured questionnaires were used to conduct the interviews with both qualitative and quantitative information. RESULTS: Noteworthy differences were observed among the three sample groups of doctors, nurses and administrators as well as between our two hospital groups. The impact of automation in terms of cost and strategic value in public sector hospitals is shown to have yielded positive outcomes with regard to patient experience, hospital staff workflow enhancements, and overall morale in the workplace. CONCLUSION: The research provides insight into the reasons for investing in system automation, the associated outcomes, and organisational factors that impact the successful adoption of IT systems. In addition, it finds that sustainable success in these initiatives is as much a function of the technology as it is of the change management function that must accompany the system implementation.","",10.1186/1472-6947-13-13,"Attitude to Computers;Cost-Benefit Analysis;*Diffusion of Innovation;Efficiency, Organizational;*Health Facilities;Health Services Research;Hospital Information Systems/*organization & administration/statistics &           numerical data;Humans;Interviews as Topic;Medical Staff, Hospital/psychology/statistics & numerical data;Organizational Case Studies;Organizational Culture;*Public Sector;South Africa;Surveys and Questionnaires",23347433,PMC3570341
rayyan-1115028057,Clinical decision support: progress and opportunities.,2010,9,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),17,5,487-92,Lyman JA and Cohn WF and Bloomrosen M and Detmer DE,https://pubmed.ncbi.nlm.nih.gov/20819850/,eng,,England,"In 2005, the American Medical Informatics Association undertook a set of activities relating to clinical decision support (CDS), with support from the office of the national coordinator and the Agency for Healthcare Research and Quality. They culminated in the release of the roadmap for national action on CDS in 2006. This article assesses progress toward the short-term goals within the roadmap, and recommends activities to continue to improve CDS adoption throughout the United States. The report finds that considerable progress has been made in the past four years, although significant work remains. Healthcare quality organizations are increasingly recognizing the role of health information technology in improving care, multi-site CDS demonstration projects are under way, and there are growing incentives for adoption. Specific recommendations include: (1) designating a national entity to coordinate CDS work and collaboration; (2) developing approaches to monitor and track CDS adoption and use; (3) defining and funding a CDS research agenda; and (4) updating the CDS 'critical path'.","",10.1136/jamia.2010.005561,"Cooperative Behavior;Decision Making, Computer-Assisted;*Decision Support Systems, Clinical;Diffusion of Innovation;Medical Informatics/legislation & jurisprudence/*organization & administration;United States",20819850,PMC2995690
rayyan-1115028058,The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting.,2012,5,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),19,3,460-7,McGowan JJ and Cusack CM and Bloomrosen M,https://pubmed.ncbi.nlm.nih.gov/22037887/,eng,,England,"While much attention has been paid to the short-term impact that widespread adoption of health information technology (health IT) will have on the healthcare system, there is a corresponding need to look at the long-term effects that extant policies may have on health IT system resilience, innovation, and related ethical, social/legal issues. The American Medical Informatics Association's 2010 Health Policy Conference was convened to further the national discourse on the issues surrounding these longer-term considerations. Conference participants self-selected into three broad categories: resilience in healthcare and health IT; ethical, legal, and social challenges; and innovation, adoption, and sustainability. The discussions about problem areas lead to findings focusing on the lack of encouragement for long-term IT innovation that may result from current health IT policies; the potential impact of uneven adoption of health IT based on the exclusions of the current financial incentives; the weaknesses of contingency and risk mitigation planning that threaten system resilience; and evolving standards developed in response to challenges relating to the security, integrity, and availability of electronic health information. This paper discusses these findings and also offers recommendations that address the interwoven topics of innovation, resilience, and adoption. The goal of this paper is to encourage public and private sector organizations that have a role in shaping health information policy to increase attention to developing a national strategy that assures that health IT innovation and resilience are not impeded by shorter-term efforts to implement current approaches emphasizing adoption and meaningful use of electronic health records.","",10.1136/amiajnl-2011-000522,"*Diffusion of Innovation;Health Plan Implementation/*organization & administration;*Health Policy;Humans;Medical Informatics/*organization & administration;Organizational Innovation;Societies, Scientific;United States",22037887,PMC3341794
rayyan-1115028059,Improving the safety of health information technology requires shared responsibility: It is time we all step up.,2018,3,,"Healthcare (Amsterdam, Netherlands)",2213-0772 (Electronic),6,1,7-12,Sittig DF and Belmont E and Singh H,https://pubmed.ncbi.nlm.nih.gov/28716376/,eng,,Netherlands,"In 2011, an Institute of Medicine report on health information technology (IT) and patient safety highlighted that building health-IT for safer use is a shared responsibility between key stakeholders including: ""vendors, care providers, healthcare organizations, health-IT departments, and public and private agencies"". Use of electronic health records (EHRs) involves all these stakeholders, but they often have conflicting priorities and requirements. Since 2011, the concept of shared responsibility has gained little traction and EHR developers and users continue to attribute the substantial, long list of problems to each other. In this article, we discuss how these key stakeholders have complementary roles in improving EHR safety and must share responsibility to improve the current state of EHR use. We use real-world safety examples and outline a comprehensive shared responsibility approach to help guide development of future rules, regulations, and standards for EHR usability, interoperability and security as outlined in the 21st Century Cures Act. This approach clearly defines the responsibilities of each party and helps create appropriate measures for success. National and international policymakers must facilitate the local organizational and socio-political climate to stimulate the adoption of shared responsibility principles. When all major stakeholders are sharing responsibility, we will be more likely to usher in a new age of progress and innovation related to health IT.","",10.1016/j.hjdsi.2017.06.004,Confidentiality/standards;*Decision Making;Electronic Health Records/standards;Health Information Management/*methods/standards;Humans;Information Technology;Patient Safety/*standards;United States,28716376,
rayyan-1115028061,Can a health information exchange save healthcare costs? Evidence from a pilot program in South Korea.,2015,9,,International journal of medical informatics,1872-8243 (Electronic),84,9,658-66,Park H and Lee SI and Hwang H and Kim Y and Heo EY and Kim JW and Ha K,https://pubmed.ncbi.nlm.nih.gov/26048738/,eng,,Ireland,"OBJECTIVE: Governments and institutions across the world have made efforts to adopt and diffuse the health information exchange (HIE) technology with the expectation that the technology would improve the quality and efficiency of care by allowing providers online access to healthcare information generated by other providers at the point of care. However, evidence concerning the effectiveness of the technology is limited hindering the wide adoption of a HIE. The objective of this study was to assess impacts of a HIE on healthcare utilization and costs of patient episodes at a tertiary care hospital following referrals by clinic physicians. MATERIAL/METHODS: We studied 1265 HIE and 2702 non-HIE episodes after physicians referred patients from 35 HIE and 59 non-HIE clinics to Seoul National University Bundang Hospital (SNUBH) during a 17-month period from June 2009. We examined 9 measures of healthcare utilization and the magnitude of clinical information exchanged in 4 categories. We estimated the savings resulting from HIE use through linear regression models with dummy variables for HIE participation and patient classification codes controlling the case-mix differences between HIE and non-HIE cases. RESULTS: The total charges incurred by the HIE group during episodes at SNUBH were approximately 13% lower (P<0.001), and the charges for clinical laboratory tests, pathological diagnosis, function tests, and diagnostic imaging were 54% (P<0.001), 76% (P<0.001), 73% (P<0.001), and 80% (P<0.001) lower for the HIE group than for the non-HIE group. SNUBH physicians had access to more clinical information for HIE than for non-HIE patients. CONCLUSIONS: HIE technology improved physicians' access to past clinical information, which appeared to reduce diagnostic test utilization and healthcare costs. The payer was the major beneficiary of HIE cost savings whereas providers paid for the technology. Fair allocation of benefits and costs among stakeholders is needed for wide HIE adoption.","",10.1016/j.ijmedinf.2015.05.008,Adult;Female;*Health Care Costs;Health Information Exchange/*economics;Health Information Systems/*economics;Humans;Male;Patient Participation/*statistics & numerical data;Physicians/*psychology;Pilot Projects;Republic of Korea,26048738,
rayyan-1115028062,[Overview of the US policies for health information technology and lessons learned for Israel].,2013,5,,Harefuah,0017-7768 (Print),152,5,"262-6, 310, 309",Topaz M and Ash N,https://pubmed.ncbi.nlm.nih.gov/23885448/,heb,,Israel,"The heaLthcare system in the United States (U.S.) faces a number of significant changes aimed at improving the quality and availability of medical services and reducing costs. Implementation of health information technologies, especiaLly ELectronic Health Records (EHR), is central to achieving these goals. Several recent Legislative efforts in the U.S. aim at defining standards and promoting wide scale ""Meaningful Use"" of the novel technologies. In Israel, the majority of heaLthcare providers adopted EHR throughout the Last decade. Unlike the U.S., the process of EHR adoption occurred spontaneously, without governmental control or the definition of standards. In this article, we review the U.S. health information technology policies and standards and suggest potential lessons Learned for Israel. First, we present the three-staged Meaningful Use regulations that require eligible healthcare practitioners to use EHR in their practice. We also describe the standards for EHR certification and national efforts to create interoperable health information technology networks. Finally, we provide a brief overview of the IsraeLi regulation in the field of EHR. Although the adoption of health information technology is wider in Israel, the Lack of technology standards and governmental control has Led to Large technology gaps between providers. The example of the U.S. Legislation urges the adoption of several critical steps to further enhance the quality and efficiency of the Israeli healthcare system, in particular: strengthening health information technology regulation; developing Licensure criteria for health information technology; bridging the digital gap between healthcare organizations; defining quality measures; and improving the accessibility of health information for patients.","",,Delivery of Health Care/*organization & administration/standards;Diffusion of Innovation;Electronic Health Records/legislation & jurisprudence/*organization &           administration/standards;Health Policy;Humans;Information Dissemination;Israel;Medical Informatics/legislation & jurisprudence/*organization &           administration/standards;*Quality of Health Care;United States,23885448,
rayyan-1115028063,Interface design principles for usable decision support: a targeted review of best practices for clinical prescribing interventions.,2012,12,,Journal of biomedical informatics,1532-0480 (Electronic),45,6,1202-16,Horsky J and Schiff GD and Johnston D and Mercincavage L and Bell D and Middleton B,https://pubmed.ncbi.nlm.nih.gov/22995208/,eng,,United States,"Developing effective clinical decision support (CDS) systems for the highly complex and dynamic domain of clinical medicine is a serious challenge for designers. Poor usability is one of the core barriers to adoption and a deterrent to its routine use. We reviewed reports describing system implementation efforts and collected best available design conventions, procedures, practices and lessons learned in order to provide developers a short compendium of design goals and recommended principles. This targeted review is focused on CDS related to medication prescribing. Published reports suggest that important principles include consistency of design concepts across networked systems, use of appropriate visual representation of clinical data, use of controlled terminology, presenting advice at the time and place of decision making and matching the most appropriate CDS interventions to clinical goals. Specificity and contextual relevance can be increased by periodic review of trigger rules, analysis of performance logs and maintenance of accurate allergy, problem and medication lists in health records in order to help avoid excessive alerting. Developers need to adopt design practices that include user-centered, iterative design and common standards based on human-computer interaction (HCI) research methods rooted in ethnography and cognitive science. Suggestions outlined in this report may help clarify the goals of optimal CDS design but larger national initiatives are needed for systematic application of human factors in health information technology (HIT) development. Appropriate design strategies are essential for developing meaningful decision support systems that meet the grand challenges of high-quality healthcare.","",10.1016/j.jbi.2012.09.002,"Decision Support Systems, Clinical/*standards;Electronic Health Records;Humans;Medical Informatics/*methods;*Practice Patterns, Physicians'",22995208,
rayyan-1115028064,Toward a Model for Personal Health Record Interoperability.,2019,3,,IEEE journal of biomedical and health informatics,2168-2208 (Electronic),23,2,867-873,Roehrs A and da Costa CA and Righi RDR and Rigo SJ and Wichman MH,https://pubmed.ncbi.nlm.nih.gov/29993759/,eng,,United States,"Health information technology, applied to electronic health record (EHR), has evolved with the adoption of standards for defining patient health records. However, there are many standards for defining such data, hindering communication between different healthcare providers. Even with adopted standards, patients often need to repeatedly provide their health information when they are taken care of at different locations. This problem hinders the adoption of personal health record (PHR), with the patients' health records under their own control. Therefore, the purpose of this paper is to propose an interoperability model for PHR use. The methodology consisted prototyping an application model named OmniPHR, to evaluate the structuring of semantic interoperability and integration of different health standards, using a real database from anonymized patients. We evaluated health data from a hospital database with 38 645 adult patients' medical records processed using different standards, represented by openEHR, HL7 FHIR, and MIMIC-III reference models. OmniPHR demonstrated the feasibility to provide interoperability through a standard ontology and artificial intelligence with natural language processing (NLP). Although the first executions reached a 76.39% F1-score and required retraining of the machine-learning process, the final score was 87.9%, presenting a way to obtain the original data from different standards on a single format. Unlike other models, OmniPHR presents a unified, structural semantic and up-to-date vision of PHR for patients and healthcare providers. The results were promising and demonstrated the possibility of subsidizing the creation of inferences rules about possible patient health problems or preventing future problems.","",10.1109/JBHI.2018.2836138,"Adult;Biological Ontologies;Computer Simulation;*Electronic Health Records;*Health Information Interoperability;*Health Records, Personal;Humans;Natural Language Processing;Semantics",29993759,
rayyan-1115028065,Improving the delivery of coordinated and individualized care.,2011,9,,Seminars in dialysis,1525-139X (Electronic),24,5,593-6,Sands JJ and Diaz-Buxo JA,https://pubmed.ncbi.nlm.nih.gov/21999744/,eng,,United States,"Pharmatech comprises systems for the automated use and coordination of clinical information, medical devices, care paths, and pharmacologic agents into specific prescription and care-delivery processes tailored to meet individual patient needs. In ESRD, future suites of applications to run on hemodialysis, peritoneal dialysis machines, external computers and devices both in-center and in the home setting offer the potential to further automate billing and inventory, improve documentation, reduce medical errors, and decrease costs. On a clinical basis, these systems will aid nurses, physician assistants, nurse practitioners, and physicians in performing and overseeing a wide range of clinical activities that constitute 21st-century medicine. Future innovations may allow Pharmatech systems to learn by achieving defined outcomes. These developments offer the potential to provide customized ESRD care by integrating standard practices with individual patient characteristics and patient-specific needs. The development of Pharmatech represents one of the next advances in healthcare technology and will become an important component in the delivery of 21st-century medicine. Adoption of information technology (IT) has been prioritized by the federal government, and is a key component of US healthcare policy. The United States Agency for Healthcare Research and Quality is currently funding the development and implementation of a wide array of health IT applications. This extensive funding combined with rapid technologic advances will continue to drive Pharmatech development and the widespread implementation of medical IT in the coming decade.","",10.1111/j.1525-139X.2011.00974.x,"Humans;Kidney Failure, Chronic/*therapy;*Medical Informatics;Patient-Centered Care/*standards;Renal Dialysis/*standards",21999744,
rayyan-1115028067,Electronic Personal Health Records for Childhood Cancer Survivors: An Exploratory Study.,2014,9,1,Journal of adolescent and young adult oncology,2156-535X (Electronic),3,3,117-122,Sharp LK and Carvalho P and Southward M and Schmidt ML and Jabine LN and Stolley MR and Gerber BS,https://pubmed.ncbi.nlm.nih.gov/25276495/,eng,,United States,"Purpose: Childhood cancer survivors have complex healthcare needs that may be effectively communicated using electronic personal health records. This study explores the knowledge, interest, and attitudes of a sample of survivors and some of their caregivers towards electronic personal health records (ePHRs). Methods: This descriptive study was conducted in a pediatric hematology-oncology clinic and associated survivorship clinic with a convenience sample of caregivers of survivors who were <14 years old and survivors ≥14 years old along with their caregivers when present. A semi-structured interview was conducted with survivors and some caregivers to understand their knowledge, interest, and attitudes towards adoption of ePHRs. Results: Interviews were completed with 11 caregivers of young survivors, four survivors alone, and five survivor-caregiver dyads. Survivors ranged in age at diagnosis from 1 to 17 years old. Among the ethnically diverse sample, approximately half of the nine survivors and 25% of 16 caregivers reported having some knowledge of ePHRs. Eighty-nine percent (8/9) of the survivors and 81% (13/16) of the caregivers reported that they were somewhat or very comfortable using the internet. All nine survivors and 75% of caregivers were interested in the adoption of ePHRs. Data security and privacy were the primary concerns expressed. Conclusions: Interest in adoption of ePHRs to manage cancer survivorship-related health information was high. Most felt that the privacy and security concerns would not prevent adoption. Additional research is needed on larger and more representative samples of survivors to understand what types of support and education are needed to effectively implement ePHRs.","",10.1089/jayao.2013.0039,"",25276495,PMC4171113
rayyan-1115028068,Nurses' Experiences of an Initial and Re-Implemented Electronic Health Record Use.,2016,,,Studies in health technology and informatics,1879-8365 (Electronic),225,,802-3,Lee TT and Chang CP,https://pubmed.ncbi.nlm.nih.gov/27332349/,eng,,Netherlands,"The Electronic Health Record (EHR) is a key component of healthcare information systems (HISs). In EHR implementation, smooth adoption can streamline nursing activities. In order to explore the adoption process, a qualitative study design and focus group interviews were conducted 3-month post and two years after EHR system implementation (system aborted one year in between) in one hospital located in Taiwan. Content analysis was performed to analyze the interview data and six main themes were derived, in the first stage: 1) liability, work stress and anticipation for EHR, 2) slow network speed and user unfriendly design, 3) insufficient information technology/organization support; on the second stage: 4) getting used to EHR and further system requirements 5) benefits of EHR in time saving and documentation 6) unrealistic IT competence expectation and future use. It concluded that user friendly design and support by information technology and manpower backup would facilitate this adoption process.","",,"*Attitude of Health Personnel;*Attitude to Computers;Computer Literacy/*statistics & numerical data;Electronic Health Records/*statistics & numerical data;Nursing Staff, Hospital/psychology/*statistics & numerical data;Practice Patterns, Nurses'/*statistics & numerical data;Taiwan;User-Computer Interface",27332349,
rayyan-1115028069,Factors Influencing Healthcare Professionals' Perception towards EHR/EMR Systems in Gulf Cooperation Council Countries: A Systematic Review.,2020,11,,Oman medical journal,1999-768X (Print),35,6,e192,Alanazi B and Butler-Henderson K and Alanazi MR,https://pubmed.ncbi.nlm.nih.gov/33110635/,eng,,Oman,"Electronic health and medical records are widely adopted in many healthcare settings worldwide to improve the quality of care. Users' perception is a significant factor influencing the successful implementation and use of e-health technologies. This systematic review aimed to identify factors influencing the perceptions of healthcare professionals towards the adoption and use of electronic health and medical record systems to improve the quality of healthcare services in the countries of the Gulf Cooperation Council. We identified primary studies evaluating healthcare professionals' perception towards electronic health records and/or electronic medical records in the Gulf region. Seven electronic databases, including Medline, CINAHL, Informit Health Collection, Science Direct, ProQuest, PubMed, and Scopus were used to search for the relevant articles published between January 2007 and December 2016. Thirteen articles met the inclusion criteria and were included in this systematic review. Both individual and system-related factors were found to positively or negatively influence healthcare providers' perceptions towards the systems. Understanding the impact of healthcare professionals' perception of health information technology is important for policymakers involved in the implementation programs to ensure their success. Future studies should evaluate other individual characteristics such as age, gender, and profession of the healthcare providers on their perceptions towards e-health technologies.","",10.5001/omj.2020.85,"",33110635,PMC7586642
rayyan-1115028070,"The Omaha system and meaningful use: applications for practice, education, and research.",2011,1,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),29,1,52-8,Martin KS and Monsen KA and Bowles KH,https://pubmed.ncbi.nlm.nih.gov/21099545/,eng,,United States,"Meaningful use has become ubiquitous in the vocabulary of health information technology. It suggests that better healthcare does not result from the adoption of technology and electronic health records, but by increasing interoperability and informing clinical decisions at the point of care. Although the initial application of meaningful use was limited to eligible professionals and hospitals, it incorporates complex processes and workflow that involve all nurses, other healthcare practitioners, and settings. The healthcare community will become more integrated, and interdisciplinary practitioners will provide enhanced patient-centered care if electronic health records adopt the priorities of meaningful use. Standardized terminologies are a necessary component of such electronic health records. The Omaha System is an exemplar of a standardized terminology that enables meaningful use of clinical data to support and improve patient-centered clinical practice, education, and research. It is user-friendly, generates data that can be shared with patients and their families, and enables healthcare providers to analyze and exchange patient-centered coded data. Use of the Omaha System is increasing steadily in diverse practice, education, and research settings nationally and internationally.","",10.1097/NCN.0b013e3181f9ddc6,*Electronic Health Records;*Nursing Informatics;*Nursing Research;Terminology as Topic,21099545,
rayyan-1115028072,Implementing eScreening technology in four VA clinics: a mixed-method study.,2019,8,28,BMC health services research,1472-6963 (Electronic),19,1,604,Pittman JOE and Afari N and Floto E and Almklov E and Conner S and Rabin B and Lindamer L,https://pubmed.ncbi.nlm.nih.gov/31462280/,eng,,England,"BACKGROUND: Technology-based self-assessment (TB-SA) benefits patients and providers and has shown feasibility, ease of use, efficiency, and cost savings. A promising TB-SA, the VA eScreening program, has shown promise for the efficient and effective collection of mental and physical health information. To assist adoption of eScreening by healthcare providers, we assessed technology-related as well as individual- and system-level factors that might influence the implementation of eScreening in four diverse VA clinics. METHODS: This was a mixed-method, pre-post, quasi-experimental study originally designed as a quality improvement project. The clinics were selected to represent a range of environments that could potentially benefit from TB-SA and that made use of the variety eScreening functions. Because of limited resources, the implementation strategy consisted of staff education, training, and technical support as needed. Data was collected using pre- and post-implementation interviews or focus groups of leadership and clinical staff, eScreening usage data, and post-implementation surveys. Data was gathered on: 1) usability of eScreening; 2) knowledge about and acceptability and 3) facilitators and barriers to the successful implementation of eScreening. RESULTS: Overall, staff feedback about eScreening was positive. Knowledge about eScreening ranged widely between the clinics. Nearly all staff felt eScreening would fit well into their clinical setting at pre-implementation; however some felt it was a poor fit with emergent cases and older adults at post-implementation. Lack of adequate personnel support and perceived leadership support were barriers to implementation. Adequate training and technical assistance were cited as important facilitators. One clinic fully implemented eScreening, two partially implemented, and one clinic did not implement eScreening as part of normal practice after 6 months as measured by usage data and self-report. Organizational engagement survey scores were higher among clinics with full or partial implementation and low in the clinic that did not implement. CONCLUSIONS: Despite some added work load for some staff and perceived lack of leadership support, eScreening was at least partially implemented in three clinics. The technology itself posed no barriers in any of the settings. An implementation strategy that accounts for increased work burden and includes accountability may help in future eScreening implementation efforts. Note. This abstract was previously published (e.g., Annals of Behavioral Medicine 53: S1-S842, 2019).","",10.1186/s12913-019-4436-z,"Aged;Ambulatory Care/organization & administration;Ambulatory Care Facilities/organization & administration;Attitude of Health Personnel;Biomedical Technology;California;Cost Savings;Early Diagnosis;Focus Groups;Health Knowledge, Attitudes, Practice;Health Personnel/education/organization & administration;Health Plan Implementation;Humans;Leadership;Organizational Innovation;Quality Improvement/*organization & administration;Retrospective Studies;Self Care/*methods;Surveys and Questionnaires;Telemedicine/*organization & administration;United States;United States Department of Veterans Affairs",31462280,PMC6712612
rayyan-1115028073,Economic externalities of health information technology. A game theoretic model for electronic health record adoption.,2007,,,Journal of healthcare information management : JHIM,1099-811X (Print),21,4,25-31,Woodside JM,https://pubmed.ncbi.nlm.nih.gov/19195278/,eng,,United States,"A presidential executive order in 2004 called for widespread adoption of electronic health records within 10 years. Proponents have shown this will lead to safe, affordable and consumer-oriented healthcare. Current EHR adoption has not kept pace; some estimates suggest that EHR adoption will occur over a significantly longer period. Implementation costs and return on investment are listed, among other reasons, as the predominant factors limiting rapid adoption. A widespread EHR adoption plateau is expected, with entities being unable or unwilling to adopt EHRs. This will lead to incentive-based requirements to achieve widespread adoption and the full potential of EHRs. This paper looks at externalities of health information technology between the major entities--payors, providers and consumers. These externalities necessitate implementation of incentive-based programs to achieve benefit equilibrium. Game theory is employed to model the behavior of these entities to capture the most equitable outcome. Prescriptive analysis is utilized to interpret and suggest optimal adoption behavior.","",,"*Diffusion of Innovation;*Game Theory;Medical Informatics/*economics;*Medical Records Systems, Computerized;United States",19195278,
rayyan-1115028074,Challenges and Opportunities with Empowering Baby Boomers for Personal Health Information Management Using Consumer Health Information Technologies: an Ecological Perspective.,2014,,,AIMS public health,2327-8994 (Print),1,3,160-181,LeRouge CM and Tao D and Ohs J and Lach HW and Jupka K and Wray R,https://pubmed.ncbi.nlm.nih.gov/29546084/,eng,,United States,"""Baby Boomers"" (adults born between the years of 1946 and 1964) make up the largest segment of the population in many countries, including the United States (about 78 million Americans) [1]. As Baby Boomers reach retirement age and beyond, many will have increasing medical needs and thus demand more health care resources that will challenge the healthcare system. Baby Boomers will likely accelerate the movement toward patient self-management and prevention efforts. Consumer Health Information Technologies (CHIT) hold promise for empowering health consumers to take an active role in health maintenance and disease management, and thus, have the potential to address Baby Boomers' health needs. Such innovations require changes in health care practice and processes that take into account Baby Boomers' personal health needs, preferences, health culture, and abilities to use these technologies. Without foundational knowledge of barriers and opportunities, Baby Boomers may not realize the potential of these innovations for improving self-management of health and health outcomes. However, research to date has not adequately explored the degree to which Baby Boomers are ready to embrace consumer health information technology and how their unique subcultures affect adoption and diffusion. This position paper describes an ecological conceptual framework for understanding and studying CHIT aimed at satisfying the personal health needs of Baby Boomers. We explore existing literature to provide a detailed depiction of our proposed conceptual framework, which focuses characteristics influencing Baby Boomers and their Personal Health Information Management (PHIM) and potential information problems. Using our ecological framework as a backdrop, we provide insight and implications for future research based on literature and underlying theories represented in our model.","",10.3934/publichealth.2014.3.160,"",29546084,PMC5689789
rayyan-1115028075,Critical features for a successful implementation of a diabetes registry.,2005,12,,Diabetes technology & therapeutics,1520-9156 (Print),7,6,958-67,Gabbay RA and Khan L and Peterson KL,https://pubmed.ncbi.nlm.nih.gov/16386102/,eng,,United States,"Numerous studies indicate a gap between evidence-based recommendations for care and clinical outcomes. Barriers reported by physicians include inefficiencies in data gathering. Information technology provides a potent solution to this problem. Diabetes registries are increasingly being utilized as a critical feature for population-based disease management. As an increasing number of organizations realize the need to choose among a plethora of different diabetes registry systems, we seek to identify important features in successful programs and address several of the critical features essential to an effective diabetes registry. A diabetes registry can be used to target high-risk patients, send reminders to patients, and provide physicians with feedback on their care, all important aspects of an optimal diabetes registry that can lead to significant improvements in clinical outcomes. As the healthcare system moves toward wider adoption of diabetes registries, key features of diabetes registry use are discussed.","",10.1089/dia.2005.7.958,Adolescent;Adult;Aged;*Diabetes Mellitus/therapy;Humans;Internet;Middle Aged;*Registries;Software;Treatment Outcome,16386102,
rayyan-1115028076,Understanding the gap between desire for and use of consumer health solutions.,2014,,,HealthcarePapers,1488-917X (Print),13,4,9-21,Zelmer J and Hagens S,https://pubmed.ncbi.nlm.nih.gov/25148119/,eng,,Canada,"Modern healthcare is more complex than ever before, with a broader range of care providers, organizations, diagnostic approaches and treatments. The result is that accurate and timely information is more important than ever. In response, clinical use of health information technology has grown significantly in recent years and there is growing interest in the use of consumer health solutions. In this article, the authors discuss the current landscape of the latter in Canada, enablers and barriers to their adoption and our readiness for change.","",10.12927/hcpap.2014.23871,Biomedical Technology/methods/*trends;Canada;Consumer Health Information/methods/statistics & numerical data/*trends;Cross-Cultural Comparison;Electronic Health Records/statistics & numerical data/*trends;Humans;Patient Access to Records/*trends;Patient Satisfaction/*statistics & numerical data;Quality of Health Care/standards/*trends;Socioeconomic Factors;Telemedicine/methods/statistics & numerical data/*trends,25148119,
rayyan-1115028077,"Assessment of physician's knowledge, perception and willingness of telemedicine in Riyadh region, Saudi Arabia.",2021,1,,Journal of infection and public health,1876-035X (Electronic),14,1,97-102,Albarrak AI and Mohammed R and Almarshoud N and Almujalli L and Aljaeed R and Altuwaijiri S and Albohairy T,https://pubmed.ncbi.nlm.nih.gov/31060975/,eng,,England,"INTRODUCTION: Telemedicine is the utilization of computer applications and telecommunication technologies to deliver clinical services remotely. The Ministry of Health in Saudi Arabia, recently established an e-Health strategy that includes the use of telemedicine in order to improve the accessibility and quality of care among patients and healthcare providers. OBJECTIVES: The present study aimed to assess the knowledge and perception of telemedicine and its applications among physicians. Secondly, to evaluate their willingness towards adopting telemedicine in clinical practice. METHODS: The study is a cross sectional conducted in four hospitals; King Abdulaziz Medical City, King Faisal Specialist Hospital and Research Center, King Saud Medical City and King Saud University Medical City in Riyadh, Saudi Arabia. The survey questionnaire was a self-administered, which was adopted from previous studies. The questionnaire consists of; access to a computer and its literacy, knowledge, perceptions and willingness of telemedicine. RESULTS: A total of 391 physicians of which male (301; 77.0%) and female (90; 23.0%) completed the questionnaire. Half of the participants never used personal computers or laptops at home. Interestingly, 89.2% of them have two or more smart devices. Participants have average knowledge about telemedicine technology (46.1%). Nearly, 77% of the professionals believed that continuous training is necessary for the use of telemedicine (P = 0.01). The highest level of perception was (90%) for telemedicine as a viable approach for providing medical care services to patients. More than 90% of specialties professional agreed that telemedicine can save time, money and further believed information and communication technology (ICT) has a potential role in healthcare. Overall, 70% of physicians reported a very low number of conferences, speeches or meetings held regarding telemedicine technology in their working places. Main issues reported in adopting telemedicine are patient privacy, the high cost of equipment, lack of suitable training, and lack of consultation between information technology expert and clinicians. CONCLUSIONS: Despite the fact that the majority of professionals have two or more smart devices and are communicating with patients via email or social media. However, the majority of medical professionals still have low knowledge of telemedicine technology. In addition, most of the participants showed positive perceptions of telemedicine and are willing to adopt it in clinical practice. The major reported barriers for the adoption of telemedicine were privacy issues, lack of training, cost and issues related to information and communication technology.","",10.1016/j.jiph.2019.04.006,Cross-Sectional Studies;Female;Humans;Male;Perception;*Physicians;Saudi Arabia;Surveys and Questionnaires;*Telemedicine,31060975,
rayyan-1115028078,Usability Evaluation of Laboratory Information Systems.,2017,,,Journal of pathology informatics,2229-5089 (Print),8,,40,Mathews A and Marc D,https://pubmed.ncbi.nlm.nih.gov/29114434/,eng,,United States,"BACKGROUND: Numerous studies have revealed widespread clinician frustration with the usability of electronic health records (EHRs) that is counterproductive to adoption of EHR systems to meet the aims of health-care reform. With poor system usability comes increased risk of negative unintended consequences. Usability issues could lead to user error and workarounds that have the potential to compromise patient safety and negatively impact the quality of care.[1] While there is ample research on EHR usability, there is little information on the usability of laboratory information systems (LISs). Yet, LISs facilitate the timely provision of a great deal of the information needed by physicians to make patient care decisions.[2] Medical and technical advances in genomics that require processing of an increased volume of complex laboratory data further underscore the importance of developing user-friendly LISs. This study aims to add to the body of knowledge on LIS usability. METHODS: A survey was distributed among LIS users at hospitals across the United States. The survey consisted of the ten-item System Usability Scale (SUS). In addition, participants were asked to rate the ease of performing 24 common tasks with a LIS. Finally, respondents provided comments on what they liked and disliked about using the LIS to provide diagnostic insight into LIS perceived usability. RESULTS: The overall mean SUS score of 59.7 for the LIS evaluated is significantly lower than the benchmark of 68 (P < 0.001). All LISs evaluated received mean SUS scores below 68 except for Orchard Harvest (78.7). While the years of experience using the LIS was found to be a statistically significant influence on mean SUS scores, the combined effect of years of experience and LIS used did not account for the statistically significant difference in the mean SUS score between Orchard Harvest and each of the other LISs evaluated. CONCLUSIONS: The results of this study indicate that overall usability of LISs is poor. Usability lags that of systems evaluated across 446 usability surveys.","",10.4103/jpi.jpi_24_17,"",29114434,PMC5653961
rayyan-1115028079,Diffusion Dynamics of Radiology IT - Systems in German Hospitals - A Bayesian Bass Model.,2019,9,3,Studies in health technology and informatics,1879-8365 (Electronic),267,,11-19,Hüsers J and Esdar M and Weiß JP and Hübner U,https://pubmed.ncbi.nlm.nih.gov/31483249/,eng,,Netherlands,"Radiology has a reputation for having a high affinity to innovation - particularly with regard to information technologies. Designed for supporting the peculiarities of radiological diagnostic workflows, Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (PACS) developed into widely used information systems in hospitals and form the basis for advancing the field towards automated image diagnostics. RIS and PACS can thus serve as meaningful indicators of how quickly IT innovations diffuse in secondary care settings - an issue that requires increased attention in research and health policy in the light of increasingly fast innovation cycles. We therefore conducted a retrospective longitudinal observational study to research the diffusion dynamics of RIS and PACS in German hospitals between 2005 and 2017. Based upon data points collected within the ""IT Report Healthcare"" and building on Rogers' Diffusion of Innovation (DOI) theory, we applied a novel methodological technique by fitting Bayesian Bass Diffusion Models on past adoption rates. The Bass models showed acceptable goodness of fit to the data and the results indicated similar growth rates of RIS and PACS implementations and suggest that market saturation is almost reached. Adoption rates of PACS showed a slightly higher coefficient of imitation (q = 0.25) compared to RIS (q = 0.11). However, the diffusion process expands over approximately two decades for both systems which points at the need for further research into how innovation diffusion can be accelerated effectively. Furthermore, the Bayesian approach to Bass modelling showed to have several advantages over the classical frequentists approaches and should encourage adoption and diffusion research to adapt similar techniques.","",10.3233/SHTI190799,*Bayes Theorem;Hospitals;*Radiology;*Radiology Information Systems;Retrospective Studies,31483249,
rayyan-1115028080,The behavioral side of information technology.,1999,12,,International journal of medical informatics,1386-5056 (Print),56,1,117-23,Dixon DR,https://pubmed.ncbi.nlm.nih.gov/10659940/,eng,,Ireland,"Exposure to technologies is becoming more prevalent in healthcare technologies. Few strategies have been developed that work reliably to successfully implement information technologies. Information technology enables, but does not guarantee organizational change. A theoretical model has been developed identifying several areas that have been found important in information technology implementation. The information technology adoption model is described, and provides a framework for implementors of information technologies. It provides a structure to categorize areas that may benefit from the development of implementation strategies and the development of evaluation techniques. Implementation and evaluation strategies are discussed as they pertain to end-user fit, user perceptions of innovation usefulness and ease of use, and adoption and utilization.","",10.1016/s1386-5056(99)00037-4,"Attitude to Computers;Diffusion of Innovation;*Health Knowledge, Attitudes, Practice;Humans;*Medical Informatics Applications;Models, Theoretical;Organizational Culture;Organizational Innovation;Technology Assessment, Biomedical",10659940,
rayyan-1115028081,The tyranny of the diagnosis code.,2005,9,,North Carolina medical journal,0029-2559 (Print),66,5,331-7,Slee VN and Slee D and Schmidt HJ,https://pubmed.ncbi.nlm.nih.gov/16323579/,eng,,United States,"The electronic medical record (EMR), while having acknowledged advantages over the paper record and powerful constituencies advocating its adoption, is not in widespread use. One significant obstacle to its acceptance by physicians has not been addressed--its failure to provide easy input for the patients exact diagnoses and for the retrieval of those diagnoses during subsequent patient care. Furthermore, our system designers have failed to respond to the expansion of the use of the medical record from its origin as simply the physician's memory and communication tool to becoming the building block for our Medical Record Health Information System (MRHIS), where it also supplies the justification for payment for care and is the source of fundamental statistics about health and healthcare. These problems reflect a basic flaw in the application of available information technology to EMR design and data management: We use output codes--the category codes from ICD-9-CM--for input of diagnoses. This fact imposes the tyranny. Our medical record must have these ICD-9-CM codes for the reimbursement system. But, to be accepted as the basic record for medical care, and at the same time, to be truly useful for case retrieval and statistics, medical informatics experts recognize that our EMR must have codes for the exact diagnoses of the patient (diagnosis entities). But no practical method for their input and management has been offered This paper proposes a way to provide easy input of diagnosis entities, and their permanent coding as a workable solution to the problem.","",,"Abstracting and Indexing;*Diagnosis;Diagnosis-Related Groups/classification;Forms and Records Control;Hospital Information Systems/*standards/statistics & numerical data;Humans;Insurance Claim Reporting/classification;*International Classification of Diseases;Medical Records Department, Hospital;Medical Records Systems, Computerized/*classification/economics/statistics &           numerical data;Reimbursement Mechanisms;Systematized Nomenclature of Medicine;United States",16323579,
rayyan-1115028082,Implementation of Coach McLungs(SM) into primary care using a cluster randomized stepped wedge trial design.,2022,11,4,BMC medical informatics and decision making,1472-6947 (Electronic),22,1,285,Ludden T and O'Hare K and Shade L and Reeves K and Patterson CG and Tapp H,https://pubmed.ncbi.nlm.nih.gov/36333727/,eng,,England,"BACKGROUND: Asthma is a prevalent chronic disease that is difficult to manage and associated with marked disparities in outcomes. One promising approach to addressing disparities is shared decision making (SDM), a method by which the patient and provider cooperatively make a decision about asthma care. SDM is associated with improved outcomes for patients; however, time constraints and staff availability are noted implementation barriers. Use of health information technology (IT) solutions may facilitate the utilization of SDM. Coach McLungs(SM) is a collaborative web-based application that involves pediatric patients, their caregivers, and providers in a personalized experience while gathering patient-reported data. Background logic provides decision support so both audiences can develop a well-informed treatment plan together. The goal of this study is to evaluate the implementation of the Coach McLungs(SM) intervention into primary care. METHODS: Implementation will be evaluated using a stepped wedge randomized control study design at 21 pediatric and family medicine practices within a large, integrated, nonprofit healthcare system. We will measure changes in emergency department visits, hospitalizations, and oral steroid use, which serve as surrogate measures for patient-centered asthma outcomes. We will use a generalized linear mixed models with logit link to test the hypothesis for the reduction in exacerbation rates specifying the fixed effects of intervention and time and random effects for practice and practice*time. This design achieves 84% power to detect the hypothesized effect size difference of 10% in overall exacerbation between control (40%) and intervention (30%) periods (two-sided, p = 0.05). Implementation will be guided using the Expert Recommendations for Implementing Change (ERIC), a compilation of implementation strategies, and evaluated using the CFIR (Consolidated Framework for Implementation Research) and RE-AIM (Reach Effectiveness, Adoption, Implementation, Maintenance). DISCUSSION: We anticipate that a tailored implementation of Coach McLungs(SM) across diverse primary care practices will lead to a decrease in emergency department visits, hospitalizations, and oral steroid use for patients in the intervention group as compared to the control condition. TRIAL REGISTRATION: Clincaltrials.gov, NCT05059210. Registered 28 September 2021, https://www. CLINICALTRIALS: gov/ct2/show/NCT05059210.","",10.1186/s12911-022-02030-1,"Humans;Child;*Decision Making, Shared;*Asthma/therapy;Chronic Disease;Outcome Assessment, Health Care;Primary Health Care",36333727,PMC9636750
rayyan-1115028083,Radio frequency identification-enabled capabilities in a healthcare context: An exploratory study.,2016,9,,Health informatics journal,1741-2811 (Electronic),22,3,562-78,Hornyak R and Lewis M and Sankaranarayan B,https://pubmed.ncbi.nlm.nih.gov/25786775/,eng,,England,"Increasingly, the adoption and use of radio frequency identification systems in hospital settings is gaining prominence. However, despite the transformative impact that radio frequency identification has in healthcare settings, few studies have examined how and why this change may occur. The purpose of this study is to systematically understand how radio frequency identification can transform work practices in an operational process that directly impacts cost and operational efficiency and indirectly contributes to impacting patient safety and quality of care. We leverage an interdisciplinary framework to explore the contextual characteristics that shape the assimilation of radio frequency identification in healthcare settings. By linking the use of radio frequency identification with specific contextual dimensions in healthcare settings, we provide a data-driven account of how and why radio frequency identification can be useful in inventory management in this setting. In doing so, we also contribute to recent work by information systems scholars who argue for a reconfiguration of conventional assumptions regarding the role of technology in contemporary organizations.","",10.1177/1460458215572923,"Cardiac Catheterization/instrumentation;*Efficiency, Organizational;Equipment and Supplies, Hospital/supply & distribution;Hospitals;Humans;Information Systems/*organization & administration;Materials Management, Hospital/organization & administration;Qualitative Research;Radio Frequency Identification Device/methods/*organization & administration;Safety Management/methods",25786775,
rayyan-1115028084,Effects of health information technology on malpractice insurance premiums.,2015,4,,Healthcare informatics research,2093-3681 (Print),21,2,118-24,Kim HY and Lee J,https://pubmed.ncbi.nlm.nih.gov/25995964/,eng,,Korea (South),"OBJECTIVES: The widespread adoption of health information technology (IT) will help contain health care costs by decreasing inefficiencies in healthcare delivery. Theoretically, health IT could lower hospitals' malpractice insurance premiums (MIPs) and improve the quality of care by reducing the number and size of malpractice. This study examines the relationship between health IT investment and MIP using California hospital data from 2006 to 2007. METHODS: To examine the effect of hospital IT on malpractice insurance expense, a generalized estimating equation (GEE) was employed. RESULTS: It was found that health IT investment was not negatively associated with MIP. Health IT was reported to reduce medical error and improve efficiency. Thus, it may reduce malpractice claims from patients, which will reduce malpractice insurance expenses for hospitals. However, health IT adoption could lead to increases in MIPs. For example, we expect increases in MIPs of about 1.2% and 1.5%, respectively, when health IT and labor increase by 10%. CONCLUSIONS: This study examined the effect of health IT investment on MIPs controlling other hospital and market, and volume characteristics. Against our expectation, we found that health IT investment was not negatively associated with MIP. There may be some possible reasons that the real effect of health IT on MIPs was not observed; barriers including communication problems among health ITs, shorter sample period, lower IT investment, and lack of a quality of care measure as a moderating variable.","",10.4258/hir.2015.21.2.118,"",25995964,PMC4434060
rayyan-1115028085,Effects of Hospital Digitization on Clinical Outcomes and Patient Satisfaction: Nationwide Multiple Regression Analysis Across German Hospitals.,2022,11,10,Journal of medical Internet research,1438-8871 (Electronic),24,11,e40124,von Wedel P and Hagist C and Liebe JD and Esdar M and Hübner U and Pross C,https://pubmed.ncbi.nlm.nih.gov/36355423/,eng,,Canada,"BACKGROUND: The adoption of health information technology (HIT) by health care providers is commonly believed to improve the quality of care. Policy makers in the United States and Germany follow this logic and deploy nationwide HIT adoption programs to fund hospital investments in digital technologies. However, scientific evidence for the beneficial effects of HIT on care quality at a national level remains mostly US based, is focused on electronic health records (EHRs), and rarely accounts for the quality of digitization from a hospital user perspective. OBJECTIVE: This study aimed to examine the effects of digitization on clinical outcomes and patient experience in German hospitals. Hence, this study adds to the small stream of literature in this field outside the United States. It goes beyond assessing the effects of mere HIT adoption and also considers user-perceived HIT value. In addition, the impact of a variety of technologies beyond EHRs was examined. METHODS: Multiple linear regression models were estimated using emergency care outcomes, elective care outcomes, and patient satisfaction as dependent variables. The adoption and user-perceived value of HIT represented key independent variables, and case volume, hospital size, ownership status, and teaching status were included as controls. Care outcomes were captured via risk-adjusted, observed-to-expected outcome ratios for patients who had stroke, myocardial infarction, or hip replacement. The German Patient Experience Questionnaire of Weisse Liste provided information on patient satisfaction. Information on the adoption and user-perceived value of 10 subdomains of HIT and EHRs was derived from the German 2020 Healthcare IT Report. RESULTS: Statistical analysis was based on an overall sample of 383 German hospitals. The analyzed data set suggested no significant effect of HIT or EHR adoption on clinical outcomes or patient satisfaction. However, a higher user-perceived value or quality of the installed tools did improve outcomes. Emergency care outcomes benefited from user-friendly overall digitization (β=-.032; P=.04), which was especially driven by the user-friendliness of admission HIT (β=-.023; P=.07). Elective care outcomes were positively impacted by user-friendly EHR installations (β=-.138; P=.008). Similarly, the results suggested user-friendly, overall digitization to have a moderate positive effect on patient satisfaction (β=-.009; P=.01). CONCLUSIONS: The results of this study suggest that hospital digitization is not an end in itself. Policy makers and hospitals are well advised to not only focus on the mere adoption of digital technologies but also continuously work toward digitization that is perceived as valuable by physicians and nurses who rely on it every day. Furthermore, hospital digitization strategies should consider that the assumed benefits of single technologies are not realized across all care domains.",RAYYAN-LABELS: Some Focus,10.2196/40124,Humans;United States;*Hospitals;*Medical Informatics;Electronic Health Records;Patient Satisfaction;Regression Analysis,36355423,PMC9693730
rayyan-1115028086,Personal health records: key adoption issues and implications for management.,2008,,,International journal of electronic healthcare,1741-8453 (Print),4,1,67-77,Raisinghani MS and Young E,https://pubmed.ncbi.nlm.nih.gov/18583296/,eng,,Switzerland,"Electronic Personal Health Records (PHRs) has been perceived as the tool to empower consumers to become active decision-makers of their healthcare instead of leaving the decision to providers. However, there has been the lack of enthusiasm and adoption of PHRs. This paper examines the current healthcare climate and attempts to understand the major challenges associated with PHRs adoption. The paper-based and fragmented healthcare system is no longer appropriate for the digital economy of the 21st century. The integrated health information technology system is the solution to transform clinical practice to consumer centric and information driven. Tools such as PHRs are means to an end that provide better, safer and more affordable healthcare for consumers. However, there has been little research conducted to demonstrate PHR's tangible value, despite the widespread perceived value of these technologies. Although survey data reveals that there is a lack of awareness among the public, consumers are receptive to this concept, especially when a physician recommends it. Key issues in adopting PHRs and strategies for successful implementation of PHRs are discussed.","",10.1504/IJEH.2008.018921,"Humans;Internet/organization & administration;Medical Informatics;Medical Records Systems, Computerized/*organization & administration;Telemedicine/*organization & administration;Texas",18583296,
rayyan-1115028087,Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation.,2017,3,14,BMC health services research,1472-6963 (Electronic),17,1,196,Jeffries M and Phipps DL and Howard RL and Avery AJ and Rodgers S and Ashcroft DM,https://pubmed.ncbi.nlm.nih.gov/28288634/,eng,,England,"BACKGROUND: Monitoring for potentially hazardous prescribing is increasingly important to improve medication safety. Healthcare information technology can be used to achieve this aim, for example by providing access to prescribing data through surveillance of patients' electronic health records. The aim of our study was to examine the implementation and adoption of an electronic medicines optimisation system that was intended to facilitate clinical audit in primary care by identifying patients at risk of an adverse drug event. We adopted a sociotechnical approach that focuses on how complex social, organisational and institutional factors may impact upon the use of technology within work settings. METHODS: We undertook a qualitative realist evaluation of the use of an electronic medicines optimisation system in one Clinical Commissioning Group in England. Five semi-structured interviews, four focus groups and one observation were conducted with a range of stakeholders. Consistent with a realist evaluation methodology, the analysis focused on exploring the links between context, mechanism and outcome to explain the ways the intervention might work, for whom and in what circumstances. RESULTS: Using the electronic medicines optimisation system could lead to a number of improved patient safety outcomes including pre-emptively reviewing patients at risk of adverse drug events. The effective use of the system depended upon engagement with the system, the flow of information between different health professionals centrally placed at the Clinical Commissioning Group and those locally placed at individual general practices, and upon variably adapting work practices to facilitate the use of the system. The use of the system was undermined by perceptions of ownership, lack of access, and lack of knowledge and awareness. CONCLUSIONS: The use of an electronic medicines optimisation system may improve medication safety in primary care settings by identifying those patients at risk of an adverse drug event. To fully realise the potential benefits for medication safety there needs to be better utilisation across primary care and with a wider range of stakeholders. Engaging with all potential stakeholders and users prior to implementation of such systems might allay perceptions that the system is owned centrally and increase knowledge of the potential benefits.","",10.1186/s12913-017-2131-5,"Clinical Audit;Drug-Related Side Effects and Adverse Reactions/*prevention & control;Electronic Health Records;England;Evaluation Studies as Topic;General Practice/*methods/organization & administration/standards;Health Personnel;Humans;*Patient Safety/standards;Practice Patterns, Physicians'/*standards;Primary Health Care/*methods;Quality Improvement",28288634,PMC5348746
rayyan-1115028088,Telehealth in US hospitals: State-level reimbursement policies no longer influence adoption rates.,2021,9,,International journal of medical informatics,1872-8243 (Electronic),153,,104540,Gaziel-Yablowitz M and Bates DW and Levine DM,https://pubmed.ncbi.nlm.nih.gov/34332467/,eng,,Ireland,"OBJECTIVES: Prior to COVID-19, levels of adoption of telehealth were low in the U.S., though they exploded during the pandemic. Following the pandemic, it will be critical to identify the characteristics that were associated with adoption of telehealth prior to the pandemic as key drivers of adoption and outside of a public health emergency. MATERIALS AND METHODS: We examined three data sources: The American Telemedicine Association's 2019 state telehealth analysis, the American Hospital Association's 2018 annual survey of acute care hospitals and its Information Technology Supplement. Telehealth adoption was measured through five telehealth categories. Independent variables included seven hospital characteristics and five reimbursement policies. After bivariate comparisons, we developed a multivariable model using logistic regression to assess characteristics associated with telehealth adoption. RESULTS: Among 2923 US hospitals, 73% had at least one telehealth capability. More than half of these hospitals invested in telehealth consultation services and stroke care. Non-profit hospitals, affiliated hospitals, major teaching hospitals, and hospitals located in micropolitan areas (those with 10-50,000 people) were more likely to adopt telehealth. In contrast, hospitals that lacked electronic clinical documentation, were unaffiliated with a hospital system, or were investor-owned had lower odds of adopting telehealth. None of the statewide policies were associated with adoption of telehealth. CONCLUSIONS: Telehealth policy requires major revisions soon, and we suggest that these policies should be national rather than at the state level. Further steps as incentivizing rural hospitals for adopting interoperable systems and expanding RPM billing opportunities will help drive adoption, and promote equity.","",10.1016/j.ijmedinf.2021.104540,*COVID-19;Hospitals;Humans;Policy;SARS-CoV-2;*Telemedicine;United States,34332467,PMC9760418
rayyan-1115028089,Information technology: changing nursing processes at the point-of-care.,2005,10,,Nursing administration quarterly,0363-9568 (Print),29,4,315-22,Courtney KL and Demiris G and Alexander GL,https://pubmed.ncbi.nlm.nih.gov/16260995/,eng,,United States,"Changing societal demographics, increasing complexity in healthcare knowledge, and increasing nursing shortages have led healthcare strategists to call for a redesign of the healthcare system. Embedded within most redesign recommendations is the increased use of technology to make nursing practice more efficient. However, information technology (IT) has the potential to go beyond simple efficiency increases. If IT is perceived truly as a part of the redesign of healthcare delivery rather than simply the automation of existing processes, then it can change nursing processes within institutions and furthermore change the point-of-care between nurses and patients. Nursing adoption of technology within the workplace is a result of the interactions between technical skills, social acceptance, and workplace culture. Nursing needs for information not only influence their adoption of particular technologies but also shape their design. The objective of this article is to illustrate how IT can change not only nursing practice and processes but also the point-of-care. A case study of the use of IT by nurses in telehomecare is presented and administrative implications are discussed.","",10.1097/00006216-200510000-00005,"Attitude of Health Personnel;Attitude to Computers;Diffusion of Innovation;Efficiency, Organizational;Health Services Needs and Demand;Home Care Services/organization & administration;Humans;Nurse's Role;Nursing Process/*organization & administration;Nursing Staff/education/organization & administration/psychology;Organizational Culture;Organizational Innovation;Outcome and Process Assessment, Health Care;Point-of-Care Systems/*organization & administration;*Technology Assessment, Biomedical;Telemedicine/organization & administration;Workplace/organization & administration/psychology",16260995,
rayyan-1115028090,Assessing Ghana's eHealth workforce: implications for planning and training.,2018,11,27,Human resources for health,1478-4491 (Electronic),16,1,65,Ogoe HA and Asamani JA and Hochheiser H and Douglas GP,https://pubmed.ncbi.nlm.nih.gov/30482223/,eng,,England,"BACKGROUND: eHealth-the proficient application of information and communication technology to support healthcare delivery-has been touted as one of the best solutions to address quality and accessibility challenges in healthcare. Although eHealth could be of more value to health systems in low- and middle-income countries (LMICs) where resources are limited, identification of a competent workforce which can develop and maintain eHealth systems is a key barrier to adoption. Very little is known about the actual or optimal states of the eHealth workforce needs of LMICs. The objective of this study was to develop a framework to characterize and assess the eHealth workforce of hospitals in LMICs. METHODS: To characterize and assess the sufficiency of the workforce, we designed this study in twofold. First, we developed a general framework to categorize the eHealth workforce at any LMIC setting. Second, we combined qualitative data, using semi-structured interviews and the Workload Indicator of Staffing Needs (WISN) to assess the sufficiency of the eHealth workforce in selected hospitals in a LMIC setting like Ghana. RESULTS: We surveyed 76 (60%) of the eHealth staff from three hospitals in Ghana-La General Hospital, University of Ghana Hospital, and Greater Accra Regional Hospital. We identified two main eHealth cadres, technical support/information technology (IT) and health information management (HIM). While the HIM cadre presented diversity in expertise, the IT group was dominated by training in Science (42%) and Engineering (55%), and the majority (87%) had at least a bachelor's degree. Health information clerk (32%), health information officer (25%), help desk specialist (20%), and network administrator (11%) were the most dominant roles. Based on the WISN assessment, the eHealth workforce at all the surveyed sites was insufficient. La General and University of Ghana were operating at 10% of required IT staff capacity, while Ridge was short by 42%. CONCLUSIONS: We have developed a framework to characterize and assess the eHealth workforce in LMICs. Applying it to a case study in Ghana has given us a better understanding of potential eHealth staffing needs in LMICs, while providing the quantitative basis for building the requisite human capital to drive eHealth initiatives. Educators can also use our results to explore competency gaps and refine curricula for burgeoning training programs. The findings of this study can serve as a springboard for other LMICs to assess the effects of a well-trained eHealth workforce on the return on eHealth investments.","",10.1186/s12960-018-0330-8,"Capacity Building;Developing Countries;*Evaluation Studies as Topic;Female;Ghana;*Health Resources;*Health Workforce;Hospitals;Humans;*Information Management;*Information Technology;Male;Occupations;*Personnel, Hospital;*Telemedicine;Workload",30482223,PMC6260724
rayyan-1115028091,Perspectives on electronic medical records adoption: electronic medical records (EMR) in outcomes research.,2010,7,,Patient related outcome measures,1179-271X (Print),1,,29-37,Belletti D and Zacker C and Mullins CD,https://pubmed.ncbi.nlm.nih.gov/22915950/,eng,,New Zealand,"Health information technology (HIT) is engineered to promote improved quality and efficiency of care, and reduce medical errors. Healthcare organizations have made significant investments in HIT tools and the electronic medical record (EMR) is a major technological advance. The Department of Veterans Affairs was one of the first large healthcare systems to fully implement EMR. The Veterans Health Information System and Technology Architecture (VistA) began by providing an interface to review and update a patient's medical record with its computerized patient record system. However, since the implementation of the VistA system there has not been an overall substantial adoption of EMR in the ambulatory or inpatient setting. In fact, only 23.9% of physicians were using EMRs in their office-based practices in 2005. A sample from the American Medical Association revealed that EMRs were available in an office setting to 17% of physicians in late 2007 and early 2008. Of these, 17% of physicians with EMR, only 4% were considered to be fully functional EMR systems. With the exception of some large aggregate EMR databases the slow adoption of EMR has limited its use in outcomes research. This paper reviews the literature and presents the current status of and forces influencing the adoption of EMR in the office-based practice, and identifies the benefits, limitations, and overall value of EMR in the conduct of outcomes research in the US.","",10.2147/prom.s8896,"",22915950,PMC3417895
rayyan-1115028092,Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island.,2014,10,,The American journal of medicine,1555-7162 (Electronic),127,10,1010.e21-7,Wylie MC and Baier RR and Gardner RL,https://pubmed.ncbi.nlm.nih.gov/24945882/,eng,,United States,"OBJECTIVES: Although electronic health record use improves healthcare delivery, adoption into clinical practice is incomplete. We sought to identify the extent of adoption in Rhode Island and the characteristics of physicians and electronic health records associated with positive experience. METHODS: We performed a cross-sectional study of data collected by the Rhode Island Department of Health for the Health Information Technology Survey 2009 to 2013. Survey questions included provider and practice demographics, health record information, and Likert-type scaled questions regarding how electronic health record use affected clinical practice. RESULTS: The survey response rate ranged from 50% to 65%, with 62% in 2013. Increasing numbers of physicians in Rhode Island use an electronic health record. In 2013, 81% of physicians used one, and adoption varied by clinical subspecialty. Most providers think that electronic health record use improves billing and quality improvement but has not improved job satisfaction. Physicians with longer and more sophisticated electronic health record use report positive effects of introduction on all aspects of practice examined (P < .001). Older physician age is associated with worse opinion of electronic health record introduction (P < .001). Of the 18 electronic health record vendors most frequently used in Rhode Island, 5 were associated with improved job satisfaction. CONCLUSIONS: We report the largest statewide study of electronic health record adoption to date. We found increasing physician use in Rhode Island, and the extent of adoption varies by subspecialty. Although older physicians are less likely to be positive about electronic health record adoption, longer and more sophisticated use are associated with more positive opinions, suggesting acceptance will grow over time.",RAYYAN-LABELS: High Focus,10.1016/j.amjmed.2014.06.011,Age Factors;American Recovery and Reinvestment Act;*Attitude of Health Personnel;Cross-Sectional Studies;Electronic Health Records/economics/legislation & jurisprudence/*statistics &           numerical data;Health Care Surveys;Health Plan Implementation/*statistics & numerical data;Humans;Job Satisfaction;Middle Aged;Patient Credit and Collection;Physicians/*psychology;Quality of Health Care;Rhode Island;Specialization/statistics & numerical data;Time Factors;United States;Workflow,24945882,
rayyan-1115028094,Improving primary care in Europe beyond COVID-19: from telemedicine to organizational reforms.,2021,3,,Internal and emergency medicine,1970-9366 (Electronic),16,2,255-258,Garattini L and Badinella Martini M and Mannucci PM,https://pubmed.ncbi.nlm.nih.gov/33196973/,eng,,Italy,"The COVID-19 pandemic has put under pressure all the health national systems in Europe and telemedicine (TM) has been an almost unavoidable answer for primary care (PC) services to constrain the contagion. PC includes all the healthcare services that are the first level of contact for individuals. General practitioners (GPs) are the pivotal providers of PC throughout Europe. Although GP costs are mainly covered by public services or social insurances in Europe, they are still self-employed physicians everywhere, differently from their colleagues in hospitals who are traditionally employees. TM is a very general term open to various interpretations and definitions. TM can now be practiced by means of modern audio-visual devices and is an alternative to the traditional face-to-face consultation in general practice. Although the adoption of TM seems to be compelling in our era, its practical dissemination in PC has been quite slow so far, and many different concerns have been raised on it. On the whole, TM widespread adoption in PC seems to be more a matter of labor organization and health care funding than of technology and ethics. Larger-scale organizations comprising a wide range of health professionals have become a pressing priority for a modern PC, because working together is crucial to provide high-quality care to patients, and co-location should boost teamwork and facilitate the management of information technology. A national network of large organizations in PC could be rationally managed through local budgets and should increase efficiency by adopting tools such as TM.",RAYYAN-LABELS: High Focus,10.1007/s11739-020-02559-x,COVID-19/*epidemiology;Europe/epidemiology;Health Policy/*trends;Humans;Pandemics;Primary Health Care/*standards;*Quality Improvement;SARS-CoV-2;*Telemedicine,33196973,PMC7668282
rayyan-1115028096,Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea.,2017,7,,Healthcare informatics research,2093-3681 (Print),23,3,189-198,Park YT and Han D,https://pubmed.ncbi.nlm.nih.gov/28875054/,eng,,Korea (South),"OBJECTIVES: Many healthcare organizations and professionals have had interests in healthcare information and communication technology (ICT). The objective of this study was to investigate the current status of overall healthcare ICT, especially focusing on Electronic Medical Record (EMR) systems in Korea. METHODS: This study used a part of the nationwide survey collected for the OECD benchmarking ICT study. The Health Insurance Review and Assessment Service conducted the survey from November 19, 2013 to January 10, 2014. This study followed the methodological guidelines of the OECD. A total of 2,093 hospitals and clinics, including long-term care hospitals, participated in the survey. Among them, 554 hospitals and 906 clinics were included in this study for the generalization of the results. RESULTS: The adoption rates of EMR systems were 96.3% in hospitals and 95.7% in clinics. Most of the hospitals and clinics had high rates of healthcare information exchange (HIE) within the organization; however, there were extremely low HIE rates among external organizations. Most of the hospitals and clinics had EMR systems with clinical-decision-supporting functionalities. Ninety-six percent of the EMR systems of the hospitals and 89.2% of the clinic systems had checking functions, such as alerts or reminders, on contraindications of drug-drug and drug-age interaction. CONCLUSIONS: Korea has maintained a high healthcare ICT status compared to countries in the European Union. The EMR systems of hospitals and clinics in Korea had sophisticated functionalities; however, their HIE status was extremely low, which indicates the need for healthcare ICT standardization.",RAYYAN-LABELS: High Focus,10.4258/hir.2017.23.3.189,"",28875054,PMC5572523
rayyan-1115028097,A decade post-HITECH: Critical access hospitals have electronic health records but struggle to keep up with other advanced functions.,2021,8,13,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),28,9,1947-1954,Apathy NC and Holmgren AJ and Adler-Milstein J,https://pubmed.ncbi.nlm.nih.gov/34198342/,eng,,England,"OBJECTIVE: Despite broad electronic health record (EHR) adoption in U.S. hospitals, there is concern that an ""advanced use"" digital divide exists between critical access hospitals (CAHs) and non-CAHs. We measured EHR adoption and advanced use over time to analyzed changes in the divide. MATERIALS AND METHODS: We used 2008 to 2018 American Hospital Association Information Technology survey data to update national EHR adoption statistics. We stratified EHR adoption by CAH status and measured advanced use for both patient engagement (PE) and clinical data analytics (CDA) domains. We used a linear probability regression for each domain with year-CAH interactions to measure temporal changes in the relationship between CAH status and advanced use. RESULTS: In 2018, 98.3% of hospitals had adopted EHRs; there were no differences by CAH status. A total of 58.7% and 55.6% of hospitals adopted advanced PE and CDA functions, respectively. In both domains, CAHs were less likely to be advanced users: 46.6% demonstrated advanced use for PE and 32.0% for CDA. Since 2015, the advanced use divide has persisted for PE and widened for CDA. DISCUSSION: EHR adoption among hospitals is essentially ubiquitous; however, CAHs still lag behind in advanced use functions critical to improving care quality. This may be rooted in different advanced use needs among CAH patients and lack of access to technical expertise. CONCLUSIONS: The advanced use divide prevents CAH patients from benefitting from a fully digitized healthcare system. To close the widening gap in CDA, policymakers should consider partnering with vendors to develop implementation guides and standards for functions like dashboards and high-risk patient identification algorithms to better support CAH adoption.",RAYYAN-LABELS: High Focus,10.1093/jamia/ocab102,*Electronic Health Records;*Hospitals;Humans;United States,34198342,PMC8363800
rayyan-1115028098,Repurposing Geographic Information Systems for Routine Hospital Infection Control.,2019,10,24,Advances in health care management,1474-8231 (Print),18,,,Hebert C and Root ED,https://pubmed.ncbi.nlm.nih.gov/32077658/,eng,,Netherlands,"This chapter discusses the potential role of geographic information systems (GIS) for infection control within the hospital system. The chapter provides a brief overview of the role of GIS in public health and reviews current work applying these methods to the hospital setting. Finally, it outlines the potential opportunities and challenges for adapting GIS for use in the hospital setting for infection prevention. A targeted literature review is used to illustrate current use of GIS in the hospital setting. The discussion of complexity was compiled using the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Challenges and opportunities were then extracted from this exercise by the authors. There are multiple challenges to implementation of a Hospital GIS for infection prevention, mainly involving the domains of technology, organization, and adaptation. Use of a transdisciplinary approach can address many of these challenges. More research, specifically prospective, reproducible clinical trials, needs to be done to better assess the potential impact and effectiveness of a Hospital GIS in real-world settings. This chapter highlights a powerful but rarely used tool for infection prevention within the hospital. Given the importance of reducing hospital-acquired infection rates, it is vital to identify relevant methods from other fields that could be translated into the field of hospital epidemiology.",RAYYAN-LABELS: High Focus,10.1108/S1474-823120190000018003,*Cross Infection/prevention & control;*Geographic Information Systems;Hospitals;Humans;*Infection Control;Prospective Studies;Public Health,32077658,PMC7510482
rayyan-1115028099,[Information and information technology in health: contemporary health kaleidoscope].,2007,5,,Ciencia & saude coletiva,1678-4561 (Electronic),12,3,553-65,de Moraes IH and de Gómez MN,https://pubmed.ncbi.nlm.nih.gov/17680109/,por,,Brazil,"This essay is based on the assumption that current practices and knowledge of Information and Information Technology in Health are unable to deal with the complexity of the health/disease/care processes and contemporary problems that must be overcome, curbing the expansion of the response capacity of the Brazilian State. It aims to further explore the understanding of the roots and determining factors behind these constraints, analyzing alternatives for confronting them that depend less on location-specific initiatives in the field of information and more - among others - on the adoption of new benchmarks, starting with the meaning and concept of Health. It identifies the existence of an 'information and information technology interfield' that arises from an epistemology based on a transdisciplinary approach, as well as the consolidation of a political and historical process of institutional construction, an area endowed with power and relevance: a political-epistemological interfield. The analysis goes on through an exploratory study of the social, political and epistemological processes found in the historical construction health information networks established by Science and Technology in health, as well as by healthcare systems and services, in addition to social, political and economic information.",RAYYAN-LABELS: Less Focus,10.1590/s1413-81232007000300002,*Health;*Information Dissemination;*Technology,17680109,
rayyan-1115028100,Determinants of physicians' technology acceptance for e-health in ambulatory care.,2012,11,,International journal of medical informatics,1872-8243 (Electronic),81,11,746-60,Dünnebeil S and Sunyaev A and Blohm I and Leimeister JM and Krcmar H,https://pubmed.ncbi.nlm.nih.gov/22397989/,eng,,Ireland,"BACKGROUND: Germany is introducing a nation-wide telemedicine infrastructure that enables electronic health services. The project is facing massive resistance from German physicians, which has led to a delay of more than five years. Little is known about the actual burdens and drivers for adoption of e-health innovations by physicians. OBJECTIVE: Based on a quantitative study of German physicians who participated in the national testbed for telemedicine, this article extends existing technology acceptance models (TAM) for electronic health (e-health) in ambulatory care settings and elaborates on determinants of importance to physicians in their decision to use e-health applications. METHODS: This study explores the opinions, attitudes, and knowledge of physicians in ambulatory care to find drivers for technology acceptance in terms of information technology (IT) utilization, process and security orientation, standardization, communication, documentation and general working patterns. We identified variables within the TAM constructs used in e-health research that have the strongest evidence to determine the intention to use e-health applications. RESULTS: The partial least squares (PLS) regression model from data of 117 physicians showed that the perceived importance of standardization and the perceived importance of the current IT utilization (p<0.01) were the most significant drivers for accepting electronic health services (EHS) in their practice. Significant influence (p<0.05) was shown for the perceived importance of information security and process orientation as well as the documentation intensity and the e-health-related knowledge. CONCLUSIONS: This study extends work gleaned from technology acceptance studies in healthcare by investigating factors which influence perceived usefulness and perceived ease of use of e-health services. Based on these empirical findings, we derive implications for the design and introduction of e-health services including suggestions for introducing the topic to physicians in ambulatory care and incentive structures for using e-health.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2012.02.002,"*Ambulatory Care;*Attitude of Health Personnel;Attitude to Computers;*Diffusion of Innovation;Electronic Health Records/*statistics & numerical data;Female;Germany;Humans;Male;Middle Aged;Models, Theoretical;Physicians/*psychology",22397989,
rayyan-1115028101,The clinical decision support consortium.,2009,,,Studies in health technology and informatics,0926-9630 (Print),150,,26-30,Middleton B,https://pubmed.ncbi.nlm.nih.gov/19745260/,eng,,Netherlands,"Clinical decision support (CDS) can impact the outcomes of care when used at the point of care in electronic medical records (EMR). CDS has been shown to increase quality and patient safety, improve adherence to guidelines for prevention and treatment, and avoid medication errors. Systematic reviews have shown that CDS can be useful across a variety of clinical purposes and topics. Despite broad national policy objectives to increase EMR adoption in the US, current adoption of advanced clinical decision support is limited due to a variety of reasons, including: limited implementation of EMR, CPOE, PHR, etc., difficulty developing clinical practice guidelines ready for implementation in EMR, lack of standards, absence of a central repository or knowledge resource, poor support for CDS in commercial EMRs, challenges in integrating CDS into the clinical workflow, and limited understanding of organizational and cultural issues relating to clinical decision support. To better understand and overcome these barriers, and accelerate the translation of clinical practice guideline knowledge into CDS in EMRs, the CDS Consortium is established to assess, define, demonstrate, and evaluate best practices for knowledge management and clinical decision support in healthcare information technology at scale - across multiple ambulatory care settings and EHR technology platforms.",RAYYAN-LABELS: High Focus,,"*Cooperative Behavior;*Decision Support Systems, Clinical;*Diffusion of Innovation;Humans;Medical Informatics;United States",19745260,
rayyan-1115028102,Complexity of medical decision-making in care provided by surgeons through patient portals.,2017,6,15,The Journal of surgical research,1095-8673 (Electronic),214,,93-101,Robinson JR and Valentine A and Carney C and Fabbri D and Jackson GP,https://pubmed.ncbi.nlm.nih.gov/28624066/,eng,,United States,"BACKGROUND: Patient portals are online applications that allow patients to interact with healthcare organizations and view information. Portal messages exchanged between patients and providers contain diverse types of communications, including delivery of medical care. The types of communications and complexity of medical decision-making in portal messages sent to surgeons have not been studied. MATERIALS AND METHODS: We obtained all message threads initiated by patients and exchanged with surgical providers through the Vanderbilt University Medical Center patient portal from June 1 to December 31, 2014. Five hundred randomly selected messages were manually analyzed by two research team members to determine the types of communication (i.e., informational, medical, logistical, or social), whether medical care was delivered, and complexity of medical decision-making as defined for outpatient billing in each message thread. RESULTS: A total of 9408 message threads were sent to 401 surgical providers during the study period. In the 500 threads selected for detailed analysis, 1293 distinct issues were communicated, with an average of 2.6 issues per thread. Medical needs were communicated in 453 message threads (90.6%). Further, 339 message threads (67.8%) contained medical decision-making. Overall complexity of medical decision-making was straightforward in 210 messages (62%), low in 102 messages (30%), and moderate in 27 messages (8%). No highly complex decisions were made over portal messaging. CONCLUSIONS: Through patient portal messages, surgeons deliver substantial medical care with varied levels of medical complexity. Models for compensation of online care must be developed as consumer and surgeon adoption of these technologies increases.",RAYYAN-LABELS: High Focus,10.1016/j.jss.2017.02.077,"Adolescent;Adult;Aged;Aged, 80 and over;Child;Child, Preschool;*Clinical Decision-Making;Delivery of Health Care/methods/statistics & numerical data;Female;Humans;Infant;Infant, Newborn;Male;Middle Aged;*Patient Portals/statistics & numerical data;*Physician-Patient Relations;*Surgeons;Telemedicine/*methods/statistics & numerical data;Tennessee;Young Adult",28624066,PMC5474935
rayyan-1115028103,The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review.,2018,10,,Applied clinical informatics,1869-0327 (Electronic),9,4,752-771,Kruse CS and Marquez G and Nelson D and Palomares O,https://pubmed.ncbi.nlm.nih.gov/30282094/,eng,,Germany,"BACKGROUND: Legislation aimed at increasing the use of a health information exchange (HIE) in healthcare has excluded long-term care facilities, resulting in a vulnerable patient population that can benefit from the improvement of communication and reduction of waste. OBJECTIVE: The purpose of this review is to provide a framework for future research by identifying themes in the long-term care information technology sector that could function to enable the adoption and use of HIE mechanisms for patient handoff between long-term care facilities and other levels of care to increase communication between providers, shorten length of stay, reduce 60-day readmissions, and increase patient safety. METHODS: The authors conducted a systematic search of literature through CINAHL, PubMed, and Discovery Services for Texas A&M University Libraries. Search terms used were (""health information exchange"" OR ""healthcare information exchange"" OR ""HIE"") AND (""long term care"" OR ""long-term care"" OR ""nursing home"" OR ""nursing facility"" OR ""skilled nursing facility"" OR ""SNF"" OR ""residential care"" OR ""assisted living""). Articles were eligible for selection if they were published between 2010 and 2017, published in English, and published in academic journals. All articles were reviewed by all reviewers and literature not relevant to the research objective was excluded. RESULTS: Researchers selected and reviewed 22 articles for common themes. Results concluded that the largest facilitator and barrier to the adoption of HIE mechanisms is workflow integration/augmentation and the organizational structure/culture, respectively. Other identified facilitator themes were enhanced communication, increased effectiveness of care, and patient safety. The additional barriers were missing/incomplete data, inefficiency, and market conditions. CONCLUSION: The long-term care industry has been left out of incentives from which the industry could have benefited tremendously. Organizations that are not utilizing health information technology mechanisms, such as electronic health records and HIEs, are at a disadvantage as insurers switch to capitated forms of payment that rely on reduced waste to generate a profit.",RAYYAN-LABELS: High Focus,10.1055/s-0038-1670651,*Health Information Exchange;Humans;*Long-Term Care;*Patient Handoff;Publication Bias;Risk,30282094,PMC6170191
rayyan-1115028104,"Comparing approaches to measuring the adoption and usability of electronic health records: lessons learned from Canada, Denmark and Finland.",2013,,,Studies in health technology and informatics,1879-8365 (Electronic),192,,367-71,Kushniruk A and Kaipio J and Nieminen M and Nøhr C and Borycki E,https://pubmed.ncbi.nlm.nih.gov/23920578/,eng,,Netherlands,"Internationally, the adoption of health information technology is increasing. However, a number of issues have complicated the adoption of electronic health records (EHRs). In addition to adoption issues, it is becoming increasingly recognized that healthcare providers face a variety of usability issues. In this paper, we consider approaches that have been taken to assess both adoption and usability of EHRs in Canada, Denmark and Finland. Although all three countries deploy surveys to assess adoption, the approach and focus of the surveys differs across the countries. In Denmark and Finland, these surveys are dedicated to assessing information technology (IT) usage; while in Canada, questions about IT usage are part of a larger physician survey. Regarding usability, approaches vary considerably. In Finland, the approach includes a national survey about EHR usability. In Canada, ratings of system usability are reported regionally on web sites; while in Denmark, regional study results are reported based on evaluation of commercial products. This paper highlights the need to consider different evaluation approaches internationally.",RAYYAN-LABELS: High Focus,,*Attitude of Health Personnel;*Attitude to Computers;Canada;Denmark;Electronic Health Records/*statistics & numerical data;Finland;Health Care Surveys/*methods;*Surveys and Questionnaires;Utilization Review/*methods,23920578,
rayyan-1115028105,Analysing the diffusion and adoption of mobile IT across social worlds.,2014,6,,Health informatics journal,1741-2811 (Electronic),20,2,87-103,Nielsen JA and Mengiste SA,https://pubmed.ncbi.nlm.nih.gov/24810724/,eng,,England,"The diffusion and adoption of information technology innovations (e.g. mobile information technology) in healthcare organizations involves a dynamic process of change with multiple stakeholders with competing interests, varying commitments, and conflicting values. Nevertheless, the extant literature on mobile information technology diffusion and adoption has predominantly focused on organizations and individuals as the unit of analysis, with little emphasis on the environment in which healthcare organizations are embedded. We propose the social worlds approach as a promising theoretical lens for dealing with this limitation together with reports from a case study of a mobile information technology innovation in elderly home care in Denmark including both the sociopolitical and organizational levels in the analysis. Using the notions of social worlds, trajectories, and boundary objects enables us to show how mobile information technology innovation in Danish home care can facilitate negotiation and collaboration across different social worlds in one setting while becoming a source of tension and conflicts in others. The trajectory of mobile information technology adoption was shaped by influential stakeholders in the Danish home care sector. Boundary objects across multiple social worlds legitimized the adoption, but the use arrangement afforded by the new technology interfered with important aspects of home care practices, creating resistance among the healthcare personnel.",RAYYAN-LABELS: High Focus,10.1177/1460458213481688,"Aged;*Cell Phone;*Computers, Handheld;Denmark;*Diffusion of Innovation;Home Care Services/*organization & administration;Humans;Information Systems/*organization & administration;Social Networking;State Medicine/organization & administration",24810724,
rayyan-1115028106,Digital Technology in Somatic and Gene Therapy Trials of Pediatric Patients With Ocular Diseases: Protocol for a Scoping Review.,2019,2,7,JMIR research protocols,1929-0748 (Print),8,2,e10705,Meinert E and Alturkistani A and Osama T and Halioua-Haubold CL and Car J and Majeed A and Wells G and MacLaren RE and Brindley D,https://pubmed.ncbi.nlm.nih.gov/30730295/,eng,,Canada,"BACKGROUND: Pharmacogenomics suggests that diseases with similar symptomatic presentations often have varying genetic causes, affecting an individual patient's response to a specific therapeutic strategy. Gene therapies and somatic cell therapies offer unique therapeutic pathways for ocular diseases and often depend on increased understanding of the genotype-phenotype relationship in disease presentation and progression. While demand for personalized medicine is increasing and the required molecular tools are available, its adoption within pediatric ophthalmology remains to be maximized in the postgenomic era. OBJECTIVE: The objective of our study was to address the individual hurdles encountered in the field of genomic-related clinical trials and facilitate the uptake of personalized medicine, we propose to conduct a review that will examine and identify the digital technologies used to facilitate data analysis in somatic and gene therapy trials in pediatric patients with ocular diseases. METHODS: This paper aims to present an outline for Healthcare Information Technology and Information and Communication Technology resources used in somatic and gene therapy clinical trials in children with ocular diseases. This review will enable authors to identify challenges and provide recommendations, facilitating the uptake of genetic and somatic therapies as therapeutic tools in pediatric ophthalmology. The review will also determine whether conducting a systematic review will be beneficial. RESULTS: Database searches will be initiated in September 2018. We expect to complete the review in December 2019. CONCLUSIONS: Based on review findings, the authors will summarize methods used for facilitating IT integration in personalized medicine. Additionally, it will identify further research gaps and determine whether conducting further reviews will be beneficial. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/10705.",RAYYAN-LABELS: High Focus,10.2196/10705,"",30730295,PMC6383115
rayyan-1115028107,Technology-induced errors: where do they come from and what can we do about them?,2013,,,Studies in health technology and informatics,1879-8365 (Electronic),194,,20-6,Borycki EM,https://pubmed.ncbi.nlm.nih.gov/23941924/,eng,,Netherlands,"The introduction of health information technology (HIT) has been associated with a decrease in medical error and this has been one of the main reasons for international efforts at increasing adoption of systems such as electronic health records, computerized physician order entry and clinical decision support systems. However, in recent years there is growing evidence that if not designed and tested properly such HIT can also lead to new categories of errors that were previously unseen in healthcare. These errors are known as technology-induced errors and they typically manifest themselves in the complex interaction between healthcare providers and HIT during real clinical use. In this paper the author explores the concept of technology-induced error in healthcare and discusses a range of strategies for detecting and mitigating such errors. Strategies include creating new organizations whose focus is to reduce technology-induced errors, develop and deploy new ways to detect such errors before systems are released, as well as approaches to reporting such errors after they occur. Other strategies include the development of regulation and policy to reduce such errors. It is argued that a multi-faceted approach to dealing with technology-induced error is needed.",RAYYAN-LABELS: High Focus,,Canada;Ergonomics/*methods;Health Information Management/*organization & administration;Health Information Systems/*organization & administration;Medical Errors/*prevention & control;Medical Informatics/*organization & administration;*Software;Software Design;*User-Computer Interface,23941924,
rayyan-1115028108,The informatics nurse specialist role in electronic health record usability evaluation.,2014,5,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),32,5,214-20,Rojas CL and Seckman CA,https://pubmed.ncbi.nlm.nih.gov/24473121/,eng,,United States,"Health information technology is revolutionizing the way we interact with health-related data. One example of this can be seen in the rising adoption rates of electronic health records by healthcare providers. Nursing plays a vital role in electronic health record adoption, not only because of their numbers but also their intimate understanding of workflow. The success of an electronic health record also relies on how usable the software is for clinicians, and a thorough usability evaluation is needed before implementing a system within an organization. Not all nurses have the knowledge and skills to perform extensive usability testing; therefore, the informatics nurse specialist plays a critical role in the process. This article will discuss core usability principles, provide a framework for applying these concepts, and explore the role of the informatics nurse specialist in electronic health record evaluation. Health information technology is fundamentally changing the clinical practice environment, and many nurses are seeking leadership positions in the field of informatics. As technology and software become more sophisticated, usability principles must be used under theguidance of the informatics nurse specialist to provide a relevant, robust, and well-designed electronic health record to address the needs of the busy clinician.",RAYYAN-LABELS: High Focus,10.1097/CIN.0000000000000042,Advanced Practice Nursing;*Electronic Health Records;Humans;Leadership;Medical Informatics;Nurse Clinicians;*Nurse's Role;*Nursing Informatics;User-Computer Interface,24473121,
rayyan-1115028109,Perspectives on the enablers of e-heath adoption: an international interview study of leading practitioners.,2012,8,,Health services management research,1758-1044 (Electronic),25,3,129-37,Moxham C and Chambers N and Girling J and Garg S and Jelfs E and Bremner J,https://pubmed.ncbi.nlm.nih.gov/23135887/,eng,,England,"Studies examining the application of information technology to the delivery of health-care services often highlight the anticipated benefits. In consequence, the benefits of health-care information technology adoption, often referred to as 'e-health', are widely reported yet there is limited empirical evidence as to how such benefits can be realized. Design and implementation guidelines have been considered from a socio-technical perspective and there is support for the successful application of these principles. There are also some global surveys on the topic, but these often report only statistical data and lack richness of content. This study draws on existing literature to examine whether the principles of health-care information technology adoption are currently applied in practice. The paper presents a timely international analysis of the drivers, critical enablers and successful deployment strategies for e-health from the perspective of leading practitioners. The study considers the adoption of e-health in 15 countries. A qualitative research design was used and semistructured interviews were conducted with 38 thought leaders with expertise in health-care information systems and technology. The study presents a comparative analysis of the lessons learned from implementing, integrating and embedding e-health in practice, and presents a four-phase approach from the perspective of practitioners for the accelerated deployment of e-health systems: (i) develop a strategic approach, (ii) engage the workforce, (iii) capitalize on information technology and (iv) partner with the patient/citizen.",RAYYAN-LABELS: High Focus,10.1258/hsmr.2012.012018,Administrative Personnel;Delivery of Health Care/organization & administration;*Diffusion of Innovation;Health Personnel/organization & administration;Humans;Interviews as Topic;Medical Informatics/*organization & administration;Program Development;Workforce,23135887,
rayyan-1115028110,An empirical study of opinion leader effects on mobile information technology adoption in healthcare.,2011,,,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2011,,537-42,Hao H and Padman R and Telang R,https://pubmed.ncbi.nlm.nih.gov/22195108/,eng,,United States,"Given the increasing number of applications but slow adoption of IT, including mobile IT, in healthcare, it is important to develop a better understanding of the contextual factors that motivate IT adoption by physicians. Although studies have shown that age or gender may affect physicians' IT adoption, those factors cannot be controlled when deploying a new IT. Therefore, the current research examines empirical evidence of a contextual factor, opinion leader effects, on IT adoption in healthcare that can be influenced by organizational policies. Using a unique panel dataset of physicians' usage of a mobile clinical IT from a community hospital, we observe a significant result that physicians under the influence of opinion leaders are three times more likely to adopt the IT than otherwise. This finding suggests that incentivizing a small proportion of opinion leaders to adopt a new IT has the potential to motivate wider adoption across the organization.",RAYYAN-LABELS: High Focus,,"Computers, Handheld/*statistics & numerical data;Delivery of Health Care;*Diffusion of Innovation;Humans;Internet;*Leadership;Logistic Models;*Medical Informatics;Medical Records Systems, Computerized;Physicians/psychology/*statistics & numerical data;Wireless Technology",22195108,PMC3243247
rayyan-1115028111,The interaction between high-level electronic medical record adoption and hospitalist staffing levels: A focus on value-based purchasing.,2022,5,,Health services management research,1758-1044 (Electronic),35,2,66-73,Li KJ and Al-Amin M,https://pubmed.ncbi.nlm.nih.gov/33726545/,eng,,England,"OBJECTIVE: This study sought to understand the relationship of hospital performance with high-level electronic medical record (EMR) adoption, hospitalists staffing levels, and their potential interaction. MATERIALS AND METHODS: We evaluated 2,699 non-federal, general acute hospitals using 2016 data merged from four data sources. We performed ordinal logistic regression of hospitals' total performance score (TPS) on their EMR capability and hospitalists staffing level while controlling for other market- and individual-level characteristics. RESULTS: Hospitalists staffing level is shown to be positively correlated with TPS. High-level EMR adoption is associated with both short-term and long-term improvement on TPS. Large, urban, non-federal government hospitals, and academic medical centers tend to have lower TPS compared to their respective counterparts. Hospitals belonging to medium- or large-sized healthcare systems have lower TPS. Higher registered nurse (RN) staffing level is associated with higher TPS, while higher percentage of Medicare or Medicaid share of inpatient days is associated with lower TPS. DISCUSSION: Although the main effects of hospitalists staffing level and EMR capability are significant, their interaction is not, suggesting that hospitalists and EMR act through separate mechanisms to help hospitals achieve better performance. When hospitals are not able to invest on both simultaneously, given financial constraints, they can still reap the full benefits from each. CONCLUSION: Hospitalists staffing level and EMR capability are both positively correlated with hospitals' TPS, and they act independently to bolster hospital performance.",RAYYAN-LABELS: High Focus,10.1177/09514848211001696,Aged;Electronic Health Records;*Hospitalists;Humans;Medicare;United States;Value-Based Purchasing;Workforce,33726545,
rayyan-1115028112,Anticipating and addressing the unintended consequences of health IT and policy: a report from the AMIA 2009 Health Policy Meeting.,2011,1,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),18,1,82-90,Bloomrosen M and Starren J and Lorenzi NM and Ash JS and Patel VL and Shortliffe EH,https://pubmed.ncbi.nlm.nih.gov/21169620/,eng,,England,"Federal legislation (Health Information Technology for Economic and Clinical Health (HITECH) Act) has provided funds to support an unprecedented increase in health information technology (HIT) adoption for healthcare provider organizations and professionals throughout the U.S. While recognizing the promise that widespread HIT adoption and meaningful use can bring to efforts to improve the quality, safety, and efficiency of healthcare, the American Medical Informatics Association devoted its 2009 Annual Health Policy Meeting to consideration of unanticipated consequences that could result with the increased implementation of HIT. Conference participants focused on possible unintended and unanticipated, as well as undesirable, consequences of HIT implementation. They employed an input-output model to guide discussion on occurrence of these consequences in four domains: technical, human/cognitive, organizational, and fiscal/policy and regulation. The authors outline the conference's recommendations: (1) an enhanced research agenda to guide study into the causes, manifestations, and mitigation of unintended consequences resulting from HIT implementations; (2) creation of a framework to promote sharing of HIT implementation experiences and the development of best practices that minimize unintended consequences; and (3) recognition of the key role of the Federal Government in providing leadership and oversight in analyzing the effects of HIT-related implementations and policies.",RAYYAN-LABELS: High Focus,10.1136/jamia.2010.007567,"Government Regulation;Health Plan Implementation;*Health Policy;Health Services Research;Humans;*Medical Informatics;*Risk Management;Societies, Scientific;United States",21169620,PMC3005876
rayyan-1115028113,Health information technology in the workplace: findings from a 2010 national survey of registered nurses.,2011,9,,The Journal of nursing administration,1539-0721 (Electronic),41,9,357-64,DesRoches CM and Miralles P and Buerhaus P and Hess R and Donelan K,https://pubmed.ncbi.nlm.nih.gov/21881441/,eng,,United States,"The objective of this study was to examine RNs' experiences with health information technology (HIT) and their perceptions of the effect of this technology on quality of care and daily work. The adoption and use of HIT are expected to increase substantially over the next 5 years because of policy efforts at the federal and state levels. Given the size of the RN workforce and their critical role in healthcare delivery, their experiences with HIT could help adoption efforts. The method used was a nationally representative survey of 1500 nurses with a 56% response rate. Findings suggest wide variation in the availability of HIT functionality, with functions more likely available to hospital RNs. Overall, RNs perceived the effect of these technologies on quality of care and their daily work as positive. Ensuring that HIT systems are relevant to and usable for RNs will be a critical component in achieving the meaningful use of these systems.",RAYYAN-LABELS: High Focus,10.1097/NNA.0b013e31822a7165,"Adult;*Attitude of Health Personnel;Female;Health Care Surveys;Humans;Male;*Medical Informatics;Middle Aged;*Nursing Staff, Hospital;*Quality of Health Care;*Task Performance and Analysis;United States",21881441,
rayyan-1115028114,Implementing electronic decision-support tools to strengthen healthcare network data-driven decision-making.,2020,,,Archives of public health = Archives belges de sante publique,0778-7367 (Print),78,,33,Rios-Zertuche D and Gonzalez-Marmol A and Millán-Velasco F and Schwarzbauer K and Tristao I,https://pubmed.ncbi.nlm.nih.gov/32566223/,eng,,England,"BACKGROUND: Ministries of health in low- and middle-income countries often lack timely quality data for data-driven decision making in healthcare networks. We describe the design and implementation of decision-support electronic tools by the Ministry of Health of the State of Chiapas, in Mexico, as part of Salud Mesoamerica Initiative. METHODS: Three electronic decision-support tools were designed through an iterative process focused on streamlined implementation: 1) to collect and report health facility data at health facilities; 2) to compile and analyze data at health district and central level; and, 3) to support stratified sampling of health facilities. Data was collected for five composite indicators measuring availability of equipment, medicines, and supplies for maternal and child health. Quality Assurance Teams collected data, evaluated results and supported quality improvement. Data was also analyzed at the central level and health districts for decision-making. RESULTS: Data from 300 health facilities in four health districts was collected and analyzed (November 2014-June 2015). The first wave revealed gaps on availability of equipment and supplies in more than half of health facilities. Electronic tools provided the ministry of health officers new ways to visualize data, identify patterns and make hypothesis on root-causes. Between the first and second measurement, the number of missing items decreased, and actions performed by quality improvement teams became more proactive. In the final measurement, 89.7-100% of all health facilities achieved all the required items for each indicator. CONCLUSIONS: Our experience could help guide others seeking to implement electronic decision-support tools in low- and middle-income countries. Electronic decision-support tools supported data-driven decision-making by identifying gaps on heatmaps and graphs at the health facility, subdistrict, district or state level. Through a rapid improvement process, the Ministry of Health met targets of externally verified indicators. Using available information technology resources facilitated prompt implementation and adoption of technology.",RAYYAN-LABELS: High Focus,10.1186/s13690-020-00413-2,"",32566223,PMC7301503
rayyan-1115028115,A qualitative study of physician perspectives on adaptation to electronic health records.,2020,2,10,BMC medical informatics and decision making,1472-6947 (Electronic),20,1,25,Sieck CJ and Pearl N and Bright TJ and Yen PY,https://pubmed.ncbi.nlm.nih.gov/32039728/,eng,,England,"BACKGROUND: Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation. METHODS: We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 min, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis. RESULTS: We identified 4 major themes related to EHR adaptation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adaptation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaptation. CONCLUSIONS: As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.",RAYYAN-LABELS: High Focus,10.1186/s12911-020-1030-6,*Attitude to Computers;*Electronic Health Records;Female;Humans;Interviews as Topic;Male;Physicians/*psychology;Qualitative Research,32039728,PMC7008538
rayyan-1115028116,Improving patient safety through information technology.,2005,9,27,Perspectives in health information management,1559-4122 (Electronic),2,,5,Brown CA and Bailey JH and Miller Davis ME and Garrett P and Rudman WJ,https://pubmed.ncbi.nlm.nih.gov/18066373/,eng,,United States,"Health information technology (HIT) is generally accepted as the solution for the nation's medical error crisis. Although limited studies suggest the importance of using HIT in the process of medication management, research has failed to adequately describe how HIT actually works in capturing medication error data and improving patient safety within a healthcare system.1-3 The aim of our study is to identify essential elements in the adoption of technology within the broader context of system change and workflow modification. Using the adoption of an electronic reporting system to improve patient safety, we examine the role of this technology within process improvement, culture, and workflow.",RAYYAN-LABELS: High Focus,,"",18066373,PMC2047319
rayyan-1115028117,National ICU Registries as Enablers of Clinical Research and Quality Improvement.,2023,9,12,Critical care medicine,1530-0293 (Electronic),,,,Salluh JIF and Quintairos A and Dongelmans DA and Aryal D and Bagshaw S and Beane A and Burghi G and López MDPA and Finazzi S and Guidet B and Hashimoto S and Ichihara N and Litton E and Lone NI and Pari V and Sendagire C and Vijayaraghavan BKT and Haniffa R and Pisani L and Pilcher D,https://pubmed.ncbi.nlm.nih.gov/37698452/,eng,,United States,"OBJECTIVES: Clinical quality registries (CQRs) have been implemented worldwide by several medical specialties aiming to generate a better characterization of epidemiology, treatments, and outcomes of patients. National ICU registries were created almost 3 decades ago to improve the understanding of case-mix, resource use, and outcomes of critically ill patients. This narrative review describes the challenges, proposed solutions, and evidence generated by National ICU registries as facilitators for research and quality improvement. DATA SOURCES: English language articles were identified in PubMed using phrases related to ICU registries, CQRs, outcomes, and case-mix. STUDY SELECTION: Original research, review articles, letters, and commentaries, were considered. DATA EXTRACTION: Data from relevant literature were identified, reviewed, and integrated into a concise narrative review. DATA SYNTHESIS: CQRs have been implemented worldwide by several medical specialties aiming to generate a better characterization of epidemiology, treatments, and outcomes of patients. National ICU registries were created almost 3 decades ago to improve the understanding of case-mix, resource use, and outcomes of critically ill patients. The initial experience in European countries and in Oceania ensured that through locally generated data, ICUs could assess their performances by using risk-adjusted measures and compare their results through fair and validated benchmarking metrics with other ICUs contributing to the CQR. The accomplishment of these initiatives, coupled with the increasing adoption of information technology, resulted in a broad geographic expansion of CQRs as well as their use in quality improvement studies, clinical trials as well as international comparisons, and benchmarking for ICUs. CONCLUSIONS: ICU registries have provided increased knowledge of case-mix and outcomes of ICU patients based on real-world data and contributed to improve care delivery through quality improvement initiatives and trials. Recent increases in adoption of new technologies (i.e., cloud-based structures, artificial intelligence, machine learning) will ensure a broader and better use of data for epidemiology, healthcare policies, quality improvement, and clinical trials.",RAYYAN-LABELS: High Focus,10.1097/CCM.0000000000006050,"",37698452,
rayyan-1115028118,Patient-centered care requires a patient-oriented workflow model.,2013,6,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),20,,e14-6,Ozkaynak M and Brennan PF and Hanauer DA and Johnson S and Aarts J and Zheng K and Haque SN,https://pubmed.ncbi.nlm.nih.gov/23538724/,eng,,England,"Effective design of health information technology (HIT) for patient-centered care requires consideration of workflow from the patient's perspective, termed 'patient-oriented workflow.' This approach organizes the building blocks of work around the patients who are moving through the care system. Patient-oriented workflow complements the more familiar clinician-oriented workflow approaches, and offers several advantages, including the ability to capture simultaneous, cooperative work, which is essential in care delivery. Patient-oriented workflow models can also provide an understanding of healthcare work taking place in various formal and informal health settings in an integrated manner. We present two cases demonstrating the potential value of patient-oriented workflow models. Significant theoretical, methodological, and practical challenges must be met to ensure adoption of patient-oriented workflow models. Patient-oriented workflow models define meaningful system boundaries and can lead to HIT implementations that are more consistent with cooperative work and its emergent features.",RAYYAN-LABELS: High Focus,10.1136/amiajnl-2013-001633,Delivery of Health Care/organization & administration;Humans;Medical Informatics/*organization & administration;Patient-Centered Care/*organization & administration;*Workflow,23538724,PMC3715352
rayyan-1115028119,Factors of quality of care and their association with smartphone based PHR adoption in South Korean hospitals.,2021,10,29,BMC medical informatics and decision making,1472-6947 (Electronic),21,1,296,Choi BK and Park YT and Park HA and Lane C and Jo EC and Kang S,https://pubmed.ncbi.nlm.nih.gov/34715863/,eng,,England,"BACKGROUND: Healthcare organizations have begun to adopt personal health records (PHR) systems to engage patients, but little is known about factors associated with the adoption of PHR systems at an organizational level. The objective of this study is to investigate factors associated with healthcare organizations' adoption of PHR systems in South Korea. METHODS: The units of analysis were hospitals with more than 100 beds. Study data of 313 hospitals were collected from May 1 to June 30, 2020. The PHR adoption status for each hospital was collected from PHR vendors and online searches. Adoption was then confirmed by downloading the hospital's PHR app and the PHR app was examined to ascertain its available functions. One major outcome variable was PHR adoption status at hospital level. Data were analysed by logistic regressions using SAS 9.4 version. RESULTS: Out of 313 hospitals, 103 (32.9%) hospitals adopted PHR systems. The nurse-patient ratio was significantly associated with PHR adoption (OR 0.758; 0.624 to 0.920, p = 0.005). The number of health information management staff was associated with PHR adoption (OR 1.622; 1.228 to 2.141, p = 0.001). The number of CTs was positively associated with PHR adoption (OR 5.346; 1.962 to 14.568, p = 0.001). Among the hospital characteristics, the number of beds was significantly related with PHR adoption in the model of standard of nursing care (OR 1.003; 1.001 to 1.005, p < 0.001), HIM staff (OR 1.004; 1.002 to 1.006, p < 0.001), and technological infrastructure (OR 1.050; 1.003 to 1.006, p < 0.001). CONCLUSIONS: One-third of study hospitals had adopted PHR systems. Standard of nursing care as well as information technology infrastructure in terms of human resources for health information management and advanced technologies were significantly associated with adoption of PHR systems. A favourable environment for adopting new technologies in general may be associated with the adoption and use of PHR systems.",RAYYAN-LABELS: High Focus,10.1186/s12911-021-01666-9,"Electronic Health Records;*Health Records, Personal;Hospitals;Humans;Republic of Korea;*Smartphone",34715863,PMC8555279
rayyan-1115028120,Understanding the Role of Mobile Internet-Based Health Services on Patient Satisfaction and Word-of-Mouth.,2018,9,10,International journal of environmental research and public health,1660-4601 (Electronic),15,9,,Gu D and Yang X and Li X and Jain HK and Liang C,https://pubmed.ncbi.nlm.nih.gov/30201921/,eng,,Switzerland,"With the rapid advancement of Web 2.0 technologies, Internet medicine, and mobile healthcare, the influence of the use of patient-oriented Mobile Internet-based Health Services (MIHS) on patient satisfaction and the electronic word-of-mouth (WOM) of health service agencies is becoming the focus of the academic research community. Many large hospitals, including some Internet hospitals, have provided various online healthcare service platforms that enable patients to expediently consult with physicians and obtain healthcare services in an online to offline format. The purpose of this study is to analyze the main mechanisms of how the features and users' experiences of MIHS influenced patient satisfaction and continuous use behaviors of the system to generate additional WOM dissemination behaviors. Based on post-adoption behavior and Expectation Confirmation Model of Information Technology Continuance (ECM-IT), this study conducted an empirical study through data collection from users (patients) from a large hospital providing online healthcare services. A total of 494 pieces of data were collected and analyzed using SmartPLS2.0(SmartPLS GmbH, Hamburg, Gernmany). The results show that: (1) patient satisfaction with MIHS and their intentions to continue use of MIHS have significantly positive influences on WOM; (2) patient satisfaction with MIHS is positively influenced by perceived usefulness and confirmation of MIHS performance expectations; (3) and patient intentions to continue use of MIHS are also affected by some technology factors, such as facilitating conditions and perceived risk, as well as some subjective feelings, such as perceived usefulness and perceived interactivity. The results of this study provide important implications for both research and practice of public health.",RAYYAN-LABELS: High Focus,10.3390/ijerph15091972,Adult;Health Services;Humans;Intention;Internet;Male;Middle Aged;*Patient Satisfaction;Physicians;Surveys and Questionnaires;*Telemedicine,30201921,PMC6164192
rayyan-1115028121,Associations between Florida counties' COVID-19 case and death rates and meaningful use among Medicaid providers: Cross-sectional ecologic study.,2022,6,,PLOS digital health,2767-3170 (Electronic),1,6,e0000047,Freeman K and Monestime JP,https://pubmed.ncbi.nlm.nih.gov/36812551/,eng,,United States,"Although the Health Information Technology for Economic and Clinical Health (HITECH) Act has accelerated adoption of Electronic Health Records (EHRs) among Medicaid providers, only half achieved Meaningful Use. Furthermore, Meaningful Use' impact on reporting and/or clinical outcomes remains unknown. To address this deficit, we assessed the difference between Medicaid providers who did and did not achieve Meaningful Use regarding Florida county-level cumulative COVID-19 death, case and case fatality rates (CFR), accounting for county-level demographics, socioeconomic and clinical markers, and healthcare environment. We found that cumulative incidence rates of COVID-19 deaths and CFRs were significantly different between the 5025 Medicaid providers not achieving Meaningful Use and the 3723 achieving Meaningful Use (mean 0.8334/1000 population; SD = 0.3489 vs. mean = 0.8216/1000; SD = 0.3227, respectively) (P = .01). CFRs were .01797 and .01781, respectively, P = .04. County-level characteristics independently associated with increased COVID-19 death rates and CFRs include greater concentrations of persons of African American or Black race, lower median household income, higher unemployment, and higher concentrations of those living in poverty and without health insurance (all P < .001). In accordance with other studies, social determinants of health were independently associated with clinical outcomes. Our findings also suggest that the association between Florida counties' public health outcomes and Meaningful Use achievement may have had less to do with using EHRs for reporting of clinical outcomes and more to do with using EHRs for coordination of care-a key measure of quality. The Florida Medicaid Promoting Interoperability Program which incentivized Medicaid providers towards achieving Meaningful Use, has demonstrated success regarding both rates of adoption and clinical outcomes. Because the Program ends in 2021, we support programs such as HealthyPeople 2030 Health IT which address the remaining half of Florida Medicaid providers who have not yet achieved Meaningful Use.",RAYYAN-LABELS: High Focus,10.1371/journal.pdig.0000047,"",36812551,PMC9931361
rayyan-1115028122,Uncovering patterns of technology use in consumer health informatics.,2013,11,,Wiley interdisciplinary reviews. Computational statistics,1939-5108 (Print),5,6,432-447,Hung M and Conrad J and Hon SD and Cheng C and Franklin JD and Tang P,https://pubmed.ncbi.nlm.nih.gov/24904713/,eng,,United States,"Internet usage and accessibility has grown at a staggering rate, influencing technology use for healthcare purposes. The amount of health information technology (Health IT) available through the Internet is immeasurable and growing daily. Health IT is now seen as a fundamental aspect of patient care as it stimulates patient engagement and encourages personal health management. It is increasingly important to understand consumer health IT patterns including who is using specific technologies, how technologies are accessed, factors associated with use, and perceived benefits. To fully uncover consumer patterns it is imperative to recognize common barriers and which groups they disproportionately affect. Finally, exploring future demand and predictions will expose significant opportunities for health IT. The most frequently used health information technologies by consumers are gathering information online, mobile health (mHealth) technologies, and personal health records (PHRs). Gathering health information online is the favored pathway for healthcare consumers as it is used by more consumers and more frequently than any other technology. In regard to mHealth technologies, minority Americans, compared with White Americans utilize social media, mobile Internet, and mobile applications more frequently. Consumers believe PHRs are the most beneficial health IT. PHR usage is increasing rapidly due to PHR integration with provider health systems and health insurance plans. Key issues that have to be explicitly addressed in health IT are privacy and security concerns, health literacy, unawareness, and usability. Privacy and security concerns are rated the number one reason for the slow rate of health IT adoption.",RAYYAN-LABELS: High Focus,10.1002/wics.1276,"",24904713,PMC4041299
rayyan-1115028123,Envisioning a social-health information exchange as a platform to support a patient-centered medical neighborhood: a feasibility study.,2015,1,,Journal of general internal medicine,1525-1497 (Electronic),30,1,60-7,Nguyen OK and Chan CV and Makam A and Stieglitz H and Amarasingham R,https://pubmed.ncbi.nlm.nih.gov/25092009/,eng,,United States,"BACKGROUND: Social determinants directly contribute to poorer health, and coordination between healthcare and community-based resources is pivotal to addressing these needs. However, our healthcare system remains poorly equipped to address social determinants of health. The potential of health information technology to bridge this gap across the delivery of healthcare and social services remains unrealized. OBJECTIVE, DESIGN, AND PARTICIPANTS: We conducted in-depth, in-person interviews with 50 healthcare and social service providers to determine the feasibility of a social-health information exchange (S-HIE) in an urban safety-net setting in Dallas County, Texas. After completion of interviews, we conducted a town hall meeting to identify desired functionalities for a S-HIE. APPROACH: We conducted thematic analysis of interview responses using the constant comparative method to explore perceptions about current communication and coordination across sectors, and barriers and enablers to S-HIE implementation. We sought participant confirmation of findings and conducted a forced-rank vote during the town hall to prioritize potential S-HIE functionalities. KEY RESULTS: We found that healthcare and social service providers perceived a need for improved information sharing, communication, and care coordination across sectors and were enthusiastic about the potential of a S-HIE, but shared many technical, legal, and ethical concerns around cross-sector information sharing. Desired technical S-HIE functionalities encompassed fairly simple transactional operations such as the ability to view basic demographic information, visit and referral data, and medical history from both healthcare and social service settings. CONCLUSIONS: A S-HIE is an innovative and feasible approach to enabling better linkages between healthcare and social service providers. However, to develop S-HIEs in communities across the country, policy interventions are needed to standardize regulatory requirements, to foster increased IT capability and uptake among social service agencies, and to align healthcare and social service priorities to enable dissemination and broader adoption of this and similar IT initiatives.",RAYYAN-LABELS: High Focus,10.1007/s11606-014-2969-8,"Attitude of Health Personnel;Community-Based Participatory Research;Delivery of Health Care, Integrated/organization & administration;Feasibility Studies;Health Services Needs and Demand;Humans;*Information Dissemination;Interinstitutional Relations;*Medical Informatics;Medically Underserved Area;Patient-Centered Care/*organization & administration;Social Work/*organization & administration;Socioeconomic Factors;Texas;Urban Health Services/organization & administration;Vulnerable Populations",25092009,PMC4284262
rayyan-1115028124,Ethical implications of the widespread use of informal mHealth methods in Ghana.,2022,4,8,Journal of medical ethics,1473-4257 (Electronic),,,,Owusu SA,https://pubmed.ncbi.nlm.nih.gov/35396337/,eng,,England,"BACKGROUND: Informal mHealth is widely used by community health nurses in Ghana to extend healthcare delivery services to clients who otherwise might have been excluded from formal health systems or would experience significant barriers in their quest to access formal health services. The nurses use their private mobile phones or devices to make calls to their clients, health volunteers, colleagues or superiors. These phone calls are also reciprocal in nature. Besides, the parties exchange or share other health data and information through text messages, pictures, videos or voice clips. There are some ethical dimensions that are inherent in these practices that ought to be critically scrutinised by bioethicists. OBJECTIVE: The author has argued in this paper that informal mHealth at large scale adoption in Ghana is associated with some bioethical challenges. METHODS: This essay was largely based on an analysis of an empirical study published by Hampshire et al in 2021 on the use of informal mHealth methods in Ghana. RESULTS: Widespread adoption of Informal mHealth in Ghana is associated with privacy invasion of both the nurses and their clients, breaches confidentiality of the parties, discredits the validity of informed consent processes and may predispose the nurses to some other significant aggregated harms. CONCLUSION: The author affirms his partial support for a formalised adoption process of informal mHealth in Ghana but has reiterated that the current ethical challenges associated with informal mHealth in Ghana cannot escape all the debilitating bioethical challenges, even if it is formalised.",RAYYAN-LABELS: High Focus,10.1136/medethics-2021-107920,"",35396337,PMC9547032
rayyan-1115028125,Economic Value of Data and Analytics for Health Care Providers: Hermeneutic Systematic Literature Review.,2020,11,18,Journal of medical Internet research,1438-8871 (Electronic),22,11,e23315,von Wedel P and Hagist C,https://pubmed.ncbi.nlm.nih.gov/33206056/,eng,,Canada,"BACKGROUND: The benefits of data and analytics for health care systems and single providers is an increasingly investigated field in digital health literature. Electronic health records (EHR), for example, can improve quality of care. Emerging analytics tools based on artificial intelligence show the potential to assist physicians in day-to-day workflows. Yet, single health care providers also need information regarding the economic impact when deciding on potential adoption of these tools. OBJECTIVE: This paper examines the question of whether data and analytics provide economic advantages or disadvantages for health care providers. The goal is to provide a comprehensive overview including a variety of technologies beyond computer-based patient records. Ultimately, findings are also intended to determine whether economic barriers for adoption by providers could exist. METHODS: A systematic literature search of the PubMed and Google Scholar online databases was conducted, following the hermeneutic methodology that encourages iterative search and interpretation cycles. After applying inclusion and exclusion criteria to 165 initially identified studies, 50 were included for qualitative synthesis and topic-based clustering. RESULTS: The review identified 5 major technology categories, namely EHRs (n=30), computerized clinical decision support (n=8), advanced analytics (n=5), business analytics (n=5), and telemedicine (n=2). Overall, 62% (31/50) of the reviewed studies indicated a positive economic impact for providers either via direct cost or revenue effects or via indirect efficiency or productivity improvements. When differentiating between categories, however, an ambiguous picture emerged for EHR, whereas analytics technologies like computerized clinical decision support and advanced analytics predominantly showed economic benefits. CONCLUSIONS: The research question of whether data and analytics create economic benefits for health care providers cannot be answered uniformly. The results indicate ambiguous effects for EHRs, here representing data, and mainly positive effects for the significantly less studied analytics field. The mixed results regarding EHRs can create an economic barrier for adoption by providers. This barrier can translate into a bottleneck to positive economic effects of analytics technologies relying on EHR data. Ultimately, more research on economic effects of technologies other than EHRs is needed to generate a more reliable evidence base.",RAYYAN-LABELS: High Focus,10.2196/23315,"Data Analysis;Decision Support Systems, Clinical/*standards;Electronic Health Records/*standards;Health Personnel/*economics;*Hermeneutics;Humans",33206056,PMC7710451
rayyan-1115028126,The use of information technologies for knowledge sharing by secondary healthcare organisations in New Zealand.,2012,7,,International journal of medical informatics,1872-8243 (Electronic),81,7,500-6,Ali N and Whiddett D and Tretiakov A and Hunter I,https://pubmed.ncbi.nlm.nih.gov/22460023/,eng,,Ireland,"PURPOSE: To explore the extent of use of information technologies (ITs) for knowledge sharing by secondary healthcare organisations in New Zealand. METHODS: We used a self-administered questionnaire to survey Chief Information Officers at all 21 of New Zealand's District Health Boards regarding the extent to which their organisations use knowledge sharing activities involving ITs. The list of activities to include in the questionnaire was compiled by reviewing the literature. We analysed the extent of use of the knowledge sharing activities using descriptive statistics, repeated measures ANOVA, and correlation analysis. RESULTS: The response rate was 76%. Although all the responding organisations reported using ITs to share knowledge, they used ITs to share documents significantly more than to support discussions or to connect employees to experts. Discussions via teleconferencing, videoconferencing, and email lists were significantly more common than discussions via social media technologies: electronic discussion forums, blogs, and on-line chatrooms. There were significant positive correlations between publishing and accessing documents, between using teleconferencing and using videoconferencing, and between publishing and finding contact details of experts. CONCLUSION: New Zealand's District Health Boards are using a range of ITs to share knowledge. Knowledge sharing activities emphasising the sharing of explicit knowledge (via exchanging documents in electronic form) are significantly more common than knowledge sharing activities emphasising the sharing of tacit knowledge (via technology-mediated discussions and via using technology to connect employees to experts). In view of the evidence in the literature that information technology may be highly effective in supporting tacit knowledge exchanges, our results suggest that health organisations should consider greater adoption of ITs for sharing tacit knowledge. The finding that several organisations are currently making extensive use of teleconferencing and videoconferencing facilities and expertise databases suggests that these technologies are useful and could be of benefit to other healthcare providers and that barriers to their adoption can be overcome. In order to facilitate the wider adoption of technologies, early adopters of both relatively established technologies and of the emerging technologies such as social media should be encouraged to publish accounts of their experiences of success and lessons learnt from any failures so that the knowledge gained is disseminated to the wider medical informatics community.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2012.02.011,Delivery of Health Care/*organization & administration;*Information Management;New Zealand;Surveys and Questionnaires,22460023,
rayyan-1115028127,"Patient and Family Member Readiness, Needs, and Perceptions of a Mental Health Patient Portal: A Mixed Methods Study.",2019,,,Studies in health technology and informatics,1879-8365 (Electronic),257,,266-270,Leung K and Clark C and Sakal M and Friesen M and Strudwick G,https://pubmed.ncbi.nlm.nih.gov/30741207/,eng,,Netherlands,"Patient portals are a form of technology that supports patients in accessing their health information, and other functions like scheduling appointments. The presence and utilization of patient portals in mental health contexts is relatively new. Despite research existing in the mental health literature that indicates that there may be benefits when patients have access to their mental health notes, there is limited information as to how best to implement portals, and support adoption among patients and their family members. Given this gap in literature, this study aimed to identify patient and family readiness, needs, and perceptions of a mental health patient portal. Surveys were administered to patients (n = 103) and family members (n = 7) either in-person or over the phone by a Peer Support Worker. The sample of participants consisted of patients and family members affiliated with Canada's largest mental health hospital located in Toronto, Ontario. Study results indicated that patients had the highest interest in the following portal functions: scheduling appointments, checking appointment times, and accessing their health record. Both patients and family members expressed their concerns about cybersecurity and potential privacy breaches. The results of this study, as well as the approach, can inform future patient portal planning and implementation activities at other healthcare organizations.",RAYYAN-LABELS: High Focus,,Electronic Health Records;Family Health;Health Services Needs and Demand;Humans;*Mental Health;*Mental Health Services;Ontario;*Patient Portals;Surveys and Questionnaires,30741207,
rayyan-1115028128,Exploring Factors Affecting Voluntary Adoption of Electronic Medical Records Among Physicians and Clinical Assistants of Small or Solo Private General Practice Clinics.,2018,5,29,Journal of medical systems,1573-689X (Electronic),42,7,121,Or C and Tong E and Tan J and Chan S,https://pubmed.ncbi.nlm.nih.gov/29845400/,eng,,United States,"The health care reform initiative led by the Hong Kong government's Food and Health Bureau has started the implementation of an electronic sharing platform to provide an information infrastructure that enables public hospitals and private clinics to share their electronic medical records (EMRs) for improved access to patients' health care information. However, previous attempts to convince the private clinics to adopt EMRs to document health information have faced challenges, as the EMR adoption has been voluntary. The lack of electronic data shared by private clinics carries direct impacts to the efficacy of electronic record sharing between public and private healthcare providers. To increase the likelihood of buy-in, it is essential to proactively identify the users' and organizations' needs and capabilities before large-scale implementation. As part of the reform initiative, this study examined factors affecting the adoption of EMRs in small or solo private general practice clinics, by analyzing the experiences and opinions of the physicians and clinical assistants during the pilot implementation of the technology, with the purpose to learn from it before full-scale rollout. In-depth, semistructured interviews were conducted with 23 physicians and clinical assistants from seven small or solo private general practice clinics to evaluate their experiences, expectations, and opinions regarding the deployment of EMRs. Interview transcripts were content analyzed to identify key factors. Factors affecting the adoption of EMRs to record and manage health care information were identified as follows: system interface design; system functions; stability and reliability of hardware, software, and computing networks; financial and time costs; task and outcome performance, work practice, and clinical workflow; physical space in clinics; trust in technology; users' information technology literacy; training and technical support; and social and organizational influences. The factors are interrelated with the others. The adoption factors identified are multifaceted, ranging from technological characteristics, clinician-technology interactions, skills and knowledge, and the user-workflow-technology fit. Other findings, which have been relatively underrepresented in previous studies, contribute unique insights about the influence of work and social environment on the adoption of EMRs, including limited clinic space and the effects of physicians' decision to use the technology on clinical staffs' adoption decisions. Potential strategies to address the concerns, overcome adoption barriers, and define relevant policies are discussed.",RAYYAN-LABELS: High Focus,10.1007/s10916-018-0971-0,"Adult;*Electronic Health Records;Female;*General Practice;Hong Kong;Humans;Male;Middle Aged;*Physicians;*Practice Patterns, Physicians';Private Practice;Prospective Studies;Reproducibility of Results",29845400,
rayyan-1115028129,"Towards a shared service centre for telemedicine: Telemedicine in Denmark, and a possible way forward.",2016,12,,Health informatics journal,1741-2811 (Electronic),22,4,815-827,Larsen SB and Sørensen NS and Petersen MG and Kjeldsen GF,https://pubmed.ncbi.nlm.nih.gov/26261216/,eng,,England,"Although evidence of the effectiveness of telemedicine is accumulating, knowledge of how to make best use of telemedicine is limited. This article presents results from a multi-stakeholder project that developed a new concept, a 'shared service centre' for telemedicine that is envisioned as working across different telemedical initiatives to support the implementation and wider adoption of telemedicine. One year of participatory design and analysis of the shared service centre concept involved stakeholders, such as clinicians, patients, technicians, policy makers, lawyers, economists and information technology architects. More than 100 people contributed to the findings. Most of the ideas generated for potential centre support for telemedicine could be categorised under four service categories. The need for such support services was verified in the cases investigated, and by agreement among stakeholders from regional health authorities, municipalities, and general practice. Therefore, it is probable that a shared service centre could help enable the wider deployment of telemedicine. DEFINITIONS: In this article, we use 'telemedicine' as an umbrella term for all the 'tele-' labels that are sometimes used rather indiscriminately to denote the use of information and technology to support healthcare services, including 'telehealth', 'telemonitoring', 'telehomecare', 'e-health', and so on. As per our definition, telemedicine may be synchronous and/or asynchronous, and may apply to any information and technology-based means of connecting healthcare actors and the patient, such as video communication, e-mail, electronic monitoring equipment, and Internet portals. Furthermore, the term 'telemedical initiative' covers projects in which telemedicine is conducted by a temporary project organisation, as well as self-contained telemedicine services used in daily, clinical practice in existing organisations.",RAYYAN-LABELS: High Focus,10.1177/1460458215592042,Community Health Centers/*statistics & numerical data;Denmark;Humans;*Organizational Innovation;Telemedicine/instrumentation/*methods,26261216,PMC5117122
rayyan-1115028130,Identifying Actionability as a Key Factor for the Adoption of 'Intelligent' Systems for Drug Safety: Lessons Learned from a User-Centred Design Approach.,2021,11,,Drug safety,1179-1942 (Electronic),44,11,1165-1178,Gavriilidis GI and Dimitriadis VK and Jaulent MC and Natsiavas P,https://pubmed.ncbi.nlm.nih.gov/34674190/,eng,,New Zealand,"INTRODUCTION: Information technology (IT) plays an important role in the healthcare landscape via the increasing digitization of medical data and the use of modern computational paradigms such as machine learning (ML) and knowledge graphs (KGs). These 'intelligent' technical paradigms provide a new digital 'toolkit' supporting drug safety and healthcare processes, including 'active pharmacovigilance'. While these technical paradigms are promising, intelligent systems (ISs) are not yet widely adopted by pharmacovigilance (PV) stakeholders, namely the pharma industry, academia/research community, drug safety monitoring organizations, regulatory authorities, and healthcare institutions. The limitations obscuring the integration of ISs into PV activities are multifaceted, involving technical, legal and medical hurdles, and thus require further elucidation. OBJECTIVE: We dissect the abovementioned limitations by describing the lessons learned during the design and implementation of the PVClinical platform, a web platform aiming to support the investigation of potential adverse drug reactions (ADRs), emphasizing the use of knowledge engineering (KE) as its main technical paradigm. RESULTS: To this end, we elaborate on the related 'business processes' (i.e. operational processes) and 'user goals' identified as part of the PVClinical platform design process based on Design Thinking principles. We also elaborate on key challenges restricting the adoption of such ISs and their integration in the clinical setting and beyond. CONCLUSIONS: We highlight the fact that beyond providing analytics and useful statistics to the end user, 'actionability' has emerged as the operational priority identified through the whole process. Furthermore, we focus on the needs for valid, reproducible, explainable and human-interpretable results, stressing the need to emphasize on usability.",RAYYAN-LABELS: High Focus,10.1007/s40264-021-01103-w,Delivery of Health Care;*Drug-Related Side Effects and Adverse Reactions;Humans;Information Technology;Machine Learning;*Pharmacovigilance,34674190,PMC8553681
rayyan-1115028131,Reducing disparities in health care quality: the role of health IT in underresourced settings.,2010,10,,Medical care research and review : MCRR,1552-6801 (Electronic),67,5,155S-162S,Gibbons MC and Casale CR,https://pubmed.ncbi.nlm.nih.gov/20829238/,eng,,United States,"Health information technology (health IT) and the Internet have tremendous potential to transform health care. The implications of the adoption of health IT within the context of underresourced health care settings have not been adequately evaluated. For this reason, the Agency for Healthcare Research and Quality sponsored a 2-day invitational expert meeting in October 2009. The theme of the meeting was ""Reducing Disparities in Healthcare Quality in Under Resourced Settings Using HIT and Other Quality Improvement Strategies."" In preparation for the meeting, five background manuscripts were commissioned, presented, and discussed. Attendees also participated in one of three breakout sessions. Several overarching themes, key recommendations, and research topics emerged across five general categories of (a) the health care delivery setting, (b) research and evaluation methodologies, (c) patients and target populations, (d) technology applications and platforms, and (e) providers and clinicians. This article outlines the process, findings, and key recommendations of this expert workshop.",RAYYAN-LABELS: Some Focus,10.1177/1077558710376202,Congresses as Topic;Diffusion of Innovation;Health Services Accessibility;*Healthcare Disparities;Humans;*Information Systems;*Internet;Medicaid;Medically Uninsured;Quality Improvement;United States;United States Agency for Healthcare Research and Quality;*Vulnerable Populations,20829238,
rayyan-1115028132,Guidelines for effective integration of information technology in the care of HIV-infected populations.,2007,1,,Journal of public health management and practice : JPHMP,1078-4659 (Print),13,1,39-48,Magnus M and Herwehe J and Proescholdbell RJ and Lombard F and Cajina A and Dastur Z and Millery M and Sabundayo BP,https://pubmed.ncbi.nlm.nih.gov/17149099/,eng,,United States,"BACKGROUND: Although information technology (IT) plays an increasingly important role in the delivery of healthcare, specific guidelines to assist human immunodeficiency virus (HIV) care settings in adopting IT are lacking. METHODS: Through the experiences of six Special Projects of National Significance - (SPNS) funded HIV-specific IT interventions, key considerations prior to adoption and evaluation of IT are presented. The purpose of this article is to provide guidelines to consider prior to adoption and evaluation of IT in HIV care settings. RESULTS: Six sites conducted comprehensive evaluations of IT interventions between 2002 and 2005, encompassing care delivered to 24,232 clients by 700 providers. Six key considerations prior to adoption of IT in HIV care delivery were identified, including IT and programmatic capacity, expectations, participation, organizational models, end-user types, and challenges. Specific evaluation techniques included implementation assessment, formative evaluation, cost studies, outcomes evaluation, and performance indicators. Grantee experiences are used to illustrate key considerations. DISCUSSION: With proper preparation, even resource-poor HIV care delivery programs can successfully adopt IT.",RAYYAN-LABELS: Some Focus,10.1097/00124784-200701000-00008,*Guidelines as Topic;*HIV Seropositivity/drug therapy;Humans;Medical Informatics/*organization & administration;*Systems Integration;United States,17149099,
rayyan-1115028133,Upskilling health and care workers with augmented and virtual reality: protocol for a realist review to develop an evidence-informed programme theory.,2021,7,5,BMJ open,2044-6055 (Electronic),11,7,e050033,Gasteiger N and van der Veer SN and Wilson P and Dowding D,https://pubmed.ncbi.nlm.nih.gov/34226234/,eng,,England,"INTRODUCTION: Augmented reality (AR) and virtual reality (VR) are increasingly used to upskill health and care providers, including in surgical, nursing and acute care settings. Many studies have used AR/VR to deliver training, providing mixed evidence on their effectiveness and limited evidence regarding contextual factors that influence effectiveness and implementation. This review will develop, test and refine an evidence-informed programme theory on what facilitates or constrains the implementation of AR or VR programmes in health and care settings and understand how, for whom and to what extent they 'work'. METHODS AND ANALYSIS: This realist review adheres to the Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) standards and will be conducted in three steps: theory elicitation, theory testing and theory refinement. First, a search will identify practitioner, academic and learning and technology adoption theories from databases (MEDLINE, Scopus, CINAHL, Embase, Education Resources Information Center, PsycINFO and Web of Science), practitioner journals, snowballing and grey literature. Information regarding contexts, mechanisms and outcomes will be extracted. A narrative synthesis will determine overlapping configurations and form an initial theory. Second, the theory will be tested using empirical evidence located from the above databases and identified from the first search. Quality will be assessed using the Mixed Methods Appraisal Tool (MMAT), and relevant information will be extracted into a coding sheet. Third, the extracted information will be compared with the initial programme theory, with differences helping to make refinements. Findings will be presented as a narrative summary, and the MMAT will determine our confidence in each configuration. ETHICS AND DISSEMINATION: Ethics approval is not required. This review will develop an evidence-informed programme theory. The results will inform and support AR/VR interventions from clinical educators, healthcare providers and software developers. Upskilling through AR/VR learning interventions may improve quality of care and promote evidence-based practice and continued learning. Findings will be disseminated through conference presentations and peer-reviewed journal articles.",RAYYAN-LABELS: High Focus,10.1136/bmjopen-2021-050033,Evidence-Based Practice;Health Personnel;Humans;Research Design;Review Literature as Topic;*Virtual Reality,34226234,PMC8258595
rayyan-1115028134,The need to strengthen the evaluation of the impact of Artificial Intelligence-based decision support systems on healthcare provision.,2023,10,,"Health policy (Amsterdam, Netherlands)",1872-6054 (Electronic),136,,104889,Cresswell K and Rigby M and Magrabi F and Scott P and Brender J and Craven CK and Wong ZS and Kukhareva P and Ammenwerth E and Georgiou A and Medlock S and De Keizer NF and Nykänen P and Prgomet M and Williams R,https://pubmed.ncbi.nlm.nih.gov/37579545/,eng,,Ireland,"Despite the renewed interest in Artificial Intelligence-based clinical decision support systems (AI-CDS), there is still a lack of empirical evidence supporting their effectiveness. This underscores the need for rigorous and continuous evaluation and monitoring of processes and outcomes associated with the introduction of health information technology. We illustrate how the emergence of AI-CDS has helped to bring to the fore the critical importance of evaluation principles and action regarding all health information technology applications, as these hitherto have received limited attention. Key aspects include assessment of design, implementation and adoption contexts; ensuring systems support and optimise human performance (which in turn requires understanding clinical and system logics); and ensuring that design of systems prioritises ethics, equity, effectiveness, and outcomes. Going forward, information technology strategy, implementation and assessment need to actively incorporate these dimensions. International policy makers, regulators and strategic decision makers in implementing organisations therefore need to be cognisant of these aspects and incorporate them in decision-making and in prioritising investment. In particular, the emphasis needs to be on stronger and more evidence-based evaluation surrounding system limitations and risks as well as optimisation of outcomes, whilst ensuring learning and contextual review. Otherwise, there is a risk that applications will be sub-optimally embodied in health systems with unintended consequences and without yielding intended benefits.",RAYYAN-LABELS: High Focus,10.1016/j.healthpol.2023.104889,"Humans;*Artificial Intelligence;Delivery of Health Care;Health Facilities;*Decision Support Systems, Clinical;Public Policy",37579545,
rayyan-1115028135,Can big data transform electronic health records into learning health systems?,2014,,,Studies in health technology and informatics,1879-8365 (Electronic),201,,470-5,Harper E,https://pubmed.ncbi.nlm.nih.gov/24943583/,eng,,Netherlands,"In the United States and globally, healthcare delivery is in the midst of an acute transformation with the adoption and use of health information technology (health IT) thus generating increasing amounts of patient care data available in computable form. Secure and trusted use of these data, beyond their original purpose can change the way we think about business, health, education, and innovation in the years to come. ""Big Data"" is data whose scale, diversity, and complexity require new architecture, techniques, algorithms, and analytics to manage it and extract value and hidden knowledge from it.",RAYYAN-LABELS: High Focus,,"*Artificial Intelligence;Electronic Health Records/*organization & administration;Evidence-Based Medicine/*organization & administration;Information Storage and Retrieval/*methods;*Knowledge Bases;Medical Record Linkage/*methods;*Models, Organizational",24943583,
rayyan-1115028136,Improving drug abuse treatment delivery through adoption of harmonized electronic health record systems.,2011,7,1,Substance abuse and rehabilitation,1179-8467 (Print),2011,2,125-131,Ghitza UE and Sparenborg S and Tai B,https://pubmed.ncbi.nlm.nih.gov/21822398/,eng,,New Zealand,"A great divide currently exists between mainstream health care and specialty substance use disorders (SUD) treatment, concerning the coordination of care and sharing of medical information. Improving the coordination of SUD treatment with other disciplines of medicine will benefit SUD patients. The development and use of harmonized electronic health record systems (EHR) containing standardized person-level information will enable improved coordination of healthcare services. We attempt here to illuminate the urgent public health need to develop and implement at the national level harmonized EHR including data fields containing standardized vocabulary/terminologies relevant to SUD treatment. The many advantages and barriers to harmonized EHR implementation in SUD treatment service groups, and pathways to their successful implementation, are also discussed. As the US Federal Government incentivizes Medicare and Medicaid Service providers nationwide for ""meaningful use"" of health information technology (HIT) systems, relevant stakeholders may face relatively large and time-consuming processes to conform their local practices to meet the federal government's ""meaningful use"" criteria unless they proactively implement data standards and elements consistent with those criteria. Incorporating consensus-based common data elements and standards relevant to SUD screening, diagnosis, and treatment into the federal government's ""meaningful use"" criteria is an essential first step to develop necessary infrastructure for effective coordination of HIT systems among SUD treatment and other healthcare service providers to promote collaborative-care implementation of cost-effective, evidence-based treatments and to support program evaluations.",RAYYAN-LABELS: High Focus,10.2147/SAR.S23030,"",21822398,PMC3149797
rayyan-1115028137,Nurses' Clinical Decision Making on Adopting a Wound Clinical Decision Support System.,2015,7,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),33,7,295-305,Khong PC and Hoi SY and Holroyd E and Wang W,https://pubmed.ncbi.nlm.nih.gov/26066306/,eng,,United States,"Healthcare information technology systems are considered the ideal tool to inculcate evidence-based nursing practices. The wound clinical decision support system was built locally to support nurses to manage pressure ulcer wounds in their daily practice. However, its adoption rate is not optimal. The study's objective was to discover the concepts that informed the RNs' decisions to adopt the wound clinical decision support system as an evidence-based technology in their nursing practice. This was an exploratory, descriptive, and qualitative design using face-to-face interviews, individual interviews, and active participatory observation. A purposive, theoretical sample of 14 RNs was recruited from one of the largest public tertiary hospitals in Singapore after obtaining ethics approval. After consenting, the nurses were interviewed and observed separately. Recruitment stopped when data saturation was reached. All transcribed interview data underwent a concurrent thematic analysis, whereas observational data were content analyzed independently and subsequently triangulated with the interview data. Eight emerging themes were identified, namely, use of the wound clinical decision support system, beliefs in the wound clinical decision support system, influences of the workplace culture, extent of the benefits, professional control over nursing practices, use of knowledge, gut feelings, and emotions (fear, doubt, and frustration). These themes represented the nurses' mental outlook as they made decisions on adopting the wound clinical decision support system in light of the complexities of their roles and workloads. This research has provided insight on the nurses' thoughts regarding their decision to interact with the computer environment in a Singapore context. It captured the nurses' complex thoughts when deciding whether to adopt or reject information technology as they practice in a clinical setting.",RAYYAN-LABELS: High Focus,10.1097/CIN.0000000000000164,"Adult;Clinical Competence;*Clinical Decision-Making;*Decision Making;*Decision Support Systems, Clinical;Evidence-Based Nursing;Female;Health Information Systems;Humans;Male;Middle Aged;Nursing Informatics;Nursing Methodology Research;Nursing Staff, Hospital/*psychology;Pressure Ulcer/therapy;Qualitative Research",26066306,
rayyan-1115028139,Technology Readiness of Early Career Nurse Trainees: Utilization of the Technology Readiness Index (TRI).,2016,,,Studies in health technology and informatics,1879-8365 (Electronic),225,,314-8,Odlum M,https://pubmed.ncbi.nlm.nih.gov/27332213/,eng,,Netherlands,"Health Information Technology (HIT) adoption by clinicians, including nurses, will lead to reduction in healthcare costs and clinical errors and improve health outcomes. Understanding the importance of technology adoption, the current study utilized the Technology Readiness Index to explore technology perceptions of nursing students. Our analysis identifies factors that may influence perceptions of technology, including decreased optimism for students with clinical experience and increased discomfort of US born students. Our study provides insight to inform training programs to further meet the increasing demands of skilled nursing staff.",RAYYAN-LABELS: High Focus,,Adult;Clinical Competence;Educational Measurement/*methods/standards;Humans;Medical Informatics/standards;Nurses/*standards;Nursing Informatics/*education;Surveys and Questionnaires;Young Adult,27332213,
rayyan-1115028140,Searching for New Model of Digital Informatics for Human-Computer Interaction: Testing the Institution-Based Technology Acceptance Model (ITAM).,2021,5,24,International journal of environmental research and public health,1660-4601 (Electronic),18,11,,Kang Y and Choi N and Kim S,https://pubmed.ncbi.nlm.nih.gov/34073786/,eng,,Switzerland,"The fourth industrial revolution has produced new information technology (IT) that is widely used in the healthcare industry. Although the nature of the institution affects IT adoption, the Technology Acceptance Model (TAM), a dominant theory, has dismissed its role and influence. Our research investigates how institutions influence the adoption of new IT by using the Institution-based Technology Acceptance Model (ITAM). We conducted an empirical test by using survey data collected from 300 employees in the public sector. Structural equation modeling was applied to test the proposed hypotheses. The results showed the total effect of institutions on the intention to use new IT is positive and significant. Second, IT adoption is not only affected by external institutions but also by type of institution; the external institution takes a greater role in inducing perceived usefulness, perceived ease of use, and intention to use than does the internal. Third, perceived ease of use and perceived usefulness play mediating roles between institution and IT adoption. Fourth, an alternative expanded model to which more individual and organizational factors were added confirmed the results of the base model. We concluded that institutions have a strong impact on the level of intention for IT use through perceived ease of use and perceived usefulness.",RAYYAN-LABELS: High Focus,10.3390/ijerph18115593,*Attitude to Computers;Computers;Humans;Informatics;Intention;*Technology,34073786,PMC8197211
rayyan-1115028141,Patient Portal Usage in Pediatric Urology: Is it Meaningful Use for Everyone?,2018,7,,Urology practice,2352-0779 (Print),5,4,279-285,Bush RA and Richardson AC and Cardona-Grau D and Din H and Kuelbs CL and Chiang GJ,https://pubmed.ncbi.nlm.nih.gov/29938212/,eng,,United States,"INTRODUCTION: The Affordable Care Act promotes multiple directives for meaningful use of the Electronic Health Record, such as patient/provider portals, to increase patient engagement. Although portal use is common within adult healthcare, little information exists regarding pediatric portal use. We examined pediatric urology patient portal enrollment and activation patterns at a tertiary pediatric hospital in Southern California by race/ethnicity, preferred language, gender, and residential region. METHODS: Retrospective Electronic Health Record analysis of enrollment in patient portal from January 2010 to May 2016 among 10,464 patients with at least one outpatient urology clinic visit. Differences in adoption rates were examined using logistic regression for the following categories: activated (or caregiver activated); code accepted not activated; declined; or activated/then deactivated. RESULTS: Overall, 46.5% of patients/caregivers activated the portal. Primarily Spanish-speaking patients were less likely to activate (OR 0.25, p <.001) than English-speaking patients. Males (OR 0.89, p =.004); those self-identifying racially as Other (not White, Asian, or African American) (OR 0.47, p <.001); and Hispanic patients (OR 0.49, p <.001) were less likely to activate. Suburban patients were up to 3 times more likely to activate portals than central urban patients depending on the region (OR 2.94, p <.001). Multivariate logistic regression demonstrated Spanish-speaking patients were 3 times less likely to activate while controlling for demographic and region variables. CONCLUSIONS: Primary language and socioeconomic factors may be significant barriers to portal adoption. Patient education to reduce these barriers may increase portal acceptance and increase meaningfulness to the portal for patients/parents and providers.",RAYYAN-LABELS: High Focus,10.1016/j.urpr.2017.05.002,"",29938212,PMC6010344
rayyan-1115028142,Will meaningful use electronic medical records reduce hospital costs?,2013,11,,The American journal of managed care,1936-2692 (Electronic),19,10,eSP19-25,Encinosa WE and Bae J,https://pubmed.ncbi.nlm.nih.gov/24511884/,eng,,United States,"BACKGROUND: More than one-third of the Centers for Medicare and Medicaid Services core meaningful use (MU) requirements deal with medication management. OBJECTIVES: To examine what impact the 5 core medication MU criteria have on hospital-acquired adverse drug events (ADEs) and their costs in 2010, as a baseline for the start of MU implementation in 2011. DATA SOURCES: 2010 Florida State Inpatient Database (Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality), American Hospital Association (AHA) Healthcare IT Database Supplement to the AHA 2010 Annual Survey of Hospitals, and Hospital Compare. METHODS: We developed one of the first quality indicators to track in-hospital ADEs in administrative data. Controlling for nonresponse selection bias, we used multivariate logit regression analysis to examine the impact of the 5 MU medication elements on the probability of an ADE and on its costs. RESULTS: A hospital-acquired ADE was noted in 1.7% of hospitalizations. Odds of an ADE were 63% less in hospitals that adopted all 5 core medication MU elements (10% of hospitals in 2010) compared with hospitals that adopted no core elements. This effect was found even among lowperforming hospitals with below-average Hospital Compare quality. Estimated hospital cost savings per averted ADE were $4790. If all hospitals in Florida had adopted all 5 functions, 55,700 ADEs would have been averted and $267 million per year would have been saved. CONCLUSIONS: Adoption of core medication MU elements will cut ADE rates, with cost savings that recoup 22% of information technology costs.",RAYYAN-LABELS: High Focus,,Drug-Related Side Effects and Adverse Reactions/economics/*prevention & control;*Electronic Health Records;Florida;*Hospital Costs;Hospitalization;Humans;*Meaningful Use;Medication Errors/economics/*prevention & control,24511884,
rayyan-1115028143,Preparing for the Improving Medicare Post-Acute Care Transformation Act: Incorporating A Sociotechnical Perspective to Enhance a Health Information Technology Evaluation Framework Applied to Post-Acute Care.,2021,6,10,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),39,11,813-820,Sockolow P and Yang Y,https://pubmed.ncbi.nlm.nih.gov/34747897/,eng,,United States,"The Improving Medicare Post-Acute Care Transformation Act, which mandates electronic sharing of standardized patient data by post-acute care clinical settings, will likely spur further health information technology adoption and evaluation. To support evaluation, the study objective was to clarify components of an evidence-based health information technology evaluation framework, Health Information Technology Reference-based Evaluation Framework, by using the framework in home healthcare and incorporating a sociotechnical perspective in the health information technology evaluation. With 36 observations among three diverse home healthcare agencies, researchers conducted a recorded think-aloud process as nurses documented the home healthcare admission in the EHR. Thematic analysis revealed 15 themes that provided clarification for almost one-third of Health Information Technology Reference-based Evaluation Framework components and added a new concept. All themes reflected a sociotechnical perspective. The new theme added to the Health Information Technology Reference-based Evaluation Framework reflected the sociotechnical perspective: routine use. We anticipate the enhanced Health Information Technology Reference-based Evaluation Framework to be used by evaluators from diverse disciplines, to further facilitate context-dependent health information technology adoption in post-acute care settings.",RAYYAN-LABELS: High Focus,10.1097/CIN.0000000000000782,Aged;Electronic Health Records;*Home Care Agencies;*Home Care Services;Humans;*Medical Informatics;Medicare;Subacute Care;United States,34747897,
rayyan-1115028144,How and when eHealth is a good investment for patients managing chronic disease.,2011,,,Healthcare management forum,0840-4704 (Print),24,3,122-36,Leonard KJ and Dalziel S,https://pubmed.ncbi.nlm.nih.gov/22165571/,"[""eng"", ""fre""]",,United States,"In this article, we elaborate on the cost-effectiveness of eHealth solutions and the need to evaluate the return on investment as is done routinely with all other major expenditures. To this end, we discuss the theory that exists today to explain some of the usage principles affiliated with information technology implementation in healthcare; namely, we reflect on the Technology Adoption Criteria in Health (TEACH) model and Wagner's Chronic Disease Management model. The basic premise of the TEACH model is that adoption requires work; this work must be recognized at the outset, and the progress to overcome the workload increase must be measured for the adoption to continue. Furthermore, both of these models have emphasized that the trade-off between cost and work and the benefits realized (as seen through measurement) must first be applied to patients that use the system frequently and on an ongoing basis (ie, the chronically ill). We refer to these ongoing users as consumers of healthcare resources-Consumers with Chronic Conditions (the 3C patients). In this article, we show that the benefits outweigh the costs only when we do, in fact, apply the analysis to 3C patients. Once an effective eHealth system has been developed for the 3C patients, then it can be straightforwardly extended to include all patients and other stakeholders.",RAYYAN-LABELS: High Focus,10.1016/j.hcmf.2011.07.006,"Canada;Chronic Disease/*therapy;Cost-Benefit Analysis;Diffusion of Innovation;Disease Management;Humans;Medical Informatics/*economics;Models, Theoretical;*Self Care;Telemedicine/*economics",22165571,
rayyan-1115028145,The Personalized Medicine Coalition: goals and strategies.,2005,,,American journal of pharmacogenomics : genomics-related research in drug           development and clinical practice,1175-2203 (Print),5,6,345-55,Abrahams E and Ginsburg GS and Silver M,https://pubmed.ncbi.nlm.nih.gov/16336000/,eng,,New Zealand,"The concept of personalized medicine--that medical care can be tailored to the genomic and molecular profile of the individual--has repercussions that extend far beyond the technology that makes it possible. The adoption of personalized medicine will require changes in healthcare infrastructure, diagnostics and therapeutics business models, reimbursement policy from government and private payers, and a different approach to regulatory oversight. Personalized medicine will shift medical practices upstream from the reactive treatment of disease, to proactive healthcare management including screening, early treatment, and prevention, and will alter the roles of both physician and patient. It will create a greater reliance on electronic medical records and decision support systems in an industry that has a long history of resistance to information technology. Personalized medicine requires a systems approach to implementation. But in a healthcare economy that is highly decentralized and market driven, it is incumbent upon the stakeholders themselves to advocate for a consistent set of policies and legislation that pave the way for the adoption of personalized medicine. To address this need, the Personalized Medicine Coalition (PMC) was formed as a nonprofit umbrella organization of pharmaceutical, biotechnology, diagnostic, and information technology companies, healthcare providers and payers, patient advocacy groups, industry policy organizations, major academic institutions, and government agencies. The PMC provides a structure for achieving consensus positions among these stakeholders on crucial public policy issues, a role which will be vital to translating personalized medicine into widespread clinical practice. In this article, we outline the goals of the PMC, and the strategies it will take to foster communication, debate, and consensus on issues such as genetic discrimination, the reimbursement structures for pharmacogenomic drugs and diagnostics, regulation, physician training and medical school curricula, and public education.",RAYYAN-LABELS: High Focus,10.2165/00129785-200505060-00002,"Communication;Decision Support Systems, Clinical;Delivery of Health Care;Drug Industry/trends;Health Personnel/education;Health Planning Organizations/*trends;Humans;Insurance, Health, Reimbursement;Medical Records Systems, Computerized;Patient Education as Topic;Pharmacogenetics/*trends;Physician's Role;*Private Sector;*Public Sector;United States;United States Food and Drug Administration",16336000,
rayyan-1115028146,"Health Informatics in Developing Countries: A Review of Unintended Consequences of IT Implementations, as They Affect Patient Safety and Recommendations on How to Address Them.",2016,11,10,Yearbook of medical informatics,2364-0502 (Electronic),,1,1-2,Park HA,https://pubmed.ncbi.nlm.nih.gov/27830233/,eng,,Germany,"BACKGROUND: Patient safety concerns every healthcare organization. Adoption of Health information technology (HIT) appears to have the potential to address this issue, however unanticipated and undesirable consequences from implementing HIT could lead to new and more complex hazards. This could be particularly problematic in developing countries, where regulations, policies and implementations are few, less standandarized and in some cases almost non-existing. METHODS: Based on the available information and our own experience, we conducted a review of unintended consequences of HIT implementations, as they affect patient safety in developing countries. RESULTS: We found that user dependency on the system, alert fatigue, less communications among healthcare actors and workarounds topics should be prioritize. Institution should consider existing knowledge, learn from other experiences and model their implementations to avoid known consequences. We also recommend that they monitor and communicate their own efforts to expand knowledge in the region.",RAYYAN-LABELS: High Focus,10.15265/IY-2016-028,Delivery of Health Care/*organization & administration;Developing Countries;Humans;Medical Errors/prevention & control;*Medical Informatics;*Patient Safety,27830233,PMC5171551
rayyan-1115028147,Developing medical device software in compliance with regulations.,2015,8,,Annual International Conference of the IEEE Engineering in Medicine and Biology           Society. IEEE Engineering in Medicine and Biology Society. Annual International            Conference,2694-0604 (Electronic),2015,,1331-4,Zema M and Rosati S and Gioia V and Knaflitz M and Balestra G,https://pubmed.ncbi.nlm.nih.gov/26736514/,eng,,United States,"In the last decade, the use of information technology (IT) in healthcare has taken a growing role. In fact, the adoption of an increasing number of computer tools has led to several benefits related to the process of patient care and allowed easier access to social and health care resources. At the same time this trend gave rise to new challenges related to the implementation of these new technologies. Software used in healthcare can be classified as medical devices depending on the way they are used and on their functional characteristics. If they are classified as medical devices they must satisfy specific regulations. The aim of this work is to present a software development framework that can allow the production of safe and high quality medical device software and to highlight the correspondence between each software development phase and the appropriate standard and/or regulation.",RAYYAN-LABELS: High Focus,10.1109/EMBC.2015.7318614,Delivery of Health Care;Patient Care;*Software,26736514,
rayyan-1115028148,Design and implementation of a standards-based interoperable clinical decision support architecture in the context of the Korean EHR.,2010,9,,International journal of medical informatics,1872-8243 (Electronic),79,9,611-22,Cho I and Kim J and Kim JH and Kim HY and Kim Y,https://pubmed.ncbi.nlm.nih.gov/20620098/,eng,,Ireland,"BACKGROUND: In 2000 the Korean government initiated efforts to secure healthcare accessibility and efficiency anytime and anywhere via the nationwide healthcare information system by the end of 2010. According to the master plan, electronic health record (EHR) research and development projects were designed in 2005. One subproject was the design and implementation of standards-based interoperable clinical decision support (CDS) capabilities in the context of the EHR system. OBJECTIVE: The purpose of this study was to describe the challenges, process, and outcomes of defining and implementing a national CDS architecture to stimulate and motivate the widespread adoption of CDS services in Korea. METHODS: CDS requirements and design principles were established by conducting a selective literature review and a survey of clinicians, managers, and hospital and industrial health information technology engineers regarding issues related to CDS architectures. The previous relevant works of the American Medical Informatics Association, the Healthcare Information and Management Systems Society, and Health Level Seven were used to validate the scope and themes of the service architecture. The Arden Syntax, Standards-Based Sharable Active Guideline Environment, First DataBank, and SEBASTIAN approaches were used to assess the coverage of the application architecture thus defined. A CDS prototype of an outpatient hypertension management system was implemented and assessed in a simulated experimental setting to evaluate the feasibility of the proposed architecture. RESULTS: Four CDS service features were identified: knowledge application, knowledge management, audit and evaluation, and CDS and knowledge governance. Five core components of CDS application architecture were also identified: knowledge-execution component, knowledge-authoring component, data-interface component, knowledge repository, and service-interface component. The coverage and characteristics of the architecture identified herein were found to be comparable with those described previously. Two scenarios of deployment architecture were identified in the context of Korean healthcare. The preliminary feasibility test revealed that the architecture exhibited good performance and made it easy to integrate patient data. CONCLUSION: We have described the efforts that have been made to realize CDS service features, core components, application, and deployment architectures in the context of the Korean EHR. These outcomes showed the potential to contribute to the adoption of CDS at the national level.",RAYYAN-LABELS: Some Focus,10.1016/j.ijmedinf.2010.06.002,"Ambulatory Care;Decision Support Systems, Clinical/*standards;Diffusion of Innovation;*Electronic Health Records;Humans;Hypertension/therapy;Korea;Outcome and Process Assessment, Health Care",20620098,
rayyan-1115028149,Creating a climate that catalyses healthcare innovation in the United Kingdom - learning lessons from international innovators.,2017,1,25,Journal of innovation in health informatics,2058-4563 (Electronic),23,4,882,Cresswell K and Cunningham-Burley S and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/28346133/,eng,,England,"BACKGROUND: The United Kingdom (UK) lags behind other high-income countries in relation to technological innovation in healthcare. In order to inform UK strategy on how to catalyse innovation, we sought to understand what national strategies can help to promote a climate for innovation in healthcare settings by extracting lessons for the UK from international innovators. METHODS: We undertook a series of qualitative semi-structured interviews with senior international innovators from a range of health related policy, care/service delivery, commercial and academic backgrounds. Thematic analysis helped to explore how different stakeholder groups could facilitate/inhibit innovation at individual, organisational, and wider societal levels. RESULTS: We conducted 14 interviews and found that a conducive climate for healthcare innovation comprised of national/regional strategies stimulating commercial competition, promoting public/private relationships, and providing central direction (e.g. incentives for adoption and regulation through standards) without being restrictive. Organisational attitudes with a willingness to experiment and to take risks were also seen as important, but a bottom-up approach to innovation, based on the identification of clinical need, was seen as a crucial first step to construct relevant national policies. CONCLUSIONS: There is now a need to create mechanisms through which frontline National Health Service staff in relation can raise ideas/concerns and suggest opportunities for improvement, and then build national innovation environments that seek to address these needs. This should be accompanied by creating competitive health technology markets to stimulate a commercial environment that attracts high-quality health information technology experts and innovators working in partnership with staff and patients.",RAYYAN-LABELS: High Focus,10.14236/jhi.v23i4.882,*Delivery of Health Care;*Diffusion of Innovation;Global Health;Health Policy;Humans;Interviews as Topic;*Learning;National Health Programs;*Organizational Innovation;Qualitative Research;United Kingdom,28346133,
rayyan-1115028150,Accelerating U.S. EHR adoption: how to get there from here. recommendations based on the 2004 ACMI retreat.,2005,1,,Journal of the American Medical Informatics Association : JAMIA,1067-5027 (Print),12,1,13-9,Middleton B and Hammond WE and Brennan PF and Cooper GF,https://pubmed.ncbi.nlm.nih.gov/15492028/,eng,,England,"Despite growing support for the adoption of electronic health records (EHR) to improve U.S. healthcare delivery, EHR adoption in the United States is slow to date due to a fundamental failure of the healthcare information technology marketplace. Reasons for the slow adoption of healthcare information technology include a misalignment of incentives, limited purchasing power among providers, variability in the viability of EHR products and companies, and limited demonstrated value of EHRs in practice. At the 2004 American College of Medical Informatics (ACMI) Retreat, attendees discussed the current state of EHR adoption in this country and identified steps that could be taken to stimulate adoption. In this paper, based upon the ACMI retreat, and building upon the experiences of the authors developing EHR in academic and commercial settings we identify a set of recommendations to stimulate adoption of EHR, including financial incentives, promotion of EHR standards, enabling policy, and educational, marketing, and supporting activities for both the provider community and healthcare consumers.",RAYYAN-LABELS: High Focus,10.1197/jamia.M1669,"*Diffusion of Innovation;Health Policy;Medical Records Systems, Computerized/economics/standards/*statistics & numerical           data;United States",15492028,PMC543821
rayyan-1115028151,Logistics performance: critical factors in the implementation of end-of-life management practices in the pharmaceutical care process.,2023,3,,Environmental science and pollution research international,1614-7499 (Electronic),30,11,29206-29228,de Campos EAR and de Paula IC and Caten CST and Tsagarakis KP and Ribeiro JLD,https://pubmed.ncbi.nlm.nih.gov/36409409/,eng,,Germany,"The management of healthcare waste and end-of-life medication coming from different sources are primary challenges faced by public health leaders. Several factors may be considered critical and inhibitive to reverse logistics within the context of waste management processes. If those factors are not addressed, they may become obstacles to reverse logistics implementation. The purpose of this study is to evaluate the effect that critical factors play in the adoption of end-of-life management practices for medication and its influence on logistics performance. Literature provided some critical factors: management factor, collaboration factor, information technology factor, infrastructure factor, politics factor, financial and economic factor, end-of-life management practices, and logistics performance factor. A sample of 67 professionals from the public pharmaceutical care process answered a structured questionnaire. The collected data was analyzed using partial least square-structural equation modeling. The theoretical structural test confirmed eleven out of the fifteen hypotheses considered. The results have indicated that end-of-life management practices exert a direct influence on logistics performance. The analysis confirmed a direct effect of the information technology factor on end-of-life management practices, but not a moderation effect. Findings have contributed to the literature by providing deeper insights into the relationship between end-of-life management practices for medicines and logistics performance. Moreover, it supports health managers' decision-making in the pharmaceutical care process improvement and engagement with solid waste management policies.",RAYYAN-LABELS: Some Focus,10.1007/s11356-022-24035-z,*Waste Management/methods;Solid Waste;*Pharmaceutical Services,36409409,PMC9676775
rayyan-1115028152,The implications of e-health system delivery strategies for integrated healthcare: lessons from England.,2013,5,,International journal of medical informatics,1872-8243 (Electronic),82,5,e96-e106,Eason K and Waterson P,https://pubmed.ncbi.nlm.nih.gov/23266062/,eng,,Ireland,"PURPOSE: This paper explores the implications that different technical strategies for sharing patient information have for healthcare workers and, as a consequence, for the extent to which these systems provide support for integrated care. METHODS: Four technical strategies were identified and the forms of coupling they made with healthcare agencies were classified. A study was conducted in England to examine the human and organizational implications of systems implemented by these four strategies. Results were used from evaluation reports of two systems delivered as part of the NPfIT (National Programme for Information Technology) and from user responses to systems delivered in two local health communities in England. In the latter study 40 clinical respondents reported the use of systems to support integrated care in six healthcare pathways. RESULTS: The implementation of a detailed care record system (DCRS) in the NPfIT was problematic because it could not meet the diverse needs of all healthcare agencies and it required considerable local customization. The programme evolved to allow different systems to be delivered for each local health community. A national Summary Care Record (SCR) was implemented but many concerns were raised about wide access to confidential patient information. The two technical strategies that required looser forms of coupling and were under local control led to wide user adoption. The systems that enabled data to be transferred between local systems were successfully used to support integrated care in specific healthcare pathways. The portal approach gave many users an opportunity to view patient data held on a number of databases and this system evolved over a number of years as a result of requests from the user community. CONCLUSIONS: The UK national strategy to deliver single shared database systems requires tight coupling between many users and has led to poor adoption because of the diverse needs of healthcare agencies. Sharing patient information has been more successful when local systems have been developed to serve particular healthcare pathways or when separate databases are viewable through a portal. On the basis of this evidence technical strategies that permit the local design of tight coupling are necessary if information systems are to support integrated care in healthcare pathways.",RAYYAN-LABELS: Some Focus,10.1016/j.ijmedinf.2012.11.004,"*Cooperative Behavior;Databases, Factual;*Delivery of Health Care;Delivery of Health Care, Integrated/*methods/*organization & administration;*Electronic Health Records;Humans;Information Systems;*Telemedicine",23266062,
rayyan-1115028153,Evaluation of a shared decision-making intervention for pediatric patients with asthma in the emergency department.,2020,,,Implementation science communications,2662-2211 (Electronic),1,,22,Reeves K and O'Hare K and Shade L and Ludden T and McWilliams A and Manning M and Hogg M and Reynolds S and Shea CM and Burton EC and Calvert M and Derkowski DM and Tapp H,https://pubmed.ncbi.nlm.nih.gov/32885182/,eng,,England,"BACKGROUND: Asthma is a difficult-to-manage chronic disease marked with associated outcome disparities including an increase rate of emergency department (ED) visits for uncontrolled asthma among patients who are most at-risk. Shared decision making (SDM) is a process by which the patient and provider jointly make a healthcare choice. SDM improves patient outcomes; however, implementation barriers of time constraints and staff availability are limitations. The use of health IT solutions may increase the adoption of SDM, but best practices for implementation are not well understood. The Consolidated Framework for Implementation Research (CFIR) is a flexible comprehensive model used to identify barriers and facilitators influencing implementation. The goal of this study is to implement an innovative web-based pediatric SDM tool in the real-world setting of two large healthcare system EDs through the following aims: (1) convene a patient, research, and ED stakeholder advisory board to oversee review of protocol and study materials prior to implementation, (2) implement the SDM intervention where providers and staff will be trained to incorporate use of this SDM intervention, (3) conduct on-going evaluation of barriers, facilitators, and implementation outcomes to tailor implementation in the EDs, (4) evaluate patient-centered outcomes of primary care utilization and changes in ED visits and hospitalizations before and after the SDM intervention, and (5) understand and document best practices for ED implementation. METHODS: The CFIR model will guide the implementation evaluation. Researchers will administer surveys to the clinical team and patients at baseline, 3, 6, and 12 months to inform implementation design, determine barriers and facilitators, and resource-needs to allow for real-time process adjustments within the EDs. Focus group or key-informant interviews and analysis will provide additional feedback to the stakeholder team to iterate the implementation process. Researchers will track patient-centered outcomes including increased primary care, ED, and inpatient utilization over the duration of the study. DISCUSSION: To advance asthma care and the field of implementation science, further research is needed to assess best practices for incorporating SDM into high-need healthcare settings such as the ED. This knowledge will facilitate improved outcomes and appropriate policy changes towards further use of SDM interventions in local and national acute care settings.",RAYYAN-LABELS: Some Focus,10.1186/s43058-020-00010-y,"",32885182,PMC7427946
rayyan-1115028154,"Information technology in health care: it's about privacy, patient care and getting paid.",2002,7,,Healthcare leadership & management report,1533-2292 (Print),10,7,"1-6, 8","",https://pubmed.ncbi.nlm.nih.gov/12233011/,eng,,United States,"While the healthcare provider industry's adoption of information may be considered to be slow, there are thousands of efforts to put technology to work to improve the bottom line and the missions of healthcare organizations. Healthcare Leadership & Management Report has published case studies of information technology implementation in recent issues and we would like to hear from healthcare leaders about their experiences with IT implementation success or failure. We will be happy to accept written submissions, or we will work with your staff to write the story so that our readers may benefit from your experience.",RAYYAN-LABELS: High Focus,,"Caregivers;Communication;*Confidentiality;Health Insurance Portability and Accountability Act;Humans;*Insurance, Health, Reimbursement;Management Information Systems/*statistics & numerical data;Medical Records Systems, Computerized;Personnel Staffing and Scheduling;United States",12233011,
rayyan-1115028155,Understanding barriers and facilitators to the use of Clinical Information Systems for intensive care units and Anesthesia Record Keeping: A rapid ethnography.,2015,7,,International journal of medical informatics,1872-8243 (Electronic),84,7,500-11,Saleem JJ and Plew WR and Speir RC and Herout J and Wilck NR and Ryan DM and Cullen TA and Scott JM and Beene MS and Phillips T,https://pubmed.ncbi.nlm.nih.gov/25843931/,eng,,Ireland,"OBJECTIVE: This study evaluated the current use of commercial-off-the-shelf Clinical Information Systems (CIS) for intensive care units (ICUs) and Anesthesia Record Keeping (ARK) for operating rooms and post-anesthesia care recovery settings at three Veterans Affairs Medical Centers (VAMCs). Clinicians and administrative staff use these applications at bedside workstations, in operating rooms, at nursing stations, in physician's rooms, and in other various settings. The intention of a CIS or an ARK system is to facilitate creation of electronic records of data, assessments, and procedures from multiple medical devices. The US Department of Veterans Affairs (VA) Office of the Chief of Nursing Informatics sought to understand usage barriers and facilitators to optimize these systems in the future. Therefore, a human factors study was carried out to observe the CIS and ARK systems in use at three VAMCs in order to identify best practices and suggested improvements to currently implemented CIS and ARK systems. METHODS: We conducted a rapid ethnographic study of clinical end-users interacting with the CIS and ARK systems in the critical care and anesthesia care areas in each of three geographically distributed VAMCs. Two observers recorded interactions and/or interview responses from 88 CIS and ARK end-users. We coded and sorted into logical categories field notes from 69 shadowed participants. The team transcribed and combined data from key informant interviews with 19 additional participants with the observation data. We then integrated findings across observations into meaningful patterns and abstracted the data into themes, which translated directly to barriers to effective adoption and optimization of the CIS and ARK systems. RESULTS: Effective optimization of the CIS and ARK systems was impeded by: (1) integration issues with other software systems; (2) poor usability; (3) software challenges; (4) hardware challenges; (5) training concerns; (6) unclear roles and lack of coordination among stakeholders; and (7) insufficient technical support. Many of these barriers are multi-faceted and have associated sub-barriers, which are described in detail along with relevant quotes from participants. In addition, regionalized purchases of different CIS and ARK systems, as opposed to enterprise level purchases, contributed to some of the identified barriers. Facilitators to system use included (1) automation and (2) a dedicated facility-level CIS-ARK Coordinator. CONCLUSIONS: We identified barriers that explain some of the challenges with the optimization of the CIS and ARK commercial systems across the Veterans Health Administration (VHA). To help address these barriers, and evolve them into facilitators, we categorized report findings as (1) interface and system-level changes that vendors or VA healthcare systems can implement; (2) implementation factors under VA control and not under VA control; and (3) factors that may be used to inform future application purchases. We outline several recommendations for improved adoption of CIS and ARK systems and further recommend that human factors engineering and usability requirements become an integral part of VA health information technology (HIT) application procurement, customization, and implementation in order to help eliminate or mitigate some of the barriers of use identified in this study. Human factors engineering methods can be utilized to apply a user-centered approach to application requirements specification, application evaluation, system integration, and application implementation.",RAYYAN-LABELS: Some Focus,10.1016/j.ijmedinf.2015.03.006,"*Anesthesia;*Anthropology, Cultural;Delivery of Health Care/*statistics & numerical data;Electronic Health Records/*statistics & numerical data;Humans;Intensive Care Units/*organization & administration;Medical Informatics/*statistics & numerical data",25843931,PMC5600485
rayyan-1115028156,Electronic Dental Record (EDR) Use in Saudi Arabia: An Exploratory Study.,2014,,,Studies in health technology and informatics,1879-8365 (Electronic),202,,169-72,Almaiman A and Bahkali S and Bahkali A and Almaiman S and Elmetwally A and Househ M,https://pubmed.ncbi.nlm.nih.gov/25000043/,eng,,Netherlands,"The purpose of this exploratory study is to provide an overview of the electronic dental records (EDR) systems used at National Guard Health Affair (NGHA) hospitals in the Kingdom of Saudi Arabia (KSA). Different sources of data were collected between February 18 and March 16, 2014. Sources of data included interviews with key informants. Key informants interviews included one 30 minute interview with an information technology specialist working at NGHA; seven 30-40 minute interview with dentists working in both the NGHA hospital and affiliated NGHA Primary Healthcare Clinics (PHCs). Two dental ward clerks were interviewed for 30 minutes and two dental directors were interviewed for 1 hour each. Four main themes emerged as a result of the analysis of the data. The main themes that emerged centered on staff satisfaction and workload, incomplete information, missing files, and adoption of EDRs. There were several challenges identified with the use of EDRs in Saudi Arabia. The challenges related to resistance to use the EDRs by clinical staff; lack of computer skills by clinical staff; usability of the systems; lack of interest in using EDRs; and lack of a clear management change strategy. Moving forward, these issues should be addressed so that more EDRs are implemented in all healthcare institutions in Saudi Arabia.",RAYYAN-LABELS: High Focus,,*Attitude of Health Personnel;Attitude to Computers;Computer Literacy/statistics & numerical data;Consumer Behavior/statistics & numerical data;Dental Informatics/statistics & numerical data;Dental Records/*statistics & numerical data;Dental Staff/*statistics & numerical data;Dentists/*statistics & numerical data;Electronic Health Records/*statistics & numerical data;Saudi Arabia;*Utilization Review,25000043,
rayyan-1115028157,Patient portal access for caregivers of adult and geriatric patients: reframing the ethics of digital patient communication.,2023,3,,Journal of medical ethics,1473-4257 (Electronic),49,3,156-159,Ganta T and Appel JM and Genes N,https://pubmed.ncbi.nlm.nih.gov/35437282/,eng,,England,"Patient portals are poised to transform health communication by empowering patients with rapid access to their own health data. The 21st Century Cures Act is a US federal law that, among other provisions, prevents health entities from engaging in practices that disrupt the exchange of electronic health information-a measure that may increase the usage of patient health portals. Caregiver access to patient portals, however, may lead to breaches in patient privacy and confidentiality if not managed properly through proxy accounts. We present an ethical framework that guides policy and clinical workflow development for healthcare institutions to support the best use of patient portals. Caregivers are vital members of the care team and should be supported through novel forms of health information technology (IT). Patients, however, may not want all information to be shared with their proxies so healthcare institutions must support the development and use of separate proxy accounts as opposed to using the patient's own account as well provide controls for limiting the scope of information displayed in the proxy accounts. Lastly, as socioeconomic barriers to adoption of health IT persist, healthcare providers must work to ensure multiple streams of patient communication, to prevent further propagating health inequities.",RAYYAN-LABELS: High Focus,10.1136/medethics-2021-107759,Humans;Adult;Aged;*Patient Portals;Caregivers;Electronic Health Records;Communication;Confidentiality,35437282,
rayyan-1115028159,Adoption of a Digital Patient Health Passport as Part of a Primary Healthcare Service Delivery: Systematic Review.,2022,11,1,Journal of personalized medicine,2075-4426 (Print),12,11,,Tuan Soh TY and Nik Mohd Rosdy NMM and Mohd Yusof MYP and Azhar Hilmy SH and Md Sabri BA,https://pubmed.ncbi.nlm.nih.gov/36579540/,eng,,Switzerland,"The utilization of digital personal health records is considered to be appropriate for present-time usage; it is expected to further enhance primary care's quality-of-service delivery. Despite numerous studies conducted on digital personal health records, efforts in a systematic evaluation of the topic have failed to establish the specific benefits gained by patients, health providers, and healthcare systems. This study aimed to conduct a systematic review regarding the impact of digital personal health records in relation to the delivery of primary care. The review methods included five methodological elements that were directed by the review protocol 2020 (PRISMA). Over a time period of 10 years (2011-2021), 2492 articles were retrieved from various established databases, including Scopus, Web of Science, PubMed, EBSCO-Medline, and Google Scholar, and based on reference mining. The Mixed Method Appraisal Tool (MMAT) was used for quality appraisal. A thematic analysis was performed to develop the themes in this study. The thematic analysis performed on 13 articles resulted in seven main themes, which were empowering the patient, helping with communication, improving relationships, improving the quality of care, maintaining health records, sharing records, and saving time. We concluded the study by expanding the seven themes into 26 sub-themes, of which each served as answers to our main research question that prompted this systematic review.",RAYYAN-LABELS: High Focus,10.3390/jpm12111814,"",36579540,PMC9694834
rayyan-1115028160,Common data elements for substance use disorders in electronic health records: the NIDA Clinical Trials Network experience.,2013,1,,"Addiction (Abingdon, England)",1360-0443 (Electronic),108,1,3-8,Ghitza UE and Gore-Langton RE and Lindblad R and Shide D and Subramaniam G and Tai B,https://pubmed.ncbi.nlm.nih.gov/22563741/,eng,,England,"AIMS: Electronic health records (EHRs) are essential in improving quality and enhancing efficiency of health-care delivery. By 2015, medical care receiving service reimbursement from US Centers for Medicare and Medicaid Services (CMS) must show 'meaningful use' of EHRs. Substance use disorders (SUD) are grossly under-detected and under-treated in current US medical care settings. Hence, an urgent need exists for improved identification of and clinical intervention for SUD in medical settings. The National Institute on Drug Abuse Clinical Trials Network (NIDA CTN) has leveraged its infrastructure and expertise and brought relevant stakeholders together to develop consensus on brief screening and initial assessment tools for SUD in general medical settings, with the objective of incorporation into US EHRs. METHODS: Stakeholders were identified and queried for input and consensus on validated screening and assessment for SUD in general medical settings to develop common data elements to serve as shared resources for EHRs on screening, brief intervention and referral to treatment (SBIRT), with the intent of supporting interoperability and data exchange in a developing Nationwide Health Information Network. RESULTS: Through consensus of input from stakeholders, a validated screening and brief assessment instrument, supported by Clinical Decision Support tools, was chosen to be used at out-patient general medical settings. CONCLUSIONS: The creation and adoption of a core set of validated common data elements and the inclusion of such consensus-based data elements for general medical settings will enable the integration of SUD treatment within mainstream health care, and support the adoption and 'meaningful use' of the US Office of the National Coordinator for Health Information Technology (ONC)-certified EHRs, as well as CMS reimbursement.",RAYYAN-LABELS: High Focus,10.1111/j.1360-0443.2012.03876.x,Clinical Trials as Topic;Consensus;Early Diagnosis;*Electronic Health Records;Humans;National Institute on Drug Abuse (U.S.);Psychometrics;Substance Abuse Detection;Substance-Related Disorders/*diagnosis;Surveys and Questionnaires;United States,22563741,
rayyan-1115028161,Implementing an evidence-based computerized decision support system to improve patient care in a general hospital: the CODES study protocol for a randomized controlled trial.,2016,7,7,Implementation science : IS,1748-5908 (Electronic),11,1,89,Moja L and Polo Friz H and Capobussi M and Kwag K and Banzi R and Ruggiero F and González-Lorenzo M and Liberati EG and Mangia M and Nyberg P and Kunnamo I and Cimminiello C and Vighi G and Grimshaw J and Bonovas S,https://pubmed.ncbi.nlm.nih.gov/27389248/,eng,,England,"BACKGROUND: Computerized decision support systems (CDSSs) are information technology-based software that provide health professionals with actionable, patient-specific recommendations or guidelines for disease diagnosis, treatment, and management at the point-of-care. These messages are intelligently filtered to enhance the health and clinical care of patients. CDSSs may be integrated with patient electronic health records (EHRs) and evidence-based knowledge. METHODS/DESIGN: We designed a pragmatic randomized controlled trial to evaluate the effectiveness of patient-specific, evidence-based reminders generated at the point-of-care by a multi-specialty decision support system on clinical practice and the quality of care. We will include all the patients admitted to the internal medicine department of one large general hospital. The primary outcome is the rate at which medical problems, which are detected by the decision support software and reported through the reminders, are resolved (i.e., resolution rates). Secondary outcomes are resolution rates for reminders specific to venous thromboembolism (VTE) prevention, in-hospital all causes and VTE-related mortality, and the length of hospital stay during the study period. DISCUSSION: The adoption of CDSSs is likely to increase across healthcare systems due to growing concerns about the quality of medical care and discrepancy between real and ideal practice, continuous demands for a meaningful use of health information technology, and the increasing use of and familiarity with advanced technology among new generations of physicians. The results of our study will contribute to the current understanding of the effectiveness of CDSSs in primary care and hospital settings, thereby informing future research and healthcare policy questions related to the feasibility and value of CDSS use in healthcare systems. This trial is seconded by a specialty trial randomizing patients in an oncology setting (ONCO-CODES). TRIAL REGISTRATION: ClinicalTrials.gov, https://clinicaltrials.gov/ct2/show/NCT02577198?term=NCT02577198&rank=1.",RAYYAN-LABELS: High Focus,10.1186/s13012-016-0455-x,"*Decision Support Systems, Clinical;Delivery of Health Care/*methods;Evidence-Based Medicine/*methods;*Hospitals, General;Humans;Patient Care/*methods;Quality of Health Care;*Research Design",27389248,PMC4936265
rayyan-1115028162,Perceptions of Practitioners on Telehealth and App Use for Smoking Cessation and COPD Care-An Exploratory Study.,2020,12,15,"Medicina (Kaunas, Lithuania)",1648-9144 (Electronic),56,12,,Haluza D and Saustingl M and Halavina K,https://pubmed.ncbi.nlm.nih.gov/33333856/,eng,,Switzerland,"Background and objectives: With the digitalization of modern healthcare delivery, digital media adoption in clinical practice is increasing. Also, healthcare professionals are more and more confronted with patients using smartphone-based health applications (apps). This exploratory study aimed at surveying perceptions on such apps in the context of lung health among a cross section of Austrian practitioners involved in pulmonary care. Materials and Methods: The online questionnaire in German assessed socio-demographic characteristics, telehealth readiness as well as opinions on smoke-free and COPD (chronic obstructive pulmonary disease) apps. We used descriptive statistics to report the finding. Results: We received valid responses from 55 participants (mean age 52.3 years, 69.1% males). Telehealth readiness was medium, indicating existence of certain barriers adversely impacting telehealth use. As for apps targeting smoking cessation and COPD, respondents indicated high relevance for visualization aspects for patients and control/overview features for the treating doctors. Only 40% of participants indicated that they would recommend a COPD app to an older patient. Conclusions: In smoking cessation therapy, doctors commonly adhere to the ""5 A's"": Ask, Advise, Assess, Assist, and Arrange. We suggest adding ""App"" as sixth A, assuming that in patient follow-up most of the other A's could also be supported or even replaced by app features in the challenging task to tackle smoking-associated non-communicable diseases.",RAYYAN-LABELS: High Focus,10.3390/medicina56120698,"Female;Humans;Internet;Male;Middle Aged;*Mobile Applications;Perception;*Pulmonary Disease, Chronic Obstructive/therapy;*Smoking Cessation;*Telemedicine",33333856,PMC7765310
rayyan-1115028163,Nurses' experiences using a nursing information system: early stage of technology implementation.,2007,9,,"Computers, informatics, nursing : CIN",1538-2931 (Print),25,5,294-300,Lee TT,https://pubmed.ncbi.nlm.nih.gov/17827993/,eng,,United States,"Adoption of information technology in nursing practice has become a trend in healthcare. The impact of this technology on users has been widely studied, but little attention has been given to its influence at the beginning stage of implementation. Knowing the barriers to adopting technology could shorten this transition stage and minimize its negative influences. The purpose of this study was to explore nurses' experiences in the early stage of implementing a nursing information system. Focus groups were used to collect data at a medical center in Taiwan. The results showed that nurses had problems with the system's content design, had insufficient training, were concerned about data security, were stressed by added work, and experienced poor interdisciplinary cooperation. To smooth this beginning stage, the author recommends involving nurses early in the system design, providing sufficient training in keyboard entry skills, redesigning workflow, and improving interdisciplinary communication.",RAYYAN-LABELS: Some Focus,10.1097/01.NCN.0000289166.61863.0b,"Adult;*Attitude of Health Personnel;*Attitude to Computers;Burnout, Professional/etiology/psychology;Computer Literacy;Computer Security;Computer User Training;Cooperative Behavior;Education, Nursing, Continuing;Female;Focus Groups;Health Knowledge, Attitudes, Practice;Hospitals, Teaching;Humans;Interprofessional Relations;Longitudinal Studies;Medical Records Systems, Computerized/*organization & administration;Nursing Informatics/education/organization & administration;Nursing Methodology Research;*Nursing Records/standards;*Nursing Staff, Hospital/education/psychology;Qualitative Research;Surveys and Questionnaires;Taiwan",17827993,
rayyan-1115028165,Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities.,2015,9,18,JMIR medical informatics,2291-9694 (Print),3,3,e30,Slight SP and Berner ES and Galanter W and Huff S and Lambert BL and Lannon C and Lehmann CU and McCourt BJ and McNamara M and Menachemi N and Payne TH and Spooner SA and Schiff GD and Wang TY and Akincigil A and Crystal S and Fortmann SP and Bates DW,https://pubmed.ncbi.nlm.nih.gov/26385598/,eng,,Canada,"BACKGROUND: With the aim of improving health care processes through health information technology (HIT), the US government has promulgated requirements for ""meaningful use"" (MU) of electronic health records (EHRs) as a condition for providers receiving financial incentives for the adoption and use of these systems. Considerable uncertainty remains about the impact of these requirements on the effective application of EHR systems. OBJECTIVE: The Agency for Healthcare Research and Quality (AHRQ)-sponsored Centers for Education and Research in Therapeutics (CERTs) critically examined the impact of the MU policy relating to the use of medications and jointly developed recommendations to help inform future HIT policy. METHODS: We gathered perspectives from a wide range of stakeholders (N=35) who had experience with MU requirements, including academicians, practitioners, and policy makers from different health care organizations including and beyond the CERTs. Specific issues and recommendations were discussed and agreed on as a group. RESULTS: Stakeholders' knowledge and experiences from implementing MU requirements fell into 6 domains: (1) accuracy of medication lists and medication reconciliation, (2) problem list accuracy and the shift in HIT priorities, (3) accuracy of allergy lists and allergy-related standards development, (4) support of safer and effective prescribing for children, (5) considerations for rural communities, and (6) general issues with achieving MU. Standards are needed to better facilitate the exchange of data elements between health care settings. Several organizations felt that their preoccupation with fulfilling MU requirements stifled innovation. Greater emphasis should be placed on local HIT configurations that better address population health care needs. CONCLUSIONS: Although MU has stimulated adoption of EHRs, its effects on quality and safety remain uncertain. Stakeholders felt that MU requirements should be more flexible and recognize that integrated models may achieve information-sharing goals in alternate ways. Future certification rules and requirements should enhance EHR functionalities critical for safer prescribing of medications in children.",RAYYAN-LABELS: High Focus,10.2196/medinform.4457,"",26385598,PMC4704893
rayyan-1115028167,Implementing an online reporting system in the anatomical pathology department of a tertiary care teaching hospital in India: a case study.,2013,,,Perspectives in health information management,1559-4122 (Electronic),10,,1c,Radhakrishna K and Correa M and Thounaojam D and Raj TD,https://pubmed.ncbi.nlm.nih.gov/23861673/,eng,,United States,"This article presents a case study in designing, developing, and implementing a web-enabled reporting application for the anatomical pathology (histopathology) department of a tertiary care teaching hospital in India. The article describes workflows, requirements assessment, and implementation methods that the investigators adopted for deploying the solution. The primary focus of the study was to demonstrate the requirements assessment performed, the strategies adopted, and the challenges encountered during the development and implementation. The study demonstrates a successful deployment as well as successful adoption of healthcare information technology by the end users. Factors that played a crucial role in adoption included the combination of people, processes, and technology. The lessons learned from this study would help application developers design efficient systems that suit the requirements of the end users while keeping in mind the ever-changing need for workflows and scalability in a developing country.",RAYYAN-LABELS: High Focus,,"Hospitals, Teaching;Humans;India;Internet;*Online Systems;Organizational Case Studies;Pathology Department, Hospital/*organization & administration;Systems Integration;Tertiary Healthcare;Workload",23861673,PMC3709876
rayyan-1115028168,The influence of institutional pressures on hospital electronic health record presence.,2015,5,,Social science & medicine (1982),1873-5347 (Electronic),133,,28-35,Fareed N and Bazzoli GJ and Farnsworth Mick SS and Harless DW,https://pubmed.ncbi.nlm.nih.gov/25840047/,eng,,England,"Electronic health records (EHR) are a promising form of health information technology that could help US hospitals improve on their quality of care and costs. During the study period explored (2005-2009), high expectations for EHR diffused across institutional stakeholders in the healthcare environment, which may have pressured hospitals to have EHR capabilities even in the presence of weak technical rationale for the technology. Using an extensive set of organizational theory-specific predictors, this study explored whether five factors - cause, constituents, content, context, and control - that reflect the nature of institutional pressures for EHR capabilities motivated hospitals to comply with these pressures. Using information from several national data bases, an ordered probit regression model was estimated. The resulting predicted probabilities of EHR capabilities from the empirical model's estimates were used to test the study's five hypotheses, of which three were supported. When the underlying cause, dependence on constituents, or influence of control were high and potential countervailing forces were low, hospitals were more likely to employ strategic responses that were compliant with the institutional pressures for EHR capabilities. In light of these pressures, hospitals may have acquiesced, by having comprehensive EHR capabilities, or compromised, by having intermediate EHR capabilities, in order to maintain legitimacy in their environment. The study underscores the importance of our assessment for theory and policy development, and provides suggestions for future research.",RAYYAN-LABELS: High Focus,10.1016/j.socscimed.2015.03.047,"*Diffusion of Innovation;Electronic Health Records/*statistics & numerical data;Health Services;*Hospital Administration;Medical Informatics/organization & administration;Models, Statistical;Organizational Policy;United States",25840047,
rayyan-1115028169,The Omaha System as a Structured Instrument for Bridging Nursing Informatics With Public Health Nursing Education: A Feasibility Study.,2018,6,,"Computers, informatics, nursing : CIN",1538-9774 (Electronic),36,6,275-283,Eardley DL and Krumwiede KA and Secginli S and Garner L and DeBlieck C and Cosansu G and Nahcivan NO,https://pubmed.ncbi.nlm.nih.gov/29521668/,eng,,United States,"Advancements in healthcare systems include adoption of health information technology to ensure healthcare quality. Educators are challenged to determine strategies to integrate health information technology into nursing curricula for building a nursing workforce competent with electronic health records, standardized terminology, evidence-based practice, and evaluation. Nursing informatics, a growing specialty field, comprises health information technology relative to the profession of nursing. It is essential to integrate nursing informatics across nursing curricula to effectively position competent graduates in technology-laden healthcare environments. Nurse scholars developed and evaluated a nursing informatics case study assignment used in undergraduate level public health nursing courses. The assignment included an unfolding scenario followed by electronic health record charting using standardized terminology to guide the nursing process. The assignment was delivered either online or in class. Seventy-two undergraduate students completed the assignment and a posttest. Fifty-one students completed a satisfaction survey. Results indicated that students who completed the assignment online demonstrated a higher level of content mastery than those who completed the assignment in class. Content mastery was based on posttest results, which evaluated students' electronic health record charting for the nursing assessment, evidence-based interventions, and evaluations. This innovative approach may be valuable to educators in response to the National Academy of Sciences recommendations for healthcare education reform.",RAYYAN-LABELS: High Focus,10.1097/CIN.0000000000000425,"Adolescent;Adult;Curriculum;Education, Nursing, Baccalaureate/*organization & administration;Educational Measurement/statistics & numerical data;Electronic Health Records;Feasibility Studies;Female;Humans;Male;Middle Aged;Nursing Education Research;Nursing Evaluation Research;Nursing Informatics/*education;Personal Satisfaction;Public Health Nursing/*education;Students, Nursing/psychology/statistics & numerical data;Surveys and Questionnaires;United States;*Vocabulary, Controlled;Young Adult",29521668,
rayyan-1115028170,Going online: The role of web-based initiatives in health information technology.,2011,1,,The Journal of medical practice management : MPM,8755-0229 (Print),26,4,225-7,Clingan SA,https://pubmed.ncbi.nlm.nih.gov/21506462/,eng,,United States,"As Internet usage grows, so does the desire for online accessibility to healthcare services. In addition to patient convenience, Web-based services improve efficiency, further patient-provider communication, increase patient participation in healthcare decision-making, and enhance patient safety, all while containing healthcare costs. More than just an electronic medical record, examples of Web-based initiatives range from e-prescriptions, e-scheduling, and an e-mail-type Web-based messaging system to an online healthcare portal. Medicare and private insurers have offered incentives to promote adoption of health information technology, although they have yet to establish a universally accepted reimbursement model and outcome measures.",RAYYAN-LABELS: High Focus,,"Appointments and Schedules;Communication;Electronic Mail;Electronic Prescribing;Health Services Accessibility;Humans;*Internet;*Medical Informatics;Medical Records Systems, Computerized;Patient Participation;Physician-Patient Relations;Practice Management, Medical/*organization & administration;Safety Management",21506462,
rayyan-1115028171,"m-Health: A Critical Analysis of Awareness, Perception, and Attitude of Healthcare Among Providers in Himachal Pradesh, North India.",2016,8,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),22,8,675-88,Ganapathy K and Kanwar V and Bhatnagar T and Uthayakumaran N,https://pubmed.ncbi.nlm.nih.gov/26859179/,eng,,United States,"INTRODUCTION: Providing healthcare in remote mountainous areas is challenging. The increasing availability of mobile connectivity needs to be exploited by offering healthcare through a mobile medium, popularly known as mobile health (m-health). It is essential to understand the awareness, perception, and attitude of healthcare providers (HCPs) in deploying m-health. Their outlook on new technologies influences patient adoption. Reports on attitudes regarding healthcare through mobile phones are now confined to views from the recipient. MATERIALS AND METHODS: This study from August 1 to September 30, 2014 analyzed the views of 592 HCPs (12.3% of all HCPs) in Himachal Pradesh, India. They included faculty and students of the two medical colleges, as well as HCPs from all of the 12 districts. RESULTS: Although Himachal Pradesh has the highest teledensity of all states in India (117.6%), only 58.8% of HCPs (of those surveyed, 72% lived in suburban areas and 24.8% in Shimla, the state capital) would easily recommend m-health. Self-perceived ability to use mobile services was 85%. Fifty-nine percent used mobile devices for social networking, and 52.4% used Wi-Fi. Sixty-one percent of those interviewed were females, and 39% were males. CONCLUSIONS: The transformative potential of m-health hinges on its acceptance and use by all stakeholders. The study suggests that as HCPs in Himachal Pradesh are already using mobile value added services and are highly information technology literate, addressing their specific concerns could lead to use of m-health in Himachal Pradesh. Healthcare delivery in Himachal Pradesh is still suboptimal. With increasing connectivity, awareness, and commencement of telemedicine services in Himachal Pradesh, m-health has the potential to be a reality.",RAYYAN-LABELS: High Focus,10.1089/tmj.2015.0198,Adolescent;Adult;*Attitude of Health Personnel;Cross-Sectional Studies;Female;Humans;India;Male;Middle Aged;*Perception;Rural Health Services/*organization & administration;Self Efficacy;*Smartphone;Telemedicine/*organization & administration;Young Adult,26859179,
rayyan-1115028172,Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida.,2007,11,,Journal of healthcare management / American College of Healthcare Executives,1096-9012 (Print),52,6,398-409; discussion 410,Menachemi N and Saunders C and Chukmaitov A and Matthews MC and Brooks RG,https://pubmed.ncbi.nlm.nih.gov/18087980/,eng,,United States,"Most of the studies linking the use of information technology (IT) to improved patient safety have been conducted in academic medical centers or have focused on a single institution or IT application. Our study explored the relationship between overall IT adoption and patient safety performance across hospitals in Florida. Primary data on hospital IT adoption were combined with secondary hospital discharge data. Regression analyses were used to examine the relationship between measures of IT adoption and the Patient Safety Indicators (PSIs) of the Agency for Healthcare Research and Quality. We found that eight PSIs were related to at least one measure of IT adoption. Compared with administrative IT adoption, clinical IT adoption was related to more patient safety outcome measures. Hospitals with the most sophisticated and mature IT infrastructures performed significantly better on the largest number of PSIs. Adoption of IT is associated with desirable performance on many important measures of hospital patient safety. Hospital leaders and other decision makers who are examining IT systems should consider the impact of IT on patient safety.",RAYYAN-LABELS: High Focus,,*Diffusion of Innovation;Florida;Health Care Surveys;*Hospital Information Systems;Medical Errors/prevention & control;*Safety Management,18087980,
rayyan-1115028173,Evaluating and classifying the readiness of technology specifications for national standardization.,2015,5,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),22,3,738-43,Baker DB and Perlin JB and Halamka J,https://pubmed.ncbi.nlm.nih.gov/24872342/,eng,,England,"The American Recovery and Reinvestment Act (ARRA) of 2009 clearly articulated the central role that health information technology (HIT) standards would play in improving healthcare quality, safety, and efficiency through the meaningful use of certified, standards based, electronic health record (EHR) technology. In 2012, the Office of the National Coordinator (ONC) asked the Nationwide Health Information Network (NwHIN) Power Team of the Health Information Technology Standards Committee (HITSC) to develop comprehensive, objective, and, to the extent practical, quantitative criteria for evaluating technical standards and implementation specifications and classifying their readiness for national adoption. The Power Team defined criteria, attributes, and metrics for evaluating and classifying technical standards and specifications as 'emerging,' 'pilot,' or 'ready for national standardization' based on their maturity and adoptability. The ONC and the HITSC are now using these metrics for assessing the readiness of technical standards for national adoption.",RAYYAN-LABELS: High Focus,10.1136/amiajnl-2014-002802,American Recovery and Reinvestment Act;Certification;Government Agencies;*Meaningful Use;Medical Informatics/legislation & jurisprudence/*standards;United States,24872342,
rayyan-1115028174,A study on students' acceptance of mobile phone use to seek health information in South Africa.,2018,5,,Health information management : journal of the Health Information Management           Association of Australia,1322-4913 (Print),47,2,59-69,Cilliers L and Viljoen KL and Chinyamurindi WT,https://pubmed.ncbi.nlm.nih.gov/28537211/,eng,,Australia,"BACKGROUND: In South Africa, inequitable access to healthcare information has made many young people with limited resources more vulnerable to health risks. Mobile phones present a unique opportunity to address this problem due to the high penetration of mobile phones in South Africa and the popularity of these devices among young adults. OBJECTIVE: This research sought to examine the adoption of mobile phones to access health information among students at a traditional university in the Eastern Cape, South Africa. METHOD: A cross-sectional survey approach was used to collect information from a convenience sample of 202 university students (58 males; 104 females), the majority (71.3%) of whom were aged between 18 and 27 years and of Black African ethnicity (75.2%). The unified theory of acceptance and use of technology (UTAUT) framework formed the theoretical foundation for the questionnaire. A research model was developed to test the hypotheses that behavioural intention to use a mobile phone to access health information would be influenced by: perceived usefulness (PU), perceived effort, social influence (SI), attitude towards technology (AT) and mobile phone experience. RESULTS: Factor analyses indicated that the research model explained 36% of the variance in behavioural intention to use mobile devices to search for health-related queries, with PU being the largest predictor, followed by mobile experience, SI, and AT. Perceived effort did not make a statistically significant contribution. CONCLUSION: Using mobile phones to disseminate health information to students is a useful, convenient, and cost-effective health-promotion strategy. This research has contributed to the body of knowledge concerning the applicability of the UTAUT framework to study the adoption of technology and provided useful information to guide future research and implementation of mHealth initiatives.",RAYYAN-LABELS: High Focus,10.1177/1833358317706185,"",28537211,
rayyan-1115028176,Strengthening and promoting digital health practice: results from a Global Digital Health Partnership's survey.,2023,,,Frontiers in public health,2296-2565 (Electronic),11,,1147210,Cascini F and Gentili A and Causio FA and Altamura G and Melnyk A and Beccia F and Pappalardo C and Lontano A and Ricciardi W,https://pubmed.ncbi.nlm.nih.gov/37404277/,eng,,Switzerland,"BACKGROUND AND OBJECTIVE: The capacity to promote and disseminate the best evidence-based practices in terms of digital health innovations and technologies represents an important goal for countries and governments. To support the digital health maturity across countries the Global Digital Health Partnership (GDHP) was established in 2019. The mission of the GDHP is to facilitate global collaboration and knowledge-sharing in the design of digital health services, through the administration of surveys and white papers. OBJECTIVE: The scope of this study is to critically analyze and discuss results from the Evidence and Evaluation GDHP Work Stream's survey, understand how governments and countries intend to address main obstacles to the digital health implementation, identify their strategies for a communication of effective digital health services, and promote the sharing of international based best practices on digital health. METHODS: This survey followed a cross-sectional study approach. A multiple-choice questionnaire was designed to gather data. Choices were extracted from research publications retrieved through a rapid review. RESULTS: Out of 29 countries receiving the survey, 10 returned it. On a scale from 1 to 5, eHealth systems/platforms (mean = 3.56) were indicated as the most important tool for centralized infrastructure to collect information on digital health, while primary care (mean = 4.0) represented the most voted item for healthcare services to collect information on digital health. Seven Countries out of 10 identified lack of organization, skepticism of clinicians, and accessibility of the population as a barriers to adopt digital health implementation, resulting to be the most voted items. Finally, the most endorsed priorities in digital health for Countries were the adoption of data-driven approaches (6 Countries), and telehealth (5 Countries). CONCLUSION: This survey highlighted the main tools and obstacles for countries to promote the implementation of evidence-based digital health innovations. Identifying strategies that would communicate the value of health care information technology to healthcare professionals are particularly imperative. Effective communication programs for clinicians and the general population in addition to improved digital health literacy (both for clinicians and citizens) will be the key for the real implementation of future digital health technologies.",RAYYAN-LABELS: High Focus,10.3389/fpubh.2023.1147210,Humans;Cross-Sectional Studies;*Global Health;Surveys and Questionnaires;Health Surveys;*Health Personnel,37404277,PMC10315462
rayyan-1115028177,Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption.,2010,11,13,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2010,,66-70,Bowes WA,https://pubmed.ncbi.nlm.nih.gov/21346942/,eng,,United States,"With the passage, in 2009, of the Health Information Technology for Economic and Clinical Health Act (HITECH),part of the American Recovery and Reinvestment Act (ARRA), over 19 Billion dollars was targeted for healthcare information technology (HIT) projects to accelerate the adoption of electronic Health Records (EHR)s. Intermountain Healthcare facilities and providers are eligible for approximately $93 million in incentives from HITECH, if we use a ""certified EHR"" in a ""meaningful way"". This paper describes the current state of our EHR functions and EHR adoption compared to those required by the HITECH act. We describe the method used to determine the gaps between our EHR functions and EHR adoption. Our analysis identified 17 significant EHR enhancements needed to become certified and identified 42 meaningful use workflow gaps.",RAYYAN-LABELS: High Focus,,American Recovery and Reinvestment Act;Certification;*Electronic Health Records/economics;Humans;*Meaningful Use;Medical Informatics;United States;Workflow,21346942,PMC3041330
rayyan-1115028178,Opportunities and Challenges to Advance Health Equity Using Digital Health Tools in Underserved Communities in Southeast US: A Mixed Methods Study.,2023,1,,Journal of primary care & community health,2150-1327 (Electronic),14,,21501319231184789,Blount MA and Douglas MD and Li C and Walston DT and Nelms PL and Hughes CL and Gaglioti AH and Mack DH,https://pubmed.ncbi.nlm.nih.gov/37401631/,eng,,United States,"INTRODUCTION: Over the last 30 years, the adoption of health information technology and digital health tools (DHTs) into the US health system has been instrumental to improving access to care, especially for people living in rural, underserved, and underrepresented communities. Despite widespread adoption of DHTs by primary care clinicians, documented challenges have contributed to inequitable use and benefit. The COVID-19 pandemic necessitated rapid adoption of DHTs, accelerated by state and federal policy changes, in order to meet patient needs and ensure access to care. METHODS: The Digital Health Tools Study employed a mixed methods approach to assess adoption and use of DHTs by primary care clinicians in southeastern states and identify individual- and practice-level barriers and facilitators to DHT implementation. A survey was conducted using a multi-modal recruitment strategy: newsletters, meeting/conference presentations, social media, and emails/calls. Focus groups were conducted to assess priorities, barriers, and facilitators and were recorded/transcribed verbatim. Descriptive statistics were calculated for survey results, produced for the whole sample, and stratified by state. Thematic analysis was conducted of focus group transcripts. RESULTS: There were 1215 survey respondents. About 55 participants who had missing demographic information were excluded from the analysis. About 99% of clinicians used DHTs in the last 5 years, modalities included: telehealth (66%), electronic health records (EHRs; 66%), patient portals (49%), health information exchange (HIE; 41%), prescription drug monitoring programs (39%), remote/home monitoring (27%), and wearable devices (22%). Time (53%) and cost (51%) were identified as barriers. About 61% and 75% of clinicians reported being ""satisfied"" to ""very satisfied"" with telemedicine and EHRs, respectively. Seven focus groups with 25 clinicians were conducted and indicated COVID-19 and the use of supplemental tools/apps to connect patients to resources as major motivators for adopting DHTs. Challenges included incomplete and difficult-to-utilize HIE interfaces for providers and internet/broadband access and poor connectivity for patients. CONCLUSIONS: This study describes the impact adopting DHTs by primary care clinicians has on expanded access to healthcare and reducing health disparities in regions with longstanding health and social inequities. The findings identify opportunities to leverage DHTs to advance health equity and highlight opportunities for policy improvement.",RAYYAN-LABELS: High Focus,10.1177/21501319231184789,Humans;*Health Equity;Pandemics;*COVID-19;*Health Information Exchange;Southeastern United States,37401631,PMC10331080
rayyan-1115028179,Achieving meaningful use: a health system perspective.,2010,12,,The American journal of managed care,1936-2692 (Electronic),16,12,SP9-12,Bero CL and Lee TH,https://pubmed.ncbi.nlm.nih.gov/21314229/,eng,,United States,"In 2002, Partners HealthCare (Partners) launched a strategy to accelerate the use of ambulatory electronic medical records across its network of 6000 physicians. Through focus on quality software products, creation of a system of financial incentives, and active engagement of health system leadership, Partners reached high levels of physician adoption by late 2006. Partners eventually introduced a mandate that made ambulatory electronic medical record use a requirement for all of its physicians. During this multi-year initiative, Partners also focused on the effective use of electronic medical records and introduced a series of tactics designed to optimize the use of these systems. With introduction of the meaningful-use concepts in the Health Information Technology for Economic and Clinical Health (HITECH) Act, Partners will transition its efforts toward this important national priority. Partners' experience offers some unique insights into the process of electronic medical record adoption across a large, diverse health system.",RAYYAN-LABELS: High Focus,,"*Electronic Health Records;Humans;Organizational Innovation;Practice Management, Medical/*organization & administration;Primary Health Care/*organization & administration;Quality of Health Care",21314229,
rayyan-1115028180,Effect on VA Patient Satisfaction of Provider's Use of an Integrated Viewer of Multiple Electronic Health Records.,2019,1,,Journal of general internal medicine,1525-1497 (Electronic),34,1,132-136,Legler A and Price M and Parikh M and Nebeker JR and Ward MC and Wedemeyer L and Pizer SD,https://pubmed.ncbi.nlm.nih.gov/30338474/,eng,,United States,"PURPOSE: To examine associations between patient perceptions that their provider was knowledgeable of their medical history and clinicians' early adoption of an application that presents providers with an integrated longitudinal view of a patient's electronic health records (EHR) from multiple healthcare systems. METHOD: This retrospective analysis utilizes provider audit logs from the Veterans Health Administration Joint Legacy Viewer (JLV) and patient responses to the Survey of Patient Healthcare Experiences Patient-Centered Medical Home (SHEP/PCMH) patient satisfaction survey (FY2016) to assess the relationship between the primary care provider being an early adopter of JLV and patient perception of the provider's knowledge of their medical history. Multivariate logistic regression models were used to control for patient age, race, sex education, health status, duration of patient-provider relationship, and provider characteristics. RESULTS: The study used responses from 203,903 patients to the SHEP-PCMH survey in FY2016 who received outpatient primary care services from 11,421 unique providers. Most (91%) clinicians had no JLV utilization in the 6 months prior to the studied patient visit. Controlling for patient demographics, length of the patient-provider relationship, and provider and facility characteristics, being an early adopter of the JLV system was associated with a 14% (adj OR 1.14, p < 0.000) increased odds that patients felt their provider was knowledgeable about their medical history. When evaluating the interaction between duration of patient-provider relationship and being an early adopter of JLV, a greater effect was seen with patient-provider relationships that were greater than 3 years (adj OR 1.23, p < 0.000), compared to those less than 3 years. CONCLUSIONS: Increasing the interoperability of medical information systems has the potential to improve both patient care and patient experience of care. This study demonstrates that early adopters of an integrated view of electronic health records from multiple delivery systems are more likely to have their patients report that their clinician was knowledgeable of their medical history. With provider payments often linked to patient satisfaction performance metrics, investments in interoperability may be worthwhile.",RAYYAN-LABELS: Less Focus,10.1007/s11606-018-4708-z,"Adult;Aged;Aged, 80 and over;Ambulatory Care/organization & administration;Cross-Sectional Studies;Electronic Health Records/*statistics & numerical data;Female;*Health Care Surveys;Humans;Male;Middle Aged;Patient Satisfaction/*statistics & numerical data;Practice Patterns, Physicians'/*statistics & numerical data;Primary Health Care/*organization & administration;Retrospective Studies;United States",30338474,PMC6318162
rayyan-1115028181,Phased implementation of electronic health records through an office of clinical transformation.,2011,9,,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),18,5,721-5,Banas CA and Erskine AR and Sun S and Retchin SM,https://pubmed.ncbi.nlm.nih.gov/21659444/,eng,,England,"Evidence suggests that when carefully implemented, health information technologies (HIT) have a positive impact on behavior, as well as operational, process, and clinical outcomes. Recent economic stimulus initiatives have prompted unprecedented federal investment in HIT. Despite strong interest from the healthcare delivery community to achieve 'meaningful use' of HIT within a relatively short time frame, few best-practice implementation methodologies have been described. Herein we outline HIT implementation strategies at an academic health center with an office of clinical transformation. Seven percent of the medical center's information technology budget was dedicated to the Office of Clinical Transformation, and successful conversion of 1491 physicians to electronic-based documentation was accomplished. This paper outlines the process re-design, end-user adoption, and practice transformation strategies that resulted in a 99.7% adoption rate within 6&emsp14;months of the introduction of digital documentation.",RAYYAN-LABELS: High Focus,10.1136/amiajnl-2011-000165,Academic Medical Centers;Computer User Training;*Diffusion of Innovation;Electronic Health Records/*organization & administration;Humans;Organizational Case Studies;Organizational Innovation;Program Evaluation;Systems Integration;Virginia,21659444,PMC3168317
rayyan-1115028182,Recommended modifications and applications of the Hospital Emergency Incident Command System for hospital emergency management.,2005,9,,Prehospital and disaster medicine,1049-023X (Print),20,5,290-300,Arnold JL and Dembry LM and Tsai MC and Dainiak N and Rodoplu U and Schonfeld DJ and Paturas J and Cannon C and Selig S,https://pubmed.ncbi.nlm.nih.gov/16295165/,eng,,United States,"The Hospital Emergency Incident Command System (HEICS), now in its third edition, has emerged as a popular incident command system model for hospital emergency response in the United States and other countries. Since the inception of the HEICS in 1991, several events have transformed the requirements of hospital emergency management, including the 1995 Tokyo Subway sarin attack, the 2001 US anthrax letter attacks, and the 2003 Severe Acute Respiratory Syndrome (SARS) outbreaks in eastern Asia and Toronto, Canada. Several modifications of the HEICS are suggested to match the needs of hospital emergency management today, including: (1) an Incident Consultant in the Administrative Section of the HEICS to provide expert advice directly to the Incident Commander in chemical, biological, radiological, nuclear (CBRN) emergencies as needed, as well as consultation on mental health needs; (2) new unit leaders in the Operations Section to coordinate the management of contaminated or infectious patients in CBRN emergencies; (3) new unit leaders in the Operations Section to coordinate mental health support for patients, guests, healthcare workers, volunteers, and dependents in terrorism-related emergencies or events that produce significant mental health needs; (4) a new Decedent/Expectant Unit Leader in the Operations Section to coordinate the management of both types of patients together; and (5) a new Information Technology Unit Leader in the Logistics Section to coordinate the management of information technology and systems. New uses of the HEICS in hospital emergency management also are recommended, including: (1) the adoption of the HEICS as the conceptual framework for organizing all phases of hospital emergency management, including mitigation, preparedness, response, and recovery; and (2) the application of the HEICS not only to healthcare facilities, but also to healthcare systems. Finally, three levels of healthcare worker competencies in the HEICS are suggested: (1) basic understanding of the HEICS for all hospital healthcare workers; (2) advanced understanding and proficiency in the HEICS for hospital healthcare workers likely to assume leadership roles in hospital emergency response; and (3) special proficiency in constituting the HEICS ad hoc from existing healthcare workers in resource-deficient settings. The HEICS should be viewed as a work in progress that will mature as additional challenges arise and as hospitals gain further experience with its use.",RAYYAN-LABELS: Some Focus,10.1017/s1049023x00002740,"Emergency Medical Service Communication Systems/*organization & administration;Emergency Service, Hospital/organization & administration;Global Health;Hospital Information Systems/*organization & administration;Humans;Infection Control/organization & administration;Leadership;Mental Health Services/organization & administration;*Models, Organizational;Triage/organization & administration;United States",16295165,
rayyan-1115028183,Will electronic personal health records benefit providers and patients in rural America?,2010,3,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),16,2,167-76,Hargreaves JS,https://pubmed.ncbi.nlm.nih.gov/20082592/,eng,,United States,"PURPOSE: The objective of this study was to educate stakeholders (e.g., providers, patients, insurers, government) in the healthcare industry about electronic personal health records (PHRs) and their potential application in rural America. METHODS: Extensive research was performed on PHRs through standard literature search, product demonstrations, educational webinars, and fact finding via news releases. RESULTS: Various stakeholders are eager to transform the healthcare industry into the digital age like other industries (i.e., banking, retail). Despite low adoption of PHRs in 2008 (2.7% of U.S. adults), patients are interested in secure messaging and eVisits with their physicians, online appointment scheduling and reminders, and online access to their laboratory and radiology results. Federal agencies (e.g., Health and Human Services, Department of Defense, Veterans Affairs [VA]), popular information technology (IT) vendors (e.g., Google, Microsoft), and large insurers (e.g., Aetna) have energized the industry through pilot programs and new product announcements. It remains to be seen if barriers to adoption, including privacy concerns, lack of interoperability standards and funding, and provider resistance, can be overcome to enable PHRs to become a critical tool in the creation of a more efficient and less costly U.S. healthcare industry. CONCLUSIONS: Electronic PHRs hold great promise to enhance access and improve the quality of care provided to patients in rural America. Government, vendors, and insurers should create incentives for providers and patients to implement PHRs. Likewise, patients need to become more aware of PHRs and their ability to improve health outcomes.",RAYYAN-LABELS: High Focus,10.1089/tmj.2009.0063,"Computer Security;Computer Systems;Confidentiality;*Health Services Accessibility;*Health Services Needs and Demand;Humans;Information Systems;Medical Records Systems, Computerized/*organization & administration;*Patient Satisfaction;Power, Psychological;Quality of Health Care;*Rural Population;United States",20082592,
rayyan-1115028184,Planning for Hospital IT Implementation: A New Look at the Business Case.,2008,,,Biomedical informatics insights,1178-2226 (Print),1,,29-44,Menachemi N and Randeree E and Burke DE and Ford EW,https://pubmed.ncbi.nlm.nih.gov/27429553/,eng,,United States,"Compared to organizations in other industries, hospitals are slow to adopt information technology (IT). Those planning for system implementation must understand the barriers to IT adoption which, in healthcare, include the relatively high acquisition and maintenance costs of sophisticated administrative and clinical information systems. Understanding the overall business case is particularly important for hospital IT planners. This paper describes the literature that examines benefits from using health IT. In addition, we focus on a series of studies conducted in Florida that provide generalizable evidence regarding the overall business case associated with hospital adoption for information systems. These studies focus broadly on the improved financial, operational, and clinical performance associated with IT.",RAYYAN-LABELS: High Focus,10.4137/bii.s1035,"",27429553,PMC4943043
rayyan-1115028185,Nursing administrators' experiences in managing PDA use for inpatient units.,2006,9,,"Computers, informatics, nursing : CIN",1538-2931 (Print),24,5,280-7,Lee TT,https://pubmed.ncbi.nlm.nih.gov/16980781/,eng,,United States,"The adoption of information technology in patient care has become a trend in healthcare organizations. The impact of this technology on end users has been widely studied, but little attention has been given to its influence from a management perspective. The purpose of this study was to explore nurse managers' perceived experiences in implementing a policy to adopt personal digital assistant technology. A descriptive, exploratory qualitative approach (one-on-one, in-depth interviews) was used to collect data from 16 nurse managers of inpatient units at a medical center in Taiwan. Interview data were analyzed according to Miles and Huberman's data reduction, data display, and conclusion verification process. The results revealed that nurse managers experienced the limitations of technology, training issues, doctors' obstructive influence, role conflict, and improvement of future personal digital assistant use. These results can be used to improve strategic organizational planning and in-service training programs to implement information systems.",RAYYAN-LABELS: High Focus,10.1097/00024665-200609000-00010,"Adult;*Computers, Handheld;Conflict, Psychological;Diffusion of Innovation;Humans;Inservice Training;Interviews as Topic;Middle Aged;*Nurse Administrators/psychology;Physician-Nurse Relations;Taiwan;Technology",16980781,
rayyan-1115028186,IT development in radiology - an ESR update on the Digital Imaging Adoption Model (DIAM).,2019,2,28,Insights into imaging,1869-4101 (Print),10,1,27,"",https://pubmed.ncbi.nlm.nih.gov/30820690/,eng,,Germany,"The Digital Imaging Adoption Model (DIAM), a joint project established in 2016 by the European Society of Radiology (ESR) and the Healthcare Information and Management Systems Society (HIMSS), is designed to assist imaging institutions in implementing increasingly integrated IT systems and improving patient care. The model provides a framework through which existing capacities can be assessed and strategy for future institutional development elaborated. DIAM has already been adopted by 58 leading institutions in 18 countries. This article will first provide an overview of the DIAM framework; subsequently, it will consider what its adoption has revealed so far, both through the analysis of global data and through specific case studies; finally, it will outline the future potential and goals of the project.",RAYYAN-LABELS: High Focus,10.1186/s13244-019-0712-z,"",30820690,PMC6395459
rayyan-1115028188,Health-care reforms in the USA and England: areas for useful learning.,2012,10,13,"Lancet (London, England)",1474-547X (Electronic),380,9850,1352-7,Blumenthal D and Dixon J,https://pubmed.ncbi.nlm.nih.gov/23063284/,eng,,England,"Two landmark and controversial bills reforming health care in the USA and England were recently passed. Despite the different history and context to health care in both countries, there is much room for mutual learning. This paper identifies three areas relating to financing, organisation, and information technology. For example, new payment mechanisms to encourage higher quality and efficiency are being developed and tested, particularly bundled payments, pay for performance, and value-based purchasing. In the USA, new national bodies to scrutinise payments in health care and to test promising new interventions to improve quality and efficiency will have lessons for the NHS. The faster adoption of electronic health records and their use in England to assess quality is a useful lesson for the USA. The new accountable care organisations and clinical commissioning groups have much to learn from each other as they develop.",RAYYAN-LABELS: Some Focus,10.1016/S0140-6736(12)60956-8,"Delivery of Health Care/*organization & administration;England;Health Care Costs;Health Care Reform/*legislation & jurisprudence;Health Expenditures;Humans;Reimbursement, Incentive;State Medicine/organization & administration;United States",23063284,
rayyan-1115028189,"[Cardiology telemedicine solutions - opinion of the experts of the Committee of Informatics and Telemedicine of Polish Society of Cardiology, Section of Non-invasive Electrocardiology and Telemedicine of Polish Society of Cardiology and Clinical Sciences C].",2018,,,Kardiologia polska,1897-4279 (Electronic),76,3,698-707,Piotrowicz R and Krzesiński P and Balsam P and Kempa M and Główczyńska R and Grabowski M and Kołtowski Ł and Lewicka E and Peller M and Piotrowicz E and Podolec J and Stańczyk A and Zajdel J and Opolski G,https://pubmed.ncbi.nlm.nih.gov/29441511/,pol,,Poland,"For several years, we have observed the dynamic development of technologies that allow patients to access medical care from the comfort of their homes, without direct contact with the doctor. Innovative solutions based on telemedicine improve care coordination and communication among clinicians, patients, and their families, as well as increases patients' security and gives them greater independence, thus eliminating health care inequalities. The rapidly growth of telemedicine and the adoption of new technologies in clinical practice is also observed in Poland. Crucial moment for the telemedicine facilitation process in our country was Baltic Declaration approved by Minister of Health in 2015, as well as the Medical Profession Amendment Act and remote medical care admission. Since then, as part of the work of the Information Technology and Telemedicine Committee of the Polish Cardiac Society and the Telemedical Working Group, important steps have been taken to implement a telemedicine solutions in the Polish healthcare system, resulting in improved quality and efficiency of this system. The presented document reflects the above actions and encompasses following issues: available telemedicine solutions in the world, analysis of their effectiveness based on clinical trials, funding opportunities, legal status and development prospects telecardiology in Poland.",RAYYAN-LABELS: High Focus,10.5603/KP.a2018.0058,"Cardiology/*methods;Humans;Poland;*Societies, Medical;Telemedicine/*methods",29441511,
rayyan-1115028190,Needs and workflow assessment prior to implementation of a digital pathology infrastructure for the US Air Force Medical Service.,2013,,,Journal of pathology informatics,2229-5089 (Print),4,,32,Ho J and Aridor O and Glinski DW and Saylor CD and Pelletier JP and Selby DM and Davis SW and Lancia N and Gerlach CB and Newberry J and Anthony L and Pantanowitz L and Parwani AV,https://pubmed.ncbi.nlm.nih.gov/24392246/,eng,,United States,"BACKGROUND: Advances in digital pathology are accelerating integration of this technology into anatomic pathology (AP). To optimize implementation and adoption of digital pathology systems within a large healthcare organization, initial assessment of both end user (pathologist) needs and organizational infrastructure are required. Contextual inquiry is a qualitative, user-centered tool for collecting, interpreting, and aggregating such detailed data about work practices that can be employed to help identify specific needs and requirements. AIM: Using contextual inquiry, the objective of this study was to identify the unique work practices and requirements in AP for the United States (US) Air Force Medical Service (AFMS) that had to be targeted in order to support their transition to digital pathology. SUBJECTS AND METHODS: A pathology-centered observer team conducted 1.5 h interviews with a total of 24 AFMS pathologists and histology lab personnel at three large regional centers and one smaller peripheral AFMS pathology center using contextual inquiry guidelines. Findings were documented as notes and arranged into a hierarchal organization of common themes based on user-provided data, defined as an affinity diagram. These data were also organized into consolidated graphic models that characterized AFMS pathology work practices, structure, and requirements. RESULTS: Over 1,200 recorded notes were grouped into an affinity diagram composed of 27 third-level, 10 second-level, and five main-level (workflow and workload distribution, quality, communication, military culture, and technology) categories. When combined with workflow and cultural models, the findings revealed that AFMS pathologists had needs that were unique to their military setting, when compared to civilian pathologists. These unique needs included having to serve a globally distributed patient population, transient staff, but a uniform information technology (IT) structure. CONCLUSIONS: The contextual inquiry method helped reveal similarities and key differences with civilian pathologists. Such an analysis helped identify specific instances that would benefit from implementing digital pathology in a military environment. Employing digital pathology to facilitate workload distribution, secondary consultations, and quality assurance (over-reads) could help the AFMS deliver more accurate, efficient, and timely AP services at a global level.",RAYYAN-LABELS: Less Focus,10.4103/2153-3539.122388,"",24392246,PMC3869953
rayyan-1115028191,"Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital.",2006,8,14,Perspectives in health information management,1559-4122 (Electronic),3,,5,Thakkar M and Davis DC,https://pubmed.ncbi.nlm.nih.gov/18066363/,eng,,United States,"With the government backing the concept of electronic health records (EHR), and with technology being used in every walk of life, more and more hospitals are looking into implementing EHR systems. A national survey of U.S. hospitals was conducted in February/March 2005 to identify the status of EHR systems in hospitals regarding the core functionalities implemented (as identified by the Institute of Medicine), and to determine the perceived benefits, risks, and barriers to adoption of EHR systems in relation to the size of the hospital. The results showed that 37 percent of the hospitals that participated had some components in all of the core functionalities of an EHR system, while 27 percent were using at least some of the core functionalities. There was a significant relationship in some of the perceived benefits and barriers to adoption of EHR systems based on the size of the hospital. With regard to perceived benefits, a large correlation was found between the ""medical staff's work efficiency and time management"" and size of the hospital. As to perceived barriers to adoption, the cost of hardware and the size of the hospital were interwoven.",RAYYAN-LABELS: High Focus,,"",18066363,PMC2047303
rayyan-1115028192,Adoption of information technology by resident physicians.,2004,4,,Clinical orthopaedics and related research,0009-921X (Print),,421,107-11,Parekh SG and Nazarian DG and Lim CK,https://pubmed.ncbi.nlm.nih.gov/15123934/,eng,,United States,"The Internet represents a technological revolution that is transforming our society. In the healthcare industry, physicians have been typified as slow adopters of information technology. However, young physicians, having been raised in a computer-prevalent society, may be more likely to embrace technology. We attempt to characterize the use and acceptance of the Internet and information technology among resident physicians in a large academic medical center and to assess concerns regarding privacy, security, and credibility of information on the Internet. A 41-question survey was distributed to 150 pediatric, medical, and surgical residents at an urban, academic medical center. One hundred thirty-five residents completed the survey (response rate of 90%). Responses were evaluated and statistical analysis was done. The majority of resident physicians in our survey have adopted the tools of information technology. Ninety-eight percent used the Internet and 96% use e-mail. Two-thirds of the respondents used the Internet for healthcare-related purposes and a similar percentage thought that the Internet has affected their practice of medicine positively. The majority of residents thought that Internet healthcare services such as electronic medical records, peer-support websites, and remote patient monitoring would be beneficial for the healthcare industry. However, they are concerned about the credibility, privacy, and security of health and medical information online. The majority of resident physicians in our institution use Internet and information technology in their practice of medicine. Most think that the Internet will continue to have a beneficial role in the healthcare industry.",RAYYAN-LABELS: High Focus,10.1097/01.blo.0000126865.22310.59,Adult;*Attitude to Computers;*Computer Security;*Confidentiality;Female;Humans;Information Services/statistics & numerical data;Information Systems/*statistics & numerical data;Internet/*statistics & numerical data;Internship and Residency;Male;Physicians/*psychology;Reproducibility of Results,15123934,
rayyan-1115028193,"A business case for HIT adoption: effects of ""meaningful use"" EHR financial incentives on clinic revenue.",2010,,,Studies in health technology and informatics,0926-9630 (Print),160,,779-83,Behkami NA and Dorr DA and Morrice S,https://pubmed.ncbi.nlm.nih.gov/20841792/,eng,,Netherlands,"The goal of this study is to describe a framework that allows decision makers to efficiently evaluate factors that affect Electronic Health Record (EHR) adoption and test suitable interventions; specifically financial incentives. The United States healthcare delivery system is experiencing a transformation to improve population health. There is strong agreement that ""meaningful use"" of Health Information Technology (HIT) is a major enabler in this effort. However it's also understood that the high cost of implementing an EHR is an obstacle for adoption. To help understand these complexities we developed a simulation model designed to capture the dynamic nature of policy interventions that affect the adoption of EHR. We found that ""Effective"" use of HIT approaches break-even-point and larger clinic revenue many times faster that ""average"" or ""poor"" use of HIT. This study uses a systems perspective to the evaluate EHR adoption process through the ""meaningful use"" redesign as proposed in the American Reinvestment and Recovery Act 2009 in the United States healthcare industry by utilizing the System Dynamics methodology and Scenario Analysis.",RAYYAN-LABELS: High Focus,,"Computer Simulation;Electronic Health Records/*economics/*statistics & numerical data;Health Care Costs/*statistics & numerical data;Hospital Information Systems/*economics/*statistics & numerical data;*Models, Economic;Oregon;Utilization Review",20841792,
rayyan-1115028194,Interactive web-based portals to improve patient navigation and connect patients with primary care and specialty services in underserved communities.,2014,,,Perspectives in health information management,1559-4122 (Electronic),11,,1e,Highfield L and Ottenweller C and Pfanz A and Hanks J,https://pubmed.ncbi.nlm.nih.gov/24808806/,eng,,United States,"This article presents a case study in the redesign, development, and implementation of a web-based healthcare clinic search tool for virtual patient navigation in underserved populations in Texas. It describes the workflow, assessment of system requirements, and design and implementation of two online portals: Project Safety Net and the Breast Health Portal. The primary focus of the study was to demonstrate the use of health information technology for the purpose of bridging the gap between underserved populations and access to healthcare. A combination of interviews and focus groups was used to guide the development process. Interviewees were asked a series of questions about usage, usability, and desired features of the new system. The redeveloped system offers a multitier architecture consisting of data, business, and presentation layers. The technology used in the new portals include Microsoft .NET Framework 3.5, Microsoft SQL Server 2008, Google Maps JavaScript API v3, jQuery, Telerik RadControls (ASP.NET AJAX), and HTML. The redesigned portals have 548 registered clinics, and they have averaged 355 visits per month since their launch in late 2011, with the average user visiting five pages per visit. Usage has remained relatively constant over time, with an average of 142 new users (40 percent) each month. This study demonstrates the successful application of health information technology to improve access to healthcare and the successful adoption of the technology by targeted end users. The portals described in this study could be replicated by health information specialists in other areas of the United States to address disparities in healthcare access.",RAYYAN-LABELS: High Focus,,Health Information Systems/organization & administration;Health Services Accessibility/*organization & administration;Humans;*Internet;Patient Care Management/organization & administration;Patient Navigation/*organization & administration;Primary Health Care/*organization & administration;Texas;United States;User-Computer Interface;*Vulnerable Populations,24808806,PMC3995492
rayyan-1115028195,The impact of converting to an electronic health record on organizational culture and quality improvement.,2007,6,,International journal of medical informatics,1872-8243 (Electronic),76,,S174-83,Nowinski CJ and Becker SM and Reynolds KS and Beaumont JL and Caprini CA and Hahn EA and Peres A and Arnold BJ,https://pubmed.ncbi.nlm.nih.gov/16843717/,eng,,Ireland,"Implementing an information technology system can impact more than just quality of care and patient outcomes. The purpose of this 4-year, observational research project is to examine changes in organizational culture, quality improvement (QI) maturity, and quality of care following adoption of a single, electronic health record (EHR) system within an integrated healthcare network. The primary outcome measure, the Culture and Quality Questionnaire (CQQ), assesses the perceived culture of an organization and the degree of CQI maturity in seven quality management areas. Baseline surveys were distributed prior to conversion to the EHR. Subsequent data collection occurred at 12 months post ""go live"" and will occur at 24 and 36 months after the first hospital ""go live"". Secondary data were abstracted from routinely collected patient satisfaction measures and standard quality indicators. Contrary to expectation, our findings from the Baseline and 12-month follow-up data suggest that employees perceived the organizational culture as becoming more, rather than less, hierarchical. We also hypothesized that quality indicators would show improvement due to enhanced information flow and ease of information retrieval. This hypothesis was not supported by 1-year results. However, follow-up data from years two and three may provide different results.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2006.05.016,"Adult;*Diffusion of Innovation;Female;Humans;Male;*Medical Records Systems, Computerized;Middle Aged;Multi-Institutional Systems;*Organizational Culture;Patient Satisfaction;*Quality Assurance, Health Care;Quality Indicators, Health Care;Surveys and Questionnaires",16843717,
rayyan-1115028196,The impact of electronic health records on ambulatory costs among Medicaid beneficiaries.,2013,,,Medicare & medicaid research review,2159-0354 (Electronic),3,2,,Adler-Milstein J and Salzberg C and Franz C and Orav EJ and Bates DW,https://pubmed.ncbi.nlm.nih.gov/24753965/,eng,,United States,"BACKGROUND: Broad adoption of electronic health records (EHRs) is a potential strategy for curbing healthcare cost growth, which is particularly vital for Medicaid. Despite limited evidence for EHR-related cost savings, the 2009 HITECH Act included incentives for providers to become meaningful users of EHRs. We evaluated a large Massachusetts EHR pilot to obtain early insight into the potential for the national strategy to reduce short-run healthcare costs in the Medicaid population. METHODS: We calculated monthly ambulatory cost and visit measures from Medicaid claims data for beneficiaries receiving the majority of their care in the three Massachusetts eHealth Collaborative (MAeHC) pilot communities or in six matched control communities. Using a difference-in-differences of slope analysis, we assessed whether cost and visit trajectories differed in the pre-implementation period compared to the post-implementation period for intervention and control community members. RESULTS: We found evidence that EHR adoption impacted ambulatory medical cost in two of the three communities, but the effects were in opposite directions. Ambulatory medical costs increased more slowly in one intervention compared to its control communities in the pre-to-post period (difference-in-differences=-1.98%, p<0.001; PMPM savings of $41.60). In contrast, for a second pilot community, ambulatory medical cost increased more slowly in the control communities (difference-in-differences=2.56%, p=0.005; PMPM increase of $43.34). CONCLUSIONS: As a stand-alone approach, adoption of commercially-available EHRs in community practices did not consistently impact Medicaid costs in the short-run. This suggests that future meaningful use criteria may need to specifically target cost savings and coordinate with payment reform efforts.",RAYYAN-LABELS: High Focus,10.5600/mmrr.003.02.a03,Adult;Ambulatory Care/*economics/organization & administration;Cost Savings/methods/statistics & numerical data;Electronic Health Records/*economics;Female;Health Care Costs/*statistics & numerical data;Humans;Male;Medicaid/*economics/organization & administration;United States,24753965,PMC3983724
rayyan-1115028198,Users' perception on factors contributing to electronic medical records systems use: a focus group discussion study in healthcare facilities setting in Kenya.,2021,12,26,BMC medical informatics and decision making,1472-6947 (Electronic),21,1,362,Ngugi PN and Were MC and Babic A,https://pubmed.ncbi.nlm.nih.gov/34955098/,eng,,England,"BACKGROUND: Electronic medical records systems (EMRs) adoption in healthcare to facilitate work processes have become common in many countries. Although EMRs are associated with quality patient care, patient safety, and cost reduction, their adoption rates are comparatively low. Understanding factors associated with the use of the implemented EMRs are critical for advancing successful implementations and scale-up sustainable initiatives. The aim of this study was to explore end users' perceptions and experiences on factors facilitating and hindering EMRs use in healthcare facilities in Kenya, a low- and middle-income country. METHODS: Two focus group discussions were conducted with EMRs users (n = 20) each representing a healthcare facility determined by the performance of the EMRs implementation. Content analysis was performed on the transcribed data and relevant themes derived. RESULTS: Six thematic categories for both facilitators and barriers emerged, and these related to (1) system functionalities; (2) training; (3) technical support; (4) human factors; (5) infrastructure, and (6) EMRs operation mode. The identified facilitators included: easiness of use and learning of the system complemented by EMRs upgrades, efficiency of EMRs in patient data management, responsive information technology (IT) and collegial support, and user training. The identified barriers included: frequent power blackouts, inadequate computers, retrospective data entry EMRs operation mode, lack of continuous training on system upgrades, and delayed IT support. CONCLUSIONS: Users generally believed that the EMRs improved the work process, with multiple factors identified as facilitators and barriers to their use. Most users perceived system functionalities and training as motivators to EMRs use, while infrastructural issues posed as the greatest barrier. No specific EMRs use facilitators and/or barriers could be attributed to facility performance levels. Continuous evaluations are necessary to assess improvements of the identified factors as well as determine emerging issues.",RAYYAN-LABELS: High Focus,10.1186/s12911-021-01737-x,*Delivery of Health Care;*Electronic Health Records;Focus Groups;Humans;Kenya;Perception;Retrospective Studies,34955098,PMC8710176
rayyan-1115028199,Lessons learned from the development of health applications in a tertiary hospital.,2014,3,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),20,3,215-22,Park JY and Lee G and Shin SY and Kim JH and Han HW and Kwon TW and Kim WS and Lee JH,https://pubmed.ncbi.nlm.nih.gov/23909863/,eng,,United States,"BACKGROUND: Adoption of smart devices for hospital use has been increasing with the development of health applications (apps) for patient point-of-care and hospital management. To promote the use of health apps, we describe the lessons learned from developing 12 health apps in the largest tertiary hospital in Korea. MATERIALS AND METHODS: We reviewed and analyzed 12 routinely used apps in three categories-Smart Clinic, Smart Patient, and Smart Hospital-based on target users and functions. The log data for each app were collected from the date of release up until December 2012. RESULTS: Medical personnel accessed a mobile electronic medical record app classified as Smart Clinic an average of 452 times per day. Smart Hospital apps are actively used to communicate with each other. Patients logged on to a mobile personal health record app categorized as Smart Patient an average of 222 times per day. As the mobile trend, the choice of supporting operating system (OS) is more difficult. By developing these apps, a monitoring system is needed for evaluation. CONCLUSIONS: We described the lessons learned regarding OS support, device choice, and developmental strategy. The OS can be chosen according to market share or hospital strategic plan. Smartphones were favored compared with tablets. Alliance with an information technology company can be the best way to develop apps. Health apps designed for smart devices can be used to improve healthcare. However, to develop health apps, hospitals must define their future goals and carefully consider all the aspects.",RAYYAN-LABELS: High Focus,10.1089/tmj.2013.0192,"Electronic Health Records;Humans;Mobile Applications/*statistics & numerical data;Monitoring, Physiologic/methods;Republic of Korea;Telecommunications/statistics & numerical data;*Tertiary Care Centers",23909863,PMC3934672
rayyan-1115028200,What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.,2017,9,15,Implementation science : IS,1748-5908 (Electronic),12,1,113,Liberati EG and Ruggiero F and Galuppo L and Gorli M and González-Lorenzo M and Maraldi M and Ruggieri P and Polo Friz H and Scaratti G and Kwag KH and Vespignani R and Moja L,https://pubmed.ncbi.nlm.nih.gov/28915822/,eng,,England,"BACKGROUND: Advanced Computerized Decision Support Systems (CDSSs) assist clinicians in their decision-making process, generating recommendations based on up-to-date scientific evidence. Although this technology has the potential to improve the quality of patient care, its mere provision does not guarantee uptake: even where CDSSs are available, clinicians often fail to adopt their recommendations. This study examines the barriers and facilitators to the uptake of an evidence-based CDSS as perceived by diverse health professionals in hospitals at different stages of CDSS adoption. METHODS: Qualitative study conducted as part of a series of randomized controlled trials of CDSSs. The sample includes two hospitals using a CDSS and two hospitals that aim to adopt a CDSS in the future. We interviewed physicians, nurses, information technology staff, and members of the boards of directors (n = 30). We used a constant comparative approach to develop a framework for guiding implementation. RESULTS: We identified six clusters of experiences of, and attitudes towards CDSSs, which we label as ""positions."" The six positions represent a gradient of acquisition of control over CDSSs (from low to high) and are characterized by different types of barriers to CDSS uptake. The most severe barriers (prevalent in the first positions) include clinicians' perception that the CDSSs may reduce their professional autonomy or may be used against them in the event of medical-legal controversies. Moving towards the last positions, these barriers are substituted by technical and usability problems related to the technology interface. When all barriers are overcome, CDSSs are perceived as a working tool at the service of its users, integrating clinicians' reasoning and fostering organizational learning. CONCLUSIONS: Barriers and facilitators to the use of CDSSs are dynamic and may exist prior to their introduction in clinical contexts; providing a static list of obstacles and facilitators, irrespective of the specific implementation phase and context, may not be sufficient or useful to facilitate uptake. Factors such as clinicians' attitudes towards scientific evidences and guidelines, the quality of inter-disciplinary relationships, and an organizational ethos of transparency and accountability need to be considered when exploring the readiness of a hospital to adopt CDSSs.",RAYYAN-LABELS: High Focus,10.1186/s13012-017-0644-2,"*Decision Support Systems, Clinical;Health Plan Implementation/*methods;*Hospitals;Humans;Qualitative Research",28915822,PMC5602839
rayyan-1115028201,"Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project.",2012,8,,Journal of biomedical informatics,1532-0480 (Electronic),45,4,763-71,Rea S and Pathak J and Savova G and Oniki TA and Westberg L and Beebe CE and Tao C and Parker CG and Haug PJ and Huff SM and Chute CG,https://pubmed.ncbi.nlm.nih.gov/22326800/,eng,,United States,"The Strategic Health IT Advanced Research Projects (SHARP) Program, established by the Office of the National Coordinator for Health Information Technology in 2010 supports research findings that remove barriers for increased adoption of health IT. The improvements envisioned by the SHARP Area 4 Consortium (SHARPn) will enable the use of the electronic health record (EHR) for secondary purposes, such as care process and outcomes improvement, biomedical research and epidemiologic monitoring of the nation's health. One of the primary informatics problem areas in this endeavor is the standardization of disparate health data from the nation's many health care organizations and providers. The SHARPn team is developing open source services and components to support the ubiquitous exchange, sharing and reuse or 'liquidity' of operational clinical data stored in electronic health records. One year into the design and development of the SHARPn framework, we demonstrated end to end data flow and a prototype SHARPn platform, using thousands of patient electronic records sourced from two large healthcare organizations: Mayo Clinic and Intermountain Healthcare. The platform was deployed to (1) receive source EHR data in several formats, (2) generate structured data from EHR narrative text, and (3) normalize the EHR data using common detailed clinical models and Consolidated Health Informatics standard terminologies, which were (4) accessed by a phenotyping service using normalized data specifications. The architecture of this prototype SHARPn platform is presented. The EHR data throughput demonstration showed success in normalizing native EHR data, both structured and narrative, from two independent organizations and EHR systems. Based on the demonstration, observed challenges for standardization of EHR data for interoperable secondary use are discussed.",RAYYAN-LABELS: High Focus,10.1016/j.jbi.2012.01.009,"Algorithms;Clinical Coding;Database Management Systems;Diabetes Mellitus/diagnosis;*Electronic Health Records;Genomics;Humans;*Meaningful Use;*Medical Informatics Applications;Models, Theoretical;Natural Language Processing;Phenotype",22326800,PMC4905766
rayyan-1115028202,What workforce is needed to implement the health information technology agenda? Analysis from the HIMSS analytics database.,2008,11,6,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2008,,303-7,Hersh W and Wright A,https://pubmed.ncbi.nlm.nih.gov/18998990/,eng,,United States,"One of the essential ingredients for health information technology implementation is a well trained and competent workforce. However, this workforce has not been quantified or otherwise characterized well. We extracted data from the HIMSS Analytics Database and extrapolated our findings to the US as a whole. We found that there are approximately 108,390 IT professionals in healthcare the US. In addition, the amount of IT staff hired varies by level of EMR adoption, with the rate of IT FTE per bed started at a level of 0.082 FTE per bed at the lowest level of the EMR Adoption Model (Stage0) and increasing to 0.210 FTE bed at higher levels(Stage 4). We can extrapolate nationally to conclude that to move the entire US to higher levels of adoption (Stage 4) will require an additional 40,784 IT professionals. There are limitations to this analysis, including that the data are limited to IT professionals who are mainly in hospitals and do not include those who, for example, work for vendors or in non-clinical settings. Furthermore, data on biomedical informatics professionals are still virtually non-existent. Our analysis adds to data that show there must be increasing attention paid to the workforce that will develop, implement, and evaluate HIT applications. Further research is essential to better characterize all types of workers needed for adoption of health information technology, including their job roles, required competencies, and optimal education.",RAYYAN-LABELS: Less Focus,,"Biomedical Technology/*trends;*Databases, Factual;*Forecasting;*Medical Informatics/trends;Personnel Staffing and Scheduling/*statistics & numerical data/*trends;United States;Workforce",18998990,PMC2656033
rayyan-1115028203,Evaluation of investment for enterprise application integration technology in healthcare organisations: a cost-benefit approach.,2007,,,International journal of electronic healthcare,1741-8453 (Print),3,4,453-67,Khoumbati K and Shah SG and Dwivedi YK and Shah MH,https://pubmed.ncbi.nlm.nih.gov/18048277/,eng,,Switzerland,"Recent developments in the field of Information Technology (IT), such as integration technologies have promised to bring improvements in the quality of services; however, costs of these technologies are relatively high. Consequently, investment justification for these technologies is one of the many challenges that are faced by managers in healthcare organisations. IT investments in healthcare organisations are usually justified using traditional investment-appraisal techniques such as Return on Investment (ROI) analysis, internal rate of return, net present value and payback approach. The techniques are specifically used to measure the financial impact of the investment; therefore, the techniques are limited to accommodate human and organisational benefits associated with the adoption of integration technologies. In exploring this phenomenon, the paper focuses on benefits and costs of Enterprise Application Integration (EAI) adoption in healthcare organisations. This may be useful for the managers in preparing investment budget proposals.",RAYYAN-LABELS: High Focus,10.1504/IJEH.2007.015323,Computer Communication Networks/economics;Cost-Benefit Analysis;Health Services Administration/*economics;Humans;Information Services/*economics/organization & administration;Organizational Case Studies;Systems Integration,18048277,
rayyan-1115028204,Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China.,2014,2,,International journal of medical informatics,1872-8243 (Electronic),83,2,122-30,Lei J and Guan P and Gao K and Lu X and Chen Y and Li Y and Meng Q and Zhang J and Sittig DF and Zheng K,https://pubmed.ncbi.nlm.nih.gov/24246272/,eng,,Ireland,"BACKGROUND: The healthcare industry has become increasingly dependent on using information technology (IT) to manage its daily operations. Unexpected downtime of health IT systems could therefore wreak havoc and result in catastrophic consequences. Little is known, however, regarding the nature of failures of health IT. OBJECTIVE: To analyze historical health IT outage incidents as a means to better understand health IT vulnerabilities and inform more effective prevention and emergency response strategies. METHODS: We studied news articles and incident reports publicly available on the internet describing health IT outage events that occurred in China. The data were qualitatively analyzed using a deductive grounded theory approach based on a synthesized IT risk model developed in the domain of information systems. RESULTS: A total of 116 distinct health IT incidents were identified. A majority of them (69.8%) occurred in the morning; over 50% caused disruptions to the patient registration and payment collection functions of the affected healthcare facilities. The outpatient practices in tertiary hospitals seem to be particularly vulnerable to IT failures. Software defects and overcapacity issues, followed by malfunctioning hardware, were among the principal causes. CONCLUSIONS: Unexpected health IT downtime occurs more and more often with the widespread adoption of electronic systems in healthcare. Risk identification and risk assessments are essential steps to developing preventive measures. Equally important is institutionalization of contingency plans as our data show that not all failures of health IT can be predicted and thus effectively prevented. The results of this study also suggest significant future work is needed to systematize the reporting of health IT outage incidents in order to promote transparency and accountability.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2013.10.006,China;Humans;*Medical Informatics;Patient Safety;Risk Management/*organization & administration,24246272,
rayyan-1115028205,A sociotechnical approach to successful electronic health record implementation: five best practices for clinical nurse specialists.,2013,11,,Clinical nurse specialist CNS,1538-9782 (Electronic),27,6,283-5,Irizarry T and Barton AJ,https://pubmed.ncbi.nlm.nih.gov/24107749/,eng,,United States,"Rising healthcare costs coupled with patient safety considerations and quality of care have become major concerns for healthcare purchasers, providers, and policymakers. Health information technology, particularly the electronic health record (EHR), is posed as a solution to address these concerns by delivering greater efficiencies and improved quality of care. Despite the national movement toward EHR adoption, successful EHR implementation continues to be challenging for many healthcare organizations, both large and small. This article uses sociotechnical systems theory as a framework to discuss 5 best practice guidelines for EHR implementation and outlines what clinical nurse specialists can do to make the process successful.",RAYYAN-LABELS: High Focus,10.1097/NUR.0b013e3182a872e3,"*Diffusion of Innovation;Efficiency, Organizational;*Electronic Health Records;*Practice Guidelines as Topic;*Specialties, Nursing",24107749,PMC5954822
rayyan-1115028206,The role of health IT and delivery system reform in facilitating advanced care delivery.,2016,4,,The American journal of managed care,1936-2692 (Electronic),22,4,258-65,King J and Patel V and Jamoom E and DesRoches C,https://pubmed.ncbi.nlm.nih.gov/27143291/,eng,,United States,"OBJECTIVES: To examine whether physicians using health information technology and participating in new models of payment and delivery were more likely to perform care processes associated with improved care delivery. STUDY DESIGN: Nationally representative, cross-sectional data on US office-based physicians from the 2012 National Ambulatory Medical Care Survey Physician Workflow Survey. METHODS: Multivariate regression analysis of whether physicians routinely performed 14 specific care processes in 4 categories: population management, quality measurement, patient communication, and care coordination. Key independent measures were electronic health record (EHR) use and accountable care organization (ACO) or patient-centered medical home (PCMH) participation. RESULTS: A majority of physicians reported routinely conduct at least 1 care process related to care coordination (89%), patient communication (69%), and population management (67%); less than half reported performing at least 1 quality measurement process routinely (44%). EHR use and ACO or PCMH participation were independently associated with a higher likelihood of performing care processes. Physicians who were using EHRs in combination with participation in ACO or PCMH initiatives had the highest likelihood of routinely performing the care processes: physicians who used an EHR and participated in ACO or PCMH initiatives were between 6 and 22 percentage points more likely to routinely perform the care processes than physicians with EHRs alone. CONCLUSIONS: In 2012, physicians using EHRs and participating in ACO or PCMH initiatives were more likely than other physicians to be routinely engaging in care processes expected to improve healthcare outcomes. Yet, many US physicians were not performing these processes routinely. This analysis highlights several specific areas where more work is necessary to facilitate wider adoption of these activities.",RAYYAN-LABELS: Some Focus,,"Accountable Care Organizations;Adult;*Attitude of Health Personnel;Cross-Sectional Studies;Electronic Health Records/*statistics & numerical data;Female;Health Care Surveys;Humans;Logistic Models;Male;Middle Aged;Multivariate Analysis;*Outcome Assessment, Health Care;*Practice Patterns, Physicians';*Quality Improvement;United States",27143291,PMC4878450
rayyan-1115028207,Envisioning electronic health record systems as change management: the experience of an English hospital joining the National Programme for Information Technology.,2012,,,Studies in health technology and informatics,0926-9630 (Print),180,,901-5,Takian A,https://pubmed.ncbi.nlm.nih.gov/22874323/,eng,,Netherlands,"The historical National Programme for Information Technology (NPfIT) in England was the most expensive (~$20billion) and ambitious politically-driven IT-based transformations of public services ever undertaken. Nation-wide implementation of integrated electronic health record (EHR) systems in hospitals was at the heart of the NPfIT (~$10billion). We conducted the first longitudinal, prospective, and sociotechnical case study implementation and adoption of national EHRs implementations in 12 'early adopter' hospitals across England. This paper reports the arrival, implementation process, and stakeholders' experiences of one EHR software (Millennium) at a National Health Service's (NHS) general hospital participating in NPfIT, hereafter called Alpha. From the outset, Alpha envisioned the implementation of EHR as a practice of change management to improve its performance. This vision attributed to the establishment of a 'design authority' at Alpha, including users from various capacities and levels. The 'design authority' was perceived a key contributor to appropriate (compared to other hospitals we studied) clinical engagement and bottom-up approach to deploying EHR. Through conducting several hundreds of group and individual workflow familiarization, Alpha adopted a novel approach to training staff on EHR software. This led to greater local configuration and high sense of ownership among users, which transformed work practices towards overall better performance of the hospital. Contrary to painful and turbulent experiences of EHR implementation via NPfIT route in the English hospitals, this in-depth case study revealed the importance of vision (change management) and insightful leadership in 'working out' EHR. We advocate envisioning EHRs as change management endeavors to enhance their complex, multi-dimensional, and sociotechnical adoption in healthcare settings.",RAYYAN-LABELS: High Focus,,Electronic Health Records/*organization & administration;England;Government Programs/*organization & administration;*Hospital Administration;*Interinstitutional Relations;Medical Informatics/*organization & administration;*Organizational Innovation,22874323,
rayyan-1115028208,Does adoption of electronic health records improve the quality of care management in France? Results from the French e-SI (PREPS-SIPS) study.,2017,6,,International journal of medical informatics,1872-8243 (Electronic),102,,156-165,Plantier M and Havet N and Durand T and Caquot N and Amaz C and Biron P and Philip I and Perrier L,https://pubmed.ncbi.nlm.nih.gov/28495344/,eng,,Ireland,"BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the ""Hôpital numérique 2012-2017"" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances. OBJECTIVE: The aim of this study was to evaluate the impact of EHR use on the quality of care management in acute care hospitals throughout France. METHODS: This retrospective study was based on data derived from three national databases for the year 2011: IPAQSS (indicators of improvement in the quality and the management of healthcare, ""IPAQSS""), Hospi-Diag (French hospital performance indicators), and the national accreditation database. Several multivariate models were used to examine the association between the use of EHRs and specific EHR features with four quality indicators: the quality of patient record, the delay in sending information at hospital discharge, the pain status evaluation, and the nutritional status evaluation, while also adjusting for hospital characteristics. RESULTS: The models revealed a significant positive impact of EHR use on the four quality indicators. Additionally, they showed a differential impact according to the functionality of the element of the health record that was computerized. All four quality indicators were also impacted by the type of hospital, the geographical region, and the severity of the pathology. CONCLUSION: These results suggest that, to improve the quality of care management in hospitals, EHR adoption represents an important lever. They complete previous work dealing with EHR and the organizational performance of hospital surgical units.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2017.04.002,Cross-Sectional Studies;Delivery of Health Care/*organization & administration;Electronic Health Records/*statistics & numerical data;France;Hospitals/*standards;Humans;Medical Informatics/*standards;*Patient Care Team;*Quality of Health Care;Retrospective Studies,28495344,
rayyan-1115028209,Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations.,2020,6,23,BMC health services research,1472-6963 (Electronic),20,1,576,Raphiphatthana B and Sweet M and Puszka S and Dingwall K and Nagel T,https://pubmed.ncbi.nlm.nih.gov/32576266/,eng,,England,"BACKGROUND: A three-phase implementation program was carried out to support Indigenous primary healthcare organisations in Australia to integrate e-mental health approaches into the day-to-day practice. The present study aimed to evaluate the process and the effectiveness of the program. METHODS: A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Quantitative methods, i.e., t-tests and descriptive statistics, were used to measure outcomes relating to the frequency of e-mental health usage and levels of organisational readiness. Qualitative data were analysed separately, using theoretical thematic analysis, to gain an in depth understanding of the implementation process. The findings were integrated and interpreted within the implementation science literature. RESULTS: The case studies evidenced greater use of e-mental health approaches than the non-case studies. They also demonstrated increased organisational readiness over the course of the implementation program. The program helped organisations to work and improve on essential aspects within the organisation so that they better supported e-mental health adoption. The key areas addressed were Information Technology resources and infrastructure, leadership and support, policy and protocols around e-mental health utilisation and its integration into practice. CONCLUSIONS: By addressing and improving essential aspects relating to e-mental health implementation, the program helped organisations to increase organisational readiness and enhance uptake of e-mental health approaches.",RAYYAN-LABELS: Some Focus,10.1186/s12913-020-05431-y,"Australia;Health Services, Indigenous/*organization & administration;Humans;Mental Health Services/*organization & administration;Organizational Case Studies;Primary Health Care/*organization & administration;Program Evaluation;Qualitative Research;Telemedicine/*organization & administration",32576266,PMC7313213
rayyan-1115028210,"Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT.",2015,1,,International journal of medical informatics,1872-8243 (Electronic),84,1,36-47,Maillet É and Mathieu L and Sicotte C,https://pubmed.ncbi.nlm.nih.gov/25288192/,eng,,Ireland,"BACKGROUND AND PURPOSE: End-user acceptance and satisfaction are considered critical factors for successful implementation of an Electronic Patient Record (EPR). The aim of this study was to explain the acceptance and actual use of an EPR and nurses' satisfaction by testing a theoretical model adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT). METHODS: A multicenter cross-sectional study was conducted in the medical-surgical wards of four hospitals ranked at different EPR adoption stages. A randomized stratified sampling approach was used to recruit 616 nurses. Structural equation modeling techniques were applied. RESULTS: Support was found for 13 of the model's 20 research hypotheses. The strongest effects are those between performance expectancy and actual use of the EPR (r=0.55, p=0.006), facilitating conditions and effort expectancy (r=0.45, p=0.009), compatibility and performance expectancy (r=0.39, p=0.002). The variables explained 33.6% of the variance of actual use, 54.9% of nurses' satisfaction, 50.2% of performance expectancy and 52.9% of effort expectancy. CONCLUSIONS: Many results of this study support the conclusions of prior research, but some take exception, such as the non-significant relationship between the effort expectancy construct and actual use of the EPR. The results highlight the importance of the mediating effects of the effort expectancy and performance expectancy constructs. Compatibility of the EPR with preferred work style, existing work practices and the values of nurses were the most important factors explaining nurses' satisfaction. The results reveal the complexity of this change and suggest several avenues for future research and for the implementation of IT in healthcare.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2014.09.004,Acute Disease;Adult;*Attitude of Health Personnel;Cross-Sectional Studies;Electronic Health Records/*statistics & numerical data;Female;Humans;*Information Dissemination;Information Systems/*standards;Male;Middle Aged;Nurses/*psychology;Patient-Centered Care/standards;Personal Satisfaction;Surveys and Questionnaires,25288192,
rayyan-1115028211,Limestone: high-throughput candidate phenotype generation via tensor factorization.,2014,12,,Journal of biomedical informatics,1532-0480 (Electronic),52,,199-211,Ho JC and Ghosh J and Steinhubl SR and Stewart WF and Denny JC and Malin BA and Sun J,https://pubmed.ncbi.nlm.nih.gov/25038555/,eng,,United States,"The rapidly increasing availability of electronic health records (EHRs) from multiple heterogeneous sources has spearheaded the adoption of data-driven approaches for improved clinical research, decision making, prognosis, and patient management. Unfortunately, EHR data do not always directly and reliably map to medical concepts that clinical researchers need or use. Some recent studies have focused on EHR-derived phenotyping, which aims at mapping the EHR data to specific medical concepts; however, most of these approaches require labor intensive supervision from experienced clinical professionals. Furthermore, existing approaches are often disease-centric and specialized to the idiosyncrasies of the information technology and/or business practices of a single healthcare organization. In this paper, we propose Limestone, a nonnegative tensor factorization method to derive phenotype candidates with virtually no human supervision. Limestone represents the data source interactions naturally using tensors (a generalization of matrices). In particular, we investigate the interaction of diagnoses and medications among patients. The resulting tensor factors are reported as phenotype candidates that automatically reveal patient clusters on specific diagnoses and medications. Using the proposed method, multiple phenotypes can be identified simultaneously from data. We demonstrate the capability of Limestone on a cohort of 31,815 patient records from the Geisinger Health System. The dataset spans 7years of longitudinal patient records and was initially constructed for a heart failure onset prediction study. Our experiments demonstrate the robustness, stability, and the conciseness of Limestone-derived phenotypes. Our results show that using only 40 phenotypes, we can outperform the original 640 features (169 diagnosis categories and 471 medication types) to achieve an area under the receiver operator characteristic curve (AUC) of 0.720 (95% CI 0.715 to 0.725). Moreover, in consultation with a medical expert, we confirmed 82% of the top 50 candidates automatically extracted by Limestone are clinically meaningful.",RAYYAN-LABELS: Some Focus,10.1016/j.jbi.2014.07.001,"Algorithms;Data Mining/*methods;Databases, Factual/classification;Electronic Health Records/*classification;Humans;Phenotype",25038555,PMC6563906
rayyan-1115028213,The effects of innovation factors on smartphone adoption among nurses in community hospitals.,2010,1,1,Perspectives in health information management,1559-4122 (Electronic),7,,1b,Putzer GJ and Park Y,https://pubmed.ncbi.nlm.nih.gov/20697467/,eng,,United States,"A relatively new mobile technological device is the smartphone-a phone with advanced features such as Windows Mobile software, access to the Internet, and other computer processing capabilities. This article investigates the decision to adopt a smartphone among healthcare professionals, specifically nurses. The study examines constructs that affect an individual's decision to adopt a smartphone by employing innovation attributes leading to perceived attitudes. We hypothesize that individual intentions to use a smartphone are mostly determined by attitudes toward using a smartphone, which in turn are affected by innovation characteristics. Innovation characteristics are factors that help explain whether a user will adopt a new technology. The study consisted of a survey disseminated to 200 practicing nurses selected from two community hospitals in the southeastern United States. In our model, the innovation characteristics of observability, compatibility, job relevance, internal environment, and external environment were significant predictors of attitude toward using a smartphone.",RAYYAN-LABELS: High Focus,,"Adult;*Attitude to Computers;Cell Phone/*statistics & numerical data;Computers, Handheld/*statistics & numerical data;*Diffusion of Innovation;Female;*Health Knowledge, Attitudes, Practice;Hospital Information Systems/*organization & administration;Hospitals, Community/organization & administration;Humans;Male;Medical Records Systems, Computerized/organization & administration;Middle Aged;Nursing Staff, Hospital/*organization & administration;Organizational Innovation;Southeastern United States;Surveys and Questionnaires;Young Adult",20697467,PMC2805554
rayyan-1115028214,Exploring critical factors influencing nurses' intention to use tablet PC in Patients' care using an integrated theoretical model.,2019,12,,The Libyan journal of medicine,1819-6357 (Electronic),14,1,1648963,Sun SL and Hwang HG and Dutta B and Peng MH,https://pubmed.ncbi.nlm.nih.gov/31357919/,eng,,United States,"The use of health information technology (HIT) is expected to deliver benefits for patients, nurses, physicians, and organizations, but the benefits of HIT can only be attained if nurses accept and intend to use it as they are the leading user-group. The use of the tablet is becoming commonplace in healthcare organizations to improve patient care. The current study incorporates Technology Acceptance Model2 (TAM2) with two antecedents, facilitating condition and personal, to identify and understand the factors that influence nurses' intention to use the Tablet PC. The survey methodology was used to collect data from the nurses working in a regional healthcare center in Taiwan. The structural equation modeling (SEM) technique was employed to analyze the research framework. A total of 110 valid responses for analysis. The results suggest that the modified proposed research framework explains about 41.7% of the variance of nurses' behavioral intention. The partial least squares (PLS) regression indicated that perceived usefulness, subjective norm, and personal a positive and significant influence on nurses' intention to use the Tablet PC. But concerning the perceived ease of use, the insignificant path coefficient was reported. The finding also indicated that personal on the research model is much stronger than the subjective norm on Tablet PC performance. The proposed research framework contributes to the conclusive explanation for understanding nurses' intention to use. The current study brings perspectives from the technological and attitudinal differences that have largely been missing in the existing literature of the nurses' intention to use HIT. Thus, health care providers must take these factors into consideration as the findings of the current study advance theory and contribute to the basis for future study intended for enhancing our understanding of nurses' adoption behavior regarding HIT.",RAYYAN-LABELS: High Focus,10.1080/19932820.2019.1648963,"Adult;Attitude of Health Personnel;Computers, Handheld/*standards;Humans;*Intention;Job Satisfaction;Medical Informatics/*methods;Middle Aged;Models, Theoretical;Nurses/*psychology;Patient Care/*instrumentation;Perception/physiology;Quality of Health Care/standards;Surveys and Questionnaires;Taiwan/epidemiology",31357919,PMC6713951
rayyan-1115028215,Medication safety practices in hospitals: A national survey in Saudi Arabia.,2013,4,,Saudi pharmaceutical journal : SPJ : the official publication of the Saudi           Pharmaceutical Society,1319-0164 (Print),21,2,159-64,Aljadhey H and Alhossan A and Alburikan K and Adam M and Murray MD and Bates DW,https://pubmed.ncbi.nlm.nih.gov/23960830/,eng,,Saudi Arabia,"BACKGROUND: Medication errors in hospitals are a worldwide concern. The World Health Organization has recommended the implementation of basic applications in healthcare systems to improve medication safety, but it is largely unknown whether these recommendations are adhered to by hospitals. We assessed the presence of core medication safety practices in Saudi Arabian hospitals. METHODS: We developed and validated a survey to assess medication safety practices in hospitals. Major headings included Look-Alike Sound-Alike (LASA) medications, control of concentrated electrolyte solutions, transitions in care, information technology, drug information and other medication safety practices. Trained pharmacists visited samples of hospitals from all regions of Saudi Arabia. RESULTS: Seventy-eight hospitals were surveyed. Only 30% of the hospitals had a medication safety committee and 9% of hospitals had a medication safety officer. Only 33% of hospitals had a list of LASA medications and 50% had a list of error-prone abbreviations. Concentrated electrolytes were available in floor stock in 60% of the hospitals. No hospital involved pharmacists in obtaining medication histories and only 37% of the hospitals provided a medication list to the patients at discharge. While 61% of hospitals used a computer system in their pharmacy to enter prescriptions, only 29% of these hospitals required entry of patient's allergies before entering a drug order. CONCLUSIONS: Core practices to improve medication safety were not implemented in many hospitals in Saudi Arabia. In developing countries, an effort must be made at the national level to increase the adoption of such practices.",RAYYAN-LABELS: High Focus,10.1016/j.jsps.2012.07.005,"",23960830,PMC3744924
rayyan-1115028216,Implementation and use of computerised clinical decision support (CCDS) in emergency pre-hospital care: a qualitative study of paramedic views and experience using Strong Structuration Theory.,2018,7,4,Implementation science : IS,1748-5908 (Electronic),13,1,91,Porter A and Dale J and Foster T and Logan P and Wells B and Snooks H,https://pubmed.ncbi.nlm.nih.gov/29973225/,eng,,England,"BACKGROUND: Computerised clinical decision support (CCDS) has been shown to improve processes of care in some healthcare settings, but there is little evidence related to its use or effects in pre-hospital emergency care. CCDS in this setting aligns with policies to increase IT use in ambulance care, enhance paramedic decision-making skills, reduce avoidable emergency department attendances and improve quality of care and patient experience. This qualitative study was conducted alongside a cluster randomised trial in two ambulance services of the costs and effects of web-based CCDS system designed to support paramedic decision-making in the care of older people following a fall. Paramedics were trained to enter observations and history for relevant patients on a tablet, and the CCDS then generated a recommended course of action which could be logged. Our aim was to describe paramedics' experience of the CCDS intervention and to identify factors affecting its implementation and use. METHODS: We invited all paramedics who had been randomly allocated to the intervention arm of the trial to participate in interviews or focus groups. The study was underpinned by Strong Structuration Theory, a theoretical model for studying innovation based on the relationship between what people do and their context. We used the Framework approach to data analysis. RESULTS: Twenty out of 22 paramedics agreed to participate. We developed a model of paramedic experience of CCDS with three domains: context, adoption and use, and outcomes. Aspects of context which had an impact included organisational culture and perceived support for non-conveyance decisions. Experience of adoption and use of the CCDS varied between individual paramedics, with some using it with all eligible patients, some only with patients they thought were 'suitable' and some never using it. A range of outcomes were reported, some of which were different from the intended role of the technology in decision support. CONCLUSION: Implementation of new technology such as CCDS is not a one-off event, but an ongoing process, which requires support at the organisational level to be effective. TRIAL REGISTRATION: ISRCTN Registry 10538608 . Registered 1 May 2007. Retrospectively registered.",RAYYAN-LABELS: High Focus,10.1186/s13012-018-0786-x,"Accidental Falls;Allied Health Personnel/*psychology;*Ambulances;*Decision Support Systems, Clinical;*Diffusion of Innovation;*Emergency Medical Services;Emergency Medical Technicians/*psychology;Humans;Information Dissemination;Qualitative Research",29973225,PMC6031172
rayyan-1115028217,The genomic medicine model: an integrated approach to implementation of family health history in primary care.,2013,5,,Personalized medicine,1744-828X (Electronic),10,3,295-306,Orlando LA and Henrich VC and Hauser ER and Wilson C and Ginsburg GS,https://pubmed.ncbi.nlm.nih.gov/29768748/,eng,,England,"As an essential tool for risk stratification, family health history (FHH) is a central component of personalized medicine; yet, despite its widespread acceptance among professional societies and its established place in the medical interview, its widespread adoption is hindered by three major barriers: quality of FHH collection, risk stratification capabilities and interpretation of risk stratification for clinical care. To overcome these barriers and bring FHH to the forefront of the personalized medicine effort, we developed the genomic medicine model (GMM) for primary care. The GMM, founded upon the principles of the Health Belief Model, Adult Learning Theory and the implementation sciences, shifts responsibility for FHH onto the patient, uses information technology (MeTree(©)) for risk stratification and interpretation, and provides education across multiple levels for each stakeholder, freeing up the clinical encounter for discussion around personalized preventive healthcare plans. The GMM has been implemented and optimized as part of an implementation-effectiveness hybrid pilot study for breast/ovarian cancer, colon cancer and thrombosis, and risk for hereditary cancer syndromes in two primary care clinics in NC, USA. This paper describes the conceptual development of the model and key findings relevant for broader uptake and sustainability in the primary care community.",RAYYAN-LABELS: High Focus,10.2217/pme.13.20,"",29768748,
rayyan-1115028219,Taking stock of pay-for-performance: a candid assessment from the front lines.,2009,3,,Health affairs (Project Hope),1544-5208 (Electronic),28,2,517-25,Damberg CL and Raube K and Teleki SS and Dela Cruz E,https://pubmed.ncbi.nlm.nih.gov/19276011/,eng,,United States,"Pay-for-performance (P4P) has been widely adopted, but it remains unclear how providers are responding and whether results are meeting expectations. Physician organizations involved in the California Integrated Healthcare Association's (IHA) P4P program reported having increased physician-level performance feedback and accountability, speeded up information technology adoption, and sharpened their organizational focus and support for improvement in response to P4P; however, after three years of investment, these changes had not translated into breakthrough quality improvements. Continued monitoring is required to determine whether early investments made by physician organizations provide a basis for greater improvements in the future.",RAYYAN-LABELS: High Focus,10.1377/hlthaff.28.2.517,"*Efficiency, Organizational;*Health Records, Personal;Humans;*Process Assessment, Health Care",19276011,
rayyan-1115028221,"Digital Pathology: Data-Intensive Frontier in Medical Imaging: Health-information sharing, specifically of digital pathology, is the subject of this paper which discusses how sharing the rich images in pathology can stretch the capabilities of all otherwise well-practiced disciplines.",2012,4,,Proceedings of the IEEE. Institute of Electrical and Electronics Engineers,0018-9219 (Print),100,4,991-1003,Cooper LA and Carter AB and Farris AB and Wang F and Kong J and Gutman DA and Widener P and Pan TC and Cholleti SR and Sharma A and Kurc TM and Brat DJ and Saltz JH,https://pubmed.ncbi.nlm.nih.gov/25328166/,eng,,United States,"Pathology is a medical subspecialty that practices the diagnosis of disease. Microscopic examination of tissue reveals information enabling the pathologist to render accurate diagnoses and to guide therapy. The basic process by which anatomic pathologists render diagnoses has remained relatively unchanged over the last century, yet advances in information technology now offer significant opportunities in image-based diagnostic and research applications. Pathology has lagged behind other healthcare practices such as radiology where digital adoption is widespread. As devices that generate whole slide images become more practical and affordable, practices will increasingly adopt this technology and eventually produce an explosion of data that will quickly eclipse the already vast quantities of radiology imaging data. These advances are accompanied by significant challenges for data management and storage, but they also introduce new opportunities to improve patient care by streamlining and standardizing diagnostic approaches and uncovering disease mechanisms. Computer-based image analysis is already available in commercial diagnostic systems, but further advances in image analysis algorithms are warranted in order to fully realize the benefits of digital pathology in medical discovery and patient care. In coming decades, pathology image analysis will extend beyond the streamlining of diagnostic workflows and minimizing interobserver variability and will begin to provide diagnostic assistance, identify therapeutic targets, and predict patient outcomes and therapeutic responses.",RAYYAN-LABELS: High Focus,10.1109/JPROC.2011.2182074,"",25328166,PMC4197933
rayyan-1115028222,Effect of culture on acceptance of telemedicine in Middle Eastern countries: case study of Jordan and Syria.,2013,4,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),19,4,305-11,Alajlani M and Clarke M,https://pubmed.ncbi.nlm.nih.gov/23540280/,eng,,United States,"We investigated issues that affect the use and adoption of telemedicine in Middle Eastern countries, taking the Hashemite Kingdom of Jordan and the Syrian Arab Republic as case studies. Our study is based on interviews with key stakeholders (including doctors, technicians, engineers, and decision makers) and questionnaires administered to key stakeholders (including patients), ensuring opinion was gained from people from a full range of backgrounds and roles in the healthcare system. We found doctor and patient resistance was a major issue preventing the adoption of telemedicine in both countries, followed by poor infrastructure, lack of funding, and lack of information technology training. Our research identifies that culture is a greater issue than technical matters for the adoption of telemedicine in Middle Eastern countries. Based on our preliminary results we developed a guideline framework for each country that might be applied to telemedicine projects at the pre-implementation phase. The proposed guideline framework was validated through a return visit to the stakeholders and seeking further opinion.",RAYYAN-LABELS: Some Focus,10.1089/tmj.2012.0106,Administrative Personnel;Consumer Health Information/methods;*Culture;Health Personnel;Humans;Jordan;*Policy;Syria;*Telemedicine,23540280,
rayyan-1115028224,A novel application of SMART on FHIR architecture for interoperable and scalable integration of patient-reported outcome data with electronic health records.,2021,9,18,Journal of the American Medical Informatics Association : JAMIA,1527-974X (Electronic),28,10,2220-2225,Wesley DB and Blumenthal J and Shah S and Littlejohn RA and Pruitt Z and Dixit R and Hsiao CJ and Dymek C and Ratwani RM,https://pubmed.ncbi.nlm.nih.gov/34279660/,eng,,England,"OBJECTIVE: Despite a proliferation of applications (apps) to conveniently collect patient-reported outcomes (PROs) from patients, PRO data are yet to be seamlessly integrated with electronic health records (EHRs) in a way that improves interoperability and scalability. We applied the newly created PRO standards from the Office of the National Coordinator for Health Information Technology to facilitate the collection and integration of standardized PRO data. A novel multitiered architecture was created to enable seamless integration of PRO data via Substitutable Medical Apps and Reusable Technologies on Fast Healthcare Interoperability Resources apps and scaled to different EHR platforms in multiple ambulatory settings. MATERIALS AND METHODS: We used a standards-based approach to deploy 2 apps that source and surface PRO data in real-time for provider use within the EHR and which rely on PRO assessments from an external center to streamline app and EHR integration. RESULTS: The apps were developed to enable patients to answer validated assessments (eg, a Patient-Reported Outcomes Measurement Information System including using a Computer Adaptive Test format). Both apps were developed to populate the EHR in real time using the Health Level Seven FHIR standard allowing providers to view patients' data during the clinical encounter. The process of implementing this architecture with 2 different apps across 18 ambulatory care sites and 3 different EHR platforms is described. CONCLUSION: Our approach and solution proved feasible, secure, and time- and resource-efficient. We offer actionable guidance for this technology to be scaled and adapted to promote adoption in diverse ambulatory care settings and across different EHRs.",RAYYAN-LABELS: High Focus,10.1093/jamia/ocab110,*Electronic Health Records;*Health Level Seven;Humans;Patient Reported Outcome Measures;Software,34279660,PMC8449622
rayyan-1115028225,Factors affecting electronic medical record system adoption in small korean hospitals.,2014,7,,Healthcare informatics research,2093-3681 (Print),20,3,183-90,Park YT and Lee J,https://pubmed.ncbi.nlm.nih.gov/25152831/,eng,,Korea (South),"OBJECTIVES: The objective of this paper is to investigate the factors affecting adoption of an Electronic Medical Record (EMR) system in small Korean hospitals. METHODS: This study used survey data on adoption of EMR systems; data included that from various hospital organizational structures. The survey was conducted from April 10 to August 3, 2009. The response rate was 33.5% and the total number of small general hospitals was 144. Data were analyzed using the generalized estimating equation method to adjust for environmental clustering effects. RESULTS: The adoption rate of EMR systems was 40.2% for all responding small hospitals. The study results indicate that IT infrastructure (OR, 1.48; 95% CI, 1.23 to 1.80) and organic hospital structure (OR, 1.86; 95% CI, 1.07 to 3.23) rather than mechanistic hospital structure or the number of hospitals within a county (OR, 1.08; 95% CI, 1.01 to 1.17) were critical factors for EMR adoption after controlling for various hospital covariates. CONCLUSIONS: This study found that several managerial features of hospitals and one environmental factor were related to the adoption of EMR systems in small Korean hospitals. Considering that health information technology produces many positive health outcomes and that an 'adoption gap' regarding information technology exists in small clinical settings, healthcare policy makers should understand which organizational and environmental factors affect adoption of EMR systems and take action to financially support small hospitals during this transition.",RAYYAN-LABELS: High Focus,10.4258/hir.2014.20.3.183,"",25152831,PMC4141132
rayyan-1115028226,Healthcare risk management challenges created by federal regulation of electronic medical records and care management.,2013,,,Journal of healthcare risk management : the journal of the American Society for           Healthcare Risk Management,2040-0861 (Electronic),33,1,45-51,Hofert J and Bossen R and Schramm L and Dowell M,https://pubmed.ncbi.nlm.nih.gov/23861123/,eng,,United States,Health information technology (HIT) continues to evolve at an ever accelerating pace. Recent federal legislation has encouraged the widespread adoption of electronic record systems in the healthcare environment.(1) The federal government recognizes that advanced electronic health record (EHR) systems with clinical decision support (CDS) functionalities have the potential to offer numerous benefits to the quality of patient care.(2.),RAYYAN-LABELS: High Focus,10.1002/jhrm.21117,"American Recovery and Reinvestment Act;Decision Support Systems, Clinical;Delivery of Health Care/*legislation & jurisprudence;Electronic Health Records/*legislation & jurisprudence;Government Regulation;Liability, Legal;*Risk Management;United States",23861123,
rayyan-1115028227,A Rasch model analysis of technology usage in Minnesota hospitals.,2012,8,,International journal of medical informatics,1872-8243 (Electronic),81,8,527-38,Olson JR and Belohlav JA and Cook LS,https://pubmed.ncbi.nlm.nih.gov/22361157/,eng,,Ireland,"PURPOSE: To identify whether the level of difficulty varied among various healthcare technologies. In addition, to examine the whether the degree of healthcare technology adoption was related to patient safety. METHODS: The data on healthcare technology usage came from a survey of hospitals in Minnesota. There were responses from individuals within 104 hospitals for an effective response rate of 72.7%. The data on patient safety was taken from the Hospital Compare database. Rasch model analysis and regression analysis were used to analyze the data. RESULTS: Rasch model analysis revealed that the difficulty of implementation of healthcare information technologies varied by the particular technology. That is, some technologies were more difficult than other technologies. Further, it was found that the degree of healthcare information technology implementation within a hospital was significantly related to patient safety. CONCLUSION: This study identified design and policy implications for hospital decision makers. In particular, it was shown that the technological capability of a hospital is a key consideration in determining the level of resources that are necessary to implement specific healthcare technologies within a hospital.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2012.01.008,"Hospital Administration/*standards;Hospital Information Systems/*statistics & numerical data;Humans;Medical Errors/*prevention & control;Minnesota;*Models, Statistical;*Safety Management",22361157,
rayyan-1115028228,"So much to do, so little time. To accomplish the mandatory initiatives of ARRA, healthcare organizations will require significant and thoughtful planning, prioritization and execution.",2010,,,Journal of healthcare information management : JHIM,1099-811X (Print),24,1,31-5,Klein K,https://pubmed.ncbi.nlm.nih.gov/20077923/,eng,,United States,"The American Recovery and Reinvestment Act of 2009 (ARRA) has set forth legislation for the healthcare community to achieve adoption of electronic health records (EHR), as well as form data standards, health information exchanges (HIE) and compliance with more stringent security and privacy controls under the HITECH Act. While the Office of the National Coordinator for Health Information Technology (ONCHIT) works on the definition of both ""meaningful use"" and ""certification"" of information technology systems, providers in particular must move forward with their IT initiatives to achieve the basic requirements for Medicare and Medicaid incentives starting in 2011, and avoid penalties that will reduce reimbursement beginning in 2015. In addition, providers, payors, government and non-government stakeholders will all have to balance the implementation of EHRs, working with HIEs, at the same time that they must upgrade their systems to be in compliance with ICD-10 and HIPAA 5010 code sets. Compliance deadlines for EHRs and HIEs begin in 2011, while ICD-10 diagnosis and procedure code sets compliance is required by October 2013 and HIPAA 5010 transaction sets, with one exception, is required by January 1, 2012. In order to accomplish these strategic and mandatory initiatives successfully and simultaneously, healthcare organizations will require significant and thoughtful planning, prioritization and execution.",RAYYAN-LABELS: High Focus,,"*American Recovery and Reinvestment Act;*Diffusion of Innovation;Guideline Adherence;Health Facilities/legislation & jurisprudence;*Health Facility Administration;Health Insurance Portability and Accountability Act;International Classification of Diseases;Medical Records Systems, Computerized/*legislation & jurisprudence/statistics &           numerical data;Planning Techniques;United States",20077923,
rayyan-1115028229,A qualitative study of community pharmacy perceptions of the Electronic Prescriptions Service in England.,2014,12,,The International journal of pharmacy practice,2042-7174 (Electronic),22,6,440-4,Harvey J and Avery AJ and Barber N,https://pubmed.ncbi.nlm.nih.gov/24621305/,eng,,England,"OBJECTIVES: To explore attitudes and perceptions of early adopters of the Electronic Prescription Service (release two) in England (EPS2). EPS2 is information technology that allows community pharmacies to download and dispense electronically written prescriptions from general practices. When the prescriber writes a prescription electronically, it is sent and stored on a national central database, commonly called the Spine. The community pharmacy that the patient nominates is then able to download the prescription and dispense to the patient. METHOD: In-depth interviews were conducted with professionals from eight early adopter community pharmacies in the midlands and north of England, and 56 hours of non-participant observations were recorded as field notes. Each interview transcript was coded using a line-by-line approach. Overall, 37 200 words were analysed from 10 transcripts using a 'bottom up' approach to identify key perceptions. Field notes from the observation were analysed thematically and were used to verify interview findings. KEY FINDINGS: Findings follow a narrative which shows that (a) early adopter pharmacies had to cope with challenges such as missing EPS2 prescriptions, (b) despite this, they perceived EPS2 as helpful in streamlining pharmacy workflow and (c) were therefore keen to retain EPS2. CONCLUSIONS: Initial user perception of EPS2 provides a key message on the likelihood of the system being adopted beyond these eight pharmacies. Our findings provide key information for other pharmacies in the adoption process, and policymakers on the potential of EPS2 to achieve its goals and become sustainable in terms of its value to community pharmacies.",RAYYAN-LABELS: High Focus,10.1111/ijpp.12107,*Attitude of Health Personnel;*Community Pharmacy Services;*Electronic Prescribing;England;Humans;Pharmacists/*psychology;Qualitative Research,24621305,
rayyan-1115028230,Benchmarking electronic medical records initiatives in the US: a conceptual model.,2010,6,,Journal of medical systems,0148-5598 (Print),34,3,273-9,Palacio C and Harrison JP and Garets D,https://pubmed.ncbi.nlm.nih.gov/20503611/,eng,,United States,"This article provides a conceptual model for benchmarking the use of clinical information systems within healthcare organizations. Additionally, it addresses the benefits of clinical information systems which include the reduction of errors, improvement in clinical decision-making and real time access to patient information. The literature suggests that clinical information systems provide financial benefits due to cost-savings from improved efficiency and reduction of errors. As a result, healthcare organizations should adopt such clinical information systems to improve quality of care and stay competitive in the marketplace. Our research clearly documents the increased adoption of electronic medical records in U.S. hospitals from 2005 to 2007. This is important because the electronic medical record provides an opportunity for integration of patient information and improvements in efficiency and quality of care across a wide range of patient populations. This was supported by recent federal initiatives such as the establishment of the Office of the National Coordinator of Health Information Technology (ONCHIT) to create an interoperable health information infrastructure. Potential barriers to the implementation of health information technology include cost, a lack of financial incentives for providers, and a need for interoperable systems. As a result, future government involvement and leadership may serve to accelerate widespread adoption of interoperable clinical information systems.",RAYYAN-LABELS: Less Focus,10.1007/s10916-008-9238-5,"Benchmarking/*methods;Electronic Health Records/*standards;Humans;Quality Indicators, Health Care;*Systems Integration;United States",20503611,
rayyan-1115028231,Innovative Use Of Electronic Consultations In Preoperative Anesthesiology Evaluation At VA Medical Centers In New England.,2018,2,,Health affairs (Project Hope),1544-5208 (Electronic),37,2,275-282,Afable MK and Gupte G and Simon SR and Shanahan J and Vimalananda V and Kim EJ and Strymish J and Orlander JD,https://pubmed.ncbi.nlm.nih.gov/29401018/,eng,,United States,"Electronic consultations (e-consults) improve access to specialty care without requiring face-to-face patient visits. We conducted a mixed-methods descriptive study to understand the variability in e-consult use across anesthesiology departments in the Veterans Affairs New England Healthcare System (VANEHS). In the period 2012-15, the system experienced a rapid increase in the use of anesthesiology e-consults: 5,023 were sent in 2015, compared with 103 in 2012. Uptake across sites varied from near-universal use of e-consults for preoperative assessment to use for only selected low-risk patients or no use. Interviews with stakeholders revealed considerable differences in the perceived impact of e-consults on workflow and patient-centeredness. Clinicians at sites with high use of e-consults noted that they improved workflow efficiency. In comparison, clinicians at sites with low use preferentially valued face-to-face visits for some or all patients. The adoption of a health information technology innovation can alter the process of care delivery, depending on perceptions of its value by key stakeholders.",RAYYAN-LABELS: High Focus,10.1377/hlthaff.2017.1087,"*Anesthesiology/methods;Delivery of Health Care;Female;Hospitals, Veterans/*statistics & numerical data;Humans;Male;*Medical Informatics;Middle Aged;New England;Remote Consultation/*statistics & numerical data;United States;Workflow",29401018,
rayyan-1115028233,Use of Normalization Process Theory to explore key stakeholders' perceptions of the facilitators and barriers to implementing electronic systems for medicines management in hospital settings.,2021,2,,Research in social & administrative pharmacy : RSAP,1934-8150 (Electronic),17,2,398-405,Hogan-Murphy D and Stewart D and Tonna A and Strath A and Cunningham S,https://pubmed.ncbi.nlm.nih.gov/32217059/,eng,,United States,"BACKGROUND: Limited data exist on the facilitators and barriers to implementing electronic systems for medicines management in hospitals. Whilst numerous studies advocate system use in improved patient safety and efficiency within the health service, their rate of adoption in practice has been slow. OBJECTIVE: To explore the perceptions of key stakeholders towards the facilitators and barriers to implementing electronic prescribing systems, robotic pharmacy systems, and automated medication storage and retrieval systems in public hospital settings using Normalization Process Theory as a theoretical framework. METHODS: Individual face-to-face semi-structured interviews were conducted in three public hospitals in Ireland with 23 consenting participants: nine nurses; four pharmacists; two pharmacy technicians; six doctors; and two Information Technology managers. RESULTS: Enhanced patient safety and efficiency in healthcare delivery emerged as key facilitators to system implementation, as well as the need to have clinical champions and a multi-disciplinary implementation team to promote engagement and cognitive participation. Key barriers included inadequate training and organisational support, and the need for ease and confidence in system use to achieve collective action. CONCLUSIONS: Many themes that are potentially transferable to other national settings have been identified and extend the evidence base. This will assist organisations around the world to better plan for implementation of medication-related eHealth systems.",RAYYAN-LABELS: High Focus,10.1016/j.sapharm.2020.03.005,*Electronics;*Hospitals;Humans;Ireland;Perception;Qualitative Research,32217059,
rayyan-1115028234,"Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.",1997,11,,Journal of the American Medical Informatics Association : JAMIA,1067-5027 (Print),4,6,442-57,Miller RA and Gardner RM,https://pubmed.ncbi.nlm.nih.gov/9391932/,eng,,England,"In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention.",RAYYAN-LABELS: High Focus,10.1136/jamia.1997.0040442,Clinical Medicine/*standards;Computer Systems;Device Approval;Humans;Information Systems/standards;Software/*standards;Software Validation;United States;United States Food and Drug Administration,9391932,PMC61262
rayyan-1115028236,Are low income patients receiving the benefits of electronic health records? A statewide survey.,2013,6,,Health informatics journal,1741-2811 (Electronic),19,2,91-100,Butler MJ and Harootunian G and Johnson WG,https://pubmed.ncbi.nlm.nih.gov/23715209/,eng,,England,"There are concerns that physicians serving low-income, Medicaid patients, in the United States are less likely to adopt electronic health records and, if so, that Medicaid patients will be denied the benefits from electronic health record use. This study seeks to determine whether physicians treating Medicaid patients were less likely to have adopted electronic health records. Physician surveys completed during physicians' license renewal process in Arizona were merged with the physician licensing data and Medicaid administrative claims data. Survey responses were received from 50.7 percent (6,780 out of 13,380) of all physicians practicing in Arizona. Physician survey responses were used to identify whether the physician used electronic health records and the degree to which the physician exchanged electronic health records with other health-care providers. Medicaid claims data were used to identify which physicians provided health care to Medicaid beneficiaries. The primary outcome of interest was whether Medicaid providers were more or less likely to have adopted electronic health records. Logistic regression analysis was used to estimate average marginal effects. In multivariate analysis, physicians with 20 or more Medicaid patients during the survey cycle were 4.1 percent more likely to use an electronic health record and 5.2 percent more likely to be able to transmit electronic health records to at least one health-care provider outside of their practice. These effects increase in magnitude when the analysis is restricted to solo practice physicians This is the first study to find a pro-Medicaid gap in electronic health record adoption suggesting that the low income patients served by Arizona's Health Care Cost Containment System are not at a disadvantage with regard to electronic health record access and that Arizona's model of promoting electronic health record adoption merits further study.",RAYYAN-LABELS: High Focus,10.1177/1460458212460846,"Adult;Age Factors;Aged;Arizona;Attitude of Health Personnel;Clinical Competence;Diffusion of Innovation;Educational Measurement;Electronic Health Records/*economics/statistics & numerical data;Female;Group Practice;*Health Care Surveys;*Health Knowledge, Attitudes, Practice;Health Services Accessibility/*economics;Health Surveys;Humans;Licensure, Medical;Male;Medicaid/economics;Middle Aged;Osteopathic Medicine;Osteopathic Physicians/psychology/statistics & numerical data;Physicians;Poverty/*statistics & numerical data;Private Practice;United States",23715209,
rayyan-1115028237,Deploying Cloud Computing in the Greek Healthcare System: A Modern Development Proposal Incorporating Clinical and Laboratory Data.,2018,,,Studies in health technology and informatics,1879-8365 (Electronic),251,,35-38,Nikolopoulos M and Karampela I and Tzortzis E and Dalamaga M,https://pubmed.ncbi.nlm.nih.gov/29968595/,eng,,Netherlands,"Cloud computing is a reality in most business sectors. Hospitals have been more reluctant to adopt cloud technology due to strict data security regulations. Cloud could provide economies of scale reducing Information Technology spending in the Greek state-owned hospitals, while giving the opportunity to the hospitals to upgrade their profile offering web-based services. We propose a simple, robust and easy to apply approach for the Greek hospitals, focusing on clinical and laboratory data in order to move to the cloud environment. To the best of our knowledge, there is no other study regarding the adoption of cloud infrastructure in the Greek hospital sector. This innovative method could transform the business model of the hospitals.",RAYYAN-LABELS: High Focus,,*Cloud Computing;*Computer Security;Delivery of Health Care;Greece;*Hospital Information Systems;Hospitals;Internet,29968595,
rayyan-1115028238,The diffusion of decision support systems in healthcare: are we there yet?,2000,7,,Journal of healthcare management / American College of Healthcare Executives,1096-9012 (Print),45,4,240-9; discussion 249-53,Wong HJ and Legnini MW and Whitmore HH,https://pubmed.ncbi.nlm.nih.gov/11067416/,eng,,United States,"Clinical decision support (CDS) systems, with the potential to minimize practice variation and improve patient care, have begun to surface throughout the healthcare industry. This study reviews historic patterns of information technology (IT) in healthcare, analyzes barriers and enabling factors, and draws three lessons. First, the widespread adoption of clinical IT, including CDS systems, depends on having the right organizational and individual financial incentives in place. Second, although CDS systems and clinical IT in general are powerful tools that can be used to support the practice of medicine, they alone cannot redefine the workflow or processes within the profession. Healthcare managers counting on technology to restructure or monitor clinicians' work patterns are likely to encounter substantial resistance to CDS systems, even those that generate valuable information. Third, while the pace of implementing IT systems in healthcare has lagged behind that of other industries, many of the obstacles are gradually diminishing. However, several factors continue to inhibit their widespread diffusion, including the organizational turmoil created by large numbers of mergers and acquisitions, and the lack of uniform data standards.",RAYYAN-LABELS: High Focus,,"Attitude to Computers;Boston;Costs and Cost Analysis;Decision Support Systems, Clinical/economics/*supply & distribution;*Diffusion of Innovation;*Hospital Administration;Interviews as Topic;New York City",11067416,
rayyan-1115028239,Does adoption of electronic health records improve organizational performances of hospital surgical units? Results from the French e-SI (PREPS-SIPS) study.,2017,2,,International journal of medical informatics,1872-8243 (Electronic),98,,47-55,Plantier M and Havet N and Durand T and Caquot N and Amaz C and Philip I and Biron P and Perrier L,https://pubmed.ncbi.nlm.nih.gov/28034412/,eng,,Ireland,"BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the ""Hôpital numérique 2012-2017"" program was implemented as part of a strategic plan to modernize health information technology (HIT), including promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances. The aim of this study was to evaluate the impact of EHR use on the organizational performances of acute care hospital surgical units throughout France. METHODS: This retrospective study was based on data derived from three national databases for year the 2012: IPAQSS (Indicators of improvement in the quality and the management of healthcare, ""IPAQSS""), Hospi-Diag (French hospital performance indicators), and the national accreditation database. National data and methodological support were provided by the French Ministry of Health (DGOS) and the French National Authority for Health (HAS). Multivariate linear models were used to assess four organizational performance indicators: the occupancy rate of surgical inpatient beds, operating room utilization, the activity per surgeon, and the activity per both nurse anesthetist and anesthesiologist which were dependent variables. Several independent variables were taken into account, including the degree of EHR use. RESULTS: The models revealed a significant positive impact of EHR use on operating room utilization and bed occupancy rates for surgical inpatient units. No significant association was found between the activity per surgeon or the activity per nurse anesthetist and anesthesiologist with EHR use. All four organizational performance indicators were impacted by the type of hospital, the geographical region, and the severity of the pathologies. CONCLUSION: We were able to verify the purported potential benefits of EHR use on the organizational performances of surgical units in French hospitals.",RAYYAN-LABELS: High Focus,10.1016/j.ijmedinf.2016.12.002,"Cross-Sectional Studies;Delivery of Health Care/*organization & administration;Electronic Health Records/*statistics & numerical data;France;Humans;Medical Informatics/*organization & administration;*Organizational Culture;Patient Care Team;Retrospective Studies;*Surgery Department, Hospital",28034412,
rayyan-1115028240,Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.,2019,4,,JAMIA open,2574-2531 (Electronic),2,1,35-39,Sulkers H and Tajirian T and Paterson J and Mucuceanu D and MacArthur T and Strauss J and Kalia K and Strudwick G and Jankowicz D,https://pubmed.ncbi.nlm.nih.gov/31984343/,eng,,United States,"Although electronic health record systems have been implemented in many health settings globally, how organizations can best implement these systems to improve medication safety in mental health contexts is not well documented in the literature. The purpose of this case report is to describe how a mental health hospital in Toronto, Canada, leveraged the process of obtaining Healthcare Information Management Systems Society (HIMSS) Stage 7 on the Electronic Medical Record Adoption Model to improve clinical care specific to medication safety in its inpatient settings. Examples of how the organization met several of these HIMSS criteria are described as they relate to utilizing data from the system to support clinician practice and/or decision-making for medication safety.",RAYYAN-LABELS: High Focus,10.1093/jamiaopen/ooy044,"",31984343,PMC6951882
rayyan-1115028241,Senior health managers in the new era: changing roles and competencies in the 1990s and early 21st century.,2006,,,The Journal of health administration education,0735-6722 (Print),23,3,281-301,Liang Z and Short SD and Brown CR,https://pubmed.ncbi.nlm.nih.gov/17249477/,eng,,United States,"Healthcare reforms and restructuring have been a global phenomenon since the early 1980s, driven by a number of factors such as increasing health expenditure and changing health needs, advancement of medical and information technology, and adoption of the new model of public health. More significant changes worldwide are the development of a new public management paradigm in the public sector. These changes were marked by the adoption of private sector management models and practices. It is widely believed that the healthcare reforms, the process of the reforms, and the instability brought about by the reforms may have not only resulted in the change of senior healthcare management practices, but also in the change of skills and competencies required for senior healthcare managers. In fact, a number of international, national, and local studies have examined the roles, skills, competencies and educational needs of health service managers since the 1980s. There are differences in findings from these studies in the 1980s, and 1990s, and early 2000s. This paper explores the above differences and their implications for further research and education development. The findings not only lead to the development of a number of questions for future research, but also indicate a new direction for healthcare managers in assisting them to acquire new skills and competencies in meeting the challenges in the new era.",RAYYAN-LABELS: High Focus,,"Australia;Data Collection;Developed Countries;Female;Health Care Reform;Health Facility Administrators/*education;History, 21st Century;Humans;Male;Middle Aged;New Zealand;*Professional Competence;*Professional Role",17249477,
rayyan-1115028242,The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier's 'The Best Hospitals' data.,2015,9,,Journal of medical systems,1573-689X (Electronic),39,9,90,van Poelgeest R and Heida JP and Pettit L and de Leeuw RJ and Schrijvers G,https://pubmed.ncbi.nlm.nih.gov/26242750/,eng,,United States,"OBJECTIVE: To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS: We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program 'Zichtbare Zorg' (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier's annual 'The Best Hospitals' publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study. RESULTS: There is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model. CONCLUSION: There is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings.",RAYYAN-LABELS: High Focus,10.1007/s10916-015-0274-7,Electronic Health Records/*organization & administration;Hospital Administration/*standards;Humans;Netherlands;Patient Safety/*standards;Quality of Health Care/*organization & administration;Telemedicine/*organization & administration,26242750,PMC4525186
rayyan-1115028243,"eHealth Advances in Support of People with Complex Care Needs: Case Examples from Canada, Scotland and the US.",2016,,,"Healthcare quarterly (Toronto, Ont.)",1710-2774 (Print),19,2,29-37,Gray CS and Mercer S and Palen T and McKinstry B and Hendry A,https://pubmed.ncbi.nlm.nih.gov/27700971/,eng,,Canada,"Information technology (IT) in healthcare, also referred to as eHealth technologies, may offer a promising solution to the provision of better care and support for people who have multiple conditions and complex care needs, and their caregivers. eHealth technologies can include electronic medical records, telemonitoring systems and web-based portals, and mobile health (mHealth) technologies that enable information sharing between providers, patients, clients and their families. IT often acts as an enabler of improved care delivery, rather than being an intervention per se. But how are different countries seeking to leverage adoption of these technologies to support people who have chronic conditions and complex care needs? This article presents three case examples from Ontario (Canada), Scotland and Kaiser Permanente Colorado (United States) to identify how these jurisdictions are currently using technology to address multimorbidity. A SWOT (strengths, weaknesses, opportunities, threats) analysis is presented for each case and a final discussion addresses the future of eHealth for complex care needs. The case reports presented in this manuscript mark the foundational work of the Multi-National eHealth Research Partnership Supporting Complex Chronic Disease and Disability (the eCCDD Network); a CIHR-funded project intended to support the international development and uptake of eHealth tools for people with complex care needs.",RAYYAN-LABELS: High Focus,10.12927/hcq.2016.24696,"Chronic Disease/therapy;Colorado;*Comorbidity;Disease Management;Electronic Health Records/*organization & administration;Humans;Internet;Medical Informatics Applications;Monitoring, Ambulatory/methods;Ontario;Scotland;Telemedicine/legislation & jurisprudence/*organization & administration",27700971,
rayyan-1115028244,"At the crossroads: NRTRC white paper examines trends driving the convergence of telehealth, EHRs and HIE.",2010,,,World hospitals and health services : the official journal of the International           Hospital Federation,1029-0540 (Print),46,4,17-23,Thielst CB,https://pubmed.ncbi.nlm.nih.gov/21391447/,eng,,England,"From the American Recovery and Reinvestment Act (ARRA) and the newly passed healthcare reform legislation to emerging reimbursement models and shifting consumer health trends, a confluence of events are driving radical change in the nation's healthcare system and bringing about the convergence of telehealth, electronic health records (EHRs) and health information exchange (HIE). That is the focus of ""The Crossroads of Telehealth, Electronic Health Records & Health Information Exchange: Planning for Rural Communities,"" a new white paper from the Northwest Regional Telehealth Resource Center (NRTRC). ""Accelerating adoption and utilization of telehealth technologies, telemedicine in particular, will be critical to a successful stakeholder response to the disruptive changes that are underway in healthcare,"" said NRTRC Executive Director Christina B. Thielst, FACHE. ""By leveraging telehealth networks and their existing infrastructures, Regional Extension Centers, HIEs and other data-sharing initiatives will be better-positioned to fulfill their commitments to the healthcare delivery system of the future--a system in which even the most rural and remote populations have timely access to care and their health records."" The white paper explores emerging trends and recent disruptors impacting the healthcare delivery system and examines the opportunities they present for the advancement of telecommunications-based health solutions and the broadband infrastructure available through telehealth networks. It also takes an in-depth look at the various uses of telehealth and the most common delivery models of telemedicine, as well as the role of the telehealth network and Telehealth Resource Centers (TRCs) in expanding the reach of these vital initiatives. Finally, the white paper highlights the evolution of the REACH Montana Telehealth Network from facilitating teleradiology at three remote sites into a consortium of healthcare providers at 18 sites linked by high-bandwidth telecommunications in the north central region of Montana. REACH, which considers HIE to be a primary function, is currently working to leverage its existing T1 infrastructure to create the ""railroad tracks"" that will carry medical data and information within the region and beyond. ""This white paper is an excellent analysis of the intersection of telehealth and health information technology, and the opportunities and challenges this electronic technology will bring to rural America,"" said Terry J. Hill, Executive Director of the Rural Health Resource Center, the Duluth, Minn.-based national knowledge center for rural hospitals providing technical assistance, information, education and other resources to rural health care providers and their communities. Adds Thielst: ""Crossroads is a valuable planning tool for any healthcare stakeholder, but it is especially important for rural communities wanting to address health information exchange. It is just one of many resources available through the NRTRC to help advance the involvement of teleheatlh networks in HIE initiatives and to help transform the telehealth infrastructure into the 'superhighway' across which remote and rural areas will finally be able to participate in the widespread exchange of electronic health information."" One of five TRCs in the nation, the NRTRC leverages the collective expertise of 33 telehealth networks across Alaska, Hawaii, Idaho, Montana, Oregon, Utah, Washington, Wyoming, and United States-affiliated Pacific Islands to share information and resources which assist in the development of new telehealth programs. The NRTRC is focused on further growth and new provider adoption of telehealth technologies to enhance delivery systems and reduce organizational and patient costs.",RAYYAN-LABELS: High Focus,,Electronic Health Records/organization & administration/*trends;*Health Care Reform;Humans;Medical Informatics/organization & administration/*trends;Montana;Northwestern United States;Organizational Case Studies;Rural Health Services/organization & administration/*trends;Telemedicine/organization & administration/*trends,21391447,
rayyan-1115028245,"What drives adoption of a computerised, multifaceted quality improvement intervention for cardiovascular disease management in primary healthcare settings? A mixed methods analysis using normalisation process theory.",2018,11,12,Implementation science : IS,1748-5908 (Electronic),13,1,140,Patel B and Usherwood T and Harris M and Patel A and Panaretto K and Zwar N and Peiris D,https://pubmed.ncbi.nlm.nih.gov/30419934/,eng,,England,"BACKGROUND: A computerised, multifaceted quality improvement (QI) intervention for cardiovascular disease (CVD) management in Australian primary healthcare was evaluated in a cluster randomised controlled trial. The intervention was associated with improved CVD risk factor screening but there was no improvement in prescribing rates of guideline-recommended medicines. The aim of this study was to conduct a process evaluation to identify and explain the underlying mechanisms by which the intervention did and did not have an impact. METHODS/DESIGN: Normalisation process theory (NPT) was used to understand factors that supported or constrained normalisation of the intervention into routine practice. A case study design was used in which six of the 30 participating intervention sites were purposively sampled to obtain a mix of size, governance, structure and performance. Multiple data sources were drawn on including trial outcome data, surveys of job satisfaction and team climate (68 staff) and in-depth interviews (19 staff). Data were primarily analysed within cases and compared with quantitative findings in other trial intervention and usual care sites. RESULTS: We found a complex interaction between implementation processes and several contextual factors affecting uptake of the intervention. There was no clear association between team climate, job satisfaction and intervention outcomes. There were four spheres of influence that appeared to enhance or detract from normalisation of the intervention: organisational mission and history (e.g. strategic investment to promote a QI culture enhanced cognitive participation), leadership (e.g. ability to energise or demotivate others influenced coherence), team environment (e.g. synergistic activities of team members with different skill sets influenced collective action) and technical integrity of the intervention (e.g. tools that slowed computer systems limited reflective action). DISCUSSION: Use of NPT helped explain how certain contextual factors influence the work that is done by individuals and teams when implementing a novel intervention. Although these factors do not necessarily distil into a recipe for successful uptake, they may assist system planners, intervention developers, and health professionals to better understand the trajectory that primary health care services may take when developing and engaging with QI interventions. TRIAL REGISTRATION: ACTRN 12611000478910 . Registered 08 May 2011.",RAYYAN-LABELS: High Focus,10.1186/s13012-018-0830-x,"Attitude of Health Personnel;Australia;Cardiovascular Diseases/*therapy;Decision Support Systems, Clinical/*organization & administration;*Disease Management;Environment;Group Processes;Guideline Adherence;Humans;Implementation Science;Job Satisfaction;Leadership;Organizational Culture;Patient Care Team/organization & administration;Practice Guidelines as Topic;Primary Health Care/*organization & administration;Quality Improvement/*organization & administration;User-Computer Interface",30419934,PMC6233504
rayyan-1115028246,Development and implementation of a pharmacist-led telehealth medication management program for veterans receiving oral antineoplastic therapies through the MISSION Act.,2022,5,24,American journal of health-system pharmacy : AJHP : official journal of the           American Society of Health-System Pharmacists,1535-2900 (Electronic),79,11,835-843,Passey D and Healy R and Qualls J and Hamilton CJ and Tilley E and Burningham Z and Sauer B and Halwani A,https://pubmed.ncbi.nlm.nih.gov/35084462/,eng,,England,"PURPOSE: Veterans prescribed oral antineoplastic therapies (OATs) by community providers outside the Veterans Health Administration (VA) may lack access to comprehensive medication management. To address this, our multidisciplinary team developed and implemented a pharmacist-led telehealth medication management program for veterans prescribed OATs by community providers. SUMMARY: The program exclusively uses telehealth to connect veterans with a dedicated board-certified clinical oncology pharmacist who provides comprehensive medication management. The program is based on established pharmacy models found in the research literature. We developed a standard operating procedure, communication templates, patient education materials, and a suite of health information technology tools to help streamline pharmacy processes. The Consolidated Framework for Implementation Research was used to design implementation strategies to promote the adoption of the program. In the first year, 64 veterans from 3 VA medical centers were enrolled in the program. The oncology clinical pharmacist performed 342 encounters and 101 interventions. The program saved an estimated $200,724 in medication-related costs. The veterans we surveyed reported high levels of satisfaction with the pharmacy services provided by the program. CONCLUSION: The delivery of comprehensive medication management through telehealth is feasible from a healthcare system perspective and beneficial for patients. The board-certified oncology clinical pharmacist provided remote pharmacy services to Veterans across three sites in a large and rural service area for the VA. The program realized several benefits, including positive clinical outcomes, high levels of patient satisfaction, and cost savings on medication-related costs.",RAYYAN-LABELS: High Focus,10.1093/ajhp/zxac023,*Antineoplastic Agents;Humans;Medication Therapy Management;Patient Satisfaction;Pharmacists;*Telemedicine;*Veterans,35084462,
rayyan-1115028247,Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study.,2014,8,28,Implementation science : IS,1748-5908 (Electronic),9,,105,Moja L and Liberati EG and Galuppo L and Gorli M and Maraldi M and Nanni O and Rigon G and Ruggieri P and Ruggiero F and Scaratti G and Vaona A and Kwag KH,https://pubmed.ncbi.nlm.nih.gov/25163794/,eng,,England,"BACKGROUND: Computerized clinical decision support systems (CDSSs) have been shown to improve the efficiency and quality of patient care by connecting healthcare professionals with high quality, evidence-based information at the point-of-care. The mere provision of CDSSs, however, does not guarantee their uptake. Rather, individual and institutional perceptions can foster or inhibit the integration of CDSSs into routine clinical workflow. Current studies exploring health professionals' perceptions of CDSSs focus primarily on technical and usability issues, overlooking the social or cultural variables as well as broader administrative or organizational roles that may influence CDSS adoption. Moreover, there is a lack of data on the evolution of perceived barriers or facilitators to CDSS uptake across different stages of implementation. METHODS: We will conduct a qualitative, cross-sectional study in three Italian specialty hospitals involving frontline physicians, nurses, information technology staff, and members of the hospital board of directors. We will use semi-structured interviews following the Grounded Theory framework, progressively recruiting participants until no new information is gained from the interviews. DISCUSSION: CDSSs are likely to become an integral and diffuse part of clinical practice. Various factors must be considered when planning their introduction in healthcare settings. The findings of this study will guide the development of strategies to facilitate the successful integration of CDSSs into the regular clinical workflow. The evaluation of diverse health professionals across multiple hospital settings in different stages of CDSS uptake will better capture the complexity of roles and contextual factors affecting CDSS uptake.",RAYYAN-LABELS: High Focus,10.1186/s13012-014-0105-0,"Cross-Sectional Studies;*Decision Support Systems, Clinical/organization & administration/statistics &           numerical data;Hospital Information Systems;Hospitals, Special/*methods;Humans;Interviews as Topic;Italy;Research Design;Technology Transfer",25163794,PMC4159504
rayyan-1115028248,Imminent adopters of electronic health records in ambulatory care.,2009,,,Informatics in primary care,1476-0320 (Print),17,1,7-15,Kaushal R and Bates DW and Jenter CA and Mills SA and Volk LA and Burdick E and Tripathi M and Simon SR,https://pubmed.ncbi.nlm.nih.gov/19490768/,eng,,England,"BACKGROUND: Although evidence suggests electronic health records (EHRs) can improve quality and efficiency, provider adoption rates in the US ambulatory setting are relatively low. Prior studies have identified factors correlated with EHR use, but less is known about characteristics of physicians on the verge of adoption. OBJECTIVE: To compare characteristics of physicians who are imminent adopters of EHRs with EHR users and non-users. DESIGN AND PARTICIPANTS: A survey was mailed (June - November 2005) to a stratified random sample of all medical practices in Massachusetts. One physician from each practice (n=1884) was randomly selected to participate. Overall, 1345 physicians (71.4%) responded to the survey, with 1082 eligible for analysis due to exclusion criteria. 'Imminent adopters' were those planning to adopt EHRs within 12 months. MEASUREMENTS: We assessed physician and practice characteristics, availability of technology, barriers to adoption or expansion of health information technology (HIT), computer proficiency, and financial considerations. RESULTS: Compared to non-users, imminent adopters were younger, more experienced with technology, and more often in practices engaged in quality improvement. More imminent adopters owned or partly owned their practices (57.4%) than users (33.5%; p<0.001), but fewer imminent adopters owned their practices than non-users (65.7%; p<0.001). Additionally, more imminent adopters (26.0%) reported personal financial incentives for HIT use than users (14.8%; p<0.001) and non-users (10.8%; p<0.001). CONCLUSIONS: Imminent adopters of EHRs differed from users and non-users. Financial considerations appear to play a major role in adoption decisions. Knowledge of these differences may assist policy-makers and healthcare leaders as they work to increase EHR adoption rates.",RAYYAN-LABELS: High Focus,10.14236/jhi.v17i1.709,"*Ambulatory Care Facilities;Attitude to Computers;*Diffusion of Innovation;Female;Health Care Surveys;Humans;Male;Massachusetts;*Medical Records Systems, Computerized;Middle Aged",19490768,
rayyan-1115028249,A comparison of the adoption of electronic health records in North Carolina and South Carolina HIV systems.,2010,11,,Southern medical journal,1541-8243 (Electronic),103,11,1115-8,Belden CM and Proeschold-Bell RJ,https://pubmed.ncbi.nlm.nih.gov/20859247/,eng,,United States,"BACKGROUND: The electronic exchange of health records has been a notable topic in recent years in the effort to improve the quality of healthcare delivery and reduce administrative burden. Interviews and documents from stakeholders in human immunodeficiency virus (HIV) care, and HIV information technology were collected between November 2004 through March 2005 to conduct a qualitative policy analysis on the adoption of an electronic health record (EHR) system among HIV care providers in North Carolina and South Carolina. METHOD: Interview data on the current state of EHR use were collected in February through June 2008. The case study analysis included description, categorical aggregation, and naturalistic generalization. RESULTS: Naturalistic generalizations that emerged were (1) state-level policies can have a significant effect on successful adoption of EHRs; (2) state-level champions are integral to cross-sectoral, multi-institutional EHR adoption; (3) voluntary and mandatory adoption strategies can lead to successful cross-sectoral, multi-institutional EHR implementation. CONCLUSION: State health departments can play an integral part in the successful implementation of EHR systems.",RAYYAN-LABELS: High Focus,10.1097/SMJ.0b013e3181f69add,"Continuity of Patient Care;Delivery of Health Care, Integrated/*organization & administration;*Diffusion of Innovation;Electronic Health Records/*organization & administration;HIV Infections/*therapy;Health Plan Implementation/*organization & administration;Health Policy;Humans;*Medical Record Linkage;North Carolina;Organizational Case Studies;South Carolina",20859247,
rayyan-1115028251,Improving performance in medical practices through the extended use of electronic medical record systems: a survey of Canadian family physicians.,2015,4,14,BMC medical informatics and decision making,1472-6947 (Electronic),15,,27,Raymond L and Paré G and Ortiz de Guinea A and Poba-Nzaou P and Trudel MC and Marsan J and Micheneau T,https://pubmed.ncbi.nlm.nih.gov/25888991/,eng,,England,"BACKGROUND: Numerous calls have been made for greater assimilation of information technology in healthcare organizations in general, and in primary care settings in particular. Considering the levels of IT investment and adoption in primary care medical practices, a deeper understanding is needed of the factors leading to greater performance outcomes from EMR systems in primary care. To address this issue, we developed and tested a research model centered on the concept of Extended EMR Use. METHODS: An online survey was conducted of 331 family physicians in Canadian private medical practices to empirically test seven research hypotheses using a component-based structural equation modeling approach. RESULTS: Five hypotheses were partially or fully supported by our data. Family physicians in our sample used 67% of the clinical and 41% of the communicational functionalities available in their EMR systems, compared to 90% of the administrative features. As expected, extended use was associated with significant improvements in perceived performance benefits. Interestingly, the benefits derived from system use were mainly tied to the clinical support provided by an EMR system. The extent to which physicians were using their EMR systems was influenced by two system design characteristics: functional coverage and ease of use. The more functionalities that are available in an EMR system and the easier they are to use, the greater the potential for exploration, assimilation and appropriation by family physicians. CONCLUSIONS: Our study has contributed to the extant literature by proposing a new concept: Extended EMR Use. In terms of its practical implications, our study reveals that family physicians must use as many of the capabilities supported by their EMR system as possible, especially those which support clinical tasks, if they are to maximize its performance benefits. To ensure extended use of their software, vendors must develop EMR systems that satisfy two important design characteristics: functional coverage and system ease of use.",RAYYAN-LABELS: High Focus,10.1186/s12911-015-0152-8,"Adult;Electronic Health Records/*statistics & numerical data;Family Practice/standards;Health Care Surveys;Health Services Research/*methods;Humans;Physicians, Family/*standards;Private Practice/*standards;Quebec",25888991,PMC4397686
rayyan-1115028252,[Using innovation diffusion theory to improve implementation of nursing information systems].,2009,6,,Hu li za zhi The journal of nursing,0047-262X (Print),56,3,18-22,Lee TT and Shih YS,https://pubmed.ncbi.nlm.nih.gov/19472108/,chi,,China (Republic : 1949- ),"The application of health information technology (IT) to improve healthcare efficiency and quality is an increasingly critical task for all healthcare organizations due to rapid improvements in IT and growing concerns with regard to patient safety. While a growing field of evidence supports that nurses frequently play key roles in steering the healthcare industry to achieve such goals, adoption and diffusion of technology remain complex processes. The application of IT still makes many nurses uneasy, while a main question remains whether nursing staff are willing to use state-of-the-art IT in their routine work. Addressing the application of IT in healthcare, this paper reviews the essential concepts of Rogers' innovation-diffusion theory regarding strategies for applying the characteristics of innovation and adoption processes. An example of applying the theory at one hospital is presented at the end to illustrate nursing information system implementation principles and propose suggestions for increasing general nurse application of IT in their regular work. Results may serve as references for future nursing informatics and theory development.",RAYYAN-LABELS: High Focus,,*Diffusion of Innovation;Humans;*Nursing Informatics,19472108,
rayyan-1115028253,Telemedicine standards: need and Indian initiatives.,2009,7,,Telemedicine journal and e-health : the official journal of the American           Telemedicine Association,1556-3669 (Electronic),15,6,597-9,Bedi BS,https://pubmed.ncbi.nlm.nih.gov/19659417/,eng,,United States,"Telemedicine has special significance to India considering its vast geographical spread and predominant rural population. Adoption of health information technology has been one of the major options for more efficient delivery of healthcare for rural and geographically distant populations spread across India. With an expanding application of telemedicine, the policy makers in India feel that a recommended set of standards and guidelines for telemedicine needs to be set in place and constantly refined to promote the integrated growth of telemedicine in the country. The present article outlines the initiative and the current status of the standardization effort in India.",RAYYAN-LABELS: High Focus,10.1089/tmj.2009.0061,Diffusion of Innovation;Guidelines as Topic;India;*Policy Making;Telemedicine/organization & administration/*standards,19659417,
rayyan-1115028254,Taking a traditional web site to patient portal technology.,2010,1,,The Journal of medical practice management : MPM,8755-0229 (Print),25,4,240-2,Labow K,https://pubmed.ncbi.nlm.nih.gov/20222261/,eng,,United States,"In this era of consumer-driven healthcare, consumers (your current and potential patients) seek healthcare information on the Internet. If your practice doesn't have a Web site, or has one that's static and uninformative, you won't be found, and the patient will move on to the next practice Web site. Why? Because only the most graphically appealing, informative, and patient-centered Web sites will drive patients to your practice. Patients are demanding improved communication with their physician. A practice Web site is a start, but the adoption of a fully functional, interactive Web site with patient portal solutions will not only improve patient-to-provider relationships but will also give the patient access to your practice from anywhere, at any time of the day. Furthermore, these solutions can help practices increase efficiencies and revenue, while reducing operating costs. With the American Recovery and Reinvestment Act of 2009 and other incentives for healthcare information technology adoption, the time is right for your practice to consider implementing technology that will bring considerable value to your practice and also increase patient satisfaction.",RAYYAN-LABELS: High Focus,,"*Internet;Marketing of Health Services;Patient Satisfaction;*Practice Management, Medical;United States;*User-Computer Interface",20222261,
rayyan-1115028255,Electronic health record - public health (EHR-PH) system prototype for interoperability in 21st century healthcare systems.,2005,,,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),2005,,575-9,Orlova AO and Dunnagan M and Finitzo T and Higgins M and Watkins T and Tien A and Beales S,https://pubmed.ncbi.nlm.nih.gov/16779105/,eng,,United States,"Information exchange, enabled by computable interoperability, is the key to many of the initiatives underway including the development of Regional Health Information Exchanges, Regional Health Information Organizations, and the National Health Information Network. These initiatives must include public health as a full partner in the emerging transformation of our nation's healthcare system through the adoption and use of information technology. An electronic health record - public health (EHR-PH)system prototype was developed to demonstrate the feasibility of electronic data transfer from a health care provider, i.e. hospital or ambulatory care settings, to multiple customized public health systems which include a Newborn Metabolic Screening Registry, a Newborn Hearing Screening Registry, an Immunization Registry and a Communicable Disease Registry, using HL7 messaging standards. Our EHR-PH system prototype can be considered a distributed EHR-based RHIE/RHIO model - a principal element for a potential technical architecture for a NHIN.",RAYYAN-LABELS: High Focus,,"Computer Communication Networks/standards;Cooperative Behavior;Disease Notification;Feasibility Studies;Humans;Immunization;Infant, Newborn;Information Systems/*organization & administration/standards;*Medical Records Systems, Computerized;Neonatal Screening;Private Sector;*Public Health Informatics;Public Sector;Regional Medical Programs;Registries;*Systems Integration",16779105,PMC1560434
rayyan-1115028256,A Generic Quality Assurance Model (GQAM) for successful e-health implementation in rural hospitals in South Africa.,2014,,,Health information management : journal of the Health Information Management           Association of Australia,1833-3575 (Electronic),43,1,26-36,Ruxwana N and Herselman M and Pottas D,https://pubmed.ncbi.nlm.nih.gov/27010686/,eng,,Australia,"Although e-health can potentially facilitate the management of scarce resources and improve the quality of healthcare services, implementation of e-health programs continues to fail or not fulfil expectations. A key contributor to the failure of e-health implementation in rural hospitals is poor quality management of projects. Based on a survey 35 participants from five rural hospitals in the Eastern Cape Province of South Africa, and using a qualitative case study research methodology, this article attempted to answer the question: does the adoption of quality assurance (QA) models add value and help to ensure success of information technology projects, especially in rural health settings? The study identified several weaknesses in the application of QA in these hospitals; however, findings also showed that the QA methods used, in spite of not being formally applied in a standardised manner, did nonetheless contribute to the success of some projects. The authors outline a generic quality assurance model (GQAM), developed to enhance the potential for successful acquisition of e-health solutions in rural hospitals, in order to improve the quality of care and service delivery in these hospitals.",RAYYAN-LABELS: High Focus,10.1177/183335831404300104,"Communication;Hospitals, Rural;Medical Informatics/*standards;*Organizational Case Studies;Quality Assurance, Health Care/*standards;South Africa;Telemedicine/*standards",27010686,
rayyan-1115028257,Voluntary medication error reporting program in a Japanese national university hospital.,2003,11,,The Annals of pharmacotherapy,1060-0280 (Print),37,11,1716-22,Furukawa H and Bunko H and Tsuchiya F and Miyamoto K,https://pubmed.ncbi.nlm.nih.gov/14565814/,eng,,United States,"BACKGROUND: In Japan, as in other countries, medical accidents arising from human error can seriously damage public confidence in medical services, as well as being intrinsically undesirable. OBJECTIVE: Errors voluntarily reported by the healthcare practitioners in our institution (Kanazawa University Hospital) were considered to assess the contributory factors by using the accumulated error database in the hospital information system. METHODS: Medical errors in our institution during the period from July 1, 2000, to June 30, 2002, were counted using the error reporting system database and were classified. RESULTS: The number of errors reported during the investigation period was 1378, of which 78% were reported by nursing staff. Medication errors involving administration of injectable or oral drugs to inpatients, dispensing, and prescription accounted for about 50% of that number. Among dispensing errors, 53% were detected by patients or their families and 36% by nurses. CONCLUSIONS: The best method of error prevention is to learn from previous errors. For this purpose, the error reporting program is effective. In patient safety management, it is important to take into account the potential risks of future errors, as well as to capture information about errors that have already happened. For safety management, adoption of appropriate information technology (e.g., implementation of a prescription order entry system) is effective in reducing medication errors. However, it is important to note that serious errors can also arise in computer-based systems.",RAYYAN-LABELS: High Focus,10.1345/aph.1C330,"Health Occupations;Hospital Information Systems/organization & administration;Hospitals, University;Japan;Medication Errors/*classification/*methods/prevention & control;Medication Systems, Hospital/organization & administration;Risk Management/*classification/*methods",14565814,
rayyan-1115028258,Fingerprint verification on medical image reporting system.,2008,3,,Computer methods and programs in biomedicine,0169-2607 (Print),89,3,282-8,Chen YC and Chen LK and Tsai MD and Chiu HC and Chiu JS and Chong CF,https://pubmed.ncbi.nlm.nih.gov/18178287/,eng,,Ireland,"The healthcare industry is recently going through extensive changes, through adoption of robust, interoperable healthcare information technology by means of electronic medical records (EMR). However, a major concern of EMR is adequate confidentiality of the individual records being managed electronically. Multiple access points over an open network like the Internet increases possible patient data interception. The obligation is on healthcare providers to procure information security solutions that do not hamper patient care while still providing the confidentiality of patient information. Medical images are also part of the EMR which need to be protected from unauthorized users. This study integrates the techniques of fingerprint verification, DICOM object, digital signature and digital envelope in order to ensure that access to the hospital Picture Archiving and Communication System (PACS) or radiology information system (RIS) is only by certified parties.",RAYYAN-LABELS: High Focus,10.1016/j.cmpb.2007.11.014,"Algorithms;Artificial Intelligence;Biometry/instrumentation/*methods;Computer Security/*instrumentation;*Dermatoglyphics;Humans;Image Interpretation, Computer-Assisted/instrumentation/methods;Medical Records Systems, Computerized/*instrumentation;Pattern Recognition, Automated/methods;Radiology Information Systems/*instrumentation;Skin",18178287,
rayyan-1115028259,M-healthcare for patient self-management: a case for diabetics.,2004,,,International journal of electronic healthcare,1741-8453 (Print),1,2,221-41,Cocosila M and Coursaris C and Yuan Y,https://pubmed.ncbi.nlm.nih.gov/18048222/,eng,,Switzerland,"Disease management facilitated through information technology could mean a step forward towards a more effective and efficient care of patients afflicted with chronic illnesses. Focusing on diabetes, the paper explores the value proposition of wireless technology in enhancing patient self-management and quality of life. Diabetics' non-compliance with prescribed treatment plans mandates the adoption of advanced tools that can support patients through automated functions (e.g., notification reminders for taking medication), decision-support (e.g., analysis of self-test data and feedback), and anytime/anywhere communication and intervention capability (e.g., emergency consultation by healthcare practitioner). A cost-benefit analysis for the mobile self-management of diabetics suggests time and financial savings for both patients and the healthcare providers.",RAYYAN-LABELS: High Focus,10.1504/IJEH.2004.005869,Diabetes Mellitus/*therapy;Disease Management;Humans;Patient Compliance;*Self Care;*Telemedicine,18048222,
rayyan-1115028260,"Tools, technologies, and informatics: supporting glycemic control.",2006,7,,Endocrine practice : official journal of the American College of Endocrinology           and the American Association of Clinical Endocrinologists,1530-891X (Print),12,,100-7,Peeples M and Rice D,https://pubmed.ncbi.nlm.nih.gov/16905525/,eng,,United States,"OBJECTIVE: To overcome the challenges involved in the adoption and implementation of standards of glycemic control in the inpatient setting. METHODS: Three major barriers to effective glycemic control are examined, and solutions are discussed. RESULTS: The diabetes care process occurs at several levels of the hospital system, including the community level. Each level must be considered when solutions for glycemic control are determined and implementation planned. Workflow coordination is another challenge; it addresses the end users who provide patient care and use information support. Informatics, or the application of information technology to healthcare, can facilitate system-level and workflow integration efforts to improve glycemic control. CONCLUSION: Glycemic control can be achieved through coordinated and facilitated efforts at each level of the hospital system--individual, unit, and hospital-wide. Multidisciplinary team coordination, workflow integration, effective information sharing, and communication are required.",RAYYAN-LABELS: High Focus,10.4158/EP.12.S3.100,Hospital Information Systems/standards;Humans;Hyperglycemia/*prevention & control;Inpatients;Medical Informatics/*methods;Patient Care/*methods/standards;Patient Care Team/organization & administration,16905525,
rayyan-1115028261,From Tele-ed to Telehealth: the need for IT ubiquity in nursing.,2005,10,,Nursing administration quarterly,0363-9568 (Print),29,4,344-8,Simpson RL,https://pubmed.ncbi.nlm.nih.gov/16260999/,eng,,United States,"Although numerous studies have shown that information technology (IT) improves care, makes the workplace better for clinicians, and reduces costs, healthcare-especially nursing-has been slow to adopt it for a variety of reasons. However, because of a worsening nursing shortage, couples with increasing healthcare costs and administrative overhead, nursing demands that IT become not only common, but pervasive, playing a role in every aspect of nursing, from recruitment and education, to patient care. This article will examine the several potential applications of IT to nursing and their benefits, challenges to widespread IT adoption, and the importance of IT ubiquity to the very viability of the profession.",RAYYAN-LABELS: High Focus,10.1097/00006216-200510000-00009,"Attitude of Health Personnel;Attitude to Computers;Computer Literacy;*Diffusion of Innovation;Evidence-Based Medicine/education/organization & administration;Health Services;Health Services Needs and Demand;Humans;Information Storage and Retrieval;Nursing Informatics/education/*organization & administration;Nursing Research/education/organization & administration;Nursing Staff/education/organization & administration/psychology;Personnel Selection;Professional Autonomy;Professional Competence;*Technology Assessment, Biomedical;Telemedicine/organization & administration",16260999,
rayyan-1115028263,"The Last Mile: DSCSA Solution Through Blockchain Technology: Drug Tracking, Tracing, and Verification at the Last Mile of the Pharmaceutical Supply Chain with BRUINchain.",2020,,,Blockchain in healthcare today,2573-8240 (Electronic),3,,,Chien W and de Jesus J and Taylor B and Dods V and Alekseyev L and Shoda D and Shieh PB,https://pubmed.ncbi.nlm.nih.gov/36777051/,eng,,United States,"PURPOSE: As part of the FDA's DSCSA Pilot Project Program, UCLA and its solution partner, LedgerDomain (collectively referred to as the team hereafter), focused on building a complete, working blockchain-based system, BRUINchain, which would meet all the key objectives of the Drug Supply Chain Security Act (DSCSA) for a dispenser operating solely on commercial off-the-shelf (COTS) technology. METHODS: The BRUINchain system requirements include scanning the drug package for a correctly formatted 2D barcode, flagging expired products, verifying the product with the manufacturer, and quarantining suspect and illegitimate products at the last mile: pharmacist to patient, the most complex area of the drug supply chain.The authors demonstrate a successful implementation where product-tracing notifications are sent automatically to key stakeholders, resulting in enhanced timeliness and reduction in paperwork burden. At the core of this effort was a blockchain-based solution to track and trace changes in custody of drug. As an immutable, time-stamped, near-real-time (50-millisecond latency), auditable record of transactions, BRUINchain makes it possible for supply chain communities to arrive at a single version of the truth. BRUINchain was tested using real data on real caregivers administering life-saving medications to real patients at one of the busiest pharmacies in the United States. RESULTS: In addition to communicating with the manufacturer directly for verification, BRUINchain also initiated suspect product notifications. During the study, a 100% success rate was observed for scanning, expiration detection, and counterfeit detection; and paperwork reduction from approximately 1 hour to less than a minute. CONCLUSIONS: By automatically interrogating the manufacturer's relational database with our blockchain-based system, our results indicate a projected DSCSA compliance cost of 17 cents per unit, and potentially much more depending on regulatory interpretation and speed of verification. We project that this cost could be reduced with manufacturers' adoption of a highly performant, fully automated end-to-end system based on digital ledger technology (DLT). During an examination of the interoperability of such a system, we elaborate on its capacity to enable verification in real time without keeping humans in the loop, the key feature driving lower compliance cost. With 4.2 billion prescriptions being dispensed each year in the United States, DLT would not only reduce the projected per-unit cost to 13 cents per unit (saving $183 million in annual labor costs), but also serve as a major bulwark against bad or fraudulent transactions, reduce the need for safety stock, and enhance the detection and removal of potentially dangerous drugs from the drug supply chain to protect US consumers.",RAYYAN-LABELS: High Focus,10.30953/bhty.v3.134,"",36777051,PMC9907423
rayyan-1115028265,Environments for innovation in healthcare information technology.,2005,,,Journal of healthcare information management : JHIM,1099-811X (Print),19,4,66-7,Rothschild A,https://pubmed.ncbi.nlm.nih.gov/16266034/,eng,,United States,"Our nation's leaders have been aggressively touting the benefits of electronic health records. While the maturation of commercially available products has helped to foster adoption, emerging innovation is evolutionary rather than revolutionary. To create revolutionary healthcare IT, we need environments that allow rapid-cycle, iterative development, and evaluation of innovative healthcare IT in real-world settings.",RAYYAN-LABELS: High Focus,,"*Diffusion of Innovation;*Health Facilities;*Information Systems;Medical Records Systems, Computerized/statistics & numerical data;United States",16266034,
rayyan-1115028267,Lowering the barrier to a decentralized NHIN using the open healthcare framework.,2006,,,Studies in health technology and informatics,0926-9630 (Print),121,,214-20,Smith E and Kaufman JH,https://pubmed.ncbi.nlm.nih.gov/17095820/,eng,,Netherlands,"In this paper, we discuss two important elements to lowering the barrier to creation of a National Health Information Network. The first element is the adoption of standards that will enable interoperability while guarantee open interfaces (and preventing vendor lock-in). The second element is the role of open source. While adoption of open standards by large EMR vendors is critically important to enterprise healthcare providers and payors, the availability of inexpensive (or free) standardized Healthcare Information Technology for small physician practices is critical. By analogy to the emergence of the World Wide Web, a framework for creating inexpensive and open source applications for physicians will be as important to realizing a National Health Information Network as availability of free browser technology was to the growth of the internet.",RAYYAN-LABELS: High Focus,,"*Ambulatory Care Information Systems;Computer Communication Networks/*organization & administration;Computer Security;Health Care Sector/*organization & administration;Humans;Medical Records Systems, Computerized/*standards;National Health Programs/*organization & administration;Practice Management, Medical;Software;*Systems Integration;United States",17095820,
rayyan-1115028268,Can we make health IT safe enough for patients?,2012,,,"Work (Reading, Mass.)",1875-9270 (Electronic),41,,4484-9,Wears RL,https://pubmed.ncbi.nlm.nih.gov/22317412/,eng,,Netherlands,"Health information technology (HIT) is widely believed to be an essential modality for improving the efficiency, effectiveness, and safety of healthcare, and has its adoption has been vigorously promoted. However, the safety of commercially available HIT systems has never been independently and rigorously assessed. This paper discusses critical issues to be considered in the development of safe and reliable HIT, and identifies a group of structural impediments that may slow or prevent the arrival of HIT that is actually safe enough for routine clinical use. It argues that this situation is analogous to NASA's promotion of the space shuttle not as an experimental, risky technology, but rather as a routine, ready-for-ordinary-use resource.",RAYYAN-LABELS: High Focus,10.3233/WOR-2012-0749-4484,Humans;Meaningful Use;*Medical Informatics/economics;Motivation;*Patient Safety;Risk Assessment;*User-Computer Interface,22317412,
rayyan-1115028269,Trends in public perceptions of electronic health records during early years of meaningful use.,2015,8,,The American journal of managed care,1936-2692 (Electronic),21,8,e487-93,Ancker JS and Brenner S and Richardson JE and Silver M and Kaushal R,https://pubmed.ncbi.nlm.nih.gov/26625503/,eng,,United States,"OBJECTIVES: The proportion of US doctors using electronic health records (EHRs) has risen sharply in response to the federal Meaningful Use (MU) program, which incentivizes EHR adoption. To track consumer perceptions of EHRs during this period, we conducted a national telephone survey annually for 3 consecutive years, from 2011 to 2013, corresponding with the early years of MU. STUDY DESIGN: Nationwide random digit-dial survey. METHODS: The survey used random digit-dial sampling on a dual frame of landline and cell phone numbers in the continental United States, but was not otherwise stratified by geographic region, race, or other variables. Because our primary goal was to identify relationships between variables and EHR attitudes, we constructed post hoc survey weights to align all 3 samples with each other. Relationships between sociodemographics and EHR questions were assessed with logistic regression models using the survey weights. Cross-year comparisons were conducted with χ2 tests and Cochran-Armitage tests for linear trend. RESULTS: Between 2011 and 2013, the proportion of respondents with a doctor who used an EHR rose from 64% to 71%. In 2011, 64% endorsed the belief that EHRs would improve healthcare quality, dropping to 62% by 2013. Simultaneously, the proportion concerned about the effects of EHRs on privacy dropped from 48% to 41%. Consumers whose doctors used EHRs were generally more likely to believe EHRs would improve healthcare quality and less concerned about privacy risks than those whose doctors did not use EHRs. CONCLUSIONS: Overall, we conclude that during the early years of the MU program, exposure to EHRs increased while confidence in the benefits of EHRs and concerns about privacy risks became less marked. The subset of people exposed to EHRs via their physicians continued to have more positive attitudes toward them than those without that exposure. These attitudinal trends may be linked to increased familiarity with health information technology.",RAYYAN-LABELS: High Focus,,Adult;Aged;*Attitude to Computers;Computer Security;*Electronic Health Records;Female;Humans;Male;*Meaningful Use;Middle Aged;*Public Opinion;Surveys and Questionnaires;United States,26625503,PMC5474313
rayyan-1115028271,wHospital: a web-based application with digital signature for drugs dispensing management.,2006,,,Conference proceedings : ... Annual International Conference of the IEEE           Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and            Biology Society. Annual Conference,1557-170X (Print),,,6793-6,Rossi L and Margola L and Manzelli V and Bandera A,https://pubmed.ncbi.nlm.nih.gov/17959514/,eng,,United States,"wHospital is the result of an information technology research project, based on the utilization of a web based application for managing the hospital drugs dispensing. Part of wHospital back bone and its key distinguishing characteristic is the adoption of the digital signature system,initially deployed by the Government of Lombardia, a Northern Italy Region, throughout the distribution of smart cards to all the healthcare and hospital staffs. The developed system is a web-based application with a proposed Health Records Digital Signature (HReDS) handshake to comply with the national law and with the Joint Commission International Standards. The prototype application, for a single hospital Operative Unit (OU), has focused on data and process management, related to drug therapy. Following a multi-faceted selection process, the Infective Disease OU of the Hospital in Busto Arsizio, Lombardia, was chosen for the development and prototype implementation. The project lead time, from user requirement analysis to training and deployment was approximately 8 months. This paper highlights the applied project methodology, the system architecture, and the achieved preliminary results.",RAYYAN-LABELS: High Focus,10.1109/IEMBS.2006.260949,"Hospital Information Systems/*organization & administration;*Internet;*Medical Records Systems, Computerized;Medication Errors/prevention & control;Medication Systems, Hospital/*organization & administration;Pharmacy Service, Hospital/*organization & administration;*Software",17959514,
rayyan-1115028272,The clinician meets the computer--uneasy bedfellows.,2002,11,,"Annals of the Academy of Medicine, Singapore",0304-4602 (Print),31,6,712-6,Tan MH and Rajasoorya C,https://pubmed.ncbi.nlm.nih.gov/12520823/,eng,,Singapore,"The transformation of healthcare has been one of the great, but unfulfilled, promises of the information technology revolution. This disappointment has been due in part to the enormously complex processes involved in bedside clinical care. Selective adoption of advances in information technology has resulted in enhancement of point-of-care healthcare delivery, medical record management and professional communication. However, the introduction of these refinements has encountered resistance, as well as sparked new challenges. The exciting progress in this field is reviewed, with reference to global and local developments.",RAYYAN-LABELS: High Focus,,"*Attitude of Health Personnel;*Attitude to Computers;Computer Communication Networks;*Decision Support Systems, Clinical;Diffusion of Innovation;Forecasting;Humans;Medical Records Systems, Computerized/*statistics & numerical data;Physicians/*psychology;Point-of-Care Systems;Singapore",12520823,
rayyan-1115028273,HIT: time to end behavioral health discrimination.,2012,10,,The journal of behavioral health services & research,1556-3308 (Electronic),39,4,336-8,Rosenberg L,https://pubmed.ncbi.nlm.nih.gov/22956203/,eng,,United States,"While the Health Information Technology for Economic and Clinical Health Act, enacted as part of the American Recovery and Reinvestment Act of 2009, provided $20.6 billion for incentive payments to support the adoption and meaningful use of health information technology (HIT), behavioral health organizations were not eligible to receive facility payments. The consequences of excluding behavioral health from HIT incentive payments are found in the results of the ""HIT Adoption and Meaningful Use Readiness in Community Behavioral Health"" survey. The survey found that only 2% of community behavioral health organizations are able to meet federal meaningful use (MU) requirements-compare this to the 27% of Federally Qualified Health Centers and 20% of hospitals that already meet some level of MU requirements. Behavioral health organizations, serving more than eight million adults, children, and families with mental illnesses and addiction disorders, are ready and eager to adopt HIT to meet the goals of better healthcare, better health, and lower costs. But reaching these goals may prove impossible unless behavioral health achieves ""parity"" within healthcare and receives resources for the adoption of HIT.",RAYYAN-LABELS: High Focus,10.1007/s11414-012-9297-8,"*American Recovery and Reinvestment Act;Behavioral Medicine/organization & administration;Community Health Services/organization & administration;Electronic Health Records/economics/legislation & jurisprudence;Financing, Government/legislation & jurisprudence;Healthcare Disparities;Humans;*Meaningful Use/economics/legislation & jurisprudence;*Medical Informatics/economics/legislation & jurisprudence;*Reimbursement, Incentive/economics/legislation & jurisprudence;United States",22956203,
rayyan-1115028274,"Tracking the Implementation of Electronic Medical Records in Dubai, United Arab Emirates, Using an Adoption Benchmarking Tool.",2017,,,Studies in health technology and informatics,1879-8365 (Electronic),245,,64-68,El-Hassan O and Sharif A and Al Redha M and Blair I,https://pubmed.ncbi.nlm.nih.gov/29295053/,eng,,Netherlands,"In the United Arab Emirates (UAE), health services have developed greatly in the past 40 years. To ensure they continue to meet the needs of the population, innovation and change are required including investment in a strong e-Health infrastructure with a single transferrable electronic patient record. In this paper, using the Emirate of Dubai as a case study, we report on the Middle East Electronic Medical Record Adoption Model (EMRAM). Between 2011-2016, the number of participating hospitals has increased from 23 to 33. Currently, while 20/33 of hospitals are at Stage 2 or less, 10/33 have reached Stage 5. Also Dubai's median EMRAM score in 2016 (2.5) was higher than the scores reported from Australia (2.2), New Zealand (2.3), Malaysia (0.06), the Philippines (0.06) and Thailand (0.5). EMRAM has allowed the tracking of the progress being made by healthcare facilities in Dubai towards upgrading their information technology infrastructure and the introduction of electronic medical records.",RAYYAN-LABELS: High Focus,,Australia;*Benchmarking;*Electronic Health Records;Humans;Middle East;New Zealand;Philippines;Thailand;United Arab Emirates,29295053,
rayyan-1115028275,From the sponsor. Workflow solutions with healthcare IT.,2007,,,Yearbook of medical informatics,0943-4747 (Print),,,XI-XIII,Reinhardt ER,https://pubmed.ncbi.nlm.nih.gov/17700894/,eng,,Germany,"OBJECTIVE: To discuss trends in information technology (IT) for the future of healthcare. METHOD: To report from the viewpoint of a global healthcare IT enterprise. RESULTS: Healthcare IT consists of far more than electronic storage of information and automation of existing manual processes. It is the linchpin in an effective care process. Systems are available today that coordinate the complex processes across healthcare enterprises - providing alerts and reminders that can help healthcare providers not only operate more effectively but protect patient safety. The next revolution in healthcare information technology - personalized, evidence-based medicine, with information technology at the hub - is on the horizon. CONCLUSIONS: Although the healthcare industry has lagged behind many other industries in the adoption of sophisticated IT systems, perhaps no other industry can benefit as much from its use. Medical informatics subject matter experts must continue to advocate and support IT adoption for both the effects of process improvement and cost containment and for its potential to impact care outcomes.",RAYYAN-LABELS: High Focus,,"Delivery of Health Care/economics/*trends;Forecasting;Humans;Information Systems/*trends;Medical Records Systems, Computerized;Quality of Health Care",17700894,
rayyan-1115028277,Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States.,2012,,,Perspectives in health information management,1559-4122 (Electronic),9,,1b,Putzer GJ and Park Y,https://pubmed.ncbi.nlm.nih.gov/22737094/,eng,,United States,"The smartphone has emerged as an important technological device to assist physicians with medical decision making, clinical tasks, and other computing functions. A smartphone is a device that combines mobile telecommunication with Internet accessibility as well as word processing. Moreover, smartphones have additional features such as applications pertinent to clinical medicine and practice management. The purpose of this study was to investigate the innovation factors that affect a physician's decision to adopt an emerging mobile technological device such as a smartphone. The study sample consisted of 103 physicians from community hospitals and academic medical centers in the southeastern United States. Innovation factors are elements that affect an individual's attitude toward using and adopting an emerging technology. In our model, the innovation characteristics of compatibility, job relevance, the internal environment, observability, personal experience, and the external environment were all significant predictors of attitude toward using a smartphone. These influential innovation factors presumably are salient predictors of a physician's attitude toward using a smartphone to assist with clinical tasks. Health information technology devices such as smartphones offer promise as a means to improve clinical efficiency, medical quality, and care coordination and possibly reduce healthcare costs.",RAYYAN-LABELS: High Focus,,*Attitude to Computers;Cell Phone/*trends;*Diffusion of Innovation;Female;Humans;Internet;Male;Physicians/*psychology;Southeastern United States;Surveys and Questionnaires,22737094,PMC3329206
rayyan-1115028279,Point of care technology: a sociotechnical approach to home health implementation.,2003,,,Methods of information in medicine,0026-1270 (Print),42,4,463-70,Stricklin ML and Struk CM,https://pubmed.ncbi.nlm.nih.gov/14534651/,eng,,Germany,"OBJECTIVES: This paper describes an ongoing evaluation study of the design and implementation of Point of Care (POC) technology in a home health agency. METHODS: During the implementation of POC technology data about user acceptance were collected with the help of surveys and statistically analyzed. The survey also allowed for entering non-structured observations. A time series study was conducted to identify factors associated with technology change and its effect on professional competency. RESULTS AND CONCLUSIONS: Healthcare markets and consumers are demanding that providers use sophisticated information technology to document, transmit and access clinical and financial information across all delivery points. Newly adapted Patient Care Information Systems (PCIS) are available for clinical use in home care. The factors associated with home care nurses' end user acceptance and use of the POC technology in clinical work are described. A sociotechnical approach with selected change management strategies appears to have positively influenced the nurse end users' POC technology adoption and use in clinical work.",RAYYAN-LABELS: High Focus,,"Attitude of Health Personnel;*Attitude to Computers;Community Health Nursing/*organization & administration;Home Care Agencies/*organization & administration;Humans;*Medical Records Systems, Computerized;Nurses/psychology;Pilot Projects;*Point-of-Care Systems;United States",14534651,
rayyan-1115028280,The NHS Care Record Service (NHS CRS): recommendations from the literature on successful implementation and adoption.,2009,,,Informatics in primary care,1476-0320 (Print),17,3,153-60,Cresswell K and Sheikh A,https://pubmed.ncbi.nlm.nih.gov/20074427/,eng,,England,"The implementation of the National Health Service's Care Record Service (NHS CRS) is the most ambitious information technology innovation ever undertaken in healthcare. This electronic health record system represents the key component of the National Programme for Information Technology. Its implementation is however proving extremely challenging. Building on a recent systematic review of the eHealth literature, we critically reflect on factors that can facilitate the implementation of the NHS CRS and suggest recommendations for a way forward to facilitate implementation efforts.",RAYYAN-LABELS: High Focus,10.14236/jhi.v17i3.730,"Attitude to Computers;*Diffusion of Innovation;Humans;Medical Informatics Applications;Medical Records Systems, Computerized/*organization & administration;State Medicine/*organization & administration;United Kingdom",20074427,
rayyan-1115028281,Imaging informatics: from image management to image navigation.,2009,,,Yearbook of medical informatics,2364-0502 (Electronic),,,167-72,Ratib O,https://pubmed.ncbi.nlm.nih.gov/19855892/,eng,,Germany,"OBJECTIVE: To review the rapid evolution of imaging informatics dealing with issues of management and communication of digital images starting from the era of simple storage and transfer of images to today's world of interactive navigation in large sets of multidimensional data. METHODS: This paper will review the initial concepts of Picture Archiving and Communication Systems (PACS) and the early developments and standardization efforts that lead to the deployment of large intra-institutional networks of image distribution allowing radiologists and physicians to access and review images digitally. With the deployment of PACS came along the need for advanced tools for image visualization and image analysis. RESULTS: Review of the history of PACS and Imaging Informatics clearly shows that the early developments were focused on the radiologist's requirements for diagnosis and image interpretation. These early developments lagged behind the rapid adoption of digital imaging in areas outside radiology. Only recently, imaging informatics shifted toward the development of new tools geared toward the needs of other users such as surgeons, referring physicians and care-providers, and even for the patients themselves. Also in the recent years, the development of multimedia and communication tools in the consumer market has influenced the design and strategic development of image management platforms inside and outside healthcare institutions. CONCLUSIONS: The focus of imaging informatics has clearly shifted in the last decade from basic infrastructure design to complete data and image navigation systems. While the challenge of storing and managing large volumes of imaging data have slowly vanished with the rapid development if information technology, the new challenge emerged from the new requirements of image manipulation and analysis in clinical practice.",RAYYAN-LABELS: High Focus,,"Diagnostic Imaging/*history;History, 20th Century;History, 21st Century;Humans;Radiology Information Systems/*history/standards",19855892,
rayyan-1115028282,A health plan prescription for health information technology.,2010,12,,The American journal of managed care,1936-2692 (Electronic),16,12,SP29-30,Gingrich N and Hasan M,https://pubmed.ncbi.nlm.nih.gov/21314217/,eng,,United States,"The economic stimulus law of 2009 included incentive payments to encourage providers and hospitals to adopt and ""meaningfully use"" electronic health records. One resource was excluded from these regulations: patient data from the patient's health insurer, although health insurance companies tie together multiple sectors of the healthcare industry in a single patient-centered data form known as the claims history. They also have considerable experience with information technology (IT). As a result, they are uniquely positioned to move adoption of health IT systems forward. Health plan technologies should be included in the meaningful-use requirements. The result will be additional functionality, which in the end will improve quality, lower costs, and improve individual health.",RAYYAN-LABELS: High Focus,,"Financing, Government;Health Care Reform;*Insurance, Health/economics;Medical Informatics/*economics;*Reimbursement, Incentive;United States",21314217,
rayyan-1115028283,Connecting humans and health through health information exchange.,2009,,,Studies in health technology and informatics,0926-9630 (Print),146,,756-7,Sensmeier J and Casey Halley E,https://pubmed.ncbi.nlm.nih.gov/19592964/,eng,,Netherlands,"To address healthcare quality, efficiency and safety, a national health information technology (IT) initiative was announced by the President of the United States in 2004 to make Electronic Health Records (EHR) available to most Americans within 10 years. The National Health IT Agenda has advanced with recognition of interoperability standards for Personal Health Records (PHR) and Population Health information exchange. This session will illustrate the national processes, timeline, stakeholders and benefits of adoption of interoperability standards to enable health information exchange.",RAYYAN-LABELS: High Focus,,Humans;Information Systems/*organization & administration;*Medical Record Linkage;*Nursing Care;Quality of Health Care;Safety;United States,19592964,
rayyan-1115028284,Utilizing SELinux to mandate ultra-secure access control of medical records.,2007,,,Studies in health technology and informatics,0926-9630 (Print),129,,498-502,Croll PR and Henricksen M and Caelli B and Liu V,https://pubmed.ncbi.nlm.nih.gov/17911767/,eng,,Netherlands,"Ongoing concerns have been raised over the effectiveness of information technology products and systems in maintaining privacy protection for sensitive data. The aim is to ensure that sensitive health information can be adequately protected yet still be accessible only to those that ""need-to-know"". To achieve this and ensure sustainability over the longer term, it is advocated that an alternative, stable and secure system architecture is required. This paper considers the adoption of a model targeted at health information that provides much higher degrees of protection. A purpose built demonstrator that was developed based on enterprise-level systems software products is detailed. The long term aim is to provide a viable solution by utilizing contemporary, commercially supported operating system and allied software. The advantages and limitations in its application with a medical database are discussed. The future needs in terms of research, software development and changes in organizational policy for healthcare providers, are outlined.",RAYYAN-LABELS: High Focus,,"Access to Information;*Computer Security;*Computer Systems;Confidentiality;Humans;Information Systems;*Medical Records Systems, Computerized;*Software",17911767,
rayyan-1115028285,IT investments can add business value.,2002,5,,Healthcare financial management : journal of the Healthcare Financial Management           Association,0735-0732 (Print),56,5,34-8,Williams TG,https://pubmed.ncbi.nlm.nih.gov/12013639/,eng,,United States,"Investment in information technology (IT) is costly, but necessary to enable healthcare organizations to improve their infrastructure and achieve other improvement initiatives. Such an investment is even more costly, however, if the technology does not appropriately enable organizations to perform business processes that help them accomplish their mission of providing safe, high-quality care cost-effectively. Before committing to a costly IT investment, healthcare organizations should implement a decision-making process that can help them choose, implement, and use technology that will provide sustained business value. A seven-step decision-making process that can help healthcare organizations achieve this result involves performing a gap analysis, assessing and aligning organizational goals, establishing distributed accountability, identifying linked organizational-change initiatives, determining measurement methods, establishing appropriate teams to ensure systems are integrated with multidisciplinary improvement methods, and developing a plan to accelerate adoption of the IT product.",RAYYAN-LABELS: Less Focus,,*Capital Expenditures;Delivery of Health Care/economics/*organization & administration;Guidelines as Topic;Information Systems/*economics;*Investments;United States,12013639,
rayyan-1115028286,A statewide assessment of e-HIT use by all healthcare providers.,2008,11,6,AMIA ... Annual Symposium proceedings. AMIA Symposium,1942-597X (Electronic),,,987,Ireson CL and Riddell MC,https://pubmed.ncbi.nlm.nih.gov/18999027/,eng,,United States,Knowledge of capacity and use of health information technology is essential in developing a secure interoperable statewide electronic health network. The purpose of this research was to conduct a comprehensive state-wide assessment of multiple healthcare providers and translate the data through geospatial mapping into a model to guide the development of RHIOs and HIEs. This research reflects the most comprehensive e-Health adoption survey to date for state healthcare decision makers in the extant literature.,RAYYAN-LABELS: High Focus,,*Data Collection;Health Personnel/*statistics & numerical data;Information Dissemination/*methods;Kentucky;Medical Informatics/*statistics & numerical data,18999027,
rayyan-1115028287,Realizing positive returns from your e-health investments.,2001,2,,Healthcare financial management : journal of the Healthcare Financial Management           Association,0735-0732 (Print),55,2,50-5,O'Dell S and McGoldrick C,https://pubmed.ncbi.nlm.nih.gov/11271443/,eng,,United States,"Although the healthcare industry still is in the beginning stages of e-health adoption and has yet to achieve a significant return on e-health investments, healthcare organizations can anticipate increasingly positive results over time. To capitalize on the potential of e-health, financial managers need to adopt a clear, concise approach to valuing e-health investment options, making investment decisions, and managing an organization's return on invested capital. Key actions to take are developing a strategy, looking beyond cost reduction to other advantages of e-health strategies, understanding the needs of the stakeholders, becoming comfortable with experimentation, having realistic expectations, and instituting a process for valuing e-health investments that does not duplicate valuation processes for traditional information technology projects.",RAYYAN-LABELS: High Focus,,"Cost Allocation;Cost Savings;Cost-Benefit Analysis;Diffusion of Innovation;Financial Management, Hospital/*methods/trends;Hospital Information Systems/*economics;*Insurance Claim Reporting;Internet/*economics;Investments/*economics;Planning Techniques;Purchasing, Hospital;United States",11271443,
rayyan-1115028288,Responsibility modelling: a new approach to the process of re-engineering the health-care organisation.,1997,,,Studies in health technology and informatics,0926-9630 (Print),43,,801-5,Blyth A,https://pubmed.ncbi.nlm.nih.gov/10179778/,eng,,Netherlands,"Technology changes our world. It is an accepted fact that the adoption and utilization of information technology by an organization will change the work patterns and power structures of that organization. Health-Care organizations realize that the process of re-alignment and re-engineering is a critical one, as it exposes consumers of health-care to the possible risk of death, or at least the loss of personal information. In this paper I will present the idea of modeling responsibilities as a vehicle for the re-engineering of the processes by which social values are mediated and health-care is delivered.",RAYYAN-LABELS: Some Focus,,*Computer Simulation;*Consumer Behavior;Health Care Rationing;*Health Care Reform;Health Personnel;Humans;*Social Responsibility;Social Values,10179778,
rayyan-1115028289,Technology Update: An Overview of PDA-Based Software Applications for Practicing Pharmacists.,2005,9,,International journal of pharmaceutical compounding,1092-4221 (Print),9,5,369-78,Khandelwal NG and Felkey BG,https://pubmed.ncbi.nlm.nih.gov/23925136/,eng,,United States,"When it comes to the adoption of portable information technology devices called personal digital assistants and the selection of new application software to be used on the personal digital assistant, most healthcare professionals in general, including pharmacists, are in a dilemma as to which hardware and software applications are best suited for them. Having made a personal digital assistant device selection, an even more difficult task is deciding which of the hundreds of clinical applications should be installed on their personal digital assistant for everyday practice. This article provides an overview of the personal digital assistant-based clinical software applications that are most important and relevant for use by practicing pharmacists in any community setting.",RAYYAN-LABELS: High Focus,,"",23925136,