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18
December, 2014
Thursday

ict

The dangerous decade

Coiera E et al, J Am Med Inform Assoc, 19(1)

There is a paradox in the relationship between information and communication technology (ICT) and patient safety. ICT can improve the quality, safety and effectiveness of clinical services and patient outcomes, although the evidence base for this is sometimes weak. As a consequence, the rapid deployment of ICT on a national scale is a priority for many nations faced with a diminishing clinical workforce, increasing workloads, and resource constraints.
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6 December 2011 | No Comments »
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The implementation of electronic health records: A case study of bush computing the Ngaanyatjarra Lands

Cripps H, Standing C. International Journal of Medical Informatics, 2011

Objective
The adoption of Information and Communication Technologies (ICT) in the health sector has often lagged behind adoption in other sectors as there are a number of systemic inhibitors that make the adoption of ICT far more complex. This paper aims to explore and investigate the drivers, facilitators and barriers to electronic health records adoption in the health sector and provide some guidance on how to improve the prospect of successful adoption.
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17 October 2011 | No Comments »
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Electronic Health Records and Personal Health Records

Caligtan CA, Dykes PC. Seminars in Oncology Nursing, 27(3)

Objectives
To provide an overview of electronic personal health information technology.

Data Sources
Peer reviewed research studies, review articles, and web resources.
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24 July 2011 | No Comments »
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Tracking Observations of Everyday Living with Smart Phones

Reports of health information systems failures identified the guilty parties laying with issues around social, technical, and organizational factors. The reason so many systems fail may lie in the socio-cultural fit of e-Health systems. We do not understand how to deliver information to providers when they need it, in a usable format, and in a way that fits transparently into their workflow and into the daily lives of patients.
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5 July 2011 | No Comments »
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Nursing and information and communication technology (ICT): A discussion of trends and future directions

While A, Dewsbury G. International Journal of Nursing Studies, 2011

This paper traces the development of information and communication (ICT) within health care and the emergence of telehealth as a key component of modern health care delivery as health care moves from the ‘face to face age’ to the ‘information age’. The paper examines the interface of ICT and nursing practice and highlights the limited evidence relating to the nursing contribution within telehealth particularly beyond data input and output analysis for other health care personnel.
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10 April 2011 | No Comments »
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Evaluation of a telemedicine system for heart failure patients: Feasibility, acceptance rate, satisfaction and changes in patient behavior Results from the CARME (CAtalan Remote Management Evaluation) study

Domingo M et al, European Journal of Cardiovascular Nursing, 2011

BACKGROUND:
Telemedicine can be useful for managing heart failure (HF), but patient acceptance of telemedicine and its impact on patient behavior are unclear. AIMS: To assess a telemedicine program in a HF Unit.

METHODS AND RESULTS:
This sub-analysis of the CARME study assessed the use of an interactive telemedicine platform. This prospective intervention study had a before/after design with HF patients randomized 1:1 into two groups: A) Motiva system (educational videos, motivational messages, and questionnaires); and B) Motiva system+telemonitoring of blood pressure, heart rate and weight. Of 211 patients screened, 44 were excluded, 62 did not consent to participate and 8 withdrew consent prior to installation of the system.
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20 March 2011 | No Comments »
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Disrupted rhythms and mobile ICT in a surgical department

Hasvold PE et al, International Journal of Medical Informatics, 2011

Purpose
This study presents a study of mobile information and communication technology (ICT) for healthcare professionals in a surgical ward. The purpose of the study was to create a participatory design process to investigate factors that affect the acceptance of mobile ICT in a surgical ward.

Methods
Observations, interviews, a participatory design process, and pilot testing of a prototype of a co-constructed application were used.
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14 February 2011 | No Comments »
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The integration of Information and Communication Technology into nursing

Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 18(1)

Objectives
To identify and characterise different profiles of nurses’ utilization of Information and Communication Technology (ICT) and the Internet and to identify factors that can enhance or inhibit the use of these technologies within nursing.

Methods
An online survey of the 13,588 members of the Nurses Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model was undertaken.
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12 December 2010 | No Comments »
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Information and communication technologies for better patient self-management and self-efficacy

Ilioudi S et al, International Journal of Electronic Healthcare, 5(4)

Achieving benefits from the introduction of ICTs as part of processes aimed at building sustainable self-efficacy and self-management is very difficult, not least because of a desire to avoid simply replacing patient dependency on health professionals with dependency on technology. Chronic illnesses require ongoing attention that differs from traditional, encounter-based care for acute illnesses. Patients with chronic illnesses such as asthma, cardiovascular disease, depression, diabetes, heart failure and migraine headaches play a central role in managing the broad array of factors that contribute to their health. Individuals with diabetes, for example, provide close to 95% of their own care.
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15 November 2010 | No Comments »
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What can be expected of information and communication technologies in terms of patient empowerment in health?

Lemire M. Journal of Health Organization and Management, 24(2)

Purpose
Implementing information and communication technologies (ICT) is often mentioned as a strategy that can foster public involvement and responsibility in health. The purpose of this paper is to provide a better understanding of the possibilities and issues afforded by the social uses of ICT for personal empowerment in health.
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19 October 2010 | No Comments »
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A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP)

Walters DL et al, BMC Cardiovascular Disorders, 10

Background
Cardiac rehabilitation programs offer effective means to prevent recurrence of a cardiac event, but poor uptake of current programs have been reported globally. Home based models are considered as a feasible alternative to avoid various barriers related to care centre based programs. This paper sets out the study design for a clinical trial seeking to test the hypothesis that these programs can be better and more efficiently supported with novel Information and Communication Technologies (ICT).
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3 October 2010 | No Comments »
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Transforming online communities into support environments for chronic disease management through cell phones and social networks

Wickramasinghe N, Goldberg S. International Journal of Networking and Virtual Organisations, 7(6)

Diabetes is a chronic disease that increases exponentially. Its consequences are long-term and problematic. To date, there is no cure and patients must rely on appropriate and constant monitoring to maintain a state of health that is as good as possible.
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1 October 2010 | No Comments »
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Exploring the link between Populomics and Knowledge Management: patient-oriented case exemplars

Bali RK and Gibbons MC, Medical and Care Compunetics 6, 2010

The challenge of population-level health problems, such as healthcare disparities, encompasses socio-behavioural, community and biologic factors and advances in information and communication technologies (ICTs). These elements are reflected in the key ethos of contemporary knowledge management (KM), as knowledge emerges from the confluence of people, process and technology.
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20 June 2010 | No Comments »
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The integration of Information and Communication Technology into medical practice

Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 79(7)

Objectives
To identify doctors’ utilization of ICT; to develop and characterise a typology of doctors’ utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies within medical practice.

Methods
An online survey of the 16,531 members of the Physicians Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model were undertaken.
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22 May 2010 | No Comments »
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[Information, knowledge and healthcare practice: professionals participation as the key element of the gear]

Adam, Paula et al, Medicina Clínica, 134 Suppl 1

This article analyzes the role of ICT within the complicated gear between information, knowledge and healthcare practices, which particular focus on two specific cases: the digitalization process of the healthcare system and the application of knowledge into the healthcare practices.
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2 April 2010 | No Comments »
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[Factors of success in the implementation of the technologies of the information and the communication in the health systems. The human factor]

Roman-Viñas, Ramón, Medicina Clínica, 134 Suppl 1

In this work some of the fundamentals of change management techniques to ensure the introduction of information and communication technologies in health organizations are analized. Managing change is aimed at redirecting the impact of any transformation process in the organizations towards a positive attitude and enthusiasm of those involved. That is, this paper analyzes the most important of all factors that must be managed in any project for change: the human factor. If a proper change management is a critical success factor in implementing new processes and systems of information and communication technologies (ICT) in an organization, when we faced with the introduction of new processes and interoperability systems between different organizations, cooperation, leadership and motivation of individuals focused on a common goal is absolutely imperative.
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2 April 2010 | No Comments »
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ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa.

Ruxwana, Nkqubela L. et al, The HIM Journal, 39(1)

Information and Communication Technology (ICT) solutions (e.g. e-health, telemedicine, e-education) are often viewed as vehicles to bridge the digital divide between rural and urban healthcare centres and to resolve shortcomings in the rural health sector. This study focused on factors perceived to influence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes.
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27 March 2010 | No Comments »
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Sex Differences in the Use of the Internet as a Source of Health Information Among Adolescents

Jiménez-Pernett, Jaime et al, Telemedicine and e-Health, 16(2)

Background:
The Internet is a fundamental part of the day-to-day lives of adolescents. Faced with the difficulties of accessing conventional health services, adolescents use the Internet as a confidential and safe means of accessing information about health issues.

Objectives:
To describe sex differences in the way in which adolescents search for health information on the Internet.
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8 February 2010 | No Comments »
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Manitoba’s e-Health Strategy: A High-tech Collaboration between Primary and Acute Care

Powers, Patrick, ElectronicHealthcare, 8(3)

Since 2007, Manitoba has been committed to a unified and comprehensive e-Health strategy that relies on information and communications technology (ICT) to enable a province-wide system of connected and effective healthcare delivery and management across the full continuum of healthcare settings. Originally, the provincial government invested $150 million (CAD) in healthcare ICT. Going forward, the province is planning for expenditures of up to $40 million annually to fund ongoing and new projects that, over time, flesh out the complete e-Health Strategy (Province of Manitoba News Release 2007).
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6 January 2010 | No Comments »
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Information and Communications Technology in U.S. Health Care: Why Is Adoption So Slow and Is Slower Better?

Christensen, Michael C., and Dahlia Remler, Journal of Health Politics, Policy and Law, 34(6)

Politicians across the political spectrum support greater investment in health care information and communications technology (ICT) and expect it to significantly decrease costs and improve health outcomes. We address three policy questions about adoption of ICT in health care: First, why is there so little adoption? Second, what policies will facilitate and accelerate adoption? Third, what is the best pace for adoption? We first describe the unusual economics of ICT, particularly network externalities, and then determine how those economics interact with and are exacerbated by the unusual economics of health care.
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17 December 2009 | No Comments »
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