Science.gov

Sample records for health information focused

  1. Patients, health information, and guidelines: A focus-group study

    PubMed Central

    Liira, Helena; Saarelma, Osmo; Callaghan, Margaret; Harbour, Robin; Jousimaa, Jukkapekka; Kunnamo, Ilkka; Loudon, Kirsty; Mcfarlane, Emma; Treweek, Shaun

    2015-01-01

    Background. Evidence-based clinical guidelines could support shared decision-making and help patients to participate actively in their care. However, it is not well known how patients view guidelines as a source of health information. This qualitative study aimed to assess what patients know about guidelines, and what they think of their presentation formats. Research question. What is the role of guidelines as health information for patients and how could the implementation of evidence-based information for patients be improved? Methods. A qualitative study with focus groups that were built around a semi-structured topic guide. Focus groups were audiotaped and transcribed and analysed using a phenomenographic approach. Results. Five focus groups were carried out in 2012 with a total of 23 participants. Patients searched for health information from the Internet or consulted health professionals or their personal networks. The concepts of guidelines included instructions or standards for health professionals, information given by a health professional to the patient, and material to protect and promote the interests of patients. Some patients did not have a concept for guidelines. Patients felt that health information was abundant and its quality sometimes difficult to assess. They respected conciseness, clarity, clear structure, and specialists or well-known organizations as authors of health information. Patients would like health professionals to deliver and clarify written materials to them or point out to them the relevant Internet sites. Conclusions. The concept of guidelines was not well known among our interviewees; however, they expressed an interest in having more communication on health information, both written information and clarifications with their health professionals. PMID:26205344

  2. How Adolescents Use Technology for Health Information: Implications for Health Professionals from Focus Group Studies

    PubMed Central

    Biscope, Sherry; Poland, Blake; Goldberg, Eudice

    2003-01-01

    Background Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. Objective To describe how adolescents use technology for their health-information needs, identify the challenges they face, and highlight some emerging roles of health professionals regarding eHealth services for adolescents. Methods Using an inductive qualitative research design, 27 focus groups were conducted in Ontario, Canada. The 210 participants (55% female, 45% male; median age 16 years) were selected to reflect diversity in age, sex, geographic location, cultural identity, and risk. An 8-person team analyzed and coded the data according to major themes. Results Study participants most-frequently sought or distributed information related to school (89%), interacting with friends (85%), social concerns (85%), specific medical conditions (67%), body image and nutrition (63%), violence and personal safety (59%), and sexual health (56%). Finding personally-relevant, high-quality information was a pivotal challenge that has ramifications on the depth and types of information that adolescents can find to answer their health questions. Privacy in accessing information technology was a second key challenge. Participants reported using technologies that clustered into 4 domains along a continuum from highly-interactive to fixed information sources: (1) personal communication: telephone, cell phone, and pager; (2) social communication: e-mail, instant messaging, chat, and bulletin boards; (3) interactive environments: Web sites, search engines, and computers; and (4) unidirectional sources: television, radio, and print. Three emerging roles for health professionals in eHealth include: (1) providing an interface for adolescents with technology and assisting them in finding pertinent information sources; (2) enhancing connection to youths by extending ways and times when practitioners are available; and (3) fostering critical appraisal skills among youths for evaluating the quality of health information. Conclusions This study helps illuminate adolescent health-information needs, their use of information technologies, and emerging roles for health professionals. The findings can inform the design and more-effective use of eHealth applications for adolescent populations. PMID:14713660

  3. Global Child and Adolescent Mental Health: A Culturally Informed Focus.

    PubMed

    Cullins, Lisa M; Mian, Ayesha I

    2015-10-01

    There is no question that there is a significant burden of mental illness in children and families across the globe. Despite heightened awareness of the significance of global mental health and its determinants on public health, there is an increased need for innovative interventions, research, resources, and efforts devoted to this area. It has been clearly established that culture, in all of its complex dimensions and dynamics, is at the heart of this labor. In order to integrate culture into global mental health advocacy and solutions, a collaborative approach with flexibility in thinking and implementation must exist. PMID:26346392

  4. The Australian Longitudinal Study on Women's Health: Using Focus Groups to Inform Recruitment

    PubMed Central

    2016-01-01

    Background Recruitment and retention of participants to large-scale, longitudinal studies can be a challenge, particularly when trying to target young women. Qualitative inquiries with members of the target population can prove valuable in assisting with the development of effective recruiting techniques. Researchers in the current study made use of focus group methodology to identify how to encourage young women aged 18-23 to participate in a national cohort online survey. Objective Our objectives were to gain insight into how to encourage young women to participate in a large-scale, longitudinal health survey, as well as to evaluate the survey instrument and mode of administration. Methods The Australian Longitudinal Study on Women’s Health used focus group methodology to learn how to encourage young women to participate in a large-scale, longitudinal Web-based health survey and to evaluate the survey instrument and mode of administration. Nineteen groups, involving 75 women aged 18-23 years, were held in remote, regional, and urban areas of New South Wales and Queensland. Results Focus groups were held in 2 stages, with discussions lasting from 19 minutes to over 1 hour. The focus groups allowed concord to be reached regarding survey promotion using social media, why personal information was needed, strategies to ensure confidentiality, how best to ask sensitive questions, and survey design for ease of completion. Recruitment into the focus groups proved difficult: the groups varied in size between 1 and 8 participants, with the majority conducted with 2 participants. Conclusions Intense recruitment efforts and variation in final focus group numbers highlights the “hard to reach” character of young women. However, the benefits of conducting focus group discussions as a preparatory stage to the recruitment of a large cohort for a longitudinal Web-based health survey were upheld. PMID:26902160

  5. eHealth, Participatory Medicine, and Ethical Care: A Focus Group Study of Patients’ and Health Care Providers’ Use of Health-Related Internet Information

    PubMed Central

    Leese, Jenny; Adam, Paul; McDonald, Michael; Li, Linda C; Kerr, Sheila; Backman, Catherine L

    2015-01-01

    Background The rapid explosion in online digital health resources is seen as transformational, accelerating the shift from traditionally passive patients to patients as partners and altering the patient–health care professional (HCP) relationship. Patients with chronic conditions are increasingly engaged, enabled, and empowered to be partners in their care and encouraged to take responsibility for managing their conditions with HCP support. Objective In this paper, we focus on patients’ and HCPs’ use of health-related Internet information and how it influences the patient-HCP relationship. In particular, we examine the challenges emerging in medical encounters as roles and relationships shift and apply a conceptual framework of relational ethics to examine explicit and nuanced ethical dimensions emerging in patient-HCP interactions as both parties make increased use of health-related Internet information. Methods We purposively sampled patients and HCPs in British Columbia, Canada, to participate in focus groups. To be eligible, patients self-reported a diagnosis of arthritis and at least one other chronic health condition; HCPs reported a caseload with >25% of patients with arthritis and multimorbidity. We used a semistructured, but flexible, discussion guide. All discussions were audiotaped and transcribed verbatim. Elements of grounded theory guided our constant comparison thematic analytic approach. Analysis was iterative. A relational ethics conceptual lens was applied to the data. Results We recruited 32 participants (18 patients, 14 HCPs). They attended seven focus groups: four with patients and three with rehabilitation professionals and physicians. Predominant themes to emerge were how use of health-related Internet information fostered (1) changing roles, (2) patient-HCP partnerships, and (3) tensions and burdens for patients and HCPs. Conclusions Relational aspects such as mutual trust, uncertainty, and vulnerability are illuminated in patient-HCP interactions around health-related Internet information and the negotiated space of clinical encounters. New roles and associated responsibilities have key ethical dimensions that make clear the changes are fundamental and important to understand in ethical care. When faced with tensions and burdens around incorporating health-related Internet information as a resource in clinical encounters, participants described a particular ambivalence illustrating the fundamental changes being negotiated by both patients and HCPs. PMID:26099267

  6. Using focus groups to discover health professionals' information needs: a regional marketing study.

    PubMed Central

    Mullaly-Quijas, P; Ward, D H; Woelfl, N

    1994-01-01

    This paper describes the use of focus groups as a data-gathering tool, in both theoretical and practical terms. Calder's discussion of focus groups is presented as the basis of the theory, and the marketing study conducted by the Midcontinental Region of the National Network of Libraries of Medicine serves as the backdrop to highlight some of the practical aspects of using this qualitative data-gathering method. Results of the marketing study are presented to illustrate the types of data that can be gathered using this methodology and the types of plans for future activities that can be developed based on the data gathered. PMID:7920341

  7. Clinical Care Improvement with Use of Health Information Technology Focusing on Evidence Based Medicine

    PubMed Central

    Peyman, Rezaei Hachesu; Ahmadi, Maryam; Aziz, Rezapoor; Farahnaz, Sadughi; Nader, Maroufi

    2012-01-01

    Objectives Healthcare institutions need timely patient information from various sources at the point-of-care. Evidence-based medicine (EBM) is a tool for proper and efficient incorporation of the results of research in decision-making. Characteristics of medical treatment processes and practical experience concerning the effect of EBM in the clinical process are surveyed. Methods A cross sectional survey conducted in Tehran hospitals in February-March 2012 among 51 clinical residents. The respondents were asked to apply EBM in clinical decision-making to answer questions about the effect of EBM in the clinical process. A valid and reliable questionnaire was used in this study. Results EBM provides a framework for problem solving and improvement of processes. Most residents (76%) agreed that EBM could improve clinical decision making. Eighty one percent of the respondents believed that EBM resulted in quick updating of knowledge. They believed that EBM was more useful for diagnosis than for treatment. There was a significant association between out-patients and in-patients in using electronic EBM resources. Conclusions Research findings were useful in clinical practice and decision making. The computerized guidelines are important tools for improving clinical process quality. When learning how to use IT, methods of search and evaluation of evidence for diagnosis, treatment and medical education are necessary. Purposeful use of IT in clinical processes reduces workload and improves decision-making. PMID:23115738

  8. The Native Telehealth Outreach and Technical Assistance Program: A Community-Based Approach to the Development of Multimedia-Focused Health Care Information

    ERIC Educational Resources Information Center

    Dick, Rhonda Wiegman; Manson, Spero M.; Hansen, Amy L.; Huggins, Annie; Trullinger, Lori

    2007-01-01

    The development and dissemination of culturally relevant health care information has traditionally taken a "top-down" approach. Governmental funding agencies and research institutions have too often dictated the importance and focus of health-related research and information dissemination. In addition, the digital divide has affected rural…

  9. Enhancing the Effectiveness of Consumer-Focused Health Information Technology Systems Through eHealth Literacy: A Framework for Understanding Users' Needs

    PubMed Central

    2015-01-01

    Background eHealth systems and applications are increasingly focused on supporting consumers to directly engage with and use health care services. Involving end users in the design of these systems is critical to ensure a generation of usable and effective eHealth products and systems. Often the end users engaged for these participatory design processes are not actual representatives of the general population, and developers may have limited understanding about how well they might represent the full range of intended users of the eHealth products. As a consequence, resulting information technology (IT) designs may not accommodate the needs, skills, cognitive capacities, and/or contexts of use of the intended broader population of health consumers. This may result in challenges for consumers who use the health IT systems, and could lead to limitations in adoption if the diversity of user attributes has not been adequately considered by health IT designers. Objective The objective of this paper is to propose how users’ needs and competences can be taken into account when designing new information and communications technology solutions in health care by expanding the user-task-context matrix model with the domains of a new concept of eHealth literacy. Methods This approach expands an existing method for supporting health IT system development, which advocates use of a three-dimensional user-task-context matrix to comprehensively identify the users of health IT systems, and what their needs and requirements are under differing contexts of use. The extension of this model involved including knowledge about users’ competences within the seven domains of eHealth literacy, which had been identified based on systematic engagement with computer scientists, academics, health professionals, and patients recruited from various patient organizations and primary care. A concept map was constructed based on a structured brainstorm procedure, card sorting, and computational analysis. Results The new eHealth literacy concept (based on 7 domains) was incorporated as a key factor in expanding the user-task-context matrix to describe and qualify user requirements and understanding related to eHealth literacy. This resulted in an expanded framework and a five-step process, which can support health IT designers in understanding and more accurately addressing end-users’ needs, capabilities, and contexts to improve effectiveness and broader applicability of consumer-focused health IT systems. It is anticipated that the framework will also be useful for policy makers involved in the planning, procuring, and funding of eHealth infrastructure, applications, and services. Conclusions Developing effective eHealth products requires complete understanding of the end-users’ needs from multiple perspectives. In this paper, we have proposed and detailed a framework for modeling users’ needs for designing eHealth systems that merges prior work in development of a user-task-context matrix with the emerging area of eHealth literacy. This framework is intended to be used to guide design of eHealth technologies and to make requirements explicitly related to eHealth literacy, enabling a generation of well-targeted, fit-for-purpose, equitable, and effective products and systems.

  10. Information needs of health care workers in developing countries: a literature review with a focus on Africa

    PubMed Central

    Pakenham-Walsh, Neil; Bukachi, Frederick

    2009-01-01

    Health care workers in developing countries continue to lack access to basic, practical information to enable them to deliver safe, effective care. This paper provides the first phase of a broader literature review of the information and learning needs of health care providers in developing countries. A Medline search revealed 1762 papers, of which 149 were identified as potentially relevant to the review. Thirty-five of these were found to be highly relevant. Eight of the 35 studies looked at information needs as perceived by health workers, patients and family/community members; 14 studies assessed the knowledge of health workers; and 8 looked at health care practice. The studies suggest a gross lack of knowledge about the basics on how to diagnose and manage common diseases, going right across the health workforce and often associated with suboptimal, ineffective and dangerous health care practices. If this level of knowledge and practice is representative, as it appears to be, it indicates that modern medicine, even at a basic level, has largely failed the majority of the world's population. The information and learning needs of family caregivers and primary and district health workers have been ignored for too long. Improving the availability and use of relevant, reliable health care information has enormous potential to radically improve health care worldwide. PMID:19356239

  11. Stewardship of health information.

    PubMed

    Lefebvre, Fleur-Ange

    2014-01-01

    Today's communications technology has greatly facilitated patient access to health information in general. In some instances, and with a growing expectation and tendency, patients also have access to their own health information. This brief commentary focuses on the role of physicians and the medical profession from the perspective of the medical regulatory authority. PMID:25148124

  12. Evaluating Health Information

    MedlinePLUS

    Millions of consumers get health information from magazines, TV or the Internet. Some of the information is reliable and up to date; some is not. ... a branch of the government, a university, a health organization, a hospital or a business? Focus on ...

  13. Activities and ways of organizing better occupational health and safety in small workplaces: special focus on information.

    PubMed

    Lehtinen, Suvi

    2006-01-01

    Information is needed in all activities aiming at the development and improvement of working conditions. The information and communication technology has made it possible to have information available 24 h a day, 360 d a year. The administrative structures in various countries also call for more information steering at the workplace level. This means that more web-based and other materials for small enterprises are needed in all countries in order to improve safety and health of the workers. Four different approaches to improve workplace level activities are described here to provide models for others to modify them to their local conditions. The networking of small workplaces supports the development of their safety and thereby also their productivity and possibilities to offer jobs also in the future. PMID:16610526

  14. A decade of research on health content in the media: the focus on health challenges and sociocultural context and attendant informational and ideological problems.

    PubMed

    Kline, Kimberly N

    2006-01-01

    There is a burgeoning interest in the health and illness content of popular media in the domains of advertising, journalism, and entertainment. This article reviews the past 10 years of this research, describing the relationship between the health topics addressed in the research, the shifting focus of concerns about the media, and, ultimately, the variation in problems for health promotion. I suggest that research attending to topics related to bodily health challenges focused on whether popular media accurately or appropriately represented health challenges. The implication was that there is some consensus about more right or wrong, complete or incomplete ways of representing an issue; the problem was that the media are generally wrong. Alternatively, research addressing topics related to sociocultural context issues focused on how certain interests are privileged in the media. The implication was that competing groups are making claims on the system, but the problem was that popular media marginalizes certain interests. In short, popular media is not likely to facilitate understandings helpful to individuals coping with health challenges and is likely to perpetuate social and political power differentials with regard to health-related issues. I conclude by offering some possibilities for future health media content research. PMID:16546918

  15. The Native Telehealth Outreach and Technical Assistance Program: a community-based approach to the development of multimedia-focused health care information.

    PubMed

    Dick, Rhonda Wiegman; Manson, Spero M; Hansen, Amy L; Huggins, Annie; Trullinger, Lori

    2007-01-01

    The development and dissemination of culturally relevant health care information has traditionally taken a "top-down" approach. Governmental funding agencies and research institutions have too often dictated the importance and focus of health-related research and information dissemination. In addition, the digital divide has affected rural communities in such a way that their members often do not possess the knowledge or experience necessary to use technological resources. And, even when they do, their skills may be limited, adequate only for implementing applications and programs designed by others who live and work outside of these communities. This need became the driving force in the creation of the Native Telehealth Outreach and Technical Assistance Program. The goal of the program is to equip Native community members, at both the lay and professional levels, with the means to use technology to address tribal health care needs. The transfer of relevant technical knowledge and skills enables participants to develop projects which enhance the community-wide dissemination of health care information. Nine community health advocates and professionals participated in the initial cohort. Eight of the participants successfully developed multimedia-based projects including Web sites, interactive CD-ROMs, and video focusing on a variety of health concerns. At the conclusion of the 18-month program period, projects were disseminated throughout rural communities. The NTOTAP staff continues to evaluate the use of these projects and their benefits within the rural communities. PMID:17874365

  16. How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews

    PubMed Central

    Eysenbach, Gunther; Khler, Christian

    2002-01-01

    Objectives To describe techniques for retrieval and appraisal used by consumers when they search for health information on the internet. Design Qualitative study using focus groups, naturalistic observation of consumers searching the world wide web in a usability laboratory, and in-depth interviews. Participants A total of 21 users of the internet participated in three focus group sessions. 17 participants were given a series of health questions and observed in a usability laboratory setting while retrieving health information from the web; this was followed by in-depth interviews. Setting Heidelberg, Germany. Results Although their search technique was often suboptimal, internet users successfully found health information to answer questions in an average of 5 minutes 42 seconds (median 4 minutes 18 seconds) per question. Participants in focus groups said that when assessing the credibility of a website they primarily looked for the source, a professional design, a scientific or official touch, language, and ease of use. However, in the observational study, no participants checked any about us sections of websites, disclaimers, or disclosure statements. In the post-search interviews, it emerged that very few participants had noticed and remembered which websites they had retrieved information from. Conclusions Further observational studies are needed to design and evaluate educational and technological innovations for guiding consumers to high quality health information on the web. What is already known on this topicLittle is known about how consumers retrieve and assess the quality of health information on the internetQualitative data are needed to design educational and technological innovations to guide consumers to high quality health informationWhat this study addsUsers of the internet explore only the first few links on general search engines when seeking health informationConsumers say that when assessing the credibility of a site they primarily look for the source, a professional design, and a variety of other criteriaIn practice, internet users do not check the about us sections of websites, try to find out who authors or owners of the site are, or read disclaimers or disclosure statementsVery few internet users later remember from which websites they retrieved information or who stood behind the sites PMID:11884321

  17. National Health Information Center

    MedlinePLUS

    ... Skip to navigation Office of Disease Prevention and Health Promotion health.gov healthfinder.gov healthypeople.gov health .gov ... Educate the public about health risks Organize successful health promotion events and campaigns Get new ideas, information, and ...

  18. Misconceptions of Focus Groups: Implications for Health Education Practice

    ERIC Educational Resources Information Center

    Thackeray, Rosemary; Neiger, Brad L.

    2004-01-01

    Health educators use several different data collection techniques involving qualitative and quantitative methods. One common qualitative data collection technique is the focus group. Although a focus group, when utilized appropriately, can yield useful information, too often in health education practice it is misunderstood and thus misused. The

  19. Indiana Health Information Exchange

    Cancer.gov

    The Indiana Health Information Exchange is comprised of various Indiana health care institutions, established to help improve patient safety and is recognized as a best practice for health information exchange.

  20. Focus on School Health. MCH Program Interchange.

    ERIC Educational Resources Information Center

    National Center for Education in Maternal and Child Health, Washington, DC.

    This issue of the "MCH Program Interchange" provides information about approximately 55 selected materials and publications related to school health, which have been developed by or are available from Federal agencies, state and local public health agencies, and voluntary and professional organizations. The interchange of this information is meant…

  1. Connecting for health literacy: health information partners.

    PubMed

    Pomerantz, Karyn L; Muhammad, Abdul-Ali; Downey, Stacey; Kind, Terry

    2010-01-01

    This article describes a community-based health information partnership to address health literacy and health information inequalities in marginalized communities. Public health, medical, literacy, and library practitioners promote health literacy through outreach, training, and professional development activities in community settings. They create learning environments for people to develop the necessary knowledge and skills to better understand health information and health policy so they can make decisions concerning personal and community health. Outreach activities focus on visits to neighborhood health centers, health fairs, health exhibits at union meetings and conferences; training programs involve hands-on, peer-led computer classes for people living with HIV and for the general public; and professional development programs connect librarians, health providers, public health workers, and literacy teachers in joint planning and learning. Several learners currently participate in and lead community health education programs and HIV advocacy. The coalition's strength develops from strongly shared objectives, an absence of territoriality, and a core active leadership group. PMID:18544664

  2. Identifying Information Focuses in Listening Comprehension

    ERIC Educational Resources Information Center

    Zhang, Hong-yan

    2011-01-01

    The study explains the process of learners' listening comprehension within Halliday's information theory in functional grammar, including the skills of identifying focuses while listening in college English teaching. Identifying information focuses in listening is proved to improve the students' communicative listening ability by the means of a

  3. Rural Health Information Hub

    MedlinePLUS

    ... Disparities in Individuals Access and Use of Health Information Technology in 2014 Source: Office of the National Coordinator for Health Information Technology Online Library The Rural Monitor Rural ACO Leaders ...

  4. Your Health Information Rights

    MedlinePLUS

    ... to access your health information Right to an accounting of disclosures of your health information Right to ... Yes. You have a right to receive an "accounting of disclosures," which is a list of certain ...

  5. Important health information concepts.

    PubMed

    Grain, Heather

    2010-01-01

    This chapter gives an educational overview of: * The difference between actual patient information and information structure and metadata * The purpose of defining health information concepts * How health concepts are defined * The components used to define health concepts and their relationship to expressing meaning clearly and safely. PMID:20407152

  6. Information Technology Outside Health Care

    PubMed Central

    Tuttle, Mark S.

    1999-01-01

    Non-health-care uses of information technology (IT) provide important lessons for health care informatics that are often overlooked because of the focus on the ways in which health care is different from other domains. Eight examples of IT use outside health care provide a context in which to examine the content and potential relevance of these lessons. Drawn from personal experience, five books, and two interviews, the examples deal with the role of leadership, academia, the private sector, the government, and individuals working in large organizations. The interviews focus on the need to manage technologic change. The lessons shed light on how to manage complexity, create and deploy standards, empower individuals, and overcome the occasional “wrongness” of conventional wisdom. One conclusion is that any health care informatics self-examination should be outward-looking and focus on the role of health care IT in the larger context of the evolving uses of IT in all domains. PMID:10495095

  7. Focus on biodiversity, health and wellbeing

    NASA Astrophysics Data System (ADS)

    Stephens, Carolyn; Athias, Renato

    2015-12-01

    In 2012 Environmental Research Letters (ERL) launched a focus series of research papers on the theme of biodiversity, health and well-being. It was the year of the second Rio Summit on Sustainable Development, a huge number of species had been made extinct and conservationists were making increasingly urgent calls for the protection of biodiversity. The situation is ever more critical. Since we started the issue more species have become extinct, and hundreds more have now become critically endangered. The focus issue highlighted the complexity of the links of biodiversity and health, and provides more evidence for the importance to human health of biodiversity on our planet. Research papers contrasted anthropocentric western scientific views of biodiversity and its ecosystem service to humans, with the more horizontal conceptions of indigenous communities in the Amazon—and as many cultures have recognized throughout history, they recognize that we are part of nature: nature does not exist for us.

  8. Focusing on reproductive health for adolescents.

    PubMed

    1995-06-01

    JOICFP is producing a still photo video consisting of three segments from photos shot in Bangladesh (April 22 - May 2), Thailand (May 2-15), and Mexico (June 29 - July 7) in 1995. The first segment highlights the daily life of a husband, aged 20, and his wife, Moni, aged 14. Moni married at age 13, before the onset of menstruation, and now serves and feeds her husband's large extended family. The Family Planning Association of Bangladesh (FPAB), the local implementing agent of the Sustainable Community-based Family Planning/Maternal and Child Health (FP/MCH) Project with Special Focus on Women, which is supported by the United Nations Population Fund (UNFPA) and executed by JOICFP, introduced Moni to the concept of reproductive health and encouraged her to join other women in activities designed to improve their health and raise their economic status. The second segment depicts the life of a former commercial sex worker who is undergoing occupational skill development training promoted by the Population and Community Development Association. The girl is now a leader of teenagers in her village; she works to change attitudes that sent her to work as a prostitute with an estimated 150,000 other poor rural teenage women. The third segment focuses on teen pregnancy and the efforts of the Mexican Foundation for Family Planning (MEXFAM) in the areas of health care and education for adolescents. PMID:12289887

  9. Maternal health care focus in Bolivian campaign.

    PubMed

    1995-02-01

    Maternal health care is one of the focuses of Bolivia's new reproductive health campaign. The campaign, which uses television, radio and print media to get its message across, has the slogan "Your health is in your hands." Prenatal and postnatal care, as well as safe delivery, form one of the campaign's target areas. Others are family planning, breast-feeding, and the prevention of illegal abortions. The Bolivian campaign, which has a logo showing a child's tiny hand grasping a parent's finger, is supported by the Population Communication Services project of the Johns Hopkins School of Public Health, Baltimore, US. Bolivia has the highest maternal mortality in the western hemisphere. "The need to create an awareness of reproductive health is vital, with the risk of a Bolivian woman dying during pregnancy or childbirth 60 times that for a woman in Europe or the US," according to Dr. Phyllis Piotrow, director of Johns Hopkins' Center for Communication Programs. Further, Bolivia has the second highest infant mortality rate in the western hemisphere after Haiti. PMID:12319470

  10. Regional Health Information Systems

    PubMed Central

    Fuller, Sherrilynne

    1997-01-01

    Abstract In general, there is agreement that robust integrated information systems are the foundation for building successful regional health care delivery systems. Integrated Advanced Information Management System (IAIMS) institutions that, over the years, have developed strategies for creating cohesive institutional information systems and services are finding that IAIMS strategies work well in the even more complex regional environment. The key elements of IAIMS planning are described and lessons learned are discussed in the context of regional health information systems developed. The challenges of aligning the various information agencies and agendas in support of a regional health information system are complex ; however, the potential rewards for health care in quality, efficacy, and cost savings are enormous. PMID:9067887

  11. How does health information influence African American men's health behavior?

    PubMed

    Griffith, Derek M; Ellis, Katrina R; Ober Allen, Julie

    2012-03-01

    Few researchers have examined where African American men obtain, process, and use health information. A thematic analysis of data from eighteen exploratory focus groups conducted with 154 urban African American men aged 32 years and older revealed that men received health information from a variety of sources, including health professionals, media, and members of their social networks. At times, information raised their awareness of health issues, but trust in the source of the information influenced how this information was perceived. Medical professionals were the most common source of health information, but family members were the most trusted source of health information. Health problems and social support increased men's motivation to use health information in order to improve their health and healthy behaviors. These findings illustrate that it is critical to identify factors that influence what information men choose to believe and follow or decide to ignore. PMID:22178902

  12. Health Information Technician.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of health information technician, lists technical competencies and competency builders for 14 units pertinent to the health technologies cluster in general and 6 units specific to the occupation of emergency medical technician. The following

  13. Strengthening Health Information Services

    ERIC Educational Resources Information Center

    Haro, A. S.

    1977-01-01

    Discusses the need to apply modern scientific management to health administration in order to effectively manage programs utilizing increased preventive and curative capabilities. The value of having maximum information in order to make decisions, and problems of determining information content are reviewed. For journal availability, see SO 506

  14. Health Care Information Systems.

    ERIC Educational Resources Information Center

    Banks, Jane L.; And Others

    1987-01-01

    The first of eight articles discusses the current state of the sensitive but unclassified information controversy. A series of six articles then explores the use of integrated information systems in the area of health services. Current trends in document management are provided in the last article. (CLB)

  15. Health Information Systems.

    PubMed

    Sirintrapun, S Joseph; Artz, David R

    2016-03-01

    This article provides surgical pathologists an overview of health information systems (HISs): what they are, what they do, and how such systems relate to the practice of surgical pathology. Much of this article is dedicated to the electronic medical record. Information, in how it is captured, transmitted, and conveyed, drives the effectiveness of such electronic medical record functionalities. So critical is information from pathology in integrated clinical care that surgical pathologists are becoming gatekeepers of not only tissue but also information. Better understanding of HISs can empower surgical pathologists to become stakeholders who have an impact on the future direction of quality integrated clinical care. PMID:26851670

  16. Internet Use for Health Information

    MedlinePLUS

    ... Health Services Utilization > Internet use for Health Information Internet use for Health Information Narrative Due in part ... adults in the United States who use the Internet has increased substantially, from 47 percent in 2000 ...

  17. Health Information Exchange in Emergency Medicine.

    PubMed

    Shapiro, Jason S; Crowley, Diana; Hoxhaj, Shkelzen; Langabeer, James; Panik, Brian; Taylor, Todd B; Weltge, Arlo; Nielson, Jeffrey A

    2016-02-01

    Emergency physicians often must make critical, time-sensitive decisions with a paucity of information with the realization that additional unavailable health information may exist. Health information exchange enables clinician access to patient health information from multiple sources across the spectrum of care. This can provide a more complete longitudinal record, which more accurately reflects the way most patients obtain care: across multiple providers and provider organizations. This information article explores various aspects of health information exchange that are relevant to emergency medicine and offers guidance to emergency physicians and to organized medicine for the use and promotion of this emerging technology. This article makes 5 primary emergency medicine-focused recommendations, as well as 7 additional secondary generalized recommendations, to health information exchanges, policymakers, and professional groups, which are crafted to facilitate health information exchange's purpose and demonstrate its value. PMID:26233924

  18. Adaptive Visualization for Focused Personalized Information Retrieval

    ERIC Educational Resources Information Center

    Ahn, Jae-wook

    2010-01-01

    The new trend on the Web has totally changed today's information access environment. The traditional information overload problem has evolved into the qualitative level beyond the quantitative growth. The mode of producing and consuming information is changing and we need a new paradigm for accessing information. Personalized search is one of

  19. Adaptive Visualization for Focused Personalized Information Retrieval

    ERIC Educational Resources Information Center

    Ahn, Jae-wook

    2010-01-01

    The new trend on the Web has totally changed today's information access environment. The traditional information overload problem has evolved into the qualitative level beyond the quantitative growth. The mode of producing and consuming information is changing and we need a new paradigm for accessing information. Personalized search is one of…

  20. The View-Master Health Study Focus Groups.

    PubMed

    Krall, Kathleen; Douglas, Jae; Perrin, Nancy A; Austin, Donald; Lambert, William E; Heumann, Michael

    2008-01-01

    Trichloroethylene (TCE), a common groundwater contaminant, was found at high levels at an Oregon work site in 1998. According to a recent report released by the National Research Council, "the evidence on carcinogenic risk and other health hazards from exposure to trichloroethylene has strengthened since 2001." A convenience sample of 13 former workers from the Oregon work site was recruited for a series of focus groups. Information obtained on plant processes, safety procedures, attitudes regarding medical record access, and opinions about proxy accuracy was subjected to qualitative content analysis. Workers recalled few safety policies and no training or support for control of safety. Most thought co-workers and family members would be the best source of proxy exposure information and favored granting access to medical records. Job-role mobility confirmed the importance of using a job or task exposure matrix. Information obtained will be used in development of an exposure assessment interview tool. PMID:18724499

  1. Focused Monitoring. Alliance Action Information Sheets

    ERIC Educational Resources Information Center

    Technical Assistance ALLIANCE for Parent Centers, 2005

    2005-01-01

    During this era of increased accountability and enhanced educational expectations for infants, toddlers and students with disabilities, the U.S. Department of Education, Office of Special Education Programs (OSEP) is using a new compliance and technical assistance model- focused monitoring. Focused monitoring is part of the Continuous Improvement

  2. The health care information directive

    PubMed Central

    2001-01-01

    Background Developments in information technology promise to revolutionise the delivery of health care by providing access to data in a timely and efficient way. Information technology also raises several important concerns about the confidentiality and privacy of health data. New and existing legislation in Europe and North America may make access to patient level data difficult with consequent impact on research and health surveillance. Although research is being conducted on technical solutions to protect the privacy of personal health information, there is very little research on ways to improve individuals power over their health information. This paper proposes a health care information directive, analogous to an advance directive, to facilitate choices regarding health information disclosure. Results and Discussion A health care information directive is described which creates a decision matrix that combines the ethical appropriateness of the use of personal health information with the sensitivity of the data. It creates a range of possibilities with in which individuals can choose to contribute health information with or without consent, or not to contribute information at all. Conclusion The health care information directive may increase individuals understanding of the uses of health information and increase their willingness to contribute certain kinds of health information. Further refinement and evaluation of the directive is required. PMID:11331535

  3. Health and Young Children. Focus on Fitness

    ERIC Educational Resources Information Center

    Ludwig, David

    2006-01-01

    How much "junk food" is too much? This question is difficult to answer, because it depends on the health and weight status of the child. If the child already has a weight problem, then this type of snack should be more restricted than for a child without weight issues. In this article, Dr. Ludwig states that, as a general rule, parents should not

  4. Functional foods for health: focus on diabetes.

    PubMed

    Rudkowska, Iwona

    2009-03-20

    Type 2 diabetes is one of the fastest growing public health problems worldwide. Menopause may present additional challenges for women who have diabetes by increasing the risk for cardiovascular disease (CVD) and making blood glucose control more difficult. Functional foods may have the potential to improve glycemic control, but little evidence is known about the efficacy of these foods. The purpose of this literature review is to establish a recommendation for the intake of functional foods in a healthy diet - such as nuts, omega-3 fatty acids (FAs) and cinnamon - for the glycemic control in type 2 diabetes. Nuts and omega-3 FAs appear to have an overall beneficial effect on CVD; however, their effect on glucose homeostasis is uncertain. In addition, cinnamon appears to inconsistently improve glycemic parameters in diabetic patients. Overall, more research on the potential effect of all of these functional foods on patients with type 2 diabetes is needed to able to make specific recommendations. In conclusion, there is reason to consider the inclusion of nuts and fish, as a source of omega-3 FAs, in the diets of individuals with diabetes in view of their potential to reduce CVD risk, even though their ability to influence overall glycemic control remains to be established. PMID:19233576

  5. Health Information Needs of Men

    ERIC Educational Resources Information Center

    Robinson, Mark; Robertson, Steve

    2014-01-01

    Objective: To understand the views of men and service providers concerning the health information needs of men. Design: A men's health programme was implemented aimed at developing new health information resources designed for use by local organizations with men in socially disadvantaged groups. Research was carried out at the scoping stage

  6. Health Information Needs of Men

    ERIC Educational Resources Information Center

    Robinson, Mark; Robertson, Steve

    2014-01-01

    Objective: To understand the views of men and service providers concerning the health information needs of men. Design: A men's health programme was implemented aimed at developing new health information resources designed for use by local organizations with men in socially disadvantaged groups. Research was carried out at the scoping stage…

  7. A focus on building information modelling.

    PubMed

    Ryan, Alison

    2014-03-01

    With the Government Construction Strategy requiring a strengthening of the public sector's capability to implement Building Information Modelling (BIM) protocols, the goal being that all central government departments will be adopting, as a minimum, collaborative Level 2 BIM by 2016, Alison Ryan, of consulting engineers, DSSR, explains the principles behind BIM, its history and evolution, and some of the considerable benefits it can offer. These include lowering capital project costs through enhanced co-ordination, cutting carbon emissions, and the ability to manage facilities more efficiently. PMID:24697096

  8. 77 FR 55217 - Health Information Technology Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-07

    ... HUMAN SERVICES Health Resources and Services Administration Health Information Technology Implementation... of the Public Health Service Act) Health Information Technology Implementation for Health Center... Technology (HIT). SUPPLEMENTARY INFORMATION: Former Grantee of Record: Southwest Virginia Community...

  9. 77 FR 2734 - Health Information Technology Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... HUMAN SERVICES Health Resources and Services Administration Health Information Technology Implementation...) (section 330 of the Public Health Service Act) Health Information Technology Implementation for Health... operations. In the effort to preserve the opportunity to advance information technology resources of...

  10. Health information exchange policy and evaluation.

    PubMed

    Marchibroda, Janet M

    2007-12-01

    Concerns about the quality, safety, and cost of healthcare have driven the nation to increase its focus on this issue. A number of states are moving forward-in parallel with federal efforts-to develop and adopt policies for improving health and healthcare through health information technology and electronic health information exchange. Based on the eHealth Initiative's experience providing technical assistance to more than 20 states, and its work related to its coalition of more than 250 state, regional and community-based health information exchange initiatives and organizations, the most difficult challenges facing these initiatives and organizations today is that related to assessing the value of services that emerge from the health information exchange to various stakeholders groups such as providers, payers, and employers, and converting those value assessments to business plans that promote and assure sustainability for these initiatives. The combination of increased federal and state focus and funding and the pace at which regional and community-based health information networks are developing, along with the identification of value and sustainability as some of the most difficult challenges experienced by these efforts, all point to the significant need for evaluation. The most critical evaluation questions focus on the impact of health information technology and health information exchange on quality, safety, efficiency, the value of such efforts for various stakeholders, and assessment of how grant programs can be designed to support positive impact, value, and a sustainable business model, so that efforts continue when the grant funds are fully expended. PMID:17981099

  11. Privacy and Your Health Information

    MedlinePLUS

    ... to know who has this information. Now, Federal law Gives you rights over your health information Sets ... on Is Pr ote cted By Federa l Law Who must follow this law? Most doctors, nurses, ...

  12. Five focus strategies to organize health care delivery.

    PubMed

    Peltokorpi, Antti; Linna, Miika; Malmström, Tomi; Torkki, Paulus; Lillrank, Paul Martin

    2016-03-14

    Purpose - The focused factory is one of the concepts that decision-makers have adopted for improving health care delivery. However, disorganized definitions of focus have led to findings that cannot be utilized systematically. The purpose of this paper is to discuss strategic options to focus health care operations. Design/methodology/approach - First the literature on focus in health care is reviewed revealing conceptual challenges. Second, a definition of focus in terms of demand and requisite variety is defined, and the mechanisms of focus are explicated. A classification of five focus strategies that follow the original idea to reduce variety in products and markets is presented. Finally, the paper examines managerial possibilities linked to the focus strategies. Findings - The paper proposes a framework of five customer-oriented focus strategies which aim at reducing variety in different characteristics of care pathways: population; urgency and severity; illnesses and symptoms; care practices and processes; and care outcomes. Research limitations/implications - Empirical research is needed to evaluate the costs and benefits of the five strategies and about system-level effects of focused units on competition and coordination. Practical implications - Focus is an enabling condition that needs to be exploited using specific demand and supply management practices. It is essential to understand how focus mechanisms differ between strategies, and to select focus that fits with organization's strategy and key performance indicators. Originality/value - Compared to previous more resource-oriented approaches, this study provides theoretically solid and practically relevant customer-oriented framework for focusing in health care. PMID:26959897

  13. USE OF FOCUS GROUPS FOR THE ENVIRONMENTAL HEALTH RESEARCHER

    EPA Science Inventory

    Qualitative research techniques are often under-utilized by the environmental health researcher. Focus groups, one such qualitative method, can provide rich data sets for study planning and implementation, risk perception, program and policy research, and exploration into future...

  14. 77 FR 70444 - Office of the National Coordinator for Health Information Technology; Health Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; Health Information... Electronic Health Records (EHRs) AGENCY: Health Information Technology (HIT) Policy Committee, Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services...

  15. The community hospital as a focus for health planning.

    PubMed Central

    Lane, D S; Mazzola, G

    1976-01-01

    A community hospital focus for health planning has been developed by a Department of Community Medicine in a "non-teaching" voluntary hospital. Results of three years of planning experience have included: descriptions of service area populations and utilizer populations; implementation of neighborhood based health centers with transportation and outreach programs; integration of emergency services with other ambulatory care resources; and proposals for geriatric day-care, ambulatory surgery, and patient education. Working relationships have been developed between the hospital Department and local planning bodies, among them the Comprehensive Health Planning agency, the County Health Services Department, consumer groups, voluntary agencies and a University Health Services Center. PMID:1275121

  16. Medical Consumerism and Health Information

    ERIC Educational Resources Information Center

    Levin, Arthur Aaron

    1978-01-01

    The Center for Medical Consumer and Health Care Information, founded in 1976 as a community resource to encourage lay people to take greater responsibility for their health, disseminates information through their on-premises library, their monthly publication, and a telecommunications system. The initial concept and planning, goals, and

  17. Improving Injury Prevention Through Health Information Technology

    PubMed Central

    Haegerich, Tamara M.; Sugerman, David E.; Annest, Joseph L.; Klevens, Joanne; Baldwin, Grant T.

    2015-01-01

    Health information technology is an emerging area of focus in clinical medicine with the potential to improve injury and violence prevention practice. With injuries being the leading cause of death for Americans aged 1–44 years, greater implementation of evidence-based preventive services, referral to community resources, and real-time surveillance of emerging threats is needed. Through a review of the literature and capturing of current practice in the field, this paper showcases how health information technology applied to injury and violence prevention can lead to strengthened clinical preventive services, more rigorous measurement of clinical outcomes, and improved injury surveillance, potentially resulting in health improvement. PMID:25441230

  18. Applications of health information exchange information to public health practice.

    PubMed

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R

    2014-01-01

    Increased information availability, timeliness, and comprehensiveness through health information exchange (HIE) can support public health practice. The potential benefits to disease monitoring, disaster response, and other public health activities served as an important justification for the US' investments in HIE. After several years of HIE implementation and funding, we sought to determine if any of the anticipated benefits of exchange participation were accruing to state and local public health practitioners participating in five different exchanges. Using qualitative interviews and template analyses, we identified public health efforts and activities that were improved by participation in HIE. HIE supported public health activities consistent with expectations in the literature. However, no single department realized all the potential benefits of HIE identified. These findings suggest ways to improve HIE usage in public health. PMID:25954386

  19. Applications of Health Information Exchange Information to Public Health Practice

    PubMed Central

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R

    2014-01-01

    Increased information availability, timeliness, and comprehensiveness through health information exchange (HIE) can support public health practice. The potential benefits to disease monitoring, disaster response, and other public health activities served as an important justification for the US investments in HIE. After several years of HIE implementation and funding, we sought to determine if any of the anticipated benefits of exchange participation were accruing to state and local public health practitioners participating in five different exchanges. Using qualitative interviews and template analyses, we identified public health efforts and activities that were improved by participation in HIE. HIE supported public health activities consistent with expectations in the literature. However, no single department realized all the potential benefits of HIE identified. These findings suggest ways to improve HIE usage in public health. PMID:25954386

  20. Health Promotion: A developing focus area over the years.

    PubMed

    Povlsen, Lene; Borup, Ina

    2015-08-01

    In 1953 when the Nordic School of Public Health was founded, the aim of public health programmes was disease prevention more than health promotion. This was not unusual, since at this time health usually was seen as the opposite of disease and illness. However, with the Ottawa Charter of 1986, the World Health Organization made a crucial change to view health not as a goal in itself but as the means to a full life. In this way, health promotion became a first priority and fundamental action for the modern society. This insight eventually reached NHV and in 2002 - 50 years after the foundation - an associate professorship was established with a focus on health promotion. Nevertheless, the concept of health promotion had been integrated with or mentioned in courses run prior to the new post. Subsequently, a wide spectrum of courses in health promotion was introduced, such as 'Empowerment for Child and Adolescent Health Promotion', 'Salutogenesis--from theory to practice' and 'Health, Stress and Coping'. More than half of all doctoral theses undertaken at NHV during these years had health promotion as their theme. As a derivative, the Nordic Health Promotion Research Network (NHPRN) was established in 2007 with bi-annual meetings at NHV. PMID:26311798

  1. Focus Group Evaluation of Customized Family Health History Education Materials in a North Carolina Community

    ERIC Educational Resources Information Center

    Powell, Karen; Edelson, Vaughn; O'Leary, James; Christianson, Carol; Henrich, Vincent

    2011-01-01

    The "Does It Run In The Family?" booklets provide educational materials about family health history (FHH) and basic genetics to readers of all levels and are customizable for local communities. Purpose: The booklets were customized and provided to focus groups to evaluate their usefulness in conveying health information at a low reading level.

  2. OCCAM - Health Information

    Cancer.gov

    Contact Us | Sitemap CAM at the NCI NCI CAM History Highlights of NCI CAM Activities NCI CAM Annual Report Research Funding Opportunities Grant Application Information Research Resources Funded Research Research Results Training Opportunities FAQ's

  3. Health Information Overview-OCCAM

    Cancer.gov

    This section provides useful resources for patients and health professionals seeking information about cancer and complementary and alternative medicine (CAM), including definitions, databases, publications, and links to trustworthy Web sites.

  4. Health information text characteristics.

    PubMed

    Leroy, Gondy; Eryilmaz, Evren; Laroya, Benjamin T

    2006-01-01

    Millions of people search online for medical text, but these texts are often too complicated to understand. Readability evaluations are mostly based on surface metrics such as character or words counts and sentence syntax, but content is ignored. We compared four types of documents, easy and difficult WebMD documents, patient blogs, and patient educational material, for surface and content-based metrics. The documents differed significantly in reading grade levels and vocabulary used. WebMD pages with high readability also used terminology that was more consumer-friendly. Moreover, difficult documents are harder to understand due to their grammar and word choice and because they discuss more difficult topics. This indicates that we can simplify many documents by focusing on word choice in addition to sentence structure, however, for difficult documents this may be insufficient. PMID:17238387

  5. Health promotion by dietary restriction--a focus.

    PubMed

    Ramkumar, K M

    2006-01-01

    Food restriction, although long popular among gerontologists, has emerged as a new challenge in public health in postindustrial societies because this is the only intervention that repeatedly and strikingly increases maximum life span. The practice of food restriction is widespread for cosmetic, health, and economic reasons. The beneficial effects and the molecular mechanism of food restriction have been well established. The present review summarizes the rapidly accumulating evidence on the involvement of food restriction in various diseases and focuses on good dietary practices for health promotion in modern life style. PMID:16910315

  6. Smart health community: the hidden value of health information exchange.

    PubMed

    Ciriello, James N; Kulatilaka, Nalin

    2010-12-01

    Investments in health information technology are accelerating the digitization of medicine. The value from these investments, however, can grow beyond efficiencies by filling the information gaps between the various stakeholders. New work processes, governance structures, and relationships are needed for the coevolution of healthcare markets and business models. But coevolution is slow, hindered by the scarcity of incentives for legacy delivery systems and constrained by the prevailing patient-healthcare paradigm. The greater opportunity lies in wellness for individuals, families, communities, and society at large: a consumer-community paradigm. Capturing new value from this opportunity can start with investment in health information exchange and the creation of Smart Health Communities. By shifting the focus of exchange from public servant to value-added service provider, these communities can serve as a platform for a wider array of wellness services from consumer care, traditional healthcare, and research. PMID:21314218

  7. Solution-focused approach therapy for mental health nursing students.

    PubMed

    Evans, Nicola; Evans, Anne-Marie

    Solution-focused therapy is a model of therapy that builds on the client's strengths, is future-focused and can be generally offered as a brief intervention. It can be used across multiple clinical settings and is not limited to being useful for clients accessing mental health services. Learning the underlying principles and developing a foundation level of skill in the approach was found to be achievable in an undergraduate nursing course, with students reporting an increase in their knowledge of the model and confidence in basic therapeutic skills in just one day of training. In this paper, we introduce the solution-focused approach in relation to nursing practice. We describe the template used for the training day offered to undergraduate mental health nurses. Students reported that this method of learning a therapeutic approach was helpful and increased both their knowledge and skill base. PMID:24280922

  8. Self-rated health and ethnicity: focus on indigenous populations

    PubMed Central

    Bombak, Andrea E.; Bruce, Sharon G.

    2012-01-01

    Objectives Self-rated health (SRH) is a commonly used measure in surveys to assess general health status or health-related quality of life. Differences have been detected in how different ethnic groups and nationalities interpret the SRH measure and assess their health. This review summarizes the research conducted on SRH within and between ethnic groups, with a focus on indigenous groups. Study design and methods A search of published academic literature on SRH and ethnicity, including a comprehensive review of all relevant indigenous research, was conducted using PubMed and summarized. Results A wide variety of research on SRH within ethnic groups has been undertaken. SRH typically serves as an outcome measure. Minority respondents generally rated their health worse than the dominant population. Numerous culturally-specific determinants of SRH have been identified. Cross-national and cross-ethnicity comparisons of the associations of SRH have been conducted to assess the validity of SRH. While SRH is a valid measure within a variety of ethnicities, differences in how SRH is assessed by ethnicities have been detected. Research in indigenous groups remains generally under-represented in the SRH literature. Conclusions These results suggest that different ethnic groups and nationalities vary in SRH evaluations, interpretation of the SRH measure, and referents employed in rating health. To effectively assess and redress health disparities and establish culturally-relevant and effective health interventions, a greater understanding of SRH is required, particularly among indigenous groups, in which little research has been conducted. PMID:22663937

  9. The role of health anxiety in online health information search.

    PubMed

    Baumgartner, Susanne E; Hartmann, Tilo

    2011-10-01

    This article is one of the first to empirically explore the relationship between health anxiety and online health information search. Two studies investigate how health anxiety influences the use of the Internet for health information and how health anxious individuals respond to online health information. An exploratory survey study with 104 Dutch participants indicates that health anxiety is related to an increase in online health information search. Moreover, results suggest that health anxious individuals experience more negative consequences from online health information search. Findings from an experimental study (n=120) indicate that online health information results in greater worries among health anxious individuals compared to nonhealth anxious individuals only if the information stems from a trustworthy governmental Web site. Information from a less trustworthy online forum does not lead to greater worries among health anxious individuals. In sum, the Internet appears to play a pivotal role in the lives of health anxious individuals. PMID:21548797

  10. Focus information is used to interpret binocular images

    PubMed Central

    Hoffman, David M.; Banks, Martin S.

    2011-01-01

    Focus informationblur and accommodationis highly correlated with depth in natural viewing. We examined the use of focus information in solving the binocular correspondence problem and in interpreting monocular occlusions. We presented transparent scenes consisting of two planes. Observers judged the slant of the farther plane, which was seen through the nearer plane. To do this, they had to solve the correspondence problem. In one condition, the two planes were presented with sharp rendering on one image plane, as is done in conventional stereo displays. In another condition, the planes were presented on two image planes at different focal distances, simulating focus information in natural viewing. Depth discrimination performance improved significantly when focus information was correct, which shows that the visual system utilizes the information contained in depth-of-field blur in solving binocular correspondence. In a second experiment, we presented images in which one eye could see texture behind an occluder that the other eye could not see. When the occluder's texture was sharp along with the occluded texture, binocular rivalry was prominent. When the occluded and occluding textures were presented with different blurs, rivalry was significantly reduced. This shows that blur aids the interpretation of scene layout near monocular occlusions. PMID:20616139

  11. Older Inmates’ Pursuit of Good Health: A Focus Group Study

    PubMed Central

    Steffensmeier, Darrell

    2012-01-01

    A multitude of intersecting factors including the graying of the broader society, a paradigm shift away from rehabilitation, fewer opportunities for parole, and retrospective prosecutions contribute to an exponential increase in number of geriatric inmates. Elderly prisoners are likely to live in small tight quarters with other inmates, have two or more chronic health conditions, and encounter multiple barriers impeding health promotion while incarcerated. The purpose of this study was to identify perceived challenges to the health of older male inmates and to explore their self-care strategies. Focus group methodology was used. Data were collected from 42 male inmates age 50 and over who were aging in place and living with comorbidity. Cost issues, prison personnel and policies, food concerns, fellow inmates, and personal barriers all challenged older inmates’ abilities to maintain their health in prison. However, these older inmates engaged in a variety of self-care strategies, including: accessing resources and support; staying positive; managing diet and weight; engaging in physical activity; and protecting self. A key motivator for pursuing good health was to be respected and perceived as healthy and strong by fellow inmates. Looking to the future, development and testing of programs to enhance inmates' self-management of chronic conditions and to facilitate health promotion are in order. PMID:20795581

  12. Woman to Woman: Community Health Information Project*

    PubMed Central

    Huber, Jeffrey T.; Peek, Kathryn E.; Hughes, Lisa A.; Little, Felicia

    2003-01-01

    The Woman to Woman: Community Health Information Project facilitates information access at selected community-based women's health agencies in Houston, Texas. The community partners were selected based on objectives outlined in Healthy People 2010. A variety of institutions and disciplines contributed to the planning and implementation of the project. Internet-connected workstations were placed at each participating agency site for staff use. A comprehensive compendium of local health resources for women was developed and posted on a dedicated Website. In addition, training in accessing electronic health information resources was provided for staff at each participating site. Trainees provided evaluative data at the end of the training session as well as one month later so that project members could determine the need for additional training. Site visits and structured interviews were also conducted at each participating agency to monitor progress and further evaluate the program. A final focus group was conducted with representatives from each participating agency to assess the project's success. Evaluative findings indicate that academic and community-based organizations can collaborate effectively to increase women's access to electronic health information. PMID:14566370

  13. Physicians' opinions of a health information exchange

    PubMed Central

    Warholak, Terri L; Murcko, Anita C; Slack, Marion; Malone, Daniel C

    2010-01-01

    Background Arizona Medicaid developed a Health Information Exchange (HIE) system called the Arizona Medical Information Exchange (AMIE). Objective To evaluate physicians' perceptions regarding AMIE's impact on health outcomes and healthcare costs. Measurements A focus-group guide was developed and included five domains: perceived impact of AMIE on (1) quality of care; (2) workflow and efficiency; (3) healthcare costs; (4) system usability; and (5) AMIE data content. Qualitative data were analyzed using analytical coding. Results A total of 29 clinicians participated in the study. The attendance rate was 66% (N=19) for the first and last month of focus-group meetings and 52% (N=15) for the focus group meetings conducted during the second month. The benefits most frequently mentioned during the focus groups included: (1) identification of doctor shopping; (2) averting duplicative testing; and (3) increased efficiency of clinical information gathering. The most frequent disadvantage mentioned was the limited availability of data in the AMIE system. Conclusion Respondents reported that AMIE had the potential to improve care, but they felt that AMIE impact was limited due to the data available. PMID:21106994

  14. Online Technologies for Health Information and Education: A literature review

    PubMed Central

    Gill, Harkiran K.; Gill, Navkiranjit; Young, Sean D.

    2014-01-01

    There is a growing body of research focused on the use of social media and Internet technologies for health education and information sharing. The authors reviewed literature on this topic, with a specific focus on the benefits and concerns associated with using online social technologies as health education and communication tools. Studies suggest that social media technologies have the potential to safely and effectively deliver health education, if privacy concerns are addressed. Utility of social media-based health education and communication will improve as technology developers and public health officials determine ways to improve information accuracy and address privacy concerns. PMID:24465171

  15. Online Technologies for Health Information and Education: A literature review.

    PubMed

    Gill, Harkiran K; Gill, Navkiranjit; Young, Sean D

    2013-04-01

    There is a growing body of research focused on the use of social media and Internet technologies for health education and information sharing. The authors reviewed literature on this topic, with a specific focus on the benefits and concerns associated with using online social technologies as health education and communication tools. Studies suggest that social media technologies have the potential to safely and effectively deliver health education, if privacy concerns are addressed. Utility of social media-based health education and communication will improve as technology developers and public health officials determine ways to improve information accuracy and address privacy concerns. PMID:24465171

  16. Health and Nutrition Information for Preschoolers

    MedlinePLUS

    ... Audience / Children Health and Nutrition Information Print Share Health and Nutrition Information Help your preschooler eat well, ... Updated: Jul 31, 2015 RESOURCES FOR NUTRITION AND HEALTH MYPLATE What Is MyPlate? Fruits Vegetables Grains Protein ...

  17. An Examination of Health Information Management by the Deaf

    ERIC Educational Resources Information Center

    Karras, Elizabeth

    2010-01-01

    Little is known about how Deaf people perceive, access, and utilize interpersonal and media sources for health information. In light of the scarcity of research on health information management among this group, a two-phase study was conducted that included eight focus groups (N=39) and survey data (N=366) with Deaf participants to determine the

  18. The Knowledge-Behavior Gap in Use of Health Information.

    ERIC Educational Resources Information Center

    Sligo, F. X.; Jameson, Anna M.

    2000-01-01

    Discussion of access to and use of health information focuses on a study that reported perceived barriers among New Zealand Pacific Island immigrant women to the use of cervical screening. Considers cultural topic avoidance, modesty, religion, information sources, education, ethnicity, implications for health professionals, and future research…

  19. An Examination of Health Information Management by the Deaf

    ERIC Educational Resources Information Center

    Karras, Elizabeth

    2010-01-01

    Little is known about how Deaf people perceive, access, and utilize interpersonal and media sources for health information. In light of the scarcity of research on health information management among this group, a two-phase study was conducted that included eight focus groups (N=39) and survey data (N=366) with Deaf participants to determine the…

  20. Content validity in the PROMIS social health domain: a qualitative analysis of focus group data

    PubMed Central

    Castel, Liana D.; Williams, Kelly A.; Bosworth, Hayden B.; Eisen, Susan V.; Hahn, Elizabeth A.; Irwin, Debra E.; Kelly, Morgen A. R.; Morse, Jennifer; Stover, Angela; DeWalt, Darren A.; DeVellis, Robert F.

    2009-01-01

    Purpose Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) social health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important social-health-related outcomes. These data will inform the process of improving health-related quality-of-life measures. Methods Twenty-five patients with a range of social limitations due to chronic health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants' statements using a hierarchical, nested schema that included health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure. Results Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important social-health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance. Conclusion Our conceptual model appeared mostly comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in social and other domains of health. PMID:18478368

  1. 45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Standards for health information technology to... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION... FOR HEALTH INFORMATION TECHNOLOGY Standards and Implementation Specifications for Health...

  2. 45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Standards for health information technology to... Welfare Department of Health and Human Services HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION... FOR HEALTH INFORMATION TECHNOLOGY Standards and Implementation Specifications for Health...

  3. 45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Standards for health information technology to... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION... FOR HEALTH INFORMATION TECHNOLOGY Standards and Implementation Specifications for Health...

  4. Translating Family-Focused Prevention Science into Public Health Impact

    PubMed Central

    Spoth, Richard L.; Schainker, Lisa M.; Hiller-Sturmhöefel, Susanne

    2011-01-01

    Underage drinking is a pervasive problem in the United States, with serious consequences for youth, families, communities, and society as a whole. Family-focused preventive interventions for children and adolescents have shown potential for reducing underage drinking and other problem behaviors. Research findings indicate that clear advances have been made, in terms of both the number of evidence-based interventions available, and in the quality of the methods used to evaluate them. To fully reap the benefits of such preventive interventions and achieve public health impact, the findings of family-focused preventive intervention science must be translated into real-world, community practices. This type of translation can be enhanced through four sets of translational impact factors—effectiveness of interventions, extensiveness of their population coverage, efficiency of interventions, and engagement of eligible populations, with sustained quality intervention implementation. Findings from studies conducted by researchers at the Partnerships in Prevention Science Institute and other empirical work highlight the importance of these factors. A model for community–university partnerships has been developed that potentially can facilitate the dissemination and public health impact of universal interventions to prevent underage drinking and other problem behaviors. This model fits well within a comprehensive strategic framework for promoting effective prevention. PMID:22330218

  5. Designing a bone health and soy focus group discussion guide based on the health belief model

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Focus groups were used to assess the knowledge and skills of women in order to support curricula development. The Health Belief Model was applied to the discussion guide to enhance focus group findings and applications. Constructs related to perceived susceptibility, severity, benefits, and barriers...

  6. Medical Records and Health Information Technicians

    MedlinePLUS

    ... statistics, and computer systems. Applicants to health information technology programs may increase their chances of admission by taking high school courses in health, computer science, math, and biology. ...

  7. Self-Focused and Other-Focused Resiliency: Plausible Mechanisms Linking Early Family Adversity to Health Problems in College Women

    ERIC Educational Resources Information Center

    Coleman, Sulamunn R. M.; Zawadzki, Matthew J.; Heron, Kristin E.; Vartanian, Lenny R.; Smyth, Joshua M.

    2016-01-01

    Objectives: This study examined whether self-focused and other-focused resiliency help explain how early family adversity relates to perceived stress, subjective health, and health behaviors in college women. Participants: Female students (N = 795) participated between October 2009 and May 2010. Methods: Participants completed self-report measures…

  8. Self-Focused and Other-Focused Resiliency: Plausible Mechanisms Linking Early Family Adversity to Health Problems in College Women

    ERIC Educational Resources Information Center

    Coleman, Sulamunn R. M.; Zawadzki, Matthew J.; Heron, Kristin E.; Vartanian, Lenny R.; Smyth, Joshua M.

    2016-01-01

    Objectives: This study examined whether self-focused and other-focused resiliency help explain how early family adversity relates to perceived stress, subjective health, and health behaviors in college women. Participants: Female students (N = 795) participated between October 2009 and May 2010. Methods: Participants completed self-report measures

  9. Determinants of Consumer eHealth Information Seeking Behavior

    PubMed Central

    Sandefer, Ryan H.; Westra, Bonnie L.; Khairat, Saif S.; Pieczkiewicz, David S.; Speedie, Stuart M

    2015-01-01

    Patients are increasingly using the Internet and other technologies to engage in their own healthcare, but little research has focused on the determinants of consumer eHealth behaviors related to Internet use. This study uses data from 115,089 respondents to four years of the National Health Interview Series to identify the associations between one consumer eHealth behavior (information seeking) and demographics, health measures, and Personal Health Information Management (PHIM) (messaging, scheduling, refills, and chat). Individuals who use PHIM are 7.5 times more likely to search the internet for health related information. Just as health has social determinants, the results of this study indicate there are potential social determinants of consumer eHealth behaviors including personal demographics, health status, and healthcare access. PMID:26958251

  10. Health Literacy, Information Seeking, and Trust in Information in Haitians

    PubMed Central

    Lubetkin, Erica I.; Zabor, Emily C.; Isaac, Kathleen; Brennessel, Debra; Kemeny, M. Margaret; Hay, Jennifer L.

    2015-01-01

    Objectives To assess heath literacy, health information seeking, and trust in health-related information among Haitian immigrants seen in primary care. Methods Health literacy was measured by the Brief Health Literacy Screen (BHLS); items on health information use were from the 2007 Health Information National Trends Survey. Results BHLS scores differed according to age, education, and survey language. Participants with lower levels of health literacy tended to be more likely to place “a lot” or “some” trust in family and friends and religious organizations and leaders as sources of information about health or medical topics. Conclusions Constructing a culturally-tailored and appropriate intervention regarding health promotion requires understanding how the population accesses and conveys health information. PMID:25741688

  11. Negotiating Access to Health Information to Promote Students' Health

    ERIC Educational Resources Information Center

    Radis, Molly E.; Updegrove, Stephen C.; Somsel, Anne; Crowley, Angela A.

    2016-01-01

    Access to student health information, such as immunizations, screenings, and care plans for chronic conditions, is essential for school nurses to fulfill their role in promoting students' health. School nurses typically encounter barriers to accessing health records and spend many hours attempting to retrieve health information. As a result,…

  12. Negotiating Access to Health Information to Promote Students' Health

    ERIC Educational Resources Information Center

    Radis, Molly E.; Updegrove, Stephen C.; Somsel, Anne; Crowley, Angela A.

    2016-01-01

    Access to student health information, such as immunizations, screenings, and care plans for chronic conditions, is essential for school nurses to fulfill their role in promoting students' health. School nurses typically encounter barriers to accessing health records and spend many hours attempting to retrieve health information. As a result,

  13. Women seeking health information: distinguishing the web user.

    PubMed

    Warner, Dorothy; Procaccino, J Drew

    2007-12-01

    Given the advantages of using the Web for health information-seeking and a survey result that women are more likely to use the Web as a channel to locate health information, the authors explored the health information-seeking process and behavior of women who use the Web to seek such information. Although based on previously collected data, this article represents an extension of the earlier analysis with its focus on women who, at least to some extent, seek health care information via The Web (herein, Web user), a topic not thoroughly addressed in the earlier study. A comparison of female Web users and non-Web users who seek health information revealed that Web users sought health information at a higher rate than non-Web users. Web users were more likely to communicate with medical professionals about the health information found and claimed that their decisions about health treatments were influenced by the health information. In most cases, Web users expressed a higher awareness of resources, regardless of format. Web users did not report that finding health information, from any channel, however, was noticeably easier. PMID:18030642

  14. Health Information in Nepali (??????): MedlinePlus

    MedlinePLUS

    ... ???) - ?????? (Nepali) Bilingual PDF Health Information Translations C Child Safety Safety with Car Seats and Booster Seats ??? ??? ... ? ????? - ?????? (Nepali) Bilingual PDF Health Information Translations M Motor Vehicle Safety Safety with Car Seats and Booster Seats ??? ??? ...

  15. A Taxonomy for Contextual Information in Electronic Health Records

    PubMed Central

    Weir, Charlene R.; Staggers, Nancy; Doing-Harris, Kristina; Dunlea, Robert; McCormick, Teresa; Barrus, Robyn

    2012-01-01

    Contextual information is functional, social and financial information about patients and is central to many health-care decisions, including end-of-life care, living arrangements, and the aggressiveness of treatment. It is the language of patients when talking about their health and frequently the focus of nursing interventions. In this study, we report the results of a qualitative analysis of interviews of 17 clinicians focusing on their use of contextual information during the process of care, decision-making and documentation. We identified seven characteristics of contextual information relevant to its use in a clinical setting. Implications for Natural Language Processing and Ontology construction are discussed. PMID:24199138

  16. Community-wide Implementation of Health Information Technology: The Massachusetts eHealth Collaborative Experience

    PubMed Central

    Goroll, Allan H.; Simon, Steven R.; Tripathi, Micky; Ascenzo, Carl; Bates, David W.

    2009-01-01

    The Massachusetts eHealth Collaborative (MAeHC) was formed to improve patient safety and quality of care by promoting the use of health information technology through community-based implementation of electronic health records (EHRs) and health information exchange. The Collaborative has recently implemented EHRs in a diverse set of competitively selected communities, encompassing nearly 500 physicians serving over 500,000 patients. Targeting both EHR implementation and health information exchange at the community level has identified numerous challenges and strategies for overcoming them. This article describes the formation and implementation phases of the Collaborative, focusing on barriers identified, lessons learned, and policy issues. PMID:18952937

  17. Using Health Information Exchange to Improve Public Health

    PubMed Central

    Mostashari, Farzad; Hripcsak, George; Soulakis, Nicholas; Kuperman, Gilad

    2011-01-01

    Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerous stakeholders, including clinical partners and public health, through health information exchange (HIE). We give detailed descriptions of 11 typical cases in which HIOs can be used for public health purposes. We believe that HIOs, and HIE in general, can improve the efficiency and quality of public health reporting, facilitate public health investigation, improve emergency response, and enable public health to communicate information to the clinical community. PMID:21330598

  18. Patient Matching within a Health Information Exchange

    PubMed Central

    Godlove, Tim; Ball, Adrian W.

    2015-01-01

    The purpose of this article is to describe the patient matching problems resulting from the Nationwide Health Information Network's automated patient discovery specification and propose a more effective and secure approach for patient matching between health information organizations participating in a health information exchange. This proposed approach would allow the patient to match his or her identity between a health information organization's electronic health records (EHRs) at the same time the patient identifies which EHR data he or she consents to share between organizations. The patient's EHR username/password combination would be the credential used to establish and maintain health information exchange identity and consent data. The software developed to support this approach (e.g., an EHR health information exchange module) could also allow a patient to see what health information was shared when and with whom. PMID:26755901

  19. Facilitating consumer access to health information.

    PubMed

    Snowdon, Anne; Schnarr, Karin; Alessi, Charles

    2014-01-01

    The lead paper from Zelmer and Hagens details the substantive evolution occurring in health information technologies that has the potential to transform the relationship between consumers, health practitioners and health systems. In this commentary, the authors suggest that Canada is experiencing a shift in consumer behaviour toward a desire to actively manage one's health and wellness that is being facilitated through the advent of health applications on mobile and online technologies platforms. The result is that Canadians are now able to create personalized health solutions based on their individual health values and goals. However, before Canadians are able to derive a personal health benefit from these rapid changes in information technology, they require and are increasingly demanding greater real-time access to their own health information to better inform decision-making, as well as interoperability between their personal health tracking systems and those of their health practitioner team. PMID:25148122

  20. Pathway to Support the Sustainable National Health Information System

    NASA Astrophysics Data System (ADS)

    Sahavechaphan, Naiyana; Phengsuwan, Jedsada; U-Ruekolan, Suriya; Aroonrua, Kamron; Ponhan, Jukrapong; Harnsamut, Nattapon; Vannarat, Sornthep

    Heath information across geographically distributed healthcare centers has been recognized as an essential resource that drives an efficient national health-care plan. There is thus a need for the National Health Information System (NHIS) that provides the transparent and secure access to health information from different healthcare centers both on demand and in a time efficient manner. As healthiness is the ultimate goal of people and nation, we believe that the NHIS should be sustainable by taking the healthcare center and information consumer perspectives into account. Several issues in particular must be resolved altogether: (i) the diversity of health information structures among healthcare centers; (ii) the availability of health information sharing from healthcare centers; (iii) the efficient information access to various healthcare centers; and (iv) the privacy and privilege of heath information. To achieve the sustainable NHIS, this paper details our work which is divided into 3 main phases. Essentially, the first phase focuses on the application of metadata standard to enable the interoperability and usability of health information across healthcare centers. The second phase moves forward to make information sharing possible and to provide an efficient information access to a large number of healthcare centers. Finally, in the third phase, the privacy and privilege of health information is promoted with respect to access rights of information consumers.

  1. Low Health Literacy and Evaluation of Online Health Information: A Systematic Review of the Literature

    PubMed Central

    van den Putte, Bas; Giani, Stefano; van Weert, Julia CM

    2015-01-01

    Background Recent years have witnessed a dramatic increase in consumer online health information seeking. The quality of online health information, however, remains questionable. The issue of information evaluation has become a hot topic, leading to the development of guidelines and checklists to design high-quality online health information. However, little attention has been devoted to how consumers, in particular people with low health literacy, evaluate online health information. Objective The main aim of this study was to review existing evidence on the association between low health literacy and (1) people’s ability to evaluate online health information, (2) perceived quality of online health information, (3) trust in online health information, and (4) use of evaluation criteria for online health information. Methods Five academic databases (MEDLINE, PsycINFO, Web of Science, CINAHL, and Communication and Mass-media Complete) were systematically searched. We included peer-reviewed publications investigating differences in the evaluation of online information between people with different health literacy levels. Results After abstract and full-text screening, 38 articles were included in the review. Only four studies investigated the specific role of low health literacy in the evaluation of online health information. The other studies examined the association between educational level or other skills-based proxies for health literacy, such as general literacy, and outcomes. Results indicate that low health literacy (and related skills) are negatively related to the ability to evaluate online health information and trust in online health information. Evidence on the association with perceived quality of online health information and use of evaluation criteria is inconclusive. Conclusions The findings indicate that low health literacy (and related skills) play a role in the evaluation of online health information. This topic is therefore worth more scholarly attention. Based on the results of this review, future research in this field should (1) specifically focus on health literacy, (2) devote more attention to the identification of the different criteria people use to evaluate online health information, (3) develop shared definitions and measures for the most commonly used outcomes in the field of evaluation of online health information, and (4) assess the relationship between the different evaluative dimensions and the role played by health literacy in shaping their interplay. PMID:25953147

  2. IPPF focuses on advocacy. Advocacy for reproductive health: worldwide.

    PubMed

    Puri, S; Ketting, E

    1996-01-01

    The International Planned Parenthood Federation has been advocating human rights since its establishment in 1952. Since the adoption of its global strategic plan, Vision 2000, it has dealt with advocacy in a more systematic manner. Advocacy aims to gain broader support for a cause. In family planning and reproductive health, advocacy is important in counteracting conservative opposition movements. Its most effective tool is high-quality information and services for meeting people's needs. Its target groups are women's groups, youth organizations, parliamentarians, media representatives, and religious leaders. Information, education, and communication (IEC) campaigns differ from advocacy, because the latter is deliberately persuasive and campaign-oriented. An Advocacy Working Group was convened by IPPF and an Advocacy Guide was produced in 1995. Advocacy is needed for the promotion of sexual and reproductive health in the face of opposition from traditional and cultural forces represented by small, vocal, well-financed and organized groups. In 1984 they succeeded in halting funding for IPPF by the United States. This made IPPF resolute in strategic planning and setting goals as contained in Vision 2000. The goals include advocacy for family planning, the prevention of unsafe abortion, women's empowerment, the involvement of youth, the responsibility of men for family life, and the improvement of the status of the female child. The IPPF's 1985 Central Council discussed new initiatives and an Issues Manual was published. The 1989 Members' Assembly held a seminar on critical issues in advocating family planning. A further 1993 resolution urged support for advocacy initiatives. A Public Response Guide was published in 1991 and Language Guidelines were also produced for correct family planning terminology. In addition, an Interregional Training Workshop was held in London in 1995 on the use of the Advocacy Guide. Recommendations were also submitted by participants for advocacy programs and for future training. PMID:12291095

  3. Informal payments and the quality of health care: Mechanisms revealed by Tanzanian health workers.

    PubMed

    Mstad, Ottar; Mwisongo, Aziza

    2011-02-01

    Informal payments for health services are common in many transitional and developing countries. The aim of this paper is to investigate the nature of informal payments in the health sector of Tanzania and to identify mechanisms through which informal payments may affect the quality of health care. Our focus is on the effect of informal payments on health worker behaviours, in particular the interpersonal dynamics among health workers at their workplaces. We organised eight focus groups with 58 health workers representing different cadres and levels of care in one rural and one urban district in Tanzania. We found that health workers at all levels receive informal payments in a number of different contexts. Health workers sometimes share the payments received, but only partially, and more rarely within the cadre than across cadres. Our findings indicate that health workers are involved in 'rent-seeking' activities, such as creating artificial shortages and deliberately lowering the quality of service, in order to extract extra payments from patients or to bargain for a higher share of the payments received by their colleagues. The discussions revealed that many health workers think that the distribution of informal payments is grossly unfair. The findings suggest that informal payments can impact negatively on the quality of health care through rent-seeking behaviours and through frustrations created by the unfair allocation of payments. Interestingly, the presence of corruption may also induce non-corrupt workers to reduce the quality of care. Positive impacts can occur because informal payments may induce health workers to increase their efforts, and maybe more so if there is competition among health workers about receiving the payments. Moreover, informal payments add to health workers' incomes and might thus contribute to retention of health workers within the health sector. PMID:20709420

  4. The Health Information Literacy Research Project*

    PubMed Central

    Kurtz-Rossi, Sabrina; Funk, Carla J.

    2009-01-01

    Objectives: This research studied hospital administrators' and hospital-based health care providers' (collectively, the target group) perceived value of consumer health information resources and of librarians' roles in promoting health information literacy in their institutions. Methods: A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group. Results: A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support. Conclusions: It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources. PMID:19851494

  5. Building the national health information infrastructure for personal health, health care services, public health, and research

    PubMed Central

    Detmer, Don E

    2003-01-01

    Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII) offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries). The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security) framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin PMID:12525262

  6. Solution-Focused Strategies for Effective Sexual Health Communication among African American Parents and Their Adolescents.

    PubMed

    Johnson, Sharon D; Williams, Sha-Lai

    2015-11-01

    The high rates of sexual risk behaviors, particularly among African American youths who may not be aware of their HIV status, provide indication that, unless prevention efforts are enhanced, this vulnerable group of youths will remain at greater risk for negative health status outcomes. Parents are important in efforts to reduce risk among youths and often have a willingness to be sexuality educators for their children; however, communication barriers often impede their ability to provide preventive sexual health knowledge to their youths. Social workers are often presented with opportunities to help parents develop effective sexual health communication skills in informal settings when formal interventions are not feasible. The present effort considers solution-focused strategies social workers can use to help parents overcome barriers and communicate more positively with their youths about sexual health. PMID:26638502

  7. Health Information Seeking Behaviors of Ethnically Diverse Adolescents

    PubMed Central

    Okoniewski, Anastasia E.; Lee, Young Ji; Rodriguez, Martha; Schnall, Rebecca; Low, Alexander F. H.

    2013-01-01

    Research on health information has primarily focused on the needs of adults or parents of children with chronic illnesses or consumers. There is limited research on the health information needs of adolescents and in particular those from underserved communities. The primary objective of this qualitative study was to understand the health information needs of healthy, urban adolescents, and how they met those needs. Focus group methodology was used to gather information from a sample of ethnically diverse urban adolescents. Data was analyzed using Kriekelas Information Seeking Behavior framework to, examine the participants report of their immediate and deferred health information needs. Our sample of adolescents used several different sources to satisfy their health information needs depending on acuity and severity, which was congruent with Kriekelas framework. Understanding how adolescents use technology to meet their health information needs, and in what order of preference, will be critical for the development of technology that adolescents find useful and has the potential to decrease health disparities. PMID:23512322

  8. Application of Information and Communication Technology (ICT) in Health Information Access and Dissemination in Uganda

    ERIC Educational Resources Information Center

    Omona, Walter; Ikoja-Odongo, Robert

    2006-01-01

    This paper reports on a study which assessed the application of information and communication technologies (ICT) in health information access and dissemination in Uganda. The project focused not only on information obtainable through libraries for research, teaching, learning and practice, but also on ICT applications concerned with the…

  9. Application of Information and Communication Technology (ICT) in Health Information Access and Dissemination in Uganda

    ERIC Educational Resources Information Center

    Omona, Walter; Ikoja-Odongo, Robert

    2006-01-01

    This paper reports on a study which assessed the application of information and communication technologies (ICT) in health information access and dissemination in Uganda. The project focused not only on information obtainable through libraries for research, teaching, learning and practice, but also on ICT applications concerned with the

  10. Newborn Screening Information Supports Public Health More than Informed Choice

    ERIC Educational Resources Information Center

    Hargreaves, Katrina; Stewart, Ruth; Oliver, Sandy

    2005-01-01

    Objective: To appraise information resources on newborn blood spot screening currently available for parents and health professionals internationally. Method: Health information on newborn blood spot screening was sourced internationally through the internet and, in the United Kingdom, through health service providers and support organisations. An

  11. On What Diseases and Health Conditions Should New Economic Research on Health and Development Focus?

    PubMed Central

    Behrman, Jere R.; Behrman, Julia A.; Perez, Nykia M.

    2010-01-01

    Given the public goods nature of research, economic research on health in developing countries is likely to have the highest returns by focusing, inter alia, on diseases and health conditions that are relatively widespread and costly and that are relatively rapidly growing. This article first summarizes the time patterns in economic research on diseases and health in developing countries for 1990–2005. It then compares those time patterns with the distribution of DALYS for diseases and health conditions in developing countries estimated for 2005 and for 2030. These comparisons suggest relatively overemphasis on HIV/AIDS and underemphasis on noncommunicable diseases. This opens the possibility for individuals or organizations initiating, re-evaluating or increasing their economic research on health and development to make a significant contribution by focusing particularly on the analysis of behaviour and policy choices related to non-communicable diseases. Careful consideration must, of course, be given to other demands, but on the basis of these two criteria, potential contributions are likely to be greatest from research with such a focus. PMID:19294633

  12. Sexual Health Information Seeking Online Among Runaway and Homeless Youth

    PubMed Central

    Barman-Adhikari, Anamika; Rice, Eric

    2012-01-01

    Research shows runaway and homeless youth are reluctant to seek help from traditional health providers. The Internet can be useful in engaging this population and meeting their needs for sexual health information, including information about HIV and other sexually transmitted infections (STIs). Using a sample of homeless youth living in Los Angeles, California in June 2009, this study assesses the frequency with which runaway and homeless youth seek sexual health information via the Internet, and assesses which youth are more likely to engage in seeking health information from online sources. Drawing from Andersens (1968) health behavior model and Pescosolidos (1992) network episode model, we develop and refine a model for seeking online sexual health information among homeless youth. Rather than testing the predicative strength of a given model, our aim is to identify and explore conceptually driven correlates that may shed light on the characteristics associated with these help seeking behaviors among homeless youth. Analyses using multivariate logistic regression models reveal that among the sample of youth, females and gay males most frequently seek sexual health information online. We demonstrate the structure of social network ties (e.g., connection with parents) and the content of interactions (e.g., e-mail forwards of health information) across ties are critical correlates of online sexual health information seeking. Results show a continued connection with parents via the Internet is significantly associated with youth seeking HIV or STI information. Similarly for content of interactions, more youth who were sent health information online also reported seeking HIV information and HIV-testing information. We discuss implications for intervention and practice, focusing on how the Internet may be used for dissemination of sexual health information and as a resource for social workers to link transient, runaway, and homeless youth to care. PMID:22247795

  13. Providing consumer health information through institutional collaboration.

    PubMed Central

    Humphries, A W; Kochi, J K

    1994-01-01

    In the past several years, The Claude Moore Health Sciences Library of the University of Virginia Health Sciences Center (HSC) has noted a growing demand for consumer health information. However, because the primary role of the library is to provide information services to health professionals at the HSC, questions have been raised as to the amount of time, energy, and money that should be expended to provide health care information to consumers. The library staff, because it can provide special expertise regarding the availability and utilization of consumer health materials, has felt the responsibility to participate in HSC initiatives that reach a broad audience. Library efforts in that regard include assisting with inventory and management of patient education materials, participating in a community health promotion task force, collaborating with hospital departments in planning a consumer health information center, establishing a consumer health information reference section in the library, and obtaining a grant to offer a networked health information system to local public and community college libraries. Consumers of health information benefit from the enhanced services that result from combining the expertise of health professionals and patient educators with the information management skills of library staff. PMID:8136761

  14. [Health Information Technology -where are we heading?].

    PubMed

    Ash, Nachman; Levy, Ilan

    2013-05-01

    The current issue of "Harefuah" dedicates a special corner to Health Information Technology (HIT), with a collection of five review papers discussing different areas of the field, focusing on its benefits to the quality of healthcare. In the first paper Topaz and Ash describe the United States MeaningfuL Use project, and list the lessons that the Israeli health system should learn from it. Zelingher and Ash analyze the decision of the Israeli Ministry of Health to move from the old coding system of ICD-9-CM to a combination of SNOMED-CT as a clinical terminology system and ICD-10-CM as the classification coding system. The authors conclude that achieving a standardized, homogenous and thorough coding of problems, diagnoses and procedures will enable interoperability in the Israeli health system. Shalom et al present us to the world of computerized clinical guidelines. They review the different projects that aim to bring tools and methods to transform the paper based guidelines to computer programs that support the everyday decisions that physicians take regarding their patients. The authors focus on their experience in developing methodology, tools and a library of computerized guidelines, and describe their evaluation in several projects. Shahar et al dive deeper to describe the challenge of representing time in cLinicaL guidelines and creating tools to discover new knowledge based on represented known knowledge. These two papers demonstrate the meaningful use of medicaL data. In the last article, Siegal addresses some legal concerns evolving from the HIT revolution, pointing to the emerging concepts in Israeli jurisprudence, which regards medical IT as an important contribution to patient empowerment, aspects of medical risk management and management of national health system resources. In the judgment of the Israeli court, a medical organization will possibly have to take the responsibiLity of not implementing a proven HIT system. This paper concludes with descriptions of two studies evaluating health information systems in Israel. These studies will be presented at the forthcoming conference of the IsraeLi Association of Medical Informatics (ILAMI). PMID:23885446

  15. Negotiating Access to Health Information to Promote Students' Health.

    PubMed

    Radis, Molly E; Updegrove, Stephen C; Somsel, Anne; Crowley, Angela A

    2016-04-01

    Access to student health information, such as immunizations, screenings, and care plans for chronic conditions, is essential for school nurses to fulfill their role in promoting students' health. School nurses typically encounter barriers to accessing health records and spend many hours attempting to retrieve health information. As a result, nurses' time is poorly utilized and students may suffer adverse outcomes including delayed school entry. In response to this pressing public health issue, a school medical advisor and director of school nurses in a local health department successfully negotiated access for school nurses to three health record systems: a state immunization tracking system, an electronic lead surveillance program, and an electronic health record system. This negotiation process is presented within a framework of the Theory of Diffusion of Innovation and provides a strategy for other school nurses seeking access to student health information. PMID:26547091

  16. Equity-focused health impact assessment: A tool to assist policy makers in addressing health inequalities

    SciTech Connect

    Simpson, Sarah . E-mail: sarah.simpson@unsw.edu.au; Mahoney, Mary; Harris, Elizabeth; Aldrich, Rosemary; Stewart-Williams, Jenny

    2005-10-15

    In Australasia (Australia and New Zealand) the use of health impact assessment (HIA) as a tool for improved policy development is comparatively new. The public health workforce do not routinely assess the potential health and equity impacts of proposed policies or programs. The Australasian Collaboration for Health Equity Impact Assessment was funded to develop a strategic framework for equity-focused HIA (EFHIA) with the intent of strengthening the ways in which equity is addressed in each step of HIA. The collaboration developed a draft framework for EFHIA that mirrored, but modified the commonly accepted steps of HIA; tested the draft framework in six different health service delivery settings; analysed the feedback about application of the draft EFHIA framework and modified it accordingly. The strategic framework shows promise in providing a systematic process for identifying potential differential health impacts and assessing the extent to which these are avoidable and unfair. This paper presents the EFHIA framework and discusses some of the issues that arose in the case study sites undertaking equity-focused HIA.

  17. Family Caregivers and Consumer Health Information Technology.

    PubMed

    Wolff, Jennifer L; Darer, Jonathan D; Larsen, Kevin L

    2016-01-01

    Health information technology has been embraced as a strategy to facilitate patients' access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients' desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals. PMID:26311198

  18. The Teen Health Information Network (THINK).

    ERIC Educational Resources Information Center

    Kuzel, Judith; Erickson, Su

    1995-01-01

    Discusses the Teen Health Information Network (THINK), a grant-funded partnership of Aurora, Illinois, public libraries, schools, and community agencies to provide materials, information, and programming on issues related to teen health. Seven appendixes provide detailed information on survey results, collection evaluation and development,

  19. Current Challenge in Consumer Health Informatics: Bridging the Gap between Access to Information and Information Understanding

    PubMed Central

    Alpay, Laurence; Verhoef, John; Xie, Bo; Te'eni, Dov; Zwetsloot-Schonk, J.H.M.

    2009-01-01

    The number of health-related websites has proliferated over the past few years. Health information consumers confront a myriad of health related resources on the internet that have varying levels of quality and are not always easy to comprehend. There is thus a need to help health information consumers to bridge the gap between access to information and information understandingi.e. to help consumers understand health related web-based resources so that they can act upon it. At the same time health information consumers are becoming not only more involved in their own health care but also more information technology minded. One way to address this issue is to provide consumers with tailored information that is contextualized and personalized e.g. directly relevant and easily comprehensible to the person's own health situation. This paper presents a current trend in Consumer Health Informatics which focuses on theory-based design and development of contextualized and personalized tools to allow the evolving consumer with varying backgrounds and interests to use online health information efficiently. The proposed approach uses a theoretical framework of communication in order to support the consumer's capacity to understand health-related web-based resources. PMID:20419038

  20. Committee opinion no. 621: Patient safety and health information technology.

    PubMed

    2015-01-01

    The advantages of health information technology (IT) include facilitating communication between health care providers; improving medication safety, tracking, and reporting; and promoting quality of care through optimized access to and adherence to guidelines. Health IT systems permit the collection of data for use for quality management, outcome reporting, and public health disease surveillance and reporting. However, improvement is needed with all health IT, especially regarding design, implementation, and integration between platforms within the work environment. Robust interoperability is critical for safe care, but this goal has proved elusive. Significant patient safety concerns already have been recognized; it is important to keep patient safety and quality as the primary focus. PMID:25560146

  1. Characterizing Health Information for Different Target Audiences.

    PubMed

    Sun, Yueping; Hou, Zhen; Hou, Li; Li, Jiao

    2015-01-01

    Different groups of audiences in health care: health professionals and health consumers, each have different information needs. Health monographs targeting different audiences are created by leveraging readers' background knowledge. The NCI's Physician Data Query (PDQ) Cancer Information Summaries provide parallel cancer information and education resources with different target audiences. In this paper, we used targeted audience-specific cancer information PDQs to measure characteristic differences on the element level between audiences. In addition, we compared vocabulary coverage. Results show a significant difference between the professional and patient version of cancer monographs in both content organization and vocabulary. This study provides a new view to assess targeted audience-specific health information, and helps editors to improve the quality and readability of health information. PMID:26262408

  2. Informational Privacy, Public Health, and State Laws

    PubMed Central

    Matthews, Gene

    2011-01-01

    Developments in information technology that make it possible to rapidly transmit health information also raise questions about the possible inappropriate use and protection of identifiable (or potentially identifiable) personal health information. Despite efforts to improve state laws, adoption of provisions has lagged. We found that half of states have no statutes addressing nondisclosure of personally identifiable health information generally held by public health agencies. Exceptional treatment of HIV, sexually transmitted infections, or tuberculosis-related information was common. Where other provisions were found, there was little consistency in the laws across states. The variation in state laws supports the need to build consensus on the appropriate use and disclosure of public health information among public health practitioners. PMID:21852633

  3. Blogging in support of health information outreach.

    PubMed

    Sapp, Lara; Cogdill, Keith

    2010-07-01

    Social media technologies are transforming the way librarians are collaborating, creating, and disseminating information. This article discusses how librarians at the University of Texas Health Science Center at San Antonio created a blog to support their health information outreach activities. Launched in 2007, the Staying Well Connected blog was established with the goal of promoting access to biomedical and health information for consumers and health professionals in the South Texas region. Postings highlight relevant health news, conferences, funding opportunities, and outreach events. PMID:20677064

  4. Health & Nutrition Information for Pregnant & Breastfeeding Women

    MedlinePLUS

    ... Food Safety Newsroom Dietary Guidelines Communicator’s Guide Pregnancy & Breastfeeding You are here Home / Audience / Adults Pregnancy & Breastfeeding Print Share Health & Nutrition Information When you are ...

  5. Using personal health information: do we manage conflicting interests?

    PubMed

    Whetton, Sue

    2013-01-01

    The discipline of health informatics is concerned with developing the information systems that facilitate collection, manipulation and dissemination of personal health information. It promotes the benefits of using personal health information for secondary purposes, including policy development, service planning and research. At the same time the health informatics community is a strong advocate of privacy and the need to protect individuals from negative consequences arising from unauthorised use of their personal health information. This creates a dilemma for health informatics professionals since there will be occasions when the rights and interests of individuals conflict with the rights and interests of the public, or particular sections of the public. In such instances, the community as a whole, and individual members, may be required to take a stance on whether to prioritise privacy over public needs and interests. Such instances are likely to increase in the future as demands for access to personal health information increase. This paper considers the way the health informatics community approaches the dilemma. It reports on a study which analysed various perspectives on the issue as expressed in HISA conference proceedings. The study identified six discourses, each of which focuses on different uses of personal health information. The study found that the discourses expressed strong support for expanded use of personal health information where the public interest was convincingly argued, although the interpretation of what constituted public interest varied between the discourses. The study also found that while higher level discussions highlight the potential for negative consequences arising from expanded uses of personal health information, this was not often discussed in the conference texts. It is argued that such concerns should be considered, particularly in the light of discussions around the Commonwealth government's Individual Health Identifier and Personally Controlled Electronic Health Records initiatives. PMID:23823301

  6. The Consumer Health Information System Adoption Model.

    PubMed

    Monkman, Helen; Kushniruk, Andre W

    2015-01-01

    Derived from overlapping concepts in consumer health, a consumer health information system refers to any of the broad range of applications, tools, and educational resources developed to empower consumers with knowledge, techniques, and strategies, to manage their own health. As consumer health information systems become increasingly popular, it is important to explore the factors that impact their adoption and success. Accumulating evidence indicates a relationship between usability and consumers' eHealth Literacy skills and the demands consumer HISs place on their skills. Here, we present a new model called the Consumer Health Information System Adoption Model, which depicts both consumer eHealth literacy skills and system demands on eHealth literacy as moderators with the potential to affect the strength of relationship between usefulness and usability (predictors of usage) and adoption, value, and successful use (actual usage outcomes). Strategies for aligning these two moderating factors are described. PMID:26262522

  7. Qualitative adolescent health research - focus groups: a rural South African example.

    PubMed

    Onya, He; Flisher, Aj

    2004-10-01

    This paper introduces nine steps that are recommended in conducting focus group discussions in rural communities and gives an example of how they can appropriately and fruitfully be employed in adolescent health behavioural research. The paper also reviewed issues related to methods of data collection, data analysis, reliability and validity in qualitative research. Focus group discussions took place in classrooms in three schools in Mankweng, Limpopo Province of South Africa. Three groups (boys only, girls only and mixed) took part in each school. Participants were selected from the pool of standard seven (grade 9) students from the chosen schools. The nine steps that were involved in using focus group discussions as a research method and the Mankweng experience is discussed. These steps include: (1) conducting a social influence analysis; (2) identifying the specific information to collect; (3) designing focus group discussion guide; (4) choosing the participants for the focus group discussion; (5) selecting focus group discussion moderators; (6) training focus group discussion moderators; (7) conducting the focus group discussion; (8) analysing the data collected; (9) formulating study conclusions and policy recommendations. Little adolescent health research in South Africa has been based upon methods that can capture the complexity of the role of significant others in adolescent health and development and the powerlessness of rural communities in dealing with the 'new morbidity' of adolescent risk behaviours. Understanding what sort of power relations, for example, that are involved in being relatively disadvantaged and how the power of such social groups can be increased is common concern of development managers and other individuals and institutions engaged in policy changes and implementation and deserve to be an essential component of child and adolescent health research. Well-collected and well-analysed qualitative data is needed in order to clearly understand some of the underlying predisposing, enabling and reinforcing factors that could account for adolescent risk behaviours in rural communities. Qualitative research method is important in that they capture the complexity of life, rather than trying to 'reduce' this complexity, and the potential for gaining an understanding of what is going on in the situation with the phenomenon is greater. Focus group discussions, a qualitative research methodology, can yield valuable data. PMID:25864975

  8. Consumer Opinions of Health Information Exchange, e-Prescribing, and Personal Health Records

    PubMed Central

    Cochran, Gary L.; Lander, Lina; Morien, Marsha; Lomelin, Daniel E.; Brittin, Jeri; Reker, Celeste; Klepser, Donald G.

    2015-01-01

    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. PMID:26604874

  9. Empowering Minority Communities with Health Information - WSSU

    SciTech Connect

    McMurray, L. and W. Templin-Branner

    2010-11-10

    Environmental health focus with training conducted as part of the United Negro College Fund Special Programs Corporation/National Library of Medicine HBCU ACCESS Project at Winston-Salem State University, NC on November 10, 2010.

  10. Bridging Organizational Divides in Health Care: An Ecological View of Health Information Exchange

    PubMed Central

    Johnson, Kevin B; Gadd, Cynthia S; Lorenzi, Nancy M

    2013-01-01

    Background The fragmented nature of health care delivery in the United States leads to fragmented health information and impedes patient care continuity and safety. Technologies to support interorganizational health information exchange (HIE) are becoming more available. Understanding how HIE technology changes health care delivery and affects people and organizations is crucial to long-term successful implementation. Objective Our study investigated the impacts of HIE technology on organizations, health care providers, and patients through a new, context-aware perspective, the Regional Health Information Ecology. Methods We conducted more than 180 hours of direct observation, informal interviews during observation, and 9 formal semi-structured interviews. Data collection focused on workflow and information flow among health care team members and patients and on health care provider use of HIE technology. Results We structured the data analysis around five primary information ecology components: system, locality, diversity, keystone species, and coevolution. Our study identified three main roles, or keystone species, involved in HIE: information consumers, information exchange facilitators, and information repositories. The HIE technology impacted patient care by allowing providers direct access to health information, reducing time to obtain health information, and increasing provider awareness of patient interactions with the health care system. Developing the infrastructure needed to support HIE technology also improved connections among information technology support groups at different health care organizations. Despite the potential of this type of technology to improve continuity of patient care, HIE technology adoption by health care providers was limited. Conclusions To successfully build a HIE network, organizations had to shift perspectives from an ownership view of health data to a continuity of care perspective. To successfully integrate external health information into clinical work practices, health care providers had to move toward understanding potential contributions of external health information. Our study provides a foundation for future context-aware development and implementation of HIE technology. Integrating concepts from the Regional Health Information Ecology into design and implementation may lead to wider diffusion and adoption of HIE technology into clinical work. PMID:25600166

  11. Health Behaviors among Baby Boomer Informal Caregivers

    ERIC Educational Resources Information Center

    Hoffman, Geoffrey J.; Lee, Jihey; Mendez-Luck, Carolyn A.

    2012-01-01

    Purpose of the Study: This study examines health-risk behaviors among "Baby Boomer" caregivers and non-caregivers. Design and Methods: Data from the 2009 California Health Interview Survey of the state's non-institutionalized population provided individual-level, caregiving, and health behavior characteristics for 5,688 informal caregivers and…

  12. Health Behaviors among Baby Boomer Informal Caregivers

    ERIC Educational Resources Information Center

    Hoffman, Geoffrey J.; Lee, Jihey; Mendez-Luck, Carolyn A.

    2012-01-01

    Purpose of the Study: This study examines health-risk behaviors among "Baby Boomer" caregivers and non-caregivers. Design and Methods: Data from the 2009 California Health Interview Survey of the state's non-institutionalized population provided individual-level, caregiving, and health behavior characteristics for 5,688 informal caregivers and

  13. Data Mining in Health and Medical Information.

    ERIC Educational Resources Information Center

    Bath, Peter A.

    2004-01-01

    Presents a literature review that covers the following topics related to data mining (DM) in health and medical information: the potential of DM in health and medicine; statistical methods; evaluation of methods; DM tools for health and medicine; inductive learning of symbolic rules; application of DM tools in diagnosis and prognosis; and…

  14. Data Mining in Health and Medical Information.

    ERIC Educational Resources Information Center

    Bath, Peter A.

    2004-01-01

    Presents a literature review that covers the following topics related to data mining (DM) in health and medical information: the potential of DM in health and medicine; statistical methods; evaluation of methods; DM tools for health and medicine; inductive learning of symbolic rules; application of DM tools in diagnosis and prognosis; and

  15. What young people want from health-related online resources: a focus group study

    PubMed Central

    Fergie, Gillian; Hunt, Kate; Hilton, Shona

    2012-01-01

    The growth of the Internet as an information source about health, particularly amongst young people, is well established. The aim of this study was to explore young people's perceptions and experiences of engaging with health-related online content, particularly through social media websites. Between February and July 2011 nine focus groups were facilitated across Scotland with young people aged between 14 and 18 years. Health-related user-generated content seems to be appreciated by young people as a useful, if not always trustworthy, source of accounts of other people's experiences. The reliability and quality of both user-generated content and official factual content about health appear to be concerns for young people, and they employ specialised strategies for negotiating both areas of the online environment. Young people's engagement with health online is a dynamic area for research. Their perceptions and experiences of health-related content seem based on their wider familiarity with the online environment and, as the online environment develops, so too do young people's strategies and conventions for accessing it. PMID:24748849

  16. Health Information Technology and Nursing Homes

    ERIC Educational Resources Information Center

    Liu, Darren

    2009-01-01

    Nursing homes are considered lagging behind in adopting health information technology (HIT). Many studies have highlighted the use of HIT as a means of improving health care quality. However, these studies overwhelmingly do not provide empirical information proving that HIT can actually achieve these improvements. The main research goal of this

  17. Exploring Older Adults' Health Information Seeking Behaviors

    ERIC Educational Resources Information Center

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts

  18. Ohio Valley Community Health Information Network.

    ERIC Educational Resources Information Center

    Guard, Roger; And Others

    The Ohio Valley Community Health Information Network (OVCHIN) works to determine the efficacy of delivering health information to residents of rural southern Ohio and the urban and suburban Cincinnati area. OVCHIN is a community-based, consumer-defined demonstration grant program funded by the National Telecommunications and Information…

  19. Finding information on immigrant and refugee health.

    PubMed

    Carlock, Danielle M

    2007-10-01

    Health care providers working with immigrant and refugee populations need to find and access information related to patient care and to direct patients to culturally and linguistically appropriate health information. This article shows how to find this type of information using online databases, library catalogs, and the internet. Special emphasis is placed on conducting subject searches in online databases such as PubMed and the Cumulative Index to Nursing and Allied Health Literature. Also provided is an appendix listing Websites on immigrant and refugee health. PMID:17977111

  20. A renewed focus on primary health care: revitalize or reframe?

    PubMed Central

    2010-01-01

    The year 2008 celebrated 30 years of Primary Health Care (PHC) policy emerging from the Alma Ata Declaration with publication of two key reports, the World Health Report 2008 and the Report of the Commission on the Social Determinants of Health. Both reports reaffirmed the relevance of PHC in terms of its vision and values in today's world. However, important challenges in terms of defining PHC, equity and empowerment need to be addressed. This article takes the form of a commentary reviewing developments in the last 30 years and discusses the future of this policy. Three challenges are put forward for discussion (i) the challenge of moving away from a narrow technical bio-medical paradigm of health to a broader social determinants approach and the need to differentiate primary care from primary health care; (ii) The challenge of tackling the equity implications of the market oriented reforms and ensuring that the role of the State in the provision of welfare services is not further weakened; and (iii) the challenge of finding ways to develop local community commitments especially in terms of empowerment. These challenges need to be addressed if PHC is to remain relevant in today's context. The paper concludes that it is not sufficient to revitalize PHC of the Alma Ata Declaration but it must be reframed in light of the above discussion. PMID:20673329

  1. Reducing the health disparities of Indigenous Australians: time to change focus

    PubMed Central

    2012-01-01

    Background Indigenous peoples have worse health than non-Indigenous, are over-represented amongst the poor and disadvantaged, have lower life expectancies, and success in improving disparities is limited. To address this, research usually focuses on disadvantaged and marginalised groups, offering only partial understanding of influences underpinning slow progress. Critical analysis is also required of those with the power to perpetuate or improve health inequities. In this paper, using Australia as a case example, we explore the effects of White, Anglo-Australian cultural dominance in health service delivery to Indigenous Australians. We address the issue using race as an organising principle, underpinned by relations of power. Methods Interviews with non-Indigenous medical practitioners in Western Australia with extensive experience in Indigenous health encouraged reflection and articulation of their insights into factors promoting or impeding quality health care to Indigenous Australians. Interviews were audio-taped and transcribed. An inductive, exploratory analysis identified key themes that were reviewed and interrogated in light of existing literature on health care to Indigenous people, race and disadvantage. The researchers past experience, knowledge and understanding of health care and Indigenous health assisted with data interpretation. Informal discussions were also held with colleagues working professionally in Indigenous policy, practice and community settings. Results Racism emerged as a key issue, leading us to more deeply interrogate the role Whiteness plays in Indigenous health care. While Whiteness can refer to skin colour, it also represents a racialized social structure where Indigenous knowledge, beliefs and values are subjugated to the dominant western biomedical model in policy and practice. Racism towards Indigenous patients in health services was institutional and interpersonal. Internalised racism was manifest when Indigenous patients incorporated racist attitudes and beliefs into their lived experience, lowering expectations and their sense of self-worth. Conclusions Current health policies and practices favour standardised care where the voice of those who are marginalised is often absent. Examining the effectiveness of such models in reducing health disparities requires health providers to critically reflect on whether policies and practices promote or compromise Indigenous health and wellbeing - an important step in changing the discourse that places Indigenous people at the centre of the problem. PMID:22682494

  2. Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers

    PubMed Central

    Cummins, Mollie R.; Crouch, Barbara I.; Del Fiol, Guilherme; Mateos, Brenda; Muthukutty, Anusha; Wyckoff, Anastasia

    2014-01-01

    We analyzed audio recordings of telephone calls between emergency departments (EDs) and poison control centers (PCCs) in order to describe the information requirements for health information exchange. Analysis included a random sample of 120 poison exposure cases involving ED-PCC communication that occurred during 2009. We identified 52 information types characterized as patient or provider information, exposure information, ED assessment and treatment/ management, or PCC consultation. These information types constitute a focused subset of information that should be shared in the context of emergency treatment for poison exposure. Up to 60% of the information types identified in the analysis of call recordings can be represented using existing clinical terminology. In order to accomplish standards-based health information exchange between EDs and PCCs using data coded according to a standard clinical terminology system, it is necessary to define appropriate terms, information models and value sets. PMID:25954349

  3. EDITORIAL: Focus on Quantum Information and Many-Body Theory

    NASA Astrophysics Data System (ADS)

    Eisert, Jens; Plenio, Martin B.

    2010-02-01

    Quantum many-body models describing natural systems or materials and physical systems assembled piece by piece in the laboratory for the purpose of realizing quantum information processing share an important feature: intricate correlations that originate from the coherent interaction between a large number of constituents. In recent years it has become manifest that the cross-fertilization between research devoted to quantum information science and to quantum many-body physics leads to new ideas, methods, tools, and insights in both fields. Issues of criticality, quantum phase transitions, quantum order and magnetism that play a role in one field find relations to the classical simulation of quantum systems, to error correction and fault tolerance thresholds, to channel capacities and to topological quantum computation, to name but a few. The structural similarities of typical problems in both fields and the potential for pooling of ideas then become manifest. Notably, methods and ideas from quantum information have provided fresh approaches to long-standing problems in strongly correlated systems in the condensed matter context, including both numerical methods and conceptual insights. Focus on quantum information and many-body theory Contents TENSOR NETWORKS Homogeneous multiscale entanglement renormalization ansatz tensor networks for quantum critical systems M Rizzi, S Montangero, P Silvi, V Giovannetti and Rosario Fazio Concatenated tensor network states R Hübener, V Nebendahl and W Dür Entanglement renormalization in free bosonic systems: real-space versus momentum-space renormalization group transforms G Evenbly and G Vidal Finite-size geometric entanglement from tensor network algorithms Qian-Qian Shi, Román Orús, John Ove Fjærestad and Huan-Qiang Zhou Characterizing symmetries in a projected entangled pair state D Pérez-García, M Sanz, C E González-Guillén, M M Wolf and J I Cirac Matrix product operator representations B Pirvu, V Murg, J I Cirac and F Verstraete SIMULATION AND DYNAMICS A quantum differentiation of k-SAT instances B Tamir and G Ortiz Classical Ising model test for quantum circuits Joseph Geraci and Daniel A Lidar Exact matrix product solutions in the Heisenberg picture of an open quantum spin chain S R Clark, J Prior, M J Hartmann, D Jaksch and M B Plenio Exact solution of Markovian master equations for quadratic Fermi systems: thermal baths, open XY spin chains and non-equilibrium phase transition Tomaž Prosen and Bojan Žunkovič Quantum kinetic Ising models R Augusiak, F M Cucchietti, F Haake and M Lewenstein ENTANGLEMENT AND SPECTRAL PROPERTIES Ground states of unfrustrated spin Hamiltonians satisfy an area law Niel de Beaudrap, Tobias J Osborne and Jens Eisert Correlation density matrices for one-dimensional quantum chains based on the density matrix renormalization group W Münder, A Weichselbaum, A Holzner, Jan von Delft and C L Henley The invariant-comb approach and its relation to the balancedness of multipartite entangled states Andreas Osterloh and Jens Siewert Entanglement scaling of fractional quantum Hall states through geometric deformations Andreas M Läuchli, Emil J Bergholtz and Masudul Haque Entanglement versus gap for one-dimensional spin systems Daniel Gottesman and M B Hastings Entanglement spectra of critical and near-critical systems in one dimension F Pollmann and J E Moore Macroscopic bound entanglement in thermal graph states D Cavalcanti, L Aolita, A Ferraro, A García-Saez and A Acín Entanglement at the quantum phase transition in a harmonic lattice Elisabeth Rieper, Janet Anders and Vlatko Vedral Multipartite entanglement and frustration P Facchi, G Florio, U Marzolino, G Parisi and S Pascazio Entropic uncertainty relations—a survey Stephanie Wehner and Andreas Winter Entanglement in a spin system with inverse square statistical interaction D Giuliano, A Sindona, G Falcone, F Plastina and L Amico APPLICATIONS Time-dependent currents of one-dimensional bosons in an optical lattice J Schachenmayer, G Pupillo and A J Daley Implementing quantum gates using the ferromagnetic spin-J XXZ chain with kink boundary conditions Tom Michoel, Jaideep Mulherkar and Bruno Nachtergaele Long-distance entanglement in many-body atomic and optical systems Salvatore M Giampaolo and Fabrizio Illuminati QUANTUM MEMORIES AND TOPOLOGICAL ORDER Thermodynamic stability criteria for a quantum memory based on stabilizer and subsystem codes Stefano Chesi, Daniel Loss, Sergey Bravyi and Barbara M Terhal Topological color codes and two-body quantum lattice Hamiltonians M Kargarian, H Bombin and M A Martin-Delgado RENORMALIZATION Local renormalization method for random systems O Gittsovich, R Hübener, E Rico and H J Briegel

  4. The potential for research-based information in public health: Identifying unrecognised information needs

    PubMed Central

    Forsetlund, Louise; Bjrndal, Arild

    2001-01-01

    Objective To explore whether there is a potential for greater use of research-based information in public health practice in a local setting. Secondly, if research-based information is relevant, to explore the extent to which this generates questioning behaviour. Design Qualitative study using focus group discussions, observation and interviews. Setting Public health practices in Norway. Participants 52 public health practitioners. Results In general, the public health practitioners had a positive attitude towards research-based information, but believed that they had few cases requiring this type of information. They did say, however, that there might be a potential for greater use. During five focus groups and six observation days we identified 28 questions/cases where it would have been appropriate to seek out research evidence according to our definition. Three of the public health practitioners identified three of these 28 cases as questions for which research-based information could have been relevant. This gap is interpreted as representing unrecognised information needs. Conclusions There is an unrealised potential in public health practice for more frequent and extensive use of research-based information. The practitioners did not appear to reflect on the need for scientific information when faced with new cases and few questions of this type were generated. PMID:11208260

  5. Health indicators and information systems for the year 2000.

    PubMed

    Murnaghan, J H

    1981-01-01

    Report focus is on the general problem of designing and developing information systems equal to the task of promoting and monitoring "Health for All by the Year 2000." Attempting to bridge the gap between theory and practice, this 2-part report proposes some priorities and guidelines for organizing and focusing the efforts of the many agencies, groups, and individuals working on health statistics worldwide; and concentrates on the situation in less developed countries where health information networks in support of the decision making process continue to be very weak and their content and organization need reappraisal. An illustrative set of health indicators for national health planning in a developing country is used to take stock of available concepts of measurement, to test their relevance and feasibility, and to consider the steps necessary to translate these concepts into operational health information systems. There are numerous advantages in concentrating on what are commonly termed "health indicators" and using them as a point of departure for collecting data and building information networks. Indicators define the content of data systems, a step that should logically precede decisions regarding data series, methods, staffing, and organizations. If properly designed to reflect the primary objectives of national or community health policy, a set of indicators serves as the minimum specifications of the information support system and describes its overall task. Health indicators are also an excellent way to promote statistical comparability within and among health care systems. Health indicators in the model presented are defined as statistics selected from the larger pool because they have the power to summarize, to represent a larger body of statistics, or to serve as indirect or proxy measures for information that is lacking. It would be both self-defeating and contrary to World Health Organization (WHO) goals to adopt a narrow perspective on health indicators and information systems. Those working on health indicators need to be in close touch with developments in the social indicators field. The following are among the major points made in the review and evaluation of some of the concepts and methods available to developing countries in designing health information systems for the year 2000: utility of proposed indicators, primarily for planning, monitoring, and evaluation at the national level, but also to some extent at the community level; state of readiness; validity, reliability, specificity, sensitivity, and economy or efficiency of proposed measures; feasibility, i.e., have practical and affordable methods of data acquisition been demonstrated; basic subcategories and disaggregations; compatibility with socioeconomic concerns and indicators; comparability with concepts of measurement used in more developed countries; and principal areas in need of further research and development. PMID:7348555

  6. Students' trust judgements in online health information seeking.

    PubMed

    Rowley, Jennifer; Johnson, Frances; Sbaffi, Laura

    2015-12-01

    As one of the most active groups of Internet users, students and other young people are active users of digital health information. Yet, research into young people's evaluation of health information is limited, and no previous studies have focused on trust formation. In addition, prior studies on adults' use of digital information do not reach a consensus regarding the key factors in trust formation. This study seeks to address this gap. A questionnaire-based survey was used to collect data from undergraduate students studying a variety of disciplines in one UK university. The Trust in Online Health Information Scale is proposed, and it includes the following dimensions: authority, style, content, usefulness, brand, ease of use, recommendation, credibility, and verification. In addition, inspection of responses to specific items/questions provides further insights into aspects of the information that were of specific importance in influencing trust judgements. PMID:25193449

  7. Information Technology for Children's Health and Health Care

    PubMed Central

    Shiffman, Richard N.; Spooner, S. Andrew; Kwiatkowski, Kelly; Brennan, Patricia Flatley

    2001-01-01

    In September 2000, the Agency for Healthcare Quality and Research and the American Academy of Pediatrics Center for Child Health Research sponsored a meeting of experts and knowledgeable stakeholders to identify 1) the special information needs of pediatric care and 2) health service research questions related to the use of information technology in children's health care. Technologies that support the care of children must address issues related to growth and development, children's changing physiology, and the unique diseases of children and interventions of pediatric care. Connectivity and data integration are particular concerns for child health care workers. Consumer health information needs for this population extend beyond the needs of one individual to the needs of the family. Recommendations of the attendees include rapid implementation of features in electronic health information systems that support pediatric care and involvement of child health experts in policy making, standards setting, education, and advocacy. A proposed research agenda should address both effectiveness and costs of information technology, with special consideration for the needs of children, the development and evaluation of clinical decision support in pediatric settings, understanding of the epidemiology of iatrogenic injury in childhood, supplementation of vocabulary standards with pediatrics-specific terminology, and improvement in health care access for children, using telemedicine. PMID:11687562

  8. Management of Communication Channels for Health Information in the Community

    ERIC Educational Resources Information Center

    Tanvatanakul, Vasuton; Amado, Joao; Saowakontha, Sastri

    2007-01-01

    Object: To investigate channels for communication of health information to various groups in the community. Design: An exploratory cross sectional design was used, followed by focus groups of selected participants to confirm and clarify the findings. Setting: Five levels of sub-district administration organizations were selected from different

  9. eHealth Literacy: Extending the Digital Divide to the Realm of Health Information

    PubMed Central

    Brainin, Esther

    2012-01-01

    Background eHealth literacy is defined as the ability of people to use emerging information and communications technologies to improve or enable health and health care. Objective The goal of this study was to explore whether literacy disparities are diminished or enhanced in the search for health information on the Internet. The study focused on (1) traditional digital divide variables, such as sociodemographic characteristics, digital access, and digital literacy, (2) information search processes, and (3) the outcomes of Internet use for health information purposes. Methods We used a countrywide representative random-digital-dial telephone household survey of the Israeli adult population (18 years and older, N = 4286). We measured eHealth literacy; Internet access; digital literacy; sociodemographic factors; perceived health; presence of chronic diseases; as well as health information sources, content, search strategies, and evaluation criteria used by consumers. Results Respondents who were highly eHealth literate tended to be younger and more educated than their less eHealth-literate counterparts. They were also more active consumers of all types of information on the Internet, used more search strategies, and scrutinized information more carefully than did the less eHealth-literate respondents. Finally, respondents who were highly eHealth literate gained more positive outcomes from the information search in terms of cognitive, instrumental (self-management of health care needs, health behaviors, and better use of health insurance), and interpersonal (interacting with their physician) gains. Conclusions The present study documented differences between respondents high and low in eHealth literacy in terms of background attributes, information consumption, and outcomes of the information search. The association of eHealth literacy with background attributes indicates that the Internet reinforces existing social differences. The more comprehensive and sophisticated use of the Internet and the subsequent increased gains among the high eHealth literate create new inequalities in the domain of digital health information. There is a need to educate at-risk and needy groups (eg, chronically ill) and to design technology in a mode befitting more consumers. PMID:22357448

  10. 78 FR 17418 - Rural Health Information Technology Network Development Grant

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... HUMAN SERVICES Health Resources and Services Administration Rural Health Information Technology Network... award under the Rural Health Information Technology Network Development Grant (RHITND) to Grace... relinquishing its fiduciary responsibilities for the Rural Health Information Technology Network...

  11. Exploring Somali women's reproductive health knowledge and experiences: results from focus group discussions in Mogadishu.

    PubMed

    Gure, Faduma; Yusuf, Marian; Foster, Angel M

    2015-11-01

    With a total fertility ratio of 6.7 children per woman, a maternal mortality ratio over 1,000 deaths per 100,000 live births, high rates of sexual and gender-based violence, and the lowest contraceptive prevalence rate in the world, women's reproductive health indices in Somalia prove alarming. The voices of women living in Somalia have long been neglected and we undertook this qualitative study to explore women's reproductive health knowledge and experiences. In 2014, we conducted four focus group discussions with 21 married and unmarried women of reproductive age living in Mogadishu, Somalia. Discussions took place in Somali and we used a constant comparative approach to analyse the discussions for content and themes. Our findings reveal that misinformation, restrictive policies, mistrust of clinicians, and prohibitively expensive services shape women's experiences and health-seeking behaviours. Women identified the need for culturally resonant reproductive health information and services as a significant priority. As Somalia begins to emerge from over two decades of civil war, it is imperative that comprehensive reproductive health issues are included on the national agenda and that women's perspectives are incorporated into future policies and interventions. PMID:26719005

  12. Correlates of consumer trust in online health information: findings from the health information national trends survey.

    PubMed

    Ye, Yinjiao

    2011-01-01

    The past few decades have witnessed a dramatic increase in consumers seeking health information online. However, the quality of such information remains questionable, and the trustworthiness of online health information has become a hot topic, whereas little attention has been paid to how consumers evaluate online health information credibility. This study builds on theoretical perspectives of trust such as personal-capital-based, social-capital-based, and transfer-based, and it examines various correlates of consumer trust in online health information. The author analyzed the 2007 Health Information National Trends Survey data (N = 7,674). Results showed that consumer trust in online health information did not correlate with personal capital such as income, education, and health status. Social capital indicated by visiting social networking Web sites was not associated with trust in online health information either. Nevertheless, trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. Age appeared to be a key factor in understanding the correlates of trust in online health information. Theoretical and empirical implications of the results are discussed. PMID:21086209

  13. American Health Information Management Association

    MedlinePLUS

    ... Career Assist: Job Bank Career Map Career Role Self-Assessments Get Involved Students At Convention Student Advisory Committee ... Adoption Model (IGAM). This strategic tool allows an organization to assess and evaluate how information is utilized, ...

  14. Corporate information systems in health organisations.

    PubMed

    Smith, J

    1997-01-01

    This paper presents an overview of the nature of corporate information systems and their applications in health organisations. It emphasises the importance of financial and human resource information in the creation of a corporate data model. The paper summarises the main features of finance and human resource systems as they are used in health organisations. It looks at a series of case studies carried out in health organisations, which were selected on the basis of their representation of different aspects of service delivery. It also discusses the theoretical and practical perspectives of the systems themselves, their roles in information management, executive and decision support, and in planning and forecasting. PMID:10173702

  15. Strengthening health information systems to address health equity challenges.

    PubMed Central

    Nolen, Lexi Bambas; Braveman, Paula; Dachs, J. Norberto W.; Delgado, Iris; Gakidou, Emmanuela; Moser, Kath; Rolfe, Liz; Vega, Jeanette; Zarowsky, Christina

    2005-01-01

    Special studies and isolated initiatives over the past several decades in low-, middle- and high-income countries have consistently shown inequalities in health among socioeconomic groups and by gender, race or ethnicity, geographical area and other measures associated with social advantage. Significant health inequalities linked to social (dis)advantage rather than to inherent biological differences are generally considered unfair or inequitable. Such health inequities are the main object of health development efforts, including global targets such as the Millennium Development Goals, which require monitoring to evaluate progress. However, most national health information systems (HIS) lack key information needed to assess and address health inequities, namely, reliable, longitudinal and representative data linking measures of health with measures of social status or advantage at the individual or small-area level. Without empirical documentation and monitoring of such inequities, as well as country-level capacity to use this information for effective planning and monitoring of progress in response to interventions, movement towards equity is unlikely to occur. This paper reviews core information requirements and potential databases and proposes short-term and longer term strategies for strengthening the capabilities of HIS for the analysis of health equity and discusses HIS-related entry points for supporting a culture of equity-oriented decision-making and policy development. PMID:16184279

  16. Health care, information needs, and outreach: reaching Ohio's rural citizens

    PubMed Central

    Guard, Roger; Fredericka, Theresa M.; Kroll, Susan; Marine, Stephen; Roddy, Carol; Steiner, Tim; Wentz, Susan

    2000-01-01

    As a rural state, Ohio has a vital interest in addressing rural health and information needs. NetWellness is a Web-based consumer health information service that focuses on the needs of the residents of Ohio. Health sciences faculty from the state's three Carnegie Research I universitiesUniversity of Cincinnati, Case Western Reserve University, and The Ohio State Universitycreate and evaluate content and provide Ask an Expert service to all visitors. Through partnerships at the state and local levels, involving public, private, commercial, and noncommercial organizations, NetWellness has grown from a regional demonstration project in 1995 to a key statewide service. Collaboration with public libraries, complemented by alliances with kindergarten through twelfth grade agencies, makes NetWellness Ohio's essential health information resource. PMID:11055306

  17. Shifts in the architecture of the Nationwide Health Information Network

    PubMed Central

    Sundwall, David; Lenert, Michael Edward

    2012-01-01

    In the midst of a US $30 billion USD investment in the Nationwide Health Information Network (NwHIN) and electronic health records systems, a significant change in the architecture of the NwHIN is taking place. Prior to 2010, the focus of information exchange in the NwHIN was the Regional Health Information Organization (RHIO). Since 2010, the Office of the National Coordinator (ONC) has been sponsoring policies that promote an internet-like architecture that encourages point to-point information exchange and private health information exchange networks. The net effect of these activities is to undercut the limited business model for RHIOs, decreasing the likelihood of their success, while making the NwHIN dependent on nascent technologies for community level functions such as record locator services. These changes may impact the health of patients and communities. Independent, scientifically focused debate is needed on the wisdom of ONC's proposed changes in its strategy for the NwHIN. PMID:22268218

  18. The changing face of health information and health information work: a conceptual framework.

    PubMed Central

    Bradley, J

    1996-01-01

    The purpose of this paper is to examine the changes in health information and health information work using a conceptual framework and to consider the implication of these changes for health sciences librarians. The notion of what constitutes information depends heavily on the perspective of those defining the term. In the health care domain, numerous established concepts of information exist, many clustering around disciplines and professions. Various information professions-for example, health sciences librarians, information-systems managers, and medical-records administrators--have differing core concepts of information. Although these established concepts of information may seem immutable, they are cultural facts and can and do change. Global networking and changes in health care delivery are just two of many environmental forces that are changing the way the health domain views health information and the way it values the patterns and practices traditionally associated with established types of information and information professions. As new concepts of information arise, the possibility for new expert work surrounding information also arises. Andrew Abbott's systems theory of professions, adapted to the health domain, suggests that some forms of established expert information work may diminish while new types may arise and that both established and new information professions will struggle with each other for official sanction, or jurisdiction, to perform new expert work. This competitive struggle is likely to produce a new balance of information work and roles among the information professions. The specialty areas of library and information science, the heartland of our knowledge base, are as relevant in the electronic environment as in the print environment. Our profession's challenge now is to redefine and communicate our jurisdictional place in the emerging health information environment. PMID:8938324

  19. Information technology for health in developing countries.

    PubMed

    Bukachi, Frederick; Pakenham-Walsh, Neil

    2007-11-01

    Poverty has deepened the crisis in health-care delivery in developing countries, particularly sub-Saharan Africa, which is a region facing a disease burden that is unmatched in the world. Whether access to proven and powerful information and communication technologies (ICTs) can improve health indicators is an ongoing debate. However, this brief review shows that in the last decade there has been significant growth in Internet access in urban areas; health-care workers now use it for communication, access to relevant health-care information, and international collaboration. The central message learned during this period about the application of ICTs is that infrastructural and cultural contexts vary and require different models and approaches. Thus, to harness the full potential of ICTs to the benefit of health systems, health workers, and patients will demand an intricate mix of old and new technologies. PMID:17998362

  20. Information for health and human development.

    PubMed

    Alleyne, G A

    1996-01-01

    Information is one of the most powerful instruments of change known to man. It can be used to relieve much pain and suffering, because the basic infrastructure of any successful enterprise is based not only on the management of the physical, financial, and human resources but also on information resources. This paper describes the relationship between health and human development and outlines the roles health sciences librarians might consider in managing information to ensure health, to assist not only medical scientists but also the powerful members of the community. No persons should be hampered in their ability to make decisions about health matters because they did not have access to information librarians have at their disposal. PMID:8938333

  1. Mental health surveillance and information systems.

    PubMed

    Gater, R; Chisholm, D; Dowrick, C

    2015-07-01

    Routine information systems for mental health in many Eastern Mediterranean Region countries are rudimentary or absent, making it difficult to understand the needs of local populations and to plan accordingly. Key components for mental health surveillance and information systems are: national commitment and leadership to ensure that relevant high quality information is collected and reported; a minimum data set of key mental health indicators; intersectoral collaboration with appropriate data sharing; routine data collection supplemented with periodic surveys; quality control and confidentiality; and technology and skills to support data collection, sharing and dissemination. Priority strategic interventions include: (1) periodically assessing and reporting the mental health resources and capacities available using standardized methodologies; (2) routine collection of information and reporting on service availability, coverage and continuity, for priority mental disorders disaggregated by age, sex and diagnosis; and (3) mandatory recording and reporting of suicides at the national level (using relevant ICD codes). PMID:26442892

  2. Environmental tobacco smoke: health policy and focus on Italian legislation.

    PubMed

    Giraldi, G; Fovi De Ruggiero, G; Marsella, L T; De Luca d'Alessandro, E

    2013-01-01

    Worldwide tobacco smoking kills nearly 6 million people each year, including more than 600,000 non-smokers who die from smoke exposure. Environmental tobacco smoke (ETS, also called secondhand smoke, involuntary smoke, or passive smoke) is the combination of sidestream smoke, the smoke given off by a burning tobacco product and mainstream smoke, the smoke exhaled by smokers. People may be exposed to ETS in homes, cars, workplaces, and public places, such as bars, restaurants, and recreational settings. In addition, there is another type of smoke which until now has not been recognized: the so-called thirdhand smoke, that comes from the reaction of mainstream smoke and environmental nitrous acid (HNO2) making carcinogenic tobacco-specific nitrosamines (TSNAs). The effects of ETS on human health are well-known, passive smoking is harmful to those who breathe the toxins and it is a serious problem for public health. The smoking ban in Italy had reduced ETS pollution, as in the United States and in other countries all over the world. However, the implementation of comprehensive legislation on smoking policy will necessitate other tobacco control measures for its successful fulfillment: increased media awareness, telephone smoking cessation helplines and smoking cessation support services could be an opportunity to ensure awareness, comprehension and support to those who want to quit smoking. The effectiveness of legislative efforts will also depend on successful enforcement of smoking bans and compliance with the legislation. This review summarizes the evidences about the effect of ETS and provides an overview of smoke-free laws and policies. PMID:24217845

  3. Sharing information and data across heterogeneous e-health systems.

    PubMed

    Ganguly, Sukanta; Kataria, Pavandeep; Juric, Radmila; Ertas, Atila; Tanik, Murat M

    2009-06-01

    Information and data sharing across heterogeneous e-health systems, focusing on the management of patient care, have become the backbone of modern delivery of sustainable telemedicine services. Information and data available to healthcare practitioners in such environments range from patient's medical records, stored in repositories at places where patients have been treated, to a variety of information related to medical research, pharmaceutical products, or information stored within social networks of healthcare interest groups. This study sought to demonstrate two different approaches enabling the sharing of information/data across heterogeneous e-health systems: (1) Context-Aware Data Retrieval Architecture (CADRA), which secures the extraction and presentation of e-health information to users in requested format, and (2) Generic Ontology for Context Aware, Interoperable, and Data Sharing (Go-CID) software applications, which secure semantic interoperation across heterogeneous e-health data sources. Proof-of-concept was demonstrated in both cases, CADRA and Go-CID, to achieve understanding and building of knowledge about e-health environments. This study invites practical solutions for interoperable e-health systems. PMID:19548826

  4. Geographic Information Systems and travel health.

    PubMed

    Bauer, Irmgard L; Puotinen, Marji

    2002-01-01

    Questions dealing with space and/or location have always been integral to understanding and addressing health issues, such as charting the spread of a disease. Health researchers have traditionally used paper maps to explore the spatial dimensions of health. However, due to advances in technology, it is now possible to ask such questions using a suite of computer-based methods and tools that are collectively known as a Geographic Information System (GIS). PMID:12962585

  5. Geographic information systems and public health.

    PubMed

    Ricketts, Thomas C

    2003-01-01

    Geographic information systems (GIS) and analyses based on GIS have become widespread and well accepted. GIS is not the complete solution to understanding the distribution of disease and the problems of public health but is an important way in which to better illuminate how humans interact with their environment to create or deter health. PMID:12471275

  6. Usability and perceived usefulness of Personal Health Records for preventive health care: a case study focusing on patients' and primary care providers' perspectives.

    PubMed

    Ant Ozok, A; Wu, Huijuan; Garrido, Melissa; Pronovost, Peter J; Gurses, Ayse P

    2014-05-01

    Personal Health Records (PHR) are electronic applications for individuals to access, manage and share their health information in a secure environment. The goal of this study was to evaluate the usefulness and usability of a Web-based PHR technology aimed at improving preventive care, from both the patients' and primary care providers' perspectives. We conducted a multi-method descriptive study that included direct observations, concurrent think-aloud, surveys, interviews and focus groups in a suburban primary care clinic. Patients found the tailored health recommendations useful and the PHR easy to understand and use. They also reported asking useful health-related questions to their physicians because of using the system. Generally, care providers were interested in using the system due to its useful content and impact on patient activation. Future successful systems should be better integrated with hospital records; put more emphasis on system security; and offer more tailored health information based on comprehensive health databases. PMID:24119975

  7. Health information systems: the foundations of public health.

    PubMed Central

    AbouZahr, Carla; Boerma, Ties

    2005-01-01

    Public health decision-making is critically dependent on the timely availability of sound data. The role of health information systems is to generate, analyse and disseminate such data. In practice, health information systems rarely function systematically. The products of historical, social and economic forces, they are complex, fragmented and unresponsive to needs. International donors in health are largely responsible for the problem, having prioritized urgent needs for data over longer-term country capacity-building. The result is painfully apparent in the inability of most countries to generate the data needed to monitor progress towards the Millennium Development Goals. Solutions to the problem must be comprehensive; money alone is likely to be insufficient unless accompanied by sustained support to country systems development coupled with greater donor accountability and allocation of responsibilities. The Health Metrics Network, a global collaboration in the making, is intended to help bring such solutions to the countries most in need. PMID:16184276

  8. Expanding the frame of understanding health disparities: from a focus on health systems to social and economic systems.

    PubMed

    Smedley, Brian D

    2006-08-01

    Policy makers are increasingly attending to the problem of racial and ethnic health disparities, but much of this focus has been on evidence of inequality in health care systems. This attention is important and laudable, but eliminating inequality in the health care system would be insufficient to eliminate racial and ethnic disparities and improve the health of all Americans. Social and economic factors, such as disadvantaged socioeconomic status, racism, discrimination, and geographic inequality shape virtually all risks for poor health. Interventions that focus solely on improving access to health care, or on reducing individual behavioral and psychosocial risks, therefore have limited potential to reduce racial and ethnic health disparities. The elimination of health disparities requires comprehensive, intensive strategies that address inequality in many sectors, including housing, education, employment, and health systems. These interventions must be targeted at many levels, including individuals and families, workplaces, schools, and communities. PMID:16878351

  9. Gut barrier in health and disease: focus on childhood.

    PubMed

    Viggiano, D; Ianiro, G; Vanella, G; Bibbò, S; Bruno, G; Simeone, G; Mele, G

    2015-01-01

    The gut barrier is a functional unit, organized as a multi-layer system, made up of two main components: a physical barrier surface, which prevents bacterial adhesion and regulates paracellular diffusion to the host tissues, and a deep functional barrier, that is able to discriminate between pathogens and commensal microorganisms, organizing the immune tolerance and the immune response to pathogens. Other mechanisms, such as gastric juice and pancreatic enzymes (which both have antibacterial properties) participate in the luminal integrity of the gut barrier. From the outer layer to the inner layer, the physical barrier is composed of gut microbiota (that competes with pathogens to gain space and energy resources, processes the molecules necessary to mucosal integrity and modulates the immunological activity of deep barrier), mucus (which separates the intraluminal content from more internal layers and contains antimicrobial products and secretory IgA), epithelial cells (which form a physical and immunological barrier) and the innate and adaptive immune cells forming the gut-associated lymphoid tissue (which is responsible for antigen sampling and immune responses). Disruption of the gut barrier has been associated with many gastrointestinal diseases, but also with extra-intestinal pathological condition, such as type 1 diabetes mellitus, allergic diseases or autism spectrum disorders. The maintenance of a healthy intestinal barrier is therefore of paramount importance in children, for both health and economic reasons. Many drugs or compounds used in the treatment of gastrointestinal disorders act through the restoration of a normal intestinal permeability. Several studies have highlighted the role of probiotics in the modulation and reduction of intestinal permeability, considering the strong influence of gut microbiota in the modulation of the function and structure of gut barrier, but also on the immune response of the host. To date, available weapons for the maintenance and repair of gut barrier are however few, even if promising. Considerable efforts, including both a better understanding of the gut barrier features and mechanisms in health and disease, and the development of new pharmacological approaches for the modulation of gut barrier components, are needed for the prevention and treatment of gastrointestinal and extraintestinal diseases associated with gut barrier impairment. PMID:25855935

  10. Eating regulation and bulimic symptoms: the differential correlates of health-focused and appearance-focused eating regulation.

    PubMed

    Verstuyf, Joke; Vansteenkiste, Maarten; Soenens, Bart

    2012-01-01

    Based on Self-Determination Theory, this study aimed to gain further insight in the pathway from eating regulation to bulimic symptoms by (a) examining diet-specific need frustration as an intervening mechanism, (b) investigating the associations between different types of goals underlying eating regulation and diet-specific need frustration and bulimic symptoms, and (c) considering body dissatisfaction as an antecedent of eating regulation and eating regulation goals. In a sample of 244 female adolescents, SEM analyses showed that (a) the association between eating regulation and bulimic symptoms can be accounted for by need frustration, (b) appearance-focused and health-focused eating regulation are associated differentially with need frustration and bulimic symptoms, and (c) body dissatisfaction is related positively to eating regulation and appearance-focused eating regulation. These findings suggest that the goals underlying one's eating regulation and the concept of need frustration help to understand when and why eating regulation is associated with bulimic symptoms. PMID:21982621

  11. Attributional Focus and Information Selection in Relation to Chronological Age.

    ERIC Educational Resources Information Center

    Hortacsu, Nuran

    1987-01-01

    The hypothesis that, when trying to decide whether the person, stimulus, or circumstance is the cause of an event, individuals increasingly select schema-consistent information with increasing age was tested in 106 Turkish 9-, 12-, and 17-year-old subjects. (Author/RH)

  12. Fringe Focus: Informal Economy and Green Career Development.

    ERIC Educational Resources Information Center

    Plant, Peter

    1999-01-01

    Asserts that what are currently regarded as peripheral career development activities will move to the center of career counseling. Argues that counseling in the informal economy and environmentally concerned career counseling will move up the agenda as traditional concepts of careers fade away. (Contains 23 references.) (Author/GCP)

  13. Probiotics and gut health: A special focus on liver diseases

    PubMed Central

    Gratz, Silvia Wilson; Mykkanen, Hannu; El-Nezami, Hani S

    2010-01-01

    Probiotic bacteria have well-established beneficial effects in the management of diarrhoeal diseases. Newer evidence suggests that probiotics have the potential to reduce the risk of developing inflammatory bowel diseases and intestinal bacterial overgrowth after gut surgery. In liver health, the main benefits of probiotics might occur through preventing the production and/or uptake of lipopolysaccharides in the gut, and therefore reducing levels of low-grade inflammation. Specific immune stimulation by probiotics through processes involving dendritic cells might also be beneficial to the host immunological status and help prevent pathogen translocation. Hepatic fat metabolism also seems to be influenced by the presence of commensal bacteria, and potentially by probiotics; although the mechanisms by which probiotic might act on the liver are still unclear. However, this might be of major importance in the future because low-grade inflammation, hepatic fat infiltration, and hepatitis might become more prevalent as a result of high fat intake and the increased prevalence of obesity. PMID:20101763

  14. Promoting the meaningful use of health information for New Zealand consumers.

    PubMed

    Honey, Michelle; Roy, Dianne; Bycroft, Janine; Boyd, Mary-Anne; Raphael, Deborah

    2014-01-01

    A cornerstone of 'meaningful use' of health information is engaging consumers and their families. Yet for consumers to be engaged requires an informed population and therefore focus on consumer's health information needs. Reports indicated consumers want health information, yet little was known about their internet use or perception of electronic health information. This New Zealand study surveyed consumers to gain an understanding of their health information requirements. Some 1783 questionnaires were available for descriptive statistical analyses. The internet was the third most preferred source of health information. Two thirds of participants had used the internet to access health information, because of the speed of access and to find information before going to the doctor. There was little awareness or use of existing New Zealand-based online health resources. Study implications include promoting existing resources and increasing the use of electronic communication between consumers and healthcare providers as these are currently underutilized. PMID:24943519

  15. Health and the National Information Infrastructure

    PubMed Central

    Detmer, Don E.

    1998-01-01

    Only information technology offers society the opportunity to reinvent health care into a more value-driven, knowledge-based, cost-effective industry. The author urges the health informatics community to assume greater leadership for defining and securing a robust health information infrastructure (HII). A blueprint for the future tied to a coalition of advocates pushing for change would enable the step-interval improvements in health care needed by the nation. Our nation and its people are fortunate. We are blessed with a system of government that offers ordinary citizens the opportunity to shape the future, leadership that seeks to anticipate and create a better society, and at present a robust economy. Moreover, like many other countries, we are benefiting from astounding advances in medical knowledge and technologies. Finally, the increasing power and affordability of information technology is transforming the work of many industries and incrementally changing the lives of many citizens. At the same time this is true, there is much about which to be concerned with respect to health care. Tens of millions lack financial access to care; quality is very uneven and not receiving serious attention from health professionals; and costs are once again rising. Our people are unhappy with their care; providers are unhappy with the system; payers will soon become more unhappy about costs; and government reacts by enacting regulations that will fail to create substantial change. There will never be sufficient funds to do all we would like to do. Better knowledge and treatments will come from biomedical research, but the progress will be gradual and likely offset by increased demand by an aging society. While improved health care system management will result from health services research, only the information technology revolution and better policy offer promise of dramatic help. Yet there is little evidence of movement to harness this opportunity. One of the great challenges for our generation is to assure that the astonishing capabilities of information technology benefit human health to the fullest extent possible in the future. This paper seeks to stir debate, discussion, and action. It identifies and discusses some of the likely elements of our nation's emerging information infrastructure that can revolutionize health care to the betterment of our society. Further, it advises on ways to move this strategic agenda forward. This paper relates to the formal position of the American Medical Informatics Association on a national health information infrastructure and other policy documents on advancing health information technology in the hope that continued discussion will stimulate further refinement and action. PMID:9929175

  16. Issues in consumer mental health information.

    PubMed Central

    Angier, J J

    1984-01-01

    Consumer health information as applied to mental health includes areas such as the diagnosis, management, and treatment of mental illness, as well as self-help, emotional wellness, and the relationship between life events, stress, and disease. This paper presents issues specific to the provision of mental health information to the layperson, e.g., confidentiality, literacy, competence, the social stigma of mental illness, the state of the art in psychiatry, popular psychology, and treatment fads. The development of a community education pamphlet illustrates how one organization addressed these issues. PMID:6743875

  17. Recommendations for Biomonitoring of Emergency Responders: Focus on Occupational Health Investigations and Occupational Health Research

    PubMed Central

    Decker, John A.; DeBord, D. Gayle; Bernard, Bruce; Dotson, G. Scott; Halpin, John; Hines, Cynthia J.; Kiefer, Max; Myers, Kyle; Page, Elena; Schulte, Paul; Snawder, John

    2015-01-01

    The disaster environment frequently presents rapidly evolving and unpredictable hazardous exposures to emergency responders. Improved estimates of exposure and effect from biomonitoring can be used to assess exposureresponse relationships, potential health consequences, and effectiveness of control measures. Disaster settings, however, pose significant challenges for biomonitoring. A decision process for determining when to conduct biomonitoring during and following disasters was developed. Separate but overlapping decision processes were developed for biomonitoring performed as part of occupational health investigations that directly benefit emergency responders in the short term and for biomonitoring intended to support research studies. Two categories of factors critical to the decision process for biomonitoring were identified: Is biomonitoring appropriate for the intended purpose and is biomonitoring feasible under the circumstances of the emergency response? Factors within these categories include information needs, relevance, interpretability, ethics, methodology, and logistics. Biomonitoring of emergency responders can be a valuable tool for exposure and risk assessment. Information needs, relevance, and interpretability will largely determine if biomonitoring is appropriate; logistical factors will largely determine if biomonitoring is feasible. The decision process should be formalized and may benefit from advance planning. PMID:23356122

  18. Harnessing health information in the Third World.

    PubMed

    Coghlan, S E; Khan, M S

    1993-01-01

    The provision of technical information on health in developing countries is discussed, with particular reference to the Diarrhoeal Diseases Information Services Centre in Bangladesh. Progress towards meeting the pressing needs of the Third World in this field can undoubtedly be made by increasing the use of micrographic, computer and videodisc technologies and by reorganizing and promoting the facilities on offer. PMID:8397746

  19. Data liquidity in health information systems.

    PubMed

    Courtney, Paul K

    2011-01-01

    In 2001, the Institute of Medicine report Crossing the Quality Chasm and the National Committee on Vital and Health Statistics report Information for Health were released, and they provided the context for the development of information systems used to support health-supporting processes. Both had as their goals, implicit or explicit, to ensure the right data are provided to the right person at the right time, which is one definition of "data liquidity." This concept has had some traction in recent years as a shorthand way to express a system property for health information technology, but there is not a well-defined characterization of what properties of a system or of its components give it better or worse data liquidity. This article looks at some recent work that help to identify those properties and perhaps can help to ground the concept with metrics that are assessable. PMID:21799328

  20. INFORMAL CARE AND CAREGIVER’S HEALTH

    PubMed Central

    DO, YOUNG KYUNG; NORTON, EDWARD C.; STEARNS, SALLY C.; VAN HOUTVEN, COURTNEY HAROLD

    2014-01-01

    This study aims to measure the causal effect of informal caregiving on the health and health care use of women who are caregivers, using instrumental variables. We use data from South Korea, where daughters and daughters-in-law are the prevalent source of caregivers for frail elderly parents and parents-in-law. A key insight of our instrumental variable approach is that having a parent-in-law with functional limitations increases the probability of providing informal care to that parent-in-law, but a parent-in-law’s functional limitation does not directly affect the daughter-in-law’s health. We compare results for the daughter-in-law and daughter samples to check the assumption of the excludability of the instruments for the daughter sample. Our results show that providing informal care has significant adverse effects along multiple dimensions of health for daughter-in-law and daughter caregivers in South Korea. PMID:24753386

  1. Transforming Care Delivery through Health Information Technology

    PubMed Central

    Wheatley, Benjamin

    2013-01-01

    The slow but progressive adoption of health information technology (IT) nationwide promises to usher in a new era in health care. Electronic health record systems provide a complete patient record at the point of care and can help to alleviate some of the challenges of a fragmented delivery system, such as drug-drug interactions. Moreover, health IT promotes evidence-based practice by identifying gaps in recommended treatment and providing clinical decision-support tools. In addition, the data collected through digital records can be used to monitor patient outcomes and identify potential improvements in care protocols. Kaiser Permanente continues to advance its capability in each of these areas. PMID:23596377

  2. Status of Oregon's Children: 1998 County Data Book. Special Focus: Children's Health Care.

    ERIC Educational Resources Information Center

    Children First for Oregon, Portland.

    This Kids Count report examines statewide trends in the well-being of Oregon's children, focusing on children's health care. The statistical portrait is based on indicators of well-being including: (1) children's insurance coverage; (2) health care access; (3) health outcomes, including immunization rates and early prenatal care; (4) juvenile

  3. Assessing Child Mental Health Services in New York: A Report on Three Focus Groups, Winter 2003.

    ERIC Educational Resources Information Center

    Koyanagi, Chris; Semansky, Rafael

    In 2002, the Bazelon Center for Mental Health Law investigated the impact of expanding child mental health services in Medicaid on the actual availability of services to children. To assess family satisfaction, focus groups were held in two states: Oregon and New York. Both states have a comprehensive Medicaid mental health benefit for children

  4. Exploring the focus of prenatal information offered to pregnant mothers regarding newborn care in rural Uganda

    PubMed Central

    2013-01-01

    Background Neonatal death accounts for one fifth of all under-five mortality in Uganda. Suboptimal newborn care practices resulting from hypothermia, poor hygiene and delayed initiation of breastfeeding are leading predisposing factors. Evidence suggests focused educational prenatal care messages to mitigate these problems. However, there is a paucity of data on the interaction between the service provider and the prenatal service user. This study aims to understand the scope of educational information and current practices on newborn care from the perspectives of prenatal mothers and health workers. Methods A qualitative descriptive methodology was used. In-depth interviews were conducted with lactating mothers (n = 31) of babies younger than five months old across Masindi in western Uganda. Additional interviews with health workers (n = 17) and their employers or trainers (n = 5) were conducted to strengthen our findings. Data were audio-taped and transcribed verbatim. A thematic content analysis was performed using NVivo 8. Results Vertical programmes received more attention than education for newborn care during prenatal sessions. In addition, attitudinal and communication problems existed among health workers thereby largely ignoring the fundamental principles of patient autonomy and patient-centred care. The current newborn care practices were largely influenced by relatives’ cultural beliefs rather than by information provided during prenatal sessions. There is a variation in the training curriculum for health workers deployed to offer recommended prenatal and immediate newborn care in the different tiers of health care. Conclusions Findings revealed serious deficiencies in prenatal care organisations in Masindi. Pregnant mothers remain inadequately prepared for childbirth and newborn care, despite their initiative to follow prenatal sessions. These findings call for realignment of prenatal care by integrating education on newborn care practices into routine antenatal care services and be based on principles of patient-centred care. PMID:24041135

  5. Identifying Health Consumers' eHealth Literacy to Decrease Disparities in Accessing eHealth Information.

    PubMed

    Park, Hyejin; Cormier, Eileen; Gordon, Glenna; Baeg, Jung Hoon

    2016-02-01

    The increasing amount of health information available on the Internet highlights the importance of eHealth literacy skills for health consumers. Low eHealth literacy results in disparities in health consumers' ability to access and use eHealth information. The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that healthcare professionals can effectively address skills gaps in health consumers' ability to access and use high-quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth Literacy Scale was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high- from low-quality information were considerably less. The findings suggest the need for eHealth education and support to health consumers from healthcare professionals, in particular, how to access and evaluate the quality of health information. PMID:26657619

  6. [Information security in health care].

    PubMed

    Ködmön, József; Csajbók, Zoltán Ernő

    2015-07-01

    Doctors, nurses and other medical professionals are spending more and more time in front of the computer, using applications developed for general practitioners, specialized care, or perhaps an integrated hospital system. The data they handle during healing and patient care are mostly sensitive data and, therefore, their management is strictly regulated. Finding our way in the jungle of laws, regulations and policies is not simple. Notwithstanding, our lack of information does not waive our responsibility. This study summarizes the most important points of international recommendations, standards and legal regulations of the field, as well as giving practical advices for managing medical and patient data securely and in compliance with the current legal regulations. PMID:26122901

  7. Function Model for Community Health Service Information

    NASA Astrophysics Data System (ADS)

    Yang, Peng; Pan, Feng; Liu, Danhong; Xu, Yongyong

    In order to construct a function model of community health service (CHS) information for development of CHS information management system, Integration Definition for Function Modeling (IDEF0), an IEEE standard which is extended from Structured Analysis and Design(SADT) and now is a widely used function modeling method, was used to classifying its information from top to bottom. The contents of every level of the model were described and coded. Then function model for CHS information, which includes 4 super-classes, 15 classes and 28 sub-classed of business function, 43 business processes and 168 business activities, was established. This model can facilitate information management system development and workflow refinement.

  8. Linking personal and public health information: a vision for community-centered health information systems.

    PubMed

    Kwiatkowski, K; Brennan, P F

    2001-01-01

    As health care in the U.S. and worldwide has shifted from a centralized, institution-based model to a distributed process occurring largely in the communities, Integrated Advanced Information Management Systems (IAIMS) initiatives must also move toward addressing the challenges of integrating health information at the community level. The Wisconsin IAIMS initiative strives to create such a solution, anchoring its efforts in a regional health information technology architecture by partnering with Wisconsin-area communities as the foundation that will ensure the establishment of the appropriate collaborations to gain adequate investment and generate sustainable solutions for health information integration. PMID:11604701

  9. A community-based participatory health information needs assessment to help eliminate diabetes information disparities.

    PubMed

    Carlson, Barbara A; Neal, Diane; Magwood, Gayenell; Jenkins, Carolyn; King, Marilyn Givens; Hossler, Charles L

    2006-07-01

    This article describes the participatory research process, results, action plan, and implications of the community health information needs assessment conducted within the African American community in two South Carolina counties. The REACH 2010: Charleston and Georgetown Diabetes Coalition library program is a partnership among community organizations, public and health sciences libraries, and lay community health advisors. A planning committee studied digital divide issues related to health information, designed and implemented a survey, held focus groups, analyzed data, identified needs and assets, and formulated an action plan to increase the dissemination of diabetes information. Key survey findings show that older (older than 60) and less educated (fewer than 12 years of education) African Americans in Charleston and Georgetown counties lack skills to access Internet and library services and suffer disparities in health information. Based on assessment evidence, the community plans to increase Internet access points and provide a train-the-trainer program to teach people skills for using Internet and library resources to get high-quality information about diabetes and its complications. This process taps community resources, builds local capacities and technical skills, educates about health, and empowers participants as active partners in their own health and their community's health. PMID:16760247

  10. Empowering Minority Communities with Health Information - UDC

    SciTech Connect

    McMurray, L.; R. Foster; and R. Womble

    2010-11-02

    Training update with Environmental a health focus. Training conducted as part of the United Negro College Fund Special Programs Corporation/National Library of Medicine - HBCU ACCESS Project at the University of the District of Columbia, Washington, DC on November 2, 2010.

  11. Case studies in public-private-partnership in health with the focus of enhancing the accessibility of health interventions.

    PubMed

    Njau, R J A; Mosha, F W; De Savigny, D

    2009-10-01

    Various definitions have been framed for public-private partnerships (PPPs) in health depending on the desired relationship and the characteristics of the respective sectors. These relationships span from a continuum of loose relationships with narrow objectives, lack of a legal status and an absence of a formalized membership or governing body to high level institutionalization. The latter includes concrete objectives, the presence of a legal status and permanent multi-sectoral membership. The study used qualitative research methods including case studies, literature review and interview with key informants. The research undertakes an extensive literature review of various PPP models in health in scale and in scope which are aimed at advancing public health goals in developing countries. The major emphasis is on a qualitative description of some of the PPPs in the planning and implementation phases, including the challenges encountered. This background is used to analyse in-depth two case studies which are both health oriented; the first one is a national level NGO consortium with a focus on malaria and the second one is an international advocacy group with an overarching goal of protecting children against malaria through an innovative mechanism. The case study approach is used to analyze why the PPP approach was used to address malaria control and how it was implemented. Both PPPs demonstrated that relationships between the public and private sector may begin from very humble and loose beginnings. However, with perseverance from committed individuals, a vision and trustworthiness may become powerful advocates for meeting prescribed health agendas. In conclusion, three key themes (trust, sacrifice and championship) run vividly through the case studies and are significant for developing countries to emulate. PMID:20734704

  12. 76 FR 4350 - Health Information Technology Extension Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... HUMAN SERVICES Health Information Technology Extension Program ACTION: Public Notice. SUMMARY: This notice announces changes to the Health Information Technology Extension Program, which assists providers seeking to adopt and become meaningful users of health information technology, as authorized under...

  13. 78 FR 24749 - Health Information Technology Policy Committee Appointment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... OFFICE Health Information Technology Policy Committee Appointment AGENCY: Government Accountability... Act of 2009 (ARRA) established the Health Information Technology Policy Committee to make recommendations on the implementation of a nationwide health information technology infrastructure to the...

  14. Review Of Internet Health Information Quality Initiatives

    PubMed Central

    Dzenowagis, Joan

    2001-01-01

    Background The massive growth of health information on the Internet; the global nature of the Internet; the seismic shift taking place in the relationships of various actors in this arena, and the absence of real protection from harm for citizens who use the Internet for health purposes are seen to be real problems. One response to many of these problems has been the burgeoning output of codes of conduct by numerous organizations trying to address quality of health information. Objectives Review the major self-regulatory initiatives in the English-speaking world to develop quality and ethical standards for health information on the Internet. Compare and analyze the approaches taken by the different initiatives. Clarify the issues around the development and enforcement of standards. Methods Quality initiatives selected meet one or more of the following criteria: Self-regulatory. A reasonable constituency. Diversity (eg, of philosophy, approach and process)-to achieve balance and wide representation, and to illustrate and compare different approaches. Historic value. A wider reach than a national audience, except when its reach is a significant sector of the Internet health information industry. The initiatives were compared in 3 ways: (1) Analysis and comparison of: key concepts, mechanism, or approach. Analysis of: the obligations that a provider has to meet to comply with the given initiative, the intended beneficiaries of that initiative, and the burdens imposed on different actors. These burdens are described in terms of their effect on the long-term sustainability and maintenance of the initiative by its developers. Analysis of the enforcement mechanisms. (2) Analysis and comparison by type of sponsoring organization, the reach of the initiative, and the sources of funding of the initiative or the sponsoring organization. (3) How the various initiatives fall under 1 of 3 key mechanisms and comparison of the advantages and disadvantages of these key mechanisms. Results The issues that affect the initiatives and future work on the quality of health information on the Internet are identified and analyzed. These issues are: (a) Three key mechanisms used in the quality initiatives (b) Sustainability issues that affect the initiatives: Burdens placed on health information providers, citizens and others. Currency and maintenance issues of the initiatives. Funding. Cost. Acceptance. Market conditions. User indifference or ambivalence. (c) Enforcement issues surrounding the initiatives (d) Adequacy of approach, scope, reach, and enforcement provisions of the various quality initiatives (e) Gaps that need to be addressed to achieve good quality of health information on the internet Conclusions Ten conclusions are presented. A framework of action to be undertaken by the World Health Organization in the field of quality of health information on the Internet is recommended. PMID:11772543

  15. The availability of health information in South Africa.

    PubMed

    Pienaar, E D

    1995-01-01

    The South African Medical Research Council (MRC) has provided access to on-line health and biomedical information since 1976, when the MRC became an international partner of NLM. This was done to support research and health care when the Institute of Biomedical Communication was established. The institute has since reorganized and is now the Information Systems Division in the Research Systems Support Group MRC. he MRC and medical libraries in South Africa are able to access various automated services via telecommunication. The major systems available are MEDLARS, DIALOG, DATASTAR and BRS, with ECRI being the latest addition; most used are MEDLARS and DIALOG. New technologies (e.g., CD-ROM) have given more people access. This technology is not available to many people working in Primary Health Care (PHC), as they do not have access to computer networks. Beyond on-line is statistical and printed information, called "Gray Literature," not accessible through on-line systems as it is not published in conventional sources used to build databases. With a shift to Essential National Health Research and the focus on PHC and preventative medicine, demand for health information and "gray literature" is growing. The MRC collects and produces this material and has its own database called SAMED, which is to be made available to others as our contribution to health. It is hoped to make this available for inclusion in the proposed African Index Medicus presently investigated by the World Health Organization. Africa as a continent, and South Africa as a country, are experiencing major changes in health care and medical practice, and inevitably, provision of health information services. With South Africa's re-entry into the global village and its acceptance by the rest of Africa, it can be a key player in information provision to the rest of the continent. The MRC, as a major provider of Health information, can play a vital role in the information flow throughout Africa by continuously improving and expanding its services. A large proportion of South Africans live in rural areas where health care is provided by clinics not linked to information networks. This does not mean these clinics are excluded from the use of information. The major challenge is to find the ways and means of getting the relevant information to these clinics. Information is needed to help with patient care and continuing education. With this in mind, the MRC is evaluating different formats in which information can be supplied. Due to the lack of computer literacy, facilities, and financial constraints, it is better to supply printed information. With the spread of technology through the country and continent, it can be assumed that information flow and transfer will be more rapid. Repackaging of information means that it is possible to get the relevant information to the right people at the right time. The first such package developed is for hospital managers. With the help from experts in the field of PHC, it is hoped to develop packages aimed specifically at the CHWs and other workers in the field. All packages developed by the MRC are backed by a document provision service, using the most cost-effective route to obtain documents. A printed product must comply with certain criteria; these are: 1) purpose for which the information is needed; 2) kind of information needed and the format in which it is needed; 3) when the information is needed; 4) is the information to be supplied on an ongoing basis i.e., updated with latest information; 5) cost involved; and 6) how to get the information to the relevant user. PMID:8591524

  16. Toxic contaminants and ecosystems health: A Great Lakes focus (Advances in Science and Technology, Volume 21)

    SciTech Connect

    Evans, M.S.

    1988-01-01

    In 1983, the Science Advisory Board of the International Joint Commission established the Health and Aquatic Communities Task Force to synthesize information on the effects of toxic substances on the Great Lakes aquatic communtiies. The culmination of the Task Force's activities was a symposium and workshop held 18-21 June 1985 as part of the annual meeting of the American Society of Limnology and Oceanography. After this meeting, participants prepared the chapters that form the basis of this book. The book is divided into three parts. Part 1 consists of six chapters, each devoted to the effects of toxics on a major trophic level. Great Lakes biota are emphasized in each chapter. Part 2 is divided into 17 chapters that focus on new methods beyond single species bioassays for assessing toxic effects. Part 3 consists of six summary chapters (again corresponding roughly to major trophic levels) that synthesize the opinions of workshop participants on future directions for assessing toxic effects.

  17. Health Information on the Web and Consumers Perspectives on Health Professionals Responses to Information Exchange

    PubMed Central

    2014-01-01

    Background Health information technology, which is sometimes referred to as informaticization of medicine, is changing the extent to which patients become competent producers of their own health by enabling them access to health information anytime and anywhere. Objective This research provides preliminary information on users' perceptions of the extent to which use of the Internet for health information impacts medical encounters. We specifically explored the following questions: (1) To what extent perceptions of positive or negative changes in medical encounters are associated with sociodemographic background of online health information seekers, and how often the Internet information is discussed with providers? (2) To what extent is there an association between perceived changes in medical encounters and frequency of referring to the Internet during medical encounters? (3) To what extent is there an association between sociodemographic background of online health information users and frequency of discussing of the Internet information with providers? Methods The data for this study was derived from a national sampling of online health and medical information users who participated in the Study of Health and Medical Information in CyberspaceSurvey of User Perceptions (N=710). This study used a nationally representative online research panel of the US adults maintained by the Knowledge Networks. Analysis of variance (ANOVA), chi-square, and t tests were performed to examine the data. Results Although Internet sources allow people the opportunity to gather health or medical information, discussion of this information was not a very common activity. It is noteworthy that half of the sample never or rarely discussed health/medical information obtained from Internet sources with health professionals. Chi-square analyses revealed that discussion of online health information with providers were associated with education, income, and marital status. We also found that discussion of the Internet information mostly promotes better physician-patient interactions. Analyses with post-hoc tests identified that perceived changes in medical encounters were associated with age, education, and income. However, 9.1% (64/703) of our respondents strongly agreed that the interactions with their providers have been strained. T test analyses showed that marital status, race, and gender were not significant. Conclusions Embracing new technologies, and adapting to changing roles and relationships in delivery of medical care are critical to effective delivery of patient-centered care. Health professionals could also guide patients on how to evaluate information and where to access to reliable and accurate information. PMID:25075248

  18. Differences Between Irish and Australian Psychiatric Nurses' Family-Focused Practice in Adult Mental Health Services.

    PubMed

    Grant, Anne; Goodyear, Melinda; Maybery, Darryl; Reupert, Andrea

    2016-04-01

    Psychiatric nurses' practice with parents who have mental illness, their children and families is an important issue internationally. This study provides a comparison of Irish and Australian psychiatric nurses' family-focused practices in adult mental health services. Three hundred and forty three nurses across Ireland and 155 from Australia completed the Family Focused Mental Health Practice Questionnaire. Cross-country comparisons revealed significant differences, in terms of family-focused skill, knowledge, confidence and practice. Australian psychiatric nurses engaged in higher family-focused practice compared to Irish nurses. The comparative differences between countries may be attributable to differences in training, workplace support and policy. PMID:26992860

  19. [Wawared Peru: reducing health inequities and improving maternal health by improving information systems in health].

    PubMed

    Pérez-Lu, José E; Iguiñiz Romero, Ruth; Bayer, Angela M; García, Patricia J

    2015-01-01

    In developing countries, there are no high quality data to support decision-making and governance due to inadequate information collection and transmission processes. Our project WawaRed-Peru: "Reducing health inequities and improving maternal health by improving health information systems" aims to improve maternal health processes and indicators through the implementation of interoperability standards for maternal health information systems in order for decision makers to have timely, high quality information. Through this project, we hope to support the development of better health policies and to also contribute to reducing problems of health equity among Peruvian women and potentially women in other developing countries. The aim of this article is to present the current state of information systems for maternal health in Peru. PMID:26338401

  20. Information support for the ambulant health worker.

    PubMed

    Merrell, Ronald C; Merriam, Nathaniel; Doarn, Charles

    2004-01-01

    Health workers are trained to work in information-rich environments. Nineteen medical students evaluated 2700 patients in four villages in Kenya where there was no power or phone. A model of information support included personal digital assistants (PDA), electronic medical records (EMR), satellite telecommunications, medical software, and solar power. The students promptly found the advantages of PDA over paper. By using software for decision support and interacting with the EMR data for medical expertise, very few live telemedicine consults were needed. The cost of this information support was only US 0.28 dollars per patient visit. We conclude information resources can be provided in remote environments at reasonable cost. PMID:15689646

  1. Approaching Equity in Consumer Health Information Delivery

    PubMed Central

    Morris, Theodore A.; Guard, J. Roger; Marine, Stephen A.; Schick, Leslie; Haag, Doris; Tsipis, Gaylene; Kaya, Birsen; Shoemaker, Steve

    1997-01-01

    Abstract The growing public interest in health and wellness information stems from many sources, including social changes related to consumers' rights and women's health movements, and economic changes brought about by the managed health care revolution. Public, hospital, and medical center libraries have been ill-equipped to meet the increasing need for consumer-oriented materials, even though a few notable programs have been established. The Information Superhighway could be an effective tool for sharing health information if access to telecomputing equipment and training were available to those with an information need. The University of Cincinnati Medical Center, with its libraries in the leading role, is delivering NetWellness, an electronic consumer health library service, to residents of 29 counties in three midwestern states. Users connect directly through the Internet, through regional Free-Nets, and by visiting one of 43 public access sites where networked workstations have been installed. The continued success of the project depends on developing partnerships, providing quality content and maintaining fair access. PMID:8988468

  2. The Effect of Health Information Technology on Health Care Provider Communication: A Mixed-Method Protocol

    PubMed Central

    Adler-Milstein, Julia; Harrod, Molly; Sales, Anne; Hofer, Timothy P; Saint, Sanjay; Krein, Sarah L

    2015-01-01

    Background Communication failures between physicians and nurses are one of the most common causes of adverse events for hospitalized patients, as well as a major root cause of all sentinel events. Communication technology (ie, the electronic medical record, computerized provider order entry, email, and pagers), which is a component of health information technology (HIT), may help reduce some communication failures but increase others because of an inadequate understanding of how communication technology is used. Increasing use of health information and communication technologies is likely to affect communication between nurses and physicians. Objective The purpose of this study is to describe, in detail, how health information and communication technologies facilitate or hinder communication between nurses and physicians with the ultimate goal of identifying how we can optimize the use of these technologies to support effective communication. Effective communication is the process of developing shared understanding between communicators by establishing, testing, and maintaining relationships. Our theoretical model, based in communication and sociology theories, describes how health information and communication technologies affect communication through communication practices (ie, use of rich media; the location and availability of computers) and work relationships (ie, hierarchies and team stability). Therefore we seek to (1) identify the range of health information and communication technologies used in a national sample of medical-surgical acute care units, (2) describe communication practices and work relationships that may be influenced by health information and communication technologies in these same settings, and (3) explore how differences in health information and communication technologies, communication practices, and work relationships between physicians and nurses influence communication. Methods This 4-year study uses a sequential mixed-methods design, beginning with a quantitative survey followed by a two-part qualitative phase. Survey results from aim 1 will provide a detailed assessment of health information and communication technologies in use and help identify sites with variation in health information and communication technologies for the qualitative phase of the study. In aim 2, we will conduct telephone interviews with hospital personnel in up to 8 hospitals to gather in-depth information about communication practices and work relationships on medical-surgical units. In aim 3, we will collect data in 4 hospitals (selected from telephone interview results) via observation, shadowing, focus groups, and artifacts to learn how health information and communication technologies, communication practices, and work relationships affect communication. Results Results from aim 1 will be published in 2016. Results from aims 2 and 3 will be published in subsequent years. Conclusions As the majority of US hospitals do not yet have HIT fully implemented, results from our study will inform future development and implementation of health information and communication technologies to support effective communication between nurses and physicians. PMID:26068442

  3. Readability of online health information: implications for health literacy.

    PubMed

    McInnes, Nicholas; Haglund, Bo J A

    2011-12-01

    Accessibility is one of six quality criteria articulated by the European Commission in its code of conduct for health websites. Readability plays an integral part in determining a website's accessibility. Health information that is hard to read may remain inaccessible to people with low health literacy. This study aimed to calculate the readability of websites on various causes of disease. The names of 22 health conditions were entered into five search engines, and the readability of the first 10 results for each search were evaluated using Gunning FOG, SMOG, Flesch-Kincaid and Flesch Reading Ease tests (n=352). Readability was stratified and assessed by search term, search term complexity, top-level domain and paragraph position. The mean reading grade was 12.30, and the mean FRE was 46.08, scores considered 'difficult'. Websites on certain topics were found to be even harder to read than average. Where conditions had multiple names, searching for the simplest one led to the most readable results. Websites with .gov and .nhs TLDs were the most readable while .edu sites were the least. Within texts, a trend of increasing difficulty was found with concluding paragraphs being the hardest to read. It was also found that some of the most frequent search results (such as Wikipedia pages) were amongst the hardest to read. Health professionals, with the help of public and specialised libraries, need to create and direct patients towards high-quality, plain language health information in multiple languages. PMID:21332302

  4. Web Search Behavior and Information Needs of People With Multiple Sclerosis: Focus Group Study and Analysis of Online Postings

    PubMed Central

    Colombo, Cinzia; Confalonieri, Paolo; Baroni, Isabella; Traversa, Silvia; Hill, Sophie J; Synnot, Anneliese J; Oprandi, Nadia; Filippini, Graziella

    2014-01-01

    Background Multiple sclerosis (MS) patients and their family members increasingly seek health information on the Internet. There has been little exploration of how MS patients integrate health information with their needs, preferences, and values for decision making. The INtegrating and Deriving Evidence, Experiences, and Preferences (IN-DEEP) project is a collaboration between Italian and Australian researchers and MS patients, aimed to make high-quality evidence accessible and meaningful to MS patients and families, developing a Web-based resource of evidence-based information starting from their information needs. Objective The objective of this study was to analyze MS patients and their family members’ experience about the Web-based health information, to evaluate how they asses this information, and how they integrate health information with personal values. Methods We organized 6 focus groups, 3 with MS patients and 3 with family members, in the Northern, Central, and Southern parts of Italy (April-June 2011). They included 40 MS patients aged between 18 and 60, diagnosed as having MS at least 3 months earlier, and 20 family members aged 18 and over, being relatives of a person with at least a 3-months MS diagnosis. The focus groups were audio-recorded and transcribed verbatim (Atlas software, V 6.0). Data were analyzed from a conceptual point of view through a coding system. An online forum was hosted by the Italian MS society on its Web platform to widen the collection of information. Nine questions were posted covering searching behavior, use of Web-based information, truthfulness of Web information. At the end, posts were downloaded and transcribed. Results Information needs covered a comprehensive communication of diagnosis, prognosis, and adverse events of treatments, MS causes or risk factors, new drugs, practical, and lifestyle-related information. The Internet is considered useful by MS patients, however, at the beginning or in a later stage of the disease a refusal to actively search for information could occur. Participants used to search on the Web before or after their neurologist’s visit or when a new therapy was proposed. Social networks are widely used to read others’ stories and retrieve information about daily management. A critical issue was the difficulty of recognizing reliable information on the Web. Many sources were used but the neurologist was mostly the final source of treatment decisions. Conclusions MS patients used the Internet as a tool to integrate information about the illness. Information needs covered a wide spectrum, the searched topics changed with progression of the disease. Criteria for evaluating Internet accuracy and credibility of information were often lacking or generic. This may limit the empowerment of patients in health care choices. PMID:25093374

  5. Health information-seeking behaviors among classically trained singers.

    PubMed

    Petty, Brian E

    2012-05-01

    Understanding health information-seeking behaviors (HISBs) within a particular patient demographic group is an important part of effective clinical outreach and education efforts. Although the community of classically trained singers has long been recognized by specialized health care providers, no studies have yet addressed the processes by which they search for voice-related health information, and little is known about how they use and access medical care. An electronic questionnaire focusing on HISB and voice-related health care issues was administered to 151 self-identified classically trained singers and 49 nonsinger controls. Outcomes of interest were tested for association with groups of singers and controls, followed by tests of association between demographic variables (age, gender, insurance status) with each outcome of interest. Results showed significant differences in specialty care access including point of first contact (P=0.0085), gender-associated delay of treatment initiation (P=0.0324), and use of home remedies for vocal problems (P?0.0001). Significant differences in HISB were noted as well, including history of having undertaken an information search (P?0.0001), likelihood of having concerns about information quality (P?0.0001), and difficulty knowing where to find information (P?0.0001). Differences were influenced by singing status, age, and gender. The insights provided by these data may inform decision-making processes regarding patient care, patient education, and clinical outreach to the target population. PMID:21865009

  6. Focus, Newness and Their Combination: Processing of Information Structure in Discourse

    PubMed Central

    Chen, Lijing; Li, Xingshan; Yang, Yufang

    2012-01-01

    The relationship between focus and new information has been unclear despite being the subject of several information structure studies. Here, we report an eye-tracking experiment that explored the relationship between them in on-line discourse processing in Chinese reading. Focus was marked by the Chinese focus-particle “shi", which is equivalent to the cleft structure “it was… who…" in English. New information was defined as the target word that was not present in previous contexts. Our results show that, in the target region, focused information was processed more quickly than non-focused information, while new information was processed more slowly than given information. These results reveal differences in processing patterns between focus and newness, and suggest that they are different concepts that relate to different aspects of cognitive processing. In addition, the effect of new/given information occurred in the post-target region for the focus condition, but not for the non-focus condition, suggesting a complex relationship between focus and newness in the discourse integration stage. PMID:22912708

  7. Understanding the role of technology in health information systems.

    PubMed

    Lewis, Don; Hodge, Nicola; Gamage, Duminda; Whittaker, Maxine

    2012-04-01

    Innovations in, and the use of emerging information and communications technology (ICT) has rapidly increased in all development contexts, including healthcare. It is believed that the use of appropriate technologies can increase the quality and reach of both information and communication. However, decisions on what ICT to adopt have often been made without evidence of their effectiveness; or information on implications; or extensive knowledge on how to maximise benefits from their use. While it has been stated that 'healthcare ICT innovation can only succeed if design is deeply informed by practice', the large number of 'failed' ICT projects within health indicates the limited application of such an approach. There is a large and growing body of work exploring health ICT issues in the developed world, and some specifically focusing on the developing country context emerging from Africa and India; but not for the Pacific Region. Health systems in the Pacific, while diverse in many ways, are also faced with many common problems including competing demands in the face of limited resources, staff numbers, staff capacity and infrastructure. Senior health managers in the region are commonly asked to commit money, effort and scarce manpower to supporting new technologies on proposals from donor agencies or commercial companies, as well as from senior staff within their system. The first decision they must make is if the investment is both plausible and reasonable; they must also secondly decide how the investment should be made. The objective of this article is three-fold: firstly, to provide a common 'language' for categorising and discussing health information systems, particularly those in developing countries; secondly, to summarise the potential benefits and opportunities offered by the use of ICT in health; and thirdly, to discuss the critical factors countries. Overall, this article aims to illuminate the potential role of information and communication technologies in health, specifically for Pacific Island Countries and Territories (PICTs). PMID:23240349

  8. Moving from information transfer to information exchange in health and health care.

    PubMed

    Lee, Rene Gravois; Garvin, Theresa

    2003-02-01

    Communication in most health and health care settings assumes that information provision is both necessary and sufficient to improve individual behavior and, subsequently, health. This paper examines and challenges commonly accepted practices of information transmission in health settings, demonstrating how such practices are insufficient because they are rooted in a one-way model of information transfer. Three case studies show how this model is pervasive in different health and health care milieus: patient/provider encounters, health promotion programs, and national health policymaking. Drawing on critical theoretical perspectives, the work shows the limits of current information transfer approaches by critiquing the dominant assumptions that underpin current practice. At the same time, it provides empirical examples of the usefulness of critical approaches to identify relations of power in health communication. The paper concludes by suggesting that researchers and practitioners move beyond traditional practices of information transfer (based on a one-way monologue) and toward a more useful and appropriate notion of information exchange (based on two-way dialogue). PMID:12570966

  9. Making Sense of Health Information Technology

    ERIC Educational Resources Information Center

    Kitzmiller, Rebecca Rutherford

    2012-01-01

    Background: Hospital adoption of health information technology (HIT) systems is promoted as essential to decreasing medical error and their associated 44,000 annual deaths and $17 billion in healthcare costs (Institute of Medicine, 2001; Kohn, Corrigan, & Donaldson, 1999). Leading national healthcare groups, such as the Institute of Medicine,…

  10. Health Information National Trends Survey (HINTS)

    Cancer.gov

    The HINTS is a biennial national survey of the American public conducted by the Health Communication and Informatics Research Branch (HCIRB) in the Division of Cancer Control and Population Sciences (DCCPS). The survey collects nationally representative data about the American public's use of cancer-related information.

  11. Making Sense of Health Information Technology

    ERIC Educational Resources Information Center

    Kitzmiller, Rebecca Rutherford

    2012-01-01

    Background: Hospital adoption of health information technology (HIT) systems is promoted as essential to decreasing medical error and their associated 44,000 annual deaths and $17 billion in healthcare costs (Institute of Medicine, 2001; Kohn, Corrigan, & Donaldson, 1999). Leading national healthcare groups, such as the Institute of Medicine,

  12. Technical means for securing health information.

    PubMed

    de Roulet, D; Scherrer, J R

    1996-10-01

    Securing health information is an application domain which can learn more from other environments like airlines and banking than from military formalism or academic freedom. The techniques of the 80s using clear separation between public and private areas have to be upgraded. Propositions are made. Costs are evaluated. PMID:8960920

  13. Online Health Information: Can You Trust It?

    MedlinePLUS

    ... button to make the type larger. A Quick Checklist You can use the following checklist to help make sure that the health information ... be trusted. You might want to keep this checklist by your computer. 1. Is the sponsor/owner ...

  14. A security architecture for health information networks.

    PubMed

    Kailar, Rajashekar; Muralidhar, Vinod

    2007-01-01

    Health information network security needs to balance exacting security controls with practicality, and ease of implementation in today's healthcare enterprise. Recent work on 'nationwide health information network' architectures has sought to share highly confidential data over insecure networks such as the Internet. Using basic patterns of health network data flow and trust models to support secure communication between network nodes, we abstract network security requirements to a core set to enable secure inter-network data sharing. We propose a minimum set of security controls that can be implemented without needing major new technologies, but yet realize network security and privacy goals of confidentiality, integrity and availability. This framework combines a set of technology mechanisms with environmental controls, and is shown to be sufficient to counter commonly encountered network security threats adequately. PMID:18693862

  15. The role of the health information professional.

    PubMed

    Marshall, Audrey

    2014-07-15

    This virtual issue has been published to mark the CILIP Health Libraries Group 2014 Conference, taking place in Oxford on 24th and 25th July 2014. The issue's theme is to highlight the key role of the health information professional and it shines a spotlight on professional expertise, demonstrating what we can share and learn from each other. It comprises a collection of articles published in the Health Information and Libraries Journal during the last 2years but is very much about looking forward. The articles selected embrace three main themes: new ways of working; acquiring new skills and competencies; and fine-tuning existing skills and practices. The virtual issue mirrors the format of the regular journal, namely a review article, six original articles and the three regular features, covering Dissertations into Practice, International Perspectives and Initiatives and Learning and Teaching in Action. All articles included in this virtual issue are available free online. PMID:25041607

  16. A Health Collaborative Network Focus on Self-care Processes in Personal Assistant Practice

    NASA Astrophysics Data System (ADS)

    de La Fuente, Ma Victoria; Ros, Lorenzo

    Public health is oriented to the management of an adequate health atmosphere which acts directly on health, as well as health education work and the supervision of environmental health threats. The work presented in this paper aims to reduce inequality, and give disabled people the tools to be integrated more effectively, reducing social exclusion, removing obstacles and barriers, and facilitating mobility and the use of technology. The work is planned to design a special healthcare collaborative network as the best solution for addressing the needs of the disabled self-care and health care community through the creation and implementation of an interconnected, electronic information infrastructure and adoption of open data standards.

  17. Information Literacy for Health Professionals: Teaching Essential Information Skills with the Big6 Information Literacy Model

    ERIC Educational Resources Information Center

    Santana Arroyo, Sonia

    2013-01-01

    Health professionals frequently do not possess the necessary information-seeking abilities to conduct an effective search in databases and Internet sources. Reference librarians may teach health professionals these information and technology skills through the Big6 information literacy model (Big6). This article aims to address this issue. It also…

  18. Information Literacy for Health Professionals: Teaching Essential Information Skills with the Big6 Information Literacy Model

    ERIC Educational Resources Information Center

    Santana Arroyo, Sonia

    2013-01-01

    Health professionals frequently do not possess the necessary information-seeking abilities to conduct an effective search in databases and Internet sources. Reference librarians may teach health professionals these information and technology skills through the Big6 information literacy model (Big6). This article aims to address this issue. It also

  19. Children's Environmental Health: 2007 Highlights. Environment, Health, and a Focus on Children

    ERIC Educational Resources Information Center

    US Environmental Protection Agency, 2007

    2007-01-01

    The U.S. Environmental Protection Agency (EPA) was created in 1970 to protect human health and the environment. The year 2007 marks 10 years of concerted Federal effort to address children's environmental health risks as mandated by Executive Order 13045, Protection of Children from Environmental Health Risks and Safety Risks. Much of the agency's…

  20. Transforming health information management through technology.

    PubMed

    Mahoney, Mary Ellen

    2002-08-01

    No one would deny the need to transform health care. Information technology is capable of transforming health care organizations and delivering measurable value. However, these organizations will have to deploy effective, proactive strategies for managing information and adapting to the opportunities the technology offers. If, for example, an organization wants to become paperless, its information strategy must include appropriate tools to store and access unstructured data components of the medical record as well as structured data. An Electronic Document Management System (EDMS) is a critical element of this strategy. Also, a plan for managing change must be developed to mitigate technology risks. This can be realized through the development of a clear vision of the future and strong leadership, among other key items. PMID:12402636

  1. Hydrate for health: listening to older adults' need for information.

    PubMed

    Palmer, Mary H; Marquez, Celine S; Kline, Katherine V; Morris, Erin; Linares, Brenda; Carlson, Barbara W

    2014-10-01

    An interdisciplinary team of faculty and students developed the Hydrate for Health project to provide relevant and evidence-based information to community-dwelling older adults. Evidence-based factsheets on bladder health, nighttime urination, medication safety, and physical activity/exercise, as well as a fluid intake self-monitoring tool, were developed. Four focus groups were conducted and included older adults (N = 21) who participated in activities at two local senior centers to obtain their feedback about the relevance of the factsheets. Extensive revisions were required based on the feedback received. Older adults expressed a desire for pragmatic information (i.e., how to determine fluid sources from food, how to measure water, how to determine their own fluid needs). They also wanted information that could be easily incorporated into daily life. Nurses play a central role in listening to and incorporating older adults' voices into consumer education materials. PMID:25275782

  2. 78 FR 42945 - Health Information Technology Policy Committee Vacancy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... From the Federal Register Online via the Government Publishing Office GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Vacancy AGENCY: Government Accountability Office... Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy Committee (Health...

  3. 77 FR 39986 - Information Collection; Health Screening Questionnaire

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ... Forest Service Information Collection; Health Screening Questionnaire AGENCY: Forest Service, USDA... a currently approved information collection, Health Screening Questionnaire. DATES: Comments must be...: Title: Health Screening Questionnaire. OMB Number: 0596-0164. Expiration Date of Approval: January...

  4. 77 FR 27774 - Health Information Technology Policy Committee Vacancy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... From the Federal Register Online via the Government Publishing Office GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Vacancy AGENCY: Government Accountability Office... Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy Committee (Health...

  5. Electronic Health Information Quality Challenges and Interventions to Improve Public Health Surveillance Data and Practice

    PubMed Central

    Siegel, Jason A.; Oemig, Tanya V.; Grannis, Shaun J.

    2013-01-01

    Objective We examined completeness, an attribute of data quality, in the context of electronic laboratory reporting (ELR) of notifiable disease information to public health agencies. Methods We extracted more than seven million ELR messages from multiple clinical information systems in two states. We calculated and compared the completeness of various data fields within the messages that were identified to be important to public health reporting processes. We compared unaltered, original messages from source systems with similar messages from another state as well as messages enriched by a health information exchange (HIE). Our analysis focused on calculating completeness (i.e., the number of nonmissing values) for fields deemed important for inclusion in notifiable disease case reports. Results The completeness of data fields for laboratory transactions varied across clinical information systems and jurisdictions. Fields identifying the patient and test results were usually complete (97%100%). Fields containing patient demographics, patient contact information, and provider contact information were suboptimal (6%89%). Transactions enhanced by the HIE were found to be more complete (increases ranged from 2% to 25%) than the original messages. Conclusion ELR data from clinical information systems can be of suboptimal quality. Public health monitoring of data sources and augmentation of ELR message content using HIE services can improve data quality. PMID:24179266

  6. [Role of public health in disseminating health information among adolescents].

    PubMed

    Mehmedbegovi?-Zivanovi?, Amra; Niksic, Dragana; Cemerli?, Aida; Bajraktarevi?, Selena; Karakas, Sead

    2004-01-01

    The public healthcare should have the dominant role in the transfer of the healthcare information in the young. The reasons for such role are: the disposal adequative informations, the educative staff for these problems, the knowledge of the methodology of the work with the young and the possessing possibilities of the angement of the other sector for the more successive of their total health. The mentioned methods are easily available, well accepted by all the participants and do not require more significant material means. PMID:15077448

  7. Why males in Bangladesh do not participate in reproductive health: lessons learned from focus group discussions.

    PubMed

    Shahjahan, M; Kabir, M

    The article explores male perception, attitude, and knowledge on reproductive health issues and their opinions on how men's participation in reproductive health could be increased. Data were obtained from six focus groups' sessions organized among the men aged 18-59. The participants indicated that males are not motivated to be involved in reproductive health issues in Bangladesh. The participants feel that men also have unmet reproductive and sexual health needs. Their needs are not addressed and traditionally they are not encouraged to participate in reproductive health services. In Bangladesh poor interaction between husband and wife often makes it difficult to understand reproductive health problems of women. Because of prevailing culture and myth men do not visit health facilities with their wives; they do not feel comfortable to take their wives to the health facility because they do not like to discuss sexual reproductive health issues with the service providers. The analysis suggests that a complex web of social and cultural factors impedes spousal communication regarding reproductive health issues and that discourages them to take their wives to health clinics. In the focus group discussions men said that they do not feel comfortable in discussing sexually transmitted diseases with their wives. Generally women come to the health facility for the treatment of RTIs/STDs. Men do not bring their wives to the health facility because they feel shy to discuss such diseases with service providers. In order to increase male participation in reproductive health, males suggested introduction of male workers like the present female workers and visiting at the household level to counsel and mobilize them to participate in reproductive health. The analysis indicates that male involvement will be an important strategy to reach demographic goals in Bangladesh. PMID:17686713

  8. Gender, Work, and Health for Trans Health Providers: A Focus on Transmen

    PubMed Central

    MacDonnell, Judith A.; Grigorovich, Alisa

    2012-01-01

    Well-documented health research points to trans people's vulnerability to health inequities that are linked to deeply embedded structural and social determinants of health. Gender and work, as social determinants of health for trans people, both shape and are shaped by multiple factors such as support networks, social environments, income and social status, shelter, and personal health practices. There is a gap in the nursing literature in regards to research on work and health for diverse trans people and a virtual silence on the particular issues of trans-identified health providers. This qualitative study used comparative life history methodology and purposeful sampling to examine links among work, career, and health for transmen who are health providers. Semistructured interviews were completed with four Canadian transmen involved in health care professional and/or practice contexts with diverse professions, age, work, and transitioning experiences. Critical gender analysis showed that unique and gender-related critical events and influences shape continuities and discontinuities in their careerlives. This strength-based approach foregrounds how resilience and growth emerged through participants' articulation with everyday gender dynamics. These findings have implications for nursing research, education, and practice that include an understanding of how trans providers “do transgender work” and supporting them in that process. PMID:23316387

  9. A Parent-Focused Pilot Intervention to Increase Parent Health Literacy and Healthy Lifestyle Choices for Young Children and Families

    PubMed Central

    Heffer, Robert W.; McKyer, E. Lisako; Taylor, Aaron

    2013-01-01

    Health literacy affects caregivers' ability to engage in preventive health care behaviors for themselves and their children. Studies suggest that health literacy among low-income families needs improvement, and this possibly contributes to disparities in preventive health care rates. Additionally, parents and caregivers may not be able to provide or seek preventive health care for their children because of lack of knowledge and skills to do so effectively. This study designed and piloted an intervention that delivered to parents of young children (1) health literacy information in an experiential manner and (2) practical skills to engage their families in healthy lifestyle choices. Specifically, the intervention focused on diet/nutrition, physical activity, sleep hygiene, parenting, and mental wellness. Postintervention improvements were noted for factual knowledge for diet/nutrition, physical activity, and sleep, beliefs about diet/nutrition, and the relationship between mental health and stress. Additionally, postintervention improvements were noted for general knowledge and beliefs about sleep, knowledge about the relationship between sleep and health, knowledge about common childhood sleep problems, and parents' bedtime interactions with children. The efficacy of the intervention should be evaluated on a larger, more diverse sample in the future with considerations for multiple health behavior change in the evaluation. PMID:24959570

  10. Electronic Tools for Health Information Exchange

    PubMed Central

    2013-01-01

    Background As patients experience transitions in care, there is a need to share information between care providers in an accurate and timely manner. With the push towards electronic medical records and other electronic tools (eTools) (and away from paper-based health records) for health information exchange, there remains uncertainty around the impact of eTools as a form of communication. Objective To examine the impact of eTools for health information exchange in the context of care coordination for individuals with chronic disease in the community. Data Sources A literature search was performed on April 26, 2012, using OVID MEDLINE, OVID MEDLINE In-Process and Other Non-Indexed Citations, OVID EMBASE, EBSCO Cumulative Index to Nursing & Allied Health Literature (CINAHL), the Wiley Cochrane Library, and the Centre for Reviews and Dissemination database, for studies published until April 26, 2012 (no start date limit was applied). Review Methods A systematic literature search was conducted, and meta-analysis conducted where appropriate. Outcomes of interest fell into 4 categories: health services utilization, disease-specific clinical outcomes, process-of-care indicators, and measures of efficiency. The quality of the evidence was assessed individually for each outcome. Expert panels were assembled for stakeholder engagement and contextualization. Results Eleven articles were identified (4 randomized controlled trials and 7 observational studies). There was moderate quality evidence of a reduction in hospitalizations, hospital length of stay, and emergency department visits following the implementation of an electronically generated laboratory report with recommendations based on clinical guidelines. The evidence showed no difference in disease-specific outcomes; there was no evidence of a positive impact on process-of-care indicators or measures of efficiency. Limitations A limited body of research specifically examined eTools for health information exchange in the population and setting of interest. This evidence included a combination of study designs and was further limited by heterogeneity in individual technologies and settings in which they were implemented. Conclusions There is evidence that the right eTools in the right environment and context can significantly impact health services utilization. However, the findings from this evidence-based analysis raise doubts about the ability of eTools with care-coordination capabilities to independently improve the quality of outpatient care. While eTools may be able to support and sustain processes, inefficiencies embedded in the health care system may require more than automation alone to resolve. Plain Language Summary Patients with chronic diseases often work with many different health care providers. To ensure smooth transitions from one setting to the next, health care providers must share information and coordinate care effectively. Electronic medical records (eTools) are being used more and more to coordinate patient care, but it is not yet known whether they are more effective than paper-based health records. In this analysis, we reviewed the evidence for the use of eTools to exchange information and coordinate care for people with chronic diseases in the community. There was some evidence that eTools reduced the number of hospital and emergency department visits, as well as patients' length of stay in the hospital, but there was no evidence that eTools improved the overall quality of patient care. PMID:24194799

  11. Systematic Review of Health Promotion Programs Focused on Behavioral Changes for People With Intellectual Disability.

    PubMed

    Scott, Haleigh M; Havercamp, Susan M

    2016-02-01

    People with intellectual disability (ID) experience high rates of chronic health problems and poor overall health compared to people without disabilities. Recent attention to health risk behaviors such as poor diet, lack of physical activity, and underuse of health care has led to the development of several programs intended to reduce disparities in this population through health promotion programs. A review of the literature was conducted focusing on programs developed to target behavioral changes in the person with ID. Thirteen studies, evaluating 10 different health promotion programs, were found. Programs varied significantly in design, targeted health change, and demonstrated effectiveness. Components of each program are systematically reviewed and recommendations made for future programs based upon the current evidence. PMID:26824134

  12. Use of the Internet for Health Information: United States, 2009

    MedlinePLUS

    ... Information Service NCHS Use of the Internet for Health Information: United States, 2009 Recommend on Facebook Tweet ... than men to have used the Internet for health information. Women were more likely than men to ...

  13. Air pollution and health: emerging information on susceptible populations

    PubMed Central

    Breton, Carrie V.; Devlin, Robert B.; Utell, Mark J.

    2015-01-01

    Outdoor air pollution poses risks to human health in communities around the world, and research on populations who are most susceptible continues to reveal new insights. Human susceptibility to adverse health effects from exposure to air pollution can be related to underlying disease; demographic or anthropometric characteristics; genetic profile; race and ethnicity; lifestyle, behaviors, and socioeconomic position; and location of residence or daily activities. In health research, an individual or group may have an enhanced responsiveness to a given, identical level of pollution exposure compared to those who are less susceptible. Or, people in these different groups may experience varying levels of exposure (for example, a theoretically homogeneous population whose members differ only by proximity to a road). Often the information available for health research may relate to both exposure and enhanced response to a given dose of pollution. This paper discusses the general direction of research on susceptibility to air pollution, with a general though not an exclusive focus on particulate matter, with specific examples of research on susceptibility related to cardiovascular disease, diabetes, asthma, and genetic and epigenetic features. We conclude by commenting how emerging knowledge of susceptibility can inform policy for controlling pollution sources and exposures to yield maximal health benefit and discuss two areas of emerging interest: studying air pollution and its connection to perinatal health, as well as land use and urban infrastructure design. PMID:25741389

  14. An Innovative Mixed Methods Approach to Studying the Online Health Information Seeking Experiences of Adults with Chronic Health Conditions

    ERIC Educational Resources Information Center

    Mayoh, Joanne; Bond, Carol S.; Todres, Les

    2012-01-01

    This article presents an innovative sequential mixed methods approach to researching the experiences of U.K. adults with chronic health conditions seeking health information online. The use of multiple methods integrated within a single study ensured that the focus of the research was emergent and relevant and ultimately provided a more complete

  15. Using Animation as an Information Tool to Advance Health Research Literacy among Minority Participants

    PubMed Central

    George, Sheba; Moran, Erin; Duran, Nelida; Jenders, Robert A

    2013-01-01

    Lack of adequate consumer health information about clinical research contributes to health disparities among low health literate minority multicultural populations and requires appropriate methods for making information accessible. Enhancing understanding of health research can enable such minority multicultural consumers to make informed, active decisions about their own health and research participation. This qualitative study examines the effectiveness and acceptability of an animated video to enhance what we call health research literacy among minority multicultural populations. A team analyzed the transcripts of 58 focus groups of African Americans, Latinos, Native Hawaiians, and Filipinos in Los Angeles/Hawaii. Participants were accepting of animation and the video’s cultural appropriateness. Communicating information about health research via animation improved participants’ ability to identify personal information-gaps, engage in meaningful community-level dialogue, and ask questions about health research. PMID:24551351

  16. Health information technology: fallacies and sober realities

    PubMed Central

    Weinger, Matthew B; Abbott, Patricia A; Wears, Robert L

    2010-01-01

    Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and human factors engineering research and development are essential to better inform HIT development, deployment, and use. PMID:20962121

  17. Spanish health information resources for nurses.

    PubMed

    Hebert, Becky

    2006-01-01

    According to the U.S. Census Bureau, Spanish-speakers currently constitute 1 in 10 U.S. households, and the number is expected to rise. To provide responsible and responsive care, many nurses will need to develop communication skills for working with Spanish speakers and be able to find quality, reliable health information in Spanish for their patients and patients' families. A number of efforts have been described in the literature. This article augments prior efforts by providing nurses with resources for learning key words and phrases, sources to increase awareness of and sensitivity to cultural nuances, reliable consumer Web resources for Spanish-speaking patients, and tips for evaluating Spanish language health information on other Web sites. PMID:16927728

  18. Seeking Health Information Online: Does Wikipedia Matter?

    PubMed Central

    Laurent, Michaël R.; Vickers, Tim J.

    2009-01-01

    Objective To determine the significance of the English Wikipedia as a source of online health information. Design The authors measured Wikipedia's ranking on general Internet search engines by entering keywords from MedlinePlus, NHS Direct Online, and the National Organization of Rare Diseases as queries into search engine optimization software. We assessed whether article quality influenced this ranking. The authors tested whether traffic to Wikipedia coincided with epidemiological trends and news of emerging health concerns, and how it compares to MedlinePlus. Measurements Cumulative incidence and average position of Wikipedia® compared to other Web sites among the first 20 results on general Internet search engines (Google®, Google UK®, Yahoo®, and MSN®), and page view statistics for selected Wikipedia articles and MedlinePlus pages. Results Wikipedia ranked among the first ten results in 71–85% of search engines and keywords tested. Wikipedia surpassed MedlinePlus and NHS Direct Online (except for queries from the latter on Google UK), and ranked higher with quality articles. Wikipedia ranked highest for rare diseases, although its incidence in several categories decreased. Page views increased parallel to the occurrence of 20 seasonal disorders and news of three emerging health concerns. Wikipedia articles were viewed more often than MedlinePlus Topic (p = 0.001) but for MedlinePlus Encyclopedia pages, the trend was not significant (p = 0.07–0.10). Conclusions Based on its search engine ranking and page view statistics, the English Wikipedia is a prominent source of online health information compared to the other online health information providers studied. PMID:19390105

  19. Seeking health information online: does Wikipedia matter?

    PubMed

    Laurent, Michal R; Vickers, Tim J

    2009-01-01

    OBJECTIVE To determine the significance of the English Wikipedia as a source of online health information. DESIGN The authors measured Wikipedia's ranking on general Internet search engines by entering keywords from MedlinePlus, NHS Direct Online, and the National Organization of Rare Diseases as queries into search engine optimization software. We assessed whether article quality influenced this ranking. The authors tested whether traffic to Wikipedia coincided with epidemiological trends and news of emerging health concerns, and how it compares to MedlinePlus. MEASUREMENTS Cumulative incidence and average position of Wikipedia compared to other Web sites among the first 20 results on general Internet search engines (Google, Google UK, Yahoo, and MSN, and page view statistics for selected Wikipedia articles and MedlinePlus pages. RESULTS Wikipedia ranked among the first ten results in 71-85% of search engines and keywords tested. Wikipedia surpassed MedlinePlus and NHS Direct Online (except for queries from the latter on Google UK), and ranked higher with quality articles. Wikipedia ranked highest for rare diseases, although its incidence in several categories decreased. Page views increased parallel to the occurrence of 20 seasonal disorders and news of three emerging health concerns. Wikipedia articles were viewed more often than MedlinePlus Topic (p = 0.001) but for MedlinePlus Encyclopedia pages, the trend was not significant (p = 0.07-0.10). CONCLUSIONS Based on its search engine ranking and page view statistics, the English Wikipedia is a prominent source of online health information compared to the other online health information providers studied. PMID:19390105

  20. Iterative evaluation of a web-based health information resource.

    PubMed

    Rosenfeld, Lindsay; Shepherd, Amy; Agunwamba, Amenah A; McCray, Alexa T

    2013-08-01

    This article presents the research process and methods used to evaluate and improve a web-based health information resource, called "Community Connect to Research," intended for the public. The research process was iterative and involved collaboration with many partners. Two formal evaluations were conducted in 2009 and 2010 using key informant interviews, usability interviews, focus groups, an online survey, and readability and suitability assessment tools. These methods provided users' perspectives on the overall design, content, and literacy demands of the website as well as valuable feedback on their interaction with the website. The authors subsequently redesigned Community Connect to Research, making significant improvements on the basis of what they learned from the evaluation. The second evaluation revealed that the redesign addressed many issues found in the first evaluation and identified additional areas of possible improvement. Overall, both evaluations suggested that participants believed that the website was useful and valuable, indicating that Community Connect to Research is a health information resource that provides patients and families with accessible, relevant, and high-quality information. Regular formal evaluation is an essential tool for effective ongoing enhancement of health information resources meant for the public. PMID:23577665

  1. Emotional Health Services for Children, Youths: Coordinated Care, Insurance Coverage Needed. Growing Up Well. Focus on Prevention.

    ERIC Educational Resources Information Center

    Crowell, Areta

    This report, sixth of a series of eight, focuses on the emotional health and well-being of children and youths. It discusses the prevalence of mental health problems among young people, development of mental health systems of care, and mental health benefits as a part of health insurance coverage. The California Center for Health Improvement asked

  2. HealthPartners adopts community business model to deepen focus on nonclinical factors of health outcomes.

    PubMed

    Isham, George J; Zimmerman, Donna J; Kindig, David A; Hornseth, Gary W

    2013-08-01

    Clinical care contributes only 20 percent to overall health outcomes, according to a population health model developed at the University of Wisconsin. Factors contributing to the remainder include lifestyle behaviors, the physical environment, and social and economic forces--all generally considered outside the realm of care. In 2010 Minnesota-based HealthPartners decided to target nonclinical community health factors as a formal part of its strategic business plan to improve public health in the Twin Cities area. The strategy included creating partnerships with businesses and institutions that are generally unaccustomed to working together or considering how their actions could help improve community health. This article describes efforts to promote healthy eating in schools, reduce the stigma of mental illness, improve end-of-life decision making, and strengthen an inner-city neighborhood. Although still in their early stages, the partnerships can serve as encouragement for organizations inside and outside health care that are considering undertaking similar efforts in their markets. PMID:23918490

  3. Breast cancer prevention knowledge, beliefs, and information sources between non-Hispanic and Hispanic college women for risk reduction focus.

    PubMed

    Kratzke, Cynthia; Amatya, Anup; Vilchis, Hugo

    2015-02-01

    Although growing research focuses on breast cancer screenings, little is known about breast cancer prevention with risk reduction awareness for ethnic differences among college-age women. This study examined breast cancer prevention knowledge, beliefs, and information sources between non-Hispanic and Hispanic college women. Using a cross-sectional study, women at a university in the Southwest completed a 51-item survey about breast cancer risk factors, beliefs, and media and interpersonal information sources. The study was guided by McGuire's Input Output Persuasion Model. Of the 546 participants, non-Hispanic college women (n = 277) and Hispanic college women (n = 269) reported similar basic knowledge levels of modifiable breast cancer risk factors for alcohol consumption (52 %), obesity (72 %), childbearing after age 35 (63 %), and menopausal hormone therapy (68 %) using bivariate analyses. Most common information sources were Internet (75 %), magazines (69 %), provider (76 %) and friends (61 %). Least common sources were radio (44 %), newspapers (34 %), and mothers (36 %). Non-Hispanic college women with breast cancer family history were more likely to receive information from providers, friends, and mothers. Hispanic college women with a breast cancer family history were more likely to receive information from their mothers. Breast cancer prevention education for college women is needed to include risk reduction for modifiable health behavior changes as a new focus. Health professionals may target college women with more information sources including the Internet or apps. PMID:24989348

  4. 42 CFR 438.242 - Health information systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Health information systems. 438.242 Section 438.242 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State...

  5. 42 CFR 438.242 - Health information systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Health information systems. 438.242 Section 438.242 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State...

  6. 42 CFR 438.242 - Health information systems.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Health information systems. 438.242 Section 438.242 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State...

  7. 42 CFR 438.242 - Health information systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Health information systems. 438.242 Section 438.242 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State...

  8. 42 CFR 438.242 - Health information systems.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Health information systems. 438.242 Section 438.242 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State...

  9. Basic Principles of Information Technology Organization in Health Care Institutions

    PubMed Central

    Mitchell, Joyce A.

    1997-01-01

    Abstract This paper focuses on the basic principles of information technology (IT) organization within health sciences centers. The paper considers the placement of the leader of the IT effort within the health sciences administrative structure and the organization of the IT unit. A case study of the University of MissouriColumbia Health Sciences Center demonstrates how a role-based organizational model for IT support can be effective for determining the boundary between centralized and decentralized organizations. The conclusions are that the IT leader needs to be positioned with other institutional leaders who are making strategic decisions, and that the internal IT structure needs to be a role-based hybrid of centralized and decentralized units. The IT leader needs to understand the mission of the organization and actively use change-management techniques. PMID:9067885

  10. Information sources, menopause beliefs, and health complaints of midlife Filipinas.

    PubMed

    Berg, J A; Lipson, J G

    1999-01-01

    Although the perimenopausal transition is a universal experience for women who live long enough, its cross-cultural variations have been explored only recently. In this study, we investigated some of the expectations and health beliefs of 165 midlife Filipina Americans using focus groups and a short-answer questionnaire. Participants reported on (a) how they learned about menopause, (b) who they talked to about menopause symptoms or issues, (c) how Filipino women and men feel about menopause, and (d) the most common health complaints of midlife Filipinas. Findings revealed that midlife Filipina Americans primarily obtain their information from and talk about menopause with female relatives and friends. They usually viewed menopause as a normal life phase, yet knew less about how Filipino men feel about menopause. Health complaints of midlife Filipinas were mainly estrogen-related menopause symptoms and negative affect symptoms. PMID:10335158

  11. [The ''neighbourhood health'' strategy: actions focused on areas with special social and health needs].

    PubMed

    Sierra, Isabel; Cabezas, Carmen; Brugulat, Pilar; Mompart, Anna

    2008-12-01

    Through the Law 2/2004 on improving neighbourhoods, urban areas and towns requiring special attention, the Government of Catalonia set up a fund for financing projects prepared by town/city councils for the integral improvement of neighbourhoods. The Ministry of Health signed on to the strategy with The Neighbourhood Health Programme, which was a healthcare policy priority. Healthcare and municipal structures cooperate at neighbourhood level in all of the phases of the community intervention project (analysis and detection of needs, prioritisation of the problems detected, definition and distribution of actions). Techniques such as the nominal group are used. Four vulnerable groups have been identified with higher levels of illness, co-morbidity, situations of risk, etc. (the young, the elderly, women and recent immigrants). The actions of all the agents involved, among them those from the Ministry of Health itself, are then intensified and prioritised and a specific portfolio of public health services is prepared. PMID:19195480

  12. Redefining leadership education in graduate public health programs: prioritization, focus, and guiding principles.

    PubMed

    Lachance, Jennifer A; Oxendine, Jeffrey S

    2015-03-01

    Public health program graduates need leadership skills to be effective in the complex, changing public health environment. We propose a new paradigm for schools of public health in which technical and leadership skills have equal priority as core competencies for graduate students. Leadership education should focus on the foundational skills necessary to effect change independent of formal authority, with activities offered at varying levels of intensity to engage different students. Leadership development initiatives should be practice based, process focused, interdisciplinary, diversity based, adaptive, experimental, innovative, and empowering, and they should encourage authenticity. Leadership training in graduate programs will help lay the groundwork for public health professionals to have an immediate impact in the workforce and to prioritize continuous leadership development throughout their careers. PMID:25706021

  13. Information processing for aerospace structural health monitoring

    NASA Astrophysics Data System (ADS)

    Lichtenwalner, Peter F.; White, Edward V.; Baumann, Erwin W.

    1998-06-01

    Structural health monitoring (SHM) technology provides a means to significantly reduce life cycle of aerospace vehicles by eliminating unnecessary inspections, minimizing inspection complexity, and providing accurate diagnostics and prognostics to support vehicle life extension. In order to accomplish this, a comprehensive SHM system will need to acquire data from a wide variety of diverse sensors including strain gages, accelerometers, acoustic emission sensors, crack growth gages, corrosion sensors, and piezoelectric transducers. Significant amounts of computer processing will then be required to convert this raw sensor data into meaningful information which indicates both the diagnostics of the current structural integrity as well as the prognostics necessary for planning and managing the future health of the structure in a cost effective manner. This paper provides a description of the key types of information processing technologies required in an effective SHM system. These include artificial intelligence techniques such as neural networks, expert systems, and fuzzy logic for nonlinear modeling, pattern recognition, and complex decision making; signal processing techniques such as Fourier and wavelet transforms for spectral analysis and feature extraction; statistical algorithms for optimal detection, estimation, prediction, and fusion; and a wide variety of other algorithms for data analysis and visualization. The intent of this paper is to provide an overview of the role of information processing for SHM, discuss various technologies which can contribute to accomplishing this role, and present some example applications of information processing for SHM implemented at the Boeing Company.

  14. Retention of allied health professionals in rural New South Wales: a thematic analysis of focus group discussions

    PubMed Central

    2012-01-01

    Background Uneven distribution of the medical workforce is globally recognised, with widespread rural health workforce shortages. There has been substantial research on factors affecting recruitment and retention of rural doctors, but little has been done to establish the motives and conditions that encourage allied health professionals to practice rurally. This study aims to identify aspects of recruitment and retention of rural allied health professionals using qualitative methodology. Methods Six focus groups were conducted across rural NSW and analysed thematically using a grounded theory approach. The thirty allied health professionals participating in the focus groups were purposively sampled to represent a range of geographic locations, allied health professions, gender, age, and public or private work sectors. Results Five major themes emerged: personal factors; workload and type of work; continuing professional development (CPD); the impact of management; and career progression. Pull factors favouring rural practice included: attraction to rural lifestyle; married or having family in the area; low cost of living; rural origin; personal engagement in the community; advanced work roles; a broad variety of challenging clinical work; and making a difference. Push factors discouraging rural practice included: lack of employment opportunities for spouses; perceived inadequate quality of secondary schools; age related issues (retirement, desire for younger peer social interaction, and intention to travel); limited opportunity for career advancement; unmanageable workloads; and inadequate access to CPD. Having competent clinical managers mitigated the general frustration with health service management related to inappropriate service models and insufficient or inequitably distributed resources. Failure to fill vacant positions was of particular concern and frustration with the lack of CPD access was strongly represented by informants. Conclusions While personal factors affecting recruitment and retention of allied health study participants were similar to doctors, differences also existed. Allied health professionals were attracted by advanced work roles in a context of generalist practice. Access to CPD and inequitable resource distribution were strong push factors in this group. Health policy based on the assumption of transferability between professions may be misguided. PMID:22726758

  15. The Effects of a Culturally Sensitive, Empowerment-Focused, Community-Based Health Promotion Program on Health Outcomes of Adults with Type 2 Diabetes

    PubMed Central

    Tucker, Carolyn M.; Lopez, Manuel Thomas; Campbell, Kendall; Marsiske, Michael; Daly, Kathryn; Nghiem, Khanh; Rahim-Williams, Bridgett; Jones, Jessica; Hariton, Eduardo; Patel, Avani

    2013-01-01

    The purpose of the present study was to test the effects of a culturally sensitive, health empowerment focused, community-based health promotion program tailored for adult patients with type 2 diabetes on these patients’ Body Mass Index (BMI), blood pressure, and self-reported blood glucose levels, treatment adherence, and stress levels. Study participants (N = 130) consisted of mostly African Americans (70%) and Hispanic/Latinos (22.3%) who were divided almost evenly between an intervention group and waitlist control group. The tested health promotion program is informed by Health Self- Empowerment Theory. At post-test, program participants in the intervention group as compared to those in the control group demonstrated significantly lower levels of BMI, diastolic blood pressure, and physical stress. Implications of these study findings for future similar programs and research are discussed. PMID:24509027

  16. Health equipment information, number 115, October 1983

    SciTech Connect

    Not Available

    1984-01-01

    Contents: Squibb Surgicare Ltd: System 2-Stoma Bridge for loop ostomy; Electronic and medical equipment: guidance on documentation required for maintenance; Assessment of the radio-opacity of catheters; IEC Publication number 731: dosimeters with ionization chambers as used in radiotherapy; Seminar on digital radiology; Economic appraisal of a Mobile CT Scanning Service; Equipment for the disabled; Evaluation of the Greiner G300 Analyser; Launch of Occupational Therapists' Reference Book 1983/4; Summary of health notices (hazard): 1 April 1983-31 August 1983; Safety Information Bulletin No 9-May 1983: Summary of items; Safety Information Bulletin No 10-July 1983: Summary of items; Safety Information Bulletin No 11-September 1983: Summary of items; Amendment to HEI 112 July 1983: evaluation of ECG Recorders.

  17. Consumer-mediated health information exchanges: the 2012 ACMI debate.

    PubMed

    Cimino, James J; Frisse, Mark E; Halamka, John; Sweeney, Latanya; Yasnoff, William

    2014-04-01

    The American College of Medical Informatics (ACMI) sponsors periodic debates during the American Medical Informatics Fall Symposium to highlight important informatics issues of broad interest. In 2012, a panel debated the following topic: "Resolved: Health Information Exchange Organizations Should Shift Their Principal Focus to Consumer-Mediated Exchange in Order to Facilitate the Rapid Development of Effective, Scalable, and Sustainable Health Information Infrastructure." Those supporting the proposition emphasized the need for consumer-controlled community repositories of electronic health records (health record banks) to address privacy, stakeholder cooperation, scalability, and sustainability. Those opposing the proposition emphasized that the current healthcare environment is so complex that development of consumer control will take time and that even then, consumers may not be able to mediate their information effectively. While privately each discussant recognizes that there are many sides to this complex issue, each followed the debater's tradition of taking an extreme position in order emphasize some of the polarizing aspects in the short time allotted them. In preparing this summary, we sought to convey the substance and spirit of the debate in printed form. Transcripts of the actual debate were edited for clarity, and appropriate supporting citations were added for the further edification of the reader. PMID:24561078

  18. Markets, information asymmetry and health care: towards new social contracts.

    PubMed

    Bloom, Gerald; Standing, Hilary; Lloyd, Robert

    2008-05-01

    This paper explores the implications of the increasing role of informal as well as formal markets in the health systems of many low and middle-income countries. It focuses on institutional arrangements for making the benefits of expert medical knowledge widely available in the face of the information asymmetries that characterise health care. It argues that social arrangements can be understood as a social contract between actors, underpinned by shared behavioural norms, and embedded in a broader political economy. This contract is expressed through a variety of actors and institutions, not just through the formal personnel and arrangements of a health sector. Such an understanding implies that new institutional arrangements, such as the spread of reputation-based trust mechanisms can emerge or be adapted from other parts of the society and economy. The paper examines three relational aspects of health systems: the encounter between patient and provider; mechanisms for generating trust in goods and services in the context of highly marketised systems; and the establishment of socially legitimated regulatory regimes. This analysis is used to review experiences of health system innovation and change from a number of low income and transition countries. PMID:18316147

  19. Cancer Information Seeking Behaviors of Korean American Women: A Mixed-Methods Study Using Surveys and Focus Group Interviews.

    PubMed

    Oh, Kyeung Mi; Jun, Jungmi; Zhao, Xiaoquan; Kreps, Gary L; Lee, Eunice E

    2015-01-01

    Despite the high risk of cancer to the population, Korean Americans are known to have lower knowledge about cancer related information and a lower level of adherence to cancer prevention guidelines. This indicates the necessity of cancer interventions targeting the Korean American population. To reach this population effectively, it is imperative to understand Korean Americans' cancer information seeking behaviors. This study (a) identified cancer information sources that are trusted and used by Korean American women and (b) examined how general media exposure and trust in cancer information sources are related to the use of these sources. It also (c) explored perceived usefulness and limitations of cancer information sources. A mixed methods study using seven focus group interviews with 34 Korean American women and surveys with 152 Korean American women was conducted in the Washington, DC, metropolitan area from 2011 to 2012. The results indicate that Korean American women viewed health care professionals as the most trusted cancer information source but used the Internet and Korean ethnic media more often for cancer information seeking because of language, cultural, and economic barriers. Korean American women were most likely to obtain cancer information from media they used frequently for general purposes. Correlations between usage frequency and trust in doctor/health providers and the Internet as cancer information sources were negligible. When seeking cancer information, important factors for Korean American women were accessibility, affordability, and language proficiency, cultural sensitivity, meeting immediate needs, understandability, convenience, and reliability of cancer information sources. Findings from this study support developing interventions using Korean language media, including print, television and the Internet for health promotion and cancer prevention targeting Korean American women. PMID:25950369

  20. 76 FR 14374 - Proposed Information Collection for Focus Groups and One-on-One Interviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-16

    ... Proposed Information Collection for Focus Groups and One-on-One Interviews AGENCY: Office of Response and... Collection for Focus Groups and One-on-one Interviews for the Elwha River Dam Removal and Floodplain... and one-on-one interviews, described below. We invite the general public and Federal agencies...

  1. 77 FR 28894 - Agency Information Collection Activities: Collection of Qualitative Feedback Through Focus Groups

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... Register on February 8, 2012, at 77 FR 6573, allowing for a 60-day public comment period. USCIS/did not... Qualitative Feedback Through Focus Groups ACTION: 30-Day Notice of Information Collection for Office of... sure to add ``1615-NEW, Collection of Qualitative Feedback through Focus Groups'' in the subject...

  2. Humanising illness: presenting health information in educational comics.

    PubMed

    McNicol, Sarah

    2014-06-01

    Research into the effectiveness of comic books as health education tools overwhelmingly consists of studies evaluating the information learnt as a result of reading the comic, for example using preintervention and postintervention questionnaires. In essence, these studies evaluate comics in the same way in which a patient information leaflet might be evaluated, but they fail to evaluate the narrative element of comics. Health information comics have the potential to do much more than simply convey facts about an illness; they can also support patients in dealing with the social and psychological aspects of a condition. This article discusses how some common elements of educational comics are handled in a selection of comics about diabetes, focusing on the more personal or social aspects of the condition as well as the presentation of factual information. The elements examined include: fears and anxieties; reactions of friends and family; interactions with medical professionals; self-management; and prevention. In conclusion, the article argues that comics, potentially, have many advantages over patient information leaflets, particularly in the way in which they can offer 'companionship', helping patients to address fears and negative feelings. However, empirical studies are required to evaluate educational comics in a way which takes account of their potential role in supporting patients in coming to terms with their condition, as well as becoming better informed. PMID:24398159

  3. Health information, what happens when there isn't any? Information literacy and the challenges for rare and orphan diseases.

    PubMed

    Spring, Hannah

    2014-09-01

    This feature looks at the challenges for information literacy in rare and orphan diseases. In particular, it focuses on the information difficulties faced by those living with a rare condition or awaiting a diagnosis, and also those of the health professionals in charge of their care. The feature also highlights some of the key issues that library and information professionals need to be aware of when providing information support in such circumstances. PMID:25155983

  4. Information Technology in Complex Health Services

    PubMed Central

    Southon, Frank Charles Gray; Sauer, Chris; Dampney, Christopher Noel Grant (Kit)

    1997-01-01

    Abstract Objective: To identify impediments to the successful transfer and implementation of packaged information systems through large, divisionalized health services. Design: A case analysis of the failure of an implementation of a critical application in the Public Health System of the State of New South Wales, Australia, was carried out. This application had been proven in the United States environment. Measurements: Interviews involving over 60 staff at all levels of the service were undertaken by a team of three. The interviews were recorded and analyzed for key themes, and the results were shared and compared to enable a continuing critical assessment. Results: Two components of the transfer of the system were considered: the transfer from a different environment, and the diffusion throughout a large, divisionalized organization. The analyses were based on the Scott-Morton organizational fit framework. In relation to the first, it was found that there was a lack of fit in the business environments and strategies, organizational structures and strategy-structure pairing as well as the management process-roles pairing. The diffusion process experienced problems because of the lack of fit in the strategy-structure, strategy-structure-management processes, and strategy-structure-role relationships. Conclusion: The large-scale developments of integrated health services present great challenges to the efficient and reliable implementation of information technology, especially in large, divisionalized organizations. There is a need to take a more sophisticated approach to understanding the complexities of organizational factors than has traditionally been the case. PMID:9067877

  5. The Medical Library Association: promoting new roles for health information professionals

    PubMed Central

    Homan, J. Michael; McGowan, Julie J.

    2002-01-01

    As the Medical Library Association (MLA) enters its second century, its role in providing leadership and focus for the education of health information professionals in a changing environment will be critical. MLA members face dramatic changes in the health care environment as well as significant opportunities and must position themselves to thrive in the new environment. This paper examines new roles for health information professionals, new approaches to education and training, and related issues of credentialing, certification, and licensure. PMID:11838464

  6. Association of child health and household amenities in high focus states in India: a district-level analysis

    PubMed Central

    Gouda, Jitendra; Gupta, Ashish Kumar; Yadav, Ajit Kumar

    2015-01-01

    Objectives To assess household amenities in districts of high focus states and their association with child health in India. Design The data for the study are extracted from Annual Health Survey (AHS) and Census 2011. Settings Districts in high focus states in India. Participants Information regarding children below 5?years of age and women aged 1549 has been extracted from the AHS (20102011), and household amenities information has been obtained from the Census (2011). Measures Household amenities were assessed from the census at the district level in the high focus states. Child health indicators and wealth index were borrowed from AHS and used in this study to check their linkage with household amenities. Results Absence of drinking water from a treated source, improved sanitation, usage of clean cooking fuel and drainage facility in the household were adversely associated with the incidence of acute respiratory infection, diarrhoea, infant mortality rate (IMR) and under 5 mortality rate (U5MR). The mean IMR declined from 64 to 54 for districts where a high proportion of household have improved sanitation. The result of ordinary least square regression shows that improved sanitation has a negative and statistically significant association (?=?0.0067, p<0.01) with U5MR. Conclusions Although child healthcare services are important in addressing child health issues, they barely touch on the root of the problem. Building toilets and providing safe drinking water, clean cooking fuel and drainage facilities at the household level, may prevent a number of adverse child health issues and may reduce the burden on the healthcare system in India. PMID:25968003

  7. [Information on health: production, consumption and biopower].

    PubMed

    da Silva, Clber Domingos Cunha

    2013-10-01

    This article seeks to elicit misgivings regarding the value attributed to medical truth found in the biomedical literature. The issue of the protection of sexual practices was taken by way of example and the works of thinkers like Nietzsche, Baudrillard, Bourdieu, and especially Michel Foucault, were consulted. This was done in order to consider that the elaboration and use of health information can be interpreted as a practice constituting a policy that dynamically inspires both experts and non-experts on medical truth, constituting a morality that is based on the production and consumption of this truth. It is a policy that Foucault called biopolitics, able to establish ways of living where the exercise of thought does not seem to be so "rewarding," where practices of command and obedience are mediated by health information. In this perspective, physicians and non-physicians have been seduced by the desire to attain the truth, such that the commitment of everyone is seen to concentrate on the production and use of statements that they believe can prolong life and save from getting sick. These are discourses cultivated in the market of a media-dominated society in which individuals controlled by information produce subjectivities that are anchored in the medical-capital truth binomial. PMID:24061035

  8. Health information technology impact on productivity.

    PubMed

    Eastaugh, Steven R

    2012-01-01

    Managers work to achieve the greatest output for the least input effort, better balancing all factors of delivery to achieve the most with the smallest resource effort. Documentation of actual health information technology (HIT) cost savings has been elusive. Information technology and linear programming help to control hospital costs without harming service quality or staff morale. This study presents production function results from a study of hospital output during the period 2008-2011. The results suggest that productivity varies widely among the 58 hospitals as a function of staffing patterns, methods of organization, and the degree of reliance on information support systems. Financial incentives help to enhance productivity. Incentive pay for staff based on actual productivity gains is associated with improved productivity. HIT can enhance the marginal value product of nurses and staff, so that they concentrate their workday around patient care activities. The implementation of electronic health records (EHR) was associated with a 1.6 percent improvement in productivity. PMID:23971142

  9. Integrating Methods to Evaluate Health Information Systems.

    PubMed

    Borim, Helo Costa; Mukai, Lilian Mie; Silva E Oliveira, Lucas Emanuel; Lopes, Vagner Jos; Moro, Claudia Maria Cabral

    2015-01-01

    There are different methods to evaluate Health Information Systems (HIS), such as Quality Evaluation of software products, human factors, and socio-technical approaches. This work aims to identify the main aspects used to evaluate HIS, and whether there are relationships between issues considered in assessment of software quality and the ones applied specific to the health domain. This was an exploratory study that included a literature search related to HIS evaluation and software quality analyses applying the norms of the International Organization for Standardization (ISO/IEC), to identify aspects and features applied during the assessment process. The result is a proposal of an evaluation method based on the integration of these two evaluative approaches, combining or complementing the considered aspects. The method was applied to an evaluation of a natural language processing system to identify continuity of care in discharge summaries. PMID:26262534

  10. Using Focus Groups to Identify Factors Affecting Healthful Weight Maintenance in Latino Immigrants

    ERIC Educational Resources Information Center

    Greaney, Mary L.; Lees, Faith D.; Lynch, Breanna; Sebelia, Linda; Greene, Geoffrey W.

    2012-01-01

    Objective: To explore (1) how migration influenced physical activity and dietary behaviors among Latino immigrants and (2) participants' perception of concepts related to a Health at Every Size (HAES) approach to weight maintenance (mindful eating, taking care of oneself). Methods: Four focus groups (n = 35), homogenous by sex, were conducted in…

  11. Healthful Eating and Physical Activity in the Home Environment: Results from Multifamily Focus Groups

    ERIC Educational Resources Information Center

    Berge, Jerica M.; Arikian, Aimee; Doherty, William J.; Neumark-Sztainer, Dianne

    2012-01-01

    Objective: To explore multiple family members' perceptions of risk and protective factors for healthful eating and physical activity in the home. Design: Ten multifamily focus groups were conducted with 26 families. Setting and Participants: Community setting with primarily black and white families. Family members (n = 103) were aged 8 to 61…

  12. Healthful Eating and Physical Activity in the Home Environment: Results from Multifamily Focus Groups

    ERIC Educational Resources Information Center

    Berge, Jerica M.; Arikian, Aimee; Doherty, William J.; Neumark-Sztainer, Dianne

    2012-01-01

    Objective: To explore multiple family members' perceptions of risk and protective factors for healthful eating and physical activity in the home. Design: Ten multifamily focus groups were conducted with 26 families. Setting and Participants: Community setting with primarily black and white families. Family members (n = 103) were aged 8 to 61

  13. Using Focus Groups to Identify Factors Affecting Healthful Weight Maintenance in Latino Immigrants

    ERIC Educational Resources Information Center

    Greaney, Mary L.; Lees, Faith D.; Lynch, Breanna; Sebelia, Linda; Greene, Geoffrey W.

    2012-01-01

    Objective: To explore (1) how migration influenced physical activity and dietary behaviors among Latino immigrants and (2) participants' perception of concepts related to a Health at Every Size (HAES) approach to weight maintenance (mindful eating, taking care of oneself). Methods: Four focus groups (n = 35), homogenous by sex, were conducted in

  14. Status of Oregon's Children: 2002 County Data Book. Special Focus: Health and Safety.

    ERIC Educational Resources Information Center

    Children First for Oregon, Portland.

    This Kids Count data book examines trends in the well-being of Oregons children, focusing on child health, nutrition, and child safety. This statistical portrait is based on 17 indicators of child well-being: (1) child care supply; (2) third grade reading proficiency; (3) third grade math proficiency; (4) juvenile arrests; (5) suicide attempts;…

  15. Perceptions of Factors Influencing Healthful Food Consumption Behavior in the Lower Mississippi Delta: Focus Group Findings

    ERIC Educational Resources Information Center

    McGee, Bernestine B.; Richardson, Valerie; Johnson, Glenda S.; Thornton, Alma; Johnson, Crystal; Yadrick, Kathleen; Ndirangu, Murugi; Goolsby, Susan; Watkins, Debra; Simpson, Pippa M.; Hyman, Edith; Stigger, Flavelia; Bogle, Margaret L.; Kramer, Tim R.; Strickland, Earline; McCabe-Sellers, Beverly

    2008-01-01

    Objective: To identify perceptions of Lower Mississippi Delta (LMD) residents regarding factors that influence a change in healthful food consumption behavior to assist in planning sustainable nutrition interventions in the LMD. Design: Nine focus groups were conducted with LMD residents in 9 counties in Arkansas, Louisiana, and Mississippi. One

  16. Exploring the compatibility of mental health nursing, recovery-focused practice and the welfare state.

    PubMed

    Conlon, M M M; Bush, C J; Ariyaratnam, M I; Brennan, G K; Owtram, R

    2015-06-01

    Mental health nurses are expected to adhere to a range of professional values. The values of social integration that mental health nurses practise are somewhat at odds with the values of the British welfare state. Alternative systems of welfare support are demonstrated in other countries. Mental health nurses must consider models of practice, such as that described by Clifton et?al. (2013b), to manage the disconnection between what is expected and what can be achieved. This discussion paper considers the implications for mental health nursing practice when working alongside individuals in receipt of state benefits. There is arguably a profound impact on an individual's recovery from mental ill health when that individual is also dependent on financial support from the government. Access to welfare benefits can have a significant impact on the recovery journey of that individual. This discussion paper will consider the practice implications for mental health nurses whose professional values include maxims such as 'challenging inequality' and 'respecting diversity', and will seek to examine the implications for practice when such values are divergent from those demonstrated in government policy. The paper will make comparisons with international welfare systems to demonstrate the way in which alternative configurations of state welfare can promote a system of social justice that is in greater equilibrium with the professional values of mental health nurses. Finally, the discussion will focus on the options for mental health nurses to either subscribe to government policy or to find compromise solutions that enable attention to remain focused and active on a strong value base of social justice and recovery-focused practice. PMID:26014831

  17. Undertaking sociotechnical evaluations of health information technologies.

    PubMed

    Cresswell, Kathrin M; Sheikh, Aziz

    2014-01-01

    There is an increasing international recognition that the evaluation of health information technologies should involve assessments of both the technology and the social/organisational contexts into which it is deployed. There is, however, a lack of agreement on definitions, published guidance on how such 'sociotechnical evaluations' should be undertaken, and how they distinguish themselves from other approaches. We explain what sociotechnical evaluations are, consider the contexts in which these are most usefully undertaken, explain what they entail, reflect on the potential pitfalls associated with such research, and suggest possible ways to avoid these. PMID:24841408

  18. Master's Degree in Management Information Systems with a Supply Chain Management Focus

    ERIC Educational Resources Information Center

    Ramaswamy, Kizhanatham V.; Boyd, Joseph L.; Desai, Mayur

    2007-01-01

    A graduate curriculum in Management Information Systems with a Supply Chain Management focus is presented. The motivation for this endeavor stems from the fact that the global scope of modern business organizations and the competitive environment in which they operate, requires an information system leveraged supply chain management system (SCM)

  19. Master's Degree in Management Information Systems with a Supply Chain Management Focus

    ERIC Educational Resources Information Center

    Ramaswamy, Kizhanatham V.; Boyd, Joseph L.; Desai, Mayur

    2007-01-01

    A graduate curriculum in Management Information Systems with a Supply Chain Management focus is presented. The motivation for this endeavor stems from the fact that the global scope of modern business organizations and the competitive environment in which they operate, requires an information system leveraged supply chain management system (SCM)…

  20. 75 FR 74061 - Agency Information Collection Activities; Proposed Collection; Comment Request; Focus Groups as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-30

    ... assumptions used; (3) ways to enhance the quality, utility, and clarity of the information to be collected... Control Number 0910-0497)--Extension FDA conducts focus group interviews on a variety of topics involving... HUMAN SERVICES Food and Drug Administration Agency Information Collection Activities;...

  1. Relationship Between Parental and Adolescent eHealth Literacy and Online Health Information Seeking in Taiwan.

    PubMed

    Chang, Fong-Ching; Chiu, Chiung-Hui; Chen, Ping-Hung; Miao, Nae-Fang; Lee, Ching-Mei; Chiang, Jeng-Tung; Pan, Ying-Chun

    2015-10-01

    This study examined the relationship between parental and adolescent eHealth literacy and its impact on online health information seeking. Data were obtained from 1,869 junior high school students and 1,365 parents in Taiwan in 2013. Multivariate analysis results showed that higher levels of parental Internet skill and eHealth literacy were associated with an increase in parental online health information seeking. Parental eHealth literacy, parental active use Internet mediation, adolescent Internet literacy, and health information literacy were all related to adolescent eHealth literacy. Similarly, adolescent Internet/health information literacy, eHealth literacy, and parental active use Internet mediation, and parental online health information seeking were associated with an increase in adolescent online health information seeking. The incorporation of eHealth literacy courses into parenting programs and school education curricula is crucial to promote the eHealth literacy of parents and adolescents. PMID:26375050

  2. Health information technology in oncology practice: a literature review.

    PubMed

    Fasola, G; Macerelli, M; Follador, A; Rihawi, K; Aprile, G; Della Mea, V

    2014-01-01

    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. PMID:25506195

  3. Health Information Technology in Oncology Practice: A Literature Review

    PubMed Central

    Fasola, G; Macerelli, M; Follador, A; Rihawi, K; Aprile, G; Mea, V Della

    2014-01-01

    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. PMID:25506195

  4. Older drivers' opinions of criteria that inform the cars they buy: A focus group study.

    PubMed

    Zhan, Jenny; Porter, Michelle M; Polgar, Jan; Vrkljan, Brenda

    2013-12-01

    Safe driving in older adulthood depends not only on health and driving ability, but also on the driving environment itself, including the type of vehicle. However, little is known about how safety figures into the older driver's vehicle selection criteria and how it ranks among other criteria, such as price and comfort. For this purpose, six focus groups of older male and female drivers (n=33) aged 70-87 were conducted in two Canadian cities to explore vehicle purchasing decisions and the contribution of safety in this decision. Themes emerged from the data in these categories: vehicle features that keep them feeling safe, advanced vehicular technologies, factors that influence their car buying decisions, and resources that inform this decision. Results indicate older drivers have gaps with respect to their knowledge of safety features and do not prioritize safety at the time of vehicle purchase. To maximize the awareness and uptake of safety innovations, older consumers would benefit from a vehicle design rating system that highlights safety as well as other features to help ensure that the vehicle purchased fits their lifestyle and needs. PMID:23522914

  5. Health information exchange, system size and information silos.

    PubMed

    Miller, Amalia R; Tucker, Catherine

    2014-01-01

    There are many technology platforms that bring benefits only when users share data. In healthcare, this is a key policy issue, because of the potential cost savings and quality improvements from 'big data' in the form of sharing electronic patient data across medical providers. Indeed, one criterion used for federal subsidies for healthcare information technology is whether the software has the capability to share data. We find empirically that larger hospital systems are more likely to exchange electronic patient information internally, but are less likely to exchange patient information externally with other hospitals. This pattern is driven by instances where there may be a commercial cost to sharing data with other hospitals. Our results suggest that the common strategy of using 'marquee' large users to kick-start a platform technology has an important drawback of potentially creating information silos. This suggests that federal subsidies for health data technologies based on 'meaningful use' criteria, that are based simply on the capability to share data rather than actual sharing of data, may be misplaced. PMID:24246484

  6. Health Information in Marshallese (kajin Majl): MedlinePlus

    MedlinePLUS

    ... nejm - kajin Majl (Marshallese) Bilingual PDF Health Information Translations D Diabetes and Pregnancy Diabetes during Pregnancy Nainmij ... Broro - kajin Majl (Marshallese) Bilingual PDF Health Information Translations H Hearing Problems in Children Hearing Test for ...

  7. 78 FR 7784 - Health Information Technology Policy Committee Nomination Letters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... From the Federal Register Online via the Government Publishing Office GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Nomination Letters AGENCY: Government... Recovery and Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy...

  8. Health Information in Portuguese (português): MedlinePlus

    MedlinePLUS

    ... b (Hib) Vaccine - English Vacina Contra Influenzae Haemophilus tipo B (Hib) - português (Portuguese) PDF Immunization Action Coalition; ... tristeza - português (Portuguese) Bilingual PDF Health Information Translations Diabetes Diabetes Diabetes - português (Portuguese) Bilingual PDF Health Information ...

  9. Health Information in Somali (af Soomaali): MedlinePlus

    MedlinePLUS

    ... Soomaali (Somali) Bilingual PDF Health Information Translations Your Hospital Care After Surgery Daryeelkaaga Cisbitaalka Qalitaanka ka Dib - af ... af Soomaali (Somali) Multimedia Health Information Translations Your Hospital Care After Surgery Daryeelkaaga Cisbitaalka Qalitaanka ka Dib - af ...

  10. Health Information in Bosnian (Bosanski): MedlinePlus

    MedlinePLUS

    ... After Surgery Bolni?ka njega nakon operacije - Bosanski (Bosnian) Bilingual PDF Health Information Translations Alcoholism and Alcohol Abuse ... Dependence Zloupotreba opojnih sredstava ili ovisnost - Bosanski (Bosnian) Bilingual PDF Health Information Translations Alzheimer's Disease Inside the ...

  11. Information support for health information management in regional Sri Lanka: health managers' perspectives.

    PubMed

    Ranasinghe, Kaduruwane Indika; Chan, Taizan; Yaralagadda, Prasad

    2012-01-01

    Good management, supported by accurate, timely and reliable health information, is vital for increasing the effectiveness of Health Information Systems (HIS). When it comes to managing the under-resourced health systems of developing countries, information-based decision making is particularly important. This paper reports findings of a self-report survey that investigated perceptions of local health managers (HMs) of their own regional HIS in Sri Lanka. Data were collected through a validated, pre-tested postal questionnaire, and distributed among a selected group of HMs to elicit their perceptions of the current HIS in relation to information generation, acquisition and use, required reforms to the information system and application of information and communication technology (ICT). Results based on descriptive statistics indicated that the regional HIS was poorly organised and in need of reform; that management support for the system was unsatisfactory in terms of relevance, accuracy, timeliness and accessibility; that political pressure and community and donor requests took precedence over vital health information when management decisions were made; and use of ICT was unsatisfactory. HIS strengths included user-friendly paper formats, a centralised planning system and an efficient disease notification system; weaknesses were lack of comprehensiveness, inaccuracy, and lack of a feedback system. Responses of participants indicated that HIS would be improved by adopting an internationally accepted framework and introducing ICT applications. Perceived barriers to such improvements were high initial cost of educating staff to improve computer literacy, introduction of ICTs, and HIS restructure. We concluded that the regional HIS of Central Province, Sri Lanka had failed to provide much-needed information support to HMs. These findings are consistent with similar research in other developing countries and reinforce the need for further research to verify causes of poor performance and to design strategic reforms to improve HIS in regional Sri Lanka. PMID:23087080

  12. Immigration, social integration and mental health in Norway, with focus on gender differences

    PubMed Central

    2007-01-01

    Background Studies have shown that social integration may have a positive as well as a negative effect on the mental health of immigrants, depending on the social circumstances. Aims of the study To investigate the relationship between social integration and psychological distress in immigrants in Oslo, Norway, with focus on gender differences. Methods The study was based on data from a community survey in Oslo (N = 15899), and included 1448 immigrants from non-Western and 1059 immigrants from Western countries. Psychological distress was measured by a 10 items version of Hopkins Symptom Check List (HSCL-10), and social integration was measured by an index based on four items: Knowledge of the Norwegian language, reading Norwegian newspapers, visits by Norwegians and receiving help from Norwegians. Information on paid employment, household income, marital status, social support and conflicts in intimate relationships was also included in the study. Results The non-western immigrants showed a higher level of psychological distress than the immigrants from western countries. In men this could be explained by the combination of less social integration, less employment, lower income, less social support and more conflicts in intimate relationships among non-western compared to western immigrants. In women the difference in level of psychological stress could not be explained by these variables, even if it was reduced. A reason for this seemed to be that social integration in non-western immigrants had a different effect on mental health in men and women. In men, social integration showed a positive effect through employment and income, as well as a positive effect in other areas. Also in non-western women social integration showed a positive effect through greater access to employment and income, but this effect was levelled out by integration causing problems in other areas. Conclusion Unexpectedly, social integration in non-western immigrants was associated with good mental health in men, but not in women. A possible explanation for this might be that the traditional female role in these countries is more challenged by social integration into a Western country than the male role, resulting in conflicting norms, threat to the self and/or loss of identity. PMID:17971211

  13. Evaluating the Process of Online Health Information Searching: A Qualitative Approach to Exploring Consumer Perspectives

    PubMed Central

    Fiksdal, Alexander S; Kumbamu, Ashok; Jadhav, Ashutosh S; Cocos, Cristian; Nelsen, Laurie A; Pathak, Jyotishman

    2014-01-01

    Background The Internet is a common resource that patients and consumers use to access health-related information. Multiple practical, cultural, and socioeconomic factors influence why, when, and how people utilize this tool. Improving the delivery of health-related information necessitates a thorough understanding of users searching-related needs, preferences, and experiences. Although a wide body of quantitative research examining search behavior exists, qualitative approaches have been under-utilized and provide unique perspectives that may prove useful in improving the delivery of health information over the Internet. Objective We conducted this study to gain a deeper understanding of online health-searching behavior in order to inform future developments of personalizing information searching and content delivery. Methods We completed three focus groups with adult residents of Olmsted County, Minnesota, which explored perceptions of online health information searching. Participants were recruited through flyers and classifieds advertisements posted throughout the community. We audio-recorded and transcribed all focus groups, and analyzed data using standard qualitative methods. Results Almost all participants reported using the Internet to gather health information. They described a common experience of searching, filtering, and comparing results in order to obtain information relevant to their intended search target. Information saturation and fatigue were cited as main reasons for terminating searching. This information was often used as a resource to enhance their interactions with health care providers. Conclusions Many participants viewed the Internet as a valuable tool for finding health information in order to support their existing health care resources. Although the Internet is a preferred source of health information, challenges persist in streamlining the search process. Content providers should continue to develop new strategies and technologies aimed at accommodating diverse populations, vocabularies, and health information needs. PMID:25348028

  14. The Effects of Preference for Information on Consumers Online Health Information Search Behavior

    PubMed Central

    2013-01-01

    Background Preference for information is a personality trait that affects peoples tendency to seek information in health-related situations. Prior studies have focused primarily on investigating its impact on patient-provider communication and on the implications for designing information interventions that prepare patients for medical procedures. Few studies have examined its impact on general consumers interactions with Web-based search engines for health information or the implications for designing more effective health information search systems. Objective This study intends to fill this gap by investigating the impact of preference for information on the search behavior of general consumers seeking health information, their perceptions of search tasks (representing information needs), and user experience with search systems. Methods Forty general consumers who had previously searched for health information online participated in the study in our usability lab. Preference for information was measured using Millers Monitor-Blunter Style Scale (MBSS) and the Krantz Health Opinion Survey-Information Scale (KHOS-I). Each participant completed four simulated health information search tasks: two look-up (fact-finding) and two exploratory. Their behaviors while interacting with the search systems were automatically logged and ratings of their perceptions of tasks and user experience with the systems were collected using Likert-scale questionnaires. Results The MBSS showed low reliability with the participants (Monitoring subscale: Cronbach alpha=.53; Blunting subscale: Cronbach alpha=.35). Thus, no further analyses were performed based on the scale. KHOS-I had sufficient reliability (Cronbach alpha=.77). Participants were classified into low- and high-preference groups based on their KHOS-I scores. The high-preference group submitted significantly shorter queries when completing the look-up tasks (P=.02). The high-preference group made a significantly higher percentage of parallel movements in query reformulation than did the low-preference group (P=.04), whereas the low-preference group made a significantly higher percentage of new concept movements than the high-preference group when completing the exploratory tasks (P=.01). The high-preference group found the exploratory tasks to be significantly more difficult (P=.05) and the systems to be less useful (P=.04) than did the low-preference group. Conclusions Preference for information has an impact on the search behavior of general consumers seeking health information. Those with a high preference were more likely to use more general queries when searching for specific factual information and to develop more complex mental representations of health concerns of an exploratory nature and try different combinations of concepts to explore these concerns. High-preference users were also more demanding on the system. Health information search systems should be tailored to fit individuals information preferences. PMID:24284061

  15. Establishing a research agenda for scientific and technical information (STI) - Focus on the user

    NASA Technical Reports Server (NTRS)

    Pinelli, Thomas E.

    1992-01-01

    This report addresses the relationship between library science and information science theory and practice, between the development of conceptual understanding, and the practical competence of information professionals. Consideration is given to the concept of research, linking theory with practice, and the reality of theory based practice. Attention is given to the need for research and research priorities, focus on the user and information-seeking behavior, and a user-oriented research agenda for STI.

  16. Establishing a research agenda for Scientific and Technical Information (STI): Focus on the user

    NASA Technical Reports Server (NTRS)

    Pinelli, Thomas E.

    1992-01-01

    This report addresses the relationship between library science and information science theory and practice, between the development of conceptual understanding, and the practical competence of information professionals. Consideration is given to the concept of research, linking theory with practice, and the reality of theory based practice. Attention is given to the need for research and research priorities, focus on the user and information-seeking behavior, and a user-oriented research agenda for STI.

  17. Enabling medication management through health information technology (Health IT).

    PubMed Central

    McKibbon, K Ann; Lokker, Cynthia; Handler, Steve M; Dolovich, Lisa R; Holbrook, Anne M; O'Reilly, Daria; Tamblyn, Robyn; J Hemens, Brian; Basu, Runki; Troyan, Sue; Roshanov, Pavel S; Archer, Norman P; Raina, Parminder

    2011-01-01

    OBJECTIVES The objective of the report was to review the evidence on the impact of health information technology (IT) on all phases of the medication management process (prescribing and ordering, order communication, dispensing, administration and monitoring as well as education and reconciliation), to identify the gaps in the literature and to make recommendations for future research. DATA SOURCES We searched peer-reviewed electronic databases, grey literature, and performed hand searches. Databases searched included MEDLINE®, Embase, CINAHL (Cumulated Index to Nursing and Allied Health Literature), Cochrane Database of Systematic Reviews, International Pharmaceutical Abstracts, Compendex, Inspec (which includes IEEE Xplore), Library and Information Science Abstracts, E-Prints in Library and Information Science, PsycINFO, Sociological Abstracts, and Business Source Complete. Grey literature searching involved Internet searching, reviewing relevant Web sites, and searching electronic databases of grey literatures. AHRQ also provided all references in their e-Prescribing, bar coding, and CPOE knowledge libraries. METHODS Paired reviewers looked at citations to identify studies on a range of health IT used to assist in the medication management process (MMIT) during multiple levels of screening (titles and abstracts, full text and final review for assignment of questions and data abstrction). Randomized controlled trials and cohort, case-control, and case series studies were independently assessed for quality. All data were abstracted by one reviewer and examined by one of two different reviewers with content and methods expertise. RESULTS 40,582 articles were retrieved. After duplicates were removed, 32,785 articles were screened at the title and abstract phase. 4,578 full text articles were assessed and 789 articles were included in the final report. Of these, 361 met only content criteria and were listed without further abstraction. The final report included data from 428 articles across the seven key questions. Study quality varied according to phase of medication management. Substantially more studies, and studies with stronger comparative methods, evaluated prescribing and monitoring. Clinical decision support systems (CDSS) and computerized provider order entry (CPOE) systems were studied more than any other application of MMIT. Physicians were more often the subject of evaluation than other participants. Other health care professionals, patients, and families are important but not studied as thoroughly as physicians. These nonphysicians groups often value different aspects of MMIT, have diverse needs, and use systems differently. Hospitals and ambulatory clinics were well-represented in the literature with less emphasis placed on long-term care facilities, communities, homes, and nonhospital pharmacies. Most studies evaluated changes in process and outcomes of use, usability, and knowledge, skills, and attitudes. Most showed moderate to substantial improvement with implementation of MMIT. Economics studies and those with clinical outcomes were less frequently studied. Those articles that did address economics and clinical outcomes often showed equivocal findings on the effectiveness and cost-effectiveness of MMIT systems. Qualitative studies provided evidence of strong perceptions, both positive and negative, of the effects of MMIT and unintended consequences. We found little data on the effects of forms of medications, conformity, standards, and open source status. Much descriptive literature discusses implementation issues but little strong evidence exists. Interest is strong in MMIT and more groups and institutions will implement systems in the next decades, especially with the Federal Government's push toward more health IT to support better and more cost-effective health care. CONCLUSIONS MMIT is well-studied, although on closer examination of the literature the evidence is not uniform across phases of medication management, groups of people involved, or types of MMIT. MMIT holds the promise of improved processes; clinical and economics studies and the understanding of sustainability issues are lacking. PMID:23126642

  18. Student Reception, Sources, and Believability of Health-Related Information

    ERIC Educational Resources Information Center

    Kwan, Matthew Yiu Wing; Arbour-Nicitopoulos, Kelly P.; Lowe, David; Taman, Sara; Faulkner, Guy E. J.

    2010-01-01

    Objective: The purpose of this study was to identify the health topics students received information about, how students obtained health-related information, and perceived believability of those sources. Participants and Methods: Students (N = 1202) were surveyed using the National College Health Assessment (NCHA) of the American College Health

  19. Speaking up: Teens Voice Their Health Information Needs

    ERIC Educational Resources Information Center

    Smart, Kathryn A.; Parker, Randy Spreen; Lampert, Joan; Sulo, Suela

    2012-01-01

    School nurses provide an important role in the continuity of health care especially for adolescents who are at high risk for significant health concerns. The purpose of this study was to assess adolescents' health information needs and identify their preferences for accessing health information. Using an inductive qualitative research design, 11

  20. Speaking up: Teens Voice Their Health Information Needs

    ERIC Educational Resources Information Center

    Smart, Kathryn A.; Parker, Randy Spreen; Lampert, Joan; Sulo, Suela

    2012-01-01

    School nurses provide an important role in the continuity of health care especially for adolescents who are at high risk for significant health concerns. The purpose of this study was to assess adolescents' health information needs and identify their preferences for accessing health information. Using an inductive qualitative research design, 11…

  1. Exploring Ecosystems and Health by Shifting to a Regional Focus: Perspectives from the Oceania EcoHealth Chapter

    PubMed Central

    Kingsley, Jonathan; Patrick, Rebecca; Horwitz, Pierre; Parkes, Margot; Jenkins, Aaron; Massy, Charles; Henderson-Wilson, Claire; Arabena, Kerry

    2015-01-01

    This article highlights contributions that can be made to the public health field by incorporating “ecosystem approaches to health” to tackle future environmental and health challenges at a regional level. This qualitative research reviews attitudes and understandings of the relationship between public health and the environment and the priorities, aspirations and challenges of a newly established group (the Oceania EcoHealth Chapter) who are attempting to promote these principles. Ten semi-structured interviews with Oceania EcoHealth Chapter members highlighted the important role such groups can play in informing organisations working in the Oceania region to improve both public health and environmental outcomes simultaneously. Participants of this study emphasise the need to elevate Indigenous knowledge in Oceania and the role regional groups play in this regard. They also emphasis that regional advocacy and ecosystem approaches to health could bypass silos in knowledge and disciplinary divides, with groups like the Oceania EcoHealth Chapter acting as a mechanism for knowledge exchange, engagement, and action at a regional level with its ability to bridge the gap between environmental stewardship and public health. PMID:26473903

  2. [New information technologies and health consumerism].

    PubMed

    Vasconcellos-Silva, Paulo Roberto; Castiel, Luis David; Bagrichevsky, Marcos; Griep, Rosane Harter

    2010-08-01

    Concepts related to consumption have shifted to include social processes not previously covered by traditional categories. The current review analyzes the application of classical concepts of consumerism to practices recently identified in the health field, like the phenomenon of cyberchondria. The theoretical challenge relates to the difficulty in extrapolating from the economic perspectives of consumerism to self-care issues in the context of information and communication technologies (ICTs). Drawing on recent anthropological categories, the study seeks to understand the phenomenon of self-care commodification under the imperative of self-accountability for health. New consumer identities are described in light of the unprecedented issues concerning technical improvements currently altering the nature of self-care. The study concludes that health is consumed as vitality, broken down into commercial artifacts in the context of a new bioeconomy - no longer linked to the idea of emulation and possession, but to forms of self-perception and self-care in the face of multiple risks and new definitions of the human being. PMID:21229207

  3. [The requirement for the health examination in work place to focus on mood disorders].

    PubMed

    Ozaki, Norio

    2012-01-01

    In 2010 Mr. Nagatsuma, the former Minister of the Ministry of Health, Labor and Welfare of Japan expressed his opinion that the health examination of work place should includes items to focus on mental disorders such as depression, just after the Japanese Society of Psychiatry and Neurology with related societies launched the Joint Declaration of Countermeasure for Depression. To carry out the examination the following requirement is necessary. 1) Keeping the results of the health examination in secret. 2) Enlightenment of mental disorders including depression, bipolar disorders, schizophrenia and pervasive developmental disorders. 3) Not only questionnaires for screening but also supportive and sympathetic interview methods that are reliable and valid. 4) Cooperation between work place and health professional In introduction of medical intervention and rehabilitation. The strategy to realize the above-mentioned requirements is as follows. 1) Education of the industrial mental health staff: public health nurses and psychologists. 2) Pilot study to examine the method of the health examination. 3) Research to establish the future preventive method of mental disrders. 4) Budgetary appropriation. As the health examination should be benefit for workers, hasty introduction of the examination should be avoided. PMID:22746043

  4. 20 CFR 402.65 - Health care information.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX (Medicare and Medicaid) of the Social Security Act. We follow the rules in 42 CFR part 401... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Health care information. 402.65 Section...

  5. 20 CFR 402.65 - Health care information.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX (Medicare and Medicaid) of the Social Security Act. We follow the rules in 42 CFR part 401... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Health care information. 402.65 Section...

  6. 20 CFR 402.65 - Health care information.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX (Medicare and Medicaid) of the Social Security Act. We follow the rules in 42 CFR part 401... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Health care information. 402.65 Section...

  7. 20 CFR 402.65 - Health care information.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX (Medicare and Medicaid) of the Social Security Act. We follow the rules in 42 CFR part 401... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Health care information. 402.65 Section...

  8. 20 CFR 402.65 - Health care information.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX (Medicare and Medicaid) of the Social Security Act. We follow the rules in 42 CFR part 401... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Health care information. 402.65 Section...

  9. Learning Wellness: How Ageing Australians Experience Health Information Literacy

    ERIC Educational Resources Information Center

    Yates, Christine; Partridge, Helen; Bruce, Christine

    2009-01-01

    Given identified synergies between information use and health status greater understanding is needed about how people use information to learn about their health. This paper presents the findings of preliminary research into health information literacy. Analysis of data from semi-structured interviews revealed six different ways ageing Australians

  10. Costs and benefits of health information technology.

    PubMed Central

    Shekelle, Paul G; Morton, Sally C; Keeler, Emmett B

    2006-01-01

    OBJECTIVES An evidence report was prepared to assess the evidence base regarding benefits and costs of health information technology (HIT) systems, that is, the value of discrete HIT functions and systems in various healthcare settings, particularly those providing pediatric care. DATA SOURCES PubMed, the Cochrane Controlled Clinical Trials Register, and the Cochrane Database of Reviews of Effectiveness (DARE) were electronically searched for articles published since 1995. Several reports prepared by private industry were also reviewed. REVIEW METHODS Of 855 studies screened, 256 were included in the final analyses. These included systematic reviews, meta-analyses, studies that tested a hypothesis, and predictive analyses. Each article was reviewed independently by two reviewers; disagreement was resolved by consensus. RESULTS Of the 256 studies, 156 concerned decision support, 84 assessed the electronic medical record, and 30 were about computerized physician order entry (categories are not mutually exclusive). One hundred twenty four of the studies assessed the effect of the HIT system in the outpatient or ambulatory setting; 82 assessed its use in the hospital or inpatient setting. Ninety-seven studies used a randomized design. There were 11 other controlled clinical trials, 33 studies using a pre-post design, and 20 studies using a time series. Another 17 were case studies with a concurrent control. Of the 211 hypothesis-testing studies, 82 contained at least some cost data. We identified no study or collection of studies, outside of those from a handful of HIT leaders, that would allow a reader to make a determination about the generalizable knowledge of the study's reported benefit. Beside these studies from HIT leaders, no other research assessed HIT systems that had comprehensive functionality and included data on costs, relevant information on organizational context and process change, and data on implementation. A small body of literature supports a role for HIT in improving the quality of pediatric care. Insufficient data were available on the costs or cost-effectiveness of implementing such systems. The ability of Electronic Health Records (EHRs) to improve the quality of care in ambulatory care settings was demonstrated in a small series of studies conducted at four sites (three U.S. medical centers and one in the Netherlands). The studies demonstrated improvements in provider performance when clinical information management and decision support tools were made available within an EHR system, particularly when the EHRs had the capacity to store data with high fidelity, to make those data readily accessible, and to help translate them into context-specific information that can empower providers in their work. Despite the heterogeneity in the analytic methods used, all cost-benefit analyses predicted substantial savings from EHR (and health care information exchange and interoperability) implementation: The quantifiable benefits are projected to outweigh the investment costs. However, the predicted time needed to break even varied from three to as many as 13 years. CONCLUSIONS HIT has the potential to enable a dramatic transformation in the delivery of health care, making it safer, more effective, and more efficient. Some organizations have already realized major gains through the implementation of multifunctional, interoperable HIT systems built around an EHR. However, widespread implementation of HIT has been limited by a lack of generalizable knowledge about what types of HIT and implementation methods will improve care and manage costs for specific health organizations. The reporting of HIT development and implementation requires fuller descriptions of both the intervention and the organizational/economic environment in which it is implemented. PMID:17627328

  11. Health information systems in humanitarian emergencies.

    PubMed Central

    Thieren, Michel

    2005-01-01

    Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation. In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented, incomplete and often contradictory statistics, a situation that leads to a misuse of numbers with negative consequences on humanitarian interventions. As a means to avoid confusion regarding humanitarian health statistics, this paper stresses the importance of submitting statistics to a rigorous and coordinated auditing process prior to their publication. The audit trail should describe the various steps of the data production chains both technically and operationally, and indicate the limits and assumptions under which each number can be used. Finally emphasis is placed on the ethical obligation for humanitarian agencies to ensure that the necessary safeguards on data are in place to protect the confidentiality of victims and minority groups in politically sensitive contexts. PMID:16184277

  12. Celebrity Health Announcements and Online Health Information Seeking: An Analysis of Angelina Jolie's Preventative Health Decision.

    PubMed

    Dean, Marleah

    2016-06-01

    On May 14, 2013, Angelina Jolie disclosed she carries BRCA1, which means she has an 87% risk of developing breast cancer during her lifetime. Jolie decided to undergo a preventative bilateral mastectomy (PBM), reducing her risk to 5%. The purpose of this study was to analyze the type of information individuals are exposed to when using the Internet to search health information regarding Jolie's decision. Qualitative content analysis revealed four main themes-information about genetics, information about a PBM, information about health care, and information about Jolie's gender identity. Broadly, the identified websites mention Jolie's high risk for developing cancer due to the genetic mutation BRCA1, describe a PBM occasionally noting reasons why she had this surgery and providing alternatives to the surgery, discuss issues related to health care services, costs, and insurances about Jolie's health decision, and portray Jolie as a sexual icon, a partner to Brad Pitt, a mother of six children, and an inspirational humanitarian. The websites also depict Jolie's health decision in positive, negative, and/or both ways. Discussion centers on how this actress' health decision impacts the public. PMID:26574936

  13. Core Sexual/Reproductive Health Care to Deliver to Male Adolescents: Perceptions of Clinicians Focused on Male Health

    PubMed Central

    Marcell, Arik V.; Ellen, Jonathan M.

    2011-01-01

    Purpose Male adolescents experience adverse sexual/reproductive health (SRH) outcomes, yet few providers deliver male SRH care. Given the lack of evidence base for male SRH care, the purpose of this study was to examine perceived importance in delivering SRH care to male adolescents among clinicians focused on male health. Methods Seventeen primary care clinicians focused on male health, representing pediatricians, family physicians, internists, and nurse practitioners, were individually queried about male adolescents’ SRH needs and perceived importance to screen/assess for 13 male SRH services using a case-scenario approach varying by visit type and allotted time. Results Participants were highly consistent in identifying a scope of 10 SRH services to deliver to male adolescents during a longer annual visit and a core set of 6 SRH services during a shorter annual visit including 1) counseling on sexually transmitted infection/human immunodeficiency (STI/HIV) risk reduction including testing/treatment; and assessing for 2) pubertal growth/development; 3) substance abuse/mental health; 4) non-STI/HIV genital abnormalities; 5) physical/sexual abuse; and 6) male pregnancy prevention methods. Participants did not agree whether SRH care should be delivered during non-annual acute visits. Conclusions Despite lack of data for male SRH care, clinicians focused on male health strongly agreed upon male SRH care to deliver during annual visits that varied by visit type and allotted time. Study findings provide a foundation for much needed clinical guidelines for male adolescents’ SRH care and have implications for education and training health professionals at all levels and the organization and delivery of male SRH services. PMID:22727075

  14. Qualitative study of health information needs, flow, and use in Senegal.

    PubMed

    Sylla, Amadou Hassane; Robinson, Elizabeth T; Raney, Laura; Seck, Karim

    2012-01-01

    Many health professionals and policymakers in Africa lack access to the information needed to make evidence-based decisions for effective health care. This study collected qualitative data from 75 key informants and members of two focus groups in Senegal on various aspects of health information needs, particularly in family planning and reproductive health, including information sources, strategies, and systems to transfer and share information; and barriers to accessing, sharing, and using health information. Respondents reported needing information on ways to motivate men's involvement in reproductive health and to address rumors and religious barriers to family planning. Results identified mobile phones as one scalable platform to improve health knowledge. Nevertheless, a nearly universal and persistent need for paper-based information exists, and many health personnel prefer interpersonal communication as a method for information sharing, knowledge synthesis, and learning. Hierarchy and social organization play a crucial role in the flow of communication and in knowledge exchange. The study also identified the importance of political support for a comprehensive knowledge management strategy for the health sector, including the need for strategies to empower and better support the knowledge role of health coordinators and supervisors. PMID:22724671

  15. Promoting mental health in Asia-Pacific: Systematic review focusing on Thailand and China.

    PubMed

    Moeller-Saxone, Kristen; Davis, Elise; Herrman, Helen

    2015-12-01

    Mental health is essential for functioning, general health, and quality of life in low and middle-income countries (LAMICs), as for high-income countries. This study aimed first to search in the English language peer-reviewed literature for reviews of mental health promotion interventions in the Asia-Pacific region. A global rapid review by Barry and colleagues indicated a paucity of publications on this topic in the peer-reviewed literature. The second aim of the study followed from this observation. Two systematic reviews of English language literature were conducted as case studies in two countries with known interest in mental health promotion, Thailand and China. The reviews covered publications in peer-reviewed journals and the "grey" literature. In Thailand, the review demonstrated: strong evidence for an empowerment program for human immunodeficiency virus (HIV)-infected mothers; a reduction in HIV-related stigma in a community-based program; and a coping program for adolescents. The second review concerned suicide prevention interventions in China. It found one relevant study, a WHO multi-site study of suicide prevention. We found surprisingly little evidence in either country of interventions focused on health equity or modifying the social determinants of mental health. We agree with Barry and colleagues that there is an urgent need to invest in the policy, practice, and research capacity for mental health promotion in LAMICs so that mental health promotion can be incorporated into the wider health promotion and global health development agenda. This includes the Global Action for Health Equity Network. Evidence-based interventions in parenting, schools, workplaces, and among older people can be initiated or adapted and evaluated in LAMIC settings. PMID:26202433

  16. Upgrading the Association for the Advancement of Health Education's Health Resources Information System.

    ERIC Educational Resources Information Center

    Miller, Richard E.

    The Association for the Advancement of Health Education (AAHE) and Academic Programs for Health Science, George Mason University (Virginia), have collaborated in upgrading AAHE's Health Resources Information System. The process involved updating the health resources information on file. This information, which represents addresses and telephone

  17. National healthcare systems and the need for health information governance.

    PubMed

    Hovenga, Evelyn J S

    2013-01-01

    This chapter gives an overview of health data, information and knowledge governance needs and associated generic principles so that information systems are able to automate such data collections from point-of-care operational systems. Also covered are health information systems' dimensions and known barriers to the delivery of quality health services, including environmental, technology and governance influences of any population's health status within the context of national health systems. This is where health information managers and health informaticians need to resolve the many challenges associated with eHealth implementations where data are assets, efficient information flow is essential, the ability to acquire new knowledge desirable, and where the use of data and information needs to be viewed from a governance perspective to ensure reliable and quality information is obtained to enhance decision making. PMID:24018509

  18. Health Insurance Claim Review Using Information Technologies

    PubMed Central

    Yoon, Jeong-Sik; Speedie, Stuart M.; Yoon, Hojung; Lee, Jiseon

    2012-01-01

    Objectives The objective of this paper is to describe the Health Insurance Review and Assessment Service (HIRA)'s payment request (PARE) system that plays the role of the gateway for all health insurance claims submitted to HIRA, and the claim review support (CRS) system that supports the work of claim review experts in South Korea. Methods This study describes the two systems' information technology (IT) infrastructures, their roles, and quantitative analysis of their work performance. It also reports the impact of these systems on claims processing by analyzing the health insurance claim data submitted to HIRA from April 1 to June 30, 2011. Results The PARE system returned to healthcare providers 2.7% of all inpatient claims (97,930) and 0.1% of all outpatient claims (317,007) as un-reviewable claims. The return rate was the highest for the hospital group as 0.49% and the lowest rate was found in clinic group. The CRS system's detection rate of the claims with multiple errors in inpatient and outpatient areas was 23.1% and 2.9%, respectively. The highest rate of error detection occurred at guideline check-up stages in both inpatient and outpatient groups. Conclusions The study found that HIRA's two IT systems had a critical role in reducing heavy administrative workloads through automatic data processing. Although the return rate of the problematic claims to providers and the error detection rate by two systems was low, the actual count of the returned claims was large. The role of IT will become increasingly important in reducing the workload of health insurance claims review. PMID:23115745

  19. The Digital Health Divide: Evaluating Online Health Information Access and Use among Older Adults

    ERIC Educational Resources Information Center

    Hall, Amanda K.; Bernhardt, Jay M.; Dodd, Virginia; Vollrath, Morgan W.

    2015-01-01

    Objective: Innovations in health information technology (HIT) provide opportunities to reduce health care spending, improve quality of care, and improve health outcomes for older adults. However, concerns relating to older adults' limited access and use of HIT, including use of the Internet for health information, fuel the digital health divide…

  20. The Digital Health Divide: Evaluating Online Health Information Access and Use among Older Adults

    ERIC Educational Resources Information Center

    Hall, Amanda K.; Bernhardt, Jay M.; Dodd, Virginia; Vollrath, Morgan W.

    2015-01-01

    Objective: Innovations in health information technology (HIT) provide opportunities to reduce health care spending, improve quality of care, and improve health outcomes for older adults. However, concerns relating to older adults' limited access and use of HIT, including use of the Internet for health information, fuel the digital health divide

  1. Applying the Mims-Swenson sexual health model to nurse education: offering an alternative focus on sexuality and health care.

    PubMed

    Morrissey, M; Rivers, I

    1998-08-01

    Several recent publications have documented the existence of negative attitudes towards lesbians, gay men and bisexual men and women among health care professionals. It has been demonstrated that these negative attitudes predate the advent of HIV/AIDS, and are ingrained in medical and nursing education. Research has shown that, within the hospital environment, negative attitudes towards homosexuality may be directly translated into the medical and nursing care provided for lesbian, gay and bisexual clients. In this article, studies focusing on the attitudes of health care professionals towards homosexuality and bisexuality are examined, and their implications are discussed with reference to the future of nursing education. PMID:9847742

  2. Internet health information in the patient-provider dialogue.

    PubMed

    Hong, Traci

    2008-10-01

    A patient discussing Internet health information with a health care provider (referred to as "patient-provider communication about Internet health information") can contribute positively to health outcomes. Although research has found that once Internet access is achieved, there are no ethnic differences in Internet health information seeking, it is unclear if there are ethnic differences in patient-provider communication about Internet health information. To help fill this gap in the literature, the National Cancer Institute's Health Information National Trends Survey 2005 was analyzed with Stata 9. Two sets of logistic regression analyses were conducted, one for a subsample of Internet users (n = 3,244) and one for a subsample of Internet users who are first-generation immigrants (n = 563). The dependent variable was patient-provider communication about Internet health information, which assessed whether survey participants had discussed online health information with a health care provider. The predictor variables included trust of health care provider, trust of online health information, Internet use, health care coverage, frequency of visits to health care provider, health status, and demographics. Among all Internet users, Whites had higher levels of patient-provider communication about Internet health information than Blacks and Asians. Similarly, among Internet users who are immigrants, Whites had higher levels of patient-provider communication about Internet health information than Blacks and Asians. While the digital divide is narrowing in terms of Internet access, racial differences in patient-provider communication about Internet health information may undermine the potential benefits of the information age. PMID:18771392

  3. Extending the infoway benefits evaluation framework for health information systems.

    PubMed

    Lau, Francis

    2009-01-01

    A proposal is made that extends the current Canada Health Infoway Benefits Evaluation (BE) Framework for Health Information Systems (HIS) being deployed in Canada. The current BE framework takes a micro view of HIS quality, use and impact at the local level whereas the extended framework takes into account the broader socio-organizational and contextual aspects known as the meso and macro views of HIS deployment. The meso view addresses the people, organization, network and implementation dimensions. The macro view focuses on the contextual dimensions of technology standard, funding/incentive, legislation/policy and professional practice. Validation of this extended BE framework is being planned through a comparative review of recent HIS evaluation literature, a Delphi-consensus process with HIS experts and users, and multiple validation studies with recent HIS implementation projects in British Columbia. PMID:19380969

  4. [Framework for the strengthening of health information systems in Peru].

    PubMed

    Curioso, Walter H; Espinoza-Portilla, Elizabeth

    2015-01-01

    In this article we present the essential components and policies that are most relevant regarding the conceptual framework to strengthen the health information systems in Peru. The article also presents the main policies, actions and strategies made in the field of electronic health in Peru that are most significant. The health information systems in Peru play a key role and are expected to achieve an integrated and interoperable information system. This will allow health information to be complete, efficient, of good quality and available in a timely manner to achieve better quality of life for people and allow meaningful modernization of public health in the context of health reform in Peru. PMID:26338396

  5. Exploring the Theory-Practice Gap: Applications to Health Information Management/Technology Education and Training

    ERIC Educational Resources Information Center

    Green, Zakevia Denise

    2013-01-01

    Although research on the theory-practice gap is available across multiple disciplines, similar studies focusing on the profession of health information management/technology (HIM/T) are not yet available. The projected number of qualified HIM/T needed with advanced skills and training suggests that skillful use of electronic health records (EHR)…

  6. 76 FR 22714 - Proposed Collection; Comment Request; Health Information National Trends Survey 4 (HINTS 4) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ... questions with inquiries into the communication channels through which understanding is being obtained, and... HUMAN SERVICES National Institutes of Health Proposed Collection; Comment Request; Health Information... content of the survey will focus on understanding the degree to which members of the general...

  7. Exploring the Theory-Practice Gap: Applications to Health Information Management/Technology Education and Training

    ERIC Educational Resources Information Center

    Green, Zakevia Denise

    2013-01-01

    Although research on the theory-practice gap is available across multiple disciplines, similar studies focusing on the profession of health information management/technology (HIM/T) are not yet available. The projected number of qualified HIM/T needed with advanced skills and training suggests that skillful use of electronic health records (EHR)

  8. Adolescent Maltreatment: Youth as Victims of Abuse and Neglect. Maternal & Child Health Technical Information Bulletin.

    ERIC Educational Resources Information Center

    Hutchinson, Janice; Langlykke, Kristin

    This bulletin is intended to raise awareness of the magnitude and gravity of adolescent maltreatment and to provide information on public health program and policy interventions. A review of adolescent victimization, with a focus on vulnerable youth, provides background for the development of public health measures to promote prevention and ensure

  9. The Place of Health Information and Socio-Emotional Support in Social Questioning and Answering

    ERIC Educational Resources Information Center

    Worrall, Adam; Oh, Sanghee

    2013-01-01

    Introduction: Little is known about the quality of health information in social contexts or how socio-emotional factors impact users' evaluations of quality. We explored how librarians, nurses and users assessed the quality of health answers posted on Yahoo! Answers, focusing on socio-emotional reactions displayed, advice given to users and…

  10. Healthful Eating and Physical Activity in the Home Environment: Results from Multi-Family Focus Groups

    PubMed Central

    Berge, Jerica M.; Arikian, Aimee; Doherty, William J.; Neumark-Sztainer, Dianne

    2012-01-01

    Objective To explore multiple family members perceptions of risk and protective factors for healthy eating and physical activity in the home. Design Ten multi-family focus groups were conducted with 26 families. Setting Community setting. Participants Primarily Black and White families. Family members (n = 103) were between the ages of 861 years. Analysis A grounded hermeneutic approach. Phenomenon of Interest Risk and protective factors for healthy eating and physical activity in the home environment. Results Ten major themes were identified by family members related to health behaviors in the home environment, including: (a) accessibility to healthy foods and activity, (b) time constraints, (c) stage of youth development, (d) individual investment in health behaviors, (e) family investment in health behaviors, (f) family meals and shared activities, (g) parent modeling, (h) making health behaviors fun, (i) making health behaviors part of the family lifestyle, and (j) community investment in family health behaviors. Conclusions and Implications This study identified the importance of the family system and the reciprocal influences within the home environment on health behaviors. In addition, individual and community-level suggestions were identified. Insights from the families provide leads for future research and ideas for the prevention of youth obesity. PMID:22192951

  11. Precision with Ease: Refining Thesaurus Support for Quality Health Information Searching on Health"Insite"

    ERIC Educational Resources Information Center

    Smith, Jill Buckley; Deacon, Prue

    2009-01-01

    Health"Insite" is the Australian Government's Internet gateway to reliable health information online, providing access to over 15,000 information items on the websites of more than 80 approved information partners. The gateway provides a variety of searching and browsing options to assist users to find information on a wide range of health topics.

  12. Patient Access to Personal Health Information: Regulation vs. Reality

    PubMed Central

    Murphy-Abdouch, Kim

    2015-01-01

    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. PMID:26807075

  13. Consumer health information demand and delivery: implications for libraries.

    PubMed Central

    Deering, M J; Harris, J

    1996-01-01

    Consumers are increasingly interested in information that will help them manage their own health and that of their families. Managed care and other health providers see consumer health information as one tool to help improve patient satisfaction and reduce costs. There is a huge and varied supply of such information, provided through myriad sources. This article summarizes findings from a preliminary assessment of consumer health information demand and delivery supported by the U.S. Department of Health and Human Services. It highlights patterns of consumer interest and supply sources, identifies problems that confront those looking for information, and suggests a role for libraries as providers and interpreters of health information. The last publicly released general study on consumer health information was commissioned by General Mills in 1979. In the sixteen years since then, the scope of consumer health information has become huge and diverse; with increased responsibility for health, consumers have developed both broad interests and very specific needs. The Department of Health and Human Services commissioned a preliminary assessment of consumer health information demand and delivery to lay the foundation for a more comprehensive understanding of the issues. This article highlights some of the key findings that suggest a role for libraries as consumer health information providers and interpreters. PMID:8826626

  14. Health Services Research and Health Economy – Quality Care Training in Gynaecology, with Focus On Gynaecological Oncology

    PubMed Central

    Lux, M. P.; Fasching, P. A.; Loehberg, C. R.; Jud, S. M.; Schrauder, M. G.; Bani, M. R.; Thiel, F. C.; Hack, C. C.; Hildebrandt, T.; Beckmann, M. W.

    2011-01-01

    In the era of cost increases and reduced resources in the German healthcare system, the value of health services research and health economics is increasing more and more. Health services research attempts to develop concepts for the most effective ways to organise, manage, finance and deliver high-quality care and evaluates the implementation of these concepts with regard to daily routine conditions. Goals are the assessment of benefits and the economic advantages and disadvantages of new and established diagnostic methods, drugs and vaccines. Regarding these goals, it is clear that health services research goes hand in hand with health economics, which evaluates the benefits of diagnostic and therapeutic procedures in relation to the costs. Both scientific fields have focus principally on gynaecology and particularly on gynaecological oncology in Germany, as can be seen by numerous publications. These present several advantages compared with clinical trials – they uncover gaps in health care, question the material, staffing and consequently the financial resources required and they allow the estimation of value and the comparison of different innovations to identify the best options for our patients. PMID:26640282

  15. Embracing change in a health information exchange.

    PubMed

    Vreeman, Daniel J; Stark, Marilyn; Tomashefski, Gail L; Phillips, D Ryan; Dexter, Paul R

    2008-01-01

    Managing changes in source system terms and surveilling for associated deviations in HL7 reporting is an essential, but difficult aspect of a health information exchange. We analyzed the mapping records of the Indiana Network for Patient Care in order to characterize the evolution of radiology and laboratory system terms after initial implementation with regard to term mappings and changes in units of measure. Overall, we added half as many new post-implementation terms (9909) as we added for initial system implementations. As a group, INPC institutions have not slowed much in their rate of adding new terms after initial implementation. In general, we encountered unit-related exceptions less frequently than new, unknown terms. Our study highlights the ongoing effort required to keep up with evolving source system terms in a regional HIE and the need to willingly embrace change along the way. PMID:18999242

  16. The Mobile School Health Information Initiative: Creating and Sustaining a Free Curriculum for P-12 Staff to Find Credible Health Information.

    PubMed

    Olmstadt, William; Hansen, Judy; Engeszer, Robert J

    2012-01-01

    Three health sciences librarians created a curriculum to connect pre-school - grade 12 (P-12) personnel with credible health information. The course focuses on MedlinePlus® and KidsHealth.org®. They obtained external funding to deliver a revised curriculum for free throughout the metropolitan area. The funded portion of the project reached 93 people at 8 sites. Efforts to sustain the program beyond its funded cycle have reached another 33 people. Evaluations indicate the curriculum successfully equips staff to be health information champions within their schools. Participants report increased confidence locating credible health information. Written comments indicate both short-term gains and sustained use of the knowledge. PMID:23243394

  17. The Mobile School Health Information Initiative: Creating and Sustaining a Free Curriculum for P-12 Staff to Find Credible Health Information

    PubMed Central

    Olmstadt, William; Hansen, Judy; Engeszer, Robert J.

    2012-01-01

    Three health sciences librarians created a curriculum to connect pre-school – grade 12 (P-12) personnel with credible health information. The course focuses on MedlinePlus® and KidsHealth.org®. They obtained external funding to deliver a revised curriculum for free throughout the metropolitan area. The funded portion of the project reached 93 people at 8 sites. Efforts to sustain the program beyond its funded cycle have reached another 33 people. Evaluations indicate the curriculum successfully equips staff to be health information champions within their schools. Participants report increased confidence locating credible health information. Written comments indicate both short-term gains and sustained use of the knowledge. PMID:23243394

  18. Review of health information technology usability study methodologies

    PubMed Central

    Bakken, Suzanne

    2011-01-01

    Usability factors are a major obstacle to health information technology (IT) adoption. The purpose of this paper is to review and categorize health IT usability study methods and to provide practical guidance on health IT usability evaluation. 2025 references were initially retrieved from the Medline database from 2003 to 2009 that evaluated health IT used by clinicians. Titles and abstracts were first reviewed for inclusion. Full-text articles were then examined to identify final eligibility studies. 629 studies were categorized into the five stages of an integrated usability specification and evaluation framework that was based on a usability model and the system development life cycle (SDLC)-associated stages of evaluation. Theoretical and methodological aspects of 319 studies were extracted in greater detail and studies that focused on system validation (SDLC stage 2) were not assessed further. The number of studies by stage was: stage 1, task-based or user–task interaction, n=42; stage 2, system–task interaction, n=310; stage 3, user–task–system interaction, n=69; stage 4, user–task–system–environment interaction, n=54; and stage 5, user–task–system–environment interaction in routine use, n=199. The studies applied a variety of quantitative and qualitative approaches. Methodological issues included lack of theoretical framework/model, lack of details regarding qualitative study approaches, single evaluation focus, environmental factors not evaluated in the early stages, and guideline adherence as the primary outcome for decision support system evaluations. Based on the findings, a three-level stratified view of health IT usability evaluation is proposed and methodological guidance is offered based upon the type of interaction that is of primary interest in the evaluation. PMID:21828224

  19. Assessment of the National Library of Medicine's health disparities plan: a focus on Native American outreach*

    PubMed Central

    Siegel, Elliot R.; Wood, Frederick B.; Dutcher, Gale A.; Ruffin, Angela; Logan, Robert A.; Scott, John C.

    2005-01-01

    Objectives: Overcoming health disparities between majority and minority populations is a significant national challenge. This paper assesses outreach to Native Americans (American Indians, Alaska Natives, and Native Hawaiians) by the National Library of Medicine (NLM). A companion paper details NLM's portfolio of Native American outreach projects. Method: NLM's Native American outreach is assessed in light of the presentations at a community-based health information outreach symposium and the goals set by NLM's plan to reduce health disparities. Results: NLM's current portfolio of Native American outreach projects appears most advanced in meeting the goal set in area 1 of the health disparities plan, “Promote use of health information by health professionals and the public.” NLM's portfolio also shows significant strength and good progress regarding area 2 of the plan, “Expand partnerships among various types of libraries and community-based organizations.” The portfolio is weaker in area 3, “Conduct and support informatics research.” More knowledge-building efforts would benefit NLM, the National Network of Libraries of Medicine, and Native American and community-based organizations. Implications: The current Native American outreach portfolio should be continued, but new approaches are needed for evaluating Native American outreach and for forging collaborations with Native American groups, approaches grounded in consultation and mutual understanding of needs and perspectives. PMID:16239954

  20. From the Director: Surfing the Web for Health Information

    MedlinePLUS

    ... Issue Past Issues From the Director: Surfing the Web for Health Information Past Issues / Spring 2007 Table ... all information on the Internet is reliable. Some Web sites post inaccurate or biased medical information. Others ...

  1. Health through Knowledge: An ESL Curriculum with a Special Focus on AIDS Awareness.

    ERIC Educational Resources Information Center

    Network of California Community Coll. Foundations, Rancho Cucamonga, CA.

    Health concerns that refugees and immigrants might have are discussed in a culturally relevant and sensitive way, and information on sensitive topics, such as drugs, sexuality, and Acquired Immune Deficiency Syndrome (AIDS) is provided so that refugee and immigrant parents can protect themselves as well as teach their children to protect

  2. Customer focused health-care performance instruments: making a case for local measures.

    PubMed

    Swinehart, Kerry D; Smith, Allen E

    2004-01-01

    In the face of increasing pressure to improve patient satisfaction, the health-care industry must continue to seek improved methods to measure the effects of its continuous improvement efforts. While measurement instruments in this area abound, most are global in perspective and inflexible in form, sometimes leading to less than optimally germane outputs. Patient satisfaction information is critically important to the health-care provider, and this paper presents the results provided by an instrument that was locally designed to provide the most utile aggregation and presentation of patient satisfaction information for individual health-care providers. These results provide substantial evidence to support the notion that local, rather than global, measurement instruments are needed to provide the most relevant and useful results when assessing patient satisfaction as part of a continuous improvement effort. PMID:15046466

  3. Being healthy or looking good? The effectiveness of health versus appearance-focused arguments in two-sided messages.

    PubMed

    Cornelis, Erlinde; Cauberghe, Verolien; De Pelsmacker, Patrick

    2014-09-01

    Two experimental studies test the effectiveness of health versus appearance-related arguments in two-sided messages. The first study shows that two-sided messages to discourage suntanning are more effective when using appearance-focused instead of health-focused arguments. Study 2 elaborates on the underlying mechanism and extends the generalization of the results of the first study, by investigating two-sided messages to promote physical exercise. The results show that for health-motivated consumers, a health-focused message is more effective, whereas for appearance-motivated consumers, an appearance-focused message is more effective. This matching effect is mediated by argument relevance. PMID:23682067

  4. The role of focus groups in health education for cervical cancer among minority women.

    PubMed

    Dignan, M; Michielutte, R; Sharp, P; Bahnson, J; Young, L; Beal, P

    1990-12-01

    Focus groups were used in the development of community-based public health education designed to reduce mortality from cervical cancer among black women in Forsyth County, North Carolina. The educational goals of this National Cancer Institute (NCI) funded project were to increase the proportion of black women, age 18 and older, who obtain Pap smears on a regular basis and return for followup care when necessary. A series of four focus groups were conducted to help develop the conceptual basis for designing educational messages and materials. The groups were led by a black, female professional focus group moderator, and explored a variety of health-related topics ranging from general, ordinary concerns of daily living to knowledge and attitudes about cancer screening. The group discussions suggested that health is regarded as very important to the target population, particularly when related to family functioning. Regarding the Pap smear, most women knew about the test, but had little awareness of its role in the early detection of cervical cancer. Fear and fatalism were clearly the dominant, top-of-mind reactions to cancer, and there was little differentiation among sites or types of cancer. Despite the overall pessimism, the groups agreed that early diagnosis and treatment provide the best hope for good outcomes with cancer. PMID:2280036

  5. The feasibility, acceptance and key features of a prevention-focused oral health education program for HIV+ adults

    PubMed Central

    Vernon, Lance T.; Demko, Catherine A.; Webel, Allison R.; Mizumoto, Ryan M.

    2013-01-01

    Poor oral health is common in HIV+ adults. We explored the feasibility, acceptance and key features of a prevention-focused oral health education program for HIV+ adults. This was a pilot sub-study of a parent study in which all subjects (n=112) received a baseline periodontal disease (PD) examination and provider-delivered oral health messages informed by the Information-Motivation-Behavioral Skills (IMB) Model. Forty-one parent study subjects were then eligible for the sub-study; of these subjects, a volunteer sample was contacted and interviewed 3–6 months after the baseline visit. At the recall visit, subjects self-reported behavior changes that they had made since the baseline. PD was re-assessed using standard clinical assessment guidelines and results were shared with each subject. At recall, individualized, hands-on oral hygiene coaching was performed and patients provided feedback on this experience. Statistics included frequency distributions, means and chi-square testing for bivariate analyses. Twenty two (22) HIV+ adults completed the study. At recall, subjects had modest, but non-significant (p>0.05) clinician observed improvement in PD. Each subject reported adopting, on average, 3.8 (± 1.5) specific oral health behavior changes at recall. By self-report, subjects attributed most behavior changes (95%) to baseline health messages. Behavior changes were self-reported for increased frequency of flossing (55%) and tooth-brushing (50%), enhanced tooth-brushing technique (50%), and improved eating habits (32%). As compared to smokers, non-smokers reported being more optimistic about their oral health (p=.024) at recall and were more likely to have reported changing their oral health behaviors (p=.009). All subjects self-reported increased knowledge after receiving hands-on oral hygiene coaching performed at the recall visit. In HIV+ adults, IMB-informed oral health messages promoted self-reported behavior change; subjects preferred more interactive, hands-on coaching. We describe a holistic clinical behavior change approach that may provide a helpful framework when creating more rigorously-designed IMB-informed studies on this topic. PMID:24134855

  6. The feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults.

    PubMed

    Vernon, Lance T; Demko, Catherine A; Webel, Allison R; Mizumoto, Ryan M

    2014-01-01

    Poor oral health is common in HIV+ adults. We explored the feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults. This was a pilot substudy of a parent study in which all subjects (n = 112) received a baseline periodontal disease (PD) examination and provider-delivered oral health messages informed by the Information-Motivation-Behavioral Skills (IMB) Model. Forty-one parent study subjects were then eligible for the substudy; of these subjects, a volunteer sample was contacted and interviewed 3-6 months after the baseline visit. At the recall visit, subjects self-reported behavior changes that they had made since the baseline. PD was reassessed using standard clinical assessment guidelines, and results were shared with each subject. At recall, individualized, hands-on oral hygiene coaching was performed and patients provided feedback on this experience. Statistics included frequency distributions, means, and chi-square testing for bivariate analyses. Twenty-two HIV+ adults completed the study. At recall, subjects had modest, but nonsignificant (p > 0.05) clinician-observed improvement in PD. Each subject reported adopting, on average, 3.8 ( 1.5) specific oral health behavior changes at recall. By self-report, subjects attributed most behavior changes (95%) to baseline health messages. Behavior changes were self-reported for increased frequency of flossing (55%) and toothbrushing (50%), enhanced toothbrushing technique (50%), and improved eating habits (32%). As compared to smokers, nonsmokers reported being more optimistic about their oral health (p = 0.024) at recall and were more likely to have reported changing their oral health behaviors (p = 0.009). All subjects self-reported increased knowledge after receiving hands-on oral hygiene coaching performed at the recall visit. In HIV+ adults, IMB-informed oral health messages promoted self-reported behavior change, subjects preferred more interactive, hands-on coaching. We describe a holistic clinical behavior change approach that may provide a helpful framework when creating more rigorously designed IMB-informed studies on this topic. PMID:24134855

  7. Moving Focus from Weight to Health. What Are the Components Used in Interventions to Improve Cardiovascular Health in Children?

    PubMed Central

    Friedemann Smith, Claire; Heneghan, Carl; Ward, Alison

    2015-01-01

    Introduction Obesity in childhood impacts on many areas of the child’s current and future health, including their cardiovascular health. To date many attempts have been made to design interventions to tackle excess childhood weight but with limited success. We aimed to establish the components common to interventions in children that improve cardiovascular health parameters. Methods We searched the following databases: EMBASE 1974-week 3 November 2014, Ovid Medline 1946 Present, and PsychINFO 1967-Present for studies reporting interventions in healthy young people under the age of 18. Included interventions had to contain an education component and have been carried out in a community, school, or clinical setting. Papers had to report on at least one of the pre-specified CVD risk parameters and at least one non-biological outcome from knowledge, attitudes or behaviours. Results We retrieved 2451 papers, from which 12 studies (18 papers) of 3046 participants were included. From the selected papers we identified four component themes; Health Behaviours, Self-Concept, Practical and Cognitive Tools, and Intervention Characteristics. The subcomponents that made up these themes were fairly consistent across the studies analysed although the studies varied in their duration, settings and children with which they were carried out. Nine of the studies were able to bring about positive change in at least one biological and one non-biological aspect of child cardiovascular health. Conclusion The component themes identified here were common to intervention studies that had success in improving parameters of cardiovascular health. We suggest that the focus of childhood health interventions be moved from weight onto cardiovascular health parameters and that future interventions use the lessons learned by their predecessors to incorporate those components that are associated with successful interventions. PMID:26263386

  8. Use of health information technology to reduce diagnostic errors

    PubMed Central

    El-Kareh, Robert; Hasan, Omar; Schiff, Gordon D

    2013-01-01

    Background Health information technology (HIT) systems have the potential to reduce delayed, missed or incorrect diagnoses. We describe and classify the current state of diagnostic HIT and identify future research directions. Methods A multi-pronged literature search was conducted using PubMed, Web of Science, backwards and forwards reference searches and contributions from domain experts. We included HIT systems evaluated in clinical and experimental settings as well as previous reviews, and excluded radiology computer-aided diagnosis, monitor alerts and alarms, and studies focused on disease staging and prognosis. Articles were organised within a conceptual framework of the diagnostic process and areas requiring further investigation were identified. Results HIT approaches, tools and algorithms were identified and organised into 10 categories related to those assisting: (1) information gathering; (2) information organisation and display; (3) differential diagnosis generation; (4) weighing of diagnoses; (5) generation of diagnostic plan; (6) access to diagnostic reference information; (7) facilitating follow-up; (8) screening for early detection in asymptomatic patients; (9) collaborative diagnosis; and (10) facilitating diagnostic feedback to clinicians. We found many studies characterising potential interventions, but relatively few evaluating the interventions in actual clinical settings and even fewer demonstrating clinical impact. Conclusions Diagnostic HIT research is still in its early stages with few demonstrations of measurable clinical impact. Future efforts need to focus on: (1) improving methods and criteria for measurement of the diagnostic process using electronic data; (2) better usability and interfaces in electronic health records; (3) more meaningful incorporation of evidence-based diagnostic protocols within clinical workflows; and (4) systematic feedback of diagnostic performance. PMID:23852973

  9. Priority setting in primary health care - dilemmas and opportunities: a focus group study

    PubMed Central

    2010-01-01

    Background Swedish health care authorities use three key criteria to produce national guidelines for local priority setting: severity of the health condition, expected patient benefit, and cost-effectiveness of medical intervention. Priority setting in primary health care (PHC) has significant implications for health costs and outcomes in the health care system. Nevertheless, these guidelines have been implemented to a very limited degree in PHC. The objective of the study was to qualitatively assess how general practitioners (GPs) and nurses perceive the application of the three key priority-setting criteria. Methods Focus groups were held with GPs and nurses at primary health care centres, where the staff had a short period of experience in using the criteria for prioritising in their daily work. Results The staff found the three key priority-setting criteria (severity, patient benefit, and cost-effectiveness) to be valuable for priority setting in PHC. However, when the criteria were applied in PHC, three additional dimensions were identified: 1) viewpoint (medical or patient's), 2) timeframe (now or later), and 3) evidence level (group or individual). Conclusions The three key priority-setting criteria were useful. Considering the three additional dimensions might enhance implementation of national guidelines in PHC and is probably a prerequisite for the criteria to be useful in priority setting for individual patients. PMID:20863364

  10. Transforming Health Care Delivery Through Consumer Engagement, Health Data Transparency, and Patient-Generated Health Information

    PubMed Central

    Wald, J. S.

    2014-01-01

    Summary Objectives Address current topics in consumer health informatics. Methods Literature review. Results Current health care delivery systems need to be more effective in the management of chronic conditions as the population turns older and experiences escalating chronic illness that threatens to consume more health care resources than countries can afford. Most health care systems are positioned poorly to accommodate this. Meanwhile, the availability of ever more powerful and cheaper information and communication technology, both for professionals and consumers, has raised the capacity to gather and process information, communicate more effectively, and monitor the quality of care processes. Conclusions Adapting health care systems to serve current and future needs requires new streams of data to enable better self-management, improve shared decision making, and provide more virtual care. Changes in reimbursement for health care services, increased adoption of relevant technologies, patient engagement, and calls for data transparency raise the importance of patient-generated health information, remote monitoring, non-visit based care, and other innovative care approaches that foster more frequent contact with patients and better management of chronic conditions. PMID:25123739

  11. Time to focus on the public health aspects of preterm delivery.

    PubMed

    Morken, Nils-Halvdan

    2010-01-01

    Preterm delivery is a leading cause of child death and results in substantial emotional and economic costs for both the involved family and for society. It increases later disease risk in both the mother and in her preterm delivered child. The proportion of preterm delivery is increasing in several populations. Public health interventions have so far been the only beneficial initiative in prevention and treatment of preterm delivery and there is a need for both larger research studies and an approach that centers more on this complicated condition as a public health problem. The public health and population focus is an important fundament for proper use of new molecular biology techniques that in the future may increase our understanding of the pathophysiological pathways of preterm delivery and result in causal treatment modalities that are applicable to the clinical setting. PMID:20121333

  12. Intellectual property and networked health information: issues and principles.

    PubMed Central

    Cate, F H

    1996-01-01

    Information networks offer enormous potential for improving the delivery of health care services, facilitating health-related decision-making, and contributing to better health. In addition, advanced information technologies offer important opportunities for new markets, targeted information products and services, greater accessibility, lower costs and prices, and more rapid and efficient distribution. Realizing the full potential of those information resources requires the resolution of significant intellectual property issues, some of which may be affected by special features of health information. For example, the government is a significant funder and originator of health-related information. In addition, much of that information is of great importance to the population and benefits not only individual users, but also employers, insurance companies, the government, and society as a whole. The government must therefore continue to provide particularly important health information to the public, and facilitate that information's accessibility and reliability, while avoiding unnecessary competition with private information providers. Congress and courts must modify or interpret current copyright law as necessary to guarantee that it does not interfere with innovation in tailored health information or exceed its constitutional boundaries and restrict access to information, as opposed to expression. Both producers and users of information must work with the government to educate the public about the availability of health information and the rights of and limitations upon users under copyright law. PMID:8826629

  13. Seeking health information online: does limited healthcare access matter?

    PubMed

    Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae

    2014-01-01

    Consumers facing barriers to healthcare access may use online health information seeking and online communication with physicians, but the empirical relationship has not been sufficiently analyzed. Our study examines the association of barriers to healthcare access with consumers' health-related information searching on the internet, use of health chat groups, and email communication with physicians, using data from 27,210 adults from the 2009 National Health Interview Survey. Individuals with financial barriers to healthcare access, difficulty getting timely appointments with doctors, and conflicts in scheduling during clinic hours are more likely to search for general health information online than those without these access barriers. Those unable to get timely appointments with physicians are more likely to participate in health chat groups and email physicians. The internet may offer a low-cost source of health information and could help meet the heightened demand for health-related information among those facing access barriers to care. PMID:24948558

  14. Integration of health care information systems.

    PubMed

    Cuddeback, J K

    1993-03-01

    Information is at the core of an effective response to virtually all of the new demands that health care institutions will face in the 1990s. New information that is differently organized, more timely, and more conveniently available will facilitate new interactions within the institution. The consistent theme of the new systems requirements introduced by CQI is tighter connection to the processes of patient care and integration of systems and data as those processes cross traditional organizational boundaries. Even the billing requirements are pushing in the same direction. Ironically, the dinosaurs descended from billing systems do not even perform very well as billing systems today, because payers want more clinical detail, in addition to information at very specific points during the patient-care process. This new management model changes our view of our systems. Instead of systems designed to create an after-the-fact record of patient care, we need to think in terms of systems that are part of the patient-care process. This is essential for the continuous monitoring and--when the process gets out of control--rapid intervention that are an intrinsic part of the process in the CQI model. Of course, these systems also produce a complete record as a by-product, but that is not their primary objective. These demands will test the capacities of many of our existing systems and will require the replacement of others. Like all complex processes, however, systems development is performed one step at a time. Each step is taken within the context of an overall goal but also presents an opportunity for learning. CQI is a new management model, and the system requirements are far from clear. Hence, we are likely to need a little continuous improvement in the systems, too. PMID:8460229

  15. Preferences in the Use of Social Media for Seeking and Communicating Health and Lifestyle Information

    ERIC Educational Resources Information Center

    Pálsdóttir, Ágústa

    2014-01-01

    Introduction: The paper presents findings from a study investigating the health and lifestyle information behaviour of different groups of Icelanders. The paper focuses on the use of social media and its role in current information behaviour. Method: Quantitative methods were used. Two random samples were used in the study and the data were…

  16. Low risk research using routinely collected identifiable health information without informed consent: encounters with the Patient Information Advisory Group

    PubMed Central

    Metcalfe, C; Martin, R M; Noble, S; Lane, J A; Hamdy, F C; Neal, D E; Donovan, J L

    2009-01-01

    Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health researchers wishing to access medical records without written consent. The Act requires researchers to apply to the Patient Information Advisory Group (PIAG) for permission to access medical records without written permission. We present a case study of the work required to obtain the necessary permissions from PIAG in order to conduct a large scale public health research project. In our experience it took eight months to receive permission to access basic identifying information on individuals registered at general practices, and a decision on whether we could access clinical information in medical records without consent took 18 months. Such delays pose near insurmountable difficulties to grant funded research, and in our case £560 000 of public and charitable money was spent on research staff while a large part of their work was prohibited until the third year of a three year grant. We conclude by arguing that many of the current problems could be avoided by returning PIAG’s responsibilities to research ethics committees, and by allowing “opt-out” consent for many public health research projects. PMID:18156520

  17. Ethical issues in genetics and public health in Latin America with a focus on Argentina.

    PubMed

    Penchaszadeh, Victor B

    2015-07-01

    This paper reviews the health situation and developments in medical genetics and bioethics in Latin America, with a focus on Argentina. The region is the most inequitable in the world, with an average Gini Index of 52.5 and 25% of the population living in poverty. Health expenditures are low and health systems are fragmented and privatised, with curtailed governmental responsibility and regulation. Health-care decision making is mostly in the hands of private insurance corporations and the medical-industrial complex, so that what is (or is not) covered by health plans is arbitrary and determined by the market and not by population health needs. This inequity and the lack of meaningful governmental intervention in the provision of health care, including genetic services, are at the heart of the bioethical dilemmas in Latin America. It is not surprising, therefore, that bioethics in the region has developed an approach grounded in social justice, equity and human rights as guiding principles, in contrast to the individualism espoused by Anglo-Saxon bioethics. The main ethical issues identified in genetics in Latin America are (1) inequity in access to genetic services, particularly in prenatal diagnosis, (2) genetic discrimination and (3) the lack of adherence to internationally accepted requisites of clinical validity and utility for diagnostic and predictive genetic testing. In this context, there is a risk that the impressive advances in genetics/genomics occurring in developed countries may fail to improve the public's health and deepen inequity, with the implementation of expensive genetic technologies of unproven validity. PMID:25666434

  18. 77 FR 24685 - Proposed Information Collection; Comment Request; Client Focus Groups and Qualitative Interviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... . SUPPLEMENTARY INFORMATION: I. Abstract The International Trade Administration's U.S. Commercial Service (CS) is... products and services to global markets. As part of its mission, the CS uses ``Quality Assurance Surveys... Surveys, the CS uses client focus groups as a mechanism to obtain further client feedback and...

  19. 78 FR 48722 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Focus...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... published in the Federal Register on January 22, 2013 (78 FR 4458). This proposed information collection is... new ICR seeks OMB approval to conduct a survey and an experiment on participants in an existing household American Life Panel (ALP) via the Internet and to conduct four focus groups of non-panel...

  20. 78 FR 38993 - Agency Information Collection Activities: Proposed Collection; Comment Request; Focus Groups...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... labeling, online sales of medical products, and consumer and professional education. Annually, FDA projects... and Research, Office of the Commissioner, and any other Centers or Offices conducting focus groups... defined need for direct and informal opinion on a specific topic and as a qualitative research tool...

  1. Development of Information Security-Focused Incident Prevention Measures for Critical Information Infrastructure in Japan

    NASA Astrophysics Data System (ADS)

    Kobayashi, Hideaki; Watanabe, Kenji; Watanabe, Takahito; Nagayasu, Yukinobu

    In recent years, the dilemma of cyber attacks by malicious third parties targeting security vulnerabilities in information and communication systems has emerged, resulting in security incidents. This situation suggests that the establishment of proactive efforts and recurrence prevention measures are becoming imperative, especially in critical infrastructure sectors.This paper provides an analysis of 58 security incident cases, which occurred in critical infrastructures worldwide and were published in media. The purpose of the analysis is to conclude to a valid list of recurrence prevention measures that constitute good practices.

  2. 45 CFR 164.526 - Amendment of protected health information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS SECURITY AND PRIVACY Privacy of Individually Identifiable Health Information §...

  3. Internet Use for Health Information among College Students.

    ERIC Educational Resources Information Center

    Escoffery, Cam; Miner, Kathleen R.; Adame, Daniel D.; Butler, Susan; McCormick, Laura; Mendell, Elizabeth

    2005-01-01

    Use of the Internet to retrieve health information is increasingly common. The authors surveyed 743 undergraduate students at 2 academic institutions to examine their Internet use, health-seeking behaviors, and attitudes related to the use of the Internet to obtain health information. Fifty-three percent of the respondents indicated that they…

  4. Completely Isolated? Health Information Seeking among Social Isolates

    ERIC Educational Resources Information Center

    Askelson, Natoshia M.; Campo, Shelly; Carter, Knute D.

    2011-01-01

    To better target messages it is important to determine where people seek their health information. Interpersonal networks are a common way most people gather health information, but some people have limited networks. Using data from the 2004 General Social Survey (N = 984), we compared social isolates and nonisolates in their health

  5. 45 CFR 164.526 - Amendment of protected health information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS SECURITY AND PRIVACY Privacy of Individually Identifiable Health Information ...

  6. 45 CFR 164.526 - Amendment of protected health information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS SECURITY AND PRIVACY Privacy of Individually Identifiable Health Information ...

  7. Climate change and environmental impacts on maternal and newborn health with focus on Arctic populations

    PubMed Central

    Rylander, Charlotta; Odland, Jon Ø.; Sandanger, Torkjel M.

    2011-01-01

    Background In 2007, the Intergovernmental Panel on Climate Change (IPCC) presented a report on global warming and the impact of human activities on global warming. Later the Lancet commission identified six ways human health could be affected. Among these were not environmental factors which are also believed to be important for human health. In this paper we therefore focus on environmental factors, climate change and the predicted effects on maternal and newborn health. Arctic issues are discussed specifically considering their exposure and sensitivity to long range transported contaminants. Methods Considering that the different parts of pregnancy are particularly sensitive time periods for the effects of environmental exposure, this review focuses on the impacts on maternal and newborn health. Environmental stressors known to affects human health and how these will change with the predicted climate change are addressed. Air pollution and food security are crucial issues for the pregnant population in a changing climate, especially indoor climate and food security in Arctic areas. Results The total number of environmental factors is today responsible for a large number of the global deaths, especially in young children. Climate change will most likely lead to an increase in this number. Exposure to the different environmental stressors especially air pollution will in most parts of the world increase with climate change, even though some areas might face lower exposure. Populations at risk today are believed to be most heavily affected. As for the persistent organic pollutants a warming climate leads to a remobilisation and a possible increase in food chain exposure in the Arctic and thus increased risk for Arctic populations. This is especially the case for mercury. The perspective for the next generations will be closely connected to the expected temperature changes; changes in housing conditions; changes in exposure patterns; predicted increased exposure to Mercury because of increased emissions and increased biological availability. Conclusions A number of environmental stressors are predicted to increase with climate change and increasingly affecting human health. Efforts should be put on reducing risk for the next generation, thus global politics and research effort should focus on maternal and newborn health. PMID:22084626

  8. Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

    ERIC Educational Resources Information Center

    Ghaddar, Suad F.; Valerio, Melissa A.; Garcia, Carolyn M.; Hansen, Lucy

    2012-01-01

    Background: Little research has examined adolescent health literacy and its relationship with online health information sources. The purpose of this study is to explore health literacy among a predominantly Hispanic adolescent population and to investigate whether exposure to a credible source of online health information, MedlinePlus[R], is

  9. Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

    ERIC Educational Resources Information Center

    Ghaddar, Suad F.; Valerio, Melissa A.; Garcia, Carolyn M.; Hansen, Lucy

    2012-01-01

    Background: Little research has examined adolescent health literacy and its relationship with online health information sources. The purpose of this study is to explore health literacy among a predominantly Hispanic adolescent population and to investigate whether exposure to a credible source of online health information, MedlinePlus[R], is…

  10. Development and pretesting of an information, education and communication (IEC) focused antenatal care handbook in Pakistan

    PubMed Central

    2011-01-01

    Background Improvement of maternal morbidity and mortality indicators remains a major challenge for developing countries. Antenatal care is one of the key strategies in maintaining safe motherhood. The objective of this study was to develop and pretest a culturally relevant Antenatal Care Handbook (ANC handbook) utilizing the principles of information, education, and communication (IEC). We developed the ANC handbook after an extensive review of existing literature, available instruments (for keeping track of pregnancy and informing pregnant women), and seeking expert opinion. To pretest the ANC handbook, a cross-sectional approach was adopted, and information was collected from 300 expectant women, 150 women each from the community and from the health facility arm. Trained field workers conducted the pretesting from May 2004 to June 2004. Feedback on messages for pregnant mothers contained in the handbook was also assessed. At the same time, the ANC handbook was reviewed by 25 health care providers (including community health workers, physicians, nurses, and other health staff working at various kinds of health care facilities). Data were analyzed using both quantitative and qualitative methods. Findings Twenty-three percent of the interviewed women were primigravida, 50% were multigravida and 27% were grandmultipara. The mean age of the women in the community sample was 25.8 SD: 4.9 years and in the hospital sample it was 25.7 SD: 5.2 years. No significant differences were observed between women interviewed at community or health facilities related to their understanding of ANC messages, and the majority of messages were well understood. Similarly, health care providers found all of the instruments useful and workable in the health system. Finally, feedback from pregnant women and health care staff regarding different components of the handbook were incorporated and later verified by them. Conclusions Findings of pretesting reveal that a majority of pregnant women have an understanding of the culturally relevant ANC handbook. The handbook was found to be practical by healthcare paraprofessionals and community workers for use in different tiers of the health care system in Pakistan. The ANC handbook can be applied in the health service sector of Pakistan and can be adopted with relevant cultural modifications by countries with a similar context. PMID:21450064

  11. Internet embeddedness: links with online health information seeking, expectancy value/quality of health information websites, and Internet usage patterns.

    PubMed

    Leung, Louis

    2008-10-01

    To see how the Internet is actually embedded in our lives, this exploratory study examines how Internet users search the Web for important information, especially health or medical information, to make critical decisions, and the perception of how intimately our lives are embedded in the Internet intersects with patterns of health information seeking online and the expected quality of health information websites. Data from a probability sample of 569 Internet users found four types of commonly sought health information clusters online which included information on (a) health improvement, (b) medical treatment, (c) family health, and (d) health issues that are difficult to talk about. Results also show that behavior or behavioral intentions in health information seeking are in fact either a function of value expectancy or the evaluation of health information websites. More importantly, people who often go to the Internet for health information and have high expectations of the value and quality of health information websites (especially in terms of reliability, relevance/context, and interaction) tend to be those who are more likely to perceive the Internet as playing an important role in life decisions or rate the Internet as more embedded in their lives. PMID:18771393

  12. Sharing Health Information and Influencing Behavioral Intentions: The Role of Health Literacy, Information Overload, and the Internet in the Diffusion of Healthy Heart Information.

    PubMed

    Crook, Brittani; Stephens, Keri K; Pastorek, Angie E; Mackert, Michael; Donovan, Erin E

    2016-01-01

    Low health literacy remains an extremely common and problematic issue, given that individuals with lower health literacy are more likely to experience health challenges and negative health outcomes. In this study, we use the first three stages of the innovation-decision process found in the theory of diffusion of innovations (Rogers, 2003). We incorporate health literacy into a model explaining how perceived health knowledge, information sharing, attitudes, and behavior are related. Results show that health information sharing explains 33% of the variance in behavioral intentions, indicating that the communicative practice of sharing information can positively impact health outcomes. Further, individuals with high health literacy tend to share less information about heart health than those with lower health literacy. Findings also reveal that perceived heart-health knowledge operates differently than health literacy to predict health outcomes. PMID:25668744

  13. The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system

    PubMed Central

    2013-01-01

    Background Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities in Africa, equitable access and quality of care remain a challenge. Utilization for many services proven to reduce child and maternal mortality is unacceptably low. Tanzanian policy initiatives have sought to address these problems by proposing expansion of community-based providers, but the Ministry of Health and Social Welfare (MoHSW ) lacks evidence that this merits national implementation. The Tanzania Connect Project is a randomized cluster trial located in three rural districts with a population of roughly 360,000 ( Kilombero, Rufiji, and Ulanga). Description of intervention Connect aims to test whether introducing a community health worker into a general program of health systems strengthening and referral improvement will reduce child mortality, improve access to services, expand utilization, and alter reproductive, maternal, newborn and child health seeking behavior; thereby accelerating progress towards Millennium Development Goals 4 and 5. Connect has introduced a new cadre Community Health Agents (CHA) who were recruited from and work in their communities. To support the CHA, Connect developed supervisory systems, launched information and monitoring operations, and implemented logistics support for integration with existing district and village operations. In addition, Connects district-wide emergency referral strengthening intervention includes clinical and operational improvements. Evaluation design Designed as a community-based cluster-randomized trial, CHA were randomly assigned to 50 of the 101 villages within the Health and Demographic Surveillance System (HDSS) in the three study districts. To garner detailed information on household characteristics, behaviors, and service exposure, a random sub-sample survey of 3,300 women of reproductive age will be conducted at the baseline and endline. The referral system intervention will use baseline, midline, and endline facility-based data to assess systemic changes. Implementation and impact research of Connect will assess whether and how the presence of the CHA at village level provides added life-saving value to the health system. Discussion Global commitment to launching community-based primary health care has accelerated in recent years, with much of the implementation focused on Africa. Despite extensive investment, no program has been guided by a truly experimental study. Connect will not only address Tanzanias need for policy and operational research, it will bridge a critical international knowledge gap concerning the added value of salaried professional community health workers in the context of a high density of fixed facilities. Trial registration: ISRCTN96819844 PMID:23819587

  14. Linking primary care information systems and public health information networks: lessons from the Philippines.

    PubMed

    Tolentino, Herman; Marcelo, Alvin; Marcelo, Portia; Maramba, Inocencio

    2005-01-01

    Community-based primary care information systems are one of the building blocks for national health information systems. In the Philippines, after the devolution of health care to local governments, we observed "health information system islands" connected to national vertical programs being implemented in devolved health units. These structures lead to a huge amount of "information work" in the transformation of health information at the community level. This paper describes work done to develop and implement the open-source Community Based Health Information Tracking System (CHITS) Project, which was implemented to address this information management problem and its outcomes. Several lessons learned from the field as well as software development strategies are highlighted in building community level information systems that link to national level health information systems. PMID:16160381

  15. Informal electronic waste recycling: A sector review with special focus on China

    SciTech Connect

    Chi Xinwen; Streicher-Porte, Martin; Wang, Mark Y.L.; Reuter, Markus A.

    2011-04-15

    Informal recycling is a new and expanding low cost recycling practice in managing Waste Electrical and Electronic Equipment (WEEE or e-waste). It occurs in many developing countries, including China, where current gaps in environmental management, high demand for second-hand electronic appliances and the norm of selling e-waste to individual collectors encourage the growth of a strong informal recycling sector. This paper gathers information on informal e-waste management, takes a look at its particular manifestations in China and identifies some of the main difficulties of the current Chinese approach. Informal e-waste recycling is not only associated with serious environmental and health impacts, but also the supply deficiency of formal recyclers and the safety problems of remanufactured electronic products. Experiences already show that simply prohibiting or competing with the informal collectors and informal recyclers is not an effective solution. New formal e-waste recycling systems should take existing informal sectors into account, and more policies need to be made to improve recycling rates, working conditions and the efficiency of involved informal players. A key issue for China's e-waste management is how to set up incentives for informal recyclers so as to reduce improper recycling activities and to divert more e-waste flow into the formal recycling sector.

  16. Health Problems with the Use of Information Technologies

    ERIC Educational Resources Information Center

    Gunduz, Semseddin

    2007-01-01

    The rapid and correct performance of computers, when accompanied by human skills, will lead to greater gains in productivity. This study focuses on the possible risks of computer use in terms of human health, rather than on the countless beneficial effects of its use on the issue of health. Health problems caused by inappropriate or inadequate use…

  17. Health literacy and informed decision making regarding colorectal cancer screening: a systematic review.

    PubMed

    van der Heide, Iris; Uiters, Ellen; Jantine Schuit, A; Rademakers, Jany; Fransen, Mirjam

    2015-08-01

    Making an informed decision about participation in colorectal cancer (CRC) screening may be challenging for invitees with lower health literacy skills. The aim of this systematic review is to explore to what extent the level of a person's health literacy is related to their informed decision making concerning CRC screening. We searched for peer-reviewed studies published between 1950 and May 2013 in MEDLINE, EMBASE, SciSearch and PsycINFO. Studies were included when health literacy was studied in relation to concepts underpinning informed decision making (awareness, risk perception, perceived barriers and benefits, knowledge, attitude, deliberation). The quality of the studies was determined and related to the study results. The search returned 2254 papers. Eight studies in total were included, among which seven focused on knowledge, four focused on attitudes or beliefs concerning CRC screening, and one focused on risk perception. The studies found either no association or a positive association between health literacy and concepts underpinning informed decision making. Some studies showed that higher health literacy was associated with more CRC screening knowledge and a more positive attitude toward CRC screening. The results of studies that obtained a lower quality score were no different than studies that obtained a higher quality score. In order to obtain more insight into the association between health literacy and informed decision making in CRC cancer screening, future research should study the multiple aspects of informed decision making in conjunction instead of single aspects. PMID:25733553

  18. Health-Information Sources for Kenyan Adolescents: Implications for Continuing HIV/AIDS Control and Prevention in Sub-Saharan Africa.

    ERIC Educational Resources Information Center

    Pratt, Cornelius B.; Obeng-Quaidoo, Isaac; Okigbo, Charles; James, E. Lincoln

    2000-01-01

    Surveyed and conducted focus groups with Kenyan adolescents to investigate their health information sources, focusing on sexually transmitted diseases (STDs), particularly HIV/AIDS. Respondents relied most heavily on health clinics for information on STDs, their most common health problem. Those with high knowledge of contraceptives were more…

  19. The relationship between health information sources and mental models of cancer: findings from the 2005 Health Information National Trends Survey.

    PubMed

    Kealey, Edith; Berkman, Cathy S

    2010-01-01

    This study used data from the 2005 Health Information National Trends Survey, a national sample of U.S. households (N=5,586), to (1) explore the extent to which specific sources of health information are associated with certain beliefs about cancer; and (2) examine whether the relationship between health information sources and beliefs about cancer is moderated by psychological distress. Health information on the local news was associated with greater ambiguity about cancer prevention recommendations (OR 1.22, 95% CI 1.02-1.46, p<.05), while less ambiguity was associated with cancer-specific information (OR 0.81, 95% CI 0.69-0.94, p<.05), health information in the newspaper (OR 0.82, 95% CI 0.69-0.97, p<.05), and health information on the Internet (OR 0.71, 95% CI 0.61-0.84, p<.001). Health information on the local news was also associated with lower likelihood of higher perceived relative risk of cancer (OR 0.67, 95% CI 0.52-0.86, p<.01). No source of information was associated with the belief that cancer is primarily caused by behavior/lifestyle factors. Psychological distress greatly increased the optimistic bias of those who read health information in the news (OR 3.68, 95% CI 1.69-8.03, p<.001) but had no other moderating effect. Findings suggest that information seeking using active channels of health information decreases ambiguity and corrects for optimistic bias. PMID:21154096

  20. Sources of Health Information Related to Preventive Health Behaviors in a National Study

    PubMed Central

    Redmond, Nicole; Baer, Heather J.; Clark, Cheryl R.; Lipsitz, Stuart; Hicks, LeRoi S.

    2010-01-01

    Objective Current literature suggests that certain sources of information are used in varying degrees among different socioeconomic and demographic groups; therefore, it is important to determine if specific classes of health information sources are more effective than others in promoting health behaviors. Purpose To determine if interpersonal versus mass media sources of health information are associated with meeting recommendations for health behaviors (nonsmoking, fruit/vegetable intake, and exercise) and cancer screening. Methods Multivariable logistic regression models were used to examine the relationship of health information sources (mass media sources including print, TV, Internet; and interpersonal sources including friends and family, community organizations, and healthcare providers); with meeting recommendations for healthy behaviors and cancer screening in the 2005 and 2007 Health Information National Trends Surveys (HINTS). Analyses were conducted in 2009. Results In the 2005 HINTS, participants reporting use of print media and community organizations as sources of health information over the past year were mostly likely to meet recommendations for health behaviors. In the 2007 HINTS, utilization of healthcare providers for health information was associated with meeting recommendations for health behaviors, particularly cancer screening. Conclusions Use of print media and interpersonal sources of health information are most consistently associated with self-reported health behaviors. Additional research should explore the relationship of health information sources to clinical outcomes. Social network interventions to promote adoption of health behaviors should be further developed. PMID:20494238

  1. Management of Overweight during Childhood: A Focus Group Study on Health Professionals' Experiences in General Practice.

    PubMed

    Larsen, Lone Marie; Ledderer, Loni; Jarbl, Dorte Ejg

    2015-01-01

    Background. Because of the increasing prevalence of overweight and obesity in childhood in the Western world, focus on the management in general practice has also increased. Objective. To explore the experiences of general practitioners (GPs) and practice nurses participating in a randomised controlled trial (RCT) comparing two management programmes in general practice for children who are overweight or obese. Methods. Three focus groups with GPs and nurses participating in the RCT. Transcribed data were analysed using systematic text condensation followed by thematic analysis. Results. Health professionals considered it their responsibility to offer a management programme to overweight children. They recognised that management of overweight during childhood was a complex task that required an evidence-based strategy with the possibility of supervision. Health professionals experienced a barrier to addressing overweight in children. However, increasing awareness of obesity in childhood and its consequences in society was considered helpful to reach an understanding of the articulations concerning how best to address the issue. Conclusions. Health professionals in general practice recognised that they have a special obligation, capacity, and role in the management of obesity in childhood. Implementation of future management programmes must address existing barriers beyond an evidence-based standardised strategy. PMID:26236505

  2. Health effects of carbon-containing particulate matter: focus on sources and recent research program results.

    PubMed

    Rohr, Annette; McDonald, Jacob

    2016-02-01

    Air pollution is a complex mixture of gas-, vapor-, and particulate-phase materials comprised of inorganic and organic species. Many of these components have been associated with adverse health effects in epidemiological and toxicological studies, including a broad spectrum of carbonaceous atmospheric components. This paper reviews recent literature on the health impacts of organic aerosols, with a focus on specific sources of organic material; it is not intended to be a comprehensive review of all the available literature. Specific emission sources reviewed include engine emissions, wood/biomass combustion emissions, biogenic emissions and secondary organic aerosol (SOA), resuspended road dust, tire and brake wear, and cooking emissions. In addition, recent findings from large toxicological and epidemiological research programs are reviewed in the context of organic PM, including SPHERES, NPACT, NERC, ACES, and TERESA. A review of the extant literature suggests that there are clear health impacts from emissions containing carbon-containing PM, but difficulty remains in apportioning responses to certain groupings of carbonaceous materials, such as organic and elemental carbon, condensed and gas phases, and primary and secondary material. More focused epidemiological and toxicological studies, including increased characterization of organic materials, would increase understanding of this issue. PMID:26635181

  3. Management of Overweight during Childhood: A Focus Group Study on Health Professionals' Experiences in General Practice

    PubMed Central

    Larsen, Lone Marie; Ledderer, Loni; Jarbl, Dorte Ejg

    2015-01-01

    Background. Because of the increasing prevalence of overweight and obesity in childhood in the Western world, focus on the management in general practice has also increased. Objective. To explore the experiences of general practitioners (GPs) and practice nurses participating in a randomised controlled trial (RCT) comparing two management programmes in general practice for children who are overweight or obese. Methods. Three focus groups with GPs and nurses participating in the RCT. Transcribed data were analysed using systematic text condensation followed by thematic analysis. Results. Health professionals considered it their responsibility to offer a management programme to overweight children. They recognised that management of overweight during childhood was a complex task that required an evidence-based strategy with the possibility of supervision. Health professionals experienced a barrier to addressing overweight in children. However, increasing awareness of obesity in childhood and its consequences in society was considered helpful to reach an understanding of the articulations concerning how best to address the issue. Conclusions. Health professionals in general practice recognised that they have a special obligation, capacity, and role in the management of obesity in childhood. Implementation of future management programmes must address existing barriers beyond an evidence-based standardised strategy. PMID:26236505

  4. What constitutes an excellent allied health care professional? A multidisciplinary focus group study

    PubMed Central

    Paans, Wolter; Wijkamp, Inge; Wiltens, Egbert; Wolfensberger, Marca V

    2013-01-01

    Background Determining what constitutes an excellent allied health care professional (AHCP) is important, since this is what will guide the development of curricula for training future physical therapists, oral hygienists, speech therapists, diagnostic radiographers, and dietitians. This also determines the quality of care. Aim To describe perspectives of AHCPs on which characteristics are commonly associated with an excellent AHCP. Methods AHCPs perspectives were derived from three focus group discussions. Twenty-one health care professionals participated. The final analysis of the focus group discussions produced eight domains, in which content validity was obtained through a Delphi panel survey of 27 contributing experts. Results According to the survey, a combination of the following characteristics defines an excellent AHCP: (1) cognizance, to obtain and to apply knowledge in a broad multidisciplinary health care field; (2) cooperativity, to effectively work with others in a multidisciplinary context; (3) communicative, to communicate effectively at different levels in complex situations; (4) initiative, to initiate new ideas, to act proactively, and to follow them through; (5) innovative, to devise new ideas and to implement alternatives beyond current practices; (6) introspective, to self-examine and to reflect; (7) broad perspective, to capture the big picture; and (8) evidence-driven, to find and to use scientific evidence to guide ones decisions. Conclusion The AHCPs perspectives can be used as a reference for personal improvement for supervisors and professionals in clinical practice and for educational purposes. These perspectives may serve as a guide against which talented students can evaluate themselves. PMID:24049449

  5. How to Keep Your Health Information Private and Secure

    MedlinePLUS

    ... and Secure There are laws that protect the privacy of your health information held by those who ... the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules. These are federal laws that ...

  6. Media complementarity and health information seeking in Puerto Rico.

    PubMed

    Tian, Yan; Robinson, James D

    2014-01-01

    This investigation incorporates the Orientation1-Stimulus-Orientation2-Response model on the antecedents and outcomes of individual-level complementarity of media use in health information seeking. A secondary analysis of the Health Information National Trends Survey Puerto Rico data suggests that education and gender were positively associated with individual-level media complementarity of health information seeking, which, in turn, was positively associated with awareness of health concepts and organizations, and this awareness was positively associated with a specific health behavior: fruit and vegetable consumption. This study extends the research in media complementarity and health information use; it provides an integrative social psychological model empirically supported by the Health Information National Trends Survey Puerto Rico data. PMID:24377383

  7. Health, sport and nutritional information: tailoring your approach.

    PubMed

    Grant, Maria J

    2012-06-01

    One of the intended legacies of the London 2012 Olympics is to increase the level of physical activity amongst the general population. Health information on the positive health benefits of sport and nutrition can assist in this goal and its positive benefit can been seen in communities within and beyond the United Kingdom, particularly within an educational context. In the United States, young people view their teachers as a valuable source of health information, and in Taiwan, teachers have been key collaborators in the development of a national Health e-Learning Network providing multimedia-learning modules for use in the classroom. However, classrooms are not the only source of health information and, with the reported inaccuracies in the translation of health information from academic papers to the popular press, school librarians have a role to play in facilitating students' ability to assess the quality of the health information they access, whatever the source. PMID:22630357

  8. Comparing Information Needs of Health Care Providers and Older Adults: Findings from a Wellness Study

    PubMed Central

    Reeder, Blaine; Le, Thai; Thompson, Hilaire J.; Demiris, George

    2015-01-01

    Consumer health informatics technologies have the potential to enhance shared decision-making and communication between older adults, health care providers, and other stakeholders. The objective of this study was to characterize the information needs of these stakeholders to inform the design of informatics tools that support wellness in older adults. We conducted four focus groups with 31 older adults and three focus groups with 10 health care providers to explore information needs, goals, and preferences for information sharing. Analysis of focus group transcripts was performed to identify and compare themes for different stakeholders. We identified four themes related to information activities: perceived goals of others, perceived information needs of others, information sharing by older adults, and role of family members. Older adults, family members and health care providers differ in their information needs. We provide recommendations to facilitate design and adoption of informatics tools that connect these stakeholders. Larger studies are needed to characterize different stakeholder goals, information needs and preferences. PMID:23920507

  9. Optimizing the efficacy of multimedia consumer health information.

    PubMed

    Monkman, Helen; Kushniruk, Andre W

    2015-01-01

    Using two or more communication methods (e.g., text, narration, pictures, animation, video) is known as multimedia. Multimedia has been used in a broad range of domains. Not surprisingly, multimedia is gaining popularity in the field of consumer health information as its benefits are being recognized. However, there is a large body of evidence in the cognitive literature that could be used to inform and optimize multimedia presentation of consumer health information. This paper outlines the Cognitive Theory of Multimedia Learning (CTML) and presents the application of this model for consumer health informatics. The CTML is a valuable resource for the development and revision of consumer health information to optimize its efficacy. Current research on multimedia and consumer health information is described. Finally, the outstanding opportunities to leverage the CTML for consumer health information are discussed. PMID:25676989

  10. A decade devoted to improving online health information quality.

    PubMed

    Boyer, Celia; Geissbuhler, Antoine

    2005-01-01

    Created in 1995 in response to consumer enthusiasm for the World Wide Web, Health On the Net FoundationHealth On the Net Foundation: http://www.healthonnet.org/ has developed solutions to address the problem of potentially dangerous online health and medical information. Then as now, no international legal framework regulated online content, and consumers needed to be given the means to check the reliability and the relevance of health information [[1

  11. How health information is received by diabetic patients?

    PubMed Central

    Zare-Farashbandi, Firoozeh; Lalazaryan, Anasik; Rahimi, Alireza; Zadeh, Akbar Hassan

    2015-01-01

    Background: Knowledge of correct information-seeking behavior by the patients can provide health specialists and health information specialists with valuable information in improving health care. This study aimed to investigate the passive receipt and active seeking of health information by diabetic patients. Materials and Methods: A survey method was used in this research on 6426 diabetic patients of whom 362 patients were selected by a no percentage stratified random sampling. The Longo information-seeking behavior questionnaire was used to collect data and they were analyzed by SPSS 20 software. Results: The most common information source by diabetic patients was practitioners (3.12). The minimum usage among the information sources were from charity organizations and emergency phone lines with a usage of close to zero. The amount of health information gained passively from each source has the lowest average of 4.18 and usage of this information in making health decision has the highest average score of 5.83. Analysis of the data related to active seeking of information showed that knowledge of available medical information from each source has the lowest average score of 3.95 and ability in using the acquired information for making medical decisions has the highest average score of 5.28. The paired t-test showed that differences between passive information receipt (41.68) and active information seeking (39.20) considered as statistically significant (P < 0.001). Conclusion: Because diabetic patients are more passive information receivers than active information seekers, the health information must be distributed by passive means to these patients. In addition, information-seeking behavior during different time periods should be investigated; to identify more effective distribution of health information. PMID:26261828

  12. Primary care providers' sources and preferences for cognitive health information in the United States.

    PubMed

    Warren-Findlow, Jan; Price, Anna E; Hochhalter, Angela K; Laditka, James N

    2010-12-01

    In most countries, physicians and other health-care providers play key roles in promoting health. Accumulating scientific evidence suggests that providers may soon want to include cognitive health among the areas they promote. Cognitive health is the maintenance of cognitive abilities that enable social connectedness, foster a sense of purpose, promote independent living, allow recovery from illness or injury and promote effective coping with functional deficits. The US Centers for Disease Control and Prevention has established health promotion about cognitive health as a policy priority, with health providers included as one key group to participate in this effort. This study presents results from focus groups and interviews with primary care physicians (n = 28) and midlevel health-care providers (physician assistants and nurse practitioners, n = 21) in three states of the US. Providers were asked about their sources of information on cognitive health and for their ideas on how best to communicate with primary care providers about research on cognitive health. In results, providers cited online sources, popular media and continuing medical education as their most common sources of information about cognitive health. Popular media sources were used both proactively and reactively to respond to patient inquiries. Differences in sources of information were noted for physicians as compared with midlevel providers, and for rural and urban providers. Several potential ways to disseminate information about cognitive health were identified. Effective messaging is likely to require multiple strategies to reach diverse groups of primary care providers, and to include continuing medical education. PMID:20624751

  13. Public Health Information and a Diverse Population.

    ERIC Educational Resources Information Center

    Perkins, Mark

    This paper discusses public health services of the Secretariat of the Pacific Community (SPC). The paper provides an overview of SPC and the Pacific Islands, including geography, nationality/culture, and development status. SPC Community Health Programmes (CHP) in the following areas are then described: environmental health; AIDS and STD (sexually…

  14. Health Information Search and Retirement Planning

    ERIC Educational Resources Information Center

    Carr, Nicholas A.; Sages, Ronald A.; Fernatt, Frederick R.; Nabeshima, George G.; Grable, John E.

    2015-01-01

    Prior research has found a relationship between the health habits of individuals and their financial well-being. Little research has been conducted, however, to explore the nature of the health-wealth connection. The purpose of this study was to explore and test the association of physical health behaviors, namely exercise and diet, and health…

  15. Women Empowerment through Health Information Seeking: A Qualitative Study

    PubMed Central

    Nikbakht Nasrabadi, Alireza; Sabzevari, Sakineh; Negahban Bonabi, Tayebeh

    2015-01-01

    Background Today, women empowering is an important issue. Several methods have been introduced to empower women. Health information seeking is one of the most important activities in this regard. A wide range of capabilities have been reported as outcomes of health information seeking in several studies. As health information seeking is developed within personal-social interactions and also the health system context, it seems that the qualitative paradigm is appropriate to use in studies in this regard. This study aimed to explore how womens empowerment through health information seeking is done. Methods In this qualitative content analysis study, data collection was done with regard to inclusion criteria, through purposive sampling by semi-structured interviews with 17 women and using documentation and field notes until data saturation. Qualitative data analysis was done constantly and simultaneous with data collection. Results Four central themes were emerged to explain womens empowerment through health information seeking that included: a) Health concerns management with three subcategories of Better coping, Stress management, Control of situation, b) Collaborative care with two subcategories of Effective interaction with health professions and Participation in health decision making c) Individual development d) Self-protection with four sub- categories of Life style modification, Preventive behaviors promoting, Self-care promoting, and medication adherence. Conclusion The results of this study indicate the importance of women empowerment through foraging their health information seeking rights and comprehensive health information management. PMID:26005690

  16. Focusing National Institutes of Health HIV/AIDS research for maximum population impact.

    PubMed

    Walensky, Rochelle P; Auerbach, Judith D

    2015-03-15

    Progress in advancing research on the pathophysiology, prevention, treatment, and impact of human immunodeficiency virus (HIV) is threatened by the decaying purchasing power of National Institutes of Health (NIH) dollars. A working group of the NIH Office of AIDS Research Advisory Council was charged by the NIH Director with developing a focused and concise blueprint to guide the use of limited funding over the next few years. Science priorities outlined by the working group and reported here are intended to maximally address individuals, groups, and settings most affected by the epidemic, and to redress shortcomings in realizing population-level HIV prevention, treatment, and eradication goals. Optimizing these priorities requires that traditional silos--defined by topic focus and by scientific discipline--be dissolved and that structural issues affecting the pipeline of new investigators and the ability of the Office of AIDS Research to fulfill its role of steward of the NIH HIV/AIDS research program be directly addressed. PMID:25422391

  17. Maternal health issues and cardio-metabolic outcomes in the offspring: a focus on Indigenous populations.

    PubMed

    Wicklow, Brandy A; Sellers, Elizabeth A C

    2015-01-01

    Non-communicable diseases (NCDs) including diabetes, obesity and cardiovascular disease are the leading causes of death worldwide. Indigenous populations are disproportionally affected. In an effort to halt the increasing disease burden, the mechanisms underlying the increasing rate of NCDs are an important area of study. Recent evidence has focused on the perinatal period as an influential period impacting the future cardio-metabolic health of the offspring. This concept has been defined as metabolic foetal programming and supports the importance of the developmental origins of health and disease in research and clinical practice, specifically in prevention efforts to protect future generations from NCDs. An understanding of the underlying mechanisms involved is not clear as of yet. However, an understanding of these mechanisms is imperative in order to plan effective intervention strategies. As much of the discussion below is gleaned from large epidemiological studies and animal studies, further research with prospective cohorts is necessary. PMID:25238683

  18. Focusing on psychiatric patients’ strengths: A new vision on mental health care in Iran

    PubMed Central

    Zargham-Boroujeni, Ali; Maghsoudi, Jahangir; Oreyzi, Hamid Reza

    2015-01-01

    Background: Identifying and using the strengths of patients, in practice, is a new territory. Today, the need to educate nurses and psychiatric patients about positive psychology in practice and the importance of understanding and focusing on strengths is clear. However, little is known about the strengths the psychiatric patients use and experience. Thus, this study has been designed and conducted in order to understand how people with psychiatric disorders demonstrate their strengths. Materials and Methods: In the present study, 13 semi-structured, qualitative interviews with patients and 2 focus groups with nurses were carried out. In addition, a qualitative content analysis was used to identify significant strengths. Results: Based on the results, the four main strengths consisted of: Finding a meaning in daily living, work as enduring strength, entertaining activities, and positive relationship. Patients also reported that health care providers rarely focused on patients’ strengths, and experts confirmed these findings. Our findings indicate that patients’ own strengths are a pivotal factor in getting through their illness from their perspective. Conclusions: Despite the enduring legacy of pessimism regarding psychiatric patients, these people have a repertoire of strengths. Nurses should, therefore, have a greater focus on eliciting and nourishing psychiatric patients’ strengths in their care. It is suggested that the theoretical and practical aspects of patients’ strengths be incorporated in nursing school curricula. PMID:26120334

  19. Functional Status and Health Information in Canada: Proposals and Prospects

    PubMed Central

    Bickenbach, Jerome E.

    2003-01-01

    The primary obstacle to evidence-based health care quality assessment in Canada is reliable data on health encounters and episodes of care. The recent Federal/Provincial Health Accord will enhance health data collection, including standardized functional status information (FSI) for administrative records. Canadian health policy developers also agree that FSI is needed to bridge data gaps since alterations in functional status create the continuity that links all episodes of care and health service utilization. Given Canada's universal, single-payer, health financing structure, the prospects for coherent and systemwide data collection are good. This article describes the Canadian health care from the perspective of health information, and surveys proposals in electronic health technology development, the obstacles that need to be faced, and the prospects of doing so. PMID:12894637

  20. Towards Web-based representation and processing of health information

    PubMed Central

    Gao, Sheng; Mioc, Darka; Yi, Xiaolun; Anton, Francois; Oldfield, Eddie; Coleman, David J

    2009-01-01

    Background There is great concern within health surveillance, on how to grapple with environmental degradation, rapid urbanization, population mobility and growth. The Internet has emerged as an efficient way to share health information, enabling users to access and understand data at their fingertips. Increasingly complex problems in the health field require increasingly sophisticated computer software, distributed computing power, and standardized data sharing. To address this need, Web-based mapping is now emerging as an important tool to enable health practitioners, policy makers, and the public to understand spatial health risks, population health trends and vulnerabilities. Today several web-based health applications generate dynamic maps; however, for people to fully interpret the maps they need data source description and the method used in the data analysis or statistical modeling. For the representation of health information through Web-mapping applications, there still lacks a standard format to accommodate all fixed (such as location) and variable (such as age, gender, health outcome, etc) indicators in the representation of health information. Furthermore, net-centric computing has not been adequately applied to support flexible health data processing and mapping online. Results The authors of this study designed a HEalth Representation XML (HERXML) schema that consists of the semantic (e.g., health activity description, the data sources description, the statistical methodology used for analysis), geometric, and cartographical representations of health data. A case study has been carried on the development of web application and services within the Canadian Geospatial Data Infrastructure (CGDI) framework for community health programs of the New Brunswick Lung Association. This study facilitated the online processing, mapping and sharing of health information, with the use of HERXML and Open Geospatial Consortium (OGC) services. It brought a new solution in better health data representation and initial exploration of the Web-based processing of health information. Conclusion The designed HERXML has been proven to be an appropriate solution in supporting the Web representation of health information. It can be used by health practitioners, policy makers, and the public in disease etiology, health planning, health resource management, health promotion and health education. The utilization of Web-based processing services in this study provides a flexible way for users to select and use certain processing functions for health data processing and mapping via the Web. This research provides easy access to geospatial and health data in understanding the trends of diseases, and promotes the growth and enrichment of the CGDI in the public health sector. PMID:19159445

  1. Surfing for health: user evaluation of a health information website. Part one: Background and literature review.

    PubMed

    Williams, Peter; Nicholas, David; Huntington, Paul; McLean, Fiona

    2002-06-01

    The Government in Britain is set on using the Internet to expand the provision of health information to the general public. Concerns over the quality of the health information have preoccupied commentators and organizations rather than the way users interact with health information systems. This report examines the issues surrounding the provision of electronic health information, and describes an evaluation undertaken of a commercial health website-that of Surgerydoor (http://www.surgerydoor.co.uk/), and comprises two parts. Part one outlines the literature on electronic health information evaluation. It discusses quality issues, but also redresses the imbalance by exploring other evaluative perspectives. Part two describes an evaluation of a health information Internet site in terms of its usability and appeal, undertaken as part of a Department of Health funded study on the impact of such systems. PMID:12389607

  2. Engineering, global health, and inclusive innovation: focus on partnership, system strengthening, and local impact for SDGs

    PubMed Central

    Clifford, Katie L.; Zaman, Muhammad H.

    2016-01-01

    The recent drafting of the Sustainable Development Goals challenges the research community to rethink the traditional approach to global health and provides the opportunity for science, technology, engineering, and mathematical (STEM) disciplines, particularly engineering, to demonstrate their benefit to the field. Higher education offers a platform for engineering to intersect with global health research through interdisciplinary partnerships among international universities that provide excellence in education, attract nontraditional STEM students, and foster a sense of innovation. However, a traditional lack of engineering–global health collaborations, as well as limited faculty and inadequate STEM research funding in low-income countries, has stifled progress. Still, the impact of higher education on development efforts holds great potential. This value will be realized in low-income countries through strengthening local capacity, supporting innovation through educational initiatives, and encouraging the inclusion of women and minorities in STEM programs. Current international university-level partnerships are working towards integrating engineering into global health research and strengthening STEM innovation among universities in low-income countries, but more can be done. Global health research informs sustainable development, and through integrating engineering into research efforts through university partnerships, we can accelerate progress and work towards a healthier future for all. PMID:26790462

  3. Engineering, global health, and inclusive innovation: focus on partnership, system strengthening, and local impact for SDGs.

    PubMed

    Clifford, Katie L; Zaman, Muhammad H

    2016-01-01

    The recent drafting of the Sustainable Development Goals challenges the research community to rethink the traditional approach to global health and provides the opportunity for science, technology, engineering, and mathematical (STEM) disciplines, particularly engineering, to demonstrate their benefit to the field. Higher education offers a platform for engineering to intersect with global health research through interdisciplinary partnerships among international universities that provide excellence in education, attract nontraditional STEM students, and foster a sense of innovation. However, a traditional lack of engineering-global health collaborations, as well as limited faculty and inadequate STEM research funding in low-income countries, has stifled progress. Still, the impact of higher education on development efforts holds great potential. This value will be realized in low-income countries through strengthening local capacity, supporting innovation through educational initiatives, and encouraging the inclusion of women and minorities in STEM programs. Current international university-level partnerships are working towards integrating engineering into global health research and strengthening STEM innovation among universities in low-income countries, but more can be done. Global health research informs sustainable development, and through integrating engineering into research efforts through university partnerships, we can accelerate progress and work towards a healthier future for all. PMID:26790462

  4. 76 FR 10598 - Office of the National Coordinator for Health Information Technology; Recommendations Received...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; Recommendations... the Public Health Service Act, as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act, requires the National Coordinator for Health Information Technology...

  5. Tribal connections health information outreach: results, evaluation, and challenges

    PubMed Central

    Wood, Fred B.; Sahali, Roy; Press, Nancy; Burroughs, Catherine; Mala, Theodore A.; Siegel, Elliot R.; Fuller, Sherrilynne S.; Rambo, Neil

    2003-01-01

    In 1997, the National Library of Medicine (NLM), a component of the National Institutes of Health (NIH), initiated a program of intensified outreach to Native Americans, initially focusing on the Pacific Northwest in collaboration with the Pacific Northwest Regional Medical Library (PNRML). This initiative, known as the Tribal Connections Project, emphasized the establishment or strengthening of Internet connections at select Indian reservations and Alaska Native villages and related needs assessment and training. The hope was that these efforts would improve tribal access to health information available via the Internet and the Web. Phase I included sixteen tribal siteseight in Washington, four in Alaska, two in Montana, and one each in Oregon and Idaho. Phase I results indicate that the project was successful in assessing local needs and building awareness of the Internet, forging new partnerships with and between the participating Indian reservations and Alaska Native villages and other organizations, making real improvements in the information technology (IT) infrastructure and Internet connectivity at fifteen of sixteen sites, and conducting training sessions with several hundred tribal participants across thirteen sites. Most importantly, the project demonstrated the key role of tribal community involvement and empowerment and contributed to development of an outreach evaluation field manual and the evolving concept of community-based outreach. The knowledge gained from Tribal Connections Project Phase I is helping refine and enhance subsequent NLM-sponsored tribal connections and similar community outreach efforts. PMID:12568158

  6. Improving health promotion to American Indians in the midwest United States: preferred sources of health information and its use for the medical encounter.

    PubMed

    Geana, Mugur V; Greiner, K Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky

    2012-12-01

    American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the "expert" tone needed to promote health improvements in American Indians. PMID:22477671

  7. Improving Health Promotion to American Indians in the Midwest United States: Preferred Sources of Health Information and Its Use for the Medical Encounter

    PubMed Central

    Geana, Mugur V.; Greiner, K. Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky

    2014-01-01

    American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the “expert” tone needed to promote health improvements in American Indians. PMID:22477671

  8. Surveys assessing STI related health information needs of adolescent population.

    PubMed

    Taylor, Morgan; Joshi, Ashish

    2012-01-01

    Individuals are widely using different sources to acquire health information. To better understand the adolescents' needs of having tailored health information, it becomes important to assess the existing sources that they utilize to obtain that information. Our study objective was to identify sources of STI related health information studied among adolescents. A search was conducted using Google during November 2011 to January 2012 to identify different STI related health information sources. A combination of 3 key words including adolescent sexual health survey, sex health information survey, and sexual health education assessment were used. The first 20 weblinks from each search were combined resulting in a total of 60 primary weblinks. Secondary search was conducted to identify additional relevant articles. A total of 10 articles were found relevant, of which 52% were non US-based. 87% of the primary articles were excluded as they did not gather the source of STI related health information in their surveys. Most common sources assessed were TV, doctor, books, magazines, friends, and parents. Internet was assessed only in 3 of the final 10 articles. Future research should be done to assess role of internet as a possible source of disseminating STI related health information among adolescents. PMID:23000558

  9. The changing role of the health care chief information officer.

    PubMed

    Wood, G M

    2000-09-01

    Information is the lifeblood of the health care organization. In the past, chief information officers were responsible for nothing else but assuring a constant flow of information. Today, they are being asked to do a great deal more. From E-business to E-health strategy, the chief information officer is the focal point of an organization's ability to leverage new technology. PMID:11142968

  10. Building a digital library for the health sciences: information space complementing information place.

    PubMed Central

    Lucier, R E

    1995-01-01

    In 1990, the University of California, San Francisco, dedicated a new library to serve the faculty, staff, and students and to meet their academic information needs for several decades to come. Major environmental changes present new and additional information management challenges, which can effectively be handled only through the widespread use of computing and computing technologies. Over the next five years, a three-pronged strategy will be followed. We are refining the current physical, paper-based library through the continuous application of technology for modernization and functional improvement. At the same time, we have begun the planning, design, and implementation of a "free-standing" Digital Library of the Health Sciences, focusing on the innovative application of technology. To ensure complementarity and product integrity where the two libraries interface, we will look to technology to transform these separate entities into an eventual, integral whole. PMID:7581192

  11. Building a digital library for the health sciences: information space complementing information place.

    PubMed

    Lucier, R E

    1995-07-01

    In 1990, the University of California, San Francisco, dedicated a new library to serve the faculty, staff, and students and to meet their academic information needs for several decades to come. Major environmental changes present new and additional information management challenges, which can effectively be handled only through the widespread use of computing and computing technologies. Over the next five years, a three-pronged strategy will be followed. We are refining the current physical, paper-based library through the continuous application of technology for modernization and functional improvement. At the same time, we have begun the planning, design, and implementation of a "free-standing" Digital Library of the Health Sciences, focusing on the innovative application of technology. To ensure complementarity and product integrity where the two libraries interface, we will look to technology to transform these separate entities into an eventual, integral whole. PMID:7581192

  12. Seeking health care information: most consumers still on the sidelines.

    PubMed

    Tu, Ha T; Hargraves, J Lee

    2003-03-01

    Contrary to popular belief that Americans avidly seek health information--especially on the Internet--a majority of Americans in 2001 sought no information about a health concern, according to a Center for Studying Health Systems Change (HSC) study. And, instead of surfing the Internet, the 38 percent of Americans who did obtain health information relied more often on traditional sources such as books or magazines. People living with chronic conditions were more likely to seek information, yet more than half did not. Education is key to explaining differences among people. Those with a college degree are twice as likely to seek health information as people without a high school diploma. As consumers are confronted with more responsibility for making trade-offs among the cost, quality and accessibility of care, credible and understandable information will be critical to empowering consumers to take active roles in managing their care. PMID:12647763

  13. Getting a second opinion: health information and the Internet.

    PubMed

    Underhill, Cathy; Mckeown, Larry

    2008-03-01

    In 2005, more than one-third of Canadian adults used the Internet to search for health information. And of those who also visited a doctor, more than one-third discussed the results of their Internet search with their physician. This study raises important considerations. First, it is anticipated that as more Canadians access the Internet, online searches for health information will increase. However, the accuracy and reliability of Internet information on any topic can vary widely. Internet sources of health information range from personal accounts of illnesses and patient discussion groups to clinical decision tools and peer-reviewed journal articles. Second, the use of the Internet to search for health information appears to be unevenly distributed among Canadians. Searching for health information online is an example of what has been described as a second level digital divide among Internet users. PMID:18457212

  14. Participatory Design of an Integrated Information System Design to Support Public Health Nurses and Nurse Managers

    PubMed Central

    Reeder, Blaine; Hills, Rebecca A.; Turner, Anne M.; Demiris, George

    2014-01-01

    Objectives The objectives of the study were to use persona-driven and scenario-based design methods to create a conceptual information system design to support public health nursing. Design and Sample We enrolled 19 participants from two local health departments to conduct an information needs assessment, create a conceptual design, and conduct a preliminary design validation. Measures Interviews and thematic analysis were used to characterize information needs and solicit design recommendations from participants. Personas were constructed from participant background information, and scenario-based design was used to create a conceptual information system design. Two focus groups were conducted as a first iteration validation of information needs, personas, and scenarios. Results Eighty-nine information needs were identified. Two personas and 89 scenarios were created. Public health nurses and nurse managers confirmed the accuracy of information needs, personas, scenarios, and the perceived usefulness of proposed features of the conceptual design. Design artifacts were modified based on focus group results. Conclusion Persona-driven design and scenario-based design are feasible methods to design for common work activities in different local health departments. Public health nurses and nurse managers should be engaged in the design of systems that support their work. PMID:24117760

  15. Correlates of Cancer Information Overload: Focusing on Individual Ability and Motivation.

    PubMed

    Chae, Jiyoung; Lee, Chul-Joo; Jensen, Jakob D

    2016-05-01

    The present study defined cancer information overload (CIO) as an aversive disposition wherein a person is confused and overwhelmed by cancer information, which occurs when he or she fails to effectively categorize new information due to a lack of resources for effective learning. Based on the definition and informed by previous studies on information overload and the cognitive mediation model, we hypothesized that low ability and motivation to process cancer information would lead to CIO. We used education level and trait anxiety as factors related to ability. Cancer history and the use of active media channels (such as the Internet and print media) were adopted as motivational factors. Four samples (three from the United States and one from South Korea) were used to explore the relationship between ability/motivation and CIO. Among them, only Sample 4 participants answered questions about stomach cancer, and other participants were asked about cancer in general. In all four samples, trait anxiety was positively associated with CIO. Health information use from active media channels (print or the Internet) was negatively associated with CIO in three samples. The associations between family history and CIO, and between education and CIO, were found in two samples. In short, the present study demonstrated that CIO partly depends on individual ability and motivation, thereby showing that CIO is influenced by personal characteristics as well as environmental factors. PMID:26512760

  16. Oral health information systems--towards measuring progress in oral health promotion and disease prevention.

    PubMed Central

    Petersen, Poul Erik; Bourgeois, Denis; Bratthall, Douglas; Ogawa, Hiroshi

    2005-01-01

    This article describes the essential components of oral health information systems for the analysis of trends in oral disease and the evaluation of oral health programmes at the country, regional and global levels. Standard methodology for the collection of epidemiological data on oral health has been designed by WHO and used by countries worldwide for the surveillance of oral disease and health. Global, regional and national oral health databanks have highlighted the changing patterns of oral disease which primarily reflect changing risk profiles and the implementation of oral health programmes oriented towards disease prevention and health promotion. The WHO Oral Health Country/Area Profile Programme (CAPP) provides data on oral health from countries, as well as programme experiences and ideas targeted to oral health professionals, policy-makers, health planners, researchers and the general public. WHO has developed global and regional oral health databanks for surveillance, and international projects have designed oral health indicators for use in oral health information systems for assessing the quality of oral health care and surveillance systems. Modern oral health information systems are being developed within the framework of the WHO STEPwise approach to surveillance of noncommunicable, chronic disease, and data stored in the WHO Global InfoBase may allow advanced health systems research. Sound knowledge about progress made in prevention of oral and chronic disease and in health promotion may assist countries to implement effective public health programmes to the benefit of the poor and disadvantaged population groups worldwide. PMID:16211160

  17. Public Preferences about Secondary Uses of Electronic Health Information

    PubMed Central

    Grande, David; Mitra, Nandita; Shah, Anand; Wan, Fei; Asch, David A.

    2014-01-01

    Importance As health information technology grows secondary uses of personal health information offer promise in advancing research, public health, and health care. Public perceptions about personal health data sharing are important to establish and evaluate ethical and regulatory structures for overseeing the use of these data. Objective Measure patient preferences toward sharing their electronic health information for secondary purposesuses other than their own health care.. Design In this conjoint analysis study, participants were randomized to receive 6 of 18 scenarios describing secondary uses of electronic health information, constructed with 3 attributes: uses (research, health care quality improvement, marketing), users (university hospital, drug company, public health department), and data sensitivity (medical history, medical history plus genetic test results). This experimental design enabled participants to reveal their preferences for secondary uses of their personal health information. Setting and Participants We surveyed 3,336 Hispanic (n=568), non-Hispanic African American (n=500), and non-Hispanic White (n=2,268) adults representing 65.1% of those from a nationally representative, online panel. Main Outcomes and Measures Participants responded to each conjoint scenario by rating their willingness to share their electronic personal health information on a 110 scale (1=low, 10=high). Conjoint analysis yields importance weights reflecting the contribution of a dimension (use, user, sensitivity) to willingness to share personal health information. Results The use of data was the most important factor in the conjoint analysis (63.4% importance weight) compared to the user (32.6% importance weight) and data sensitivity (importance weight: 3.1%). In unadjusted models, marketing uses (?1.55, p<0.001), quality improvement uses (?0.51, p<0.001), drug company users (?0.80, p<0.001) and public health department users (?0.52, p<0.001) were associated with less willingness to share health information compared to research (use) and university hospitals (users). Hispanics and African-Americans discriminated less between the three uses compared to Whites. Conclusions and Relevance Participants cared most about the specific purpose for using their health information, though differences were smaller among racial and ethnic minorities. The user of the information was of secondary importance and the sensitivity of information was not a significant factor. These preferences should be considered in policies governing secondary uses of health information. PMID:23958803

  18. Health Risks Information Reaches Secondary School Smokers

    ERIC Educational Resources Information Center

    Ridout, Fran; Charlton, Anne; Hutchison, Iain

    2008-01-01

    This cross-sectional study aimed to assess smoking prevention and cessation education delivered as part of the UK National Curriculum and to evaluate the relative effectiveness of health, social influence and other/non-health components. In all, 1789 students aged 11-15 from 12 secondary schools completed online surveys assessing smoking status,

  19. Exploring digital divides: an examination of eHealth technology use in health information seeking, communication and personal health information management in the USA.

    PubMed

    Lustria, Mia Liza A; Smith, Scott Alan; Hinnant, Charles C

    2011-09-01

    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. PMID:21937464

  20. How Narrative Focus and a Statistical Map Shape Health Policy Support Among State Legislators.

    PubMed

    Niederdeppe, Jeff; Roh, Sungjong; Dreisbach, Caitlin

    2016-01-01

    This study attempts to advance theorizing about health policy advocacy with combinations of narrative focus and a statistical map in an attempt to increase state legislators' support for policies to address the issue of obesity by reducing food deserts. Specifically, we examine state legislators' responses to variations in narrative focus (individual vs. community) about causes and solutions for food deserts in U.S. communities, and a statistical map (presence vs. absence) depicting the prevalence of food deserts across the United States. Using a Web-based randomized experiment (N=496), we show that narrative focus and the statistical map interact to produce different patterns of cognitive response and support for policies to reduce the prevalence of food deserts. The presence of a statistical map showing the prevalence of food deserts in the United States appeared to matter only when combined with an individual narrative, offsetting the fact that the individual narrative in isolation produced fewer thoughts consistent with the story's persuasive goal and more counterarguments in opposition to environmental causes and solutions for obesity than other message conditions. The image did not have an impact when combined with a story describing a community at large. Cognitive responses fully mediated message effects on intended persuasive outcomes. We conclude by discussing the study's contributions to communication theory and practice. PMID:26086340

  1. Understanding the roles of faith-based health-care providers in Africa: review of the evidence with a focus on magnitude, reach, cost, and satisfaction.

    PubMed

    Olivier, Jill; Tsimpo, Clarence; Gemignani, Regina; Shojo, Mari; Coulombe, Harold; Dimmock, Frank; Nguyen, Minh Cong; Hines, Harrison; Mills, Edward J; Dieleman, Joseph L; Haakenstad, Annie; Wodon, Quentin

    2015-10-31

    At a time when many countries might not achieve the health targets of the Millennium Development Goals and the post-2015 agenda for sustainable development is being negotiated, the contribution of faith-based health-care providers is potentially crucial. For better partnership to be achieved and for health systems to be strengthened by the alignment of faith-based health-providers with national systems and priorities, improved information is needed at all levels. Comparisons of basic factors (such as magnitude, reach to poor people, cost to patients, modes of financing, and satisfaction of patients with the services received) within faith-based health-providers and national systems show some differences. As the first report in the Series on faith-based health care, we review a broad body of published work and introduce some empirical evidence on the role of faith-based health-care providers, with a focus on Christian faith-based health providers in sub-Saharan Africa (on which the most detailed documentation has been gathered). The restricted and diverse evidence reported supports the idea that faith-based health providers continue to play a part in health provision, especially in fragile health systems, and the subsequent reports in this Series review controversies in faith-based health care and recommendations for how public and faith sectors might collaborate more effectively. PMID:26159398

  2. On reducing information asymmetry in U.S. health care.

    PubMed

    Mascarenhas, Oswald A J; Kesavan, Ram; Bernacchi, Michael D

    2013-01-01

    Information asymmetry is a significant issue facing the U.S. health care system. In this article, we investigate some methods of reducing this asymmetry. We trace the information asymmetry using the "wicked problem" of the health care distribution system. An information asymmetry reduction method requiring joint responsibilities among health care stakeholders is developed. It is argued that information asymmetry is a contributor to enormous health care inflation. Hence, any reduction in such asymmetry will reduce health care costs. Concepts from both signaling and corrective justice theories are integrated in this article to help reduce the information asymmetry that exists in the U.S. health care system. Getting health care costs in line with other "advanced" nations, is the long-term solution to the wicked problem that currently exists in the U.S. health care system. There is an immediate need for a centralized health care database with adequate provisions for individual privacy. Both processes as well as an outcome-based control system are essential for reducing information asymmetries in the U.S. health care system. PMID:24308415

  3. Public attitudes towards pricing policies to change health-related behaviours: a UK focus group study

    PubMed Central

    Marteau, Theresa M.; Kinmonth, Ann Louise; Cohn, Simon

    2015-01-01

    Background: Evidence supports the use of pricing interventions in achieving healthier behaviour at population level. The public acceptability of this strategy continues to be debated throughout Europe, Australasia and USA. We examined public attitudes towards, and beliefs about the acceptability of pricing policies to change health-related behaviours in the UK. The study explores what underlies ideas of acceptability, and in particular those values and beliefs that potentially compete with the evidence presented by policy-makers. Methods: Twelve focus group discussions were held in the London area using a common protocol with visual and textual stimuli. Over 300 000 words of verbatim transcript were inductively coded and analyzed, and themes extracted using a constant comparative method. Results: Attitudes towards pricing policies to change three behaviours (smoking, and excessive consumption of alcohol and food) to improve health outcomes, were unfavourable and acceptability was low. Three sets of beliefs appeared to underpin these attitudes: (i) pricing makes no difference to behaviour; (ii) government raises prices to generate income, not to achieve healthier behaviour and (iii) government is not trustworthy. These beliefs were evident in discussions of all types of health-related behaviour. Conclusions: The low acceptability of pricing interventions to achieve healthier behaviours in populations was linked among these responders to a set of beliefs indicating low trust in government. Acceptability might be increased if evidence regarding effectiveness came from trusted sources seen as independent of government and was supported by public involvement and hypothecated taxation. PMID:25983329

  4. Developing population interventions with migrant women for maternal-child health: a focused ethnography

    PubMed Central

    2013-01-01

    Background Literature describing effective population interventions related to the pregnancy, birth, and post-birth care of international migrants, as defined by them, is scant. Hence, we sought to determine: 1) what processes are used by migrant women to respond to maternal-child health and psychosocial concerns during the early months and years after birth; 2) which of these enhance or impede their resiliency; and 3) which population interventions they suggest best respond to these concerns. Methods Sixteen international migrant women living in Montreal or Toronto who had been identified in a previous study as having a high psychosocial-risk profile and subsequently classified as vulnerable or resilient based on indicators of mental health were recruited. Focused ethnography including in-depth interviews and participant observations were conducted. Data were analyzed thematically and as an integrated whole. Results Migrant women drew on a wide range of coping strategies and resources to respond to maternal-child health and psychosocial concerns. Resilient and vulnerable mothers differed in their use of certain coping strategies. Social inclusion was identified as an overarching factor for enhancing resiliency by all study participants. Social processes and corresponding facilitators relating to social inclusion were identified by participants, with more social processes identified by the vulnerable group. Several interventions related to services were described which varied in type and quality; these were generally found to be effective. Participants identified several categories of interventions which they had used or would have liked to use and recommended improvements for and creation of some programs. The social determinants of health categories within which their suggestions fell included: income and social status, social support network, education, personal health practices and coping skills, healthy child development, and health services. Within each of these, the most common suggestions were related to creating supportive environments and building healthy public policy. Conclusions A wealth of data was provided by participants on factors and processes related to the maternal-child health care of international migrants and associated population interventions. Our results offer a challenge to key stakeholders to improve existing interventions and create new ones based on the experiences and views of international migrant women themselves. PMID:23672838

  5. A new perspective on consumer health Web use: "valuegraphic" profiles of health information seekers.

    PubMed

    Navarro, F H; Wilkins, S T

    2001-01-01

    Only one half of adults in the United States place a high priority on seeking health information. An examination of today's health information seeker based upon health behavioral intentions, values, and priorities (valuegraphics) reveals that an individual's level of health information seeking corresponds to the value he or she places or the quality of health desired, and current level of personal health involvement. The relationship between valuegraphics and health status and health care use is also examined. Findings from a study that identified significant variance in Web use and satisfaction based upon the valuegraphic profiles of visitors to a hospital system-sponsored consumer Web site are also examined. The implications of consumer health valuegraphic profiling to future Web development by health care organizations are discussed. PMID:11372487

  6. [Importance of health information systems in the process of reform and reconstruction of health care].

    PubMed

    Ridanovi?, Z

    1998-01-01

    Reform and reconstruction of health care system can not be carried out without health information systems and modern information and communication technologies. In other hand, health information system of The Federation of BiH must be an object of both reform and reconstruction. This thesis points out that reform of health information system is a crucial priorities in order to improve and fasten reform. There is a paradigmatic question: who provides service, to whom, what is the price, and what is the final solution? In order to answer this question, an integral health information system that will be computer supported is necessary. For integral work and information exchange, computers must be connected and follow the same operating procedures. Benefits of an integral health information system, as well as impact factors for its implementation are discussed in the paper. PMID:9623089

  7. Computer Self-Efficacy among Health Information Students

    ERIC Educational Resources Information Center

    Hendrix, Dorothy Marie

    2011-01-01

    Roles and functions of health information professionals are evolving due to the mandated electronic health record adoption process for healthcare facilities. A knowledgeable workforce with computer information technology skill sets is required for the successful collection of quality patient-care data, improvement of productivity, and…

  8. Health Information in Italian (italiano): MedlinePlus

    MedlinePLUS

    ... page: https://www.nlm.nih.gov/medlineplus/languages/italian.html Health Information in Italian (italiano) To use the sharing features on this ... Polio Syndrome Polio Vaccine - English Vaccino Antipoliomelite - italiano (Italian) ... Health Information in Multiple Languages page. About MedlinePlus Site ...

  9. 76 FR 57615 - National Health Information Technology Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... the United States of America the two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2011-23924... September 15, 2011 Part IV The President Proclamation 8711--National Health Information Technology Week... September 12, 2011 National Health Information Technology Week, 2011 By the President of the United...

  10. The Central American Network for Disaster and Health Information

    PubMed Central

    Arnesen, Stacey J.; Cid, Victor H.; Scott, John C.; Perez, Ricardo; Zervaas, Dave

    2007-01-01

    Purpose: This paper describes an international outreach program to support rebuilding Central America's health information infrastructure after several natural disasters in the region, including Hurricane Mitch in 1998 and two major earthquakes in 2001. Setting, Participants, and Description: The National Library of Medicine joined forces with the Pan American Health Organization/World Health Organization, the United Nations International Strategy for Disaster Reduction, and the Regional Center of Disaster Information for Latin America and the Caribbean (CRID) to strengthen libraries and information centers in Central America and improve the availability of and access to health and disaster information in the region by developing the Central American Network for Disaster and Health Information (CANDHI). Through CRID, the program created ten disaster health information centers in medical libraries and disaster-related organizations in six countries. Results/Outcome: This project served as a catalyst for the modernization of several medical libraries in Central America. The resulting CANDHI provides much needed electronic access to public health gray literature on disasters, as well as access to numerous health information resources. CANDHI members assist their institutions and countries in a variety of disaster preparedness activities through collecting and disseminating information. PMID:17641767

  11. Public Access to Health Information: A Psychoanalyst's View.

    ERIC Educational Resources Information Center

    Kay, Paul

    1983-01-01

    Examines cultural and personal factors which may affect an individual's request for medical information from a librarian and the concept of the librarian as "educator-catalyst" working with health care professionals, highlighting self-destructive tendencies of society, negative effects of some advertising, the flood tide of health information, and

  12. Computer Self-Efficacy among Health Information Students

    ERIC Educational Resources Information Center

    Hendrix, Dorothy Marie

    2011-01-01

    Roles and functions of health information professionals are evolving due to the mandated electronic health record adoption process for healthcare facilities. A knowledgeable workforce with computer information technology skill sets is required for the successful collection of quality patient-care data, improvement of productivity, and

  13. Information empowerment: predeparture resource training for students in global health.

    PubMed

    Rana, Gurpreet K

    2014-04-01

    The Taubman Health Sciences Library (THL) collaborates with health sciences schools to provide information skills instruction for students preparing for international experiences. THL enhances students' global health learning through predeparture instruction for students who are involved in global health research, clinical internships, and international collaborations. This includes teaching international literature searching skills, providing country-specific data sources, building awareness of relevant mobile resources, and encouraging investigation of international news. Information skills empower creation of stronger global partnerships. Use of information resources has enhanced international research and training experiences, built lifelong learning foundations, and contributed to the university's global engagement. THL continues to assess predeparture instruction. PMID:24860266

  14. Information empowerment: predeparture resource training for students in global health*

    PubMed Central

    Rana, Gurpreet K.

    2014-01-01

    The Taubman Health Sciences Library (THL) collaborates with health sciences schools to provide information skills instruction for students preparing for international experiences. THL enhances students' global health learning through predeparture instruction for students who are involved in global health research, clinical internships, and international collaborations. This includes teaching international literature searching skills, providing country-specific data sources, building awareness of relevant mobile resources, and encouraging investigation of international news. Information skills empower creation of stronger global partnerships. Use of information resources has enhanced international research and training experiences, built lifelong learning foundations, and contributed to the university's global engagement. THL continues to assess predeparture instruction. PMID:24860266

  15. Online health information - what can you trust?

    MedlinePLUS

    ... information. DO NOT give out your Social Security number. Before you buy anything, be sure that the site has a secure server. This will help protect your credit card information. You can tell by looking in the ...

  16. Health Information System in Primary Health Care: The Challenges and Barriers from Local Providers’ Perspective of an Area in Iran

    PubMed Central

    Yazdi-Feyzabadi, Vahid; Emami, Mozhgan; Mehrolhassani, Mohammad Hossein

    2015-01-01

    Background: Health information system (HIS) has been utilized for collecting, processing, storing, and transferring the required information for planning and decision-making at different levels of health sector to provide quality services. In this study, in order to provide high-quality HIS, primary health care (PHC) providers’ perspective on current challenges and barriers were investigated. Methods: This study was carried out with a qualitative approach using semi-structured audiotaped focus group discussions (FGDs). One FGD was conducted with 13 Behvarz and health technicians as front-line workers and the other with 16 personnel including physicians, statisticians, and health professionals working in health centers of the PHC network in KUMS. The discussions were transcribed and then analyzed using the framework analysis method. Results: The identified organizational challenges were categorized into two groups: HIS structure and the current model of PHC in urban areas. Furthermore, the structural challenges were classified into HIS management structure (information systems resources, including human, supplies, and organizational rules) and information process. Conclusions: The HIS works effectively and efficiently when there are a consistency and integrity between the human, supplies, and process aspects. Hence, multifaceted interventions including strengthening the organizational culture to use the information in decisions, eliminating infrastructural obstacles, appointing qualified staff and more investment for service delivery at urban areas are the most fundamental requirements of high-quality HIS in PHC. PMID:26236444

  17. Health Information on the Web: Finding Reliable Information

    MedlinePLUS

    ... a nonprofit organization (.org) or a college or university (.edu). These sites may be the most reliable ... may contain myths or rumors. Other Organizations Medical Library Association User's Guide to Finding and Evaluating Health ...

  18. Scanning Health Information Sources: Applying and Extending the Comprehensive Model of Information Seeking.

    PubMed

    Ruppel, Erin K

    2016-02-01

    Information scanning, or attention to information via incidental or routine exposure or browsing, is relatively less understood than information seeking. To (a) provide a more theoretical understanding of information scanning and (b) extend existing information seeking theory to information scanning, the current study used data from the National Cancer Institute's Health Information National Trends Survey to examine cancer information scanning using the comprehensive model of information seeking (CMIS). Consistent with the CMIS, health-related factors were associated with the information-carrier factor of trust, and health-related factors and trust were associated with attention to information sources. Some of these associations differed between entertainment-oriented sources, information-oriented sources, and the Internet. The current findings provide a clearer picture of information scanning and suggest future avenues of research and practice using the CMIS. PMID:26716985

  19. Ethical considerations in internet use of electronic protected health information.

    PubMed

    Polito, Jacquelyn M

    2012-03-01

    Caregivers, patients, and their family members are increasingly reliant on social network websites for storing, communicating, and referencing medical information. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule seeks balance by protecting the privacy of patients' health information and assuring that this information is available to those who need it to provide health care. Though federal and state governments have created laws and policies to safeguard patient privacy and confidentiality, the laws are inadequate against the rapid and innovative use of electronic health websites. As Internet use broadens access to information, health professionals must be aware that this information is not always secure. We must identify and reflect on medical ethics issues and be accountable for maintaining privacy for the patient. PMID:22558645

  20. Finland's strategy and implementation of citizens' access to health information.

    PubMed

    Ruotsalainen, Pekka; Iivari, Anna-Kaisa; Doupi, Persephone

    2008-01-01

    The strategy for utilizing information technology in the field of social welfare and health care in Finland was published in 1996. It was redefined in the year 2006. This updated strategy defined basic principles how digitized EHRs should be stored, accessed, disclosed and archived. The strategy together with new legislation opened the right to patients and citizens to access their own EHRs, ePrescriptions and audit-logs via the Internet. A national WEB-service platform forms the base for both public and private eHealth applications. National identification and PKI-services cover health professionals, patients and entities. Citizen's consent management is provided at national level. The access to personal health information is managed using rules derived from legislation. The roll-out of the national health information infrastructure with citizen access to personal health information should by law be finalized before the end of 2011. The implementation of the NHII is demanding, but the real challenge is to clearly understand what the impacts of citizen access to personal health information are and to what direction this kind of services should be developed. At the present state, the Finnish EHR-archive contains only information created by a health professional. Citizens' eHealth services can not be limited to the use of regulated EHR data and ePrescriptions. For health promotion, proactive prevention and health prediction more comprehensive information is needed. Therefore the next step is to develop legislation and to build a trusted environment for the use and access of heterogeneous health and welfare information. PMID:18560100

  1. An Exploratory Study of Inactive Health Information Seekers

    PubMed Central

    2014-01-01

    Purpose This study aims to identify people who do not actively seek out health information and the demographic characteristics of Inactive Seekers. The possible determinants of inactive seeking behaviors is also explored. Design and Measurements A total of 14,420 survey respondents were drawn from the 2009 Annenberg National Health Communication Survey (ANHCS) data. K-means clustering was used to discriminate Inactive Seekers from Active Seekers. The inactive information seeker group was formed based on their experience with health information seeking. The potential determinants that were tested to predict inactive seeking included the following: health condition, health service use, health media exposure, and computer/Internet activities. Results Within this national survey data, the respondents were more likely to be included in the Inactive Seekers (N=8,312, 58.5%) compared to Active Seekers (N=5,908, 41.5%). The demographic characteristics indicated that the Inactive Seekers were identified as younger, male, highly educated, White, and high household income people. The binary logistic regression results from the study model indicated that healthier people were less likely to seek out health information than their counterparts. In addition, those who were exposed to various media were almost 1.6 times more likely to seek out health information than those who were not exposed to such media. Within this study data, the statistically significant determinants identified were health condition and health media exposure while computer/Internet activities did not show strong indications in predicting inactive seeking behavior. Conclusion The development of more generalizable measures for health literacy or behavioral patterns will bolster advanced study on inactive seeking relating to knowledge of technology and health context. Further study should be directed at estimating the negative aspects of information seeking such as information ignorance or information avoidance. PMID:25453277

  2. Impact and user satisfaction of a clinical information portal embedded in an electronic health record.

    PubMed

    Tannery, Nancy H; Epstein, Barbara A; Wessel, Charles B; Yarger, Frances; LaDue, John; Klem, Mary Lou

    2011-01-01

    In 2008, a clinical information tool was developed and embedded in the electronic health record system of an academic medical center. In 2009, the initial information tool, Clinical-e, was superseded by a portal called Clinical Focus, with a single search box enabling a federated search of selected online information resources. To measure the usefulness and impact of Clinical Focus, a survey was used to gather feedback about users' experience with this clinical resource. The survey determined what type of clinicians were using this tool and assessed user satisfaction and perceived impact on patient care decision making. Initial survey results suggest the majority of respondents found Clinical Focus easy to navigate, the content easy to read, and the retrieved information relevant and complete. The majority would recommend Clinical Focus to their colleagues. Results indicate that this tool is a promising area for future development. PMID:22016670

  3. Impact and User Satisfaction of a Clinical Information Portal Embedded in an Electronic Health Record

    PubMed Central

    Tannery, Nancy H; Epstein, Barbara A; Wessel, Charles B; Yarger, Frances; LaDue, John; Klem, Mary Lou

    2011-01-01

    In 2008, a clinical information tool was developed and embedded in the electronic health record system of an academic medical center. In 2009, the initial information tool, Clinical-e, was superseded by a portal called Clinical Focus, with a single search box enabling a federated search of selected online information resources. To measure the usefulness and impact of Clinical Focus, a survey was used to gather feedback about users' experience with this clinical resource. The survey determined what type of clinicians were using this tool and assessed user satisfaction and perceived impact on patient care decision making. Initial survey results suggest the majority of respondents found Clinical Focus easy to navigate, the content easy to read, and the retrieved information relevant and complete. The majority would recommend Clinical Focus to their colleagues. Results indicate that this tool is a promising area for future development. PMID:22016670

  4. Hispanics' use of Internet health information: an exploratory study*

    PubMed Central

    Pea-Purcell, Ninfa

    2008-01-01

    Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States. Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 20002001, survey data. Pearson's ?2 test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking. Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse). Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes. PMID:18379664

  5. [Health transmission and obtaining of information].

    PubMed

    Rodrigues, Vitor Manuel Costa Pereira

    2010-08-01

    By identifying the resulting benefits of the application of a information program (constituted by pamphlets accompanied by verbal information), either in the change of the nurses behaviour to the transmission of information, or in the obtaining of the same by the patients, it was possible to develop a systematized knowledge that allowed to clarify the nurses role in the hospital internment, and that the specified in the letter of the rights and duties of the patient could be respected. The aims of this study are to identify how the application of an information program produces changes in the nurses' behaviour in transmitting the information, and to verify the effectiveness of the introduction of a information program regarding the information obtaining on the part of the patients. It was an experimental study and the populations that were in the base of this study were composed by patients interned in medicine services and surgery services and for nurses that exercise its profession in medicine services and in surgery services. We conclude that the share attitude of information is higher in nurses of the group submitted to an information program comparing to the ones who were not. Similarly, patients of the group submitted to a information program obtained more information. PMID:20802896

  6. Consumer information needs in a competitive health care environment

    PubMed Central

    Varner, Theresa; Christy, Jack

    1986-01-01

    The role of information in facilitating choice in a competitive health care marketplace is clearly pivotal, but it is also complex and occasionally problematic. Although it is clear that information is critical to the competitive approach, less clear is the relationship between the availability of appropriate information and the exercise of informed choice, a relationship that is obscured in the tangle of influences that affect the use and delivery of medical care. Nonetheless, the centralized and standardized collection, review, and dissemination of relevant health care data remain the keys to predicting—and avoiding—adverse outcomes in the development of health care policy. PMID:10311937

  7. Meeting the health information needs of health workers: what have we learned?

    PubMed

    D'Adamo, Margaret; Short Fabic, Madeleine; Ohkubo, Saori

    2012-01-01

    The information challenges facing health workers worldwide include lack of routine systems for seeking and sharing information, lack of high-quality and current health information, and lack of locally relevant materials and tools. This issue of Journal of Health Communication presents three studies of health information needs in India, Senegal, and Malawi that demonstrate these information challenges, provide additional insight, and describe innovative strategies to improve knowledge and information sharing. Results confirm that health workers' information needs differ on the basis of the level of the health system in which a health worker is located, regardless of country or cultural context. Data also reveal that communication channels tailored to health workers' needs and preferences are vital for improving information access and knowledge sharing. Meetings remain the way that most health workers communicate with each other, although technical working groups, professional associations, and networks also play strong roles in information and knowledge sharing. Study findings also confirm health workers' need for up-to-date, simple information in formats useful for policy development, program management, and service delivery. It is important to note that data demonstrate a persistent need for a variety of information types--from research syntheses, to job aids, to case studies--and suggest the need to invest in multifaceted knowledge management systems and approaches that take advantage of expanding technology, especially mobile phones; support existing professional and social networks; and are tailored to the varying needs of health professionals across health systems. These common lessons can be universally applied to expand health workers' access to reliable, practical, evidence-based information. PMID:22724669

  8. Explore a Career in Health Sciences Information

    MedlinePLUS

    ... tools that range from traditional print journals to electronic databases and the latest mobile devices, health sciences ... an expert search of the literature. connecting licensed electronic resources and decision tools into a patient's electronic ...

  9. Basic Information about Health Disparities in Cancer

    MedlinePLUS

    ... African American Women and Mass Media Campaign Cancer Incidence in American Indians and Alaska Natives Partners Related ... Share Compartir Health disparities are differences in the incidence, prevalence, and mortality of a disease and the ...

  10. Patient-provider discussion of online health information: results from the 2007 Health Information National Trends Survey (HINTS).

    PubMed

    Chung, Jae Eun

    2013-01-01

    Increasing numbers of people have turned to the Internet for health information. Little has been done beyond speculation to empirically investigate patients' discussion of online health information with health care professionals (HCPs) and patients' perception of HCPs' reactions to such discussion. The author analyzed data from the 2007 Health Information National Trends Survey (HINTS) to identify the characteristics of patients (a) who search for health information on the Internet, (b) who discuss the information found on the Internet with HCPs, and (c) who positively assess HCPs' reaction to the online information. Findings show that men were more likely than were women to have a conversation on online information with HCPs. It is unfortunate that patients who had trouble understanding or trusting online health information were no more likely to ask questions to or seek guidance from HCPs. Reactions of HCPs to online information were perceived as particularly negative by certain groups of patients, such as those who experienced poor health and those who had more concerns about the quality of their searched information. Results are discussed for their implications for patient empowerment and patient-HCP relationships. PMID:23590202

  11. [Inequities in access to information and inequities in health].

    PubMed

    Filho, Alberto Pellegrini

    2002-01-01

    This piece presents evidence that inequities in information are an important determinant of health inequities and that eliminating these inequities in access to information, especially by using new information and communication technologies (ICTs), could represent a significant advance in terms of guaranteeing the right to health for all. The piece reviews the most important international scientific research findings on the determinants of the health of populations, emphasizing the role of socioeconomic inequities and of deteriorating social capital as factors that worsen health conditions. It is noteworthy that Latin America has both socioeconomic inequities and major sectors of the population living in poverty. Among the fundamental strategies for overcoming the inequalities and the poverty are greater participation by the poor in civic life and the strengthening of social capital. The contribution that the new ICTs could make to these strategies is analyzed, and the Virtual Health Library (VHL) is discussed. Coordinated by the Latin American and Caribbean Center on Health Sciences Information (BIREME), the VHL is a contribution by the Pan American Health Organization that takes advantage of the potential of ICTs to democratize information and knowledge and consequently promote equity in health. The "digital gap" is discussed as something that can produce inequity itself and also increase other inequities, including ones in health. Prospects are discussed for overcoming this gap, emphasizing the role that governments and international organizations should play in order to expand access to the global public good that information for social development is. PMID:12162837

  12. Supporting cancer patients unanchored health information management with mobile technology

    PubMed Central

    Klasnja, Predrag; Hartzler, Andrea; Powell, Christopher; Pratt, Wanda

    2011-01-01

    Cancer patients often need to manage care-related information when they are away from home, when they are experiencing pain or treatment side effects, or when their abilities to deal with information effectively are otherwise impaired. In this paper, we describe the results from a four-week evaluation of HealthWeaver Mobile, a mobile phone application that we developed to support such unanchored patient information activities. Based on experiences from nine cancer patients, our results indicate that HealthWeaver Mobile can help patients to access care-related information from anywhere, to capture information whenever a need arises, and to share information with clinicians during clinic visits. The enhanced ability to manage information, in turn, helps patients to manage their care and to feel more confident in their ability to stay in control of their information and their health. PMID:22195130

  13. Exploring eHealth Ethics and Multi-Morbidity: Protocol for an Interview and Focus Group Study of Patient and Health Care Provider Views and Experiences of Using Digital Media for Health Purposes

    PubMed Central

    Adam, Paul; Li, Linda C; McDonald, Michael; Backman, Catherine L

    2013-01-01

    Background eHealth is a broad term referring to the application of information and communication technologies in the health sector, ranging from health records to medical consultations (telemedicine) and multiple forms of health education, support, and tools. By providing increased and anytime access to information, opportunities to exchange experiences with others, and self-management support, eHealth has been heralded as transformational. It has the potential to accelerate the shift from traditional "passive patient" to an informed, engaged, and empowered "patient as partner," equipped to take part in shared decision-making, and take personal responsibility for self-managing their illness. Objective The objective of our study is to examine how people with chronic illness use eHealth in their daily lives, how it affects patient-provider relationships, and the ethical and practical ramifications for patients, providers, and service delivery. Methods This two-phase qualitative study is ongoing. We will purposively sample 60-70 participants in British Columbia, Canada. To be eligible, patient participants have to have arthritis and at least one other chronic health condition; health care providers (HCPs) need a caseload of patients with multi-morbidity (>25%). To date we have recruited 36 participants (18 patients, 18 HCPs). The participants attended 7 focus groups (FGs), 4 with patients and 3 with rehabilitation professionals and physicians. We interviewed 4 HCPs who were unable to attend a FG. In phase 2, we will build on FG findings and conduct 20-24 interviews with equal numbers of patients and HCPs (rehabilitation professionals and physicians). As in the FGs conducted in phase I, the interviews will use a semistructured, but flexible, discussion guide. All discussions are being audiotaped and transcribed verbatim. Constant comparisons and a narrative approach guides the analyses. A relational ethics conceptual lens is being applied to the data to identify emergent ethical issues. Results This study explores ethical issues in eHealth. Our goal is to identify the role of eHealth in the lives of people with multiple chronic health conditions and to explore how eHealth impacts the patient role, self-managing, and the patient-HCP relationship. The ethical lens facilitates a systematic critical analysis of emergent ethical issues for further investigation and pinpoints areas of practice that require interventions as eHealth develops and use increases both within and outside of the clinical setting. Conclusions The potential benefits and burdens of eHealth need to be identified before an ethical framework can be devised. PMID:24135260

  14. Leveraging Health Information Exchange to Improve Population Health Reporting Processes: Lessons in Using a Collaborative-Participatory Design Process

    PubMed Central

    Revere, Debra; Dixon, Brian E.; Hills, Rebecca; Williams, Jennifer L.; Grannis, Shaun J.

    2014-01-01

    Introduction: Surveillance, or the systematic monitoring of disease within a population, is a cornerstone function of public health. Despite significant investment in information technologies (IT) to improve the public’s health, health care providers continue to rely on manual, spontaneous reporting processes that can result in incomplete and delayed surveillance activities. Background: Participatory design principles advocate including real users and stakeholders when designing an information system to ensure high ecological validity of the product, incorporate relevance and context into the design, reduce misconceptions designers can make due to insufficient domain expertise, and ultimately reduce barriers to adoption of the system. This paper focuses on the collaborative and informal participatory design process used to develop enhanced, IT-enabled reporting processes that leverage available electronic health records in a health information exchange to prepopulate notifiable-conditions report forms used by public health authorities. Methods: Over nine months, public health stakeholders, technical staff, and informatics researchers were engaged in a multiphase participatory design process that included public health stakeholder focus groups, investigator-engineering team meetings, public health survey and census regarding high-priority data elements, and codesign of exploratory prototypes and final form mock-ups. Findings: A number of state-mandated report fields that are not highly used or desirable for disease investigation were eliminated, which allowed engineers to repurpose form space for desired and high-priority data elements and improve the usability of the forms. Our participatory design process ensured that IT development was driven by end user expertise and needs, resulting in significant improvements to the layout and functionality of the reporting forms. Discussion: In addition to informing report form development, engaging with public health end users and stakeholders through the participatory design process provided new insights into public health workflow and allowed the team to quickly triage user requests while managing user expectations within the realm of engineering possibilities. Conclusion: Engaging public health, engineering staff, and investigators in a shared codesigning process ensured that the new forms will not only meet real-life needs but will also support development of a product that will be adopted and, ultimately, improve communicable and infectious disease reporting by clinicians to public health. PMID:25848615

  15. The Associations between Health Literacy, Reasons for Seeking Health Information, and Information Sources Utilized by Taiwanese Adults

    ERIC Educational Resources Information Center

    Wei, Mi-Hsiu

    2014-01-01

    Objective: To determine the associations between health literacy, the reasons for seeking health information, and the information sources utilized by Taiwanese adults. Method: A cross-sectional survey of 752 adults residing in rural and urban areas of Taiwan was conducted via questionnaires. Chi-squared tests and logistic regression were used for…

  16. The Associations between Health Literacy, Reasons for Seeking Health Information, and Information Sources Utilized by Taiwanese Adults

    ERIC Educational Resources Information Center

    Wei, Mi-Hsiu

    2014-01-01

    Objective: To determine the associations between health literacy, the reasons for seeking health information, and the information sources utilized by Taiwanese adults. Method: A cross-sectional survey of 752 adults residing in rural and urban areas of Taiwan was conducted via questionnaires. Chi-squared tests and logistic regression were used for

  17. Health Information Seeking and Cancer Screening Adherence Rates.

    PubMed

    Shneyderman, Yuliya; Rutten, Lila J Finney; Arheart, Kristopher L; Byrne, Margaret M; Kornfeld, Julie; Schwartz, Seth J

    2016-03-01

    Effective screening tools are available for many of the top cancer killers in the USA. Searching for health information has previously been found to be associated with adhering to cancer screening guidelines, but Internet information seeking has not been examined separately. The current study examines the relationship between health and cancer Internet information seeking and adherence to cancer screening guidelines for breast, cervical, and colorectal cancer in a large nationally representative dataset. The current study was conducted using data from the Health Information National Trends Survey from 2003 and 2007. The study examined age-stratified models which correlated health and cancer information seeking with getting breast, cervical, and colorectal cancer screening on schedule, while controlling for several key variables. Internet health and cancer information seeking was positively associated with getting Pap screening on schedule, while information seeking from any sources was positively associated with getting colorectal screening on schedule. People who look for health or cancer information are more likely to get screened on schedule. Some groups of people, however, do not exhibit this relationship and, thus, may be more vulnerable to under-screening. These groups may benefit more from targeted interventions that attempt to engage people in their health care more actively. PMID:25619195

  18. Sharing information, sharing responsibility: helping health care consumers make informed decisions.

    PubMed Central

    Marcus, S. H.; Tuchfeld, B. S.

    1993-01-01

    The purpose of this paper is to discuss the need to provide access to information to support informed medical decision-making and to describe a working model for delivering such information. We report the findings on the users of an independent health information service (n = 1083), including: who uses this type of service; the types of information requested; and, the benefits for individuals and health care organizations. PMID:8130482

  19. Yogurt consumption and impact on health: focus on children and cardiometabolic risk.

    PubMed

    Marette, Andr; Picard-Deland, Eliane

    2014-05-01

    An accumulating body of epidemiologic data, clinical trials, and mechanistic studies suggests that yogurt consumption as part of a healthy diet may be beneficial to cardiometabolic health. This brief review focuses on children and adolescents, introducing new concepts underlying the effect of yogurt consumption on body weight maintenance and the prevention of cardiovascular diseases. Specific properties of yogurt are discussed, which highlight that yogurt is an easy-to-digest, nutrient-dense, and satiating food that contains high-quality protein and specific amino acids. Moreover, the role of yogurt as a modulator of the gut microbiota in infancy is explored. We also propose the idea that the specific matrix of yogurt has bioavailability and metabolic properties that can be exploited to increase the functionality of this dairy product. PMID:24646821

  20. Focus Groups Move Online: Feasibility of Tumblr Use for eHealth Curriculum Development

    PubMed Central

    Rohlman, Diane; Parish, Megan

    2015-01-01

    Background Constructing successful online programs requires engaging potential users in development. However, assembling focus groups can be costly and time consuming. Objective The aim of this study is to assess whether Tumblr can be used to prioritize activities for an online younger worker risk reduction and health promotion program. Methods Younger summer parks and recreation employees were encouraged to visit Tumblr using weekly announcements and competitions. Each week, new activities were posted on Tumblr with linked survey questions. Responses were downloaded and analyzed. Results An average of 36 young workers rated each activity on its likeability and perceived educational value. The method was feasible, efficient, and sustainable across the summer weeks. Ratings indicated significant differences in likeability among activities (P<.005). Conclusions Tumblr is a means to crowdsource formative feedback on potential curricular components when assembling an online intervention. This paper describes its initial use as well as suggestions for future refinements. PMID:25831197

  1. Forensic focused treatment planning: a new standard for forensic mental health systems.

    PubMed

    Schaufenbil, Robert J; Kornbluh, Rebecca; Stahl, Stephen M; Warburton, Katherine D

    2015-06-01

    Almost no literature addresses treatment planning for the forensic psychiatric patient. In the absence of such guidance, recovery-oriented multifocal treatment planning has been imported into forensic mental health systems from community psychiatric settings, despite the fact that conditions of admission and discharge are vastly different for forensic psychiatry inpatients. We propose that instead of focusing on recovery, forensic treatment planning should prioritize forensic outcomes, such as restoration of trial competence or mitigation of violence risk, as the first steps in a continuum of care that eventually leads to the patient's ability to resolve forensic issues and return to the community for recovery-oriented care. Here we offer a model for treatment planning in the forensic setting. PMID:25801440

  2. Reinsurance of health insurance for the informal sector.

    PubMed

    Dror, D M

    2001-01-01

    Deficient financing of health services in low-income countries and the absence of universal insurance coverage leaves most of the informal sector in medical indigence, because people cannot assume the financial consequences of illness. The role of communities in solving this problem has been recognized, and many initiatives are under way. However, community financing is rarely structured as health insurance. Communities that pool risks (or offer insurance) have been described as micro-insurance units. The sources of their financial instability and the options for stabilization are explained. Field data from Uganda and the Philippines, as well as simulated situations, are used to examine the arguments. The article focuses on risk transfer from micro-insurance units to reinsurance. The main insight of the study is that when the financial results of micro-insurance units can be estimated, they can enter reinsurance treaties and be stabilized from the first year. The second insight is that the reinsurance pool may require several years of operation before reaching cost neutrality. PMID:11477971

  3. Providing Young Women with Credible Health Information about Bleeding Disorders

    PubMed Central

    Rhynders, Patricia A.; Sayers, Cynthia A.; Presley, Rodney J.; Thierry, JoAnn M.

    2015-01-01

    Background Approximately 1% of U.S. women may have an undiagnosed bleeding disorder, which can diminish quality of life and lead to life-threatening complications during menstruation, childbirth, and surgery. Purpose To understand young womens knowledge, attitudes, and perceptions about bleeding disorders and determine the preferred messaging strategy (e.g., gain- versus loss-framed messages) for presenting information. Methods In September 2010, a web-assisted personal interview of women aged 1825 years was conducted. Preliminary analyses were conducted in 2011 with final analyses in 2013. In total, 1,243 women participated. Knowledge of blood disorders was tabulated for these respondents. Menstrual experiences of women at risk for a bleeding disorder were compared with those not at risk using chi-square analyses. Perceived influence of gain- versus loss-framed messages also was compared. Results Participants knew that a bleeding disorder is a condition in which bleeding takes a long time to stop (77%) or blood does not clot (66%). Of the women, 57% incorrectly thought that a bleeding disorder is characterized by thin blood; many were unsure if bleeding disorders involve blood types, not getting a period, or mother and fetus having a different blood type. Women at risk for a bleeding disorder were significantly more likely to report that menstruation interfered with daily activities (36% vs 9%); physical or sports activities (46% vs 21%); social activities (29% vs 7%); and school or work activities (20% vs 9%) than women not at risk. Gain-framed messages were significantly more likely to influence womens decisions to seek medical care than parallel loss-framed messages. Findings suggest that the most influential messages focus on knowing effective treatment is available (86% gain-framed vs 77% loss-framed); preventing pregnancy complications (79% gain- vs 71% loss-framed); and maintaining typical daily activities during menstrual periods. Conclusions Lack of information about bleeding disorders is a serious public health concern. Health communications focused on gain-framed statements might encourage symptomatic young women to seek diagnosis and treatment. These findings and corresponding recommendations align with Healthy People 2020 and with CDCs goal of working to promote the health, safety, and quality of life of women at every life stage. PMID:25245800

  4. An interprofessional practice capability framework focusing on safe, high-quality, client-centred health service.

    PubMed

    Brewer, Margo L; Jones, Sue

    2013-01-01

    This paper describes an interprofessional capability framework which builds on the existing interprofessional competency and capability frameworks from the United Kingdom, Canada, and the United States of America. Existing published frameworks generally make reference to being client-centred and to the safety and quality of care, and locate interprofessional collaborative practice as the central theme or objective. In contrast, this framework interlinks all three elements: client-centred services, safety and quality of services, and interprofessional collaborative practice. The framework is clear and succinct with an accompanying visual representation that highlights all key features. The framework has informed curriculum which incorporates a common first-year, case-based educational workshops and practice placements within a large complex health sciences faculty of approximately 10,000 students from 22 disciplines. The articulation of these key elements of health practice has facilitated students, academic staff, and community health professionals to develop a shared understanding of interprofessional education and practice. The design, implementation, and evaluation of learning outcomes, learning experiences, and assessments have been transformed with the introduction of this framework, which is highly applicable to other contexts. PMID:23752243

  5. Health Beliefs and Practices Related to Dengue Fever: A Focus Group Study

    PubMed Central

    Wong, Li Ping; AbuBakar, Sazaly

    2013-01-01

    Background This qualitative study aimed to provide an in-depth understanding of the meaning of dengue fever (DF) amongst people living in a dengue endemic region, dengue prevention and treatment-seeking behaviours. The Health Belief Model was used as a framework to explore and understand dengue prevention behaviours. Methods A total of 14 focus group discussions were conducted with 84 Malaysian citizens of different socio-demographic backgrounds between 16th December, 2011 and 12th May, 2012. Results The study revealed that awareness about DF and prevention measures were high. The pathophysiology of dengue especially dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS) were rarely known; as a result, it was seen as deadly by some but was also perceived as easily curable by others without a basis of understanding. Young adults and elderly participants had a low perception of susceptibility to DF. In general, the low perceived susceptibility emerged as two themes, namely a perceived natural ability to withstand infection and a low risk of being in contact with the dengue virus vector, Aedes spp. mosquitoes. The barriers to sustained self-prevention against dengue prevention that emerged in focus groups were: i) lack of self-efficacy, ii) lack of perceived benefit, iii) low perceived susceptibility, and iv) unsure perceived susceptibility. Low perceived benefit of continued dengue prevention practices was a result of lack of concerted action against dengue in their neighborhood. Traditional medical practices and home remedies were widely perceived and experienced as efficacious in treating DF. Conclusion Behavioural change towards attaining sustainability in dengue preventive practices may be enhanced by fostering comprehensive knowledge of dengue and a change in health beliefs. Wide use of unconventional therapy for DF warrants the need to enlighten the public to limit their reliance on unproven alternative treatments. PMID:23875045

  6. Examining the health information-seeking behaviors of Korean Americans.

    PubMed

    Oh, Kyeung Mi; Kreps, Gary L; Jun, Jungmi; Chong, Elizabeth; Ramsey, Lolita

    2012-08-01

    Many Korean Americans suffer from high levels of cancer incidence and have low cancer screening rates. A significant number of Korean Americans lack adequate information about cancer screening tests. However, little is known about their health behaviors. This article examines exposure to mass media and health information-seeking behaviors for Korean Americans, and their associations with demographic characteristics influencing variations in exposure to the different health information and trust in health information sources. The authors gathered data for this study using a cross-sectional, community-based survey conducted in the Washington, DC, metropolitan area during 2006 and 2007. It was administered to 254 Korean Americans who were 40 years of age or older. This study is part of the first health-related program of research to study exposure to mass media, health and cancer information sources, and seeking preferences and experiences of Korean Americans. Results indicated that Korean ethnic media sources and Internet are important sources used regularly. Age, years of education completed, and English proficiency levels for Korean Americans significantly predicted the likelihood of their Internet use. Low-income Korean Americans with less education were more likely to seek health information in Korean ethnic magazines and newspapers, whereas Korean Americans with higher education and English proficiency were more likely to seek information online. The most trusted source of health information among respondents was from a doctor or other health care professional. Future research should be conducted to determine whether physicians are actually used as a primary source for health information. PMID:22642692

  7. Using Exploratory Focus Groups to Inform the Development of Targeted COPD Self-Management Education DVDs for Rural Patients.

    PubMed

    Stellefson, Michael; Chaney, Beth H; Chaney, J Don

    2010-01-01

    This exploratory study assessed the self-management learning needs, experiences, and perspectives of COPD patients treated at a Certified Federal Rural Health Clinic to inform the development of a COPD self-management DVD. A purposive, homogeneous sample of COPD patients participated in focus group interviews. Data from these interviews were referenced to edit a library of Rvision COPD self-management DVDs into a single condensed DVD containing only the most pertinent self-management topics. Patients reported a lack of knowledge and skill development related to purse lipped breathing, controlled coughing, and stress management; while medication management skills were found to be quite adequate. Engaging rural communities in formal qualitative inquiries to describe COPD specific needs for self-management may lead to future use of educational technologies aimed at improving quality of life for these rural, hard to reach populations. PMID:20672021

  8. Building capacity for evidence informed decision making in public health: a case study of organizational change

    PubMed Central

    2012-01-01

    Background Core competencies for public health in Canada require proficiency in evidence informed decision making (EIDM). However, decision makers often lack access to information, many workers lack knowledge and skills to conduct systematic literature reviews, and public health settings typically lack infrastructure to support EIDM activities. This research was conducted to explore and describe critical factors and dynamics in the early implementation of one public health unit's strategic initiative to develop capacity to make EIDM standard practice. Methods This qualitative case study was conducted in one public health unit in Ontario, Canada between 2008 and 2010. In-depth information was gathered from two sets of semi-structured interviews and focus groups (n = 27) with 70 members of the health unit, and through a review of 137 documents. Thematic analysis was used to code the key informant and document data. Results The critical factors and dynamics for building EIDM capacity at an organizational level included: clear vision and strong leadership, workforce and skills development, ability to access research (library services), fiscal investments, acquisition and development of technological resources, a knowledge management strategy, effective communication, a receptive organizational culture, and a focus on change management. Conclusion With leadership, planning, commitment and substantial investments, a public health department has made significant progress, within the first two years of a 10-year initiative, towards achieving its goal of becoming an evidence informed decision making organization. PMID:22348688

  9. Rural Mexican-Americans' perceptions of family health history, genetics, and disease risk: implications for disparities-focused research dissemination.

    PubMed

    Malen, Rachel; Knerr, Sarah; Delgado, Fernanda; Fullerton, Stephanie M; Thompson, Beti

    2016-01-01

    Disseminating the results of transdisciplinary health disparities research will increasingly involve discussing family health history and/or genetic information with study participants and their communities. Often, individuals' familiarity and comfort with these topics will be unclear. To inform the dissemination activities of a Center for Population Health and Health Disparities (CPHHD) studying multilevel determinants of breast cancer disparities in Latinas, we talked with Spanish-speaking Mexican-Americans from a rural agricultural community about family health history, genetics, and disease risk. We found that participants had limited genetic literacy but were familiar with some concepts related to family health history. Participants emphasized the role of individual behavior in shaping health and expressed a strong desire for health-related information. This included genetic information about future disease risk, which participants were previously unaware of but thought could be useful for disease prevention. These findings suggest that for research dissemination to facilitate health promotion, gaps in knowledge, particularly genetic knowledge, will need to be overcome. Outreach to underserved Latino communities should take advantage of this existing knowledge of family health history and strong desire for health information, but also take care to not overstate the significance of unreplicated or low-penetrance genetic associations. PMID:26141228

  10. Applications of Electronic Health Information in Public Health: Uses, Opportunities & Barriers

    PubMed Central

    Tomines, Alan; Readhead, Heather; Readhead, Adam; Teutsch, Steven

    2013-01-01

    Electronic health information systems can reshape the practice of public health including public health surveillance, disease and injury investigation and control, decision making, quality assurance, and policy development. While these opportunities are potentially transformative, and the federal program for the Meaningful Use (MU) of electronic health records (EHRs) has included important public health components, significant barriers remain. Unlike incentives in the clinical care system, scant funding is available to public health departments to develop the necessary information infrastructure and workforce capacity to capitalize on EHRs, personal health records, or Big Data. Current EHR systems are primarily built to serve clinical systems and practice rather than being structured for public health use. In addition, there are policy issues concerning how broadly the data can be used by public health officials. As these issues are resolved and workable solutions emerge, they should yield a more efficient and effective public health system. PMID:25848571

  11. Applications of electronic health information in public health: uses, opportunities & barriers.

    PubMed

    Tomines, Alan; Readhead, Heather; Readhead, Adam; Teutsch, Steven

    2013-01-01

    Electronic health information systems can reshape the practice of public health including public health surveillance, disease and injury investigation and control, decision making, quality assurance, and policy development. While these opportunities are potentially transformative, and the federal program for the Meaningful Use (MU) of electronic health records (EHRs) has included important public health components, significant barriers remain. Unlike incentives in the clinical care system, scant funding is available to public health departments to develop the necessary information infrastructure and workforce capacity to capitalize on EHRs, personal health records, or Big Data. Current EHR systems are primarily built to serve clinical systems and practice rather than being structured for public health use. In addition, there are policy issues concerning how broadly the data can be used by public health officials. As these issues are resolved and workable solutions emerge, they should yield a more efficient and effective public health system. PMID:25848571

  12. Long-term bridge health monitoring focusing on the Mahalanobis Distance of modal parameters

    NASA Astrophysics Data System (ADS)

    Kim, Chul-Woo; Morita, Tomoaki; Wang, Ziran; Sugiura, Kunitomo

    2015-07-01

    Maintaining civil infrastructure, including bridges, has been a keen technical issue in developed countries and will surely be one in developing countries in the near future. An effective maintenance strategy strongly depends on timely decisions on the health condition of the structure. Bridge health monitoring (BHM) using vibration data is widely recognized to be one of the effective technologies that aid decision-making on bridge maintenance. This research focuses on long-term BHM expecting that changes in physical properties of the bridge subject to aged-deterioration progress slowly. In the practical application of the long-term BHM, one of the difficulties is that the observed vibration data includes environmental influences such as temperature change. In order to achieve high accuracy in evaluating modal parameters of the bridge, other influencing variables have to be taken into consideration. In this study, temperature is considered as the main environmental factor by means of a regression analysis. The Mahalanobis distance (MD), a multivariate statistical distance, is adopted to emphasize potential changes in the identified modal parameters. The validity of the proposed approach is investigated utilizing vibration data measured at a real bridge in service.

  13. Gut microbiota in health and disease: an overview focused on metabolic inflammation.

    PubMed

    Nagpal, R; Kumar, M; Yadav, A K; Hemalatha, R; Yadav, H; Marotta, F; Yamashiro, Y

    2016-03-11

    In concern to the continuously rising global prevalence of obesity, diabetes and associated diseases, novel preventive and therapeutic approaches are urgently required. However, to explore and develop such innovative strategies, a meticulous comprehension of the biological basis of these diseases is extremely important. Past decade has witnessed an enormous amount of research investigation and advancement in the field of obesity, diabetes and metabolic syndrome, with the gut microbiota receiving a special focus in the triangle of nutrition, health and diseases. In particular, the role of gut microbiota in health and diseases has been one of the most vigorous and intriguing field of recent research; however, much still remains to be elucidated about its precise role in host metabolism and immune functions and its implication in the onset, progression as well as in the amelioration of metabolic ailments. Recent investigations have suggested a significant contribution of the gut microbiota in the regulation and impairment of energy homeostasis, thereby causing metabolic disorders, such as metabolic endotoxemia, insulin resistance and type 2 diabetes. Numerous inflammatory biomarkers have been found to be associated with obesity, diabetes and risk of other associated adverse outcomes, thereby suggesting that a persistent low-grade inflammatory response is a potential risk factor. In this milieu, this review intends to discuss potential evidences supporting the disturbance of the gut microbiota balance and the intestinal barrier permeability as a potential triggering factor for systemic inflammation in the onset and progression of obesity, type 2 diabetes and metabolic syndrome. PMID:26645350

  14. Health Insurance Information-Seeking Behaviors Among the Uninsured.

    PubMed

    Furtado, Karishma S; Kaphingst, Kimberly A; Perkins, Hannah; Politi, Mary C

    2016-02-01

    As a result of the Affordable Care Act, millions of previously uninsured individuals are facing the daunting task of selecting health insurance. In order to better understand how to reach the uninsured and support their health insurance decision making, this study examined where the uninsured collect information about health insurance and the extent to which they trust those sources and media. We analyzed secondary data on health insurance information-seeking behaviors collected from a survey of 343 uninsured individuals. The Internet, mail, and television were among the most frequently used media, though all 3 had low trust scores. Participants sought information from health care providers and interpersonal sources less frequently but trusted it more than they trusted the media. Age, gender, race, and education were predictors of use and trust of different media and sources of health insurance information. Findings suggest that strategies that pair health care professionals, lay health advisors, or community liaisons with the ubiquity of the Internet may be a strong approach for delivering quality health insurance information to the uninsured. Tailoring messages might also be effective at reaching specific subgroups of the uninsured. PMID:26444848

  15. Open Source, Open Standards, and Health Care Information Systems

    PubMed Central

    2011-01-01

    Recognition of the improvements in patient safety, quality of patient care, and efficiency that health care information systems have the potential to bring has led to significant investment. Globally the sale of health care information systems now represents a multibillion dollar industry. As policy makers, health care professionals, and patients, we have a responsibility to maximize the return on this investment. To this end we analyze alternative licensing and software development models, as well as the role of standards. We describe how licensing affects development. We argue for the superiority of open source licensing to promote safer, more effective health care information systems. We claim that open source licensing in health care information systems is essential to rational procurement strategy. PMID:21447469

  16. Unconventional natural gas development and public health: toward a community-informed research agenda

    PubMed Central

    Korfmacher, Katrina Smith; Elam, Sarah; Gray, Kathleen M.; Haynes, Erin; Hughes, Megan Hoert

    2015-01-01

    Unconventional natural gas development (UNGD) using high-volume horizontal hydraulic fracturing (“fracking”) has vastly increased the potential for domestic natural gas production in recent years. However, the rapid expansion of UNGD has also raised concerns about its potential impacts on public health. Academics and government agencies are developing research programs to explore these concerns. Community involvement in activities such as planning, conducting, and communicating research is widely recognized as having an important role in promoting environmental health. Historically, however, communities most often engage in research after environmental health concerns have emerged. This community information needs assessment took a prospective approach to integrating community leaders' knowledge, perceptions, and concerns into the research agenda prior to initiation of local UNGD. We interviewed community leaders about their views on environmental health information needs in three states (New York, North Carolina, and Ohio) prior to widespread UNGD. Interviewees emphasized the cumulative, long-term, and indirect determinants of health, as opposed to specific disease outcomes. Responses focused not only on information needs, but also on communication and transparency with respect to research processes and funding. Interviewees also prioritized investigation of policy approaches to effectively protect human health over the long term. Although universities were most often cited as a credible source of information, interviewees emphasized the need for multiple strategies for disseminating information. By including community leaders' concerns, insights, and questions from the outset, the research agenda on UNGD is more likely to effectively inform decision making that ultimately protects public health. PMID:25204212

  17. Unconventional natural gas development and public health: toward a community-informed research agenda.

    PubMed

    Korfmacher, Katrina Smith; Elam, Sarah; Gray, Kathleen M; Haynes, Erin; Hughes, Megan Hoert

    2014-01-01

    Unconventional natural gas development (UNGD) using high-volume horizontal hydraulic fracturing ("fracking") has vastly increased the potential for domestic natural gas production in recent years. However, the rapid expansion of UNGD has also raised concerns about its potential impacts on public health. Academics and government agencies are developing research programs to explore these concerns. Community involvement in activities such as planning, conducting, and communicating research is widely recognized as having an important role in promoting environmental health. Historically, however, communities most often engage in research after environmental health concerns have emerged. This community information needs assessment took a prospective approach to integrating community leaders' knowledge, perceptions, and concerns into the research agenda prior to initiation of local UNGD. We interviewed community leaders about their views on environmental health information needs in three states (New York, North Carolina, and Ohio) prior to widespread UNGD. Interviewees emphasized the cumulative, long-term, and indirect determinants of health, as opposed to specific disease outcomes. Responses focused not only on information needs, but also on communication and transparency with respect to research processes and funding. Interviewees also prioritized investigation of policy approaches to effectively protect human health over the long term. Although universities were most often cited as a credible source of information, interviewees emphasized the need for multiple strategies for disseminating information. By including community leaders' concerns, insights, and questions from the outset, the research agenda on UNGD is more likely to effectively inform decision making that ultimately protects public health. PMID:25204212

  18. HEALTH INSURANCE INFORMATION-SEEKING BEHAVIORS AMONG INTERNET USERS: AN EXPLORATORY ANALYSIS TO INFORM POLICIES.

    PubMed

    Erlyana, Erlyana; Acosta-Deprez, Veronica; O'Lawrence, Henry; Sinay, Tony; Ramirez, Jeremy; Jacot, Emmanuel C; Shim, Kyuyoung

    2015-01-01

    The purpose of this study was to explore characteristics of Internet users who seek health insurance information online, as well as factors affecting their behaviors in seeking health insurance information. Secondary data analysis was conducted using data from the 2012 Pew Internet Health Tracking Survey. Of 2,305 Internet user adults, only 29% were seeking health insurance information online. Bivariate analyses were conducted to test differences in characteristics of those who seek health insurance information online and those who do not. A logistic regression model was used to determine significant predictors of health insurance information-seeking behavior online. Findings suggested that factors such as being a single parent, having a high school education or less, and being uninsured were significant and those individuals were less likely to seek health insurance information online. Being a family caregiver of an adult and those who bought private health insurance or were entitled to Medicare were more likely to seek health insurance information online than non-caregivers and the uninsured. The findings suggested the need to provide quality health insurance information online is critical for both the insured and uninsured population. PMID:26369232

  19. An argument against the focus on Community Resilience in Public Health

    PubMed Central

    2014-01-01

    Background It has been suggested that Public Health professionals focus on community resilience in tackling chronic problems, such as poverty and deprivation; is this approach useful? Discussion Resilience is always i) of something ii) to something iii) to an endpoint, as in i) a rubber ball, ii) to a blunt force, iii) to its original shape. Community resilience might be: of a neighbourhood, to a flu pandemic, with the endpoint, to return to normality. In these two examples, the endpoint is as-you-were. This is unsuitable for some examples of resilience. A child that is resilient to an abusive upbringing has an endpoint of living a happy life despite that upbringing: this is an as-you-should-be endpoint. Similarly, a chronically deprived community cannot have the endpoint of returning to chronic deprivation: so what is its endpoint? Roughly, it is an as-you-should-be endpoint: to provide an environment for inhabitants to live well. Thus resilient communities will be those that do this in the face of challenges. How can they be identified? One method uses statistical outliers, neighbourhoods that do better than would be expected on a range of outcomes given a range of stressors. This method tells us that a neighbourhood is resilient but not why it is. In response, a number of researchers have attributed characteristics to resilient communities; however, these generally fail to distinguish characteristics of a good community from those of a resilient one. Making this distinction is difficult and we have not seen it successfully done; more importantly, it is arguably unnecessary. There already exist approaches in Public Health to assessing and developing communities faced with chronic problems, typically tied to notions such as Social Capital. Community resilience to chronic problems, if it makes sense at all, is likely to be a property that emerges from the various assets in a community such as human capital, built capital and natural capital. Summary Public Health professionals working with deprived neighbourhoods would be better to focus on what neighbourhoods have or could develop as social capital for living well, rather than on the vague and tangential notion of community resilience. PMID:24447588

  20. Information systems for health sector monitoring in Papua New Guinea.

    PubMed Central

    Cibulskis, R. E.; Hiawalyer, G.

    2002-01-01

    This paper describes (i). how a national health information System was designed, tested and implemented in Papua New Guinea, (ii). how the system was integrated with other management information systems, and (iii). how information has been used to support decision-making. It concludes that central coordination of systems design is essential to make sure that information systems are aligned with government priorities and can deliver the information required by managers. While there is often scope for improving the performance of existing information systems, too much emphasis can be placed on revising data collection procedures and creating the perfect information system. Data analysis, even from imperfect systems, can stimulate greater interest in information, which can improve the quality and completeness of reporting and encourage a more methodical approach to planning and monitoring services. Our experience suggests that senior decision-makers and political leaders can play an important role in creating a culture of information use. By demanding health information, using it to formulate policy, and disseminating it through the channels open to them, they can exert greater influence in negotiations with donors and other government departments, encourage a more rational approach to decision-making that will improve the operation of health services, and stimulate greater use of information at lower levels of the health system. The ability of information systems to deliver these benefits is critical to their sustainability. PMID:12378295

  1. Health Information-Seeking in the Digital Age

    ERIC Educational Resources Information Center

    Percheski, Christine; Hargittai, Eszter

    2011-01-01

    Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study.

  2. Health Information-Seeking in the Digital Age

    ERIC Educational Resources Information Center

    Percheski, Christine; Hargittai, Eszter

    2011-01-01

    Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study.…

  3. Understanding Health Information Seeking from an Actor-Centric Perspective.

    PubMed

    Batchelor, Simon; Waldman, Linda; Bloom, Gerry; Rasheed, Sabrina; Scott, Nigel; Ahmed, Tanvir; Khan, Nazib Uz Zaman; Sharmin, Tamanna

    2015-07-01

    This paper presents a conceptual approach for discussing health information seeking among poor households in Africa and Asia. This approach is part of a larger research endeavor aimed at understanding how health systems are adapting; with possibilities and constraints emerging. These health systems can be found in a context of the changing relationships between states, markets and civil society in low and middle income countries. The paper starts from an understanding of the health sector as a "health knowledge economy", organized to provide people with access to knowledge and advice. The use of the term "health knowledge economy" draws attention to the ways the health sector is part of a broader knowledge economy changing the way individuals and households obtain and use specialist information. The paper integrates an actor centric approach with the theory of planned behavior. It seeks to identify the actors engaged in the health knowledge economy as a precursor to longer term studies on the uptake of innovations integrating health services with mobile phones, commonly designated as mHealth, contributing to an understanding of the potential vulnerabilities of poor people, and highlighting possible dangers if providers of health information and advice are strongly influenced by interest groups. PMID:26184275

  4. Understanding Health Information Seeking from an Actor-Centric Perspective

    PubMed Central

    Batchelor, Simon; Waldman, Linda; Bloom, Gerry; Rasheed, Sabrina; Scott, Nigel; Ahmed, Tanvir; Uz Zaman Khan, Nazib; Sharmin, Tamanna

    2015-01-01

    This paper presents a conceptual approach for discussing health information seeking among poor households in Africa and Asia. This approach is part of a larger research endeavor aimed at understanding how health systems are adapting; with possibilities and constraints emerging. These health systems can be found in a context of the changing relationships between states, markets and civil society in low and middle income countries. The paper starts from an understanding of the health sector as a “health knowledge economy”, organized to provide people with access to knowledge and advice. The use of the term “health knowledge economy” draws attention to the ways the health sector is part of a broader knowledge economy changing the way individuals and households obtain and use specialist information. The paper integrates an actor centric approach with the theory of planned behavior. It seeks to identify the actors engaged in the health knowledge economy as a precursor to longer term studies on the uptake of innovations integrating health services with mobile phones, commonly designated as mHealth, contributing to an understanding of the potential vulnerabilities of poor people, and highlighting possible dangers if providers of health information and advice are strongly influenced by interest groups. PMID:26184275

  5. Enabling patient-centered care through health information technology.

    PubMed Central

    Finkelstein, Joseph; Knight, Amy; Marinopoulos, Spyridon; Gibbons, M Christopher; Berger, Zackary; Aboumatar, Hanan; Wilson, Renee F; Lau, Brandyn D; Sharma, Ritu; Bass, Eric B

    2012-01-01

    OBJECTIVES The main objective of the report is to review the evidence on the impact of health information technology (IT) that supports patient-centered care (PCC) on: health care processes; clinical outcomes; intermediate outcomes (patient or provider satisfaction, health knowledge and behavior, and cost); responsiveness to needs and preferences of patients; shared decisionmaking and patient-clinician communication; and access to information. Additional objectives were to identify barriers and facilitators for using health IT to deliver PCC, and to identify gaps in evidence and information needed by patients, providers, payers, and policymakers. DATA SOURCES MEDLINE®, Embase®, Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, INSPEC, and Compendex databases through July 31, 2010. METHODS Paired members of our team reviewed citations to identify randomized controlled trials of PCC-related health IT interventions and studies that addressed barriers and facilitators for health IT for delivery of PCC. Independent assessors rated studies for quality. Paired reviewers abstracted data. RESULTS The search identified 327 eligible articles, including 184 articles on the impact of health IT applications implemented to support PCC and 206 articles addressing barriers or facilitators for such health IT applications. Sixty-three articles addressed both questions. The study results suggested positive effects of PCC-related health IT interventions on health care process outcomes, disease-specific clinical outcomes (for diabetes mellitus, heart disease, cancer, and other health conditions), intermediate outcomes, responsiveness to the needs and preferences of patients, shared decisionmaking, patient-clinician communication, and access to medical information. Studies reported a number of barriers and facilitators for using health IT applications to enable PCC. Barriers included: lack of usability; problems with access to the health IT application due to older age, low income, education, cognitive impairment, and other factors; low computer literacy in patients and clinicians; insufficient basic formal training in health IT applications; physicians' concerns about more work; workflow issues; problems related to new system implementation, including concerns about confidentiality of patient information; depersonalization; incompatibility with current health care practices; lack of standardization; and problems with reimbursement. Facilitators for the utilization of health IT included ease of use, perceived usefulness, efficiency of use, availability of support, comfort in use, and site location. CONCLUSIONS Despite marked heterogeneity in study characteristics and quality, substantial evidence exists confirming that health IT applications with PCC-related components have a positive effect on health care outcomes. positive effect on health care outcomes. PMID:24422882

  6. A security mediator for health care information.

    PubMed Central

    Wiederhold, G.; Bilello, M.; Sarathy, V.; Qian, X.

    1996-01-01

    The TIHI (Trusted Interoperation of Healthcare Information) project addresses a security issue that arises when some information is being shared among collaborating enterprises, although not all enterprise information is sharable. It assumes that protection exists to prevent intrusion by adversaries through secure transmission and firewalls. The TIHI system design provides a gateway, owned by the enterprise security officer, to mediate queries and responses. The latter are typically transmitted via the Internet. The enterprise policy is determined by rules provided to the mediator. We show examples of typical rules. The problem and our solution, although developed in a healthcare context, is equally valid among collaborating enterprises. PMID:8947640

  7. Effective implementation of electronic medical records and health information technologies.

    PubMed

    Khatri, Naresh

    2015-01-01

    Information technology (IT) capabilities are necessary for realizing the full promise of health information technologies in improving health care delivery process. In this study, three key IT capabilities for health care organizations are identified and their relationship with 30-day mortality rate from heart attack examined in a national sample of U.S. hospitals. The findings indicate that the negative relationship of IT capabilities with mortality rate from heart attack is mediated by effort/flexibility putforth by health care workers. PMID:25812274

  8. The emerging need for transformational leadership in health information management.

    PubMed

    Balloun, J L; Stebbins, L H; Von Bergen, C W

    1995-02-01

    The prospect of national healthcare reform, new clinical and information technologies, and the need to cut the cost of health care delivery are contributing factors in the restructuring of the health care system. In light of these rapid changes and great uncertainties, health information management (HIM) leadership must radically change its style. The appropriate new styles will move the HIM practitioner from the specialized medical records department to a larger, more professional role. The successful transformational leader will help HIM emerge as a central function in the new health care industries. PMID:10140303

  9. The Journey Project: a case study in providing health information to mitigate health disparities

    PubMed Central

    Leisey, Monica

    2009-01-01

    The Journey Project, part of the Virginia Commonwealth University Libraries' Social Work Information Specialist in Context Fellowship, was designed to merge social work and consumer health librarianship skills in order to improve the provision of health information to patients. A resource notebook was created encompassing the many dimensions of cancer health information. A social work informationist distributed the notebooks and provided individualized consultations with respect to patients' health information needs. Areas of congruence as well as key differences between social work and consumer health librarianship emerged during the course of the project. Merging the two professions into the role of a social work informationist increased the ability to attend holistically to clients' health information needs. PMID:19159008

  10. Patient Informed Governance of Distributed Research Networks: Results and Discussion from Six Patient Focus Groups

    PubMed Central

    Mamo, Laura A.; Browe, Dennis K.; Logan, Holly C.; Kim, Katherine K.

    2013-01-01

    Understanding how to govern emerging distributed research networks is essential to their success. Distributed research networks aggregate patient medical data from many institutions leaving data within the local provider security system. While much is known about patients’ views on secondary medical research, little is known about their views on governance of research networks. We conducted six focus groups with patients from three medical centers across the U.S. to understand their perspectives on privacy, consent, and ethical concerns of sharing their data as part of research networks. Participants positively endorsed sharing their health data with these networks believing that doing so could advance healthcare knowledge. However, patients expressed several concerns regarding security and broader ethical issues such as commercialism, public benefit, and social responsibility. We suggest that network governance guidelines move beyond strict technical requirements and address wider socio-ethical concerns by fully including patients in governance processes. PMID:24551383

  11. Focused ultrasound as a tool to input sensory information to humans (Review)

    NASA Astrophysics Data System (ADS)

    Gavrilov, L. R.; Tsirulnikov, E. M.

    2012-01-01

    This review is devoted to the analysis of studies and implementations related to the use of focused ultrasound for functional effects on neuroreceptor structures. Special attention was paid to the stimulation of neuroreceptor structures in order to input sensory information to humans. This branch of medical and physiological acoustics appeared in Russia in the early 1970s and was being efficiently developed up to the late 1980s. Then, due to lack of financial support, only individual researchers remained at this field and, as a result, we have no full- fledged theoretical research and practical implementations in this area yet. Many promising possibilities of using functional effects of focused ultrasound in medicine and physiology have remained unimplemented for a long time. However, new interesting ideas and approaches have appeared in recent years. Very recently, very questionable projects have been reported related to the use of ultrasound for targeted functional effects on the human brain performed in some laboratories. In this review, the stages of the development of scientific research devoted to the functional effects of focused ultrasound are described. By activating the neuroreceptor structures of the skin by means pulses of focused ultrasound, one can cause all the sensations perceived by human beings through the skin in everyday life, such as tactile sensations, thermal (heat and cold), tickling, itching, and various types of pain. Stimulation of the ear labyrinth of humans with normal hearing using amplitude-modulated ultrasound causes auditory sensations corresponding to an audio modulating signal (pure tones, music, speech, etc.). Activation of neuroreceptor structures by means of focused ultrasound is used for the diagnosis of various neurological and skin diseases, as well as hearing disorders. It has been shown that the activation is related to the mechanical action of ultrasound, for example, by the radiation force, as well as to the direct action of ultrasonic vibrations on nerve fibers. The action of the radiation force is promising for the realization of the possibility of blind and even deaf-and-blind people to perceive text information on a display using tactile sensations caused by ultrasound. Very different methods of using ultrasound for local stimulation of neuroreceptor structures are discussed in this review. Among them are practical methods that have been already tested in a clinic, as well as pretending to be sensational methods that are hardly feasible in the foreseeable future.

  12. Lay information mediary behavior uncovered: exploring how nonprofessionals seek health information for themselves and others online*EC

    PubMed Central

    Fisher, Karen E.; Turner, Anne G.; Durrance, Joan C.; Turner, Tammara Combs

    2008-01-01

    Objectives: This research studied motivations for, barriers to, and effects of online health information seeking and explored lay information mediary behavior (LIMB) characteristics in the consumer health information domain. Lay information mediaries (LIMs) seek information on behalf or because of others, without necessarily being asked to do so or engaging in follow up, and have represented more than 50% of health information seekers in prior studies. Methods: A web-based survey was posted on NC Health Info (NCHI) with 211 respondents, self-identified per the information need that brought them to NCHI as 20% LIMs (n = 43), 58% direct users (n = 122), and 22% health or information providers (n = 46). Follow-up telephone interviews were performed with 10% (n = 21). Interview analysis focused on lay participants (n = 15 LIMs and direct users combined). Interviewees were reclassified post-survey as 12 LIMs and 3 direct users when studied information behavior extended beyond NCHI search. Interview data were analyzed using grounded theory approach. Results: Surveyed LIMs were 77% female (n = 33) and searched on behalf or because of family members (81%, n = 35) and people they felt “extremely close” to (77%, n = 33). LIMs reported various information seeking barriers “sometimes” to “often.” LIMs searched mostly without prompting (51%, n = 22). Interview results triangulated survey findings regarding gender, tie strength, and prompting. Conclusions: LIMB may be related to gender and relationship tie strength and appears more internally than externally motivated. Further LIMB research is warranted. PMID:18974809

  13. 75 FR 48412 - Proposed Information Collection (Six-Month Post-Exit Focus Interview of Former VHA Employees...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Six-Month Post-Exit Focus Interview of Former VHA Employees.... 2900-New (VA Form 10-0487).'' SUPPLEMENTARY INFORMATION: Title: Six-Month Post-Exit Focus Interview...

  14. Pilot Study in the Development of an Interactive Multimedia Learning Environment for Sexual Health Interventions: A Focus Group Approach

    ERIC Educational Resources Information Center

    Goold, P. C.; Bustard, S.; Ferguson, E.; Carlin, E. M.; Neal, K.; Bowman, C. A.

    2006-01-01

    In the UK there are high rates of sexually transmitted infections and unintended pregnancies amongst young people. There is limited and contradictory evidence that current sexual health education interventions are effective or that they improve access to appropriate sexual health services. This paper describes the outcome of focus group work with

  15. [Geoprocessing of health data: treatment of information on addresses].

    PubMed

    Skaba, Daniel Albert; Carvalho, Marilia S; Barcellos, Christovam; Martins, Paulo Cesar; Terron, Sonia Luiza

    2004-01-01

    This paper analyzes the current status of address data in the Brazilian Health Information System (SIS), with a view towards mapping large-city health events in geographic information systems (GIS) for risk analysis and evaluation. It is thus necessary to geocode these events to small geographic areas inside city limits. This study used a sample from the Reportable Health Events Information System (SINAN) database and also proposes alternatives to work with this large amount of events. Approximately 50% of addresses were referenced automatically and another 19% through conventional search. Data losses occurred mainly due to incomplete or inconsistent address data. PMID:15608881

  16. Sharing sensitive personal health information through Facebook: the unintended consequences.

    PubMed

    Househ, Mowafa

    2011-01-01

    The purpose of this paper was to explore the types of sensitive health information posted by individuals through social network media sites such as Facebook. The researcher found several instances in which individuals, who could be identified by their user profiles, posted personal and sensitive health information related to mental and genetic disorders and sexually transmitted diseases. The data suggest that Facebook users should be made aware of the potential harm that may occur when sharing sensitive health information publicly through Facebook. Ethical considerations in undertaking such research are also examined. PMID:21893822

  17. Emphasizing Public Health Within a Health Information Exchange: An Evaluation of the District of Columbias Health Information Exchange Program

    PubMed Central

    Goldwater, Jason; Jardim, Juliette; Khan, Tasnuva; Chan, Karen

    2014-01-01

    Introduction: Clinovations Government Solutions (CGS) was contracted in 2013 to conduct a mixed-methods evaluation of the District of Columbia (D.C.) Health Information Exchange (HIE) program as part of their Cooperative Agreement Grant funded by the Office of the National Coordinator in 2010. The evaluation was to focus on the progress of the HIE, how many providers and hospitals were participating in the program, and what benefits were being realized through the use of the HIE. During the course of the evaluation, the CGS team found that the use of the HIE to support public health reporting was one of its core elements. Background: The D.C. HIE is one of 56 HIE that were funded out of the Cooperative Agreement program. The HIE program was managed by the District of Columbia Department of Health Care Finance (DHCF), which also manages the District of Columbia Medicaid Program. The program was initially designed to accomplish the following: developing state-level directories and enabling technical services for HIE within and across states; ensuring an effective model for governance and accountability; coordinating an integrated approach with Medicaid and public health; and developing or updating privacy and security requirements for HIE within and across state borders. As the evaluation progressed, the CGS team discovered that the relationship between the DHCF and the District of Columbia Department of Health (DOH) had become a cornerstone of the D.C. HIE program. Methods: The CGS team used a mixed-methods approach for the evaluation, including a review of documents developed by the DHCF in its HIE program, including its original application. We also conducted 10 key informant interviews and moderated two small-group discussions using a semistructured protocol; and we developed a survey that measured the use, satisfaction, and future sustainability of the HIE for over 200 providers within the District of Columbia. Findings: While the evaluation focused on the D.C. HIE program in its entirety, the results indicated the value of utilizing the HIE for public health reporting to enhance the surveillance activities of the DOH. Specifically, the DHCF and DOH collaboration resulted in using the HIE to electronically capture and report immunization data; and in requiring electronic lab reporting and results as part of the Meaningful Use Requirementwhich can assist in detecting HIV/AIDS and providing better care for the districts high population of individuals with HIV/AIDS. Electronic lab reporting and electronic prescribing within the HIE can assist the DOH and providers in identifying specific diseases, such as tuberculosis and viral hepatitis, before they affect a significant part of the population. Discussion: Given the severe health disparities in the district, the ability of the D.C. HIE program to collect public health information on affected populations will be instrumental in better understanding and identifying methods of supporting these populations through improved surveillance and identification of the appropriate treatments. The D.C. HIE program is uniquely positioned to support these populations due to the partnership of DHCF with the D.C. DOH. Conclusion and Next Steps: The District of Columbia has made significant strides in expanding its public health infrastructure and activities. Three key areas of growth were identified that have the potential to transform the District of Columbias public health approach: establishing sufficient feedback loops, collection of environmental data, integration, and interoperability. PMID:25848617

  18. Semantic interoperability between clinical and public health information systems for improving public health services.

    PubMed

    Lopez, Diego M; Blobel, Bernd G M E

    2007-01-01

    Improving public health services requires comprehensively integrating all services including medical, social, community, and public health ones. Therefore, developing integrated health information services has to start considering business process, rules and information semantics of involved domains. The paper proposes a business and information architecture for the specification of a future-proof national integrated system, concretely the requirements for semantic integration between public health surveillance and clinical information systems. The architecture is a semantically interoperable approach because it describes business process, rules and information semantics based on national policy documents and expressed in a standard language such us the Unified Modeling Language UML. Having the enterprise and information models formalized, semantically interoperable Health IT components/services development is supported. PMID:17901617

  19. [Health and social information systems in support of local health planning: issues and challenges].

    PubMed

    Bouchard, Louise; Berthelot, Jean-Marie; Casteigts, Arnaud; Chartier, Mariette; Trugeon, Alain; Warnke, Jan

    2014-03-01

    Health information is indispensable for monitoring the progress that has been made in improving and maintaining population health and health system functions. In the context of health reforms aiming to bring health systems closer to populations and with the objective of consistent health services planning at the community level, access to reliable social and health data has become a major issue. The need to develop specific treatment tools and the appropriation of results by the various actors involved (decision makers, planners, researchers and consumers) are central to the presentations and exchanges in this symposium. PMID:24737809

  20. Assessing the information management requirements for behavioral health providers.

    PubMed

    Major, Leslie F; Turner, Michael G

    2003-01-01

    Behavioral health agencies will soon implement automated information-management systems to support their administrative, financial, and clinical care functions. Assessing current information-management capabilities and delineating future needs are prerequisite to recommending a specific information technology solution. Quantifying the discrepancy between current information-management capabilities and future requirements highlights the areas of greatest unmet need for information management. Selecting an information system that addresses the most critical areas of unmet need is a prudent purchase decision. This article describes the results of a process to assess the information-management requirements for agencies that were considering implementation of an integrated behavioral health information-management system. The assessment revealed that these agencies already employed automated systems to manage most financial functions and many administrative functions. Few agencies, however, utilized automated systems to manage clinical care functions. Selection of a behavioral health electronic medical record (EMR) effectively addressed clinical care information-management needs without duplicating existing financial and administrative management functions. Also, the EMR included features that addressed some administrative functions for which a discrepancy between current capabilities and future needs was found. Selecting an EMR instead of an integrated behavioral health information system was associated with a significant reduction in information system acquisition costs. PMID:14552101