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1

Needs and Preferences for Receiving Mental Health Information in an African American Focus Group Sample  

Microsoft Academic Search

The purpose of this study is to better understand the mental health\\/illness information and service delivery preferences among\\u000a African American residents of Baltimore. We conducted four focus groups (n = 42) among African American adults currently unconnected with the mental health system. Participants expressed fear of stigma\\u000a and perceptions of racism as major barriers to seeking information and\\/or services and discussed some

Shiraz I. Mishra; Alicia Lucksted; Deborah Gioia; Beth Barnet; Claudia R. Baquet

2009-01-01

2

Needs and Preferences for Receiving Mental Health Information in an African American Focus Group Sample  

PubMed Central

The purpose of this study is to better understand the mental health/illness information and service delivery preferences among African American residents of Baltimore. We conducted four focus groups (n=42) among African American adults currently unconnected with the mental health system. Participants expressed fear of stigma and perceptions of racism as major barriers to seeking information and/or services and discussed some normalizing strategies to address these barriers. African Americans harbor cultural and traditional beliefs regarding mental illness which could also act as barriers. Findings have implications for imparting acceptable and culturally-sensitive mental health education and service delivery programs in community settings. PMID:18633704

Mishra, Shiraz I.; Lucksted, Alicia; Gioia, Deborah; Barnet, Beth; Baquet, Claudia R.

2013-01-01

3

Advancing the evolution of healthcare: information technology in a person-focused population health model.  

PubMed

The current changes introduced into the healthcare delivery system through the Affordable Care Act require more than the isolated, quality/cost process solutions utilized to date. Robust information systems with capabilities to push information and provide valid analytics and decision support utilizing point-of-care data input are required to achieve a complex, person-centered, lifetime-focused model. This article presents a review of the current state of population health, a model identifying components within population health, and an example of information technology integration. PMID:25072227

Velianoff, George D

2014-01-01

4

Focus Issue: Women's Health  

NSDL National Science Digital Library

This week’s issues of Science and Science’s STKE concern health-related issues that are specifically pertinent to women. Topics at STKE include cell signaling pathways through which human papillomaviruses promote the development of cervical cancer and the role of membrane-associated signaling pathways in the anti-inflammatory effects of estrogen and the beneficial actions of estrogen on cardiovascular function.

L. Bryan Ray (American Association for the Advancement of Science;Editor of Science's STKE and Senior Editor of Science REV); Elizabeth M. Adler (American Association for the Advancement of Science;Associate Editor of Science's STKE REV); Nancy R. Gough (American Association for the Advancement of Science;Managing Editor of Science's STKE REV)

2005-06-14

5

Spivack, Richard. "Advanced Technology Program Information Infrastructure for Healthcare Focused Program" The Future of Health Technology. ed. Renata Bushko. IOS Press, 2002.  

E-print Network

Spivack, Richard. "Advanced Technology Program Information Infrastructure for Healthcare Focused Program" The Future of Health Technology. ed. Renata Bushko. IOS Press, 2002. Advanced Technology Program Office of the Advanced Technology Program, National Institute of Standards and Technology, US Department

6

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

PubMed Central

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

Pakenham-Walsh, Neil; Bukachi, Frederick

2009-01-01

7

The Focused Information Criterion  

Microsoft Academic Search

A variety of model selection criteria have been developed, of general and specific types. Most of these aim at selecting a single model with good overall properties, e.g. formulated via average prediction quality or shortest estimated overall distance to the in some sense true model. The Akaike, the Bayesian and the deviance information criteria AIC, BIC, DIC, along with many

Gerda Claeskens; Hjort N. L

2003-01-01

8

A Decade of Research on Health Content in the Media: The Focus on Health Challenges and Sociocultural Context and Attendant Informational and Ideological Problems  

Microsoft Academic Search

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.

Kimberly N. Kline

2006-01-01

9

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 ...

10

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

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

Kline, Kimberly N

2006-01-01

11

Correctional Health Curriculum Enhancement Through Focus Groups  

Microsoft Academic Search

Background: Little has been published describing curricular experiences in correctional health (CH). Purposes: Our goal is to articulate a curriculum cognizant of the special needs of the correctional health care worker. Methods: We conducted focus groups with nurses, nurse practitioners, physician assistants, and physicians focused on content crucial to prepare competent medical professionals committed to careers in correctional health. Results:

Heather-Lyn Haley; Warren Ferguson; Arthur Brewer; Janet Hale

2009-01-01

12

Consumer Health Information: A Prognosis.  

ERIC Educational Resources Information Center

This essay focuses on types of health information the public is seeking and sources for obtaining health data. Discussion of librarian's role in providing health information covers legal entanglements, reference interview, collections and services provided by academic health science libraries, hospital libraries, and public libraries, and future…

Fecher, Ellen

1985-01-01

13

Workplace health concerns: a focus group study.  

PubMed

Addresses the workplace health concerns of employees at an Acute Hospital Trust. The research conducted utilised a focus group methodology to investigate the health concerns of multidisciplinary groups of health care workers (n = 27). The findings indicate that the concern for the majority was workplace stress. Stressors that were identified as important to the groups were for example, the nature of the work they were undertaking, staffing levels, volume of the work, management styles and their work environments. Health promotion and prevention topics such as motivation and health status, smoking, alcohol and drug misuse, nutrition and weight control and physical exercise were seen of subsidiary concern. Limitations of the study are given. Future research in the subject area is identified. PMID:10747454

Jinks, A M; Daniels, R

1999-01-01

14

Identifying Information Focuses in Listening Comprehension  

ERIC Educational Resources Information Center

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…

Zhang, Hong-yan

2011-01-01

15

Important health information concepts.  

PubMed

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

Grain, Heather

2010-01-01

16

Biomedical "This pioneering program focuses on solving real-world health problems." institute-health.carleton.ca  

E-print Network

. capital aDVantaGe Opportunities for networking and employment in the health sector abound in Ottawa Institute for Health Information, the Canadian Medical Association, Health Canada and the Public HealthBiomedical "This pioneering program focuses on solving real-world health problems." institute-health

17

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

PubMed

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

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

2012-03-01

18

Women's Health Information Center  

NSDL National Science Digital Library

The Women's Health Information Center, offered by editors of JAMA: the Journal of the American Medical Association (AMA), provides the latest research and clinical information on women's health issues for physicians and other health professionals. A Newsline section features current stories from Reuters Health Information and special reports from Morbidity, Mortality and Weekly Reports (MMWR) which may be read in HTML or downloaded as .pdf files. The Library section features full text of selected articles on women's health issues and abstracts of articles recently published in medical journals. For the latest information on sexually transmitted diseases or contraceptive issues, visit the STD Information Center or the Contraception Information Center, each of which features the latest news, patient education materials, clinical guidelines for treatment, recommended Internet resources, and abstracts and full-text reports on the latest research.

1998-01-01

19

Women's Health Informational Handout  

E-print Network

Women's Health Informational Handout 9-19-13 Next Choice One Dose Request Form Students may now normal. Return to Women's Health for a pregnancy test if you do not get a NORMAL period in 3 weeks transmitted infection testing in Women's Health in 10-14 days Condoms must be used for the rest of the month

Bushman, Frederic

20

Health Information Technician.  

ERIC Educational Resources Information Center

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…

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

21

Communicating health information to disadvantaged populations.  

PubMed

Interest in the communication of health information among disadvantaged populations has increased in recent years with the shift from a model of patient-provider communication to one of a more empowered healthcare consumer; with the use of new communication technologies that increase the number of channels through which health information may be accessed; and with the steadily increasing number of people without health insurance. Three separate research literatures contribute to our current understanding of this issue. In the medicine and public health literature, disparities in health access and outcomes among socioeconomic, ethnic, and racial groups are now well documented. In the information sciences literature, scholars note that on a continuum of health information behaviors, ranging from information avoidance and nonseeking to active seeking, nonseeking behaviors are associated with disadvantaged populations. In the communication literature, enthusiasm over the technology-driven growth of online health information seeking is tempered by evidence supporting the knowledge gap hypothesis, which indicates that as potential access to health information increases, systematic gaps in health knowledge also increase as groups with higher socioeconomic status acquire this information at a faster rate than those with lower socioeconomic status. A number of diverse strategies show promise in reducing information and health disparities, including those that focus on technology, such as programs to increase computer and Internet access, skills, and comprehension; those that focus on interpersonal communication, such as the community health worker model; and those that focus on mass media channels, such as entertainment education. PMID:20216358

Beacom, Amanda M; Newman, Sandra J

2010-01-01

22

Privacy and Your Health Information  

MedlinePLUS

... information to your employer • Use or share your information for marketing or advertising purposes • Share private notes about your mental health counseling sessions The Law Protects the Privacy of Your Health Information Providers and health insurers who are required to ...

23

Health information exchange policy and evaluation  

Microsoft Academic Search

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

Janet M. Marchibroda

2007-01-01

24

77 FR 55217 - Health Information Technology Implementation  

Federal Register 2010, 2011, 2012, 2013

...Services Administration Health Information Technology Implementation AGENCY...Health Service Act) Health Information Technology Implementation for Health...effective use of Health Information Technology (HIT)....

2012-09-07

25

Refugee Health: Information Needs of Health Professionals  

Microsoft Academic Search

For health professionals who work with refugee and asylee clients, finding linguistically and culturally appropriate information for their clients can be challenging. Respondents of an information needs assessment identified several issues including literacy and health literacy, diversity of clientele, availability of existing materials, funding for translation, time to look for existing materials, and the information overload newcomers face. Current information

Kate W. Flewelling

2010-01-01

26

Retiree Health Information  

E-print Network

immediately prior to retirement. The date of retirement must immediately follow the employee's date of final to retirement. The period of time between the employee's final termination date and the retirement date mayRetiree Health Insurance Information 2011 #12;GROUP MEDICAL INSURANCE AFTER RETIREMENT Continuation

Davis, Lloyd M.

27

The Refugee Health Information Network  

Microsoft Academic Search

The Refugee Health Information Network is an electronic resource designed to make accessible culturally and linguistically appropriate health and medical information in order to improve health services for refugees and asylees. Much of this information will clearly be of value to immigrants as well. This is also a network designed to facilitate collaboration and sharing among state refugee health coordinators

Gale A. Dutcher; John C. Scott; Stacey J. Arnesen

2008-01-01

28

Adaptive Visualization for Focused Personalized Information Retrieval  

ERIC Educational Resources Information Center

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…

Ahn, Jae-wook

2010-01-01

29

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...

30

Internet Use for Health Information  

MedlinePLUS

... for health information increased greatly with income and education. Among women, two-thirds of those with household incomes of 400 percent or more of poverty had used the Internet for health information in ...

31

Focus Sheet | Hydrofluoric Acid Health hazards of hydrofluoric acid  

E-print Network

characterized by weight loss, brittle bones, anemia, and general ill health. Safe use If possible, avoid workingFocus Sheet | Hydrofluoric Acid Health hazards of hydrofluoric acid Hydrofluoric acid (HF bone. Skin exposure to highly concentrated HF (48% or greater) immediately results in serious

Wilcock, William

32

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

ERIC Educational Resources Information Center

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.…

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

2011-01-01

33

Physicians' opinions of a health information exchange  

Microsoft Academic Search

BackgroundArizona Medicaid developed a Health Information Exchange (HIE) system called the Arizona Medical Information Exchange (AMIE).ObjectiveTo evaluate physicians' perceptions regarding AMIE's impact on health outcomes and healthcare costs.MeasurementsA 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.

Ana Lucia Hincapie; Terri L. Warholak; Anita C. Murcko; Marion Slack; Daniel C. Malone

2011-01-01

34

Health Information in Russian (???????): MedlinePlus  

MedlinePLUS

... ?????? - ??????? (Russian) Bilingual PDF Health Information Translations Animal Bites Animal Bites and Scratches ????? ? ????????, ?????????? ?? ... Bilingual PDF Health Information Translations Radiation Exposure Radiation Therapy ??????? ??????? - ??????? (Russian) Bilingual PDF Health Information ...

35

Health Information in Hindi (??????): MedlinePlus  

MedlinePLUS

... ?????? (Hindi) Bilingual PDF Health Information Translations Power Outages ?????? (Hindi) Bilingual PDF Health Information ... ?????? (Hindi) Bilingual PDF Health Information Translations Nuclear Scans Bone Scan ?????? (Hindi) Bilingual PDF ...

36

Health Information in Japanese (???): MedlinePlus  

MedlinePLUS

... ????????? - ??? (Japanese) Bilingual PDF Health Information Translations Power Outages ?? - ??? (Japanese) Bilingual PDF Health Information ... ??????? - ??? (Japanese) Bilingual PDF Health Information Translations Nuclear Scans Bone Scan ????? - ??? (Japanese) Bilingual PDF ...

37

Health Information Needs of Men  

ERIC Educational Resources Information Center

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…

Robinson, Mark; Robertson, Steve

2014-01-01

38

Health information exchange policy and evaluation.  

PubMed

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

Marchibroda, Janet M

2007-12-01

39

Health Information for Older People  

MedlinePLUS

... the National Institutes of Health (NIH) — the website draws from the Library of Medicine, NIH, other government ... for finding reliable health information online, Healthfinder.gov draws on more than 1,600 government and non- ...

40

Multi-focus Image Fusion Based on Salient Edge Information within Adaptive Focus-Measuring Windows  

Microsoft Academic Search

In this paper, we propose a new fusion scheme for multi-focus images based on some special edge information called discriminative edge points. A new focus measure is also proposed in this paper to identify which pixels in the source images will be included in the resultant image by evaluating the sum of neighborhood energy of the discriminative edge points within

Cheng I. Chen; Po-Whei Huang; Phen-Lan Lin

2009-01-01

41

Self-rated health and ethnicity: focus on indigenous populations  

PubMed Central

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

Bombak, Andrea E.; Bruce, Sharon G.

2012-01-01

42

Medical Consumerism and Health Information  

ERIC Educational Resources Information Center

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…

Levin, Arthur Aaron

1978-01-01

43

Visual information foraging in a focus + context visualization  

Microsoft Academic Search

Eye tracking studies of the Hyperbolic Tree browser [10] suggest that visual search in focus+context displays is highly affected by information scent (i.e., local cues, such as text summaries, used to assess and navigate toward distal information sources). When users detected a strong information scent, they were able to reach their goal faster with the Hyperbolic Tree browser than with

Peter Pirolli; Stuart K. Card; Mija M. Van Der Wege

2001-01-01

44

Solution focused nursing: a fitting model for mental health nurses working in a public health paradigm.  

PubMed

The Australian Federal Government health agenda is advocating an extension of public health principles across all levels of the health sector. Since mental health nurses have long been proponents of public health and health promoting behaviours, an opportunity exists for this specialty of nursing to extend their influence and contribution within health. Solution focused nursing (SFN), a model that emerged from mental health practice, offers a framework to assist mental health nurses and leaders to more clearly practise public health principles within nursing and articulate that practice - for it is in the articulation of practice that nurses and nursing is made visible and valued. This paper aims to expand on and reiterate the SFN model, showing how it connects to public health principles and develops the mental health nurse's role - particularly in those clinical areas that require more than medical management and illness stabilization. PMID:20509799

McAllister, Margaret

2010-01-01

45

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

Federal Register 2010, 2011, 2012, 2013

...Health Information Technology; Health Information Technology; HIT...Meaningful Use of Electronic Health Records (EHRs) AGENCY: Health Information Technology (HIT...or debit card number; any personal health information; or...

2012-11-26

46

Health information privacy and health information technology in the US correctional setting.  

PubMed

Electronic health records and electronic health information exchange are essential to improving quality of care, reducing medical errors and health disparities, and advancing the delivery of patient-centered medical care. In the US correctional setting, these goals are critical because of the high numbers of Americans affected, yet the use of health information technology is quite limited. In this article, I describe the legal environment surrounding health information sharing in corrections by focusing on 2 key federal privacy laws: the Health Insurance Portability and Accountability Act of 1996 and the federal Confidentiality of Alcohol and Drug Abuse Patient Records laws. In addition, I review stakeholder concerns and describe possible ways forward that enable electronic exchange while ensuring protection of inmate information and legal compliance. PMID:24625160

Goldstein, Melissa M

2014-05-01

47

Older Inmates' Pursuit of Good Health: A Focus Group Study  

PubMed Central

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

Steffensmeier, Darrell

2012-01-01

48

PSST... Privacy, Safety, Security, and Trust in Health Information Websites  

E-print Network

PSST... Privacy, Safety, Security, and Trust in Health Information Websites Hamman W. Samuel Dept, and harm caused by false information. In the e-health domain, there has been a lot of focus on ethical issues when dealing with electronic health records (EHRs) and patient medical records (PMRs). However

Zaiane, Osmar R.

49

The role of information technology in health literacy research.  

PubMed

Without concerted effort, the current explosion in health information technology will further widen the digital health divide for individuals with inadequate health literacy. However, with focused investment of time and energy, technology has the potential for reducing disparities through intelligent, usable, and accessible systems that tailor information, advice, counseling, and behavioral support to an individual's need at a given time and place. PMID:23030559

Bickmore, Timothy W; Paasche-Orlow, Michael K

2012-01-01

50

Findability in Health Information Websites Hamman W. Samuel  

E-print Network

Findability in Health Information Websites Hamman W. Samuel Department of Computing Science.zaiane@ualberta.ca Abstract-- In this study, we investigate how health informa- tion consumers locate content on health content on health websites, that is, findability. We focus on and identify usability issues with three key

Zaiane, Osmar R.

51

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

PubMed

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

Ciriello, James N; Kulatilaka, Nalin

2010-12-01

52

An Examination of Online Health Information Seeking by Deaf People  

Microsoft Academic Search

Research indicates that information seekers often turn to the Internet for health information; however, little is known about how Deaf people perceive, access, and utilize the Internet as a health information source. In this study, eight focus groups with Deaf participants (n = 39) were conducted to explore how Deaf people make use of (or avoid) the Internet as a

Elizabeth Karras; Lance S. Rintamaki

2012-01-01

53

Turning quicksand into bedrock : understanding the dynamic effects of disease-focused global health aid on health systems  

E-print Network

This thesis asks one basic question: how do "vertical" disease- or intervention-focused global health programs impact the underlying health systems of the nations they serve? Vertical programs-health aid focused on a ...

Newkirk, Brian J

2009-01-01

54

National Health Priority Areas Report, 1998--Mental Health: A Report Focusing on Depression, 1998.  

ERIC Educational Resources Information Center

This report presents procedures for national mental health that involve many levels of government and draws advice from a range of professional organizations. Due to the enormous impact of depression on the social, human, economic, and public health costs to Australians and the Australian government, this initiative focuses efforts on dealing with…

Australian Dept. of Health and Ageing, Canberra.

55

Health Information in Korean (???): MedlinePlus  

MedlinePLUS

... ??? (Korean) Bilingual PDF Health Information Translations Diabetes Complications High Blood Sugar ?? ?? - ??? (Korean) Bilingual ... ?? - ??? (Korean) Bilingual PDF Health Information Translations MRSA MRSA (Methicillin Resistant Staphylococcus Aureus) MRSA (???? ?? ...

56

Information Technology for Health Care in Mozambique  

E-print Network

setting for the implementation and introduction of health information systems. With its brutal, colonial is, by furthering more effective health information management, to encourage more decentralized

Monteiro, Eric

57

Health Information in Ukrainian (??????????): MedlinePlus  

MedlinePLUS

... ?????? - ?????????? (Ukrainian) Bilingual PDF Health Information Translations Concussion Types of Brain Injury ???? ????? ????????? ????? - ... ?????????? (Ukrainian) Bilingual PDF Health Information Translations Prenatal Testing AFP (Alpha-Fetoprotein) Test ?????-?????????????? ?????????? (?????????? ...

58

Health & Nutrition Information for Pregnant & Breastfeeding Women  

MedlinePLUS

... Breastfeeding Women Health & Nutrition Information for Pregnant & Breastfeeding Women Health & Nutrition Information for Pregnant & Breastfeeding Women When you are pregnant or breastfeeding, you have ...

59

UNIVERSITY HEALTH CENTER (UHC) NOTICE OF HEALTH INFORMATION  

E-print Network

UNIVERSITY HEALTH CENTER (UHC) NOTICE OF HEALTH INFORMATION PRIVACY PRACTICES THIS NOTICE DESCRIBES TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Understanding Your Health Record/Information Each time you visit or treatment. This information, often referred to as your health or medical record, serves as: · A basis

Arnold, Jonathan

60

Online Technologies for Health Information and Education: A literature review  

PubMed Central

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

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

2014-01-01

61

Advanced technology program: information infrastructure for healthcare focused program.  

PubMed

This paper describes an initiative begun by the Advanced Technology Program in 1994 referred to as the Information Infrastructure for Healthcare (IIH) focused program. The IIH focus program began with an initial exchange of ideas among members of the private and public sectors (industry's submission of "white papers"; workshops conducted by the ATP; meetings held between individuals from both groups) to identify those technologies necessary for the development of a national information infrastructure in healthcare. A discussion of the development of the focus program through a "white paper" process notes differences that existed between what the ATP had hoped to gain through this method and how the private sector responded. A statistical description of the participants as well as a brief discussion of the ATP review and selection process is included. PMID:12026123

Spivack, Richard N

2002-01-01

62

Focus on transformation: a public health model of mental health for the 21st century.  

PubMed

In 2003 the President's New Freedom Commission called for the transformation of the public mental health system to one that is person centered, recovery focused, evidence based, and quality driven. In this column the director of the Center for Mental Health Services describes progress made by the center over the past five years as well as challenges and opportunities. She presents a strategic forecast, based on stakeholder input, to guide policy formulation and resource allocation. Central to the forecast is the concept of a public health model of mental health that takes a community approach to prevention, treatment, and promotion of well-being. PMID:19411342

Power, A Kathryn

2009-05-01

63

An Examination of Health Information Management by the Deaf  

ERIC Educational Resources Information Center

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…

Karras, Elizabeth

2010-01-01

64

Physicians' opinions of a health information exchange  

PubMed Central

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

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

2010-01-01

65

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

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false Standards for health information technology to protect electronic health information created, maintained, and exchanged...170.210 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION...

2012-10-01

66

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

Code of Federal Regulations, 2011 CFR

... 2011-10-01 false Standards for health information technology to protect electronic health information created, maintained, and exchanged...170.210 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION...

2011-10-01

67

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

Code of Federal Regulations, 2013 CFR

... 2013-10-01 false Standards for health information technology to protect electronic health information created, maintained, and exchanged...170.210 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION...

2013-10-01

68

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

Code of Federal Regulations, 2010 CFR

... 2010-10-01 false Standards for health information technology to protect electronic health information created, maintained, and exchanged...170.210 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION...

2010-10-01

69

Online Health Information: Can You Trust It?  

MedlinePLUS

... computer class. They are learning to use the Internet to find health information. Maria's husband, who is ... trust the health information we get on the Internet?" There are thousands of health-related websites on ...

70

Nutrition and Health Literacy: A Systematic Review to Inform Nutrition Research and Practice  

Microsoft Academic Search

Health literacy is defined as the degree to which individuals obtain, process, and understand basic health information and services to make informed health decisions. Health literacy is a stronger predictor of health than age, income, employment, education, and race. Although the field has grown during the past decade, most health literacy research does not explicitly focus on food or nutrition,

Elena T. Carbone; Jamie M. Zoellner

71

Pilot study in the development of an Interactive Multimedia Learning Environment for sexual health interventions: a focus group approach  

Microsoft Academic Search

In the UK there are high rates of sexually transmitted infections and unintended pregnan- cies 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 out- come of focus group work with young people that was undertaken to inform

P. C. Goold; S. Bustard; E. Ferguson; E. M. Carlin; K. Neal; C. A. Bowman

2006-01-01

72

Reengineering an Information Security Course for Business Management Focus  

Microsoft Academic Search

This paper describes an information security course that evolved from a technology-focused legacy systems course to a current-topics Web commerce course for MBA students with an emphasis on business management issues faced by today's networked organizations. The paper also describes the use of an online component, implemented to enhance student learning in a technology-based environment, which fostered interactivity and discussions

Sunil Hazari

73

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

PubMed Central

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

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

2010-01-01

74

Health Information in Arabic (???????): MedlinePlus  

MedlinePLUS

... ??? ????? ??????? - ??????? Multimedia Patient Education Institute Nuclear Scans Bone Scan (Arabic) ??????? Bilingual PDF Health ... Arabic) ??????? - ??????? Bilingual PDF Health Information Translations Nuclear or Radiation Emergencies (Arabic) ????? ??????? ??????? ?? ...

75

Women seeking health information: distinguishing the web user.  

PubMed

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

Warner, Dorothy; Procaccino, J Drew

2007-12-01

76

Patient health questionnaire. Using a patient-focused assessment tool.  

PubMed Central

A patient health questionnaire was developed for use in family practice to help identify lifestyle risk factors, assess health care needs, and better understand patients. This article discusses the questionnaire's development and practical application. Images Figure 3 PMID:8616290

Mitchell, J. D.

1996-01-01

77

Lay information mediary behavior uncovered: exploring how nonprofessionals seek health information for themselves and  

E-print Network

.3163/1536-5050.96.4.006 Objectives: This research studied motivations for, barriers to, and effects of online health information% direct users (n5122), and 22% health or information providers (n546). Follow-up telephone interviews were performed with 10% (n521). Interview analysis focused on lay participants (n515 LIMs and direct users

Washington at Seattle, University of

78

Medical Records and Health Information Technicians  

MedlinePLUS

... requirements with other professionals such as physicians and finance personnel. Technical skills. Health information technicians must be ... Medical Records and Health Information Technicians, on the Internet at http://www.bls.gov/ooh/healthcare/medical- ...

79

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

PubMed Central

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

Detmer, Don E

2003-01-01

80

OUR LEGAL DUTYTO PROTECT HEALTH INFORMATION ABOUTYOU  

E-print Network

is personal and we are committed to protecting it.We create a record of the care and services you receive14 OUR LEGAL DUTYTO PROTECT HEALTH INFORMATION ABOUTYOU We understand your health information at UF Health Shands or the University of Florida Health Science Center (UFHSC) to provide you

Jawitz, James W.

81

Identifying barriers to healthcare to reduce health disparity in Zuni Indians using focus group conducted by community health workers.  

PubMed

The Zuni Pueblo is home to an economically disadvantaged population, which faces a public health challenge from the interrelated epidemics of obesity, diabetes and kidney disease. Efforts to decrease the impact of these epidemics have been complicated by historical, economic and cultural barriers, which may limit healthcare utilization. The NIH supported Zuni Health Initiative (ZHI) conducted a study to identify barriers to healthcare in the Zuni Pueblo. Community health representatives (CHRs) led 14 one-hour focus group sessions at which a total of 112 people participated posed unique questions that took into account the Zuni culture to elicit information on perceived barriers to healthcare. Audiotapes were translated and transcribed by bilingual ZHI staff. We reduced the text to thematic categories, constructed a coding dictionary and inserted the text into NVivo 9 program. We identified nine themes emerged regarding the barriers experienced in receiving healthcare and adhering to medical advice. These included distance; transportation; embarrassment; relating to healthcare professionals; navigating the medical system; awareness of available resources; waiting times; adhering to medication; and incentives in health promotion. In conclusion the implementation of culturally appropriate community-based health promotion programs and preventive screening techniques will improve access to healthcare and diminish health disparities. PMID:24528897

Shah, Vallabh O; Ghahate, Donica M; Bobelu, Jeanette; Sandy, Phillip; Newman, Sara; Helitzer, Deborah L; Faber, Thomas; Zager, Philip

2014-02-01

82

Information Systems; Modern Health Care and Medical Information.  

ERIC Educational Resources Information Center

To effectively handle changes in health policy and health information, new designs and applications of automation are explored. Increased use of computer-based information systems in health care could serve as a means of control over the costs of developing more comprehensive health service, with applications increasing not only the automation of…

Brandejs, J. F., And Others

1975-01-01

83

Health and role functioning: the use of focus groups in the development of an item bank  

PubMed Central

Background Role functioning is an important part of health-related quality of life. However, assessment of role functioning is complicated by the wide definition of roles and by fluctuations in role participation across the life-span. The aim of this study is to explore variations in role functioning across the lifespan using qualitative approaches, to inform the development of a role functioning item bank and to pilot test sample items from the bank. Methods Eight focus groups were conducted with a convenience sample of 38 English-speaking adults recruited in Rhode Island. Participants were stratified by gender and four age groups. Focus groups were taped, transcribed, and analyzed for thematic content. Results Participants of all ages identified family roles as the most important. There was age variation in the importance of social life roles, with younger and older adults rating them as more important. Occupational roles were identified as important by younger and middle-aged participants. The potential of health problems to affect role participation was recognized. Participants found the sample items easy to understand, response options identical in meaning and preferred five response choices. Conclusions Participants identified key aspects of role functioning and provided insights on their perception of the impact of health on their role participation. These results will inform item bank generation. PMID:20047086

Bjorner, Jakob B.

2013-01-01

84

Facilitating consumer access to health information.  

PubMed

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

Snowdon, Anne; Schnarr, Karin; Alessi, Charles

2014-01-01

85

Sexual Health Information Seeking Online Among Runaway and Homeless Youth  

PubMed Central

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 Andersen’s (1968) health behavior model and Pescosolido’s (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

Barman-Adhikari, Anamika; Rice, Eric

2012-01-01

86

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

PubMed Central

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

2012-01-01

87

Health Psychology Exam 1 Learning Objectives 1) Define health psychology and behavioral medicine. What are the four areas of focus  

E-print Network

Health Psychology Exam 1 Learning Objectives 1. Chapter 1 1) Define health psychology and behavioral medicine. What are the four areas of focus in Health Psychology? 2) Describe how philosophical) Explain what factors contributed to the rise of health psychology. Include discussion of changing patterns

Meagher, Mary

88

Transforming The Public Health Information Infrastructure  

Microsoft Academic Search

ABSTRACT: The public health information infrastructure is undergoing,a transformation that is enabled,by changes,in health care informatics. The implementation,of the Health In- surance Portability and Accountability Act (HIPAA) of 1996, the patient medical record infor- mation standards, and National Health Information Infrastructure (NHII) recommendations by the National Committee,on Vital and Health Statistics provide the basis for improved data reporting to public

John R. Lumpkin; Margaret S. Richards

2002-01-01

89

Improving adolescent health: Focus on HPV vaccine acceptance  

Microsoft Academic Search

The success of future human papillomavirus (HPV) vaccination programs will depend on individuals’ willingness to accept vaccination, parents’ willingness to have their preadolescent and early adolescent children vaccinated, and health care providers’ willingness to recommend HPV vaccination. The purpose of this article is to provide a qualitative review of the relevant literature, including research on knowledge and attitudes about HPV

Gregory D. Zimet

2005-01-01

90

Strategies of suicide prevention: Focus on health care  

Microsoft Academic Search

Suicide is a major health problem, showing an increasing tendency in many developed countries. In this synthetic review, having briefly described the possible risk factors of suicide, those recent strategies that have been proved to be effective methods of reducing the suicide rate are summarised. Psychiatric illness, first of all the affective disorders (particularly in the case of a previous

Zoltán Rihmer

1996-01-01

91

Consumer Health Information Services. CE 638.  

ERIC Educational Resources Information Center

This course text outlines the objectives and content for a professional continuing education course on consumer health information (CHI) services. Topics covered include: (1) trends in medical consumerism and self-health care; (2) health information needs of consumers; (3) the role of the library in CHI, including legal ramifications; (4)…

Rees, Alan M.

92

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

PubMed

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

Ash, Nachman; Levy, Ilan

2013-05-01

93

[Focusing on the subsidized health regime in Colombia].  

PubMed

Based on the results of the project "Evaluation of the Processes of the Subsidized health regime" in Colombia, a reflection is presented about the beneficiary selection system--Sisben as a tool to affiliate people to the subsidized health regime. The multiple interpretations which have been given to the Sisben as an instrument to focalize the health services in the poorest populations, are documented and analyzed. This has been interpreted, amongst others, as a measure of the magnitude of poverty, as an approximate indicator of resources or income, or as an evaluation of fulfillment of needs. It was found that amongst the 19 million of poor people living in Colombia in 1997, less than half of them, 8.9 million, have been included in levels 1 and 2 of Sisben, which represents an exclusion error of 53.1%. Of the 10.6 million persons classified in these levels, 1.6% are not poor, giving an inclusion error of 14.9%. The exclusion errors are much more serious than the inclusion ones, because they mean a denial of equal rights and services for all those who are in similar conditions, according to the criteria for assignation of subsidies. PMID:14968905

Fresneda Bautista, Oscar

2003-01-01

94

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

PubMed

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

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

2014-05-01

95

The Teen Health Information Network (THINK).  

ERIC Educational Resources Information Center

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,…

Kuzel, Judith; Erickson, Su

1995-01-01

96

Ohio Valley Community Health Information Network.  

ERIC Educational Resources Information Center

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

Guard, Roger; And Others

97

Why do young adult smokers continue to smoke despite the health risks? A focus group study  

Microsoft Academic Search

The focus of this article is on constructions of health and illness in relation to smoking. Specifically, we were interested in how culturally embedded health promotion messages were discussed and understood by our young smokers–and how continued smoking was rationalised in the context of a thoroughgoing anti-smoking climate. To investigate accounts of smoking maintenance, we conducted focus group discussions (N

Brendan Gough; Gary Fry; Sarah Grogan; Mark Conner

2009-01-01

98

A qualitative study of health information technology in the Canadian public health system  

PubMed Central

Background Although the adoption of health information technology (HIT) has advanced in Canada over the past decade, considerable challenges remain in supporting the development, broad adoption, and effective use of HIT in the public health system. Policy makers and practitioners have long recognized that improvements in HIT infrastructure are necessary to support effective and efficient public health practice. The objective of this study was to identify aspects of health information technology (HIT) policy related to public health in Canada that have succeeded, to identify remaining challenges, and to suggest future directions to improve the adoption and use of HIT in the public health system. Methods A qualitative case study was performed with 24 key stakeholders representing national and provincial organizations responsible for establishing policy and strategic direction for health information technology. Results Identified benefits of HIT in public health included improved communication among jurisdictions, increased awareness of the need for interoperable systems, and improvement in data standardization. Identified barriers included a lack of national vision and leadership, insufficient investment, and poor conceptualization of the priority areas for implementing HIT in public health. Conclusions The application of HIT in public health should focus on automating core processes and identifying innovative applications of HIT to advance public health outcomes. The Public Health Agency of Canada should develop the expertise to lead public health HIT policy and should establish a mechanism for coordinating public health stakeholder input on HIT policy. PMID:23705692

2013-01-01

99

Correlates of Consumer Trust in Online Health Information: Findings From the Health Information National Trends Survey  

Microsoft Academic Search

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,

Yinjiao Ye

2010-01-01

100

Primary Sources of Health Information: Comparisons in the Domain of Health Attitudes, Health Cognitions, and Health Behaviors  

Microsoft Academic Search

The recent growth in consumer autonomy in health care accompanied by the surge in the use of new media for health information gathering has led to an increasing schol- arly interest in understanding the consumer health information search construct. This article explores consumer health information seeking in the realm of the primary sources of health information used by consumers. Based

Mohan J. Dutta-Bergman

2004-01-01

101

Focus group interview: an underutilized research technique for improving theory and practice in health education.  

PubMed

The purpose of this article is to increase awareness about and stimulate interest in using focus group interviews, a qualitative research technique, to advance the state-of-the-art of education and learning about health. After a brief discussion of small group process in health education, features of focus group interviews are presented, and a theoretical framework for planning a focus group study is summarized. Then, literature describing traditional and health-related applications of focus group interviews is reviewed and a synthesis of methodological limitations and advantages of this technique is presented. Implications are discussed regarding: need for more inductive qualitative research in health education; utility of focus group interviews for research and for formative and summative evaluation of health education programs; applicability of marketing research to understanding and influencing consumer behavior, despite notable distinctions between educational initiatives and marketing; and need for professional preparation faculty to consider increasing emphasis on qualitative research methods. PMID:3319971

Basch, C E

1987-01-01

102

Blogging in support of health information outreach.  

PubMed

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

Sapp, Lara; Cogdill, Keith

2010-07-01

103

Evaluating public health uses of health information exchange  

Microsoft Academic Search

Health information exchange (HIE) initiatives are in various stages of development across the United States. They aim to bring previously unavailable clinical data from patients’ disparate health records, which may be spread over multiple provider and payer networks, to the point of care where clinicians and their patients need it most. The implications of these initiatives on public health are

Jason S. Shapiro

2007-01-01

104

Health Information Systems for Primary Health Care: Thinking About Participation  

E-print Network

Health Information Systems for Primary Health Care: Thinking About Participation Elaine Byrne in supporting primary health care functioning, the design, development and implementation of these systems care, especially in the context of developing countries, a very challenging task. An important step

Sahay, Sundeep

105

PPACA and Public Health: Creating a Framework to Focus on Prevention and Wellness and Improve the Public's Health  

Microsoft Academic Search

On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA), a major piece of health care reform legislation.This comprehensive legislation includes provisions that focus on prevention, wellness, and public health. Some, including authors in this symposium, question whether Congress considered public health, prevention, and wellness issues as mere afterthoughts in the creation of PPACA. As

Gwendolyn R. Majette

2011-01-01

106

EDITORIAL: Focus on Quantum Information and Many-Body Theory  

NASA Astrophysics Data System (ADS)

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 Žunkovi? 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 t

Eisert, Jens; Plenio, Martin B.

2010-02-01

107

Health information technology: laying the infrastructure for national health reform.  

PubMed

The enactment of the Patient Protection and Affordable Care Act is a signal achievement on the road to reform, which arguably began with the passage of the American Recovery and Reinvestment Act of 2009. That statute's Health Information Technology for Economic and Clinical Health (HITECH) provisions created an essential foundation for restructuring health care delivery and for achieving the key goals of improving health care quality; reducing costs; and increasing access through better methods of storing, analyzing, and sharing health information. This article discusses the range of initiatives under HITECH to support health reform, including proposed regulations on "meaningful use" and standards; funding of regional extension centers and Beacon communities; and support for the development and use of clinical registries and linked health outcomes research networks, all of which are critical to carrying out the comparative clinical effectiveness research that will be expanded under health reform. PMID:20530358

Buntin, Melinda Beeuwkes; Jain, Sachin H; Blumenthal, David

2010-06-01

108

Information, decision-making and health  

E-print Network

This thesis consists of three essays on information, decision-making and health. All three concern the relationship between the choices consumers would make if they were "fully informed" in an appropriate sense and the ...

Abaluck, Jason T

2011-01-01

109

Making better use of health care information.  

PubMed

Effective use of health care information holds the promise of improved care and reduced health costs. A number of challenges must, however, be met. Incentives for using information must be introduced. A code of practice for using patient data to allay confidentiality concerns is needed. An institution is needed to accelerate the development of health information standards. Awareness must be raised about the opportunities provided by more effective use of information. Champions are needed to create the required information-intensive infrastructures. PMID:10131593

Aspden, P

1994-02-01

110

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

PubMed Central

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

Brainin, Esther

2012-01-01

111

Therapist, Parent, and Youth Perspectives of Treatment Barriers to Family-Focused Community Outpatient Mental Health Services  

PubMed Central

This exploratory qualitative study describes treatment barriers to receiving family-focused child mental health services for youths with disruptive behavior problems from multiple perspectives. Data were collected during a series of focus groups and interviews, including: 4 therapist focus groups, 3 parent focus groups, and 10 youth semi-structured interviews. Therapist, parent, and youth stakeholder participants discussed perceived barriers to effective treatment, the problems with current child outpatient therapy, and desired changes (i.e., policy, intervention, etc.) to improve mental health services. Results indicate similar themes around treatment barriers and dissatisfaction with services within and across multiple stakeholder groups, including inadequate support and lack of family involvement; however, parents and therapists, in particular, identified different contributing factors to these barriers. Overall, stakeholders reported much frustration and dissatisfaction with current community-based outpatient child therapy services. Study findings can inform service provision, intervention development, and future research. PMID:24019737

Jenkins, Melissa M.; Haine-Schlagel, Rachel

2012-01-01

112

Progressing the health information management and information technology agenda.  

PubMed

Developments and policy direction at a national level may seem far removed from the day-to-day practice of health information management. But there are lots of examples of a national approach to many of the initiatives which we now accept as part of our daily work (e.g., casemix funding, ICD-10-AM, the National Health Information Model and the National Health Data Dictionary). Many of these can be attributed to Commonwealth and State and Territory Governments working collaboratively with expert committees to achieve change or establish a program of innovation. More recently, Australian Health Ministers have established the National Health Information Management Advisory Council (NHIMAC) to bring together private and public sector expertise to progress the health information management and information technology agenda nationally. PMID:10977164

1999-01-01

113

Empowering Minority Communities with Health Information - WSSU  

SciTech Connect

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.

McMurray, L. and W. Templin-Branner

2010-11-10

114

The Information Technology Workforce Crisis: Planning for the Next Environment. NYSFIRM Government Information Focus.  

ERIC Educational Resources Information Center

Attention has been focused on critical shortages of information technology professionals. These shortages have begun to affect the ability of state and local governments to perform core operations, meet new agency program needs and support the development of new enterprise-wide capacities. The shortages are not expected to disappear any time soon.…

Maxwell, Terrence A.

115

Health indicators and information systems for the year 2000.  

PubMed

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

Murnaghan, J H

1981-01-01

116

Information Seeking and Avoiding in Health Contexts  

Microsoft Academic Search

Information management is an important component of coping with illness and illness-re- lated uncertainty. Normative theory and research on information seeking and avoiding in health contexts can help explain why some information management activities are more adap- tive than others. Challenges and dilemmas of information management include relational demands (e.g., the need to coordinate the behaviors and goals of the

Dale E. Brashers; Daena J. Goldsmith; Elaine Hsieh

2002-01-01

117

AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION I authorize: To release health information to  

E-print Network

: (Person or facility which has health information) (Person or facility to receive health information) Name: UC Berkeley University Health Services Address: Medical Records 2222 Bancroft Way, Tang Center Phone representative, and delivered to Medical Records Dept, University Health Services, 2222 Bancroft Way, Berkeley

Kammen, Daniel M.

118

ROYAL COLLEGE OF PSYCHIATRISTS MENTAL HEALTH INFORMATION  

E-print Network

ROYAL COLLEGE OF PSYCHIATRISTS MENTAL HEALTH INFORMATION Item No Req Price Total £ Help is at Hand? Helping you get through it Feeling overwhelmed: Helping you stay safe Men and depression Mental health in pregnancy Obsessive Compulsive Disorder (OCD) Personality disorders Physical illness and mental health Post

Chittka, Lars

119

Home Health and Informal Care Utilization  

E-print Network

and Sano also are supported by the Department of Veterans Affairs, Veterans Health Administration of the Department of Veterans Affairs. Address correspondence to: Carolyn W. Zhu, PhD, Health Economist, GeriatricHome Health and Informal Care Utilization and Costs Over Time in Alzheimer's Disease Carolyn W. Zhu

120

Exploring Older Adults' Health Information Seeking Behaviors  

ERIC Educational Resources Information Center

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…

Manafo, Elizabeth; Wong, Sharon

2012-01-01

121

Health information technology updates to start the new year.  

PubMed

We write our articles several months in advance. This month, we are writing at the time of the Presidential election and the American Medical Informatics Association (AMIA) meeting. We focus on health information technology (HIT) topics of interest from the meeting, beginning with a brief look at the HIT implications of the recent re-election of President Obama. PMID:24421426

Fox, Brent I; Felkey, Bill G

2013-01-01

122

Management of Communication Channels for Health Information in the Community  

ERIC Educational Resources Information Center

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…

Tanvatanakul, Vasuton; Amado, Joao; Saowakontha, Sastri

2007-01-01

123

Inform Health Soc Care . Author manuscript Determinants of the frequency of online health information seeking  

E-print Network

Inform Health Soc Care . Author manuscript Page /1 11 Determinants of the frequency of online health information seeking: results of a web-based survey conducted in France in 2007 Emilie Renahy 1 Abstract Objective The Internet is a widespread source of health information

Paris-Sud XI, Université de

124

78 FR 17418 - Rural Health Information Technology Network Development Grant  

Federal Register 2010, 2011, 2012, 2013

...Administration Rural Health Information Technology Network Development Grant AGENCY: Health Resources...the Rural Health Information Technology Network Development Grant (RHITND) to Grace...the Rural Health Information Technology Network Development (RHITND) Grant to the...

2013-03-21

125

Health Care Consumers' Preferences Around Health Information Exchange  

PubMed Central

PURPOSE Consumer buy-in is important for the success of widespread federal initiatives to promote the use of health information exchange (HIE). Little is known, however, of consumers’ preferences around the storing and sharing of electronic health information. We conducted a study to better understand consumer preferences regarding the privacy and security of HIE. METHODS In 2008 we conducted a cross-sectional, random digit dial telephone survey of residents in the Hudson Valley of New York State, a state where patients must affirmatively consent to having their data accessed through HIE. RESULTS There was an 85% response rate (N = 170) for the survey. Most consumers would prefer that permission be obtained before various parties, including their clinician, could view their health information through HIE. Most consumers wanted any method of sharing their health information to have safeguards in place to protect against unauthorized viewing (86%). They also wanted to be able to see who has viewed their information (86%), to stop electronic storage of their data (84%), to stop all viewing (83%), and to select which parts of their health information are shared (78%). Among the approximately one-third (n = 54) of consumers who were uncomfortable with automatic inclusion of their health information in an electronic database for HIE, 78% wished to approve all information explicitly, and most preferred restricting information by clinician (83%), visit (81%), or information type (88%). CONCLUSION Consumers in a state with an opt-in consent policy are interested in having greater control over the privacy and security of their electronic health information. These preferences should be considered when developing and implementing systems, standards and policies. PMID:22966106

Dhopeshwarkar, Rina V.; Kern, Lisa M.; O'Donnell, Heather C.; Edwards, Alison M.; Kaushal, Rainu

2012-01-01

126

[Health information on nutrition in newspaper articles].  

PubMed

The purpose of this study was to review health information on nutrition in Japanese newspaper articles. The Nikkei Database was used to select articles published in five major newspapers: Asahi, Sankei, Nikkei, Mainichi and Yomiuri. All these dailies have nationwide circulation. The search period was for 7 years, from January 1993 to December 1999. The keywords "diet," "health," and "nutrition" were used. Consequently, 182 articles were selected and analyzed by determining content and coverage. The articles were published to be targeted for the general population: 123 (67.6%), schoolchildren: 21 (11.5%), and elderly: 18 (9.9%). The main source of the newspaper articles on diet was health professionals, such as nutritionists and medical doctors. As diet related health problems, the lifestyle-related diseases, obesity, hypertension, and mental health were introduced in the newspapers. Few articles commented on the relationship between oral health and diet, and dental professionals were not much involved in providing health information on diet. The newspaper is a major source for the general public to obtain health information. It is clear that oral diseases and functional disorder influence daily eating habits. It was suggested that dental professionals should provide such information to the general public, using many occasions, such as conducting health guidance at dental clinics, health education at health centers or schools, and also through mass media. PMID:12400175

Shinada, Kayoko; Ariake, Motoko; Abe, Satoshi; Kawaguchi, Yoko

2002-09-01

127

Information Source Usage and Purchase Satisfaction: Implications for Product-Focused Print Media  

Microsoft Academic Search

Consumer purchase decisions often require reliance on various information sources. Although prior research on information seeking has focused on the number of information sources used, the types of sources used and their impact on satisfaction have not been examined as thoroughly. The authors address this issue in the context of product-focused print media magazines in particular by exploring information source

LAURA L. PINGOL; ANTHONY D. MIYAZAKI

2005-01-01

128

Health Information Seeking, Receipt, and Use in Diabetes Self-Management  

PubMed Central

PURPOSE Diabetes self-management is essential for diabetes control, yet little is known about patient preferences for sources of health information or about the extent to which information is sought directly or received passively through various media sources. The aim of this qualitative study was to identify how individuals with diabetes seek and use health care information. METHODS Using a health information model to guide our research, we conducted 9 focus groups with 46 adults with a diagnosis of diabetes and then analyzed the transcripts and notes from these focus groups. RESULTS Five themes emerged: (1) passive receipt of health information about diabetes is an important aspect of health information behavior; (2) patients weave their own information web depending on their disease trajectory; (3) patients’ personal relationships help them understand and use this information; (4) a relationship with a health care professional is needed to cope with complicated and sometimes conflicting information; and (5) health literacy makes a difference in patients’ ability to understand and use information. CONCLUSIONS Patients make decisions about diabetes self-management depending on their current needs, seeking and incorporating diverse information sources not traditionally viewed as providing health information. Based on our findings, we have developed a new health information model that reflects both the nonlinear nature of health information-seeking behavior and the interplay of both active information seeking and passive receipt of information. PMID:20644188

Longo, Daniel R.; Schubert, Shari L.; Wright, Barbara A.; LeMaster, Joseph; Williams, Casey D.; Clore, John N.

2010-01-01

129

Health at the center of health systems reform: how philosophy can inform policy.  

PubMed

Contemporary views hold that health and disease can be defined as objective states and thus should determine the design and delivery of health services. Yet health concepts are elusive and contestable. Health is neither an individual construction, a reflection of societal expectations, nor only the absence of pathologies. Based on philosophical and sociological theory, empirical evidence, and clinical experience, we argue that health has simultaneously objective and subjective features that converge into a dynamic complex-adaptive health model. Health (or its dysfunction, illness) is a dynamic state representing complex patterns of adaptation to body, mind, social, and environmental challenges, resulting in bodily homeostasis and personal internal coherence. The "balance of health" model-emergent, self-organizing, dynamic, and adaptive-underpins the very essence of medicine. This model should be the foundation for health systems design and also should inform therapeutic approaches, policy decision-making, and the development of emerging health service models. A complex adaptive health system focused on achieving the best possible "personal" health outcomes must provide the broad policy frameworks and resources required to implement people-centered health care. People-centered health systems are emergent in nature, resulting in locally different but mutually compatible solutions across the whole health system. PMID:20639604

Sturmberg, Joachim P; Martin, Carmel M; Moes, Mark M

2010-01-01

130

Shifts in the architecture of the Nationwide Health Information Network  

PubMed Central

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

Sundwall, David; Lenert, Michael Edward

2012-01-01

131

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

PubMed

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

Ye, Yinjiao

2011-01-01

132

Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused?  

Microsoft Academic Search

BACKGROUND: Overweight in childhood is a major public health concern that calls for immediate preventative action. An increasing number of reports suggest that gender specific approaches to prevention may be more effective. However, there is a paucity of information to guide gender-sensitive health promotion and population health interventions for the prevention of overweight in childhood. In the present study, we

Aline Simen-Kapeu; Paul J Veugelers

2010-01-01

133

Making it Work 2: using a virtual community to focus on rural health issues.  

PubMed

Between 21 and 23 September 2005, over 200 delegates from eight countries gathered in Tromsö, within the Arctic Circle, to discuss challenges and solutions to rural health issues. This conference was a sequel to a previous event entitled 'Making it Work', held in Scotland in 2003, in which it was identified that service delivery in remote and rural areas needed to be innovative to ensure equity. A major aim of this event was to move the debate forward to describe specific examples of practice that could be adopted in participating countries. The delegates included clinicians, managers and administrators, senior policymakers and educationalists, elected local and national politicians, patients and their representatives. In order to focus debate, the organisers provided an outline of a virtual remote community ('Hope'), including some geographic and demographic information, together with four case studies of individual health problems faced by residents of the community. During the introductory session, a short film was shown featuring the 'residents' of this community, introducing delegates to the specific problems they faced. Throughout the conference, delegates were asked to reflect back to how any recommendations made might apply to the citizens of Hope. The clinical scenarios presented included: (1) a 37 year old pregnant woman in labour during adverse weather conditions; (2) a 17 year old island resident with acute psychosis who attempts suicide; (3) an 80 year old woman living alone who suffers a stroke; and (4) a family of four with a complex range of chronic health issues including smoking, alcoholism, diabetes, teenage pregnancy, asthma and depression on a background of deprivation and unemployment. Parallel discussions and workshops focussed on a number of key themes linked to the examples highlighted in the 'Hope' scenario. These included: maternity services; mental health; chronic disease management; health improvement and illness prevention; supporting healthy rural communities; and education for rural health staff. This approach to targeting discussion is valuable in rural health conferences where the participants may be from diverse backgrounds and the issues discussed are multi-faceted. PMID:16669746

Godden, David J; Aaraas, Ivar J

2006-01-01

134

Focus on Health and Safety in Child Care: MCH Program Interchange.  

ERIC Educational Resources Information Center

The Maternal Child Health Program Interchange series is intended to promote the cooperative exchange of information about program ideas, activities, and materials. This issue of the Interchange provides information about selected materials and publications related to the health and safety of infants and young children in child care settings. The…

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

135

The National Women's Health Information Center  

NSDL National Science Digital Library

Designed to provide women with authoritative and timely knowledge of a host of womens health issues, the National Womens Health Information Center site (sponsored by the US Department of Health and Human Services) offers a reliable and thorough overview of hundreds of topics and current news briefs. Health topics on the site (which range from abstinence to yellow fever) are alphabetically listed or can also be located by entering keywords. Visitors to the site can also sign up here to receive weekly health tips via email. Along with featuring information on health topics, other issues affecting women are well-represented here, including domestic violence awareness and body image. Also helpful is the fact that the site is also available in Spanish, which will be useful to Spanish-speaking persons and health professionals working with Spanish speakers.

136

Need for Dedicated Focus on Urban Health within National Rural Health Mission  

Microsoft Academic Search

Summary National Rural Health Mission represents an important public health initiative to address essential health needs of the country's underserved population. For the mission to achieve its goals, urban population needs to be included in its scope. Urban poor population constitutes nearly a third of India's urban population and is growing at three times the national population growth rate. Health

S. Agarwal; K. Sangar

137

Information Seeking and Avoiding in Health Contexts.  

ERIC Educational Resources Information Center

Suggests a research agenda that would provide a basis for proposing normative recommendations for information management in health contexts. Overviews information seeking and avoiding processes. Describes challenges and dilemmas faced by those who seek, avoid, and provide information. Offers research questions derived from a normative agenda for…

Brashers, Dale E.; Goldsmith, Daena J.; Hsieh, Elaine

2002-01-01

138

Evaluating Online Sources of Health Information  

MedlinePLUS

... If the information was originally published in a research journal or a book, they should say which so that you can find it. How is information reviewed before it gets posted? Most health information publications have someone with medical or research credentials (e.g., someone who has earned an ...

139

The Associations of Patient Demographic Characteristics and Health Information Recall: The Mediating Role of Health Literacy  

Microsoft Academic Search

We examined the mediating role of health literacy in the relationships between participant demographic characteristics and health information recall. Baseline data from two studies that focused on hypertensive adults (N = 1190; M = 62.28 years, SD = 11.98; 35.5% female; 45.9% African-American) were analyzed. The final model, which adjusted for recruitment site, indicated that financial status, race, and education

Brian J. Ayotte; Jason C. Allaire; Hayden Bosworth

2009-01-01

140

Corporate information systems in health organisations.  

PubMed

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

Smith, J

1997-01-01

141

Health information systems: the foundations of public health.  

PubMed Central

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

AbouZahr, Carla; Boerma, Ties

2005-01-01

142

Lactose Intolerance: Information for Health Care Providers  

E-print Network

't traditionally include dairy products in their diets.3 There are three main types of lactose intolerance patients with lactose intolerance may believe they are allergic to milk or milk products. A milk allergy Lactose Intolerance: Information for Health Care

Rau, Don C.

143

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

PubMed Central

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

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

2013-01-01

144

A parent-focused pilot intervention to increase parent health literacy and healthy lifestyle choices for young children and families.  

PubMed

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

Fleary, Sasha; Heffer, Robert W; McKyer, E Lisako; Taylor, Aaron

2013-01-01

145

Health information technology: help or hindrance?  

PubMed

The practice of medicine in general and nephrology in particular grows increasingly complex with each passing year. In parallel with this trend, the purchasers of health care are slowly shifting the reimbursement paradigm from one based on rewarding transactions, or work performed, to one that rewards value delivered. Within this context, the health-care value equation is broadly defined as quality divided by costs. Health information technology has been widely recognized as 1 of the foundations for delivering better care at lower costs. As the largest purchaser of health care in the world, the Centers for Medicare and Medicaid Services has deployed a series of interrelated programs designed to spur the adoption and utilization of health information technology. This review examines our known collective experience in the practice of nephrology to date with several of these programs and attempts to answer the following question: Is health information technology helping or hindering the delivery of value to the nation's health-care system? Through this review, it was concluded overall that the effect of health information technology appears positive; however, it cannot be objectively determined because of the infancy of its utilization in the practice of medicine. PMID:24969389

Ketchersid, Terry

2014-07-01

146

Computers, Health Care, and Medical Information Science.  

ERIC Educational Resources Information Center

Discusses the new discipline of medical information science (MIS) and examines some problem-solving approaches used in its application in the clinical laboratory, emphasizing automation by computer technology. The health care field is viewed as one having overlapping domains of clinical medicine, health management and statistics, and fundamental…

Lincoln, Thomas L.; Korpman, Ralph A.

1980-01-01

147

Clear It Up: Plain Language in Government Health Information  

MedlinePLUS

... find and use health information. We host a health literacy web site that provides tips and tools for ... be more effective communicators. We also provide free health literacy training for anyone working to communicate health information ...

148

Finding Reliable Health Information Online  

MedlinePLUS

... with your physician any articles that interest you. Internet Credibility Help from Genetic Alliance The Access To ... for people developing educational materials. Top of page Internet Resources Genetics Information Genetic Testing Registry www.ncbi. ...

149

Assuring Equity Through Health and Health Care Reform Conference Registration Information (Type or Print)  

E-print Network

Research in Clinical and Translational Science Immigrant Health Caring for Veterans Children's HealthAssuring Equity Through Health and Health Care Reform Conference Registration Information (Type of Health Reform in the Pharmaceutical Industry Sustaining Community Health Workers Comparative

Brown, Lucy L.

150

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2011-04-01

151

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2013-04-01

152

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2012-04-01

153

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2010-04-01

154

76 FR 4350 - Health Information Technology Extension Program  

Federal Register 2010, 2011, 2012, 2013

...AND HUMAN SERVICES Health Information Technology Extension Program ACTION...announces changes to the Health Information Technology Extension Program, which...meaningful users of health information technology, as authorized under...

2011-01-25

155

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

PubMed Central

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

MacDonnell, Judith A.; Grigorovich, Alisa

2012-01-01

156

Impact of Health Disclosure Laws on Health Information Exchanges  

PubMed Central

Health information exchanges (HIEs) are expected to facilitate data sharing between healthcare entities, thereby improving the efficiency and quality of care. Privacy concerns have been consistently cited as one of the primary challenges to HIE formation and success. Currently, it is unclear how privacy laws – in particular, legislation restricting the disclosure of health records – have shaped the development of HIEs. This preliminary study explores the landscape of state-level health privacy legislation and examines the impact of variations in such privacy and confidentiality laws on the progress of HIEs. We found that states with stronger privacy laws, limiting the disclosure of health information, had significantly more HIEs exchanging data and had fewer failed HIEs. We suggest that this counterintuitive finding may be explained by the more subtle benefits of such laws, such as increased confidence and trust of participants in an exchange. Other key contributors to this work are Alessandro Acquisti, Rahul Telang, and Julia Adler-Milstein PMID:22195054

Adjerid, Idris; Padman, Rema

2011-01-01

157

Data liquidity in health information systems.  

PubMed

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

Courtney, Paul K

2011-01-01

158

Transforming Care Delivery through Health Information Technology  

PubMed Central

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

Wheatley, Benjamin

2013-01-01

159

Towards Open Information Management in Health Care  

PubMed Central

The utilization of information technology as tool in health care is increasing. The main benefits stem from the fact that information in electronic form can be transferred to different locations rapidly and from the possibility to automate certain information management tasks. The current technological approach for this automation relies on structured, formally coded representation of information. We discuss the limitations of the current technological approach and present a viewpoint, grounded on previous research and the authors’ own experiences, on how to progress. We present that a bottleneck in the automation of the management of constantly evolving clinical information is caused by the fact that the current technological approach requires the formal coding of information to be static in nature. This inherently hinders the expandability of the information case space to be managed. We present a new paradigm entitled open information management targeting unlimited case spaces. We also present a conceptual example from clinical medicine demonstrating open information management principles and mechanisms. PMID:19415134

Yli-Hietanen, J; Niiranen, S

2008-01-01

160

Evaluating public health uses of health information exchange.  

PubMed

Health information exchange (HIE) initiatives are in various stages of development across the United States. They aim to bring previously unavailable clinical data from patients' disparate health records, which may be spread over multiple provider and payer networks, to the point of care where clinicians and their patients need it most. The implications of these initiatives on public health are numerous. This article provides general evaluation methods for measuring the impact of HIE on public health in six use cases: (1) mandated reporting of laboratory diagnoses, (2) mandated reporting of physician-based diagnoses, (3) public health investigation, (4) disease-based non-reportable laboratory data, (5) antibiotic-resistant organism surveillance, and (6) population-level quality monitoring. PMID:17919985

Shapiro, Jason S

2007-12-01

161

041510v1Transmission of Protected Health Information and Personal Identifying Information Policy Page 1  

E-print Network

041510v1Transmission of Protected Health Information and Personal Identifying Information Policy Page 1 Policy Version: Responsible University Officer Chief Information Officer Responsible Office Information Policy Policy Statement Protected Health Information (PHI) and Personal Identifying Information

Whitton, Mary C.

162

Open Access to essential health care information.  

PubMed

Open Access publishing is a valuable resource for the synthesis and distribution of essential health care information. This article discusses the potential benefits of Open Access, specifically in terms of Low and Middle Income (LAMI) countries in which there is currently a lack of informed health care providers - mainly a consequence of poor availability to information. We propose that without copyright restrictions, Open Access facilitates distribution of the most relevant research and health care information. Furthermore, we suggest that the technology and infrastructure that has been put in place for Open Access could be used to publish download-able manuals, guides or basic handbooks created by healthcare providers in LAMI countries. PMID:15575959

Stokes, Christabel E L; Pandey, Manoj

2004-01-01

163

Function Model for Community Health Service Information  

NASA Astrophysics Data System (ADS)

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.

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

164

Empowering Minority Communities with Health Information - UDC  

SciTech Connect

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.

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

2010-11-02

165

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

PubMed Central

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

2012-01-01

166

The National Women's Health Information Center  

NSDL National Science Digital Library

The National Women's Health Information Center (NWHIC) is a service of the Office of Women's Health, which was originally established in 1991. Without a doubt, this fine site will be of great interest to health care professionals, educators, and a wide segment of society. Their homepage offers a wide array of helpful resources, divided into topics such as pregnancy and breastfeeding, funding opportunities, and a set of health tools. The health tools area is particularly useful as it offers such resources as ovulation calculator, a BMI calculator, and a heart disease risk test. Visitors to the homepage will also want to look through the day's health news, search their event calendar, and access the most recently updated sections. Finally, a number of these resources are available in Spanish.

167

Review Of Internet Health Information Quality Initiatives  

PubMed Central

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

Dzenowagis, Joan

2001-01-01

168

Health Promotion: Results of focus groups with African-American men  

PubMed Central

Background Almost half (49%) of the people diagnosed with HIV/AIDS in the United States (US) are African-Americans. Although African-Americans represent only about 13% of the overall population, they continue to account for a higher proportion of cases at all stages of HIV/AIDS. Most documented interventions targeting the African-American population have focused on women, children, men who have sex with men or drug addicts. Methods Six focus group sessions with African-American men (39) and women (15) were conducted in a heterogeneously populated American city. We used a pre-focus group questionnaire to collect data about the socio-economic background of the participants. In our focus group sessions we examined the feasibility of instituting a health promotion program for African-American men. Results The men who participated in the sessions showed great interest in attending the health promotion program. They had no prior knowledge of positive behavioral practices that could promote their individual health and well-being. HIV infection rates in the African-American population remain the highest in the US. Conclusion The results of our focus group sessions showed that the heterosexual African-American men were eager to learn how to protect themselves against communicable and non-communicable diseases in health promotion programs. PMID:21566707

Heeren, G. Anita; Jemmott, John B.

2011-01-01

169

Preparing for the evaluation of health information exchange.  

PubMed

To prepare for the evaluation of a health information exchange (HIE) project in New York City, we collected pre-implementation data regarding aspects of care that might be affected by the HIE initiative. The first application of the HIE will be to provide data to emergency physicians; therefore, we focused on measures relevant to emergency care. These data allowed us to better understand the characteristics of our patient population and perform sample size calculations for certain outcome measures. PMID:18999179

Shapiro, Jason S; Vaidya, Sandip R; Kuperman, Gilad

2008-01-01

170

Toxicology and Environmental Health Information Program (TEHIP)  

NSDL National Science Digital Library

The Toxicology and Environmental Health Information Program (TEHIP) at the US National Library of Medicine has developed an Internet gopher offering free access to national and international information resources and convenient connection to NLM's MEDLARS online databases. Included in the TEHIP gopher are a variety of publications (e.g., the bibliographic publication produced by TEHIP: ALTERNATIVES TO THE USE OF LIVE VERTEBRATES IN BIOMEDICAL RESEARCH AND TESTING) and direct connections to many relevant information sources from national and international government groups and universities. Training modules and documentation for the MEDLARS toxicology databases, and a calendar of meetings and courses of interest to those working in the areas of toxicology, environmental health and medicine, and occupational health and medicine are also included.

1997-01-01

171

Information, Advertising and Health Choices: A Study of the Cereal Market  

Microsoft Academic Search

This article examines the effects of information on consumer and producer behavior by focusing on the ready-to-eat cereal market during a period in which information developed about the health benefits of fiber cereal consumption. Although cereal producers were initially prohibited from advertising these health benefits, the regulatory ban against producer advertising was lifted during the period we study. Our results

Pauline M. Ippolito; Alan D. Mathios

1990-01-01

172

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

173

Developing a Bioterrorism Preparedness Campaign for Veterans: Using Focus Groups to Inform Materials Development  

Microsoft Academic Search

In the context of a global war on terrorism experts have focused on the potential for a bioterrorist incident to cause widespread health and psychological consequences. Preparation is critical to improving the U.S. response to future bioterrorist incidents and educating the public is recognized as a vital part of this preparedness effort. Under a grant from the U.S. Veterans Health

Susan L. Santos; Drew A. Helmer; John Fotiades; Liesel Copeland; Jeffrey D. Simon

2007-01-01

174

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

ERIC Educational Resources Information Center

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;…

Children First for Oregon, Portland.

175

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

176

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

ERIC Educational Resources Information Center

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…

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

177

Making sense of personal health information: challenges for information visualization.  

PubMed

This article presents a systematic review of the literature on information visualization for making sense of personal health information. Based on this review, five application themes were identified: treatment planning, examination of patients' medical records, representation of pedigrees and family history, communication and shared decision making, and life management and health monitoring. While there are recognized design challenges associated with each of these themes, such as how best to represent data visually and integrate qualitative and quantitative information, other challenges and opportunities have received little attention to date. In this article, we highlight, in particular, the opportunities for supporting people in better understanding their own illnesses and making sense of their health conditions in order to manage them more effectively. PMID:23981395

Faisal, Sarah; Blandford, Ann; Potts, Henry W W

2013-09-01

178

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

PubMed Central

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

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

2013-01-01

179

Using animation as an information tool to advance health research literacy among minority participants.  

PubMed

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

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

2013-01-01

180

Health Information in Chinese - Simplified (????): MedlinePlus  

MedlinePLUS

... ???? (Chinese - Simplified) Bilingual PDF Health Information Translations Power Outages ?? - ???? (Chinese - Simplified) Bilingual PDF Health ... Simplified) Bilingual PDF Health Information Translations Memory Memory Power - English ???? - ???? (Chinese - Simplified) PDF Chinese Community ...

181

45 CFR 164.526 - Amendment of protected health information.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA... Privacy of Individually Identifiable Health Information § 164.526...

2013-10-01

182

45 CFR 164.526 - Amendment of protected health information.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA... Privacy of Individually Identifiable Health Information § 164.526...

2012-10-01

183

45 CFR 164.526 - Amendment of protected health information.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Amendment of protected health information. 164.526 Section 164.526 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA... Privacy of Individually Identifiable Health Information § 164.526...

2011-10-01

184

45 CFR 164.526 - Amendment of protected health information.  

Code of Federal Regulations, 2010 CFR

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

2010-10-01

185

78 FR 14793 - Advancing Interoperability and Health Information Exchange  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary...CMS-0038-NC] Advancing Interoperability and Health Information Exchange AGENCY: Office of the National Coordinator for Health Information Technology (ONC) and...

2013-03-07

186

Focus on Health and Nutrition: A Comprehensive Health Education Curriculum Guide for Grades 9-12.  

ERIC Educational Resources Information Center

Developed to capitalize on the interests and concerns of secondary students, this curriculum guide covers ten topics in health education, including disease, family life, nutrition, safety and accident prevention, and harmful substances. A list of concepts is given for each topic. The concepts are further developed by providing suggested content,…

Kirk, Robert H.; Hamrick, Michael H.

187

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

PubMed Central

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

2007-01-01

188

42 CFR 438.242 - Health information systems.  

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 (CONTINUED)...

2014-10-01

189

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.

190

Different for girls? Feminism, health information and librarianship.  

PubMed

This paper focuses on the provision and organization of health information materials in women's health centres in UK and Ireland in the late 20th century Such centres sprung from the work of feminist activists and health workers from the late 1960s onwards, promoting health information and other interventions to counteract women's devalued status within society, and the stereotypes perpetuated by health care and other systems. Centres that developed were (and still are) typically within the voluntary sector, have a strong feminist perspective and are run by lay workers. This paper will draw on research into information provision in these centres, its scope, organization and who provides it. It will argue that this work is of interest to mainstream librarianship, but there are minimal linkages as feminist thinking within librarianship has been unable overall to make common cause with the work of these, and other such agencies, which has inhibited potential developments of mutual benefit. This paper draws on ongoing research into feminism and librarianship, and findings that have been presented in a number of settings. PMID:12075848

Ilett, Rosie

2002-03-01

191

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

PubMed Central

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

Marcell, Arik V.; Ellen, Jonathan M.

2011-01-01

192

The public health information infrastructure. A national review of the law on health information privacy.  

PubMed

Our objectives were to review and analyze the laws in the 50 states, the District of Columbia, and Puerto Rico that regulate the acquisition, storage, and use of public health data and to offer proposals for reform of the laws on public health information privacy. Virtually all states reported some statutory protection for governmentally maintained health data for public health information in general (49 states), communicable diseases (42 states), and sexually transmitted diseases (43 states). State statutes permitted disclosure of data for statistical purposes (42 states), contact tracing (39 states), epidemiologic investigations (22 states), and subpoena or court order (14 states). The survey revealed significant problems that affect both the development of fair and effective public health information systems and the protection of privacy. Statutes may be silent about the degree of privacy protection afforded, confer weaker privacy protection to certain kinds of information, or grant health officials broad discretion to disseminate personal information. Our proposals for law reform are based on a meeting of experts at the Carter Presidential Center under the auspices of the Centers for Disease Control and Prevention and the Council of State and Territorial Epidemiologists: (1) an independent data protection commission should be established, (2) health authorities should justify the collection of personally identifiable information, (3) subjects should be given basic information about data practices, (4) data should be held and used in accordance with fair information practices, (5) legally binding privacy and security assurances should attach to identifiable health information with significant penalties for breach of these assurances, (6) disclosure of data should be made only for purposes consistent with the original collection, and (7) secondary uses beyond those originally intended by the data collector should be permitted only with informed consent. PMID:8648874

Gostin, L O; Lazzarini, Z; Neslund, V S; Osterholm, M T

1996-06-26

193

Promoting eHealth literacy in older adults: key informant perspectives.  

PubMed

Health literacy has the potential to improve an individual's capacity to access, understand, evaluate, and communicate basic health information and services in order to make appropriate health decisions. We developed a research agenda to help older adults become aware of health literacy and its function in promoting their nutritional health and well-being. A key activity is the development, implementation, and evaluation of an eHealth literacy tool, eSEARCH, targeted at older adults to help improve their eHealth literacy skills. Before consultations were held with this subpopulation to assess their eHealth literacy needs and abilities, key informant interviews were conducted with eight experts in the field of health literacy, the older adult population, and/or online communications. Some experts were identified from the relevant literature; others were identified by informants who had already been interviewed. Informants were asked nine questions about the perceived importance of health literacy in Canada, key considerations in developing an eHealth literacy tool, and supporting resources for advancement of the eHealth literacy tool. Informants agreed that health literacy is a key concept and stressed that key considerations for development of the eSEARCH tool are identifying the target population's needs, focusing on health promotion, and increasing confidence in information-seeking behaviours. Identified challenges are ensuring accessibility, applicability to older adults, and adoption of the tool by dietetic and other health care professionals. PMID:23449214

Manafò, Elizabeth; Wong, Sharon

2013-01-01

194

White Paper: Advancing Personalized Health Care through Health Information Technology: An Update from the American Health Information Community's Personalized Health Care Workgroup  

Microsoft Academic Search

The Personalized Health Care Workgroup of the American Health Information Community was formed to determine what is needed to promote standard reporting and incorporation of medical genetic\\/genomic tests and family health history data in electronic health records. The Workgroup has examined and clarified a range of issues related to this information, including interoperability standards and requirements for confidentiality, privacy, and

John Glaser; Douglas E. Henley; Gregory Downing; Kristin M. Brinner

2008-01-01

195

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

ERIC Educational Resources Information Center

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…

Santana Arroyo, Sonia

2013-01-01

196

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

PubMed Central

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 8–61 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

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

2012-01-01

197

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

Federal Register 2010, 2011, 2012, 2013

...Collection: Collection of Qualitative Feedback through Focus Groups...collection activity will garner qualitative customer and stakeholder feedback...improving service delivery. By qualitative feedback USCIS means information...generalized to the population of study. This feedback will...

2012-05-16

198

Iterative Evaluation of a Web-Based Health Information Resource  

PubMed Central

This paper presents the research process and methods used to evaluate and improve a web-based health information resource intended for the public. The resource is called Community Connect to Research (CC2R) (www.connecttoresearch.org). The research process was an iterative one that 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 us with users’ perspective on the overall design, content, and literacy demands of the web site as well as valuable feedback on their interaction with the web site. We subsequently redesigned CC2R, making significant improvements based on what we 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 web site was useful and valuable, indicating that CC2R is indeed a health information resource that provides patients and families with accessible, relevant, and high-quality information. Our experience suggests that regular formal evaluation is an essential tool for effective ongoing enhancement of health information resources meant for the public. PMID:23577665

ROSENFELD, LINDSAY; SHEPHERD, AMY; AGUNWAMBA, AMENAH A.; McCRAY, ALEXA T.

2013-01-01

199

Iterative evaluation of a web-based health information resource.  

PubMed

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

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

2013-08-01

200

Developing a health information infrastructure for Arizona.  

PubMed

Network connectivity is critical in Arizona, where travel distances are great, academic programs dispersed, and health care practitioners often geographically isolated. Accordingly, the University of Arizona (UA) applied for $50,000.00 in National Library of Medicine/National Science Foundation (NLM/NSF) Connections Program funding to promote statewide collaboration in supporting UA's health sciences education and research programs by expanding network connectivity to hospitals and other health-related institutions. The proposal outlined three strategies: Each major nonuniversity teaching hospital would secure and maintain a leased communications line dedicated to network connectivity, and NSF funds would be used to buy some necessary hardward. NSF funds would be used to establish a modern bank for dial-up Internet access by rural practitioners and teaching sites. Co-principal investigators of the project would promote and support the use of this new statewide connectivity and foster its continued expansion. The proposal was based on a conservative philosophy: familiar technologies and, where possible, existing networks and equipment would be used. The proposal was approved, and NSF funds hastened creation of an expanded health information network in Arizona. Once that network was in place, participants moved quickly from managing the mechanics of connectivity to planning for a computing and communications platform with services. Private funds were obtained to help organize the Arizona Health Information Network to direct these expanded services. PMID:7841909

Anderson, R K; Haddix, A; McCray, J C; Wunz, T P

1994-10-01

201

Higher professional education for general medical practitioners: key informant interviews and focus group findings.  

PubMed Central

BACKGROUND: If higher professional education (HPE) for general practitioners (GPs) is to be implemented, then key stakeholders will need to be supportive. AIM: To investigate stakeholders' beliefs about the concept of HPE, its funding, and relationships to education and care. METHOD: Interviews were conducted using a topic guide with a health authority (HA) representative, the Local Medical Committee Chair, the Medical Audit Advisory Group Chair, a GP tutor from each of the six health authorities in the old South West region, and a senior member of the three academic GP departments and the two Royal College of General Practitioners faculties in the region. Focus groups were held with GP registrars on both vocational training schemes (VTSs) and on the one HPE course in the region. These were recorded, transcribed verbatim, and analysed for emergent themes that were triangulated with the ideas expressed in the focus groups; the same topic guide was used for both. RESULTS: Of 29 key informants, 24 were interviewed. Six focus groups were held (the one HPE group and five out of the nine VTSs), after which no new ideas emerged. There is a transition period, after becoming a new principal (NP) and before becoming a fully competent independent GP, during which NPs need support. Benefits would include receiving peer support to reduce stress during the transition, enhanced non-clinical competencies, becoming a better skilled GP, avoiding the negative personal impact of a career as a GP, and helping recruitment. To improve patient care there must be a link between education and service provision. Funding is the major consideration in setting HPE; mixed funding is best coming from top-sliced General Medical Services (GMS), the HA, and regional educational funds. Barriers might include NPs' practice workload, their enthusiasm, and their partners' attitudes. The other key is a local enthusiast to initiate a course and coordinate the 'players'. The curriculum would be principally non-clinical and should be agreed by learners and the course tutor together, taking advice from various interested parties. CONCLUSION: There is a need for HPE for new NPs. It will require funding external to individual practices or NPs and a local enthusiast. Top-slicing of GMS funds is one source of funding, with additional funds from regional education and HAs. HPE must be related to service provision, to NP needs, and to vocational training. PMID:10897513

Smith, L F; Eve, R; Crabtree, R

2000-01-01

202

FOCUSED STATE TRANSITION INFORMATION IN ASR Chris Bartels and Jeff Bilmes  

E-print Network

FOCUSED STATE TRANSITION INFORMATION IN ASR Chris Bartels and Jeff Bilmes Department of Electrical recognition graphical models that use "focused evidence" to directly influence word and state tran- sition variables in a GM-based ASR system that indicate various forms of tran- sition, namely inter-word transition

Bilmes, Jeff

203

FOCUS TERRAThe Earth Science Research and Information Centre of ETH Zurich  

E-print Network

and what will happen in the future. Also discover the largest dynamo on Earth - the geo-dynamo of the EarthFOCUS TERRAThe Earth Science Research and Information Centre of ETH Zurich Discover the Wonders of the Earth! focusTerra invites you on a fascinating journey from the centre of the Earth to the peaks

Gilli, Adrian

204

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

PubMed Central

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

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

2005-01-01

205

Health Information Modeling, Simulation, and Analysis: ABMS of HIE Network  

E-print Network

that connects providers, consumers, and others involved in supporting health and healthcare. Effectively determining the future sustainability of a health information exchange (HIE) network and healthcare delivery

Kemner, Ken

206

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

PubMed

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

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

2014-04-01

207

PART I -REQUEST TO AMEND PERSONAL HEALTH PLAN INFORMATION  

E-print Network

that the Plan amend the following information in a personal health plan record (describe the informationPART I - REQUEST TO AMEND PERSONAL HEALTH PLAN INFORMATION HUMAN RESOURCES Employee Support by the California State University (collectively, the "Plan") amend your health information in a "Designated Record

Eirinaki, Magdalini

208

Entry Level Masters of Health Informatics and Information  

E-print Network

Entry ­ Level Masters of Health Informatics and Information Management Post-Graduate Masters of Health Informatics and Information Management Certificate in Health Informatics and Information 6 Statistics 3 Medical Terminology 3 Management Information Systems 3 System Analysis and Design 3

Cui, Yan

209

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

PubMed

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

Bloom, Gerald; Standing, Hilary; Lloyd, Robert

2008-05-01

210

Health information technology: fallacies and sober realities  

PubMed Central

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

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

2010-01-01

211

An Examination of Natural Language as a Query Formation Tool for Retrieving Information on E-Health from Pub Med.  

ERIC Educational Resources Information Center

Discussion of Internet use for information searches on health-related topics focuses on a study that examined complexity and variability of natural language in using search terms that express the concept of electronic health (e-health). Highlights include precision of retrieved information; shift in terminology; and queries using the Pub Med…

Peterson, Gabriel M.; Su, Kuichun; Ries, James E.; Sievert, Mary Ellen C.

2002-01-01

212

Humanising illness: presenting health information in educational comics.  

PubMed

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

McNicol, Sarah

2014-06-01

213

Occupational health legislation and practices related to seafarers on passenger ships focused on communicable diseases: results from a European cross-sectional study (EU SHIPSAN PROJECT)  

Microsoft Academic Search

BACKGROUND: Seafarers play an important role in the transmission of communicable diseases. The aim of the present study is to draw information and identify possible gaps on occupational health practices related to seafarers sailing on ships within the European Union Member States (EU MS) with focus on communicable diseases. METHODS: A structured questionnaire was sent to competent authorities from 21

George Rachiotis; Varvara A Mouchtouri; Clara Schlaich; Tobias Riemer; Carmen Varela Martinez; Gordon Nichols; Christopher LR Bartlett; Jenny Kremastinou; Christos Hadjichristodoulou

2010-01-01

214

Reverse logistics: superior performance through focused resource commitments to information technology  

Microsoft Academic Search

A survey of businesses in the automobile aftermarket industry provided insights into how reverse logistics performance can be influenced by a few key strategic decisions. Resource commitment is critical to program performance. However, it is important that the resources be focused on developing information technology capabilities. This, no doubt, is reflective of the nature of reverse logistics. Information support––for authorizing,

Patricia J. Daugherty; R. Glenn Richey; Stefan E. Genchev; Haozhe Chen

2005-01-01

215

CoLaLab investigates the complex system we call human language, focusing on information  

E-print Network

computational models of the nervous system on robots and on parallel computing platforms. The Human InformationCoLaLab investigates the complex system we call human language, focusing on information acquisition and extraction. Synlab explores the cognitive neuroscience of syntactic structure building in human language

Barrett, Jeffrey A.

216

2D image registration using focused mutual information for application in dentistry  

E-print Network

2D image registration using focused mutual information for application in dentistry W. Jacquet a information, digital subtraction radiography, piecewise rigid, dentistry PACS: 07.05.Pj, 07.05.Rm, 87.57.-s-intervention) therapy, [(5)] or a restorative treatment (intervention). Lehmann et al. [(6)] used dental ra- diographs of

de Groen, Pieter

217

Consumer health information for pet owners  

PubMed Central

Objective: The author studied health information available for veterinary consumers both in print and online. Methods: WorldCat was searched using a list of fifty-three Library of Congress subject headings relevant to veterinary consumer health to identify print resources for review. Identified items were then collected and assessed for authority, comprehensiveness of coverage, validity, and other criteria outlined by Rees. An in-depth assessment of the information available for feline lower urinary tract disease (FLUTD) and canine congestive heart failure (CHF) was then conducted to examine the availability and quality of information available for specific diseases and disorders. A reading grade level was assigned for each passage using the Flesch-Kincaid formula in the Readability Statistics feature in Microsoft Word. Results/Discussion: A total of 187 books and 7 Websites were identified and evaluated. More than half of the passages relating to FLUTD and CHF were written above an 11th-grade reading level. A limited quantity of quality, in-depth resources that address specific diseases and disorders and are written at an appropriate reading level for consumers is available. Conclusion: The library's role is to facilitate access to the limited number of quality consumer health resources that are available to veterinary consumers. PMID:16636707

Murphy, Sarah Anne

2006-01-01

218

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

PubMed

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

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

2013-12-01

219

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

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, Connect’s 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 Tanzania’s 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

2013-01-01

220

Integrating cost information with health management support system: an enhanced methodology to assess health care quality drivers.  

PubMed

Changes in health care delivery, reimbursement schemes, and organizational structure have required health organizations to manage the costs of providing patient care while maintaining high levels of clinical and patient satisfaction outcomes. Today, cost information, clinical outcomes, and patient satisfaction results must become more fully integrated if strategic competitiveness and benefits are to be realized in health management decision making, especially in multi-entity organizational settings. Unfortunately, traditional administrative and financial systems are not well equipped to cater to such information needs. This article presents a framework for the acquisition, generation, analysis, and reporting of cost information with clinical outcomes and patient satisfaction in the context of evolving health management and decision-support system technology. More specifically, the article focuses on an enhanced costing methodology for determining and producing improved, integrated cost-outcomes information. Implementation issues and areas for future research in cost-information management and decision-support domains are also discussed. PMID:10539425

Kohli, R; Tan, J K; Piontek, F A; Ziege, D E; Groot, H

1999-08-01

221

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

PubMed Central

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

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

2011-01-01

222

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

NASA Technical Reports Server (NTRS)

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.

Pinelli, Thomas E.

1992-01-01

223

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

NASA Technical Reports Server (NTRS)

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.

Pinelli, Thomas E.

1992-01-01

224

McMaster Health Forum puts focus on need for better chronic pain management July 18, 2011  

E-print Network

McMaster Health Forum puts focus on need for better chronic pain management July 18, 2011 A strong and increase support for and coordination in comprehensive chronic pain management was vocalized at a day-long dialogue convened by the McMaster Health Forum to focus increased attention on chronic pain management

Thompson, Michael

225

Accessing health information in a hospital setting: a consumer views study.  

PubMed

Meeting consumers' needs for health information is an important role for all health professionals. A Consumer Views Study was conducted at Flinders Medical Centre (FMC) to ensure strategies for improving access to health information for staff and consumers were congruent with consumers' views. Semi-structured questionnaires were completed by 100 consumers of FMC services. A key finding was the strong preference consumers have for accessing health information through staff members, which confirms the important part that education plays in information provision. A concern was that less than half of the participants were provided with written information. This could be indicative of the difficulties staff have in accessing health information to provide to consumers. Results also showed the important role General Practitioners (GPs) have in providing health information to consumers. Findings have helped shape strategies that focus on coordinated electronic access to quality health information, which will support staff in accessing and providing health information to consumers, and improve direct access to health information for consumers. PMID:15485385

Sandford, Jayne

2003-01-01

226

Health equipment information, number 115, October 1983  

SciTech Connect

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.

Not Available

1984-01-01

227

Building the case for quality improvement in the health care industry: a focus on goals and training.  

PubMed

Health care organizations are under intense pressure to improve the efficiency and effectiveness of care delivery and, increasingly, they are using quality improvement teams to identify and target projects to improve performance outcomes. This raises the question of what factors actually drive the performance of these projects in a health care environment. Using data from a survey of health care professionals acting as informants for 244 patient care, clinical-administrative, and nonclinical administrative quality improvement project types in 93 health care organizations, we focus on 2 factors--goal setting and quality training--as potential drivers of quality improvement project performance. We find that project-level goals and quality training have positive associations with process quality, while organizational-level goals have no impact. In addition, the relationship between project-level goals and process quality is stronger for patient care projects than for administrative projects. This indicates that the motivational and cognitive effects of goal setting are greater for projects that involve interactions with clinicians than for ones that involve interactions with other staff. Although project-level goal setting is beneficial for improving process quality overall, our findings suggest the importance of being especially attentive to goal setting for projects that impact direct patient care. PMID:24978163

Field, Joy M; Heineke, Janelle; Langabeer, James R; DelliFraine, Jami L

2014-01-01

228

For general information about the Certificate in Global Health, please  

E-print Network

For general information about the Certificate in Global Health, please contact: Robin Eric Mittenthal Global Health Administrative Program Manager 272 Nutritional Sciences 1415 Linden Dr. TEL: 608 appointments. OR Sweta Shrestha Education Programs Associate Global Health Institute 1026 Medical Sciences

Wisconsin at Madison, University of

229

Health Information in Somali (af Soomaali): MedlinePlus  

MedlinePLUS

... af Soomaali (Somali) Bilingual PDF Health Information Translations Power Outages Korontada oo la Waayo - af Soomaali (Somali) ... af Soomaali (Somali) Bilingual PDF Health Information Translations Nuclear Scans Bone Scan Sawiridda Lafta - af Soomaali (Somali) ...

230

Health Information in French (français): MedlinePlus  

MedlinePLUS

... alerte - français (French) Bilingual PDF Health Information Translations Power Outages Coupures de courant - français (French) Bilingual PDF ... bébé - français (French) Bilingual PDF Health Information Translations Nuclear Scans Bone Scan Scintigraphie osseuse - français (French) Bilingual ...

231

Managing health(-care systems) using information health technologies.  

PubMed

This study aims to compare and contrast how specific information health technologies (IHTs) have been debated, how they have proliferated, and what they have enabled in Germany’s and England’s healthcare systems. For this a discourse analysis was undertaken that specifically focussed on future-scenarios articulated in policy documents and strategy papers released by relevant actors from both healthcare systems. The study reveals that the way IHTs have been debated and how they have proliferated depends on country-specific regulatory structures, their respective values, actors’ and institutions’ organized interests, and the status of health professionals. These conditions have enabled IHTs to promote a new and similar concept of patienthood in both countries, although they tend to affect practitioners’ practices more dramatically in England. The conclusion is drawn that with the usage of IHTs, healthcare systems reproduced existing patterns of health provision while also enabling a sort of convergence. Future research should investigate whether the new concept of patienthood emerging in both welfare states actually suits patients and professionals needs and requirements. PMID:20390452

Mathar, Thomas

2011-06-01

232

Speaking up: Teens Voice Their Health Information Needs  

ERIC Educational Resources Information Center

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…

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

2012-01-01

233

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

PubMed Central

Background Preference for information is a personality trait that affects people’s 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 Miller’s 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

2013-01-01

234

Security for decentralized health information systems.  

PubMed

Health care information systems must reflect at least two basic characteristics of the health care community: the increasing mobility of patients and the personal liability of everyone giving medical treatment. Open distributed information systems bear the potential to reflect these requirements. But the market for open information systems and operating systems hardly provides secure products today. This 'missing link' is approached by the prototype SECURE Talk that provides secure transmission and archiving of files on top of an existing operating system. Its services may be utilized by existing medical applications. SECURE Talk demonstrates secure communication utilizing only standard hardware. Its message is that cryptography (and in particular asymmetric cryptography) is practical for many medical applications even if implemented in software. All mechanisms are software implemented in order to be executable on standard-hardware. One can investigate more or less decentralized forms of public key management and the performance of many different cryptographic mechanisms. That of, e.g. hybrid encryption and decryption (RSA+DES-PCBC) is about 300 kbit/s. That of signing and verifying is approximately the same using RSA with a DES hash function. The internal speed, without disk accesses etc., is about 1.1 Mbit/s. (Apple Quadra 950 (MC 68040, 33 MHz, RAM: 20 MB, 80 ns. Length of RSA modulus is 512 bit). PMID:8188407

Bleumer, G

1994-02-01

235

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

PubMed

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

da Silva, Cléber Domingos Cunha

2013-10-01

236

A rapid equity focused health impact assessment of a policy implementation plan: An Australian case study and impact evaluation  

Microsoft Academic Search

BACKGROUND: Equity focused health impact assessments (EFHIAs), or health equity impact assessments, are being increasingly promoted internationally as a mechanism for enhancing the consideration of health equity in the development of policies, programs and projects. Despite this there are relatively few examples of examples of completed EFHIAs available. This paper presents a case study of a rapid EFHIA that was

Ben F Harris-Roxas; Patrick J Harris; Elizabeth Harris; Lynn A Kemp

2011-01-01

237

Substantial Health and Economic Returns From Delayed Aging May Warrant a New Focus for Medical Research  

PubMed Central

Recent scientific advances suggest that slowing the aging process (senescence) is now a realistic goal. Yet most medical research remains focused on combating individual diseases. Using the Future Elderly Model—a microsimulation of the future health and spending of older Americans in the United States—we compared optimistic “disease specific” scenarios with a hypothetical “delayed aging” scenario in terms of their impact on longevity, disability, and major entitlement program costs. Delayed aging could increase life expectancy by an additional 2.2 years, most of which would be spent in good health. The economic value of delayed aging is estimated to be $7.1 trillion over fifty years. In contrast, addressing heart disease and cancer separately would yield diminishing improvements in health and longevity by 2060—mainly due to competing risks. Delayed aging would substantially increase entitlement outlays, especially for Social Security, but these changes could be offset by increasing the Medicare eligibility age and the normal retirement age for Social Security. Overall, greater investment in research to delay aging appears to be a highly efficient way to forestall disease, extend healthy life, and improve public health. PMID:24101058

Goldman, Dana; Cutler, David; Rowe, John W.; Michaud, Pierre-Carl; Sullivan, Jeffrey; Peneva, Desi; Olshansky, S. Jay

2014-01-01

238

Tell me--show me: using combined focus group and photovoice methods to gain understanding of health issues in rural Guatemala.  

PubMed

As health researchers, our training is more literary than visual. We are only beginning to learn about the value of photography as a qualitative data collection method. In this article we describe a project utilizing focus groups and photovoice, sequentially, to gather information about health-related conditions in rural Guatemala. In the first phase, the perceptions of a group of comadronas (birth attendants) were elicited using traditional focus group methodology. In the second phase, conducted several months later, the photovoice method was utilized. During this phase, the same participants viewed and responded to photographs taken during the intervening period by some of the phase-one participants. The findings from this two-phase approach support those from other studies that suggest that photovoice provides more in-depth data and the potential for bringing out additional information that might not emerge during traditional interviews or focus group discussions. PMID:20154296

Cooper, Cheryl M; Yarbrough, Susan P

2010-05-01

239

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

ERIC Educational Resources Information Center

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…

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

2000-01-01

240

Regional health information networks: the Wisconsin Health Information Network, a case study.  

PubMed Central

It is projected that by the turn of the century, ninety percent of diagnostic procedures and seventy percent of therapeutic procedures will occur outside a hospital setting [2,3]. Additionally, according to a 1992 study by Arthur D. Little, during any given physician office visit, as much as 30 percent of the required diagnostic data and information required by the physician is unavailable [4]. Driven by ever increasing demands for convenience and accessibility, health care continues to evolve into an environment where the importance of data and its relative availability to the requester are diverging. This paper will present the concept of a regional or community health information network (RHIN or CHIN). Specifically, the Wisconsin Health Information Network (WHIN) will be used as a case study. PMID:7949958

Pemble, K. R.

1994-01-01

241

How to Keep Your Health Information Private and Secure  

MedlinePLUS

... communities, such as message boards. · Store in a personal health record (PHR) that is not offered through a health provider or health plan covered by HIPAA. Keep Your Electronic Health ... tips to ensure your personal health information is private and secure when accessing ...

242

[New information technologies and health consumerism].  

PubMed

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

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

2010-08-01

243

Review of health information technology usability study methodologies  

PubMed Central

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

Bakken, Suzanne

2011-01-01

244

Health information systems in humanitarian emergencies.  

PubMed Central

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

Thieren, Michel

2005-01-01

245

Social networks, social capital, and mental health While traditionally most studies of the effects of interpersonal relationships on health have focused primarily on social  

E-print Network

Social networks, social capital, and mental health While traditionally most studies of the effects of interpersonal relationships on health have focused primarily on social support, research has only recently begun to explore the impact of the topology and dynamics of social networks on the development of health

Banaji,. Murad

246

Developing population interventions with migrant women for maternal-child health: a focused ethnography  

PubMed Central

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

2013-01-01

247

The Internet as a Health Information Source: Findings from the 2007 Health Information National Trends Survey and Implications for Health Communication  

Microsoft Academic Search

A wealth of health information is available online, but we do not fully understand the implications for health communication. This study examined whether health information seekers who turn to the Internet first differ from those who turn elsewhere. Data from the 2,338 respondents to the mail portion of the National Cancer Institute's Health Information National Trends Survey (HINTS) 2007 who

Susan Koch-Weser; Ylisabyth S. Bradshaw; Lisa Gualtieri; Susan S. Gallagher

2010-01-01

248

Computer and network operations and cybersecurity focus on information technology and are largely nave of an  

E-print Network

CHALLENGE Computer and network operations and cybersecurity focus on information technology the quality and speed of defenders' situation assessment and management. First, a network model annotated with some of the essential services, is correlated to the network model to identify other process

249

HealthFinland--Publishing Health Promotion Information on the Semantic Web Eero Hyvnen1  

E-print Network

HealthFinland--Publishing Health Promotion Information on the Semantic Web Eero Hyvönen1 , Kim of Technology (TKK) and University of Helsinki 2 National Public Health Institute, Finland Abstract This paper, discovery, linking, aggregation, and reuse in health information portals, both from end-user's and content

Hyvönen, Eero

250

Use of health information technology to reduce diagnostic errors  

PubMed Central

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

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

2013-01-01

251

Lay information mediary behavior uncovered: exploring how nonprofessionals seek health information for themselves and others online*EC  

PubMed Central

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

Fisher, Karen E.; Turner, Anne G.; Durrance, Joan C.; Turner, Tammara Combs

2008-01-01

252

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

PubMed Central

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

2011-01-01

253

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

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

Adam, Paul; Li, Linda C; McDonald, Michael; Backman, Catherine L

2013-01-01

254

Seeking health information online: does limited healthcare access matter?  

PubMed

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

Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae

2014-11-01

255

Social and Behavioral History Information in Public Health Datasets  

PubMed Central

Social and behavioral history is increasingly recognized as integral for understanding important determinants of disease and critical for patient care, research, clinical guidelines, and public health policies. Social and behavioral history information in the public health domain, specifically large public health surveys, has not been well described. In this study, a content analysis was performed and information model constructed and contrasted with clinically-based models for each of three widely used public health surveys: BRFSS (Behavioral Risk Factor Surveillance System), NHANES (National Health and Nutrition Examination Survey), and NHIS (National Health Interview Survey). Survey items were predominantly related to alcohol use, drug use, occupation, and tobacco use. Although the clinical social history information model was similar, public health social history demonstrated additional complexity in coding temporality, degree of exposure, and certainty. Our results give insight into ongoing efforts to integrate clinical and public health information resources for improving and measuring health. PMID:23304335

Melton, Genevieve B.; Manaktala, Sharad; Sarkar, Indra Neil; Chen, Elizabeth S.

2012-01-01

256

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

PubMed

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. PMID:21147524

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

2011-04-01

257

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

SciTech Connect

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.

Chi Xinwen, E-mail: x.chi@pgrad.unimelb.edu.au [Department of Resource Management and Geography, Melbourne School of Land and Environment, University of Melbourne, 221 Bouverie Street, Carlton, VIC 3010 (Australia); Streicher-Porte, Martin [Empa, Swiss Federal Laboratories for Materials Testing and Research, Technology and Society Laboratory, Lerchenfeldstrasse 5, 9014 St. Gallen (Switzerland); Wang, Mark Y.L. [Department of Resource Management and Geography, Melbourne School of Land and Environment, University of Melbourne, 221 Bouverie Street, Carlton, VIC 3010 (Australia); Reuter, Markus A. [Outotec Pty Ltd., Melbourne, 12 Kitchen Road, Dandenong, VIC 3175 (Australia)

2011-04-15

258

E-health information search intentions of Turkish internet users  

Microsoft Academic Search

Purpose – The internet provides a wide range of technologies that enable health professionals to communicate with people. It ultimately may soon be the primary source for an individual searching for healthcare information, even for emerging economies such as Turkey. This study aims to examine how perceived benefits, perceived quality, and reliability of electronic health (e-health) information affect intention to

Bahar Ya?in; Hilal Özen

2011-01-01

259

Linking Native Americans to Quality Health Information on the Internet  

Microsoft Academic Search

Native Americans experience significant health problems. Teaching them how to access health information on the Internet has the potential to give them knowledge to maintain more healthy lifestyles, provide them with reliable information about their problems, and make them aware of possible treatment options. The staff at the Harley E. French Library of the Health Sciences, University of North Dakota

Judith L. Rieke

2005-01-01

260

Primary Care Health Service ESSENTIAL INFORMATION FOR REQUIRED HEALTH INSURANCE COVERAGE WHILE AT BARNARD  

E-print Network

Primary Care Health Service ESSENTIAL INFORMATION FOR REQUIRED HEALTH INSURANCE COVERAGE WHILE the health insurance policy provided through Barnard which is offered through Aetna Student Health. 2. Waive, on par with medical services YES ? Many managed care plans have limited mental health coverage out

261

Yogurt consumption and impact on health: focus on children and cardiometabolic risk.  

PubMed

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

Marette, André; Picard-Deland, Eliane

2014-05-01

262

Transitions, realignments, and focus shifts: possibilities for biopsychosocial care in the electronic health record era.  

PubMed

The healthcare system in the United States is currently evolving in response to a diverse range of inter-related economic and political pressures. In this article, we discuss three important macro-level transitions (volume to value, clinician-centric to patient-centered care, and individual to population) and their implications for the practice of medicine, health information technology (HIT), and clinical training. Specifically, challenges and opportunities for advancing the use of the biopsychosocial model in clinical practice and teaching in this new, electronic health record (EHR) era of medicine are highlighted. While much work needs to be done to leverage the potential of EHR/HIT systems, their potential to improve population health and patient experience while controlling the costs of care is great. As primary care clinicians and behavioral scientists navigating this changing healthcare landscape, we should continue to strive to deliver high-quality, patient-centered care. Insisting that future generations of EHR/HIT systems support a biopsychosocial approach is part of this mission. PMID:25084852

Raddock, Michael L; Lawson, Peter J; Smith, Samantha

2014-01-01

263

Employers and Health Information in the Workplace  

MedlinePLUS

... of a manager in your workplace. If you work for a health plan or covered health care provider: The Privacy Rule does not apply to your employment records. The Rule does protect your medical or health ...

264

The World at Your Fingertips Global Health Information Resources  

E-print Network

The World at Your Fingertips Global Health Information Resources: An Introductory Tour Gurpreet K. Rana, MLIS Global Health Coordinator Taubman Health Sciences Library preet@umich.edu #12;· establishing long-term goals and effective strategies to meet global health objectives · developing partnerships

Eustice, Ryan

265

Health Problems with the Use of Information Technologies  

ERIC Educational Resources Information Center

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…

Gunduz, Semseddin

2007-01-01

266

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

PubMed

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 560,000pound 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

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

2008-01-01

267

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

PubMed Central

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

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

2009-01-01

268

Improving medication adherence in chronic pediatric health conditions: a focus on ADHD in youth.  

PubMed

Chronic pediatric health conditions pose a significant challenge for youth, their families and professionals who treat these conditions. Long-term adherence to interventions, including and often-times, pharmacological interventions, is necessary but often problematic. Understanding factors related to poor adherence and intervening to improve adherence is essential in order to maximize long-term outcomes. Attention-deficit/hyperactivity disorder (ADHD) is one such chronic health condition requiring long-term adherence to treatment. The aims of this review are to 1) review the extant literature regarding rates of adherence to medication for youth with ADHD; 2) summarize what is known regarding factors that impede and support greater adherence to medication; 3) introduce the Unified Theory of Behavior Change as a conceptual model that may assist in developing adherence treatment packages to support medication adherence; and 4) describe several potential interventions based on the Unified Theory of Behavior Change that may improve adherence to medication for youth with ADHD. Although pharmacological interventions for youth with ADHD have been evaluated for decades, only more recently has adherence to medication been the subject of interest. However, this literature has exclusively focused on understanding factors related to adherence, with no empirical studies of interventions to improve adherence in youth with ADHD. This paper provides a rationale and research agenda for systematic study of interventions to support medication adherence in youth with ADHD. PMID:20513228

Chacko, Anil; Newcorn, Jeffrey H; Feirsen, Nicole; Uderman, Jodi Z

2010-01-01

269

Using information technology to exchange health information among healthcare providers : measuring usage and understanding value  

E-print Network

Health information exchange (HIE) - the electronic exchange of health information among healthcare institutions - has been projected to hold enormous promise as an antidote to the fragmented healthcare delivery system in ...

Rudin, Robert (Robert Samuel)

2011-01-01

270

Exploiting Personal Health Records in Automating Information Therapy  

Microsoft Academic Search

Information therapy (Ix) is the prescription of specific, evidence-based medical information, to the right person, at right time to help that individual make a better health decision. We have investigated the usability of knowledge management technologies in automating the delivery of medical information in Ix. In our developed solution the content of personal health records as well as the medicinal

Juha Puustjärvi; Leena Puustjärvi

2010-01-01

271

Who Is Using the Web for Science and Health Information?  

ERIC Educational Resources Information Center

Reviews the growth of public access to computers and the Web; identifies individuals from a national sample of adults who have sought specific information from the Web; identifies individuals who have searched for science or health information; and constructs two models to predict Web use for science and health information. (Author/LRW)

Miller, Jon D.

2001-01-01

272

The role of the medical school-based consumer health information service.  

PubMed Central

Historically, medical information has been provided to patients at the physician's discretion. Although this method never has been wholly satisfactory, the trend toward bureaucratic organization of medical care, characterized by impersonal patient encounters and prompted by increased emphasis on cost controls, has restricted patient information even further. Yet, at the same time, the upsurge in consumer power has created patient demand for more health information. Consumers feel they have a right to expect help in obtaining information so they can make informed decisions with respect to their medical care. This paper focuses on the medical school-based consumer health service in this context. In particular, it calls attention to the medical school library as the foundation for expanded health information resources, pointing to the tools of information retrieval, as well as the substantive information contained in the medical, nursing, and allied health literature. In this setting, the consumer health librarian is called upon to act as a mediator in providing quality-filtered information to the patron, while at the same time remaining within the confines of professional expertise as a librarian. Important sources of health information are highlighted, particularly online databases, drug indexes, therapeutic texts, and physician specialist directories. PMID:8136760

La Rocco, A

1994-01-01

273

78 FR 7784 - Health Information Technology Policy Committee Nomination Letters  

Federal Register 2010, 2011, 2012, 2013

...Information Technology Policy Committee (Health IT Policy Committee) and gave the Comptroller General...from a labor organization representing health care workers. For appointments to the HIT Policy committee to be made by April 1,...

2013-02-04

274

Health, sport and nutritional information: tailoring your approach.  

PubMed

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

Grant, Maria J

2012-06-01

275

Media complementarity and health information seeking in Puerto Rico.  

PubMed

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

Tian, Yan; Robinson, James D

2014-01-01

276

An argument against the focus on Community Resilience in Public Health  

PubMed Central

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

2014-01-01

277

Consumer Health Informatics: Health Information Technology for Consumers.  

ERIC Educational Resources Information Center

Explains consumer health informatics and describes the technology advances, the computer programs that are currently available, and the basic research that addresses both the effectiveness of computer health informatics and its impact on the future direction of health care. Highlights include commercial computer products for consumers and…

Jimison, Holly Brugge; Sher, Paul Phillip

1995-01-01

278

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

NASA Astrophysics Data System (ADS)

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.

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

279

Information sharing between the National Health Service and criminal justice system in the United Kingdom.  

PubMed

Offenders with mental health problems often have complex and interrelated needs which separately challenge the criminal justice system (CJS) and National Health Service (NHS) in the United Kingdom (U.K.). Consequently, interagency collaboration and timely information sharing are essential. This study focused on the sharing of information about people with mental health problems in contact with the CJS. Questionnaires were distributed to a range of health and criminal justice personnel. The results showed that there was a mismatch between what service user information criminal justice agencies felt they needed and what was routinely received. Prison Service staff received more information (between 15% and 37%) from health agencies than the police (between 6% and 22%). Health professionals received most of the information they needed from criminal justice agencies (between 55% and 85%). Sharing service user information was impeded by incompatible computer systems and restrictions due to data protection/confidentiality requirements. In the U.K., recent governmental publications have highlighted the importance of information sharing; however there remains a clear mismatch between what health related information about service users criminal justice agencies need, and what is actually received. Better guidance is required to encourage and empower people to share. PMID:22925128

Lennox, Charlotte; Mason, Julie; McDonnell, Sharon; Shaw, Jenny; Senior, Jane

2012-09-01

280

Information Processing and Negative Affect: Evidence From the 2003 Health Information National Trends Survey  

Microsoft Academic Search

Objective: Health communication can help reduce the cancer burden by increasing processing of information about health interventions. Negative affect is associated with information processing and may be a barrier to successful health communication. Design and Main Outcome Measures: We examined associations between negative affect and information processing at the population level. Symptoms of depression (6 items) and cancer worry (1

Ellen Burke Beckjord; Lila J. Finney Rutten; Neeraj K. Arora; Richard P. Moser; Bradford W. Hesse

2008-01-01

281

Evaluating a Web-Based Health Risk Assessment With Tailored Feedback: What Does an Expert Focus Group Yield Compared to a Web-Based End-User Survey?  

PubMed Central

Background Increasingly, Web-based health applications are developed for the prevention and management of chronic diseases. However, their reach and utilization is often disappointing. Qualitative evaluations post-implementation can be used to inform the optimization process and ultimately enhance their adoption. In current practice, such evaluations are mainly performed with end-user surveys. However, a review approach by experts in a focus group may be easier to administer and might provide similar results. Objective The aim of this study was to assess whether industrial design engineers in a focus group would address the same issues as end users in a Web-based survey when evaluating a commercial Web-based health risk assessment (HRA) with tailored feedback. Methods Seven Dutch companies used the HRA as part of their corporate health management strategy. Employees using the HRA (N=2289) and 10 independent industrial designers were invited to participate in the study. The HRA consisted of four components: (1) an electronic health questionnaire, (2) biometric measurements, (3) laboratory evaluation, and (4) individually tailored feedback generated by decision support software. After participating in the HRA as end users, both end users and designers evaluated the program. End users completed an evaluation questionnaire that included a free-text field. Designers participated in a focus group discussion. Constructs from user satisfaction and technology acceptance theories were used to categorize and compare the remarks from both evaluations. Results We assessed and qualitatively analyzed 294 remarks of 189 end users and 337 remarks of 6 industrial designers, pertaining to 295 issues in total. Of those, 137 issues were addressed in the end-user survey and 148 issues in the designer focus group. Only 7.3% (10/137) of the issues addressed in the survey were also addressed in the focus group. End users made more remarks about the usefulness of the HRA and prior expectations that were not met. Designers made more remarks about how the information was presented to end users, quality of the feedback provided by the HRA, recommendations on the marketing and on how to create more unity in the design of the HRA, and on how to improve the HRA based on these issues. Conclusions End-user surveys should not be substituted for expert focus groups. Issues identified by end users in the survey and designers in the focus group differed considerably, and the focus group produced a lot of new issues. The issues addressed in the focus group often focused on different aspects of user satisfaction and technology acceptance than those addressed by the survey participants; when they did focus on the same aspects, then the nature of issues differed considerably in content. PMID:24384408

Vosbergen, Sandra; Mahieu, Guy R; Laan, Eva K; Kraaijenhagen, Roderik A; Jaspers, Monique WM

2014-01-01

282

RARE VISIBLE DISORDERS/DISEASES AS INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION  

PubMed Central

Individually identifiable health information needs to be masked or deleted in the secondary use of data for research. We defined and identified rare visible disorders as part of de-identification of individually identifiable health information. The prevalence of these disorders was evaluated using an administrative database and conformed to our definition. Due emphasis should be given to rare visible disorders in the de-identification process of health information. PMID:16779234

Eguale, Tewodros; Bartlett, Gillian; Tamblyn, Robyn

2005-01-01

283

Release of Information I AUTHORIZE THE FOLLOWING PROTECTED HEALTH INFORMATION TO BE RELEASED FROM THE HEALTH RECORD OF  

E-print Network

THE HEALTH RECORD OF: ALL SECTIONS ARE REQUIRED. MUST PROVIDE PHOTO ID PRIOR TO RELEASE OF INFORMATIONRelease of Information I AUTHORIZE THE FOLLOWING PROTECTED HEALTH INFORMATION TO BE RELEASED FROM. INFORMATION MAY ONLY BE SENT THROUGH A SECURE EMAIL ACCOUNT (EX: @LSU.EDU). NO PERSONAL EMAIL WILL BE ACCEPTED

Harms, Kyle E.

284

Trust evaluation in health information on the World Wide Web  

Microsoft Academic Search

The impact of health information on the web is mounting and with the Health 2.0 revolution around the corner, online health promotion and management is becoming a reality. User-generated content is at the core of this revolution and brings to the fore the essential question of trust evaluation, a pertinent problem for health applications in particular. Evolving Web 2.0 health

Sai T. Moturu; Huan Liu; William G. Johnson

2008-01-01

285

A personal health information toolkit for health intervention research.  

PubMed

With the emergence of mobile health (mHealth) apps, there is a growing demand for better tools for developing and evaluating mobile health interventions. Recently we developed the Personal Health Intervention Toolkit (PHIT), a software framework which eases app implementation and facilitates scientific evaluation. PHIT integrates self-report and physiological sensor instruments, evidence-based advisor logic, and self-help interventions such as meditation, health education, and cognitive behavior change. PHIT can be used to facilitate research, interventions for chronic diseases, risky behaviors, sleep, medication adherence, environmental monitoring, momentary data collection health screening, and clinical decision support. In a series of usability evaluations, participants reported an overall usability score of 4.5 on a 1-5 Likert scale and an 85 score on the System Usability Scale, indicating a high percentile rank of 95%. PMID:24875686

Kizakevich, Paul N; Eckhoff, Randall; Weger, Stacey; Weeks, Adam; Brown, Janice; Bryant, Stephanie; Bakalov, Vesselina; Zhang, Yuying; Lyden, Jennifer; Spira, James

2014-01-01

286

[Information systems supporting the management work in health].  

PubMed

The article presents some aspects on the relevance of the information systems as tool of support to the management of the work of the health professionals, a time that is a computational resource capable to potential the knowledge search. Know that the information systems available of fast form, easy and insurance the information, allowing that the professionals of the health search knowledge and if become able, creative and competent to inside act with the complexity of the work in health of the Brazilian system of health aiming at to consolidate the politics of the National Health System. It is reflected on what it is the management of the work in health and as the information systems they come contribute for the fortify of action and processes of health in this area. PMID:19597670

Benito, Gladys Amélia Véles; Licheski, Ana Paula

2009-01-01

287

Impact and User Satisfaction of a Clinical Information Portal Embedded in an Electronic Health Record  

PubMed Central

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

Tannery, Nancy H; Epstein, Barbara A; Wessel, Charles B; Yarger, Frances; LaDue, John; Klem, Mary Lou

2011-01-01

288

Impact and user satisfaction of a clinical information portal embedded in an electronic health record.  

PubMed

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

Tannery, Nancy H; Epstein, Barbara A; Wessel, Charles B; Yarger, Frances; LaDue, John; Klem, Mary Lou

2011-01-01

289

Exploring digital divides: an examination of eHealth technology use in health information seeking, communication and personal health information management in the USA.  

PubMed

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

Lustria, Mia Liza A; Smith, Scott Alan; Hinnant, Charles C

2011-09-01

290

From protection of privacy to control of data streams: a focus group study on biobanks in the information society.  

PubMed

Most people in Europe do not know what biobanks are. In this study, public perceptions of biobanks and collection of genetic and health data were analyzed in relation to other technologies and digital networks where personal information is compiled and distributed. In this setting, people contextualized biobanks in line with their daily experiences with other technologies and data streams. The analysis was based on 18 focus group discussions conducted in Austria, Finland and Germany. We examined the ways in which people frame and talk about problems and benefits of information distribution in digital networks and biobanks. People identify many challenges associated with collection of personal data in the information society. The study showed that instead of privacy - which has been the key term of bioethical debates on biobanks - the notions of control and controllability are most essential for people. From the viewpoint of biobanks, issues of controllability pose challenges. In the information society, people have become accustomed to controlling personal data, which is particularly difficult in relation to biobanks. They expressed strong concerns over the controllability of the goals and benefits of biobanks. PMID:22722693

Snell, K; Starkbaum, J; Lauß, G; Vermeer, A; Helén, I

2012-01-01

291

How do Consumers Search for and Appraise Information on Medicines on the Internet? A Qualitative Study Using Focus Groups  

PubMed Central

Background Many consumers use the Internet to find information about their medicines. It is widely acknowledged that health information on the Internet is of variable quality and therefore the search and appraisal skills of consumers are important for selecting and assessing this information. The way consumers choose and evaluate information on medicines on the Internet is important because it has been shown that written information on medicines can influence consumer attitudes to and use of medicines. Objective To explore consumer experiences in searching for and appraising Internet-based information on medicines. Methods Six focus groups (N = 46 participants) were conducted in metropolitan Sydney, Australia from March to May 2003 with consumers who had used the Internet for information on medicines. Verbatim transcripts of the group discussions were analyzed using a grounded theory approach. Results All participants reported using a search engine to find information on medicines. Choice of search engine was determined by factors such as the workplace or educational environments, or suggestions by family or friends. Some participants found information solely by typing the medicine name (drug or brand name) into the search engine, while others searched using broader terms. Search skills ranged widely from more-advanced (using quotation marks and phrases) to less-than-optimal (such as typing in questions and full sentences). Many participants selected information from the first page of search results by looking for keywords and descriptions in the search results, and by looking for the source of the information as apparent in the URL. Opinions on credible sources of information on medicines varied with some participants regarding information by pharmaceutical companies as the "official" information on a medicine, and others preferring what they considered to be impartial sources such as governments, organizations, and educational institutions. It was clear that although most participants were skeptical of trusting information on the Internet, they had not paid conscious attention to how they selected information on medicines. Despite this, it was evident that participants viewed the Internet as an important source for information on medicines. Conclusions The results showed that there was a range of search and appraisal skills among participants, with many reporting a limited awareness of how they found and evaluated Internet-based information on medicines. Poor interpretation of written information on medicines has been shown to lead to anxiety and poor compliance to therapy. This issue is more important for Internet-based information since it is not subject to quality control and standardization as is written information on medicines. Therefore, there is a need for promoting consumer search and appraisal skills when using this information. Educating consumers in how to find and interpret Internet-based information on medicines may help them use their medicines in a safer and more-effective way. PMID:14713661

Aslani, Parisa; Williams, Kylie A

2003-01-01

292

COMMUNICATING PUBLIC HEALTH INFORMATION EFFECTIVELY POP HEALTH SCIENCES 660 (1 credit)  

E-print Network

1 COMMUNICATING PUBLIC HEALTH INFORMATION EFFECTIVELY POP HEALTH SCIENCES 660 (1 credit) Summer based on scientific and practical recommendations. Students will learn how to communicate public health of public health. I. COURSE DESCRIPTION The format of this course will consist of brief lectures, small

Sheridan, Jennifer

293

TITLE: RELEASING PROTECTED HEALTH INFORMATION TO PREVENT A SERIOUS THREAT TO HEALTH OR SAFETY  

E-print Network

TITLE: RELEASING PROTECTED HEALTH INFORMATION TO PREVENT A SERIOUS THREAT TO HEALTH OR SAFETY the patient's authorization in order to prevent a serious threat to health or safety. PURPOSE The purpose will not be made to prevent a serious threat to health or safety. Columbia University Medical Center

Grishok, Alla

294

Public Preferences about Secondary Uses of Electronic Health Information  

PubMed Central

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 purposes—uses 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 1–10 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

Grande, David; Mitra, Nandita; Shah, Anand; Wan, Fei; Asch, David A.

2014-01-01

295

Using Exploratory Focus Groups to Inform the Development of Targeted COPD Self-Management Education DVDs for Rural Patients.  

PubMed

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

Stellefson, Michael; Chaney, Beth H; Chaney, J Don

2010-01-01

296

21 CFR 880.6300 - Implantable radiofrequency transponder system for patient identification and health information.  

Code of Federal Regulations, 2011 CFR

...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health...

2011-04-01

297

21 CFR 880.6300 - Implantable radiofrequency transponder system for patient identification and health information.  

Code of Federal Regulations, 2012 CFR

...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health...

2012-04-01

298

21 CFR 880.6300 - Implantable radiofrequency transponder system for patient identification and health information.  

Code of Federal Regulations, 2010 CFR

...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health...

2010-04-01

299

21 CFR 880.6300 - Implantable radiofrequency transponder system for patient identification and health information.  

Code of Federal Regulations, 2013 CFR

...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health information...radiofrequency transponder system for patient identification and health...

2013-04-01

300

Developing Data Elements for Research Information System in Health; a Starting Point for Systems Integration  

PubMed Central

Background: This study defines necessary data elements required for the research information system in the domain of health, and its level of accountability to national health research indicators from the experts’ perspective is being explored. Methods: This qualitative study was conducted based on comparative approach using the focus group method. Data were collected through 6 semi-structured group discussions held at the Undersecretary for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran. For this study, 48 researchers were selected for the group discussions. All interviews and group discussions were recorded and transcribed. The Data analysis was performed simultaneously using Strauss and Corbin method. Results: Based on content analysis, the necessary data elements identified for the National Health Research Information System designed for all databases were the following: organizations, researchers, journals, articles, research projects and dissertations. Also, extracted from the focus group discussion were three main themes regarding data elements of these databases for the National Health Research Information System: 1) essential elements for each database 2) the system’s data elements accountability to the national indicators in the domain of health research and 3) recommendations in the direction of optimizing the data. Conclusions: The results obtained from this study can serve as a valuable source in designing research information system in the domain of health within the country and in the region as well. PMID:23641388

Ghorbani, NR; Ahmadi, M; Sadoughi, F; Ghanei, M

2012-01-01

301

Achieving Health for a Lifetime: A Community Engagement Assessment Focusing on School-Age Children to Decrease Obesity in Durham, North Carolina  

PubMed Central

BACKGROUND Obesity is a prominent problem in the United States and in North Carolina. One way of combating it is with community-engaged interventions that foster collaboration between health-oriented organizations and community residents. PURPOSE Our purpose was to assemble a multifaceted group in Durham, North Carolina, to identify factors affecting obesity-related lifestyle behaviors; assess policies, resources, and the population's perception of the problem of obesity; and develop plans to improve health outcomes related to obesity. METHODS A team consisting of more than 2 dozen partners was assembled to form Achieving Health for a Lifetime (AHL) in order to study and address obesity in the community, initially focusing on elementary school-age children. The team developed a resource guide by collecting information by telephone interviews of provider organizations; geospatial resource maps were created using high-resolution geographic information systems, Duke's Data Support Repository, and county and city records; and focus groups were conducted using the nominal group technique. RESULTS The AHL team, in collaboration with 2 other teams focused on diabetes and cardiovascular disease, identified 32 resources for diabetes, 20 for obesity, and 13 for cardiovascular disease. Using Geographic Information Systems (GIS), the team identified an area of Durham that had only 1 supermarket, but 34 fast-food restaurants and 84 convenience stores. LIMITATIONS The focus on particular neighborhoods means that the information obtained might not pertain to all neighborhoods. CONCLUSION The AHL team was able to assemble a large community partnership in Durham that will allow the members of the community to continue to work toward making residents healthier. Communities facing similar challenges can learn from this experience. PMID:23530374

Corsino, Leonor; McDuffie, Jennifer R.; Kotch, Jonathan; Coeytaux, Remy; Fuemmeler, Bernard F.; Murphy, Gwen; Miranda, Marie Lynn; Poirier, Brenda; Morton, Janet; Reese, David; Baker, Sharon; Carter, Heidi; Freeman, Rebecca; Blue, Colleen; Yancy, William S.

2013-01-01

302

Building capacity for evidence informed decision making in public health: a case study of organizational change  

PubMed Central

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

2012-01-01

303

Pervasive informatics and persistent actimetric information in health smart homes  

E-print Network

Pervasive informatics and persistent actimetric information in health smart homes: different-cameras). · Context ­ pervasive watching systems for Health Smart Homes ­ detection of neuro-degenerative diseases (e ­ model of elderly persons activity in Health Smart Homes ­ evaluation of actimetric perseveration

Fouquet, Yannick

304

HEALTH AND SAFETY INFORMATION AND RECOMMENDATIONS FOR STUDENT MUSICIANS  

E-print Network

HEALTH AND SAFETY INFORMATION AND RECOMMENDATIONS FOR STUDENT MUSICIANS Introduction The UMBC students and faculty of health and safety issues, hazards, and procedures inherent in practice, performance and faculty of the connections between musicians' health, the suitability and safety of equipment

Adali, Tulay

305

Alcohol and your health Research-based information from the  

E-print Network

Alcohol and your health Research-based information from the National Institutes of Health U Institutes of Health on alcohol use and its consequences. Alcohol use by adults in the United States* 7 in 10 for alcoholism, liver disease, and other problems *Although the minimum legal drinking age in the U.S. is 21

Bandettini, Peter A.

306

2D image registration using focused mutual information for application in dentistry.  

PubMed

Spatial alignment of image data is a common task in computer vision and medical imaging. This should preferentially be done with minimal intervention of an operator. Similarity measures with origin in the information theory such as mutual information (MI) have proven to be robust registration criteria for this purpose. Intra-oral radiographs can be considered images of piecewise rigid objects. Teeth and jaws are rigid but can be displaced with respect to each other. Therefore MI criteria combined with affine deformations tend to fail, when teeth and jaws move with respect to each other between image acquisitions. In this paper, we consider a focused weighing of pixels in the reference image. The resulting criterion, focused mutual information (FMI) is an adequate tool for the registration of rigid parts of a scene. We also show that the use of FMI is more robust for the subtraction of lateral radiographs of teeth, than MI confined to a region of interest. Furthermore, the criterion allows the follow-up of small carious lesions when upper and lower jaw moved between the acquisition of test and reference image. PMID:19406393

Jacquet, W; Nyssen, E; Bottenberg, P; Truyen, B; de Groen, P

2009-06-01

307

Guidance on Evaluating Options for Representing Clinical Data within Health Information Systems  

PubMed Central

The health information system PlunketPlus is a clinical initiative of Plunket (the Royal New Zealand Plunket Society) with a goal of further improving the health outcomes for children in New Zealand. The success of PlunketPlus depends heavily on how data is represented within the system. The purpose of the study described in this paper was to use PlunketPlus as a case study to inform the development of guidance on evaluating options for representing clinical data within health information systems, with a particular focus on automating existing informational processes. It has been possible to take some of the lessons learned to inform the development of initial more generic guidance that might be applicable across a range of domains. This paper concludes with a description of how Plunket applied the guidance as part of the development of PlunketPlus. PMID:24199074

Hardiker, Nicholas R.; Hynes, Brenda

2012-01-01

308

Perception of Quality and Trustworthiness of Internet Resources by Personal Health Information Seekers  

PubMed Central

Objectives This paper focuses on one dimension of personal health information seeking: perception of quality and trustworthiness of information sources. Design Intensive interviews were conducted using a conversational, unstructured, exploratory interview style. Setting Interviews were conducted at 3 publicly accessible library sites in Arizona, Hawaii and Nevada. Participants: Thirty-eight non-experts were interviewed. Results Three separate and distinct methods used to identify credible health information resources were identified. Consumers may have strong opinions about what they mistrust; use fairly rigorous evaluation protocols; or filter information based on intuition or common sense, eye appeal or an authoritative sounding sponsor or title. Conclusions Many people use a mix of rational and/or intuitive criteria to assess the health information they use. PMID:14728249

Stavri, P. Zoe; Freeman, Donna J.; Burroughs, Catherine M.

2003-01-01

309

Computer Self-Efficacy among Health Information Students  

ERIC Educational Resources Information Center

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…

Hendrix, Dorothy Marie

2011-01-01

310

Informed-Consent Issues with Adolescent Health Behavior Research  

ERIC Educational Resources Information Center

Objective: To identify the informed-consent issues when conducting adolescent health behavior research. Methods: A literature review was conducted across diverse academic fields about the informed-consent issues that were relevant to adolescent health behavior research. Results: Issues included defining consent, assent and permission, minimal…

Olds, R. Scott

2003-01-01

311

HEALTH INFORMATION VERSION 2.0: FEMALE STUDENTS IN CYBERSPACE  

Microsoft Academic Search

The arrival of the Internet, one of the greatest mass media vehicles of our time, has presented a wide platform for the dissemination of health information to the American public. A majority of adults in the United States search online for information about various health and medical topics, yet a particular portion of the general public, namely college students, searches

Sonia Easaw

2010-01-01

312

Meta-Searching Chinese Health Information on the Internet  

Microsoft Academic Search

Searching for health information on the Internet is a popular and important activity. However, most Chinese medical sites do not have wealthy content to satisfy all searchers. In this paper we propose an approach to meta-search Chinese health information on the Internet. Our system queries several general-purpose search engines and merges the returned search results into one ranked list. A

Wen-Cheng Lin; Yu-Syuan Lin; Ming-Wei Chen; Wei-Cing Hong

2007-01-01

313

Information empowerment: predeparture resource training for students in global health*  

PubMed Central

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

Rana, Gurpreet K.

2014-01-01

314

Are health centers in Thailand ready for health information technology? : a national survey.  

PubMed

The Thailand universal health care coverage scheme was instituted in 2001 and The Thailand Ministry of Public Health (MOPH) is restructuring its information systems to support this reform. The MOPH anticipates developing computerized health information systems which can provide information for administration tasks and can improve both healthcare delivery and public health services. To achieve these target goals, knowledge about users and organizations is vital. The knowledge of how health center workers currently use information technology (IT), their knowledge of IT, and acceptance of IT are not only beneficial to policy makers but also to system designers and implementers. The primary objective of this study is to learn how health centers in Thailand use IT, the level of basic IT knowledge among their workers, and their acceptance of health IT. We surveyed a random cross sectional sample of 1,607 health centers representing the total of 9,806 in Thailand in 2005. With an 82% response rate, the preliminary results indicate that information technology usage is pervasive in health centers. The respondents showed a moderately high degree of health information technology acceptance with a modest level of basic IT knowledge. There were no differences in degrees of acceptance among the four geographic regions. The mean score of "intention to use IT" was 5.6 on a scale of 7 and the average basic IT knowledge score was 13 out of 20. These results suggests the possibility of project success if the national health center information system projects are developed and implemented. PMID:17238376

Kijsanayotin, Boonchai; Speedie, Stuart

2006-01-01

315

"Health, Aging and Environments" aims to bring together the resonant fields of health studies, gerontology, aging studies and other disciplines that focus on social studies of health, aging, and  

E-print Network

"Health, Aging and Environments" aims to bring together the resonant fields of health studies, gerontology, aging studies and other disciplines that focus on social studies of health, aging, and environments, in the broadest sense. Such disciplines include, but are not limited to, health and social

Haykin, Simon

316

45 CFR 170.553 - Certification of health information technology other than Complete EHRs and EHR Modules.  

Code of Federal Regulations, 2011 CFR

...false Certification of health information technology other than Complete EHRs and EHR Modules...HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2011-10-01

317

45 CFR 170.553 - Certification of health information technology other than Complete EHRs and EHR Modules.  

Code of Federal Regulations, 2013 CFR

...false Certification of health information technology other than Complete EHRs and EHR Modules...HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2013-10-01

318

45 CFR 170.553 - Certification of health information technology other than Complete EHRs and EHR Modules.  

Code of Federal Regulations, 2012 CFR

...false Certification of health information technology other than Complete EHRs and EHR Modules...HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2012-10-01

319

Consumer information needs in a competitive health care environment.  

PubMed

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

Varner, T; Christy, J

1986-01-01

320

Meaning of Health-related Quality of Life among Children and Adolescents in an Asian Country: A Focus Group Approach  

Microsoft Academic Search

Aims: We aimed to evaluate the extent to which HRQoL instruments developed based on the Western notion of health is applicable\\u000a to Asian children and adolescents by assessing their conceptualization of QoL. A secondary objective is to evaluate the necessity\\u000a of developing age- or gender-specific HRQoL instruments. Methods: We explored the meaning of general and health-related QoL through focus group

H. L. Wee; H. X. Chua; S. C. Li

2006-01-01

321

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

E-print Network

by which other industries have fostered in- novation and efficiency (e.g., VISA/MasterCard, ATM net- works, cell phones, bar codes on consumer packaged goods). [43] Until the health sector develops and imple- ments a comprehensive set of standards... to use by health professionals. A 1986 planning panel helping to develop a long-range plan for the Na- tional Library of Medicine (NLM) urged NLM to work to- wards "a national computer network for use by the entire biomedical community, both clinical...

Detmer, Don E

2003-01-06

322

Cognitive Factors of Using Health Apps: Systematic Analysis of Relationships Among Health Consciousness, Health Information Orientation, eHealth Literacy, and Health App Use Efficacy  

PubMed Central

Background Interest in smartphone health apps has been increasing recently. However, we have little understanding of the cognitive and motivational factors that influence the extent of health-app use. Objective This study aimed to examine the effects of four cognitive factors—health consciousness, health information orientation, eHealth literacy, and health-app use efficacy—on the extent of health-app use. It also explored the influence of two different use patterns—information and information-behavior use of health apps—with regard to the relationships among the main study variables. Methods We collected and analyzed 765 surveys in South Korea. According to the results, there was a negligible gender difference: males (50.6%, 387/765) and females (49.4%, 378/765). All participants were adults whose ages ranged from 19 to 59. In order to test the proposed hypotheses, we used a path analysis as a specific form of structural equation modeling. Results Through a path analysis, we discovered that individuals’ health consciousness had a direct effect on their use of health apps. However, unlike the initial expectations, the effects of health information orientation and eHealth literacy on health-app use were mediated by health-app use efficacy. Conclusions The results from the path analysis addressed a significant direct effect of health consciousness as well as strong mediating effects of health-app use efficacy. These findings contribute to widening our comprehension of the new, digital dimensions of health management, particularly those revolving around mobile technology. PMID:24824062

Cho, Jaehee

2014-01-01

323

Public health education and practice using geographic information system technology.  

PubMed

The use of geographic information system (GIS) technology allows public health practitioners to explore disparities in health, analyze disease outbreaks, and prioritize the use of limited resources for improving population health. Nursing students benefit from use of World Wide Web GIS resources as they develop knowledge and skill in assessing population health and planning interventions. This article identifies the benefits of GIS for public health practitioners, presents a communicable disease control application of GIS, and discusses a GIS module used in an undergraduate nursing education course. Uniform standards for making health data available for public use with GIS are discussed. PMID:14692990

Riner, Mary E; Cunningham, Cynthia; Johnson, Ann

2004-01-01

324

Promoting public health and rural practice a focus for Notre Dame academic  

Microsoft Academic Search

Giving medical students an insight into working in regional Western Australia and being an effective advocate for public health have earned Notre Dame academic, Professor Donna Mak, recognition from the Australasian Faculty of Public Health Medicine (AFPHM).\\u000aProfessor Mak, Head of Population Health and Preventive Health at the School of Medicine in Fremantle, was the winner of the 2011 AFPHM

Leigh Dawson

2011-01-01

325

Adolescent Transitions: Risk-Taking and Health. Growing Up Well. Focus on Prevention.  

ERIC Educational Resources Information Center

This report, fifth of eight in a series, highlights the views of California parents and other adults about issues affecting the health of adolescents, the role communities play in helping young people grow up well, and policies to address behaviors that undermine their health. Six in 10 parents surveyed by the California Center for Health

Brindis, Claire

326

Differences in Health Behaviors of Hispanic, White, and Black Childbearing Women: Focus on the Hispanic Paradox  

ERIC Educational Resources Information Center

Maternal health behaviors such as substance use and sexual promiscuity can put the health of mothers and their offspring at risk. Sociodemographic factors including low socioeconomic status are also found to correlate with health risks for childbearing women. Hispanic women--particularly those less acculturated--often have sociodemographic risk…

Page, Robin L.

2007-01-01

327

Health effects research and regulation of diesel exhaust: an historical overview focused on lung cancer risk  

PubMed Central

The mutagenicity of organic solvent extracts from diesel exhaust particulate (DEP), first noted more than 55 years ago, initiated an avalanche of diesel exhaust (DE) health effects research that now totals more than 6000 published studies. Despite an extensive body of results, scientific debate continues regarding the nature of the lung cancer risk posed by inhalation of occupational and environmental DE, with much of the debate focused on DEP. Decades of scientific scrutiny and increasingly stringent regulation have resulted in major advances in diesel engine technologies. The changed particulate matter (PM) emissions in “New Technology Diesel Exhaust (NTDE)” from today's modern low-emission, advanced-technology on-road heavy-duty diesel engines now resemble the PM emissions in contemporary gasoline engine exhaust (GEE) and compressed natural gas engine exhaust more than those in the “traditional diesel exhaust” (TDE) characteristic of older diesel engines. Even with the continued publication of epidemiologic analyses of TDE-exposed populations, this database remains characterized by findings of small increased lung cancer risks and inconsistent evidence of exposure-response trends, both within occupational cohorts and across occupational groups considered to have markedly different exposures (e.g. truckers versus railroad shopworkers versus underground miners). The recently published National Institute for Occupational Safety and Health (NIOSH)-National Cancer Institute (NCI) epidemiologic studies of miners provide some of the strongest findings to date regarding a DE-lung cancer association, but some inconsistent exposure-response findings and possible effects of bias and exposure misclassification raise questions regarding their interpretation. Laboratory animal studies are negative for lung tumors in all species, except for rats under lifetime TDE-exposure conditions with durations and concentrations that lead to'lung overload."The species specificity of the rat lung response to overload, and its occurrence with other particle types, is now well-understood. It is thus generally accepted that the rat bioassay for inhaled particles under conditions of lung overload is not predictive of human lung cancer hazard. Overall, despite an abundance of epidemiologic and experimental data, there remain questions as to whether TDE exposure causes increased lung cancers in humans. An abundance of emissions characterization data, as well as preliminary toxicological data, support NTDE as being toxicologically distinct from TDE. Currently, neither epidemiologic data nor animal bioassay data yet exist that directly bear on NTDE carcinogenic potential. A chronic bioassay of NTDE currently in progress will provide data on whether NTDE poses a carcinogenic hazard, but based on the significant reductions in PM mass emissions and the major changes in PM composition, it has been hypothesized that NTDE has a low carcinogenic potential. When the International Agency for Research on Cancer (IARC) reevaluates DE (along with GEE and nitroarenes) in June 2012, it will be the first authoritative body to assess DE carcinogenic health hazards since the emergence of NTDE and the accumulation of data differentiating NTDE from TDE. PMID:22663144

Hesterberg, Thomas W.; Long, Christopher M.; Bunn, William B.; Lapin, Charles A.; McClellan, Roger O.; Valberg, Peter A.

2012-01-01

328

Health effects research and regulation of diesel exhaust: an historical overview focused on lung cancer risk.  

PubMed

The mutagenicity of organic solvent extracts from diesel exhaust particulate (DEP), first noted more than 55 years ago, initiated an avalanche of diesel exhaust (DE) health effects research that now totals more than 6000 published studies. Despite an extensive body of results, scientific debate continues regarding the nature of the lung cancer risk posed by inhalation of occupational and environmental DE, with much of the debate focused on DEP. Decades of scientific scrutiny and increasingly stringent regulation have resulted in major advances in diesel engine technologies. The changed particulate matter (PM) emissions in "New Technology Diesel Exhaust (NTDE)" from today's modern low-emission, advanced-technology on-road heavy-duty diesel engines now resemble the PM emissions in contemporary gasoline engine exhaust (GEE) and compressed natural gas engine exhaust more than those in the "traditional diesel exhaust" (TDE) characteristic of older diesel engines. Even with the continued publication of epidemiologic analyses of TDE-exposed populations, this database remains characterized by findings of small increased lung cancer risks and inconsistent evidence of exposure-response trends, both within occupational cohorts and across occupational groups considered to have markedly different exposures (e.g. truckers versus railroad shopworkers versus underground miners). The recently published National Institute for Occupational Safety and Health (NIOSH)-National Cancer Institute (NCI) epidemiologic studies of miners provide some of the strongest findings to date regarding a DE-lung cancer association, but some inconsistent exposure-response findings and possible effects of bias and exposure misclassification raise questions regarding their interpretation. Laboratory animal studies are negative for lung tumors in all species, except for rats under lifetime TDE-exposure conditions with durations and concentrations that lead to "lung overload." The species specificity of the rat lung response to overload, and its occurrence with other particle types, is now well-understood. It is thus generally accepted that the rat bioassay for inhaled particles under conditions of lung overload is not predictive of human lung cancer hazard. Overall, despite an abundance of epidemiologic and experimental data, there remain questions as to whether TDE exposure causes increased lung cancers in humans. An abundance of emissions characterization data, as well as preliminary toxicological data, support NTDE as being toxicologically distinct from TDE. Currently, neither epidemiologic data nor animal bioassay data yet exist that directly bear on NTDE carcinogenic potential. A chronic bioassay of NTDE currently in progress will provide data on whether NTDE poses a carcinogenic hazard, but based on the significant reductions in PM mass emissions and the major changes in PM composition, it has been hypothesized that NTDE has a low carcinogenic potential. When the International Agency for Research on Cancer (IARC) reevaluates DE (along with GEE and nitroarenes) in June 2012, it will be the first authoritative body to assess DE carcinogenic health hazards since the emergence of NTDE and the accumulation of data differentiating NTDE from TDE. PMID:22663144

Hesterberg, Thomas W; Long, Christopher M; Bunn, William B; Lapin, Charles A; McClellan, Roger O; Valberg, Peter A

2012-06-01

329

Patient Informed Governance of Distributed Research Networks: Results and Discussion from Six Patient Focus Groups  

PubMed Central

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

Mamo, Laura A.; Browe, Dennis K.; Logan, Holly C.; Kim, Katherine K.

2013-01-01

330

Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"  

PubMed Central

Background Maternal mortality remains high in developing countries and data to monitor indicators of progress in maternal care is needed. We examined the status of maternal care before and after health care worker (HCW) training in WHO recommended Focused Antenatal Care. Methods An initial cross-sectional survey was conducted in 2002 in Asembo and Gem in western Kenya among a representative sample of women with a recent birth. HCW training was performed in 2003 in Asembo, and a repeat survey was conducted in 2005 in both areas. Results Antenatal clinic (ANC) attendance was similar in both areas (86%) in 2005 and not significantly different from 2002 (90%). There was no difference in place of delivery between the areas or over time. However, in 2005, more women in Asembo were delivered by a skilled assistant compared to Gem (30% vs.23%, P = 0.04), and this proportion increased compared to 2002 (17.6% and 16.1%, respectively). Provision of iron (82.4%), folic acid (72.0%), sulfadoxine-pyrimethamine (61.7%), and anthelminths (12.7%) had increased in Asembo compared to 2002 (2002: 53.3%, 52.8%, 20.3%, and 4.6%, respectively), and was significantly higher than in Gem in 2005 (Gem 2005: 69.7%, 47.8%, 19.8%, and 4.1%, respectively) (P < 0.05 for all). Offering of tests for sexually transmitted diseases and providing information related to maternal health was overall low (<20%) and did not differ by area. In 2005, more women rated the quality of the antenatal service in Asembo as very satisfactory compared to Gem (17% vs. 6.5%, P < 0.05). Conclusions We observed improvements in some ANC services in the area where HCWs were trained. However, since our evaluation was carried out 2 years after three-day training, we consider any significant, sustained improvement to be remarkable. PMID:20429906

2010-01-01

331

Consumer access to health information on the internet: health policy implications  

PubMed Central

Background Providers of health care usually have much better information about health and health care interventions than do consumers. The internet is an important and rapidly evolving source of global health-related information and could provide a means of correcting for asymmetric information. However, little is known about who accesses this information and how it is used in New Zealand. The aims of this research were to: determine the nature of the health information sought, how respondents use the information, how helpful they perceive the information to be, and the self-assessed value of such information. Methods The researchers conducted an anonymous five minute telephone and mall intercept survey of randomly selected Wellington residents who had searched for health-related information on the internet. Investigators entered the data into an Excel spreadsheet and transferred it to SPSS for data cleaning, data exploration and statistical analysis. Search time costs were based on the opportunity cost of income foregone and respondents were asked to provide a money value for the information found. Results Eighty-three percent of respondents accessed the internet from home, and 87% conducted the search for themselves. Forty-five percent of people were looking for general health and nutrition information, 42% for data about a specific illness and 40% for a medicine. After finding the information, 58% discussed it with a family member/ friend/ workmate, 36% consulted a general practitioner, 33% changed their eating or drinking habits, and 13% did nothing. Respondents found the information very quick to find and useful. It took them on average 0.47 hours and cost $12 (opportunity cost of time) to find the information. The average value of the data found was $60 and the net benefit to the consumer was $48 ($60 – $12). Conclusion The results of this research could assist providers of health information via the internet to tailor their websites to better suit users' needs. Given the high perceived value of internet health information (greater than the average general practitioner fee) and the fact that some of the information found may be unreliable or even unsafe a valuable public health policy initiative would be to provide an improved New Zealand health information website containing information on how to evaluate data sourced from the world-wide-web and links to a range of useful and trustworthy health information sites. PMID:15985172

Scott, W Guy; Scott, Helen M; Auld, Terry S

2005-01-01

332

Open Source, Open Standards, and Health Care Information Systems  

PubMed Central

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

2011-01-01

333

Use of online health information resources by American Indians and Alaska Natives  

PubMed Central

According to the Office of Minority Health, an estimated 4.9 million people living in the United States consider themselves American Indian or Alaska Native (AIAN), either alone or in combination with one or more races/ethnicities. AIAN are a racial/ethnic group experiencing serious health disparities, with very little if any improvement in health outcomes over the last several decades. This study was designed to explore use of the Internet as a health information source among American Indians in the Central Plains region of the United States. Nine hundred and ninety eight Natives in the region were recruited from May 2008 to December 2009 at pow wows, health fairs, through focus groups, career fairs and conferences, and other social and cultural events, and asked to complete a self-administered survey. Although compared with data from the general population, AIAN from our sample may seem heavier Internet users, their use of modern wireless devices is limited, and their usage of Internet to access health information is lower compared to the adult US population. Natives living in the Central Plains region face generational differences in both general and health-related use of the Internet. Inadequate availability of culturally appropriate health information websites may drive AIAN towards search engines and general information websites. PMID:22642739

Geana, Mugur; Daley, Christine Makosky; Nazir, Niaman; Cully, Lance; Etheridge, Jesse; Bledowski, Caroline; Choi, Won S.; Greiner, K. Allen

2012-01-01

334

The internet, teenagers, and sexual health information: a cautionary tale  

PubMed Central

Although most Israeli teenagers have access to the web and many have used the internet to obtain health information, they do not have access to accurate and complete information about contraceptives on Hebrew language websites. Indeed other evidence suggests that teens do not use the web frequently for health information, they are wary of the information obtained from internet sites, and the search engines that they use may not lead them to the most helpful resources. While the internet has the capacity to provide teenagers with information which can assist them in preventing unintended pregnancy and sexually transmitted infections, interventions that address these challenges need to be developed and rigorously tested. PMID:23006821

2012-01-01

335

Health care needs of the growing Latino population in rural America: focus group findings in one midwestern state.  

PubMed

Latinos represent nearly 13% of the U.S. population, surpassing African-Americans as the nation's largest racial/ethnic group. Many rural midwestern communities are seeing unprecedented growth in their Latino populations, creating new challenges and pressures for health and social service providers. This study is based on four focus groups conducted in three rural communities to examine concerns with health care services and access to care. Focus group analysis found several key barriers to health care access, including cost of health care services and frustration with the complexity of the U.S. health care system, as well as language and cultural issues that adversely affect patient-provider relationships. In addition, a number of impediments related to employer-sponsored health coverage were identified, including prohibitive premium costs as well as concerns about occupational injuries and access to care during work hours. The growth of the Latino population in the rural Midwest will require changes in existing health and social service systems to serve as a bridge to new systems in this country. We recommend several policy options including premium subsidies for low-wage jobs, community-based enrollment specialists for public programs, and continued research and data collection to monitor change and progress. PMID:12585772

Blewett, Lynn A; Smaida, Sally A; Fuentes, Claudia; Zuehlke, Ellie Ulrich

2003-01-01

336

Drug Information for Community Pharmacies: Survey on Needs and Use of Drug Information with Special Focus on New Information Technology  

Microsoft Academic Search

The purpose of this study was to determine the sources and needs of drug information for community pharmacies in Palestine. A fifteen item questionnaire was distributed to community pharmacies. Out of approximately one hundred fifty community pharmacies who received the questionnaire through An-Najah university pharmacy trainee students, one hundred eighteen community pharmacies filled in and returned the questionnaire to the

Nidal Jaradat; Waleed Sweileh

337

Using wikis as an online health information resource.  

PubMed

Wikis can be a powerful online resource for the provision and sharing of information, with the proviso that information found on them should be independently verified. This article defines wikis and sets them in context with recent developments on the internet. The article discusses the use of Wikipedia and other wikis as potential sources of health information for nurses. PMID:20527486

Younger, P

338

Supporting cancer patients' unanchored health information management with mobile technology  

E-print Network

, Seattle, WA Abstract Cancer patients often need to manage care-related information when they are away from that HealthWeaver Mobile can help patients to access care-related information from anywhere, to capture. The enhanced ability to manage information, in turn, helps patients to manage their care and to feel more

Anderson, Richard

339

Transforming Health Care through Information Technology. Report to the President.  

ERIC Educational Resources Information Center

This is one in a series of reports to the President and Congress developed by the President's Information Technology Advisory Committee (PITAC) on key contemporary issues in information technology. This report argues that significant improvements in health care would be possible if modern clinical information systems were widely implemented and a…

Executive Office of the President, Washington, DC.

340

Information Requested About Organ Donation in Primary Health Care Centers  

Microsoft Academic Search

Information provided by primary care workers about organ donation significantly affects the attitude of the general public. The objective of this study was to evaluate information about donation requested by the general public in health centers in an autonomous community (region) of Spain and to find out how many workers provided relevant information.

A. Ríos; C. Conesa; P. Ramírez; J. Sánchez; E. Sánchez; F. Ramos; P. Parrilla

2006-01-01

341

General Campus and Health Sciences Proposal Information  

E-print Network

-01 Approval Date: July 1, 2002. Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC): 000503 Current Indirect Cost Agreement: Dated May 12, 2010. Negotiated with the Department of Health

Tsien, Roger Y.

342

Personal Health Information Act (PHIA) and Research  

E-print Network

professionals, pharmacies, etc. "Agents" · Agents act for or on behalf of the Custodian in respect to personal or injury, c) the promotion and protection of health, #12;d) palliative care, e) the compounding, dispensing

Brownstone, Rob

343

Children's and Adolescents' Awareness of the Physical and Mental Health Risks Associated with Tattooing: A Focus Group Study.  

ERIC Educational Resources Information Center

Twelve focus group discussions on attitudes toward tattoos, health beliefs, and awareness of the long-term consequences of tattooing and stigmatization were conducted with 80 volunteers, 6 to 17 years of age. Attitudes toward tattoos were generally negative, although a more favorable attitude toward small tattoos was discernible among early…

Houghton, Stephen; And Others

1995-01-01

344

Measurement Error Webinar Series: Assessing diet-health relationships with FFQ: focus on episodically-consumed dietary components  

Cancer.gov

Review statistical risk models for evaluating diet-health relationships in nutritional epidemiology. Describe application of regression calibration to correct for FFQ measurement error using repeat short-term reference measurements in a substudy. With focus on episodically-consumed dietary components, describe application of a new methodology to carry out regression calibration in risk models with energy-adjusted dietary covariates.

345

Health Information on the Web: Finding Reliable Information  

MedlinePLUS

... to sell products or services. These are called commercial sites. Commercial sites can offer useful and accurate information. You ... idea to double-check information you read on commercial websites. Websites published by an individual. Websites published ...

346

Health Risk Information to Reduce Water Pollution  

Microsoft Academic Search

\\u000a A growing body of empirical studies indicate that farmers are concerned about how agricultural practices may affect health\\u000a risks and environmental quality. These studies suggest that farmers are not simply profit maximizers. Instead, they have multiple\\u000a objectives that include health and environmental concerns. As a result, their privately optimal behavior can result in less\\u000a use of polluting inputs than would

Scott M. Swinton; Nicole N. Owens; Eileen O. van Ravenswaay

347

Education for Health Information Professionals: Perspectives from Health Informatics in the U.S.  

ERIC Educational Resources Information Center

While interest and activity in health informatics continues to increase worldwide, concerns about the most appropriate educational preparation for practice also arise. Health informatics is an interdisciplinary field that pursues effective use of data, information and knowledge to support effective decision making; in the health field, those…

Dalrymple, Prudence W.; Roderer, Nancy K.

2011-01-01

348

Top Health Trends: An information visualization tool for awareness of local health trends  

Microsoft Academic Search

We developed an intelligent information visualization tool that enables public health officials to be aware of health-related trends in any geographic area of interest, based on Twitter data. Monitoring and detecting emergent crisis events in advance such as natural disasters, disease outbreaks, and terrorism is vital for protecting public health. The goal of our tool is to support situation awareness

S. P. Moon; Yikun Liu; S. O. Entezari; A. Pirzadeh; Andrew Pappas; Mark S. Pfaff

2013-01-01

349

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis, 2014-2015  

E-print Network

Foundations 3 UF 200 Civic and Ethical Foundations 3 DLM MATH 254 Applied Statistics with Computers 3 DLN BIOL Introduction to Health Informatics HLTHST 300 Pathophysiology HLTHST 314 Health Law and Ethics CID HLTHST 382 Accounting ACCT 206 Introduction to Managerial Accounting HLTHST 330 Health Information Management I with lab

Barrash, Warren

350

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis, 2013-2014  

E-print Network

Foundations 3 UF 200 Civic and Ethical Foundations 3 DLM MATH 254 Applied Statistics with Computers 3 DLN BIOL Introduction to Health Informatics HLTHST 300 Pathophysiology HLTHST 314 Health Law and Ethics CID HLTHST 382 Accounting ACCT 206 Introduction to Managerial Accounting HLTHST 330 Health Information Management I with lab

Barrash, Warren

351

Enhancing Health Literacy through Accessing Health Information, Products, and Services: An Exercise for Children and Adolescents  

ERIC Educational Resources Information Center

The second National Health Education Standard states the importance of student demonstration of the ability to access valid health information and services. The teaching technique presented in this article provides an opportunity for children and adolescents to develop their health literacy and advocacy skills by contributing to a class resource…

Brey, Rebecca A.; Clark, Susan E.; Wantz, Molly S.

2007-01-01

352

Health information technology and electronic health records in neurologic practice.  

PubMed

The tipping point for electronic health records (EHR) has been reached and universal adoption in the United States is now inevitable. Neurologists will want to choose their electronic health record prudently. Careful selection, contracting, planning, and training are essential to successful implementation. Neurologists need to examine their workflow carefully and make adjustments to ensure that efficiency is increased. Neurologists will want to achieve a significant return on investment and qualify for all applicable financial incentives from payers, including CMS. EHRs are not just record-keeping tools but play an important role in quality improvement, evidence-based medicine, pay for performance, patient education, bio-surveillance, data warehousing, and data exchange. PMID:20202501

Esper, Gregory J; Drogan, Oksana; Henderson, William S; Becker, Amanda; Avitzur, Orly; Hier, Daniel B

2010-05-01

353

Sharing sensitive personal health information through Facebook: the unintended consequences.  

PubMed

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

Househ, Mowafa

2011-01-01

354

The Western New York Health Resources Project: developing access to local health information.  

PubMed Central

The Western New York Health Resources Project was created to fill a gap in online access to local health information resources describing the health of a defined geographic area. The project sought to identify and describe information scattered among many institutions, agencies, and individuals, and to create a database that would be widely accessible. The project proceeded in three phases with initial phases supported by grant funding. This paper describes the database development and selection of content, and concludes that a national online network of local health data representing the various geographic regions of the United States would contribute to the quality of health care in general. PMID:9681168

Gray, S A; O'Shea, R; Petty, M E; Loonsk, J

1998-01-01

355

Promoting public health by Physical activity on Prescription, with focus on organized exercise.  

E-print Network

?? Background: Insufficient physical activity is a public health problem. Nordic healthcare professionals use physical activity on prescription (PaP) to increase physical activity. Purpose: This… (more)

Ek, Amanda

2011-01-01

356

AMIA Advocates National Health Information System in Fight Against National Health Threats  

PubMed Central

To protect public health and national safety, AMIA recommends that the federal government dedicate technologic resources and medical informatics expertise to create a national health information infrastructure (NHII). An NHII provides the underlying information utility that connects local health providers and health officials through high-speed networks to national data systems necessary to detect and track global threats to public health. AMIA strongly recommends the accelerated development and wide-scale deployment of electronic public health surveillance systems, computer-based patient records, and disaster-response information technologies. Such efforts hold the greatest potential to protect our citizens from disaster and to deliver the best health care if disaster strikes. PMID:11861625

Tang, Paul C.

2002-01-01

357

Focus group positioning and analysis: a commentary on adjuncts for enhancing the design of health care research.  

PubMed

As health care competition increases, and as the penalties for making poor decisions become potentially more devastating, market research continues to play an increasingly important role in the decision-making process for hospitals. Concern over the appropriate use of market research and the costs related to it remains high. As such, efficiency in research design and clarity in research outcome are clearly the goals. This paper examines the focus group process and its adjunctive role in enhancing the overall design of health care market research. Specifically, the function and placement of focus groups within the research plan as well as several methods of creative focus group analysis are considered within the context of an effective research design. PMID:10106845

Johnson, B C

1990-01-01

358

Using social media to communicate child health information to low-income parents.  

PubMed

The objective of this study was to determine the value of using social media to communicate child health information to low-income parents. We evaluated qualitative data obtained through focus groups with low-income, predominantly Hispanic parents. Results were mixed; lack of time and credibility were the primary objections parents cited in using social media to obtain information about their children's health. Social media has value as part of an overall communication strategy, but more work is needed to determine the most effective way to use this channel in low-income populations. PMID:22005641

Stroever, Stephanie J; Mackert, Michael S; McAlister, Alfred L; Hoelscher, Deanna M

2011-11-01

359

Privacy-Related Context Information for Ubiquitous Health  

PubMed Central

Background Ubiquitous health has been defined as a dynamic network of interconnected systems. A system is composed of one or more information systems, their stakeholders, and the environment. These systems offer health services to individuals and thus implement ubiquitous computing. Privacy is the key challenge for ubiquitous health because of autonomous processing, rich contextual metadata, lack of predefined trust among participants, and the business objectives. Additionally, regulations and policies of stakeholders may be unknown to the individual. Context-sensitive privacy policies are needed to regulate information processing. Objective Our goal was to analyze privacy-related context information and to define the corresponding components and their properties that support privacy management in ubiquitous health. These properties should describe the privacy issues of information processing. With components and their properties, individuals can define context-aware privacy policies and set their privacy preferences that can change in different information-processing situations. Methods Scenarios and user stories are used to analyze typical activities in ubiquitous health to identify main actors, goals, tasks, and stakeholders. Context arises from an activity and, therefore, we can determine different situations, services, and systems to identify properties for privacy-related context information in information-processing situations. Results Privacy-related context information components are situation, environment, individual, information technology system, service, and stakeholder. Combining our analyses and previously identified characteristics of ubiquitous health, more detailed properties for the components are defined. Properties define explicitly what context information for different components is needed to create context-aware privacy policies that can control, limit, and constrain information processing. With properties, we can define, for example, how data can be processed or how components are regulated or in what kind of environment data can be processed. Conclusions This study added to the vision of ubiquitous health by analyzing information processing from the viewpoint of an individual’s privacy. We learned that health and wellness-related activities may happen in several environments and situations with multiple stakeholders, services, and systems. We have provided new knowledge regarding privacy-related context information and corresponding components by analyzing typical activities in ubiquitous health. With the identified components and their properties, individuals can define their personal preferences on information processing based on situational information, and privacy services can capture privacy-related context of the information-processing situation. PMID:25100084

Nykanen, Pirkko; Ruotsalainen, Pekka

2014-01-01

360

Health information technology and health information exchange in New York State: new initiatives in implementation and evaluation.  

PubMed

More research is needed to understand the effects of health information technology (HIT) and health information exchange (HIE) on quality, safety, efficiency, finances, consumers and providers in community-based settings. New York State is investing heavily in HIT and HIE adoption through the HEAL NY program. It has already provided $53 million in seed money and requires that grantee organizations match the funds. HITEC (The Health Information Technology Evaluation Collaborative) was established to measure systematically the effects of HIT and HIE on consumers, providers, health care quality, patient safety, public health, and financial return on investment in New York State, as no individual grantee is able to conduct cross-cutting evaluations. The results of these evaluations should inform decisions made by leaders in HIT and HIE in New York State and across the nation. PMID:17945542

Kern, Lisa M; Kaushal, Rainu

2007-12-01

361

The Next Public Health Revolution: Public Health Information Fusion and Social Networks  

PubMed Central

Social, political, and economic disruptions caused by natural and human-caused public health emergencies have catalyzed public health efforts to expand the scope of biosurveillance and increase the timeliness, quality, and comprehensiveness of disease detection, alerting, response, and prediction. Unfortunately, efforts to acquire, render, and visualize the diversity of health intelligence information are hindered by its wide distribution across disparate fields, multiple levels of government, and the complex interagency environment. Achieving this new level of situation awareness within public health will require a fundamental cultural shift in methods of acquiring, analyzing, and disseminating information. The notion of information “fusion” may provide opportunities to expand data access, analysis, and information exchange to better inform public health action. PMID:20530760

Fleischauer, Aaron; Casani, Julie; Groseclose, Samuel L.

2010-01-01

362

Reasons for Deficiencies in Health Information Laws in Iran  

PubMed Central

Introduction: Laws, regulations, and guidelines are necessary external stimuli that influence the management of health data. They serve as external mechanisms for the reinforcement and quality improvement of health information. Despite their inevitable significance, such laws have not yet been sufficiently formulated in Iran. The current study explores reasons for inadequacies in the health information laws. Methods: In this descriptive study, health-related laws and regulations from the United States, the United Kingdom, and Iran were first collected, using a review of the literature and available data. Then, bearing in mind the significant deficiencies in health information laws in Iran, the researchers asked a group of managers and policy makers in the healthcare field to complete a questionnaire to explore the reasons for such deficiencies. A test-retest method was used to determine the reliability of the questionnaire. Descriptive statistics and tables were then used to analyze the data. Findings: Experts’ opinion on reasons for deficiencies in health information laws and regulations in Iran are divided into four principal groups: cultural conditions of the community, the status of the health information system, characteristics of managers and policy makers in the healthcare field, and awareness level among public beneficiaries about laws. Conclusions: The health departments or ministries in developed countries have brought about suitable changes in their affiliated organizations by developing external data enhancement mechanisms such as information-related laws and standards, and accreditation of healthcare organizations. At the same time, healthcare organizations, under obligations imposed by the external forces, try to elevate the quality of information. Therefore, this study suggests that raising healthcare managers’ awareness of the importance of passing health information laws, as an effective external mechanism, is essential. PMID:24808803

Moghaddasi, Hamid; Hosseini, Azamol-sadat; Sajjadi, Samad; Nikookalam, Maryam

2014-01-01

363

Focus on Health Education and Nutrition: Development of a Guide for High School Teachers.  

ERIC Educational Resources Information Center

Summaries are presented of evaluation research on a National Dairy Council guide for integrating nutrition education into high school health education courses. The program was found to be effective in improving both general health test performance and nutrition test performance. (JMF)

Kirk, Robert H.; And Others

1980-01-01

364

Harmony, Not War: Dine College Public Health Degree Focuses upon Hozho  

ERIC Educational Resources Information Center

Reports on the creation of a public health degree at Dine College in Shiprock, New Mexico, the first degree of its kind at a "tribal college". Review of the work of the American Indian Higher Education Consortium and the Centers for Disease Control, who developed the degree with the goal of increasing the number of American Indians in health

Ambler, Marjane

2005-01-01

365

Occupational Health and Safety Challenges in China—Focusing on Township-Village Enterprises  

Microsoft Academic Search

China has experienced dramatic industrialization, urbanization, and economic growth over the last 3 decades. The rapid transformation and dramatic prosperity of industries in rural areas have, in turn, created tremendous challenges for occupational health and safety (OHS). This article was prepared to address occupational health and safety issues in township- and village-owned enterprises (TVEs) from several aspects, including working conditions

Xiaorong Wang; Siying Wu; Qingkun Song; Lap-Ah Tse; Ignatius T. S. Yu; Tze-Wai Wong; Sian Griffiths

2011-01-01

366

Bringing Mental Health Needs into Focus through School Counseling Program Transformation  

ERIC Educational Resources Information Center

Professional school counselors are educational leaders with training and expertise to address the mental health concerns of students. Unfortunately, work conditions at some schools can create barriers to the delivery of effective mental health services. This article presents a case of one rural, diverse high school that transformed its school…

Gruman, Diana H.; Marston, Toby; Koon, Holly

2013-01-01

367

HEALTH & HUMANITYHEALTH & HUMANITYHEALTH & HUMANITY This major is intended for students interested in fields that inform the health  

E-print Network

HEALTH & HUMANITYHEALTH & HUMANITYHEALTH & HUMANITY This major is intended for students interested in fields that inform the health profession and in related questions about health and human experience the how health issues relate to different fields. Ethnographics Lab: The Ethnographics Laboratory

Krylov, Anna I.

368

Lessons learned from a decade of focused recruitment and training to develop minority public health professionals.  

PubMed

From 1999 to 2009, the Eliminating Health Disparities Pre-doctoral Fellowship Program provided specialized education and mentoring to African American graduate students in public health. Fellows received a public health degree, coursework in understanding and eliminating health disparities, experiential learning, mentored research, and professional network building with African American role models. We describe successful strategies for recruiting and training fellows and make 5 recommendations for those seeking to increase workforce diversity in public health: (1) build a community of minority students, not a string of individual recruits; (2) reward mentoring; (3) provide a diverse set of role models and mentors; (4) dedicate staffing to assure a student-centered approach; and, (5) commit to training students with varying levels of academic refinement. PMID:21551376

Kreuter, Matthew W; Griffith, Deidre J; Thompson, Vetta; Brownson, Ross C; McClure, Stephanie; Scharff, Darcell P; Clark, Eddie M; Haire-Joshu, Debra

2011-12-01

369

Seek and ye shall find: consumer search for objective health care cost and quality information.  

PubMed

Significant investments have been made in developing and disseminating health care provider cost and quality information on the Internet with the expectation that stronger consumer engagement will lead consumers to seek providers who deliver high-quality, low-cost care. However, prior research shows that the awareness and use of such information is low. This study investigates how the information search process may contribute to explaining this result. The analysis reveals that the Web sites most likely to be found by consumers are owned by private companies and provide information based on anecdotal patient experiences. Web sites less likely to be found have government or community-based ownership, are based on administrative data, and contain a mixture of quality, cost, and patient experience information. Searches for information on hospitals reveal more cost and quality information based on administrative data, whereas searches that focus on clinics or physicians are more likely to produce information based on patient narratives. PMID:21918015

Sick, Brian; Abraham, Jean M

2011-01-01

370

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

PubMed

HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at https://villanova.gosignmeup.com/dev_students.asp?action=browse&main=Nursing+Journals&misc=564. To obtain contact hours you must: 1. Read the article, "Hydrate for Health: Listening to Older Adults' Need for Information" found on pages 24-30, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until September 30, 2016. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Explain how physiological and behavioral processes related to hydration affect the health of community-dwelling older adults. 2. Discuss the process of designing educational materials about hydration to incorporate the priorities and concerns of older adults. DISCLOSURE STATEMENT Neither the planners nor the authors have any confiicts of interest to disclose. 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. [Journal of Gerontological Nursing, 40(10), 24-30.]. PMID:25275782

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

2014-10-01

371

Measurement error in performance studies of health information technology: lessons from the management literature.  

PubMed

Just as researchers and clinicians struggle to pin down the benefits attendant to health information technology (IT), management scholars have long labored to identify the performance effects arising from new technologies and from other organizational innovations, namely the reorganization of work and the devolution of decision-making authority. This paper applies lessons from that literature to theorize the likely sources of measurement error that yield the weak statistical relationship between measures of health IT and various performance outcomes. In so doing, it complements the evaluation literature's more conceptual examination of health IT's limited performance impact. The paper focuses on seven issues, in particular, that likely bias downward the estimated performance effects of health IT. They are 1.) negative self-selection, 2.) omitted or unobserved variables, 3.) mis-measured contextual variables, 4.) mismeasured health IT variables, 5.) lack of attention to the specific stage of the adoption-to-use continuum being examined, 6.) too short of a time horizon, and 7.) inappropriate units-of-analysis. The authors offer ways to counter these challenges. Looking forward more broadly, they suggest that researchers take an organizationally-grounded approach that privileges internal validity over generalizability. This focus on statistical and empirical issues in health IT-performance studies should be complemented by a focus on theoretical issues, in particular, the ways that health IT creates value and apportions it to various stakeholders. PMID:23620719

Litwin, A S; Avgar, A C; Pronovost, P J

2012-01-01

372

Tools to support evidence-informed public health decision making  

PubMed Central

Background Public health professionals are increasingly expected to engage in evidence-informed decision making to inform practice and policy decisions. Evidence-informed decision making involves the use of research evidence along with expertise, existing public health resources, knowledge about community health issues, the local context and community, and the political climate. The National Collaborating Centre for Methods and Tools has identified a seven step process for evidence-informed decision making. Tools have been developed to support public health professionals as they work through each of these steps. This paper provides an overview of tools used in three Canadian public health departments involved in a study to develop capacity for evidence-informed decision making. Methods As part of a knowledge translation and exchange intervention, a Knowledge Broker worked with public health professionals to identify and apply tools for use with each of the steps of evidence-informed decision making. The Knowledge Broker maintained a reflective journal and interviews were conducted with a purposive sample of decision makers and public health professionals. This paper presents qualitative analysis of the perceived usefulness and usability of the tools. Results Tools were used in the health departments to assist in: question identification and clarification; searching for the best available research evidence; assessing the research evidence for quality through critical appraisal; deciphering the ‘actionable message(s)’ from the research evidence; tailoring messages to the local context to ensure their relevance and suitability; deciding whether and planning how to implement research evidence in the local context; and evaluating the effectiveness of implementation efforts. Decision makers provided descriptions of how the tools were used within the health departments and made suggestions for improvement. Overall, the tools were perceived as valuable for advancing and sustaining evidence-informed decision making. Conclusion Tools are available to support the process of evidence-informed decision making among public health professionals. The usability and usefulness of these tools for advancing and sustaining evidence-informed decision making are discussed, including recommendations for the tools’ application in other public health settings beyond this study. Knowledge and awareness of these tools may assist other health professionals in their efforts to implement evidence-informed practice. PMID:25034534

2014-01-01

373

Health Information in Bosnian (Bosanski): MedlinePlus  

MedlinePLUS

... Bosnian) PDF Immunization Action Coalition; Centers for Disease Control and Prevention Motor Vehicle Safety Safety with Car Seats and Booster Seats Bezbjednost sa obi?nim autosjedalicama i auto-sjedalicama - Bosanski (Bosnian) Bilingual PDF Health Information Translations ...

374

Health Information in Croatian (Hrvatski): MedlinePlus  

MedlinePLUS

... enable JavaScript. Health Information in Croatian (Hrvatski) C Childhood Immunization Haemophilus Influenzae Type b (Hib) Vaccine - English Vakcina Protiv Hemofilus Influence Tip b (Hib) (Haemophilus Influenzae) - Hrvatski (Croatian) PDF ...

375

Our Commitment to Reliable Health and Medical Information  

MedlinePLUS

... to reliable health and medical information on the internet HON was founded to encourage the dissemination of ... relevant medical data through the use of the internet. The HONcode certification is an ethical standard aimed ...

376

Gender and Nonverbal Expressiveness in Patient Recall of Health Information.  

ERIC Educational Resources Information Center

Discusses the importance of patient recall of health information and factors influencing and that are influenced by it. Concludes that highly expressive or effective speakers of the same sex are more helpful in promoting recall. (VLC)

Bush, David F.

1985-01-01

377

Accessible online health promotion information for persons with disabilities.  

PubMed

Online health promotion materials have great potential to reach persons with disabilities and provide valuable information to this vulnerable population. While health promotion efforts are important for everyone, they are crucial for individuals with disabilities. Yet information needed to support these efforts is often presented in such a way that its access is limited or its content is inappropriate for this population. Whether designing or selecting online materials for individuals with disabilities, nurses can benefit from knowledge about strategies to make web sites more accessible or to assess the accessibility of existing web sites. The task of providing health promotion information to women with disabilities was undertaken as part of the "Health Promotion for Women with Disabilities Project" at Villanova University's College of Nursing. A web site was created as one method of providing information. This paper presents strategies that are used to make this site accessible. PMID:14998351

Smeltzer, Suzanne C; Zimmerman, Vanessa; Frain, Marita; DeSilets, Lynore; Duffin, Janice

2004-01-01

378

Effectiveness of eHealth Interventions and Information Needs in Palliative Care: A Systematic Literature Review  

PubMed Central

Background One of the key components in palliative care is communication. eHealth technologies can be an effective way to support communications among participants in the process of palliative care. However, it is unclear to what extent information technology has been established in this field. Objective Our goal was to systematically identify studies and analyze the effectiveness of eHealth interventions in palliative care and the information needs of people involved in the palliative care process. Methods We conducted a systematic literature search using PubMed, Embase, and LILACS according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We collected and analyzed quantitative and qualitative data regarding effectiveness of eHealth interventions and users’ information needs in palliative care. Results Our search returned a total of 240 articles, 17 of which met our inclusion criteria. We found no randomized controlled trial studying the effects of eHealth interventions in palliative care. Studies tended to be observational, noncontrolled studies, and a few quasi-experimental studies. Overall there was great heterogeneity in the types of interventions and outcome assessments; some studies reported some improvement on quality of care, documentation effort, cost, and communications. The most frequently reported information need concerned pain management. Conclusions There is limited evidence around the effectiveness of eHealth interventions for palliative care patients, caregivers, and health care professionals. Focused research on information needs and high-quality clinical trials to assess their effectiveness are needed. PMID:24610324

Ganzinger, Matthias; Perez-Lu, Jose; Knaup, Petra

2014-01-01

379

Perceived helpfulness of websites for mental health information  

Microsoft Academic Search

Background  Despite the high risk of developing a mental disorder during adolescence, many young people fail to receive appropriate treatment\\u000a from mental health professionals. Recent studies have found certain mental health information websites have improved mental\\u000a health literacy and reduced symptoms of depression. However, studies exploring young people’s perceptions of such resources\\u000a still remain scarce. The current paper compared young people’s

Elizabeth Oh; Anthony F. Jorm; Annemarie Wright

2009-01-01

380

Usability of online health information for people with disabilities.  

PubMed

Current issues around the usability of online health information for people with disabilities are to be presented and discussed. This includes a review of the current literature relevant to this area, a review of the current methodology for assessing Web usability, and a proposed model for addressing these issues to increase the access to online health information by people with disabilities, in particular for those with cognitive impairments. Available preliminary data will also be presented. PMID:14728283

Appleyard, Richard J

2003-01-01

381

Strategic Health Information Management and Forecast: The Birdwatching Approach  

Microsoft Academic Search

\\u000a To facilitate communication and the exchange of information between patients, nurses, lab technicians, health insurers, physicians,\\u000a policy makers, and existing knowledge-based systems, a set of shared standard terminologies and controlled vocabularies are\\u000a necessary. In modern health information management systems, these vocabularies are defined within formal representations called\\u000a ontologies, where terminologies are only meaningful once linked to a descriptive dataset. When

Arash Shaban-Nejad; Volker Haarslev

2010-01-01

382

Tufts academic health information network: concept and scenario.  

PubMed Central

Tufts University School of Medicine's new health sciences education building, the Arthur M. Sackler Center for Health Communications, will house a modern medical library and computer center, classrooms, auditoria, and media facilities. The building will also serve as the center for an information and communication network linking the medical school and adjacent New England Medical Center, Tufts' primary teaching hospital, with Tufts Associated Teaching Hospitals throughout New England. Ultimately, the Tufts network will join other gateway networks, information resource facilities, health care institutions, and medical schools throughout the world. The center and the network are intended to facilitate and improve the education of health professionals, the delivery of health care to patients, the conduct of research, and the implementation of administrative management approaches that should provide more efficient utilization of resources and save dollars. A model and scenario show how health care delivery and health care education are integrated through better use of information transfer technologies by health information specialists, practitioners, and educators. PMID:3708191

Stearns, N S

1986-01-01

383

Tufts academic health information network: concept and scenario.  

PubMed

Tufts University School of Medicine's new health sciences education building, the Arthur M. Sackler Center for Health Communications, will house a modern medical library and computer center, classrooms, auditoria, and media facilities. The building will also serve as the center for an information and communication network linking the medical school and adjacent New England Medical Center, Tufts' primary teaching hospital, with Tufts Associated Teaching Hospitals throughout New England. Ultimately, the Tufts network will join other gateway networks, information resource facilities, health care institutions, and medical schools throughout the world. The center and the network are intended to facilitate and improve the education of health professionals, the delivery of health care to patients, the conduct of research, and the implementation of administrative management approaches that should provide more efficient utilization of resources and save dollars. A model and scenario show how health care delivery and health care education are integrated through better use of information transfer technologies by health information specialists, practitioners, and educators. PMID:3708191

Stearns, N S

1986-04-01

384

Pervasive informatics and persistent actimetric information in health smart homes  

E-print Network

Pervasive informatics and persistent actimetric information in health smart homes Yannick Fouquet (arrows) for localizing dependent people in a health smart home (left) & pressure sensors (right: FSA Seat integrated smart home (HsH). In general, the underlying principle of the HsH consists in continuously

Fouquet, Yannick

385

Balancing Good Intentions: Protecting the Privacy of Electronic Health Information  

ERIC Educational Resources Information Center

Electronic information is a vital but complex component in the modern health care system, fueling ongoing efforts to develop a universal electronic health record infrastructure. This innovation creates a substantial tension between two desirable values: the increased quality and utility of patient medical records and the protection of the privacy…

McClanahan, Kitty

2008-01-01

386

Why Adolescents Use a Computer-Based Health Information System.  

ERIC Educational Resources Information Center

The Body Awareness Resource Network (BARN) is a system of interactive computer programs designed to provide adolescents with confidential, nonjudgmental health information, behavior change strategies, and sources of referral. These programs cover five adolescent health areas: alcohol and other drugs, human sexuality, smoking prevention and…

Hawkins, Robert P.; And Others

387

A stimulus to define informatics and health information technology  

Microsoft Academic Search

BACKGROUND: Despite the growing interest by leaders, policy makers, and others, the terminology of health information technology as well as biomedical and health informatics is poorly understood and not even agreed upon by academics and professionals in the field. DISCUSSION: The paper, presented as a Debate to encourage further discussion and disagreement, provides definitions of the major terminology used in

William R Hersh

2009-01-01

388

Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study  

PubMed Central

Background There is worldwide variation in rehabilitation practices after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and no agreement on which interventions will lead to optimal short and long term patient outcomes. As a first step in the development of clinical practice guidelines for post-acute rehabilitation after THA and TKA, we explored experiences and attitudes about rehabilitation practices and outcomes in groups of individuals identified as key stakeholders. Methods Separate focus groups and interviews were conducted with patients (THA or TKA within past year) and three health professional groups: allied health professionals (AHPs), orthopaedic surgeons, and other physicians, in Canada and the United States. Pairs of moderators led the focus groups using a standardized discussion guide. Discussions were audiotaped and transcribed verbatim. A content analysis within and across groups identified key themes. Results Eleven focus groups and eight interviews took place in six sites. Patients (n = 32) varied in age, stage of recovery, and surgical and rehabilitation experiences. Health professionals (n = 44) represented a range of disciplines, practice settings and years of experience. Six key themes emerged: 1) Let's talk (issues related to patient-health professional and inter-professional communication); 2) Expecting the unexpected (observations about unanticipated recovery experiences); 3) It's attitude that counts (the importance of the patient's positive attitude and participation in recovery); 4) It takes all kinds of support (along the continuum of care); 5) Barriers to recovery (at patient, provider and system levels), and 6) Back to normal (reflecting diversity of expected outcomes). Patients offered different, but overlapping views compared to health professionals regarding rehabilitation practices and outcomes following THA and TKA. Conclusion Results will inform subsequent phases of guideline development and ensure stakeholders' perspectives shape the priorities, content and scope of the guidelines. PMID:20459834

2010-01-01

389

Improving the experiences and health of people with multimorbidity: exploratory research with policymakers and information providers on comorbid arthritis.  

PubMed

Multimorbidity has emerged as a complex health issue with the burden falling predominantly on patients, families and the primary health care sector. Evidence-informed communication and participation, activities informed by evidence and people's views and experiences, has the potential to improve health outcomes for people with multimorbidity. In recognition of their role in shaping future actions, we conducted focus groups with policymakers and information providers. The aim of this article is to report on the range and impacts of communication problems in multimorbidity, and identify points of intervention. To facilitate and focus dialogue, comorbid arthritis was selected as the case example. Two focus groups were held: one with policymakers and the other with health information providers. Participants were asked to discuss communication problems and possibilities relevant to multimorbidity, using examples from comorbid arthritis where relevant. Participants highlighted three main areas on which to focus future efforts to improve the health outcomes and experiences of people with multimorbidity: (1) make explicit the problems of multimorbidity and communication; (2) recognise that both multimorbidity and communication issues are compounding factors; and (3) consider actions at policy, service, community and individual levels. Examining multimorbidity through the lens of communication issues identified the significant burden across different domains of the health system. The focus on communication may facilitate a cross-disease perspective to emerge and assist with policy development. PMID:23510866

Ryan, Rebecca E; Hill, Sophie J

2014-01-01

390

76 FR 48769 - Metadata Standards To Support Nationwide Electronic Health Information Exchange  

Federal Register 2010, 2011, 2012, 2013

...Release 2 HL7 V2 Health Level 7 Version 2 HIT Health Information Technology HITECH Act Health Information Technology for Economic and Clinical Health Act ICD-9 International Classification of Diseases, 9th Revision ICD-10 International...

2011-08-09

391

Location-based health information services: a new paradigm in personalised information delivery  

PubMed Central

Brute health information delivery to various devices can be easily achieved these days, making health information instantly available whenever it is needed and nearly anywhere. However, brute health information delivery risks overloading users with unnecessary information that does not answer their actual needs, and might even act as noise, masking any other useful and relevant information delivered with it. Users' profiles and needs are definitely affected by where they are, and this should be taken into consideration when personalising and delivering information to users in different locations. The main goal of location-based health information services is to allow better presentation of the distribution of health and healthcare needs and Internet resources answering them across a geographical area, with the aim to provide users with better support for informed decision-making. Personalised information delivery requires the acquisition of high quality metadata about not only information resources, but also information service users, their geographical location and their devices. Throughout this review, experience from a related online health information service, HealthCyberMap , is referred to as a model that can be easily adapted to other similar services. HealthCyberMap is a Web-based directory service of medical/health Internet resources exploring new means to organise and present these resources based on consumer and provider locations, as well as the geographical coverage or scope of indexed resources. The paper also provides a concise review of location-based services, technologies for detecting user location (including IP geolocation), and their potential applications in health and healthcare. PMID:12556243

Boulos, Maged N Kamel

2003-01-01

392

"Willing but unwilling": attitudinal barriers to adoption of home-based health information technology among older adults.  

PubMed

While much research focuses on adoption of electronic health-care records and other information technology among health-care providers, less research explores patient attitudes. This qualitative study examines barriers to adoption of home-based health information technology, particularly personal electronic health records, among older adults. We conducted in-depth interviews (30-90 min duration) with 35 American adults, aged 46-72 years, to determine their perceptions of and attitudes toward home-based health information technology. Analysis of interview data revealed that most barriers to adoption fell under four themes: technological discomfort, privacy or security concerns, lack of relative advantage, and perceived distance from the user representation. Based on our findings, systems to promote home-based health information technology should incorporate familiar computer applications, alleviate privacy and security concerns, and align with older adults' active and engaged self-image. PMID:24056750

Young, Rachel; Willis, Erin; Cameron, Glen; Geana, Mugur

2014-06-01

393

Role of commensal and probiotic bacteria in human health: a focus on inflammatory bowel disease.  

PubMed

The human gut is one of the most complex ecosystems, composed of 1013-1014 microorganisms which play an important role in human health. In addition, some food products contain live bacteria which transit through our gastrointestinal tract and could exert beneficial effects on our health (known as probiotic effect). Among the numerous proposed health benefits attributed to commensal and probiotic bacteria, their capacity to interact with the host immune system is now well demonstrated. Currently, the use of recombinant lactic acid bacteria to deliver compounds of health interest is gaining importance as an extension of the probiotic concept. This review summarizes some of the recent findings and perspectives in the study of the crosstalk of both commensal and probiotic bacteria with the human host as well as the latest studies in recombinant commensal and probiotic bacteria. Our aim is to highlight the potential roles of recombinant bacteria in this ecosystem. PMID:23876056

Martín, Rebeca; Miquel, Sylvie; Ulmer, Jonathan; Kechaou, Noura; Langella, Philippe; Bermúdez-Humarán, Luis G

2013-01-01

394

BUSINESS ANALYTICS CONCENTRATION FOR UNDERGRADUATES The business analytics concentration, like a major, focuses on using information to develop business  

E-print Network

BUSINESS ANALYTICS CONCENTRATION FOR UNDERGRADUATES The business analytics concentration, like a major, focuses on using information to develop business insights and influence decision Management ISYE 4810 Computational Intelligence MGMT 4470 Marketing Research Optional Business Analytics

Salama, Khaled

395

A socially situated approach to inform ways to improve health and wellbeing.  

PubMed

Mainstream health psychology supports neoliberal notions of health promotion in which self-management is central. The emphasis is on models that explain behaviour as individually driven and cognitively motivated, with health beliefs framed as the favoured mechanisms to target in order to bring about change to improve health. Utilising understandings exemplified in critical health psychology, we take a more socially situated approach, focusing on practicing health, the rhetoric of modernisation in UK health care and moves toward democratisation. While recognising that within these new ways of working there are opportunities for empowerment and user-led health care, there are other implications. How these changes link to simplistic cognitive behavioural ideologies of health promotion and rational decision-making is explored. Utilising two different empirical studies, this article highlights how self-management and expected compliance with governmental authority in relation to health practices position not only communities that experience multiple disadvantage but also more seemingly privileged social actors. The article presents a challenge to self-management and informed choice, in which the importance of navigational networks is evident. Because health care can become remote and inaccessible to certain sections of the community, yet pervasive and deterministic for others, we need multiple levels of analysis and different forms of action. PMID:24443920

Horrocks, Christine; Johnson, Sally

2014-02-01

396

Health Sciences Information Tools 2000: a cooperative health sciences library/public school information literacy program for medical assistant students.  

PubMed Central

Educating diverse groups in how to access, use, and evaluate information available through information technologies is emerging as an essential responsibility for health sciences librarians in today's complex health care system. One group requiring immediate attention is medical assistants. Projections indicate that medical assistant careers will be among the fastest growing occupations in the twenty-first century. The expanding use and importance of information in all health care settings requires that this workforce be well versed in information literacy skills. But, for public school vocational education staff charged with educating entry level workers to meet this specialized demand, the expense of hiring qualified professionals and acquiring the sophisticated technology necessary to teach such skills poses a dilemma. Health Sciences Information Tools 2000, a cooperative work-study information literacy program jointly formulated by the Wayne State University's Shiffman Medical Library and the Detroit Public Schools' Crockett Career and Technical Center, demonstrates that cooperation between the health sciences library and the public school is a mutually beneficial and constructive solution. This article describes the background, goals, curriculum, personnel, costs, and evaluation methods of Tools 2000. The Shiffman-Crockett information literacy program, adaptable to a variety of library settings, is an innovative means of preparing well-trained high school vocational education students for beginning level medical assistant positions as well as further education in the health care field. PMID:9803297

Spang, L; Marks, E; Adams, N

1998-01-01

397

Health Sciences Information Tools 2000: a cooperative health sciences library/public school information literacy program for medical assistant students.  

PubMed

Educating diverse groups in how to access, use, and evaluate information available through information technologies is emerging as an essential responsibility for health sciences librarians in today's complex health care system. One group requiring immediate attention is medical assistants. Projections indicate that medical assistant careers will be among the fastest growing occupations in the twenty-first century. The expanding use and importance of information in all health care settings requires that this workforce be well versed in information literacy skills. But, for public school vocational education staff charged with educating entry level workers to meet this specialized demand, the expense of hiring qualified professionals and acquiring the sophisticated technology necessary to teach such skills poses a dilemma. Health Sciences Information Tools 2000, a cooperative work-study information literacy program jointly formulated by the Wayne State University's Shiffman Medical Library and the Detroit Public Schools' Crockett Career and Technical Center, demonstrates that cooperation between the health sciences library and the public school is a mutually beneficial and constructive solution. This article describes the background, goals, curriculum, personnel, costs, and evaluation methods of Tools 2000. The Shiffman-Crockett information literacy program, adaptable to a variety of library settings, is an innovative means of preparing well-trained high school vocational education students for beginning level medical assistant positions as well as further education in the health care field. PMID:9803297

Spang, L; Marks, E; Adams, N

1998-10-01

398

Beneficial effects of exercise: shifting the focus from body weight to other markers of health  

Microsoft Academic Search

Background:Exercise is widely promoted as a method of weight management, while the other health benefits are often ignored. The purpose of this study was to examine whether exercise-induced improvements in health are influenced by changes in body weight.Methods:Fifty-eight sedentary overweight\\/obese men and women (BMI 31.8 (SD 4.5) kg\\/m2) participated in a 12-week supervised aerobic exercise intervention (70% heart rate max,

N A King; M Hopkins; P Caudwell; R J Stubbs; J E Blundell

2009-01-01

399

Using Information Technology to Improve Health Quality and Safety in Community Health Centers  

PubMed Central

Problem Community health centers (CHCs) face a unique set of challenges and can learn much from each other as they prepare for the adoption of health information technology (HIT). Purpose This paper presents a research agenda aimed at providing information CHCs will need to successfully implement HIT. Key Points Community health centers must be able to evaluate whether an investment in HIT is the best way to achieve improvements in health outcomes for their communities given the limited resources and high demands they face. Community health centers need better information to guide them in selecting and implementing information technology that will result in improved health quality and safety. Guidance in optimal use of the system, particularly in the effective use of data made available through electronic health records, is needed to realize health care goals. Community health centers need to be active participants in HIT developments in their communities to ensure that their patients benefit from technological advancements that improve health care. PMID:19966923

Calman, Neil; Kitson, Kwame; Hauser, Diane

2009-01-01

400

Engaging the optics community in the development of informative, accessible resources focusing on careers  

NASA Astrophysics Data System (ADS)

Young people often have biased and pre-conceived ideas about scientists and engineers that can dissuade them from considering a career in optics. This situation is compounded by the fact that existing resources on careers in optics are not suitable since they mostly focus on more general occupations such as a physicist and an electrical engineer. In addition, the linguistic register is not adapted for students, and many of these resources are only available to guidance counselors. To create appropriate resources that will inform high school students on different career opportunities in optics and photonics, we sought the collaboration of our local optics community. We selected seven specific occupations: entrepreneur in optics, university professor, teacher, technician, research and development engineer, sales representative and graduate student in optics. For each career, a list of daily tasks was created from the existing documentation by a guidance counselor and was validated by an expert working in the field of optics. Following a process of validation, we built surveys in which professionals were asked to select the tasks that best represented their occupation. The surveys were also used to gather other information such as level of education and advice for young people wishing to pursue careers in optics. Over 175 professionals answered the surveys. With these results, we created a leaflet and career cards that are available online and depict the activities of people working in optics and photonics. We hope that these resources will help counter the negative bias against scientific careers and inform teenagers and young adults on making career choices that are better suited to their preferences and aspirations.

Poulin-Girard, Anne-Sophie; Gingras, F.; Zambon, V.; Thériault, G.

2014-09-01

401

45 CFR 164.502 - Uses and disclosures of protected health information: general rules.  

Code of Federal Regulations, 2012 CFR

...respect to protected health information relevant to such personal representation...respect to protected health information relevant to such personal representation...respect to protected health information relevant to such personal...

2012-10-01

402

45 CFR 164.502 - Uses and disclosures of protected health information: general rules.  

Code of Federal Regulations, 2011 CFR

...respect to protected health information relevant to such personal representation...respect to protected health information relevant to such personal representation...respect to protected health information relevant to such personal...

2011-10-01

403

25 CFR 43.17 - Release of information for health or safety emergencies.  

Code of Federal Regulations, 2011 CFR

... Release of information for health or safety emergencies. 43.17 Section... Release of information for health or safety emergencies. (a) Educational...information is necessary to protect the health or safety of a student or other...

2011-04-01

404

25 CFR 43.17 - Release of information for health or safety emergencies.  

Code of Federal Regulations, 2012 CFR

... Release of information for health or safety emergencies. 43.17 Section... Release of information for health or safety emergencies. (a) Educational...information is necessary to protect the health or safety of a student or other...

2012-04-01

405

25 CFR 43.17 - Release of information for health or safety emergencies.  

... Release of information for health or safety emergencies. 43.17 Section... Release of information for health or safety emergencies. (a) Educational...information is necessary to protect the health or safety of a student or other...

2014-04-01

406

25 CFR 43.17 - Release of information for health or safety emergencies.  

Code of Federal Regulations, 2010 CFR

... Release of information for health or safety emergencies. 43.17 Section... Release of information for health or safety emergencies. (a) Educational...information is necessary to protect the health or safety of a student or other...

2010-04-01

407

25 CFR 43.17 - Release of information for health or safety emergencies.  

Code of Federal Regulations, 2013 CFR

... Release of information for health or safety emergencies. 43.17 Section... Release of information for health or safety emergencies. (a) Educational...information is necessary to protect the health or safety of a student or other...

2013-04-01

408

Background Informal Problem Statement QC Confidence Intervals Illustrations Women's Health Initiative Simultaneous Confidence Intervals with more  

E-print Network

Background Informal Problem Statement QC Confidence Intervals Illustrations Women's Health Informal Problem Statement QC Confidence Intervals Illustrations Women's Health Initiative Outline Bounds Illustrations Women's Health Initiative #12;Background Informal Problem Statement QC Confidence

Stark, Philip B.

409

76 FR 10598 - Office of the National Coordinator for Health Information Technology; Recommendations Received...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; Recommendations Received...National Coordinator for Health Information Technology (ONC), Department of...as amended by the Health Information Technology for Economic and...

2011-02-25

410

Accessing Information in Working Memory: Can the Focus of Attention Grasp Two Elements at the Same Time?  

Microsoft Academic Search

Processing information in working memory requires selective access to a subset of working-memory contents by a focus of attention. Complex cognition often requires joint access to 2 items in working memory. How does the focus select 2 items? Two experiments with an arithmetic task and 1 with a spatial task investigate time demands for successive operations that involve 2 digits

Klaus Oberauer; Svetlana Bialkova

2009-01-01

411

Aging 2.0: health information about dementia on Twitter.  

PubMed

Online social media is widespread, easily accessible and attracts a global audience with a widening demographic. As a large proportion of adults now seek health information online and through social media applications, communication about health has become increasingly interactive and dynamic. Online health information has the potential to significantly impact public health, especially as the population gets older and the prevalence of dementia increases. However, little is known about how information pertaining to age-associated diseases is disseminated on popular social media platforms. To fill this knowledge gap, we examined empirically: (i) who is using social media to share information about dementia, (ii) what sources of information about dementia are promoted, and (iii) which dementia themes dominate the discussion. We data-mined the microblogging platform Twitter for content containing dementia-related keywords for a period of 24 hours and retrieved over 9,200 tweets. A coding guide was developed and content analysis conducted on a random sample (10%), and on a subsample from top users' tweets to assess impact. We found that a majority of tweets contained a link to a third party site rather than personal information, and these links redirected mainly to news sites and health information sites. As well, a large number of tweets discussed recent research findings related to the prediction and risk management of Alzheimer's disease. The results highlight the need for the dementia research community to harness the reach of this medium and its potential as a tool for multidirectional engagement. PMID:23922827

Robillard, Julie M; Johnson, Thomas W; Hennessey, Craig; Beattie, B Lynn; Illes, Judy

2013-01-01

412

Aging 2.0: Health Information about Dementia on Twitter  

PubMed Central

Online social media is widespread, easily accessible and attracts a global audience with a widening demographic. As a large proportion of adults now seek health information online and through social media applications, communication about health has become increasingly interactive and dynamic. Online health information has the potential to significantly impact public health, especially as the population gets older and the prevalence of dementia increases. However, little is known about how information pertaining to age-associated diseases is disseminated on popular social media platforms. To fill this knowledge gap, we examined empirically: (i) who is using social media to share information about dementia, (ii) what sources of information about dementia are promoted, and (iii) which dementia themes dominate the discussion. We data-mined the microblogging platform Twitter for content containing dementia-related keywords for a period of 24 hours and retrieved over 9,200 tweets. A coding guide was developed and content analysis conducted on a random sample (10%), and on a subsample from top users’ tweets to assess impact. We found that a majority of tweets contained a link to a third party site rather than personal information, and these links redirected mainly to news sites and health information sites. As well, a large number of tweets discussed recent research findings related to the prediction and risk management of Alzheimer’s disease. The results highlight the need for the dementia research community to harness the reach of this medium and its potential as a tool for multidirectional engagement. PMID:23922827

Robillard, Julie M.; Johnson, Thomas W.; Hennessey, Craig; Beattie, B. Lynn; Illes, Judy

2013-01-01

413

The Strengths and Difficulties Questionnaire: A Useful Screening Tool to Identify Mental Health Strengths and Needs in Looked after Children and Inform Care Plans at Looked after Children Reviews? A Focus Group Study of the Views of Social Workers and Their Managers  

ERIC Educational Resources Information Center

The mental health of Looked After Children is not routinely assessed either upon entering the care system or during their period in care. Many children only receive help when difficulties become entrenched and more intensive treatment is required. Often this occurs when placements are fragile or have broken down. The Department of Health, Social…

Whyte, Stewart; Campbell, Anne

2008-01-01

414

Prolonged sexual abstinence after childbirth: gendered norms and perceived family health risks. Focus group discussions in a Tanzanian suburb  

PubMed Central

Background Prolonged sexual abstinence after childbirth is a socio-cultural practice with health implications, and is described in several African countries, including Tanzania. This study explored discourses on prolonged postpartum sexual abstinence in relation to family health after childbirth in low-income suburbs of Dar es Salaam, Tanzania. Methods Data for the discourse analysis were collected through focus group discussions with first-time mothers and fathers and their support people in Ilala, Dar es Salaam, Tanzania. Results In this setting, prolonged sexual abstinence intended at promoting child health was the dominant discourse in the period after childbirth. Sexual relations after childbirth involved the control of sexuality for ensuring family health and avoiding the social implications of non-adherence to sexual abstinence norms. Both abstinence and control were emphasised more with regard to women than to men. Although the traditional discourse on prolonged sexual abstinence for protecting child health was reproduced in Ilala, some modern aspects such as the use of condoms and other contraceptives prevailed in the discussion. Conclusion Discourses on sexuality after childbirth are instrumental in reproducing gender-power inequalities, with women being subjected to more restrictions and control than men are. Thus, interventions that create openness in discussing sexual relations and health-related matters after childbirth and mitigate gendered norms suppressing women and perpetuating harmful behaviours are needed. The involvement of males in the interventions would benefit men, women, and children through improving the gender relations that promote family health. PMID:23316932

2013-01-01

415

Insurance Coverage & Whither Thou Goest for Health Information in 2012  

PubMed Central

Objective Examine use of the Internet (eHealth) and mobile health (mHealth) technologies by privately insured, publicly insured (Medicare/Medicaid), or uninsured U.S. adults in 2012. Data Source Pew Charitable Trust telephone interviews of a nationally representative, random sample of 3,014 adult U.S. residents, age 18+. Methods Estimate health information seeking behavior overall and by segment (i.e., insurance type), then, adjust estimates for individual traits, clinical need, and technology access using logistic regression. Results Most respondents prefer offline to online (Internet) health information sources; over half across all segments use the Internet. More respondents communicate with providers offline compared with online. Most self-reported Internet users use online tools for health information, with privately insured respondents more likely to use new technologies. Unadjusted use rates differ across segments. Medicaid beneficiaries are more likely than the privately insured to share health information online, and Medicare beneficiaries are more likely than the privately insured to text with health professionals. After adjustment, these differences were minimal (e.g., Medicare beneficiaries had odds similar to the privately insured of online physician consultations), or the direction of the association reversed (e.g., Medicaid beneficiaries had greater odds than the privately insured of online physician consultations versus lower odds before adjustment). Discussion Few adults report eHealth or mHealth use in 2012. Use levels appear unevenly distributed across insurance types, which could be mostly attributed to differences in individual traits and/or need. As out-of-pocket costs of medical care increases, consumers may increasingly turn to these generally free electronic health tools. PMID:25383242

Saulsberry, Loren; Price, Mary; Hsu, John

2014-01-01

416

[Mapping of information on worker's health].  

PubMed

Geographic studies and spatial analyses have been recognized in Brazilian public health papers. It is still, however, very little explored by researchers. In a survey of the leading scientific journals covering issues related to Brazilian worker's health, we found the predominant use of charts and tables as a way to organize and present results with a small number of maps. This survey was conducted by examining all papers published in four journals, covering the period from 1967 to 2009 (Revista de Saúde Pública, Cadernos de Saúde Pública, Revista Saúde e Sociedade, and Revista Brasileira de Epidemiologia). After analyzing the set of papers selected for the study, the papers that used maps were given special attention. The tools of geoprocessing and geostatistics with GIS support, although little used, open new possibilities to use thematic cartography in the field of workers' health. However, it is recommended that editors of scientific journals have detailed technical standards as well as specific reports for the publication of cartographic figures aimed at facilitating the modifications necessary for the improvement of the visual quality of maps and of the spatial correlations through cartography. PMID:21180847

Guimarães, Raul Borges; Ribeiro, Helena

2010-12-01

417

A Regional Health Information Exchange: Architecture and Implementation  

PubMed Central

The MidSouth eHealth Alliance’s health information exchange in Memphis, Tennessee provides access to data on almost 1 million individuals. The effort is the product of a comprehensive, integrated approach to technology and policy that emphasizes patient-centered use, low-cost, flexibility, and rigorous privacy and confidentiality policies and practices. It is used in emergency departments and other clinical settings. This paper provides a high-level overview of the system and its use. The early anecdotal success of this effort and preliminary formal clinical and financial evaluation suggest that health information exchanges can improve care at relatively low cost. PMID:18999138

Frisse, Mark E.; King, Janet K.; Rice, Will B.; Tang, Lianhong; Porter, Jameson P.; Coffman, Timothy A.; Assink, Michael; Yang, Kevin; Wesley, Monroe; Holmes, Rodney L.; Gadd, Cynthia; Johnson, Kevin B.; Estrin, Vicki Y.

2008-01-01

418

Social internet sites as a source of public health information.  

PubMed

Social media websites, such as YouTube, Facebook, MySpace, Twitter, and Second Life are rapidly emerging as popular sources of health information especially for teens and young adults. Social media marketing carries the advantages of low cost, rapid transmission through a wide community, and user interaction. Disadvantages include blind authorship, lack of source citation, and presentation of opinion as fact. Dermatologists and other health care providers should recognize the importance of social media websites and their potential usefulness for disseminating health information. PMID:19254656

Vance, Karl; Howe, William; Dellavalle, Robert P

2009-04-01

419

Determinants of consumer-driven healthcare : Self-confidence in information search, health literacy, and trust in information sources  

Microsoft Academic Search

Purpose – This study aims to examine the relationships between consumer self-confidence in health information search and health-related outcomes (i.e. knowledge about cancer prevention, healthcare behavior, and use of the web as a primary source for health information). The associations between self-confidence in health information search and its predictors (i.e. health literacy and trust in health information sources) are explored

Sejin Ha; Yun Jung Lee

2011-01-01

420

It's not all about me: motivating hand hygiene among health care professionals by focusing on patients.  

PubMed

Diseases often spread in hospitals because health care professionals fail to wash their hands. Research suggests that to increase health and safety behaviors, it is important to highlight the personal consequences for the actor. However, because people (and health care professionals in particular) tend to be overconfident about personal immunity, the most effective messages about hand hygiene may be those that highlight its consequences for other people. In two field experiments in a hospital, we compared the effectiveness of signs about hand hygiene that emphasized personal safety ("Hand hygiene prevents you from catching diseases") or patient safety ("Hand hygiene prevents patients from catching diseases"). We assessed hand hygiene by measuring the amount of soap and hand-sanitizing gel used from dispensers (Experiment 1) and conducting covert, independent observations of health care professionals' hand-hygiene behaviors (Experiment 2). Results showed that changing a single word in messages motivated meaningful changes in behavior: The hand hygiene of health care professionals increased significantly when they were reminded of the implications for patients but not when they were reminded of the implications for themselves. PMID:22075239

Grant, Adam M; Hofmann, David A

2011-12-01

421

Reviewing and reforming policy in health enterprise information security  

NASA Astrophysics Data System (ADS)

Health information management policies usually address the use of paper records with little or no mention of electronic health records. Information Technology (IT) policies often ignore the health care business needs and operational use of the information stored in its systems. Representatives from the Telemedicine & Advanced Technology Research Center, TRICARE and Offices of the Surgeon General of each Military Service, collectively referred to as the Policies, Procedures and Practices Work Group (P3WG), examined military policies and regulations relating to computer-based information systems and medical records management. Using a system of templates and matrices created for the purpose, P3WG identified gaps and discrepancies in DoD and service compliance with the proposed Health Insurance Portability and Accountability Act (HIPAA) Security Standard. P3WG represents an unprecedented attempt to coordinate policy review and revision across all military health services and the Office of Health Affairs. This method of policy reform can identify where changes need to be made to integrate health management policy and IT policy in to an organizational policy that will enable compliance with HIPAA standards. The process models how large enterprises may coordinate policy revision and reform across broad organizational and work domains.

Sostrom, Kristen; Collmann, Jeff R.

2001-08-01

422

Using Focus Groups to Adapt Ethnically-Appropriate, Information-Seeking and Recruitment Messages for a Prostate Cancer Screening Program for Men at High Risk  

PubMed Central

Purpose To adapt ethnically appropriate radio and newspaper messages in order to increase information seeking and recruitment to a high risk Prostate Cancer Risk Assessment Program (PRAP) using input from focus groups. Methods We conducted 4 gender-and ethnic specific- focus groups composed of up to 8 participants each. Group participants ranged in age from 35-69 and were either at risk for prostate cancer or were married to someone at risk. Participants evaluated both print and radio advertisements for a PRAP media recruitment campaign and their recommendations were used to adapt the advertisements. Results “Trigger words”, e.g., “research program” were found to be a particular issue for African American men who cited concerns about “experimentation”, while the other groups cited concerns about time commitments and cost. In the print messages, familial themes garnered an overall favorable response, but Caucasian American (CAs) participants responded negatively to the use of photos of age appropriate models. Conclusion Focus groups are useful in checking health professional assumptions about health messages prior to developing awareness or recruitment advertisements or materials. There was an implied preference for “younger” models among CAs. Radio and print messages were adapted using the focus group recommendations, i.e,. focusing on familial themes, adding race specific risk estimates, and using younger-than-target group models. PMID:18595569

Bryan, Charlene J.; Wetmore-Arkader, Lindsay; Calvano, Tammy; Deatrick, Janet A.; Giri, Veda N.; Bruner, Deborah Watkins

2009-01-01

423

PATIENT AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION  

E-print Network

of the disclosure of your patient records: or Check here if it is for your own personal use . If applicable, IPATIENT AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION PATIENT INFORMATION Patient Name Medical Record # Date of Birth Phone # ( ) Patient Address Patient E-Mail Address

Feschotte, Cedric

424

Managing animal health status information in the cattle market  

Microsoft Academic Search

The paper analyses the problem of information in the cattle market, particularly as it relates to the status of animal health, and discusses ways to limit it with the view to improving social surplus. Against this background, it aims to achieve three major objectives. Firstly, it describes the ways of improving the level of information through such schemes as Conventional

Olivier Rat-Aspert; Habtu T. Weldegebriel; Alistair W. Stott; C. Fourichon

2008-01-01

425

Consumer Health Information: the Role of Breast Cancer Associations  

Microsoft Academic Search

Background. Providing information for patients is currently a growth need for health professionals, medical journals, and consumer associations. Despite several patients or consumers associations being active in Italy, scarce evidence is available on the volume and type of activities carried out. A national survey was carried out to investigate the volume and the nature of phone requests for information addressed

Paola Mosconi

2002-01-01

426

Perspectives on Information Science and Health Informatics Education.  

ERIC Educational Resources Information Center

This theoretical discussion of what information science can contribute to the health professions addresses questions of definition and describes application and knowledge models for the emerging profession of informatics. A review of existing programs includes curriculum models and provides details on informatics programs emphasizing information

Lunin, Lois F., Ed.; Ball, Marion J., Ed.

1989-01-01

427

Health care librarians and information literacy: an investigation.  

PubMed

Until relatively recently, the concept of information literacy, and teaching the skills to enable it, was mainly a concern of academic libraries. Now, it is also seen to be of high importance within the context of health care libraries. Health care libraries and librarians can provide crucial support towards the implementation of evidence-based practice in patient care through both information literacy skills training and by conducting mediated searches on behalf of health care practitioners. This article reports the findings from an investigation conducted by Charlotte Kelham as part of her MA in Librarianship from the University of Sheffield. Her dissertation investigated how health care librarians understand the concept of information literacy, the implications of this for their role and their perceptions around how their role is valued. Charlotte graduated from Sheffield in 2013 and is currently job hunting. AM. PMID:25155981

Kelham, Charlotte

2014-09-01

428

Smart cards and their opportunities for controlling health information systems.  

PubMed

The specification for a Chip Card-Based Medical Information System (CCMIS) for the treatment of patients with chronic diseases was developed to improve the communication in Health Care. Diabetes, which is a 'typical' chronic disease was chosen as an example. Patients with chronic diseases are treated at all levels of health care and in various health care sectors. Having a Portable Personal Medical Record (PPMR) on a chip card means that the necessary information of the patient is available at any time. Such a communication tool will thus have an important impact on the quality of health care and also contribute to cost reduction of European health budgets. As the main issues of the CCMIS the data security, data protection and privacy have been integrated. The system architecture allows an implementation into different networking environments and is covered by approved standards. A demonstrator has been developed to show medical applications and the security aspects. PMID:8188409

Kühnel, E; Klepser, G; Engelbrecht, R

1994-02-01

429

Your Protected Health Information (PHI) Uses or Disclosures of Your PHI  

E-print Network

: public health activities, reporting to social services Your Protected Health Information (PHI) Uses or Disclosures of Your PHI Your PHI is protected health care entities, which includes health care providers (such as hospitals and physicians), health

Weston, Ken

430

42 CFR 51.46 - Disclosing information obtained from a provider of mental health services.  

Code of Federal Regulations, 2012 CFR

42 Public Health 1 2012-10-01 2012-10-01 false Disclosing information obtained from a provider of mental health services. 51.46 Section 51.46 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH...

2012-10-01

431

42 CFR 51.46 - Disclosing information obtained from a provider of mental health services.  

Code of Federal Regulations, 2013 CFR

42 Public Health 1 2013-10-01 2013-10-01 false Disclosing information obtained from a provider of mental health services. 51.46 Section 51.46 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH...

2013-10-01

432

42 CFR 51.46 - Disclosing information obtained from a provider of mental health services.  

Code of Federal Regulations, 2011 CFR

42 Public Health 1 2011-10-01 2011-10-01 false Disclosing information obtained from a provider of mental health services. 51.46 Section 51.46 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH...

2011-10-01

433

42 CFR 51.46 - Disclosing information obtained from a provider of mental health services.  

Code of Federal Regulations, 2010 CFR

42 Public Health 1 2010-10-01 2010-10-01 false Disclosing information obtained from a provider of mental health services. 51.46 Section 51.46 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH...

2010-10-01

434

Children's Mental Health Care following Hurricane Katrina: A Field Trial of Trauma-Focused Psychotherapies  

PubMed Central

New Orleans school children participated in an assessment and field trial of two interventions 15 months after Hurricane Katrina. Children (N = 195) reported on hurricane exposure, lifetime trauma exposure, peer and parent support, posttraumatic stress disorder (PTSD), and depressive symptoms. Teachers reported on behavior. At baseline, 60.5% screened positive for PTSD symptoms and were offered a group intervention at school or individual treatment at a mental health clinic. Uptake of the mental health care was uneven across intervention groups, with 98% beginning the school intervention, compared to 37% beginning at the clinic. Both treatments led to significant symptom reduction of PTSD symptoms but many still had elevated PTSD symptoms at post treatment. Implications for future postdisaster mental health work are discussed. PMID:20419730

Jaycox, Lisa H.; Cohen, Judith A.; Mannarino, Anthony P.; Walker, Douglas W.; Langley, Audra K.; Gegenheimer, Kate L.; Scott, Molly; Schonlau, Matthias

2010-01-01

435

76 FR 625 - Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity...  

Federal Register 2010, 2011, 2012, 2013

...Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction...Activity: Comment Request AGENCY: Veterans Health Administration, Department of...this notice announces that the Veterans Health Administration, Department...

2011-01-05

436

75 FR 62636 - Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity...  

Federal Register 2010, 2011, 2012, 2013

...Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction...Activity: Comment Request AGENCY: Veterans Health Administration, Department of...SUMMARY: The Veterans Health Administration (VHA),...

2010-10-12

437

An Internet health care information resources server as a component of a statewide medical information network.  

PubMed

A health care information server utilizing Internet resource discovery technology is presented as a component of a statewide medical information network. The development of an information server, including the development process and its design and operation, is presented. Menu design and implementation, which involved providing access to information resources in support of the tasks that make up the health care delivery process, are described. The potential impact of this technology on the health care delivery process is explored, and ways in which access to information can be facilitated and matched with the information needs of the various health care delivery tasks are identified. Issues associated with the use of public domain information resources are discussed, including control over Internet resources, access to information resources, network operational delays, client connection and software availability, information quality, and menu navigation. This project has demonstrated that Internet information resources exist that match the information needs of the tasks that make up the health care delivery process. Positive response has been received from physicians after initial utilization of the server in a stand-alone context. In the future, more applications will integrate the vast information resources on the Internet with traditional computing systems. PMID:10144370

McColligan, E E; Samuell, R L; Jones, W T; Moon, W A; Pretnar, S Z; Johns, M L

1995-08-01

438

Privacy & Information Security Student Health Services  

E-print Network

not left unattended visibly on top of counters or desks. Patient information is not shared with others of Disclosures January 2011/2014 8. Performance Measures for EHR TBA ­ enhanced reimbursement rate 8 #12;HITECH Breach Notification Law ­ Effective Sept 2009 Applies to all electronic "unsecured PHI" Requires

Qian, Ning

439

Michigan State University Health Information Technology  

E-print Network

Site, you may be asked for a credit card number. Unless otherwise noted on the Site, credit card transactions are encrypted and the server that processes #12;your credit card information is secure system. This Site complies with the Payment Card Industry Data Security Standard. Updating Personal

440

Identifying preferences for mobile health applications for self-monitoring and self-management: Focus group findings from HIV-positive persons and young mothers  

PubMed Central

Objective Self-management of risk behaviors is a cornerstone of future population health interventions. Using mobile phones for routine self-monitoring and feedback is a cost-efficient strategy for self-management and ecological momentary interventions (EMI). However, mobile health applications need to be designed to be highly attractive and acceptable to a broad range of user groups. To inform the design of an adaptable mobile health application we aimed to identify the dimensions and range of user preferences for application features by different user groups. Methods Five focus group interviews were conducted: two (n = 9; n = 20) with people living with HIV (PLH) and three with young mothers (n = 6; n = 8; n = 10). Thematic analyses were conducted on the focus group sessions’ notes and transcripts. Results Both groups considered customization of reminders and prompts as necessary, and goal setting, motivational messaging, problem solving, and feedback as attractive. For PLH, automated and location-based reminders for medication adherence and sharing data with healthcare providers were both acceptable and attractive features. Privacy protection and invasiveness were the primary concerns, particularly around location tracking, illegal drug use, and sexual partner information. Concerns were ameliorated by use scenario or purpose, monetary incentives, and password protection. Privacy was not a major concern to mothers who considered passwords burdensome. Mothers’ preferences focused on customization that supports mood, exercise and eating patterns, and especially using the mobile phone camera to photograph food to increase self-accountability. Conclusions Individualization emerged as the key feature and design principle to reduce user burden and increase attractiveness and acceptability. Mobile phone EMI uniquely enables individualization, context-aware and real-time feedback, and tailored intervention delivery. PMID:22704234

Ramanathan, Nithya; Swendeman, Dallas; Comulada, W. Scott; Estrin, Deborah; Rotheram-Borus, Mary Jane

2012-01-01

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