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Last update: August 15, 2014.
1

Quality and integration of public health information systems: A systematic review focused on immunization and vital records systems  

PubMed Central

Objectives: Public health professionals rely on quantitative data for the daily practice of public health as well as organizational decision making and planning. However, several factors work against effective data sharing among public health agencies in the US. This review characterizes the reported barriers and enablers of effective use of public health IS from an informatics perspective. Methods: A systematic review of the English language literature for 2005 to 2011 followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) format. The review focused on immunization information systems (IIS) and vital records information systems (VRIS). Systems were described according to the structural aspects of IS integration and data quality. Results: Articles describing IIS documented issues pertaining to the distribution of the system, the autonomy of the data providers, the heterogeneous nature of information sharing as well as the quality of the data. Articles describing VRIS were focused much more heavily on data quality, particularly whether or not the data were free from errors. Conclusions: For state and local practitioners to effectively utilize data, public health IS will have to overcome the challenges posed by a large number of autonomous data providers utilizing a variety of technologies.

Vest, Joshua R; Kirk, Hilary M; Issel, L Michele

2012-01-01

2

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

ERIC Educational Resources Information Center

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

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

2007-01-01

3

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

PubMed Central

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

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

2012-01-01

4

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

Microsoft Academic Search

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

Neil M Pakenham-Walsh; Frederick Bukachi

2009-01-01

5

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.

Pakenham-Walsh, Neil; Bukachi, Frederick

2009-01-01

6

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 ...

7

Connecting for Health Literacy: Health Information Partners  

PubMed Central

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

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

2010-01-01

8

[Dengue prevention: focus on information].  

PubMed

The first three months of 2002 witnessed a dengue epidemic in the State of Rio de Janeiro. At that time, health authorities encouraged community participation in the elimination of vector breeding sites. For this campaign, a great quantity of information about the disease was extensively publicized in order to guide the population's preventive action. This paper analyzed the three pamphlets most widely distributed at that time in Rio de Janeiro city considering that this information contributed to the construction of disease representation and its prevention. It was observed that even though this information was provided repeatedly it must be revised. PMID:15334270

Lenzi, Márcia de Freitas; Coura, Lea Camillo

2004-01-01

9

Urban Health: Sharpening the Focus.  

National Technical Information Service (NTIS)

The diverse health conditions and problems of urban populations were explored at a workshop convened in June 1991 by the Agency for International Development's (A.I.D.'s) Office of Health. The report on the workshop summarizes: (1) an introductory paper o...

1991-01-01

10

Diffusion of new technology, health services and information after a crisis: a focus group study of the Sichuan "5.12" Earthquake.  

PubMed

INTRODUCTION: The Sichuan "5.12" Earthquake in 2008 occurred in a relatively underdeveloped area in China. The rainy weather, the mountainous environment and the local languages all posed major challenges to the dissemination of information and services after the disaster. By adopting a communication perspective, this study applies the diffusion of innovations theory to investigate how healthcare professionals diffused health technologies, health information and services during the rescue and relief operation. METHOD: The authors conducted three focus group sessions with the health professionals who had attended to the rescue and relief work of the Sichuan "5.12" Earthquake in 2008. A range of questions regarding the diffusion of innovations were asked during these sessions. RESULTS: The health professionals used their cell phones to communicate with other healthcare providers, disseminated knowledge of health risks and injuries to affected residents with pamphlets and posters and attended daily meetings at the local government offices. They reported on the shortage of maritime satellite cell phones and large-size tents for medical use, and the absence of fully equipped ambulances. Volunteers, local health professionals and local officials provided health information and services in different ways. However, the diffusion of health information and services was less likely to reach those living next to transportation centers, in remote areas and in disaster areas neglected by the media. DISCUSSION: New communication devices such as cell phones and the mobile Internet enabled medical professionals to coordinate the rescue and relief work after this major natural disaster, at a time when the country's emergency response system still had plenty of room for improvement. In future, the mobile Internet should be used as a means of collecting bottom-up disaster reports so that the media will not neglect any disaster areas as they did during the Sichuan Earthquake. Rescue relief work would have been substantially easier if medical teams had been equipped with advanced appliances such as maritime satellite cell phones. "Disaster medicine" should be treated as a separate discipline in medical schools and receive more investment. Moreover, a stronger public health emergency response system is needed for more efficient dispatch and coordination. Copyright © 2012 John Wiley & Sons, Ltd. PMID:22865745

Zhou, Hong; Shi, Lu; Mao, Yuping; Tang, Juan; Zeng, Yu

2012-08-01

11

Costs And Benefits Of Health Information Technology: New Trends From The Literature Since 2005, patient-focused applications have proliferated, but data on their costs and benefits remain sparse  

Microsoft Academic Search

To understand what is new in health information technology (IT), we updated a systematic review of health IT with studies published during 2004-2007. From 4,683 titles, 179 met inclusion criteria. We identified a proliferation of patient-focused applications al- though little formal evaluation in this area; more descriptions of commercial electronic health records (EHRs) and health IT systems designed to run

Caroline Lubick Goldzweig; Ali Towfigh; Margaret Maglione; Paul G. Shekelle

12

Focus on School Health. MCH Program Interchange.  

ERIC Educational Resources Information Center

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

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

13

Connecting for health literacy: health information partners.  

PubMed

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

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

2010-01-01

14

Discovering Focused Information and Mining Information Focus Based on Isomorphic Information Temperature  

Microsoft Academic Search

At present the problems that people want to solve anxiously are: facing the huge information data pool, how to carry on the effective data mining; in the highly dynamic information source which is the standard to the importance of the information and the degree paid attention to, how to seek the ldquofocusrdquo (namely focus information) from the society, the economy,

Zhou Qihai; Huang Tao; Zhang Yuanxin; Wu Hongyu; Li Zhongjun; Lin Xun

2008-01-01

15

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

16

Connecting for Health Literacy: Health Information Partners  

Microsoft Academic Search

This article describes a community-based health informa- tion partnership to address health literacy and health information inequalities in marginalized communities. Public health, medical, literacy, and library practitioners promote health literacy through outreach, training, and professional development activities in community set- tings. They create learning environments for people to develop the necessary knowledge and skills to better understand health information and

Karyn L. Pomerantz; Abdul-Ali Muhammad

2008-01-01

17

Application of Information Technology: Promoting Health Literacy  

Microsoft Academic Search

This report reviews some of the extensive literature in health literacy, much of it focused on the intersection of low literacy and the understanding of basic health care information. Several articles describe methods for assessing health literacy as well as methods for assessing the readability of texts, although generally these latter have not been developed with health materials in mind.

Alexa T. McCray

2005-01-01

18

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.

19

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

20

Informed consent and public health.  

PubMed Central

During the past 25 years, medical ethics has concentrated largely on clinical medicine and the treatment of individual patients. This focus permits a view of medical provision as a (quasi-) consumer good, whose distribution can be or should be contingent on individual choice. The approach cannot be extended to public health provision. Public health provision, including measures for limiting the spread of infectious diseases, is a public good and can be provided for some only if provided for many. The provision or non-provision of public goods cannot be contingent on individual informed consent, so must be in some respects compulsory. An adequate ethics of public health needs to set aside debates about informed consent and to consider the permissible limits of just compulsion for various types of public good. It will therefore gain more from engaging with work in political philosophy than with individualistic work in ethics.

O'Neill, Onora

2004-01-01

21

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

22

Men's health focus at Notre Dame  

Microsoft Academic Search

The June meeting of the Notre Dame Primary Health Research unit was held at the School of Medicine, The University of Notre Dame Australia, Fremantle, to coincide with International Men’s Health Week.\\u000aThe theme of the meeting was Men’s Health in Primary Care. The Notre Dame research meetings are part of a federal government funded strategy to build and support

Michelle Ebbs

2007-01-01

23

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

Code of Federal Regulations, 2012 CFR

... false Standards for health information technology to protect electronic health information created...HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2012-10-01

24

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

Code of Federal Regulations, 2011 CFR

... false Standards for health information technology to protect electronic health information created...HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2011-10-01

25

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

26

Creating Health-Focused Academic Community Partnerships.  

ERIC Educational Resources Information Center

Partnerships with communities help universities respond to contemporary societal issues, enrich educational experiences, and offer opportunities for research and faculty service. At Georgia State University, three health-related programs link campus and community in projects for grandparents raising grandchildren, migrant farm workers, and…

Gaines, Sherry K.; Kelley, Susan J.; Spencer, Lorine

1997-01-01

27

Health and Young Children. Focus on Fitness  

ERIC Educational Resources Information Center

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

Ludwig, David

2006-01-01

28

Information theoretic measure for ISAR imagery focusing  

NASA Astrophysics Data System (ADS)

A high-resolution spectral analysis algorithm with application to ISAR (inverse synthetic aperture radar) imaging is proposed in this paper. The ISAR imaging is induced by target motion, which in turn causes time varying spectrum of reflected signals from the target. During the imaging time, the scatterers must remain in their range cells. Optimal Integration Angle need to be estimated to prevent defocusing in cross-range. In order to measure the evolution of spectra, we propose a new information divergence measure based on Renyi entropy. A detailed discussion reveals many of the desirable properties of this new Jensen-Renyi divergence measure. When applied in inspecting time-frequency representation of reflected signals, optimal integration angle can be obtained to produce a well focused and high resolution ISAR image.

He, Yun; Hamza, A. Ben; Krim, A. Hamid; Chen, Victor C.

2000-11-01

29

Public Health Practice within a Health Information Exchange: Information Needs and Barriers to Disease Surveillance  

PubMed Central

Introduction: Public health professionals engage in frequent exchange of health information while pursuing the objectives of protecting and improving population health. Yet, there has been little study of the information work of public health workers with regard to information exchange. Our objective was to gain a better understanding of information work at a local health jurisdiction before and during the early stages of participation in a regional Health Information Exchange. Methods: We investigated the information work of public health workers engaged in disease surveillance activities at a medium-sized local health jurisdiction by conducting semi-structured interviews and thematically analyzing interview transcripts. Results: Analysis of the information work of public health workers revealed barriers in the following areas: information system usability; data timeliness, accuracy and completeness; and social interaction with clients. We illustrate these barriers by focusing on the work of epidemiologists. Conclusion: Characterizing information work and barriers to information exchange for public health workers should be part of early system design efforts. A comprehensive understanding of the information practice of public health workers will inform the design of systems that better support public health work.

Reeder, Blaine; Revere, Debra; Hills, Rebecca A; Baseman, Janet G; Lober, William B

2012-01-01

30

National Institutes of Health: Health Information  

NSDL National Science Digital Library

The Health Information portion of the National Institutes of Health website covers a wide range of topics. This consumer-oriented site includes Quick Links, on the left side of the page, to such topics as "Child & Teen Health", "Men's Health", "Minority Health", and "Seniors' Health". To browse health categories, the visitor can browse several different ways. They can browse under "Body Location/Systems", "Conditions/Diseases", "Procedures", and "Health and Wellness". On the left side of the page the visitor can also choose to search for Health Topics alphabetically and for those more inclined toward audio learning, visitors can listen to NIH Radio by clicking on "MP3 audio reports" on the right side of the page. The Research in Action feature in the top middle of the page offers insight into how humans hear. Just click on the picture above Research in Action to be taken to the article. For visitors who just can't find what they need on the Health Information site, there are a slew of Related Links near the bottom of the page, including Health Information on the Web, Health Newsletters, Health Databases, and Federal Health Agencies.

31

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

32

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

33

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...

34

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

35

National Health Information Center-Health Information Resource Database  

NSDL National Science Digital Library

The National Health Information Center (NHIC) was created by the Office of Disease Prevention and Health Promotion at the U.S. Department of Health and Human Services in 1979. A primary NHIC service is the Health Information Resource Database which "includes 1,400 organizations and government offices that provide health information upon request. Entries include contact information, short abstracts, and information about publication and services the organizations provide." Site visitors can link to the Resource Database search engine with fields for Title, Keyword, City, and State. Visitors can also locate organizations by linking to an extensive, alphabetic keyword list with subject categories for Arthritis, Child Care, HIV, Nutrition, Public Health, and many more.

36

Focus on Solid State Quantum Information  

Microsoft Academic Search

In the last few years quantum information has played an increasingly central role in the research activities of many scientists within wide ranging areas of physics, mathematics and computer science as it known to be more efficient than its classical counterpart. The impact and advantages of quantum information protocols emerge in numerous situations. In the case of cryptography, quantum dynamics

Rosario Fazio

2005-01-01

37

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

MedlinePLUS

... ?????? (Hindi) Bilingual PDF Health Information Translations Female Exam and Pap Smear ?????? (Hindi) Bilingual ... Hindi) Bilingual PDF Health Information Translations Urine Sample -- Female (Clean Catch) ?????? (Hindi) Bilingual PDF Health ...

38

The rise of a health-IT academic focus  

Microsoft Academic Search

Introduction The U.S. health care industry is catching up on its lagging information technology (IT) investment, and this trend has important ramifications for IT academics and practitioners. During the 1990s, investing in IT was a relatively low priority for hospitals and health systems, which faced fiscal constraints and pressing need to upgrade aging facilities. Now IT has come to be

E. Vance Wilson; Bengisu Tulu

2010-01-01

39

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

Microsoft Academic Search

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

Don E Detmer

2003-01-01

40

Health & Nutrition Information for Pregnant & Breastfeeding Women  

MedlinePLUS

... More Information for Pregnant and Breastfeeding Women Health & Nutrition Information for Pregnant & Breastfeeding Women Health & Nutrition Information for Pregnant & Breastfeeding Women When you are ...

41

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

42

A focus on building information modelling.  

PubMed

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

Ryan, Alison

2014-03-01

43

Solution-focused approach therapy for mental health nursing students.  

PubMed

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

Evans, Nicola; Evans, Anne-Marie

44

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.

Bombak, Andrea E.; Bruce, Sharon G.

2012-01-01

45

Health information seeking in the information society.  

PubMed

This article is the second student contribution to the Dissertations into Practice feature. It reports on a study that investigated the everyday health information-seeking practices of a small group of the 'general public' and the implications for information-seeking theory and health information provision. The first student article, about the implementation of radio frequency identification (RFID) in a hospital library, was very different, and the two articles illustrate the broad spectrum of possible subjects for the Dissertations into Practice feature. This study was conducted in summer 2011 by Abir Mukherjee for his MSc dissertation in the Library and Information Sciences programme at City University London. Further information and copies of the full dissertation may be obtained from Abir Mukherjee or David Bawden. AM. PMID:22925387

Mukherjee, Abir; Bawden, David

2012-09-01

46

Health Information for Older People  

MedlinePLUS

... It's a decision to make with your doctor. Lasik and Other Vision-Correcting Surgeries: Health Information for Older People Most people who have had Lasik surgery are satisfied with the results, but there ...

47

Pathways to health: a framework for health-focused research and practice.  

PubMed

Public health research and practice is faced with three problems: 1) a focus on disease instead of health, 2) consideration of risk factor/disease relationships one at a time, and 3) attention to individuals with limited regard for the communities in which they live. We propose a framework for health-focused research and practice. This framework encompasses individual and community pathways to health while incorporating the dynamics of context and overall population vulnerability and resilience. Individual pathways to health may differ, but commonalities will exist. By understanding these commonalities, communities can work to support health-promoting pathways in addition to removing barriers. The perspective afforded by viewing health as a dynamic process instead of as a collection of risk factors and diseases expands the number of approaches to improving health globally. Using this approach, multidisciplinary research teams working with active community participants have the potential to reshape health and intervention sciences. PMID:17164004

Fleischer, Nancy L; Weber, Ann M; Gruber, Susan; Arambula, Karina Z; Mascarenhas, Maya; Frasure, Jessica A; Wang, Constance; Syme, S Leonard

2006-01-01

48

Pathways to health: a framework for health-focused research and practice  

PubMed Central

Public health research and practice is faced with three problems: 1) a focus on disease instead of health, 2) consideration of risk factor/disease relationships one at a time, and 3) attention to individuals with limited regard for the communities in which they live. We propose a framework for health-focused research and practice. This framework encompasses individual and community pathways to health while incorporating the dynamics of context and overall population vulnerability and resilience. Individual pathways to health may differ, but commonalities will exist. By understanding these commonalities, communities can work to support health-promoting pathways in addition to removing barriers. The perspective afforded by viewing health as a dynamic process instead of as a collection of risk factors and diseases expands the number of approaches to improving health globally. Using this approach, multidisciplinary research teams working with active community participants have the potential to reshape health and intervention sciences.

Fleischer, Nancy L; Weber, Ann M; Gruber, Susan; Arambula, Karina Z; Mascarenhas, Maya; Frasure, Jessica A; Wang, Constance; Syme, S Leonard

2006-01-01

49

Should we change the focus of health promotion in sexual health clinics?  

PubMed

In a response to the recent article by Rudiger Pitroff and Elizabeth Goodburn on changing the focus of health promotion in sexual health clinics, Crouch and Fagan draw attention to the confusion among practitioners between brief interventions in clinics (health education) and the actual nature and scope of sexual health promotion. The response refocuses attention on the Ottawa Charter for Health Promotion and on the social determinants of sexual health inequity as appropriate design drivers of a pilot initiative proposed by Pitroff and Goodburn to re-orient sexual health service provision around the real needs of its clients. PMID:21592448

Crouch, Alan; Fagan, Patricia

2011-06-01

50

Basic Information about Health Disparities in Cancer  

MedlinePLUS

... 2 Part 3 Part 4 Basic Information About Health Disparities in Cancer Health disparities are differences in the incidence, prevalence, and mortality ... According to CDC's Office of Minority Health and Health Disparities, life expectancy and overall health have improved in ...

51

[National public health information system].  

PubMed

Information production and its communication being a key public health activity, developing modern information systems is a precondition for its fulfilling these assignments. A national public health information system (NPHIS) is a set of human resources combined with computing and communication technologies. It enables data linkage and data coverage as well as undertaking information production and dissemination in an effective, standardized and safe way. The Croatian Institute of Public Health LAN/WAN modules are under development. Health Safety System, Health Workers Registry, and Digital Library are among the Institute's developmental priorities. Communication between NPHIS participants would unfold over the Internet by using every relevant data protection method. Web technology-based applications would be run on special servers. Between individual applications, use would be made of the transaction module of communication through an exchange of the HL7 standard-based xml messages. In the conditions of transition, the health system must make an optimal use of the resources, which is not feasible without applying modern information and communication technologies. PMID:16095199

Erceg, Marijan; Stevanovi?, Ranko; Babi?-Erceg, Andrea

2005-01-01

52

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

MedlinePLUS

... Health Information Translations How to Use an Insulin Pen ?? ??????????????? ??????????? ????? - ?????????? (Ukrainian) Bilingual PDF ... ?????? - ?????????? (Ukrainian) Bilingual PDF Health Information Translations PET (Positron Emission Tomography) Scan ???-?????????? (????????-???????? ...

53

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

MedlinePLUS

... ???????????? - ??????? (Russian) Bilingual PDF Health Information Translations Female Exam and Pap Smear ???????????????? ???????????? ? ????? ... Russian) Bilingual PDF Health Information Translations Urine Sample -- Female (Clean Catch) ?????? ????-??????? (?????? ?????) - ??????? ( ...

54

Health Information in Japanese (???): MedlinePlus  

MedlinePLUS

... ??? - ??? (Japanese) Bilingual PDF Health Information Translations Female Exam and Pap Smear ??????????? - ??? (Japanese) Bilingual ... Japanese) Bilingual PDF Health Information Translations Urine Sample -- Female (Clean Catch) ?????- ?? (???? ????) - ??? (Japanese) ...

55

Hospital administrator perceptions of health information managers as future leaders in health care reform.  

PubMed

The article examines hospital administrators' perceptions of health information professionals moving into leadership positions within health care organizations. Data for this study were collected from a national random sample of hospital administrators (N = 62). Findings from the study suggest that, although health information managers are viewed as integral to the success of the health care organization, health information managers are perceived as lacking appropriate educational training to move into administrative or leadership positions. For the health information professional to move into a leadership position, educational training (at the master's level) must focus on quality management, statistical process control, and performance evaluation. PMID:10140307

Rudman, W J; Kearns, L

1995-02-01

56

Older inmates' pursuit of good health: a focus group study.  

PubMed

Many 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 older inmates. Elderly prisoners are likely to live in small, tight quarters with other inmates; have chronic health conditions; and encounter multiple barriers to health promotion. Using focus groups, data on perceived challenges to health promotion and self-care strategies were collected from 42 male inmates 50 and older. Cost issues, prison personnel and policies, food concerns, fellow inmates, and personal barriers challenged older inmates' abilities to maintain their health in prison. However, they did engage in 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. Development and testing of programs to enhance inmates' self-management of chronic conditions and to facilitate health promotion are in order. PMID:20795581

Loeb, Susan J; Steffensmeier, Darrell

2011-07-01

57

Health Information Text Characteristics  

PubMed Central

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

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

2006-01-01

58

A focused web crawler face stock information of financial field  

Microsoft Academic Search

This paper introduces frequently used search algorithm for web crawler and presents a search algorithm for focused web crawler based on artificial neural network and Shark-Search algorithm. We implement focused web crawler faced stock information of financial field. The crawler can identify the topic web page well. The results of experiment show that the crawler has high precision and good

Li Peng; Teng Wen-Da

2010-01-01

59

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

Federal Register 2010, 2011, 2012, 2013

...of the National Coordinator for Health Information Technology; Health Information Technology; HIT Policy Committee: Request for Comment...Health Records (EHRs) AGENCY: Health Information Technology (HIT) Policy Committee, Office of...

2012-11-26

60

The Health Information Technology Workforce  

PubMed Central

Background There is increasing recognition that a competent and well-trained workforce is required for successful implementation of health information technology. Methods New and previous research was gathered through literature and Web searching as well as domain experts. Overall themes were extracted and specific data collated within each. Results There is still a paucity of research concerning the health information technology workforce. What research has been done can be classified into five categories: quantities and staffing ratios, job roles, gaps and growth, leadership qualifications, and education and competencies. From several countries it can be seen that substantial numbers of individuals are needed with diverse backgrounds and competencies. Conclusions Additional research is necessary to determine the optimal organization and education of the health information technology workforce.

Hersh, W.

2010-01-01

61

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

62

Employers and Health Information in the Workplace  

MedlinePLUS

... How to File a Complaint Employers and Health Information in the Workplace The Privacy Rule controls how ... or covered health care provider discloses protected health information to an employer, including your manager or supervisor. ...

63

75 FR 76986 - Office of the National Coordinator for Health Information Technology; Health Information...  

Federal Register 2010, 2011, 2012, 2013

...of the National Coordinator for Health Information Technology; Health Information Technology; Request for Information Regarding the...Realizing the Full Potential of Health Information Technology To Improve Healthcare for...

2010-12-10

64

Mental health nursing from a solution focused perspective.  

PubMed

Solution focused therapy (SFT) is a relatively new and increasingly popular model of brief intervention in mental health care. The central assertion of SFT is that the individual's problem or difficulty (and its cause) need not determine the direction in which the discussion proceeds. Instead the role of the SFT practitioner is to identify what the individual wants to be different and then to explore and elaborate on that difference. This paper outlines the principles of SFT and highlights the compatibility of this approach with the core values of nursing practice. Specific strategies and techniques used in SFT are detailed with clinical examples to illustrate the application of SFT to mental health nursing practice. A summary of current research outcomes and future prospects for SFT in clinical practice and education is also presented. PMID:20550645

Wand, Timothy

2010-06-01

65

Health Planning: Public Information Catalog.  

National Technical Information Service (NTIS)

Virtually every health planning agency has produced public information and education materials of one type or another. Most agencies, however, rarely find out about the work of other agencies. Since many of the subjects covered are of interest to a large ...

1981-01-01

66

Internet Use for Health Information  

MedlinePLUS

... 11/02/12. 2 Pew Research Center. The Social Life of Health Information, 2011 . Accessed 11/02/12. Graphs This image is described in the Data section . This image is described in the Data section . Data Adults Aged 18 and Older Who Used the Internet for ...

67

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.

Sundwall, David; Lenert, Michael Edward

2012-01-01

68

Pacific child health indicator project: information for action.  

PubMed

The Pacific Child Health Indicator Project (CHIP) is a clinician-led project with the primary objective of improving child health in the Pacific through effective health information, effective clinical governance and decision support. The project was developed by Pacific Paediatricians who were concerned at the disconnect between front-line paediatrics and health information systems and policy. The project initially worked with health services in Samoa and Tonga. Its focus was to develop functional child health information that effectively reflected the priority clinical issues facing children in Samoa and Tonga. In addition to baseline and trends in indicators and health information for priority child health conditions, a project focus has been on policy implications and the development of "Best Bets" for health service intervention. The methodology is inclusive and country driven, building on existing collegial working relationships between the principal investigators (Dr Percival, Dr Fakakovi and Dr Fatupaito-Maru) and in-country health sectors. Through the development of robust child health information the project will provide a baseline platform to assist clinicians, health services, Ministries, non-government organisations and donors respond to the burden of disease for children. PMID:23240357

2012-04-01

69

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

MedlinePLUS

... ?????? ???????? - ??????? Bilingual PDF Health Information Translations Female Exam and Pap Smear (Arabic) ??????? Bilingual PDF ... ??????? Multimedia Healthy Roads Media Women's Health Checkup Female Exam and Pap Smear (Arabic) ??????? Bilingual PDF ...

70

Focus information is used to interpret binocular images  

PubMed Central

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

Hoffman, David M.; Banks, Martin S.

2011-01-01

71

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

Code of Federal Regulations, 2013 CFR

...decryption of electronic health information â(1...Processing Standards (FIPS) Publication 140-2, (January...related to electronic health information. The...hashing of electronic health information. Any...Annex A of the FIPS Publication 140-2...

2013-10-01

72

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

PubMed

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

Mæstad, Ottar; Mwisongo, Aziza

2011-02-01

73

The impact of health information technology on the quality of medical and health care: a systematic review  

Microsoft Academic Search

The aim of this study was to systematically review the published evidence of the impact of health information technology (HIT) or health information systems (HIS) on the quality of healthcare, focusing on clinicians' adherence to evidence-based guidelines and the corresponding impact this had on patient clinical outcomes. The review covered the use of health information technologies and systems in both

Aziz Jamal; Kirsten McKenzie; Michele Clark

2009-01-01

74

The roles of regulatory focus and medical recommendation avatars' trustworthiness in virtual environment-based e-health.  

PubMed

This study examined the influence of regulatory focus and medical recommendation avatars' trustworthiness in avatar-based e-health within 3D virtual environments (VEs). Drawing on Higgins's regulatory focus theory and the existing literature on self-construal, a 2 x 2 (regulatory focus: promotion vs. prevention by interdependent self-construal: low vs. high) between-participants factorial design experiment tested the moderating role of health consumers' interdependent self-construal in determining the effects of regulatory focus in VE-based e-health. Results showed an interaction effect of regulatory focus and interdependent self-construal such that VE users with a dominant interdependent self-construal indicated greater issue familiarity and involvement when exposed to a prevention-focused e-health intervention than when exposed to a promotion-focused e-health intervention, whereas the effects of regulatory focus on issue familiarity and involvement among users low in interdependent self-construal demonstrated the opposite pattern. A path analysis further revealed that VE users' evaluation of a medical recommendation avatar's trustworthiness mediated the effects regulatory focus had on their perceived informational and educational values of the health messages. Theoretical contributions and practical implications for VE-based e-health applications are discussed. PMID:20712505

Jin, Seung-A Annie

2010-08-01

75

Online Health Information: Can You Trust It?  

MedlinePLUS

... thinking about. How do I find reliable health information online? As a rule, health websites sponsored by ... remember to talk with your doctor. For More information Here are some helpful Federal and non-Federal ...

76

Pathway to Support the Sustainable National Health Information System  

NASA Astrophysics Data System (ADS)

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

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

77

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

Detmer, Don E

2003-01-01

78

Evaluating Online Sources of Health Information  

MedlinePLUS Videos and Cool Tools

... 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 MD, DO, or PhD) review the information before it gets ... Online health information sources should show you when the information ...

79

Mental Health Services for Children; Focus: The Community Mental Health Center.  

ERIC Educational Resources Information Center

The need to help the emotionally disturbed is discussed with a focus on community mental health centers. Psychiatric services described are diagnosis, inpatient care, day care, outpatient care, emergency care, continuity of care and services, and care adjusted to age groupings ranging from infancy to adolescence. Aspects of the community goal of…

National Inst. of Mental Health (DHEW), Rockville, MD. Center for Studies of Child and Family Mental Health.

80

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.

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

2010-01-01

81

Health information seeking behaviors of ethnically diverse adolescents.  

PubMed

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

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

2014-08-01

82

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.

Barman-Adhikari, Anamika; Rice, Eric

2012-01-01

83

Patient Health Information Management: Searching for the Right Model  

PubMed Central

Accurate and timely health information is a crucial element in the medical decision making process during a medical encounter. Inadequate or misleading patient health information can lead to medical errors, inaccurate decision making, and increased cost. Providing physicians with access to every detail of a patient's medical history is difficult. Striking the balance between adequate and effective amounts of information is difficult. The Personal Health Record and Continuity of Care Record have emerged as concepts to support that balance. This paper reviews recently published literature on (1) approaches to personal health information management, (2) distinctions between terms and definitions describing patient health information, its format, its availability, and its accessibility, (3) guidelines, studies, or standards to support the rationale of patient information data elements that should be available to the provider for any medical encounter, and (4) identification of the most important needs for patient health information that should be addressed. The purpose of the review is to clarify the benefits and detriments of the different approaches as well as to provide some recommendations for the right model of patient health information management, focusing on the idea of the appropriate health information being available when needed.

Smolij, Kamila; Dun, Kim

2006-01-01

84

Users of Internet health information: differences by health status  

Microsoft Academic Search

BACKGROUND: Millions of consumers have accessed health information online. However, little is known about their health status.\\u000aOBJECTIVE: To explore use of Internet health information among those who were sicker (fair\\/poor general health status) compared with those reported being healthier.\\u000aMETHODS: A national, random-digit telephone survey by the Pew Internet and American Life Project identified 521 Internet users who go

Thomas K. Houston; Jeroan J. Allison

2003-01-01

85

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

Mitchell, J. D.

1996-01-01

86

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

PubMed Central

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

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

2009-01-01

87

Sharing MedlinePlus®/MEDLINE® for information literacy education (SMILE): a dental public health information project.  

PubMed

The SMILE project represented a partnership among the University of Texas Health Science Center at San Antonio Libraries, the Gateway Clinic in Laredo, and the San Antonio Metropolitan Health District. The project focused on improving dental practitioners' access to reliable information resources and integrating the best evidence into public health dental practice. Through its training program, SMILE cultivated a set of "power information users" among the dentists, dental hygienists, and community health workers (promotores) who provided public health preventive care and oral health education. The dental public health practitioners gained information literacy skills and increased their knowledge about reliable sites such as blogs, PubMed®, and MedlinePlus®. This project fostered opportunities for expanded partnerships with public health personnel. PMID:22040242

Gaines, Julie K; Levy, Linda S; Cogdill, Keith W

2011-01-01

88

‘Could you please pass one of those health leaflets along?’: exploring health, morality and resistance through focus groups  

Microsoft Academic Search

This paper derives from research in which focus groups were used as a preliminary method of eliciting peoples’ perceptions, attitudes and opinions towards health and health promotion in a Northern British city. However, applying criticisms associated with social constructionist theories (e.g. discourse analysis and rhetorical analysis), some recently emerging work on focus groups (see The challenge and promise of focus

Michele L. Crossley

2002-01-01

89

Newborn Screening Information Supports Public Health More than Informed Choice  

ERIC Educational Resources Information Center

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

Hargreaves, Katrina; Stewart, Ruth; Oliver, Sandy

2005-01-01

90

Improving Access to Public Health Information: A Study of Information Needs in a State Health Department  

Microsoft Academic Search

Background: Public health challenges can be better addressed if credible information about health risks and effective public health practices is readily available. The need for improved access to evidence-based public health information has been recognized by public health practitioners, researchers, policy makers, and librarians.\\u000aObjective: To understand the information needs of the public health workforce and to improve access to

E. Hatheway Simpson; Nancy R. LaPelle; Elaine Russo Martin

2006-01-01

91

Informal payments in government health facilities in Albania: Results of a qualitative study  

Microsoft Academic Search

As governments seek to expand access to quality health care services, policy makers in many countries are confronting the problem of informal payments to medical personnel. The aim of this study was to help health planners in Albania understand informal payments occurring in government health facilities. Researchers used in-depth interviews and focus groups with 131 general public and provider informants

Taryn Vian; Kristina Grybosk; Zamira Sinoimeri; Rachel Hall

2006-01-01

92

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

93

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.

2013-01-01

94

Informational Privacy, Public Health, and State Laws  

PubMed Central

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

Matthews, Gene

2011-01-01

95

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.

2012-01-01

96

Users of Internet Health Information: Differences by Health Status  

PubMed Central

Background Millions of consumers have accessed health information online. However, little is known about their health status. Objective To explore use of Internet health information among those who were sicker (fair/poor general health status) compared with those reported being healthier. Methods A national, random-digit telephone survey by the Pew Internet & American Life Project identified 521 Internet users who go online for health care information. Our primary independent variable was general health status rated as excellent, good, fair, or poor. Patterns of Internet use, and types of information searched were assessed. Results Among the 521 users, 64% were female, most (87%) were white, and median age was 42 years. Most individuals indicated that they learned something new online (81%) and indicated that they believe most information on the Internet (52%). Compared with those with excellent/good health, those with fair/poor health (N = 59) were relative newcomers to the Internet but tended to use the Internet more frequently, were more likely to use online chats, were less likely to search for someone other than themselves, and were more likely to talk about the new information with their physician (odds ratio 3.3 [95% confidence interval 1.8-6.3]), after adjustment for age, education and income. Conclusions Health care professionals should be aware that their sicker patients are more likely to ask them about information they found online. Physicians, public health professionals, and eHealth developers should work together to educate patients about searching for health information online and to provide tools for them to navigate to the highest quality information.

Allison, Jeroan J

2002-01-01

97

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

98

Human resources for health: focusing on people with disabilities  

Microsoft Academic Search

1 suggest that the training of health professionals should become more disability- sensitive than heretofore. This is certainly true, but the most significant challenge in training now facing us is not sensitising conventional health workers, such as doctors and nurses, but training a new cadre of disability and rehabilitation professionals capable of implementing the new and ambitious community-based rehabilitation (CBR)

Hasheem Mannan; Malcolm MacLachlan

2010-01-01

99

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

100

Consumer Health Information Services 2.0  

Microsoft Academic Search

Web 2.0 functionality is changing the way consumers search for, evaluate, and use health information. What are some of the new “Consumer Health 2.0” sites and their features? How will this trend toward participatory information processing affect traditional sites such as the National Library of Medicine's MedlinePlus? How should librarians approach this new paradigm of health information-seeking? This article analyzes

Susan Mayer; Kay Hogan Smith; Gabriel Rios

2008-01-01

101

Health Information in Korean (???): MedlinePlus  

MedlinePLUS

... ?? - ??? (Korean) Bilingual PDF Health Information Translations Female Exam and Pap Smear ?? ??? ?? ??? ... ??? (Korean) Bilingual Hepatitis B Foundation Urine Sample -- Female (Clean Catch) ?? ??-?? (??? ??) - ??? ( ...

102

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

103

Overcoming issues related adoption usability requires concerted effort ensure personal health records adopt standards based approach service development implementation evidence based agenda research efficacy realizable benefits supported health care sector. particularly important institutions still tend view pars aspect patient-entered care considering longer term benefits information integration focus patient owned data. becomes increasingly important healthcare demands information available providers AND -only OR patient OR is OR form OR patient OR understand OR contribute OR to OR possibly OR control OR directly OR move OR providers OR other OR care OR settings  

EPA Pesticide Factsheets

Did you mean: Overcoming issues related adoption usability requires concerted effort ensure personal health records adopt standards based approach service development implementation evidence based agenda research efficacy realizable benefits supported health care sector. particularly important institutions still tend view pars aspect patient-entered care considering longer term benefits information integration focus patient owned data. becomes increasingly important healthcare demands information available providers AND -only OR patient OR is OR form OR patient OR understand OR contribute OR to OR possibly OR control OR directly OR move OR providers OR other OR care OR settings ?

104

Applying an Organizational Framework for Health Information Technology to Alerts  

PubMed Central

We are far from understanding how best to design, implement, and use health information technology (IT). A comprehensive framework, developed by Rippen et al1 to capture and organize knowledge on the implementation, use, and optimization of health IT, may guide and inform more effective health IT deployment. This study applied Rippen’s framework to a focused type of health IT – alerts – through clinical decision support (CDS), an area with a substantial evidence base around many facets of implementation, including the technology, use, and outcomes. We report results from applying this framework for capturing, organizing and standardizing knowledge and related measures around alerts. It is clear there are gaps in information shared and that measures across studies vary significantly. Insights identified using the framework highlight areas for further study and development, directed toward a shared conceptualization and representation of knowledge, and ultimately, a more comprehensive and deeper understanding of health IT.

Byrne, Colene M.; Pan, Eric C.; Russell, Cynthia; Finley, Scott; Rippen, Helga E.

2012-01-01

105

The evaluation criteria of internet health information.  

PubMed

The Internet has great powerful forces for health information and education. This describes the development of a web-based evaluation criteria for internet health information. The purpose of this study was to explore the evaluation criteria (tool) of internet health information for Korean. This utilized a cross-sectional design with four sections: (1) CAHPS (Consumer assessment of health plans studies); (2) Health consumer terminology and understanding review; (3) web based interactive tool construction; (4) semantic web technology application. The findings showed follows; (1) literature review related quality evaluation tool for internet health information; (2) case study; (3) development of evaluation prototype; (4) validity assessment of tool; (5) Evaluation system information strategic planning. PMID:17102445

Kang, Nam-Mi; Kim, Sukhwa; Hong, Seungkuen; Ryu, Seewon; Chang, Hye-Jung; Kim, Jeongeun

2006-01-01

106

Your Health Information Privacy Rights  

MedlinePLUS

... your employer, or share it for things like marketing and advertising, without your written authorization. You probably ... can also ask your health care provider or pharmacy not to tell your health insurance company about ...

107

Health Providers' Perceptions of Novel Approaches to Visualizing Integrated Health Information  

PubMed Central

Summary Objectives We evaluated the design of three novel visualization techniques for integrated health information with health care providers in older adult care. Through focus groups, we identified generalizable themes related to the visualization and interpretation of health information. Using these themes we address challenges with visualizing integrated health information and provide recommendations for designers. Methods We recruited ten health care providers to participate in three focus groups. We applied a qualitative descriptive approach to code and extract themes related to the visualization of graphical displays. Results We identified a set of four common themes across focus groups related to: 1) Trust in data for decision-making; 2) Perceived level of detail for visualization (subthemes: holistic, individual components); 3) Cognitive issues (subthemes: training and experience; cognitive overload; contrast); and 4) Application of visual displays. Furthermore, recommendations are provided as part of the iterative design process for the visualizations. Conclusions Data visualization of health information is an important component of care, impacting both the accuracy and speed of decision making. There are both functional and cognitive elements to consider during the development of appropriate visualizations that integrate different components of health.

Le, T.; Reeder, B.; Thompson, H.; Demiris, G.

2014-01-01

108

Internet-Based Health Information Consumer Skills Intervention for People Living With HIV\\/AIDS  

Microsoft Academic Search

Medical information can improve health, and there is an enormous amount of health information available on the Internet. A randomized clinical trial tested the effectiveness of an intervention based on social-cognitive theory to improve information use among people living with HIV\\/AIDS. Men and women (N = 448) were placed in either (a) an 8-session intervention that focused on Internet information

Seth C. Kalichman; Charsey Cherry; Demetria Cain; Howard Pope; Moira Kalichman; Lisa Eaton; Lance Weinhardt; Eric G. Benotsch

2006-01-01

109

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

110

Family-focused Services for Children with Rare Disorders, Exemplified by Bladder ExstrophyA Norwegian National Health Program  

Microsoft Academic Search

Families of children with rare disorders have many experiences in common, as well as special problems related to the specific disorder. This paper presents Frambu Health Centre and the family-focused services offered to patients with bladder exstrophy during the first information and treatment course arranged for this group at the Centre. Main areas of concern as reported by the families

Inger Helene Vandvik; Kari Storhaug

1985-01-01

111

Focus  

NSDL National Science Digital Library

The Institute for Research on Poverty at University of Wisconsin-Madison held a welfare reform conference in March 1997. Both the summary and full proceedings of the conference are available. Note that the summary is available in Focus. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 was passed on August 22, 1996. The Act "changed the nation's welfare system into one that requires work in exchange for time-limited assistance."

1976-01-01

112

Finding information on immigrant and refugee health.  

PubMed

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

Carlock, Danielle M

2007-10-01

113

Health Information Technology and Nursing Homes  

ERIC Educational Resources Information Center

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

Liu, Darren

2009-01-01

114

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

115

[Case management: a new focus on health care].  

PubMed

The study is a literature review and has the goal to present a new modality of health care delivery called case management. Authors emphasize essential aspects related to this modality of care: care methodology, history, goals, practice areas. It is considered the use of case management in the Brazilian reality. PMID:12852301

Gonzales, Roxana Isabel Cardozo; Casarin, Santina Nunes Alves; Caliri, Maria Helena Larcher; Sassaki, Cinthia Midori; Monroe, Aline Aparecida; Villa, Tereza Cristina Scatena

2003-01-01

116

Health Information Technology Updates to Start the New Year  

PubMed Central

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.

Fox, Brent I.; Felkey, Bill G.

2013-01-01

117

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

118

A Qualitative Analysis of Women's Satisfaction with Primary Care from a Panel of Focus Groups in the National Centers of Excellence in Women's Health  

Microsoft Academic Search

Health issues unique to women and differences in healthcare experiences have recently gained attention as health plans and systems seek to extend and improve health promotion and dis- ease prevention in the population. Successful efforts focused on enhancing quality of care will require information from the patient's perspective on how to improve such services to best support women's attempts to

Roger T. Anderson; Angela M. Barbara; Carol Weisman; Sarah Hudson Scholle; Joann Binko; Tracy Schneider; Karen Freund; Valerie Gwinner

2001-01-01

119

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

120

Assessing Child Mental Health Services in the Oregon Health Plan: A Report on Three Focus Groups, Fall 2002.  

ERIC Educational Resources Information Center

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

Koyanagi, Chirs; Semansky, Rafael

121

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

122

Strengthening health information systems to address health equity challenges.  

PubMed Central

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

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

2005-01-01

123

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.

124

Health information for the developing world.  

PubMed Central

Doctors and other health professionals in developing countries are missing out on relevant information about health. A lot of the information they need is available in the developed countries, and those who have it are happy to share it with them. But transporting information, like food or medicines, from one part of the world to another is not an easy task nor is it the complete answer to the information drought. It is one thing to ferry books and journals from Europe to Africa and another to make relevant information available to the right person at the right time at an affordable cost. Images p940-a

Kale, R.

1994-01-01

125

Focusing on Children's Inhalation Dosimetry and Health Effects for Risk Assessment: An Introduction  

Microsoft Academic Search

Substantial effort has been invested in improving children's health risk assessment in recent years. However, the body of scientific evidence in support of children's health assessment is constantly advancing, indicating the need for continual updating of risk assessment methods. Children's inhalation dosimetry and child-specific adverse health effects are of particular concern for risk assessment. When focusing on this topic within

Brenda Foos; Melanie Marty; Joel Schwartz; William Bennett; Jacqueline Moya; Annie M. Jarabek; Andrew G. Salmon

2007-01-01

126

Information resources management: management focus on the value of information and information work.  

PubMed

Progressive management views information resources--all forms of stored data; people as information sources, processors and communicators; information tools--as major assets of companies in the information age. They treat and manage information resources as other valuable resources, e.g. personnel, finances, energy. The unique characteristics of managing information resources are introduced. Approaches toward the introduction of information resources management are outlined. PMID:10267433

Otten, K W

1984-08-01

127

Following your heart or your head: focusing on emotions versus information differentially influences the decisions of younger and older adults.  

PubMed

Research on aging has indicated that whereas deliberative cognitive processes decline with age, emotional processes are relatively spared. To examine the implications of these divergent trajectories in the context of health care choices, we investigated whether instructional manipulations emphasizing a focus on feelings or details would have differential effects on decision quality among younger and older adults. We presented 60 younger and 60 older adults with health care choices that required them to hold in mind and consider multiple pieces of information. Instructional manipulations in the emotion-focus condition asked participants to focus on their emotional reactions to the options, report their feelings about the options, and then make a choice. In the information-focus condition, participants were instructed to focus on the specific attributes, report the details about the options, and then make a choice. In a control condition, no directives were given. Manipulation checks indicated that the instructions were successful in eliciting different modes of processing. Decision quality data indicate that younger adults performed better in the information-focus than in the control condition whereas older adults performed better in the emotion-focus and control conditions than in the information-focus condition. Findings support and extend extant theorizing on aging and decision making as well as suggest that interventions to improve decision-making quality should take the age of the decision maker into account. PMID:20350046

Mikels, Joseph A; Löckenhoff, Corinna E; Maglio, Sam J; Goldstein, Mary K; Garber, Alan; Carstensen, Laura L

2010-03-01

128

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

129

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

PubMed

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

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

2013-01-01

130

Guide for Security-Focused Configuration Management of Information Systems.  

National Technical Information Service (NTIS)

An information system is composed of many components4 that can be interconnected in a multitude of arrangements to meet a variety of business, mission, and information security needs. How these information system components are networked, configured, and ...

A. Johnson D. Bailey K. Dempsey R. Ross S. Gupta

2011-01-01

131

75 FR 76393 - Notice of Request for a New Information Collection (Public Health Information System)  

Federal Register 2010, 2011, 2012, 2013

...a New Information Collection (Public Health Information System) AGENCY...collection concerning its Web-based Public Health Information System. DATES: Comments...SUPPLEMENTARY INFORMATION: Title: Public Health Information System...

2010-12-08

132

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

133

Information for health and human development.  

PubMed

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

Alleyne, G A

1996-01-01

134

Health Information Technology Knowledge and Skills Needed by HIT Employers  

PubMed Central

Objective To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. Methods Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural health and nursing informatics. Results HIT employers reported needing an HIT workforce with diverse knowledge and skills ranging from basic to advanced, while covering information technology, privacy and security, clinical practice, needs assessment, contract negotiation, and many other areas. Consistent themes were that employees needed to be able to learn on the job and must possess the ability to think critically and problem solve. Many employers wanted persons with technical skills, yet also the knowledge and understanding of healthcare operations. Conclusion The HIT employer focus groups provided valuable insight into employee skills needed in this fast-growing field. Additionally, this information will be utilized to develop a statewide HIT workforce needs assessment survey.

Fenton, S.H.; Gongora-Ferraez, M.J.; Joost, E.

2012-01-01

135

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

MedlinePLUS

... to collect data on the use of health information technology when the U.S. Department of Health and Human ... 12 months, by selected sociodemographic characteristics. Keywords: health information technology, Internet, National Health Interview Survey Among adults aged ...

136

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

PubMed Central

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

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

2012-01-01

137

Consumer Health Information Seeking as Hypothesis Testing  

PubMed Central

Objective Despite the proliferation of consumer health sites, lay individuals often experience difficulty finding health information online. The present study attempts to understand users' information seeking difficulties by drawing on a hypothesis testing explanatory framework. It also addresses the role of user competencies and their interaction with internet resources. Design Twenty participants were interviewed about their understanding of a hypothetical scenario about a family member suffering from stable angina and then searched MedlinePlus® consumer health information portal for information on the problem presented in the scenario. Participants' understanding of heart disease was analyzed via semantic analysis. Thematic coding was used to describe information seeking trajectories in terms of three key strategies: verification of the primary hypothesis, narrowing search within the general hypothesis area and bottom-up search. Results Compared to an expert model, participants' understanding of heart disease involved different key concepts, which were also differently grouped and defined. This understanding provided the framework for search-guiding hypotheses and results interpretation. Incorrect or imprecise domain knowledge led individuals to search for information on irrelevant sites, often seeking out data to confirm their incorrect initial hypotheses. Online search skills enhanced search efficiency, but did not eliminate these difficulties. Conclusions Regardless of their web experience and general search skills, lay individuals may experience difficulty with health information searches. These difficulties may be related to formulating and evaluating hypotheses that are rooted in their domain knowledge. Informatics can provide support at the levels of health information portals, individual websites, and consumer education tools.

Keselman, Alla; Browne, Allen C.; Kaufman, David R.

2008-01-01

138

A health plan prescription for health information technology.  

PubMed

The economic stimulus law of 2009 included incentive payments to encourage providers and hospitals to adopt and "meaningfully use" electronic health records. One resource was excluded from these regulations: patient data from the patient's health insurer, although health insurance companies tie together multiple sectors of the healthcare industry in a single patient-centered data form known as the claims history. They also have considerable experience with information technology (IT). As a result, they are uniquely positioned to move adoption of health IT systems forward. Health plan technologies should be included in the meaningful-use requirements. The result will be additional functionality, which in the end will improve quality, lower costs, and improve individual health. PMID:21314217

Gingrich, Newt; Hasan, Malik

2010-12-01

139

Patients' Attitudes Toward Electronic Health Information Exchange: Qualitative Study  

PubMed Central

Background In many countries, there has been substantial progress in establishing the electronic transmission of patients’ health information between health care providers, but little is known about how best to engage patients in the process. Objective We explored patients’ views about sharing of electronic health information and their preferences for learning about and participating in this process. Methods Patients in one Massachusetts community in the northeastern United States were recruited to participate in focus-group discussions. Prior to discussion, participants completed a written questionnaire that captured their reactions to draft educational materials and a consent form. The discussion moderator and two physicians analyzed the moderator’s detailed notes from each session and participants’ written comments, using an immersion-crystallization approach. Results Three dominant themes emerged: (1) concerns about privacy and security, (2) the potential benefit to a person’s health, and (3) the desire for more information about the consent process. On the pre-discussion questionnaire, 55 out of 62 participants (88%) indicated that they would provide consent for their information to be shared electronically among their health care providers, given the materials they had reviewed. Conclusions Patients are enthusiastic about electronic health information exchange, recognizing its capacity to improve the quality and safety of health care; however, they are also concerned about its potential to result in breached privacy and misuse of health data. As the exchange of electronic health information becomes more widespread, policy makers will need to ensure that patients have access to concise educational materials and opportunities to engage in conversations about the risks and benefits of participation.

Evans, J Stewart; Benjamin, Alison; Delano, David; Bates, David W

2009-01-01

140

78 FR 24749 - Health Information Technology Policy Committee Appointment  

Federal Register 2010, 2011, 2012, 2013

...ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Appointment...established the Health Information Technology Policy Committee to make...implementation of a nationwide health information technology infrastructure to the...

2013-04-26

141

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

142

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Health care information. 402.65 Section...RECORDS TO THE PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII...

2013-04-01

143

20 CFR 402.65 - Health care information.  

...2014-04-01 2014-04-01 false Health care information. 402.65 Section 402...RECORDS TO THE PUBLIC § 402.65 Health care information. We have some information about health care programs under titles XVIII and XIX...

2014-04-01

144

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

PubMed

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

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

2006-07-01

145

Disaster Communication on the Internet: A Focus on Mobilizing Information  

Microsoft Academic Search

While local television news is the most cited source for seeking news and information, many individuals also report finding their news from the Internet. During a disaster, people need access to accurate information and clear, specific instructions to help them act appropriately. Therefore, it is important to assess the volume and scope of emergency information being disseminated on local television

Andrea Tanner; Daniela B. Friedman; Alexis Koskan; Daphney Barr

2009-01-01

146

Influence of health information levels on postpartum depression.  

PubMed

While extensive research has been conducted on postpartum depression (PPD), the majority has been focused on psychological risk factors and treatments. There is limited research on the explicit relationship between the degree to which individuals are informed about relevant prenatal and postnatal health topics and whether this level of knowledge influences psychological outcome. This study assesses health information levels of new mothers and their influence on PPD as measured by Edinburgh Postnatal Depression Scale (EPDS) scores. Data from the 2006 Maternity Experiences Survey developed by the Canadian Perinatal Surveillance System (N?=?6,421) were used. The study population included mothers ?15 years of age at the time of the birth, who had a singleton live birth in Canada during a 3-month period preceding the 2006 Census and who lived with their infants at the time of the survey. Pre- and postnatal health information components were measured using latent variables constructed by structural equation modeling. EPDS score was added to the model, adjusting for known covariates to assess the effects of information levels on EPDS score. Pre- and postnatal health information levels are associated with decreased EPDS scores. More specifically, information on topics such as postnatal concerns and negative feelings was associated with the largest decrease in score for primiparous and multiparous women, respectively (p?health information in influencing EPDS scores, supplementing previous literature. Primiparous and multiparous women benefited from different information content, with information on postnatal concerns had the largest effect on the primiparous group while information on negative feelings had the largest effect on the multiparous group. Therefore, information provision should be tailored to these two groups. PMID:23820644

Youash, Sabrina; Campbell, M Karen; Campbell, Karen; Avison, William; Penava, Debbie; Peneva, Debbie; Sharma, Verinder; Xie, Bin

2013-12-01

147

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.

Wheatley, Benjamin

2013-01-01

148

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

149

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.

150

The availability of health information in South Africa.  

PubMed

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

Pienaar, E D

1995-01-01

151

Evaluating Public Health Uses of Health Information Exchange  

PubMed Central

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.

Shapiro, Jason S.

2007-01-01

152

Information literacy skills: An exploratory focus group study of student perceptions  

Microsoft Academic Search

This article reports the results of an exploratory study using focus group methodology in information literacy research. A small focus group — seven undergraduate students at Concordia University College of Alberta — discussed the concept of information literacy and the role of the undergraduate library in developing information literacy skills. Participants perceived information literacy as valuable, and agreed that the

Heather Morrison

1997-01-01

153

Transforming a health care information management system.  

PubMed

The article presents results from a survey of 98 top executives at Baylor Health Care System (BHCS), a large, multifunction health care organization in Dallas, Texas. The survey assessed the executives' perceptions of current BHCS quality practices using the first survey developed for the health care industry based on the Malcolm Baldrige National Quality Award (MBNQA) criteria. Findings regarding the quality of BHCS internal and external data and information include the need for a $50 million information system transformation to achieve seven critical success factors for all business units and improved internal and external data and information for the business process redesign and quality transformation. Results highlight the need for further research investigating the information and analysis MBNQA criteria. PMID:10174724

Prybutok, V R; Spink, A

1997-11-01

154

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.

155

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

156

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

157

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.

Dzenowagis, Joan

2001-01-01

158

Mental Health and the ADA: A Focus Group Discussion with Human Resource Practitioners  

Microsoft Academic Search

In 1997, the Equal Employment Opportunity Commission (EEOC) issued new guidelines to clarify implementation of the mental health regulations under the ADA. This paper explores the impact of those guidelines on human resource practices in the workplace. Focus group discussions were conducted with human resource practitioners from over a dozen medium-sized, mid-western corporations. Analysis of the focus group discussions identified

Paula S. Weber; Elaine Davis; Richard J. Sebastian

2002-01-01

159

Promoting sexual health services to young men: findings from focus group discussions  

Microsoft Academic Search

ContextRecently, increasing interest has been shown in men's reproductive health, sexual behaviour and use of contraception. As the majority of sexual health service clients are female, however, little research has been done on the characteristics and needs of male clients.ObjectiveUsing data from focus group discussions, this paper considers whether young men need sexual health services, whether current services are appropriate

Steve Pearson

2003-01-01

160

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.

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

2013-01-01

161

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

PubMed Central

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

2014-01-01

162

77 FR 72985 - Health Information Technology: Revisions to the 2014 Edition Electronic Health Record...  

Federal Register 2010, 2011, 2012, 2013

...170 RIN 0991-AB89 Health Information Technology: Revisions to the 2014...National Coordinator for Health Information Technology (ONC) and Centers for...National Coordinator for Health Information Technology, Attention: Steven...

2012-12-07

163

Readability of online health information: implications for health literacy.  

PubMed

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

McInnes, Nicholas; Haglund, Bo J A

2011-12-01

164

Focusing on Children's Health: Community Approaches to Addressing Health Disparities. Workshop Summary.  

National Technical Information Service (NTIS)

Socioeconomic conditions are known to be major determinants of health at all stages of life, from pregnancy through childhood and adulthood. Life-course epidemiology has added a further dimension to the understanding of the social determinants of health b...

K. M. Anderson T. M. Wizemann

2009-01-01

165

Transgenerational epigenetic inheritance: focus on soma to germline information transfer.  

PubMed

In trangenerational epigenetic inheritance, phenotypic information not encoded in DNA sequence is transmitted across generations. In germline-dependent mode, memory of environmental exposure in parental generation is transmitted through gametes, leading to appearance of phenotypes in the unexposed future generations. The memory is considered to be encoded in epigenetic factors like DNA methylation, histone modifications and regulatory RNAs. Environmental exposure may cause epigenetic modifications in the germline either directly or indirectly through primarily affecting the soma. The latter possibility is most intriguing because it contradicts the established dogma that hereditary information flows only from germline to soma, not in reverse. As such, identification of the factor(s) mediating soma to germline information transfer in transgenerational epigenetic inheritance would be pathbreaking. Regulatory RNAs and hormone have previously been implicated or proposed to play a role in soma to germline communication in epigenetic inheritance. This review examines the recent examples of gametogenic transgenerational inheritance in plants and animals in order to assess if evidence of regulatory RNAs and hormones as mediators of information transfer is supported. Overall, direct evidence for both mobile regulatory RNAs and hormones is found to exist in plants. In animals, although involvement of mobile RNAs seems imminent, direct evidence of RNA-mediated soma to germline information transfer in transgenerational epigenetic inheritance is yet to be obtained. Direct evidence is also lacking for hormones in animals. However, detailed examination of recently reported examples of transgenerational inheritance reveals circumstantial evidence supporting a role of hormones in information transmission. PMID:23257323

Sharma, Abhay

2013-12-01

166

Approaching Equity in Consumer Health Information Delivery  

PubMed Central

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

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

1997-01-01

167

Easy-to-read Health Information  

NSDL National Science Digital Library

The National Network of Libraries of Medicine offers this collection of links to easy-to-read Web sites for health-related information. Topics cover everything from diabetes to wound dressing to environmental health and safety. The site appears as an extensive list of links organized by topic. A main menu at the top of the page allows users to quickly jump to subjects of interest. The links lead to pages from National Institutes of Health Web sites and other authoritative sources, and are selected for their brevity and clarity. Some Spanish version Web links are provided.

168

Serious Technology Assessment for Health Care Information Technology  

PubMed Central

Abstract United States health care is engaged in an ambitious project to make its clinical and administrative records “100% electronic.” Substantial benefits are expected in both clinical care delivery and medical research (especially for public health surveillance and outcomes/effectiveness studies). Substantial costs also potentially accrue, beyond the large outlays for an expanded computer and telecommunications infrastructure. Privacy and confidentiality are obviously at risk if such systems cannot be made secure. Limited empirical evidence currently available suggests health information systems security may not be very good, at least in the “average” institutional setting. Privacy-focused critics of electronic record-keeping are sometimes accused of taking Luddite stands, insufficiently attentive to IT's benefits. It may also be fair to worry about a certain Panglossian tendency in “industry” commentary, insufficiently attentive to potential problems. Better federal and state laws structuring health data use will help; the industry must also attend more candidly to the technical uncertainties.

Cushman, Reid

1997-01-01

169

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

ERIC Educational Resources Information Center

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

Crowell, Areta

170

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.

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

2013-01-01

171

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

172

National Library of Medicine Guide to Finding Health Information  

MedlinePLUS

FAQ: National Library of Medicine® Guide to Finding Health Information Please note that NLM librarians can't answer questions about individual ... can suggest health information resources. Contents What National Library of Medicine (NLM)/National Institutes of Health (NIH) ...

173

Participation in a trauma-focused epidemiological investigation may result in sensitization for current health problems  

Microsoft Academic Search

Objectives  Participation in health survey research may result in a worsening of self-assessed health status and enhanced service-use\\u000a by increasing self-awareness of current health status. The present study investigated whether participation in a trauma-focused\\u000a epidemiological study sensitized participants for health problems irrespective of trauma exposure.\\u000a \\u000a \\u000a \\u000a Methods  A total of 1,019 rescue workers and 453 residents involved in varying degrees in a large

Margot J. Verschuur; Philip Spinhoven; Arnold A. P. van Emmerik; Frits R. Rosendaal

2008-01-01

174

Fringe Focus: Informal Economy and Green Career Development.  

ERIC Educational Resources Information Center

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

Plant, Peter

1999-01-01

175

Focus on Measurement-Based Quantum Information Processing  

Microsoft Academic Search

The last two decades have witnessed the rapid growth of quantum information processing as an active field of multidisciplinary science and technology. Tremendous theoretical and experimental progress has been made in quantum communication and quantum computation, and it seems clear that some of this progress will soon result in practical applications outside the laboratory.Quantum computation aims to build a quantum

Terry Rudolph; Jian-Wei Pan

2007-01-01

176

78 FR 32234 - Notice of Request for Extension of a Currently Approved Information Collection: Public Health...  

Federal Register 2010, 2011, 2012, 2013

...Approved Information Collection: Public Health Information System--Animal...and rabbit slaughter for the Public Health Information System--Animal...SUPPLEMENTARY INFORMATION: Title: Public Health Information System--...

2013-05-29

177

Planetree health information services: public access to the health information people want.  

PubMed Central

In July 1981, the Planetree Health Resource Center opened on the San Francisco campus of California Pacific Medical Center (Pacific Presbyterian Medical Center). Planetree was founded on the belief that access to information can empower people and help them face health and medical challenges. The Health Resource Center was created to provide medical library and health information resources to the general public. Over the last twelve years, Planetree has tried to develop a consumer health library collection and information service that is responsive to the needs and interests of a diverse public. In an effort to increase accessibility to the medical literature, a consumer health library classification scheme was created for the organization of library materials. The scheme combines the specificity and sophistication of the National Library of Medicine classification scheme with the simplicity of common lay terminology.

Cosgrove, T L

1994-01-01

178

78 FR 6112 - Request for Information (RFI): Opportunities To Apply a Department of Health and Human Services...  

Federal Register 2010, 2011, 2012, 2013

...well as improve patient-provider communication has grown tremendously...communities focused on pediatric health, email...information on patient portals, mobile...outreach models for pediatric health, and...vehicles of communication for...

2013-01-29

179

Nevada Information and Communications Technology Focus Group Analysis Report  

NSDL National Science Digital Library

This report documents the initiative of the College of Southern Nevada, Truckee Meadows Community College, and Western Nevada College to reach out to employers and other organizations to describe knowledge and skills needed by information and communications technology works. It also aims to "describe the current and projected employment opportunities for technicians" and "describe industry perceptions of colleges and community college graduates as potential employees" This 34 page document is available for download as a PDF.

2012-10-15

180

The future of the population-focused, public health clinical nurse specialist.  

PubMed

This article addresses the need for continued certification of community and public health nurses at the advanced practice registered nurse level, and explores curricular avenues and policy recommendations with regard to certification and education of these nurses. The transformation of health care and burgeoning access to information has changed what the public expects and needs from health professionals. Nursing roles have expanded and transformed, in turn requiring that the education, licensure, certification, and accreditation of the professional likewise change. PMID:22579065

Doutrich, Dawn; Dotson, Jo Ann Walsh

2012-06-01

181

Geographic Information Systems in Health Care Services  

Microsoft Academic Search

Geographic information systems (GIS) have numerous applications in human health. This chapter opens with a brief discussion of the three dimensions of decision-making in organizations — operational control, management control, and strategic planning. These dimensions are then discussed in terms of three case studies: a practice- improvement case study under operational control, a service-planning case study under management control, and

Brian Hilton; Thomas A. Horan

182

Integrating health information technology into clinical guidelines  

Microsoft Academic Search

The current use of Health Information Technology (HIT) within healthcare practice is limited. Clinical guidelines have been developed to bring research based evidence into practice. However, there is no defining step during the development process that explores the use of HIT and how it can benefit the patient, staff and delivery of care process. This paper presents a review of

Candice MacDougall; J. Percival; C. McGregor

2009-01-01

183

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.

184

A Security Architecture for Health Information Networks  

PubMed Central

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

Kailar, Rajashekar

2007-01-01

185

African-American men's perceptions of health: a focus group study.  

PubMed Central

African-American men are disproportionately affected by preventable medical conditions, yet they underutilize primary care health services. Because healthcare utilization is strongly dependent on health beliefs, the purpose of this qualitative study was to identify and explore African-American men's perceptions of health and health influences. We conducted eight focus group interviews with select subgroups of African-American men, including adolescents, trauma survivors, HIV-positive men, homeless men, men who have sex with men, substance abusers, church-affiliated men and a mixed sample (N=71). Definitions of health, beliefs about health maintenance and influences on health were elicited. Participants' definitions of health went beyond the traditional "absence of disease" definition and included physical, mental, emotional, economic and spiritual well-being. Being healthy also included fulfilling social roles, such as having a job and providing for one's family. Health maintenance strategies included spirituality and self-empowerment. Stress was cited as a dominant negative influence on health, attributed to lack of income, racism, "unhealthy" neighborhoods and conflict in relationships. Positive influences included a supportive social network and feeling valued by loved ones. This study provides insight into African-American men's general health perceptions and may have implications for future efforts to improve healthcare utilization in this population.

Ravenell, Joseph E.; Johnson, Waldo E.; Whitaker, Eric E.

2006-01-01

186

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

National Technical Information Service (NTIS)

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

2007-01-01

187

Security Architecture Design Process for Health Information Exchanges (HIEs).  

National Technical Information Service (NTIS)

Protecting electronic patient health information is crucial to developing systems and structures that support the exchange of that information among healthcare providers, payers, and consumers using Health Information Exchanges (HIEs). As noted in the Sum...

D. Steinberg K. Lin K. Stine M. Scholl

2010-01-01

188

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

189

Linking credentialed skills, social class, working conditions and self-reported health: a focus on health inequality-generating mechanisms.  

PubMed

In this study, focus is on the mechanisms linking credentialed skills and social class relations to five dimensions of occupational stressors and three self-reported health outcomes: persistent fatigue, musculoskeletal complaints and emotional wellbeing. We test for direct health associations of skills/class. Moreover, indirect health associations of skills/class, through differential exposure to occupational stressors and effect modifications of the occupational stressors, are tested. A modified LISREL analysis is applied to a representative cross-sectional sample of 11,099 Flemish wage-earners. The direct health effects of credentialed skills/class are limited, but they are clearly indirectly related to the self-reported health outcomes through differential exposure to occupational stressors. The indirect mechanisms point to both reinforcing and moderating effects on socio-economic health inequalities. Two cases of effect modification are also observed: social class modifying the association between control and persistent fatigue; and skills affecting the association between the quality of social relations and emotional wellbeing. Differential exposure to occupational stressors is a crucial mechanism linking skills/class to socio-economic health inequalities. Direct effects and effect modification of class/skills are relevant, but of limited importance. One of the effect modifications found suggests that a specific focus on contradictory class positions might be warranted in future research. PMID:20887630

Vanroelen, Christophe; Levecque, Katia; Moors, Guy; Louckx, Fred

2010-09-01

190

Worried and wired: effects of health anxiety on information-seeking and health care utilization behaviors.  

PubMed

Although online health information-seeking has been widely studied and findings suggest a variety of motivations behind an individual's health information-seeking behavior, little is known about how this information influences health utilization behaviors. Thus, the current study investigates the relationship between online health information seeking and health care utilization such as visiting a doctor. Additionally, this project expands the literature by examining the moderating role of health anxiety. Results suggest that an individual's level of health anxiety moderates the relationship between online health information seeking and health care utilization decisions. PMID:16901253

Eastin, Matthew S; Guinsler, Natalie M

2006-08-01

191

“Defense Health Information System as a case study for national health IT”  

Microsoft Academic Search

The National Forum on the Future of Defense Health Information Systems (National Forum) held in Washington, DC in March 2008 provided a unique opportunity to conduct a case study of developing a large complex health information system. The concept of the health information system has evolved from the days to electronic hospital information system (HIS) to longitudinal health record (LHR)

Seong Ki Mun

2009-01-01

192

Understanding the information needs of public health practitioners: A literature review to inform design of an interactive digital knowledge management system  

Microsoft Academic Search

Abstract The need for rapid access to information to support critical decisions in public health cannot be disputed; however, development of such systems requires an understanding,of the actual information,needs of public health professionals. This paper reports the results of a literature review focused,on the information,needs of public health professionals. The authors reviewed,the public health literature to answer,the following questions: (1)

Debra Revere; Anne M. Turner; Ann Madhavan; Neil Rambo; Paul F. Bugni; Annmarie Kimball; Sherrilynne S. Fuller

2007-01-01

193

[Information system in primary health care].  

PubMed

The Croatian Ministry of Health started a health care system computerization project aimed at strengthening the collaboration among health care institutions, expert groups and individual health care providers. A tender for informatic system for Primary Health Care (PHC) general practice, pediatrics and gynecology, a vital prerequisite for project realization, has now been closed. Some important reasons for undertaking the project include rationalization of drug utilization, savings through a reduced use of specialists, consultants and hospitalization, then achievement of better cooperation, work distribution, result linking, data quality improvement (by standardization), and ensuring proper information-based decision making. Keeping non-standardized and thus difficult to process data takes too much time of the PHC team time. Since, however, a vast amount of data are collected on only a few indicators, some important information may remain uncovered. Although decisions made by health authorities should rely on evidence and processed information, the authorities spend most of the time working with raw data from which their decisions ultimately derive. The Informatic Technology (IT) in PHC is expected to enable a different approach. PHC teams should be relieved from the tedious task of data gathering and the authorities enabled to work with the information rather than data. The Informatics Communication Technology (ICT) system consists of three parts: hardware (5000 personal computers for work over the Internet), operative system with basic software (editor, etc.), and PHC software for PHC teams. At the national level (National Public Health Informatics System), a software platform will be built for data collection, analysis and distribution. This data collection will be based on the International Classification of Primary Care (ICPC-2) standard to ensure the utilization of medical records and quality assessment. The system permits bi-directional data exchange between a central database and sources at different levels, across the spectrum from basic PHC teams to local authorities. This will enable data collection control, comparisons with national averages and prompt distribution of information over the Internet. The investment into IT is a strategic imperative having no alternative. A cost/benefit analysis has shown its operation in the PHC system to return the investment in two years. As defined according to the Project priorities (with measurable objectives), the use of new technologies will be introduced by stages. PMID:16095193

Stevanovi?, Ranko; Stani?, Arsen; Varga, Sinisa

2005-01-01

194

Electronic Tools for Health Information Exchange  

PubMed Central

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

2013-01-01

195

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

MedlinePLUS

... ???? (Chinese - Simplified) Bilingual PDF Health Information Translations Female Exam and Pap Smear ????????? - ???? (Chinese - Simplified) ... PDF Chinese Community Health Resource Center Urine Sample -- Female (Clean Catch) ??-??(?????) - ???? (Chinese - Simplified) ...

196

Enabling Personalization Recommendation With WeightedFP for Text Information Retrieval Based on User-Focus  

Microsoft Academic Search

Personalization recommendation is a valid method for lightening the user's burden on information retrieval. In order to implement personalization recommendation for text information retrieval (TR), user-focus is defined and algorithms for the construction of user-focus are given in this paper. The construction of user-focus for a user depends on his entire query requests at a period of time. Each query

Zhenya Zhang; Enhong Chen; Jin Wang; Xufa Wang

2004-01-01

197

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

198

Focus on Quality: Communication in the Health Care Encounter. Princeton, NJ: Mathematica Policy Research  

Microsoft Academic Search

To explore the question of what constitutes quality in a health care encounter from a patient’s perspective, Mathematica conducted focus groups with African Americans, Latinos, Asian Indians, and whites. Participants were asked to define quality in the context of a visit to a primary care physician, and to describe their ideal visit and the characteristics of an excellent physician. Although

Ann Bagchi; Raquel af Ursin; Alicia Leonard

2009-01-01

199

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

200

Seeking health information online: does Wikipedia matter?  

PubMed

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

Laurent, Michaël R; Vickers, Tim J

2009-01-01

201

Seeking Health Information Online: Does Wikipedia Matter?  

PubMed Central

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

Laurent, Michael R.; Vickers, Tim J.

2009-01-01

202

Protective Measures for Private Health Information  

PubMed Central

This study measured attitudes about patient privacy. Participants ranked a collection of 25 patient- specific health information protection measures that have been established as a part of the Health Insurance Portability and Accountability Act (HIPAA), effective in April 2003. Individual points of view were surveyed to determine which information protection measures patients felt to be least effective and most effective with regard to protection of patient privacy. The researcher, being interested in subjects with the human immuno deficiency virus (HIV), conducted an exploratory Q-Methodology study to capture individual participants' points of view. A by-person factor analysis was performed on the intercorrelated Q-sort matrix. The subjects clustered into three groups; however, the concern for privacy was similar for subjects with and without HIV. Recommendations for policy changes are discussed for four areas: usage of the “Notice of Privacy Practices,” patient sign-in procedures, the role of the privacy officer, and staff education.

Stewart, Rachelle S

2007-01-01

203

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.

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

2010-01-01

204

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

205

Public Health Information Fusion for Situation Awareness  

Microsoft Academic Search

Recent events, including the terrorist attacks in the fall of 2001, the spread of Severe Acute Respiratory Syndrome (SARS),\\u000a and Hurricane Katrina, highlight the need for real-time information exchange to enhance government’s awareness and understanding\\u000a of public health events in order to detect and respond as those events unfold. This paper describes the planned approach of\\u000a the Centers for Disease

Henry Rolka; Jean C. O'connor; David Walker

2008-01-01

206

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.

207

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.

Murphy, Sarah Anne

2006-01-01

208

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

209

Health Literacy and Sources of Health Information for Caregivers of Urban Children With Asthma  

Microsoft Academic Search

Little is known about the resources used by urban caregivers of children with asthma to obtain health information. The authors analyzed data for 304 families of children with persistent asthma to describe (1) sources of health information, (2) access and use of Internet resources, and (3) the association between the caregiver’s health literacy (HL) and use of health information sources.

Maria Fagnano; Jill S. Halterman; Kelly M. Conn; Laura P. Shone

2012-01-01

210

American Health Information Management Association. Position Statement. Issue: retention of health information.  

PubMed

Patient health information must be available to meet the needs of continued patient care, legal requirements, research, education, and other legitimate uses. While there are no federal laws currently that outline time frames for the retention of health information, many states do have specific requirements with which providers must comply. Each healthcare provider should develop a retention schedule for patient health information that meets the needs of its patients, physicians, researchers, and other legitimate users and complies with legal, regulatory, and accreditation requirements. Providers should develop guidelines that specify what information should be kept, the time period for which it should be kept, and the storage medium (paper, microfilm, optical disk, magnetic tape, or other). PMID:10132186

1994-03-01

211

Standards for health information technology to ensure adolescent privacy.  

PubMed

Privacy and security of health information is a basic expectation of patients. Despite the existence of federal and state laws safeguarding the privacy of health information, health information systems currently lack the capability to allow for protection of this information for minors. This policy statement reviews the challenges to privacy for adolescents posed by commercial health information technology systems and recommends basic principles for ideal electronic health record systems. This policy statement has been endorsed by the Society for Adolescent Health and Medicine. PMID:23109684

Blythe, Margaret J; Del Beccaro, Mark A

2012-11-01

212

Clear It Up: Plain Language in Government Health Information  

MedlinePLUS

... Clear It Up: Plain Language in Government Health Information What is plain language? It is communication that ... you've done to clear it up! More Information Federal Plain Language Health Literacy Contact CDC's Office ...

213

Health Information in Somali (af Soomaali): MedlinePlus  

MedlinePLUS

... af Soomaali (Somali) Bilingual PDF Health Information Translations Thyroid Scan Sawirka Hunguriga - af Soomaali (Somali) Bilingual PDF ... af Soomaali (Somali) Bilingual PDF Health Information Translations Thyroid Cancer Thyroid Biopsy Cad ka Jaridda Qanjidhka Qoorta - ...

214

Hurricane-Related Information for Health Care Professionals  

MedlinePLUS

... Tsunamis Volcanoes Wildfires Winter Weather Safety Information for Health Care Professionals Language: English Español (Spanish) If youâ??re a health care professional helping at an emergency site, hereâ??s information ...

215

Costs and benefits of health information technology: new trends from the literature.  

PubMed

To understand what is new in health information technology (IT), we updated a systematic review of health IT with studies published during 2004-2007. From 4,683 titles, 179 met inclusion criteria. We identified a proliferation of patient-focused applications although little formal evaluation in this area; more descriptions of commercial electronic health records (EHRs) and health IT systems designed to run independently from EHRs; and proportionately fewer relevant studies from the health IT leaders. Accelerating the adoption of health IT will require greater public-private partnerships, new policies to address the misalignment of financial incentives, and a more robust evidence base regarding IT implementation. PMID:19174390

Goldzweig, Caroline Lubick; Towfigh, Ali; Maglione, Margaret; Shekelle, Paul G

2009-01-01

216

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

ERIC Educational Resources Information Center

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

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

2010-01-01

217

Adding home health care to the discussion on health information technology policy.  

PubMed

The potential for health information technology to improve the efficiency and effectiveness of health care has resulted in several U.S. policy initiatives aimed at integrating health information technology into health care systems. However, home health care agencies have been excluded from incentive programs established through policies, raising concerns on the extent to which health information technology may be used to improve the quality of care for older adults with chronic illness and disabilities. This analysis examines the potential issues stemming from this exclusion and explores potential opportunities of integrating home health care into larger initiatives aimed at establishing health information technology systems for meaningful use. PMID:23937673

Ruggiano, Nicole; Brown, Ellen L; Hristidis, Vagelis; Page, Timothy F

2013-01-01

218

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.

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

2012-01-01

219

Information Technology in Complex Health Services  

PubMed Central

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

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

1997-01-01

220

Perceived facial adiposity conveys information about women's health.  

PubMed

Although several prominent theories of human facial attractiveness propose that some facial characteristics convey information about people's health, empirical evidence for this claim is somewhat mixed. While most previous research into this issue has focused on facial characteristics such as symmetry, averageness, and sexual dimorphism, a recent study reported that ratings of facial adiposity (i.e., perceptions of fatness in the face) were positively correlated with indices of poor physical condition in a sample of young adults (i.e., reported past health problems and measures of cardiovascular fitness). These findings are noteworthy, since they suggest that perceived adiposity is a potentially important facial cue of health that has been overlooked by much of the previous work in this area. Here, we show that ratings of young adult women's facial adiposity are (1) better predicted by their body weight than by their body shape (Studies 1 and 2), (2) correlated with a composite measure of their physical and psychological condition (Study 2), and (3) negatively correlated with their trait (i.e., average) salivary progesterone levels (Study 3). Together, these findings present further evidence that perceived facial adiposity, or a correlate thereof, conveys potentially important information about women's actual health. PMID:23560669

Tinlin, Rowan M; Watkins, Christopher D; Welling, Lisa L M; DeBruine, Lisa M; Al-Dujaili, Emad A S; Jones, Benedict C

2013-05-01

221

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.

2013-01-01

222

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.

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

2000-01-01

223

Medicare HMO marketing and information: keeping the focus on what consumers need.  

PubMed

Across the country, Medicare beneficiaries face complicated choices about health insurance and HMOs, but too often they lack the information they need to make good decisions. Instead, they rely on marketing information that is frequently inadequate, sometimes downright misleading. This issue of States of Health looks at efforts to improve the ways that HMOs market their Medicare plans and assesses whether "choice" really benefits beneficiaries. PMID:11503889

1999-04-01

224

The Association of Understanding of Medical Statistics with Health Information Seeking and Health Provider Interaction in a National Sample of Young Adults  

Microsoft Academic Search

Numeracy, or, “the ability to use and understand numbers in daily life” is a critical component of health literacy. However, little research has focused on numeracy in young adults (ages 18–29). We used a national sample to examine how health-information seeking, trust in sources, and interactions with health care providers differ for young adults with lower and higher numeracy. We

Jennifer A. Manganello; Marla L. Clayman

2011-01-01

225

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

226

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

2013-01-01

227

Development and Validation of the High Blood Pressure-Focused Health Literacy Scale  

PubMed Central

Objective While the role of health literacy in chronic disease management is well documented, few intervention studies have been reported. A major barrier to designing and implementing such interventions is the lack of valid health literacy tools. This study developed and tested a novel health literacy scale for individuals with high blood pressure (HBP). Methods A two-step design process was used: In the construction phase, focus group studies and a literature review were conducted to generate a pool of items. The testing phase involved a psychometric evaluation and pilot-testing of the scale on hypertensive Korean Americans (n=386). The end product was a HBP-health literacy scale (HBP-HLS) with two essential domains, print literacy and functional health literacy. Results Psychometric testing indicated that the scale was reliable (Kuder-Richardson-20 coefficient=0.98), valid (content validity index ?0.8), and significantly correlated with theoretically selected variables (education, r=0.67, p<0.01; HBP knowledge, r= 0.33, p<0.01). Conclusion The HBP-HLS demonstrated its utility for evaluating HBP management interventions in the community setting. Practice Implications: Utilizing the HBP-HLS should be considered as a potential tool for improving health literacy and evaluating intervention studies in the context of HBP management.

Kim, Miyong T.; Song, Hee-Jung; Han, Hae-Ra; Song, Youngshin; Nam, Soohyun; Nguyen, Tam Hieu; Lee, Ho-Chang Benjamin; Kim, Kim B.

2011-01-01

228

MedlinePlus Connect: Linking Patient Portals and Electronic Health Records to Health Information  

MedlinePLUS

... JavaScript. Linking Patient Portals and EHRs to Consumer Health Information MedlinePlus Connect is a free service of ... National Library of Medicine (NLM), National Institutes of Health (NIH), and the Department of Health and Human ...

229

Information-based sensor tasking wireless body area networks in U-health systems  

Microsoft Academic Search

In this paper, we focus on the problem of constructing an information gain model for stroke prevention in Ubiquitous Healthcare (U-Health) Wireless Body Area Networks (WBANs). We have constructed an information-based probabilistic relation model among the key indicators and sequenced their data gathering priority and precedence in the WBAN. Then, we constructed a cost function over the energy expenditure involved

Hui Wang; Hyeok-soo Choi; Nazim Agoulmine; M. Jamal Deen; James Won-Ki Hong

2010-01-01

230

75 FR 5595 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; HIT Policy Committee...National Coordinator for Health Information Technology, HHS. ACTION: Notice...National Coordinator for Health Information Technology (ONC). The...

2010-02-03

231

75 FR 70923 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; HIT Policy Committee...National Coordinator for Health Information Technology, HHS ACTION: Notice...National Coordinator for Health Information Technology (ONC). The...

2010-11-19

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75 FR 57276 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-09-20

233

75 FR 42091 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-07-20

234

75 FR 151 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-01-04

235

75 FR 29762 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-05-27

236

75 FR 51819 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-08-23

237

75 FR 16126 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2010-03-31

238

75 FR 57026 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; HIT Policy Committee...National Coordinator for Health Information Technology, HHS. ACTION: Notice...National Coordinator for Health Information Technology (ONC). The...

2010-09-17

239

76 FR 9784 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

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2011-02-22

240

75 FR 51820 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; HIT Policy Committee...National Coordinator for Health Information Technology, HHS. ACTION: Notice...National Coordinator for Health Information Technology (ONC). The...

2010-08-23

241

[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

242

Developing the Foundation for Syndromic Surveillance and Health Information Exchange for Yolo County, California  

PubMed Central

This report delineates Yolo County Health Department’s process to ascertain its optimal methods of participation in syndromic surveillance and health information exchange. As a health department serving a county of just 200,000 residents, Yolo County Health Department needed to operate within strict financial constraints. Meaningful Use legislation enabled it to pursue both syndromic surveillance and health information exchange participation whilst complying with its budgetary restrictions. The Health Information Technology for Economic and Clinical Health (HITECH), a segment of the American Recovery and Reinvestment Act of 2009, has incentivized the ‘Meaningful Use’ of electronic health records (EHRs) by providing incentive reimbursements and non-compliance penalties. The Meaningful Use of EHRs is to take place over 3 Stages: Stage 1 has begun, Stage 2 is imminent, and Stage 3 is currently being discussed. Having been solicited by both health information exchange and syndromic surveillance options which were cost-prohibitive, Yolo County Health Department focused attention on BioSense 2.0, a Meaningul Use-ready and virtually free syndromic surveillance program developed by the Federal Centers for Disease Control and Prevention. In collaboration with Sacramento County Department of Health and Human Services, and with support from several other area counties, Yolo County Health Department submitted a Funding Opportunity application for BioSense 2.0 regional implementation. Through this collaboration, Yolo County Health Department has begun participating in the formative stages of the Sacramento Area Center for Advanced Biosurveillance (SAC-B). Via SAC-B, Yolo County Health Department will be able to participate in syndromic surveillance in the BioSense 2.0 program, and simultaneously expand its electronic health data sharing towards a more comprehensive health information exchange. Lastly, over the course of these projects, three other methods of participating in electronic health data sharing became available to Yolo County Health Department: all three methods were the direct result of Meaningful Use legislation.

Chaudhary, Osama

2012-01-01

243

Small business owners' opinions about written health and safety information.  

PubMed

Owners of small manufacturing businesses from twelve industrial sectors (n=40) participated in focus groups. They most frequently read trade and local business publications; few regularly read or receive health and safety materials. They select business-related materials that are specific to their business, give them new ideas, or have information that is easy to use. Insurance companies and business associations are the most frequently mentioned sources of health and safety information. The most important aspects of a prototype newsletter are sponsorship, color and graphics, length and relevance. Most are positive about a university logo, because it indicates a trusted source. The front page should have a table of contents with short descriptions of articles and catchy headlines. A newsletter should take no more than ten minutes to read. Owners did not like articles that were written in first person, used quotes, were too personal or gave no solutions. Owners think a newsletter will be successful if it is targeted to their industry, shows costs, includes case studies about local businesses, isn't too academic, focuses on a different topic with each issue, and gives readers an opportunity to provide feedback. PMID:17485864

Brosseau, Lisa M; Fredrickson, Ann L; Casey, Mary Anne

2007-04-01

244

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.

Bakken, Suzanne

2011-01-01

245

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

246

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

ERIC Educational Resources Information Center

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

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

2012-01-01

247

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.

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

2011-01-01

248

The information needs of health agency board members: a health information system challenge.  

PubMed

Most hospitals and health agencies in developed countries, whether in the private or public sector, have 'advisory committees' or 'boards of management'. Members of these bodies have significant responsibilities for the management of their organisations, but usually serve on these bodies on a part-time and voluntary basis. They may or may not have specific expertise in health care or management but are often selected because they are representative of parts of the community, are members of relevant organisations (medical bodies or, perhaps, staff unions) or belong to the correct political party. In previous years the amount of information about the health care agency and health systems in general which was given to the board was usually closely controlled by the senior staff of the agency. While the information often emphasised financial statements or gross usage figures, it seldom included projections of future trends or comparisons with information for other like agencies and was frequently very out-dated by the time that it was assembled. For discussion purposes in this paper all individuals who serve on advisory or management committees as well as members of legally constituted Boards of Directors will be referred to as 'board members'. The responsibilities of these board members differ from the management responsibilities of CEOs and other senior executives, but those involved do require access to some management information if they are to adequately discharge their responsibilities. The role of such 'boards' or 'authorities' is similar to that of a board of trustees or directors in industry with many of the same responsibilities, except that healthcare agencies are 'people' agencies, not producers of 'widgets'. This paper will outline some of the information needs of board members and discuss how these needs may be addressed as part of a total management and health information system. PMID:10384642

Zelmer, A C; Zelmer, A E

1998-01-01

249

From the Director: Surfing the Web for Health Information  

MedlinePLUS

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

250

Health Insurance Claim Review Using Information Technologies  

PubMed Central

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

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

2012-01-01

251

Health information exchange, system size and information silos.  

PubMed

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

Miller, Amalia R; Tucker, Catherine

2014-01-01

252

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

253

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

ERIC Educational Resources Information Center

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

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

2007-01-01

254

Patient information on phantom limb pain: a focus group study of patient experiences, perceptions and opinions  

Microsoft Academic Search

Educating patients about their condition is regarded as a fundamental step in pain manage- ment. This study used focus groups with patients to explore their experiences and perceptions of the information on phantom pain that they received before and after amputation, and their views on improving this information. Thirty- one patients with a lower limb amputation attended one of seven

C. M. Mortimer; W. M. Steedman; I. R. McMillan; D. J. Martin; J. Ravey

2002-01-01

255

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.

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

2008-01-01

256

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.

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

2012-01-01

257

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.

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

2013-01-01

258

Improving Health Promotion to American Indians in the Midwest United States: Preferred Sources of Health Information and Its Use for the Medical Encounter  

PubMed Central

American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the “expert” tone needed to promote health improvements in American Indians.

Geana, Mugur V.; Greiner, K. Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky

2014-01-01

259

Intellectual property and networked health information: issues and principles.  

PubMed Central

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

Cate, F H

1996-01-01

260

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

261

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

262

Internet Use for Health Information among College Students.  

ERIC Educational Resources Information Center

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

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

2005-01-01

263

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

PubMed Central

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

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

2013-01-01

264

How Women With Mental Health Conditions Evaluate the Quality of Information on Mental Health Web sites: A Qualitative Approach  

Microsoft Academic Search

One of the primary purposes of using the Web is to find health information for personal health conditions and for the health conditions of care recipients. Women use the Web to find health information more so than men. Information on many health topics is available online. However, many studies have shown that the quality of content on health information Web

Christine Marton

2010-01-01

265

Functional safety of health information technology.  

PubMed

In an effort to improve patient safety and reduce adverse events, there has been a rapid growth in the utilisation of health information technology (HIT). However, little work has examined the safety of the HIT systems themselves, the methods used in their development or the potential errors they may introduce into existing systems. This article introduces the conventional safety-related systems development standard IEC 61508 to the medical domain. It is proposed that the techniques used in conventional safety-related systems development should be utilised by regulation bodies, healthcare organisations and HIT developers to provide an assurance of safety for HIT systems. In adopting the IEC 61508 methodology for HIT development and integration, inherent problems in the new systems can be identified and corrected during their development. Also, IEC 61508 should be used to develop a healthcare-specific standard to allow stakeholders to provide an assurance of a system's safety. PMID:22447876

Chadwick, Liam; Fallon, Enda F; van der Putten, Wil J; Kirrane, Frank

2012-03-01

266

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

267

Integration of child health information systems: current state and local health department efforts.  

PubMed

Public health departments at the state and local levels are pursuing integration strategies to consolidate child health information systems to improve child health. Eighteen health departments were interviewed in this exploratory research study to gather information to describe their current activities related to integrating child health information systems. Results illustrate the common systems being brought together and the technical process for doing so, financing mechanisms, range of anticipated information-users and their method of access to the integrated system, and common internal and external challenges and strengths that the health departments face. The evidence suggests a trend towards more efficient and thoughtful use of the multiplicity of information systems within public health departments as programs consolidate and share data and expand electronic communication with their external partners in the health care delivery system to improve children's health. PMID:15643356

Fehrenbach, S Nicole; Kelly, Janet C R; Vu, Christie

2004-11-01

268

How we developed a locally focused Global Health Clinical Preceptorship at Weill Cornell Medical College.  

PubMed

Abstract Background: Global health educational programs within U.S. medical schools have the opportunity to link their "global" focus with local circumstances by examining the challenges underserved communities face in the United States. Aim: Students in Weill Cornell Medical College's Global Health Clinical Preceptorship (GHCP) learn history-taking and physical examination skills while gaining exposure to local health care disparities and building cultural competency. Methods: First-year medical students in the program are placed in the office of a physician who works with underserved patient populations in New York City. Students receive an orientation session, shadow their preceptors one afternoon per week for seven weeks, complete weekly readings and assignments on topics specific to underserved populations, attend a reflection session, and write a reflection paper. Results: In three years, 36% of first-year students (112 of 311) opted into the elective GHCP program. Students reported gaining a better understanding of the needs of underserved patient populations, being exposed to new languages and issues of cultural competency, and having the opportunity to work with role model clinicians. Conclusions: The GHCP is a successful example of how global health programs within medical schools can incorporate a domestic learning component into their curricula. PMID:24597684

Kulkarni, Amita; Francis, Elizabeth R; Clark, Taryn; Goodsmith, Nichole; Fein, Oliver

2014-07-01

269

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.

Calman, Neil; Kitson, Kwame; Hauser, Diane

2009-01-01

270

Health Information in Burmese (myanmasa): MedlinePlus  

MedlinePLUS

... this page, please enable JavaScript. Health Information in Burmese (myanmasa) A Asian American Health Know HBV: What ... Mobsiab B thiab lub siab ua cancer - myanmasa (Burmese) PDF Stanford University, Asian Liver Center C Child ...

271

Chronic illness and health-seeking information on the Internet.  

PubMed

By using the theories of help-seeking behavior and health-information seeking, this article demonstrates the relationship between chronic illness, retrieving health information from the Internet and changing health behavior. Research on the impact of health information on the Internet and changing health behavior is fairly new, given the growth of the Internet in recent years. Using US data on Internet use within the US population, multiple regression analysis was performed to explore the relationships between chronic medical conditions and frequency of Internet use, as well as changes in health behavior due to frequency of Internet use. The findings suggest that it is not merely the presence of a particular chronic illness, but rather the total number of chronic conditions that determine Internet use. Also, the more frequently a person uses the Internet as a source of health information, the more likely they are to change their health behavior. PMID:17606698

Ayers, Stephanie L; Kronenfeld, Jennie Jacobs

2007-07-01

272

76 FR 57615 - National Health Information Technology Week, 2011  

Federal Register 2010, 2011, 2012, 2013

...Health information technology connects doctors and...health care. This technology is critical to improving patient...Nation's veterans. Better technology can also cut costs...systems can enable software that puts...

2011-09-15

273

A Self-Disclosure Model for Personal Health Information  

Microsoft Academic Search

The use of information technologies (IT) to collect personal health information is growing in popularity via computer-assisted interviewing and a wide variety of healthcare Web sites. However, a review of the literature on computer-assisted interviewing exhibits confounding and equivocal results regarding the effects of IT on individuals' willingness to disclose socially sensitive health information. Some studies revealed individuals' heightened concerns

Lotus E. Kam; William G. Chismar

2003-01-01

274

Health sciences libraries and information services in Bangladesh.  

PubMed Central

Basic problems relating to the status of health sciences libraries and information centers in Bangladesh are highlighted and discussed; strategies for improving the country's health sciences information services are suggested. A survey of libraries is reported, the country's national science and technology information policy is defined, and recommendations for action are proposed.

Khan, M S; Ahmed, Z; Akhter, N

1990-01-01

275

Protecting the Privacy and Security of Your Health Information  

MedlinePLUS

... have access to your information. Learn About Your Security Be Responsible While Federal law can protect your health information, you should also use common sense to make sure that private information doesn’t become public. If you access your health records online, make ...

276

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

2014-06-01

277

Immunization information and population data sources: the information needs of public health practitioners  

Microsoft Academic Search

Immunizations are an important component of the preventive services provided, managed and promoted by public health. The need to understand the information behaviors of public health practitioners related to immunizations has become more acute as health policy changes encourage the exchange of individual level immunization data between electronic health record (EHR) systems and Immunization Information Systems (IISs). We sought to

Rebecca A. Hills; Blaine Reeder; Debra Revere; William B. Lober; Neil F. Abernethy

2010-01-01

278

Literature Review and Synthesis: Existing Surveys of Health Information Technology, Including Surveys on Health Information Technology in Nursing Homes and Home Health.  

National Technical Information Service (NTIS)

In an effort to better understand the current use and adoption rates of electronic health records and other health information technology (HIT) applications within nursing homes, the Division of Health Care Policy and Research at the University of Colorad...

A. Kramer A. Richard K. May M. Kaehny

2009-01-01

279

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.

La Rocco, A

1994-01-01

280

Teaching Core Courses with a Focus on Rural Health. An Instructor Resource Guide. Appendix to a Final Report on the Paraprofessional Rurally Oriented Family Home Health Training Program.  

ERIC Educational Resources Information Center

This instructor's resource guide, one in a series of products from a project to develop an associate degree program for paraprofessional rural family health promoters, deals with teaching courses that focus on rural health. Discussed in the first section of the guide are the role of core courses in rural health promotional training and the…

Myer, Donna Foster, Ed.

281

Towards Web-based representation and processing of health information  

PubMed Central

Background There is great concern within health surveillance, on how to grapple with environmental degradation, rapid urbanization, population mobility and growth. The Internet has emerged as an efficient way to share health information, enabling users to access and understand data at their fingertips. Increasingly complex problems in the health field require increasingly sophisticated computer software, distributed computing power, and standardized data sharing. To address this need, Web-based mapping is now emerging as an important tool to enable health practitioners, policy makers, and the public to understand spatial health risks, population health trends and vulnerabilities. Today several web-based health applications generate dynamic maps; however, for people to fully interpret the maps they need data source description and the method used in the data analysis or statistical modeling. For the representation of health information through Web-mapping applications, there still lacks a standard format to accommodate all fixed (such as location) and variable (such as age, gender, health outcome, etc) indicators in the representation of health information. Furthermore, net-centric computing has not been adequately applied to support flexible health data processing and mapping online. Results The authors of this study designed a HEalth Representation XML (HERXML) schema that consists of the semantic (e.g., health activity description, the data sources description, the statistical methodology used for analysis), geometric, and cartographical representations of health data. A case study has been carried on the development of web application and services within the Canadian Geospatial Data Infrastructure (CGDI) framework for community health programs of the New Brunswick Lung Association. This study facilitated the online processing, mapping and sharing of health information, with the use of HERXML and Open Geospatial Consortium (OGC) services. It brought a new solution in better health data representation and initial exploration of the Web-based processing of health information. Conclusion The designed HERXML has been proven to be an appropriate solution in supporting the Web representation of health information. It can be used by health practitioners, policy makers, and the public in disease etiology, health planning, health resource management, health promotion and health education. The utilization of Web-based processing services in this study provides a flexible way for users to select and use certain processing functions for health data processing and mapping via the Web. This research provides easy access to geospatial and health data in understanding the trends of diseases, and promotes the growth and enrichment of the CGDI in the public health sector.

Gao, Sheng; Mioc, Darka; Yi, Xiaolun; Anton, Francois; Oldfield, Eddie; Coleman, David J

2009-01-01

282

Participatory Design of an Integrated Information System Design to Support Public Health Nurses and Nurse Managers  

PubMed Central

Objectives The objectives of the study were to use persona-driven and scenario-based design methods to create a conceptual information system design to support public health nursing. Design and Sample We enrolled 19 participants from two local health departments to conduct an information needs assessment, create a conceptual design, and conduct a preliminary design validation. Measures Interviews and thematic analysis were used to characterize information needs and solicit design recommendations from participants. Personas were constructed from participant background information, and scenario-based design was used to create a conceptual information system design. Two focus groups were conducted as a first iteration validation of information needs, personas, and scenarios. Results Eighty-nine information needs were identified. Two personas and 89 scenarios were created. Public health nurses and nurse managers confirmed the accuracy of information needs, personas, scenarios, and the perceived usefulness of proposed features of the conceptual design. Design artifacts were modified based on focus group results. Conclusion Persona-driven design and scenario-based design are feasible methods to design for common work activities in different local health departments. Public health nurses and nurse managers should be engaged in the design of systems that support their work.

Reeder, Blaine; Hills, Rebecca A.; Turner, Anne M.; Demiris, George

2014-01-01

283

Oral health information systems--towards measuring progress in oral health promotion and disease prevention.  

PubMed Central

This article describes the essential components of oral health information systems for the analysis of trends in oral disease and the evaluation of oral health programmes at the country, regional and global levels. Standard methodology for the collection of epidemiological data on oral health has been designed by WHO and used by countries worldwide for the surveillance of oral disease and health. Global, regional and national oral health databanks have highlighted the changing patterns of oral disease which primarily reflect changing risk profiles and the implementation of oral health programmes oriented towards disease prevention and health promotion. The WHO Oral Health Country/Area Profile Programme (CAPP) provides data on oral health from countries, as well as programme experiences and ideas targeted to oral health professionals, policy-makers, health planners, researchers and the general public. WHO has developed global and regional oral health databanks for surveillance, and international projects have designed oral health indicators for use in oral health information systems for assessing the quality of oral health care and surveillance systems. Modern oral health information systems are being developed within the framework of the WHO STEPwise approach to surveillance of noncommunicable, chronic disease, and data stored in the WHO Global InfoBase may allow advanced health systems research. Sound knowledge about progress made in prevention of oral and chronic disease and in health promotion may assist countries to implement effective public health programmes to the benefit of the poor and disadvantaged population groups worldwide.

Petersen, Poul Erik; Bourgeois, Denis; Bratthall, Douglas; Ogawa, Hiroshi

2005-01-01

284

Partner violence and survivors' chronic health problems: informing social work practice.  

PubMed

Although most social work professionals may expect that women who experience partner violence will sustain acute physical injuries, social workers may be less knowledgeable about the chronic health problems with which violence survivors often struggle. To inform social work practice, we reviewed and synthesized the recently published research on health outcomes associated with partner violence victimization. We focused our review efforts on chronic physical and mental health conditions that social workers are likely to see in their practices. Using rigorous selection criteria, we selected 28 articles for review from over 3500 found in our search.The review showed that although women who experience partner violence are likely to seek health services, they have poor overall physical and mental health, and their health needs are not addressed sufficiently by current health and human service systems.We offer social work practice, policy, and research recommendations to encourage comprehensive services that promote women's health and safety. PMID:19205255

Macy, Rebecca J; Ferron, Joelle; Crosby, Carmen

2009-01-01

285

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.

2013-01-01

286

Taking Up Space? How Customers React to Health Information and Health Icons on Restaurant Menus  

Microsoft Academic Search

Eating out at restaurants has been identified as a major contributor to the epidemic of obesity in America. Prior quantitative research has demonstrated that health information on menus leads to healthier food choices, but not enough is known about the decision-making process behind these choices. Further insight into what happens when health information or health icons are included on menus

Cathleen S. Jones

2009-01-01

287

A Focused Crawler with Ontology-Supported Website Models for Information Agents  

Microsoft Academic Search

\\u000a This paper advocated the use of ontology-supported website models to provide a semantic level solution for an information\\u000a agent so that it can provide fast, precise, and stable query results. Based on the technique, a focused crawler, namely, OntoCrawler,\\u000a was developed, which can benefit both user requests and domain semantics. Equipped with this technique, we have developed\\u000a an ontology-supported information

Sheng-Yuan Yang

2010-01-01

288

Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town, Jimma zone, South West Ethiopia; a facility based cross-sectional study triangulated with qualitative study  

PubMed Central

Background Client satisfaction is essential for further improvement of quality of focused antenatal care and to provide uniform health care services for pregnant women. However, studies on level of client satisfaction with focused antenatal care and associated factors are lacking. So, the purpose of this study is to assess satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town. Methods A facility based cross-sectional study involving both qualitative and quantitative methods of data collection was used from Feb 1-30/2013. Three hundred eighty nine pregnant women those come to the health centers were included in the study. A semi-structured questionnaire and focus group discussion guide was employed to obtain the necessary information for this study. Quantitative data was analysed using SPSS for windows version 16.0. Logistic regression model was used to compare level of satisfaction by predictors’ variables. Qualitative data was analyzed based on thematic frameworks to support the quantitative results. Result More than half of the respondents (60.4%) were satisfied with the service that they received. As to specific components, most of the respondents (80.7%) were satisfied with interpersonal aspects, and 62.2% were satisfied with organization of health care aspect. Meanwhile, 49.9% of the respondents were not satisfied with technical quality aspect and 67.1% were not satisfied with physical environment aspect. Multivariate logistic regression analysis result showed that type of health center, educational status of mother, monthly income of the family, type of pregnancy and history of stillbirth were the predictors of the level of satisfaction. The study found out that dissatisfaction was high in mothers utilizing service at Jimma health center, in mothers with tertiary educational level, in mothers with average monthly family income >1000birr, in mothers with unplanned pregnancy and in mothers with history of stillbirth. Conclusions Even though greater percentages of women (60.4%) were satisfied with the focused antenatal care service, the level of satisfaction was lower compared to other studies. The investigator recommends that patient feedback should be recognized as a legitimate method of evaluating health services in the health center as a whole.

2014-01-01

289

Exploratory Study of Radiology Coding in Health Information Management Practice  

PubMed Central

An exploratory study was undertaken to determine the role and practice issues of radiology coding in health information management (HIM) practice. The study sought to identify the challenges of radiology coding and the solutions implemented to address these challenges. A self-report survey was sent to 828 American Health Information Management Association (AHIMA) members identified as directors, managers, or supervisors of HIM departments and/or coding. Two hundred seventy-eight surveys were used for data analysis purposes. Sites reported that on average they have 3.4 coders devoted to radiology coding who code an average of 4,245 reports per month. Productivity standards varied by exam type ranging from 7 (interventional radiology) to 31 (diagnostic) exams coded per hour. Diagnosis codes were assigned most frequently for diagnostic, ultrasound/nuclear, MRI/CT, and mammography exams, while diagnosis and procedural codes were assigned more frequently for interventional radiology exams. The need for education specifically focused on interventional radiology coding was identified along with other issues affecting the quality of radiology coding. Suggested solutions to challenges of radiology coding such as establishing a good working relationship with physicians, radiology, and charge description master (CDM) departments were suggested.

Brodnik, Melanie

2009-01-01

290

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

291

Diffusion of personal health information services: self-determining and empowering practices for Manitoba Inuit.  

PubMed

This article highlights findings from research conducted with the Manitoba Urban Inuit Association with regard to culturally safe practices for communicating personal health information services related to a provincial integrated electronic health record. By applying a "two-eyed seeing research approach," which incorporates traditional and Western scientific perspectives, the author describes Inuit cultural considerations when communicating electronic health concepts with a vision of advancing toward program evaluation opportunities. The research is supported by two Inuit-driven focus groups, interviews with three jurisdictional representatives of electronic health program delivery agencies and one interview with an Inuk elder. PMID:24844716

Clark, Wayne Voisey

2014-01-01

292

42 CFR 495.332 - State Medicaid health information technology (HIT) plan requirements.  

Code of Federal Regulations, 2012 CFR

... State Medicaid health information technology (HIT) plan requirements. 495...STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM Requirements Specific... State Medicaid health information technology (HIT) plan requirements....

2012-10-01

293

42 CFR 495.332 - State Medicaid health information technology (HIT) plan requirements.  

Code of Federal Regulations, 2011 CFR

... State Medicaid health information technology (HIT) plan requirements. 495...STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM Requirements Specific... State Medicaid health information technology (HIT) plan requirements....

2011-10-01

294

Update on the Adoption of Health Information Technology and Related Efforts to Facilitate the Electronic Use and Exchange of Health Information.  

National Technical Information Service (NTIS)

Information is widely recognized as the lifeblood of modern medicine. Health information technology (health IT) has the potential to improve the flow of information across the health care system and serve as the infrastructure to enable care transformatio...

2013-01-01

295

Leveraging Health Information Exchange to Support Public Health Situational Awareness: The Indiana Experience  

PubMed Central

Public health situational awareness is contingent upon timely, comprehensive and accurate information from clinical systems. Ad-hoc models for sending non-standard clinical information directly to public health are inefficient and increasingly unsustainable. Information sharing models that leverage Health Information Exchanges (HIEs) are emerging. HIEs standardize, aggregate and streamline information sharing among data partners, including public health stakeholders, and HIE has supported public health practice in Indiana for more than 10 years. To accelerate nationwide adoption of HIE-supported situational awareness processes, the CDC awarded three HIEs across the nation, including Indiana, New York and Washington/Idaho. The Indiana partners included Indiana University School of Medicine, Regenstrief Institute, Indiana Health Information Exchange, Indiana State Department of Health, Health & Hospital Corporation of Marion County, and Children’s Hospital Boston. Activities included augmenting biosurveillance processes, enabling bi-directional communication, enhancing automated detection of notifiable conditions, and demonstrating technological advances at national forums. HIE transactions destined for public health were enhanced with standardized clinical vocabulary and more complete physician contact information. During the 2009 H1N1 flu outbreak, the HIE delivered targeted public health broadcast messages to providers in Marion County, Indiana. We will review the partnership characteristics, activities, accomplishments and future directions for our health information exchange.

Grannis, Shaun J.; Stevens, Kevin C.; Merriwether, Ricardo

2010-01-01

296

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

297

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.

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

2011-01-01

298

On reducing information asymmetry in U.S. health care.  

PubMed

Information asymmetry is a significant issue facing the U.S. health care system. In this article, we investigate some methods of reducing this asymmetry. We trace the information asymmetry using the "wicked problem" of the health care distribution system. An information asymmetry reduction method requiring joint responsibilities among health care stakeholders is developed. It is argued that information asymmetry is a contributor to enormous health care inflation. Hence, any reduction in such asymmetry will reduce health care costs. Concepts from both signaling and corrective justice theories are integrated in this article to help reduce the information asymmetry that exists in the U.S. health care system. Getting health care costs in line with other "advanced" nations, is the long-term solution to the wicked problem that currently exists in the U.S. health care system. There is an immediate need for a centralized health care database with adequate provisions for individual privacy. Both processes as well as an outcome-based control system are essential for reducing information asymmetries in the U.S. health care system. PMID:24308415

Mascarenhas, Oswald A J; Kesavan, Ram; Bernacchi, Michael D

2013-01-01

299

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.

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

2012-01-01

300

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

301

OPHTHALMOLOGY AND INFORMATION TECHNOLOGY IN TUZLA CANTON HEALTH CARE SYSTEM  

PubMed Central

Purpose: To analyze organization of ophthalmology health care in Tuzla canton and use of information technologies(IT). Introduction: IT in ophthalmology is the technology required for the data processing and other information important for patient and essential for building an electronic health record(EHR). IT in ophthalmology should include the study, science, and solution sets for all aspects of data, information and knowledge management in health information processing. Material and methods: We have analyzed organization of ophthalmology health care in Tuzla canton. Data relevant for this research were acquired from annual reports of Tuzla Canton health ministry. All institutions and ambulances were visited and all health care professionals interviewed. A questionnaire was made which included questions for health care professionals about knowledge and use of computers, internet and information technology. Results: Ophthalmology health care in Tuzla canton has paper based medical record. There is no information system with any possibility to exchange data electronically. None of the medical devices is directly connected to the Internet and all data are typed, printed and delivered directly to the patient. All interviewed health care professionals agree that implementation of IT and EHR would contribute and improve work quality. Conclusion: Computer use and easy information access will make a qualitative difference in eye-care delivery in Tuzla canton. Implementation phase will be difficult because it will likely impact present style of practice. Strategy for implementation of IT in medicine in general must be made at the country level.

Zvornicanin, Jasmin; Zvornicanin, Edita; Sabanovic, Zekerijah

2012-01-01

302

Towards Web-based representation and processing of health information  

Microsoft Academic Search

BACKGROUND: There is great concern within health surveillance, on how to grapple with environmental degradation, rapid urbanization, population mobility and growth. The Internet has emerged as an efficient way to share health information, enabling users to access and understand data at their fingertips. Increasingly complex problems in the health field require increasingly sophisticated computer software, distributed computing power, and standardized

Sheng Gao; Darka Mioc; Xiaolun Yi; Francois Anton; Eddie Oldfield; David J Coleman

2009-01-01

303

The Poverty of Information Systems Management in Home Health Agencies  

Microsoft Academic Search

Home health agencies are increasingly being challenged to cope with economic, financial and clinical pressures. This study examines the extent to which home health agencies have cultivated their information systems as an aid for managing performance and external forces. Colorado and New Mexico home health agencies participated in the research project. The findings indicate that only modest investments have been

Howard L. Smith; Richard Discenza

2000-01-01

304

District Health Information System Assessment: A Case Study in Iran  

PubMed Central

Introduction Health care managers and personnel should be aware and literate of health information system in order to increase the efficiency and effectiveness in their organization. Since accurate, appropriate, precise, timely, valid information and interpretation of information is required and is the basis for policy planning and decision making in various levels of the organization. This study was conducted to assess the district health information system evolution in Iran according to WHO framework. Methods This research is an applied, descriptive cross sectional study, in which a total of twelve urban and eight rural facilities, and the district health center at Falavarjan region were surveyed by using a questionnaire with 334 items. Content and constructive validity and reliability of the questionnaire were confirmed with correlation coefficient of 0.99. Obtained data were analyzed with SPSS 16 software and descriptive statistics were used to examine measures of WHO compliance. Results The analysis of data revealed that the mean score of compliance of district health information system framework was 35.75 percent. The maximum score of compliance with district health information system belonged to the data collection process (70 percent). The minimum score of compliance with district health information system belonged to information based decision making process with a score of 10 percent. Conclusions District Health Information System Criteria in Isfahan province do not completely comply with WHO framework. Consequently, it seems that health system managers engaged with underlying policy and decision making processes at district health level should try to restructure and decentralize district health information system and develop training management programs for their managers.

Raeisi, Ahmad Reza; Saghaeiannejad, Sakineh; Karimi, Saeed; Ehteshami, Asghar; Kasaei, Mahtab

2013-01-01

305

Information systems for health sector monitoring in Papua New Guinea  

Microsoft Academic Search

This paper describes (i) how a national health information System was designed, tested and implemented in Papua New Guinea, (ii) how the system was integrated with other management information systems, and (iii) how information has been used to support decision-making. It concludes that central coordination of systems design is essential to make sure that information systems are aligned with government

R. E. Cibulskis; G. Hiawalyer

2002-01-01

306

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.

2012-01-01

307

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

308

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

309

78 FR 76627 - Health Information Technology Standards Committee Advisory Meeting: Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013

...HEALTH AND HUMAN SERVICES Health Information Technology Standards Committee Advisory...National Coordinator for Health Information Technology, HHS. ACTION: Notice...National Coordinator for Health Information Technology (ONC). These...

2013-12-18

310

76 FR 1261 - Establishment of the Permanent Certification Program for Health Information Technology  

Federal Register 2010, 2011, 2012, 2013

...Certification Program for Health Information Technology; Final Rule Federal Register...Certification Program for Health Information Technology AGENCY: Office of the National Coordinator for Health Information Technology, Department of Health...

2011-01-07

311

75 FR 11327 - Proposed Establishment of Certification Programs for Health Information Technology  

Federal Register 2010, 2011, 2012, 2013

...Certification Programs for Health Information Technology; Proposed Rule Federal...Certification Programs for Health Information Technology AGENCY: Office of the National Coordinator for Health Information Technology, Department of Health...

2010-03-10

312

Building a digital library for the health sciences: information space complementing information place.  

PubMed Central

In 1990, the University of California, San Francisco, dedicated a new library to serve the faculty, staff, and students and to meet their academic information needs for several decades to come. Major environmental changes present new and additional information management challenges, which can effectively be handled only through the widespread use of computing and computing technologies. Over the next five years, a three-pronged strategy will be followed. We are refining the current physical, paper-based library through the continuous application of technology for modernization and functional improvement. At the same time, we have begun the planning, design, and implementation of a "free-standing" Digital Library of the Health Sciences, focusing on the innovative application of technology. To ensure complementarity and product integrity where the two libraries interface, we will look to technology to transform these separate entities into an eventual, integral whole.

Lucier, R E

1995-01-01

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.

Rana, Gurpreet K.

2014-01-01

314

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

PubMed

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

2014-04-01

315

The Central American Network for Disaster and Health Information  

PubMed Central

Purpose: This paper describes an international outreach program to support rebuilding Central America's health information infrastructure after several natural disasters in the region, including Hurricane Mitch in 1998 and two major earthquakes in 2001. Setting, Participants, and Description: The National Library of Medicine joined forces with the Pan American Health Organization/World Health Organization, the United Nations International Strategy for Disaster Reduction, and the Regional Center of Disaster Information for Latin America and the Caribbean (CRID) to strengthen libraries and information centers in Central America and improve the availability of and access to health and disaster information in the region by developing the Central American Network for Disaster and Health Information (CANDHI). Through CRID, the program created ten disaster health information centers in medical libraries and disaster-related organizations in six countries. Results/Outcome: This project served as a catalyst for the modernization of several medical libraries in Central America. The resulting CANDHI provides much needed electronic access to public health “gray literature” on disasters, as well as access to numerous health information resources. CANDHI members assist their institutions and countries in a variety of disaster preparedness activities through collecting and disseminating information.

Arnesen, Stacey J.; Cid, Victor H.; Scott, John C.; Perez, Ricardo; Zervaas, Dave

2007-01-01

316

Examining the Health Information–Seeking Behaviors of Korean Americans  

Microsoft Academic Search

Many Korean Americans suffer from high levels of cancer incidence and have low cancer screening rates. A significant number of Korean Americans lack adequate information about cancer screening tests. However, little is known about their health behaviors. This article examines exposure to mass media and health information–seeking behaviors for Korean Americans, and their associations with demographic characteristics influencing variations in

Kyeung Mi Oh; Gary L. Kreps; Jungmi Jun; Elizabeth Chong; Lolita Ramsey

2012-01-01

317

Mental Health Information Access? Yes, But Not in My Neighborhood.  

ERIC Educational Resources Information Center

The advent of deinstitutionalization and consumer health advocacy has spelled changes in mental health information seeking by general public, by families of mentally ill, and by the mentally ill themselves. Their information needs have implications for academic and public libraries and libraries in psychiatric facilities and general hospitals. (14…

Jackson, Meliza

1985-01-01

318

Health and safety information program for hazardous materials  

Microsoft Academic Search

The system is used as a management tool in several safety and health programs. It is used to: trace the use of hazardous materials and to determine monitoring needs; inform the occupational physician of the potential health problems associated with materials ordered by a given individual; inform the fire and rescue group of hazardous materials in a given building; provide

M. P. OBrien; N. J. Fallon; A. V. Kuehner

1979-01-01

319

DPCube: Releasing Differentially Private Data Cubes for Health Information  

Microsoft Academic Search

We propose to demonstrate DPCube, a component in our Health Information DE-identification (HIDE) framework, for releasing differentially private data cubes (or multidimensional histograms) for sensitive data. HIDE is a framework we developed for integrating heterogenous structured and unstructured health information and provides methods for privacy preserving data publishing. The DPCube component provides the differentially private multidimensional data cube release. The

Yonghui Xiao; James Gardner; Li Xiong

2012-01-01

320

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

321

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

322

Reducing Oral Health Disparities: A Focus on Social and Cultural Determinants  

Microsoft Academic Search

Oral health is essential to the general health and well-being of individuals and the population. Yet significant oral health disparities persist in the U.S. population because of a web of influences that include complex cultural and social processes that affect both oral health and access to effective dental health care. This paper introduces an organizing framework for addressing oral health

Donald L Patrick; Rosanna Shuk Yin Lee; Michele Nucci; David Grembowski; Carol Zane Jolles; Peter Milgrom

2006-01-01

323

Pilot Study in the Development of an Interactive Multimedia Learning Environment for Sexual Health Interventions: A Focus Group Approach  

ERIC Educational Resources Information Center

In the UK there are high rates of sexually transmitted infections and unintended pregnancies amongst young people. There is limited and contradictory evidence that current sexual health education interventions are effective or that they improve access to appropriate sexual health services. This paper describes the outcome of focus group work with…

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

2006-01-01

324

Ethical considerations in internet use of electronic protected health information.  

PubMed

Caregivers, patients, and their family members are increasingly reliant on social network websites for storing, communicating, and referencing medical information. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule seeks balance by protecting the privacy of patients' health information and assuring that this information is available to those who need it to provide health care. Though federal and state governments have created laws and policies to safeguard patient privacy and confidentiality, the laws are inadequate against the rapid and innovative use of electronic health websites. As Internet use broadens access to information, health professionals must be aware that this information is not always secure. We must identify and reflect on medical ethics issues and be accountable for maintaining privacy for the patient. PMID:22558645

Polito, Jacquelyn M

2012-03-01

325

Information Technology Professionals as Collaborative Change Agents: A Case Study from Behavioral Health Care.  

ERIC Educational Resources Information Center

Highlights a case study from behavioral health care and focuses on the information technology professional's role as change agent. Discusses commercial applications, a conflict of cultures, dissemination and training interventions, and technological evolution and adaptation. Describes six steps for change agents' promotion of innovation and…

Marion, Linda; Marion, David

1998-01-01

326

Is the Internet Filling the Sexual Health Information Gap for Teens? An Exploratory Study  

Microsoft Academic Search

At the same time that there was a decline in comprehensive school-based sex education, adolescents' use of the Internet became nearly universal. This study explores adolescents' use and evaluation of the Internet for sexual health information, with a focus on the issues of contraception and abstinence. The authors conducted 58 in-depth interviews with juniors and seniors in 3 public high

Rachel K. Jones; Ann E. Biddlecom

2011-01-01

327

Distributed and grid computing projects with research focus in human health.  

PubMed

Distributed systems and grid computing systems are used to connect several computers to obtain a higher level of performance, in order to solve a problem. During the last decade, projects use the World Wide Web to aggregate individuals' CPU power for research purposes. This paper presents the existing active large scale distributed and grid computing projects with research focus in human health. There have been found and presented 11 active projects with more than 2000 Processing Units (PUs) each. The research focus for most of them is molecular biology and, specifically on understanding or predicting protein structure through simulation, comparing proteins, genomic analysis for disease provoking genes and drug design. Though not in all cases explicitly stated, common target diseases include research to find cure against HIV, dengue, Duchene dystrophy, Parkinson's disease, various types of cancer and influenza. Other diseases include malaria, anthrax, Alzheimer's disease. The need for national initiatives and European Collaboration for larger scale projects is stressed, to raise the awareness of citizens to participate in order to create a culture of internet volunteering altruism. PMID:22491123

Diomidous, Marianna; Zikos, Dimitrios

2012-01-01

328

Mixed-Methods Exploration of Parents' Health Information Understanding  

Microsoft Academic Search

Health literacy—the ability to read, understand, and use health information to make health care decisions—affects health care outcomes, hospitalization costs, and readmission. The purpose of this exploratory mixed-methods study is to determine how two different parent groups (English speaking and Spanish speaking) understand medical care for their children and the procedural and research consent forms required by that care. Quantitative

Carlee Lehna; Jack McNeil

2008-01-01

329

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.

Cho, Jaehee

2014-01-01

330

Supporting cancer patients' unanchored health information management with mobile technology  

PubMed Central

Cancer patients often need to manage care-related information when they are away from home, when they are experiencing pain or treatment side effects, or when their abilities to deal with information effectively are otherwise impaired. In this paper, we describe the results from a four-week evaluation of HealthWeaver Mobile, a mobile phone application that we developed to support such “unanchored” patient information activities. Based on experiences from nine cancer patients, our results indicate that HealthWeaver Mobile can help patients to access care-related information from anywhere, to capture information whenever a need arises, and to share information with clinicians during clinic visits. The enhanced ability to manage information, in turn, helps patients to manage their care and to feel more confident in their ability to stay in control of their information and their health.

Klasnja, Predrag; Hartzler, Andrea; Powell, Christopher; Pratt, Wanda

2011-01-01

331

Veteran internet use and engagement with health information online.  

PubMed

Veterans represent a unique population in need of accessing health services online. Data from a random-digit dialed survey conducted by the Pew Research Center's Internet & American Life Project were used to assess differences in online use of health information among Veterans in the Veterans Health Administration (VHA) of the U.S. Department of Veteran Affairs (VA), Veterans not in VA, and non-Veterans. This survey of 3,001 U.S. citizens oversampled lower-income households. Questions assessed Veteran status and use of VA health care services, self-reported Internet use and Internet searching for health-related information, and social engagement related to health online. Overall results suggest Veterans represent an opportune population to utilize personal health records and health services via the Internet. Veterans in VA are more likely to search for health issues related to Alzheimer's disease and memory loss (odds ratio = 3.07; confidence interval = 1.41-8.28) compared to Veterans not in VA. Veterans receiving VA health care also reported higher proportions of social engagement related to health about tracking diet, weight, and exercise than Veterans not in VA, although not statistically significant. Veterans in VA are using the Internet for health information, and there is an opportunity to engage them more. PMID:23707823

Houston, Thomas K; Volkman, Julie E; Feng, Hua; Nazi, Kim M; Shimada, Stephanie L; Fox, Susannah

2013-04-01

332

The Associations between Health Literacy, Reasons for Seeking Health Information, and Information Sources Utilized by Taiwanese Adults  

ERIC Educational Resources Information Center

Objective: To determine the associations between health literacy, the reasons for seeking health information, and the information sources utilized by Taiwanese adults. Method: A cross-sectional survey of 752 adults residing in rural and urban areas of Taiwan was conducted via questionnaires. Chi-squared tests and logistic regression were used for…

Wei, Mi-Hsiu

2014-01-01

333

76 FR 58006 - Office of the National Coordinator for Health Information Technology; Delegation of Authority  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology; Delegation of Authority...National Coordinator for Health Information Technology (National Coordinator...informed about the use of health information technology as it relates to...

2011-09-19

334

45 CFR 164.524 - Access of individuals to protected health information.  

Code of Federal Regulations, 2010 CFR

...information. (a) Standard: Access to protected health information â(1) Right...iii) An individual's access to protected health information created or obtained...iv) An individual's access to protected health information that is...

2010-10-01

335

45 CFR 164.524 - Access of individuals to protected health information.  

Code of Federal Regulations, 2010 CFR

...information. (a) Standard: Access to protected health information â(1) Right...iii) An individual's access to protected health information created or obtained...iv) An individual's access to protected health information that is...

2009-10-01

336

Presenting evidence-based health information for people with multiple sclerosis: the IN-DEEP project protocol  

PubMed Central

Background Increasingly, evidence-based health information, in particular evidence from systematic reviews, is being made available to lay audiences, in addition to health professionals. Research efforts have focused on different formats for the lay presentation of health information. However, there is a paucity of data on how patients integrate evidence-based health information with other factors such as their preferences for information and experiences with information-seeking. The aim of this project is to explore how people with multiple sclerosis (MS) integrate health information with their needs, experiences, preferences and values and how these factors can be incorporated into an online resource of evidence-based health information provision for people with MS and their families. Methods This project is an Australian-Italian collaboration between researchers, MS societies and people with MS. Using a four-stage mixed methods design, a model will be developed for presenting evidence-based health information on the Internet for people with MS and their families. This evidence-based health information will draw upon systematic reviews of MS interventions from The Cochrane Library. Each stage of the project will build on the last. After conducting focus groups with people with MS and their family members (Stage 1), we will develop a model for summarising and presenting Cochrane MS reviews that is integrated with supporting information to aid understanding and decision making. This will be reviewed and finalised with people with MS, family members, health professionals and MS Society staff (Stage 2), before being uploaded to the Internet and evaluated (Stages 3 and 4). Discussion This project aims to produce accessible and meaningful evidence-based health information about MS for use in the varied decision making and management situations people encounter in everyday life. It is expected that the findings will be relevant to broader efforts to provide evidence-based health information for patients and the general public. The international collaboration also permits exploration of cultural differences that could inform international practice.

2012-01-01

337

The transitioning experiences of internationally-educated nurses into a Canadian health care system: A focused ethnography  

PubMed Central

Background Beyond well-documented credentialing issues, internationally-educated nurses (IENs) may need considerable support in transitioning into new social and health care environments. This study was undertaken to gain an understanding of transitioning experiences of IENs upon relocation to Canada, while creating policy and practice recommendations applicable globally for improving the quality of transitioning and the retention of IENs. Methods A focused ethnography of newly-recruited IENs was conducted, using individual semi-structured interviews at both one-to-three months (Phase 1) and nine-to-twelve months post-relocation (Phase 2). A purposive sample of IENs was recruited during their orientation at a local college, to a health authority within western Canada which had recruited them for employment throughout the region. The interviews were recorded and transcribed, and data was managed using qualitative analytical software. Data analysis was informed by Roper and Shapira's framework for focused ethnography. Results Twenty three IENs consented to participate in 31 interviews. All IENs which indicated interest during their orientation sessions consented to the interviews, yet 14 did not complete the Phase 2 interview due to reorganization of health services and relocation. The ethno-culturally diverse group had an average age of 36.4 years, were primarily educated to first degree level or higher, and were largely (under) employed as "Graduate Nurses". Many IENs reported negative experiences related to their work contract and overall support upon arrival. There were striking differences in nursing practice and some experiences of perceived discrimination. The primary area of discontentment was the apparent communication breakdown at the recruitment stage with subsequent discrepancy in expected professional role and financial reimbursement. Conclusions Explicit and clear communication is needed between employers and recruitment agencies to avoid employment contract misunderstandings and to enable clear interpretation of the credentialing processes. Pre-arrival orientation of IENs including health care communications should be encouraged and supported by the recruiting institution. Moreover, employers should provide more structured and comprehensive workplace orientation to IENs with consistent preceptorship. Similar to findings of many other studies, diversity should be valued and incorporated into the professional culture by nurse managers.

2011-01-01

338

Health Risks Information Reaches Secondary School Smokers  

ERIC Educational Resources Information Center

This cross-sectional study aimed to assess smoking prevention and cessation education delivered as part of the UK National Curriculum and to evaluate the relative effectiveness of health, social influence and other/non-health components. In all, 1789 students aged 11-15 from 12 secondary schools completed online surveys assessing smoking status,…

Ridout, Fran; Charlton, Anne; Hutchison, Iain

2008-01-01

339

Towards sustainability of health information systems: how can we define, measure and achieve it?  

PubMed

Health information systems (HIS) in their current form are rarely sustainable. In order to sustain our health information systems and with it our health systems, we need to focus on defining and maintaining sustainable Health Information System building blocks or components. These components need to be easily updatable when clinical knowledge (or anything else) changes, easily adaptable when business requirements or processes change, and easily exchangeable when technology advances. One major prerequisite for this is that we need to be able to define and measure sustainability, so that it can become one of the major business drivers in HIS development. Therefore, this paper analyses general definitions and indicators for sustainability, and analyses their applicability to HIS. We find that general 'Emergy analysis' is one possibility to measure sustainability for HIS. Based on this, we investigate major enablers and inhibitors to sustainability in a highlevel framework consisting of four pillars: clinical, technical, socio-technical, and political/business. PMID:17911901

Garde, Sebastian; Hullin, Carola M; Chen, Rong; Schuler, Thilo; Gränz, Jana; Knaup, Petra; Hovenga, Evelyn J S

2007-01-01

340

Reinsurance of health insurance for the informal sector.  

PubMed Central

Deficient financing of health services in low-income countries and the absence of universal insurance coverage leaves most of the informal sector in medical indigence, because people cannot assume the financial consequences of illness. The role of communities in solving this problem has been recognized, and many initiatives are under way. However, community financing is rarely structured as health insurance. Communities that pool risks (or offer insurance) have been described as micro-insurance units. The sources of their financial instability and the options for stabilization are explained. Field data from Uganda and the Philippines, as well as simulated situations, are used to examine the arguments. The article focuses on risk transfer from micro-insurance units to reinsurance. The main insight of the study is that when the financial results of micro-insurance units can be estimated, they can enter reinsurance treaties and be stabilized from the first year. The second insight is that the reinsurance pool may require several years of operation before reaching cost neutrality.

Dror, D. M.

2001-01-01

341

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.

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

2005-01-01

342

Digital focusing of OCT images based on scalar diffraction theory and information entropy  

PubMed Central

This paper describes a digital method that is capable of automatically focusing optical coherence tomography (OCT) en face images without prior knowledge of the point spread function of the imaging system. The method utilizes a scalar diffraction model to simulate wave propagation from out-of-focus scatter to the focal plane, from which the propagation distance between the out-of-focus plane and the focal plane is determined automatically via an image-definition-evaluation criterion based on information entropy theory. By use of the proposed approach, we demonstrate that the lateral resolution close to that at the focal plane can be recovered from the imaging planes outside the depth of field region with minimal loss of resolution. Fresh onion tissues and mouse fat tissues are used in the experiments to show the performance of the proposed method.

Liu, Guozhong; Zhi, Zhongwei; Wang, Ruikang K.

2012-01-01

343

ENHANCING ACCESS TO ANIMAL HEALTH INFORMATION: ROLE OF INFORMATION SPECIALISTS IN ZAMBIA  

Microsoft Academic Search

This paper is a product of a larger study conducted between 2002 and 2004 on the state of libraries and use of Information Communication Technology (ICT) in research and academic libraries in Zambia. It examines the role of information professionals in enhancing access to animal health information under prevailing conditions. Animal health is an integral aspect of the agricultural sector,

Muyoyeta Simui

344

Semantic interoperability between clinical and public health information systems for improving public health services.  

PubMed

Improving public health services requires comprehensively integrating all services including medical, social, community, and public health ones. Therefore, developing integrated health information services has to start considering business process, rules and information semantics of involved domains. The paper proposes a business and information architecture for the specification of a future-proof national integrated system, concretely the requirements for semantic integration between public health surveillance and clinical information systems. The architecture is a semantically interoperable approach because it describes business process, rules and information semantics based on national policy documents and expressed in a standard language such us the Unified Modeling Language UML. Having the enterprise and information models formalized, semantically interoperable Health IT components/services development is supported. PMID:17901617

Lopez, Diego M; Blobel, Bernd G M E

2007-01-01

345

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.

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

2012-01-01

346

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.

2011-01-01

347

Issues in mHealth: Findings From Key Informant Interviews  

PubMed Central

Background mHealth is enjoying considerable interest and private investment in the United States. A small but growing body of evidence indicates some promise in supporting healthy behavior change and self-management of long-term conditions. The unique benefits mobile phones bring to health initiatives, such as direct access to health information regardless of time or location, may create specific issues for the implementation of such initiatives. Other issues may be shared with general health information technology developments. Objective To determine the important issues facing the implementation of mHealth from the perspective of those within the US health system and those working in mHealth in the United States. Methods Semistructured interviews were conducted with 27 key informants from across the health and mHealth sectors in the United States. Interviewees were approached directly following an environmental scan of mHealth in the United States or recommendation by those working in mHealth. Results The most common issues were privacy and data security, funding, a lack of good examples of the efficacy and cost effectiveness of mHealth in practice, and the need for more high-quality research. The issues are outlined and categorized according to the environment within which they predominantly occur: policy and regulatory environments; the wireless industry; the health system; existing mHealth practice; and research. Conclusions Many of these issues could be addressed by making the most of the current US health reform environment, developing a strategic and coordinated approach, and seeking to improve mHealth practice.

2012-01-01

348

Value-Focused Assessment of Information Communication and Technology Security Awareness in an Academic Environment  

Microsoft Academic Search

The aim of this paper is to introduce the approach of value-focused thinking when identifying information and communications\\u000a technology (ICT) security awareness aspects. Security awareness is important to reduce human error, theft, fraud, and misuse\\u000a of computer assets. A strong ICT security culture cannot develop and grow in a company without awareness programmes. How can\\u000a personnel follow the rules when

Lynette Drevin; Hennie Kruger; Tjaart Steyn

2006-01-01

349

The emerging need for transformational leadership in health information management.  

PubMed

The prospect of national healthcare reform, new clinical and information technologies, and the need to cut the cost of health care delivery are contributing factors in the restructuring of the health care system. In light of these rapid changes and great uncertainties, health information management (HIM) leadership must radically change its style. The appropriate new styles will move the HIM practitioner from the specialized medical records department to a larger, more professional role. The successful transformational leader will help HIM emerge as a central function in the new health care industries. PMID:10140303

Balloun, J L; Stebbins, L H; Von Bergen, C W

1995-02-01

350

Addressing the Changing Sources of Health Information in Iran  

PubMed Central

Background: Following the entrance of new technologies in health information era, this study aimed to assess changes in health information sources of Iranian people during past decade. Methods: Totally 3000 people were asked about their main sources of health information. They were selected as two community-based samples of 1500 people of more than 18-years-old in two different periods of time in August 2002 and August 2010 from the same locations in Tehran, the capital of Iran. Data analyzed based on age group, sex, educational level and household income in two different periods of time using Chi-square. Odds ratios associated with each basic characteristic were calculated using logistic regression. Results: Most common sources of health information in 2002 were radio and television (17.7%), caregivers (14.9%) and internet (14.2%) and in 2010 were radio and television (19.3%), internet (19.3%) and caregivers (15.8%) (P < 0.001). In 2010, young adults female used television and radio and male used internet as the main source of health information (P = 0.003). In moderate educational level women got their health information from radio and television and caregivers; while men used radio and television and internet as main source of health information (P = 0.005). Highly educated women and men mainly got their health information from internet and radio and television (P > 0.05). Conclusion: Although during 8 years of study radio and television remained as main source of health information but there is an increasing tendency to use internet especially in men. Policymakers should revise their broadcasting strategies based on people demand.

Alishahi-Tabriz, Amir; Sohrabi, Mohammad-Reza; Kiapour, Nazanin; Faramarzi, Nina

2013-01-01

351

American Health Information Management Association. Position statement. Issue: patient cards.  

PubMed

In its simplest form, a patient card is a credit card sized record made of paper or plastic that contains identification information. A card may contain additional information, such as insurance or limited health information. Of the many technologies available, chip cards and optical cards are best suited for use in healthcare. If their expense can be justified and nation-wide standards established, cards could help improve timely access to basic health information such as demographic, insurance, and basic medical information needed for emergency treatment. Technology may permit a patient's entire longitudinal (lifetime) health history to be maintained on a card, but this should not be the only source of the longitudinal record. To assure its accessibility to legitimate users throughout the healthcare system, the longitudinal health record must be a computer-based patient record maintained on a controlled access network. PMID:10130019

1993-11-01

352

A Study on a Home Health Care Support Information System for Health Evaluation  

Microsoft Academic Search

The need for home health care has been increasing in Japan and the application of various techniques such as medical informatics are desired to support home health care services. Therefore, we developed an information system for health evaluation of the elderly including patients at home by applying a multifunctional telephone set and an IC memory card, by which complaints, symptoms,

H. Inada; H. Horio; K. Nakazawa; Y. Sekita; T. Yamanaka; E. Harasawa; H. Hosaka; K. Ishikawa

1998-01-01

353

Occupational Competency Profile for Health Occupations Education Program: Health Agency Assessment. Information Series: Report No. 10.  

ERIC Educational Resources Information Center

This assessment instrument is intended to provide health occupations teachers and state departments of education with information needed to revise and improve the curriculum used in training prospective health occupations teachers and in updating certification requirements for practicing health care professionals. The profile lists the…

Walters, Norma J.

354

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

355

MedlinePlus Connect: Linking Health IT Systems to Consumer Health Information  

PubMed Central

The National Library of Medicine’s MedlinePlus Connect service extends the reach of the consumer health website MedlinePlus.gov to deliver relevant information to patients and providers via health IT systems, electronic health records, and patient portals.

Burgess, Sarena; Dennis, Stephanie; Lanka, Soma; Miller, Naomi; Potvin, Joseph

2012-01-01

356

Oral health information systems — towards measuring progress in oral health promotion and disease prevention  

Microsoft Academic Search

This article describes the essential components of oral health information systems for the analysis of trends in oral disease and the evaluation of oral health programmes at the country, regional and global levels. Standard methodology for the collection of epidemiological data on oral health has been designed by WHO and used by countries worldwide for the surveillance of oral disease

Poul Erik Petersen; Denis Bourgeois; Douglas Bratthall; Hiroshi Ogawa

2005-01-01

357

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

358

Health Information-Seeking in the Digital Age  

ERIC Educational Resources Information Center

Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study.…

Percheski, Christine; Hargittai, Eszter

2011-01-01

359

Information Technology in the Health Care Industry: A Primer  

Microsoft Academic Search

The paper discusses current and future applications of information technology within the health care industry. It presents some broad strategies for approaching information technology investments and various tools available. It also discusses how information technology can support the medical providers' competitive strategy.

Peter B. Southard; Soongoo Hong; Keng Siau

2000-01-01

360

Information systems for health sector monitoring in Papua New Guinea.  

PubMed Central

This paper describes (i). how a national health information System was designed, tested and implemented in Papua New Guinea, (ii). how the system was integrated with other management information systems, and (iii). how information has been used to support decision-making. It concludes that central coordination of systems design is essential to make sure that information systems are aligned with government priorities and can deliver the information required by managers. While there is often scope for improving the performance of existing information systems, too much emphasis can be placed on revising data collection procedures and creating the perfect information system. Data analysis, even from imperfect systems, can stimulate greater interest in information, which can improve the quality and completeness of reporting and encourage a more methodical approach to planning and monitoring services. Our experience suggests that senior decision-makers and political leaders can play an important role in creating a culture of information use. By demanding health information, using it to formulate policy, and disseminating it through the channels open to them, they can exert greater influence in negotiations with donors and other government departments, encourage a more rational approach to decision-making that will improve the operation of health services, and stimulate greater use of information at lower levels of the health system. The ability of information systems to deliver these benefits is critical to their sustainability.

Cibulskis, R. E.; Hiawalyer, G.

2002-01-01

361

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

362

The Telehealth Divide: Disparities in Searching Public Health Information Online  

Microsoft Academic Search

This article explores e?government inequalities to searching Medicare and Medi? caid information online. Telehealth, a branch of e?government, can bring public health service and insurance information to the citizen. The Centers for Medicare and Medicaid Services website, among others, has critical information for potential beneficiaries and recipients of services. Using Pew survey data and multivariate regression analysis we find people

Mary. Schmeida; Ramona S. McNeal

2007-01-01

363

Revolutionizing Health Care Through Information Technology.  

National Technical Information Service (NTIS)

The U.S. health care system is acknowledged to be the world's most advanced scientifically and technologically. But amid multimilliondollar diagnostic instruments, highly trained caregivers, and a vast facilities infrastructure, the most fundamental and p...

2004-01-01

364

Health Information Exchange Among Clinical Laboratories.  

National Technical Information Service (NTIS)

Incorporating clinical laboratory test results into certified electronic health record (EHR) technology as structured data is a core requirement for eligible hospitals and professionals under Stage 2 of the Medicare and Medicaid EHR Incentive Programs. Cu...

M. Swain V. Patel

2014-01-01

365

Health Equipment Information Number 120, April 1984.  

National Technical Information Service (NTIS)

Contents: Safety of medical electrical equipment--BS 5724 and its application--1980-83; The respective roles of the National Health Service and Industry in the provision of maintenance for medical equipment; Guide to good manufacturing practice for medica...

1984-01-01

366

Understanding informal payments in health care: motivation of health workers in Tanzania  

Microsoft Academic Search

BACKGROUND: There is growing evidence that informal payments for health care are fairly common in many low- and middle-income countries. Informal payments are reported to have a negative consequence on equity and quality of care; it has been suggested, however, that they may contribute to health worker motivation and retention. Given the significance of motivation and retention issues in human

Silvia Stringhini; Steve Thomas; Posy Bidwell; Tina Mtui; Aziza Mwisongo

2009-01-01

367

Development and Assessment of a Public Health Alert Delivered through a Community Health Information Exchange  

PubMed Central

Timely communication of information to health care providers during a public health event can improve overall response to such events. However, current methods for sending information to providers are inefficient and costly. Local health departments have traditionally used labor-intensive, mail-based processes to send public health alerts to the provider community. This article describes a novel approach for delivering public health alerts to providers by leveraging an electronic clinical messaging system within the context of a health information exchange. Alerts included notifications related to the 2009 H1N1 flu epidemic, a syphilis outbreak, and local rabies exposure. We describe the process for sending electronic public health alerts and the estimated impact on efficiency and cost effectiveness.

Gamache, Roland; Stevens, Kevin C.; Merriwether, Rico; Dixon, Brian E.; Grannis, Shaun

2010-01-01

368

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.

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

369

Do patients with mild cognitive impairment understand numerical health information?  

PubMed

Patients with mild cognitive impairment (MCI) are by definition still autonomous in daily life and therefore make their own decisions, for example, concerning their own or their partners' health care. Health care information typically contains complex mathematical constructs like proportions, probabilities, and survival rates. The purpose of this study was to investigate whether patients with MCI have difficulties with understanding health numeracy questions and to explore the impact of declining cognitive functions. The performance of 25 patients with MCI in a health numeracy questionnaire was compared with the performance of a control sample including 164 healthy older adults, matched in age and educational level. Participants were asked to convert percentages, assess different probabilities, or understand the dosage of a short patient information leaflet. Additionally, neuropsychological background tests were administered. Patients with MCI answered fewer items correctly than controls in the health numeracy questionnaire. A correlation analysis showed statistically significant associations between performance in the health numeracy task and mental arithmetic, executive functions (psychomotor speed, conceptualization), and global cognitive status, respectively. Patients with MCI show problems in understanding numerical information concerning health care. Since patients with MCI are confronted with several health care decisions, special attention has to be paid to presenting information in an easily understandable way, to make additional sources of information available, and to provide adequate support. PMID:24473188

Pertl, Marie-Theres; Benke, Thomas; Zamarian, Laura; Martini, Caroline; Bodner, Thomas; Karner, Elfriede; Delazer, Margarete

2014-01-01

370

Geographical Information Systems and Health: Current State and Future Directions  

PubMed Central

This paper provides an introduction to Geographical Information Systems (GIS) and how they can be used. It reviews the current state of GIS use in health care before identifying the barriers to more pervasive use of GIS in health. Finally, it makes recommendations for the direction of health GIS research over the next decade and concludes with a call to action to health informatics researchers to stop ignoring a tool and methodology that has such immense potential for improving the health of our communities.

2012-01-01

371

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

PubMed Central

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.

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

2010-01-01

372

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.

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

2010-01-01

373

Examining Health Information-Seeking Behaviors of Older Adults  

PubMed Central

This study aims to examine which resources older adults utilize for their health information needs, how trustworthy and reliable they find these resources, and the difficulties they face in obtaining health-related information. A 41-item survey designed to understand the information-seeking characteristics of older adults was developed and distributed to retirement communities. Some items were taken from the Health Information National Trends Survey. Of 1520 surveys, 403 were returned completed (26.6%). Respondents’ mean age was 77.65 years. Average scores indicated respondents trusted particular sources of health information in the following order (highest to lowest): health care providers, pharmacists, friends and relatives, retirement community staff, newspapers, the Internet, television, and the radio. In conclusion, older adults have a greater amount of trust in a person with whom they are able to actively discuss their health as opposed to a nonliving source, which they have to access or manipulate, such as the Internet. Efforts must be made to help older adults better navigate and utilize the Internet and recognize dependable online sources so that they may increase their trust in its use, thereby increasing satisfaction with their own ability to seek and use sources of health information.

CHAUDHURI, SHOMIR; LE, THAI; WHITE, CATHY; THOMPSON, HILAIRE; DEMIRIS, GEORGE

2014-01-01

374

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.

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

2014-01-01

375

A New Focus for Allied Health Occupations. Trends and Issues Alerts.  

ERIC Educational Resources Information Center

Health care reform is changing the way in which health care is provided and altering the role of allied health professionals, especially nurses. This report examines how education can be responsive to the emerging needs of nurses and other allied health professionals. The diverse settings in which diverse populations are served requires the…

Brown, Bettina Lankard

376

Market-focused management: a model for US academic health centers  

Microsoft Academic Search

This paper describes managed care, competition and high health care costs and reductions in funding as the major market forces that affect US academic health centers. As academic health centers continue to preserve their missions of providing patient care, educating and training health professionals and conducting research, they are negatively impacted by these market changes, thus, resulting in increased expenses

Kristina L. Guo

2003-01-01

377

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

378

Austin-Travis County Health Department's Information System  

PubMed Central

In response to increased organizational complexity, reduced financial resources and an expanding client population, an Information Management Division was created within the Austin-Travis County Health Department in March 1982. An important component of this Division is the Information Systems Plan which insures the systematic collection, storage and analysis of data and information used by managers to facilitate decision making and to meet reporting requirements. In addition to providing Public Health Services to the community, the Health Department is responsible for indigent health care. After three years of managing the Medical Assistance Program for indigent care, it became apparent that a shared data base with city-owned Brackenridge Hospital was appropriate to insure continuity of health care, program monitoring/evaluation and effective discharge planning.

Shoup, Richard F.; Randall, Albert G.

1983-01-01

379

Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study  

PubMed Central

Background Various countries are currently implementing a national electronic patient record (n-EPR). Despite the assumed positive effects of n-EPRs, their overall adoption remains low and meets resistance from health care providers. This study aims to increase our understanding of health care providers' attitude towards the n-EPR, by investigating their perceptions of the benefits and problems of electronic information exchange in health care and the n-EPR in particular. Methods The study was conducted in three Dutch health care settings: acute care, diabetes care, and ambulatory mental health care. Two health care organisations were included per setting. Between January and June 2010, interviews were conducted with 17 stakeholders working in these organisations. Relevant themes were deduced by means of thematic qualitative analysis. Results Health care providers perceived electronic information exchange to promote the efficiency and quality of care. The problems they perceived in electronic information exchange mainly concerned the confidentiality and safety of information exchange and the reliability and quality of patient data. Many problems perceived by health care providers did not specifically apply to the n-EPR, but to electronic information exchange in general. Conclusions The implementation of the Dutch n-EPR has mainly followed a top-down approach, thereby neglecting the fact that the perceptions and preferences of its users (health care providers) need to be addressed in order to achieve successful implementation. The results of this study provide valuable suggestions about how to promote health care providers' willingness to adopt electronic information exchange, which can be useful for other countries currently implementing an n-EPR. Apart from providing information about the benefits and usefulness of electronic information exchange, efforts should be focused on minimising the problems as perceived by health care providers. The safety and confidentiality of electronic information exchange can be improved by developing tools to evaluate the legitimacy of access to electronic records, by increasing health care providers' awareness of the need to be careful when using patient data, and by measures to limit access to sensitive patient data. Improving health care providers' recording behaviour is important to improve the reliability and quality of electronically exchanged patient data.

2011-01-01

380

Understanding family health information seeking: a test of the theory of motivated information management.  

PubMed

Although a family health history can be used to assess disease risk and increase health prevention behaviors, research suggests that few people have collected family health information. Guided by the Theory of Motivated Information Management, this study seeks to understand the barriers to and facilitators of interpersonal information seeking about family health history. Individuals who were engaged to be married (N = 306) were surveyed online and in person to understand how factors such as uncertainty, expectations for an information search, efficacy, and anxiety influence decisions and strategies for obtaining family health histories. The results supported the Theory of Motivated Information Management by demonstrating that individuals who experienced uncertainty discrepancies regarding family heath history had greater intention to seek information from family members when anxiety was low, outcome expectancy was high, and communication efficacy was positive. Although raising uncertainty about family health history may be an effective tool for health communicators to increase communication among family members, low-anxiety situations may be optimal for information seeking. Health communication messages must also build confidence in people's ability to communicate with family to obtain the needed health information. PMID:24117214

Hovick, Shelly R

2014-01-01

381

Assessing the impact of community health information networks: a multisite field study of the Wisconsin Health Information Network.  

PubMed

Community health information networks (CHINs) have emerged as a promising new technology to generate cost reductions and support change in the health care industry. The proliferation of CHINs has been thwarted, however, by a conspicuous lack of evidence to support the claims of enhanced efficiency and effectiveness from CHIN participation. A recent study of the Wisconsin Health Information Network, the nation's first fully functioning CHIN, documents the benefits of this emerging technology. The findings reveal the potential for significant cost savings via electronic transmission of patient clinical and administrative information as well as enhancement of the quality of patient care. PMID:10174731

Lassila, K S; Pemble, K R; DuPont, L A; Cheng, R H

1997-11-01

382

Health Information in Karen (Sgaw Karen): MedlinePlus  

MedlinePLUS

... this page, please enable JavaScript. Health Information in Karen (Sgaw Karen) D Diabetes Control Your Diabetes: It's Worth Your Time, Part I: The Basics - English Sgaw Karen (Karen) Multimedia Healthy Roads Media Diabetes Medicines Control ...

383

Annotated Bibliography Information Dissemination to Health Care Practitioners and Policymakers.  

National Technical Information Service (NTIS)

The annotated bibliography contains selected literature from diffusion of innovations and disseminating information to health care practitioners and policymakers. For the most part, the references in the bibliography are from 1980 to the present. Some ear...

1992-01-01

384

Health Information in Samoan (Gagana Samoa): MedlinePlus  

MedlinePLUS

... please enable JavaScript. Health Information in Samoan (Gagana Samoa) C Childhood Immunization Haemophilus Influenzae Type b (Hib) ... o le Haemophilus Influenzae Type B (Hib) - Gagana Samoa (Samoan) PDF Immunization Action Coalition; Centers for Disease ...

385

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

386

Health Information in German (Deutsch): MedlinePlus  

MedlinePLUS

... page, please enable JavaScript. Health Information in German (Deutsch) A Alzheimer's Disease Inside the Brain: An Interactive Tour - English Im Gehirn: Eine interaktive Tour - Deutsch (German) Alzheimer's Association C Carbon Monoxide Poisoning Prevention ...

387

Health Information in Italian (italiano): MedlinePlus  

MedlinePLUS

... page, please enable JavaScript. Health Information in Italian (italiano) A Alzheimer's Disease Inside the Brain: An Interactive Tour - English Dentro il cervello: un viaggio interattivo - italiano (Italian) Alzheimer's Association P Polio and Post-Polio ...

388

Health Information in Turkish (Türkçe): MedlinePlus  

MedlinePLUS

... this page, please enable JavaScript. Health Information in Turkish (Türkçe) B Bacterial Infections Pneumococcal Polysaccharide Vaccine (PPV23) - English Polisakkarid Pnömokok A?isi - Türkçe (Turkish) PDF Immunization Action Coalition; Centers for Disease Control ...

389

Readers Use Black Newspapers for Health/Cancer Information  

PubMed Central

A national survey of readers of black newspapers shows that whether readers depend on black newspapers for cancer and health information depends on their black newspaper use, black self-identity and general media dependency.

Len-Rios, Maria E.; Cohen, Elisia; Caburnay, Charlene

2010-01-01

390

Measurement Error in Performance Studies of Health Information Technology: Lessons from the Management Literature  

PubMed Central

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.

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

2012-01-01

391

Information needs of rural health care practitioners in Hawaii.  

PubMed Central

Rural health care workers need a wide range of specialized information but have difficulties locating and accessing information resources. The information needs of Hawaii's rural health care practitioners and their methods of accessing information were studied through interviews and mailed questionnaires. The following barriers to information access were identified: lack of funds, inadequate hardware, infrastructure problems, and insufficient knowledge about information sources and how to use them. Although many (85%) reported having computers, only a minority (30%) have modems, and even fewer use online resources or the free electronic databases at public and university libraries. Most reported that journal articles were the information source that best met their needs and that personal files or a colleague's collection were the most common places for accessing needed materials. Recommendations for solving some of the information problems include development of a State of Hawaii rural health information clearinghouse; better identification, training, and use of available services; and, most importantly, the establishment of rural health care information agents (modeled on agriculture extension agents) on each major island.

Lundeen, G W; Tenopir, C; Wermager, P

1994-01-01

392

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

393

European Metadatabase on Environmental and Health Information Sources.  

ERIC Educational Resources Information Center

This issue presents selected papers from a World Health Organization Regional Office for Europe (WHO/EURO) consultation (Munich, West Germany, May 8-10, 1989) which explored the creation of a metadatabase for European environmental health information systems (EEHIS). Topics discussed include environmental monitoring programs, environmental…

Information Services and Use, 1990

1990-01-01

394

A content relevance model for social media health information.  

PubMed

Consumer health informatics includes the development and implementation of Internet-based systems to deliver health risk management information and health intervention applications to the public. The application of consumer health informatics to educational and interventional efforts such as smoking reduction and cessation has garnered attention from both consumers and health researchers in recent years. Scientists believe that smoking avoidance or cessation before the age of 30 years can prevent more than 90% of smoking-related cancers and that individuals who stop smoking fare as well in preventing cancer as those who never start. The goal of this study was to determine factors that were most highly correlated with content relevance for health information provided on the Internet for a study group of 18- to 30-year-old college students. Data analysis showed that the opportunity for convenient entertainment, social interaction, health information-seeking behavior, time spent surfing on the Internet, the importance of available activities on the Internet (particularly e-mail), and perceived site relevance for Internet-based sources of health information were significantly correlated with content relevance for 18- to 30-year-old college students, an educated subset of this population segment. PMID:24429836

Prybutok, Gayle Linda; Koh, Chang; Prybutok, Victor R

2014-04-01

395

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

396

Research Forecasting for Health Information Technology (HIT), using technology intelligence  

Microsoft Academic Search

Due to the rapid pace of change in technology and its impact on society, there is an increasing demand for use of Technology Forecasting methods to improve policy planning and implementation. One such area is the field of Health Care and the impact of Health Information Technology (HIT) on this field. Using HIT has shown to be associated with reduced

Nima A. Behkami; Tugrul U. Daim

397

An analysis model for Health Information Technology adoption  

Microsoft Academic Search

Due to evolving technological and societal change, the United State healthcare delivery system is experiencing significant challenges. And Health Information Technology has been identified as a means to assist in adapting with those challenges. Health IT has been shown to be associated with improved care, reduced cost and better patient experience. The objective of this study is to provide a

Nima A. Behkami; Tugrul U. Daim

2011-01-01

398

Strategic approach to information security and assurance in health research  

Microsoft Academic Search

Information security and assurance are an increasingly critical issue in health research. Whether health research be in genetics,\\u000a new drugs, disease outbreaks, biochemistry, or effects of radiation, it deals with information that is highly sensitive and\\u000a which could be targeted by rogue individuals or groups, corporations, national intelligence agencies, or terrorists, looking\\u000a for financial, social, or political gains. The advents

Shunichi Akazawa; Manabu Igarashi; Hirofumi Sawa; Hiko Tamashiro

2005-01-01

399

The Role of the Public Health Official in Communicating Public Health Information  

PubMed Central

The prevailing views on the role of public health professionals refer to professionals in the academic world, without taking into account the fact that many public health professionals are government employees. For example, the American Public Health Association states that public health professionals play an active role in communicating public health information to nonscientific audiences, such as the general population or the mass media. We propose that public health officials have an important responsibility to promote the practice of public health. However, they must do so within the bureaucracy. Any actions that public health officials wish to take as advocates of particular public health activities should be carried out independent of their role as government officials.

Regidor, Enrique; de la Fuente, Luis; Gutierrez-Fisac, Juan L.; de Mateo, Salvador; Pascual, Cruz; Sanchez-Paya, Jose; Ronda, Elena

2007-01-01

400

Perspectives in multiple sclerosis health care: special focus on the costs of multiple sclerosis.  

PubMed

Brain disorders are amongst the leading causes of disease and disability worldwide, accounting for 35% of the burden of all diseases in Europe. Despite their enormous personal and national impact the knowledge of the financial and economic impression of brain disorders has been relatively little researched. Recently it has been estimated that there are nearly 400,000 multiple sclerosis (MS) patients in Europe, which is 0.003% of all brain disease patients in the continent. In MS economic consequences are predominantly the early loss of work capacity and the impact of physical and psychological disabilities in a population of young adults, hospitalization during severe disease exacerbations and the need for assistance in activities of daily living. In the last decade the introduction of new immunomodulatory treatments led to an increase in direct costs due to the cost of these drugs, but also led to a more intensive management of patients. However, most studies of MS costs were carried out prior to the widespread use of newer treatments. In the present study we estimated the economic impact of MS in Israel and compared the traditional-vertical management model with the integrated-multidisciplinary model of health service delivery following the introduction of immunomodulatory treatments. Mean direct health cost was 8,554 euros and 5,599 euros in the traditional and integrative models, respectively (p<0.01). After 1-year follow-up, full-time employment decreased by 10% in the traditional model and increased by 17% in the integrated model (p<0.05). Analysis of variance demonstrated that the model of service delivery explained most of the difference in cost between the two models. Compared to mean annual costs in Europe that are estimated at 23,695 euros per case the cost of health services in Israel by MS patients is significantly lower. MS represents a high economic burden to society. In line with the findings from 15 studies published in Europe, we can conclude that studies agree with the following findings: a) costs outside the healthcare system, non-medical costs and informal care dominate the costs of MS, b) costs increase with increasing severity of the disease and c) an integrated service delivery model that is satisfying to patients on the one hand and cost effective on the other is to be recommended. PMID:17027884

Rotstein, Zeev; Hazan, Rivka; Barak, Yoram; Achiron, Anat

2006-10-01

401

Information processing for aerospace structural health monitoring  

Microsoft Academic Search

Structural health monitoring (SHM) technology provides a means to significantly reduce life cycle of aerospace vehicles by eliminating unnecessary inspections, minimizing inspection complexity, and providing accurate diagnostics and prognostics to support vehicle life extension. In order to accomplish this, a comprehensive SHM system will need to acquire data from a wide variety of diverse sensors including strain gages, accelerometers, acoustic

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

1998-01-01

402

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.

Boulos, Maged N Kamel

2003-01-01

403

"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

404

Providing consumer health information in the rural setting: Planetree Health Resource Center's approach  

PubMed Central

Both lifestyle and geography make the delivery of consumer health information in the rural setting unique. The Planetree Health Resource Center in The Dalles, Oregon, has served the public in a rural setting for the past eight years. It is a community-based consumer health library, affiliated with a small rural hospital, Mid-Columbia Medical Center. One task of providing consumer health information in rural environments is to be in relationship with individuals in the community. Integration into community life is very important for credibility and sustainability. The resource center takes a proactive approach and employs several different outreach efforts to deepen its relationship with community members. It also works hard to foster partnerships for improved health information delivery with other community organizations, including area schools. This paper describes Planetree Health Resource Center's approach to rural outreach.

Spatz, Michele A.

2000-01-01

405

Health@Home: The Work of Health Information Management in the Household (HIMH): Implications for Consumer Health Informatics (CHI) Innovations  

PubMed Central

Objective: Contemporary health care places enormous health information management demands on laypeople. Insights into their skills and habits complements current developments in consumer health innovations, including personal health records. Using a five-element human factors model of work, health information management in the household (HIMH) is characterized by the tasks completed by individuals within household organizations, using certain tools and technologies in a given physical environment. Design: We conducted a descriptive-exploratory study of the work of HIMH, involving 49 community-dwelling volunteers from a rural Midwestern community. Measurements: During in-person interviews, we collected data using semistructured questionnaires and photographs of artifacts used for HIMH. Results: The work of HIMH is largely the responsibility of a single individual, primarily engaged in the tasks of acquiring, managing, and organizing a diverse set of health information. Paper-based tools are most common, and residents develop strategies for storing information in the household environment aligned with anticipated use. Affiliative relationships, e.g., parent-child or spousal, within the household serve as the organization that gives rise to health information management practices. Synthesis of these findings led to identification of several storage strategies employed in HIMH. These strategies are labeled “just-in-time,” “just-because,” “just-in-case,” and “just-at-hand,” reflecting location of the artifacts of health information and anticipated urgency in the need to retrieve it. Conclusion: Laypeople develop and employ robust, complex strategies for managing health information in the home. Capitalizing on these strategies will complement and extend current consumer health innovations to provide functional support to people who face increasing demands to manage personal health information.

Moen, Anne; Brennan, Patricia Flatley

2005-01-01

406

The diamond level health promoting schools (DLHPS) program for reduced child obesity in Thailand: lessons learned from interviews and focus groups.  

PubMed

Overweight and obesity prevalence among children is increasing globally. Health promoting school policy has been initiated in Thailand to tackle this problem. The schools that best conduct obesity management programs are rated as diamond level health promoting schools (DLHPS). However, the methods used by these schools and their efficacies have not been well-documented. This qualitative study aims to analyze the processes and activities used by four DLHPSs in obesity management programs. In-depth interviews were used to obtain information from school directors, teachers, and cooks, whereas focus group discussions were used for students. School-based obesity management programs have resulted from health promoting school policy and the increasing prevalence of overweight students. Teamwork has been a key strategy in program implementation. Policy diffusion and division of labor have been effected by school directors. A monitoring process is put in place to ensure program delivery. The most evident success factor in the present study has been intersectoral cooperation. Challenges have included confusion about the criteria in obtaining the DLHPS status, parental involvement, and students' resistance to consume vegetables and other healthy foods. From the student focus groups discussions, three activities were most valued: class health and nutrition learning; provision of healthy foods and drinks, together with removal of soft drinks and seasoning from the cafeteria; and exercise for health. Intersectoral cooperation is the key success factor for the operationality of DLHPS, especially in making healthy foods available and physical activity the norm, at school and home. PMID:24901100

Phaitrakoon, Jaruwan; Powwattana, Arpaporn; Lagampan, Sunee; Klaewkla, Jeeranun

2014-06-01

407

Information retrieval from the World Wide Web: a user-focused approach based on individual experience with search engines  

Microsoft Academic Search

Although search engines are essential tools for finding information on the World Wide Web, the effective use of search engines for information retrieval (IR) is a crucial challenge for any Internet user. Based on the user-focused approach, this study investigates individual information retrieval behaviors using information processing theory. The results show that experience with search engines significantly affects users’ attitudes

Shu-Sheng Liaw; Hsiu-Mei Huang

2006-01-01

408

75 FR 8953 - Office of the National Coordinator for Health Information Technology HIT Policy Committee...  

Federal Register 2010, 2011, 2012, 2013

...National Coordinator for Health Information Technology HIT Policy Committee Advisory...National Coordinator for Health Information Technology, HHS. ACTION: Notice...National Coordinator for Health Information Technology (ONC). The...

2010-02-26

409

45 CFR 170.207 - Vocabulary standards for representing electronic health information.  

Code of Federal Regulations, 2013 CFR

...HEALTH INFORMATION TECHNOLOGY Standards and Implementation...Specifications for Health Information Technology § 170.207 Vocabulary...electronic health information. The Secretary...United States National Library of Medicine....

2013-10-01

410

45 CFR 170.207 - Vocabulary standards for representing electronic health information.  

Code of Federal Regulations, 2010 CFR

...HEALTH INFORMATION TECHNOLOGY Standards and Implementation...Specifications for Health Information Technology § 170.207 Vocabulary...electronic health information. The Secretary...United States National Library of Medicine....

2010-10-01

411

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

412

76 FR 31425 - HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic...  

Federal Register 2010, 2011, 2012, 2013

...Disclosures Under the Health Information Technology for Economic and Clinical...Disclosures Under the Health Information Technology for Economic and Clinical...requirement under the Health Information Technology for Economic and...

2011-05-31

413

76 FR 72636 - Permanent Certification Program for Health Information Technology; Revisions to ONC-Approved...  

Federal Register 2010, 2011, 2012, 2013

...Certification Program for Health Information Technology; Revisions to ONC-Approved...National Coordinator for Health Information Technology (ONC), Department of...National Coordinator for Health Information Technology by section...

2011-11-25

414

76 FR 31272 - Permanent Certification Program for Health Information Technology; Revisions to ONC-Approved...  

Federal Register 2010, 2011, 2012, 2013

...Certification Program for Health Information Technology; Revisions to ONC-Approved...National Coordinator for Health Information Technology (ONC), Department of...National Coordinator for Health Information Technology (the National...

2011-05-31

415

75 FR 62686 - Health Information Technology: Revisions to Initial Set of Standards, Implementation...  

Federal Register 2010, 2011, 2012, 2013

...170 RIN 0991-AB76 Health Information Technology: Revisions to Initial Set...National Coordinator for Health Information Technology (ONC), Department of...National Coordinator for Health Information Technology, Attention: Steven...

2010-10-13

416

75 FR 23214 - HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic...  

Federal Register 2010, 2011, 2012, 2013

...Disclosures Under the Health Information Technology for Economic and Clinical...13405(c) of the Health Information Technology for Economic and Clinical...13405(c) of the Health Information Technology for Economic and...

2010-05-03

417

3 CFR 8711 - Proclamation 8711 of September 12, 2011. National Health Information Technology Week, 2011  

Code of Federal Regulations, 2012 CFR

...2011. National Health Information Technology Week, 2011 8711 Proclamation 8711...8711 National Health Information Technology Week, 2011By the President of the United...During National Health Information Technology Week, we highlight the critical...

2012-01-01

418

45 CFR 158.151 - Expenditures related to Health Information Technology and meaningful use requirements.  

Code of Federal Regulations, 2011 CFR

...Expenditures related to Health Information Technology and meaningful use requirements. ...Expenditures related to Health Information Technology and meaningful use requirements. ...care quality such Health Information Technology (HIT) expenses as are...

2011-10-01

419

Finding online health-related information: usability issues of health portals.  

PubMed

As Internet and computers become widespread, health portals offering online health-related information become more popular. The most important point for health portals is presenting reliable and valid information. Besides, portal needs to be usable to be able to serve information to users effectively. This study aims to determine usability issues emerging when health-related information is searched on a health portal. User-based usability tests are conducted and eye movement analyses are used in addition to traditional performance measures. Results revealed that users prefer systematic, simple and consistent designs offering interactive tools. Moreover, content and partitions needs to be shaped according to the medical knowledge of target users. PMID:22874312

Gurel Koybasi, Nergis A; Cagiltay, Kursat

2012-01-01

420

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.

Spang, L; Marks, E; Adams, N

1998-01-01

421

Informal, Incidental and Ad Hoc: The Information-Seeking and Learning Strategies of Health Care Patients  

ERIC Educational Resources Information Center

When people are ill, they want to know what is happening to them and how they can get better. Current health policies support patients' access to health information and encourage them to take part in decisions regarding their health. But little is known about how patients learn and the difficulties they may encounter in the process. This paper…

Papen, Uta

2012-01-01

422

75 FR 48412 - Proposed Information Collection (Six-Month Post-Exit Focus Interview of Former VHA Employees...  

Federal Register 2010, 2011, 2012, 2013

...Proposed Information Collection (Six-Month Post-Exit Focus Interview of Former VHA Employees) Activities; Under OMB Review AGENCY...SUPPLEMENTARY INFORMATION: Title: Six-Month Post-Exit Focus Interview of Former VHA Employees, VA Form 10-0487. OMB...

2010-08-10

423

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

424

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

425

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

426

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

427

29 CFR 1960.12 - Dissemination of occupational safety and health program information.  

Code of Federal Regulations, 2013 CFR

...false Dissemination of occupational safety and health program information...Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT...FOR FEDERAL EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND...

2013-07-01

428

76 FR 40454 - Proposed Information Collection (VSO Access to VHA Electronic Health Records) Activity; Comment...  

Federal Register 2010, 2011, 2012, 2013

...Activity; Comment Request AGENCY: Veterans Health Administration, Department of...SUMMARY: The Veterans Health Administration (VHA) is announcing...Officers (VSO) to access VA's Veterans Health Information Systems...

2011-07-08

429

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

430

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

431

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

432

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.

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

2013-01-01

433

The use of social media to communicate child health information to low-income parents: A formative study  

Microsoft Academic Search

The Internet, and specifically web 2.0 social media applications, offers an innovative method for communicating child health information to low-income parents. The main objective of this study was to use qualitative data to determine the value of using social media to reach low-income parents with child health information. A qualitative formative evaluation employing focus groups was used to determine the

Stephanie Jean Stroever

2011-01-01

434

A Privacy-Preserved Analytical Method for eHealth Database with Minimized Information Loss  

PubMed Central

Digitizing medical information is an emerging trend that employs information and communication technology (ICT) to manage health records, diagnostic reports, and other medical data more effectively, in order to improve the overall quality of medical services. However, medical information is highly confidential and involves private information, even legitimate access to data raises privacy concerns. Medical records provide health information on an as-needed basis for diagnosis and treatment, and the information is also important for medical research and other health management applications. Traditional privacy risk management systems have focused on reducing reidentification risk, and they do not consider information loss. In addition, such systems cannot identify and isolate data that carries high risk of privacy violations. This paper proposes the Hiatus Tailor (HT) system, which ensures low re-identification risk for medical records, while providing more authenticated information to database users and identifying high-risk data in the database for better system management. The experimental results demonstrate that the HT system achieves much lower information loss than traditional risk management methods, with the same risk of re-identification.

Chen, Ya-Ling; Cheng, Bo-Chao; Chen, Hsueh-Lin; Lin, Chia-I; Liao, Guo-Tan; Hou, Bo-Yu; Hsu, Shih-Chun

2012-01-01

435

Use of health information systems in the Russian federation in the assessment of environmental health effects.  

PubMed Central

The Russian Federation has made an intensive effort to compile and use information on the environment and human health. In 1996-1997, we evaluated the information that was collected and analyzed on the local (raion), regional (oblast), and federal levels with reference to its usefulness in the assessment of environmental health effects. The Russian Federation maintains standardized nationwide institutions that routinely collect health data in polyclinics and hospitals and then report to the national offices. The allocations of the workforce and the broad range of surveyed health outcomes are extensive, but a lack of systematic control of information quality limits the ability to take full advantage of these efforts. On the other hand, the hierarchical system of data collection has advantages over more decentralized or commercial health systems. A major weakness in the current reporting is the aggregation and transformation of data. Although this may not disturb the generation of health statistics, it seriously limits the use of regional and federal level data in the assessment of health effects of environmental exposures. In spite of limitations, some revised approaches to the analysis of existing data may be both feasible and fruitful. Combining information from routine data and newly collected data is likely to be the most effective way to assess the relationship between environmental exposures and diseases. Although there is a strong and justifiable desire to rapidly translate information of environmental health effects into policy alternatives, at present, it seems more useful to emphasize data quality, completeness, and plans for the use of data.