Article
Public, Environmental & Occupational Health
Sara L. Jackson, Hannah Shucard, Joshua M. Liao, Sigall K. Bell, Alan Fossa, Thomas H. Payne, Lisa M. Reisch, Andrea C. Radick, Catherine M. DesRoches, Patricia Fitzgerald, Suzanne Leveille, Jan Walker, Joann G. Elmore
Summary: This study aimed to understand the experiences of care partners accessing patient information through electronic portals. The majority of care partners, who were often family members, considered access to electronic visit notes very important for promoting positive health behaviors. They suggested improvements to the portal design, such as separate logins for care partners and avoiding judgmental language in the notes.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Health Care Sciences & Services
Piper Liping Liu, Xinshu Zhao, Jizhou Francis Ye
Summary: This study investigates the effects of PAEHR portals on health outcomes of cancer survivors, and finds that PAEHR portals indirectly influence psychological and physical health through patient-centered communication (PCC) and health self-efficacy.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Medicine, General & Internal
Liyan Zhang, Xiaotian Zhang, Lin Shen, Dan Zhu, Saili Ma, Lin Cong
Summary: This randomized clinical trial found that the ePRO follow-up model can improve safety and quality of life (QOL) of patients receiving cancer immunotherapy as well as reduce time spent monitoring. This model may provide reliable information and management recommendations.
Review
Health Care Sciences & Services
Janine Benjamins, Annemien Haveman-Nies, Marian Gunnink, Annemieke Goudkuil, Emely de Vet
Summary: The review suggests that patient-accessible electronic health records (PAEHRs) have the potential to contribute positively to patient-centered care. However, concerns from professionals about the impact of transparency on the patient-clinician relationship, as well as the importance of a patient-centered attitude, need to be addressed. Significant benefits for disadvantaged groups will only be achieved through easily accessible and user-friendly PAEHRs.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Chong Song, Masaharu Nakayama
Summary: This study successfully converted seven necessary IPS sections from existing SS-MIX2 data and developed a patient summary web application that summarizes and visualizes all the minimum necessary patient information, matching 12 common use cases in Japan.
JOURNAL OF MEDICAL SYSTEMS
(2023)
Article
Computer Science, Information Systems
Yuriy Pylypchuk, Chad D. Meyerhoefer, William Encinosa, Talisha Searcy
Summary: The study found that hospitals' adoption of a new electronic health record (EHR) developer increases patient sharing with hospitals using the same developer. Consolidation in the EHR industry has led to higher patient sharing among hospitals with the same EHR developer, which may impact patient flow and healthcare outcomes across hospitals.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Anjali Varma Desai, Chelsea L. Michael, Gilad J. Kuperman, Gregory Jordan, Haley Mittelstaedt, Andrew S. Epstein, MaryAnn Connor, Rika Paula B. Villar, Camila Bernal, Dana Kramer, Mary Elizabeth Davis, Yuxiao Chen, Catherine Malisse, Gigi Markose, Judith E. Nelson
Summary: The study describes the integration and systematization of health-related values discussions led by oncology nurses for newly diagnosed cancer patients at MSK. They created the Patient Values Tab in the center's EHR to provide ready access to key information about the patient's individual values, goals, and preferences. Through an interprofessional, user-centered design approach, they have already deployed the tab to a pilot sample of users with early evidence of positive impact.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
John P. Lalor, Wen Hu, Matthew Tran, Hao Wu, Kathleen M. Mazor, Hong Yu
Summary: The study assessed the efficacy of NoteAid for EHR note comprehension among participants in a community hospital setting and found that the use of NoteAid significantly improved EHR note comprehension in both community hospital and AMT samples. This demonstrates the generalizability of ComprehENotes as a test of EHR note comprehension and the effectiveness of NoteAid in improving EHR note comprehension.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Critical Care Medicine
Kerri Aronson, Sonye K. Danoff, Anne-Marie Russell, Christopher J. Ryerson, Atsushi Suzuki, Marlies S. Wijsenbeek, Sabrina Bajwah, Pauline Bianchi, Tamera J. Corte, Joyce S. Lee, Kathleen O. Lindell, Toby M. Maher, Fernando J. Martinez, Paula M. Meek, Ganesh Raghu, Glenda Rouland, Rick Rudell, Monika M. Safford, Jamie S. Sheth, Jeffrey J. Swigris
Summary: In the past two decades, advancements have been made in understanding interstitial lung disease (ILD) and its treatments, but questions remain about how the disease and therapies impact patients. This research aims to summarize the state of patient-centered outcomes in ILD, identify gaps in knowledge, and suggest methods for future research agendas. The international interdisciplinary group of experts identified top patient-centered outcomes, reviewed literature, and developed research recommendations to elevate and incorporate patient-centered outcomes in ILD research.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2021)
Article
Health Care Sciences & Services
Christina Cheng, Emma Gearon, Melanie Hawkins, Crystal McPhee, Lisa Hanna, Roy Batterham, Richard H. Osborne
Summary: Web-based personal health records (PHRs) have the potential to improve healthcare quality and equity, but their uptake has been slow. This study identified a strong association between digital health literacy and the use of a web-based PHR, suggesting that improving digital technology and skills, as well as enhancing healthcare and social support, may promote PHR uptake and help reduce health inequities.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Clinical Neurology
Philip Cheng, Sara Santarossa, David Kalmbach, Chaewon Sagong, Kristen Hu, Christopher Drake
Summary: Digital cognitive behavioral therapy has advantages for insomnia, but only half of the patients can achieve remission. Treatment engagement is critical for its effectiveness, and barriers disproportionately affect under-resourced communities. Identifying facilitators and barriers is important for its scalability.
Article
Geriatrics & Gerontology
Yu Qing Huang, Laura Liu, Zahra Goodarzi, Jennifer A. Watt
Summary: In Canada, there is a need to measure the electronic health literacy of older adults to ensure equitable access to virtual care. This study examined the diagnostic accuracy of eHealth literacy tools and identified shortcomings in their validation in older adults.
Article
Computer Science, Information Systems
Xiaomei Wang, H. Joseph Blumenthal, Daniel Hoffman, Natalie Benda, Tracy Kim, Shawna Perry, Ella S. Franklin, Emilie M. Roth, A. Zachary Hettinger, Ann M. Bisantz
Summary: Understanding and managing clinician workload is crucial for occupational health and patient safety. This study demonstrates the potential of using EHR data to predict patient-related workload in the emergency department, which can support decisions around patient assignment and improve workload management. Further research is needed to investigate the relationship between workload proxies and actual workload, and to enhance prediction performance.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Health Care Sciences & Services
Olivia G. D'Aliberti, Mark A. Clark
Summary: In this paper, an end-to-end security solution is introduced to facilitate the sharing of patient EHR data over an unsecured third-party server using a leveled homomorphic encryption scheme.
JOURNAL OF MEDICAL SYSTEMS
(2022)
Article
Health Care Sciences & Services
Yaki Yang
Summary: This study aims to explore the relationship between health literacy competencies and patient-centered care by clinical nurses. The results show a significant positive relationship between health literacy competencies and patient-centered care, and factors such as education level and health literacy knowledge significantly influence the health literacy competencies of clinical nurses. The study suggests that nursing education should focus on integrating health literacy into the curriculum to improve patient-centered care by clinical nurses.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Anesthesiology
Danielle M. McCarthy, Howard S. Kim, Scott Hur, Patrick M. Lank, Christine Arroyo, Lauren A. Opsasnick, Katherine Piserchia, Laura M. Curtis, Michael S. Wolf, D. Mark Courtney
Summary: This study found that patients visiting the emergency department for acute pain were prescribed a median of 12 pills of hydrocodone-acetaminophen and consumed low quantities, with 92.5% having leftover pills after 10 days.
Article
Critical Care Medicine
Michael S. Wolf, Jaskaran Rakkar, Christopher M. Horvat, Dennis W. Simon, Patrick M. Kochanek, Gilles Clermont, Robert S. B. Clark
Summary: This study aimed to develop a method to assess dynamic intracranial compliance in severe TBI patients by monitoring ICP and CO2 data. The results suggest that indirect assessment of dynamic intracranial compliance using standard-of-care monitoring is feasible and indicates a prolonged period of derangement post-injury up to 5 days. Further study is needed to determine the utility of the PCI index in guiding management of severe TBI patients.
NEUROCRITICAL CARE
(2021)
Article
Allergy
Alex D. Federman, Erin Thanik, Rachel O'Conor, Arushi Arora, Michael S. Wolf, Juan P. Wisnivesky
Summary: The study identified that low scores on the asthma control test and prior ED visits for asthma are strong correlates of later clinically meaningful changes in asthma control among older adults.
Article
Allergy
Irina Mindlis, Juan P. Wisnivesky, Michael S. Wolf, Rachel O'Conor, Alex D. Federman
Summary: Depressive symptoms in older adults with asthma are significantly associated with the overall count of comorbidities, but not with the count of comorbidities with self-management intensive needs. Further evaluation is warranted to understand how comorbid illnesses contribute to depressive symptoms in this population, given the impact of depression on asthma outcomes.
Letter
Geriatrics & Gerontology
Ravishankar Ramaswamy, Amit A. Shah, Kathryn M. Denson, Mandi Sehgal, Quratulain Syed, Becky B. Powers, Andrea Wershof Schwartz, Rosanne M. Leipzig, Lauren J. Gleason
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Allergy
Dustin Kee, Rachel O'Conor, Juan P. Wisnivesky, Michael S. Wolf, Alex D. Federman
Summary: Concern about non-asthma chronic conditions, but no other illness beliefs or patient characteristics, were associated with retention in an asthma self-management support intervention. Further research is needed to better understand why patients drop out of asthma behavioral intervention studies.
Article
Public, Environmental & Occupational Health
Parul Agarwal, Jenny Lin, Kimberly Muellers, Rachel O'Conor, Michael Wolf, Alex D. Federman, Juan P. Wisnivesky
Summary: In older COPD patients, health literacy and illness and medication beliefs play a role in medication adherence, with medication concerns and necessity mediating the relationship between health literacy and adherence.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Medical Informatics
Kara L. Jacobson, Juliette Faughnan, Laurie Myers, Amy Dubost, Lisa Courtade, Scott von Lutcken, Christine McCrary Sisk, Suzanne Gregory, Anita Cunningham, Cathryn Gunther, Michael S. Wolf
Summary: This study describes an innovative methodology to optimize user understanding of patient medication labeling by applying evidence-based health literacy principles. The study found that this approach was particularly effective for individuals with limited health literacy.
THERAPEUTIC INNOVATION & REGULATORY SCIENCE
(2021)
Article
Education & Educational Research
Vanessa Rodriguez, Veronica Rivera, Suzanne Goldhirsch, Ravishankar Ramaswamy
Summary: The Medicare Annual Wellness visit (AWV) is a fully covered benefit for older adults, aiming to enhance preventive care, but its adoption in primary care is not universal. The COVID-19 pandemic led to reduced engagement of elderly in preventive care and an increased use of telehealth. Creating a clinical experience for medical students involving telehealth interactions with older adults improved learning outcomes and patient rapport, especially during the pandemic.
GERONTOLOGY & GERIATRICS EDUCATION
(2022)
Letter
Geriatrics & Gerontology
Lauren J. Gleason, Amit Shah, Rosanne M. Leipzig, Ravishankar Ramaswamy
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Immunology
Terry C. Davis, Robbie Beyl, Mohammad A. N. Bhuiyan, Adrienne B. Davis, John A. Vanchiere, Michael S. Wolf, Connie L. Arnold
Summary: This study examined COVID-19 concerns, vaccine acceptance, and trusted information sources among patients in a safety-net health system in Louisiana. The findings showed that participants viewed COVID-19 as a serious threat to public health, with variations among different demographic groups. The majority of participants had received the COVID-19 vaccine, and females were more likely to be vaccinated. Physicians were considered the most trusted source of vaccine information, while social media was the least trusted.
Editorial Material
Medicine, General & Internal
Ravishankar Ramaswamy
ANNALS OF INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Stephanie Ruth Young, Emily Gardiner Lattie, Andrew B. L. Berry, Lynn Bui, Greg Joseph Byrne, Julia Noelani Yoshino Benavente, Michael Bass, Richard C. Gershon, Michael S. Wolf, Cindy J. Nowinski
Summary: This study described the design and proposed implementation of a remote cognitive screening app called MyCog Mobile, which aims to facilitate cognitive screening before annual wellness visits in primary care settings. The findings suggest that primary care clinicians and clinic administrators are motivated to adopt a remote cognitive screening process if it saves time, and older adult patients are interested in completing screeners on a smartphone, with potential benefits such as time-saving and privacy.
JMIR FORMATIVE RESEARCH
(2023)
Article
Education & Educational Research
Ravishankar Ramaswamy, Rosanne M. Leipzig, William W. Hung
Summary: This study demonstrates that implementing evidence-based medicine (EBM) curriculum can improve fellows' self-assessed confidence in teaching EBM and influence patient care plans.
GERONTOLOGY & GERIATRICS EDUCATION
(2022)
Article
Health Care Sciences & Services
Laura M. Curtis, Mary J. Kwasny, Lauren Opsasnick, Rachel M. O'Conor, Julia Yoshino-Benavente, Morgan Eifler, Alex D. Federman, Drew Altschul, Michael S. Wolf
Summary: A study found a negative relationship between age and health literacy over time, with older adults possibly experiencing declining health literacy as they age, especially when self-care demands increase. Clinicians are recommended to strengthen strategies to assess and respond to limited health literacy, particularly in patients aged 70 and older.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Computer Science, Information Systems
Xinyi Chen, Xiang Liu, Yuke Wu, Zhenglei Wang, Shuo Hong Wang
Summary: The current research on the diagnosis and staging of prostate cancer using machine learning and deep learning is in its infancy, with low accuracy in diagnosis and classification. There is a lack of studies on CT images and ultrasound images.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Jahanpour Alipour, Roxana Sharifian, Javid Dehghan Haghighi, Mehrnaz Hashemzehi, Afsaneh Karimi
Summary: This study investigated patients' perceptions of the e-prescribing system. The majority of patients were aware of e-prescribing, and preferred it over traditional prescriptions. Patients reported overall positive satisfaction and relatively positive perceptions and experiences with the e-prescribing system.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Review
Computer Science, Information Systems
Sarang Hashemi, Lu Bai, Shijia Gao, Frada Burstein, Kate Renzenbrink
Summary: This study demonstrates the value of the MINDSPACE framework in designing clinical decision support alerts and reminders. The framework addresses the challenges faced by designers in identifying behavioral effects relevant to alert and reminder designs.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Review
Computer Science, Information Systems
Ivan Otero-Gonzalez, Moises R. Pacheco-Lorenzo, Manuel J. Fernandez-Iglesias, Luis E. Anido-Rifon
Summary: This study explores the applications of conversational agents in detecting mental health disorders, specifically depression screening. The findings indicate that conversational agents are effective in detecting depression, and voice interaction is the future direction of development.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Pedro A. Moreno-Sanchez, Ruben Arroyo-Fernandez, Elisabeth Bravo-Esteban, Asuncion Ferri-Morales, Mark van Gils
Summary: This study analyzed data from fibromyalgia patients to assess the impact of mental health factors on fibromyalgia severity compared to pain factors. The findings suggest that mental health factors are more relevant for fibromyalgia severity.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Muhammad Asaduzzaman, Zeleke Mekonnen, Ernst Kristian Rodland, Sundeep Sahay, Andrea Sylvia Winkler, Christoph Gradmann
Summary: Our study explored the perspectives of stakeholders in Jimma, Ethiopia on the use of DHIS2 as a One Health Antimicrobial Resistance (AMR) surveillance platform. The findings suggest that DHIS2 has the potential to be a user-friendly and acceptable platform for OH-AMR surveillance. Despite some challenges, most participants perceived DHIS2 as suitable for OH-AMR surveillance and expressed their willingness to contribute in their current professional roles.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Sari Kujala, Saija Simola, Bo Wang, Hedvig Soone, Josefin Hagstrom, Annika Barkas, Iiris Horhammer, Asa Cajander, Asbjorn Johansen Fagerlund, Bridget Kane, Anna Kharko, Eli Kristiansen, Jonas Moll, Hanife Rexphepi, Maria Hagglund, Monika A. Johansen
Summary: This study benchmarks the usability of national patient portals in Estonia, Finland, Norway, and Sweden using a mixed-methods survey approach. The results indicate variations in usability across countries and highlight the influence of very positive and very negative experiences on usability ratings. The survey approach proves effective in evaluating user experiences and identifying areas for improvement and desirable features.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
R. F. Willemsen, J. J. Aardoom, O. P. van der Galien, S. van de Vijver, N. H. Chavannes, A. Versluis
Summary: This study evaluated healthcare usage and costs of patients using a digital platform, showing an increase in GP consultations and costs after implementation.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Danya Arif Siddiqi, Fatima Miraj, Humdiya Raza, Owais Ahmed Hussain, Mehr Munir, Vijay Kumar Dharma, Mubarak Taighoon Shah, Ali Habib, Subhash Chandir
Summary: This study developed and evaluated an AI chatbot in local language for providing immunization information in low-resource, low-literacy settings in Pakistan. The results showed that the chatbot was feasible and acceptable, meeting the needs of caregivers and reducing the workload of helpline operators.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Liss Hernandez, Estefania Estevez-Priego, Laura Lopez-Perez, Maria Fernanda Cabrera-Umpierrez, Maria Teresa Arredondo, Giuseppe Fico
Summary: HeNeCOn is a reusable, extendible and standardized ontology that provides a clinically reliable data model for Head and Neck Cancer. It consists of 502 classes and 283 medical terms with detailed relations between them, allowing for information extraction and knowledge management.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Savina Mannarino, Valeria Calcaterra, Giulia Fini, Andrea Foppiani, Antonio Sanzo, Martina Pisarra, Gabriele Infante, Marta Marsilio, Irene Raso, Sara Santacesaria, Gianvincenzo Zuccotti
Summary: This study introduces an innovative pediatric telecardiology system, seamlessly integrated with a hospital telemedicine platform, which enhances patient management in the community. The results demonstrate the system's value as a diagnostic tool to facilitate the execution, transmission, and reporting of ECG data between primary care pediatrician clinics and the hospital.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Article
Computer Science, Information Systems
Matthew Ho, Todd J. Levy, Ioannis Koulas, Kyriaki Founta, Kevin Coppa, Jamie S. Hirsch, Karina W. Davidson, Alex C. Spyropoulos, Theodoros P. Zanos
Summary: This study identified clinical phenotypes of hospitalized COVID-19 patients and investigated their longitudinal dynamics throughout the pandemic. Four distinct clinical phenotypes were associated with different mortality rates and showed variability across different viral variants. Factors such as sex, race/ethnicity, and treatment modalities revealed significant differences between the observed phenotypes. This methodology has the potential to guide evidence-based treatment strategies in a dynamic fashion.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Review
Computer Science, Information Systems
Louis Agha-Mir-Salim, Lucas McCullum, Enrico Dahnert, Yanick-Daniel Scheel, Ainsley Wilson, Marianne Carpio, Carmen Chan, Claudia Lo, Lindsay Maher, Corinna Dressler, Felix Balzer, Leo Anthony Celi, Akira-Sebastian Poncette, Michele M. Pelter
Summary: Alarm fatigue is a significant issue in the intensive care unit, and collaboration between nurses and engineers is crucial for finding solutions. However, the current research lacks sufficient involvement of nurses, leading to a lack of successful real-world solutions.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)
Review
Computer Science, Information Systems
Ana Raquel Costa-Brito, Antonio Bovolini, Maria Rua-Alonso, Claudia Vaz, Juan Francisco Ortega-Moran, J. Blas Pagador, Carolina Vila-Cha
Summary: This scoping review investigates the use of home-based technological tools to improve physical function in older adults. The majority of studies suggest high levels of technology usage and positive health outcomes. However, the lack of international consensus on technology usage measures and the exclusion of older adults without technology ownership or experience may limit the findings.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2024)