| 1. |
- Andrenucci, Andrea, et al.
(författare)
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Knowledge patterns for online health portal development
- 2019
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 25:4, s. 1779-1799
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the development and evaluation of a set of knowledge patterns that provide guidelines and implications of design for developers of mental health portals. The knowledge patterns were based on three foundations: 1) Knowledge integration of language technology approaches; 2) Experiments with language technology applications and 3) User studies of portal interaction. A mixed-methods approach was employed for the evaluation of the knowledge patterns: formative workshops with knowledge pattern experts and summative surveys with experts in specific domains. The formative evaluation improved the cohesion of the patterns. The results of the summative evaluation showed that the problems discussed in the patterns were relevant for the domain and that the knowledge embedded was useful to solve them. Ten patterns out of thirteen achieved an average score above 4.0, which is a positive result that leads us to conclude that they can be used as guidelines for developing health portals.
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| 2. |
- Baig, Mirza Mansoor, et al.
(författare)
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Clinical decision support systems in hospital care using ubiquitous devices : Current issues and challenges
- 2019
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Ingår i: Health Informatics Journal. - : SAGE PUBLICATIONS INC. - 1460-4582 .- 1741-2811. ; 25:3, s. 1091-1104
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Tidskriftsartikel (refereegranskat)abstract
- Supporting clinicians in decision making using advanced technologies has been an active research area in biomedical engineering during the past years. Among a wide range of ubiquitous systems, smartphone applications have been increasingly developed in healthcare settings to help clinicians as well as patients. Today, many smartphone applications, from basic data analysis to advanced patient monitoring, are available to clinicians and patients. Such applications are now increasingly integrating into healthcare for clinical decision support, and therefore, concerns around accuracy, stability, and dependency of these applications are rising. In addition, lack of attention to the clinicians' acceptability, as well as the low impact on the medical professionals' decision making, are posing more serious issues on the acceptability of smartphone applications. This article reviews smartphone-based decision support applications, focusing on hospital care settings and their overall impact of these applications on the wider clinical workflow. Additionally, key challenges and barriers of the current ubiquitous device-based healthcare applications are identified. Finally, this article addresses current challenges, future directions, and the adoption of mobile healthcare applications.
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| 3. |
- Berner, Jessica, et al.
(författare)
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Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden
- 2015
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 21:3, s. 237-249
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Tidskriftsartikel (refereegranskat)abstract
- Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption; a clearer profile of their Internet use is important in order to provide better technological and health-care solutions. Older adults' Internet use was investigated across large to midsize cities and rural Sweden. The sample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated with age, education, gender, household economy, cognition, living alone/or with someone and rural/urban living. Logistic regression was used. Those living in rural areas used the Internet less than their urban counterparts. Being younger and higher educated influenced Internet use; for older urban adults, these factors as well as living with someone and having good cognitive functioning were influential. Solutions are needed to avoid the exclusion of some older adults by a society that is today being shaped by the Internet.
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| 4. |
- Ehrentraut, Claudia, et al.
(författare)
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Detecting hospital-acquired infections : A document classification approach using support vector machines and gradient tree boosting
- 2018
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 24:1, s. 24-42
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Tidskriftsartikel (refereegranskat)abstract
- Hospital-acquired infections pose a significant risk to patient health, while their surveillance is an additional workload for hospital staff. Our overall aim is to build a surveillance system that reliably detects all patient records that potentially include hospital-acquired infections. This is to reduce the burden of having the hospital staff manually check patient records. This study focuses on the application of text classification using support vector machines and gradient tree boosting to the problem. Support vector machines and gradient tree boosting have never been applied to the problem of detecting hospital-acquired infections in Swedish patient records, and according to our experiments, they lead to encouraging results. The best result is yielded by gradient tree boosting, at 93.7percent recall, 79.7percent precision and 85.7percent F1 score when using stemming. We can show that simple preprocessing techniques and parameter tuning can lead to high recall (which we aim for in screening patient records) with appropriate precision for this task.
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| 5. |
- Holmberg, Christopher, 1984, et al.
(författare)
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Health literacy in a complex digital media landscape: Pediatric obesity patients’ experiences with online weight, food, and health information
- 2019
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 25:4, s. 1343-1357
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to explore experiences with online information regarding food, weight management, and health in a group of adolescents in treatment for obesity. Individual semi-structured interviews with 20 adolescents were conducted. Participants used a screen-recorded laptop to demonstrate their search procedures and online information sources. The transcribed interviews were categorized using qualitative content analysis. The adolescents described both encouraging and discouraging experiences. On one hand, they said that online forums could provide nutritious meal ideas and inspiration as well as social support for behavior change. On the other hand, they mentioned that there was a confusing amount of misleading commercial content online and also experiences of peer-facilitated food marketing in online networks. An overarching theme was generated: social media might be a resource for health inspiration, health information, and social support, but requires awareness and competencies. Implications for clinical practice are discussed in light of these findings.
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| 6. |
- Islind, Anna Sigridur, 1985-, et al.
(författare)
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Shift in translations : Data work with patient-generated health data in clinical practice
- 2019
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 25:3, s. 577-586
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Tidskriftsartikel (refereegranskat)abstract
- This article reports on how the introduction of patient-generated health data affects the nurses’ and patients’ data work and unpacks how new forms of data collection trigger shifts in the work with data through translation work. The article is based on a 2.5-year case study examining data work of nurses and patients at a cancer rehabilitation clinic at a Swedish Hospital in which patient-generated health data are gathered by patients and then used outside and within clinical practice for decision-making. The article reports on how data are prepared and translated, that is, made useful by the nurses and patients. Using patient-generated health data alters the data work and how the translation of data is performed. The shift in work has three components: (1) a shift in question tactics, (2) a shift in decision-making, and (3) a shift in distribution. The data become mobile, and the data work becomes distributed when using patient-generated health data as an active part of care
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| 7. |
- Jørgensen, Lene Bastrup, et al.
(författare)
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The psychosocial effect of web-based information in fast-track surgery
- 2017
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 23:4, s. 304-318
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Tidskriftsartikel (refereegranskat)abstract
- The psychosocial effects of web-based information have yet to be tested for patients joining a fast-track total hip arthroplasty programme. This study compared and evaluated the psychosocial impact of standard total hip arthroplasty programme, with and without supplementation with a web-based information platform (E-total hip arthroplasty programme). Totally, 299 patients were enrolled in an un-controlled, before-and-after study, 117 in the S-total hip arthroplasty programme group and 182 in the E-total hip arthroplasty programme group. Psychosocial outcomes before and during admission and then 3 months post-surgery were evaluated, with analyses conducted between and within groups. All outcomes improved significantly from pre-admission to 3 months post-surgery, with no between-group differences. In all, 112 of the 182 E-total hip arthroplasty programme patients accessed the learning platform. A subgroup analysis showed no significant differences between users and non-users, either at baseline or in terms of outcome. This study found no positive psychosocial effect between groups, but a significant effect within groups.
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| 8. |
- Karlsson, David, et al.
(författare)
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Electronic data capture on athletes pre-participation health and in-competition injury and illness at major sports championships : An extended usability study in Athletics
- 2018
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 24:2, s. 136-145
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Tidskriftsartikel (refereegranskat)abstract
- This study set out to identify factors critical for the usability of electronic data collection in association with championships in individual sports. A qualitative analysis of electronic data collection system usability for collection of data on pre-participation health from athletes and in-competition injury and illness from team physicians was performed during the 2013 European Athletics Indoor Championships. A total of 15 athletes and team physicians participated. Athletes were found to experience few problems interacting with the electronic data collection system, but reported concerns about having to reflect on injury and illness before competitions and the medical terminology used. Team physicians encountered problems when first navigating through the module for clinical reporting, but they were not subjected to motivational problems. We conclude that athletes motivation to self-report health data and the design of the human-computer interface for team physicians are key issues for the usability of electronic data collection systems in association with championships in individual sports.
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| 9. |
- Li, SS, et al.
(författare)
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Setting priorities for EU healthcare workforce IT skills competence improvement
- 2019
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Ingår i: Health informatics journal. - : SAGE Publications. - 1741-2811 .- 1460-4582. ; 25:1, s. 174-185
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Tidskriftsartikel (refereegranskat)abstract
- A major challenge for healthcare quality improvement is the lack of IT skills and knowledge of healthcare workforce, as well as their ambivalent attitudes toward IT. This article identifies and prioritizes actions needed to improve the IT skills of healthcare workforce across the EU. A total of 46 experts, representing different fields of expertise in healthcare and geolocations, systematically listed and scored actions that would improve IT skills among healthcare workforce. The Child Health and Nutrition Research Initiative methodology was used for research priority-setting. The participants evaluated the actions using the following criteria: feasibility, effectiveness, deliverability, and maximum impact on IT skills improvement. The leading priority actions were related to appropriate training, integrating eHealth in curricula, involving healthcare workforce in the eHealth solution development, improving awareness of eHealth, and learning arrangement. As the different professionals’ needs are prioritized, healthcare workforce should be actively and continuously included in the development of eHealth solutions.
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| 10. |
- Rexhepi, Hanife, 1984-, et al.
(författare)
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Cancer Patients’ Attitudes and Experiences of Online Access to their Electronic Medical Records : A Qualitative Study
- 2018
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 24:2, s. 115-124
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Tidskriftsartikel (refereegranskat)abstract
- Patients’ access to their online medical records serves as one of the cornerstones in the efforts to increase patient engagement and improve healthcare outcomes. The aim of this paper is to provide in-depth understanding of cancer patients’ attitudes and experiences of online medical records, as well as an increased understanding of the complexities of developing and launching e-Health services. The study result confirms that online access can help patients prepare for doctor visits and to understand their medical issues. In contrast to the fears of many physicians the study shows that online access to medical records did not generate substantial anxiety, concerns or increased phone calls to the hospital
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