scholarly journals Knowledge Representation and Management: Towards Patient Health Self-management

2012 ◽  
Vol 21 (01) ◽  
pp. 126-129
Author(s):  
A.-M. Rassinoux ◽  

SummaryTo summarize excellent current research in the field of knowledge representation and management (KRM).A synopsis of the articles selected for the IMIA Yearbook 2012 is provided and an attempt to highlight the current trends in the field of health management is sketched.Among the five selected papers, two confirm the benefit of exploiting open-source language toolkits for the automatic extraction of medical concepts, assertions and/or relationships from clinical texts. One paper aims at exploiting domain-specific terminologies to improve the parsing of biomedical noun phrases, and another one aims at discovering rare diseases associations embedded into disparate textual sources. Finally, the last paper describes a collaborative search approach integrated into a homegrown EHR search engine.This selected set of papers confirms that natural language processing, as well as knowledge extraction, discovering and retrieval, are still active and fruitful research fields. Although these papers are not directly focusing on personal health informatics applications„ important features are highlighted and tailored to fit the requirements of patient health self-management. Delivering timely, friendly and secure access to functional, accurate, up-to-date and sustainable personal health records is a significant challenging task for supporting self-managed healthcare.

10.2196/13866 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e13866
Author(s):  
Ryoma Hirano ◽  
Satoko Yamaguchi ◽  
Kayo Waki ◽  
Yoshihiko Kimura ◽  
Keiichi Chin ◽  
...  

Background Personal health record (PHR) systems let individuals utilize their own health information to maintain and improve quality of life. Using PHRs is expected to support self-management in patients with lifestyle-related diseases. Objective The aim of this study was to identify predictors of the willingness to use PHRs among patients who are prescribed medications for lifestyle-related diseases. Methods We recruited pharmacy patrons, aged 20 years or older, who had received at least one medication indicated for hypertension, dyslipidemia, or diabetes. Participants completed self-administered questionnaires regarding their previous diseases, awareness of health care, experience in using PHRs, willingness to use PHRs, and barriers to using PHRs. Data were analyzed using multivariate logistic regression models. Results Of the 3708 subjects meeting eligibility criteria, 2307 replies (62.22%) were collected. While only 174 (7.54%) participants had previous PHR experience, 853 (36.97%) expressed willingness to use PHRs. In the multivariate analysis, considering exercise to be important for health management (odds ratio [OR] 1.57, 95% CI 1.12-2.21; P=.009), obtaining medical information from books or magazines (OR 1.23, 95% CI 0.96-1.59; P=.10), and obtaining medical information from the internet (OR 1.45, 95% CI 1.13-1.87; P=.004) were newly identified predictors. These were in addition to known predictors, such as being employed, owning information terminals, and previous PHR experience. Conclusions Patients who have an active and positive attitude toward health seem to be more willing to use PHRs. Investigating willingness should contribute to the development of more useful PHRs for self-management among patients prescribed medications for lifestyle-related diseases.


2010 ◽  
Vol 19 (01) ◽  
pp. 64-67
Author(s):  
A.-M. Rassinoux ◽  

Summary Objectives: To summarize current outstanding research in the field of knowledge representation and management. Method: Synopsis of the articles selected for the IMIA Yearbook 2010. Results: Four interesting papers, dealing with structured knowledge, have been selected for the section knowledge representation and management. Combining the newest techniques in computational linguistics and natural language processing with the latest methods in statistical data analysis, machine learning and text mining has proved to be efficient for turning unstructured textual information into meaningful knowledge. Three of the four selected papers for the section knowledge representation and management corroborate this approach and depict various experiments conducted to. extract meaningful knowledge from unstructured free texts such as extracting cancer disease characteristics from pathology reports, or extracting protein-protein interactions from biomedical papers, as well as extracting knowledge for the support of hypothesis generation in molecular biology from the Medline literature. Finally, the last paper addresses the level of formally representing and structuring informa- tion within clinical terminologies in order to render such information easily available and shareable among the health informatics com- munity. Conclusions: Delivering common powerful tools able to automati- cally extract meaningful information from the huge amount of elec- tronically unstructured free texts is an essential step towards promot- ing sharing and reusability across applications, domains, and institutions thus contributing to building capacities worldwide.


2019 ◽  
Author(s):  
Ryoma Hirano ◽  
Satoko Yamaguchi ◽  
Kayo Waki ◽  
Yoshihiko Kimura ◽  
Keiichi Chin ◽  
...  

BACKGROUND Personal health record (PHR) systems let individuals utilize their own health information to maintain and improve quality of life. Using PHRs is expected to support self-management in patients with lifestyle-related diseases. OBJECTIVE The aim of this study was to identify predictors of the willingness to use PHRs among patients who are prescribed medications for lifestyle-related diseases. METHODS We recruited pharmacy patrons, aged 20 years or older, who had received at least one medication indicated for hypertension, dyslipidemia, or diabetes. Participants completed self-administered questionnaires regarding their previous diseases, awareness of health care, experience in using PHRs, willingness to use PHRs, and barriers to using PHRs. Data were analyzed using multivariate logistic regression models. RESULTS Of the 3708 subjects meeting eligibility criteria, 2307 replies (62.22%) were collected. While only 174 (7.54%) participants had previous PHR experience, 853 (36.97%) expressed willingness to use PHRs. In the multivariate analysis, <i>considering exercise to be important for health management</i> (odds ratio [OR] 1.57, 95% CI 1.12-2.21; <i>P</i>=.009), <i>obtaining medical information from books or magazines</i> (OR 1.23, 95% CI 0.96-1.59; <i>P</i>=.10), and <i>obtaining medical information from the internet</i> (OR 1.45, 95% CI 1.13-1.87; <i>P</i>=.004) were newly identified predictors. These were in addition to known predictors, such as being employed, owning information terminals, and previous PHR experience. CONCLUSIONS Patients who have an active and positive attitude toward health seem to be more willing to use PHRs. Investigating willingness should contribute to the development of more useful PHRs for self-management among patients prescribed medications for lifestyle-related diseases.


Author(s):  
Shelagh K. Genuis

This qualitative paper explores how health information mediated by the internet and media is used and made valuable within the life of consumers managing non-crisis health challenges, and how informal information seeking and gathering influences self-positioning within patient-clinician relationships. Findings have implications for health information literacy and collaborative, patient-centred care.Cette étude qualitative explore comment l’information sur la santé relayée par Internet et les médias est utilisée et rendue utile dans le contexte de consommateurs gérant des problèmes médicaux non urgents, et comment la recherche et la collecte d’information informelles influencent l’auto-positionnement dans la relation patient clinicien. Les résultats ont des applications dans la maîtrise de l’information médicale et les soins collaboratifs centrés sur le patient.


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