A peer-to-peer-based medical information sharing system

Author(s):  
Y. Mitamura ◽  
A. Yamamoto ◽  
H. Hayashi ◽  
T. Namioka ◽  
Y. Tsuduki ◽  
...  
2020 ◽  
Author(s):  
Julia Ivanova ◽  
Tianyu Tang ◽  
Nassim Idouraine ◽  
Anite Murcko ◽  
Adela Grando ◽  
...  

BACKGROUND Granular information sharing studies rarely use actual patient electronic health record (EHR) information. In a previous study, behavioral health patients categorized their own EHR data into sensitive categories (e.g. mental health) and chose which care team members (e.g. pharmacists) should have access to those records. In this study, behavioral health professionals are provided access to the outcomes of a previous patient study to better understand the perspectives of health professionals on patient-controlled granular information sharing. OBJECTIVE Assess behavioral health professionals’: (1) perspectives on understanding and opinions about granular information sharing; (2) accuracy in assessing redacted medical information; (3) reactions to patient rationale for health data categorization, assignment of sensitivity, and sharing choices; and (4) recommendations on how to improve the process of granular health information sharing. METHODS Four two-hour focus groups and a pre- and post-survey were conducted at two integrated health facilities. During the focus groups, outcomes from a previous study on patients’ medical record sharing choices were shared. Thematic analysis and descriptive statistical analyses were conducted. RESULTS Twenty-eight professionals were initially unaware of or provided incorrect definitions of granular information sharing (56.0%). After having access to outcomes from a previous patient study, professionals increased their mixed perspectives (21.4% to 37.1%) on granular information sharing. A majority (81.3%) identified that key medical data had been redacted from the study case. Many (66.1%) stated they did not understand patient rationale for categorization or medical sharing preferences. Finally, participants recommended that a variety of educational approaches be incorporated to inform patients about granular information and health record sharing processes. CONCLUSIONS This study provides detailed insights from behavioral health professionals on patient-controlled granular information sharing. Health professionals accurately identified information gaps resulting from patient-directed data redaction, improved in their overall concept comprehension, underscored the fine line between patient safety and patient rights, and expressed a commitment to help patients appreciate the risks and benefits associated with granular information sharing. Outcomes will inform the development, deployment and evaluation of an electronic consent tool for granular health data sharing.


2021 ◽  
pp. 002218562110319
Author(s):  
Michael Walker

E-voice is now a common form of worker voice. Existing scholarship has focused on e-voice’s potential for grievance-airing and resistance; however, much work-oriented online discussion is not change oriented but more in the nature of information sharing and mutual aid. Even when not deliberately intended to be, mutual aid discussion can be an exercise of worker voice because it identifies and highlights pain points in the workplace, spreads awareness of these through online communities and constitutes an attempt to improve an objectionable state of affairs. As otherwise voiceless workers discover and act on these shared ideas en masse, they create an emergent form of collective action.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Sun ◽  
Fei Zhang ◽  
Jing Li ◽  
Yicheng Yang ◽  
Xiaolin Diao ◽  
...  

Abstract Background With the development and application of medical information system, semantic interoperability is essential for accurate and advanced health-related computing and electronic health record (EHR) information sharing. The openEHR approach can improve semantic interoperability. One key improvement of openEHR is that it allows for the use of existing archetypes. The crucial problem is how to improve the precision and resolve ambiguity in the archetype retrieval. Method Based on the query expansion technology and Word2Vec model in Nature Language Processing (NLP), we propose to find synonyms as substitutes for original search terms in archetype retrieval. Test sets in different medical professional level are used to verify the feasibility. Result Applying the approach to each original search term (n = 120) in test sets, a total of 69,348 substitutes were constructed. Precision at 5 (P@5) was improved by 0.767, on average. For the best result, the P@5 was up to 0.975. Conclusions We introduce a novel approach that using NLP technology and corpus to find synonyms as substitutes for original search terms. Compared to simply mapping the element contained in openEHR to an external dictionary, this approach could greatly improve precision and resolve ambiguity in retrieval tasks. This is helpful to promote the application of openEHR and advance EHR information sharing.


2021 ◽  
Author(s):  
Shahin Talaei

This thesis examines the performance for multimedia distribution and information sharing of social-networking web sites, with a focus on user networks in Facebook. We used real user network data from Facebook together with a synthetic Facebook network in the performance-testing experiments. We tested performance for multimedia distribution and information sharing using three different types of overlay networks: Facebook; structured peer-to-peer (ring topology); and unstructured peer-to-peer (mesh topology). The experiments used Network Simulator 2 (Ns-2) to simulate the network topologies. The results show that structured Peer-to-Peer has the best performance in terms of information transfer, and Facebook has the best performance in regards to average throughput. This thesis shows the strengths and weaknesses of online social networking while sharing information and multimedia content.


2021 ◽  
Vol 15 (1) ◽  
pp. 81-88
Author(s):  
Gabriel Hanna ◽  
Brian D. Batko ◽  
James Potter ◽  
Joseph Ippolito ◽  
Folorunsho Edobor-Osula

Purpose Clubfoot is the most common congenital foot deformity in children. Caregivers often seek medical information on the internet. The aim of the study was to characterize how social media is used by caregivers to access medical information. Methods A search was performed on Facebook, Twitter and YouTube platforms. Information was quantitatively assessed. Comments were qualitatively assessed, and the Kruskal-Wallis test was used to study thematic comment distribution. Results In total, 58 Facebook groups and pages, 109 YouTube accounts and ten Twitter accounts related to clubfoot were discovered from 2007 to 2019. Facebook groups and pages had a collective 56 123 members and 80 544 total likes, respectively. YouTube had a collective 3 280 454 views, with 54 969 total comments throughout the accounts. Comment themes most commonly included sharing information and advice (38.7%), appreciation and success stories (12.8%), emotional support (12.7%) and social media as a second opinion (11.9%). Facebook groups contained a significantly higher number of comments related to ‘social media as a second opinion’ compared with Facebook pages (p = 0.001), Twitter (p = 0.016) and YouTube (p < 0.0001) while YouTube contained a significantly lower number of comments related to ‘sharing information’ compared with Facebook groups, pages and Twitter (p < 0.0001). Conclusion Social media continues to be a growing tool for information sharing and the findings of this study highlight the importance placed by caregivers on the advice of their peers. The online presence of caregivers may represent an opportunity for orthopaedic surgeons to communicate with patients and help them make informed decisions. Level of evidence IV


Author(s):  
Esther Grassian ◽  
Rhonda Trueman

Virtual worlds offer synchronous (simultaneous) real life participation through virtual reality, combining the two to provide convenient and low-cost options for librarians’ professional development. This chapter explores the use of virtual worlds for meetings, training, conferences, discussions, mentoring, networking, and peer-to-peer information sharing, with a focus on the 3D virtual world of Second Life. Definitions of “professional development” and “virtual worlds” precede discussion of the issues surrounding the use of this type of environment for a variety of training events and activities to support and encourage ongoing expansion of knowledge, innovation, and creativity among librarians. This chapter also includes information about planning and implementing professional development sessions in this arena, along with information on effective methods for publicizing these activities for parties interested in using virtual worlds for professional development. For those interested in attending professional development opportunities in virtual worlds, the chapter provides information on how to discover and choose useful activities and events in virtual worlds.


2018 ◽  
Vol 66 (2) ◽  
pp. 302-319 ◽  
Author(s):  
Michel Bauwens ◽  
Alekos Pantazis

This essay discusses peer-to-peer social dynamics and the relevant technological infrastructures that enable new modes of production. Commons-based peer production is presented as an alternative to the profit-driven peer-to-peer production models of the digital economy. The latter models utilize the peer-to-peer dynamics to harness social creativity, collaboration and information sharing. The created value is then captured and valorized towards profit maximization. This essay argues that there are possibilities for moving away from such extractive models to more generative ones. Commons-based peer production seems to encapsulate both social and environmental sustainability, and thus has the potential to influence such a transition. As commons-based peer production cannot yet reproduce itself outside of a mutual dependence on capitalism, it risks being subordinated. To counter this, a commons-oriented solid and protective ecosystem is needed to fully unleash the creative capabilities of commons-based peer production.


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