Trends and Visibility of “Digital Health” as a Keyword in Articles by JMIR Publications in the New Millennium: Bibliographic-Bibliometric Analysis

Background Digital health has become an advancing phenomenon in the health care systems of modern societies. Over the past two decades, various digital health options, technologies, and innovations have been introduced; many of them are still being investigated and evaluated by researchers all around the globe. However, the actual trends and visibility of peer-reviewed publications using “digital health” as a keyword to reflect the topic, published by major relevant journals, still remain to be quantified. Objective This study aimed to conduct a bibliographic-bibliometric analysis on articles published in JMIR Publications journals that used “digital health” as a keyword. We evaluated the trends, topics, and citations of these research publications to identify the important share and contribution of JMIR Publications journals in publishing articles on digital health. Methods All JMIR Publications journals were searched to find articles in English, published between January 2000 and August 2019, in which the authors focused on, utilized, or discussed digital health in their study and used “digital health” as a keyword. In addition, a bibliographic-bibliometric analysis was conducted using the freely available Profiles Research Networking Software by the Harvard Clinical and Translational Science Center. Results Out of 1797 articles having “digital health” as a keyword, published mostly between 2016 and 2019, 277 articles (32.3%) were published by JMIR Publications journals, mainly in the Journal of Medical Internet Research. The most frequently used keyword for the topic was “mHealth.” The average number of times an article had been cited, including self-citations, was above 2.8. Conclusions The reflection of “digital health” as a keyword in JMIR Publications journals has increased noticeably over the past few years. To maintain this momentum, more regular bibliographic and bibliometric analyses will be needed. This would encourage authors to consider publishing their articles in relevant, high-visibility journals and help these journals expand their supportive publication policies and become more inclusive of digital health.

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Trends and Visibility of “Digital Health” as a Keyword in Articles by JMIR Publications in the New Millennium: Bibliographic-Bibliometric Analysis (Preprint)

10.2196/preprints.10477 ◽

2018 ◽

Author(s):

Alireza Ahmadvand ◽

David Kavanagh ◽

Michele Clark ◽

Judy Drennan ◽

Lisa Nissen

Keyword(s):

Health Care ◽

Bibliometric Analysis ◽

Digital Health ◽

Health Care Systems ◽

Internet Research ◽

Translational Science ◽

Science Center ◽

The Past ◽

Care Systems ◽

Research Networking

BACKGROUND Digital health has become an advancing phenomenon in the health care systems of modern societies. Over the past two decades, various digital health options, technologies, and innovations have been introduced; many of them are still being investigated and evaluated by researchers all around the globe. However, the actual trends and visibility of peer-reviewed publications using “digital health” as a keyword to reflect the topic, published by major relevant journals, still remain to be quantified. OBJECTIVE This study aimed to conduct a bibliographic-bibliometric analysis on articles published in JMIR Publications journals that used “digital health” as a keyword. We evaluated the trends, topics, and citations of these research publications to identify the important share and contribution of JMIR Publications journals in publishing articles on digital health. METHODS All JMIR Publications journals were searched to find articles in English, published between January 2000 and August 2019, in which the authors focused on, utilized, or discussed digital health in their study and used “digital health” as a keyword. In addition, a bibliographic-bibliometric analysis was conducted using the freely available Profiles Research Networking Software by the Harvard Clinical and Translational Science Center. RESULTS Out of 1797 articles having “digital health” as a keyword, published mostly between 2016 and 2019, 277 articles (32.3%) were published by JMIR Publications journals, mainly in the <italic>Journal of Medical Internet Research</italic>. The most frequently used keyword for the topic was “mHealth.” The average number of times an article had been cited, including self-citations, was above 2.8. CONCLUSIONS The reflection of “digital health” as a keyword in JMIR Publications journals has increased noticeably over the past few years. To maintain this momentum, more regular bibliographic and bibliometric analyses will be needed. This would encourage authors to consider publishing their articles in relevant, high-visibility journals and help these journals expand their supportive publication policies and become more inclusive of digital health.

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Confluences in Social Change: Cuban Women and Health Care

Journal of Interamerican Studies and World Affairs ◽

10.2307/174950 ◽

1975 ◽

Vol 17 (4) ◽

pp. 398-410 ◽

Cited By ~ 1

Author(s):

Virginia Olesen

Keyword(s):

Health Care ◽

Social Change ◽

Health Care Systems ◽

Women's Roles ◽

The Past ◽

Women’S Roles ◽

Promising Area ◽

Care Systems ◽

Care Problems

A somewhat neglected though thoroughly promising area for the analysis of changing women's roles lies in the matter of health and health care systems within any society. This is nowhere more the case than in the instance of contemporary Cuban health care and the part that women in that society play in the health care systems as deflners of health care problems, recipients of care, and as those who deliver care to others. Both women's roles and health care in contemporary Cuba have dramatically altered over the past decade, thus yielding doubly rich insights, which reciprocally illuminate both issues.

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From “Don't Ask, Just Trust” to “Trust Those Who are Accountable”

International Journal of Reliable and Quality E-Healthcare ◽

10.4018/ijrqeh.2014040104 ◽

2014 ◽

Vol 3 (2) ◽

pp. 60-73

Author(s):

Vahé A. Kazandjian

Keyword(s):

Health Care ◽

Performance Improvement ◽

Health Care Systems ◽

Project Design ◽

The Past ◽

Measurement Tools ◽

Care Systems ◽

Key Dimensions ◽

Local Traditions

The past three decades have primarily focused on improving performance across health care providing organizations and even individual professionals. While their interest in performance improvement is global, the strategies across health care systems remain variable and the resulting methods of accountability to select audiences continue to be influenced by tradition and expectation. The purpose of this article is to review the key dimensions of the operationalization of performance measurement and the translation of its findings to statements about quality of care. While significant literature exists on the conceptual debates about the nature of quality, the deciding factor in demonstrating that better quality may have been achieved resides in the acceptability of the measurement tools to translate performance measures into profiles of quality. Fundamentally, the use of the tools is seen as only one component of a successful strategy – the education of various audiences as to what the measures mean not only is a necessary requisite for sound project design but also will determine how the accountability model is shaped in each environment based on the generic measurement tools results, local traditions of care and caring, and expectations about outcomes.

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Harnessing Digital Health Technologies During and After the COVID-19 Pandemic: Context Matters (Preprint)

10.2196/preprints.21815 ◽

2020 ◽

Author(s):

Francesco Petracca ◽

Oriana Ciani ◽

Maria Cucciniello ◽

Rosanna Tarricone

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Organizational Context ◽

Digital Health ◽

Health Care Systems ◽

Health Technologies ◽

Digital Reconstruction ◽

Depth Analysis ◽

Care Systems

UNSTRUCTURED A common development observed during the COVID-19 pandemic is the renewed reliance on digital health technologies. Prior to the pandemic, the uptake of digital health technologies to directly strengthen public health systems had been unsatisfactory; however, a relentless acceleration took place within health care systems during the COVID-19 pandemic. Therefore, digital health technologies could not be prescinded from the organizational and institutional merits of the systems in which they were introduced. The Italian National Health Service is strongly decentralized, with the national government exercising general stewardship and regions responsible for the delivery of health care services. Together with the substantial lack of digital efforts previously, these institutional characteristics resulted in delays in the uptake of appropriate solutions, territorial differences, and issues in engaging the appropriate health care professionals during the pandemic. An in-depth analysis of the organizational context is instrumental in fully interpreting the contribution of digital health during the pandemic and providing the foundation for the digital reconstruction of what is to come after.

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Influencing the Caring Capacity of Leaders

International Journal for Human Caring ◽

10.20467/1091-5710.1.1.39 ◽

1997 ◽

Vol 1 (1) ◽

pp. 39-43

Author(s):

Pat Farrell, ◽

Gary Nuttall,

Keyword(s):

Health Care ◽

Decision Making ◽

Corporate Culture ◽

Health Care Systems ◽

Executive Directors ◽

Vice Presidents ◽

Research Participants ◽

The Past ◽

Care Systems ◽

Employee Groups

Over the past five years, we have been privileged to work with 130 leaders, as co-research participants, in discovering new approaches to leadership that will strengthen organizations in this time of shifting world values. For 28 of these leaders, we also have been privileged to study the organizations in which they work, and further, to observe the corporate culture with regard to connections between various employee groups and 1eaders. This paper is about our leadership enhancement process that we have developed for leader (board chairs, presidents, vice-presidents, and executive directors) in all sectors, including health care systems. Our process assists leaders to connect their intrapersonal behaviors to their interpersonal decision making behaviois - a process that influences their caring capacity. We also outline the framework that we have developed inductively, for the assessment of leaders’ intrapersonal and interper sonal decision making.We conclude with some of the outcomes of our process.

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Emergency Medicine Pharmacy Practice

Journal of Pharmacy Practice ◽

10.1177/0897190011400549 ◽

2011 ◽

Vol 24 (2) ◽

pp. 135-145 ◽

Cited By ~ 10

Author(s):

Maria I. Rudis ◽

Ryan J. Attwood

Keyword(s):

Health Care ◽

Emergency Department ◽

Emergency Medicine ◽

Clinical Pharmacist ◽

Health Care Systems ◽

Pharmacy Practice ◽

Health Care Team ◽

The Past ◽

Care Systems

Emergency medicine (EM) pharmacy practice has existed for over 30 years. In recent years, however, the specialty has grown significantly. A large number of health care systems have either a dedicated EM pharmacist or other clinical pharmacist presence in the Emergency department (ED). Over the past decade, the role of the EM pharmacist as a critical member of the health care team has expanded significantly and many innovative practices have evolved throughout the country. There is also some heterogeneity between different EM pharmacy practice sites. This article reviews the history and general concepts of EM pharmacy practice as well as illustrate some of the established benefits of an EM pharmacist.

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The Development of Complex Digital Health Solutions: Formative Evaluation Combining Different Methodologies (Preprint)

10.2196/preprints.9521 ◽

2017 ◽

Author(s):

Anne Lee ◽

Marianne Sandvei ◽

Hans Christian Asmussen ◽

Marie Skougaard ◽

Joanne Macdonald ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Participatory Design ◽

Formative Evaluation ◽

Digital Health ◽

Health Care Systems ◽

Real Life ◽

Evaluation Process ◽

Stakeholder Groups ◽

Care Systems

BACKGROUND The development of digital health solutions for current health care settings requires an understanding of the complexities of the health care system, organizational setting, and stakeholder groups and of the underlying interplay between stakeholders and the technology. The digital health solution was founded on the basis of an information and communication technology platform and point-of-care devices enabling home-based monitoring of disease progression and treatment outcome for patients with rheumatoid arthritis (RA). OBJECTIVE The aim of this paper is to describe and discuss the applicability of an iterative evaluation process in guiding the development of a digital health solution as a technical and organizational entity in three different health care systems. METHODS The formative evaluation comprised the methodologies of contextual understanding, participatory design, and feasibility studies and included patients, healthcare professionals, and hardware and software developers. In total, the evaluation involved 45 patients and 25 health care professionals at 3 clinical sites in Europe. RESULTS The formative evaluation served as ongoing and relevant input to the development process of the digital health solution. Through initial field studies key stakeholder groups were identified and knowledge obtained about the different health care systems, the professional competencies involved in routine RA treatment, the clinics’ working procedures, and the use of communication technologies. A theory-based stakeholder evaluation achieved a multifaceted picture of the ideas and assumptions held by stakeholder groups at the three clinical sites, which also represented the diversity of three different language zones and cultures. Experiences and suggestions from the patients and health care professionals were sought through participatory design processes and real-life testing and actively used for adjusting the visual, conceptual, and practical design of the solution. The learnings captured through these activities aided in forming the solution and in developing a common understanding of the overall vision and aim of this solution. During this process, the 3 participating sites learned from each other’s feed-back with the ensuing multicultural inspiration. Moreover, these efforts also enabled the consortium to identify a ‘tipping point’ during a pilot study, revealing serious challenges and a need for further development of the solution. We achieved valuable learning during the evaluation activities, and the remaining challenges have been clarified more extensively than a single-site development would have discovered. The further obstacles have been defined as has the need to resolve these before designing and conducting a real-life clinical test to assess the outcome from a digital health solution for RA treatment. CONCLUSIONS A formative evaluation process with ongoing involvement of stakeholder groups from 3 different cultures and countries have helped to inform and influence the development of a novel digital health solution, and provided constructive input and feedback enabling the consortium to control the development process.

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Why Are Digital Health Care Systems Still Poorly Designed, and Why Is Health Care Practice Not Asking for More? Three Paths Toward a Sustainable Digital Work Environment

Journal of Medical Internet Research ◽

10.2196/26694 ◽

2021 ◽

Vol 23 (6) ◽

pp. e26694

Author(s):

Johanna Persson ◽

Christofer Rydenfält

Keyword(s):

Health Care ◽

Patient Safety ◽

Work Environment ◽

Digital Health ◽

Health Care Systems ◽

Digital Systems ◽

User Context ◽

Care Systems ◽

Digital Work ◽

And Task

Knowledge of how to design digital systems that are ergonomically sound, high in usability, and optimized for the user, context, and task has existed for some time. Despite this, there are still too many examples of new digital health care systems that are poorly designed and that could negatively affect both the work environment of health care staff and patient safety. This could be because of a gap between the theoretical knowledge of design and ergonomics and the practical implementation of this knowledge in procuring and developing digital health care systems. Furthermore, discussions of digitalization are often at a general level and risk neglecting the nature of direct interaction with the digital system. This is problematic since it is at this detailed level that work environment and patient safety issues materialize in practice. In this paper, we illustrate such issues with two scenarios concerned with contemporary electronic health care records, based on field studies in two health care settings. We argue that current methods and tools for designing and evaluating digital systems in health care must cater both to the holistic level and to the details of interaction and ergonomics. It must also be acknowledged that health care professionals are neither designers nor engineers, so expectations of them during the development of digital systems must be realistic. We suggest three paths toward a more sustainable digital work environment in health care: (1) better tools for evaluating the digital work environment in the field; (2) generic formulations of qualitative requirements related to usability and for adaptation to the user, context, and task, to be used in procurement; and (3) the introduction of digital ergonomics as an embracing concept capturing several of the ergonomic challenges (including physical, cognitive, and organizational aspects) involved in implementing and using digital systems.

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Harnessing Digital Health Technologies During and After the COVID-19 Pandemic: Context Matters

Journal of Medical Internet Research ◽

10.2196/21815 ◽

2020 ◽

Vol 22 (12) ◽

pp. e21815

Author(s):

Francesco Petracca ◽

Oriana Ciani ◽

Maria Cucciniello ◽

Rosanna Tarricone

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Organizational Context ◽

Digital Health ◽

Health Care Systems ◽

Health Technologies ◽

Digital Reconstruction ◽

Depth Analysis ◽

Care Systems

A common development observed during the COVID-19 pandemic is the renewed reliance on digital health technologies. Prior to the pandemic, the uptake of digital health technologies to directly strengthen public health systems had been unsatisfactory; however, a relentless acceleration took place within health care systems during the COVID-19 pandemic. Therefore, digital health technologies could not be prescinded from the organizational and institutional merits of the systems in which they were introduced. The Italian National Health Service is strongly decentralized, with the national government exercising general stewardship and regions responsible for the delivery of health care services. Together with the substantial lack of digital efforts previously, these institutional characteristics resulted in delays in the uptake of appropriate solutions, territorial differences, and issues in engaging the appropriate health care professionals during the pandemic. An in-depth analysis of the organizational context is instrumental in fully interpreting the contribution of digital health during the pandemic and providing the foundation for the digital reconstruction of what is to come after.

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The Patient Researcher

Personalized Medicine ◽

10.18574/nyu/9781479814879.003.0002 ◽

2017 ◽

Author(s):

Barbara Prainsack

Keyword(s):

Health Care ◽

Personalized Medicine ◽

Health Risks ◽

Digital Health ◽

Health Care Systems ◽

Policy Makers ◽

Care Systems

Policy makers and practitioners alike emphasize that the realization of personalized medicine requires “activated patients,” and some go as far as saying that the survival of our health care systems will depend on it. This chapter shows that in the era of digital health, “activated patients” are not merely expected to obtain information on their health and manage their own health risks but are also supposed to contribute data and information. This expectation is built into the very infrastructures of digital health and medicine, which turns patients into contributors to the personalization of their own health care, and to research, by default. Do those patients who cannot or will not participate miss out on the benefit of personalization, or can it be a blessing to be below the digital health radar? And what new practices and patterns of exclusion emerge in the context of these developments?

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