Factors Impacting Use of Health IT Applications

Author(s):  
Sadaf Ashtari ◽  
Al Bellamy

Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.

Author(s):  
Sadaf Ashtari ◽  
Al Bellamy

Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.


Author(s):  
Ik-Whan G. Kwon ◽  
Sung-Ho Kim ◽  
David Martin

The COVID-19 pandemic has altered healthcare delivery platforms from traditional face-to-face formats to online care through digital tools. The healthcare industry saw a rapid adoption of digital collaborative tools to provide care to patients, regardless of where patients or clinicians were located, while mitigating the risk of exposure to the coronavirus. Information technologies now allow healthcare providers to continue a high level of care for their patients through virtual visits, and to collaborate with other providers in the networks. Population health can be improved by social determinants of health and precision medicine working together. However, these two health-enhancing constructs work independently, resulting in suboptimal health results. This paper argues that artificial intelligence can provide clinical–community linkage that enhances overall population health. An exploratory roadmap is proposed.


2015 ◽  
Vol 24 (01) ◽  
pp. 119-124 ◽  
Author(s):  
V. Koutkias ◽  
J. Bouaud ◽  

Summary Objective: To summarize recent research and propose a selection of best papers published in 2014 in the field of computerized clinical decision support for the Decision Support section of the IMIA yearbook.Method: A literature review was performed by searching two bibliographic databases for papers related to clinical decision support systems (CDSSs) and computerized provider order entry systems in order to select a list of candidate best papers to be then peer-reviewed by external reviewers. A consensus meeting between the two section editors and the editorial team was finally organized to conclude on the selection of best papers. Results: Among the 1,254 returned papers published in 2014, the full review process selected four best papers. The first one is an experimental contribution to a better understanding of unintended uses of CDSSs. The second paper describes the effective use of previously collected data to tailor and adapt a CDSS. The third paper presents an innovative application that uses pharmacogenomic information to support personalized medicine. The fourth paper reports on the long-term effect of the routine use of a CDSS for antibiotic therapy. Conclusions: As health information technologies spread more and more meaningfully, CDSSs are improving to answer users’ needs more accurately. The exploitation of previously collected data and the use of genomic data for decision support has started to materialize. However, more work is still needed to address issues related to the correct usage of such technologies, and to assess their effective impact in the long term.


2016 ◽  
Author(s):  
Ning Zhang ◽  
Susan Feng Lu ◽  
Biao Xu ◽  
Bingxiao Wu ◽  
Rosa Rodriguez-Monguio ◽  
...  

2005 ◽  
Vol 34 (4) ◽  
pp. 136-145 ◽  
Author(s):  
Andrew A Miller ◽  
Aaron K Phillips

The development of software in radiation oncology departments has seen the increase in capability from the Record and Verify software focused on patient safety to a fully-fledged Oncology Information System (OIS). This paper reports on the medical aspects of the implementation of a modern Oncology Information System (IMPAC MultiAccess®, also known as the Siemens LANTIS®) in a New Zealand hospital oncology department. The department was successful in translating paper procedures into electronic procedures, and the report focuses on the changes in approach to organisation and data use that occurred. The difficulties that were faced, which included procedural re-design, management of change, removal of paper, implementation cost, integration with the HIS, quality assurance and datasets, are highlighted along with the local solutions developed to overcome these problems.


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