bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient-centered Information Systems
Authors: Brennan P. , Kuang Y.-S. , Volrathongchai K. 
Published: March 2018

AbstractPatient-centered information systems augment traditional approaches to health information management with specific functions designed to support patient participation in health care decision making and treatment activities. In addition to computer-based record systems and business management applications, patient-centered information systems must include functionality that support communication between clinician and patient, and that provide information and peer support in a timely fashion to the patient. Current progress in information systems demonstrates the existence and feasibility of consumer health informatics, patient access to computerized clinical records, and technical and organizational solutions to integrating computerized patient information systems. We are now proposing a model of patient -centered system that incorporates all those components, and provides a vision of the future.
Health and Clinical Management - Impact on Clinical Outcome
Authors: Bergmann J. ,   Managing Editor for the IMIA Yearbook Section on Health and Clinical Management
Published: March 2018

SummaryTo summarize current excellent research in the field of health and clinical management.Synopsis of the articles selected for the IMIA Yearbook 2007.Five articles from international peer reviewed journals were selected for the section on health and clinical management of the IMIA Yearbook 2007. They represent outstanding research on computerized provider order entry, computer applications in the field of translational medicine, time efficiency of electronic health records, and deliverance of telemedicine.In the field of health and clinical management, clinical outcome of computer-supported healthcare, cost-benefit analysis, and barriers and facilitators for technology adoption are still current research topics.
Section 2: Patient Records: Electronic Patient Records: Moving from Islands and Bridges towards Electronic Health Records for Continuity of Care
Authors: Bott Oliver , Kohl Christian , Lovis Christian , Garde Sebastian , Knaup Petra 
Published: March 2018

SummaryElectronic patient record (EPR) systems are increasingly used and have matured sufficiently so as to contribute to high quality care and efficient patient management. Our objective is to summarize current trends and major achievements in the field of EPR in the last year and to discuss their future prospects.Integrating health data from a variety of sources in a comprehensive EPR is a major prerequisite for e-health and eresearch. Current research continues to elaborate architectures, technologies and security concepts. To achieve semantic interoperability standards are developed on different levels, including basic data types, messages, services, architectures, terminologies, ontologies, scope and presentation of EPR content. Standards development organisations have started to harmonize their work to arrive at a consensus standard for EPR systems. Integrating the health care enterprise as a whole will optimize efficient use of resources, logistics and scheduling.The past few years have seen a myriad of developments of EPR systems. However, it is still a long way, until EPR systems can flexibly fulfill all user requirements and an EHR will become broadly accepted. Semantic interoperability will be a key to successful EPR use, especially to avoid double data entries and to better integrate data recording within local workflows. The patient will become an empowered partner, not only by giving him access to his health data. All this will result in enormous quantities of data. Thus, time has come to determine how relevant data can be presented to the stakeholders adequately.
Health Information Systems - Technology and Acceptance
Authors: Bott O. J. ,   Managing Editor for the IMIA Yearbook Section on Health Information Systems
Published: March 2018

SummaryTo summarize current outstanding research in the field of health information systems (HIS).Synopsis of the articles selected for the IMIA Yearbook 2007.Five articles from three international peer reviewed journals were selected for the HIS section of the IMIA Yearbook 2007. They represent outstanding research on new user interfaces for mobile data entry, smart card based approaches for national eHealth projects, generic system architectures for telemedicine services, new approaches for electronic prescriptions based on ubiquitous computing, and telemedical systems for chronic care in COPD.In the field of health information systems, evaluation and general architectural aspects of telemedical platforms respectively eHealth infrastructures currently is an important research topic as well as establishing acceptance of new technologies from the users and the organizations point of view.
Reflections on the Role of Open Source in Health Information System Interoperability
Authors: Sfakianakis S. , Chiarugi F. , Conforti F. , Katehakis D.G. , Chronaki C.E. 
Published: March 2018

SummaryThis paper reflects on the role of open source in health information system interoperability. Open source is a driving force in computer science research and the development of information systems. It facilitates the sharing of information and ideas, enables evolutionary development and open collaborative testing of code, and broadens the adoption of interoperability standards. In health care, information systems have been developed largely ad hoc following proprietary specifications and customized design. However, the wide deployment of integrated services such as Electronic Health Records (EHRs) over regional health information networks (RHINs) relies on interoperability of the underlying information systems and medical devices.This reflection is built on the experiences of the PICNIC project that developed shared software infrastructure components in open source for RHINs and the OpenECG network that offers open source components to lower the implementation cost of interoperability standards such as SCP-ECG, in electrocardiography.Open source components implementing standards and a community providing feedback from real-world use are key enablers of health care information system interoperability.Investing in open source is investing in interoperability and a vital aspect of a long term strategy towards comprehensive health services and clinical research.
Decision Support, Knowledge Representation and Management: A Balancing Act between Clinical Use and Implementation of Sophisticated Reasoning Techniques?
Authors: Brigl B. ,   Managing Editor for the IMIA Yearbook Section on Decision Support, Knowledge Representation and Management
Published: March 2018

SummaryTo position the papers selected for the IMIA Yearbook 2007 in the context of current research in decision support, knowledge representation and management.Synopsis of the articles selected for the IMIA Yearbook 2007.In the Yearbook 2007 the best paper selection of the section Decision support, Knowledge management in Representation’ shows, that the evaluation of the influence of decision support on medical behavior and outcome is as important as research on new reasoning technologies and methods.The best paper selection process shows on the one hand that there is still a deep gap between rather small decision support solutions successfully evaluated in clinical environments and more complex decision support systems using sophisticated reasoning techniques, but lack of clinical use. On the other hand the implementation of decision support systems today benefits from research done in the last decades.
Section 6: Education and Consumer Informatics: Education and Consumer Health Informatics
Authors: Mantas J. 
Published: March 2018

SummaryTo report on recent efforts in the field of consumer health informatics (CHI) and education.A review of the literature we selected on using search engines and Medline with terms from consumer health informatics and education. Twenty two articles match these criteria.A great diversity of work spans the field of CHI. This relatively new field now faces challenges due to rapidly advancing technologies and the increasing empowerment of citizens connected over the worldwide web.The benefits of enhancing CIH components within existing medical curricula are already being noted.. Additionally, updated recommendations on health and medical informatics should incorporate CHI.Geissbuhler A, Haux R, Kulikowski C, editors. IMIA Yearbook of Medical Informatics 2007.
Health Information Systems: a Survey of Frame-works for Developing Countries
Authors: Marcelo A.B. 
Published: March 2018

Summary

Objectives:
The objective of this paper is to perform a survey of excellent research on health information systems (HIS) analysis and design, and their underlying theoretical frameworks. It classifies these frameworks along major themes, and analyzes the different approaches to HIS development that are practical in resource-constrained environments.

Method:
Literature review based on PubMed citations and conference proceedings, as well as Internet searches on information systems in general, and health information systems in particular.

Results:
The field of health information systems development has been studied extensively. Despite this, failed implementations are still common. Theoretical frameworks for HIS development are available that can guide implementers.

Conclusion:
As awareness, acceptance, and demand for health information systems increase globally, the variety of approaches and strategies will also follow. For developing countries with scarce resources, a trial-and-error approach can be very costly. Lessons from the successes and failures of initial HIS implementations have been abstracted into theoretical frameworks. These frameworks organize complex HIS concepts into methodologies that standardize techniques in implementation. As globalization continues to impact healthcare in the developing world, demand for more responsive health systems will become urgent. More comprehensive frameworks and practical tools to guide HIS implementers will be imperative.
Imaging Informatics: Toward Capturing and Processing Semantic Information in Radiology Images
Authors: Napel S. , Rubin D. L. 
Published: March 2018

Summary

Objectives:
To identify challenges and opportunities in imaging informatics that can lead to the use of images for discovery, and that can potentially improve the diagnostic accuracy of imaging professionals.

Methods:
Recent articles on imaging informatics and related articles from PubMed were reviewed and analyzed. Some new developments and challenges that recent research in imaging informatics will meet are identified and discussed.

Results:
While much literature continues to be devoted to traditional imaging informatics topics of image processing, visualization, and computerized detection, three new trends are emerging: (1) development of ontologies to describe radiology reports and images, (2) structured reporting and image annotation methods to make image semantics explicit and machine-accessible, and (3) applications that use semantic image information for decision support to improve radiologist interpretation performance. The informatics methods being developed have similarities and synergies with recent work in the biomedical informatics community that leverage large highthroughput data sets, and future research in imaging informatics will build on these advances to enable discovery by mining large image databases.

Conclusions:
Imaging informatics is beginning to develop and apply knowledge representation and analysis methods to image datasets. This type of work, already commonplace in biomedical research with large scale molecular and clinical datasets, will lead to new ways for computers to work with image data. The new advances hold promise for integrating imaging with the rest of the patient record as well as molecular data, for new data-driven discoveries in imaging analogous to that in bioinformatics, and for improved quality of radiology practice.
Sensors, Medical Images and Signal Processing:
Authors: Depeursinge A. , Müller H. ,   Section Editors for the IMIA Yearbook Section on Sensor, Signal, and Imaging Informatics
Published: March 2018

Summary

Objectives
To summarize current excellent research in the field of medical sensor, signal and imaging informatics.

Method:
Synopsis of the articles selected for the IMIA (International Medical Informatics Association) Yearbook 2010.

Results:
Current research in the field of sensor, signal, and imaging informatics is characterized by theoretically sound techniques and evaluations with focus in imaging informatics.

Conclusions:
The best paper selection of articles on sensors, signal, and imaging informatics shows examples of excellent research on methods concerning theoretically sound original development in this field. Research published in 2009 was characterized by the emergence of mature computerized diagnosis aid frameworks with assessment of input and output quality. The purpose of these systems is clearly to bring new image and signal interpretation tools to clinicians.
Knowledge Representation and Management
Authors: Rassinoux A.-M. ,   Section Editor for the IMIA Yearbook Section on Knowledge Representation and Management
Published: March 2018

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.
Closing the Genotype-phenotype Gap
Authors: Yip Y. L. ,   Section Editor for the IMIA Yearbook Section on Bioinformatics
Published: March 2018

Summary

Objectives:
To summarize current excellent research in the field of bioinformatics.

Method:
Synopsis of the articles selected for the IMIA Yearbook 2010.

Results:
The selection process for this yearbook’s section on Bioinformatics results in five excellent articles highlighting the progress made in advancing the understanding of genotypephenotype relationship, and their concrete application in clinical settings. First, next generation sequencing techniques have allowed the discovery of an ever larger number of genetic variations at a greater resolution, and methods were developed to ensure accurate data analysis. Second, innovative approaches were applied to gene expression data to allow its link to a wider phenotypic spectrum and to enhance its use for disease understanding. Third, there is a notable trend in visualizing diseases as network rather than individual entities, and this has provided new insights for disease interpretation. The progress mentioned above is further aided by continual development in bio-ontologies which provide means for semantic, and thus phenotype, comparison.

Conclusions:
The current literature showed a tightening link between genotype and phenotype, placing us one step closer to a better disease classification, patient stratification as well as the development of personalized medicine.
Medical Informatics in China: Healthcare IT Trends, Academic and Research Developments
Authors: Luo S. , Zhang K. , Li B. 
Published: March 2018

Summary

Objective:
Describing the challenges and advances in medical informatics in China from the perspectives of hospital information systems, workforce, and academic, and research advances.

Methods:
The paper summarizes information from the CMIA (China Medical Informatics Association and findings reported by CHIMA (China Hospital Information Management Association), including a White Paper on China Hospital Information Systems.

Results:
Biomedical and Health Informatics has grown considerably during the past decade in China, and is an important component of proposed government planning that includes development of healthcare cards, clinical workflow path rules, and rural medicine. CMIA has strengthened as an organization promoting education, research and academic activities, while CHIMA has sponsored many hospital-based activities, including workshops on technical and workforce IT priorities related to proposed reforms of China’s healthcare system.

Conclusions:
China’s challenges and opportunities in biomedical informatics and healthcare IT are considerable, with the former requiring greater promotion of academic research and educational opportunities through CMIA to support the burgeoning development of healthcare IT systems throughout the country. National and international collaboration and exchanges could lead to very useful comparative studies, Recommendations by CHIMA to the national government and academia focus on organizational and workforce standards, roles, and defining career paths for HIT professionals as well as CME education in healthcare informatics at the graduate university.
Is Healthcare Information Technology Based on Evidence?
Authors: Koppel R. 
Published: March 2018

SummaryIs healthcare information technology (HIT) based on evidence of efficacy? Are the trillions of dollars already devoted and in the pipeline for HIT implementations based on systematic evaluations? If evaluated, would those evaluations focus on patient safety, return on investment, clinical efficiency, improved clinician satisfaction, and/or workflow integration? Do we have reliable evidence of usable interfaces, of successful implementations, of data standards allowing interoperability, of continuous improvement, of responsiveness to clinician feedback?While measurement of HIT's efficacy is extraordinarily difficult—complicated by a myriad of other factors involved in providing healthcare and in organizational dynamics—it is not impossible. But is such evidence required before most implementations? Any implementation? Or are the goals of patient safety and efficiency so self-evident, profoundly desired, and laudable that HIT's beneficence is accepted without rigorous data? Note that lack of systematic evidence does not mean HIT is ineffective. HIT may provide untold benefits even if there is no hard proof of those benefits.We find that HIT is seldom objectively measured, and that evidence of its efficacy is at best spotty, and often influenced by self-promotion. Most measures, especially those associated with cost-benefit analyses, are aspirational or hubris transubstantiated into numbers.
Evidence Based Health Informatics: 10 Years of Efforts to Promote the Principle
Authors: Ammenwerth E. , Beuscart-Zephir M.-C. , Brender J. , Hyppönen H. , Melia S. , Nykänen P. , Talmon J. , de Keizer N. , Rigby M. 
Published: March 2018

Summary
Objectives: To present the importance of Evidence-based Health Informatics (EBHI) and the ethical imperative of this approach; to highlight the work of the IMIA Working Group on Technology Assessment and Quality Improvement and the EFMI Working Group on Assessment of Health Information Systems; and to introduce the further important evaluation and evidence aspects being addressed.
Methods: Reviews of IMIA, EFMA and other initiatives, together with literature reviews on evaluation methods and on published systematic reviews.
Results: Presentation of the rationale for the health informatics domain to adopt a scientific approach by assessing impact, avoiding harm, and empirically demonstrating benefit and best use; reporting of the origins and rationale of the IMIA- and EQUATOR-endorsed Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI) and of the IMIA WG's Guideline for Good Evaluation Practice in Health Informatics (GEP-HI); presentation of other initiatives for objective evaluation; and outlining of further work in hand on usability and indicators; together with the case for development of relevant evaluation methods in newer applications such as telemedicine. The focus is on scientific evaluation as a reliable source of evidence, and on structured presentation of results to enable easy retrieval of evidence.
Conclusions: EBHI is feasible, necessary for efficiency and safety, and ethically essential. Given the significant impact of health informatics on health systems, care delivery and personal health, it is vital that cultures change to insist on evidence-based policies and investment, and that emergent global moves for this are supported.
eHealth in Europe – Status and Challenges
Authors: Hackl W. O. , Hofdijk J. , Van Gemert-Pijnen L. , Ammenwerth E. , Nykänen P. , Hoerbst A. , Moen A. 
Published: March 2018

Summary
Objectives: To present European reflections on the concept of eHealth and emerging challenges related to further development of eHealth in Europe.
Methods: A survey with 10 questions was distributed to representatives of the national member associations of the European Federation of Medical Informatics (EFMI).
Results: The results document a shift from a constricting ICT-orientation to development of the entire health system where eHealth strategies, organizational change, and appropriate technological infrastructure are singled out as important aspects.
Conclusion: There are urgent needs to ensure that eHealth strategies and policies for further design and deployment of eHealth applications support sociable services and innovations in health care.
Use of Open Source Software in Health Care Delivery – Results of a Qualitative Field Study
Authors: Heinze O. , Bergh B. , Schmuhl H. 
Published: March 2018

Summary
Objectives: To assess and analyze the attitude of health IT executives towards the utilization of specialized medical Open Source software (OSS) in Germany's and other European countries' health care delivery.
Methods: After an initial literature review a field study was carried out based on semi-structured expert interviews. Eight German and 11 other European health IT executives were surveyed. The results were qualitatively analyzed using the grounded theory approach. Identified concepts were reviewed using SWOT analysis.
Results: In total, 13 strengths, 11 weaknesses, 3 opportunities, and 8 threats of the utilization of OSS in a clinical setting could be identified. Additionally, closely related aspects like general software procurement criteria, the overall attitude of health IT executives, users, and management towards OSS and its current and future use could as well be assessed.
Conclusions: Medical OSS is rarely used in health care delivery. In order to capitalize the unique advantages of OSS in a clinical setting, complex requirements need to be addressed. Shortcomings of OSS describe an attractive breeding ground for new commercial offerings and services that need yet to be seen.