A Novel System for AYUSH Healthcare Services using Classification and Regression

There are roughly 4000 AYUSH hospitals spread out across India under various councils and hospitals run by the Indian government. Today’s atmosphere makes it more challenging than ever to locate a suitable AYUSH facility for the treatment. The AYUSH Ministry provides India’s top option for healthcare delivery. The government is examining strategies to lower expenditures while enhancing patient care. We are proposing the ground-breaking idea of e-healthcare which involves various novel features like suggesting various tools to the patients those need to communicate with the healthcare professionals as per their convenience remotely. This research suggests an interactive system using Android in line with this trend. By integrating different bio-medical data sources that contain information pertinent to the hospital demographics, their inpatient procedure rates, Outpatient department, etc., we proposed a system that surveys on the various AYUSH hospitals to find. This system uses the Google Map API for tracking and highlighting the location to the nearby AYUSH hospitals with opening and closing timings. Additionally, the proposed system plays a crucial role in emergency scenarios by supporting the user in performing the necessary first aid techniques. Using this strategy, the entire system demonstrates that this research provides a superior method for making decisions than past studies

เทคโนโลยีจำลองตัวละครในการสอนและการให้ความรู้แก่ผู้ป่วย: การทบทวนวรรณกรรมแบบบูรณาการอย่างเป็นระบบ Avatar-based Technology Interventions in Patient Education: A Systematic Integrative Review

บทคัดย่อ วัตถุประสงค์: เพื่อทบทวนวรรณกรรมและหลักฐานงานวิจัยเกี่ยวกับการใช้นวัตกรรมเทคโนโลยีจำลองตัวละครในการสื่อสาร ส่งต่อข้อมูลและความรู้ทางสุขภาพให้กับผู้ป่วย วิธีการศึกษา: การทบทวนวรรณกรรมแบบบูรณาการอย่างเป็นระบบนี้คัดเลือกเฉพาะงานวิจัยเชิงทดลองแบบมีกลุ่มควบคุม โดยสืบค้นจากฐานข้อมูลอิเลคทรอนิกส์ ได้แก่ CINAHL, MEDLINE, PubMed, Scopus, Cochrane  และ EMBASE  รวมทั้งมีการประเมินคุณภาพของระเบียบวิธีวิจัยของงานวิจัยที่คัดเลือก  ผลการศึกษา: มีงานวิจัยจำนวน 6 เรื่องที่ตรงตามเกณฑ์การคัดเข้า ผลการวิเคราะห์และสังเคราะห์พบว่าการใช้เทคโนโลยีจำลองตัวละครในการเพิ่มความรู้ด้านสุขภาพที่เกี่ยวข้องกับการปรับเปลี่ยนพฤติกรรมสุขภาพของผู้ป่วย แต่พบว่ายังมีหลักฐานงานวิจัยที่ยังไม่ชัดเจนและเพียงพอที่จะประเมินประสิทธิผลของรูปแบบเทคโนโลยีจำลองตัวละครต่อการรับรู้ความสามารถของตนเองของผู้ป่วย สรุป: การทบทวนวรรณกรรมนี้พบงานวิจัยเพื่อพิจารณาพัฒนารูปแบบการให้ความรู้แก่ผู้ป่วยโดยใช้เทคโนโลยีจำลองตัวละคร และเทคโนโลยีจำลองตัวละครเป็นเครื่องมือให้ความรู้แก่ผู้ป่วยในบริบททางสุขภาพต่าง ๆ ได้มากกว่าการให้ความรู้ในรูปแบบสื่อสิ่งพิมพ์ พบองค์ประกอบของการใช้รูปแบบเทคโนโลยีการจำลองตัวละครที่สามารถประยุกต์ใช้พัฒนารูปแบบการให้ความรู้ทางสุขภาพแก่ผู้ป่วยในการปฏิบัติการพยาบาลได้อย่างมีประสิทธิภาพต่อไป คำสำคัญ: การทบทวนวรรณกรรมแบบบูรณาการอย่างเป็นระบบ, เทคโนโลยีจำลองตัวละคร, การปฏิบัติการพยาบาลในคลินิก, การให้ความรู้แก่ผู้ป่วย  Abstract Objective: To review the evidence for the avatar-based technology as an innovative and emerging intervention for delivery of health education in clinical practice. Method: This review followed a systematic review methodology. Randomised controlled trials in English language were searched in CINAHL, MEDLINE, PubMed, Scopus, Cochrane and EMBASE. Articles were assessed for quality of methodology. Results: Six randomised controlled trials met the eligibility criteria and were included in the review. Avatar-based technology interventions improved health knowledge, and health-relate behaviour. There was insufficient evidence to suggest the effectiveness of Avatar-based interventions on, self-efficacy, and of the interventions among the participants were unclear. Conclusion: This review established a scientific basis for avatar-based technology as an effective intervention for the transfer of knowledge and skill development for patients. Avatar-based education tools have a clear advantage over paper-based education materials. This review provides nurses with the state of science in relation for the avatar-based technology interventions in patient education. A summary of intervention components are provided to assist nurses to develop and use the avatar-based interventions in clinical practice. Keywords: systematic integrative review, avatar-based technology,             nursing practice, patient educatio

Usability analysis of contending electronic health record systems

In this paper, we report measured usability of two leading EHR systems during procurement. A total of 18 users participated in paired-usability testing of three scenarios: ordering and managing medications by an outpatient physician, medicine administration by an inpatient nurse and scheduling of appointments by nursing staff. Data for audio, screen capture, satisfaction rating, task success and errors made was collected during testing. We found a clear difference between the systems for percentage of successfully completed tasks, two different satisfaction measures and perceived learnability when looking at the results over all scenarios. We conclude that usability should be evaluated during procurement and the difference in usability between systems could be revealed even with fewer measures than were used in our study. © 2019 American Psychological Association Inc. All rights reserved.Peer reviewe

User Interfaces for Patient-Centered Communication of Health Status and Care Progress

The recent trend toward patients participating in their own healthcare has opened up numerous opportunities for computing research. This dissertation focuses on how technology can foster this participation, through user interfaces to effectively communicate personal health status and care progress to hospital patients. I first characterize the design space for electronic information communication to patients through field studies conducted in multiple hospital settings. These studies utilize a combination of survey instruments, and low- and high-fidelity prototypes, including a document-editing prototype through which users can view and manage clinical data to automatically associate it with progress notes. The prototype, activeNotes, includes the first known techniques supporting clinical information requests directly within a document editor. A usage study with ICU physicians at New York-Presbyterian Hospital (NYP) substantiated our design and revealed how electronic information related to patient status and care progress is derived from a typical Electronic Health Record system. Insights gained from this study informed following studies to understand how to design abstracted, plain-language views suitable for patients. We gauged both patient and physician responses to information display prototypes deployed in patient rooms for a formative study exploring their design. Following my reports on this study, I discuss the design, development and pilot evaluations of a prototype Personal Health Record application providing live, abstracted clinical information for patients at NYP. The portal, evaluated by cardiothoracic surgery patients, is the first of its kind to allow patients to capture and monitor live data related to their care. Patient use of the portal influenced the subsequent design of tools to support users in making sense of online medication information. These tools, designed with nurses and pharmacists and evaluated by cardiothoracic surgery patients at NYP, were developed using topic modeling approaches and text analysis techniques. Embodied in a prototype called Remedy, they enable rapid filtering and comparison of medication-related search results, based on a number of website features and content topics. I conclude by discussing how findings from this series of studies can help shape the ongoing design and development of patient-centered technology

Transactions of 2019 International Conference on Health Information Technology Advancement Vol. 4 No. 1

The Fourth International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 31 - Nov. 1, 2019. Conference Co-Chairs Bernard T. Han and Muhammad Razi, Department of Business Information Systems, Haworth College of Business, Western Michigan University Kalamazoo, MI 49008 Transaction Editor Dr. Huei Lee, Professor, Department of Computer Information Systems, Eastern Michigan University Ypsilanti, MI 48197 Volume 4, No. 1 Hosted by The Center for Health Information Technology Advancement, WM

Automated telephone communication systems for preventive healthcare and management of long-term conditions

Background Automated telephone communication systems (ATCS) can deliver voice messages and collect health-related information from patients using either their telephone’s touch-tone keypad or voice recognition software. ATCS can supplement or replace telephone contact between health professionals and patients. There are four different types of ATCS: unidirectional (one-way, non-interactive voice communication), interactive voice response (IVR) systems, ATCS with additional functions such as access to an expert to request advice (ATCS Plus) and multimodal ATCS, where the calls are delivered as part of a multicomponent intervention. Objectives To assess the effects of ATCS for preventing disease and managing long-term conditions on behavioural change, clinical, process, cognitive, patient-centred and adverse outcomes. Search methods We searched 10 electronic databases (the Cochrane Central Register of Controlled Trials; MEDLINE; Embase; PsycINFO; CINAHL; Global Health; WHOLIS; LILACS; Web of Science; and ASSIA); three grey literature sources (Dissertation Abstracts, Index to Theses, Australasian Digital Theses); and two trial registries (www.controlled-trials.com; www.clinicaltrials.gov) for papers published between 1980 and June 2015. Selection criteria Randomised, cluster- and quasi-randomised trials, interrupted time series and controlled before-and-after studies comparing ATCS interventions, with any control or another ATCS type were eligible for inclusion. Studies in all settings, for all consumers/carers, in any preventive healthcare or long term condition management role were eligible. Data collection and analysis We used standard Cochrane methods to select and extract data and to appraise eligible studies. Main results We included 132 trials (N = 4,669,689). Studies spanned across several clinical areas, assessing many comparisons based on evaluation of different ATCS types and variable comparison groups. Forty-one studies evaluated ATCS for delivering preventive healthcare, 84 for managing long-term conditions, and seven studies for appointment reminders. We downgraded our certainty in the evidence primarily because of the risk of bias for many outcomes. We judged the risk of bias arising from allocation processes to be low for just over half the studies and unclear for the remainder. We considered most studies to be at unclear risk of performance or detection bias due to blinding, while only 16% of studies were at low risk. We generally judged the risk of bias due to missing data and selective outcome reporting to be unclear. For preventive healthcare, ATCS (ATCS Plus, IVR, unidirectional) probably increase immunisation uptake in children (risk ratio (RR) 1.25, 95% confidence interval (CI) 1.18 to 1.32; 5 studies, N = 10,454; moderate certainty) and to a lesser extent in adolescents (RR 1.06, 95% CI 1.02 to 1.11; 2 studies, N = 5725; moderate certainty). The effects of ATCS in adults are unclear (RR 2.18, 95% CI 0.53 to 9.02; 2 studies, N = 1743; very low certainty). For screening, multimodal ATCS increase uptake of screening for breast cancer (RR 2.17, 95% CI 1.55 to 3.04; 2 studies, N = 462; high certainty) and colorectal cancer (CRC) (RR 2.19, 95% CI 1.88 to 2.55; 3 studies, N = 1013; high certainty) versus usual care. It may also increase osteoporosis screening. ATCS Plus interventions probably slightly increase cervical cancer screening (moderate certainty), but effects on osteoporosis screening are uncertain. IVR systems probably increase CRC screening at 6 months (RR 1.36, 95% CI 1.25 to 1.48; 2 studies, N = 16,915; moderate certainty) but not at 9 to 12 months, with probably little or no effect of IVR (RR 1.05, 95% CI 0.99, 1.11; 2 studies, 2599 participants; moderate certainty) or unidirectional ATCS on breast cancer screening. Appointment reminders delivered through IVR or unidirectional ATCS may improve attendance rates compared with no calls (low certainty). For long-term management, medication or laboratory test adherence provided the most general evidence across conditions (25 studies, data not combined). Multimodal ATCS versus usual care showed conflicting effects (positive and uncertain) on medication adherence. ATCS Plus probably slightly (versus control; moderate certainty) or probably (versus usual care; moderate certainty) improves medication adherence but may have little effect on adherence to tests (versus control). IVR probably slightly improves medication adherence versus control (moderate certainty). Compared with usual care, IVR probably improves test adherence and slightly increases medication adherence up to six months but has little or no effect at longer time points (moderate certainty). Unidirectional ATCS, compared with control, may have little effect or slightly improve medication adherence (low certainty). The evidence suggested little or no consistent effect of any ATCS type on clinical outcomes (blood pressure control, blood lipids, asthma control, therapeutic coverage) related to adherence, but only a small number of studies contributed clinical outcome data. The above results focus on areas with the most general findings across conditions. In condition-specific areas, the effects of ATCS varied, including by the type of ATCS intervention in use. Multimodal ATCS probably decrease both cancer pain and chronic pain as well as depression (moderate certainty), but other ATCS types were less effective. Depending on the type of intervention, ATCS may have small effects on outcomes for physical activity, weight management, alcohol consumption, and diabetes mellitus. ATCS have little or no effect on outcomes related to heart failure, hypertension, mental health or smoking cessation, and there is insufficient evidence to determine their effects for preventing alcohol/ substance misuse or managing illicit drug addiction, asthma, chronic obstructive pulmonary disease, HIV/AIDS, hypercholesterolaemia, obstructive sleep apnoea, spinal cord dysfunction or psychological stress in carers. Only four trials (3%) reported adverse events, and it was unclear whether these were related to the intervention