Use of Mobile Devices to Access Resources Among Health Professions Students: A Systematic Review

This systematic review examines types of mobile devices used by health professions students, kinds of resources and tools accessed via mobile devices, and reasons for using the devices to access the resources and tools. The review included 20 studies selected from articles published in English between January 2010 and April 2015, retrieved from PubMed and other sources. Data extracted included participants, study designs, mobile devices used, mobile resources/apps accessed, outcome measures, and advantages of and barriers to using mobile devices. The review indicates significant variability across the studies in terms of research methods, types of mobile programs implemented, resources accessed, and outcomes. There were beneficial effects of using mobile devices to access resources as well as conspicuous challenges or barriers in using mobile devices

Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa

Background: Mobile phone technology has demonstrated the potential to improve health service delivery, but there is little guidance to inform decisions about acquiring and implementing mHealth technology at scale in health systems. Using the case of community-based health services (CBS) in South Africa, we apply a framework to appraise the opportunities and challenges to effective implementation of mHealth at scale in health systems. Methods: A qualitative study reviewed the benefits and challenges of mHealth in community-based services in South Africa, through a combination of key informant interviews, site visits to local projects and document reviews. Using a framework adapted from three approaches to reviewing sustainable information and communication technology (ICT), the lessons from local experience and elsewhere formed the basis of a wider consideration of scale up challenges in South Africa. Results: Four key system dimensions were identified and assessed: government stewardship and the organisational, technological and financial systems. In South Africa, the opportunities for successful implementation of mHealth include the high prevalence of mobile phones, a supportive policy environment for eHealth, successful use of mHealth for CBS in a number of projects and a well-developed ICT industry. However there are weaknesses in other key health systems areas such as organisational culture and capacity for using health information for management, and the poor availability and use of ICT in primary health care. The technological challenges include the complexity of ensuring interoperability and integration of information systems and securing privacy of information. Finally, there are the challenges of sustainable financing required for large scale use of mobile phone technology in resource limited settings. Conclusion: Against a background of a health system with a weak ICT environment and limited implementation capacity, it remains uncertain that the potential benefits of mHealth for CBS would be retained with immediate large-scale implementation. Applying a health systems framework facilitated a systematic appraisal of potential challenges to scaling up mHealth for CBS in South Africa and may be useful for policy and practice decision-making in other low- and middle-income settings.Web of Scienc

Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work?

PKBackground: Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people’s lives, from business and education to health. This paper reviews the current evidence on the specific impacts of mobile technologies on tangible health outcomes (mHealth) in low- and middle-income countries (LMICs), from the perspectives of various stakeholders. Design: Comprehensive literature searches were undertaken using key medical subject heading search terms on PubMed, Google Scholar, and grey literature sources. Analysis of 676 publications retrieved from the search was undertaken based on key inclusion criteria, resulting in a set of 76 papers for detailed review. The impacts of mHealth interventions reported in these papers were categorised into common mHealth applications. Results: There is a growing evidence base for the efficacy of mHealth interventions in LMICs, particularly in improving treatment adherence, appointment compliance, data gathering, and developing support networks for health workers. However, the quantity and quality of the evidence is still limited in many respects. Conclusions: Over all application areas, there remains a need to take small pilot studies to full scale, enabling more rigorous experimental and quasi-experimental studies to be undertaken in order to strengthen the evidence base

Track E Implementation Science, Health Systems and Economics

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138412/1/jia218443.pd

Use of Mobile Devices to Access Resources Among Health Professions Students: A Systematic Review

La désertification, les changements climatiques et la perte de la diversité biologique sont des problématiques cruciales pour les régions sèches d’Afrique où ils conjuguent leurs effets pour éprouver les efforts de développement des pays et concomitamment les moyens de vie des populations les plus pauvres de la planète. En effet, nul doute que les écosystèmes ont une influence sur le climat, et  réciproquement, les changements climatiques exercent des impacts considérables sur le climat local, accroissant la désertification, la dégradation des terres et la perte de la diversité biologique. Aujourd’hui, alors que le concept de changements climatiques est une référence constante, la désertification, en dépit de nombreuses études scientifiques qui lui sont consacrées, intéresse peu les décideurs politiques. Pourtant, aucune passerelle, ni scientifique, ni politique à travers la synergie des conventions internationales sur l’environnement, n’est réellement construite sur les liens évidents entre désertification, changement climatique et diversité biologique. L’adaptation aux variabilités et changements climatiques, question centrale dans les récents travaux du Groupe Intergouvernemental sur l’Evolution du Climat (GIEC), constitue un enjeu capital pour les régions sèches affectées par la désertification et soumises à la variabilité et aux extrêmes climatiques. Les expériences de lutte contre la désertification et de conservation de la biodiversité pourraient constituer un point de départ judicieux pour l’étude et la compréhension de l’adaptation aux changements climatiques. Le présent article propose une analyse conjointe de la désertification, du changement climatique et la diversité biologique à la fois au plan scientifique à travers les définitions et les manifestations de ces phénomènes dans les régions sèches d’Afrique, mais aussi au plan institutionnel par l’examen des textes, des outils et des décisions relatives aux conventions internationales qui leur sont dédiées.Desertification, climate change and loss of biodiversity, currently the most compelling issues in African drylands, are compromising development efforts and jeopardising the livelihoods of the poor. A growing amount of evidence is confirming the linkages between  desertification and climate change. One illustration of these linkages is that ecosystems influence the climate, and reciprocally the global climate change affects the local climate, thus exacerbating desertification, land degradation and loss of biodiversity. While the concept of climate change is an ubiquitous theme in the international meetings, desertification suffers a chronic lack of interest on the part of decision-makers. Hitherto, there are no scientific and political links through the synergy between the international environmental conventions. Climate change adaptation is crucial to addressing both issues in the context of drylands. The experience gained in combating desertification and biodiversity conservation could be an entry point for studying and understanding adaptation to climate change in Africa. This article aims to propose an integrated scientific analysis of desertification, climate change and biodiversity, in the light of the three phenomena’s definitions and manifestations in Africa’s drylands. At the institutional level, the examination of the tools and decisions taken through the multilateral conventions dedicated to climate change (UNFCCC), desertification (UNCCD) and biodiversity (UNCBD) is required

The Second International Conference on Health Information Technology Advancement

TABLE OF CONTENTS I. Message from the Conference Co-Chairs B. Han and S. Falan …………………………....….……………. 5 II. Message from the Transactions Editor H. Lee …...………..………….......………….……….………….... 7 III. Referred Papers A. Emerging Health Information Technology and Applications The Role of Mobile Technology in Enhancing the Use of Personal Health Records Mohamed Abouzahra and Joseph Tan………………….……………. 9 Mobile Health Information Technology and Patient Care: Methods, Themes, and Research Gaps Bahae Samhan, Majid Dadgar, and K. D. Joshi…………..…. 18 A Balanced Perspective to Perioperative Process Management Jim Ryan, Barbara Doster, Sandra Daily, and Carmen Lewis…..….…………… 30 The Impact of Big Data on the Healthcare Information Systems Kuo Lane Chen and Huei Lee………….…………… 43 B. Health Care Communication, Literacy, and Patient Care Quality Digital Illness Narratives: A New Form of Health Communication Jofen Han and Jo Wiley…..….……..…. 47 Relationships, Caring, and Near Misses: Michael’s Story Sharie Falan and Bernard Han……………….…..…. 53 What is Your Informatics Skills Level? -- The Reliability of an Informatics Competency Measurement Tool Xiaomeng Sun and Sharie Falan.….….….….….….…. 61 C. Health Information Standardization and Interoperability Standardization Needs for Effective Interoperability Marilyn Skrocki…………………….…….………….… 76 Data Interoperability and Information Security in Healthcare Reid Berryman, Nathan Yost, Nicholas Dunn, and Christopher Edwards.…. 84 Michigan Health Information Network (MiHIN) Shared Services vs. the HIE Shared Services in Other States Devon O’Toole, Sean O’Toole, and Logan Steely…..……….…… 94 D. Health information Security and Regulation A Threat Table Based Approach to Telemedicine Security John C. Pendergrass, Karen Heart, C. Ranganathan, and V.N. Venkatakrishnan …. 104 Managing Government Regulatory Requirements for Security and Privacy Using Existing Standard Models Gregory Schymik and Dan Shoemaker…….…….….….… 112 Challenges of Mobile Healthcare Application Security Alan Rea………………………….……………. 118 E. Healthcare Management and Administration Analytical Methods for Planning and Scheduling Daily Work in Inpatient Care Settings: Opportunities for Research and Practice Laila Cure….….……………..….….….….… 121 Predictive Modeling in Post-reform Marketplace Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, and Morgan C. Wang…………...…. 131 A Study on Generic Prescription Substitution Policy as a Cost Containment Approach for Michigan’s Medicaid System Khandaker Nayeemul Islam…….…...……...………………….… 140 F. Health Information Technology Quality Assessment and Medical Service Delivery Theoretical, Methodological and Practical Challenges in Designing Formative Evaluations of Personal eHealth Tools Michael S. Dohan and Joseph Tan……………….……. 150 The Principles of Good Health Care in the U.S. in the 2010s Andrew Targowski…………………….……. 161 Health Information Technology in American Medicine: A Historical Perspective Kenneth A. Fisher………………….……. 171 G. Health Information Technology and Medical Practice Monitoring and Assisting Maternity-Infant Care in Rural Areas (MAMICare) Juan C. Lavariega, Gustavo Córdova, Lorena G Gómez, Alfonso Avila….… 175 An Empirical Study of Home Healthcare Robots Adoption Using the UTUAT Model Ahmad Alaiad, Lina Zhou, and Gunes Koru.…………………….….………. 185 HDQM2: Healthcare Data Quality Maturity Model Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, and Juan Carlos Lavariega-Jarquín.… 199 IV. A List of Reviewers …………………………..…….………………………208 V. WMU – IT Forum 2014 Call for Papers …..…….…………………20

Informatics for devices within telehealth systems for monitoring chronic diseases

Preliminary investigation at the beginning of this research showed that informatics on point-of-care (POC) devices was limited to basic data generation and processing. This thesis is based on publications of several studies during the course of the research. The aim of the research is to model and analyse information generation and exchange in telehealth systems and to identify and analyse the capabilities of these systems in managing chronic diseases which utilise point-of-care devices. The objectives to meet the aim are as follows: (i) to review the state-of-the-art in informatics and decision support on point-of-care devices. (ii) to assess the current level of servitization of POC devices used within the home environment. (iii) to identify current models of information generation and exchange for POC devices using a telehealth perspective. (iv) to identify the capabilities of telehealth systems. (v) to evaluate key components of telehealth systems (i.e. POC devices and intermediate devices). (vi) to analyse the capabilities of telehealth systems as enablers to a healthcare policy. The literature review showed that data transfer from devices is an important part of generating information. The implication of this is that future designs of devices should have efficient ways of transferring data to minimise the errors that may be introduced through manual data entry/transfer. The full impact of a servitized model for point-of-care devices is possible within a telehealth system, since capabilities of interpreting data for the patient will be offered as a service (c.f. NHS Direct). This research helped to deduce components of telehealth systems which are important in supporting informatics and decision making for actors of the system. These included actors and devices. Telehealth systems also help facilitate the exchange of data to help decision making to be faster for all actors concerned. This research has shown that a large number of capability categories existed for the patients and health professionals. There were no capabilities related to the caregiver that had a direct impact on the patient and health professional. This was not surprising since the numbers of caregivers in current telehealth systems was low. Two types of intermediate devices were identified in telehealth systems: generic and proprietary. Patients and caregivers used both types, while health professionals only used generic devices. However, there was a higher incidence of proprietary devices used by patients. Proprietary devices possess features to support patients better thus promoting their independence in managing their chronic condition. This research developed a six-step methodology for working from government objectives to appropriate telehealth capability categories. This helped to determine objectives for which a telehealth system is suitable

The factors influencing nurse graduates use of mobile technology in clinical settings in Perth Western Australia: A mixed method study

The ubiquitous use of mobile technology in today’s society extends to the learning and teaching environment. Most academics in universities encourage its use, aided by libraries offering online resources. Whilst the literature highlights benefits of using mobile technology in learning, particularly for nurses to keep up-to-date, there is limited evidence on such use in clinical settings by graduate nurses in Western Australia (WA). Additionally, there is a lack of information and clarification on the use of such technology in WA hospitals. The purpose of this study was to identify and explore factors influencing the use of mobile technology by newly graduated registered nurses in the clinical area. The location of the study was in Perth, Western Australia. The study sought to answer the following questions: What factors influence nurse graduates use of mobile technology in the clinical setting? To what extent and in what ways do nurse graduates currently use mobile technology in the clinical setting? and What are the perceptions of nurse coordinators, educators and managers of graduate programs regarding mobile technology use in the clinical setting. In order to answer these questions, an explanatory, sequential, mixed method design was used. Initially, a review was undertaken of existing policy and guidelines, regarding use of mobile technology, from both public and private hospitals. This phase of the study was followed by two major phases: (quantitative and qualitative). As a preparation to the quantitative phase, a survey was developed involving the modified use of the Technology Acceptance Model (TAM2). This model was used as the theoretical framework underpinning the study. The survey was administered online to registered nurse graduates using SurveyMonkey™. Both descriptive and inferential statistics were used to analyse the data. Findings from the data informed the next phase of the study. Data collection for the qualitative phase of the study, involved synchronous Skype™ online text-based focus group interviews with the graduates. Additionally, nurse coordinators, educators and managers of graduate programs from both public and private hospitals, were invited to complete an online open-ended survey. Thematic analysis was used to analyse the data from this phase of the study. The findings from both the quantitative and qualitative phases was synthesised to answer the research questions, forming a holistic picture to offer conclusions to the study. This study is significant, as there appears to be a gap between learning with mobile technology in Universities, and its use in the clinical setting. This problem may be associated with the lack of standardised policies in the use of mobile technology, or from senior nurses’ misperception of its benefits. The results of this study may lead to policies and guidelines being reviewed and implemented by local healthcare agencies, and could lead to review of current mobile technology integration into nursing undergraduate degrees