Mining User-generated Content of Mobile Patient Portal: Dimensions of User Experience

Patient portals are positioned as a central component of patient engagement through the potential to change the physician-patient relationship and enable chronic disease self-management. The incorporation of patient portals provides the promise to deliver excellent quality, at optimized costs, while improving the health of the population. This study extends the existing literature by extracting dimensions related to the Mobile Patient Portal Use. We use a topic modeling approach to systematically analyze users’ feedback from the actual use of a common mobile patient portal, Epic’s MyChart. Comparing results of Latent Dirichlet Allocation analysis with those of human analysis validated the extracted topics. Practically, the results provide insights into adopting mobile patient portals, revealing opportunities for improvement and to enhance the design of current basic portals. Theoretically, the findings inform the social-technical systems and Task-Technology Fit theories in the healthcare field and emphasize important healthcare structural and social aspects. Further, findings inform the humanization of healthcare framework, support the results of existing studies, and introduce new important design dimensions (i.e., aspects) that influence patient satisfaction and adherence to patient portal

Deepr: A Convolutional Net for Medical Records

Feature engineering remains a major bottleneck when creating predictive systems from electronic medical records. At present, an important missing element is detecting predictive regular clinical motifs from irregular episodic records. We present Deepr (short for Deep record), a new end-to-end deep learning system that learns to extract features from medical records and predicts future risk automatically. Deepr transforms a record into a sequence of discrete elements separated by coded time gaps and hospital transfers. On top of the sequence is a convolutional neural net that detects and combines predictive local clinical motifs to stratify the risk. Deepr permits transparent inspection and visualization of its inner working. We validate Deepr on hospital data to predict unplanned readmission after discharge. Deepr achieves superior accuracy compared to traditional techniques, detects meaningful clinical motifs, and uncovers the underlying structure of the disease and intervention space

The Shaky Foundations of Clinical Foundation Models: A Survey of Large Language Models and Foundation Models for EMRs

The successes of foundation models such as ChatGPT and AlphaFold have spurred significant interest in building similar models for electronic medical records (EMRs) to improve patient care and hospital operations. However, recent hype has obscured critical gaps in our understanding of these models' capabilities. We review over 80 foundation models trained on non-imaging EMR data (i.e. clinical text and/or structured data) and create a taxonomy delineating their architectures, training data, and potential use cases. We find that most models are trained on small, narrowly-scoped clinical datasets (e.g. MIMIC-III) or broad, public biomedical corpora (e.g. PubMed) and are evaluated on tasks that do not provide meaningful insights on their usefulness to health systems. In light of these findings, we propose an improved evaluation framework for measuring the benefits of clinical foundation models that is more closely grounded to metrics that matter in healthcare.Comment: Reformatted figures, updated contribution

Unlocking the Potential of ChatGPT: A Comprehensive Exploration of its Applications, Advantages, Limitations, and Future Directions in Natural Language Processing

Large language models have revolutionized the field of artificial intelligence and have been used in various applications. Among these models, ChatGPT (Chat Generative Pre-trained Transformer) has been developed by OpenAI, it stands out as a powerful tool that has been widely adopted. ChatGPT has been successfully applied in numerous areas, including chatbots, content generation, language translation, personalized recommendations, and even medical diagnosis and treatment. Its success in these applications can be attributed to its ability to generate human-like responses, understand natural language, and adapt to different contexts. Its versatility and accuracy make it a powerful tool for natural language processing (NLP). However, there are also limitations to ChatGPT, such as its tendency to produce biased responses and its potential to perpetuate harmful language patterns. This article provides a comprehensive overview of ChatGPT, its applications, advantages, and limitations. Additionally, the paper emphasizes the importance of ethical considerations when using this robust tool in real-world scenarios. Finally, This paper contributes to ongoing discussions surrounding artificial intelligence and its impact on vision and NLP domains by providing insights into prompt engineering techniques

The Significance of Machine Learning in Clinical Disease Diagnosis: A Review

The global need for effective disease diagnosis remains substantial, given the complexities of various disease mechanisms and diverse patient symptoms. To tackle these challenges, researchers, physicians, and patients are turning to machine learning (ML), an artificial intelligence (AI) discipline, to develop solutions. By leveraging sophisticated ML and AI methods, healthcare stakeholders gain enhanced diagnostic and treatment capabilities. However, there is a scarcity of research focused on ML algorithms for enhancing the accuracy and computational efficiency. This research investigates the capacity of machine learning algorithms to improve the transmission of heart rate data in time series healthcare metrics, concentrating particularly on optimizing accuracy and efficiency. By exploring various ML algorithms used in healthcare applications, the review presents the latest trends and approaches in ML-based disease diagnosis (MLBDD). The factors under consideration include the algorithm utilized, the types of diseases targeted, the data types employed, the applications, and the evaluation metrics. This review aims to shed light on the prospects of ML in healthcare, particularly in disease diagnosis. By analyzing the current literature, the study provides insights into state-of-the-art methodologies and their performance metrics.Comment: 8 page

Mining User-generated Content of Mobile Patient Portal: Dimensions of User Experience

Patient portals are positioned as a central component of patient engagement through the potential to change the physician-patient relationship and enable chronic disease self-management. The incorporation of patient portals provides the promise to deliver excellent quality, at optimized costs, while improving the health of the population. This study extends the existing literature by extracting dimensions related to the Mobile Patient Portal Use. We use a topic modeling approach to systematically analyze users’ feedback from the actual use of a common mobile patient portal, Epic\u27s MyChart. Comparing results of Latent Dirichlet Allocation analysis with those of human analysis validated the extracted topics. Practically, the results provide insights into adopting mobile patient portals, revealing opportunities for improvement and to enhance the design of current basic portals. Theoretically, the findings inform the social-technical systems and Task-Technology Fit theories in the healthcare field and emphasize important healthcare structural and social aspects. Further, findings inform the humanization of healthcare framework, support the results of existing studies, and introduce new important design dimensions (i.e., aspects) that influence patient satisfaction and adherence to patient portal

A privacy-preserving data storage and service framework based on deep learning and blockchain for construction workers' wearable IoT sensors

Classifying brain signals collected by wearable Internet of Things (IoT) sensors, especially brain-computer interfaces (BCIs), is one of the fastest-growing areas of research. However, research has mostly ignored the secure storage and privacy protection issues of collected personal neurophysiological data. Therefore, in this article, we try to bridge this gap and propose a secure privacy-preserving protocol for implementing BCI applications. We first transformed brain signals into images and used generative adversarial network to generate synthetic signals to protect data privacy. Subsequently, we applied the paradigm of transfer learning for signal classification. The proposed method was evaluated by a case study and results indicate that real electroencephalogram data augmented with artificially generated samples provide superior classification performance. In addition, we proposed a blockchain-based scheme and developed a prototype on Ethereum, which aims to make storing, querying and sharing personal neurophysiological data and analysis reports secure and privacy-aware. The rights of three main transaction bodies - construction workers, BCI service providers and project managers - are described and the advantages of the proposed system are discussed. We believe this paper provides a well-rounded solution to safeguard private data against cyber-attacks, level the playing field for BCI application developers, and to the end improve professional well-being in the industry