Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Public Health and Epidemiology Informatics: Recent Research and Trends in the United States

Objectives To survey advances in public health and epidemiology informatics over the past three years. Methods We conducted a review of English-language research works conducted in the domain of public health informatics (PHI), and published in MEDLINE between January 2012 and December 2014, where information and communication technology (ICT) was a primary subject, or a main component of the study methodology. Selected articles were synthesized using a thematic analysis using the Essential Services of Public Health as a typology. Results Based on themes that emerged, we organized the advances into a model where applications that support the Essential Services are, in turn, supported by a socio-technical infrastructure that relies on government policies and ethical principles. That infrastructure, in turn, depends upon education and training of the public health workforce, development that creates novel or adapts existing infrastructure, and research that evaluates the success of the infrastructure. Finally, the persistence and growth of infrastructure depends on financial sustainability. Conclusions Public health informatics is a field that is growing in breadth, depth, and complexity. Several Essential Services have benefited from informatics, notably, “Monitor Health,” “Diagnose & Investigate,” and “Evaluate.” Yet many Essential Services still have not yet benefited from advances such as maturing electronic health record systems, interoperability amongst health information systems, analytics for population health management, use of social media among consumers, and educational certification in clinical informatics. There is much work to be done to further advance the science of PHI as well as its impact on public health practice

Why Medical Informatics (still) Needs Cognitive and Social Sciences.

International audienceOBJECTIVES: To summarize current excellent medical informatics research in the field of human factors and organizational issues. METHODS: Using PubMed, a total of 3,024 papers were selected from 17 journals. The papers were evaluated on the basis of their title, keywords, and abstract, using several exclusion and inclusion criteria. 15 preselected papers were carefully evaluated by six referees using a standard evaluation grid. RESULTS: Six best papers were selected exemplifying the central role cognitive and social sciences can play in medical informatics research. Among other contributions, those studies: (i) make use of the distributed cognition paradigm to model and understand clinical care situations; (ii) take into account organizational issues to analyse the impact of HIT on information exchange and coordination processes; (iii) illustrate how models and empirical data from cognitive psychology can be used in medical informatics; and (iv) highlight the need of qualitative studies to analyze the unexpected side effects of HIT on cognitive and work processes. CONCLUSION: The selected papers demonstrate that paradigms, methodologies, models, and results from cognitive and social sciences can help to bridge the gap between HIT and end users, and contribute to limit adoption failures that are reported regularly

Developing Health Informatics as a New Scientific Discipline

This lecture is predominately about the development of Health Informatics as a discipline and the author’s involvement in this emerging academic subject over the last three decades

Advancing nursing informatics in the next decade: Recommendations from an international survey

© 2016 IMIA and IOS Press. In the summer of 2015, the International Medical Informatics Association Nursing Informatics Special Interest Group (IMIA NISIG) Student Working Group developed and distributed an international survey of current and future trends in nursing informatics. The survey was developed based on current literature on nursing informatics trends and translated into six languages. Respondents were from 31 different countries in Asia, Africa, North and Central America, South America, Europe, and Australia. This paper presents the results of responses to the survey question: "What should be done (at a country or organizational level) to advance nursing informatics in the next 5-10 years?" (n responders=272). Using thematic qualitative analysis, responses were grouped into five key themes: 1) Education and training; 2) Research; 3) Practice; 4) Visibility; and 5) Collaboration and integration. We also provide actionable recommendations for advancing nursing informatics in the next decade

Are We There Yet? Human Factors Knowledge and Health Information Technology – the Challenges of Implementation and Impact

Objective: To review the developments in human factors (HF)research on the challenges of health information technology(HIT) implementation and impact given the continuing incidenceof usability problems and unintended consequences from HITdevelopment and use.Methods: A search of PubMed/Medline and Web of Science®identified HF research published in 2015 and 2016. Electronichealth records (EHRs) and patient-centred HIT emerged assignificant foci of recent HF research. The authors selected prominentpapers highlighting ongoing HF and usability challenges inthese areas. This selective rather than systematic review of recentHF research highlights these key challenges and reflects on theirimplications on the future impact of HF research on HIT.Results: Research provides evidence of continued poor design,implementation, and usability of HIT, as well as technologyinducederrors and unintended consequences. The paperhighlights support for: (i) strengthening the evidence base on thebenefits of HF approaches; (ii) improving knowledge translationin the implementation of HF approaches during HIT design,implementation, and evaluation; (iii) increasing transparency,governance, and enforcement of HF best practices at all stages ofthe HIT system development life cycle.Discussion and Conclusion: HF and usability approaches are yetto become embedded as integral components of HIT development,implementation, and impact assessment. As HIT becomesever-more pervasive including with patients as end-users, thereis a need to expand our conceptualisation of the problems to beaddressed and the suite of tactics and strategies to be used tocalibrate our pro-active involvement in its improvement

Yearbook of Medical Informatics

Objectives: To introduce the 2023 International Medical Informatics Association (IMIA) Yearbook by the editors. Methods: The editorial provides an introduction and overview to the 2023 IMIA Yearbook where the special topic is "Informatics for One Health". The special topic, survey papers and some best papers are discussed. The section changes in the Yearbook editorial committee are also described. Results: IMIA Yearbook 2023 provides many perspectives on a relatively new topic called "One Digital Health". The subject is vast, and includes the use of digital technologies to promote the well-being of people and animals, but also of the environment in which they evolve. Many sections produced new work in the topic including One Health and all sections included the latest themes in many specialties in medical informatics. Conclusions: The theme of "Informatics for One Health" is relatively new but the editors of the IMIA Yearbook have presented excellent and thought-provoking work for biomedical informatics in 2023

Digital Health in Canadian Schools of Nursing—Part B: Academic Nurse Administrators’ Perspectives

While much progress has been achieved in advancing nursing informatics capacity in Canada, more work is needed to keep pace with the 21st century technological revolution. Nursing programs and educators are at the forefront of this change, and are key to ensuring successful integration of digital health and informatics in nursing education and practice. In 2018, a mixed methods study was conducted including a survey of nursing school administrators and nurse educators, telephone interviews, and one focus group meeting. The purpose of this research was to understand the current state of digital health and informatics content integration in nursing curricula within Canadian Schools of Nursing. In this paper, we report on findings representing the academic nurse administrators’ perspectives; nurse educator findings have been published separately (AUTHOR, 2020). Administrator respondents represented fewer than a third of Canadian schools of nursing, however findings indicate an appreciation of the importance of including digital health and informatics content in undergraduate curricula. There is some awareness of both CASN’s entry to practice informatics competencies and other related resources. Findings also suggest a willingness to provide the support needed for nurse educators to effectively address curricular integration. There was some difference of opinion when comparing educator and administrator perspectives. Variation was most evident when considering progress achieved to date. Findings also suggest administrators play a key role in assisting educators in overcoming barriers and advancing their informatics capacity to teach core digital health content. Digital heath integration is largely incumbent upon the leadership within schools of nursing as they are ideally positioned to provide the necessary vision and support. Some recommended tactics to address curricular integration are provided. Bien que de nombreux progrès aient été réalisés au niveau des aptitudes des infirmières en informatique au Canada, il reste encore du travail à faire pour suivre le rythme de la révolution technologique du 21e siècle. Les programmes de formation en sciences infirmières et les infirmières enseignantes se trouvent au premier plan de ce changement et sont essentiels pour assurer une intégration réussie de la santé numérique et de l’informatique dans la formation et la pratique infirmières. En 2018, une étude à devis mixte a été menée, comprenant un sondage auprès des gestionnaires académiques d’écoles de sciences infirmières et des infirmières enseignantes, des entrevues téléphoniques et une rencontre de groupe de discussion. Le but de cette recherche était de comprendre l’état actuel de l’intégration du contenu de la santé numérique et de l’informatique dans les programmes de formation des écoles canadiennes de sciences infirmières. Dans cet article, nous rendons compte des résultats représentant les points de vue des infirmières gestionnaires universitaires; les résultats des infirmières enseignantes ont été publiés séparément (AUTEUR, 2020). Les gestionnaires académiques répondantes représentaient moins du tiers des écoles canadiennes de sciences infirmières. Par ailleurs les résultats indiquent que ces répondantes jugent important d’inclure du contenu traitant de la santé numérique et de l’informatique dans les programmes d’études de premier cycle. I Les compétences en informatique pour accéder à la pratique et d’autres ressources connexes de l’ACESI étaient connues jusqu’à un certain point. Les résultats suggèrent également une volonté de fournir le soutien nécessaire aux infirmières enseignantes pour une intégration efficace dans les programmes d’études. Les points de vue des enseignantes et des gestionnaires académiques varient; la divergence la plus évidente concerne les progrès réalisés à ce jour. Les résultats suggèrent également que les gestionnaires jouent un rôle clé en aidant les enseignantes à surmonter les obstacles et à faire progresser leur capacité informatique à enseigner le contenu essentiel sur la santé numérique. L’intégration de la santé numérique dans les programmes incombe en grande partie aux directions des écoles de sciences infirmières, car ces dernières sont très bien placées pour fournir la vision et le soutien nécessaires. Certaines stratégies recommandées pour aborder l’intégration dans les programmes d’études sont proposées

Evolving Role of the Nursing Informatics Specialist.

The scope of nursing informatics practice has been evolving over the course of the last 5 decades, expanding to address the needs of health care organizations and in response to the evolution of technology. In parallel, the educational preparation of nursing informatics specialists has become more formalized and shaped by the requisite competencies of the role. In this chapter, the authors describe the evolution of nursing informatics roles, scope and focus of practice, and anticipated role responsibilities and opportunities for the future. Further, implications and considerations for the future are presented