scholarly journals A call for social informatics

2020 ◽  
Vol 27 (11) ◽  
pp. 1798-1801 ◽  
Author(s):  
Matthew S Pantell ◽  
Julia Adler-Milstein ◽  
Michael D Wang ◽  
Aric A Prather ◽  
Nancy E Adler ◽  
...  

Abstract As evidence of the associations between social factors and health outcomes continues to mount, capturing and acting on social determinants of health (SDOH) in clinical settings has never been more relevant. Many professional medical organizations have endorsed screening for SDOH, and the U.S. Office of the National Coordinator for Health Information Technology has recommended increased capacity of health information technology to integrate and support use of SDOH data in clinical settings. As these efforts begin their translation to practice, a new subfield of health informatics is emerging, focused on the application of information technologies to capture and apply social data in conjunction with health data to advance individual and population health. Developing this dedicated subfield of informatics—which we term social informatics—is important to drive research that informs how to approach the unique data, interoperability, execution, and ethical challenges involved in integrating social and medical care.

2008 ◽  
Vol 1 ◽  
pp. BII.S2007 ◽  
Author(s):  
Sanjaya Joshi

A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented. A summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows: • HIPAA compliance is complex; data interoperability and integration remains difficult. • Email and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. • Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. • Medical errors remain high. • There are no real savings yet from the usage of health information technologies; the costs for implementation remain high, and the business model has not evolved to meet the needs. • Health Information Technology (Health IT) projects continue to have a significant failure rate; Open Source technologies are a viable alternative both for cost reduction and scalability. A discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. system against other countries.


10.2196/19515 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e19515 ◽  
Author(s):  
Qing Ye ◽  
Jin Zhou ◽  
Hong Wu

Background The coronavirus disease (COVID-19) epidemic poses an enormous challenge to the global health system, and governments have taken active preventive and control measures. The health informatics community in China has actively taken action to leverage health information technologies for epidemic monitoring, detection, early warning, prevention and control, and other tasks. Objective The aim of this study was to develop a technical framework to respond to the COVID-19 epidemic from a health informatics perspective. Methods In this study, we collected health information technology–related information to understand the actions taken by the health informatics community in China during the COVID-19 outbreak and developed a health information technology framework for epidemic response based on health information technology–related measures and methods. Results Based on the framework, we review specific health information technology practices for managing the outbreak in China, describe the highlights of their application in detail, and discuss critical issues to consider when using health information technology. Technologies employed include mobile and web-based services such as Internet hospitals and Wechat, big data analyses (including digital contact tracing through QR codes or epidemic prediction), cloud computing, Internet of things, Artificial Intelligence (including the use of drones, robots, and intelligent diagnoses), 5G telemedicine, and clinical information systems to facilitate clinical management for COVID-19. Conclusions Practical experience in China shows that health information technologies play a pivotal role in responding to the COVID-19 epidemic.


2020 ◽  
Author(s):  
Qing Ye ◽  
Jin Zhou ◽  
Hong Wu

BACKGROUND The coronavirus disease (COVID-19) epidemic poses an enormous challenge to the global health system, and governments have taken active preventive and control measures. The health informatics community in China has actively taken action to leverage health information technologies for epidemic monitoring, detection, early warning, prevention and control, and other tasks. OBJECTIVE The aim of this study was to develop a technical framework to respond to the COVID-19 epidemic from a health informatics perspective. METHODS In this study, we collected health information technology–related information to understand the actions taken by the health informatics community in China during the COVID-19 outbreak and developed a health information technology framework for epidemic response based on health information technology–related measures and methods. RESULTS Based on the framework, we review specific health information technology practices for managing the outbreak in China, describe the highlights of their application in detail, and discuss critical issues to consider when using health information technology. Technologies employed include mobile and web-based services such as Internet hospitals and Wechat, big data analyses (including digital contact tracing through QR codes or epidemic prediction), cloud computing, Internet of things, Artificial Intelligence (including the use of drones, robots, and intelligent diagnoses), 5G telemedicine, and clinical information systems to facilitate clinical management for COVID-19. CONCLUSIONS Practical experience in China shows that health information technologies play a pivotal role in responding to the COVID-19 epidemic.


2016 ◽  
Vol 25 (01) ◽  
pp. 70-72 ◽  
Author(s):  
A. Almerares ◽  
D. Luna ◽  
A. Marcelo ◽  
M. Househ ◽  
H. Mandirola ◽  
...  

SummaryBackground: Patient safety concerns every healthcare organization. Adoption of Health information technology (HIT) appears to have the potential to address this issue, however unanticipated and undesirable consequences from implementing HIT could lead to new and more complex hazards. This could be particularly problematic in developing countries, where regulations, policies and implementations are few, less standandarized and in some cases almost non-existing.Methods: Based on the available information and our own experience, we conducted a review of unintended consequences of HIT implementations, as they affect patient safety in developing countries.Results: We found that user dependency on the system, alert fatigue, less communications among healthcare actors and workarounds topics should be prioritize. Institution should consider existing knowledge, learn from other experiences and model their implementations to avoid known consequences. We also recommend that they monitor and communicate their own efforts to expand knowledge in the region.


2008 ◽  
pp. 1799-1809 ◽  
Author(s):  
Theodore L. Perry ◽  
Travis Tucker ◽  
Laurel R. Hudson ◽  
William Gandy ◽  
Amy L. Neftzger ◽  
...  

Healthcare has become a data-intensive business. Over the last 30 years, we have seen significant advancements in the areas of health information technology and health informatics as well as healthcare modeling and artificial intelligence techniques. Health informatics, which is the science of health information,1 has made great progress during this period (American Medical Informatics Association). Likewise, data mining, which has been generally defined as the application of technology and statistical/mathematical methods to uncover relationships and patterns between variables in data sets, has experienced noteworthy improvements in computer technology (e.g., hardware and software) in addition to applications and methodologies (e.g., statistical and biostatistical techniques such as neural networks, regression analysis, and classification/segmentation methods) (Kudyba & Hoptroff, 2001). Though health informatics is a relatively young science, the impact of this area on the health system and health information technology industry has already been seen, evidenced by improvements in healthcare delivery models, information systems, and assessment/diagnostic tools.


2011 ◽  
pp. 2387-2410
Author(s):  
Avnish Rastogi ◽  
Tugrul Daim ◽  
Joseph Tan

As health organizations strive to improve operational efficiencies and increase worker productivity, new forms of health information technologies (HITs) are constantly being developed. This article surveys the extant HIT literature and adopts a case analysis approach to identifying emerging health information technologies. The understanding of HIT trend is further enriched through the applications of technology-forecasting techniques, specifically, scenario analysis and U.S. patent searches. The article focuses on five emerging HITs and their impact on the future of U.S. Healthcare Services Delivery.


2020 ◽  
Vol 1 (4) ◽  
pp. 254-268
Author(s):  
Leia A. Harper ◽  
Déja I. Fitzgerald

In the face of surging cases of the coronavirus SARS-CoV-2 (COVID-19), healthcare professionals are searching for ways to provide care to the general public that obviates the need for in-person contact. Pervasive heterosexism and social stigma have long presented structural barriers to care for sexual (i.e., lesbian, gay, bisexual) and gender (i.e., trans-identified, nonbinary, gender fluid) minority health service users. Health information technology (HIT) creates an opportunity for enhanced healthcare and communications that can simultaneously reduce harmful barriers to care, while also maintaining physical distancing to reduce COVID-19 exposure. While research has demonstrated the value of HIT usage for purchasing medications, communicating with healthcare providers, seeking health information, and managing personal health records, there remains a dearth of published empirical research concerning the participation in online health-related activities among sexual minorities, particularly emerging adults. In order to address this gap, we examined HIT usage as a function of sexual orientation through the secondary analysis of data collected in the National Health Interview Survey (2016–2018). Using multivariate analysis, we assessed the likelihood of using technology as a resource for health-related care and communication in sexual and gender minority (SGM) and heterosexual participants. After adjusting for demographic and health variables, SGM male and female participants had increased odds of HIT use when compared to their heterosexual counterparts. Results indicate that health information technologies might be an innovative means of increasing access to care for stigmatized populations, while also ameliorating the choice between risking COVID-19 exposure during a clinical visit or postponing needed care.


2017 ◽  
Vol 20 (3) ◽  
pp. 112-118 ◽  
Author(s):  
Melissa Desmedt ◽  
Sam Pless ◽  
Ezra Dessers ◽  
Dominique Vandijck

The increasing burden of chronic diseases is one of the greatest challenges healthcare systems globally are facing. Across the world, compelling demands can be found for a fundamental shift in the organisation of health and social care to meet the needs of chronic patients. Integrated care has gathered momentum to overcome fragmentation of care in order to create care systems which are demand-driven, client-centred and cost-conscious. Health information technology – often referred to as eHealth – is usually considered to be an essential building brick of integrated care. Moreover, health information technology is said to hold potential for improving patient safety in chronic care settings. The current perspective paper explores the role of health information technology in integrating and safeguarding care. We argue that health information technology – which supports integrated care – may create optimal conditions to improve patient safety, but only when well-implemented, state-of-the-art technologies are used.


2021 ◽  
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
Ricardo Cruz-Correia ◽  
Anabela Antunes Almeida

Abstract Background COVID19 pandemic has shown the importance of data to manage health crises. Therefore, countries that were more mature regarding using Information Systems (IS) were better prepared to respond to their population needs. Unfortunately, in Angola, such Health Information Systems (HIS) maturity is very low, so new Health Information Technology (HIT) projects must change this scenario. Objective Describe the impact of COVID19 on a new health information technology project called "ObsCare Lubango" to collect essential data on deliveries and births at the Maternity Hospital in Lubango-Angola. Methods Retrieve data from the notes, communication events of the project management. Also, the collected data regarding obstetrics (pregnancies and childbirth) was from Jan 2019 to Apr 2021 (14 months before COVID19 and 14 months after the beginning of COVID19). The data analyzed were collected from the utilization audit trail that stores the sessions and clicks in the application logs. These logs are then presented in aggregated and anonymized form in a web interface. Results The start of COVID19 in Maternity halted the evolution of the health information project implementation. At the beginning of 2020, the usage of ObsCare Lubango was growing steadily (5.9%, 7.5%, 9.4% in the first three months), but rapidly dropped to 0% in the following months after the first of COVID arrived in late March. Conclusion COVID19 had a significant impact on the evolution of ObsCare Lubango and heavily impacted the quality of the data collected in the paper. COVID19 will probably increase the digital divide in health care between nations.


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