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Management of Electronic Health Records in Virtual Health Environments: The Case of Rocket Health in Uganda 虚拟医疗环境中的电子病历管理:乌干达 Rocket Health 案例
Pub Date : 2024-04-17 DOI: 10.4018/ijhisi.342089
Tlou Maggie Masenya, F. Ssekitto, Sarah Kaddu, Sam Simati
This article examined the management of electronic health records in virtual health environments using rocket health as a case study. The specific objectives of the study were to determine the healthcare services provided at rocket health; examine the electronic health records management practices adhered to at rocket health; and determine the inhibitors to effective electronic health records management at rocket health. A case study with a mixed-methods research approach was used. Data was collected using questionnaires, document reviews and structured interviews. The study finds that rocket health provided a range of healthcare services encompassing telehealth, pharmacy, last mile delivery, and an online store. These services predominantly operated in a digital format, resulting in the generation of electronic health records (EHRs), and therefore to capture and maintain these EHRs from multiple service points, rocket health implemented a cloud-based system.
本文以火箭健康公司为案例,研究了虚拟医疗环境中的电子病历管理。研究的具体目标是确定火箭健康中心提供的医疗保健服务;检查火箭健康中心坚持的电子病历管理实践;确定火箭健康中心有效电子病历管理的抑制因素。研究采用了案例研究和混合研究方法。通过问卷调查、文件审查和结构化访谈收集数据。研究发现,火箭医疗提供了一系列医疗保健服务,包括远程医疗、药房、最后一英里配送和网上商店。这些服务主要以数字形式运行,从而产生了电子健康记录(EHR),因此,为了从多个服务点获取并维护这些电子健康记录,火箭医疗实施了一个基于云的系统。
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引用次数: 0
Hospital Management Practice of Combined Prediction Method Based on Neural Network 基于神经网络的组合预测法的医院管理实践
Pub Date : 2024-04-09 DOI: 10.4018/ijhisi.342091
Qi Yang
In this article, the outpatient volume, hospitalization income and drug demand in hospital management are taken as the research objects, and a neural network combined prediction model is established to predict the outpatient volume with the fitting prediction results of cubic polynomial regression model and grey model as the input of the network and the actual statistical outpatient volume as the output. Lasso variable selection method is used to determine the main indexes affecting the income of inpatients in hospital, and a prediction model combining grey prediction and artificial neural network is established to predict the income of inpatients in hospital. By studying the key characteristics of hospital drug demand, BP neural network, RBF neural network and GRNN generalized regression neural network are selected to predict the drug demand. By solving the quadratic programming problem and according to the weight rules, a combination forecasting model based on neural network is established to predict the drug demand, and the accuracy and stability of the model are evaluated.
本文以医院管理中的门诊量、住院收入和药品需求为研究对象,以三次多项式回归模型和灰色模型的拟合预测结果为网络输入,以实际统计的门诊量为输出,建立了神经网络组合预测模型对门诊量进行预测。采用拉索变量选择法确定影响住院患者收入的主要指标,建立灰色预测与人工神经网络相结合的预测模型,预测住院患者收入。通过研究医院药品需求的主要特征,选择 BP 神经网络、RBF 神经网络和 GRNN 广义回归神经网络对药品需求进行预测。通过求解二次编程问题并根据权重规则,建立了基于神经网络的组合预测模型来预测药品需求,并对模型的准确性和稳定性进行了评估。
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引用次数: 0
Tablet in the Consultation Room and Physician Satisfaction 诊室用药与医师满意度
Pub Date : 2023-02-16 DOI: 10.4018/ijhisi.318445
Richard Kumi, Iris Reychav, J. Azuri, R. Sabherwal
The purpose of the study is to investigate patient-physician interactions during a clinical encounter to ascertain the impact of tablet computing on physician satisfaction during a clinical encounter. This study was conducted at a primary care clinic, and the physicians who participated could use a tablet during their clinical encounters. The authors compared satisfaction between physicians who used the tablet during a clinical encounter and those who did not using data from 122 clinical encounters involving 82 patients. The results indicate that physicians who used the tablet during clinical encounters are more satisfied than those who did not. Additionally, there was a meaning difference in satisfaction between physicians who used the tablet to educate patients and share information than those who did not. HITs have potential benefits, but they also come with risks. To effectively manage the risks and benefits of HITs, healthcare providers should be deliberate and strategic in the implementation of HITs.
本研究的目的是调查临床接触期间的医患互动,以确定平板电脑对临床接触期间医生满意度的影响。这项研究是在一家初级保健诊所进行的,参与研究的医生可以在他们的临床接触中使用药片。作者比较了在临床就诊时使用该片剂的医生和未使用该片剂的医生的满意度,数据来自122例临床就诊,涉及82例患者。结果表明,在临床接触中使用片剂的医生比没有使用片剂的医生更满意。此外,使用平板电脑教育患者和分享信息的医生与不使用平板电脑的医生之间的满意度存在意义差异。hit有潜在的好处,但也有风险。为了有效地管理hit的风险和收益,医疗保健提供者在实施hit时应该深思熟虑并具有战略意义。
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引用次数: 0
Digital Disparities in Patient Adoption of Telemedicine: A Qualitative Analysis of the Patient Experience 患者采用远程医疗的数字差异:对患者体验的定性分析
Pub Date : 2023-02-10 DOI: 10.4018/ijhisi.318043
Alissa M. Dickey, M. Wasko
Telemedicine's growth during the COVID-19 pandemic exposed digital and health disparities in U.S. communities. Public health advocates suggest disparities in healthcare access may be mitigated through free or low-cost broadband. However, prior research shows that many factors influence patient adoption of information technologies; therefore, increasing access to broadband alone is insufficient. This paper advances a patient-centered model of telemedicine (TM) adoption supported by qualitative interview data. The model illustrates that patient adoption of TM is driven by a complex sociotechnical system comprised of technology factors, structural factors underlying the provider's provision of TM, and individual patient factors. Findings highlight the importance of the physical place of the TM visit, the need for experienced TM healthcare workers and technology support for patients, the impact of provider-mandated technology on task-technology fit (TTF), and the strength of the patient-provider relationship. These factors affect patient perceptions of TTF and ultimately TM adoption.
在2019冠状病毒病大流行期间,远程医疗的增长暴露了美国社区的数字和健康差距。公共卫生倡导者建议,可以通过免费或低成本宽带来缓解医疗保健获取方面的差距。然而,先前的研究表明,许多因素影响患者对信息技术的采用;因此,仅仅增加宽带接入是不够的。本文在定性访谈数据的支持下,提出了以患者为中心的远程医疗采用模型。该模型表明,患者采用TM是由一个复杂的社会技术系统驱动的,该系统由技术因素、提供者提供TM的结构性因素和个体患者因素组成。研究结果强调了就诊地点的重要性、对经验丰富的TM医护人员的需求和对患者的技术支持、提供者强制技术对任务-技术契合度(TTF)的影响,以及患者-提供者关系的强度。这些因素影响患者对TTF的看法,并最终影响TM的采用。
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引用次数: 0
A Deep Neural Network for Detecting Coronavirus Disease Using Chest X-Ray Images 利用胸部x射线图像检测冠状病毒病的深度神经网络
Pub Date : 2022-04-01 DOI: 10.4018/ijhisi.20220401.oa1
R. Gupta, Nilesh Kunhare, R. K. Pateriya, Nikhlesh Pathik
The novel Covid-19 is one of the leading cause of death worldwide in the year 2020 and declared as a pandemic by world health organization (WHO). This virus affecting all countries across the world and 5 lakh people die as of June 2020 due to Covid-19. Due to the highly contagious nature, early detection of this virus plays a vital role to break Covid chain. Recent studies done by China says that chest CT and X-Ray image may be used as a preliminary test for Covid detection. Deep learning-based CNN model can use to detect Coronavirus automatically from the chest X-rays images. This paper proposed a transfer learning-based approach to detect Covid disease. Due to the less number of Covid chest images, we are using a pre-trained model to classify X-ray images into Covid and Normal class. This paper presents the comparative study of a various pre-trained model like VGGNet-19, ResNet50 and Inception_ResNet_V2. Experiment results show that Inception_ResNet_V2 gives the better result as compare to VGGNet and ResNet model with training and test accuracy of 99.26 and 94, respectively.
新型冠状病毒病(Covid-19)是2020年全球主要死亡原因之一,被世界卫生组织(WHO)宣布为大流行。这种病毒影响到世界上所有国家,截至2020年6月,有50万人死于Covid-19。由于该病毒具有高度传染性,因此早期发现对打破Covid链至关重要。中国最近的研究表明,胸部CT和x射线图像可以作为检测新冠病毒的初步测试。基于深度学习的CNN模型可用于从胸部x光图像中自动检测冠状病毒。本文提出了一种基于迁移学习的新冠肺炎检测方法。由于Covid胸部图像数量较少,我们使用预训练模型将x射线图像分为Covid和Normal类。本文对VGGNet-19、ResNet50和Inception_ResNet_V2等多种预训练模型进行了比较研究。实验结果表明,与VGGNet和ResNet模型相比,Inception_ResNet_V2模型的训练和测试准确率分别为99.26和94,得到了更好的结果。
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引用次数: 10
Evaluating the Presence of Hospitals on Social Media: An Analytical Study of Private and Public Hospital Instagram Accounts in the State of Kuwait 评估医院在社交媒体上的存在:对科威特私立和公立医院Instagram账户的分析研究
Pub Date : 2022-04-01 DOI: 10.4018/ijhisi.299954
Anwar F. AlHussainan, Zahraa Jasem, Dari Alhuwail
Today, adults are use social media to seek health information. Evidence suggests that hospitals using Instagram reported better patient engagement and in turn increased profit and reputation. Yet, little is known about how public and private hospitals are leveraging Instagram. This study aims to analyze the presence of hospitals on Instagram using Kuwait as a case study. Hospitals were identified using the Ministry of Health’s website and Instagram. Posts collected from 7 odd months were analyzed using the Constant Comparison method. A total of 3,439 posts were distributed across six categories: Health advice & education, operations & services, current events, hospital community, seasonal occasions, and trivia. Public and private hospitals differed in their activity on Instagram in terms of health topics covered, post categories, and interactions. Hospitals should improve their presence on Instagram to promote healthy lifestyles, augment public health campaigns, and be a source of reliable and accessible health information online.
如今,成年人使用社交媒体寻求健康信息。有证据表明,使用Instagram的医院报告了更好的患者参与度,从而增加了利润和声誉。然而,人们对公立和私立医院如何利用Instagram知之甚少。本研究旨在分析医院在Instagram上的存在,并以科威特为案例研究。通过卫生部的网站和Instagram确定了医院的身份。从7个多月收集的帖子使用恒定比较法进行分析。总共有3 439个员额分布在六个类别:健康咨询和教育、业务和服务、时事、医院社区、季节性场合和琐事。公立医院和私立医院在Instagram上的活动在涵盖的健康主题、帖子类别和互动方面存在差异。医院应加强在Instagram上的存在,以推广健康的生活方式,加强公共卫生运动,并成为可靠和可获取的在线健康信息的来源。
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引用次数: 1
Liver Disease Detection: Evaluation of Machine Learning Algorithms Performances With Optimal Thresholds 肝病检测:具有最优阈值的机器学习算法性能评估
Pub Date : 2022-04-01 DOI: 10.4018/ijhisi.299956
Aritra Pan, Shameek Mukhopadhyay, S. Samanta
Intelligent predictive systems are showing a greater level of accuracy and effectiveness in early detection of critical diseases like cancer and liver and lung disease.Predictive models assist medical practitioners in identifying the diseases based on symptoms and health indicators like hormone,enzymes,age,bloodcounts,etc.This study proposes a framework to use classification models to accurately detect chronic liver disease by enhancing the prediction accuracy through cutting-edge analytics techniques.The article proposes an enhanced framework on the original study by Ramana et al. (2011).It uses evaluation measures like Precision and Balanced Accuracy to choose the most efficient classification algorithm in INDIA and USA patient datasets using various factors like enzymes,age,etc.Using Youden’s Index, individual thresholds for each model were identified to increase the power of sensitivity and specificity.A framework is proposed for highly accurate automated disease detection in the medical industry,and it helps in strategizing preventive measures for patients with liver diseases.
智能预测系统在癌症、肝脏和肺部疾病等重大疾病的早期检测中显示出更高的准确性和有效性。预测模型帮助医生根据症状和健康指标(如激素、酶、年龄、血细胞计数等)识别疾病。本研究提出了一个使用分类模型的框架,通过尖端的分析技术提高预测精度,以准确检测慢性肝病。本文在Ramana et al.(2011)的原始研究基础上提出了一个增强的框架。它使用精度和平衡精度等评估措施来选择印度和美国患者数据集中最有效的分类算法,使用各种因素,如酶,年龄等。使用约登指数,确定每个模型的单独阈值,以提高灵敏度和特异性。提出了一种医疗行业中高度精确的自动化疾病检测框架,它有助于肝病患者制定预防措施。
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引用次数: 0
Investigating the Impact of Outsourcing on IT Flexibility: The Conceptual Independence Perspective 研究外包对IT灵活性的影响:概念独立视角
Pub Date : 2022-04-01 DOI: 10.4018/ijhisi.299955
D. Tarenskeen, R. V. D. Wetering, R. Bakker, S. Brinkkemper
Modern healthcare organizations try to leverage their IT infrastructures to enhance the efficiency of processes and the quality of patient services. The flexibility of the IT infrastructure is a critical factor in the process of establishing strategic and operational value. The authors examine how applied principles of Conceptual Independence (CI) in information systems (IS) influence the flexibility of IT infrastructures. Furthermore, it is presumed that IT outsourcing plays a role in IT flexibility. The second question asks whether IT outsourcing configurations change when CI has been applied or not. Quantitative and qualitative data have been collected in 9 mental healthcare organizations. Findings – based on integration of the data with a mixed-method approach - suggest that the healthcare organizations that apply the principles of CI are better equipped to adapt their IT infrastructure to changing demands, requests and needs. Likewise, results suggest that they have changed the government of IT outsourcing thereby increasing IT flexibility even further.
现代医疗保健组织试图利用其IT基础设施来提高流程效率和患者服务质量。IT基础设施的灵活性是建立战略和运营价值过程中的关键因素。作者研究了概念独立性(CI)原则在信息系统(IS)中的应用如何影响IT基础设施的灵活性。此外,假定it外包在it灵活性中起作用。第二个问题是,在应用了CI之后,IT外包配置是否会改变。在9个精神保健组织中收集了定量和定性数据。调查结果(基于数据与混合方法的集成)表明,应用持续集成原则的医疗保健组织能够更好地调整其IT基础设施以适应不断变化的需求、请求和需求。同样,结果表明,他们已经改变了IT外包的政府,从而进一步提高了IT的灵活性。
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引用次数: 0
Association Rules Extraction From the Coronavirus Disease 2019: Attributes on Morbidity and Mortality 2019冠状病毒病的关联规则提取:发病率和死亡率的属性
Pub Date : 2022-01-01 DOI: 10.4018/ijhisi.302652
D. Atsa’am, R. Wario
This research was aimed to extract association rules on the morbidity and mortality of corona virus disease 2019 (COVID-19). The dataset has four attributes that determine morbidity and mortality; including Confirmed Cases, New Cases, Deaths, and New Deaths. The dataset was obtained as of 2nd April, 2020 from the WHO website and converted to transaction format. The Apriori algorithm was then deployed to extract association rules on these attributes. Six rules were extracted: Rule 1. {Deaths, NewDeaths}=>{NewCases}, Rule 2. {ConfCases, NewDeaths}=>{NewCases}, Rule 3. {ConfCases, Deaths}=>{NewCases}, Rule 4. {Deaths, NewCases}=>{NewDeaths}, Rule 5. {ConfCases, Deaths}=>{NewDeaths}, Rule 6. {ConfCases, NewCases}=>{NewDeaths}, with confidence 0.96, 0.96, 0.86, 0.66, 0.59, 0.51 respectively. These rules provide useful information that is vital on how to curtail further spread and deaths from the virus, both in areas where the pandemic is already ravaging and in areas yet to experience the outbreak.
本研究旨在提取2019冠状病毒病(COVID-19)发病率和死亡率的关联规则。该数据集有四个属性决定发病率和死亡率;包括确诊病例、新病例、死亡病例和新死亡病例。截至2020年4月2日,该数据集从世卫组织网站获得并转换为交易格式。然后部署Apriori算法来提取这些属性的关联规则。从中提取出六条规则:规则1。{死亡,新死亡}=>{新案例},规则2。{ConfCases, NewDeaths}=>{NewCases},规则3。{ConfCases, Deaths}=>{NewCases},规则4。{Deaths, NewCases}=>{NewDeaths},规则5。{ConfCases, Deaths}=>{NewDeaths},规则6。{ConfCases, NewCases}=>{NewDeaths},置信度分别为0.96,0.96,0.86,0.66,0.59,0.51。这些规则提供了有用的信息,对于如何在大流行已经肆虐的地区和尚未爆发疫情的地区遏制病毒的进一步传播和死亡至关重要。
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引用次数: 1
Improvement of Segmentation Efficiency in Mammogram Images Using Dual-ROI Method 利用双roi方法提高乳房x线图像分割效率
Pub Date : 2022-01-01 DOI: 10.4018/ijhisi.305236
Venkata Satya Vivek Tammineedi, C. Raju, D. GirishKumar, Venkateswarlu Yalla
Mammogram segmentation utilizing multi-region of intrigue is a standout amongst the most rising exploration territory in the medical image analysis. The steps engaged with the research are grouped into two kinds: 1) segmentation of mammogram images and 2) extraction of texture features from mammogram images. To overcome these difficulties, a compelling technique is proposed in this paper that comprises of three phases. In the principal arrangement, mammogram images from INbreast database are selected and improved utilizing Laplacian filtering. At that point, the pre-processed mammogram images are utilized for segmentation utilizing modified adaptively regularized kernel-based fuzzy C means (M-ARKFCM). After segmentation, statistical texture FE is connected for recognizing the patterns of cancer and non-cancer regions in mammogram images. Finally, the experimental outcome demonstrated that the proposed approach enhanced the segmentation efficiency by methods of statistical parameters contrasted with the existing operating procedures.
乳房x光片分割利用多区域的兴趣是一个突出的在医学图像分析中最新兴的探索领域。研究的步骤分为两类:1)乳房x线图像的分割和2)乳房x线图像的纹理特征提取。为了克服这些困难,本文提出了一种引人注目的技术,该技术包括三个阶段。在主要安排中,从INbreast数据库中选择乳房x光图像,并利用拉普拉斯滤波对其进行改进。此时,利用改进的自适应正则化核模糊C均值(M-ARKFCM)对预处理后的乳房x线图像进行分割。分割后,连接统计纹理FE,用于识别乳房x线图像中癌区和非癌区的模式。实验结果表明,与现有的分割方法相比,该方法提高了基于统计参数的分割效率。
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引用次数: 0
期刊
Int. J. Heal. Inf. Syst. Informatics
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