Studies in health technology and informatics最新文献

The PAT Project aims to revolutionize preventive healthcare in Canada by shifting focus from reactive treatment to proactive prevention. It integrates validated assessment tools and a dynamic knowledge base that maps risk factors to diseases, enabling personalized prevention prescription. By enriching EMR systems with comprehensive data, the project empowers both patients and clinicians to take early action, reducing the burden of chronic diseases. The project's multidisciplinary approach covers 16 key health domains, and its implementation strategy involves AI-driven solutions to streamline research into clinical practice, promoting citizen empowerment and addressing health inequities.

Access to primary healthcare remains a critical challenge in Africa, particularly in underserved areas. This paper evaluates the mutti+ digital health (MDH) solution-a pharmacy-first model providing outpatient services through community pharmacies for 14 prevalent diseases. Using system dynamics modeling, we analyzed three policy options to ensure sustainability, focusing on leadership and policy alignment. Our model identified critical factors affecting sustainability, such as patient adoption, operational costs, NPS, and service utilization rates.

Co-design is an increasingly adopted approach in digital health to develop innovations that are more relevant and effective. Engaging people with lived/living experience at the outset is often recommended to maximize the value of co-design. This paper reports on the co-design of the co-design of a Patient Journey Dashboard-an approach where both the co-design process and dashboard are co-designed with patient partners from the Centre for Addiction and Mental Health. There were challenges navigating the process at first; however, collectively embracing the messiness allowed for a meaningful engagement experience.

Digital health data is being increasingly collected and used in the field of suicide prevention and care, but the extent to which knowledge users are engaged in these initiatives is unclear. We build on previous work by conducting a secondary analysis of rapid review data, to describe knowledge user perspectives, the level of engagement and resulting outputs.

Sickle Cell Disease (SCD) poses a significant healthcare challenge in Kenya, with about 14,000 new cases annually. Fragmented data collection hampers patient management, research, and resource allocation. This paper proposes a framework for a centralized SCD registry in Kenya, integrating with existing systems like KenyaEMR. Through stakeholder engagement and systematic design, we outline methods, system design, implementation strategies, and success metrics. The solution aims to enhance patient care, support research, and inform policy development.

Community pharmacies in Ghana are essential healthcare access points but often focus only on dispensing medications, neglecting broader patient-centered care. This study identifies 21 key drivers of patient satisfaction through stakeholder engagement and proposes a three-part strategy to transform these pharmacies into healthcare hubs. The strategy integrates a digital health platform, a pharmacy performance assessment tool, and a cleaning and hygiene checklist to enhance service quality, accessibility, product availability, and patient engagement. By addressing challenges like digital literacy, infrastructure limitations, and staff training, this work provides insights for sustainable improvement and scalability in low-resource settings.

Patient access to health records is increasingly recognized as a fundamental right to empower individuals and improve healthcare continuity. A comprehensive assessment tool was developed to evaluate dimensions of jurisdictional capacity, the extent of patient access, and international comparisons. We identified 10 key requirements for facilitating patient access to their health records. This study presents a framework for evaluating and enhancing patient access, though there remains a need to include patient experiences for a fuller picture in future research.

Chronic obstructive pulmonary disease (COPD) costs Ontario's healthcare system $1.5 billion annually. Primary care practitioners (PCPs) often struggle to integrate clinical guidelines into their workflows. This paper examines the potential of Clinical Decision Support Systems (CDSS) embedded in electronic medical records (EMRs) to address this challenge. Barriers to adoption, facilitators, and technical solutions like SMART on FHIR are discussed to promote future CDSS use and interoperability.

OntarioMD (OMD), a leader in digital health, focuses on harnessing artificial intelligence (AI) technologies to reduce administrative burden and enhance patient care in primary care. Building on 20 years of digital health experience, OMD has established an AI implementation strategy centred on collaboration and education. This multipronged strategy leads to a sustainable, effective and safe adoption of AI through collaboration with healthcare providers, patients, policymakers, technology vendors, and regulatory bodies by offering implementation toolkits and change management support to clinicians and fostering a culture of continuous learning, ensuring clinicians and patients are well-versed in AI. They are equipped with the necessary knowledge to leverage the AI-enabled tools. The success of the AI scribe pilots in Ontario exemplifies the value of this AI implementation strategy. Clinicians who participated in the pilot reported saving almost 4 hours per week on documentation by using AI scribes, and both primary care providers and patients reported improved engagement and rapport.

Health systems globally are struggling with. common issues such as access, wait times, and the delivery of new models of care such as team-based care. While it has been argued that addressing our health crisis involves better implementation of known solutions, we argue that mindset is an overly simplified representation of health system implementation. In this paper we posit that the non-linear interactive nature of health systems makes implementation challenging. Addressing that challenge requires us to conceptualize health system implementation as an interacting system of systems that evolve over time.