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  Subjects -> HEALTH AND SAFETY (Total: 1355 journals)
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HEALTH AND SAFETY (565 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 27)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 211)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 9)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 21)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 19)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 5)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 7)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 19)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 41)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 51)
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)

        1 2 3 | Last

Journal Cover
Number of Followers: 3  
  Full-text available via subscription Subscription journal
ISSN (Print) 1701-8439
Published by Longwoods Publishing Homepage  [7 journals]
  • A Model for Developing Clinical Analytics Capacity: Closing the Loops on
           Outcomes to Optimize Quality
    • Abstract: [This article was originally published in Healthcare Quarterly, 20(3)]Closed Loop Analytics© is receiving growing interest in healthcare as a term referring to information technology, local data and clinical analytics working together to generate evidence for improvement. The Closed Loop Analytics model consists of three loops corresponding to the decision-making levels of an organization and the associated data within each loop – Patients, Protocols, and Populations. The authors propose that each of these levels should utilize the same ecosystem of electronic health record (EHR) and enterprise data warehouse (EDW) enabled data, in a closed-loop fashion, with that data being repackaged and delivered to suit the analytic and decision support needs of each level, in support of better outcomes.
      PubDate: Thu, 14 Dec 2017 05:00:00 +000
  • Clinical Documentation in an Era of Increasing Transparency: The Impact of
           Electronic Portals on Care
    • Abstract: [This article was originally published in Healthcare Quarterly, 20(3)]Electronic health records (EHRs) and consumer health portals have implications for improving the quality and cost-effectiveness of healthcare and make it much easier for patients and families to access health information in a timely and convenient manner. However, the accessibility of information afforded by EHRs and health portals changes the dynamic of control over health information in very significant ways. Institutions and their clinicians have typically been the caretakers of these documents; therefore, the introduction of portals represents a major cultural shift in healthcare. The efforts of both clinicians and patients are needed to effectively make this shift, as the implementation of new technology is uniquely challenging within a healthcare setting. An interactive workshop was facilitated to understand clinicians' perceived challenges of this shift with a specific focus on the implications of increased transparency and patients' increased access to health information.
      PubDate: Thu, 14 Dec 2017 05:00:00 +000
  • Partnering with Patients: The Toronto Central LHIN Telehomecare Experience
    • Abstract: [This article was originally published in Healthcare Quarterly, 20(3)]Chronic obstructive pulmonary disease (COPD) and heart failure are responsible for significant healthcare costs in Ontario. One program developed to improve the management of these conditions is Telehomecare, which provides six months of health status monitoring and patient self-management education at no cost to participating COPD and heart failure patients. The Toronto Central Local Health Integration Network (LHIN; formerly the Toronto Central Community Care Access Centre), an early participant, enrolled over 3,000 Telehomecare patients between 2012 and 2016. Research shows that the program reduces emergency department visits and hospital admissions, improves patient confidence and self-management skills and is associated with high patient satisfaction. Program improvements and expansion are ongoing.
      PubDate: Thu, 14 Dec 2017 05:00:00 +000
  • Using Mobile Apps to Communicate Vaccination Records: A City-wide
           Evaluation with A National Immunization App, Maternal Child Registry and
           Public Health Authorities
    • Abstract: [This article was originally published in Healthcare Quarterly, 20(3)]Medicine is experiencing a paradigm shift, where patients are increasingly involved in the management of their health data. We created a mobile app which permitted parental reporting of immunization status to public health authorities. We describe app use as a proxy for feasibility and acceptability as well as data utility for public health surveillance. The evaluation period ran from April 27, 2015, to April 18, 2017, during which time 2,653 unique children's records were transmitted, containing 36,105 vaccinations. Our findings suggest that mobile immunization reporting is feasible and may be an acceptable complement to existing reporting methods. Measures of data utility suggest that mobile reporting could enable more accurate assessments of vaccine coverage.
      PubDate: Thu, 14 Dec 2017 05:00:00 +000
  • Monitoring Receptivity to Online Health Messages by Tracking Daily Web
           Traffic Engagement Patterns: A Review of More than 13 Million US Web
           Exposures over 1,235 Days
    • Abstract: [This article was originally published in Healthcare Quarterly, 20(3)]Reaching the recipient of online health messages is necessary to Web-based health promotion applications. To measure willingness to adhere to a health-related Web message, we explored the frequency with which more than 13 million Web users ignored or opted to receive a random inbound message. The findings suggest declining curiosity among Web users about online messages, and that certain days may be more propitious than others for communicating with users. This approach can be modified to gather more granular insights into how messages, including timing and design features, can be tailored to promote improved public health messaging.
      PubDate: Thu, 14 Dec 2017 05:00:00 +000
  • Barriers and Facilitators to Family Planning Access in Canada
    • Abstract: [This article was originally published in Healthcare Policy, 10(3)]Background: Contraceptives are underutilized in Canada, and nearly one in three Canadian women will have an abortion in her lifetime. To help delineate a national family planning research agenda, the authors interviewed healthcare providers and organizational stakeholders to explore their perspective on barriers to contraception across regions of Canada.Methods: Semi-structured interviews were conducted based on validated frameworks for assessing family planning access and quality. The authors purposefully selected 14 key stakeholders from government agencies, professional organizations and non-governmental organizations for in-person interviews. Fifty-eight healthcare providers and representatives of stakeholder organizations in reproductive health who self-selected through an online survey were also interviewed. Transcripts were analyzed for repeated and saturated themes.Results: Cost was the most important barrier to contraception. Sexual health education was reported as inconsistent, even within provinces. Regional differences were highlighted, including limited access to family physicians in rural Canada and throughout Quebec. Physician bias and outdated practices were cited as significant barriers to quality. New immigrants, youth, young adults and women in small rural, Northern and Aboriginal communities were all identified as particularly vulnerable. Informants identified multiple opportunities for health policy and system restructuring, including subsidized contraception, and enhancing public and healthcare provider education. Sexual health clinics were viewed as a highly successful model. Task-sharing and expanded scope of practice of nurses, nurse practitioners and pharmacists, alongside telephone and virtual healthcare consultations, were suggested to create multiple points of entry into the system.Conclusion: Results underscore the need for a national strategic approach to family planning health policy and health services delivery in Canada.
      PubDate: Mon, 28 Aug 2017 04:00:00 +000
  • In Conversation with Marilyn Emery
    • Abstract: In Conversation with Marilyn Emery
      PubDate: Mon, 28 Aug 2017 04:00:00 +000
  • The World’s First Virtual Cello Lesson – Perhaps with a Few
           Lessons for Healthcare
    • Abstract:  
      PubDate: Mon, 28 Aug 2017 04:00:00 +000
  • Improving Outcomes through Transformational Health and Social Care
           Integration – The Scottish Experience
    • Abstract: [This article was originally published in Healthcare Quarterly, 19(2)]The Scottish Parliament recently passed legislation on integrating healthcare and social care to improve the quality and outcomes of care and support for people with multiple and complex needs across Scotland. This ambitious legislation provides a national framework to accelerate progress in person-centred and integrated care and support for the growing number of people who have multiple physical and mental health conditions and complex needs. Additional investment and improvement capacity is helping to commission support and services that are designed and delivered with people in local communities and in partnership with housing, community, voluntary and independent sectors.
      PubDate: Wed, 07 Jun 2017 04:00:00 +000
  • A Better Prescription: Advice for a National Strategy on Pharmaceutical
           Policy in Canada
    • Abstract: [This article was originally published in Healthcare Policy, 12(1)]Canada needs a national strategy to fulfill its obligation to ensure universal access to necessary healthcare, including prescription drugs. A 2004 attempt at a national strategy for pharmaceutical policy failed because it lacked clear vision, logical planning and commitment from federal and provincial governments. The result of uncoordinated pharmaceutical policies in Canada has been more than a decade of poor system performance. In this essay, we present a framework for a renewed national strategy for pharmaceutical policy. Building on published research and international frameworks, we propose that pharmaceutical policies of federal, provincial, and territorial governments be coordinated around a core health-focused goal. We strongly suggest policy actions be taken on four core objectives that are necessary to support the overarching health goal. If implemented, the proposed strategy would offer clear benefits to all Canadians who use medicines, federal and provincial governments and to the economy as a whole. We therefore argue that political leadership is now needed to articulate and implement such a plan on behalf of Canadians.
      PubDate: Wed, 07 Jun 2017 04:00:00 +000
  • The Association between Health Information Technology Adoption and Family
           Physicians’ Practice Patterns in Canada: Evidence from 2007 and 2010
           National Physician Surveys
    • Abstract: [This article was originally published in Healthcare Policy, 9(1)]Objective: To describe the association between health information technology (HIT) adoption and family physicians' patient visit length in Canada after controlling for physician and practice characteristics.Method: HIT adoption is defined in terms of four types of HIT usage: no HIT use (NO), basic HIT use without electronic medical record system (HIT), basic HIT use with electronic medical record (EMR) and advanced HIT use (EMR + HIT). The outcome variable is the average time spent on a patient visit (visit length). The data for this study came from the 2007 and 2010 National Physician Surveys. A log-linear model was used to analyze our visit length outcome.Results: The average time worked per week was found to be in the neighbourhood of 36 hours in both 2007 and 2010, but users of EMR and EMR + HIT were undertaking fewer patient visits per week relative to NO users. Multivariable analysis showed that EMR and EMR + HIT were associated with longer average time spent per patient visit by about 7.7% (p<0.05) and 6.7% (p<0.01), respectively, compared to NO users in 2007. In 2010, EMR was not statistically significant and EMR + HIT was associated with a 4% (p<0.1) increased visit length. A variety of practice-related variables such as the mode of remuneration, work setting and interprofessional practice influenced visit length in the expected direction.Conclusion: Use of HIT is found to be associated with fewer patient visits and longer visit length among family physicians in Canada relative to NO users, but this association weakened in the multivariable analysis of 2010. 
      PubDate: Tue, 27 Aug 2013 04:00:00 +000
  • Enhancing Community Care for Ontarians (ECCO) – A Three Year Plan
    • Abstract: 
      PubDate: Mon, 15 Oct 2012 04:00:00 +000
  • A Model for Measuring Industry-Wide Adoption and Capability of Healthcare
           Analytics and Data Warehousing in the USA
    • Abstract: A Model for Measuring Industry-Wide Adoption and Capability of Healthcare Analytics and Data Warehousing in the USA
      PubDate: Mon, 03 Sep 2012 04:00:00 +000
  • Assessing Primary Care Physicians' Attitudes toward Adoption of an
           Electronic Tool to Support Cancer Diagnosis: An Exploratory Study
    • Abstract: Background: The diagnostic phase of the cancer journey, from suspicion to diagnosis, is a complicated process for both patients and physicians. The Diagnostic Assessment Program-Electronic Pathway Solution (DAP-EPS) shows patients and their primary care providers where they are on the journey to cancer diagnosis. This tool is designed to provide a coordinated approach to patient care from referral to definitive diagnosis by centralizing information and allowing the tracking of patients throughout the diagnostic journey.Objective: The primary objective of this work was to explore primary care physicians' (PCPs) attitudes toward adoption of the DAP-EPS tool in their clinical setting. The secondary objective was to explore potential factors influencing perceived ease-of-use and usefulness of the tool.Methods: To guide this study, an integrated theoretical framework that combined the theories of the Technology Acceptance Model and Diffusion of Innovation was used. An online survey was used to collect data from PCPs across the province of Ontario.Results: Results from this study suggest a strong influence of perceived usefulness of the DAP-EPS on physicians' attitudes toward adoption of the tool. Findings also suggest that perceived usefulness is more important than perceived ease-of-use within the PCP context.Conclusion: This exploratory study, although limited, supports previous views regarding PCPs' attitudes toward adoption of technology. The main lessons learned are that the perceived usefulness is the main predictor of PCPs' attitudes and that the management and implementation teams should emphasize the usefulness of DAP-EPS to increase adoption of the tool.
      PubDate: Mon, 03 Sep 2012 04:00:00 +000
  • Access to Test Results "The Number One Reason" Why Patients Use a Portal
           according to Sunnybrook MyChart™ Users
    • Abstract: In 2006, Sunnybrook Health Sciences Centre created MyChart™, a personal health record solution available to all Sunnybrook patients for viewing their personal health information online. The information in MyChart™ is extracted from Sunnybrook's electronic patient record. MyChart™ has been widely adopted by patients and physicians and had 18,873 users as of October 18, 2012.The authors of this article created a survey for patients who use MyChart™ to help verify and understand the user value, usage patterns and impact of MyChart™ on patients' care. On April 12, 2012, the 11-question online survey was e-mailed to 11,348 active patient accounts. On May 22, 2012, a total of 2,096 of those patients (18%) had responded.The survey indicates an overwhelming majority of MyChart™ patients (89%) value MyChart™ and its features. Access to test results was patients' highest priority (81%), and although a large proportion wanted immediate access, the majority were comfortable with moderate delays (up to 5 days). Respondents rated access to radiology images and reports as their second-highest priority (61.2%), followed by the feature that enables them to organize and view appointments (35.7%). Survey results also indicate most MyChart™ users identify themselves as occasional users (34.9%) who do not log on daily or weekly to MyChart™. Reasons for using MyChart™ vary from the time of last doctor's visit, degree of uncertainty, sickness, and other reasons.In terms of sharing information with others, the majority of respondents do not share access to their MyChart™ account with friends or family (59.6%) - however, a slim majority do share access with physicians, providers, or care teams (51.8%). Additionally, respondents expressed minimal interest in future development of social networking and communication features within MyChart™.The results of this survey provide a better understanding of what information patients want to access and what is valued. In the next stage of research, Sunnybrook hopes to further understand what patients do with this access and whether it has any impact on their health outcomes.
      PubDate: Mon, 03 Sep 2012 04:00:00 +000
  • Transforming Healthcare through Better Use of Data: A Canadian Context
    • Abstract: Rhoads and Ferrara are to be commended for their understanding of the increasing need for healthcare organizations operating in a competitive environment in the United States (US) to seize the opportunities offered by technological advances in access to data and advanced analytics. Their White Paper, "Transforming Health Care through Better Use of Data," postulates that in an increasingly competitive environment, hospitals and health systems in the US that will be able to leverage their data to improve patient care, drive innovation and improve organizational performance will generate an ongoing competitive advantage. This argument is not new and had already been put forward by Davenport for the private industry in 2006 (Davenport 2006). In addition, the authors propose that most organizations have the data they need but lack the foundational practices and capabilities to get the most out of these data assets. They propose that in order to leverage their data, organizations should assess their capacity to assess their organizational capacity in six areas: data governance; data acquisition; data sharing; data standardization; data integration; and analytics. Finally, they make the point that the next generation of data will be bigger, less structured and less easily integrated.
      PubDate: Tue, 17 Jul 2012 04:00:00 +000
  • Defining and Evaluating Electronic Medical Record Data Quality within the
           Canadian Context
    • Abstract: Data collected by primary care providers in electronic medical record (EMR) systems can be used to support a variety of actions including provision of day-to-day care, decision support, practice reflection, research and public health surveillance. The extent to which EMR data can be relied on to support such actions is dependent on the quality of the held data. While a body of literature describing data quality assessment techniques exists, few studies speak to the challenges of evaluating data quality in the Canadian primary care setting. In response, researchers at the University of Victoria's eHealth Observatory are refining data quality definitions and developing techniques for the evaluation of EMR data quality within the Canadian primary care context.With electronic medical record (EMR) adoption programs under way in several Canadian jurisdictions, healthcare organizations, funders and the public are starting to look for evidence that the investments are having positive impact.One measure that may be used to infer how meaningfully a given EMR system is being utilized in practice is that of data quality. Varying levels of data completeness, correctness and consistency can be indicative of the overall frequency and sophistication with which a given EMR is being used.Moreover, a data quality evaluation can be used to determine the readiness of a given practice's EMR data set for reliable use with advanced EMR features. These can include chronic disease management reporting or drug-interaction decision support; submission to research and public health surveillance programs, such as the Canadian Institute for Health Information's (CIHI) Primary Care Voluntary Reporting System or the Canadian Primary Care Sentinel Surveillance Network; and safe and meaningful interaction within distributed, interoperable care networks, such as those expected to emerge with the Canadian maturation of Infoway-modelled jurisdictional electronic health record (EHR) systems.Researchers at the University of Victoria's eHealth Observatory are currently devising EMR data quality evaluation methods and engaging in early studies to test those methods against EMR data sets of participating primary care practices. The intent of this article is to share our findings regarding methods that have been used to assess data quality in published studies, how well those methods apply in the Canadian e-health context, and a framework for how to design a context-appropriate data quality evaluation.
      PubDate: Mon, 25 Jun 2012 04:00:00 +000
  • An Electronic Medical Record (EMR) Implementation Framework for HIV Care
           and Treatment Facilities in Ethiopia
    • Abstract: Purpose: Implementing electronic medical record (EMR) systems is a complex process that is receiving more focus in developing countries to help understaffed and overcrowded health facilities deal with the HIV/AIDS epidemic. Despite growing evidence of EMR systems implementation in various developing countries to support acute and chronic disease management, use of these systems by clinicians for patient monitoring and management is limited in many sub-Saharan African countries.Methods: We undertook an exploratory-grounded theory study to explore clinician-perceived benefits of EMRs in antiretroviral therapy (ART) clinics at four hospitals in Ethiopia. The study was designed to understand the process, technology, social and organizational challenges associated with EMR implementation in resource-limited areas.Results: The research found the attitude of ART clinicians toward the implementation of EMR systems overwhelmingly positive. Clinician-perceived benefits associated with EMR use included improved continuity of care; timely access to a complete medical record; improved efficiency of patient care; fewer medication errors; improved patient confidentiality, integration of HIV programs and decision-support timelines; and increased overall job motivation. However, clinician-identified drawbacks to EMR implementation included productivity loss and negative impacts on interactions and relationships between clinicians and their patients.Conclusion: The study adds to existing frameworks by developing an EMR implementation framework that integrates socio–organizational–technical factors addressing the complexity of healthcare institutions in developing countries. We took a bottom-up approach to understand these contextual factors in which an EMR would be embedded in order to develop a defensible conceptual framework encompassing key organizational, technological, infrastructural and user attributes essential for successful EMR implementation in a developing country context.
      PubDate: Mon, 25 Jun 2012 04:00:00 +000
  • Transforming Healthcare through Better Use of Data*
    • Abstract: Hospitals and health systems have more pressures and more incentives to become data-driven. Competitive pressures, changes in rules and reimbursement and opportunities to gain incentives are all making it necessary for organizations to improve their clinical quality and efficiency. Many organizations already have large data resources but they need to develop the foundational practices and capabilities to get the most out of these assets. In this paper, we indicate three areas that can be improved through the better use of data and describe six key building blocks that need to be addressed in order to approach this opportunity.
      PubDate: Mon, 25 Jun 2012 04:00:00 +000
  • The Virtual Hospice: An Interview with Dr. Michael Harlos
    • Abstract: The Virtual Hospice: An Interview with Dr. Michael Harlos
      PubDate: Thu, 12 Apr 2012 04:00:00 +000
  • Managing e-Health Change – A Pan-Canadian Collaborative Approach
    • Abstract: Following a Clinical Adoption workshop held in November 2009, Canadian change management (CM) practitioners came together to develop a common approach for addressing gaps in e-Health CM practices. Through collaborative dialogue, the group, collectively known as the Pan-Canadian CM Network, conducted a current-state analysis and environmental scan of e-Health CM activities and methodologies. As a result, a National CM Framework was developed to promote a best practice model that supports users in their adoption of e-Health solutions. This article will review the six core framework elements required in a CM process to ensure adoption and achieved return on investment, highlighted by examples of practical Canadian applications.
      PubDate: Mon, 02 Apr 2012 04:00:00 +000
  • C-HOBIC: Standardized Clinical Outcomes to Support Evidence-Informed
           Nursing Care
    • Abstract: C-HOBIC: Standardized Clinical Outcomes to Support Evidence-Informed Nursing Care
      PubDate: Mon, 02 Apr 2012 04:00:00 +000
  • Results of a New Healthcare Confidence Index
    • Abstract: Earlier work (Blendon et al.1990) has shown that most Canadians are satisfied with their healthcare system, while most Americans are not. In the current study, conducted between February 21, 2011, and September 16, 2011, a random sample of 81,417 distinct Web users – 7,174 Canadians and 74,243 Americans – responded to the question, "How do you rate your healthcare system'" Positive confidence scores ranged from 41.3% to 66.9%, with an average of 52.0% for the United States versus 63.4% for Canada. This difference is significant at the level of state versus province and at the inter-country level (p < .0001 student's t-test). The healthcare confidence score is the sum of the proportion of respondents who answered "good" or "excellent" as compared to "okay," "poor" and "terrible." The technology used in this study can track changes of public opinion as they occur in real time and, in this way, provide actionable data for decision makers.
      PubDate: Wed, 29 Feb 2012 05:00:00 +000
  • Online Patient Engagement: Key Factors of Trusted Health Websites
    • Abstract: Objectives: (1) To identify some of the most trusted web pages that relate to patient engagement in their own healthcare, and (2) to identify the key themes of these trusted websites that most capture the attention of participants, thereby fostering the mutual sharing of personal and factual information.Methods: Using language strings as search terms, over 1,000 patient engagement websites in English and French were "scraped." Scoring was based on a "buzz" ranking the authors had previously developed. The top selected sites were analyzed for emergent themes, and these themes were qualitatively compared with earlier literature in the field of patient engagement.Results and conclusion: Thirty-nine English and 18 French web pages received top ranking. Participation was largely from the lay public, and most information was user-generated. Recurring themes that were central factors in these healthcare websites were shared decision making, an empathic patient–health provider relationship, humour, transparency of funding, and patient-centred care. It is concluded that these key factors are important to online patient engagement.
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • The Development and Change Management Strategy of Sunnybrook Health
           Sciences Centre's MyChart™*
    • Abstract: The e-Health environment has focused primarily, to date, on enabling clinicians; patients and families, on the other hand, have not been the target of focus. Across the globe, there has been mixed success in the patient-focused e-Health marketplace – including a few high-profile failures. Sunnybrook Health Sciences Centre's personal health record (PHR) MyChart™ is a true Canadian success story in patient-focused e-Health. This paper describes the development, history and change management strategy utilized in establishing a successful patient-focused e-Health solution in a Canadian setting. Our ultimate goal is to not only share the lessons learned in developing and implementing MyChart™ but also to measure and investigate the connection between patient-focused e-Health solutions and health outcomes.
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • White Paper on e-Health Adoption*
    • Abstract: White Paper on e-Health Adoption*
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • Commentary on the COACH White Paper on e-Health Adoption
    • Abstract: COACH: Canada's Health Informatics Association is to be commended for putting the effort into discussing and producing their White Paper on e-Health adoption, with its particular focus on the need for a robust and consistently applied adoption model. The Organisation for Economic Co-operation (OECD) and Development would agree, for they themselves are convening a workshop in late January 2012 on "Benchmarking Adoption and Use of Information and Communication Technologies in the Health Sector." The workshop is an outgrowth of a meeting sponsored by the Spanish Ministry of Health and the European Commission and chaired by the US Office of the National Coordinator for IT, held in Barcelona in March 2010. At that meeting the participants worked on an action plan to employ common measures of IT adoption. Similar to COACH's observations, they identified four categories of indicator areas of increasing complexity, namely (1) adoption, (2) modes of use/purpose of use, (3) critical success factors, and (4) outcomes/impacts. They produced a preliminary set of 14 indicators, noting that the ability to achieve consensus would best be achieved by focusing on indicators that measured only adoption and modes of use.
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • Robotic Health Assistant (Feverkit) for the Rational Management of Fevers
           among Nomads in Nigeria*
    • Abstract: The innovation described in this paper was motivated by concern that in Africa, parasite resistance to antimalarial drugs is associated with irrational drug use where health facilities are inaccessible. However, advancement in digital technology, simple diagnostic devices and smart drug packaging inspire innovative strategies. The combination of communication technology, rapid diagnostic tools, and antibiotic and antimalarial medicines can increase access to evidence-based malaria management, reduce mortality and slow the development of resistance to drugs. The author initiated development of a solar-powered device (Feverkit) programmed with user-interactive capabilities and equipped with a detachable laboratory and dispensary for community management of fevers. The operational performance of 10 units of the device was evaluated among 20 nomadic Fulani communities in northeastern Nigeria. A brief introduction to its parts and functions was sufficient for community-selected nomadic caregivers to use it competently for managing 207 fever cases in eight weeks, with a 97% (p=.000) recovery rate. The Feverkit guided the nomads to distinguish between malaria and non-malaria–induced fevers, and thus selectively treat them. Camp communities accepted the device and were willing to pay between US$33 and $334 (mean, $113; mode, $67) to keep it. Public–private sector collaboration is essential for sustaining and scaling up production of the Feverkit as a commercial health device for the management of fevers among nomads.* Originally published in Canadian Journal of Nursing Leadership:
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • Canadian Health Informatics Awards Gala
    • Abstract: Canadian Health Informatics Awards Gala
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
  • Québec’s e-Health Journey – Assessing the Path Forward
    • Abstract: Québec’s e-Health Journey – Assessing the Path Forward
      PubDate: Mon, 02 Jan 2012 05:00:00 +000
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Heriot-Watt University
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