Abstract：
:This study evaluated the impact of telemedicine technology on the provision of neurosurgical health services. We focused on the differences between the use of real time audio-visual teleconferencing and teleradiology versus conventional telephone consultations in the referral of neurosurgical patients from a large district general hospital. All patients requiring emergency neurosurgical consultation were included for randomization into telephone consultation only (Mode A), teleradiology and telephone consultation (Mode B) and video-consultation (Mode C). Measures of effectiveness included diagnostic accuracy and adverse events during the transfer and Glasgow Outcome Score. In a 10-month period, 327 patients were recruited and randomized into the study: the male/female ratio was 2:1 and the number of patients required to be transferred to the neurosurgical unit was 125 (38%). There was a trend towards a more favourable outcome in the video-consultation mode (44%, Mode C), versus teleradiology (31%, Mode B), versus telephone consultation (38%, Mode A). The interim data of this prospective randomized trial suggests that video-consultation may have a favourable impact on emergency neurosurgical consultations.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Poon WS,Leung CH,Lam MK,Wai S,Ng CP,Kwok Sdoi
10.1016/s1386-5056(01)00161-7subject
Has Abstractpub_date
2001-07-01 00:00:00pages
175-80issue
2-3eissn
1386-5056issn
1872-8243pii
S1386505601001617journal_volume
62pub_type
临床试验,杂志文章,随机对照试验abstract：OBJECTIVE:Ontology in clinical domains is becoming a core research field in the realm of medical informatics. The objective of this study is to explore the potential role of formal concept analysis (FCA) in a context-based ontology building support in a clinical domain (e.g. cardiovascular medicine here). METHODOLOGY:...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(03)00092-3
更新日期：2003-08-01 00:00:00
abstract：PURPOSE:This report describes an ongoing transition from the HELP Hospital Information System to HELP II, a replacement Health Information System built to manage clinical information captured in a variety of medical settings. The focus of the article is on the medical decision support provided by this system and studie...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(02)00110-7
更新日期：2003-03-01 00:00:00
abstract：BACKGROUND:Lifestyle changes and the adoption of healthy behaviours are well established recommendations for the management of hypertension-a risk factor for cardiovascular and kidney disease. Mobile health interventions offer unique advantages and novel approaches to helping individuals make and maintain such behaviou...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.08.002
更新日期：2018-11-01 00:00:00
abstract：:The goal of the German project "Standardization of Communication between Information Systems in Physician Offices and Hospitals using XML" (aka SCIPHOX) in its first phase is to provide information exchange based on the Extended Markup Language XML between Hospital Information Systems (HIS) and Physician Office System...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(03)00036-4
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVES:To investigate (1) Finnish pharmacy customers' familiarity with My Kanta, the national online service for viewing electronic prescriptions (ePrescriptions), (2) how commonly My Kanta is used, (3) who the typical users are, and (4) users' experiences of the usability of My Kanta. METHOD:A survey was conducte...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.10.014
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:Our aim is to develop reliable descriptions of various seizure types, which will be used as a basis for decision support. We use expert opinions in this process. In this contribution we evaluate the inter-participant agreement in the selection of frequently occurring symptoms for the description of seizure ty...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(03)00047-9
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVE:To investigate the validity of using electronic medical records (EMR) database in a large health organization for identifying patients with clinical depression. METHOD:The Massachusetts General Hospital EMR system was used to generate a sample of primary care patients seen in the primary care clinic in 2007....
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.03.014
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVES:To describe the range of patients' beliefs, attitudes, expectations, and experiences of remote monitoring for chronic conditions across different healthcare contexts and populations. DESIGN:We searched MEDLINE, Embase, PsychINFO, and CINAHL, Google Scholar, and reference lists of related studies through to ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.01.013
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Trauma resuscitation involves multidisciplinary teams under surgical leadership in most US trauma centers. Because many trauma centers have also incorporated emergency department (ED) physicians, shared and cross-disciplinary leadership structures often occur. Our study identifies leadership structures and e...
journal_title：International journal of medical informatics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijmedinf.2011.01.004
更新日期：2011-04-01 00:00:00
abstract：INTRODUCTION:The provisions of the American Recovery & Reinvestment Act increased the likelihood of more widespread health information exchange (HIE), the electronic transfer of patient-level information between organizations, by essentially mandating the use of electronic health record systems. While important, the sp...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2010.09.003
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION:Nurses' work in hospital departments is highly collaborative and includes communication with a variety of actors. To further support nurses' communications, wireless phones, on which nurses receive both nurse calls and ordinary phone calls, have been introduced. However, while they ensure high availability...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2014.06.007
更新日期：2014-09-01 00:00:00
abstract：PURPOSE:Collecting and analyzing findings constitute the basis of medical activity. Computer assisted medical activity raises the problem of modelling findings. We propose a unified representation of findings integrating the representations of findings in the GAMUTS in Radiology [M.M. Reeder, B. Felson, GAMUTS in radio...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.11.003
更新日期：2008-09-01 00:00:00
abstract：PURPOSE:To develop, implement and test a novel audience response system (ARS) that allows image based interaction for radiology education. METHODS:The ARS developed in this project is based on standard Personal Digital Assistants (PDAs) (HP iPAQ 114 classic handheld) running Microsoft® Windows Mobile® 6 Classic with a...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.05.002
更新日期：2011-08-01 00:00:00
abstract：BACKGROUND:The current systems of reporting waiting time to patients in public emergency departments (EDs) has largely relied on rolling average or median estimators which have limited accuracy. This study proposes to use machine learning (ML) algorithms that significantly improve waiting time forecasts. METHODS:By im...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104303
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVES:To compare the usability of different Picture Archiving and Communication System (PACS) workstations, determine whether a usability test has added value with respect to the traditional way of comparing PACSs based on functional requirements, and to evaluate the appropriateness of a task-based methodology for...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2013.10.003
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:The pharmaceutical record system (PRS) is a French nationwide centralized electronic database shared among all community pharmacists listing all drugs dispensed by community pharmacists in the last four months. The objective of this study, the Medication Assessment Through Real time Information eXchange - ...
journal_title：International journal of medical informatics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijmedinf.2018.09.010
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to develop a prototype personal digital assistant-decision support system (PDA-DSS) based on a clinical practice guideline (CPG) for the management of obesity. DESIGN:The study was composed of four phases: (1) analysis of advanced practice nurse (APN) students' documentation rel...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.05.009
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVES:Electronic Medical Records (EMR) have the potential to improve the coordination of healthcare in this country, yet the field of psychiatry has lagged behind other medical disciplines in its adoption of EMR. METHODS:Psychiatrists at 18 of the top US hospitals completed an electronic survey detailing whether ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2012.11.007
更新日期：2013-04-01 00:00:00
abstract：:Generic clinical study data management systems can record data on an arbitrary number of parameters in an arbitrary number of clinical studies without requiring modification of the database schema. They achieve this by using an Entity-Attribute-Value (EAV) model for clinical data. While very flexible for creating tran...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(02)00047-3
更新日期：2002-11-12 00:00:00
abstract：PURPOSE:Despite the proliferation of telemedicine technology, telemedicine service acceptance has been slow in actual healthcare settings. The purpose of this research is to develop a theoretical model for explaining the predictive factors influencing physicians' willingness to use telemedicine technology to provide he...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2014.05.005
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Patient access to electronic health records (EHRs) is associated with several determinants and outcomes, which are interrelated. However, individual studies and the reviews summarizing them have only addressed particular aspects, such as policy, usability or health outcomes of adoption. Therefore, no compreh...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.05.014
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Digital epidemiology tries to identify diseases dynamics and spread behaviors using digital traces collected via search engines logs and social media posts. However, the impacts of news on information-seeking behaviors have been remained unknown. METHODS:Data employed in this research provided from two sour...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.03.017
更新日期：2018-07-01 00:00:00
abstract：:This article considers the 26 years history of an integrated hospital information system (HIS). The system emerged from an experimental government sponsored project in the Leiden University Hospital and is now the leading HIS in The Netherlands. The evolution during these 26 years is presented and discussed in this ar...
journal_title：International journal of medical informatics
pub_type： 历史文章,杂志文章
doi：10.1016/s1386-5056(99)00008-8
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:Evidence-based therapy for heart failure remains underutilized at hospital discharge, particularly for patients with heart failure who are hospitalized for another cause. We developed clinical decision support (CDS) to recommend an angiotensin converting enzyme (ACE) inhibitor during hospitalization to promo...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.103956
更新日期：2019-11-01 00:00:00
abstract：OBJECTIVE:To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting. DESIGN:Ethnographic and interview data were collected by an interdisciplinary team over a 7 month period at four clinics. MEASUREMENTS:Instances of unintended...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2006.05.017
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:To explore concrete approaches to socio-technical design of collaborative healthcare information systems and to design a groupware technology for collaborative clinical trial protocol writing. METHOD:We conducted "quick and dirty ethnography" through semi-structured interviews, observational studies, and wor...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2006.05.035
更新日期：2007-06-01 00:00:00
abstract：PURPOSE:To determine the speed, accuracy, ease of use, and user satisfaction of various electronic data entry platforms for use in the collection of mammography clinical trials data. METHOD AND MATERIALS:Four electronic data entry platforms were tested: standalone personal digital assistant (PDA), Tablet PC, digitizer...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.10.007
更新日期：2006-10-01 00:00:00
abstract：PURPOSE:Ethical and legal requirements for healthcare providers in the United States, stipulate that patients sign a consent form prior to undergoing medical treatment or participating in a research study. Currently, the majority of the hospitals obtain these consents using paper-based forms, which makes patient prefer...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2013.04.008
更新日期：2013-09-01 00:00:00
abstract：PURPOSE:The purpose of this qualitative study was to improve understanding of family caregivers' use of Web-based intervention support by integrating three theoretical models. The study applied the Anderson's model of health service utilization, Venkatesh's theory of technology acceptance, and Chatman's and Wilson's in...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.08.010
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:Since the launch of a nationwide general health check-up and instruction program in Japan in 2008, interest in strategies to improve implementation of the program based on predictive analytics has grown. We investigated the performance of prediction models developed to identify individuals classified as "req...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2017.12.009
更新日期：2018-03-01 00:00:00
