Bridging the Gap in Medical Informatics and Health Services Research: Workshop Results and Next Steps

Corn, Milton; Rudzinski, Karen A.; Cahn, Marjorie A.

doi:10.1197/jamia.m0971

Cited by 12 publications

(9 citation statements)

References 2 publications

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“…Our approach in the present study was founded on modern concepts of medical informatics using the innovative webbased QuaDoSta postgreSQL database system [17], which has been shown to be suitable and effective for reporting and evaluating prescribing patterns in respiratory tract infections [10]. This approach, which is in accordance with the aims of the US Agency for Healthcare Research and Quality (AHRQ) and the National Library of Medicine (NLM), is one example of how to bridge the gap between medical informatics and health-services research [18]. In contrast to other methods for conducting epidemiological surveys of prescribing patterns in primary care, QuaDoSta is linked to physicians' existing computerized patient documentation systems and can be incorporated fully into their daily routines.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Jeschke

Ostermann²,

Tabali³

et al. 2009

Forsch Komplementmed

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Background: Although anthroposophic medicine has been used for more than 80 years and global interest in complementary treatments is increasing, a comprehensive and long-term description of everyday anthroposophic care is still lacking. Our study aims to evaluate how anthroposophic medicine is practised under everyday conditions. Methods: A total of 38 primary-care physicians in Germany participated in this prospective, multi-centre observational study. Prescriptions, diagnoses, and non-pharmacological therapies were reported for each consecutive patient. Results: In 2005, 95,116 prescriptions for 32,839 patients (56.2% children, 57.3% female) were recorded. The median duration of consultation depended on physician specialization (general practitioners: 9.5 min; paediatricians: 8.1 min). The most frequent single diagnoses were acute upper respiratory tract infections (URTI), otitis media, and bronchitis in children; hypertension, breast cancer, and depressive episodes in adult females; and hypertension, URTI, and asthma in adult males. Anthroposophic remedies accounted for 41.8% of all drugs prescribed. The odds ratio (OR) for receiving an anthroposophic remedy was very high for cancer (OR = 4.5; 95% CI: 4.2–4.8) and >1 for dorsopathies (OR = 1.5; CI: 1.3–1.6), otitis media (OR = 1.3; CI: 1.2–1.3), and URTI (OR = 1.1; CI: 1.1–1.2). Of the 5,289 therapeutic procedures prescribed, 27% were anthroposophic. Conclusion: A broad range of anthroposophic remedies and non-pharmacological therapies are prescribed for a specific set of diseases in everyday anthroposophic practice. Particularly, patients <60 years received anthroposophic care. Our findings will help in the planning and implementation of further studies.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Jeschke

Ostermann²,

Tabali³

et al. 2009

Forsch Komplementmed

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“…The users were invited to an interactive workshop to discuss reasons for use or no-use of the CDSS during the study period. Such a workshop is defined as a group discussion where the participants explored their own statements in small groups and in a concluding plenary session (15,16).…”

Section: Methodsmentioning

confidence: 99%

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Zakane

Gustafsson

Sié

et al. 2017

OJPHI

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Objective: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS.Methods: A workshop, organized as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent. Workshop transcripts were analyzed thematically. Socio-demographic and usage patterns of the CDSS were examined by a questionnaire and analyzed descriptively.Results: The participants reported that the contextual basic conditions for using the CDSS were not fulfilled. These included unreliable power supply, none user-friendly partograph, the CDSS was not integrated with workflow and staff lacked motivational incentives. Despite these limitations, the HCWs reported learning benefits from guidance and alerts in the CDSS. Using the CDSS enabled them to discover problems earlier as they learned to focus on symptoms to prevent harmful situations.Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

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“…These changes further contribute to the breakdown of boundaries among medical research, education, and practice as well as between related disciplines such as medical informatics and health care systems management [135-139]. What are the best strategies to ensure integration of differing health care disciplines, cultures, and ideologies?…”

Section: Discussionmentioning

confidence: 99%

Internet Infrastructures and Health Care Systems: a Qualitative Comparative Analysis on Networks and Markets in the British National Health Service and Kaiser Permanente

Séror¹

2002

J Med Internet Res

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BackgroundThe Internet and emergent telecommunications infrastructures are transforming the future of health care management. The costs of health care delivery systems, products, and services continue to rise everywhere, but performance of health care delivery is associated with institutional and ideological considerations as well as availability of financial and technological resources.ObjectiveTo identify the effects of ideological differences on health care market infrastructures including the Internet and telecommunications technologies by a comparative case analysis of two large health care organizations: the British National Health Service and the California-based Kaiser Permanente health maintenance organization.MethodsA qualitative comparative analysis focusing on the British National Health Service and the Kaiser Permanente health maintenance organization to show how system infrastructures vary according to market dynamics dominated by health care institutions ("push") or by consumer demand ("pull"). System control mechanisms may be technologically embedded, institutional, or behavioral.ResultsThe analysis suggests that telecommunications technologies and the Internet may contribute significantly to health care system performance in a context of ideological diversity.ConclusionsThe study offers evidence to validate alternative models of health care governance: the national constitution model, and the enterprise business contract model. This evidence also suggests important questions for health care policy makers as well as researchers in telecommunications, organizational theory, and health care management.

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Bridging the Gap in Medical Informatics and Health Services Research: Workshop Results and Next Steps

Cited by 12 publications

References 2 publications

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Internet Infrastructures and Health Care Systems: a Qualitative Comparative Analysis on Networks and Markets in the British National Health Service and Kaiser Permanente

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