IT Adoption, Diffusion and Evaluation in Healthcare

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    Enabling laboratory medicine in primary care through EMR systems use: A survey of Canadian physicians
    ( 2019-01-08) Raymond, Louis ; Paré, Guy ; Maillet, Eric
    Important problems remain with regard to the efficiency and effectiveness of laboratory testing in primary care. In view of this, a significant function of electronic medical record (EMR) systems is to enable the practice of laboratory medicine by primary care physicians (PCPs). In addressing this issue, the present study aims to deepen our understanding of the nature and effectiveness of PCPs’ use of EMR systems for patient management and care within the laboratory testing process. To achieve our main objective, a survey of 684 Canadian physicians was realized. Results confirm that the artefactual and clinical contexts of EMR use influence the extensiveness of this use for communicational and clinical purposes. In turn, it is confirmed that the more extensive the use of EMR for laboratory medicine, the greater its impacts on the PCPs’ efficiency and on the quality of care provided by these physicians. The implications of these results are discussed.
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    The Perils of Using Social Media Data to Predict the Spread of Diseases
    ( 2019-01-08) Patel, Akshay ; Amrit, Chintan ; Sundaram, David
    The data produced by social media engagement is of interest to various organizations and has been used in different applications like marketing, finance and healthcare. Though the potential of mining this data is high, standard data mining processes do not address the peculiarities of social media data. In this paper, we explore the perils of using social media data in predicting the spread of an infectious disease; perils that are mostly related to data quality, textual analysis and location information. We synthesize findings from a literature review and a data mining exercise to develop an adapted data mining process. This process has been designed to minimize the effects of the perils identified and is thus more aligned with the requirements of predicting disease spread using social media data. The process should be useful to data miners and health institutions
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    Gaining Insight and Taking Action: Engaging Adults with Persistent Pain and Opioid Use Disorder in an Online Pain Self-Management Program
    ( 2019-01-08) Wilson, Marian ; Shaw, Michele R.
    The primary purpose of this study was to evaluate participants’ perceptions after engaging in an 8-week online pain self-management program. Participants (N=31) were adults enrolled in a medication-assisted outpatient opioid treatment program who had co-existing opioid substance use disorder and persistent pain. Data were collected via secure online surveys and content analysis methods were used to analyze text from open-ended questions. Two themes were identified describing benefits of the program: gaining insight and taking action. Two themes described how participants would like to improve program experiences: feeling overwhelmed and ease of use. Survey data were also examined for relationships between level of program engagement, pain relief, and substance use to explore potential barriers to program use. Poorly managed pain and illicit drug use were associated with reduced program use (p<0.05). Understanding preferences and barriers can assist adoption of online programs for people with co-morbid pain and substance use disorder.
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    Electronic Health Records Communication among Team Members and Quality of Care and Costs for Patients with Cardiovascular Disease in Primary Care
    ( 2019-01-08) Mundt, Marlon ; Zakletskaia, Larissa
    This study determines how changes in electronic health record (EHR) communication patterns in primary care teams are related to quality of care and costs for patients with cardiovascular disease. Counts of EHR messages routed between any two team members were extracted from the EHR system, and flow betweenness, the proportion of information passed indirectly within the team, was calculated. The analysis related changes in team flow betweenness to changes in acute care visits and associated medical costs for the teams’ patients with cardiovascular disease. The results indicated that patient hospital visits increased by 7% (SE 3%) for every 1% increase in team EHR flow betweenness. Medical costs increased by $141 (SE $67) per patient for every 1% increase in team EHR flow betweenness. EHR team communication flow patterns may be an important avenue to explore for raising quality of care and lowering costs for primary care patients with cardiovascular disease.
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    Emergence of an Information Infrastructure through Integrating Waste Drug Recycling, Medication Management, and Household Drug Management in China
    ( 2019-01-08) Luo, Yumei ; Reimers, Kai
    The total amount of waste drugs is expanding significantly as populations age and societies become wealthier. Drug waste is becoming a problem for health and environment. Thus, how to reduce and effectively dispose of waste drugs is increasingly becoming an issue for society. In this paper, we analyze the current situation with regard to existing systems for expired drug recycling and disposal in China and suggest that by connecting the involved practices of waste drug recycling, medication management, and household drug management the incentives to participate in an integrated drug recycling system can be dramatically increased for all involved actors. This is important from an IS perspective because such connecting of practices could account for a novel mechanism of information infrastructure emergence, known from physics as ‘state transition’. By contrast, the current literature focuses on the development of information infrastructures through growth at the periphery, mostly driven by user activity and enabled by modular and flexible designs. Our approach could explain the de-novo emergence of an information infrastructure.