by Francisco Lupiáñez-Villanueva, on July 20th, 2010 | 6 Comments »
Lately, I have been checking systematic literature reviews about Chronic Disease Management, Remote Monitoring and Treatment and Information and Communication Technologies:
- Whitten, P. S., Mair, F. S., Haycox, A., May, C. R., Williams, T. L., & Hellmich, S. (2002). Systematic review of cost effectiveness studies of telemedicine interventions. Bmj, 324(7351), 1434–1437.
- Louis, A. A., Turner, T., Gretton, M., Baksh, A., & Cleland, J. G. F. (2003). A systematic review of telemonitoring for the management of heart failure. Eur J Heart Fail, 5(5), 583–590.
- Jaana, M., & Pare, G. (2007). Home telemonitoring of patients with diabetes: a systematic assessment of observed effects. J Eval Clin Pract, 13(2), 242–253.
- Pare, G., Jaana, M., & Sicotte, C. (2007). Systematic review of home telemonitoring for chronic diseases: the evidence base. J Am Med Inform Assoc, 14(3), 269–277.
- Jaana, M., Pare, G., & Sicotte, C. (2009). Home telemonitoring for respiratory conditions: a systematic review. Am J Manag Care, 15(5), 313–320.
I do not want to reproduce all the abstract here, but some common trends could be identified:
- Lack of cost-effectiveness analysis;
- Lack of Randomized Controlled Trials;
- Difficulties in extrapolating or comparing the results;
- Patients satisfaction and acceptance of the technology.
To sum up, following Pare et al. (2007) “Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data, empowers patients, influences their attitudes and behaviors, and potentially improves their medical conditions. Future studies need to build evidence related to its clinical effects, cost effectiveness, impacts on services utilization, and acceptance by health care providers”.
Is not about TECHNOLOGY, is it?
Categories: Article, Chronic Disease, Citizens, Health, Nurses, Patients, Physicians, Services, Telemedicine, Telemonitoring, eHealth
by Francisco Lupiáñez-Villanueva, on May 18th, 2010 | 6 Comments »
I’m delighted to announce that the article entitled “The integration of Information and Communication Technology into medical practice” has been accepted and is already in press at the International Journal of Medical Informatics. As soon as possible I will upload a pre-print version.
PREPRINT
Please cite this article as:
|
| Lupiáñez-Villanueva, F., Hardey, M., Torrent, J., & Ficapal, P. (2010). The integration of Information and Communication Technology into medical practice. Int J Med Inform, 79(7), 478–491. |
 |
PUBMED link
ABSTRACT
OBJECTIVES:
To identify doctors’ utilization of ICT; to develop and characterise a typology of doctors’ utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies within medical practice.
METHODS:
An online survey of the 16,531 members of the Physicians Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model were undertaken.
RESULTS:
Multivariate statistics analysis of the 2199 responses obtained revealed two profiles of adoption of ICT. The first profile (38.61% of respondents) represents those doctors who place high emphasis on ICT within their practice. This group is thus referred to as ‘integrated doctors’. The second profile (61.39% of respondents) represents those doctors who make less use of ICT so are consequently labelled ‘non-integrated doctors’. From the statistical modelling, it was observed that an emphasis on international information; emphasis on ICT for research and medical practice; emphasis on information systems to consult and prescribe; undertaking teaching/research activities; a belief that the use of the Internet improved communication with patients and practice in both public and private health organizations play a positive and significant role in the probability of being an ‘integrated doctor’.
CONCLUSIONS:
The integration of ICT within medical practice cannot be adequately understood and appreciated without examining how doctors are making use of ICT within their own practice, organizational contexts and the opportunities and constraints afforded by institutional, professional and patient expectations and demands.
Please cite this article as:
Lupiáñez-Villanueva, F., Hardey, M., Torrent, J., & Ficapal, P. (2010). The integration of Information and Communication Technology into medical practice. Int J Med Inform, 79(7), 478–491.
PUBMED link
Categories: About Me, Article, Health, Health Communication, Health information, Healthcare Organizations, Healthcare Systems, Hospitals, ICT, Information Systems, Internet, Network Society, Patients, Physicians, Research, Web 2.0, eHealth, i2tic
by Francisco Lupiáñez-Villanueva, on April 17th, 2010 | 3 Comments »
After seven years working at Open University of Catalonia and its Internet Interdisciplinary Institute, I’m enjoying the benefits of an unpaid leave to begin a new professional adventure. Yesterday, I started to work at at Institute for Prospective Technological Studies (IPTS) in Seville, one of the seven scientific institutes of the European Commission’s Joint Research Centre (JRC).
I would like to share the published information available at IPTS website about my new position:
Research Project Title
Economic Evaluation and modelling for Personal Health Systems
Project Description
The Information Society Unit has a vacancy to study the role of ICTs in the transformation of society in general and the lives of individuals in particular in the framework of Action 14003 ‘Techno-economic Impacts Enabling Societal Change’ (TIESC). This action is currently carrying out research on the role of ICTs in: (a) health and quality of life; (b) digital identity and information search. The successful candidate will analyse EU-wide market data and evaluate HealthCare (HC) policy options at EU level in relation to Personal Health Systems (PHS).
She/he will contribute to this work by making use of a range of tools (literature reviews, descriptive statistics, desk research, interviews, organisation of expert workshops, modeling methods, etc.) to develop evidence-based policy support at European level. She/he will author/review several reports and articles annually, conceive, launch, execute or coordinate research work, participate in seminars and make public presentations to high-level audiences. She/he should have experience in:
- Developing and improving working tools to measure emerging ICTs impacts on the EU health care markets;
- Data analysis and quantitative methods and an ability to explain them to technical as well as non-technical audiences
- Working knowledge of the different EU healthcare systems;
- Familiarity with public policy implications of new technologies and their economic and societal implications at EU or international level;
- Working in a multi-cultural, multi-disciplinary environment.
Candidates must hold a doctoral degree or having fulfilled all the obligations to obtain a PhD (certified by the university) or having a minimum of 5 years research experience after the first university degree giving access to doctoral studies (which may include periods of training such as a masters degree) in a field relevant to the JRC’s scientific activities.
A very good level of written and spoken English is essential and knowledge of at least one other EU language is compulsory.
I have to settle in the new position and also in Seville to learn how to keep collaborating with all my colleagues without any inconveniences with my new responsibilities. Furthermore, since now I have to use this
Disclaimer:
“The views expressed are purely those of the writer and may not in any circumstances be regarded as stating an official position of the European Commission”
Categories: About Me, Research
by Francisco Lupiáñez-Villanueva, on April 12th, 2010 | No Comments »
Lately, I have been checking and reading some scientific papers about health communication from:
The aim is to write a paper based on the presentation done with Michael Hardey:
The purpose of this paper is to identify how health professionals view public use of the Internet and whether new forms of communication are emerging with the following objectives:
- To identify the utilisation, experience, expertise, barriers and expectations that doctors, nurses and community pharmacists have with the Internet and the email.
- To identify the experience and expectations that doctors, nurses and community pharmacists have with patients using the Internet.
- To identify factors that can enhance the integration of the recommendation of health information available on the Internet and the email within the health professional / patients relationship.
Any reference, suggestion, recommendation… about the presentation will be appreciated.
Categories: Education, Health, Health Communication, Health information, Internet, Nurses, Patients, Pharmacist, Physicians, Presentations, Research, eHealth
by Francisco Lupiáñez-Villanueva, on March 24th, 2010 | 3 Comments »
On March 15th to 18th the Ministerial High Level Conference on eHealth and the World Health IT Conference and Exhibition were being held in the same week in a joint initiative called “e-Health Week 2010”. First of all, I would like to congratulate the organizers, specially TICSALUT Foundation and ehealthweek2010, for the very well organized conference and their social media coverage.
The conference was divided into five themes:
Furthermore, Paralel sessions and Plenary Sessions were coveraged by @ehealthweek2010 using Twitter #hastag as follow:
Paralel Sessions
Plenary Sessions
I also had the opportunity to tweet some of the sessions. On one hand, it was a wonderful opportunity for networking and for watching in action how policy-makers, practicioners (specially Hospital managers and IT managers) and the ICT Health industry work together. On the other hand, there was a lack of analytical/empirical presentations so it was remarked by most of the participants that more research is needed. Furthermore, there are many eHealth, mHealth, Health 2.0,…. Health has been always related to technology so probably it is time to delete all the letters and just talk about HEALTH. Nowadays, HEALTH could not be understood without Information and Communication Technologies and these technologies could not be understood without economic, organization, social and cultural changes.
Categories: About this site, Citizens, Health, Health Communication, Health information, Healthcare Organizations, Healthcare Systems, Hospitals, ICT, Information Systems, Innovative Health Technology, Internet, Meetings, Network Society, Policy and Legal aspects, Research, Services, Telemedicine, Web 2.0, eGovernment, eHealth
