Appl Clin Inform - Evaluating a federated medical search engine: tailoring the methodology and reporting the evaluation outcomes.

Tópicos

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{ use(2086) technolog(871) perceiv(783) }
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{ gene(2352) biolog(1181) express(1162) }
{ structur(1116) can(940) graph(676) }
{ patient(2315) diseas(1263) diabet(1191) }
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{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ data(3008) multipl(1320) sourc(1022) }
{ analysi(2126) use(1163) compon(1037) }
{ activ(1452) weight(1219) physic(1104) }
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{ signal(2180) analysi(812) frequenc(800) }
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{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
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{ high(1669) rate(1365) level(1280) }
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Resumo

CKGROUND: Federated medical search engines are health information systems that provide a single access point to different types of information. Their efficiency as clinical decision support tools has been demonstrated through numerous evaluations. Despite their rigor, very few of these studies report holistic evaluations of medical search engines and even fewer base their evaluations on existing evaluation frameworks.OBJECTIVES: To evaluate a federated medical search engine, MedSocket, for its potential net benefits in an established clinical setting.METHODS: This study applied the Human, Organization, and Technology (HOT-fit) evaluation framework in order to evaluate MedSocket. The hierarchical structure of the HOT-factors allowed for identification of a combination of efficiency metrics. Human fit was evaluated through user satisfaction and patterns of system use; technology fit was evaluated through the measurements of time-on-task and the accuracy of the found answers; and organization fit was evaluated from the perspective of system fit to the existing organizational structure.RESULTS: Evaluations produced mixed results and suggested several opportunities for system improvement. On average, participants were satisfied with MedSocket searches and confident in the accuracy of retrieved answers. However, MedSocket did not meet participants' expectations in terms of download speed, access to information, and relevance of the search results. These mixed results made it necessary to conclude that in the case of MedSocket, technology fit had a significant influence on the human and organization fit. Hence, improving technological capabilities of the system is critical before its net benefits can become noticeable.CONCLUSIONS: The HOT-fit evaluation framework was instrumental in tailoring the methodology for conducting a comprehensive evaluation of the search engine. Such multidimensional evaluation of the search engine resulted in recommendations for system improvement.

Resumo Limpo

ckground feder medic search engin health inform system provid singl access point differ type inform effici clinic decis support tool demonstr numer evalu despit rigor studi report holist evalu medic search engin even fewer base evalu exist evalu frameworksobject evalu feder medic search engin medsocket potenti net benefit establish clinic settingmethod studi appli human organ technolog hotfit evalu framework order evalu medsocket hierarch structur hotfactor allow identif combin effici metric human fit evalu user satisfact pattern system use technolog fit evalu measur timeontask accuraci found answer organ fit evalu perspect system fit exist organiz structureresult evalu produc mix result suggest sever opportun system improv averag particip satisfi medsocket search confid accuraci retriev answer howev medsocket meet particip expect term download speed access inform relev search result mix result made necessari conclud case medsocket technolog fit signific influenc human organ fit henc improv technolog capabl system critic net benefit can becom noticeableconclus hotfit evalu framework instrument tailor methodolog conduct comprehens evalu search engin multidimension evalu search engin result recommend system improv

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