Int J Med Inform - User participation in healthcare IT development: a developers' viewpoint in Finland.

Tópicos

{ design(1359) user(1324) use(1319) }
{ survey(1388) particip(1329) question(1065) }
{ take(945) account(800) differ(722) }
{ care(1570) inform(1187) nurs(1089) }
{ research(1085) discuss(1038) issu(1018) }
{ result(1111) use(1088) new(759) }
{ studi(1410) differ(1259) use(1210) }
{ import(1318) role(1303) understand(862) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ group(2977) signific(1463) compar(1072) }
{ time(1939) patient(1703) rate(768) }
{ assess(1506) score(1403) qualiti(1306) }
{ control(1307) perform(991) simul(935) }
{ featur(1941) imag(1645) propos(1176) }
{ health(3367) inform(1360) care(1135) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ method(1557) propos(1049) approach(1037) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ data(3963) clinic(1234) research(1004) }
{ blood(1257) pressur(1144) flow(957) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND AND PURPOSE: Recent research showed that physicians in Finland were highly critical of their information technology (IT) systems. They were also critical of the methods of collaboration with the developers of the health IT systems (HITS) in use at the time of the questionnaire. This study turned the set-up around and asked systems developers the same questions about collaboration. What is developers' view on end user participation in HITS development at the moment? How would developers wish end users to participate in systems development? Do the developers' views differ from the physicians' (end users') views of the current state of collaboration in developing IT systems?METHODS: A web-based questionnaire study was conducted in one of the major HITS provider companies in Finland among all developers, including software developers and customer support and sales personnel. Both quantitative and free-text questions of a previous study were adapted for the purpose. The responses were analyzed with qualitative and basic quantitative methods.RESULTS: The response rate of the questionnaire was 37% and 136 responses were received. The developers who responded were experienced workers; 81% of the respondents had 6 years or more of work experience in IT systems development and 35% of them had 6 years or more of work experience in the healthcare domain. Almost three-quarters (72%) of the respondents agreed with the statement 'I work with users'. Almost all the developers (90%) thought that they are interested in user feedback and also 81% thought that they take the end users' opinions and experiences into account when developing software. A majority of the developers (57%) considered that corrections and modifications are currently not implemented quickly enough. The most popular means of user participation were that 'users would present their work and needs related to it in their workplace' (76%), followed by user groups (75%). The developers suggested many traditional user-centered and usability design methods, too. The developers' views were compared to the views of the physicians who primarily used the case company's products. The views were in direct opposition on whether developers are interested in end users' views (90% of the developers agreed, vs. 60% of the physicians disagreed) and take them into account (81% of the developers agreed, vs. 63% of the physicians disagreed), as well as on user groups (favored by 75% of the developers vs. 14% of the physicians). The majority of the respondents, both developers (57%) and physicians (74%), were dissatisfied with the pace of implementation of corrections and modifications.CONCLUSIONS: Both physicians and developers seem to be "willing but not able" to collaborate with each other. Possible reasons for the differences in views include the fact that there is no return channel of communication on what happened to the end users' feedback, and that developers collaborate with customer representatives who are not end users. It is obvious that there are one or more spots along the route between the "end developers" and end users where there is a breakdown of the information flow.

Resumo Limpo

ckground purpos recent research show physician finland high critic inform technolog system also critic method collabor develop health system hit use time questionnair studi turn setup around ask system develop question collabor develop view end user particip hit develop moment develop wish end user particip system develop develop view differ physician end user view current state collabor develop systemsmethod webbas questionnair studi conduct one major hit provid compani finland among develop includ softwar develop custom support sale personnel quantit freetext question previous studi adapt purpos respons analyz qualit basic quantit methodsresult respons rate questionnair respons receiv develop respond experienc worker respond year work experi system develop year work experi healthcar domain almost threequart respond agre statement work user almost develop thought interest user feedback also thought take end user opinion experi account develop softwar major develop consid correct modif current implement quick enough popular mean user particip user present work need relat workplac follow user group develop suggest mani tradit usercent usabl design method develop view compar view physician primarili use case compani product view direct opposit whether develop interest end user view develop agre vs physician disagre take account develop agre vs physician disagre well user group favor develop vs physician major respond develop physician dissatisfi pace implement correct modificationsconclus physician develop seem will abl collabor possibl reason differ view includ fact return channel communic happen end user feedback develop collabor custom repres end user obvious one spot along rout end develop end user breakdown inform flow

Resumos Similares

Perspect Health Inf Manag - Evaluation of an interactive surveillance system for monitoring acute bacterial infections in Nigeria. ( 0,870187701501349 )
Artif Intell Med - Brain Painting: usability testing according to the user-centered design in end users with severe motor paralysis. ( 0,867987357363621 )
BMC Med Inform Decis Mak - An online network tool for quality information to answer questions about occupational safety and health: usability and applicability. ( 0,866227354440617 )
J. Med. Internet Res. - Evaluating a web-based health risk assessment with tailored feedback: what does an expert focus group yield compared to a web-based end-user survey? ( 0,866153828683015 )
Int J Med Inform - Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. ( 0,848054510536951 )
Int J Med Inform - Icon and user interface design for emergency medical information systems: a case study. ( 0,83094017976661 )
J Biomed Inform - Conceptualization and application of an approach for designing healthcare software interfaces. ( 0,828502600328972 )
J Med Syst - Design of Web-based Fuzzy Input Expert System for the analysis of serology laboratory tests. ( 0,827967549177733 )
J Biomed Inform - Does the use of structured reporting improve usability? A comparative evaluation of the usability of two approaches for findings reporting in a large-scale telecardiology context. ( 0,824894247191315 )
Int J Med Inform - Detection and characterization of usability problems in structured data entry interfaces in dentistry. ( 0,82393249842337 )
J Biomed Inform - Scenarios, personas and user stories: user-centered evidence-based design representations of communicable disease investigations. ( 0,814535510928877 )
Inform Health Soc Care - Young carers as co-designers of a web-based support system: the views of two publics. ( 0,809441785070977 )
AMIA Annu Symp Proc - Usability evaluation of a personal health record. ( 0,804068381534731 )
Appl Clin Inform - Developing software to track and catch missed follow-up of abnormal test results in a complex sociotechnical environment. ( 0,803176821523722 )
Appl Clin Inform - Debunking health IT usability myths. ( 0,799788761415957 )
J Am Med Inform Assoc - Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics. ( 0,795809934064787 )
Comput. Biol. Med. - A user interface for VR-ready 3D medical imaging by off-the-shelf input devices. ( 0,793310149428188 )
J. Med. Internet Res. - Purple: a modular system for developing and deploying behavioral intervention technologies. ( 0,792879782681287 )
Telemed J E Health - User-friendly cognitive training for the elderly: a technical report. ( 0,786555129527689 )
Int J Med Inform - Addressing critical issues in the development of an Oncology Information System. ( 0,78602023174696 )
Telemed J E Health - Heuristic evaluation and usability testing of a computerized patient-reported outcomes survey for headache sufferers. ( 0,785416814255382 )
J Med Syst - Comparing four softwares based on ISO 9241 part 10. ( 0,779887151525333 )
Comput. Biol. Med. - An automatic tool to facilitate the statistical group analysis of DTI. ( 0,762102351130168 )
J. Med. Internet Res. - Usability testing of an online self-management program for adolescents with juvenile idiopathic arthritis. ( 0,761757300680672 )
J Med Syst - Evaluation of computerized physician order entry system-a satisfaction survey in Taiwan. ( 0,760585306050491 )
J Biomed Inform - From expert-derived user needs to user-perceived ease of use and usefulness: a two-phase mixed-methods evaluation framework. ( 0,760403899967659 )
Inform Health Soc Care - Usability of a web-based personal nutrition management tool. ( 0,756683611667058 )
Int J Med Inform - Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV. ( 0,746062296981765 )
Int J Med Inform - Merits of usability testing for PACS selection. ( 0,734653397028791 )
J Am Med Inform Assoc - Adoption of a wiki within a large internal medicine residency program: a 3-year experience. ( 0,731035983060417 )
Int J Med Inform - Assessing performance of an Electronic Health Record (EHR) using Cognitive Task Analysis. ( 0,722201297856188 )
J Biomed Inform - Usability study of clinical exome analysis software: top lessons learned and recommendations. ( 0,717462495415994 )
BMC Med Inform Decis Mak - Quality of human-computer interaction--results of a national usability survey of hospital-IT in Germany. ( 0,71462461144269 )
J Med Syst - A mobile Nursing Information System based on human-computer interaction design for improving quality of nursing. ( 0,714208003418078 )
Artif Intell Med - From an expert-driven paper guideline to a user-centred decision support system: a usability comparison study. ( 0,712080443572816 )
J Am Med Inform Assoc - User perspectives on the usability of a regional health information exchange. ( 0,711400905907653 )
Telemed J E Health - Heuristic evaluation of online COPD respiratory therapy and education video resource center. ( 0,711207682384193 )
Int J Comput Assist Radiol Surg - The LiverSurgeryTrainer: training of computer-based planning in liver resection surgery. ( 0,709467565698017 )
Int J Med Inform - A usability evaluation of a SNOMED CT based compositional interface terminology for intensive care. ( 0,709423808596188 )
J Biomed Inform - The use of fault reporting of medical equipment to identify latent design flaws. ( 0,705284711736699 )
J Biomed Inform - TURF: toward a unified framework of EHR usability. ( 0,704091914057756 )
Comput Methods Programs Biomed - Control of a 2 DoF robot using a brain-machine interface. ( 0,695801092088173 )
Comput Methods Programs Biomed - A usability evaluation of medical software at an expert conference setting. ( 0,692056597844966 )
J Am Med Inform Assoc - Information needs of case managers caring for persons living with HIV. ( 0,691356416127741 )
AMIA Annu Symp Proc - Medication Reconciliation: Work Domain Ontology, prototype development, and a predictive model. ( 0,690525807714231 )
Appl Clin Inform - Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medication-related decision support system: the I-MeDeSA. ( 0,689654849854185 )
J Telemed Telecare - Designing and remotely testing mobile diabetes video games. ( 0,68811126367822 )
AMIA Annu Symp Proc - A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). ( 0,68801585195665 )
Int J Med Inform - Integrating usability testing and think-aloud protocol analysis with near-live clinical simulations in evaluating clinical decision support. ( 0,686976701686917 )
AMIA Annu Symp Proc - Ensuring patient safety in care transitions: an empirical evaluation of a Handoff Intervention Tool. ( 0,686013131155741 )
Health Informatics J - Fitness for purpose when there are many different purposes: who are electronic patient records for? ( 0,68475375406543 )
J Biomed Inform - Digital video analysis of health professionals' interactions with an electronic whiteboard: a longitudinal, naturalistic study of changes to user interactions. ( 0,67790818725038 )
Appl Clin Inform - Identifying consumer's needs of health information technology through an innovative participatory design approach among English- and Spanish-speaking urban older adults. ( 0,677750804196648 )
Int J Med Inform - A study of user requests regarding the fully electronic health record system at Seoul National University Bundang Hospital: challenges for future electronic health record systems. ( 0,676343961657547 )
J. Med. Internet Res. - Engaging with a Wiki related to knowledge translation: a survey of WhatisKT Wiki users. ( 0,673933203481668 )
J. Med. Internet Res. - Mobile applications for diabetics: a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age 50 years or older. ( 0,672375780251759 )
Appl Clin Inform - Adoption of health information exchange by emergency physicians at three urban academic medical centers. ( 0,667169876880646 )
BMC Med Inform Decis Mak - Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language. ( 0,665790392839929 )
BMC Med Inform Decis Mak - Benefits of a physician-facing tablet presentation of patient symptom data: comparing paper and electronic formats. ( 0,660110233350548 )
Artif Intell Med - Brain-computer interface controlled gaming: evaluation of usability by severely motor restricted end-users. ( 0,659577376757133 )
AMIA Annu Symp Proc - Using a unified usability framework to dramatically improve the usability of an EMR Module. ( 0,656736353354436 )
Comput. Biol. Med. - RIBS@UA: interface to collect and store respiratory data, a preliminary study. ( 0,65347363625852 )
Int J Med Inform - Usability testing of Avoiding Diabetes Thru Action Plan Targeting (ADAPT) decision support for integrating care-based counseling of pre-diabetes in an electronic health record. ( 0,649707637419731 )
J Am Med Inform Assoc - An offline mobile nutrition monitoring intervention for varying-literacy patients receiving hemodialysis: a pilot study examining usage and usability. ( 0,649122150957471 )
BMC Med Inform Decis Mak - The usability and preliminary effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis. ( 0,646475664892258 )
BMC Med Inform Decis Mak - An innovative approach to near-infrared spectroscopy using a standard mobile device and its clinical application in the real-time visualization of peripheral veins. ( 0,64109903309728 )
Appl Clin Inform - An evaluation of the usability of a computerized decision support system for nursing homes. ( 0,632232231173685 )
BMC Med Inform Decis Mak - The value of usability testing for Internet-based adolescent self-management interventions: Managing Hemophilia Online. ( 0,6304657388372 )
BMC Med Inform Decis Mak - Development and preliminary user testing of the DCIDA (Dynamic computer interactive decision application) for 'nudging' patients towards high quality decisions. ( 0,630116229849514 )
Health Informatics J - Development and usability testing of a web-based cancer symptom and quality-of-life support intervention. ( 0,622632053101057 )
Perspect Health Inf Manag - Impact and user satisfaction of a clinical information portal embedded in an electronic health record. ( 0,621659372241731 )
J. Med. Internet Res. - Patient-centered design of an information management module for a personally controlled health record. ( 0,616979392751389 )
Telemed J E Health - A health insurance portability and accountability act-compliant ocular telehealth network for the remote diagnosis and management of diabetic retinopathy. ( 0,616401489649279 )
J Biomed Inform - Modeling workflow to design machine translation applications for public health practice. ( 0,615997611634824 )
AMIA Annu Symp Proc - Optimization of an EHR mobile application using the UFuRT conceptual framework. ( 0,609277190337171 )
BMC Med Inform Decis Mak - Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis. ( 0,607105083250383 )
J Integr Bioinform - Life sciences data and application integration with B-fabric. ( 0,604898993496691 )
Int J Comput Assist Radiol Surg - 3D printing based on imaging data: review of medical applications. ( 0,603615046188565 )
Int J Med Inform - Promoting public awareness of the links between lifestyle and cancer: a controlled study of the usability of health information leaflets. ( 0,602938273814162 )
J Biomed Inform - Design for risk control: the role of usability engineering in the management of use-related risks. ( 0,597330995904675 )
Int J Neural Syst - A single-switch BCI based on passive and imagined movements: toward restoring communication in minimally conscious patients. ( 0,596358814422088 )
AMIA Annu Symp Proc - Development of a workflow integration survey (WIS) for implementing computerized clinical decision support. ( 0,594950815661321 )
Int J Med Inform - Record completeness and data concordance in an anesthesia information management system using context-sensitive mandatory data-entry fields. ( 0,594629197634521 )
Appl Clin Inform - Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application. ( 0,590771829401811 )
J. Med. Internet Res. - Factors influencing the use of a Web-based application for supporting the self-care of patients with type 2 diabetes: a longitudinal study. ( 0,590132133597357 )
J Biomed Inform - Classification and prioritization of usability problems using an augmented classification scheme. ( 0,588812031578826 )
AMIA Annu Symp Proc - Workflow Driven Cognitive Decision Support Systems for Clinicians:: A Case of Intra-Operative Visualization System for RFA. ( 0,58773238770114 )
J Chem Inf Model - Modeling of the water network at protein-RNA interfaces. ( 0,584787767226221 )
Comput. Biol. Med. - Usability testing of a respiratory interface using computer screen and facial expressions videos. ( 0,582367360730492 )
J Biomed Inform - Assessment of the Health IT Usability Evaluation Model (Health-ITUEM) for evaluating mobile health (mHealth) technology. ( 0,581559643014631 )
Methods Inf Med - TADAA: Towards Automated Detection of Anaesthetic Activity. ( 0,57957743789973 )
Inform Health Soc Care - A novel multimodal tool for telemonitoring patients with COPD. ( 0,578243751962389 )
J Chem Inf Model - Wolf2Pack--portal based atomistic force-field development. ( 0,576632047167202 )
J Am Med Inform Assoc - Review of health information technology usability study methodologies. ( 0,576626657791158 )
AMIA Annu Symp Proc - Systematic refinement of a health information technology time and motion workflow instrument for inpatient nursing care using a standardized interface terminology. ( 0,573477778339068 )
J Clin Monit Comput - A technical description of a novel pharmacological anesthesia robot. ( 0,572605461170438 )
J Med Syst - A secure 2G-RFID-Sys mechanism for applying to the medical emergency system. ( 0,570683145561074 )
IEEE Trans Vis Comput Graph - Toward Evaluating the Usefulness of Global Illumination for Novices in Lighting Design Tasks. ( 0,569809201788214 )
Int J Med Inform - The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey. ( 0,5684577670077 )
J. Med. Internet Res. - Evaluation of a novel Conjunctive Exploratory Navigation Interface for consumer health information: a crowdsourced comparative study. ( 0,567660265777059 )