Journal articles: 'Computers and health care'

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Seaman, Claire EA. "Computers in health care: word processing." British Journal of Therapy and Rehabilitation 1, no. 3-4 (November 2, 1994): 149–50. http://dx.doi.org/10.12968/bjtr.1994.1.3-4.149.

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O’Desky, R. I., M. J. Ball, and E. E. Ball. "Computers in Health Care for the 21st Century." Methods of Information in Medicine 29, no. 02 (1990): 158–61. http://dx.doi.org/10.1055/s-0038-1634772.

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AbstractAs the world enters the last decade of the 20th Century, there is a great deal of speculation about the effect of computers on the future delivery of health care. In this article, the authors attempt to identify some of the evolving computer technologies and anticipate what effect they will have by the year 2000. Rather than listing potential accomplishments, each of the affected areas: hardware, software, health care systems and communications, are presented in an evolutionary manner so the reader can better appreciate where we have been and where we are going.

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Brown, Ted, Brett Williams, Shapour Jaberzadeh, Louis Roller, Claire Palermo, Lisa McKenna, Caroline Wright, et al. "Predictors of attitudes to e‐learning of Australian health care students." Journal of Applied Research in Higher Education 2, no. 1 (January 1, 2010): 60–76. http://dx.doi.org/10.1108/17581184201000006.

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Computers and computer‐assisted instruction are being used with increasing frequency in the area of health science student education, yet students’ attitudes towards the use of e‐learning technology and computer‐assisted instruction have received limited attention to date. The purpose of this study was to investigate the significant predictors of health science students’ attitudes towards e‐learning and computer‐assisted instruction. All students enrolled in health science programmes (n=2885) at a large multi‐campus Australian university in 2006‐2007, were asked to complete a questionnaire. This included the Online Learning Environment Survey (OLES), the Computer Attitude Survey (CAS), and the Attitude Toward Computer‐Assisted Instruction Semantic Differential Scale (ATCAISDS). A multiple linear regression analysis was used to determine the significant predictors of health science students’ attitudes to e‐learning. The Attitude Toward Computers in General (CASg) and the Attitude Toward Computers in Education (CASe) subscales from the CAS were the dependent (criterion) variables for the regression analysis. A total of 822 usable questionnaires were returned, accounting for a 29.5 per cent response rate. Three significant predictors of CASg and five significant predictors of CASe were found. Respondents’ age and OLES Equity were found to be predictors on both CAS scales. Health science educators need to take the age of students and the extent to which students perceive that they are treated equally by a teacher/tutor/instructor (equity) into consideration when looking at determinants of students’ attitudes towards e‐learning and technology.

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Janca, Aleksandar, and Gavin Andrews. "Computers in psychiatric care." Current Opinion in Psychiatry 12, no. 6 (November 1999): 701–4. http://dx.doi.org/10.1097/00001504-199911000-00020.

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Lewis, Glyn. "Computers in primary care." International Review of Psychiatry 4, no. 3-4 (January 1992): 307–10. http://dx.doi.org/10.3109/09540269209066333.

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Mohr, David N. "Aspects of the Computer-Based Patient Record (Computers in Health Care series)." Mayo Clinic Proceedings 68, no. 9 (September 1993): 933. http://dx.doi.org/10.1016/s0025-6196(12)60712-5.

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Seaman, Claire. "Computers in health care 2: nutritional analysis software." British Journal of Therapy and Rehabilitation 2, no. 3 (March 2, 1995): 139–41. http://dx.doi.org/10.12968/bjtr.1995.2.3.139.

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Sundararajan, S. "Computers and health care what is the connection?" Primary Health Care 6, no. 10 (November 1996): 9. http://dx.doi.org/10.7748/phc.6.10.9.s12.

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Gürdaş Topkaya, Sati, and Nurten Kaya. "Nurses' computer literacy and attitudes towards the use of computers in health care." International Journal of Nursing Practice 21 (May 7, 2014): 141–49. http://dx.doi.org/10.1111/ijn.12350.

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Hassona, Farida M., Aziza Z. F. Ali, and Shaimaa M. Nageeb. "Nursing Students’ Computer Self-Efficacy and Attitudes toward Its Use in The Health Care Setting: A Comparative Study." Evidence-Based Nursing Research 1, no. 4 (January 10, 2020): 9. http://dx.doi.org/10.47104/ebnrojs3.v1i4.90.

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Context: The use of technology and computers in health care has been reported to improve nurses' decision-making and competencies, which in turn increase the quality of health-care practice. Aim: of this study is to assess and compare nursing students’ computer self-efficacy and attitudes toward its use in a health care setting in the Faculty of nursing – Benha and Hail Universities. Methods: A descriptive comparative cross-sectional study design was used to achieve the current study aim. The study conducted in the Faculty of Nursing - Banha University, Egypt, and Faculty of Nursing – Hail University, Kingdom of Saudi Arabia. Quota sampling of 219 students was chosen as follows; 190 students from the Faculty of Nursing - Banha University and 29 students from the Faculty of Nursing – Hail University. A structured self-administered questionnaire covering sociodemographic data, the pretest for attitudes toward computers in healthcare, and computer self-efficacy scales were the tool used to collect the study data. Results: 33% of nursing students from Benha University were have a realistic view of current computer capabilities in health care. In contrast, 28% of nursing students from Hail had a very positive view of computer use in health care. Nursing students at Hail University have the highest mean score compared to Benha nursing students (79.45±15.85 & 61.2±7.25, respectively) in their attitudes toward computer and computer self-efficacy. Benha nursing students have moderate computer self-efficacy compared with Hail nursing students who have a high computer self-efficacy level. A highly statistically significant relationship was detected between students' attitudes toward computers and computer self-efficacy (p-value=0.000). Also, there was a highly positive, statistically significant correlation between the demographic variables of nursing students and both students’ attitudes toward computers in health care and computer self-efficacy (p-value =0.00). Conclusion: Nursing students in both universities have a positive attitude toward computer use. A significant difference between the mean scores of the two groups in their attitude toward computer and self-efficacy was detected, with a highly statistically significant correlation between both students’ attitudes and their self-efficacy. Also, a significant relationship revealed between the studied students’ demographics and their attitude and self-efficacy. Future studies are recommended to evaluate existing technologies in terms of acceptance, effectiveness, and efficiency in real-life settings and to examine its effect on patient outcomes. Nurse educators should design training courses and educational programs to enhance computer self-efficacy beliefs among nursing students.

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Peters, David H., Manish Kohli, Maya Mascarenhas, and Krishna Rao. "Can computers improve patient care by primary health care workers in India?" International Journal for Quality in Health Care 18, no. 6 (October 13, 2006): 437–45. http://dx.doi.org/10.1093/intqhc/mzl053.

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Bale, Rob, Matthew Fiander, and Tom Burns. "Computers and process description for community mental health care." Epidemiologia e psichiatria sociale. Monograph Supplement 6, S1 (April 1997): 81–90. http://dx.doi.org/10.1017/s182743310000085x.

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The focus of mental health care has seen a significant shift from institutional care to community based care and has been well described (Thornicroft & Bebbington, 1989). This shift has necessitated the development of new and flexible models for ensuring that patients' needs are met. Mental health professionals have to operate across a wide range of community contexts dealing with a complex range of needs. Intensive Case Management (ICM) also known as Assertive Community Treatment is a model of service provision to the long term mentally ill in the community. The Programme of Assertive Community Treatment (ACT) developed by Stein & Test (1980) in the United States has a number of Key elements (figure 1).ACT-based ICM is unusual in that it has been extensively researched (principally in the United States of America), and programmes are relatively well described. Such descriptions, especially of programmes outside America, often focus on underlying principals and philosophies and do little to measure practice. Teague et al. (1995), however, devised clear criteria for measuring practice components and McGrew et al. (1994) asked ACT “experts” to rate the “key” elements of PACT and related a number of these to levels of hospital use. In the United Kingdom, Thornicroft (1991) listed twelve axes for describing the central practice characteristics of case management (a broad concept including ICM). These UK ‘practice characteristics’ also focus more on macro-level programme description rather than on the practices of programme staff. There is a pressing need for research into exactly what teams do.

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Aziz, Omer, Benny Lo, Julien Pansiot, Louis Atallah, Guang-Zhong Yang, and Ara Darzi. "From computers to ubiquitous computing by 2010: health care." Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 366, no. 1881 (July 31, 2008): 3805–11. http://dx.doi.org/10.1098/rsta.2008.0126.

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Over the past decade, miniaturization and cost reduction in semiconductors have led to computers smaller in size than a pinhead with powerful processing abilities that are affordable enough to be disposable. Similar advances in wireless communication, sensor design and energy storage have meant that the concept of a truly pervasive ‘wireless sensor network’, used to monitor environments and objects within them, has become a reality. The need for a wireless sensor network designed specifically for human body monitoring has led to the development of wireless ‘body sensor network’ (BSN) platforms composed of tiny integrated microsensors with on-board processing and wireless data transfer capability. The ubiquitous computing abilities of BSNs offer the prospect of continuous monitoring of human health in any environment, be it home, hospital, outdoors or the workplace. This pervasive technology comes at a time when Western world health care costs have sharply risen, reflected by increasing expenditure on health care as a proportion of gross domestic product over the last 20 years. Drivers of this rise include an ageing post ‘baby boom’ population, higher incidence of chronic disease and the need for earlier diagnosis. This paper outlines the role of pervasive health care technologies in providing more efficient health care.

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McKay, Alan B. "Computers in Home Health Care: Present and Future Impact." American Pharmacy 25, no. 9 (September 1985): 48–51. http://dx.doi.org/10.1016/s0160-3450(16)32833-1.

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Gremy, F. "Strategies for the use of computers in health care." Computer Methods and Programs in Biomedicine 27, no. 1 (July 1988): 95–100. http://dx.doi.org/10.1016/0169-2607(88)90109-5.

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Marks, Isaac. "Innovations in Mental Health Care Delivery." British Journal of Psychiatry 160, no. 5 (May 1992): 589–97. http://dx.doi.org/10.1192/bjp.160.5.589.

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In serious mental illness (SMI) even good community care does not usually make a major impact on clinical or social function, but patients and relatives prefer community to hospital care, and it tends to be cheaper. Any gains are lost if the required community services are not resourced, coordinated, and maintained indefinitely. A few SMI patients continue to need asylum under one roof. CPNs see more anxiety/depression than SMI. Their patients come increasingly from GPs, and they tend to work in practices with less need. Their cost-effectiveness is uncertain, although nurse behaviour therapists are cost-effective in anxiety disorders in primary care. Such research is also needed into the work of other mental health professionals. Despite their effectiveness, there is a dearth of behaviour therapists among nurses and psychiatrists. Problem-orientated training is lacking for most professionals with most patients. Behavioural self-treatments have improved phobic disorders and non-severe depression in controlled studies. Gains were as great when self-treatment was guided by a computer or by a manual as by a clinician. Self-help can extend care delivery, with therapists acting as consultants. Computers can also aid clinical audit.

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STRICKLIN, MARY LOU V., S. BETH BIERER, and CYNTHIA STRUK. "Home Care Nurses’ Attitudes Toward Computers." CIN: Computers, Informatics, Nursing 21, no. 2 (March 2003): 103–11. http://dx.doi.org/10.1097/00024665-200303000-00012.

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Wagner, Todd H., and Judith H. Hibbard. "WHO USES SELF-CARE BOOKS, ADVICE NURSES, AND COMPUTERS FOR HEALTH INFORMATION?" International Journal of Technology Assessment in Health Care 17, no. 4 (October 2001): 590–600. http://dx.doi.org/10.1017/s0266462301107130.

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Objectives: While evaluating the effect of a community-wide informational intervention, this study explored access, health, and demographic factors related to the use of medical reference books, telephone advice nurses, and computers for health information.Methods: A random sample of households in the intervention city (Boise, Idaho) and two control cities were surveyed about their use of health information in 1996. Shortly thereafter, the Healthwise Communities Project (HCP) distributed health information to all Boise residents. A follow-up survey was conducted in 1998. Overall, 5,909 surveys were completed for a 54% response rate.Results: The HCP intervention was associated with statistically significant increases in the use of medical reference books and telephone advice nurses. The increased use of computers for health information was marginally significant. Few access, health, or demographic factors were consistently associated with using the different resources, except that people with depression used more of all three information resources, and income was not a significant predictor.Conclusion: Providing free health information led to an increase in use, but access, health, and demographic factors were also important determinants. In particular, poor health status and presence of a chronic illness were associated with health information use. These results suggest that healthy consumers are less interested in health information, and it may take other incentives to motivate them to learn about prevention and healthy behaviors.

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Sweeney, Megan, Kaavya Paruchuri, and Saul Weingart. "Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care." Applied Clinical Informatics 09, no. 03 (July 2018): 588–94. http://dx.doi.org/10.1055/s-0038-1667121.

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Background There are few published studies of the use of portable or handheld computers in health care, but these devices have the potential to transform multiple aspects of clinical teaching and practice. Objective This article assesses resident physicians' perceptions and experiences with tablet computers before and after the introduction of these devices. Methods We surveyed 49 resident physicians from 8 neurology, surgery, and internal medicine clinical services before and after the introduction of tablet computers at a 415-bed Boston teaching hospital. The surveys queried respondents about their assessment of tablet computers, including the perceived impact of tablets on clinical tasks, job satisfaction, time spent at work, and quality of patient care. Results Respondents reported that it was easier (73%) and faster (70%) to use a tablet computer than to search for an available desktop. Tablets were useful for reviewing data, writing notes, and entering orders. Respondents indicated that tablet computers increased their job satisfaction (84%), reduced the amount of time spent in the hospital (51%), and improved the quality of care (65%). Conclusion The introduction of tablet computers enhanced resident physicians' perceptions of efficiency, effectiveness, and job satisfaction. Investments in this technology are warranted.

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Waterbley, Patrick. "Computers in primary care. Practicalities and prospects." Health Policy 5, no. 3 (January 1985): 263–64. http://dx.doi.org/10.1016/0168-8510(85)90091-0.

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Rohan Lohia and Vibhor Sharma. "Health Prediction by Data Mining." International Journal for Modern Trends in Science and Technology 6, no. 12 (December 18, 2020): 390–93. http://dx.doi.org/10.46501/ijmtst061273.

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The paper presents an overview of the Clinical Predictions and Medical Predictions with data mining and its techniques. In health care areas, due to regulations and due to availability of computers, such large amount of data cannot be processed by humans to schedules and diagnosis in short time of duration. It is a new technology which is of high interest in computer world. The computer world make an data in different databases to transfer into new researches and results. The database management extract a new patterns from large datasets. The different parameters included in data mining are: clustering, forecasting, path analysis and predictive analysis.

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Farzanfar, Ramesh. "When computers should remain computers: a qualitative look at the humanization of health care technology." Health Informatics Journal 12, no. 3 (September 2006): 239–54. http://dx.doi.org/10.1177/1460458206066663.

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Zysman, Shafer H., and Gunther R. Geiss. "Mental hygiene practitioners' attitudes toward applying computers in health care." ACM SIGCAS Computers and Society 20, no. 3 (August 1990): 22–26. http://dx.doi.org/10.1145/97351.97366.

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Sato, Renato Cesar, and Désirée Moraes Zouain. "Markov Models in health care." Einstein (São Paulo) 8, no. 3 (September 2010): 376–79. http://dx.doi.org/10.1590/s1679-45082010rb1567.

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ABSTRACT Markov Chains provide support for problems involving decision on uncertainties through a continuous period of time. The greater availability and access to processing power through computers allow that these models can be used more often to represent clinical structures. Markov models consider the patients in a discrete state of health, and the events represent the transition from one state to another. The possibility of modeling repetitive events and time dependence of probabilities and utilities associated permits a more accurate representation of the evaluated clinical structure. These templates can be used for economic evaluation in health care taking into account the evaluation of costs and clinical outcomes, especially for evaluation of chronic diseases. This article provides a review of the use of modeling within the clinical context and the advantages of the possibility of including time for this type of study.

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Arturson, G. "Use of Computers in Burn Care." Journal of Burn Care & Rehabilitation 20 (January 1999): 67–69. http://dx.doi.org/10.1097/00004630-199901001-00015.

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Elkin, Peter L. "Computerizing Large Integrated Health Networks: The VA Success (Computers in Health Care series)." Mayo Clinic Proceedings 73, no. 1 (January 1998): 102–3. http://dx.doi.org/10.1016/s0025-6196(11)63638-0.

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Urciuoli, Wendy, and Janice Swiatek. "Providing Health Care Professionals and Patients with Tablet Computers at the Point of Care." Journal of Hospital Librarianship 18, no. 3 (July 3, 2018): 246–53. http://dx.doi.org/10.1080/15323269.2018.1471918.

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Chavhan, Swati S., and Seema S. Bansode Gokhe. "An epidemiological study of computer related health problems and stress among bank employees in the vicinity of a tertiary care hospital." International Journal Of Community Medicine And Public Health 7, no. 10 (September 25, 2020): 3941. http://dx.doi.org/10.18203/2394-6040.ijcmph20204358.

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Background: Due to the upsurge in information technology and daily increase in the number of computer usage in banking sector and increasing use of online banking services in India, there is need for research into computer related health problems. The objectives of the study were to estimate prevalence of computer related health problems and stress among Bank employees and to study its association with their working environmental conditions.Methods: A cross sectional study was conducted, with a pre-tested, pre-designed questionnaire in 19 banks among 255 bank employees aged 25 to 50 years by census enumeration method in urban field practice area for 18 months. Inclusion criteria included employees working in current job since the past 2 years and on computer for at least 5 days/week and minimum 4 hours/day. The questionnaire included socio-demographic details, working environment and problems experienced while working on computers. Modified standardized Nordic questionnaire (musculoskeletal), depression anxiety stress scales (DASS) (stress), Snellen`s-Jaeger’s chart (visual acuity) and digital lux meter (illumination) was used. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) version 25.0.Results: The proportion of musculoskeletal, symptoms of Carpal tunnel syndrome due to keyboard use, visual problems and stress was found to be 69%, 60%, 58% and 38% respectively. Statistically significant association was found between visual, musculoskeletal complaints and duration of service, time spent on computers, level of computer desktop and ergonomic design of sitting chair. Stress had significant co-relation with age, duration of service, duration of using computers and addictions.Conclusions: Banks should adopt ergonomic workplace design for better health, well-being and productivity of bank employees.

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Bomba, David, Kurt Svardsudd, and Per Kristiansson. "A comparison of patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden." Australian Journal of Primary Health 10, no. 2 (2004): 36. http://dx.doi.org/10.1071/py04024.

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This article compares the attitudes of Australian and Swedish patients towards the use of computerised medical records and unique identifiers in medical practices in Australia and Sweden. A Swedish translation of an Australian survey was conducted and results were compared. Surveys were distributed to patients at a medical practice in Sweden in 2003 and compared to the results of an Australian study by Bomba and Land (2003). Results: Based on the survey samples (Australia N=271 and Sweden N=55), 91% of Swedish respondents and 78% of Australian respondents gave a positive appraisal of the use of computers in health care. Of the Swedish respondents, 93% agreed that the computer-based patient record is an essential technology for health care in the future, while 86% of the Australian respondents agreed. Overwhelmingly, 95% of Swedish respondents and 91% of Australian respondents stated that the use of computers did not interfere with the doctor-patient consultation. Both groups preferred biometric identification as the method for uniquely identifying patients but differed in their preferred method to store medical information - a combination of central database and smart card for Australian respondents and central database for Swedish respondents. This analysis indicates that patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden are positive; however, there are concerns over information privacy and security. These concerns need to be taken into account in any future development of a national computer health network.

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Lieff, Jonathan D. "High Technology and Psychiatric Care of the Elderly." International Psychogeriatrics 1, no. 1 (March 1989): 87–101. http://dx.doi.org/10.1017/s1041610289000086.

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The dramatic explosion of scientific information, as well as the development of computerized devices in medicine, will continue to change both the diagnosis and treatment of the elderly as it changes our entire culture. There are many technological forces now combining to push the frontiers of knowledge about the brain to new levels. This article outlines these new scientific and technological frontiers in psychiatric diagnosis including: diagnostic imaging, computer EEG, and psychiatric evaluation; treatment including health-related computerized aids, computerized psychopharmacology, neuropsychiatric training for handicapped and brain-injured, and chronic care; and medical education. This article discusses some of the issues that arise due to these new developments. Computers have multiplied the kinds of questions that can be meaningfully asked. In this way, the advent of the computer has opened the minds of many researchers to new frontiers. An important question is, “What will the psychiatric ‘state of the art’ be in a technological age?” Other issues include confidentiality with new devices, use of high technology to define malpractice liability, the lack of professional standards in software, the resistance of medical profession to computers, and the increased ability to misuse statistics. Geriatric psychiatrists must take an active role in planning the future impact of high technology in our field.

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Arenson, Ronald L., Katherine P. Andriole, David E. Avrin, and Robert G. Gould. "Computers in imaging and health care: Now and in the future." Journal of Digital Imaging 13, no. 4 (November 2000): 145–56. http://dx.doi.org/10.1007/bf03168389.

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Williams, Christopher, and Patrick Harkin. "Multimedia computer-based learning: a developing role in teaching, CPD and patient care." Advances in Psychiatric Treatment 5, no. 5 (September 1999): 390–94. http://dx.doi.org/10.1192/apt.5.5.390.

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Since the 1970s, there has been a progressive increase in the use of computers as a teaching resource. The purpose of this article is to summarise the current uses of computer-based learning (CBL) packages and to highlight how to assess whether a particular multimedia package meets your own requirements for training.

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van Bemmel, J. H. "People and Ideas in Medical Informatics - A Half Century Review." Yearbook of Medical Informatics 20, no. 01 (August 2011): 175–82. http://dx.doi.org/10.1055/s-0038-1638758.

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SummaryReviewing the onset and the rapid changes to make realistic predictions on the future of medical informatics.Pointing to the contributions of the early pioneers, who had their roots in other disciplines and by illustrating that from the onset an interdisciplinary approach was characteristic for our field.Some of the reasons for the changes in medical informatics are that nobody was able to predict the advent of the personal computer in the 1970s, the world-wide web in 1991, and the public start of the Internet in 1992, but foremost that nobody expected that it was not primarily the hardware or the software, but human factors that would be crucial for successful applications of computers in health care. In the past sometimes unrealistic expectations were held, such as on the impact of medical decision-support systems, or on the overly optimistic contributions of electronic health records. Although the technology is widely available, some applications appear to be far more complex than expected. Health care processes can seldom be fully standardized. Humans enter at least in two very different roles in the loop of information processing: as subjects conducting care - the clinicians - and as subjects that are the objects of care - the patients.Medical informatics lacks a specific methodology; methods are borrowed from adjacent disciplines such as physics, mathematics and, of course, computer science. Human factors play a major role in applying computers in health care. Everyone pursuing a career in biomedical informatics needs to be very aware of this. It is to be expected that the quality of health care will increasingly be assessed by computer systems to fulfill the requirements of medical evidence.

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van Bemmel, Jan H. "Knowledge for Medicine and Health Care." Methods of Information in Medicine 44, no. 04 (2005): 596–600. http://dx.doi.org/10.1055/s-0038-1634012.

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SummaryDr. Donald A. B. Lindberg, Director of the U.S. National Library of Medicine, received an honorary doctorate from UMIT, the University for Health Sciences, Medical Informatics and Technology in Innsbruck, Tyrol. The celebration took place on September 28, 2004 at an academic event during a conference of the Austrian, German, and Swiss Societies of Medical Informatics, GMDS2004. Dr. Lindberg has been a pioneer in the field of computers in health care from the early 1960s onwards. In 1984 he became the Director of the National Library of Medicine in Bethesda, the world’s largest fully computerized biomedical library. Dr. Lind-berg has been involved in the early activities of the International Medical Informatics Association (IMIA), among others being the chair of the Organizing Committee for MEDINFO 86 in Washington D.C. He was elected the first president of the American Medical Informatics Association (AMIA), and served as an editor of Methods of Information in Medicine.

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Kubias, D. "Health and Clinical Management – Maximising Health Care Efficiency for Better Outcomes." Yearbook of Medical Informatics 19, no. 01 (August 2010): 09–12. http://dx.doi.org/10.1055/s-0038-1638680.

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Summary Objectives: To present some of last year’s best papers in the field of health and clinical management. Method: Synopsis of the best articles selected for the IMIA Yearbook 2010. Results: All five selected articles present promising results, each in a different subtopic of health care management. From automated clinical syndrome detection to global population surveillance, through improving alerting systems’ impact, the selected articles should give an idea of how IT, not only can, but how it does help in health care management. Conclusions: While some people fear that computers might, one day, replace humans in health care, this is very far from being the case. What literature shows is that IT merely provides health care professionals with valuable tools that let them spend more time with their patients, prevent them from missing critical information, support them in their decision making and thus help improve their efficiency.

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Ferre Navarete, F., and I. Palanca. "Mental health care in Madrid." European Psychiatry 20, S2 (October 2005): s279—s284. http://dx.doi.org/10.1016/s0924-9338(05)80174-9.

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AbstractAimTo describe principles and characteristics of mental health care in Madrid.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsIn Madrid, mental health services are organized into 11 zones/areas, divided into 36 districts, where there is a mental healthoutpatient service with a multi-disciplinary team. Home treatment and psychosocial rehabilitation services have been developed. Specialist programmes exist for vulnerable client groups, including Children and Adolescents, Addiction/Alcohol and Older People. The Madrid Mental Health Plan (2003–2008) is regarded as the key driver in implementing service improvement and increased mental health and well-being in Madrid. It has a meant global budget increase of more than 10% for mental health services. Results of the first 2 years are: an increase in mental health staff employed (17%), four new hospitalization units, 50% increase in places for children and adolescents Day Hospitals, 62 new beds in long care residential units, development of specific programmes for the homeless and gender-based violence, a significant investment in information systems (450 new computers) and development of best practice and operational guidelines. Mental health system was put to the test with Madrid's March 11th terrorist attack. A Special Mental Health Plan for Affected people was developed.DiscussionUnlike some European countries, public mental health service is the main heath care provider. There are no voluntary agenciescollaborating with mental health care. Continuity of care and coordination between all mental health resources is essential in service delivery. Increased demand of care for minor psychiatric disorders, children and adolescent mental health care, and implementation of rehabilitation and residential facilities for chronic patients are outstanding challenges similar to those in other European capitals. Overall, the mental health system had successfully coped with last year's increased care demand after March 11th terrorist attack in Madrid.

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Peterson, H. E., and P. Lundin. "Documenting the Use of Computers in Swedish Health Care up to 1980." Yearbook of Medical Informatics 20, no. 01 (August 2011): 169–74. http://dx.doi.org/10.1055/s-0038-1638757.

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SummaryThis paper describes a documentation project to create, collect and preserve previously unavailable sources on informatics in Sweden (including health care as one of 16 subgroups), and mak- ing them available on the Web. Time was critical as the personal docu- mentation and artifacts of early pioneers could be irretrievablylost. The criteria for participation were that a person had developed a system in a clinical environment which was used by others prior to 1980.Participants were interviewed and asked for early docu- mentation such as notes, minutes from meetings, drawings, test results and early models – together with related artifacts. The ap- proach included traditional oral history interviews, collection of au- tobiographies and new self-structuring and time saving methods, such as witness seminars and an Internet-based repository of their recollections (the Writers’ Web).The combination of methods obtained new information on system errors, and challenges in reaching the goals due partly to inadequacies of the early technology, and partly to the insufficient understanding of the complexity of the many problems which needed to be solved before a useful electronic patient record could be realized. A very important result was the development of a method to collect information in an easier, faster and much less expensive way than using the traditional scientific method, and still reach results that are qualitative and quantitative for the purpose of documenting the early period of computer-based health care technology. The wit- ness seminars and the Writers’ Web yielded especially large amounts of hitherto-unknown information. With all material in one database available to everyone on the Web, it is accessed very frequently - es- pecially by students, researchers, journalists and teachers.Study of the materials explains and clarifies the reasons behind the delays and difficulties that have been encountered in de- veloping electronic patient records, as described in an article [3] published in the IMIA Yearbook 2006.

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Pantin, C. "Computers and Clinical Audit: An Introduction for Doctors and Health Care Professionals." Quality and Safety in Health Care 3, no. 3 (September 1, 1994): 175. http://dx.doi.org/10.1136/qshc.3.3.175-a.

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Campbell, Robert J. "What the Health Care Administrator Needs To Consider When Purchasing Personal Computers." Health Care Manager 22, no. 1 (January 2003): 21–26. http://dx.doi.org/10.1097/00126450-200301000-00004.

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Benn, D. K. "Computers in Health Care: Dental Informatics. Integrating Technology into the Dental Environment." Journal of Dentistry 21, no. 2 (April 1993): 110. http://dx.doi.org/10.1016/0300-5712(93)90157-l.

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Tsodikova, Olga, Oleksii Korzh, and Maryna Hyria. "Information and Communication Technologies in Postgraduate Training of Primary Care Doctors: A New Look at the Problem of Using Online Resources During the COVID-19 Pandemic." Technium Social Sciences Journal 8 (May 17, 2020): 60–63. http://dx.doi.org/10.47577/tssj.v8i1.661.

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The experience of using information and communication technologies of distance learning in the process of postgraduate education of primary care physicians is considered. The implementation of various online resources in the training of health professionals in quarantine activities related to the COVID-19 pandemic, highlights the problem of information literacy and the use of information technology among physicians of all ages and psychotypes, and shows that the latest resources of telecommunications and computers. computer technologies should be widely implemented in all areas of health care.

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Shakeshaft, Anthony, Julia Fawcett, Richard P. Mattick, Robyn Richmond, Alex Wodak, Mark F. Harris, and Christopher M. Doran. "Patient‐driven computers in primary care: their use and feasibility." Health Education 106, no. 5 (September 2006): 400–411. http://dx.doi.org/10.1108/09654280610686612.

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Mehmood, Asim, Abdu Mohammad Aqeeli, Ali Musa, Adulrahman Muhammad, and Osamah Muhammad. "Perception of data quality and electronic health information system acceptance, reliability and satisfaction: A study at tertiary care hospital in Saudi Arabia." Annals of Medical Physiology 5, no. 1 (June 4, 2021): 1–6. http://dx.doi.org/10.23921/amp.2021v5i1.00044.

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Electronic health information systems (EHIS) are considered a backbone for healthcare planning and quality services. This study was designed to explore the acceptance, reliability, and satisfaction of the end users' experience with the hospital electronic health information system. We also investigated the perception of data quality by the users who were directly involved in data entry. We conducted a questionnaire based cross-sectional survey to collect quantitative data from different EHIS users. The questionnaire contained six sections: demographic user information; general HIS assessment; accessibility and availability of computer terminals in the hospital; EHIS and the patient care; user satisfaction with the HIS and perception of data quality. Desktop computers were available throughout the hospital, but the hospital was lacking handheld computers or computers on wheels. Participants of the study were satisfied with the data entry and retrieval process but they were lacking job training related to troubleshooting. EHIS users were not aware and prepared for the downtime of the system and procedures were also not clear to them. Regarding the perception of data quality, most of the participants responded that data is of adequate quality. There is a need for proper technical support and enhance the hospital's networking speed for better response. Laptops and hand-held computers are the need of time for data entry in critical situations and during wards visit. This can also enhance the quality of data, and reduce the chances of data loss.

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Cowan, Les. "Computers in Child Care New Resources, New Opportunities." Adoption & Fostering 22, no. 3 (October 1998): 53–57. http://dx.doi.org/10.1177/030857599802200308.

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Computer games and entertainment software have often been seen by child care workers as not only of no specific therapeutic benefit but in fact quite opposed to what child counselling is all about. Using the example of Bruce's Multimedia Story which he himself developed in collaboration with the original authors, Les Cowan describes how, depending on the needs, stage and individual characteristics of the child, computer-based resources can be highly successful, bringing positive new elements to the therapeutic process. He argues that in ignoring computer-based media we may be missing a valuable and productive way of working which naturally appeals to children.

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McCallum, Alicia, Ingrid Sketris, Glenn Rodrigues, David K. Yung, Barbara Hill-Taylor, and Steve Doucette. "Self-reported use of handheld computers: a survey of Nova Scotia pharmacists." Journal of the Canadian Health Libraries Association / Journal de l'Association des bibliothèques de la santé du Canada 33, no. 1 (July 21, 2014): 4. http://dx.doi.org/10.5596/c11-055.

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Introduction: With an ever-increasing array of pharmaceutical and biomedical products and literature, health professionals including pharmacists struggle to obtain, evaluate, and apply relevant information. Handheld computers provide pharmacists with mobile access to evidence-informed medical information, decision support tools, and the ability to monitor therapeutic outcomes at the point of care. There is limited literature on the usage of this technology by Canadian pharmacists. The objective of this survey was to determine the scope and nature of handheld computer use by Nova Scotia pharmacists. Method: In 2008, Nova Scotia pharmacists were contacted with a written survey. Descriptive statistics were used to compare users and non-users. Multivariate regression analysis was used to determine demographic and pharmacy practice variables that might be associated with pharmacists’ use of handheld computers. Results: The survey was returned by 296 pharmacists (27.7%). Handheld computers were reported to be used by 51% of respondents. Those respondents who have been in practice longer were less likely to adopt handheld computer use (adjusted OR = 0.97, 95% CI = 0.94–0.99, p = 0.01). Barriers and facilitators to usage were explored. More than two-thirds of pharmacists who had not yet used handheld computers perceived a future value for these devices within their practice. Discussion: Pharmacists are adopting the use of handheld computers. With enhanced clinical practice opportunities for pharmacists including independent prescribing, these tools may offer needed functionality. Further work is required to understand the value of handheld computers as information resources, which may improve the effectiveness and efficiency of patient care.

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Shortliffe, E. H. "Dehumanization of Patient Care--Are Computers the Problem or the Solution?" Journal of the American Medical Informatics Association 1, no. 1 (January 1, 1994): 76–78. http://dx.doi.org/10.1136/jamia.1994.95236139.

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Ausserhofer, Dietmar, Lauriane Favez, Michael Simon, and Franziska Zúñiga. "Electronic Health Record Use in Swiss Nursing Homes and Its Association With Implicit Rationing of Nursing Care Documentation: Multicenter Cross-sectional Survey Study." JMIR Medical Informatics 9, no. 3 (March 2, 2021): e22974. http://dx.doi.org/10.2196/22974.

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Background Nursing homes (NHs) are increasingly implementing electronic health records (EHRs); however, little information is available on EHR use in NH settings. It remains unclear how care workers perceive its safety, quality, and efficiency, and whether EHR use might ease the burden of documentation, thereby reducing its implicit rationing. Objective This study aims to describe nurses’ perceptions regarding the usefulness of the EHR system and whether sufficient numbers of computers are available in Swiss NHs, and to explore the system’s association with implicit rationing of nursing care documentation. Methods This was a multicenter cross-sectional study using survey data from the Swiss Nursing Homes Human Resources Project 2018. It includes a convenience sample of 107 NHs, 302 care units, and 1975 care workers (ie, registered nurses and licensed practical nurses) from Switzerland’s German- and French-speaking regions. Care workers completed questionnaires assessing the level of implicit rationing of nursing care documentation, their perceptions of the EHR system’s usefulness and of how sufficient the number of available computers was, staffing and resource adequacy, leadership ability, and teamwork and safety climate. For analysis, we applied generalized linear mixed models, including individual-level nurse survey data and data on unit and facility characteristics. Results Overall, the care workers perceived the EHR systems as useful; ratings ranged from 69.42% (1362/1962; guarantees safe care and treatment) to 78.32% (1535/1960; allows quick access to relevant information on the residents). However, less than half (914/1961, 46.61%) of the care workers reported sufficient computers on their unit to allow timely documentation. Half of the care workers responded that they sometimes or often had to ration the documentation of care. After adjusting for work environment factors and safety and teamwork climate, both higher care worker ratings of the EHR system’s usefulness (β=−.12; 95% CI −0.17 to −0.06) and sufficient numbers of computers (β=−.09; 95% CI −0.12 to −0.06) were consistently associated with lower implicit rationing of nursing care documentation. Conclusions Both the usefulness of the EHR system and the number of computers available were important explanatory factors for care workers leaving care activities (eg, developing or updating nursing care plans) unfinished. NH managers should carefully select and implement their information technology infrastructure with greater involvement and attention to the needs of their care workers and residents. Further research is needed to develop and implement user-friendly information technology infrastructure in NHs and to evaluate their impact on care processes as well as resident and care worker outcomes.

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Harvey, John D. "Towards a User- Friendly Future: The Impact of Information Technology within Primary Health Care." International Journal of Technology Assessment in Health Care 5, no. 1 (January 1989): 79–89. http://dx.doi.org/10.1017/s0266462300005973.

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The use of computers in primary care in the United Kingdom has developed without coordination. The present situation is described. The proposal is that policies for improving primary care will be enhanced by appropriate application of information technology. Benefits and obstacles are identified; practical proposals for effective development are listed.

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Harz, Markus. "Cancer, Computers and Complexity: Decision Making for the Patient." European Review 25, no. 1 (February 2017): 96–106. http://dx.doi.org/10.1017/s106279871600048x.

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In health care, a trend may be noted to fundamentally question some of today’s assumptions about the traditional roles of medical disciplines, the doctor–patient relationship, the feasibility of medical studies, and about the role of computers as an aid or replacement of doctors. Diagnostics and therapy decision-making become more complex, and no end is in sight. Amounts of health-related data are being collected individually, and through the health care systems. On the example of breast cancer care, technological advances and societal changes can be observed as they take place concurrently, and patterns and hypotheses emerge that will be the focus of this article. In particular, three key changes are to be considered: (1) the growing appreciation of the uniqueness of diseases and the impact of this notion on the future of evidence-based medicine; (2) the acknowledgment of a ‘big data’ problem in today’s medical practice and science, and the role of computers; and (3) the societal demand for ‘P4 medicine’ (predictive, preventive, participatory, personalized), and its impact on the roles of doctors and patients.

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AlHadi, Ahmad N., Khawla A. Alammari, Lojain J. Alsiwat, Nojood E. Alhaidri, Nouf H. Alabdulkarim, Nouf A. Altwaijri, and Shamma A. AlSohaili. "Perception of Mental Health Care Professionals in Saudi Arabia on Computerized Cognitive Behavioral Therapy: Observational Cross-sectional Study." JMIR Formative Research 5, no. 5 (May 3, 2021): e26294. http://dx.doi.org/10.2196/26294.

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Background Mental health disorders are common in Saudi Arabia with a 34% lifetime prevalence. Cognitive behavioral therapy (CBT), a type of psychotherapy, is an evidence-based intervention for the majority of mental disorders. Although the demand for CBT is increasing, unfortunately, there are few therapists available to meet this demand and the therapy is expensive. Computerized cognitive behavioral therapy (cCBT) is a new modality that can help fill this gap. Objective We aimed to measure the knowledge of cCBT among mental health care professionals in Saudi Arabia, and to evaluate their attitudes and preferences toward cCBT. Methods This quantitative observational cross-sectional study used a convenience sample, selecting mental health care professionals working in the tertiary hospitals of Saudi Arabia. The participants received a self-administered electronic questionnaire through data collectors measuring their demographics, knowledge, and attitudes about cCBT, and their beliefs about the efficacy of using computers in therapy. Results Among the 121 participating mental health care professionals, the mean age was 36.55 years and 60.3% were women. Most of the participants expressed uncertainty and demonstrated a lack of knowledge regarding cCBT. However, the majority of participants indicated a positive attitude toward using computers in therapy. Participants agreed with the principles of cCBT, believed in its efficacy, and were generally confident in using computers. Among the notable results, participants having a clinical license and with cCBT experience had more knowledge of cCBT. The overall attitude toward cCBT was not affected by demographic or work-related factors. Conclusions Mental health care professionals in Saudi Arabia need more education and training regarding cCBT; however, their attitude toward its use and their comfort in using computers in general show great promise. Further research is needed to assess the acceptance of cCBT by patients in Saudi Arabia, in addition to clinical trials measuring its effectiveness in the Saudi population.

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Journal articles on the topic 'Computers and health care'

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