Contactless Healthcare.
Authors: Kim JY PMID: 33190458 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Development and Usability Evaluation of a Healthy Lifestyle Coaching Chatbot Using a Habit Formation Model.
CONCLUSIONS: This study found that coaching programs using chatbots can improve the effectiveness of performing simple, repetitive exercises. PMID: 33190459 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Patient Consent Management by a Purpose-Based Consent Model for Electronic Health Record Based on Blockchain Technology.
CONCLUSIONS: Our consent model is a solution for consent management both for patients and healthcare organizations. Our system, as a blockchain-based solution that provides high reliability and availability with transparency and traceability, is expected to be used not only for patient data sharing in hospitals, but also for data donation for biobank research purposes. PMID: 33190460 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Analysis of Smartphone Recordings in Time, Frequency, and Cepstral Domains to Classify Parkinson's Disease.
CONCLUSIONS: Developing a smartphone-based system that implements machine-learning techniques is an effective way to diagnose PD using the voice as a biomarker. PMID: 33190461 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Mortality Prediction from Hospital-Acquired Infections in Trauma Patients Using an Unbalanced Dataset.
CONCLUSIONS: Our findings demonstrate that cleaning an unbalanced dataset increases the accuracy of the classification model. Also, predicting mortality by a clustered under-sampling approach was more precise in comparison to random under-sampling and random over-sampling methods. PMID: 33190462 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

User Preferences Related to Multimedia Elements of a Mobile Application to Prevent Diabetes.
CONCLUSIONS: Technology must provide accessibility and coverage opportunities, while meeting the needs and expectations of users. It should facilitate primary health intervention through education to transform unhealthy behaviors and generate lifestyles that improve the health of the user and their family context. PMID: 33190463 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Building a Lung and Ovarian Cancer Data Warehouse.
CONCLUSIONS: This model succeeded in responding to complex queries, and the analysis of data is facilitated by using online analytical processing cubes and viewing multilevel data details. PMID: 33190464 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Analysis of Platforms and Functions of Mobile-Based Personal Health Record Systems.
This study was based on a PHR survey conducted from May 1 to June 30, 2020 and the National Health Insurance administrative data as of March 31, 2020. The study considered the platform, Android and iPhone operation system (iOS), and types of functionalities of PHR systems. Among the 316 target hospitals, 103 hospitals had adopted PHR systems. A logistic regression analysis was used. RESULTS: This study found that 103 hospitals had adopted mobile-based PHR systems for their patients. Sixty-four hospitals (62.1%) were adopting both Android and iOS, but 36 (35.0%) and 3 (2.9%) hospitals were adopting Android only or iOS o...
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Distribution and Characteristics of Pancreatic Volume Using Computed Tomography Volumetry.
The objective of this study was to measure the volume of the pancreas using computed tomography (CT) volumetry and to evaluate the relationships between sex, age, body mass index (BMI), and sarcopenia. METHODS: We retrospectively analyzed the abdominal CT scans of 1,003 subjects whose ages ranged between 10 and 90 years. The pancreas was segmented manually to define the region of interest (ROI) based on CT images, and then the PVs were measured by counting the voxels in all ROIs within the pancreas boundary. Sarcopenia was identified by examination of CT images that determined the crosssectional area of the skeletal mu...
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Impact of the Fourth Industrial Revolution on the Health Sector: A Qualitative Study.
CONCLUSIONS: Although the Fourth Industrial Revolution is still at an early stage, it has been concluded that it is having a major positive impact on the health sector. For the effective and efficient implementation of these disruptive technologies, a global interaction between governments, health professionals, stakeholders, and society is essential to make this change possible. PMID: 33190467 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Determining Public Opinion of the COVID-19 Pandemic in South Korea and Japan: Social Network Mining on Twitter.
CONCLUSIONS: As a result of the trend, people's interests in the economy were high in both countries, indicating their reservations on the economic downturn. Therefore, focusing policies toward economic stability is essential. Although the interest in prevention increased since April in both countries, the general public's relaxation regarding COVID-19 was also observed. PMID: 33190468 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Real-Time Monitoring System to Manage Mental Healthcare Emergency Unit.
CONCLUSIONS: The designed system could serve as a monitoring support model using free and user-friendly data science tools, which are good alternatives to proprietary business intelligence solutions and drastically reduce cost. Still, the key to success in decision-making systems is based on investment in human resources, business intelligence skills training, the organizational aspect of the decision-making process, and data production quality insurance. PMID: 33190469 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - November 17, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Big Technology and Data Privacy.
Authors: Yang K PMID: 32819033 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Application of Predictive Modelling to Improve the Discharge Process in Hospitals.
Conclusion: This study was an initiation to find out factors influencing discharge TAT and how those factors can be used to predict discharge in the hospital of interest. The study was validated and predicted the TAT with 77% accuracy after the significant factors that affect the discharge process were identified. PMID: 32819034 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Prediction of COVID-19 Outbreaks Using Google Trends in India: A Retrospective Analysis.
Conclusion: Our study revealed that GTs may predict outbreaks of COVID-19, 2 to 3 weeks earlier than the routine disease surveillance, in India. Google search data may be considered as a supplementary tool in COVID-19 monitoring and planning in India. PMID: 32819035 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

User Acceptance of Electronic Medical Record System: Implementation at Marie Stopes International, Myanmar.
Conclusion: Since health information technology usage and network availability were low in MSI-M, it is important to strengthen the information and communication technology infrastructure and introduce a policy for capacity building at MSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation and sustainability of an EMR system at MSI-M. PMID: 32819036 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Toolkit to Compute Time-Based Elixhauser Comorbidity Indices and Extension to Common Data Models.
Conclusion: TECI facilitates the study of comorbidities within a time-dependent context, allowing better understanding of disease associations and trajectories, which has the potential to improve clinical outcomes. PMID: 32819037 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Identifying a Personalized Anesthetic with Fuzzy PROMETHEE.
Conclusion: Expert opinion is always needed. Assigning weights to criteria and grading alternatives are the major challenges in multi-criteria decision-making studies. Fuzzy PROMETHEE is proposed to solve a multi-criteria decision-making problem in selecting a general anesthetic. PMID: 32819038 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Keyword Trends for Mother-Child Oral Health in Korea Based on Social Media Big Data from Naver.
Conclusion: We found a high interest in keywords related to preventive measures for the oral health of infants and children, but there was a lack of awareness regarding the oral health of pregnant women. These findings suggest that prevention in infants and pregnant women is necessary, and that public awareness regarding education about oral healthcare needs to be raised. PMID: 32819039 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Impact of Digital Divide on the Adoption of Online Patient Portals for Self-Motivated Patients.
Conclusion: Self-motivation is an important factor in patient portal use and access. Behavioral and motivational interventions geared towards the adoption of health information technology tools, such as online portals, can assist with improving the public health significance of these tools. PMID: 32819040 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Building Consensus on the Priority-Setting for National Policies in Health Information Technology: A Delphi Survey.
Conclusion: Most items with high importance and urgency belonged to the infrastructure domain. The findings indicated that fostering an infrastructural environment should be polices with top priorities of HIT. PMID: 32819041 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Augmented Reality Application to Develop a Learning Tool for Students: Transforming Cellphones into Flashcards.
Conclusion: Using this application, students will be able to independently learn and self-test their learning at their own convenience. Instructors can use the application to provide additional study aids for the students. Our application, which is being developed as a pilot project, will be expanded and applied as a learning tool for students studying dentistry at the University of Alberta. PMID: 32819042 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Design of Automatic Hand Sanitizer System Compatible with Various Containers.
Conclusion: The automatic hand sanitizer device proposed in this paper is ultimately expected to contribute to contactless hand disinfection in public places and virus infection prevention. Additionally, it is economical and eco-friendly by decreasing waste emissions. PMID: 32819043 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Understanding Personal Health Record and Facilitating its Market.
Authors: Park Y, Yoon HJ PMID: 32819044 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Erratum to: Protecting and Utilizing Health and Medical Big Data: Policy Perspectives from Korea.
Authors: Lee D, Park M, Chang S, Ko H PMID: 32819045 [PubMed - in process] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - August 22, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Path to Advanced Healthcare in the Wake of COVID-19.
Authors: Lee YS PMID: 32547804 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Quantified Self-Using Consumer Wearable Device: Predicting Physical and Mental Health.
Conclusions: Despite their huge potential for adoption in clinical settings, wearable device accuracy and validity remain the key challenge to be met. Some lessons learned and future projections, such as combining traditional study design with statistical and machine learning methods, are highlighted in this paper to provide a useful overview for other researchers carrying out similar research. PMID: 32547805 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Effects of a Mobile-App-Based Self-Management Support Program For Elderly Hemodialysis Patients.
Authors: Min Y, Park M Abstract Objectives: To identify the effects of a mobile-app-based self-management program for elderly hemodialysis patients on their sick-role behavior, basic psychological needs, and self-efficacy. Methods: A nonequivalent control group with a non-synchronized design was utilized, and 60 participants (30 in each of the experimental and control groups) were recruited from Chungnam National University Hospital from March to August 2018. The program consisted of continuous training on how to use the mobile-app, self-checking via the app, message transfer through Electronic Medical Records,...
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Analysis of Adverse Drug Reactions Identified in Nursing Notes Using Reinforcement Learning.
Conclusions: TD learning is a promising approach because it can exploit contextual, time-dependent aspects of the available data and provide an analysis of the severity of ADRs in a fully incremental manner. PMID: 32547807 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Prediction of Serum Creatinine in Hemodialysis Patients Using a Kernel Approach for Longitudinal Data.
Conclusions: The MLS-SVR achieved the best serum creatinine prediction performance in comparison to LR, LMM, and LS-SVR. PMID: 32547808 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Qualitative and Quantitative Analysis of Definitions of e-Health and m-Health.
Conclusions: Mobility and flexibility is important for both m-health and e-health. Five keywords that characterize the definitions of e-health and m-health are "health", "mobile", "use", "information", and "technology". E-health or m-health cannot replace human actors because e-health and m-health consist of social and material interactions. Using e-health and m-health is, thus, about developing healthcare without compromising native relics. PMID: 32547809 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Factors Associated with 5-Year Costs of Care among a Cohort of Alcohol Use Disorder Patients: A Bayesian Network Model.
Conclusions: The ANB model with application of DCC identified that remission has a favorable causal effect on the total cost accumulation. A high number of chronic conditions was the main contributor to excess cost of care, indicating that comorbidity is an essential mediator of cost accumulation in AUD patients. PMID: 32547810 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Monitoring Mental Healthcare Services Using Business Analytics.
Authors: Housbane S, Khoubila A, Ajbal K, Serhier Z, Agoub M, Battas O, Othmani MB Abstract Objectives: Monitoring healthcare activities is the first step for health stakeholders and health professionals to improve the quality and performance of healthcare services. However, monitoring remains a challenge for healthcare facilities, especially in developing countries. Fortunately, advances in business analytics address this need. This paper aims to describe the experience of a low-income healthcare facility in a developing country in using business analytics descriptive techniques and to discuss business analytics i...
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Doctor Consultation through Mobile Applications in India: An Overview, Challenges and the Way Forward.
Conclusions: mHealth apps providing doctor consultation are gaining popularity in India, and they have enormous potential in the country. The government should make enabling policies to facilitate and popularise mHealth apps. PMID: 32547812 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Lessons from Temporary Telemedicine Initiated owing to Outbreak of COVID-19.
Authors: Kim HS PMID: 32547813 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - June 19, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Research and Publication Ethics in Academia.
Authors: Chang H PMID: 32082694 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Application of Blockchain to Maintaining Patient Records in Electronic Health Record for Enhanced Privacy, Scalability, and Availability.
Conclusions: Our system is feasible and flexible with scalability and availability in adapting to existing EHRs for strengthening security and privacy in managing patient records. Our research is expected to provide an effective method to integrate dispersed patient records among medical institutions. PMID: 32082695 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Machine Learning and Initial Nursing Assessment-Based Triage System for Emergency Department.
Conclusions: We developed an ML and INA-based triage system for EDs. The novel system was able to predict clinical outcomes more accurately than existing triage systems, KTAS and SOFA. PMID: 32082696 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Prediction of Chronic Disease-Related Inpatient Prolonged Length of Stay Using Machine Learning Algorithms.
Conclusions: Prolonged LOS is mostly associated with pre-intraoperative clinical and patient socioeconomic factors. Accurate patient identification with the risk of prolonged LOS using the selected model can provide hospitals a better tool for planning early discharge and resource allocation, thus reducing avoidable hospitalization costs. PMID: 32082697 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Big Data-Driven Approach for Health Inequalities in Foreign Patients with Injuries Visiting Emergency Rooms.
This study aimed to investigate whether there is health inequality between foreigners and natives who visited emergency rooms with injuries and to examine its causes. Methods: We analyzed clinical data from the National Emergency Department Information System database associated with patients of all age groups visiting the emergency room from 2013 to 2015. We analyzed data regarding mortality, intensive care unit admission, emergency operation, severity, area, and transfer ratio. Results: A total of 4,464,603 cases of injured patients were included, of whom 67,683 were foreign. Injury cases per 100,000 population p...
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Prediction of Drug-Drug Interactions by Using Profile Fingerprint Vectors and Protein Similarities.
Conclusions: In this study, we developed a computational approach to the prediction of potential drug interactions. The performance of the similarity-based computational methods was comparatively evaluated using a comprehensive real-world DDI dataset. The evaluations showed that the drug interaction profile information is a better predictor of DDIs compared to drug adverse effects and protein similarities among DDI pairs. PMID: 32082699 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Immediate Effects and Acceptability of an Application-Based Stretching Exercise Incorporating Deep Slow Breathing for Neck Pain Self-management.
Conclusions: NeckProtector can be an alternative treatment for neck pain self-management via smartphone application among smartphone users with neck pain. Further studies should examine the long-term effectiveness (Clinical trials registry: TCTR20160523001). PMID: 32082700 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Web-Based Spine Segmentation Using Deep Learning in Computed Tomography Images.
Conclusions: The proposed web-based deep learning approach can be very practical and accurate for spine segmentation as a diagnostic method. PMID: 32082701 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Association between Full Electronic Medical Record System Adoption and Drug Use: Antibiotics and Polypharmacy.
Conclusions: The findings suggested that there might be some confounding effects present and sophisticated ICT may provide some benefits to the quality of care even with some mixed results. Although a negative relationship between full EMR system adoption and antibiotic drug use was only significant in hospitals, EMR system functions searching drugs or listing specific patients might facilitate antibiotic drug use reduction. Positive relationships between full EMR system adoption and polypharmacy rate in general hospitals and clinics, but not hospitals, require further research. PMID: 32082702 [PubMed] (Source: Healthc...
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Issues in Publication Ethics of Healthcare Informatics Research since 2010.
Authors: Kwon IH PMID: 32082703 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - February 23, 2020 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Emerging Ethical Issues in Managing Real World Data.
Authors: Yang KM PMID: 31777666 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - December 1, 2019 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Protecting and Utilizing Health and Medical Big Data: Policy Perspectives from Korea.
Conclusions: Following our comparative legal analyses, implications were drawn. The main conclusion is that the relationship between the legal requirements imposed for purposes of personal information protection and the regulatory requirements governing the use of health and medical data is complicated and multi-faceted and, as such, their relationship should be more clearly streamlined and delineated. PMID: 31777667 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - December 1, 2019 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Artificial Intelligence Applications in Type 2 Diabetes Mellitus Care: Focus on Machine Learning Methods.
Conclusions: It is recommended to select optimal algorithms by testing various techniques. Support vector machine and naive Bayesian might achieve better performance than other applications due to the type of variables and targets in diabetes-related outcomes classification. PMID: 31777668 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - December 1, 2019 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Dietary Application for the Management of Patients with Hemodialysis: A Formative Development Study.
Conclusions: The KELA.AE app was found to be satisfactory and supportive of the participants' needs. Changes were made to the app as suggested during the interviews. PMID: 31777669 [PubMed] (Source: Healthcare Informatics Research)
Source: Healthcare Informatics Research - December 1, 2019 Category: Information Technology Tags: Healthc Inform Res Source Type: research

Effect of Watch-Type Haptic Metronome on the Quality of Cardiopulmonary Resuscitation: A Simulation Study.
Authors: Choi B, Kim T, Yoon SY, Yoo JS, Won HJ, Kim K, Kang EJ, Yoon H, Hwang SY, Shin TG, Sim MS, Cha WC Abstract Objectives: The aim of this study was to test the applicability of haptic feedback using a smartwatch to the delivery of cardiac compression (CC) by professional healthcare providers. Methods: A prospective, randomized, controlled, case-crossover, standardized simulation study of 20 medical professionals was conducted. The participants were randomly assigned into haptic-first and non-haptic-first groups. The primary outcome was an adequate rate of 100-120/min of CC. The secondary outcome was a com...
Source: Healthcare Informatics Research - December 1, 2019 Category: Information Technology Tags: Healthc Inform Res Source Type: research