Medical informatics: Past, present, future☆☆☆

Haux, Reinhold

doi:10.1016/j.ijmedinf.2010.06.003

Cited by 175 publications

(123 citation statements)

References 79 publications

(76 reference statements)

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“…5 Many electronic resources have been developed to aid diagnostic decision making. 6 Welldesigned information technology (IT) decision support tools may improve physicians' diagnostic accuracy and efficiency and patient safety. Poorly designed decision support tools or conflicting practice guidelines, however, present barriers to accurate and effective test selection and interpretation.…”

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confidence: 99%

Primary Care Physicians' Challenges in Ordering Clinical Laboratory Tests and Interpreting Results

Hickner

Thompson

Wilkinson

et al. 2014

The Journal of the American Board of Family Medicine

125

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Background:The number and complexity of clinical laboratory tests is rapidly expanding, presenting primary care physicians with challenges in accurately, efficiently, and safely ordering and interpreting diagnostic tests. The objective of this study was to identify challenges primary care physicians face related to diagnostic laboratory testing and solutions they believe are helpful and available to them.Methods: In this study, sponsored by the Centers for Disease Control and Prevention, a random sample of general internal medicine and family medicine physicians from the American Medical Association Masterfile were surveyed in 2011.Results: 1768 physicians (5.6%) responded to the survey. Physicians reported ordering diagnostic laboratory tests for an average of 31.4% of patient encounters per week. They reported uncertainty about ordering tests in 14.7% and uncertainty in interpreting results in 8.3% of these diagnostic encounters. The most common problematic challenges in ordering tests were related to the cost to patients and insurance coverage restrictions. Other challenges included different names for the same test, tests not available except as part of a test panel, and different tests included in panels with the same names. The most common problematic challenges in interpreting and using test results were not receiving the results and confusing report formats. Respondents endorsed a variety of information technology and decision support solutions to improve test selection and results interpretation, but these solutions were not widely available at the time of the survey. Physicians infrequently sought assistance or consultation from laboratory professionals but valued these consultations when they occurred.Conclusions: Primary care physicians routinely experience uncertainty and challenges in ordering and interpreting diagnostic laboratory tests. With more than 500 million primary care patient visits per year, the level of uncertainty reported in this study potentially affects 23 million patients per year and raises significant concerns about the safe and efficient use of laboratory testing resources. Improvement in information technology and clinical decision support systems and quick access to laboratory consultations may reduce physicians' uncertainty and mitigate these challenges. (J Am Board Fam Med 2014;27:268-274.)

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confidence: 99%

Primary Care Physicians' Challenges in Ordering Clinical Laboratory Tests and Interpreting Results

Hickner

Thompson

Wilkinson

et al. 2014

The Journal of the American Board of Family Medicine

125

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“…In order to do original and relevant research and/or to identify promising future research directions, it is important to know of and to learn from past research experience [17]. As Methods is the oldest international journal in medical informatics we thought it important to archive the history of our field.…”

Section: Providing Online Access To All Methods Publications Since Itmentioning

confidence: 99%

Methods in Year 50: Preserving the Past and Preparing for the Future

Haux

Aronsky²,

Leong³

et al. 2011

Methods Inf Med

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SummaryBackground: Founded in 1962 and, therefore, the oldest international journal in medical informatics, Methods of Information in Medicine will publish its 50th volume in 2011. At the start of the journal's sixth decade, a discussion on the journal's profile seems appropriate. Objectives: To report on the new opportunities for online access to Methods publications as well as on the recent strategic decisions regarding the journal's aims and editorial policies. Methods: Describing and analyzing the journal's aims and scope. Reflecting on recent publications and on the journal's development during the last decade.

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“…Health informatics (health information systems, ehealth) is interdisciplinary and includes healthcare, information technology and computer science [4]. As a matter of fact, EMR is a primary domain of e-health [5].…”

Section: Research Backgroundmentioning

confidence: 99%

Recent Research Areas and Grand Challenges in Electronic Medical Record: A Literature Survey Approach

Najaftorkaman¹,

Ghapanchi²,

Talaei-Khoei³

et al. 2013

ITMR

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This study undertook a literature survey to provide a taxonomy that represents research areas of Electronic Medical Record (EMR). We identified the following areas of research and classified them into eight main categories: design and implementation, evaluation, adoption, impacts, medical research, integration, EMR data design and management, and policy and standards. Even though EMR improves care quality and efficiency in a positive way, some negative perceptions by the health user community (health professionals and health service managers) should not be neglected. By categorizing EMR research articles, we reveal a clear set of grand challenges of EMR in the future education and research in health informatics, biomedical engineering, and related areas. A big picture of EMR research areas presented in this study helps health community to find scientific methods for various grand challenges in EMR.

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Medical informatics: Past, present, future☆☆☆

Abstract: Health care continuously changes as the underlying science and practice of health are in continuous transformation. Medical informatics as a discipline is strongly affected by these changes and is in a position to be a key, active contributor in these changes.

Cited by 175 publications

References 79 publications

Primary Care Physicians' Challenges in Ordering Clinical Laboratory Tests and Interpreting Results

Primary Care Physicians' Challenges in Ordering Clinical Laboratory Tests and Interpreting Results

Methods in Year 50: Preserving the Past and Preparing for the Future

Recent Research Areas and Grand Challenges in Electronic Medical Record: A Literature Survey Approach

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