While organizations implement information technology (IT) to effect change, current theories of IT-associated organizational change pay insufficient attention the goals, role IT in and multilevel nature processes. We take a fresh look at using grounded theory methods. Our longitudinal study an electronic health record (EHR) system implementation multi-site medical group found user behaviors that did not fit well with existing theories. Instead, we they better concept affordances from...

Mobile health (mHealth) apps that support individuals pursuing and wellness goals, such as weight management, stress smoking cessation, self-management of chronic conditions have been on the rise. Despite their potential benefits, use these tools has limited, most users stop using them just after a few times use. Under this circumstance, achieving positive outcomes mHealth is less likely. The objective study was to understand continued individuals' decisions related behavior. We conducted...

The standard chronic wound assessment method based on visual examination is potentially inaccurate and also represents a significant clinical workload. Hence, computer-based systems providing quantitative may be valuable for accurately monitoring healing status, with the area best suited automated analysis. Here, we present novel approach, using support vector machines (SVM) to determine boundaries foot ulcer images captured an image capture box, which provides controlled lighting range....

Diabetic foot ulcers represent a significant health issue. Currently, clinicians and nurses mainly base their wound assessment on visual examination of size healing status, while the patients themselves seldom have an opportunity to play active role. Hence, more quantitative cost-effective method that enables caregivers take role in daily care potentially can accelerate healing, save travel cost reduce healthcare expenses. Considering prevalence smartphones with high-resolution digital...

Over one billion smartphones have now been shipped worldwide. These mobile devices feature multi-core CPUs and GPUs, megapixel cameras an array of sensors. Smartphone sensors can be processed to diagnose a wide variety medical conditions including cough detection, irregular heartbeat lung function analysis. The ability ailments in the convenience patients' homes on that they already possess could lead early which ultimately reduce healthcare costs. This paper reviews state-of-the-art...

We sought to understand how patients and primary care teams use secure messaging (SM) communicate with one another by analyzing message threads from 2 Department of Veterans Affairs facilities.We coded 1000 SM communication sampled 40 teams.Most (94.5%) were initiated (90.4%) or caregivers (4.1%); only 5.5% team members proactively reaching out patients. Medication renewals refills (47.2%), scheduling requests (17.6%), medication issues (12.9%), health (12.7%) the most common...

Chronic wounds affect 8.5 million Americans, particularly the elderly and patients with diabetes. These can take up to nine months heal, making regular care essential ensure healing prevent severe outcomes like limb amputations. Many receive at home from visiting nurses varying levels of wound expertise, leading inconsistent care. Problematic, non-healing should be referred specialists, but referral decisions in non-clinical settings are often erroneous, delayed, or unnecessary. This paper...

Telemedicine allows medical doctors and specialized skilled experts to provide services patients who are in remote locations using advanced telecommunications. This paper presents a taxonomy that systematically classifies various telemedicine efforts worldwide five major dimensions: application purpose, area, environmental setting, communication infrastructure, delivery options. To identify relationships patterns between these different dimensions programs survey data from the Information...

Background: Reviews of weight loss mobile apps have revealed they include very few evidence-based features, relying mostly on self-monitoring. Unfortunately, adherence to self-monitoring is often low, especially among patients with motivational challenges. One behavioral strategy that leveraged in virtually every visit interventions and specifically used deal issues problem solving. Problem solving has been successfully implemented depression apps, but not yet apps.

<italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Goal:</i> Augment a small, imbalanced, wound dataset by using semi-supervised learning with secondary dataset. Then utilize the augmented for deep learning-based assessment. xmlns:xlink="http://www.w3.org/1999/xlink">Methods:</i> The clinically-validated Photographic Wound Assessment Tool (PWAT) scores eight attributes: Size, Depth, Necrotic Tissue Type, Amount, Granulation type, Edges,...

In the history of telemedicine, various definitions have been published and numerous terminologies coined. The introduction new technologies played an important role in changing definitions. After three decades experience telemedicine its variations, need for a single taxonomy that is detailed enough to define all terms introduced until today evident. Taxonomy we propose takes into account purpose, application area, delivery tools, communication infrastructure, setting dimensions. purpose...

Over one billion smartphones have now been shipped worldwide. These mobile devices feature multi-core CPUs and GPUs, megapixel cameras an array of sensors. Smartphone sensors can be processed to diagnose a wide variety medical conditions including cough detection, irregular heartbeat lung function analysis. The ability ailments in the convenience patients' homes on that they already possess could lead early which ultimately reduce healthcare costs. This paper reviews state-of-the-art...

Background: For individuals with type 2 diabetes, foot ulcers represent a significant health issue. The aim of this study is to design and evaluate wound assessment system help clinics assess patients in way that complements their current visual examination manual measurements ulcers. Methods: physical components the consist an image capture box, smartphone for laptop analyzing image. algorithms calculate overall area, color segmented areas, healing score, provide quantitative status both...

Smartphone wound image analysis has recently emerged as a viable way to assess healing progress and provide actionable feedback patients caregivers between hospital appointments. Segmentation is key step, after which attributes of the segment (e.g. area tissue composition) can be analyzed. The Associated Hierarchical Random Field (AHRF) formulates segmentation problem graph optimization problem. Handcrafted features are extracted, then classified using machine learning classifiers. More deep...

Diabetes mellitus is a serious chronic disease that affects millions of people worldwide. In patients with diabetes, ulcers occur frequently and heal slowly. Grading staging diabetic the first step effective treatment wound depth granulation tissue amount are two important indicators healing progress. However, depths different severities can visually appear quite similar, making accurate machine learning classification challenging. this paper, we innovatively adopted fine-grained idea for...

Introduction The U.S. health care industry is catching up on its lagging information technology (IT) investment, and this trend has important ramifications for IT academics practitioners. During the 1990s, investing in was a relatively low priority hospitals systems, which faced fiscal constraints pressing need to upgrade aging facilities. Now come be viewed as means improving quality, safety, productivity care. As consequence, proportion of hospital revenue that invested doubled recent...

Diabetic foot ulcers represent a significant health issue, and daily wound care is necessary for healing to occur. The goal of this research create smart phone based image analysis system people with diabetes track the process chronic wounds. This has been implemented on an Android in collaboration PC (or embedded PC). captured by camera transmitted via Wi-Fi processing. converts JPEG bitmap format, then performs boundary segmentation image. done particular implementation level set...

Background Although calorie tracking is one of the strongest predictors weight loss in behavioral interventions, low rates adherence are common. Objective This study aims to examine feasibility and acceptability using Slip Buddy app during a 12-week web-based program. Methods We conducted randomized pilot trial evaluate compared with popular commercial counselor-led, intervention. Adults who were overweight or obese recruited on web into intervention that included either app. Feasibility...

Many individuals with suicide risk present to acute care settings such as emergency departments (EDs). However, staffing and time constraints mean that many EDs are not well equipped deliver evidence-based interventions for patients experiencing suicidality. An existing intervention initiated in the ED (Emergency Department Safety Assessment Follow-up Evaluation [ED-SAFE]) has been found be effective but faces trenchant barriers widespread adoption.On basis of ED-SAFE intervention, we aimed...

In today's world of ever increasing amounts information, hospitals and medical groups must continually find ways to manage the myriad information that is gathered on patients. This reality makes field medicine well suited benefit from integrative online systems. However, research reveals at times physicians resist use technology (IT) in clinical setting. paper seeks develop a conceptual model for physician acceptance test this socio-work structure using nationwide survey (n=141) conducted by...

There is some tacit understanding that telemedicine can provide cost efficiency along with increased access and equality of care for the geographically disadvantaged. However, concrete strategic guidance healthcare organizations to attain these benefits fragmented limited in existing literature. Telemedicine programs need move from a grant-funded profit-centered status sustain their existence. This article extends work presented at recent American Association Business Finance Special...

Summary Background: Clinical pathways are evidence-based recommendations for treating a diagnosis. Although implementations of clinical have reduced medical errors, lowered costs, and improved patient outcomes, monitoring whether is following the intended pathway problematic. Implementing variance reporting program impeded by lack reliable source electronic data automatic retrieval methods. Objectives: Our objective to develop an automated method measuring from pathway. Methods: We identify...