Health Care Sciences & Services

Article Computer Science, Information Systems

A digital platform to support communication and organization in the general practice: Evaluation of healthcare usage and costs using claims data of a health insurer

R. F. Willemsen, J. J. Aardoom, O. P. van der Galien, S. van de Vijver, N. H. Chavannes, A. Versluis

Summary: This study evaluated healthcare usage and costs of patients using a digital platform, showing an increase in GP consultations and costs after implementation.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Computer Science, Information Systems

Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden

Sari Kujala, Saija Simola, Bo Wang, Hedvig Soone, Josefin Hagstrom, Annika Barkas, Iiris Horhammer, Asa Cajander, Asbjorn Johansen Fagerlund, Bridget Kane, Anna Kharko, Eli Kristiansen, Jonas Moll, Hanife Rexphepi, Maria Hagglund, Monika A. Johansen

Summary: This study benchmarks the usability of national patient portals in Estonia, Finland, Norway, and Sweden using a mixed-methods survey approach. The results indicate variations in usability across countries and highlight the influence of very positive and very negative experiences on usability ratings. The survey approach proves effective in evaluating user experiences and identifying areas for improvement and desirable features.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Review Computer Science, Information Systems

Conversational agents for depression screening: A systematic review

Ivan Otero-Gonzalez, Moises R. Pacheco-Lorenzo, Manuel J. Fernandez-Iglesias, Luis E. Anido-Rifon

Summary: This study explores the applications of conversational agents in detecting mental health disorders, specifically depression screening. The findings indicate that conversational agents are effective in detecting depression, and voice interaction is the future direction of development.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Computer Science, Information Systems

District health information system (DHIS2) as integrated antimicrobial resistance surveillance platform: An exploratory qualitative investigation of the one health stakeholders' viewpoints in Ethiopia

Muhammad Asaduzzaman, Zeleke Mekonnen, Ernst Kristian Rodland, Sundeep Sahay, Andrea Sylvia Winkler, Christoph Gradmann

Summary: Our study explored the perspectives of stakeholders in Jimma, Ethiopia on the use of DHIS2 as a One Health Antimicrobial Resistance (AMR) surveillance platform. The findings suggest that DHIS2 has the potential to be a user-friendly and acceptable platform for OH-AMR surveillance. Despite some challenges, most participants perceived DHIS2 as suitable for OH-AMR surveillance and expressed their willingness to contribute in their current professional roles.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Health Care Sciences & Services

Non-HDL cholesterol and residual risk of cardiovascular events in patients with ischemic heart disease and well-controlled LDL cholesterol: a cohort study

Malene Kaerslund Hansen, Martin Bodtker Mortensen, Kevin Kris Warnakula Olesen, Pernille Gro Thrane, Michael Maeng

Summary: In patients with well-managed LDL-C levels, non-HDL-C emerges as a readily accessible marker for detecting patients at high residual risk of ASCVD and death, providing important implications for preventive strategies beyond LDL-C targets.

LANCET REGIONAL HEALTH-EUROPE (2024)

Article Health Care Sciences & Services

Breast Cancer Screening in Georgia: Choosing the Most Optimal and Cost-Effective Strategy

Abyan Irzaldy, Rema Gvamichava, Tina Beruchashvili, Lela Sturua, Nicolien T. van Ravesteyn, Harry J. de Koning, Eveline A. M. Heijnsdijk

Summary: This study used the MISCAN-Breast model to evaluate 736 breast cancer mammography screening strategies. The results showed that strategies combining mammography and clinical breast examination (CBE) had higher costs and minimal differences in outcomes compared to mammography-only strategies. The current strategy in Georgia, biennial mammography screening from 40 to 70 years with CBE, is close to the optimal strategy but requires high additional costs. The optimal strategy for Georgia would be triennial mammography-only screening from 45 to 66 years.

VALUE IN HEALTH REGIONAL ISSUES (2024)

Article Health Care Sciences & Services

Adapting Economic Evaluation Methods to Shifting Global Health Priorities: Assessing the Value of Health System Inputs

Finn McGuire, Sakshi Mohan, Simon Walker, Juliet Nabyonga-Orem, Freddie Ssengooba, Edward Kataika, Paul Revill

Summary: Undertaking value assessments for health system inputs is crucial for allocative efficiency, especially in low- and middle-income countries. However, there are methodological challenges in applying current economic evaluation techniques to health system input investments. A comprehensive standardized framework for value assessments does not exist, and the literature largely ignores these methodological issues, potentially leading to inaccurate cost-effectiveness assessments.

VALUE IN HEALTH REGIONAL ISSUES (2024)

Article Health Care Sciences & Services

Taxing women's bodies: the state of menstrual product taxes in the Americas

Alheli Calderon-Villarreal

Summary: Taxation on menstrual products is considered unfair, imposing economic burden on people who menstruate. Despite some countries eliminating the tax, the majority of regions still have taxing policies towards menstruators, with particularly high tax rates in South America.

LANCET REGIONAL HEALTH-AMERICAS (2024)

Review Computer Science, Information Systems

Sharpening clinical decision support alert and reminder designs with MINDSPACE: A systematic review

Sarang Hashemi, Lu Bai, Shijia Gao, Frada Burstein, Kate Renzenbrink

Summary: This study demonstrates the value of the MINDSPACE framework in designing clinical decision support alerts and reminders. The framework addresses the challenges faced by designers in identifying behavioral effects relevant to alert and reminder designs.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Computer Science, Information Systems

Assessing the relevance of mental health factors in fibromyalgia severity: A data-driven case study using explainable AI

Pedro A. Moreno-Sanchez, Ruben Arroyo-Fernandez, Elisabeth Bravo-Esteban, Asuncion Ferri-Morales, Mark van Gils

Summary: This study analyzed data from fibromyalgia patients to assess the impact of mental health factors on fibromyalgia severity compared to pain factors. The findings suggest that mental health factors are more relevant for fibromyalgia severity.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Computer Science, Information Systems

HeNeCOn: An ontology for integrative research in Head and Neck cancer

Liss Hernandez, Estefania Estevez-Priego, Laura Lopez-Perez, Maria Fernanda Cabrera-Umpierrez, Maria Teresa Arredondo, Giuseppe Fico

Summary: HeNeCOn is a reusable, extendible and standardized ontology that provides a clinically reliable data model for Head and Neck Cancer. It consists of 502 classes and 283 medical terms with detailed relations between them, allowing for information extraction and knowledge management.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Health Care Sciences & Services

Health System Financing and Resource Allocation in Humanitarian Settings: Toward a Collaborative Policy Research Agenda in the Eastern Mediterranean Region

Sumit Mazumdar, Rana Hajjeh, Rick Brennan, Awad Mataria

Summary: This article discusses the important policy questions regarding health system financing in humanitarian settings, focusing on the Eastern Mediterranean region. The article explores the key financing functions in different challenges and suggests potential policy options. It also emphasizes the importance of collaborative research to inform policy choices aligned with universal health coverage in challenging contexts.

VALUE IN HEALTH REGIONAL ISSUES (2024)

Article Health Care Sciences & Services

Study of the Direct Costs of Asthma at a Healthcare Service Provider in Bogota, Colombia

Yaneth Gil-Rojas, Pieralessandro Lasalvia, Victor Saenz, Oscar Virgueez, Maria P. Pena, Camilo Castaneda-Cardona, Maria E. Laucho-Contreras, Andres L. Gonzalez, Carmen Y. Garcia-Nuncira, Diego Rosselli

Summary: This study aimed to describe the clinical characteristics and direct medical costs associated with asthma treatment in Colombia patients. The results showed that medication use and outpatient visits were the main drivers of costs, and costs were higher in severe cases and in the adult/elderly population.

VALUE IN HEALTH REGIONAL ISSUES (2024)

Article Health Care Sciences & Services

Cost-effectiveness of treatment in adults with blood pressure of 130-139/80-89 mmHg and high cardiovascular risk in China: a modelling study

Jiangtao Li, Dong Zhao, Jun Cai, Shuohua Chen, Shouling Wu, Yue Qi

Summary: This study evaluated the benefits and cost-effectiveness of medication for individuals aged >= 35 years with systolic blood pressure (SBP)/diastolic blood pressure (DBP) of 130-139/80-89 mmHg and high cardiovascular risk in China. The findings showed that medication treatment could significantly reduce cardiovascular disease events and premature deaths, and increase quality-adjusted life-years (QALYs) with cost-effectiveness.

LANCET REGIONAL HEALTH-WESTERN PACIFIC (2024)

Article Economics

Reminder design and childhood vaccination coverage

Jonas Cuzulan Hirani, Miriam Wust

Summary: The use of reminders in public vaccination programs can effectively increase childhood vaccination coverage, especially when sent close to the recommended vaccination age. Both digital and postal reminders have equal impact on vaccination rates. Prospective reminders can improve timely vaccinations in later childhood and help achieve high coverage for new vaccines in complex vaccination programs. Reminders prompt additional preventive care for the focal children, but have no spillover effects on other health behaviors or relatives.

JOURNAL OF HEALTH ECONOMICS (2024)

Article Computer Science, Information Systems

Development and feasibility testing of an artificially intelligent chatbot to answer immunization-related queries of caregivers in Pakistan: A mixed-methods study

Danya Arif Siddiqi, Fatima Miraj, Humdiya Raza, Owais Ahmed Hussain, Mehr Munir, Vijay Kumar Dharma, Mubarak Taighoon Shah, Ali Habib, Subhash Chandir

Summary: This study developed and evaluated an AI chatbot in local language for providing immunization information in low-resource, low-literacy settings in Pakistan. The results showed that the chatbot was feasible and acceptable, meeting the needs of caregivers and reducing the workload of helpline operators.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Review Computer Science, Information Systems

Home-based exercise interventions delivered by technology in older adults: A scoping review of technological tools usage

Ana Raquel Costa-Brito, Antonio Bovolini, Maria Rua-Alonso, Claudia Vaz, Juan Francisco Ortega-Moran, J. Blas Pagador, Carolina Vila-Cha

Summary: This scoping review investigates the use of home-based technological tools to improve physical function in older adults. The majority of studies suggest high levels of technology usage and positive health outcomes. However, the lack of international consensus on technology usage measures and the exclusion of older adults without technology ownership or experience may limit the findings.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Review Computer Science, Information Systems

Research related to the diagnosis of prostate cancer based on machine learning medical images: A review

Xinyi Chen, Xiang Liu, Yuke Wu, Zhenglei Wang, Shuo Hong Wang

Summary: The current research on the diagnosis and staging of prostate cancer using machine learning and deep learning is in its infancy, with low accuracy in diagnosis and classification. There is a lack of studies on CT images and ultrasound images.

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS (2024)

Article Economics

Unmet need in major depressive disorder and acute suicidal ideation or behavior: findings from a longitudinal electronic health record data analysis

Cheryl Neslusan, Yen-Wen Chen, Mohit Sharma, Jennifer Voelker

Summary: Using a national electronic health records database, this study examines the treatments, depression severity, and health care resource utilization among patients with major depressive disorder and acute suicidal ideation or behavior in the United States. The findings suggest a need for improved outcomes and strategies to optimize screening and treatment for this vulnerable population.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Ten-year cost-consequence analysis of weight loss on obesity-related outcomes in privately insured adults with obesity in Saudi Arabia

Hussain A. Al-Omar, Nasser Aljehani, Ali Alshehri, Abdullah Al-Khenizan, Faisal Al-Shammari, Abdulmohsen Abanumay, Volker Schnecke, Joao L. Carapinha, Saleh A. Alqhatani

Summary: This study aimed to estimate the 10-year cost-consequence of weight loss on obesity-related outcomes in a sample of privately insured adults with obesity in Saudi Arabia (KSA). The findings showed that moderate weight loss of 5-15% over 10 years is associated with substantial cost savings, and prevented incidence cases of obesity-related outcomes. This could help policymakers implement weight loss programs in KSA.

JOURNAL OF MEDICAL ECONOMICS (2023)