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PubMed1994

Cruising the information highway: online services and electronic mail for physicians and families.

Commercial online service providers, bulletin board services, and the Internet make up the rapidly expanding "information highway." Physicians and their families can use these services for professional and personal communication, for recreation and commerce, and to obtain reference information and computer software. Commercial providers include America Online, CompuServe, GEnie, and MCIMail. Internet access can be obtained indirectly through America Online or directly through specialized access providers. Today's online services are destined to evolve into a National Information Infrastructure that will change the way we work and play.

Computer Communication Networks↗
PubMed1996

Electronic mail.

Explore the source record for details and available documents.

Communication↗
PubMed1996

The pediatric Internet.

The Internet is a set of rules for computer communications that has created easy access to electronic mail, electronic mailing lists, and the World Wide Web. The "pediatric Internet" consists of a growing collection of Internet resources that deal specifically with the health care of the young. Locating this information, judging its quality, and determining its appropriate use presents difficulties, but the ubiquity of the Internet makes it imperative for child health professionals to learn the skills necessary to access and provide information via this medium. The Internet will be used increasingly for scientific publishing, the original purpose of the World Wide Web. This article presents basic definitions for the Internet, some characteristics of the pediatric Internet, guidance on how to locate information, and what the future of the pediatric Internet holds.

Computer Communication Networks↗
PubMed1999

Mobilizing a health professional's workstation--results of an evaluation study.

To evaluate the idea of a multifunctional mobile pen computer to support information processing tasks of health care professionals we carried out a field study. On a tablet-sized mobile pen computer we set up a health professional workstation, MEDIAS/WIN, with most of the application systems that are presently used by health professionals at Heidelberg University Medical Center. Our experiences during the study, involving 11 physicians, nine nurses and four computer scientists showed that it's not enough to make existing applications mobile most user interfaces have to be adapted for pen input. The presented system served as a valuable basis for study purposes but was not suitable for use in clinical routine. Patient data of the current clinical case and medical knowledge in the form of reference lists were found to be most important for mobile usage. Desirable functionality also included mobile access to electronic mail, electronic ordering of meals and some documentation tasks, e.g. the documentation of diagnoses and orders for diagnostic and therapy.

Electronic Data Processing↗
PubMed1985

Office management: increasing productivity in the workplace.

Healthcare managers are seeking new ways to increase productivity in the workplace. New technologies, such as word processing, electronic mail, electronic conferencing, calendar management, data base management systems, artificial intelligence, decision support systems, and local area networks, are being developed to help the healthcare manager make the workplace more productive. The challenge therefore is to implement these systems smoothly and address the organizational issues associated with implementation.

Decision Making↗
PubMed1998

Continuous quality improvement through use of perinatal clinical record and AGUSTINA database.

UNLABELLED: This paper reviews the development of the field of medical informatics in Latin America. It also describes the results of a computer-based data management system, named AGUSTINA, which is comprised of maternal and infant data on 7570 deliveries that occurred between June, 1990 and December, 1996 in a hospital in the surroundings of Buenos Aires, Argentina. These data were fundamental for the instrumentation of preventive community-oriented activities in the area. Finally, this paper describes recommendations for future actions in the area of medical informatics in Latin America. ABBREVIATIONS: PCR: perinatal clinical record; CLAP, Centro Latino-Americano de Perinato-logia; WHO, World Health Organization; PAHO, Pan-American Health Organization; E-Mail, electronic mail; WWW, world wide web; FTP, file transfer protocol.

Adolescent↗
PubMed1999

Factors affecting the diffusion of online end user literature searching.

OBJECTIVES: The aim of this study was to identify factors that affect diffusion of usage of online end user literature searching. Fifteen factors clustered into three attribute sets (innovation attributes, organizational attributes, and marketing attributes) were measured to study their effect on the diffusion of online searching within institutions. METHODS: A random sample of sixty-seven academic health sciences centers was selected and then 1,335 library and informatics staff members at those institutions were surveyed by mail with electronic mail follow-up. Multiple regression analysis was performed. RESULTS: The survey yielded a 41% response rate with electronic mail follow-up being particularly effective. Two dependent variables, internal diffusion (spread of diffusion) and infusion (depth of diffusion), were measured. There was little correlation between them, indicating they measured different things. Fifteen independent variables clustered into three attribute sets were measured. The innovation attributes set was significant for both internal diffusion and infusion. Significant individual variables were visibility for internal diffusion and image enhancement effects (negative relation) as well as visibility for infusion (depth of diffusion). Organizational attributes were also significant predictors for both dependent variables. No individual variables were significant for internal diffusion. Communication, management support (negative relation), rewards, and existence of champions were significant for infusion. Marketing attributes were not significant predictors. CONCLUSIONS: Successful diffusion of online end user literature searching is dependent on the visibility of the systems, communication among, rewards to, and peers of possible users who promote use (champions). Personal image enhancement effects have a negative relation to infusion, possibly because the use of intermediaries is still seen as the more luxurious way to have searches done. Management support also has a negative relation to infusion, perhaps indicating that depth of diffusion can increase despite top-level management actions.

Diffusion of Innovation↗
PubMed2005

Pediatric Gastroenterology Workforce Survey, 2003-2004.

BACKGROUND: The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) performed a workforce survey to determine the number, distribution, and work-related activities of pediatric gastroenterologists in the United States of America (USA) and Canada, and compared these findings with the first workforce survey completed in 1996. METHODS: The survey queried pediatric gastroenterologists in the USA and Canada between November, 2003 and June 2004. To permit the optimal comparison to the 1996 survey data, the original survey was used as a template for development of the current instrument and, when possible, the questions were left unchanged. Additional questions were added to address important contemporary issues not present in the initial survey. Limited income information was also collected. The survey was posted on the NASPGHAN website, and the NASPGHAN membership was notified of the survey by electronic mail via its electronic mail distribution list. This was followed by a three-part postal mail survey to all non-respondents. After the Internet and postal mail requests, all non-respondent physicians were telephoned a minimum of three times. If unsuccessful in contacting the physicians directly, office personnel were queried to facilitate survey completion regarding the provision of pediatric gastroenterology, nutrition or hepatology services in either clinical care or research. RESULTS: The response rate based on the potential contact list for Part I of the survey was 69%. The final phone call or electronic mail contact of an office staff member with questions regarding gender and delivery of pediatric gastroenterology services yielded a total contact rate of 88%. There were 699 pediatric gastroenterologists identified in North America, as compared with 672 in 1996. If known non-respondents are included, there could be as many as 794 pediatric gastroenterologists. Time spent in clinical activities increased from 60% to 66% in the USA and from 43% to 53% in Canada. The use of nurse practitioners and physician assistants has increased considerably over the past 7 years. Fifty-three percent of respondents feel there are too few pediatric gastroenterologists. Fifty percent of section and practice heads report that they are currently recruiting partners. Limited income information is presented. CONCLUSIONS: There is currently a self-perceived shortage of pediatric gastroenterologists as compared with 7 years ago, despite a constant proportion of pediatric gastroenterologists per million children. In the USA, nurse practitioners and physician assistants are being increasingly used to fill this need, and physicians in both Canada and the USA have increased the time they spend in clinical care.

Adult↗
PubMed2000

Ready or not, here it comes: the legal, ethical, and clinical implications of E-mail communications.

Electronic mail (E-mail) has the potential to enhance the professional relationship both between physician and patient, and among physicians of the same and different specialties. Despite this promise, E-mail communication in the medical environment raises important questions of legal, ethical, and professional propriety. This article discusses the potential uses of E-mail in medical practice, identifies its benefits, and analyzes the hazards that may be associated with this new and powerful technology. In doing so, the authors hope to foster an approach to E-mail use that takes advantage of its strengths while developing policies and practices that mitigate its weaknesses.

Child↗
PubMed1999

Dilemma for the nurse manager: managing E-mail overload.

Electronic mail is a powerful and useful communication medium in the health care workplace. Unfortunately, managing E-mail overload can present a problem for the nurse manager. Intentional strategies must be developed to handle this situation in order to maintain efficient use of managerial time. The objective of this article is to provide such strategies for the nurse manager.

Adaptation, Psychological↗
PubMedDate not supplied

[Telepsychiatry--psychiatric advice on the Internet].

UNLABELLED: Telepsychiatry is a medical service with a use of contemporary communication technologies. Internet and electronic mail are included. AIM: The aim of the study was to examine the use of electronic mail in psychiatric advices. METHOD: Anonymous electronic mail (327) sent to the author from June 2001 to May 2002 were selected. They were then processed according to the following criteria: patient age and gender, person who was a subject of consultation, reason and subject of a consultation and prevailing symptoms of a disease. Data frequencies were obtained. RESULTS: 75% of patients referred their own psychiatric problem. The most frequent reasons of consultation were: a cry for help (44%), question about a disease (27%), consultation of a diagnosis (16%) or a therapy (13%). The biggest groups of symptoms related to fear (38%), disturbances of mood (18%), schizophrenic symptoms (13.5%) and sexual dysfunctions (10.5%). CONCLUSIONS: Psychiatrists on the Internet may expect an increase of electronic mail applicability in psychiatric advising. There is a need of medical, legal and ethical regulations of by-Internet doctor-patient relationship. Electronic mail may be treated as a source of knowledge on psychopathological symptoms and epidemiology of mental disturbances amongst the internet users.

Adult↗
PubMed1989

Evaluation of medical equipment on the basis of users' experiences and hazard registration.

Assessment of medical technologies is an important topic in health services research. The article describes a special aspect of user-related evaluation of devices in Norway. The Norwegian hospitals have high technical capacity and standards but the equipment is not assessed before being purchased by the hospitals. The idealistic rules for technology assessment are of no use in practical situations. The health authorities in Norway have established a national database for users' experiences and hazard registration. When assessing equipment, it is necessary to take into consideration the situation and the people handling the devices. A system-analytic perspective is proposed for better understanding. The database for experiences with devices stores information concerning maintenance, repair and service, i.e. the whole life history of the medical technology. All this information will be accessible for the hospitals through electronic mail or electronic meetings.

Computer Communication Networks↗