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Posted on Sep 16, 2012 in Original Article | 0 comments

A Preliminary Investigation of the Benefits and Barriers to Implementing Health Information Technology in Medical Clinics

Dr Amy Chesser PhD1, Dr Nikki Woods PhD2, Dr Traci Hart PhD2, Dr Jennifer Wipperman MD1
1University of Kansas School of Medicine, Wichita, USA. 2Wichita State University, Wichita, USA
Corresponding Author:
Journal MTM 1:3:32-39, 2012

Background: The successful integration of mobile information technology (IT) and existing health information technology (HIT) requires a critical evaluation of factors that may impede implementation and end-user perceptions of new technology.

Purpose: Using a mixed-method approach researchers interviewed and issued questionnaires to a family medicine faculty and residents to ascertain: 1) usability of iPad features and functions in a practice setting, and 2) perceptions of barriers to and support for implementation of HIT in a clinical setting.

Methods: Two faculty physicians and one resident were interviewed to discuss the HIT infrastructure for the clinical site, as well as attitudes and preferences about iPad usability. Qualitative data was transcribed and analyzed. Resident and faculty physicians (n=42) from a family medicine residency completed an American Medical Association survey on HIT readiness. Descriptive and non-parametric statistics were tabulated.

Results: Both interview and survey participants reported individual readiness for HIT adoption, while listing environmental barriers. Interview participants also described physical and software features of the iPad they would find useful in practice. Survey respondents reported clinical staff readiness as a strength for adoption of HIT.

Conclusion: Participants reported readiness to integrate HIT into clinical practice and have a clear idea of useful device features. HIT adoption may be hampered by environmental factors, and future research should focus in this area.

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Posted on Sep 16, 2012 in Original Article | 0 comments

Using Mobile Tethering for sharing data across devices: application in rural eye screening

Dr George Kong PhD1, Dr Jonathan Kam MBBS1
1Royal Victorian Eye and Ear Hospital, Melbourne, Australia
Corresponding Author:
Journal MTM 1:3:40-45, 2012

Background: Eye screening programs have been effective in reducing the burden of eye diseases in the developing world.  Most use paper recording systems which are prone to misplacement and are inefficient for auditing purposes.  Digital data collection via mobile devices may prove more efficient, but reliable strategies information sharing between devices in rural settings remain an issue. This paper examines the speed and range of use of Mobile Tethering technology to synchronize data across devices, and hence the suitability of such devices in the eye screening setting.

Methods: The data synchronization feature of eyePatients software for iPhone and iPad was tested using an Apple iPhone 4 as the central router, with Mobile Tethering activated. Apple iPad 2 devices were connected to the wireless local area networks (WiFi) generated by the iPhone 4. The linear range of data synchronization and the effect of corners and barriers on synchronization were tested.

Results: Synchronization was rapid, taking between 1.0-1.5 seconds to complete when linear distance was within 30 meters.  Beyond 34 meters considerable slowing was noted and no successful connections were able to be established beyond 40 meters. A single corner had no statistically significant effect on the maximum range of a single tether connection, but two corners or a door barrier had a small but statistically significant reduction on range.

Conclusion: Mobile Tethering provides a reliable and fast connection between multiple devices that can be used for the synchronization of large amounts of data required for eye screening purposes.

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Posted on Sep 16, 2012 in Case report | 0 comments

Application of self-recorded photos using mobile phones in maxillofacial surgery

Prof Fereydoun Pourdanesh DDS1, A/Prof Ashraf Sayyedi DDS2, Prof Abdolreza Jamilian DDS3, Prof Masoud Yaghmaei1
1Department of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran, 2Dental Research Center, Research Insitiute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, 3Department of Orthodontics, Center for craniofacial research, Islamic Azad University, Tehran, Iran
Corresponding Author:
Journal MTM 1:3:46-49, 2012

Nowadays, there is an increasing use of mobile phones as a part of telemedicine to aid in the management of various health conditions. There are numerous reports of using mobile phones as a tool for sending and receiving short text message (SMS) in medicine. Aside from keeping patients continuously in touch with their health care providers, mobile phones can also be a useful tool for providing doctors with valuable information. A useful adjunct of many mobile phones is its ability to take clinical pictures.

In this study we present a case series where mobile phone photos taken by the patient were later used to aid in the diagnosis and management of various maxillofacial conditions.

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Posted on Sep 16, 2012 in Letters | 0 comments

Ethical Considerations Related to Mobile Technology Use in Medical Research

A/Prof Melissa Parker MD1,2
1Pediatric Critical Care Medicine and Pediatric Emergency Medicine, McMaster Children’s Hospital,2Pediatric Emergency Medicine, The Hospital for Sick Children, Adjunct Clinical Assistant Professor of Pediatrics, University of Toronto in Medicine.
Corresponding Author:
Journal MTM 1:3:50-52, 2012

Mobile technology has become increasingly prevalent in the workplace.  Smart phones, tablets, and other forms of personal digital assistant have particular appeal for professionals seeking tools to enhance productivity.  Research in particular requires the capacity to collect and process data in an efficient and cost effective manner.  Investigators are increasingly turning to mobile devices for solutions as programs and data handling capabilities become more sophisticated.  With these developments, however, arises the need to contemplate and address ethical considerations relevant to mobile technology use in the research context.

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Posted on Sep 16, 2012 in Letters | 1 comment

The use of short message service (SMS) for patient appointment reminders

Susan McClean1, Dr Mahendra Perera MBBS1
1Albert Road Clinic, Melbourne, Australia
Corresponding Author:
Journal MTM 1:3:53-55, 2012

Albert Road Clinic is an acute care private psychiatric hospital with active and committed Psychiatrists who work with us. The Albert Road Clinic Consulting Suites is based within the hospital and this space is tenanted by approximately 40 consultant psychiatrists who work either full time or on a sessional basis in their private practice.  Several psychiatrists approached me to try and resolve the issue of their patients not attending for scheduled appointments; the non- attendance has potential detrimental effects for the patient (who may have forgotten the appointment) leading to possible clinical risk. The other consequences have been an adverse effect on the consultant psychiatrists’ business and the inability to back fill the appointment for which the patient has not attended.

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