The challenge to health informatics for 1999-2000: form creative partnerships with industry and chief information officers to enable people to use information to improve health.
Author(s): Stead, W W
DOI: 10.1136/jamia.1999.0060088
Author(s): Stead, W W
DOI: 10.1136/jamia.1999.0060088
To evaluate the use and effect of a computer-based histology atlas during required laboratory sessions in a medical school histology course.
Author(s): Lehmann, H P, Freedman, J A, Massad, J, Dintzis, R Z
DOI: 10.1136/jamia.1999.0060038
Entity-attribute-value (EAV) representation is a means of organizing highly heterogeneous data using a relatively simple physical database schema. EAV representation is widely used in the medical domain, most notably in the storage of data related to clinical patient records. Its potential strengths suggest its use in other biomedical areas, in particular research databases whose schemas are complex as well as constantly changing to reflect evolving knowledge in rapidly advancing scientific [...]
Author(s): Nadkarni, P M, Marenco, L, Chen, R, Skoufos, E, Shepherd, G, Miller, P
DOI: 10.1136/jamia.1999.0060478
This study examines how the information provided by a diagnostic decision support system for clinical cases of varying diagnostic difficulty affects physicians' diagnostic performance.
Author(s): Berner, E S, Maisiak, R S, Cobbs, C G, Taunton, O D
DOI: 10.1136/jamia.1999.0060420
The authors describe a methodology for helping computational biologists diagnose discrepancies they encounter between experimental data and the predictions of scientific models. The authors call these discrepancies data-model conflicts. They have built a prototype system to help scientists resolve these conflicts in a more systematic, evidence-based manner. In computational biology, data-model conflicts are the result of complex computations in which data and models are transformed and evaluated. Increasingly, the data [...]
Author(s): Chen, R O, Altman, R B
DOI: 10.1136/jamia.1999.0060374
The purpose of this article is to provide the author's perspective on whether it is likely or feasible that those working in the health care domain will adapt and use lessons learned by those in the industrial domain. This article provides some historical perspective on the changes brought about in the industrial domain through the introduction of new technologies, including information technologies. The author discusses how industrialization catalyzed changes in [...]
Author(s): Panko, W B
DOI: 10.1136/jamia.1999.0060349
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Studies have suggested that rural physicians do not use MEDLINE to aid their clinical decision making, and yet rural physicians appear to be a group that would benefit greatly from the use of MEDLINE because of their isolation from libraries and colleagues. This study was undertaken to understand why a population so likely to benefit from the use of MEDLINE is not using it. The study confirmed that rural physicians [...]
Author(s): Chimoskey, S J, Norris, T E
DOI: 10.1136/jamia.0060332
While preference elicitation techniques have been effective in helping patients make decisions consistent with their preferences, little is known about whether information about patient preferences affects clinicians in clinical decision making and improves patient outcomes. The purpose of this study was to evaluate a decision support system for eliciting elderly patients' preferences for self-care capability and providing this information to nurses in clinical practice-specifically, its effect on nurses' care priorities [...]
Author(s): Ruland, C M
DOI: 10.1136/jamia.1999.0060304
Biomedical informatics, imaging, and engineering are major forces driving the knowledge revolutions that are shaping the agendas for biomedical research and clinical medicine in the 21st century. These disciplines produce the tools and techniques to advance biomedical research, and continually feed new technologies and procedures into clinical medicine. To sustain this force, an increased investment is needed in the physics, biomedical science, engineering, mathematics, information science, and computer science undergirding [...]
Author(s): Hendee, W R
DOI: 10.1136/jamia.1999.0060267