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Using 15 years of hospital survey data (2008-2023), we examined rural-urban trends in electronic health records (EHR) adoption and advanced capabilities for data sharing, public health reporting, and care improvements.

Charles Friedman's Fundamental Theorem of Biomedical Informatics holds that a person working in partnership with an information resource outperforms that same person unassisted. Since its publication, advances in artificial intelligence (AI), adaptive learning systems, and large-scale data infrastructures have transformed the biomedical ecosystem, extending informatics beyond clinical care into domains such as public health, consumer health, translational science, and the broader life sciences. Such expansion has further underscored the importance [...]

This review aims to identify the contribution of user experience features and underlying technical features to sustained engagement in unguided chatbots for improving health-related behaviors.

This study examined whether attendance at online digital health research appointments in the American Women Assessing Risk Epidemiologically (AWARE) study was associated with (1) participant age, (2) scheduling factors (time of day, day of week, month), (3) appointment confirmation, and (4) HIV behavioral risk factors.

Traditional readmission risk models relying on static discharge data have limited predictive performance and fail to capture patients' recovery trajectories after hospitalization. We sought to identify optimal modeling parameters for dynamically predicting readmission risk using post-discharge step-count data from remote monitoring devices.

Phase II of MVP-CHAMPION, a federal collaboration between the Veterans Affairs Healthcare System (VA) and the Department of Energy (DoE), leveraged large-scale clinical, geo-spatial, and genetic data with state-of-the-art artificial intelligence (AI), and high-performance computing (HPC) to improve value in healthcare.

Implementing biomedical informatics (BMI) tools and applications into clinical and other settings remains a significant challenge. Unintended consequences remain common post-implementation. This paper addresses the above issue by integrating systems thinking and implementation science approaches to support health information technology (HIT) implementation.

Ohio has been severely impacted by the opioid crisis, with opioid overdose (OD) death rates exceeding national averages. Accurate OD death prediction supports proactive prevention and treatment allocation. Existing methods often focus on ZIP Code Tabulation Area (ZCTA)-level prediction for small-area resource allocation; however, performance at this resolution is poor due to substantial fluctuations in OD death counts, which introduce noise. This raises a critical methodological question: what is the [...]

This study compares multiple LLMs, including ChatGPT, DeepSeek, and Llama, to generate meaningful, audience-adapted labels for the existing latent classes among patients with chronic low back pain (cLBP).

The pandemic dramatically increased in the frequency of audiovisual medical visits and the rate of audiovisual visits remains higher than before the pandemic. These visits have the potential to be an important clinical modality. Researchers have assessed several aspects of audiovisual visits but they have not investigated their clinical note quality. The goal of this study is to determine the quality of audiovisual and in-person clinical notes and to compare [...]