A case for causal loop diagrams to model electronic health records ecosystems
- Authors: Hashmi, Mustafa , McInnes, Angelique , Sahama, Tony , Stranieri, Andrew
- Date: 2023
- Type: Text , Conference paper
- Relation: 2023 Australasian Computer Science Week, ACSW 2023, Melbourne, Australia, 31 January-3 February 2023, ACSW '23: Proceedings of the 2023 Australasian Computer Science Week p. 238-239
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- Description: Causal loop diagrams (CLD) that emerged from systems thinking disciplines have been used to simulate complex inter-dependencies between causal factors in diverse phenomena. This paper highlights a process for generating a casual loop diagrams to represent the quality of electronic health record (EHR) ecosystem in a medical context. The quality inherent in the use of electronic health records for specific clinical purposes is taken to depend on factors including data integrity, reliability, relevance, timeliness and completeness. By improving the electronic health record ecosystem quality, health care providers can enhance their data sharing practices, and personalised patient care, while reducing the probabilities of medical errors. Ultimately the CLD can be used to run multiple simulations for several clinical case scenarios to understand the impact of various case phenomena on the quality of the electronic health record ecosystem. © 2023 ACM.
A model for the introduction of Ayurvedic and Allopathic Electronic Health Records in Sri Lanka
- Authors: Stranieri, Andrew , Sahama, Tony , Butler-Henderson, Kerryn , Perera, Kamal
- Date: 2016
- Type: Text , Conference proceedings
- Relation: 2016 IEEE International Symposium on Technology and Society; Trivandrum, Kerala, India; 20th-22nd October 2016 p. 56-61
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- Description: Fully integrated electronic health records (EHR) provide healthcare providers and patients access to records across a health care system and promise efficient and effective provision of health care. However, fully integrated records have proven to be very expensive and difficult to establish. Currently. EHR's have been developed largely to accommodate Western medicine events. These barriers impact on the introduction of EHR's in Sri Lanka, where health budgets are already stretched and Ayurvedic medicine is routinely practiced alongside Allopathic medicine. This article identifies requirements for EHR in the Sri Lankan context and advances a model for the introduction of EHR's that suits that context. The model is justified by drawing on insights and experiences with EHR in Western nations.
Data mining Traditional Chinese Medicine (TCM) : Lessons learnt from mining in law and allopathic medicine
- Authors: Stranieri, Andrew , Sahama, Tony
- Date: 2012
- Type: Text , Conference proceedings
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- Description: Key decisions at the collection, pre-processing, transformation, mining and interpretation phase of any knowledge discovery from database (KDD) process depend heavily on assumptions and theoretical perspectives relating to the type of task to be performed and characteristics of data sourced. In this article, we compare and contrast theoretical perspectives and assumptions taken in data mining exercises in the legal domain with those adopted in data mining in TCM and allopathic medicine. The juxtaposition results in insights for the application of KDD for Traditional Chinese Medicine. © 2012 IEEE.
- Description: 2003009797
Informatics to support patient choice between diverse medical systems C3 - 2014 IEEE 16th International Conference on e-Health Networking, Applications and Services, Healthcom 2014
- Authors: Golden, Isaac , Stranieri, Andrew , Sahama, Tony , Pilapitiya, Senaka , Siribaddana, Sisira , Vaughan, Stephen
- Date: 2014
- Type: Text , Conference proceedings
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- Description: Culturally, philosophically and religiously diverse medical systems including Western medicine, Traditional Chinese Medicine, Ayurvedic Medicine and Homeopathic Medicine, once situated in places and times relatively unconnected from each other, currently co-exist to a point where patients must choose which system to consult. These decisions require comparative analyses, yet the divergence in key underpinning assumptions is so great that comparisons cannot easily be made. However, diverse medical systems can be meaningfully juxtaposed for the purpose of making practical decisions if relevant information is presented appropriately. Information regarding privacy provisions inherent in the typical practice of each medical system is an important element in this juxtaposition. In this paper the information needs of patients making decisions regarding the selection of a medical system, are examined.
Medical system choice: Information that affects the selection of healthcare provider in Australia?
- Authors: Sahama, Tony , Stranieri, Andrew , Butler-Henderson, Kerryn , Golden, Isaac
- Date: 2018
- Type: Text , Conference paper
- Relation: 40th Medical Informatics in Europe Conference MIE 2018 Vol. 247, p. 596
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- Description: Many complementary and alternative medical practices (CAM) are readily assessable in Australia alongside Allopathic practitioners. Although CAM practices are prevalent, little is known about how patients seek and use information when deciding which system to consult. We report some preliminary findings of a longitudinal study, designed to solicit factors that influence the Australian public when selecting from diverse medical systems. Fifty-four general public participants, willing to provide their confidential and anonymous opinion were included. The magnitudes of importance, critical in influencing factors, were screened. Results indicated a medical system was selected for its effectiveness, safety, credentials and care (p<0.001). Consultation time, convenience, cost, empowerment and rapport were less important factors (p<0.001) influencing selection of a medical system. The level of choices by participants [χ2 (1, N=54) = 53.445, p<0.001] follow similar trends found for those in conventional medical systems. This contrasts with findings in other locations, where cost and time were major contributing factors when selecting medical systems.
Open banking and electronic health records
- Authors: Stranieri, Andrew , McInnes, Angelique , Hashmi, Mustafa , Sahama, Tony
- Date: 2021
- Type: Text , Conference paper
- Relation: 2021 Australasian Computer Science Week Multiconference, ACSW 2021, Virtual, Online, 1-5 February 2021, ACM International Conference Proceeding Series
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- Description: The Open Banking model is a data sharing model emerging in financial services sector that involves technological and regulatory innovations designed to facilitate access to banking records by third party providers such as payment service providers. The model is predicted to disrupt financial services and encourage a wave of new third-party providers offering innovative services that will change the relationship between customers and banks. This article juxtaposes the Open Banking model against models for electronic health records. Providers that could supply innovative third party services with health record data if an Open Banking model were adopted in the health care industry are advanced. © 2021 ACM.
Patient-empowered electronic health records
- Authors: Sahama, Tony , Stranieri, Andrew , Butler-Henderson, Kerryn
- Date: 2019
- Type: Text , Conference proceedings
- Relation: MEDINFO 2019: Health and Wellbeing e-Networks for All Vol. 264, p. 1765
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- Description: Electronic Health Records (EHRs) constitute evidence of online health information management. Critical healthcare information technology (HIT) infrastructure facilitates health information exchange of 'modern' health systems. The growth and implementation of EHRs are progressing in many countries while the adoption rate is lagging and lacking momentum amidst privacy and security concerns. This paper uses an interrupted time series (ITS) analysis of OECD data related to EHRs from many countries to make predictions about EHR adoption. The ITS model can be used to explore the impact of various HIT on adoption. Assumptions about the impact of Information Accountability are entered into the model to generate projections if information accountability technologies are developed. In this way, the OECD data and ITS analysis can be used to perform simulations for improving EHR adoption.
Third party data service providers can enhance patient-provider interactions : insights from a Delphi study
- Authors: Hashmi, Mustafa , McInnes, Angelique , Stranieri, Andrew , Sahama, Tony
- Date: 2022
- Type: Text , Conference paper
- Relation: 2022 Australasian Computer Science Week, ACSW 2022, Virtual, Online, 14-17 February 2022, ACM International Conference Proceeding Series p. 224-228
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- Description: Data sharing between financial services organisations has led to a proliferation of third party data service providers that are not parties to transactions but facilitate interactions between them by analysing, manipulating or storing data related to transactions. This has led to widespread legal, technological and sociocultural changes in that sector broadly described as Open-Banking initiatives. Third party service providers have not emerged in the healthcare sector in the same way. This study reports preliminary results of a Delphi study comprising healthcare and financial experts to explore the extent to which third party providers in healthcare is beneficial and feasible. Ensuring the quality of data service provided by third parties was seen to be a critical success factor. A causal loop model was used to describe the inter-dependent factors underpinning this factor. Further investigations to augment the model with Consumer Data Rights and validate empirically are underway. © 2022 ACM.