JMIR Medical Informatics
Clinical informatics, decision support for health professionals, electronic health records, and eHealth infrastructures.
Editor-in-Chief:
Christian Lovis, MD, MPH, FACMI, Division of Medical Information Sciences, University Hospitals of Geneva (HUG), University of Geneva (UNIGE), Switzerland
Impact Factor 3.1 CiteScore 7.9
Recent Articles
Social networking services (SNS) closely reflect the lives of individuals in modern society and generate large amounts of data. Previous studies have extracted drug information using relevant SNS data. In particular, it is important to detect adverse drug reactions (ADRs) early using drug surveillance systems. To this end, various deep learning methods have been employed, which have studied multiple languages in addition to English.
Low back pain (LBP) presents with diverse manifestations, necessitating personalized treatment approaches that recognize various phenotypes within the same diagnosis, which could be achieved through precision medicine. Although prediction strategies have been explored, including those employing artificial intelligence (AI), they still lack scalability and real-time capabilities. Digital care programs (DCPs) facilitate seamless data collection through the Internet of Things and cloud storage, creating an ideal environment for developing and implementing an AI predictive tool to assist clinicians in dynamically optimizing treatment.
Prostate cancer is the second leading cause of death among American men. If detected and treated at an early stage, prostate cancer is often curable. However, an advanced stage such as metastatic castration-resistant prostate cancer (mCRPC) has a high risk of mortality. Multiple treatment options exist, the most common included docetaxel, abiraterone, and enzalutamide. Docetaxel is a cytotoxic chemotherapy, whereas abiraterone and enzalutamide are androgen receptor pathway inhibitors (ARPI). ARPIs are preferred over docetaxel due to lower toxicity. No study has used machine learning with patients’ demographics, test results, and comorbidities to identify heterogeneous treatment rules that might improve the survival duration of patients with mCRPC.
In the rapidly advancing landscape of artificial intelligence (AI) within integrative health care (IHC), the issue of data ownership has become pivotal. This study explores the intricate dynamics of data ownership in the context of IHC and the AI era, presenting the novel Collaborative Healthcare Data Ownership (CHDO) framework. The analysis delves into the multifaceted nature of data ownership, involving patients, providers, researchers, and AI developers, and addresses challenges such as ambiguous consent, attribution of insights, and international inconsistencies. Examining various ownership models, including privatization and communization postulates, as well as distributed access control, data trusts, and blockchain technology, the study assesses their potential and limitations. The proposed CHDO framework emphasizes shared ownership, defined access and control, and transparent governance, providing a promising avenue for responsible and collaborative AI integration in IHC. This comprehensive analysis offers valuable insights into the complex landscape of data ownership in IHC and the AI era, potentially paving the way for ethical and sustainable advancements in data-driven health care.
Transformer-based language models have shown great potential to revolutionize health care by advancing clinical decision support, patient interaction, and disease prediction. However, despite their rapid development, the implementation of transformer-based language models in health care settings remains limited. This is partly due to the lack of a comprehensive review, which hinders a systematic understanding of their applications and limitations. Without clear guidelines and consolidated information, both researchers and physicians face difficulties in using these models effectively, resulting in inefficient research efforts and slow integration into clinical workflows.
Interoperability has been designed to improve the quality and efficiency of healthcare. Interoperability allows the Centers for Medicare and Medicaid Services to collect data on quality measures as part of meaningful use. Covered providers who fail to provide data have lower rates of reimbursement. Unintended consequences arise in each step of this process. Providers are not reimbursed for the extra time required to generate data. Patients don’t have control over when and how their data are provided to or used by the government. Large datasets increase the chances of an accidental data breach or intentional hacker attack. After detailing the issues, we describe several solutions, including an Appropriate Data Use Review Board. It is designed to oversee certain aspects of the process and ensure accountability and transparency.
Data from multiple organizations are crucial for advancing learning health systems. However, ethical, legal, and social concerns may restrict the use of standard statistical methods that rely on pooling data. Although distributed algorithms offer alternatives, they may not always be suitable for health frameworks.
Collecting the medical history during a first outpatient consultation plays a crucial role in making a diagnosis. However, it is a time-consuming process while time is scarce in today’s healthcare environment. Computer Assisted History Taking (CAHT) systems allow patients to share their medical history electronically before their visit. Although multiple advantages of CAHT have been demonstrated, adoption in everyday medical practice remains low. This has been attributed to various barriers.
Artificial intelligence (AI) is rapidly being adopted to build products and aid in the decision-making process across industries. However, AI systems have been shown to exhibit and even amplify biases, causing a growing concern among people world-wide. Thus, investigating methods of measuring and mitigating bias within these AI-powered tools is necessary.
Accurate history-taking is essential for diagnosis, treatment, and patient care, yet miscommunications and time constraints often lead to incomplete information. Consequently, there has been a pressing need to establish a system whereby the questionnaire is duly completed before the medical appointment, entered into the Electronic Health Record (EHR), and stored in a structured format within a database.
Co-prescribing naloxone with opioid analgesics is a Centers for Disease Control and Prevention best practice to mitigate the risk of fatal opioid overdose (OD), yet co-prescription by emergency medicine clinicians is rare, occurring less than 5% of the time it is indicated. Clinical decision support (CDS) has been associated with increased naloxone prescribing; however, key CDS design characteristics and pragmatic outcome measures necessary to understand replicability and effectiveness have not been reported.
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