Healthcare Data and Informatics
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MISC
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Health Science
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Nov 24, 2024
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Healthcare Data and Informatics
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Part A
Xu, J., Glicksberg, B. S., Su, C., Walker, P., Bian, J., & Wang, F. (2021). Federated
learning for healthcare informatics.
Journal of Healthcare Informatics Research
,
5
(1), 1-19.
According to this article, many healthcare information is becoming gladly accessible
from medical centers, clients, cover providers, and medical companies. The study aims to discuss
the relation between informatics and healthcare and the challenges faced in this context. Credits
can be given to the rapid growth of computer innovations. This access provides data science
applications a once-in-a-lifetime chance to generate data-driven knowledge and enhance the
value of patient care.
On the other hand, healthcare data is often unreliable and private, finding it
challenging to produce reliable populations. For instance, various
clinics own the electronic
health records (EHR) of various patient groups, and due to their delicate nature, these records are
hard to exchange through hospitals.
This provides a significant impediment to developing
provable analytical methods that require a large amount of large data.
Deep knowledge, a way of
training a common universal template with a central database while holding all confidential data
in the local institutions where it belongs, holds a lot of promise for connecting disparate medical
sources of data while maintaining privacy. The authors in this article, in the course of their study,
have cited different articles which have had various reviews about federal learning for healthcare
informatics.
According to this article,
Federated learning is a reliable approach for connecting EHR
data from clinical entities, enabling them to exchange their experiences rather than their data
while maintaining confidentiality. Some of the experienced challenges include communication
efficiency, privacy, and security and communication efficiency. The article concluded by giving a
solution to the challenges that are faced by federated learning. From my perspective, this study is
reliable since it provides detailed information linking informatics to healthcare, including faced
challenges and solutions.
Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and
privacy.
IEEE Internet Computing
,
22
(2), 29-31.
According to the study that Iyengar, Kundu, & Pallis conducted in 2018, Although the
Internet offers a future of widely available and knowledgeable medical patients', physicians,'
nurses,' and health professionals' privacy is more important than ever before. This research
focuses on two key issues that are related to healthcare informatics, including privacy.
The
Internet has facilitated and accelerated the technological change of healthcare environments.
Although the internet and IoT-driven environments offer a vision of widely available and
intelligent healthcare, the associated parties'
privacy is now an area of concern. To counter
suicidality, regulatory standards are changing.
Since the 1950s, electronics and
telecommunications technology have been used in the healthcare and life scientific sectors.
With the introduction of mobile devices, cloud services, computer vision, and analysis in the last
decade or so, the technological innovation of healthcare on the Website has been fast and
explosive. The Internet has made it possible to share and communicate health records.
The
Internet has made it possible to share and communicate health records and offer medical services
and apps that link patients and clinicians. Cloud networks, mobile technology, and the Internet of
Things (IoT), spread across geographical and political borders, have contributed to the
development of digital healthcare environments.
Such ecosystems help in improving healthcare
and making it more intelligent. However, despite this trend in healthcare, the privacy of the
3
patients, physicians, and the involved parties remains an area of concern. Several organizations
have been working on curbing the privacy issues, which include HIPPA and GDPR.
This article outlines that several challenges are encountered in the process of protecting
and managing healthcare privacy. For instance, it is an issue how the AI application and the
healthcare machine learning ensure that the confidentiality of the patients and the other
individuals are maintained. It is also a concern about how the healthcare devices can be protected
from leaking healthcare records termed as sensitive. According to this paper, the last arising issue
is the kind of rules and regulations that can be implemented to protect healthcare activities and
their individuals. This article is essential and recommendable to the medical world since it
contains information that can enhance healthcare privacy and similarly ensure the current trend
of implementing the information in this sector is of success. Besides, the healthcare analysis data
and the internet devices involved helps in making the healthcare services easily accessible and in
real-time.
Pang, Z., Yang, G., Khedri, R., & Zhang, Y. T. (2018). Introduction to the special
section: convergence of automation technology, biomedical engineering, and health
informatics toward the healthcare 4.0.
IEEE Reviews in Biomedical Engineering
,
11
, 249-
259.
In this research, from production to healthcare, Industry 4.0 is gaining traction. The
researchers have included
a brief overview of Industry 4.0, critical enabling technology, and its
transformation in healthcare—Health-care 4.0—together with its strengthening of the overall
healthcare value chain environment—in this study. The study argues how the system design
model has shifted from free, small, big, and
multiple loops.
The authors, in this case, address
developing methodological approaches and barriers, such as big healthcare data, computerized
diagnostic processing, healthcare automation, and human-robot mutual benefits, using the
example of home treatment. Besides, related papers from this special issue are provided by the
researchers.
Some of the key ideas covered in this article include the main concepts of industry 4.0 to
healthcare. The paper, for instance, has pointed out Cyber-Physical Systems (CPS) applies to the
field where processing and physical methods are combined in systems.
The degree of complexity
attained in integrating machine control by computing allows for unparalleled efficiency in
physical laws and output levels never seen before. The technicians began designing systems in
which the computing-driven control was incorporated in the machinery as early as the 1970s.
The power, on the other hand, was very easy.
The power, on the other hand, was very easy. The
network topologies that are the subject of CPS are of unparalleled complexity. They will be
asked to complete intellectual and behavioral tasks more complex than a normal proportional-
integral-derivative controller. Another discussed concept in this study is the Internet of Things
(IoT) which is used in recording the connectivity of devices through the Internet.
This holds for
products used in the production method or any virtual environment of health and domestic
equipment used in a smart home. This dream of having items, such as workpieces, to interact
with transition technologies was brought to life by the Internet of Things idea. Other key
discussed ideas include the Internet of services, cloud computing, and Artificial Intelligence
which all help ensure the objective of ensuring the privacy of the healthcare activities is
achieved. The authors went further and tackled Industry 4.0 and how it affected the healthcare
sector. Specific improvements have been discovered due to the implementation of healthcare 4.0.
These include preventive healthcare, personalized and precision healthcare, and healthcare that is
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patient-centered. The article is thus one of the best with appropriate information on healthcare
informatics and any related data.
Wan, T. T., Gurupur, V. P., & Tanik, M. M. (2017). Design and Evaluation of
Integrated Healthcare Informatics.
Journal of Integrated Design and Process Science
,
21
(3),
1-5.
According to
Wan, Gurupur, & Tanik, Healthcare informatics analysis is a modern field
of science that aims to find evidence-based data and insight that can be used to improve patient
engagement policies and operations. This study's ultimate aim is to direct medical and
administrative goals of competence and health optimization, and the effectiveness and
productivity of organizations.
Several science technicians have developed their research
methodologies by using multidisciplinary knowledge to achieve health and health care in the
past. Several approaches are personal and health-related, which have been employed, and these
are discussed in this article. These include Human ecology, which is defined as an analysis of
human development and behavior in various remote sensing settings; health population, which
refers to a study of critical events such as reproduction, death rates, lifespan, and impairment;
and medical sociology, a research of the synergy of social and environmental influences affecting
public health and disease. Other approaches include Medical epidemiology, which refers to the
analysis of patterns and themes in morbidity and mortality that are linked to medical procedures
and outcomes, health economics which
is the study of how people use health services, as well as
the quality and financial factors that influence how they are delivered. A study of behavior
modification variables like personality, awareness, inspiration, and desire for health-related
behaviors is known as health psychology.
This study has identified four developing trends in the healthcare informatics study,
which are the key points in this study.
First, healthcare studies claimed for the use of translational
(turning fundamental knowledge and experience into medical exercise for public well-being),
transformational (guiding a pattern change from complicated to prudent care management
strategies), and transdisciplinary study
(for optimizing behavioral and social improvements,
incorporating multi-factorial interventions into a structured state of information).
Second,
technical advancements have influenced how knowledge is managed and developed, information
is shared and disseminated, and health care infrastructure is used. Access to high computers
accelerates researchers' data acquisition and analytical strengths.
Third, opportunities for
collaboration between researchers and clinicians have influenced new study projects in
addressing public and unique issues in healthcare transfer. There are excellent healthcare services
designed to care for people with chronic illnesses, such as specialist responsible healthcare
services for chronic disease patients,
therapeutics, heart problems, and stroke treatment are all
available.
Fourth, conducting exploratory research in comparative efficiency research for disease
control and outcome evaluation will lead to novel approaches to population health management
issues.
Harris, S., Shi, S., Brealey, D., MacCallum, N. S., Denaxas, S., Perez-Suarez, D., ... &
Singer, M. (2018). Critical Care Health Informatics Collaborative (CCHIC): Data, tools
and methods for reproducible research: A multi-centre UK intensive care
database.
International journal of medical informatics
,
112
, 82-89.
This research aims to create and maintain a multi-center system of high-resolution
lengthy electronic health records (EHR) from adult Intensive Care Units that can be linked
5
(ICU). Build a range of open-source equipment to help these statistics study complete
while
preserving the privacy of individuals, with a special emphasis on anonymization.
The materials
and methods by researchers in this study include creating
a modular EHR processing pipeline
that allows them to extract, connect, normalize, curate, and anonymize EHR data. The NHS
Medical Research Agency's Privacy Advisory Group approved the use of these data, and patient
and community participation were required from the start (CAG). The information is held in a
Data Safe Haven that has been approved. The researchers also adopted the principles of long-
term software design. After the study, the researchers argued that It's difficult to make healthcare
data accessible for analysis. CCHIC is a one-of-a-kind multi-center lengthy and sharable source
that prioritizes patient confidentiality by maintaining the peak levels of data protection while also
providing resources to clean, organize, and anonymize data. They agreed that developing such
resources is critical if we are to achieve the twin goals of protecting patient secrecy while still
working for the sake of patients. The study concluded that Health care experts from
both
research and business are now using the CCHIC site. The 'research ready' range of data
analysis software has an implementation, and tertiary care system integration works.
Part B
Advantages of Delivering Health Care Using Informatics
Through the Electric Health Record (HER), informatics helps maintain patient records in
healthcare (
University of Illinois Chicago,2020)
.
Many clients see several health care providers.
Since medical records are not centralized through doctors, consultants, labs, and clinics,
managing a patient's medications with paper-based reports is difficult.
Electronic health record
(EHR) systems, on the other hand, make maintaining patient data simpler and safer. During the
pressure of an incident, clients no longer need to recall their medical history. When parents
move, they no longer have to be
concerned about forgetting physician names or losing
vaccination records (
University of Illinois Chicago,2020)
.
Instead, when clients arrive at a
hospital, the medical team already has a lot of their knowledge in the EHR. Patients would have
to fill out simpler, shorter forms as a result of the reduced paperwork.
The informatic have led to reduced costs in health care services.
According to the
Institute of Medicine (IOM), medical errors are estimated to cost the United States $38 billion a
year, according to the Institute of Medicine (IOM) (
University of Illinois Chicago,2020)
.
Technology reduces mistakes and strives to remove many labor-intensive activities from the
overloaded hands of medical personnel. These procedures are automated, which saves the health
sector and patients a lot of money.
Since EHRs enable all healthcare professionals to access lab
results and documents, informatics often means fewer repeat tests or blood tests. This is a
significant advantage in health informatics since insurance rates are stable and there are fewer
bills.
Use of informatic leads to less trial and error (
University of Illinois Chicago,2020)
.
To
avoid adverse reactions to vaccines or other drugs, EHRs certify that patients obtain the correct
prescription the first time. They also alert doctors before administering medication if it has
unsafe reactions with another medicine the patient is taking. These systems assist in removing
human error from the equation.
Disadvantages of Delivering Health Care Using Informatics
Informatics leads to potential privacy and security issues (
Gallaghermalpractice.com.
2018)
.
Like almost any other network connection nowadays, EHR programs are easily hackable,
putting confidential patient information in the incorrect hands. This has increased due to the
6
higher technology breaches such as activities related to cybersecurity like cyber-crimes.
Therefore, the EHR systems can easily be hacked the patient's records be accessed.
Informatics led to inaccurate information (
Gallaghermalpractice.com. 2018)
.
Since
electronic health records are automatic, they must be appropriately recorded after each hospital
visit — or if the data varies. Other healthcare professionals will be forced to rely on erroneous
data when deciding suitable treatment protocols if this is not done.
Informatic malpractice liability concerns (
Gallaghermalpractice.com. 2018)
.
When it
comes to EHR implementation, there are several possible liability concerns to consider. For
instance, in the transformation from a paper-based to an electronic EHR system, medical
histories may be misplaced or spoiled, leading to treatment mistakes (
Gallaghermalpractice.com.
2018)
. Because specialists have more contact to medical information through EHR, they can
hold liable if they do not use all of the details available to them.
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References
Gallaghermalpractice.com. 2018.
Advantages and Disadvantages of Electronic Health Records
.
[online] Available at: <https://www.gallaghermalpractice.com/blog/post/advantages-and-
disadvantages-of-electronic-health-records> [Accessed 22 April 2021].
Harris, S., Shi, S., Brealey, D., MacCallum, N. S., Denaxas, S., Perez-Suarez, D., ... & Singer, M.
(2018). Critical Care Health Informatics Collaborative (CCHIC): Data, tools and methods
for reproducible research: A multi-centre UK intensive care database.
International
journal of medical informatics
,
112
, 82-89.
Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy.
IEEE Internet
Computing
,
22
(2), 29-31.
Pang, Z., Yang, G., Khedri, R., & Zhang, Y. T. (2018). Introduction to the special section:
convergence of automation technology, biomedical engineering, and health informatics
toward the healthcare 4.0.
IEEE Reviews in Biomedical Engineering
,
11
, 249-259.
University of Illinois Chicago.2020. UIC Online Health Informatics.
4 Ways Health Informatics
Improves Patient Care | UIC Health Informatics
. [online] Available at:
<https://healthinformatics.uic.edu/blog/4-ways-health-informatics-improves-patient-
care/> [Accessed 22 April 2021].
Wan, T. T., Gurupur, V. P., & Tanik, M. M. (2017). Design and Evaluation of Integrated
Healthcare Informatics.
Journal of Integrated Design and Process Science
,
21
(3), 1-5.
Xu, J., Glicksberg, B. S., Su, C., Walker, P., Bian, J., & Wang, F. (2021). Federated learning for
healthcare informatics.
Journal of Healthcare Informatics Research
,
5
(1), 1-19.