Metodologia LIS (Localizador de Informação em Saúde ou Recursos de internet)

LIS (Localizador de Informação em Saúde ou Recursos de internet)

Formación en salud digital: retos y oportunidades

Uno de los principales retos en nuestra región, es la formación de los recursos humanos en salud digital, ya que no se cuentan con programas de grado o posgrado en informática en salud, sistemas de información en salud, etc. que permitan contar con una masa crítica de profesionales que puedan facilitar los procesos de transformación digital en salud en las instituciones prestadoras de salud, tanto públicas como privadas, en salud pública y en la generación de conocimiento en materia de innovación en salud utilizando las tecnologías emergentes. Sin embargo, existen organizaciones líderes en Iberoamérica que están promoviendo desde hace algunos años, espacios para la formación de estos profesionales, tanto en modalidad presencial, como semi-presencial y a distancia.

Assessing the Prevalence of Ahima-Identified Health Informatics and Information Management Careers and Related Skills: A Cross-Sectional Study.

This study's objective was to identify the prevalence of the American Health Information Management Association (AHIMA) career map jobs and determine which job categories, degrees, and skills are associated with higher pay. We extracted data from SimplyHired, a major employment website, from December 2018 to December 2019. We retrieved 12,688 career posts. We found differences in average salary by career category (p-value 0.00). Most jobs were in coding and revenue cycle (CRC) and information governance (IG) categories. The highest average salaries were in data analytics (DA) and informatics (IN). Each career category had a unique set of skills associated with the highest paying jobs. Eighty-two percent of CRC, 67 percent of IG, 65 percent of IN, and 83 percent of DA jobs listed in the AHIMA career map were present in the extracted dataset. These results can help employees, academics, and industry leaders understand the health informatics and information management (HIM) workforce landscape.

Health Information Management Reimagined: Assessing Current Professional Skills and Industry Demand.

This paper examines the changes affecting the health information management (HIM) professional skill set and industry demand to determine differences affecting practitioners. As the industry continues to experience technological innovation, the responsibilities of the HIM professional are in flux, affecting the required skill set of the changing environment. This research used the American Health Information Management Association salary survey and current job postings to determine whether the workforce has experienced deskilling and whether a theory-practice-gap exists. It also assesses if industry competencies align with the Health Information Management Reimaged perspectives. The results indicate that the workforce has not experienced deskilling, that a theory-practice gap does exist, and that Health Information Management Reimaged is aligned with industry needs.

Professional Networking for Health Information Management/Technology Students and New Graduates: A Survey of HIM Professionals in Michigan.

The purpose of this survey was to gather advice on professional networking to assist health information management/technology students and new graduates. An online survey was sent to members of the Michigan Health Information Management Association (MHIMA) through a series of e-mails with 119 responses. Open-ended questions were analyzed using qualitative summative content analysis. Overall trends identified from the advice were to be active in the health information management (HIM) community and engage in positive relationships while avoiding negative or self-centered behaviors. Online networking activities were also recommended to be included in the process although not as the only means of networking. Attending regional and state HIM association events and volunteering with regional associations were selected most often as effective networking activities.

Physical Therapy and Health Information Management Students: Perceptions of an Online Interprofessional Education Experience.

This study described the results of online interprofessional education (IPE) between physical therapy and health information management students. Using the published Student Perceptions of Interprofessional Clinical Education - Revised, version 2 (SPICE-R2) survey, this study measured changes in perception about IPE before and after three online interactions. Survey results included an overall score and three factors: Interprofessional Teamwork and Team-Based Practice (T), Roles/Responsibilities for Collaborative Practice (R), and Patient Outcomes from Collaborative Practice (O). Data were analyzed using two-way analysis of variance tests using time and program as factors. The overall scores improved significantly for time (ρ=.019). The T factor demonstrated a significant change for program (ρ=.006) and the R factor improved significantly over time (ρ=.005) and by program (ρ=.022). Narrative student comments focused on role and responsibility clarification, communication and coordination, and participation in a realistic experience involving multiple professions. The students believed that the experience was beneficial and important.

Population Health: Identifying Skill Sets and Education Alignment for HIM Professionals.

The COVID-19 pandemic has increased the emphasis on population health, therefore potentially amplifying demand for healthcare workforce professionals in this area. There is an urgent need to explore and define the roles of health information management (HIM) professionals in the population health workforce. This study sought to identify the skill sets and qualifications needed, and HIM education alignment with skills necessary for HIM professionals entering the population health workforce. An intentionally broad internet search of job postings was conducted to determine skills in population health. Population health-related job descriptions and qualification requirements were abstracted and analyzed using ATLAS.ti. Three common job categories were identified: management, analytics, and coding. Skill set requirements included soft skills, problem solving, project management, research, and data analysis. The study results identified HIM educational alignment and found that HIM professionals are generally a good fit to meet the increased need in the population health workforce.

Assessment of the Electronic Health Record Skills Needed for the Health Information Management Student.

Electronic health records (EHR) have continued to advance and improve patient care, treatment, and safety, but the education required for EHR use can vary. In preparing future health care professionals for the use of EHR, allied health programs such as health information management (HIM) should understand the current use of EHR skills of HIM professionals. This quantitative descriptive study identified the current use of EHR skills of HIM professionals within a region. An email containing a link to the electronic survey was sent to 350 HIM association members. The response rate was 34.6% (n=121). The results indicated higher use of federal and state regulations regarding privacy/security, problem solving and critical thinking skills for health information technology (HIT) systems, and data mining skills. But, there were some skillsets that had a lower use such as financial decision making, database design, and HIT software development. The findings suggest some specific EHR skills that are essential for HIM graduates. It is imperative that HIM programs have an understanding of what EHR skills are needed for their profession.

Aprender y enseñar en tiempos de COVID-19 con el campus virtual de la OPS

Programa de entrenamiento para el manejo y uso de la información científica en residentes de especialidades médicas / Training program for the management and use of scientific information in residents of medical specialties

Introducción:los residentes de las especialidades médicas deben estar aptos para desarrollar actividades investigativas de su proceso de formación. Para ello, es imprescindible la adquisición de habilidades informacionales.Objetivo: valorar la pertinencia científico metodológica del programa de entrenamiento para la preparación de los residentes de las especialidades médicas en el manejo y uso adecuados de la información científica, previamente a su propuesta diseñada.Método: se realizó una investigación pedagógica en el Hospital General Provincial Docente de Ciego de Ávila durante el trienio 2016-2018. El universo de estudio constó de 57 residentes de primer año. Se aplicaron los métodos teóricos: histórico-lógico, inductivo-deductivo, analítico-sintético, sistémico-estructural, triangulación y modelación, y los empíricos: observación, encuesta, análisis documental y talleres de socialización con especialistas para valorar la pertinencia del programa.Resultados: en el diagnóstico se identificó un insuficiente desarrollo de habilidades informacionales en los residentes. A partir de ello, y de las regulaciones vigentes, se diseñó un programa de entrenamiento como resultado práctico de la investigación. Su contenido se desglosó en tres temas: búsqueda, evaluación y tratamiento de la información, e incluye las orientaciones metodológicas y otros elementos establecidos. Los especialistas emitieron criterios satisfactorios en la valoración de su pertinencia. Durante toda la investigación se cumplieron los preceptos éticos.Conclusiones: el diagnóstico reveló insuficiencias informacionales de los residentes. Se elaboró un programa de entrenamiento de posgrado para el manejo y uso de la información científica destinado a residentes de las especialidades médicas, que fue valorado como pertinente por los especialistas en los talleres de socialización(AU)

Introduction: residents of medical specialties must be able to develop research activities of their training process. For this, the acquisition of information skills is essential.Objective: to assess the methodological scientific relevance of the training program for the resident of medical specialties preparation in the proper management and use of scientific information, prior to its proposal.Method: a pedagogical research was carried out at the General Provincial Teaching Hospital of Ciego de Ávila during the 2016-2018 triennium. The study universe consisted of 57 first-year residents. The following theoretical methods were applied: historical-logical, inductive-deductive, analytical-synthetic, systemic-structural, triangulation and modeling, and the empirical ones: observation, survey, documentary analysis and socialization workshops with specialists to assess the relevance of the program.Results: the diagnosis identified an insufficient development of informational skills in residents. From this, and the regulations in force, a training program was designed as a practical result of the investigation. Its content was broken down into three topics: search, evaluation and information treatment, and includes methodological guidelines and other established elements. The specialists issued satisfactory criteria in assessing their relevance. Throughout the investigation the ethical precepts were fulfilled.Conclusions: the diagnosis revealed informational insufficiencies of the residents. A postgraduate training program for the management and use of scientific information was developed intended for residents of medical specialties, which was assessed as relevant by specialists in socialization workshops(AU)

Wither health science librarianship? Many questions, many options.

The 2019 virtual issue of the Health Information and Libraries Journal (HILJ) is published to link to the 2019 EAHIL Workshop taking place in Basel, Switzerland on 17-20 June 2019. The workshop is structured around six topics: (i) Roadmap of our Profession; (ii) Technology Uptake; (iii) Ecology of Scholarly Communications; (iv) Impact + Assessment; (v) Benchmarking + Advocacy; (vi) Evidence-Based Practice. These themes have been used to compile this virtual issue, which contains published articles selected from HILJ from the March 2019 issue through to June 2017. The virtual issue mirrors the format of a regular issue of HILJ, namely a review article, five original articles and articles from our three regular features: 'Dissertations into Practice', 'International Perspectives and Initiatives' and 'Teaching and Learning in Action'. The authors come from the UK, Canada, Australia, Italy, Iran and Belgium. All articles included in this virtual issue are available free online.

Delivering information literacy within a global health care degree: reflections from a health information specialist.

Higher education institutions (HEIs) have a growing interest in establishing International joint degree programmes in developing countries. A Master's degree in global health care is an international joint degree programme run by two Finnish Universities of Applied Sciences and one Kenyan University. To provide students and staff members who live in Finland with an authentic experience of the circumstances in the developing countries, part of the programme involves delivering a two-week intensive course in Kenya. Health library services and information literacy training have a significant presence during this intensive course. In this paper, guest writer Marketta Fredriksson describes and reflects on the involvement of the health care library team in the development and implementation of this degree and delivery of the intensive course in Kenya.H.S.

Building a Community of Inquiry Within an Online-Based Health Informatics Program: Instructional Design and Lessons Learned.

The rapid medical and technological progress and the resulting need for life-long learning lead to the proliferation of online-based programs in health informatics for health care and health informatics professionals. Effective learning in these online-based programs demands close interaction and cooperation between students and instructors. In such cooperative online-based programs, special emphasis is thus put on fostering a community of inquiry between all participants. The online-based master program on Health Information Management at the University UMIT is firmly based on the constructivist theory of situated learning in such a community of inquiry. Online activities in this master program are designed to promote social presence, cognitive presence and teacher presence as preconditions for successful learning. To verify whether these three forms of presences are visible and whether learning was successful, the first four six-week online-based modules with overall 60 participants were analyzed in depth, combining data from community of inquiry surveys, student evaluations, workload assessments and final assessment results. Results indicate that it was possible to build a community of inquiry (with scores of 4.2 and higher) and to foster effective learning. We conclude with recommendations on how to build a community of inquiry in online-based cooperative learning and also discuss some constraints.

A beginner's guide to avoiding Protected Health Information (PHI) issues in clinical research - With how-to's in REDCap Data Management Software.

Protecting personally identifiable information is important in clinical research. The authors, two faculty members involved in developing and implementing research infrastructure for a medical school, observed challenges novice researchers encountered in recognizing, collecting, and managing Protected Health Information (PHI) for clinical research. However, we had difficulty finding resources that provide practical strategies for novice clinical researchers for this topic. Common issues for beginners were: 1. Recognition of PHI, e.g. lack of recognition of 'indirect' PHI, i.e., that the combination of two or more non-PHI data types or other specific information could result in identifiable data requiring protection; 2. Collection of PHI, e.g., proposed collection of data not necessary for fulfillment of the project's objectives or potential inadvertent collection of PHI in free text response items; and 3. Management of PHI, e.g., proposed use of coding systems that directly included PHI, or proposed data collection techniques, electronic data storage, or software with inadequate protections. From these observations, the authors provide the following in this paper: 1. A brief review of the elements of PHI, particularly 'indirect' PHI; 2. Sample data management plans for common project types relevant to novice clinical researchers to ensure planning for data security; 3. Basic techniques for avoiding issues related to the collection of PHI, securing and limiting access to collected PHI, and management of released PHI; and 4. Methods for implementing these techniques in the Research Electronic Data Capture (REDCap) system, a commonly used and readily available research data management software system.

Sistematización de un sitio web nacional sobre una temática de salud. Cuba / Systematization of a national website on a health theme. Cuba

La información es poder y en los servicios de salud debe ser utilizada también en función del conocimiento y su socialización. En este trabajo se describe la sistematización y desarrollo del sitio web temático sobre las infecciones de trasmisión sexual incluyendo a la infección por el virus de la inmunodeficiencia humana a partir de la necesidad de crear un espacio virtual que recoja la información más importante y actualizada sobre el tema. Se destacan las particularidades del proceso, herramientas utilizadas y los servicios a disposición de los usuarios. El sitio se mantiene una referencia obligada para los interesados en el tema de las infecciones de trasmisión sexual y ha sido en varios periodos entre los más visitados de Infomed. Incluyó en su espacio, por más de cinco años, un foro de discusión al que accedieron más de mil personas. Se expresan experiencias y recomendaciones prácticas para este tipo de proyecto(AU)

Information is power and in health services it should also be used based on knowledge and its socialization.This paper describes the systematization and development of the thematic website on sexually transmitted infections, including human immunodeficiency virus infection, based on the need to create a virtual space that collects the most important and up-to-date information about the disease. It high lights the particularities and tools used and the services available to users. The site remained in this period among the most visited of Infomed. It included in its space, for more than five years, a discussion forum that was accessed by more than a thousand people. Experiences and practical recommendations for this type of project are expressed(AU)

Blog como ferramenta educacional: contribuições para o processo interdisciplinar de educação em saúde / Blog as an educational tool: contributions to the interdisciplinary health education process / Blog como herramienta educativa: contribuciones para el proceso interdisciplinario de la educación para la salud

A sociedade tecnológica digital demanda sujeitos e saberes que cooperem mutuamente para resolver problemas complexos neste mundo de acesso quase imediato à informação. Nesse contexto, docentes e discentes do mestrado em Ensino na Saúde, de uma universidade pública, e do curso Técnico em Redes de Computadores, de um instituto federal, ambos cearenses, criaram o blog Saúde na Era Digital, objetivando educação em saúde para o público em geral. A interação virtual nele registrada foi submetida à análise de conteúdo e emergiram três eixos temáticos: uso equilibrado/apropriado das tecnologias de informação e comunicação (TIC); benefícios dessas tecnologias para a saúde; e seus prejuízos. Especificam-se aspectos positivos da experiência: variados recursos educativos no blog; rompimento dos obstáculos tempo/espaço; ambiente cooperativo de aprendizagem virtual; blog para aprendizagem; e ganho comunitário de educação em saúde pela integração graduação-pós-graduação-docência. Registra-se também a dificuldade de alguns usuários no manuseio dessas TIC que, pela experiência, se recomendam para práticas educativas atuais, contextualizadas e interdisciplinares. (AU)

The technological and digital society requires people and knowledges together for mutual co-operation, so that to solve complex problems in a world where the access to information is nearly immediate. In this context, professors and students at a public university in the master's degree course called Ensino na Saúde (the learning about health), and others in the Técnico em Redes de Computadores (technical expert in computer networks) course at a federal institute, both in the state of Ceará, Brazil, published the blog Saúde na Era Digital (health in the digital era), aiming the health education for the general public. The interaction with visitors comments was submitted to the content analysis and three thematic axes emerged: balanced/appropriate use of information and communication technology (ICT); its benefits to health; and its damage. The positive aspects of the experience were specified: different educational resources used by the blog; overcoming obstacle of time-space; learning cooperative environment; blog for learning; and community gain in health education from the integration graduate-postgraduate-teaching. A difficulty of some people to handle these ICT was observed. ICT are recommended for current, contextualized and interdisciplinary educational practices. (AU)

La sociedad tecnológica y digital necesita personas y conocimientos cooperando entre sí para resolver problemas complejos en este mundo de acceso casi instantáneo a las informaciones. Así, profesores y estudiantes del curso de maestría Ensino na Saúde (enseñanza en salud), en una universidad pública, y del curso Técnico em Redes de Computadores (técnico en redes de computadoras), de un instituto federal, los dos en el estado de Ceará, Brasil, crearon el blog Saúde na Era Digital (salud en la era digital), con el objetivo de educación en salud dirigida al público general. La interacción virtual ha sido sometida al análisis de contenido y tres ejes temáticos surgieron: uso equilibrado/apropiado de tecnologías de la información y la comunicación (TIC); sus beneficios a la salud; sus daños. Fueron especificados aspectos positivos de la experiencia: diversos recursos educativos en el blog; superación de las barreras tempo/espacio; ambiente de cooperación para aprendizaje virtual; blog para aprendizaje; y ganancia de la comunidad en educación en salud por medio de la integración graduación-postgrado-enseñanza. Algunos usuários tuvieron dificuldad en manejar las TIC. Ellas son recomendadas para prácticas educativas actuales, contextualizadas y interdisciplinarias. (AU)

Propuestas de innovación para la gestión de información y el conocimiento en salud / Proposals for innovation in the health information and knowledge management

Introducción: El siglo xxi se caracteriza por un cambio de paradigma cuya relación social y tecnológica propicia una evolución de las ciencias administrativas. Este desarrollo social, convergencia tecnológica y los procesos de gestión de información y conocimiento influyen en la toma de decisiones en salud. Ello es objeto de atención, seguimiento y mejora en las organizaciones del Sistema Nacional de Salud. Objetivo: Proponer las innovaciones requeridas en la gestión de información y el conocimiento para la adecuada toma de decisiones en el sistema de salud cubano. Métodos: Se aplicaron métodos teóricos, herramientas y técnicas cualitativas y cuantitativas para la obtención de información. Se realizaron entrevistas y consultas a expertos. Se diseñaron dos muestras para el estudio por encuesta en la dimensión de capital humano que involucró a gestores de información tanto empleados como empleadores y a los directivos. Se aplicaron técnicas de grupos focales, matriz DAFO y otras que permitieron el procesamiento y análisis de la información. Se tuvieron en cuenta los aspectos éticos correspondientes. Resultados: Se analizaron las tres dimensiones que intervienen en el proceso de gestión de información y conocimiento: estructura, capital humano y las tecnologías y herramientas asociadas. Conclusiones: Existen dificultades en las dimensiones analizadas que llevan a las propuestas de una estructura informacional reticular, estrategias para el perfeccionamiento del capital intelectual, revitalización del Programa de Informatización, desarrollo de aplicaciones en red que garanticen el Sistema de Información de Salud que faciliten el entorno personal de dirección y aprendizaje para el directivo(AU)

Introduction: The new century is characterized by a change of paradigm whose social and technological relationship prompted the development of administration sciences. The social development, the technological convergence and the information and knowledge management processes have an impact on the decision-making in the field of health care. The present situation of the information and knowledge management is the object of attention, follow-up and improvement in the national health care system organizations. Objective: To make proposals of the required innovations for adequate decision-making in the Cuban health care system Methods: Theoretical methods, tools, and qualitative and quantitative techniques were used to collect information along with interviews and expert consultations. Two samples were designed for the survey-based study in the dimension human capital involving information managers, employers, employees and managing staff. Focal group, SWOT matrix and other techniques were used, which allowed processing and analyzing the information. The respective ethical aspects were taken into account. Results: The three dimensions involved in the information and knowledge management process, that is, structure, human capital and associated tools and technologies were analyzed. Conclusions: There are difficulties in the analyzed dimensions that lead to suggest the application of a reticular information structure, some strategies for the upgrading of the intellectual capital, the revitalization of the informatization program, and development of network-based applications, which will assure the health information system and facilitate the personal managing environment and the managing staff´s learning(AU)

National Survey on Doctoral-Level Education in Health Information Management: Perceptions and Rationale.

Objective: The purpose of this survey was to understand the perceptions and educational goals of the health information management (HIM) workforce in regard to pursuing doctoral-level degrees. Method: Survey data were collected from members of the American Health Information Management Association (AHIMA) to gain further insight into their interest in pursuing a doctoral degree, their reasons for obtaining such a degree, their methods of learning, and their financial support for an advanced degree. Descriptive characteristics were collected from AHIMA profile information. Results: A total of 13,020 surveys were electronically sent to selected AHIMA members, of which 1,453 were returned, for an 11 percent response rate. Of the 651 respondents who indicated that they were interested in obtaining a doctoral-level degree, close to half would like to start their doctoral-level study in the next one to five years. Discussion: This research points to recommendations for efforts to increase student funding opportunities, to increase the number of accredited HIM schools/programs, to create opportunities for doctoral-level study in HIM, to offer options for blended online learning, and to increase the number of doctorally prepared and qualified HIM faculty.