Monday, September 13, 2010

Medinfo Day 1

Monday morning commenced with two key note presentations. The first, by Marion Ball provided a history lesson and then identified some current issues (many largely unchanged from 30 years ago)including "e-iatrogensis" focusing on administration errors and other issues caused by computer systems. She moved on to look into the future and highlighting the importance of process re-engineering with emphasis on human factors - including a comparison of the workings of a formula 1 pit team and an operating theatre. She also looked forward to the effects of genomic medicine.

The second keynote was by Reinhold Haux as outgoing IMIA president. He also looked at the past present and future of medical informatics. He highlighted the importance of work in the field already undertaken as being highly original and relevant. He then moved on to the future - providing two scenarios a conservative view and a more radical or progressive alternative of the paths we may be travelling down in the next few years.

From this point on there were at least 10 events happening simultaneously, so I can only report on the bits I attended. For the first one I didn't have any choice as I was presenting my critique of the Technology Acceptance and Diffusion of Innovation models. This was followed by a speaker exploring the process undertaken in the selection of a technology for a group of hospitals but then devolve implementation to local hospitals. She highlighted issues of communication and work flow analysis. The next speaker was Rhima Padman who had studied an online consultation system known as eVisit. Another US speaker Nancy Lorenzi described a case study on the development of evidence based medicine work. The final speaker in the session was from Denmark and reported a study looking at the involvement of physicians in the selection of an EHR system, highlighting the power of the IT department and administrators over clinicians.

After lunch I attended a panel discussion related to Social media tools for personal health and well-being. The first speaker was from Finland who described the creation and use of an environment similar to Facebook, and a study undertaken to look at how new mothers used the system. They found it useful to use the environment to share ideas, photos etc but didn't have the time to do blogs etc. The next speaker was Kaija Saranto who looked at 6 basic ethical principles when using social interaction sites. She was followed by Ann Moen from the University of Oslo, discussing work to develop an environment for shared collaborative knowledge generation, which presents health information about particular rare conditions to patients with comments and discussion - and some of the issues which have arisen. The next speaker was Peter Murray (now CEO of IMIA) who took a different tack looking at "a survivors guide to Web 2.0 in health informatics". He gave various thanks & plugs for people & events including the New IMIA Social Media working group. He talked about the tools and risks to personal information. He look at the time involved in various applications, and moved on to their use and how we research them. Not only did he talk about how health professionals and their organisations use social media tools - but also how patients are using them. Peter was followed by Margaret Hansen who gave examples of using social media for healthcare informatics students, including wikieducator, social bookmarking, and using an ipad to tweet about self care. The short presentations were then followed by comments and questions, which kicked off with issues about information quality and professional responsibility to provide or challenge the information. Further discussion related to gate keepers and apomediation.

The next session included papers on user centered design and participatory interactive design with particular emphasis on getting both experts and end users involved in all stages of system and user interface design.

My final session at the end of a long day was a workshop on social media lead by Dr Bob - not all areas which were intended eg a second screen and twitter feed were not possible but several speakers outlined experiences, and ethical debates from professional and patient perspectives on social media, and how these might meet under served populations. The final presentation called for research and the creation of guidelines for patients using social media sites, which promoted a lively discussion session.



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