Medication Management Application Research Articles

Medical information management system based on multi-source heterogeneous big data

ABSTRACT This study aims to provide a medical information management system using multi-source heterogeneous big data to improve medical service quality and efficiency, with a motivation on its potential in medical insurance DRG payment. The system framework uses Back Propagation Neural Network (BPNN) technology to efficiently process and analyze multi-source medical data. Comparative experiments and parameter adjustments evaluated the system’s performance. Results show that the BPNN model achieved excellent accuracy (92.5%), recall (93%), and F1 value (92.8%) on the test data set, outperforming other models such as PSO(88%), CNN(89%), and RNN(90%). The system’s response speed was also significantly improved, with an average response time of 0.38 seconds, compared to 0.89 seconds for traditional systems. A 72-hour stability test confirmed the system’s reliability and ability to meet user needs. The proposed system demonstrates improved performance and user experience, making it a promising solution for medical information management and DRG payment applications.

Evaluation of the MMCT App Based on the Octalysis Gamification Framework

Gamification has tremendous popularity among the various domains such as e-learning, business, and healthcare. It is well documented that many applications are being developed to assist the patients to modify their behavior and most of them are designed to engage and motivate users to increase adherence, using gamified techniques. However, academic research and management pay little attention to the challenges of developing, implementing, managing, and maximizing gamification methods. In this research work we have presented a medication management application based on a gamification concept that provides reminder tools for patients who have difficulty in remembering their regimen. Currently, we have evaluated the efficiency of the platform in support of the motivating and engaging application of mHealth (MMCT) based on the Octalysis Gamification Framework. The latter contains several elements of the game design that can be used to enhance their experience as required in each stage of the player’s journey. We conclude by discussing the following section on gamification in addition to the guidelines for further development of the Octalysis method.

Application cost of intelligent intrusion detection in medical logistics management under public cloud environment

Because the medical logistics management involves a large number of sensitive data and information, the security problem has become the key problem to be solved. This paper explores the use of Intelligent Intrusion Detection Technology in the public cloud to improve the security of medical logistics management applications, and evaluates its impact on costs. The research adopts computer steps, including collecting data and information of medical logistics management, constructing intrusion detection system model, designing experimental scheme, conducting simulation experiments and data analysis. The results show that the application of Intelligent Intrusion Detection Technology in the public cloud can significantly improve the security of medical logistics management and reduce the potential intrusion risk. The comprehensive analysis shows that the cost of intelligent intrusion detection technology is relatively low, which is reasonable compared with the improvement of security.

Biosensors supporting healthcare in missions — expert consensus on the status of implementation in the military and future tasks

The monitoring of physiological parameters using wearable (bio-) sensors of military personnel is a progressing process within the military environment. It sets high demands on such devices, in order to support healthcare and performance of the personnel. To get an ovierview of the current status of the use, the evaluation and the implementation in the military, in May 2021, the Multinational Medical Coordination Centre / European Medical Command has organized an expert workshop about ‘Biosensors Supporting Healthcare in Missions’. Three thematic clusters were addressed: ‘Human Performance and Readiness’; ‘Health and Medical Management Applications’ and ‘Ethical and Legal Aspects of the Use of Biosensors’.

Feasibility of Electronic Health Record Integration of a SMART Application to Facilitate Patient-Provider Communication for Medication Management.

Increased treatment complexity in patients with diabetes contributes to medication nonadherence. Patient portals that are accessible through electronic health records may offer improved patient-provider communication and better medication management in patients with diabetes and uncontrolled hypertension. We conducted a prospective, mixed-methods evaluation of the Duke PillBox application, a SMART-on-FHIR medication management application integrated into the electronic health record patient portal. Adults with active portal status, diabetes, and uncontrolled hypertension participated in a usability/feasibility survey and communicated with a pharmacist via the portal-based application who conducted medication reconciliation and discussed medication indications, side effects, and barriers to use with patients. Of the eligible patients (n = 285), 29 (10%) were interested, and 12 (8%) participated. Challenges to usability were due to the electronic health record-portal communication interface (91%), browser access and compatibility (55%), and persistent lists of unused medications in the electronic health record (27%). The findings of this study suggest that electronic health record-integrated medication applications are desirable as indicated in patient interactions at the outset and conclusion of the study. Persistent challenges included electronic health record integration, interoperability, user interface, and browser connectivity for both patients and providers.

Using Technology to Support Self-Managing Hypertension in African Americans

The purpose of this study was to examine the effects of a community and technology-based intervention to support self-managing hypertension in African American (AA). Sixty AA with hypertension were randomly assigned to Coachman (a technology-based intervention) or Enhanced Usual Care. COACHMAN is comprised of blood pressure (BP) monitoring with study issued monitor, six-weeks of web-based education, training to use a medication management application, and nurse counseling. Data were collected on contextual factors (demographics, perceived social support), process factors (hypertension knowledge, self-efficacy, technology use/adoption), and proximal health behaviors (medication adherence, diet, exercise) at baseline, and 8 and 12 weeks. While mean difference in BP reduction was not statistically significant, we found that half of the subjects randomized to the intervention group had an average systolic BP reduction of 13.5 mmHg that we would regard as clinically significant. Interventions that incorporate mHealth can support self-managing hypertension in AA, and improve BP.

The novel application of dropper cover for the protection of ampoules

Glass ampoules are currently commonly used for clinical small-volume injections, and they are difficult to keep in original packaging in clinical medication management and actual application. The drug mark on the surface of the glass ampoule is easily erased after being repeatedly rubbed, which makes the handwriting blurred and unrecognizable. Moreover, there is the possibility of accidental slipping and breaking during use.

A COMMUNITY AND TECH-BASED APPROACH FOR HYPERTENSION SELF-MANAGEMENT (COACHMAN)

African American (AAs) are disproportionately affected by hypertension. Developing effective outreach programs with community partners is a major public health priority and ideal to educate, empower, and offer support to self-manage hypertension in AAs. The purpose of this pilot is to investigate the effectiveness of a community outreach program using a technology-based intervention for hypertension self-management (COACHMAN) to improve blood pressure (BP) control. Forty AAs with hypertension will be randomly assigned to COACHMAN or enhanced usual care (EUC). COACHMAN is comprised of four components: self-monitoring of BP; web-based education; nurse counseling; and training on a medication management application. The primary outcome is change in BP from baseline to 3-months. We hypothesize that participants in COACHMAN (compared to EUC) will have better BP control. Findings from this study, if confirmed, will provide knowledge to the scarce literature available on technology-based interventions appropriate to help AAs self-manage hypertension and improve BP control.

Abstract P358: Improvement in Antihypertensive Medication Adherence and Persistence Using a Mobile Technology Application

Background: The high costs and negative outcomes associated with poor medication adherence are well established. This study evaluated antihypertensive adherence and persistence in patients using the Medisafe personalized medication management application (app) compared to a matched control group. Methods: Patients installing the app entering an antihypertensive medication (users) between 1/1/2014-12/31/2017 (index date) were anonymously linked to IQVIA’s longitudinal prescription claims (LRx) database and matched 1:3 to non-app users (controls) with prescription claims for antihypertensive therapy in the same month as the app user; further matched on age (+/- 3 years), gender, geographic region, and categorical number of pre-index antihypertensive therapy claims (0-5, 6-11, ≥ 12). All patients had ≥ 2 prescription claims pre-index and ≥ 3 claims post-index, while pre- and post-index periods were equalized for app users and controls. Adherence was measured during the persistent period in LRx via medication possession ratio (MPR) during the pre-index and post-index periods established for both groups. Persistence was defined as no gaps in therapy >60 days. Differences in MPR change between app users and controls were tested using difference in differences (DID) models. Persistence was evaluated using Kaplan-Meyer analysis. Results: There were a total of 4,019 cases and 12,057 controls with mean (SD) pre-index periods of 14.2 (8.8) months. The mean (SD) age was 55 (12) years; 55% were male. The net increase in MPR was significantly higher in app-users compared to the controls (+0.083 vs. +0.036, p<.0001) as was the change in the proportion of patients with MPR ≥ 0.80 (+15.40% vs. +7.81%, p<.0001). Persistence on therapy was significantly higher for app users (log-rank test p<0.001) and at 12 months was 81.4% for app users compared to 34.5% for controls. Conclusions: Patients using the Medisafe app were significantly more persistent on therapy compared to matched controls and had a higher adherence to therapy during the persistent period. Broad use of this mobile app technology could play an important role in improving clinical and economic outcomes in patients with hypertension.

User Insights for Design of an Antihypertensive Medication Management Application.

Hypertension is the most common chronic disease affecting older adults (65+) in the United States. Unfortunately, many struggle to adhere to their antihypertensive medications as only about half diagnosed with the disease have it controlled. Therefore, there is a need for designing supportive medication management systems to aid this population with their antihypertensive medications, especially using increasingly adopted technologies such as smartphones. The preferences of older adults with hypertension must be considered when designing such systems for this population. Six older adults participated in structured interviews to inform the design of the Medication Education, Decision Support, Reminding and Monitoring System (MEDSReM). Results revealed management needs, design insights, and reminder preferences, as well as mostly positive opinions regarding technology use for medication management. These findings informed the development of MEDSReM with the goal of supporting older adults in successfully managing their antihypertensive medications.

An innovative inexpensive behaviourally-based medication management application

An innovative inexpensive behaviourally-based medication management application

Supporting Community Pharmacies with Implementation of a Web-Based Medication Management Application.

Community pharmacists' role in clinical care is expanding in the United States and information systems are needed that extend beyond a dispensing workflow. As pharmacies adopt new systems, implementation support will be needed. This study identifies the barriers and facilitators experienced by community pharmacies in implementing a Web-based medication management application and describes the implementation strategies used to support these pharmacies. Semistructured interviews were conducted with 28 program and research staff that provides support to community pharmacies participating in a statewide pharmacy network. Interviews were recorded, transcribed verbatim, and analyzed for themes using the Expert Recommendations for Implementing Change (ERIC). Findings suggest that leadership support, clinical training, and computer literacy facilitated implementation, while lack of system integration, staff resistance to change, and provider reluctance to share data served as barriers. To overcome the barriers, implementation support was provided, such as assessing readiness for implementation, developing a standardized and interoperable care plan, and audit and feedback of documentation quality. Participants used a wide array of strategies to support community pharmacies with implementation and tailored approaches to accommodate pharmacy-specific preferences. Most of the support was delivered preimplementation or in the early phase of implementation and by program or research staff rather than peer-to-peer. Implementing new pharmacy information system requires a significant amount of implementation support to help end-users learn about program features, how to integrate the software into workflow, and how to optimize the software to improve patient care. Future research should identify which implementation strategies are associated with program performance.

Keeping Up with Healthcare Trends: IcHeart as a Medication Management Application

According to the US governments, more than 125,000 people die each year due to failure to manage their medications, leading to approximately USD100 billion in preventable costs to healthcare systems. The core failure in medication management is attributed by patients failing to adhere their medication regimens, whether by accident, negligence, or intentional. Recognizing the importants of vigilant monitoring in medication management, this paper is set to review the latest android-based healthcare trends and propose a new mobile medication reminder application called IcHeart.

Beta Testing a Novel Smartphone Application to Improve Medication Adherence

We developed and beta-tested a patient-centered medication management application, PresRx optical character recognition (OCR), a mobile health (m-health) tool that auto-populates drug name and dosing instructions directly from patients' medication labels by OCR. We employed a single-subject design study to evaluate PresRx OCR for three outcomes: (1) accuracy of auto-populated medication dosing instructions, (2) acceptability of the user interface, and (3) patients' adherence to chronic medications. Eight patients beta-tested PresRx OCR. Five patients used the software for ≥6 months, and four completed exit interviews (n = 4 completers). At baseline, patients used 3.4 chronic prescription medications and exhibited moderate-to-high adherence rates. Accuracy of auto-populated information by OCR was 95% for drug name, 98% for dose, and 96% for frequency. Study completers rated PresRx OCR 74 on the System Usability Scale, where scores ≥70 indicate an acceptable user interface (scale 0-100). Adherence rates measured by PresRx OCR were high during the first month of app use (93%), but waned midway through the 6-month testing period (78%). Compared with pharmacy fill rates, PresRx OCR underestimated adherence among completers by 3%, while it overestimated adherence among noncompleters by 8%. Results suggest smartphone applications supporting medication management are feasible and accurately assess adherence compared with objective measures. Future efforts to improve medication-taking behavior using m-health tools should target specific patient populations and leverage common application programming interfaces to promote generalizability. Our medication management application PresRx OCR is innovative, acceptable for patient use, and accurately tracks medication adherence.

A Privacy-Preserved Analytical Method for eHealth Database with Minimized Information Loss

Digitizing medical information is an emerging trend that employs information and communication technology (ICT) to manage health records, diagnostic reports, and other medical data more effectively, in order to improve the overall quality of medical services. However, medical information is highly confidential and involves private information, even legitimate access to data raises privacy concerns. Medical records provide health information on an as-needed basis for diagnosis and treatment, and the information is also important for medical research and other health management applications. Traditional privacy risk management systems have focused on reducing reidentification risk, and they do not consider information loss. In addition, such systems cannot identify and isolate data that carries high risk of privacy violations. This paper proposes the Hiatus Tailor (HT) system, which ensures low re-identification risk for medical records, while providing more authenticated information to database users and identifying high-risk data in the database for better system management. The experimental results demonstrate that the HT system achieves much lower information loss than traditional risk management methods, with the same risk of re-identification.

Use of the internet for development of a wide area network for the allergy practice with multiple offices

Use of the internet for development of a wide area network for the allergy practice with multiple offices

Wavelet lossless compression of coronary angiographic images

The final diagnosis in coronary angiography has to be performed on the original images, therefore the lossless compression schemes play a key role in medical data base management and tele-diagnosis applications. This work proposes a wavelet based compression scheme that is able to operate in the lossless mode. The quantization module implements a new modality for the coding of the coefficient's significance map that is more effective than the classical zero-tree representation. The experimental results obtained on a set of 20 angiograms show that the algorithm outperforms with 0.38 bpp the embedded zero-tree coder combined with the lifting scheme, with 0.20 bpp the set partitioning coder and with 0.70 bpp the lossless JPEG. The scheme is a good candidate in applications like remote browsing through large image data sets and real-time archiving of coronary angiograms.

Computers for Medical Office and Patient Management

This book contains ten papers by leaders in the field of medical computing, emphasizing medical office management applications of computers, with limited consideration of applications to direct patient care. In the first paper, S. B. Day presents comprehensive historical introduction to medical informatics and substantial biobliography. In the second chapter, Design Principles of Computer-aided Office Systems, J. F. Brandejs properly cautions that ... the implementation of the new computerized technology in physicians' offices is still risky endeavor.... He defines a modular medical information system as a package or set of mutually interrelated application programs working as whole for purpose specified by the users. He refers briefly to the A, B, C modules, which include appointment scheduling. He mentions business-financial and chart-medical record functions (indicating that medical care functions, such as orders and reports for clinical laboratory, radiology, pharmacy, etc, are included as blocks of information in