From the International Medical Informatics Association

ACI – Applied Clinical Informatics 2011;2 (2) eTOC

New articles are available for the eJournal ACI – Applied Clinical Informatics – an official eJournal of IMIA and AMDIS. The FOUR articles of Volume 2(2) of 2011 are now available at – the first article (Healthy Gaming – Video Game Design to promote Health – with free download) has already been advised (

In addition, the ACI News items are updated every Wednesday.  All articles from Volume 0 (2009) and Volume 1(1) (2010) and some from other issues are available as free downloads.

Use of Headings and Classifications by Physicians in Medical Narratives of EHRs 
An evaluation study in a Finnish hospital
Research Article
K. Häyrinen (1), K. Harno (1), P. Nykänen (2)
(1) University of Eastern Finland (Kuopio Campus), Department of Health and Social Management; (2) University of Tampere, Department of Computer Sciences, Tampere, Finland
ACI 2011 2 2: 143-157
Standardization of EHR is a focus of research and work in development of EHR technologies. This study examines the use of headings in the EHR entries of physicians in a Finnish hospital. The findings suggest there is additional need for structure in the narrative data input to EHRs.

AMDIS Case Conference 
Implementing Electronic Health Records in a Small Subspecialty Practice

Case Report
M. Terpenning (1), A. Berlin (2), J. Graham (3)
(1) Santa Monica Hematology-Oncology Consultants, Santa Monica, CA, USA; (2) Independent Consultant, San Francisco, CA, USA; (3) NorthBay Health System, Fairfield, CA, USA
ACI 2011 2 2: 158-164
This case report describes the decision to adopt an EHR system for a Hematology-Oncology medical group. The authors describe the decision-making process around adopting the EHR, including the practice readiness analysis and the implementation planning. A key point in the discussion of the process is the emotional reaction members of the practice had to the transition to an EHR.

Adoption of Electronic Health Records 
A Qualitative Study of Academic and Private Physicians and Health Administrators
Research Article
L. Grabenbauer (1), R. Fraser (2), J. McClay (1), N. Woelfl (1), C. B. Thompson (1), J. Cambell (1), J. Windle (1)
(1) University of Nebraska Medical Center; (2) University of Missouri
ACI 2011 2 2: 165-176
EHR adoption in the US has been increasing, but still only 20% of US hospitals have comprehensive EHR systems linking inpatient and outpatient data. The authors in this study interviewed academic and private physicians about their use and expectations of an EHR system. Their findings identified six themes in the physicians’ responses: workflow, patient care, communication, research/outcomes/billing, education/learning and culture. The authors conclude that the multiple themes challenge the assumption that financial incentives will be enough alone to promote adoption of EHRs.

How Online Crowds Influence the Way Individual Consumers Answer Health Questions 
An Online Prospective Study
Research Article – MedInfo Special Topic
A. Y .S. Lau (1), T. M. Y. Kwok (2), E. Coiera (1)
(1) Centre for Health Informatics, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia; (2) Faculty of Medicine, University of New South Wales, Sydney, Australia
ACI 2011 2 2: 177-189
Greater numbers of patients are seeking health information online, including through their peers via social media. This study aimed to determine the relationship between crowd opinion and individual responses to health survey questions. The findings show that respondents were more likely to change their answers when the majority opinion differed from their own and the chances of changing increased as the percentage of opinions opposed to their own increased in the response population.

For further information on this peer-reviewed eJournal, go to

Further materials of interest from the same publishers are to be found in the journal Methods of Information on Medicine and in the IMIA Yearbook of Medical Informatics.

If you have any questions or feedback do not hesitate to contact Schattauer by sending an e-mail to

ACI makes active use of social media tools and can be found at:, and

June 1, 2011 - Posted by | IMIA, journals | , , , , , ,

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