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Record W4409251356 · doi:10.1055/s-0044-1800760

Citizens' Options When Accessing and Sharing Health Information – An International Survey of IMIA Member Countries

2024· article· en· W4409251356 on OpenAlex
Camilla Bidstrup Hjermitslev, Helen Monkman, Julia Adler‐Milstein, Thomas Schmidt, Christian Nøhr, Jeppe Eriksen

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueYearbook of Medical Informatics · 2024
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsHealth informationMember statesBusinessPolitical scienceInternet privacyWorld Wide WebComputer scienceHealth careInternational tradeLawEuropean union

Abstract

fetched live from OpenAlex

INTRODUCTION: Citizens' access to personal health information and information on prescription medication, options to share personal health data, and how these personal health data are kept secure, are all important themes in health informatics and therefore elaborated upon in this paper. METHODS: The empirical data stems from a survey that examines citizens' temporal access to laboratory test results, options for sharing patient-generated health data (PGHD) with health providers, methods to obtain supplementary information on prescription medication, and security issues pertaining to national standards, education, and experienced breaches. RESULTS: Results are based on answers from representatives in the International Medical Informatics Association (IMIA) member countries (n=28). Data shows that citizens' online access to test results is possible as soon as they are available in ten countries whereas nine countries have no norm or standard. The most common ways to provide citizens with supplementary information on prescription medication is through package inserts from manufacturers or paper medication information from pharmacies. PGHD is shared primarily in print or by showing the device to the health provider. Regarding e-health security, most countries have national standards for the security, however, less than half of the IMIA representatives answer that health professionals are required training in the national standards. Lastly, 16 of the 28 answers reply that there has been leaks leading to unauthorized access to health data. Future research should focus on how to provide citizens access to lab results according to their needs and examine how to include digital PGHD meaningfully into clinical practice.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.640
Threshold uncertainty score0.758

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0070.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.112
GPT teacher head0.481
Teacher spread0.370 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it