Evidence-Based Health Informatics as the Foundation for the COVID-19 Response: A Joint Call for Action.

Autor: Fernandez-Luque L; Adhera Health Inc., Palo Alto, California, United States., Kushniruk AW; School of Health Information Science, University of Victoria, Victoria, Canada., Georgiou A; Australian Institute of Health Innovation, Macquarie University, Macquarie, New South Wales, Australia., Basu A; School of Health Sciences, University of Canterbury, Christchurch, New Zealand., Petersen C; Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, United States., Ronquillo C; Daphne Cockwell School of Nursing, Ryerson University, Ryerson, Toronto, Canada., Paton C; Department of Information Science, University of Otago, Dunedin, New Zealand.; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom., Nøhr C; Centre for Health Informatics and Technology, Maersk McKinney Moller Institute, University of Southern Denmark, Denmark., Kuziemsky CE; Office of Research Services, MacEwan University, Edmonton, AB, Canada., Alhuwail D; Department of Information Science, Kuwait University, Kuwait.; Health Informatics Unit, Dasman Diabetes Institute, Kuwait., Skiba D; University of Colorado, Denver, Colorado, United States., Huesing E; IMIA CEO., Gabarron E; Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway., Borycki EM; School of Health Information Science, University of Victoria, Victoria, Canada., Magrabi F; Australian Institute of Health Innovation, Macquarie University, Macquarie, New South Wales, Australia., Denecke K; Institute for Medical Informatics, Bern University of Applied Sciences, Bern, Switzerland., Peute LWP; Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Topaz M; Columbia University Medical Center, Data Science Institute, Columbia University, Columbia, United States., Al-Shorbaji N; Amman, Jordan., Lacroix P; University of Victoria, Victoria, Canada., Marcilly R; Univ. Lille, Inserm, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France., Cornet R; Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Gogia SB; Society for Administration of Telemedicine and Healthcare Informatics, New Delhi, India., Kobayashi S; National Institute of Public Health, Japan., Iyengar S; The University of Arizona, Arizona, United States., Deserno TM; Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany., Mettler T; Swiss Graduate School of Public Administration, University of Lausanne, Lausanne, Switzerland., Vimarlund V; Department of Computer and Information Science (IDA), School of Engineering and Technology, Linköping University, Linköping, Sweden., Zhu X; Center for Biomedical Data Science, Yale University, New Haven, Connecticut, United States.
Jazyk: angličtina
Zdroj: Methods of information in medicine [Methods Inf Med] 2020 Dec; Vol. 59 (6), pp. 183-192. Date of Electronic Publication: 2021 May 11.
DOI: 10.1055/s-0041-1726414
Abstrakt: Background: As a major public health crisis, the novel coronavirus disease 2019 (COVID-19) pandemic demonstrates the urgent need for safe, effective, and evidence-based implementations of digital health. The urgency stems from the frequent tendency to focus attention on seemingly high promising digital health interventions despite being poorly validated in times of crisis.
Aim: In this paper, we describe a joint call for action to use and leverage evidence-based health informatics as the foundation for the COVID-19 response and public health interventions. Tangible examples are provided for how the working groups and special interest groups of the International Medical Informatics Association (IMIA) are helping to build an evidence-based response to this crisis.
Methods: Leaders of working and special interest groups of the IMIA, a total of 26 groups, were contacted via e-mail to provide a summary of the scientific-based efforts taken to combat COVID-19 pandemic and participate in the discussion toward the creation of this manuscript. A total of 13 groups participated in this manuscript.
Results: Various efforts were exerted by members of IMIA including (1) developing evidence-based guidelines for the design and deployment of digital health solutions during COVID-19; (2) surveying clinical informaticians internationally about key digital solutions deployed to combat COVID-19 and the challenges faced when implementing and using them; and (3) offering necessary resources for clinicians about the use of digital tools in clinical practice, education, and research during COVID-19.
Discussion: Rigor and evidence need to be taken into consideration when designing, implementing, and using digital tools to combat COVID-19 to avoid delays and unforeseen negative consequences. It is paramount to employ a multidisciplinary approach for the development and implementation of digital health tools that have been rapidly deployed in response to the pandemic bearing in mind human factors, ethics, data privacy, and the diversity of context at the local, national, and international levels. The training and capacity building of front-line workers is crucial and must be linked to a clear strategy for evaluation of ongoing experiences.
Competing Interests: L.F.L. is Chief Scientific Officer and shareholder at Adhera Health Inc (USA). All the other authors report no conflict of interest.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze: MEDLINE