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  1. Article ; Online: Centering health equity in large language model deployment.

    Singh, Nina / Lawrence, Katharine / Richardson, Safiya / Mann, Devin M

    PLOS digital health

    2023  Volume 2, Issue 10, Page(s) e0000367

    Language English
    Publishing date 2023-10-24
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3170
    ISSN (online) 2767-3170
    DOI 10.1371/journal.pdig.0000367
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reimagining Connected Care in the Era of Digital Medicine.

    Mann, Devin M / Lawrence, Katharine

    JMIR mHealth and uHealth

    2022  Volume 10, Issue 4, Page(s) e34483

    Abstract: The COVID-19 pandemic accelerated the adoption of remote patient monitoring technology, which offers exciting opportunities for expanded connected care at a distance. However, while the mode of clinicians' interactions with patients and their health data ...

    Abstract The COVID-19 pandemic accelerated the adoption of remote patient monitoring technology, which offers exciting opportunities for expanded connected care at a distance. However, while the mode of clinicians' interactions with patients and their health data has transformed, the larger framework of how we deliver care is still driven by a model of episodic care that does not facilitate this new frontier. Fully realizing a transformation to a system of continuous connected care augmented by remote monitoring technology will require a shift in clinicians' and health systems' approach to care delivery technology and its associated data volume and complexity. In this article, we present a solution that organizes and optimizes the interaction of automated technologies with human oversight, allowing for the maximal use of data-rich tools while preserving the pieces of medical care considered uniquely human. We review implications of this "augmented continuous connected care" model of remote patient monitoring for clinical practice and offer human-centered design-informed next steps to encourage innovation around these important issues.
    MeSH term(s) COVID-19 ; Delivery of Health Care ; Government Programs ; Humans ; Pandemics ; Telemedicine
    Language English
    Publishing date 2022-04-15
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719220-9
    ISSN 2291-5222 ; 2291-5222
    ISSN (online) 2291-5222
    ISSN 2291-5222
    DOI 10.2196/34483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Digital Minimalism - An Rx for Clinician Burnout.

    Singh, Nina / Lawrence, Katharine / Sinsky, Christine / Mann, Devin M

    The New England journal of medicine

    2023  Volume 388, Issue 13, Page(s) 1158–1159

    MeSH term(s) Humans ; Burnout, Professional ; Burnout, Psychological ; Digital Technology
    Language English
    Publishing date 2023-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp2215297
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  4. Article ; Online: Centering health equity in large language model deployment.

    Nina Singh / Katharine Lawrence / Safiya Richardson / Devin M Mann

    PLOS Digital Health, Vol 2, Iss 10, p e

    2023  Volume 0000367

    Keywords Computer applications to medicine. Medical informatics ; R858-859.7
    Language English
    Publishing date 2023-10-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Quantifying the impact of telemedicine and patient medical advice request messages on physicians' work-outside-work.

    Mandal, Soumik / Wiesenfeld, Batia M / Mann, Devin M / Szerencsy, Adam C / Iturrate, Eduardo / Nov, Oded

    NPJ digital medicine

    2024  Volume 7, Issue 1, Page(s) 35

    Abstract: The COVID-19 pandemic has boosted digital health utilization, raising concerns about increased physicians' after-hours clinical work ("work-outside-work"). The surge in patients' digital messages and additional time spent on work-outside-work by ... ...

    Abstract The COVID-19 pandemic has boosted digital health utilization, raising concerns about increased physicians' after-hours clinical work ("work-outside-work"). The surge in patients' digital messages and additional time spent on work-outside-work by telemedicine providers underscores the need to evaluate the connection between digital health utilization and physicians' after-hours commitments. We examined the impact on physicians' workload from two types of digital demands - patients' messages requesting medical advice (PMARs) sent to physicians' inbox (inbasket), and telemedicine. Our study included 1716 ambulatory-care physicians in New York City regularly practicing between November 2022 and March 2023. Regression analyses assessed primary and interaction effects of (PMARs) and telemedicine on work-outside-work. The study revealed a significant effect of PMARs on physicians' work-outside-work and that this relationship is moderated by physicians' specialties. Non-primary care physicians or specialists experienced a more pronounced effect than their primary care peers. Analysis of their telemedicine load revealed that primary care physicians received fewer PMARs and spent less time in work-outside-work with more telemedicine. Specialists faced increased PMARs and did more work-outside-work as telemedicine visits increased which could be due to the difference in patient panels. Reducing PMAR volumes and efficient inbasket management strategies needed to reduce physicians' work-outside-work. Policymakers need to be cognizant of potential disruptions in physicians carefully balanced workload caused by the digital health services.
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article
    ISSN 2398-6352
    ISSN (online) 2398-6352
    DOI 10.1038/s41746-024-01001-2
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  6. Article ; Online: A framework for digital health equity.

    Richardson, Safiya / Lawrence, Katharine / Schoenthaler, Antoinette M / Mann, Devin

    NPJ digital medicine

    2022  Volume 5, Issue 1, Page(s) 119

    Abstract: We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization of ... ...

    Abstract We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization of healthcare may widen health disparities if solutions are not developed with these determinants in mind. Our framework builds on the leading health disparities framework, incorporating a digital environment domain. We examine DDoHs at the individual, interpersonal, community, and societal levels, discuss the importance of a root cause, multi-level approach, and offer a pragmatic case study that applies our framework.
    Language English
    Publishing date 2022-08-18
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2398-6352
    ISSN (online) 2398-6352
    DOI 10.1038/s41746-022-00663-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Self-reported adherence and reasons for nonadherence among patients with low proportion of days covered for antihypertension medications.

    Kharmats, Anna Y / Martinez, Tiffany R / Belli, Hayley / Zhao, Yunan / Mann, Devin M / Schoenthaler, Antoinette M / Voils, Corrine I / Blecker, Saul

    Journal of managed care & specialty pharmacy

    2023  Volume 29, Issue 5, Page(s) 557–563

    Abstract: BACKGROUND: ...

    Abstract BACKGROUND:
    MeSH term(s) Adult ; Humans ; United States ; Female ; Male ; Antihypertensive Agents/therapeutic use ; Self Report ; Pharmaceutical Services ; New York ; Medication Adherence
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2023-04-28
    Publishing country United States
    Document type Journal Article
    ISSN 2376-1032
    ISSN (online) 2376-1032
    DOI 10.18553/jmcp.2023.29.5.557
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: A framework for digital health equity

    Safiya Richardson / Katharine Lawrence / Antoinette M. Schoenthaler / Devin Mann

    npj Digital Medicine, Vol 5, Iss 1, Pp 1-

    2022  Volume 6

    Abstract: Abstract We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization ...

    Abstract Abstract We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization of healthcare may widen health disparities if solutions are not developed with these determinants in mind. Our framework builds on the leading health disparities framework, incorporating a digital environment domain. We examine DDoHs at the individual, interpersonal, community, and societal levels, discuss the importance of a root cause, multi-level approach, and offer a pragmatic case study that applies our framework.
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Considerations for using predictive models that include race as an input variable: The case study of lung cancer screening.

    Stevens, Elizabeth R / Caverly, Tanner / Butler, Jorie M / Kukhareva, Polina / Richardson, Safiya / Mann, Devin M / Kawamoto, Kensaku

    Journal of biomedical informatics

    2023  Volume 147, Page(s) 104525

    Abstract: Indiscriminate use of predictive models incorporating race can reinforce biases present in source data and lead to an exacerbation of health disparities. In some countries, such as the United States, there is therefore a push to remove race from ... ...

    Abstract Indiscriminate use of predictive models incorporating race can reinforce biases present in source data and lead to an exacerbation of health disparities. In some countries, such as the United States, there is therefore a push to remove race from prediction models; however, there are still many prediction models that use race as an input. Biomedical informaticists who are given the responsibility of using these predictive models in healthcare environments are likely to be faced with questions like how to deal with race covariates in these models. Thus, there is a need for a pragmatic framework to help model users think through how to include race in their chosen model so as to avoid inadvertently exacerbating disparities. In this paper, we use the case study of lung cancer screening to propose a simple framework to guide how model users can approach the use (or non-use) of race inputs in the predictive models they are tasked with leveraging in electronic health records and clinical workflows.
    MeSH term(s) Humans ; United States ; Early Detection of Cancer ; Lung Neoplasms/diagnosis ; Electronic Health Records
    Language English
    Publishing date 2023-10-14
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Research Support, N.I.H., Extramural
    ZDB-ID 2057141-0
    ISSN 1532-0480 ; 1532-0464
    ISSN (online) 1532-0480
    ISSN 1532-0464
    DOI 10.1016/j.jbi.2023.104525
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Innovating From Within: A Process Model for User-Centered Digital Development in Academic Medical Centers.

    Chokshi, Sara Kuppin / Mann, Devin M

    JMIR human factors

    2018  Volume 5, Issue 4, Page(s) e11048

    Abstract: Background: Design thinking and human-centered design approaches have become increasingly common in health care literature, particularly in relation to health information technology (HIT), as a pathway toward the development of usable, diffusible tools ... ...

    Abstract Background: Design thinking and human-centered design approaches have become increasingly common in health care literature, particularly in relation to health information technology (HIT), as a pathway toward the development of usable, diffusible tools and processes. There is a need in academic medical centers tasked with digital innovation for a comprehensive process model to guide development that incorporates current industry trends, including design thinking and lean and agile approaches to digital development.
    Objective: This study aims to describe the foundations and phases of our model for user-centered HIT development.
    Methods: Based on our experience, we established an integrated approach and rigorous process for HIT development that leverages design thinking and lean and agile strategies in a pragmatic way while preserving methodological integrity in support of academic research goals.
    Results: A four-phased pragmatic process model was developed for user-centered digital development in HIT.
    Conclusions: The model for user-centered HIT development that we developed is the culmination of diverse innovation projects and represents a multiphased, high-fidelity process for making more creative, flexible, efficient, and effective tools. This model is a critical step in building a rigorous approach to HIT design that incorporates a multidisciplinary, pragmatic perspective combined with academic research practices and state-of-the-art approaches to digital product development to meet the unique needs of health care.
    Language English
    Publishing date 2018-12-19
    Publishing country Canada
    Document type Journal Article
    ISSN 2292-9495
    ISSN (online) 2292-9495
    DOI 10.2196/11048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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