电子文件证据研究

随着计算机技术、无线办公和电子商务的飞速发展,电子文件在人们的日常生活中已无处不在,有关电子文件的涉案纠纷也越来越多,电子文件证据已被广泛应用于刑事、民事和行政诉讼领域.所以认真研究电子文件证据价值以及它的特点和规律,已成为当务之急.     

The University of Washington electronic medical record experience

The Health Sciences Library at the University of Washington initiated and continues to develop a role in the electronic medical record, starting with the development of the first integrated web-based interface, called MINDscape. An Integrated Academic Information Management System (IAIMS) grant in 1992 began the process, which also led to the development of a clinical medical librarian position. Over the years, the librarian''s role in the clinical environment became more established, and with the advent of clinical online resources, it offered further opportunities for librarians to provide the expertise needed to incorporate the appropriate resources. The collaborative journey continues as librarians, now able to directly access the EMRs, provide information about what resources to use and where best to place them and design how best to provide notes or feedback to clinicians.     

Development of a clinical information tool for the electronic medical record: a case study

Question:

What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

Setting:

The development took place at the University of Pittsburgh Health Sciences Library System.

Method:

The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized “on the fly” into meaningful categories using clustering technology and are directly accessible from the results page.

Results:

After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center''s electronic health record.

Conclusion:

The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.     

The adoption of electronic tax filing systems: an empirical study

This paper discusses the factors affecting the adoption of electronic tax-filing systems. Using the technology acceptance model (TAM) as a theoretical framework, this study introduces “perceived credibility” as a new factor that reflects the user's intrinsic belief in the electronic tax-filing systems, and examines the effect of computer self-efficacy on the intention to use an electronic tax-filing system. Based on a sample of 260 users from a telephone interview, the results strongly support the extended TAM in predicting the intention of users to adopt electronic tax-filing systems. The results also demonstrate the significant effect that computer self-efficacy has on behavioral intention through perceived ease of use, perceived usefulness, and perceived credibility. Based on the findings of this study, implications for electronic tax filing in particular and for e-government services in general are discussed. Finally, this paper concludes by discussing limitations that could be addressed in future studies.     

University of Arkansas for Medical Sciences electronic health record and medical informatics training for undergraduate health professionals

The University of Arkansas for Medical Sciences (UAMS) is planning interprofessional training in electronic health records (EHRs) and medical informatics. Training will be integrated throughout the curricula and will include seminars on broad concepts supplemented with online modules, didactic lectures, and hands-on experiences. Training will prepare future health professionals to use EHRs, evidence-based medicine, medical decision support, and point-of-care tools to reduce errors, improve standards of care, address Health Insurance Portability and Accountability Act requirements and accreditation standards, and promote appropriate documentation to enable data retrieval for clinical research. UAMS will ensure that graduates are ready for the rapidly evolving practice environment created by the HITECH Act.     

Afterglow: Conceptions of record and evidence in archival discourse

In the last ten years, influential voices within and on the periphery of the record keeping community have succeeded in establishing the preservation of “evidence” as the governing purpose of contemporary archival theory and methods development. Afterglow offers a critique of the concept of evidence in archival discourse. Its main contention is that one can put records into evidence; one cannot set out to put evidence into records. The argument rests on the following assertions: (1) current discussions of evidence rest on a blindness to certain contradictions embedded in claims that record keeping principally involves evidence keeping, or “evidence management”; (2) a politics of temporality, under which an interplay of disciplinary knowledge claims and professional interest is discernible, helps to account for the contemporary rhetoric describing the relationship between “record” and “evidence”, and (3) the late-twentieth century legal, political, and cultural climate, along with the technological environment, explain the increasing prominence of “evidence” in these knowledge claims and professional ambitions. The essay concludes with recommendations for addressing these issues. Thanks go to Terry Cook, Visiting Professor in the Archival Studies Programme, Department of History, University of Manitoba, and co-editor of this series of essays, for his close reading and detailed comments on this essay. Particularly invaluable was his knowledge of historical and contemporary archival thinking on the notion of evidence.     

User satisfaction survey and usage of an electronic desktop document delivery service at an academic medical library

In June 2000, the Biomedical Library at the University of South Alabama introduced Prospero, an electronic desktop document delivery service. From June 2000 to November 2002, Prospero delivered 28% of interlibrary loan requests and 72% of document delivery requests. In November 2002, the library conducted a user satisfaction survey of the Prospero service. Forty-two surveys were used. Fifteen responses were received from affiliated faculty, staff, and students, who generally expressed satisfaction with the service. Twenty-seven responses were received from unaffiliated users, comprised of medical libraries, individual users, and businesses. Based on the survey results, the library deemed the Prospero service a success. To better support users, the library's Web page was updated to include hardware and software requirements for successful use of the Prospero service, as well as screen shots of the Prospero process.     

Virtual healthcare in the new normal: Indian healthcare consumers adoption of electronic government telemedicine service

Digital healthcare is in the spotlight due to the prevailing COVID-19 situation. To get the deeper understanding of the healthcare consumers' adoption of e-government telemedicine service (EGTMS), the present research extends the unified model of e-government adoption (UMEGA) with perceived severity, self-efficacy, and political trust. The extended UMEGA model is empirically validated with 452 valid Indian healthcare consumers' responses. The findings reported that performance expectancy, perceived severity, effort expectancy, and perceived risk significantly influenced Indian healthcare consumers' attitudes towards EGTMS. Further political trust showed significant influence over social influence. However, social influence is observed as non-significant. Furthermore, attitude, political trust and facilitating conditions significantly influenced individuals' behavioral intentions towards EGTMS and observed significant influence of self-efficacy on effort expectancy. This is the first study that reveals the critical factors of Indian healthcare consumers' behavioral intention towards EGTMS. With the upsurge in e-government healthcare services, the outcomes of the study will benefit stakeholders such as governmental agencies, marketers, public administrators, and healthcare professionals as they provide suitable strategic recommendations to design and implement e-government telemedicine services.     

Toward an understanding of archives as a feature of collective memory

This paper reviews important aspects of the literature on collective memory, how some of these concerns have been expressed in archives, and contemplates how these issues relate to the politically transformative South African post-apartheid context. It highlights the erosion of boundaries between archives, museums, and other less-institutionalized memory projects in post-apartheid South Africa. It notes ways in which archival activity is taking place outside of traditional archives, as part of a changing and evolving memory landscape. It acknowledges the significant gaps in the written record that are a result of apartheid practices and cites different approaches that were overlooked by apartheid??s official archival systems. This paper offers a way of contemplating the ??social constructedness?? of collective memory and the social and political dimensions of archives.     

医保改革中电子病案的利用问题初探

关注民生是时代赋予我们国家的重任。健全的医疗保障体系成为实现人民当家作主,保障公民民主权利的重要举措。随着医保改革的推进、公民民主意识的增强以及信息技术的发展,电子病案作为一种新兴的病案形式,作为医疗保险理赔与报销的重要原始凭证,在医疗保障体制改革中日益显示出优越性。本文试从电子病案的角色定位、利用的有利因素以及存在的发展瓶颈三方面进行阐述,以期达到对医保改革中电子病案的利用问题较为充分的了解。     

从中美电子病历标准的比较看中国电子病历标准的发展和完善

标准化的电子病历是现代医疗机构所必需的重要临床信息资源,也是居民健康档案的主要信息来源。本文在借鉴美国电子病历标准基础上,对中美电子病历标准化的发展历史、现状和内容等进行分析比较,找出我国电子病历标准化存在的问题和解决方案,使我国的电子病历标准建设走向更加健康和规范的道路。     

Implementing PDA technology in a medical library: experiences in a hospital library and an academic medical center library

Personal digital assistants (PDAs) have grown from being a novelty in the late 1990s to an essential tool for healthcare professionals in the 2000s. This paper describes the experiences of a librarian who implemented PDA technology first in a hospital library, and then at an academic medical center library. It focuses on the role of the library in supporting PDA technology and resources. Included are programmatic issues such as training for library staff and clinicians, and technical issues such as Palm and Windows operating systems. This model could be used in either a hospital or academic health sciences library.     

医学编辑如何在循证医学实践中发挥作用

循证医学的实施,需要医学期刊提供高质量的临床研究证据,而我国医学期刊的学术质量现状不尽如人意,医学编辑可以通过循证思维能力的培养,对流行病学及统计学知识的掌握,提高对稿件学术质量的鉴审能力,并通过改革编审策略提高期刊质量,为循证医学的发展起推波助澜的作用.     

中文网络资源联机合作编目初探

最近几年，网络上可利用的中电子资源在逐步上升，目前我国还未对中网络资源进行联机合作编目，这极大地影响了读对网络资源的有效利用。从实践上看，对中网络资源进行联机合作编目，是当前十分迫切的任务；从理论上看，对联机合作编目相关问题的探讨也应逐步深入。