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Patient Empowerment by Increasing Information Accessibility  I n a Telecare System  Vasile Topac* E - mail: vasile.topac @aut.upt.ro Vasile Stoicu Tivadar* E - mail: vasile.stoicu [email_address] * “Politehnica” University of Timi şoara Department of  Automation and Applied Informatics Timi şoara,  Rom ânia
[object Object],[object Object],[object Object],Problem
Study no.1  (study of accessibility of web page with medical information) “ …  On existing consumer health Web pages.  We found that only 4% of pages were classified at a layperson level,  while the remaining pages were at the level of medical professionals.  This indicates that consumer health Web pages are not using  appropriate language for their target audience ” * - So  9 6% of pages were above layperson level! * Trudi Miller; Gondy Leroy; Samir Chatterjee; Jie Fan; Brian  Thoms ,  A Classifier to Evaluate Language Specificity of Medical Documents, in HICSS 2007.  40th Annual Hawaii International Conference on System Sciences , 2007 Problem
"For twenty-three million Americans who speak English less than "very well," language barriers lead to lower quality of and worse access to health care. ...  millions of patients with limited English proficiency forced to accept a lower quality of care than English speakers receive." *.  Problem Study no.2 (study of accessibility of information for people with limited English proficiency in USA) * Mara K. Youdelman, The Medical Tongue:  U.S. Laws And Policies On Language Access ,   Journal, 27, no. 2, 424-433; 2008 - Therefore several states have lows facilitating medial language access!
[object Object],[object Object],[object Object],[object Object],The classic solution
[object Object],[object Object],[object Object],Proposed solution
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Our Case
TELEASIS architecture: Our Case
-  Sequences for accessing interpreted medical data: Patients accessing  interpreted   medical data
-  Sequences for accessing interpreted medical data: We’ll focus on the Language Interpretation Engine Patients accessing  interpreted   medical data
Example Original Text: “ Aspiration of the marrow has been primarily utilized for cytologic assessment, with analysis directed toward morphology and obtainment of a differential cell count” Interpreted Text: “ Aspiration of the marrow has been primarily utilized for  cytologic assessment  (cytologic assessment = cells evaluation)  with analysis directed toward morphology and obtainment of a differential cell count” - Example of how the interpretation is done by the Language Interpretation Engine:
How it works Text parser - working on raw or tagged text (HTML) - iterating through all the words and checking whether the word  is contained by the  terminology  dictionary or not.  - able to tag words and offer output as XML, HTML  Terminology Dictionary   - a dictionary containing medical terminology - uses a original data structure allowing  approximate string matching  called:  Fuzzy Hash Map ,[object Object]
Terminology Dictionary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Fuzzy Hash Map * V. Topac;  Efficient Fuzzy Search Enabled Hash Map ; 4th International Workshop on Soft Computing Applications (SOFA); July 2010; pages 39 - 44;  * *   John Healy and Desmond Chambers ;  Fast and Accurate Genome Anchoring Using Fuzzy Hash Maps  5th International Conference on Practical Applications of Computational Biology & Bioinformatics (PACBB 2011)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Interpretation * Ogden J, Branson R, Bryett A, Campbell A, Febles A, Ferguson I, Lavender H, Mizan J, Simpson R, Tayler M.;  What's in a name? An experimental study of patients' views of the impact and function of a diagnosis ; Fam Pract. 2003 Jun;2003; p:248-53.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Current status
[object Object],[object Object],Current status Settings Input text Output text
[object Object],[object Object],[object Object],[object Object],[object Object],Future work
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Thank you! Contact: vasile.topac  aut.upt.ro The article: http://www.ncbi.nlm.nih.gov/pubmed/21893834

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Patient Empowerment by Increasing Information Accessibility In a Telecare System

  • 1. Patient Empowerment by Increasing Information Accessibility I n a Telecare System Vasile Topac* E - mail: vasile.topac @aut.upt.ro Vasile Stoicu Tivadar* E - mail: vasile.stoicu [email_address] * “Politehnica” University of Timi şoara Department of Automation and Applied Informatics Timi şoara, Rom ânia
  • 2.
  • 3. Study no.1 (study of accessibility of web page with medical information) “ … On existing consumer health Web pages. We found that only 4% of pages were classified at a layperson level, while the remaining pages were at the level of medical professionals. This indicates that consumer health Web pages are not using appropriate language for their target audience ” * - So 9 6% of pages were above layperson level! * Trudi Miller; Gondy Leroy; Samir Chatterjee; Jie Fan; Brian Thoms , A Classifier to Evaluate Language Specificity of Medical Documents, in HICSS 2007. 40th Annual Hawaii International Conference on System Sciences , 2007 Problem
  • 4. "For twenty-three million Americans who speak English less than "very well," language barriers lead to lower quality of and worse access to health care. ... millions of patients with limited English proficiency forced to accept a lower quality of care than English speakers receive." *. Problem Study no.2 (study of accessibility of information for people with limited English proficiency in USA) * Mara K. Youdelman, The Medical Tongue: U.S. Laws And Policies On Language Access ,   Journal, 27, no. 2, 424-433; 2008 - Therefore several states have lows facilitating medial language access!
  • 5.
  • 6.
  • 7.
  • 9. - Sequences for accessing interpreted medical data: Patients accessing interpreted medical data
  • 10. - Sequences for accessing interpreted medical data: We’ll focus on the Language Interpretation Engine Patients accessing interpreted medical data
  • 11. Example Original Text: “ Aspiration of the marrow has been primarily utilized for cytologic assessment, with analysis directed toward morphology and obtainment of a differential cell count” Interpreted Text: “ Aspiration of the marrow has been primarily utilized for cytologic assessment (cytologic assessment = cells evaluation) with analysis directed toward morphology and obtainment of a differential cell count” - Example of how the interpretation is done by the Language Interpretation Engine:
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. Thank you! Contact: vasile.topac aut.upt.ro The article: http://www.ncbi.nlm.nih.gov/pubmed/21893834