Best Paper Selection

Appendix: Content Summaries of Selected Best Papers for the 2024 IMIA Yearbook, Section Human Factors and Organizational Issues

Yao Y, Dunn Lopez K, Bjarnadottir RI, Macieira TGR, Dos Santos FC, Madandola OO, Cho H, Priola KJB, Wolf J, Wilkie DJ, Keenan G.

Examining Care Planning Efficiency and Clinical Decision Support Adoption in a System Tailoring to Nurses' Graph Literacy: National, Web-Based Randomized Controlled Trial.

J Med Internet Res. 2023 Aug 11;25:e45043.

doi: 10.2196/45043.

In the course of routine healthcare delivery, health systems collect large volumes of data. Presenting some relevant part of these data to a clinician in support of their decision-making is a significant information design challenge. Our “best paper” study explored optimal presentation of data from the electronic health record (EHR) to nurses in the course of care planning and in the use of clinical decision support (CDS). This human factors study compared text only, text & table, text & graph data presentations with “tailored” presentation to nurses based on their graph literacy aptitude. The hypothesis that tailored presentation would improve care planning time and adoption of CDS was not borne out, but the methodological strength of the study, not least its randomization across several US states with widely varying local characteristics, won praise from reviewers.

Teo SH, Chew EAL, Ng DWL, Tang WE, Koh GCH, Teo VHY.

Implementation and use of technology-enabled blood pressure monitoring and teleconsultation in Singapore's primary care: a qualitative evaluation using the socio-technical systems approach. BMC Prim Care. 2023 Mar 16;24(1):71.

doi: 10.1186/s12875-023-02014-8.

In Singapore, proactive management of hypertension includes telemedicine as an integral part of primary care. It is associated with improved blood pressure control, self-management and cost-effectiveness. Embedded within a Primary Technology-Enhanced Care Hypertension pilot trial, this study sought to understand the experiences of patients and healthcare professionals and perceived barriers and facilitators in implementing and using a technology-enabled blood pressure monitoring intervention with teleconsultation in the Singapore primary care setting. Results suggest that this approach is well liked both by patients (convenience, time saving) and providers (workload management) with all reporting improved patient-provider relationships, despite some criticism of the usability of the technology.

Ruissen MM, Torres-Peña JD, Uitbeijerse BS, Arenas de Larriva AP, Huisman SD, Namli T, Salzsieder E, Vogt L, Ploessnig M, van der Putte B, Merle A, Serra G, Rodríguez G, de Graaf AA, de Koning EJP, Delgado-Lista J, Sont JK; POWER2DM Consortium.

Clinical impact of an integrated e-health system for diabetes self-management support and shared decision making (POWER2DM): a randomised controlled trial.

Diabetologia. 2023 Dec;66(12):2213-2225.

doi: 10.1007/s00125-023-06006-2.

This study, conducted in the Netherlands and Spain, explored the fraught issue of diabetes self-management (both Type I and Type II) through an intervention integrating medical, psychological and behavioural aspects along with connected wearables to support patients and healthcare professionals in shared decision making. The results were encouraging, if somewhat uneven: Type II patients saw improved HbA1c, while those with Type I experienced better quality of life, with both groups reporting better self-management.

No conflict of interest has been declared by the author(s).

Publication History

Article published online:
08 April 2025