Research Topics
| D P LorenceSummaryAffiliation: Pennsylvania State University Country: USA Publications
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Detail Information
Publications
EPR adoption and dual record maintenance in the U.S.: assessing variation in medical systems infrastructureDaniel P Lorence
Department of Health Policy and Administration, The Pennsylvania State University, University Park 16802, USA
J Med Syst 26:357-67. 2002..This study examines, on a nationwide basis, variation in reported adoption of EPRs within U.S. healthcare organizations, and the related maintenance of dual electronic/paper record systems...
The zeitgeist of online health search. Implications for a consumer-centric health systemDaniel P Lorence
Department of Health Policy and Administration and The School of Information Science and Technology, The Pennsylvania State University, University Park, PA 16802, USA
J Gen Intern Med 21:134-9. 2006..The quality of information located through existing search engine technology has received little attention, especially when considering the widely varied knowledge levels of internet users...
Assessing domains of uncertainty in critical Web-based healthcare communitiesDaniel Lorence
Department of Health Policy and Administration, Pennsylvania State University, University Park, Pennsylvania 16802, USA
J Med Syst 30:117-22. 2006..Findings suggest that KEI can serve as a useful health search profiling tool, though its applicability may vary across domains...
Measuring dissimilarity in online health search activitiesDaniel P Lorence
Department of Health Policy and Administration and The School of Information Science and Technology, 114 Henderson HHD, Pennsylvania State University, University Park, PA 16802, USA
Technol Health Care 14:79-89. 2006....
New technology and old habits: The role of age as a technology chasmDaniel P Lorence
Department of Health Policy and Administration and, School of Information Science and Technology, 114 Henderson HHD, Pennsylvania State University, University Park, PA 16802, USA
Technol Health Care 14:91-6. 2006....
Comparative analysis of medical web search using generalized vs. niche technologiesDaniel Lorence
Department of Health Policy and Administration and The School of Information Science and Technology, Pennsylvania State University, University Park 16802, USA
J Med Syst 30:211-9. 2006..Also, consumer-friendly (non-technical) resources were found to be more prevalent using commercial search engines, suggesting greater relevance for the layperson within this domain...
Web-based consumer health information: public access, digital division, and remaindersDaniel Lorence
Center for Technology Assessment, Department of Health Policy and Administration and College of Information Sciences and Technology, The Pennsylvania State University, University Park, Pennsylvania, USA
MedGenMed 8:4. 2006....
Racial disparities in health information access: resilience of the Digital DivideDaniel P Lorence
Department of Health Policy and Administration, School of Information Science and Technology, Pennsylvania State University, 114 Henderson HHD, University Park, PA 16802, USA
J Med Syst 30:241-9. 2006..By 2002, these percentages had increased to 13.4 and 15.8%, respectively. Data highlight the persistence of "Digitally Underserved Groups," despite recent Divide reduction strategies...
Assessing health consumerism on the Web: a demographic profile of information-seeking behaviorsDaniel P Lorence
Department of Health Policy and Administration, School of Information Science and Technology, Pennsylvania State University, 114 Henderson HHD, University Park, Pennsylvania, 16802, USA
J Med Syst 30:251-8. 2006..Doing so allows the design of more effective strategies to promote the use of the Web as a health education and health promotion tool, under the envisioned shared decision-making, consumer-centric health information model...
Study of education disparities and health information seeking behaviorDaniel Lorence
Center for Technology Assessment, and Department of Health Policy and Administration, Pennsylvania State University, University Park, Pennsylvania 16802, USA
Cyberpsychol Behav 10:149-51. 2007....
A study of peer-to-peer information in a domain of uncertainty: the case of epilepsyDaniel Lorence
PO Box 1154, State College, PA 16801, USA
Health Informatics J 13:303-16. 2007....
Analysis of semantic search within the domains of uncertainty: using Keyword Effectiveness Indexing as an evaluation toolDaniel Lorence
Department of Health Policy and Administration, The School of Information Science and Technology, Pennsylvania State University, University Park, PA 16802, USA
Int J Electron Healthc 2:263-76. 2006..Results demonstrate that the KEI methodology can be useful in identifying e-health search patterns, but is limited by semantic or text-based web environments...
Technology assessment of resources for the emerging US e-health infrastructure: a proposed interoperability modelDaniel Lorence
Department of Health Policy and Administration, School of Information Science and Technology, Pennsylvania State University, University Park, PA 16802, USA
Int J Electron Healthc 2:291-303. 2006....
Substitute or support? Examining the role of consumer-centric e-discussion within domains of uncertaintyDaniel Lorence
Department of Health Policy and Administration, Pennsylvania State University, University Park 16802, USA
Int J Electron Healthc 2:378-97. 2006....
A study of undue pain and surfing: using hierarchical criteria to assess website qualityDaniel Lorence
Department of Health Policy and Administration, 114 Henderson HHD, Pennsylvania State University, University Park, PA 16802, USA
Health Informatics J 14:155-73. 2008..Results show that standardization of quality rating across subjective content, and between commercial and niche search results, can provide a consumer-friendly dimension to health information...
Clinical knowledge management using computerized patient record systems: is the current infrastructure adequate?Daniel P Lorence
Department of Health Policy and Administration, School of Information Sciences and Technology, Pennsylvania State University, University Park, PA 16802, USA
IEEE Trans Inf Technol Biomed 9:283-8. 2005..Nonuniform regional CPR adoption and redundant paper-based systems were found to be a common practice in medical systems, due in part to cultural factors, mistrust of computerized data, and lack of technology training and knowledge...
Incremental adoption of information security in health-care organizations: implications for document managementDaniel P Lorence
Department of Health Policy and Administration, School of Information Sciences and Technology, Pennsylvania State University, University Park, PA 16801, USA
IEEE Trans Inf Technol Biomed 9:169-73. 2005..Paper-based systems still prevail, and computerized settings tend to have less security measures. Implications for document management and knowledge policy are discussed...
Managers reports of automated coding system adoption and effects on data qualityD P Lorence
Department of Health Policy and Administration, Pennsylvania State University, University Park, PA 16801, USA
Methods Inf Med 42:236-42. 2003..Assessment of the adoption of automated classification (encoder) systems in healthcare settings and related effects on perceived data quality...
Regional variation in medical systems data: influences on upcodingDaniel P Lorence
Department of Health Policy and Administration, The Pennsylvania State University, University Park 16802, USA
J Med Syst 26:369-81. 2002..We find significant variation in influence across practice settings and managed care markets. Ramifications for reimbursement assessment are discussed...
Information in medical decision making: how consistent is our management?Daniel P Lorence
Department of Health Policy and Administration, Pennsylvania State University, USA
Med Decis Making 22:514-21. 2002..As information becomes integral in the decision-making process, trustworthy decision support data are required...
Regional variation in medical classification agreement: benchmarking the coding gapDaniel Lorence
Department of Health Policy and Administration and School of Information Science and Technology, The Pennsylvania State University, P O Box 1154, State College, Pennsylvania 16801, USA
J Med Syst 27:435-43. 2003..Given the increasing complexity of medical information classification systems, reliance on such data may pose a risk for both practitioners and managers without consistent agreement on coding practices and procedures...
Measuring disparities in information capture timeliness across healthcare settings: effects on data qualityDaniel Lorence
Department of Health Policy and Administration and School of Information Science and Technology, The Pennsylvania State University, P O Box 1154, State College, Pennsylvania 16801, USA
J Med Syst 27:425-33. 2003..We examine how the timeliness of data collection might serve as part of an overall data collection strategy that managers can employ to improve the quality of their information...
Manager's reports of variation in coding accuracy across U.S. oncology centersDaniel P Lorence
Dept of Health Policy Administration, Pennsylvania State University, University Park, PA 16801, USA
J Oncol Manag 11:20-6. 2002..Regional and practice setting variation in reported coding error ranged widely, occurring across organizations as well as area locations. Related impact on comparative data-driven management assessment is discussed...
Benchmarking variation in coding accuracy across the United StatesDaniel P Lorence
College of Human Development, Department of Health Policy and Administration, School of Information Sciences and Technology, Pennsylvania State University, University Park, PA, USA
J Health Care Finance 29:29-42. 2003..As the United States moves toward an evidence-based medicine environment, the use of current patient data classification methods may be of limited value without increased attention to coding practices...
Assessing managed care market variation in reports of coding accuracyDaniel P Lorence
Health Policy and Administration, Pennsylvania State University, University Park, PA, USA
Manag Care Q 10:15-25. 2002..Implications for managers and policymakers, related to comparative managed care data benchmarks, are reviewed...
Variation in coding influence across the USA. Risk and reward in reimbursement optimizationDaniel P Lorence
Department of Health Policy and Administration, Pennsylvania State University, State College, Pennsylvania, USA
J Manag Med 16:422-35. 2002..Implications for reimbursement programs and evidence-based health care are discussed...
Identifying barriers to billing complianceDaniel P Lorence
Pennsylvania State University, University Park, PA, USA
J Health Care Finance 30:49-64. 2003..As a more general proposition, we find that it is not sufficient to consider compliance actions independent of institutional or industry-wide influences...
Confidentiality measures in mental health delivery settings: report of US health information managersDaniel P Lorence
Department of Health Policy and Administration, The Pennsylvania State University, 120 S Burrowes St, University Park, PA 16801, USA
J Behav Health Serv Res 31:199-207. 2004..Similar levels of variation in adoption across practice settings was also discovered. Ramifications for national policy and patient information protection are discussed...
Disparity in coding concordance: do physicians and coders agree?Daniel P Lorence
College of Human Development, Department of Health Policy and Administration, School of Information Sciences and Technology, Pennsylvania State University, University Park, PA, USA
J Health Care Finance 29:43-53. 2003....
Semantics and the medical web: a review of barriers and breakthroughs in effective healthcare queryDaniel P Lorence
Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA 16801, USA
Health Info Libr J 21:109-16. 2004..Our review suggests a growing need for studies to examine the current applicability of controlled medical vocabularies as well as alternatives to semantic query by Web search engine users...
Adoption of regulatory compliance programmes across United States healthcare organizations: a view of institutional disobedienceD P Lorence
Department of Health Policy and Administration, Pennsylvania State University, PA 16801, USA
Health Serv Manage Res 16:167-78. 2003..The level of adoption of compliance management in this study varied significantly across practice characteristics and areas, suggesting the existence of barriers to cross-market comparative performance assessment...
Communicating e-health research across organisational boundaries: a medical model for temporary or limited communities of practiceDaniel P Lorence
Penn State Center for Technology Assessment, University Park, PA 16802, USA
Int J Electron Healthc 4:257-66. 2008....
The internet and civil disobedience: examining a new form of e-health behaviourDaniel P Lorence
Penn State Center for Technology Assessment, University Park, PA 16802, USA
Int J Electron Healthc 4:236-43. 2008..This phenomenon carries important social and policy implications as the delivery of healthcare continues to defy national borders and policies...
A study of medical and health queries to web search enginesAmanda Spink
School of Information Sciences, University of Pittsburgh, Pittsburgh, MI 15260, USA
Health Info Libr J 21:44-51. 2004..Findings provide insights into medical and health-related web querying and suggests some implications for the use of the general web search engines when seeking medical/health information...
