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Heiko Spallek

Publications and source records attributed to Heiko Spallek.

7 recordsLinked to original sources

Clinical computing in general dentistry.

OBJECTIVE: Measure the adoption and utilization of, opinions about, and attitudes toward clinical computing among general dentists in the United States. DESIGN: Telephone survey of a random sample of 256 general dentists in active practice in the United States. MEASUREMENTS: A 39-item telephone interview measuring practice characteristics and information technology infrastructure; clinical information storage; data entry and access; attitudes toward and opinions about clinical computing (features of practice management systems, barriers, advantages, disadvantages, and potential improvements); clinical Internet use; and attitudes toward the National Health Information Infrastructure. RESULTS: The authors successfully screened 1,039 of 1,159 randomly sampled U.S. general dentists in active practice (89.6% response rate). Two hundred fifty-six (24.6%) respondents had computers at chairside and thus were eligible for this study. The authors successfully interviewed 102 respondents (39.8%). Clinical information associated with administration and billing, such as appointments and treatment plans, was stored predominantly on the computer; other information, such as the medical history and progress notes, primarily resided on paper. Nineteen respondents, or 1.8% of all general dentists, were completely paperless. Auxiliary personnel, such as dental assistants and hygienists, entered most data. Respondents adopted clinical computing to improve office efficiency and operations, support diagnosis and treatment, and enhance patient communication and perception. Barriers included insufficient operational reliability, program limitations, a steep learning curve, cost, and infection control issues. CONCLUSION: Clinical computing is being increasingly adopted in general dentistry. However, future research must address usefulness and ease of use, workflow support, infection control, integration, and implementation issues.

Attitude to Computers↗

Using biometrics for participant identification in a research study: a case report.

This paper illustrates the use of biometrics through the application of an iris-based biometrics system for identifying twins and their parents in a longitudinal research study. It explores the use of biometrics (science of measuring physical or anatomical characteristics of individuals) as a technology for correct identification of individuals during longitudinal studies to help ensure data fidelity. Examples of these circumstances include longitudinal epidemiological and genetic studies, clinical trials, and multicenter collaborative studies where accurate identification of subjects over time can be difficult when the subject may be young or an unreliable source of identification information. The use of technology can automate the process of subject identification thereby reducing the need to depend on subject recall during repeated visits thus helping to ensure data quality. This case report provides insights that may serve as useful hints for those responsible for planning system implementation that involves participants' authentication that would require a more secure form of identification.

Adult↗

Dental school applicants' use of website information during the application process.

The University of Pittsburgh's School of Dental Medicine (SDM) is a medium-sized, private, state-related dental school. As other schools have done recently, the SDM made a substantial effort to upgrade its website in 2003. Internal satisfaction and anecdotal data notwithstanding, there is no measure of the website's usefulness in attracting applicants. We designed an anonymous survey of twenty-one questions in an effort to better understand what kinds of information sources our applicants used to make their application decisions; which information they perceived as useful during each phase of the overall application process; how they ranked our website compared to those of other dental schools that they considered; and what they thought could make our website better. Our study supports the notion that applicants rely in part on dental school websites during the application process. Data from this study point to the areas that are of most interest to applicants when they visit a dental school website. This information could help dental school administrators determine the effort they should spend on their school's website as an advertising and recruitment tool. We recommend that dental schools make the most important application-related information and criteria easy to find.

Advertising↗

The technologically well-equipped dental office.

BACKGROUND: Information technology, or IT, applications for dental practice continue to develop rapidly. More than 85 percent of all dentists use computers in their offices, and the number of clinical uses for the computer is on the rise. This article discusses the state of the art of several technologies, provides an integrative view of a technologically well-equipped office and offers several guidelines for technology purchasing decisions. CONCLUSIONS: Most administrative applications are relatively mature and are required for the smooth functioning of today's dental offices. Clinical applications--such as dental and medical health histories, charting, digital imaging, diagnostic and treatment applications, and decision support--vary in their degree of maturity. Most Internet applications-such as Internet-based scheduling and e-mail communication with patients--still are an optional adjunct for dental practices. PRACTICE IMPLICATIONS: Practitioners should develop a comprehensive plan for implementing or updating the IT infrastructure in their offices. Issues to be considered in technology purchasing decisions include usability, integration, work flow support, cost-benefit analysis and compliance with standards.

Computers↗

Information retrieval on the Internet: a guide for dental practitioners.

The Internet is not designed for efficient information retrieval. Searchers experience difficulties when trying to find information quickly. Once they find the information, they often cannot assess the validity of the information or its origin. Various Internet search engines and information retrieval systems try to facilitate this process to make the searching more efficient. Searchers use these services, which are usually free, to satisfy their information needs. Knowing when to use which search engine and how to use it is crucial to finding the right information in a timely fashion.

Algorithms↗

An evaluation of five dental Internet portals.

BACKGROUND: Dental Internet portals can offer dental practitioners "one-stop shopping" for many information needs. To date, no studies have described and evaluated dental portals' services and content. METHODS: The authors evaluated five dental portals from Jan. 22, 2001, to April 5, 2001, using 90 evaluation criteria in seven categories: general, services, miscellaneous, navigation and usability, site currency, site performance and responsiveness, and site integrity. Groups of three to four dental students rated each portal. The authors rated certain criteria using commercial monitoring and analysis services. RESULTS: The portals evaluated in this study provided a wide range of services such as product purchasing, online continuing education, practice management services, news, dental practice Web pages and event calendars. Portals differed in many characteristics, such as the number of services, product pricing, discussion forum activity, navigability, reaction time in response to questions and site responsiveness. CONCLUSIONS: The implementation and usefulness of each portal's services varied. No portal can fit all needs best, and many portals change rapidly owing to the volatility of the Internet industry. Dentists should be familiar with portals' services and alternatives for using them. PRACTICE IMPLICATIONS: Portals can provide useful services to dental practitioners. Practitioners, however, should evaluate portals carefully to ensure that their needs are met optimally.

Communication↗

Evaluation of web-based dental CE courses.

Various organizations offer online continuing dental education (CDE) courses. While previous investigations focused on objective measures to determine the quality of the courses, this exploratory study evaluates the participants' experience with them. We surveyed 436 past course participants from nine online CDE courses (courses provided by six organizations) regarding their experience with the courses taken. Our analysis of the 169 responses (38.8 percent response rate) focuses on how the participants of online CDE courses can be characterized; whether the participants' expectations were met by the courses; how the participants evaluated the content of the courses; why they enrolled; and the participants' experience of the online environment. The results suggest that online CDE courses partially meet the needs and expectations of dental professionals. The lack of communication with peers and instructors as well as the fact that courses appeared outdated were main reasons for dissatisfaction. Most of the participants accomplished their goals of gaining new knowledge and deepening their understanding of the subject. Based on this evaluation, future courses can be tailored to meet more closely the expectations and needs of dental professionals.

Adult↗