Global Health Informatics

Ehealth Latin America

My research has focused on designing and evaluating platforms for international collaborative clinical protocols. I am investigating the challenges of data interchange among countries and patterns of collaboration between clinicians and basic science researchers. In recent years, there has been a significant growth of platforms for translational research including i2b2 (Informatics for Integrating Biology and the Bedside), Transmart, CBioPortal, iDash, iCod, G-DoC, caTRIP and others that have been used for collaborative research.  Despite many projects and with large investments, little is known about the impact and measurable outcomes resulting from the implementation of such platforms. Indeed, while several papers have outlined the requirements, the architecture, and the differences in features regarding other systems, no empirical research has been undertaken to understand the different implementation strategies, the use cases and ultimately the return on investment measured in terms of outcomes on research processes, collaboration, and discoveries translated into clinical care.  In this area of translational research informatics, my research examines the design and effectiveness of translational collaboration platforms. I am designing and evaluating platforms for international collaborative clinical protocols. I am investigating the challenges of data interchange among diverse clinical and research groups, data privacy laws and challenges to data interchange between countries, and patterns of collaboration between clinicians and basic science researchers. This research will help provide insights current implementations and avoid problems from previous efforts. A recent paper summarizes some of the current challenges in global translational platforms. Previous work include the development of the Pediatric Oncology Network Database, a secure, web-based, multilingual pediatric hematology/oncology database created for use in countries with limited resources to meet various clinical data management needs including cancer registration, delivery of protocol-based care, outcome evaluation, and assessment of psychosocial support programs.

Publications:

  1. Quintana Y, Safran C. Global Health Informatics—An Overview. In Heimar de Fátima Marin, Eduardo Massad, Marco Antonio Gutierrez, Roberto J. Rodrigues and Daniel Sigulem, editors: Marin-Global Health Informatics, Oxford: Academic Press, December 2016, pp. 1-13. DOI: 10.1016/B978-0-12-804591-6.00001-X , ISBN: 9780128046173
  2. Quintana, Y. Challenges to Implementation of Global Translational Collaboration Platforms. MOJ Proteomics Bioinform 2(6): 00065. Nov. 20, 2015. DOI: 10.15406/mojpb.2015.02.00065  PMCID: PMC4717481
  3. Quintana Y, Patel AN, Arreola M, Antillon FG, Ribeiro RC, Howard SC. POND4Kids: a global web-based database for pediatric hematology and oncology outcome evaluation and collaboration. Stud Health Technol Inform. 2013;183:251-6. PubMed PMID: 23388293.
  4. Quintana Y, Patel AN, Naidu PE, Howard SC, Antillon FA, Ribeiro RC. POND4Kids: a web-based pediatric cancer database for hospital-based cancer registration and clinical collaboration. Stud Health Technol Inform. 2011;164:227-31. PubMed PMID: 21335715.