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Dr Chris Paton

chris-paton-photo-bio-2020-1xSenior Lecturer

Dr Chris Paton is the course director for the new online Digital Health post-graduate programmes (PGDip and PGDCert) at the University of Otago and the head of the Global Heath Informatics research group at the University of Oxford working on research projects based in Kenya and Vietnam.

Email digitalhealth@otago.ac.nz

Background 

Following his training as a medical doctor in the UK, he moved into Clinical Informatics and worked as a Clinical Lecturer at Otago and as a Senior Research Fellow at the National Institute for Health Innovation in New Zealand before moving back to the UK to join the University of Oxford. He received his Fellowship of the UK Faculty of Clinical Informatics in 2018 and became an Official Fellow of Reuben College, Oxford in 2019.

He is the Principal Investigator for the LIFE (Life-saving Instruction for Emergencies) project. LIFE is a smartphone-based simulation training platform that uses a virtual hospital environment to simulate medical emergencies to train healthcare workers. Launched in April 2019, LIFE has now been downloaded by thousands of healthcare workers in Africa and Dr Paton is now leading a clinical trial of the platform in Kenya funded by GCRF. In Vietnam, Dr Paton is a co-investigator on a Wellcome Trust Innovation Flagship based in Ho Chi Minh City that will develop and implement new AI-based monitoring devices in intensive care units (ICUs) in South-East Asia.

Dr Paton has served as a digital health consultant the New Zealand Government and the Pathways for Prosperity Commission in the UK. He co-founded and chaired the International Medical Informatics Association (IMIA) social media working group and is currently Chair of the IMIA open source working group. He is Associate Editor of “Digital Health Journal” (Sage Publishing) and “BMC: Medical Informatics and Decision Making”. He is a peer reviewer on digital health topics for scientific journals including Nature, PLOS One, JAMIA, JMIR, ANZJPH and serves as an expert grant reviewer for the UK’s Medical Research Council and the Research Council of Norway.

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Papers

  • DIGH701 Principles of Digital Health and Informatics
  • DIGH703 Digital Health Technologies and Systems

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Publications

Hagel, C., Paton, C., Mbevi, G., English, M., on behalf of the Clinical Information Network (CIN) information systems interest group. (2020). Data for tracking SDGs: Challenges in capturing neonatal data from hospitals in Kenya. BMJ Global Health, 5(3), e002108. doi: 10.1136/bmjgh-2019-002108

Muinga, N., Abejirinde, I.-O. O., Paton, C., English, M., & Zweekhorst, M. (2020). Designing paper-based records to improve the quality of nursing documentation in hospitals: A scoping review. Journal of Clinical Nursing. Advance online publication. doi: 10.1111/jocn.15545

Muinga, N., Magare, S., Monda, J., English, M., Fraser, H., Powell, J., & Paton, C. (2020). Digital health Systems in Kenyan public hospitals: A mixed-methods survey. BMC Medical Informatics & Decision Making, 20(1), 2. doi: 10.1186/s12911-019-1005-7

Tuti, T., Winters, N., Edgecombe, H., Muinga, N., Wanyama, C., English, M., & Paton, C. (2020). Evaluation of adaptive feedback in a smartphone-based game on health care providers’ learning gain: Randomized controlled trial. Journal of Medical Internet Research, 22(7), e17100. doi: 10.2196/17100

McKnight, J., Wilson, M. L., Banning, P., Paton, C., Bahati, F., English, M., & Fleming, K. (2020). Use of LOINC for interoperability between organisations poses a risk to safety: Authors' reply. Lancet Digital Health, 2(11), e570. doi: 10.1016/S2589-7500(20)30247-8

Chapter in Book - Research

Paton, C. (2014). Analysis and linkage of data from patient-controlled self-monitoring devices and personal health records. In M. Househ, E. Borycki & A. Kushniruk (Eds.), Social media and mobile technologies for healthcare. (pp. 227-236). IGI Global. doi: 10.4018/978-1-4666-6150-9.ch013

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Journal - Research Article

Hagel, C., Paton, C., Mbevi, G., English, M., on behalf of the Clinical Information Network (CIN) information systems interest group. (2020). Data for tracking SDGs: Challenges in capturing neonatal data from hospitals in Kenya. BMJ Global Health, 5(3), e002108. doi: 10.1136/bmjgh-2019-002108

Tuti, T., Winters, N., Edgecombe, H., Muinga, N., Wanyama, C., English, M., & Paton, C. (2020). Evaluation of adaptive feedback in a smartphone-based game on health care providers’ learning gain: Randomized controlled trial. Journal of Medical Internet Research, 22(7), e17100. doi: 10.2196/17100

Muinga, N., Magare, S., Monda, J., English, M., Fraser, H., Powell, J., & Paton, C. (2020). Digital health Systems in Kenyan public hospitals: A mixed-methods survey. BMC Medical Informatics & Decision Making, 20(1), 2. doi: 10.1186/s12911-019-1005-7

Muinga, N., Abejirinde, I.-O. O., Paton, C., English, M., & Zweekhorst, M. (2020). Designing paper-based records to improve the quality of nursing documentation in hospitals: A scoping review. Journal of Clinical Nursing. Advance online publication. doi: 10.1111/jocn.15545

Paton, C., & Kobayashi, S. (2019). An open science approach to artificial intelligence in healthcare. Yearbook of Medical Informatics, 28(1), 47-51. doi: 10.1055/s-0039-1677898

Winters, N., Langer, L., Nduku, P., Robson, J., O'Donovan, J., Maulik, P., Paton, C., … Nagraj, S. (2019). Using mobile technologies to support the training of community health workers in low-income and middle-income countries: Mapping the evidence. BMJ Global Health, 4(4), e001421. doi: 10.1136/bmjgh-2019-001421

Kobayashi, S., Kane, T. B., & Paton, C. (2018). The privacy and security implications of open data in healthcare. Yearbook of Medical Informatics, 27(1), 41-47. doi: 10.1055/s-0038-1641201

Muinga, N., Monda, J., Kamau, O., Houston, S., Fraser, H., Powell, J., … Paton, C. (2018). Implementing an open source electronic health record system in Kenyan health care facilities: Case study. Journal of Medical Internet Research, 20(4), e22. doi: 10.2196/medinform.8403

Tuti, T., Nzinga, J., Njoroge, M., Brown, B., Peek, N., English, M., Paton, C., & van der Veer, S. N. (2017). A systematic review of electronic audit and feedback: Intervention effectiveness and use of behaviour change theory. Implementation Science, 12, 61. doi: 10.1186/s13012-017-0590-z

Paton, C., & Karopka, T. (2017). The role of free/libre and open source software in learning health systems. Yearbook of Medical Informatics, 26(1), 53-58. doi: 10.15265/IY-2017-006

Chantler, T., Paton, C., Velardo, C., Triantafyllidis, A., Shah, S. A., Stoppani, E., … Rahimi, K. (2016). Creating connections: The development of a mobile-health monitoring system for heart failure: Qualitative findings from a usability cohort study. Digital Health, 2. doi: 10.1177/2055207616671461

English, M., Irimu, G., Agweyu, A., Gathara, D., Oliwa, J., Ayieko, P., … Paton, C., … Forrest, C. B. (2016). Building learning health systems to accelerate research and improve outcomes of clinical care in low- and middle-income countries. PLoS Medicine, 13(4), e1001991. doi: 10.1371/journal.pmed.1001991

Kumar, P., Paton, C., & Kirigia, D. (2016). I've got 99 problems but a phone ain't one: Electronic and mobile health in low and middle income countries. Archives of Disease in Childhood, 101(10), 974-979. doi: 10.1136/archdischild-2015-308556

Edgcombe, H., Paton, C., & English, M. (2016). Enhancing emergency care in low-income countries using mobile technology-based training tools. Archives of Disease in Childhood, 101(12), 1149-1152. doi: 10.1136/archdischild-2016-310875

Tuti, T., Bitok, M., Malla, L., Paton, C., Muinga, N., Gathara, D., … on behalf of the Clinical Information Network. (2016). Improving documentation of clinical care within a clinical information network: An essential initial step in efforts to understand and improve care in Kenyan hospitals. BMJ Global Health, 1(1), e000028. doi: 10.1136/bmjgh-2016-000028

Tuti, T., Bitok, M., Paton, C., Makone, B., Malla, L., Muinga, N., … English, M. (2016). Innovating to enhance clinical data management using non-commercial and open source solutions across a multi-center network supporting inpatient pediatric care and research in Kenya. Journal of the American Medical Informatics Association, 23(1), 184-192. doi: 10.1093/jamia/ocv028

Triantafyllidis, A., Velardo, C., Chantler, T., Shah, S. A., Paton, C., Khorshidi, R., … on behalf of the SUPPORT-HF Investigators. (2015). A personalised mobile-based home monitoring system for heart failure: The SUPPORT-HF Study. International Journal of Medical Informatics, 84(10), 743-753. doi: 10.1016/j.ijmedinf.2015.05.003

Rahimi, K., Velardo, C., Triantafyllidis, A., Conrad, N., Shah, S. A., Chantler, T., … Paton, C., … on behalf of the SUPPORT-HF Investigators. (2015). A user-centred home monitoring and self-management system for patients with heart failure: A multicentre cohort study. European Heart Journal: Quality of Care & Clinical Outcomes, 1(2), 66-71. doi: 10.1093/ehjqcco/qcv013

Glover, M., Kira, A., Gentles, D., Cowie, N., Paton, C., & Moetara, W. (2014). The WERO group stop smoking competition: Main outcomes of a pre- and post- study. BMC Public Health, 14, 599. doi: 10.1186/1471-2458-14-599

Paton, C., Hansen, M., Fernandez-Luque, L., & Lau, A. Y. S. (2012). Self-tracking, social media and personal health records for patient empowered self-care: Contribution of the IMIA Social Media Working Group. Yearbook of Medical Informatics, 7, 16-24. doi: 10.1055/s-0038-1639425

Mabotuwana, T., Warren, J., Elley, C. R., Kennelly, J., Paton, C., Wai, K. C., & Wells, S. (2011). Quality indicators to measure blood pressure management over a time interval. Informatics in Primary Care, 18(3), 149-156.

Paton, C., Bamidis, P. D., Eysenbach, G., Hansen, M., & Cabrer, M. (2011). Experience in the use of social media in medical and health education: Contribution of the IMIA Social Media Working Group. Yearbook of Medical Informatics, 6(1), 21-29. doi: 10.1055/s-0038-1638732

Warren, J. R., Day, K. J., Paton, C., Warren, D. E., Mabotuwana, T. D. S., Gu, Y., … Reedy, W. (2010). Implementations of health information technologies with consumers as users: Findings from a systematic review. Health Care & Informatics Review Online, 14(3), 2-28.

Warren, J., Goodyear-Smith, F., Miller, D., Warren, D., Paton, C., Mabotuwana, T., & Arroll, B. (2010). An integrated electronic lifestyle and mental health patient self-assessment for general practice: Design and initial field study. Health Care & Informatics Review Online, 14(4), 18-25.

Mabotuwana, T., Warren, J., Elley, C. R., Kennelly, J., Paton, C., Warren, D., … Wells, S. (2010). Use of interval based quality indicators in blood pressure management to enhance quality of pay for performance incentives: Comparison to two indicators from the Quality and Outcomes Framework. Quality in Primary Care, 18(2), 93-101.

Atalag, K., Kingsford, D., Paton, C., & Warren, J. (2010). Putting health record interoperability standards to work. Electronic Journal of Health Informatics, 5(1), e1.

Paton, C., & Malik, M. A. (2008). Open source and free, web-based medical software. Health Care & Informatics Review Online, 12(2), 17-24. Retrieved from http://www.hinz.org.nz/journal/2008/6

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Journal - Research Other

McKnight, J., Wilson, M. L., Banning, P., Paton, C., Bahati, F., English, M., & Fleming, K. (2020). Use of LOINC for interoperability between organisations poses a risk to safety: Authors' reply. Lancet Digital Health, 2(11), e570. doi: 10.1016/S2589-7500(20)30247-8

Sheik-Ali, S., Edgcombe, H., & Paton, C. (2019). Next-generation virtual and augmented reality in surgical education: A narrative review. Surgical Technology International, 35, 27-35. [Review].

McKnight, J., Wilson, M. L., Banning, P., Paton, C., Bahati, F., English, M., & Fleming, K. (2019). Effective coding is key to the development and use of the WHO Essential Diagnostics List. Lancet Digital Health, 1(8), e387-e388. doi: 10.1016/S2589-7500(19)30196-7

Tuti, T., Winters, N., Muinga, N., Wanyama, C., English, M., & Paton, C. (2019). Evaluation of adaptive feedback in a smartphone-based serious game on health care providers' knowledge gain in neonatal emergency care: Protocol for a randomized controlled trial. Journal of Medical Internet Research, 21(7), e13034. doi: 10.2196/13034

Hansen, M. M., Miron-Shatz, T., Lau, A. Y. S., & Paton, C. (2014). Big Data in science and healthcare: A review of recent literature and perspectives: Contribution of the IMIA Social Media Working Group. Yearbook of Medical Informatics, 9, 21-26. doi: 10.15265/IY-2014-0004

Paton, C. (2014). Massive open online course for health informatics education. Healthcare Informatics Research, 20(2), 81-87. doi: 10.4258/hir.2014.20.2.81

Paton, C., Malik, M., & Househ, M. (2014). Disseminating health informatics research and Informatics in Developing Countries and the Health Informatics Forum MOOC. Australasian Epidemiologist, 21(1), 29-32. [Commentary].

Paton, C., Househ, M., & Malik, M. (2013). The challenges of publishing on health informatics in developing countries [Invited]. Applied Clinical Informatics, 4(3), 428-433. doi: 10.4338/aci-2013-04-ie-0030

Ahmed, O. H., Sullivan, S. J., Schneiders, A. G., Anderson, L., Paton, C., & McCrory, P. R. (2013). Ethical considerations in using Facebook for health care support: A case study using concussion management. PM&R, 5(4), 328-334. doi: 10.1016/j.pmrj.2013.03.007

Glover, M., Bosman, A., Wagemakers, A., Kira, A., Paton, C., & Cowie, N. (2013). An innovative team-based stop smoking competition among Maori and Pacific Island smokers: Rationale and method for the study and its evaluation. BMC Public Health, 13, 1228. doi: 10.1186/1471-2458-13-1228

Murray, P. J., Cabrer, M., Hansen, M., Paton, C., Elkin, P. L., & Erdley, W. S. (2008). Towards addressing the opportunities and challenges of Web 2.0 for health and informatics. Yearbook of Medical Informatics, 44-51. doi: 10.1055/s-0038-1638582

Malik, M., & Paton, C. (2008). Why is there is a lack of open source initiatives for electronic health record systems in Pakistan? Journal of Health Informatics in Developing Countries, 2(1). Retrieved from https://www.jhidc.org/index.php/jhidc/index

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Journal - Professional & Other Non-Research Articles

Paton, C. (2008). Guest editorial. Health Care & Informatics Review Online, 12(2), 4. Retrieved from https://www.hinz.org.nz

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Conference Contribution - Published proceedings: Full paper

Tuti, T., Paton, C., & Winters, N. (2020). Learning to represent healthcare providers knowledge of neonatal emergency care: Findings from a smartphone-based learning intervention targeting clinicians from LMICs. Proceedings of the 10th International Conference on Learning Analytics & Knowledge. (pp. 320-329). ACM. doi: 10.1145/3375462.3375479

Tuti, T., Paton, C., English, M., & Winters, N. (2019). Building a learner model for a smartphone-based clinical training intervention in a low-income context: A pilot study. In M. Scheffel, J. Broisin, V. Pammer-Schindler, A. Ioannou & J. Schneider (Eds.), Transforming Learning with Meaningful Technologies: Lecture Notes in Computer Science (Vol. 11722). (pp. 55-68). Cham, Switzerland: Springer. doi: 10.1007/978-3-030-29736-7_5

Tuti, T., Paton, C., & Winters, N. (2019). Exploring the quality of skill-mastery prediction from Bayesian network learner models for smartphone-based paediatric care training in low-resource settings. Proceedings of the World Conference on Mobile and Contextual Learning. (pp. 29-36). Retrieved from https://www.learntechlib.org/p/210598

Triantafyllidis, A., Velardo, C., Shah, S., Tarassenko, L., Chantler, T., Paton, C., & Rahimi, K. (2014). Supporting heart failure patients through personalized mobile health monitoring. Proceedings of the 4th International Conference on Wireless Mobile Communication and Healthcare: Transforming healthcare through innovations in mobile and wireless technologies. (pp. 287-290). IEEE. doi: 10.4108/icst.mobihealth.2014.257217

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Conference Contribution - Published proceedings: Abstract

Konstantinidis, S. T., Hansen, M., Bamidis, P. D., & Paton, C. (2013). Health education in the era of social media, the Semantic Web and MOOCs. In C. U. Lehmann, E. Ammenwerth & C. Nøhr (Eds.), Proceedings of the 14th World Congress on Medical and Health Informatics (MEDINFO). 192, (pp. 1241). Amsterdam, The Netherlands: IOS Press. [Abstract]

Paton, C., Davies, J., Buchan, I., & Wicks, P. (2013). Big data panel. Proceedings of the Medicine 2.0 World Congress on Social Media, Mobile Apps, Internet / Web 2.0 in Health and Biomedical Research. Retrieved from http://www.medicine20congress.org/ocs/index.php/med/med2013/paper/view/2033/0

Paton, C. (2011). The Health InnoVation Exchange (hive): Bringing together government, clinicians, academia and industry to foster health innovation in New Zealand. Proceedings of the Medicine 2.0 World Congress on Social Media, Mobile Apps, Internet / Web 2.0 in Health and Biomedical Research. Retrieved from http://www.medicine20congress.org/ocs/index.php/med/med2011/paper/view/602

Paton, C., Murray, P., Hansen, M. M., & Grajales, F. (2011). Using social media applications in academic research. Proceedings of the Medicine 2.0 World Congress on Social Media, Mobile Apps, Internet / Web 2.0 in Health and Biomedical Research. Retrieved from http://www.medicine20congress.org/ocs/index.php/med/med2011/paper/view/621

Warren, D., Paton, C., & Pollock, M. (2010). Development of a Web 2.0 health innovation exchange for New Zealand. In D. Hansen, L. Schaper & D. Rowlands (Eds.), Proceedings of the 18th Annual Health Informatics Conference (HIC). Brunswick East, Australia: Health Informatics Society of Australia. Retrieved from https://www.informit.org/product-details/623/L_HIC10

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