ORCID Profile
0000-0002-1314-8843
Current Organisations
Swinburne University of Technology
,
Epworth HealthCare
,
Harvard University
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Organisational, Interpersonal and Intercultural Communication | Medical Devices | Computer Software | Library and Information Studies | Health Information Systems (incl. Surveillance) | Health Informatics | Clinical Nursing: Secondary (Acute Care) | Software Engineering |
Application Software Packages (excl. Computer Games) | Behaviour and Health | Social Structure and Health | Integrated Circuits and Devices | Communication Across Languages and Culture | Expanding Knowledge in Technology
Publisher: Elsevier BV
Date: 08-2018
Publisher: European Respiratory Society (ERS)
Date: 17-12-2020
DOI: 10.1183/13993003.03317-2020
Abstract: Current incidence and outcome of patients with acute hypoxaemic respiratory failure requiring mechanical ventilation in the intensive care unit (ICU) are unknown, especially for patients not meeting criteria for acute respiratory distress syndrome (ARDS). An international, multicentre, prospective cohort study of patients presenting with hypoxaemia early in the course of mechanical ventilation, conducted during four consecutive weeks in the winter of 2014 in 459 ICUs from 50 countries (LUNG SAFE). Patients were enrolled with arterial oxygen tension/inspiratory oxygen fraction ratio ≤300 mmHg, new pulmonary infiltrates and need for mechanical ventilation with a positive end-expiratory pressure of ≥5 cmH 2 O. ICU prevalence, causes of hypoxaemia, hospital survival and factors associated with hospital mortality were measured. Patients with unilateral versus bilateral opacities were compared. 12 906 critically ill patients received mechanical ventilation and 34.9% with hypoxaemia and new infiltrates were enrolled, separated into ARDS (69.0%), unilateral infiltrate (22.7%) and congestive heart failure (CHF 8.2%). The global hospital mortality was 38.6%. CHF patients had a mortality comparable to ARDS (44.1% versus 40.4%). Patients with unilateral-infiltrate had lower unadjusted mortality, but similar adjusted mortality compared to those with ARDS. The number of quadrants on chest imaging was associated with an increased risk of death. There was no difference in mortality comparing patients with unilateral-infiltrate and ARDS with only two quadrants involved. More than one-third of patients receiving mechanical ventilation have hypoxaemia and new infiltrates with a hospital mortality of 38.6%. Survival is dependent on the degree of pulmonary involvement whether or not ARDS criteria are reached.
Publisher: Frontiers Media SA
Date: 31-07-2020
Publisher: Emerald
Date: 11-2001
DOI: 10.1108/09526860110404185
Abstract: Agency theory is primarily concerned with the relationship between the principal (employer urchaser) and the agent (employee/contractor) in the issue of goal‐aligned behavior. Jensen and Meckling and others were not referring to a knowledge worker agent in their conceptualization of the principal/agent relationship. The significance of having a knowledge worker agent is that the decision rights are no longer located with the principal but with the agent. This in turn has a tremendous bearing on goal alignment and agency problems. We propose that information systems/information technology (IS/IT), in particular enterprise wide systems, can alleviate these agency problems. We illustrate this through a case ex le from health care, an industry with a high proportion of knowledge worker agents.
Publisher: Inderscience Publishers
Date: 2007
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-59904-931-1.CH051
Abstract: Knowledge management (KM) is a newly emerging approach aimed at addressing today’s business challenges to increase efficiency and efficacy of core business processes, while simultaneously incorporating continuous innovation. The need for knowledge management is based on a paradigm shift in the business environment where knowledge is now considered to be central to organizational performance and integral to the attainment of a sustainable competitive advantage (Davenport & Grover, 2001 Drucker, 1993). Knowledge creation is not only a key first step in most knowledge management initiatives, but also has far reaching implications on consequent steps in the KM process, thus making knowledge creation an important focus area within knowledge management. Currently, different theories exist for explaining knowledge creation. These tend to approach the area of knowledge creation from either a people perspective—including Nonaka’s Knowledge Spiral, as well as Spender’s and Blackler’s respective frameworks—or from a technology perspective—namely, the KDD process and data mining.
Publisher: Emerald
Date: 04-2002
DOI: 10.1108/02689230210434961
Abstract: In their conceptualization of the principal/agent relationship, Jensen and Meckling were not referring to a knowledge worker (KW) agent. Agency theory is extended to the context of a KW agent to identify a key role for IS/IT in facilitating the monitoring function. To test this, the dynamics of a critical principal‐KW agent relationship in the health‐care industry are investigated. It is demonstrated that IS/IT goes beyond just alleviating the agency problem to enabling the KW agent to perform “self‐monitoring”. The results are significant for health care, agency relationships and the use of IS/IT with knowledge workers.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-309-8.CH013
Abstract: In today’s knowledge-based economy, sustainable strategic advantages are gained more from an organization’s knowledge assets than from its more traditional types of assets, namely, land, labor, and capital. Knowledge, however, is a compound construct, exhibiting many manifestations of the phenomenon of duality such as subjectivity and objectivity as well as having tacit and explicit forms. Overlooking this phenomenon of duality in the knowledge construct has not only led many knowledge management initiatives to stumble but has also resulted in the discussion of the apparent contradictions associated with knowledge management in the IS literature as well as numerous discussions and debates regarding the “nonsense of knowledge management.” It is the thesis of this chapter that a full appreciation of the phenomenon of duality is indeed necessary to enable inquiring organizations to reach the state of wisdom and enlightenment.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH136
Abstract: Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (1) access – caring for anyone, anytime, anywhere (2) quality – offering worldclass care and establishing integrated information repositories and (3) value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare, namely, m-health, appears to offer a way for healthcare delivery to revolutionize itself. This chapter serves to outline an ex le of adopting mobile commerce within the healthcare industry, namely, in the area of a wireless medical record. In particular, it discusses an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in today’s competitive and costly healthcare environment as well as meet all the necessary regulatory requirements. The lessons learnt from these case study data should be of interest to both practitioners and researchers since they will outline realistic and feasible solutions to enable hospitals to incorporate a wireless/m-commerce solution as well as highlighting key areas for further research in this important area of high-quality, effective, and efficient healthcare management.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH016
Abstract: Healthcare organizations are facing many challenges in the 21s t Century due to changes taking place in global healthcare systems. Spiraling costs, financial constraints, increased emphasis on accountability and transparency, changes in education, growing complexities of biomedical research, new partnerships in healthcare and great advances in IT suggest that a predominant paradigm shift is occurring. This shift is necessitating a focus on interaction, collaboration and increased sharing of information and knowledge which is in turn leading healthcare organizations to embrace the techniques of Knowledge Management (KM) in order to create and sustain optimal healthcare outcomes. This chapter describes the importance of knowledge management systems for healthcare organizations and provides an overview of knowledge management technologies and tools that may be used by healthcare organizations.
Publisher: IEEE
Date: 2011
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0778-9.CH015
Abstract: Over the last decade, the popularity of incorporating advances in information systems and information technology (IS/IT) has been steadily growing. IS/IT can improve the delivery for better intervention and treatment with many different mental illnesses however, there appears to be great potential for IS/IT in the context of young adults with mental disorders such as Attention Deficit Hyperactivity Disorder (ADHD). ADHD affects approximately 11% of the university population negatively impacting students' academic performance, study skills, and social life. The study design outlined in this paper suggests a possibility for the role of IS/IT in the delivery of treatments and management of ADHD in university students to be examined with the view to introduce IS/IT into the traditional treatment context. This research involves collecting data from psychologists in the form of semi-structured interviews and a grounded theory methodology using multiple cases is adopted.
Publisher: OMICS Publishing Group
Date: 2015
Publisher: Inderscience Publishers
Date: 2023
Publisher: IEEE
Date: 02-2016
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH139
Abstract: Healthcare has yet to realize the true potential afforded by e-health. To date, technology-based healthcare operations are conducted chaotically, at a wide variety of nonintegrated fronts, with little or no long-term strategy, and at a tremendous and ever increasing cost. This chapter proposes that in order for healthcare to ever reap the full benefits from e-health, it is imperative for the development of a doctrine of healthcare network centric operations. Otherwise, millions if not billions of dollars will be spent on a futile chase of the definitions of how and when the computer, healthcare provider, and healthcare administrator interact most efficiently and at least expense. The concept of a doctrine, “conceptual platform,” that outlines the consequent, goal-oriented way forward, and integrates all constituent elements into a smoothly operating whole, is utilized to great effect in the military. Drawing upon the strategies and techniques employed by the military to develop a network centric doctrine, the chapter outlines the essential components necessary for the establishment of the doctrine for healthcare network centric operations (HNCO), and in so doing not only highlights the integral role played by information computer and communication technologies (IC2T) but also the pivotal role of policy makers and governments. In fact, HNCO underscores the important yet rarely acknowledged confluence of e-health and e-government.
Publisher: IGI Global
Date: 04-2013
Abstract: Software-as-a-Service (SaaS) is a new information and communications technology (ICT) that offers dynamically scalable reconfigurable services to clients on demand via the internet. It is heralded as one of the most significant ICT advances that can facilitate business value creation and innovation. There is paucity of research concerning the perceived risks that can affect SaaS adoption intentions of higher education organisations (HEOs). In attempts to contribute to the existing body of knowledge, this study draws on qualitative evidence to explore perceived SaaS risks at HEOs. It equips HEO managers and policy makers with an integrative risk management framework for SaaS adoption.
Publisher: Springer US
Date: 21-10-2012
Publisher: Elsevier BV
Date: 09-2021
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-61520-765-7.CH006
Abstract: Diabetes is one of the leading chronic diseases affecting Australians and its prevalence continues to rise. The goal of this study is to investigate the application of a pervasive technology solution developed by INET in the form of a wireless enabled mobile phone to facilitate superior diabetes self-care.
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-61520-885-2.CH003
Abstract: The need to transform the U.S. healthcare system became clear during the aftermath of Hurricane Katrina. Katrina was not an unexpected disaster nor was it an exceptionally large event. And yet in the wake of Katrina the loss of life was tragic and emergency health care following the storm was severely h ered by the lack of paper health records that had been washed away or ruined. What is required is a transformation of the current health system to an intelligent health system that maximizes technology and utilizes valuable knowledge assets. To effect such a change healthcare organizations must become learning organizations. The objective of this chapter is to provide a link between principles of organizational learning and knowledge management in order to build the learning healthcare organization. The major thrust of this approach is that the human side of the organization must lead knowledge management technology and not the other way around. The chapter distinguishes between organizational learning as a structure laying the foundation for learning, and the learning organization as a process for maintaining and perpetuating continuous improvement in the organization supported by incorporating a process-centric view of knowledge management (KM) realized through the establishment of a KM infrastructure. Moreover, it emphasizes that since health care is a knowledge intensive industry knowledge management is an integral component in building the learning healthcare organization.
Publisher: Springer US
Date: 21-10-2012
Publisher: Springer US
Date: 21-10-2012
Publisher: Springer US
Date: 21-10-2011
Publisher: American Chemical Society (ACS)
Date: 16-11-2010
DOI: 10.1021/IC101433T
Abstract: Purple acid phosphatases (PAPs) are a group of metallohydrolases that contain a dinuclear Fe(III)M(II) center (M(II) = Fe, Mn, Zn) in the active site and are able to catalyze the hydrolysis of a variety of phosphoric acid esters. The dinuclear complex [(H(2)O)Fe(III)(μ-OH)Zn(II)(L-H)](ClO(4))(2) (2) with the ligand 2-[N-bis(2-pyridylmethyl)aminomethyl]-4-methyl-6-[N'-(2-pyridylmethyl)(2-hydroxybenzyl) aminomethyl]phenol (H(2)L-H) has recently been prepared and is found to closely mimic the coordination environment of the Fe(III)Zn(II) active site found in red kidney bean PAP (Neves et al. J. Am. Chem. Soc. 2007, 129, 7486). The biomimetic shows significant catalytic activity in hydrolytic reactions. By using a variety of structural, spectroscopic, and computational techniques the electronic structure of the Fe(III) center of this biomimetic complex was determined. In the solid state the electronic ground state reflects the rhombically distorted Fe(III)N(2)O(4) octahedron with a dominant tetragonal compression aligned along the μ-OH-Fe-O(phenolate) direction. To probe the role of the Fe-O(phenolate) bond, the phenolate moiety was modified to contain electron-donating or -withdrawing groups (-CH(3), -H, -Br, -NO(2)) in the 5-position. The effects of the substituents on the electronic properties of the biomimetic complexes were studied with a range of experimental and computational techniques. This study establishes benchmarks against accurate crystallographic structural information using spectroscopic techniques that are not restricted to single crystals. Kinetic studies on the hydrolysis reaction revealed that the phosphodiesterase activity increases in the order -NO(2) ←Br ←H ←CH(3) when 2,4-bis(dinitrophenyl)phosphate (2,4-bdnpp) was used as substrate, and a linear free energy relationship is found when log(k(cat)/k(0)) is plotted against the Hammett parameter σ. However, nuclease activity measurements in the cleavage of double stranded DNA showed that the complexes containing the electron-withdrawing -NO(2) and electron-donating -CH(3) groups are the most active while the cytotoxic activity of the biomimetics on leukemia and lung tumoral cells is highest for complexes with electron-donating groups.
Publisher: IEEE
Date: 2004
Publisher: Springer US
Date: 21-10-2012
Publisher: Springer US
Date: 21-10-2012
Publisher: Springer US
Date: 21-10-2012
Publisher: IGI Global
Date: 07-2012
DOI: 10.4018/JANTTI.2012070103
Abstract: Healthcare is the biggest service industry on the globe. Sadly, it has yet to realize the full potential of e-health, which is in stark contrast to other e-business initiatives such as e-government and e-education, e-finance, or e-commerce. However, as all OECD countries grapple with key challenges which are impacting the delivery of cost effective quality healthcare, all are agreed that e-health may hold the key. This makes it more important than ever for successful adoption of e-health. It is the contention of this paper that to be e-health prepared is necessary but not sufficient for successful e-health solutions to be realized. The paper asserts that it is only by embracing a rich theoretical lens of analysis that the full potential of e-health can be harnessed and thus it proffers ANT (Actor-network Theory) as such a lens.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH002
Abstract: While healthcare is the biggest service industry on the globe, it has yet to realize the full potential of the e-business revolution in the form of e-health. This is due to many reasons, including the fact that the healthcare industry is faced with many complex challenges in trying to deliver cost-effective, high-value, accessible healthcare and has traditionally been slow to embrace new business techniques and technologies. Given that e-health to a great extent is a macro-level concern that has far reaching micro-level implications, this chapter first develops a framework to assess a country’s preparedness with respect to embracing e-health (i.e., the application of e-commerce to healthcare) and from this, an e-health preparedness grid to facilitate the assessment of any e-health initiative. Taken together, the integrative framework and preparedness grid provide useful and necessary tools to enable successful e-health initiatives to ensue by helping country and/or organization within a country to identify and thus address areas that require further attention in order for it to undertake a successful e-health initiative.
Publisher: IGI Global
Date: 04-2013
DOI: 10.4018/JANTTI.2013040103
Abstract: Based on initial pre-clinical data and results from focus group studies, proof of concept for an intelligent operational planning and support tool (IOPST) for nursing in acute healthcare contexts has been demonstrated. However, moving from a simulated context to a large scale clinical trial brings potential challenges associated with the many complexities and multiple people-technology interactions. To enable an in depth and rich analysis of such a context, it is the contention of this paper that incorporating an Actor-Network Theory (ANT) lens to facilitate analysis will be a prudent option as discussed below.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH003
Abstract: Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing costs of healthcare expenditure. E-Health in its many forms and possibilities appears to offer a panacea for facilitating the necessary transformation for healthcare. While a plethora of e-health initiatives keep mushrooming both nationally and globally, there exists to date no unified system to evaluate these respective initiatives and assess their relative strengths and deficiencies in realizing superior access, quality and value of healthcare services. Our research serves to address this void. This is done by focusing on the following three key components: 1) understanding the Web of players (regulators, payers, providers, healthcare organizations, suppliers, and last but not least patients) and how ehealth can modify the interactions between these players as well as create added value healthcare services, 2) understand the competitive forces facing e-health organizations and the role of the Internet in modifying these forces, and 3) from analyzing the Web of players combined with the competitive forces for e-health organizations we develop a framework that serves to identify the key forces facing an e-health and suggestions of how such an organization can structure itself to be e-health prepared.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH008
Abstract: The concept of e-health gains rapid and widespread international acceptance as the most practical means of reducing burgeoning healthcare costs, improving healthcare delivery, and reducing medical errors. However, due to profit-maximizing forces controlling healthcare, the majority of e-based systems are characterized by non-existent or marginal compatibility leading to platformcentricity that is, a large number of in idual information platforms incapable of integrated, collaborative functions. While such systems provide excellent service within limited range healthcare operations (such as hospital groups, insurance companies, or local healthcare delivery services), chaos exists at the level of nationwide or international activities. As a result, despite intense efforts, introduction of e-health doctrine has minimal impact on reduction of healthcare costs. Based on their previous work, the authors present the doctrine of network-centric healthcare operations that assures unimpeded flow and dissemination of fully compatible, high quality, and operation-relevant healthcare information and knowledge within the Worldwide Healthcare Information Grid (WHIG). In similarity to network- centric concepts developed and used by the armed forces of several nations, practical implementation of WHIG, consisting of interconnected entry portals, nodes, and telecommunication infrastructure, will result in enhanced administrative efficiency, better resource allocation, higher responsiveness to healthcare crises, and—most importantly—improved delivery of healthcare services worldwide.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Routledge
Date: 15-05-2009
Publisher: IEEE
Date: 18-07-2022
Publisher: IEEE
Date: 12-12-2022
Publisher: Springer Berlin Heidelberg
Date: 2011
Publisher: MDPI AG
Date: 26-05-2023
DOI: 10.3390/S23115101
Abstract: Background: The COVID-19 pandemic has accelerated the demand for utilising telehealth as a major mode of healthcare delivery, with increasing interest in the use of tele-platforms for remote patient assessment. In this context, the use of smartphone technology to measure squat performance in people with and without femoroacetabular impingement (FAI) syndrome has not been reported yet. We developed a novel smartphone application, the TelePhysio app, which allows the clinician to remotely connect to the patient’s device and measure their squat performance in real time using the smartphone inertial sensors. The aim of this study was to investigate the association and test–retest reliability of the TelePhysio app in measuring postural sway performance during a double-leg (DLS) and single-leg (SLS) squat task. In addition, the study investigated the ability of TelePhysio to detect differences in DLS and SLS performance between people with FAI and without hip pain. Methods: A total of 30 healthy (nfemales = 12) young adults and 10 adults (nfemales = 2) with diagnosed FAI syndrome participated in the study. Healthy participants performed DLS and SLS on force plates in our laboratory, and remotely in their homes using the TelePhysio smartphone application. Sway measurements were compared using the centre of pressure (CoP) and smartphone inertial sensor data. A total of 10 participants with FAI (nfemales = 2) performed the squat assessments remotely. Four sway measurements in each axis (x, y, and z) were computed from the TelePhysio inertial sensors: (1) average acceleration magnitude from the mean (aam), (2) root-mean-square acceleration (rms), (3) range acceleration (r), and (4) approximate entropy (apen), with lower values indicating that the movement is more regular, repetitive, and predictable. Differences in TelePhysio squat sway data were compared between DLS and SLS, and between healthy and FAI adults, using analysis of variance with significance set at 0.05. Results: The TelePhysio aam measurements on the x- and y-axes had significant large correlations with the CoP measurements (r = 0.56 and r = 0.71, respectively). The TelePhysio aam measurements demonstrated moderate to substantial between-session reliability values of 0.73 (95% CI 0.62–0.81), 0.85 (95% CI 0.79–0.91), and 0.73 (95% CI 0.62–0.82) for aamx, aamy, and aamz, respectively. The DLS of the FAI participants showed significantly lower aam and apen values in the medio-lateral direction compared to the healthy DLS, healthy SLS, and FAI SLS groups (aam = 0.13, 0.19, 0.29, and 0.29, respectively and apen = 0.33, 0.45, 0.52, and 0.48, respectively). In the anterior–posterior direction, healthy DLS showed significantly greater aam values compared to the healthy SLS, FAI DLS, and FAI SLS groups (1.26, 0.61, 0.68, and 0.35, respectively). Conclusions: The TelePhysio app is a valid and reliable method of measuring postural control during DLS and SLS tasks. The application is capable of distinguishing performance levels between DLS and SLS tasks, and between healthy and FAI young adults. The DLS task is sufficient to distinguish the level of performance between healthy and FAI adults. This study validates the use of smartphone technology as a tele-assessment clinical tool for remote squat assessment.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Inderscience Publishers
Date: 2005
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 2011
Abstract: The World Health Organization identified inadequate Health Information Systems as a challenge in Nigeria. Many developed countries have either implemented or are in the process of implementing an Integrated Electronic Health Record (EHR) system because of its potential benefits. Pilot projects in many developing countries like Kenya, Malawi, Peru, and Haiti are demonstrating the viability of EHR in resource constrained areas. This study shows that the health system in Nigeria is pluralistic and complex with Federal, State and Local Governments, Health Related Agencies, Non-Governmental Organizations, private healthcare providers, patients, and researchers as the major stakeholders. The drivers for adoption of a nationwide EHR include the need to report data improve patient safety, improve work place efficiency comply with government reforms aimed at reducing the cost and increasing access to health services. Corruption, poor coordination among stakeholders, and lack of constant supply of electricity are some of the barriers to a successful implementation of a nationwide EHR. Factors considered critical to a successful implementation of a nationwide EHR include enforceable legislation, a trained and motivated workforce, and significant and sustainable funding.
Publisher: Elsevier BV
Date: 02-2022
Publisher: Inderscience Publishers
Date: 2012
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH026
Abstract: This chapter provides insight into various areas within the medical field that strive to take advantage of different data mining techniques in order to realize the full potential of their knowledge assets. Specifically, this is done by discussing many of the limitations associated with conventional methods of diagnosis and showing how data mining can be used to improve these methods. Comparative analyses of different techniques associated with various areas within the medical field are outlined in order to identify the right technique for particular medical specialties. Furthermore, suggestions are provided to appropriately utilize the various data mining techniques thereby leading to effective and efficient knowledge management and knowledge utilization. In this chapter we highlight the potential of data mining in improving the exploratory as well as the predictive capabilities of conventional diagnostic methods in medical science.
Publisher: Inderscience Publishers
Date: 2005
Publisher: Inderscience Publishers
Date: 2000
Publisher: Elsevier BV
Date: 06-2021
Publisher: American Chemical Society (ACS)
Date: 23-05-2007
DOI: 10.1021/JA071184L
Publisher: Springer Science and Business Media LLC
Date: 08-2004
DOI: 10.1023/B:HCMS.0000039381.02400.49
Abstract: Research in Australia and the United States offers evidence of sophisticated, implicit, knowledge assets in two erse healthcare environments, care and cure. Two case studies representing these two distinct archetypal environments are presented (a palliative care organization in Australia and a spinal care unit in the United States) both are based around multidisciplinary service delivery and demonstrate the existence of implicit knowledge assets. Yet the full potential of these knowledge assets is not being realized. A Knowledge Management Infrastructure model is proffered as a way of making explicit the elements of these knowledge assets in both case studies. In addition, this model provides a systematic and robust approach to structuring the conceptualization of knowledge assets across a range of healthcare environments.
Publisher: Springer Science and Business Media LLC
Date: 2003
Abstract: The US spends significantly more money as a percentage of GDP on health care than any other OECD country and more importantly, this amount is anticipated to increase exponentially. In this high cost environment, two important trends have occurred: (1) the movement to managed care, and (2) large investments in Information Systems/Information Technology (IS/IT). Managed care has emerged as an attempt to provide good quality yet cost effective health care treatment. Its implications are not well discussed in the literature while, its impact on different types of medical group practices is even less well understood. The repercussions of the large investments in IS/IT on the health care sector in general and on the medical group practice in particular, although clearly of importance, are also largely ignored by the literature. This study attempts to address this significant void in the literature. By analyzing three different types of group practices an Independent Practice Association (IPA), a Faculty Practice and a Multi Specialty Group Practice in a managed care environment during their implementation of practice management/billing systems, we are able to draw some conclusions regarding the impacts of these two central trends on health care in general as well as on the medical group practice in particular.
Publisher: Inderscience Publishers
Date: 2010
Publisher: Springer New York
Date: 20-08-2013
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer International Publishing
Date: 2016
Publisher: IEEE
Date: 08-2007
Publisher: Springer International Publishing
Date: 2016
Publisher: Elsevier BV
Date: 02-2020
DOI: 10.1016/J.IJMEDINF.2019.104036
Abstract: Use of electronic medical records (EMRs) in hospitals affects how in iduals communicate with each other. To examine how EMRs mediate communication between inpatients, their families, and health professionals to support patient and family engagement in care. The following electronic bibliographic databases were searched for relevant studies: Association for Computing Machinery Digital Library, CINAHL, Medline, the Cochrane Central Register of Controlled Trials, PsycInfo, and EMBASE. The search identified 850 papers, and of these, 32 met the inclusion criteria. Interactions with the EMR tended to be unidirectional in nature, where health professionals consulted with patients and families to update patient information. Engagement rarely extended to facilitating patient and family participation beyond consultation. There were few ex les of patient and family partnership and shared leadership, mainly with secure messaging and use of the patient portal. Strategies that worked in facilitating active engagement involved patients and families employing creative means of gathering information and directing this information to health professionals. Use of such strategies were rare and involved the attributes of particular in iduals, rather than considering the inherent culture of clinical settings. Further research is urgently needed to examine possibilities of patient and family involvement in treatment modalities, and partnership and shared governance in using the EMR.
Publisher: Springer International Publishing
Date: 2016
Publisher: Elsevier BV
Date: 07-2020
Publisher: Springer International Publishing
Date: 2016
Publisher: Inderscience Publishers
Date: 2020
Publisher: Springer International Publishing
Date: 2016
Publisher: Wiley
Date: 12-2022
DOI: 10.1002/ALZ.066336
Abstract: Digital twins in healthcare is an emerging area. Twins are created from data of past patients. The objective is to facilitate data‐driven decision support for clinicians for more precise and personalized dementia care. The project has three phases: (1) Twin discovering algorithm development from synthetic data (2) Algorithm validation with real patient data (3) Clinical implementation. The current work is related to Phase 1. Past subjects (n=30) showing cognitive decline (based on MMSE scores) mimicking a s le monitored over three years (i.e., 365 x 3 = 1,095 days) were synthetically generated. All past subjects show monotonically decreasing MMSE scores, and have had varying numbers of cognitive tests (between Three and Nine) across three years, unevenly spaced in time. Fig. 1 shows Three ex les. Five present subjects (n=5) were also synthetically generated. Present subjects have had only their first two cognitive tests, unevenly spaced in time (i.e., 90 or 180 days—see Fig. 2). Since cognitive decline is traditionally modeled linearly, linear interpolation was used over present and past subjects to fill out missing data between cognitive tests. Post interpolation, an MMSE score is available for every day between a subject’s first and last cognitive assessment. Then, for each present subject, the best matching past subject and their phase of cognitive decline—i.e., a digital twin from history that is closest to the present subject—were determined via Mean Absolute Percentage Error (MAPE) calculation between MMSE scores of a present subject and past subjects. Digital twin segments showing MAPE 2%, i.e., 100 ‐ MAPE 98%, were identifiable for all Five present subjects. Table 1 shows the Five best matching digital twin segments for each present subject. Fig 3 graphically shows a matching. Results to discover digital twins via matching phases of cognitive decline are positive. This study looked at only the MMSE score as a one‐dimensional metric, for proof of concept. The validity for such one‐dimensional arrays, indicate generalizability for multi‐dimensional data (i.e., a collection of multiple streams of one‐dimensional data) collected over time, for discovering more comprehensive digital twins.
Publisher: Springer International Publishing
Date: 2016
Publisher: Univerzitetna založba Univerze v Mariboru / University of Maribor Press
Date: 14-06-2018
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer International Publishing
Date: 2016
Publisher: Univerzitetna založba Univerze v Mariboru / University of Maribor Press
Date: 14-06-2018
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer New York
Date: 2014
Publisher: Inderscience Publishers
Date: 2011
Publisher: Wiley
Date: 10-12-2020
DOI: 10.1111/PCMR.12948
Abstract: Pigmentation characteristics are well‐known risk factors for skin cancer. Polymorphisms in pigmentation genes have been associated with these traits and with the risk of malignancy. However, the functional relationship between genetic variation and disease is still unclear. This study aims to assess whether pigmentation SNPs are associated with pigmentary traits and skin cancer via DNA methylation (DNAm). Using a meta‐GWAS of whole‐blood DNAm from 36 European cohorts ( N = 27,750 the Genetics of DNA Methylation Consortium, GoDMC), we found that 19 out of 27 SNPs in 10 pigmentation genes were associated with 391 DNAm sites across 30 genomic regions. We examined the effect of 25 selected DNAm sites on pigmentation traits, sun exposure phenotypes and skin cancer and on gene expression in whole blood. We uncovered an association of DNAm site cg07402062 with red hair in the Avon Longitudinal Study of Parents and Children (ALSPAC). We also found that the expression of ASIP and CDK10 was associated with hair colour, melanoma and basal cell carcinoma. Our results indicate that DNAm and expression of pigmentation genes may play a role as potential mediators of the relationship between genetic variants, pigmentation phenotypes and skin cancer and thus deserve further scrutiny.
Publisher: National Institute of Industrial Health
Date: 2018
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-553-5.CH307
Abstract: The exponential increase in information—primarily due to the electronic capture of data and its storage in vast data warehouses—has created a demand for analyzing the vast amount of data generated by today’s organizations so that enterprises can respond quickly to fast changing markets. These applications not only involve the analysis of the data but also require sophisticated tools for analysis. Knowledge discovery technologies are the new technologies that help to analyze data and find relationships from data to finding reasons behind observable patterns. Such new discoveries can have profound impact on designing business strategies. With the massive increase in data being collected and the demands of a new breed of intelligent applications like customer relationship management, demand planning and predictive forecasting, the knowledge discovery technologies have become necessities to providing high performance and feature rich intelligent application servers for intelligent enterprises. The new knowledge based economy entirely depends upon information technology, knowledge sharing, as well as intellectual capital and knowledge management.
Publisher: Hawaii International Conference on System Sciences
Date: 2019
Publisher: Cold Spring Harbor Laboratory
Date: 03-09-2020
DOI: 10.1101/2020.09.01.20180406
Abstract: Characterizing genetic influences on DNA methylation (DNAm) provides an opportunity to understand mechanisms underpinning gene regulation and disease. Here we describe results of DNA methylation-quantitative trait loci (mQTL) analyses on 32,851 participants, identifying genetic variants associated with DNAm at 420,509 DNAm sites in blood. We present a database of ,000 independent mQTL of which 8.5% comprise long-range ( trans ) associations. Identified mQTL associations explain 15-17% of the additive genetic variance of DNAm. We reveal that the genetic architecture of DNAm levels is highly polygenic and DNAm exhibits signatures of negative and positive natural selection. Using shared genetic control between distal DNAm sites we construct networks, identifying 405 discrete genomic communities enriched for genomic annotations and complex traits. Shared genetic factors are associated with both blood DNAm levels and complex diseases but in most cases these associations do not reflect causal relationships from DNAm to trait or vice versa indicating a more complex genotype-phenotype map than has previously been hypothesised.
Publisher: Springer International Publishing
Date: 2016
Publisher: JMIR Publications Inc.
Date: 21-06-2022
DOI: 10.2196/33264
Abstract: Diabetes is one of the leading noncommunicable chronic diseases globally. In people with diabetes, blood glucose levels need to be monitored regularly and managed adequately through healthy lifestyles and medications. However, various factors contribute to poor medication adherence. Smartphone apps can improve medication adherence in people with diabetes, but it is not clear which app features are most beneficial. This study aims to systematically review and evaluate high-quality apps for diabetes medication adherence, which are freely available to the public in Android and Apple app stores and present the technical features of the apps. We systematically searched Apple App Store and Google Play for apps that assist in diabetes medication adherence, using predefined selection criteria. We assessed apps using the Mobile App Rating Scale (MARS) and calculated the mean app-specific score (MASS) by taking the average of app-specific scores on 6 dimensions, namely, awareness, knowledge, attitudes, intention to change, help-seeking, and behavior change rated on a 5-point scale (1=strongly disagree and 5=strongly agree). We used the mean of the app’s performance on these 6 dimensions to calculate the MASS. Apps that achieved a total MASS mean quality score greater than 4 out of 5 were considered to be of high quality in our study. We formulated a task-technology fit matrix to evaluate the apps for diabetes medication adherence. We identified 8 high-quality apps (MASS score≥4) and presented the findings under 3 main categories: characteristics of the included apps, app features, and diabetes medication adherence. Our framework to evaluate smartphone apps in promoting diabetes medication adherence considered physiological factors influencing diabetes and app features. On evaluation, we observed that 25% of the apps promoted high adherence and another 25% of the apps promoted moderate adherence. Finally, we found that 50% of the apps provided low adherence to diabetes medication. Our findings show that almost half of the high-quality apps publicly available for free did not achieve high to moderate medication adherence. Our framework could have positive implications for the future design and development of apps for patients with diabetes. Additionally, apps need to be evaluated using a standardized framework, and only those promoting higher medication adherence should be prescribed for better health outcomes.
Publisher: Springer New York
Date: 24-08-2013
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59140-989-2.CH108
Abstract: The concept of e-health gains rapid and widespread international acceptance as the most practical means of reducing burgeoning healthcare costs, improving healthcare delivery, and reducing medical errors. However, due to profit-maximizing forces controlling healthcare, the majority of e-based systems are characterized by non-existent or marginal compatibility leading to platform-centricity that is, a large number of in idual information platforms incapable of integrated, collaborative functions. While such systems provide excellent service within limited range healthcare operations (such as hospital groups, insurance companies, or local healthcare delivery services), chaos exists at the level of nationwide or international activities. As a result, despite intense efforts, introduction of e-health doctrine has minimal impact on reduction of healthcare costs. Based on their previous work, the authors present the doctrine of network- centric healthcare operations that assures unimpeded flow and dissemination of fully compatible, high quality, and operation-relevant healthcare information and knowledge within the Worldwide Healthcare Information Grid (WHIG). In similarity to network-centric concepts developed and used by the armed forces of several nations, practical implementation of WHIG, consisting of interconnected entry portals, nodes, and telecommunication infrastructure, will result in enhanced administrative efficiency, better resource allocation, higher responsiveness to healthcare crises, and—most importantly—improved delivery of healthcare services worldwide.
Publisher: Inderscience Publishers
Date: 2007
Publisher: IEEE
Date: 2011
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-9863-3.CH040
Abstract: Recently, we are witnessing an exponential growth in remote monitoring and mobile applications for healthcare. These solutions are all designed to ultimately enable the consumer to enjoy better healthcare delivery and /or wellness. In order to understand this growing area, we believe it is necessary to develop a framework to analyse and evaluate these solutions. The purpose of this chapter then is to offer a suitable taxonomy to systematically analyse and evaluate the existing solutions based on number of dimensions including technological, clinical, social, and economic.
Publisher: Springer New York
Date: 2010
Publisher: Springer New York
Date: 2010
Publisher: IGI Global
Date: 04-2010
Abstract: As medical science advances and the applications of information and communications technologies (ICTs) to healthcare operations diffuse more data, information begins to permeate healthcare databases and repositories. However, given the voluminous nature of these disparate data assets, it is no longer possible for healthcare providers to process these data without the aid of sophisticated tools and technologies. The goal of knowledge management is to provide the decision maker with appropriate tools, technologies, strategies and processes to turn data and information into valuable knowledge assets. This paper discusses the benefits of incorporating these tools and techniques to the healthcare arena in order to make healthcare delivery more effective and efficient. To ensure a successful knowledge management initiative in a healthcare setting, the paper proffers the knowledge management infrastructure (KMI) framework and intelligence continuum (IC) model. The benefits of these techniques lie not only in the ability of making explicit the elements of these knowledge assets, and in so doing enable their full potential to be realized, but also to provide a systematic and robust approach to structuring the conceptualization of knowledge assets.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-459-0.CH013
Abstract: This chapter provides insight into various areas within the medical field that strive to take advantage of different data mining techniques in order to realize the full potential of their knowledge assets. Specifically, this is done by discussing many of the limitations associated with conventional methods of diagnosis and showing how data mining can be used to improve these methods. Comparative analyses of different techniques associated with various areas within the medical field are outlined in order to identify the right technique for particular medical specialties. Furthermore, suggestions are provided to appropriately utilize the various data mining techniques thereby leading to effective and efficient knowledge management and knowledge utilization. In this chapter we highlight the potential of data mining in improving the exploratory as well as the predictive capabilities of conventional diagnostic methods in medical science.
Publisher: Springer New York
Date: 2010
Publisher: Springer New York
Date: 2010
Publisher: Inderscience Publishers
Date: 2004
Publisher: Emerald
Date: 08-01-2018
DOI: 10.1108/IJEM-11-2016-0242
Abstract: The purpose of this paper is to explore the disparities in social awareness and use of the internet between urban and rural school children in the North of Vietnam. A total of 525 pupils, aged 9-11 years old, randomly selected from seven urban and rural schools, who are internet users, participated in the study and consented to responding to a questionnaire adapted from an equivalent European Union study. A comparative statistical analysis of the responses was then carried out, using IBM SPSS v21, which consisted of a descriptive analysis, an identification of personal self-development opportunities, as well as issues related to pupils’ digital prowess and knowledge of internet use and internet safety, including parental engagement in their offspring’s online activities. The study highlights the fact that children from both the urban and rural regions of the North of Vietnam mostly access the internet from home, but with more children in the urbanized areas accessing it at school than their rural counterparts. Although children from the rural areas scored lower on all the internet indicators, such as digital access and online personal experience and awareness, there was no disparity in awareness of internet risks between the two sub-s les. It is noteworthy that there was no statistically significant gender difference towards online activities that support self-development. In relation to safe internet usage, children are likely to seek advice from their parents, rather than through teachers or friends. However, they are not yet provided with an effective safety net while exposing themselves to the digital world. Although the Vietnamese national curriculum on the computer science subject does not explicitly cover the use of the internet and its related aspects, the majority of children who took part in this study claimed to have used the internet in their learning activities. This emphasises the urgent need for the Ministry of Education and educators in the country to not only improve information and communication technology facilities in schools, but also to revise the computer science curriculum in order to provide a supportive environment for learning development and collectively advocate the dynamics of internet use in order to ensure safe access and use by the children.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-459-0.CH010
Abstract: The ongoing tension between certainty over uncertainty is the main force that is driving the evidence-based medicine movement. The central philosophy of this practice lies in the idea that one can never take for granted one’s own practice, but by using a structured, problem-based approach, practitioners can logically manoeuvre their way through the obstacle course of clinical decision-making. Attending postgraduate educational events and reading various science journals are no longer sufficient to keep healthcare practitioners aware of all the new developments in practice. To gain this knowledge they need to accept that there are questions they have to ask about their practice. Having posed a number of questions, answers should be found to the most important, practitioners should appraise the quality of the resulting evidence and, if appropriate, practitioners should implement change in response to that new knowledge.
Publisher: IGI Global
Date: 2005
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2013
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-60960-197-3.CH003
Abstract: In a dynamic and complex global environment traditional approaches to healthcare delivery are becoming more and more inadequate. To address this von Lubitz and Wickramasinghe (2006e) proffered the need for a networkcentric approach that allows free and rapid sharing of information and effective knowledge building required for the development of coherent objectives and their rapid attainment. However, to realize this vision it is essential to have rich theory and robust approaches to analyse the levels of complexity of modern healthcare delivery. This paper discusses how this might be done by drawing upon the strong rich analysis tools and techniques of Social Network Analysis combined with Actor Network Theory.
Publisher: IGI Global
Date: 10-2011
Abstract: Today all OECD (Organization for Economic Cooperation and Development) countries are faced with the challenge of escalating healthcare costs. Most are agreed that e-health appears to offer a solution and thus we are witnessing the design, development and implementation of various e-health solutions. This is also true in Germany where the current focus is on the new e-health card concept. It is anticipated that the introduction of this e-health card will totally change the current healthcare system within Germany, primarily because it offers several new functions. Some of these functions are mandatory, while other functions are optional. Such an initiative however, brings with it several advantages and disadvantages. A particularly sensitive aspect here concerns data protection and data security. To address this consideration, the development of a new telematics infrastructure is critical and in some respects the backbone for the e-health card. Thus, the following provides an assessment of the telematics infrastructure behind the German e-health card.
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2012
Publisher: Inderscience Publishers
Date: 2010
Publisher: IGI Global
Date: 2019
DOI: 10.4018/978-1-5225-7362-3.CH109
Abstract: As the value agenda progresses in healthcare, we are witnessing a growing interest in the potential and possibilities for predictive analytics and intelligent risk detection to facilitate the processing of multi-spectral data to enable and sound decision making to ensue. However, the exponential growth of data coupled with a rapid increase of service demands in healthcare contexts today requires a robust framework enabled by IT (information technology) solutions as well as real-time service handling in order to ensure superior decision making and successful healthcare outcomes. The following serves to unpack critical issues in this regard.
Publisher: Informa UK Limited
Date: 11-09-2023
Publisher: IEEE
Date: 2013
Publisher: IGI Global
Date: 2012
DOI: 10.4018/JANTTI.2012010101
Abstract: In an environment of escalating healthcare costs, chronic disease management is particularly challenging, since, by definition such diseases have no foreseeable cure and if poorly managed typically lead to further, complicated secondary health issues, which ultimately only serve to exacerbate cost. Diabetes is one of the leading chronic diseases and its prevalence continues to rise exponentially. Thus it behooves all to focus on solutions that can result in superior management of this disease. Hence, this article presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution a mobile phone, to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT) and thus the paper underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.
Publisher: IGI Global
Date: 2012
DOI: 10.4018/JANTTI.2012010103
Abstract: Over the last forty years, the average percent of Gross Domestic Product (GDP) spent on healthcare by members of the Organization for Economic Cooperation and Development (OECD) countries has risen considerably. Challenges including longer life expectancy, ageing population and technological changes have and continue to exponentially impact rising health expenditures. Reducing these expenditures as well as offering effective and efficient quality healthcare treatment has become a priority globally to healthcare. Technology and automation in general have the potential to reduce these costs hence many countries are now looking at how to use information and communication technologies (ICT) in general and e-health solutions in particular to address these challenges. Hence, this paper focuses on such attempts by two countries. Specifically, it focuses on the German and Australian e-health solutions. The paper provides an assessment of these two solutions, the possibility for any lessons learnt with regard to designing and implementing successful and appropriate e-health solutions as well as understanding the major barriers and facilitators that must be addressed. Finally, ANT will be used to provide a rich lens to investigate the key issues in these respective e-health solutions.
Publisher: CRC Press
Date: 30-11-2022
Publisher: Inderscience Publishers
Date: 2021
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer International Publishing
Date: 2016
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH105
Abstract: Healthcare expenditure is increasing exponentially, and reducing this expenditure (i.e., offering effective and efficient quality healthcare treatment) is becoming a priority not only in the United States, but also globally (Bush, 2004 Oslo Declaration, 2003 Global Medical Forum, 2005). In the final report compiled by the Committee on the Quality of Healthcare in America (Institute of Medicine, 2001), it was noted that improving patient care is integrally linked to providing high quality healthcare. Furthermore, in order to achieve high quality healthcare, the committee has identified six key aims, that is, healthcare should be: 1. Safe: avoiding injuries to patients from the care that is intended to help them 2. Effective: providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those who will not benefit (i.e., avoiding under use and overuse) 3. Patient centered: providing care that is respectful of and responsive to in idual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions 4. Timely: reducing waiting and sometimes harmful delays for both those receiving care and those who give care 5. Efficient: avoiding waste 6. Equitable: providing care that does not vary in quality based on personal characteristics Most of the poor quality connected with healthcare— such as loss of information or incomplete information pertaining to patient medical records, allergic reactions that can be life threatening, or the ordering of wrong tests—is related to a highly fragmented delivery system that lacks even rudimentary clinical information capabilities resulting in inadequate information flows and poorly designed care processes characterized by unnecessary duplication of services, long waiting times, and delays (Institute of Medicine, 2001 Chandra, Knickrehm, & Miller, 1995). In addition, poor information quality is also a major contributor to the numerous medical errors that permeate throughout the system (Mandke, Bariff, & Nayar, 2003). The introduction of the Health Insurance Portability and Accountability Act (HIPAA, 2001) in the United States into this context only makes matters more complex, since it imposes a further level of convolution to the design and management of information and its flows throughout the healthcare system. The aims of HIPAA are indeed laudable, since they focus on establishing better governance structures and compliance so that healthcare information can be protected and secured however, in practice, given the current platform-centric nature of healthcare organizations, this only serves to create further informational challenges. Healthcare is noted for using leading-edge technologies and embracing new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life-threatening diseases (Stegwee & Spil, 2001 McGee, 1997 Johns, 1997 Wallace, 1997). However, the healthcare industry has been extremely slow to adopt and then maximize the full potential of technologies that focus on better practice management and administrative needs (Stegwee & Spil, 2001). In the current complex healthcare environment, the development and application of sophisticated patient-centric healthcare systems and e-health initiatives are becoming strategic necessities, yet healthcare delivery has been relatively untouched by the revolution of information technology (Institute of Medicine, 2001 Wickramasinghe, 2000 Wickramasinghe & Mills, 2001 Stegwee & Spil, 2001 Wickramasinghe & Silvers, 2002). To address this dilemma, healthcare organizations globally require a systematic methodology to guide the design and management of their respective IC2T adoptions, not only to be compliant with regulations like HIPAA but also to be able to capture, generate, and disseminate information that is of high integrity and quality, and thereby be both technically sound and meet the highest ethical and security standards. An integrative compliance framework is an appropriate solution strategy.
Publisher: SAGE Publications
Date: 07-2013
Publisher: Springer New York
Date: 2010
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-60960-183-6.CH016
Abstract: Diabetes is one of the leading chronic diseases affecting Australians and is increasingly becoming a serious challenge and threat for both the quality of healthcare while increasing cost pressures on the Australian healthcare system. The goal of this study is to provide a transaction cost economics framework which can be used as a tool for high-level assessments of the economic viability of a pervasive technology solution developed by INET in the form of a wireless enabled mobile solution to facilitate superior diabetes self-management. In doing so, we prepare the inroads for proposing an approach for refined quantifiable assessments of a pervasive IT-enabled healthcare solution.
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer Science and Business Media LLC
Date: 30-03-2014
Publisher: Springer Science and Business Media LLC
Date: 26-05-2012
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-553-5.CH447
Abstract: Today’s Information Age is having a dramatic effect on businesses as well as on the life styles of people. Globalization, rapid technological change and the importance of knowledge in gaining and sustaining competitive advantage characterize this information age. Traditionally, economists have seen capital, labor, and natural resources as the essential ingredients for economic enterprise. The new economy of the 21st century is increasingly based on knowledge with information, innovation, creativity and intellectual capitalism as its essential ingredients (Persaud, 2001). Today’s modern economy then, is based more on intangibles, information, innovation, and creativity, and their abilities to facilitate expanding economic potential (Persaud, 2001) and the exploitation of ideas rather than material things. Many new terms have been coined for this new economy such as “knowledge-based economy”, “borderless economy”, “weightless economy”. and “digital economy” to name a few (Woodall, 2000). This new economy seems to defy the basic economic law of scarcity which means, if a physical object is sold, the seller ceases to own it. In this new economy, however, when an idea is sold, the seller still possesses it and can sell it over and over again (Woodall, 2000). Traditional economic theory assumes that most industries run into “diminishing returns” at some point because unit costs start to rise, so no one firm can corner the market. In the new economy, knowledge-based products and services have “increasing returns” because knowledge-based products are expensive to produce for the first time, but cheap to reproduce. High fixed costs and negligible variable costs give these industries vast potential for economies of scale (Sharma, Wickramasinghe & Gupta, 2003 Woodall, 2000).
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-60960-197-3.CH015
Abstract: The S’ANT approach (Wickramasinghe and Bali, 2009) - namely the incorporation of Actor-network Theory and Social Network Analysis as proposed by Wickramasinghe and Bali 2009 in order to support a network centric healthcare solutions is proffered in the following as an appropriately rich lens of analysis in the context of the development of a chronic disease self-management model.
Publisher: CRC Press
Date: 30-11-2022
Publisher: University of Maribor Press
Date: 06-2017
Publisher: JMIR Publications Inc.
Date: 14-10-2022
Abstract: dverse drug reactions (ADRs) may cause serious injuries including death. Timely reporting of ADRs may play a significant role in patient safety however, underreporting exists. Enhancing the electronic communication of ADR information to regulators and between health care providers has the potential to reduce recurrent ADRs and improve patient safety. he main objectives were to explore the low rate of ADR reporting by community pharmacists (CPs) in Australia, evaluate the usability of an existing reporting system, and how this knowledge may influence the design of subsequent electronic ADR reporting systems. he study was carried out in 2 stages. Stage 1 involved qualitative semistructured interviews to identify CPs’ perceived barriers and facilitators to ADR reporting. Data were analyzed by thematic analysis, and identified themes were subsequently aligned to the task-technology fit (TTF) framework. The second stage involved a usability evaluation of a commercial web-based ADR reporting system. A structured interview protocol that combined virtual observation, think-aloud moderating techniques, retrospective questioning of the overall user experience, and a System Usability Scale (SUS). The field notes from the interviews were subjected to thematic analysis. n total, 12 CPs were interviewed in stage 1, and 7 CPs participated in stage 2. The interview findings show that CPs are willing to report ADRs but face barriers from environmental, organizational, and IT infrastructures. Increasing ADR awareness, improving workplace practices, and implementing user-focused electronic reporting systems were seen as facilitators of ADR reporting. User testing of an existing system resulted in above average usability (SUS 68.57) however, functional and user interpretation issues were identified. Design elements such as a drop-down menu, free-text entry, checkbox, and prefilled data fields were perceived to be extremely useful for navigating the system and facilitating ADR reporting. xisting reporting systems are not suited to report ADRs, or adapted to workflow, and are rarely used by CPs. Our study uncovered important contextual information for the design of future ADR reporting interventions. Based on our study, a multifaceted, theory-guided, user-centered, and best practice approach to design, implementation, and evaluation may be critical for the successful adoption of ADR reporting electronic interventions and patient safety. Future studies are needed to evaluate the effectiveness of theory-driven frameworks used in the design and implementation of ADR reporting systems.
Publisher: University of Maribor Press
Date: 06-2017
Publisher: Springer New York
Date: 24-08-2013
Publisher: IGI Global
Date: 2008
Publisher: Inderscience Publishers
Date: 2014
Publisher: Inderscience Publishers
Date: 2012
Publisher: JMIR Publications Inc.
Date: 20-05-2022
DOI: 10.2196/34687
Abstract: Anatomy has been the cornerstone of medical education for centuries. However, given the advances in the Internet of Things, this landscape has been augmented in the past decade, shifting toward a greater focus on adopting digital technologies. Digital anatomy is emerging as a new discipline that represents an opportunity to embrace advances in digital health technologies and apply them to the domain of modern medical sciences. Notably, the use of augmented or mixed and virtual reality as well as mobile and platforms and 3D printing in modern anatomy has dramatically increased in the last 5 years. This review aims to outline the emerging area of digital anatomy and summarize opportunities and challenges for incorporating digital anatomy in medical science education and practices. Literature searches were performed using the PubMed, Embase, and MEDLINE bibliographic databases for research articles published between January 2005 and June 2021 (inclusive). Out of the 4650 articles, 651 (14%) were advanced to full-text screening and 77 (1.7%) were eligible for inclusion in the narrative review. We performed a Strength, Weakness, Opportunity, and Threat (SWOT) analysis to evaluate the role that digital anatomy plays in both the learning and teaching of medicine and health sciences as well as its practice. Digital anatomy has not only revolutionized undergraduate anatomy education via 3D reconstruction of the human body but is shifting the paradigm of pre- and vocational training for medical professionals via digital simulation, advancing health care. Importantly, it was noted that digital anatomy not only benefits in situ real time clinical practice but also has many advantages for learning and teaching clinicians at multiple levels. Using the SWOT analysis, we described strengths and opportunities that together serve to underscore the benefits of embracing digital anatomy, in particular the areas for collaboration and medical advances. The SWOT analysis also identified a few weaknesses associated with digital anatomy, which are primarily related to the fact that the current reach and range of applications for digital anatomy are very limited owing to its nascent nature. Furthermore, threats are limited to technical aspects such as hardware and software issues. This review highlights the advances in digital health and Health 4.0 in key areas of digital anatomy analytics. The continuous evolution of digital technologies will increase their ability to reinforce anatomy knowledge and advance clinical practice. However, digital anatomy education should not be viewed as a simple technical conversion and needs an explicit pedagogical framework. This review will be a valuable asset for educators and researchers to incorporate digital anatomy into the learning and teaching of medical sciences and their practice.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Informa UK Limited
Date: 16-01-2013
DOI: 10.3109/17538157.2012.735732
Abstract: Electronic Patient Records have improved vastly the quality and efficiency of care delivered. However, the formation of single demographic database and the ease of electronic information sharing give rise to many concerns including issues of consent, by whom and how data are accessed and used. This paper examines the organizational and socio-technical issues related to privacy, confidentiality and security when employing electronic records within a maternity service hospital in England. A preliminary questionnaire was administered (n = 52), in total, 24 responses were received. Sixteen responses were from personnel in the information technology department, 5 from health information department and 3 from midwifery managers. This was followed by a semi-structured interview with representatives from the clinical and technological side. A number of issues related to information governance (IG) have been identified, especially breaches on sharing personal information without consent from the patients have been identified as one immediate challenge that needs to be fixed. There is an immediate need for more robust, realistic, built-in accountability both locally and nationally on data sharing. A culture of ownership and strict adherence to IG principles is paramount. Focused training in the area of data, information and knowledge sharing will bring in a balance of legitimate usage against the in idual's rights to confidentiality and privacy.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-664-8.CH013
Abstract: Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (1) access – caring for anyone, anytime, anywhere (2) quality – offering world-class care and establishing integrated information repositories and (3) value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare, namely, m-health, appears to offer a way for healthcare delivery to revolutionize itself. This chapter serves to outline an ex le of adopting mobile commerce within the healthcare industry, namely, in the area of a wireless medical record. In particular, itdiscusses an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in today’s competitive and costly healthcare environment as well as meet all the necessary regulatory requirements. The lessons learnt from these case study data should be of interest to both practitioners and researchers since they will outline realistic and feasible solutions to enable hospitals to incorporate a wireless/m-commerce solution as well as highlighting key areas for further research in this important area of high-quality, effective, and efficient healthcare management.
Publisher: JMIR Publications Inc.
Date: 29-09-2023
DOI: 10.2196/48976
Publisher: Inderscience Publishers
Date: 2005
Publisher: CRC Press
Date: 30-11-2022
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH005
Abstract: Employing collaborative systems in healthcare contexts is an important approach towards designing and developing intelligent computer solutions. The objective of this study is to develop a real-time collaborative system using the Intelligent Risk Detection Model (IRD) to improve decision efficiency for the care of patients undergoing hip and knee arthroplasty (THA, TKA). Expected benefits include increasing awareness, supporting communication, improving decision making processes and also improving information sharing between surgeons, patients, families and consultants as key collaborative parties. The research question under investigation is: How can key information technologies be designed, developed and adopted to support clinical decision making in the context of THA and TKA? This research in progress has identified the value and benefit of developing a systematic and technology supported tool to facilitate the identification of various risks associated with THA and TKA.
Publisher: University of Maribor Press
Date: 2022
Abstract: This paper provides insights from a pilot study which is part of a larger longitudinal research project focused on assessing the value of different national digital health solutions. In this study, the focus is on Australia’s My Health Record and the German e-Health Card. The adopted methodology is a multicase qualitative approach which enables deeper insights to be uncovered. Data collection is from multiple sources including semi-structured interviews, surveys and the analysis of key documents. An initial model for assessing the value of the digital health solution is presented and findings are analyzed against this model to provide recommendations and understand critical success factors for designing, developing and deploying national digital health solutions.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH001
Abstract: With the plethora of mHealth solutions developed being digital, this necessitates the need for accurate data and information integrity. Lack of data accuracy and information integrity in mHealth can cause serious harm to patients and limit the benefits of such promising technology. Thus, this exploratory study investigates data accuracy and information integrity in mHealth by examining a mobile health solution for diabetes, with the aim of incorporating Machine Learning to detect sources of inaccurate data and deliver quality information.
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59140-987-8.CH074
Abstract: Healthcare expenditure is increasing exponentially, and reducing this expenditure (i.e., offering effective and efficient quality healthcare treatment) is becoming a priority not only in the United States, but also globally (Bush, 2004 Oslo Declaration, 2003 Global Medical Forum, 2005). In the final report compiled by the Committee on the Quality of Healthcare in America (Institute of Medicine, 2001), it was noted that improving patient care is integrally linked to providing high quality healthcare.
Publisher: IEEE
Date: 08-2006
Publisher: Univresity of Maribor Press
Date: 2020
Publisher: JMIR Publications Inc.
Date: 03-05-2019
DOI: 10.2196/10368
Publisher: Springer New York
Date: 24-08-2012
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 2018
DOI: 10.4018/978-1-5225-7489-7.CH014
Abstract: Superior healthcare delivery requires good communication. For people who have English as a second language, this is particularly challenging. Given the advances in technology, most especially with Web 2.0 and cloud computing, the following proffers a technology-mediated solution to address communication barriers that result when delivering healthcare to non-English speakers or limited-proficiency English-speaking patients. This solution serves to reduce healthcare disparities, satisfy meaningful use requirements, and provide superior healthcare delivery that is efficient, effective, and efficacious.
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 2013
DOI: 10.4018/978-1-4666-2788-8.CH010
Abstract: As part of its expanding role, particularly as an agent of peace building, the United Nations (UN) actively participates in the implementation of measures to prevent and manage crisis/disaster situations. The purpose of such an approach is to empower the victims, protect the environment, rebuild communities, and create employment. However, real world crisis management situations are complex given the multiple interrelated interests, actors, relations, and objectives. Recent studies in healthcare contexts, which also have dynamic and complex operations, have shown the merit and benefits of employing various tools and techniques from the domain of knowledge management (KM). Hence, this paper investigates three distinct natural crisis situations (the 2010 Haiti Earthquake, the 2004 Boxing Day Asian Tsunami, and the 2001 Gujarat Earthquake) with which the United Nations and international aid agencies have been and are currently involved, to identify recurring issues which continue to provide knowledge-based impediments. Major findings from each case study are analyzed according to the estimated impact of identified impediments. The severity of the enumerated knowledge-based issues is quantified and compared by means of an assigned qualitative to identify the most significant attribute.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH015
Abstract: Pagers and phone conversations have been the stalwarts of hospital communication. With good reason - they are simple, reliable and relatively inexpensive. However, with the increasing complexity of patient care, the need for greater speed and the general inexorable progress of health technology, hospital communication systems appear to be increasingly inefficient, non-secure, and inadequate. Thus, this study is proposed to answer the key research question: How can ICT (information communication technology) solutions ameliorate the current challenges regarding communication inefficiencies within healthcare? To answer this question, the study will design and develop a bespoke ICT solution for a specific context using three strong theories communication theory, activity theory and agency theory to make a robust body of knowledge for the proposed solution. Further, it will serve to establish proof of concept, usability and feasibility of the proffered solution. The study participants will be selected from medical and nursing staff.
Publisher: F1000 Research Ltd
Date: 31-05-2022
DOI: 10.12688/WELLCOMEOPENRES.17598.2
Abstract: Epigenome-wide association studies (EWAS) seek to quantify associations between traits/exposures and DNA methylation measured at thousands or millions of CpG sites across the genome. In recent years, the increase in availability of DNA methylation measures in population-based cohorts and case-control studies has resulted in a dramatic expansion of the number of EWAS being performed and published. To make this rich source of results more accessible, we have manually curated a database of CpG-trait associations (with p x10 -4 ) from published EWAS, each assaying over 100,000 CpGs in at least 100 in iduals. From January 7, 2022, The EWAS Catalog contained 1,737,746 associations from 2,686 EWAS. This includes 1,345,398 associations from 342 peer-reviewed publications. In addition, it also contains summary statistics for 392,348 associations from 427 EWAS, performed on data from the Avon Longitudinal Study of Parents and Children (ALSPAC) and the Gene Expression Omnibus (GEO). The database is accompanied by a web-based tool and R package, giving researchers the opportunity to query EWAS associations quickly and easily, and gain insight into the molecular underpinnings of disease as well as the impact of traits and exposures on the DNA methylome. The EWAS Catalog data extraction team continue to update the database monthly and we encourage any EWAS authors to upload their summary statistics to our website. Details of how to upload data can be found here: pload . The EWAS Catalog is available at www.ewascatalog.org .
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH011
Abstract: Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.
Publisher: Elsevier BV
Date: 03-2022
Publisher: University of Maribor Press
Date: 06-2017
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6126-4.CH012
Abstract: Healthcare delivery continues to be challenged in all OECD countries. To address these challenges, most are turning their attention to e-health as the panacea. Indeed, it is true that in today's global and networked world, e-health should be the answer for ensuring pertinent information, relevant data, and germane knowledge anywhere anytime so that clinicians can deliver superior healthcare. Sadly, healthcare has yet to realize the full potential of e-health, which is in stark contrast to other e-business initiatives such as e-government and e-education, e-finance, or e-commerce. This chapter asserts that it is only by embracing a rich theoretical lens of analysis that the full potential of e-health can be harnessed, and thus, it proffers Actor-Network Theory (ANT) as such a lens.
Publisher: Inderscience Publishers
Date: 2018
Publisher: IEEE
Date: 2014
Publisher: MDPI AG
Date: 16-05-2022
DOI: 10.3390/S22103787
Abstract: Disease screening identifies a disease in an in idual/community early to effectively prevent or treat the condition. COVID-19 has restricted hospital visits for screening and other healthcare services resulting in the disruption of screening for cancer, diabetes, and cardiovascular diseases. Smartphone technologies, coupled with built-in sensors and wireless technologies, enable the smartphone to function as a disease-screening and monitoring device with negligible additional costs and potentially higher quality results. Thus, we sought to evaluate the use of smartphone applications for disease screening and the acceptability of this technology in the medical and healthcare sectors. We followed a systematic review process using four databases, including Medline Complete, Web of Science, Embase, and Proquest. We included articles published in English examining smartphone application utilisation in disease screening. Further, we presented and discussed the primary outcomes of the research articles and their statistically significant value. The initial search yielded 1046 studies for the initial title and abstract screening. Of the 105 articles eligible for full-text screening, we selected nine studies and discussed them in detail under four main categories: an overview of the literature reviewed, participant characteristics, disease screening, and technology acceptance. According to our objective, we further evaluated the disease-screening approaches and classified them as clinically administered screening (33%, n = 3), health-worker-administered screening (33%, n = 3), and home-based screening (33%, n = 3). Finally, we analysed the technology acceptance among the users and healthcare practitioners. We observed a significant statistical relationship between smartphone applications and standard clinical screening. We also reviewed user acceptance of these smartphone applications. Hence, we set out critical considerations to provide equitable healthcare solutions without barriers when designing, developing, and deploying smartphone solutions. The findings may increase research opportunities for the evaluation of smartphone solutions as valid and reliable screening solutions.
Publisher: Elsevier BV
Date: 06-2022
DOI: 10.1016/J.JDIACOMP.2022.108200
Abstract: When comorbid patients with diabetes have 30-days Unplanned Readmission (URA), they attract more burdens to the healthcare system due to increased cost of treatment, insurance penalties to hospitals, and unavailable bed spaces for new patients. This paper, therefore, aims to develop a risk stratification and a predictive model for identifying patients at various risk severities of 30-days URA. Patients records of comorbid patients with diabetes treated with different medications were collected from different hospitals and analysed with Principal Component Analysis (PCA) and Multivariate Logistic Regression (MLR) to determine the probability of 30-days URA, which is classified into very low, low, moderate, high, and very high. The risk classes are later modelled using ANOVA feature selection to identify the optimal predictors and the best random forest (RF) hyperparameters for 30-days URA risk stratification. Synthetic Minority Overs ling Technique (SMOTE) was used to balance the risk classes while employing a10-fold cross-validation. After analysing 17,933 episodes of comorbid diabetes patients' treatment, 10.71% are identified to have 30-days URA with 61.95% of patients at moderate risk, 35.5% at low risk, 2.25% at very low risk, 0.37% at high risk, and 0.08% at very high risk. The predictive accuracy of RF is: - recall: 0.947 ± 0.035, precision: 0.951 ± 0.033, F1-score: 0.947 ± 0.035, AUC: 0.994 ± 0.007 and Average Precision (AP) of 0.99. The predictive accuracies of the risk classes measured with F1-score are: - very low: 0.985 ± 0.019, low risk: 0.871 ± 0.079, moderate: 0.881 ± 0.093, high: 0.999 ± 0.003, and very high: 1.000 ± 0.00. This study identified the risk severity of comorbid patients with diabetes treated with different medications, making it easier to identify those that will be prioritized on hospitalization to minimize 30-days URA. By relying on the technique developed, vulnerable patients to 30-days URA can be given better post-discharge monitoring to build critical self-management skills that will minimize the cost of diabetes care and improve the quality of life.
Publisher: Inderscience Publishers
Date: 2008
Publisher: JMIR Publications Inc.
Date: 28-06-2022
Abstract: pontaneous reporting of suspected Adverse drug reaction (ADR) is central to monitoring post-licensure medication safety. Underreporting by health professionals is highly prevalent across the world. Little is known about how community pharmacists (CPs) recognises and report to surveillance systems in Australia. xplore the perceptions of CPs towards pharmacovigilance (PV) and identify factors associated with ADR reporting to help inform future interventions designed to improve ADR underreporting. qualitative study with in idual interviews was conducted with 12 CP’s working across Victoria, Australia between April 2022 and May 2022. A semi-structured interview guide was used to identify experienced barriers and facilitators to ADR reporting. Data was analysed following thematic analysis. Themes within barriers and facilitators were aligned with the Task-Technology Fit (TTF) framework. ack of knowledge was a key driver in low awareness to PV or reporting systems and work environment/ resources were key drivers in the lack of time to report by CPs in Australia. To facilitate the ADR reporting process, multifaceted digital reporting systems should be developed within the pharmacist workflow, utilising auto-population features with integrated ADR report feedback systems. n contrast to previous studies and prior interventions that attempted to address ADR underreporting, we theorise that it is not the end-users (CPs) that need behavioural change through more enticements or enforcement, but rather that the work practices and technologies that support their work need to be altered. Understanding the nature of “lack of time to report” may serve useful to design more targeted interventions strategies, the first relating to the organisational/workplace structure and the later, operational/ IT infrastructure. Implementing new digital technologies such as mobile apps and artificial intelligence supporting both active and passive surveillance present as opportunity to empower consumer reporting and reducing CPs workload.
Publisher: Inderscience Publishers
Date: 2006
Publisher: IEEE
Date: 2014
Publisher: IEEE
Date: 10-03-2021
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6126-4.CH002
Abstract: Australia has designed, developed, and now implemented its national e-health solution known as the Personally Controlled Electronic Healthcare Record (PCEHR). This is a unique system as it subscribes to a shared governance model between patients and providers. To date, though, as with other national e-health solutions, there is poor uptake and much concern regarding the success of this multi-million dollar project. The authors contend that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used in order to maximise and sustain the benefits of Information Systems/Information Technology (IS/IT) in healthcare delivery. Hence, in this chapter, the authors proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate in the context of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution for Australia.
Publisher: IEEE Comput. Soc
Date: 2001
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6126-4.CH005
Abstract: The WHO has labelled diabetes the silent epidemic. This is because the instances of diabetes worldwide continue to grow exponentially. In fact, by 2030 it is expected that there will be a 54% global increase. Thus, it behooves all to focus on solutions that can result in superior management of this disease. Hence, this chapter presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution, a mobile phone to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT), and thus, the chapter underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.
Publisher: IEEE
Date: 2003
Publisher: Inderscience Publishers
Date: 2003
Publisher: Routledge
Date: 26-03-2015
Publisher: Inderscience Publishers
Date: 2016
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-943-4.CH117
Abstract: As electronic commerce (e-commerce) is becoming the way to trade, it is the large corporations that are exploiting their finances and technical expertise to jump into this abyss. Small and medium enterprises (SMEs) are finding too many obstacles to participate in e-commerce. SMEs in Asia Pacific in particular, face many obstacles and thus are still not comfortable with the concept of putting their business online, conducting transactions online or rev ing entire business processes. This chapter describes the key factors that are hindering SMEs’ participation in e-commerce and the obstacles to SMEs for e-adoption in Asia Pacific. Although this study is limited to the Asia Pacific region many of the findings do contribute significantly to the factors hindering all SMEs’ e-adoption efforts.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH020
Abstract: It is widely known that nurses are pivotal in coordinating and communicating patient care information in the complex network of healthcare professionals and service delivery. Yet, despite their pivotal role, information communication technologies have historically rarely been designed around nurses' operational needs. This could explain the poor integration of technologies into nursing work processes and consequent rejection by nursing professionals. The complex nature of acute care delivery in hospitals and the frequently interrupted patterns of nursing work suggest that nurses require flexible intelligent systems that can support and adapt to their variable workflow patterns. This study is designed to explore nurses' initial reactions to a new integrated point of care solution for acute healthcare contexts. We report on the first stage of a longitudinal project to use an innovative approach involving nurses in the development and refinement of this solution. Unified Theory of Acceptance and Use of Technology was used to evaluate acceptability of the proposed system by nurses.
Publisher: Wiley
Date: 21-11-2022
DOI: 10.1002/WIDM.1480
Abstract: Digital twins, succinctly described as the digital representation of a physical object, is a concept that has emerged relatively recently with increasing application in the manufacturing industry. This article proposes the application of this concept to the healthcare domain to provide enhanced clinical decision support and enable more patient‐centric, and simultaneously more precise and in idualized care to ensue. Digital twins combined with advances in Artificial Intelligence (AI) have the potential to facilitate the integration and processing of vast amounts of heterogeneous data stemming from ersified sources. Hence, in healthcare this can provide enhanced diagnosis and treatment decision support. In applying digital twins in combination with AI to complex healthcare contexts to assist clinical decision making, it is also likely that a key current challenge in healthcare namely, providing better quality care which is of high value and can lead to better clinical outcomes and a higher level of patient satisfaction, can ensue. In this focus article, we address this proposition by focusing on the case study of cancer care and present our conceptualization of a digital twin model combined with AI to address key, current limitations in endometrial cancer treatment. We highlight the role of AI techniques in developing digital twins for cancer care and simultaneously identify key barriers and facilitators of this process from both a healthcare and technology perspective. This article is categorized under: Application Areas Health Care
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6126-4.CH008
Abstract: This chapter focuses on two specific e-health solutions, the PCEHR in Australia and the German EHC. National e-health solutions are being developed by most if not all OECD countries, but few studies compare and contrast these solutions to uncover the true benefits and critical success criteria. The chapter provides an assessment of these two solutions, the possibility for any lessons learnt with regard to designing and implementing successful and appropriate e-health solutions, as well as understanding the major barriers and facilitators that must be addressed. Finally, ANT is used to provide a rich lens to investigate the key issues in these respective e-health solutions.
Publisher: Inderscience Publishers
Date: 2009
Publisher: Springer Science and Business Media LLC
Date: 02-07-2019
DOI: 10.1007/S00775-019-01680-3
Abstract: In this paper, the catalytic effects of aminoguanidine and aminopurine groups in the second sphere of a Fe
Publisher: Springer New York
Date: 2010
Publisher: Inderscience Publishers
Date: 2005
Publisher: IGI Global
DOI: 10.4018/978-1-60960-561-2.CH607
Abstract: The need to transform the U.S. healthcare system became clear during the aftermath of Hurricane Katrina. Katrina was not an unexpected disaster nor was it an exceptionally large event. And yet in the wake of Katrina the loss of life was tragic and emergency health care following the storm was severely h ered by the lack of paper health records that had been washed away or ruined. What is required is a transformation of the current health system to an intelligent health system that maximizes technology and utilizes valuable knowledge assets. To effect such a change healthcare organizations must become learning organizations. The objective of this chapter is to provide a link between principles of organizational learning and knowledge management in order to build the learning healthcare organization. The major thrust of this approach is that the human side of the organization must lead knowledge management technology and not the other way around. The chapter distinguishes between organizational learning as a structure laying the foundation for learning, and the learning organization as a process for maintaining and perpetuating continuous improvement in the organization supported by incorporating a process-centric view of knowledge management (KM) realized through the establishment of a KM infrastructure. Moreover, it emphasizes that since health care is a knowledge intensive industry knowledge management is an integral component in building the learning healthcare organization.
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-9446-0.CH005
Abstract: Over the last decade, the popularity of incorporating advances in information systems and information technology (IS/IT) has been steadily growing. IS/IT can improve the delivery for better intervention and treatment with many different mental illnesses however, there appears to be great potential for IS/IT in the context of young adults with mental disorders such as Attention Deficit Hyperactivity Disorder (ADHD). ADHD affects approximately 11% of the university population negatively impacting students' academic performance, study skills, and social life. The study design outlined in this paper suggests a possibility for the role of IS/IT in the delivery of treatments and management of ADHD in university students to be examined with the view to introduce IS/IT into the traditional treatment context. This research involves collecting data from psychologists in the form of semi-structured interviews and a grounded theory methodology using multiple cases is adopted.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH037
Abstract: In healthcare, collaborative systems serve very different stakeholders: researchers, clinicians, nurses, patients, and administrators for instance. In order to design a collaborative healthcare information system that satisfies the stakeholders' needs, all in idual requirements have to be mapped into the software. Traditional system design focuses at technical features and oftentimes ignores social requirements like human factors or organizational structures. Instead of integrating existing processes and working habits into a system, a technical-focused design approach tries to force new behaviors. As a result, stakeholders could refuse to use collaborative healthcare information systems. In line with Kuutti (1991), we recommend activity theory as a rich framework to study and design collaborative information systems. We believe that activity theory analysis is particularly useful for healthcare settings where erse stakeholders pursue very different goals. This book chapter offers a structured approach to analyze collaborative activities and to design the IT-support accordingly.
Publisher: IEEE
Date: 2016
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH036
Abstract: Recently, we are witnessing an exponential growth in remote monitoring and mobile applications for healthcare. These solutions are all designed to ultimately enable the consumer to enjoy better healthcare delivery and /or wellness. In order to understand this growing area, we believe it is necessary to develop a framework to analyse and evaluate these solutions. The purpose of this chapter then is to offer a suitable taxonomy to systematically analyse and evaluate the existing solutions based on number of dimensions including technological, clinical, social, and economic.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH035
Abstract: In this conceptual chapter we have reviewed prominent theories or models in relation to the adoption of technology for wired devices. We have identified shortcomings in these leading models in predicting adoption behaviour associated with the wireless technology. The shortcomings are particularly acute in wireless handheld technology by comparison with desk top technology in which the adoption models have been extensively studied. Here we propose “Readiness Acceptance Model” (RAM) as new conceptual model for the adoption of ICT in conjunction with wireless handheld technology. Readiness is defined as user's ability to perceived readiness of the business in the context of organizational, technological, perceptional, behavioural, and environmental attributes for the acceptance of wireless handheld devices. In formulating the conceptual framework for RAM we incorporated variable characteristics from the nine prominent models reviewed here. We believe these considerations would allow RAM to be useful in wireless handheld technology ICT domains.
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-2255-3.CH323
Abstract: Superior healthcare delivery requires good communication. For people who have English as a second language this is particularly challenging. Given the advances in technology most especially with Web 2.0 and cloud computing, the following proffers a technology mediated solution to address communication barriers that results when delivering healthcare to non-English speakers or limited proficient english speaking patients. this solution serves to reduce healthcare disparities, satisfy Meaningful use requirements and provide superior healthcare delivery that is efficient, effective and efficacious.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH034
Abstract: In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-9446-0.CH008
Abstract: Chinese Medicine (CM) has become increasingly demanding globally. Recent World Health Organisation traditional and complementary medicine strategy of integrating CM to Western Medicine (WM) indicates that it is crucial that CM developments have strong literature, scientific, and evidence-based medical approval and support. To achieve this, there is a need to form a synthesis foundation or platform for future studies. This chapter serves to discover this synthesis that is suitable for CM by discussing the basics of inquiring and Knowledge Management (KM) systems. It suggests that CM should follow a combination of Hegelian and Kantian inquiring systems with the support of Singerian and Leibnizian inquiring systems and KM features. This proposed synthesis is one of the first, if not the first study to apply Churchman's inquiring systems into the context of CM and differentiate them from WM.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH031
Abstract: E-mental health services are able to provide tools and services to facilities treatment for many various mental disorders, such as Attentions Deficit Hyperactivity Disorder. ADHD is a neurodevelopmental disorder that affect approximately 5% of adults. This paper presents the findings of 12 interviews with psychologist who are specialized in treating adults with ADHD. The interviews emphasis on the use of Information Technology (IT) by psychologists in their treatment of ADHD. The analysis shows that using IT is beneficial for psychologists and patients. However, there are some issues emerged from the findings that could limit the usability of IT.
Publisher: Inderscience Publishers
Date: 2005
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-947-2.CH200
Abstract: Healthcare has yet to realize the true potential afforded by e-health. To date, technology-based healthcare operations are conducted chaotically, at a wide variety of non-integrated fronts, with little or no long-term strategy, and at a tremendous and ever increasing cost. This chapter proposes that in order for healthcare to ever reap the full benefits from e-health it is imperative for the development of a doctrine of healthcare network centric operations. Otherwise, millions if not billions of dollars will be spent on a futile chase of the definitions of how and when will the computer, healthcare provider, and healthcare administrator interact most efficiently and at the least expense. The concept of a doctrine - “conceptual platform” that outlines the consequent, goal-oriented way forward, and integrates all constituent elements into a smoothly operating whole, is utilized to great effect in the military. Drawing upon the strategies and techniques employed by the military to develop a network centric doctrine, the chapter outlines the essential components necessary for the establishment of the doctrine for healthcare network centric operations (HNCO), and in so doing not only highlights the integral role played by information computer and communication technologies (IC2T) but also the pivotal role of policy makers and governments. In fact, HNCO underscores the important yet rarely acknowledged confluence of e-health and e-government
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 10-2013
DOI: 10.4018/IJANTTI.2013100102
Abstract: Enterprise Resource Planning (ERP) Systems, and more especially their successful adoption and implementation, have been the subject of extensive research as can be evidenced by the large body of literature on this and related topics in the extant literature to date. However, the effect of cross-cultural issues has been less widely studied, perhaps because of the difficulty and complexity of such cross-cultural studies. In today's global business environment this remains a key issue and critical success factor. Hence, this paper explains how challenging the cross-cultural ERP implementation implementation success is for organizations and how important it is to assess a fit and viability of cross-cultural ERP implementations in erse cultures (which is especially important in economies heavily reliant on off-shoring services). By drawing upon multiple streams of theory building, a framework, from the Fit-Viability Model (FVM) perspective, is developed. The framework provides important and valuable guiding principles for organizations for their decisions on adoption and deployment of Enterprise Systems (ES). Further, the paper proffers the use of ANT (Actor-Network Theory) to enrich the analysis and provides a systematic approach for moving forward with a multi-case study to test the proposed framework.
Publisher: Inderscience Publishers
Date: 2016
Publisher: IGI Global
Date: 2004
DOI: 10.4018/978-1-59140-162-9.CH002
Abstract: New technologies, increasingly demanding customers, new aggressive competitors, and innovations in products and value now characterize our current competitive environment. Organizations of the 21st century have no choice but to invest in new technologies, especially knowledge management tools to enhance their services and products in order to meet the demands of today’s information-driven, globally competitive marketplace. Knowledge embedded in systems, brains and technology has always been the key to economic development. However, knowledge management is increasingly being viewed as a strategy to leverage a firm’s knowledge and best practices to serve customers and to be competitive. Several organizations have already started experimenting with knowledge management initiatives to capture and capitalize on knowledge assets and thereby claim the enormous benefits afforded by such endeavors, including improved profitability and transformation of their businesses into new generation businesses. This chapter develops a technology assessment model for knowledge management indicating what kinds of computing and communication systems any organization needs in order for it to have a sound knowledge management approach.
Publisher: IEEE Comput. Soc
Date: 2002
Publisher: MDPI AG
Date: 19-06-2022
DOI: 10.3390/S22124620
Abstract: Diabetes mellitus is a serious chronic disease that affects the blood sugar levels in in iduals, with current predictions estimating that nearly 578 million people will be affected by diabetes by 2030. Patients with type II diabetes usually follow a self-management regime as directed by a clinician to help regulate their blood glucose levels. Today, various technology solutions exist to support self-management however, these solutions tend to be independently built, with little to no research or clinical grounding, which has resulted in poor uptake. In this paper, we propose, develop, and implement a nudge-inspired artificial intelligence (AI)-driven health platform for self-management of diabetes. The proposed platform has been co-designed with patients and clinicians, using the adapted 4-cycle design science research methodology (A4C-DSRM) model. The platform includes (a) a cross-platform mobile application for patients that incorporates a macronutrient detection algorithm for meal recognition and nudge-inspired meal logger, and (b) a web-based application for the clinician to support the self-management regime of patients. Further, the platform incorporates behavioral intervention techniques stemming from nudge theory that aim to support and encourage a sustained change in patient lifestyle. Application of the platform has been demonstrated through an illustrative case study via two exemplars. Further, a technical evaluation is conducted to understand the performance of the MDA to meet the personalization requirements of patients with type II diabetes.
Publisher: Univerzitetna založba Univerze v Mariboru / University of Maribor Press
Date: 14-06-2018
Publisher: Association for Information Systems
Date: 2015
DOI: 10.17705/1CAIS.03733
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH039
Abstract: Health is a multidisciplinary domain which necessitates experts from erse backgrounds coming together to effect optimal care delivery for patients. Such a context can benefit by being framed as a knowledge cluster. To illustrate, the case study of a health cluster research group is mapped in terms of ontology. In this way, key relationships and informational exchanges are captured and this in turn can enable more prudent use of critical knowledge assets within the cluster. This ontology is then proffered for the healthcare domain in general as the following discusses.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-5225-0920-2.CH040
Abstract: In recent years, the potential use of mobile devices has significantly positively impacted healthcare globally. Despite global claims of widespread use of mobile devices in healthcare, its adoption in the Australian healthcare context is slow. Limited research is available on slow adoption of mobile devices in the Australian healthcare context. Therefore, this chapter is designed to investigate the factors influencing adoption of mobile devices from healthcare professionals' perspective and develop a health specific conceptual framework. The influential factors for the adoption of mobile devices in the Australian health context may be intention, in idual readiness, advantages, safety issues, features, self-efficacy, complexity, training, compatibility, social influences, age and gender.
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59140-658-7.CH002
Abstract: Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery, and is one, if not the significant, contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (a) access, as in caring for anyone, anytime, anywhere, (b) quality, delivered by offering world-class care and establishing integrated information repositories, and (c) value, which is created by providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact on the other and are all necessary to meet the key challenges facing healthcare organizations today.
Publisher: University of Maribor Press
Date: 2021
DOI: 10.18690/978-961-286-485-9.4
Abstract: An aging population coupled with longer life expectancy has resulted in an exponential growth in total hip and total knee replacements (THR) (TKR). Especially during the 2020 COVID-19 pandemic, support for patients recovering form THR and TKR was difficult due to reduction in face-toface visits. To address this and enable Australians to have a better patient experience, the following proffers a tele-assessment solution, ARIADNE (Assist foR hIp AnD kNEe), that can provide high quality care, with access for all and support for high value outcomes.
Publisher: Inderscience Publishers
Date: 2007
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-553-5.CH382
Abstract: The e-commerce revolution has affected all organizations. Of particular interest is its effect on small and medium-sized enterprises (SMEs), because we can observe an interesting duality, where these companies are most likely to benefit from the opportunities afforded by e-commerce (because through e-commerce, it is possible to level the playing field), and yet they appear to be slowest in embracing many of these e-commerce possibilities. On several social and economic grounds, SMEs are of overwhelming importance in most of the Asia Pacific/Pacific region. In fact, they comprise well over 90% of all enterprises in this region and provide employment for over half of the region’s workforce (Wattanapruttipaisan, 2002 APEC, 2001). Typically, the SME sector accounts for upwards of 90% of all firms outside the agricultural sector of East and Southeast Asia, and of Japan as well (Alphonso, 2001 Regnier, 2000 Tambunan, 2000 Wattanapruttipaisan, 2002 A Report Prepared for Asia Pacific Foundation, 2002).
Publisher: Inderscience Publishers
Date: 2007
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-9446-0.CH001
Abstract: Rapid increase of service demands in healthcare contexts today requires a robust framework enabled by IT (information technology) solutions as well as real-time service handling in order to ensure superior decision making and successful healthcare outcomes. Contemporaneous with the challenges facing healthcare, we are witnessing the development of very sophisticated intelligent tools and technologies such as Business Analytics techniques. Therefore, it would appear to be prudent to investigate the possibility of applying such tools and technologies into various healthcare contexts to facilitate better risk detection and support superior decision making. The following serves to do this in the context of Total Hip and Knee Arthroplasty and Congenital Heart Disease.
Publisher: IEEE
Date: 2016
Publisher: Inderscience Publishers
Date: 2007
Publisher: Inderscience Publishers
Date: 2008
Publisher: Inderscience Publishers
Date: 2007
Publisher: Elsevier BV
Date: 06-2021
Publisher: Inderscience Publishers
Date: 2007
Publisher: Elsevier BV
Date: 04-2022
Publisher: Inderscience Publishers
Date: 2007
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-8756-1.CH064
Abstract: The key role for IS/IT in e-health has now been well established however, within e-health the area of e-mental health is still new and emerging and scholars and practitioners alike are dubious as to the role for IS/IT and its benefits. We propose using Actor-network Theory (ANT) to assist in understanding the enabling role in e-mental health and we focus on one area of mental health, adults with Attention Deficit Hyperactivity Disorder (ADHD). We focus on Saudi Arabia. Attention to ADHD has begun to gain growing attention from Saudi Arabia healthcare providers and researchers. Currently, there is an estimated 15% of school age children suffering from ADHD. More than half of these children are expected to continue to show the symptoms of ADHD through their adolescence and adulthood. ADHD impacts the quality of life these in iduals. Technology has the potential to improve mental health services this can be seen in enabling early intervention or treatment for people with mental health issues. Saudi Arabia is investing heavily in e-health and aiming to build a complete patient electronic record by 2020.
Publisher: American Association for Cancer Research (AACR)
Date: 08-2012
DOI: 10.1158/2159-8290.CD-RW2012-088
Abstract: Lkb1 deletion in a Kras-mutant background causes highly metastatic melanoma in 100% of mice.
Publisher: JMIR Publications Inc.
Date: 16-11-2021
DOI: 10.2196/33572
Abstract: Dementia is a global public health priority with an estimated prevalence of 150 million by 2050, nearly two-thirds of whom will live in the Asia-Pacific region. Dementia creates significant care needs for people with the disease, their families, and carers. iSupport is a self-help platform developed by the World Health Organization (WHO) to provide education, skills training, and support to dementia carers. It has been adapted in some contexts (Australia, India, the Netherlands, and Portugal). Carers using the existing adapted versions have identified the need to have a more user-friendly version that enables them to identify solutions for immediate problems quickly in real time. The iSupport virtual assistant (iSupport VA) is being developed to address this gap and will be evaluated in a randomized controlled trial (RCT). This paper reports the protocol of a pilot RCT evaluating the iSupport VA. Seven versions of iSupport VA will be evaluated in Australia, Indonesia, New Zealand, and Vietnam in a pilot RCT. Feasibility, acceptability, intention to use, and preliminary impact on carer-perceived stress of the iSupport VA intervention will be assessed. This study was funded by the e-ASIA Joint Research Program in November 2020. From January to July 2023, we will enroll 140 dementia carers (20 carers per iSupport VA version) for the pilot RCT. The study has been approved by the Human Research Committee, University of South Australia, Australia (203455). This protocol outlines how a technologically enhanced version of the WHO iSupport program—the iSupport VA—will be evaluated. The findings from this intervention study will provide evidence on the feasibility and acceptability of the iSupport VA intervention, which will be the basis for conducting a full RCT to assess the effectiveness of the iSupport VA. The study will be an important reference for countries planning to adapt and enhance the WHO iSupport program using digital health solutions. Australian New Zealand Clinical Trials Registry ACTRN12621001452886 fum5tjz PRR1-10.2196/33572
Publisher: JMIR Publications Inc.
Date: 05-04-2023
DOI: 10.2196/43224
Abstract: A rapidly aging population, a shifting disease burden and the ongoing threat of infectious disease outbreaks pose major concerns for Vietnam’s health care system. Health disparities are evident in many parts of the country, especially in rural areas, and the population faces inequitable access to patient-centered health care. Vietnam must therefore explore and implement advanced solutions to the provision of patient-centered care, with a view to reducing pressures on the health care system simultaneously. The use of digital health technologies (DHTs) may be one of these solutions. This study aimed to identify the application of DHTs to support the provision of patient-centered care in low- and middle-income countries in the Asia-Pacific region (APR) and to draw lessons for Vietnam. A scoping review was undertaken. Systematic searches of 7 databases were conducted in January 2022 to identify publications on DHTs and patient-centered care in the APR. Thematic analysis was conducted, and DHTs were classified using the National Institute for Health and Care Excellence evidence standards framework for DHTs (tiers A, B, and C). Reporting was in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Of the 264 publications identified, 45 (17%) met the inclusion criteria. The majority of the DHTs were classified as tier C (15/33, 45%), followed by tier B (14/33, 42%) and tier A (4/33, 12%). At an in idual level, DHTs increased accessibility of health care and health-related information, supported in iduals in self-management, and led to improvements in clinical and quality-of-life outcomes. At a systems level, DHTs supported patient-centered outcomes by increasing efficiency, reducing strain on health care resources, and supporting patient-centered clinical practice. The most frequently reported enablers for the use of DHTs for patient-centered care included alignment of DHTs with users’ in idual needs, ease of use, availability of direct support from health care professionals, provision of technical support as well as user education and training, appropriate governance of privacy and security, and cross-sectorial collaboration. Common barriers included low user literacy and digital literacy, limited user access to DHT infrastructure, and a lack of policies and protocols to guide the implementation and use of DHTs. The use of DHTs is a viable option to increase equitable access to quality, patient-centered care across Vietnam and simultaneously reduce pressures on the health care system. Vietnam can take advantage of the lessons learned by other low- and middle-income countries in the APR when developing a national road map to digital health transformation. Recommendations that Vietnamese policy makers may consider include emphasizing stakeholder engagement, strengthening digital literacy, supporting the improvement of DHT infrastructure, increasing cross-sectorial collaboration, strengthening governance of cybersecurity, and leading the way in DHT uptake.
Publisher: Inderscience Publishers
Date: 2015
Publisher: Inderscience Publishers
Date: 2006
Publisher: Springer International Publishing
Date: 2018
Publisher: IGI Global
Date: 10-06-0001
DOI: 10.4018/978-1-6684-6303-1.CH102
Abstract: The negative and unbalanced nature of media and social media coverage has lified anxieties and fears about the Ebola outbreak. The authors analyse news articles on the Ebola outbreak from two leading news outlets, together with comments on the articles from a well-known social media platform, from March 2014 to July 2015. The volume of news articles was greatest between August 2014 and January 2015, with a spike in October 2014, and was driven by the few cases of transmission in Europe and the USA. Sentiment analysis reveals coverage and commentary on the small number of Ebola cases in Europe and the USA were much more extensive than coverage and commentary on the outbreak in West Africa. Articles expressing negative sentiments were more common in the USA and also received more comments than those expressing positive sentiments. The negative sentiments expressed in the media and social media lified fears about an Ebola outbreak outside West Africa, which increased pressure for unwarranted and wasteful precautionary measures.
Publisher: Springer International Publishing
Date: 2018
Publisher: Wiley
Date: 03-06-2015
DOI: 10.1111/JOCN.12881
Abstract: To explore nurses' reactions to new novel technology for acute health care. Past failures of technology developers to deliver products that meet nurses' needs have led to resistance and reluctance in the technology adoption process. Thus, involving nurses in a collaborative process from early conceptualisation serves to inform design reflective upon current clinical practice, facilitating the cementing of 'vision' and expectations of the technology. An exploratory descriptive design to capture nurses' immediate impressions. Four focus groups (52 nurses from medical and surgical wards at two hospitals in Australia one private and one public). Nursing reactions towards the new technology illustrated a variance in barrier and enabler comments across multiple domains of the Theoretical Domains Framework. Most challenging for nurses were the perceived threat to their clinical skill, and the potential capability of the novel technology to capture their clinical workflow. Enabling reactions included visions that this could help integrate care between departments help management and support of nursing processes and coordinating their patients care between clinicians. Nurses' reactions differed across hospital sites, influenced by their experiences of using technology. For ex le, Site 1 nurses reported wide variability in their distribution of barrier and enabling comments and nurses at Site 2, where technology was prevalent, reported mostly positive responses. This early involvement offered nursing input and facilitated understanding of the potential capabilities of novel technology to support nursing work, particularly the characteristics seen as potentially beneficial (enabling technology) and those conflicting (barrier technology) with the delivery of both safe and effective patient care. Collaborative involvement of nurses from the early conceptualisation of technology development brings benefits that increase the likelihood of successful use of a tool intended to support the delivery of safe and efficient patient care.
Publisher: Springer Science and Business Media LLC
Date: 06-02-2013
Publisher: Informa UK Limited
Date: 27-09-2007
Publisher: IGI Global
Date: 2009
DOI: 10.4018/978-1-60566-026-4.CH129
Abstract: The information age has made information communication technology (ICT) a necessity for conducting business. This in turn has led to the exponential increase in the electronic capture of data and its storage in vast data warehouses. In order to respond quickly to fast changing markets, organizations must maximize these raw data and information resources. Specifically, they need to transform them into germane knowledge to aid superior decision-making (Wickramasinghe & von Lubitz, 2006). To do this effectively not only involves the analysis of the data and information but also requires the use of sophisticated tools to enable such analyses to occur. Knowledge discovery technologies represent a spectrum of new technologies that facilitate the analysis of data to find relationships from the data to finding reasons behind observable patterns (i.e., transform the data into relevant information and germane knowledge). Such new discoveries can have a profound impact on decision making in general and the designing of business strategies. With the massive increase in data being collected and the demands of a new breed of intelligent applications like customer relationship management, demand planning, and predictive forecasting, these knowledge discovery technologies are becoming competitive necessities for providing a high performance and feature rich intelligent application servers for intelligent enterprises. Knowledge management (KM) tools and technologies are the systems that integrate various legacy systems, databases, ERP systems, and data warehouse to help facilitate an organization’s knowledge discovery process. Integrating all of these with advanced decision support and online real time events enables an organization to understand customers better and devise business strategies accordingly. Creating a competitive edge is the goal of all organizations employing knowledge discovery for decision support (Thorne & Smith, 2000). The following provides a synopsis of the major tools and critical considerations required to enable an organization to successfully effect appropriate knowledge sharing, knowledge distribution, knowledge creation, as well as knowledge capture and codification processes and hence embrace effective knowledge management (KM) techniques and advanced knowledge discovery.
Publisher: Emerald
Date: 03-04-2007
DOI: 10.1108/02635570710734262
Abstract: The last decade has seen much interest in small and medium‐sized enterprises (SMEs) from successive UK Governments highlighting the importance of this sector to the wealth‐creating process of the UK economy. World‐class manufacturing (WCM) is a set of methodologies that are used by organisations to compete globally and continuously improve their competitiveness. Original equipment manufacturers (OEMs) are now competing at a global level and many are world‐class. The majority of the companies that make up the OEM's supply chains are SMEs. It is, therefore, imperative that SMEs also improve their competitiveness to a world‐class level. This paper aims to address these issues. The paper uses a triangulation methodology consisting of a literature review, analysis of a 150‐company survey and semi‐structured interviews in the development of the business process improvement (BPI) framework and performance assessment methodology (PAM) tool. This study advocates a planned and integrated approach for the gradual achievement of WCM in SMEs by a strategy of BPI through continuous improvement and structured training. The work is of value to SMEs since the study encapsulates the requirements of SME management into the BPI framework and considers their critique of present frameworks hence a practical framework that is honed for SME application. This paper fulfils an identified need for SMEs to achieve WCM status and offers a novel ractical framework and PAM tool which are timely because the DTI is promulgating the need for SMEs to become world‐class.
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-8756-1.CH066
Abstract: Australia has designed, developed, and now implemented its national e-health solution known as the Personally Controlled Electronic Healthcare Record (PCEHR). This is a unique system as it subscribes to a shared governance model between patients and providers. To date, though, as with other national e-health solutions, there is poor uptake and much concern regarding the success of this multi-million dollar project. The authors contend that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used in order to maximise and sustain the benefits of Information Systems/Information Technology (IS/IT) in healthcare delivery. Hence, in this chapter, the authors proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate in the context of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution for Australia.
Publisher: JMIR Publications Inc.
Date: 16-01-2023
DOI: 10.2196/40080
Abstract: Adverse drug reactions (ADRs) are unintended consequences of medication use and may result in hospitalizations or deaths. Timely reporting of ADRs to regulators is essential for drug monitoring, research, and maintaining patient safety, but it has not been standardized in Australia. We sought to explore the ways that ADRs are monitored or reported in Australia. We reviewed how consumers and health care professionals participate in ADR monitoring and reporting. The Arksey and O’Malley framework provided a methodology to sort the data according to key themes and issues. Web of Science, Scopus, Embase, PubMed, CINAHL, and Computer & Applied Sciences Complete databases were used to extract articles published from 2010 to 2021. Two reviewers screened the papers for eligibility, extracted key data, and provided descriptive analysis of the data. Seven articles met the inclusion criteria. The Adverse Medicine Events Line (telephone reporting service) was introduced in 2003 to support consumer reporting of ADRs however, only 10.4% of consumers were aware of ADR reporting schemes. Consumers who experience side effects were more likely to report ADRs to their doctors or pharmacists than to the drug manufacturer. The documentation of ADR reports in hospital electronic health records showed that nurses and pharmacists were significantly less likely than doctors to omit the description of the drug reaction, and pharmacists were significantly more likely to enter the correct classification of the drug reaction than doctors. Review and analysis of all ADR reports submitted to the Therapeutic Goods Administration highlighted a decline in physician contribution from 28% of ADR reporting in 2003 to 4% in 2016 however, within this same time period, hospital and community pharmacists were a major source of ADR reporting (ie, 16%). In 2014, there was an increase in ADR reporting by community pharmacists following the introduction of the GuildLink ADR web-based reporting system however, a year later, the reporting levels dropped. In 2018, the Therapeutic Goods Administration introduced a black triangle scheme on the packaging of newly approved medicines, to remind and encourage ADR reporting on new medicines, but this was only marginally successful at increasing the quantity of ADR reports. Despite the existence of national and international guidelines for ADR reporting and management, there is substantial interinstitutional variability in the standards of ADR reporting among in idual health care facilities. There is room for increased ADR reporting rates among consumers and health care professionals. A thorough assessment of the barriers and enablers to ADR reporting at the primary health care institutional levels is essential. Interventions to increase ADR reporting, for ex le, the black triangle scheme (alert or awareness) or GuildLink (digital health), have only had marginal effects and may benefit from further improvement revisions and awareness programs.
Publisher: IGI Global
Date: 2009
DOI: 10.4018/978-1-60566-026-4.CH134
Abstract: Within the umbrella of e-commerce, one area, e-health, has yet to reach its full potential in many developed countries, let alone developing countries. Each country is positioned differently and has varying potential and preparedness regarding embracing e-commerce technologies generally and e-health in particular. Given the macrolevel nature of many issues pertaining to the development of e-health (Alvarez, 2002), in order to be more effective in their e-health initiatives, it is important for countries to assess their potential, identify their relative strengths and weaknesses, and thereby develop strategies and policies to address these issues to effectively formulate and implement appropriate e-health initiatives. To do this effectively, it is valuable to have an integrative framework that enables the assessment of a country’s e-health preparedness. This article serves to develop such a framework that can be applied to various countries throughout the globe, and from this generate an e-health preparedness grid. In so doing, we hope to facilitate better understanding of e-health initiatives and thus maximize their power.
Publisher: Inderscience Publishers
Date: 2007
Publisher: Elsevier BV
Date: 04-2023
Publisher: IGI Global
Date: 10-2014
DOI: 10.4018/IJANTTI.2014100104
Abstract: The key role for IS/IT in e-health has now been well established however, within e-health the area of e-mental health is still new and emerging and scholars and practitioners alike are dubious as to the role for IS/IT and its benefits. We propose using Actor-network Theory (ANT) to assist in understanding the enabling role in e-mental health and we focus on one area of mental health, adults with Attention Deficit Hyperactivity Disorder (ADHD). We focus on Saudi Arabia. Attention to ADHD has begun to gain growing attention from Saudi Arabia healthcare providers and researchers. Currently, there is an estimated 15% of school age children suffering from ADHD. More than half of these children are expected to continue to show the symptoms of ADHD through their adolescence and adulthood. ADHD impacts the quality of life these in iduals. Technology has the potential to improve mental health services this can be seen in enabling early intervention or treatment for people with mental health issues. Saudi Arabia is investing heavily in e-health and aiming to build a complete patient electronic record by 2020.
Publisher: IEEE
Date: 2016
Publisher: MDPI AG
Date: 25-10-2022
DOI: 10.3390/S22218154
Abstract: Background: Tele-health has become a major mode of delivery in patient care, with increasing interest in the use of tele-platforms for remote patient assessment. The use of smartphone technology to measure hip range of motion has been reported previously, with good to excellent validity and reliability. However, these smartphone applications did not provide real-time tele-assessment functionality. We developed a novel smartphone application, the TelePhysio app, which allows the clinician to remotely connect to the patient’s device and measure their hip range of motion in real time. The aim of this study was to investigate the concurrent validity and between-sessions reliability of the TelePhysio app. In addition, the study investigated the concurrent validity, between-sessions, and inter-rater reliability of a second tele-assessment approach using video analysis. Methods: Fifteen participants (nfemales = 6) were assessed in our laboratory (session 1) and at their home (session 2). We assessed maximum voluntary active hip flexion in supine and hip internal and external rotation, in both prone and sitting positions. TelePhysio and video analysis were validated against the laboratory’s 3-dimensional motion capture system in session 1, and evaluated for between-sessions reliability in session 2. Video analysis inter-rater reliability was assessed by comparing the analysis of two raters in session 2. Results: The TelePhysio app demonstrated high concurrent validity against the 3D motion capture system (ICCs 0.63–0.83) for all hip movements in all positions, with the exception of hip internal rotation in prone (ICC = 0.48, p = 0.99). The video analysis demonstrated almost perfect concurrent validity against the 3D motion capture system (ICCs 0.85–0.94) for all hip movements in all positions, with the exception of hip internal rotation in prone (ICC = 0.44, p = 0.01). The TelePhysio and video analysis demonstrated good between-sessions reliability for hip external rotation and hip flexion, ICC 0.64 and 0.62, respectively. The between-sessions reliability of hip internal and external rotation for both TelePhysio and video analysis was fair (ICCs 0.36–0.63). Inter-rater reliability ICCs for the video analysis were 0.59 for hip flexion and 0.87–0.95 for the hip rotation range. Conclusions: Both tele-assessment approaches, using either a smartphone application or video analysis, demonstrate good to excellent concurrent validity, and moderate to substantial between-sessions reliability in measuring hip rotation and flexion range of motion, but less in internal hip rotation in the prone position. Thus, it is recommended that the seated position be used when assessing hip internal rotation. The use of a smartphone to remotely assess hip range of motion is an appropriate, effective, and low-cost alternative to the face-to-face assessments. This method provides a simple, cost effective, and accessible patient assessment tool with no additional cost. This study validates the use of smartphone technology as a tele-assessment tool for remote hip range of motion assessment.
Publisher: IGI Global
Date: 10-2011
Abstract: Diabetes is one of the leading chronic diseases affecting Australians and its prevalence continues to rise. It is becoming a serious challenge for both the quality of healthcare and expenditure in the Australian healthcare system. The goal of this study is to investigate the development and application of a pervasive wireless technology solution to facilitate the effective management of diabetes in the context of women with gestational diabetes. Gestational diabetes is a form of diabetes that affects up to 8% of pregnant women. A transactions cost assessment of this solution is also provided. Integral to the success of this solution is the pervasive technology solution which serves to support and facilitate superior diabetes self-management.
Publisher: IGI Global
Date: 2016
DOI: 10.4018/978-1-4666-9870-3.CH002
Abstract: Numerous mobile technology solutions are being developed and implemented today to address a myriad of healthcare problems. However, it remains unclear what the true cost/benefit of these solutions is and who benefits from them. To investigate this we apply a transaction cost economics framework to a pervasive mobile solution that has been designed and developed to enhance diabetes self-care. Diabetes is one of the leading chronic diseases and its prevalence continues to rise. The solution examined in this paper relies on pervasive wireless technology and is designed to facilitate the effective management of diabetes in the context of gestational diabetes, a conditions that affects up to 8% of pregnant women. A transactions cost assessment of this solution is provided.
Publisher: Inderscience Publishers
Date: 2006
Publisher: Association for Information Systems
Date: 09-2016
DOI: 10.17705/1JAIS.00437
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 03-2016
Publisher: Springer Science and Business Media LLC
Date: 19-04-2015
Publisher: Inderscience Publishers
Date: 2016
Publisher: IEEE
Date: 2015
Publisher: IGI Global
Date: 2200
DOI: 10.4018/978-1-59904-933-5.CH239
Abstract: Knowledge management (KM) is a newly emerging approach aimed at addressing today’s business challenges to increase efficiency and efficacy of core business processes, while simultaneously incorporating continuous innovation. The need for knowledge management is based on a paradigm shift in the business environment where knowledge is now considered to be central to organizational performance and integral to the attainment of a sustainable competitive advantage (Davenport & Grover, 2001 Drucker, 1993). Knowledge creation is not only a key first step in most knowledge management initiatives, but also has far reaching implications on consequent steps in the KM process, thus making knowledge creation an important focus area within knowledge management. Currently, different theories exist for explaining knowledge creation. These tend to approach the area of knowledge creation from either a people perspective—including Nonaka’s Knowledge Spiral, as well as Spender’s and Blackler’s respective frameworks—or from a technology perspective—namely, the KDD process and data mining.
Publisher: JMIR Publications Inc.
Date: 27-04-2022
DOI: 10.2196/34833
Abstract: Adherence to anticancer medicines is critical for the success of cancer treatments however, nonadherence remains challenging, and there is limited evidence of interventions to improve adherence to medicines in patients with cancer. This overview of reviews aimed to identify and summarize available reviews of interventions to improve adherence to oral anticancer medicines in adult cancer survivors. A comprehensive search of 7 electronic databases was conducted by 2 reviewers who independently conducted the study selection, quality assessment using the A Measurement Tool to Assess Systematic Reviews 2, and data extraction. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 checklist was adapted to report the results. A total of 29 reviews were included in the narrative synthesis. The overall quality of the systematic reviews was low. The 4 main strategies to promote adherence were focused on education, reminders, behavior and monitoring, and multicomponent approaches. Digital technology–based interventions were reported in most reviews (27/29, 93%). A few interventions applied theories (10/29, 34%), design frameworks (2/29, 7%), or engaged stakeholders (1/29, 3%) in the development processes. The effectiveness of interventions was inconsistent between and within reviews. However, interventions using multiple strategies to promote adherence were more likely to be effective than single-strategy interventions (12/29, 41% reviews). Unidirectional communication (7/29, 24% reviews) and technology alone (11/29, 38% reviews) were not sufficient to demonstrate improvement in adherence outcomes. Nurses and pharmacists played a critical role in promoting patient adherence to oral cancer therapies, especially with the support of digital technologies (7/29, 24% reviews). Multicomponent interventions are potentially effective in promoting patient adherence to oral anticancer medicines. The seamless integration of digital solutions with direct clinical contacts is likely to be effective in promoting adherence. Future research for developing comprehensive digital adherence interventions should be evidence-based, theory-based, and rigorously evaluated.
Publisher: Inderscience Publishers
Date: 2009
Publisher: IEEE
Date: 2015
Publisher: JMIR Publications Inc.
Date: 09-02-2018
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH006
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH007
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH008
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH009
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: JMIR Publications Inc.
Date: 17-09-2021
Abstract: ementia is a global public health priority with an estimated prevalence of 150 million by 2050, nearly two-thirds of whom will live in the Asia-Pacific region. Dementia creates significant care needs for people with the disease, their families, and carers. iSupport is a self-help platform developed by the World Health Organization (WHO) to provide education, skills training, and support to dementia carers. It has been adapted in some contexts (Australia, India, the Netherlands, and Portugal). Carers using the existing adapted versions have identified the need to have a more user-friendly version that enables them to identify solutions for immediate problems quickly in real time. The iSupport virtual assistant (iSupport VA) is being developed to address this gap and will be evaluated in a randomized controlled trial (RCT). his paper reports the protocol of a pilot RCT evaluating the iSupport VA. even versions of iSupport VA will be evaluated in Australia, Indonesia, New Zealand, and Vietnam in a pilot RCT. Feasibility, acceptability, intention to use, and preliminary impact on carer-perceived stress of the iSupport VA intervention will be assessed. his study was funded by the e-ASIA Joint Research Program in November 2020. From January to July 2023, we will enroll 140 dementia carers (20 carers per iSupport VA version) for the pilot RCT. The study has been approved by the Human Research Committee, University of South Australia, Australia (203455). his protocol outlines how a technologically enhanced version of the WHO iSupport program—the iSupport VA—will be evaluated. The findings from this intervention study will provide evidence on the feasibility and acceptability of the iSupport VA intervention, which will be the basis for conducting a full RCT to assess the effectiveness of the iSupport VA. The study will be an important reference for countries planning to adapt and enhance the WHO iSupport program using digital health solutions. ustralian New Zealand Clinical Trials Registry ACTRN12621001452886 fum5tjz RR1-10.2196/33572
Publisher: Springer US
Date: 2003
Publisher: Elsevier BV
Date: 12-2012
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH010
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: Inderscience Publishers
Date: 2010
Publisher: IGI Global
Date: 2018
DOI: 10.4018/978-1-5225-2255-3.CH589
Abstract: As the value agenda progresses in healthcare, we are witnessing a growing interest in the potential and possibilities for predictive analytics and intelligent risk detection to facilitate the processing of multi-spectral data to enable and sound decision making to ensue. However, the exponential growth of data coupled with a rapid increase of service demands in healthcare contexts today requires a robust framework enabled by IT (information technology) solutions as well as real-time service handling in order to ensure superior decision making and successful healthcare outcomes. The following serves to unpack critical issues in this regard context of Orthopedics.
Publisher: MDPI AG
Date: 14-07-2021
DOI: 10.3390/HEALTHCARE9070889
Abstract: Technologies play an essential role in monitoring, managing, and self-management of chronic diseases. Since chronic patients rely on life-long healthcare systems and the current COVID-19 pandemic has placed limits on hospital care, there is a need to explore disease monitoring and management technologies and examine their acceptance by chronic patients. We systematically examined the use of smartphone applications (apps) in chronic disease monitoring and management in databases, namely, Medline, Web of Science, Embase, and Proquest, published from 2010 to 2020. Results showed that app-based weight management programs had a significant effect on healthy eating and physical activity (p = 0.002), eating behaviours (p 0.001) and dietary intake pattern (p 0.001), decreased mean body weight (p = 0.008), mean Body Mass Index (BMI) (p = 0.002) and mean waist circumference (p 0.001). App intervention assisted in decreasing the stress levels (paired t-test = 3.18 p 0.05). Among cancer patients, we observed a high acceptance of technology (76%) and a moderately positive correlation between non-invasive electronic monitoring data and questionnaire (r = 0.6, p 0.0001). We found a significant relationship between app use and standard clinical evaluation and high acceptance of the use of apps to monitor the disease. Our findings provide insights into critical issues, including technology acceptance along with regulatory guidelines to be considered when designing, developing, and deploying smartphone solutions targeted for chronic patients.
Publisher: IGI Global
Date: 04-2012
DOI: 10.4018/JANTTI.2012040105
Abstract: Globally, healthcare reforms are being initiated to address the tremendous challenges facing healthcare systems. Without exception these reforms include the implementation of a variety of e-health solutions. Such e-health solutions are complex and have far reaching implications. In this paper, the authors argue that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used to maximise and sustain the benefits of IS/IT (information systems/information technology) in healthcare delivery. Hence, in this paper, the authors proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate, in the context of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution for Australia.
Publisher: IGI Global
Date: 2013
DOI: 10.4018/978-1-4666-2797-0.CH007
Abstract: Diabetes is one of the leading chronic diseases affecting Australians and its prevalence continues to rise. It is becoming a serious challenge for both the quality of healthcare and expenditure in the Australian healthcare system. The goal of this study is to investigate the development and application of a pervasive wireless technology solution to facilitate the effective management of diabetes in the context of women with gestational diabetes. Gestational diabetes is a form of diabetes that affects up to 8% of pregnant women. A transactions cost assessment of this solution is also provided. Integral to the success of this solution is the pervasive technology solution which serves to support and facilitate superior diabetes self-management.
Publisher: Springer New York
Date: 2013
Publisher: Inderscience Publishers
Date: 2010
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH002
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH003
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-7998-2460-2.CH084
Abstract: With the plethora of mHealth solutions developed being digital, this necessitates the need for accurate data and information integrity. Lack of data accuracy and information integrity in mHealth can cause serious harm to patients and limit the benefits of such promising technology. Thus, this exploratory study investigates data accuracy and information integrity in mHealth by examining a mobile health solution for diabetes, with the aim of incorporating Machine Learning to detect sources of inaccurate data and deliver quality information.
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH004
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH005
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: Inderscience Publishers
Date: 2006
Publisher: Georg Thieme Verlag KG
Date: 08-2019
Abstract: Objectives: To present the breadth and depth of Consumer Health Informatics (CHI) initiatives and in particular, identify areas to further enhance such solutions with the incorporation of advances in artificial intelligence (AI). Methods: A literature review was conducted. Inclusion criteria focused on barriers and facilitators as well as key milestones for CHI over the last 10 years. In addition, significant international initiatives in regions and /or countries and opportunities to incorporate the advances of AI also made up the inclusion criteria. Exclusion criteria included factors that made reach/range of solutions to in iduals or groups of in iduals less than 50 people. Journals in Medline were accessed as well as the grey literature. Results: 200 papers were identified but this was narrowed to 25 due to repetitions and similarities of the types of solutions presented. From this, it was possible to identify key barriers and facilitators including: socio-political factors, financial factors, infrastructure, as well as levels of health literacy. Conclusions: The relatively nascent domain of CHI has developed and is growing. Full benefits will only be realized when more precision solutions that incorporate AI advances will be designed. The ex le of RxPredict is provided as a case vignette to illustrate.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-690-7.CH019
Abstract: Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing costs of healthcare expenditure. E-Health in its many forms and possibilities appears to offer a panacea for facilitating the necessary transformation for healthcare. While a plethora of e-health initiatives keep mushrooming both nationally and globally, there exists to date no unified system to evaluate these respective initiatives and assess their relative strengths and deficiencies in realizing superior access, quality and value of healthcare services. Our research serves to address this void. This is done by focusing on the following three key components: (1) understanding the Web of players (regulators, payers, providers, healthcare organizations, suppliers, and last but not least patients) and how e-health can modify the interactions between these players as well as create added value healthcare services, (2) understand the competitive forces facing e-health organizations and the role of the Internet in modifying these forces, and (3) from analyzing the Web of players combined with the competitive forces for e-health organizations we develop a framework that serves to identify the key forces facing an e-health and suggestions of how such an organization can structure itself to be e-health prepared.
Publisher: IGI Global
Date: 2007
DOI: 10.4018/978-1-59904-237-4.CH001
Abstract: This book provides comprehensive coverage of all areas (people, process, and technology) necessary to become a knowledge-based enterprise. It presents several frameworks facilitating the implementation of a KM initiative and its ongoing management so that pertinent knowledge and information are always available to the decision maker, and so the organization may always enjoy a sustainable competitive advantage
Publisher: IGI Global
Date: 2004
DOI: 10.4018/978-1-59140-160-5.CH014
Abstract: To compete in today’s environment, organizations have to develop an ability to use intelligently the knowledge assets already inherent within them as well as the new intellectual capital they create daily. Many companies have already adopted some type of business intelligence (BI) tools such as report writers, spreadsheets, and, more recently, OLAP to gain a competitive advantage in decision making. However, these tools are woefully inadequate at analyzing data patterns. Thus, superior tools and methods are required. Knowledge discovery is about understanding a business. It is a process that solves business problems by analyzing the data to identify patterns and relationships that can explain and predict behavior. It enables an organization to better understand its core business processes by searching automatically through voluminous data, looking for patterns of events, and presenting these to the business in an easy-to-understand graphical form. Knowledge discovery is then a competitive necessity for today’s organizations. This chapter describes various knowledge discovery tools and technologies that can help to create intelligent entereprises.
Publisher: JMIR Publications Inc.
Date: 05-10-2022
Abstract: rapidly aging population, a shifting disease burden and the ongoing threat of infectious disease outbreaks pose major concerns for Vietnam’s health care system. Health disparities are evident in many parts of the country, especially in rural areas, and the population faces inequitable access to patient-centered health care. Vietnam must therefore explore and implement advanced solutions to the provision of patient-centered care, with a view to reducing pressures on the health care system simultaneously. The use of digital health technologies (DHTs) may be one of these solutions. his study aimed to identify the application of DHTs to support the provision of patient-centered care in low- and middle-income countries in the Asia-Pacific region (APR) and to draw lessons for Vietnam. scoping review was undertaken. Systematic searches of 7 databases were conducted in January 2022 to identify publications on DHTs and patient-centered care in the APR. Thematic analysis was conducted, and DHTs were classified using the National Institute for Health and Care Excellence evidence standards framework for DHTs (tiers A, B, and C). Reporting was in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. f the 264 publications identified, 45 (17%) met the inclusion criteria. The majority of the DHTs were classified as tier C (15/33, 45%), followed by tier B (14/33, 42%) and tier A (4/33, 12%). At an in idual level, DHTs increased accessibility of health care and health-related information, supported in iduals in self-management, and led to improvements in clinical and quality-of-life outcomes. At a systems level, DHTs supported patient-centered outcomes by increasing efficiency, reducing strain on health care resources, and supporting patient-centered clinical practice. The most frequently reported enablers for the use of DHTs for patient-centered care included alignment of DHTs with users’ in idual needs, ease of use, availability of direct support from health care professionals, provision of technical support as well as user education and training, appropriate governance of privacy and security, and cross-sectorial collaboration. Common barriers included low user literacy and digital literacy, limited user access to DHT infrastructure, and a lack of policies and protocols to guide the implementation and use of DHTs. he use of DHTs is a viable option to increase equitable access to quality, patient-centered care across Vietnam and simultaneously reduce pressures on the health care system. Vietnam can take advantage of the lessons learned by other low- and middle-income countries in the APR when developing a national road map to digital health transformation. Recommendations that Vietnamese policy makers may consider include emphasizing stakeholder engagement, strengthening digital literacy, supporting the improvement of DHT infrastructure, increasing cross-sectorial collaboration, strengthening governance of cybersecurity, and leading the way in DHT uptake.
Publisher: American Chemical Society (ACS)
Date: 20-05-2020
Publisher: Association for Information Systems
Date: 2014
DOI: 10.17705/1CAIS.03477
Publisher: Springer Fachmedien Wiesbaden
Date: 2016
Publisher: Springer Science and Business Media LLC
Date: 25-07-2022
DOI: 10.1186/S40001-022-00754-4
Abstract: Patients who exceed their expected length of stay in the hospital come at a cost to stakeholders in the healthcare sector as bed spaces are limited for new patients, nosocomial infections increase and the outcome for many patients is h ered due to multimorbidity after hospitalization. This paper develops a technique for predicting Extended Length of Hospital Stay (ELOHS) at preadmission and their risk factors using hospital data. A total of 91,468 records of patient’s hospital information from a private acute teaching hospital were used for developing a machine learning algorithm relaying on Recursive Feature Elimination with Cross-Validation and Extra Tree Classifier (RFECV-ETC). The study implemented Synthetic Minority Overs ling Technique (SMOTE) and tenfold cross-validation to determine the optimal features for predicting ELOHS while relying on multivariate Logistic Regression (LR) for computing the risk factors and the Relative Risk (RR) of ELOHS at a 95% confidence level. An estimated 11.54% of the patients have ELOHS, which increases with patient age as patients 18 years, 18–40 years, 40–65 years and ≥ 65 years, respectively, have 2.57%, 4.33%, 8.1%, and 15.18% ELOHS rates. The RFECV-ETC algorithm predicted preadmission ELOHS to an accuracy of 89.3%. Age is a predominant risk factors of ELOHS with patients who are 90 years—PAG ( 90) {RR: 1.85 (1.34–2.56), P : 0.001} having 6.23% and 23.3%, respectively, higher likelihood of ELOHS than patient 80–90 years old—PAG (80–90) {RR: 1.74 (1.34–2.38), P : 0.001} and those 70–80 years old—PAG (70–80) {RR: 1.5 (1.1–2.05), P : 0.011}. Those from admission category—ADC (US1) {RR: 3.64 (3.09–4.28, P : 0.001} are 14.8% and 70.5%, respectively, more prone to ELOHS compared to ADC (UC1) {RR: 3.17 (2.82–3.55), P : 0.001} and ADC (EMG) {RR: 2.11 (1.93–2.31), P : 0.001}. Patients from SES (low) {RR: 1.45 (1.24–1.71), P : 0.001)} are 13.3% and 45% more susceptible to those from SES (middle) and SES (high). Admission type (ADT) such as AS2, M2, NEWS, S2 and others {RR: 1.37–2.77 (1.25–6.19), P : 0.001} also have a high likelihood of contributing to ELOHS while the distance to hospital (DTH) {RR: 0.64–0.75 (0.56–0.82), P : 0.001}, Charlson Score (CCI) {RR: 0.31–0.68 (0.22–0.99), P : 0.001–0.043} and some VMO specialties {RR: 0.08–0.69 (0.03–0.98), P : 0.001–0.035} have limited influence on ELOHS. Relying on the preadmission assessment of ELOHS helps identify those patients who are susceptible to exceeding their expected length of stay on admission, thus, making it possible to improve patients’ management and outcomes.
Publisher: IEEE
Date: 2005
Publisher: Oxford University Press (OUP)
Date: 17-06-2021
Abstract: Is cord blood DNA methylation associated with having been conceived by medically assisted reproduction? This study does not provide strong evidence of an association of conception by medically assisted reproduction with variation in infant blood cell DNA methylation. Medically assisted reproduction consists of procedures used to help infertile/subfertile couples conceive, including ART. Due to its importance in gene regulation during early development programming, DNA methylation and its perturbations associated with medically assisted reproduction could reveal new insights into the biological effects of assisted reproductive technologies and potential adverse offspring outcomes. We investigated the association of DNA methylation and medically assisted reproduction using a case–control study design (N = 205 medically assisted reproduction cases and N = 2439 naturally conceived controls in discovery cohorts N = 149 ART cases and N = 58 non-ART controls in replication cohort). We assessed the association between medically assisted reproduction and DNA methylation at birth in cord blood (205 medically assisted conceptions and 2439 naturally conceived controls) at & 000 CpG sites across the genome in two sub-s les of the UK Avon Longitudinal Study of Parents and Children (ALSPAC) and two sub-s les of the Norwegian Mother, Father and Child Cohort Study (MoBa) by meta-analysis. We explored replication of findings in the Australian Clinical review of the Health of adults conceived following Assisted Reproductive Technologies (CHART) study (N = 149 ART conceptions and N = 58 controls). The ALSPAC and MoBa meta-analysis revealed evidence of association between conception by medically assisted reproduction and DNA methylation (false-discovery-rate-corrected P-value & 0.05) at five CpG sites which are annotated to two genes (percentage difference in methylation per CpG, cg24051276: Beta = 0.23 (95% CI 0.15,0.31) cg00012522: Beta = 0.47 (95% CI 0.31, 0.63) cg17855264: Beta = 0.31 (95% CI 0.20, 0.43) cg17132421: Beta = 0.30 (95% CI 0.18, 0.42) cg18529845: Beta = 0.41 (95% CI 0.25, 0.57)). Methylation at three of these sites has been previously linked to cancer, aging, HIV infection and neurological diseases. None of these associations replicated in the CHART cohort. There was evidence of a functional role of medically assisted reproduction-induced hypermethylation at CpG sites located within regulatory regions as shown by putative transcription factor binding and chromatin remodelling. While insufficient power is likely, heterogeneity in types of medically assisted reproduction procedures and between populations may also contribute. Larger studies might identify replicable variation in DNA methylation at birth due to medically assisted reproduction. Newborns conceived with medically assisted procedures present with ergent DNA methylation in cord blood white cells. If these associations are true and causal, they might have long-term consequences for offspring health. This study has been supported by the US National Institute of Health (R01 DK10324), the European Research Council under the European Union’s Seventh Framework Programme (FP7/2007-2013)/ERC Grant agreement no. 669545, European Union’s Horizon 2020 research and innovation programme under Grant agreement no. 733206 (LifeCycle) and the NIHR Biomedical Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The UK Medical Research Council and Wellcome (Grant ref: 102215/2/13/2) and the University of Bristol provide core support for ALSPAC. Methylation data in the ALSPAC cohort were generated as part of the UK BBSRC funded (BB/I025751/1 and BB/I025263/1) Accessible Resource for Integrated Epigenomic Studies (ARIES, www.ariesepigenomics.org.uk). D.C., J.J., C.L.R. D.A.L and H.R.E. work in a Unit that is supported by the University of Bristol and the UK Medical Research Council (Grant nos. MC_UU_00011/1, MC_UU_00011/5 and MC_UU_00011/6). B.N. is supported by an NHMRC (Australia) Investigator Grant (1173314). ALSPAC GWAS data were generated by S le Logistics and Genotyping Facilities at Wellcome Sanger Institute and LabCorp (Laboratory Corporation of America) using support from 23andMe. The Norwegian Mother, Father and Child Cohort Study is supported by the Norwegian Ministry of Health and Care Services and the Ministry of Education and Research, NIH/NIEHS (Contract no. N01-ES-75558), NIH/NINDS (Grant nos. (i) UO1 NS 047537-01 and (ii) UO1 NS 047537-06A1). For this work, MoBa 1 and 2 were supported by the Intramural Research Program of the NIH, National Institute of Environmental Health Sciences (Z01-ES-49019) and the Norwegian Research Council/BIOBANK (Grant no. 221097). This work was partly supported by the Research Council of Norway through its Centres of Excellence funding scheme, Project no. 262700. D.A.L. has received support from national and international government and charity funders, as well as from Roche Diagnostics and Medtronic for research unrelated to this study. The other authors declare no conflicts of interest. N/A.
Publisher: IGI Global
Date: 2009
DOI: 10.4018/978-1-60566-010-3.CH236
Abstract: Today’s economy is increasingly based on knowledge and information (Davenport, & Grover 2001). Knowledge is now recognized as the driver of productivity and economic growth, leading to a new focus on the role of information, technology and learning in economic performance. Organizations trying to survive and prosper in such an economy are turning their focus to strategies, processes tools and technologies that can facilitate them to create knowledge. A vital and well respected technique in knowledge creation is data mining which enables critical knowledge to be gained from the analysis of large amounts of data and information. Traditional data mining and the KDD process (knowledge discovery in data bases) tends to view the knowledge product as a homogeneous product. Knowledge however, is a multifaceted construct, drawing upon various philosophical perspectives including Lockean/Leibnitzian and Hegelian/Kantian, exhibiting subjective and objective aspects as well as having tacit and explicit forms (Nonaka, 1994 Alavi & Leidner, 2001 Schultze & Leidner, 2002 Wickramasinghe et al, 2003). It is the thesis of this discussion that by taking a broader perspective of the resultant knowledge product from the KDD process namely by incorporating both a people-based perspective and process-based perspective into the traditional KDD process, it will not only provide a more complete and macro perspective on knowledge creation but also a more balanced approach to knowledge creation which will in turn serve to enhance the extant knowledge base of an organization and facilitate the realization of superior decision making. The implications for data mining are clearly far reaching and are certain to help organizations more effectively realize the full potential of their knowledge assets, improve the likelihood of using/re-using the created knowledge and thereby enable them to be well positioned in today’s knowledge economy.
Publisher: American Chemical Society (ACS)
Date: 13-12-2017
DOI: 10.1021/ACS.INORGCHEM.7B02384
Abstract: Herein, we report the synthesis and characterization of two dinuclear Fe
Publisher: Inderscience Publishers
Date: 2006
Publisher: Elsevier BV
Date: 11-2005
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-078-3.CH020
Abstract: Superior access, quality and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing costs of healthcare expenditure. E-Health in its many forms and possibilities appears to offer a panacea for facilitating the necessary transformation for healthcare. While a plethora of e-health initiatives keep mushrooming both nationally and globally, there exists to date no unified system to evaluate these respective initiatives and assess their relative strengths and deficiencies in realizing superior access, quality and value of healthcare services. Our research serves to address this void. This is done by focusing on the following three key components: 1) understanding the web of players (regulators, payers, providers, healthcare organizations, suppliers and last but not least patients) and how e-health can modify the interactions between these players as well as create added value healthcare services. 2) understand the competitive forces facing e-health organizations and the role of the Internet in modifying these forces, and 3) from analyzing the web of players combined with the competitive forces for e-health organizations we develop a framework that serves to identify the key forces facing an e-health and suggestions of how such an organization can structure itself to be e-health prepared.
Publisher: Australian Journal of Information Systems
Date: 08-03-2017
Abstract: This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital’s wards during its implementation. Nurses’ interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses’ positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-573-3.CH043
Abstract: Knowledge management (KM) is a newly emerging approach aimed at addressing today’s business challenges to increase efficiency and efficacy of core business processes, while simultaneously incorporating continuous innovation. The need for knowledge management is based on a paradigm shift in the business environment where knowledge is now considered to be central to organizational performance and integral to the attainment of a sustainable competitive advantage (Davenport & Grover, 2001 Drucker, 1993). Knowledge creation is not only a key first step in most knowledge management initiatives, but also has far reaching implications on consequent steps in the KM process, thus making knowledge creation an important focus area within knowledge management. Currently, different theories exist for explaining knowledge creation. These tend to approach the area of knowledge creation from either a people perspective—including Nonaka’s Knowledge Spiral, as well as Spender’s and Blackler’s respective frameworks—or from a technology perspective—namely, the KDD process and data mining.
Publisher: IGI Global
Date: 2006
DOI: 10.4018/978-1-59904-027-1.CH008
Abstract: Healthcare has yet to realize the true potential afforded by e-health. To date, technology-based healthcare operations are conducted chaotically, at a wide variety of non-integrated fronts, with little or no long-term strategy, and at a tremendous and ever increasing cost. This chapter proposes that in order for healthcare to ever reap the full benefits from e-health it is imperative for the development of a doctrine of healthcare network centric operations. Otherwise, millions if not billions of dollars will be spent on a futile chase of the definitions of how and when will the computer, healthcare provider, and healthcare administrator interact most efficiently and at the least expense. The concept of a doctrine - “conceptual platform” that outlines the consequent, goal-oriented way forward, and integrates all constituent elements into a smoothly operating whole, is utilized to great effect in the military. Drawing upon the strategies and techniques employed by the military to develop a network centric doctrine, the chapter outlines the essential components necessary for the establishment of the doctrine for healthcare network centric operations (HNCO), and in so doing not only highlights the integral role played by information computer and communication technologies (IC2T) but also the pivotal role of policy makers and governments. In fact, HNCO underscores the important yet rarely acknowledged confluence of e-health and e-government
Publisher: IEEE
Date: 10-2010
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-933-5.CH020
Abstract: New technologies, increasingly demanding customers, new aggressive competitors, and innovations in products and value now characterize our current competitive environment. Organizations of the 21st century have no choice but to invest in new technologies, especially knowledge management tools to enhance their services and products in order to meet the demands of today’s information-driven, globally competitive marketplace. Knowledge embedded in systems, brains and technology has always been the key to economic development. However, knowledge management is increasingly being viewed as a strategy to leverage a firm’s knowledge and best practices to serve customers and to be competitive. Several organizations have already started experimenting with knowledge management initiatives to capture and capitalize on knowledge assets and thereby claim the enormous benefits afforded by such endeavors, including improved profitability and transformation of their businesses into new generation businesses. This chapter develops a technology assessment model for knowledge management indicating what kinds of computing and communication systems any organization needs in order for it to have a sound knowledge management approach.
Publisher: Australian Journal of Information Systems
Date: 08-03-2017
Abstract: One of the serious concerns in healthcare in this 21st century is obesity. While the causes of obesity are multifaceted, social networks have been identified as one of the most important dimensions of people's social environment that may influence the adoption of many behaviours, including health-promoting behaviours. In this article, we examine the possibility of harnessing the appeal of online social networks to address the obesity epidemic currently plaguing society. Specifically, a design science research methodology is adopted to design, implement and test the Health 2.0 application called “Calorie Cruncher”. The application is designed specifically to explore the influence of online social networks on in idual’s health-related behaviour. In this regard, pilot data collected based on qualitative interviews indicate that online social networks may influence health-related behaviours in several ways. Firstly, they can influence people’s norms and value system that have an impact on their health-related behaviours. Secondly, social control and pressure of social connections may also shape health-related behaviours, and operate implicitly when people make food selection decisions. Thirdly, social relationships may provide emotional support. Our study has implications for research and practice. From a theoretical perspective, the article inductively identifies three factors that influence specific types of health outcomes in the context of obesity. From a practical perspective, the study underscores the benefits of adopting a design science methodology to design and implement a technology solution for a healthcare issue as well as the key role for online social media to assist with health and wellness management and maintenance.
Publisher: IGI Global
Publisher: Inderscience Publishers
Date: 2007
Publisher: JMIR Publications Inc.
Date: 24-02-2023
DOI: 10.2196/43529
Abstract: Adverse drug reactions (ADRs) may cause serious injuries including death. Timely reporting of ADRs may play a significant role in patient safety however, underreporting exists. Enhancing the electronic communication of ADR information to regulators and between health care providers has the potential to reduce recurrent ADRs and improve patient safety. The main objectives were to explore the low rate of ADR reporting by community pharmacists (CPs) in Australia, evaluate the usability of an existing reporting system, and how this knowledge may influence the design of subsequent electronic ADR reporting systems. The study was carried out in 2 stages. Stage 1 involved qualitative semistructured interviews to identify CPs’ perceived barriers and facilitators to ADR reporting. Data were analyzed by thematic analysis, and identified themes were subsequently aligned to the task-technology fit (TTF) framework. The second stage involved a usability evaluation of a commercial web-based ADR reporting system. A structured interview protocol that combined virtual observation, think-aloud moderating techniques, retrospective questioning of the overall user experience, and a System Usability Scale (SUS). The field notes from the interviews were subjected to thematic analysis. In total, 12 CPs were interviewed in stage 1, and 7 CPs participated in stage 2. The interview findings show that CPs are willing to report ADRs but face barriers from environmental, organizational, and IT infrastructures. Increasing ADR awareness, improving workplace practices, and implementing user-focused electronic reporting systems were seen as facilitators of ADR reporting. User testing of an existing system resulted in above average usability (SUS 68.57) however, functional and user interpretation issues were identified. Design elements such as a drop-down menu, free-text entry, checkbox, and prefilled data fields were perceived to be extremely useful for navigating the system and facilitating ADR reporting. Existing reporting systems are not suited to report ADRs, or adapted to workflow, and are rarely used by CPs. Our study uncovered important contextual information for the design of future ADR reporting interventions. Based on our study, a multifaceted, theory-guided, user-centered, and best practice approach to design, implementation, and evaluation may be critical for the successful adoption of ADR reporting electronic interventions and patient safety. Future studies are needed to evaluate the effectiveness of theory-driven frameworks used in the design and implementation of ADR reporting systems.
Publisher: Informa UK Limited
Date: 05-08-2023
Publisher: Inderscience Publishers
Date: 2007
Publisher: IEEE Comput. Soc
Date: 2002
Publisher: Springer International Publishing
Date: 2018
Publisher: Inderscience Publishers
Date: 2006
Publisher: University of Maribor Press
Date: 06-2017
Publisher: SAGE Publications
Date: 10-01-2022
DOI: 10.1177/20438869211063219
Abstract: Recently, many countries, including developing countries, have struggled to manage rising healthcare costs and challenges around decreasing quality of care. Previous studies suggest that electronic health systems could significantly improve the quality of care and facilitate better access to care. However, there is still a lack of studies providing sufficient evidence around how this can be achieved. This case study examines how a hospital uses its electronic health (eHealth) systems to offer better access, quality, and value by leveraging the principles of value-based care for its patients. This case study provides critical insights for healthcare stakeholders, public hospitals, especially in developing countries, healthcare providers and policymakers and proffers an approach to leverage the principles of value-based care when developing eHealth systems to offer better overall health and well-being services to their patients.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-933-5.CH155
Abstract: Healthcare organizations are facing many challenges in the 21st Century due to changes taking place in global healthcare systems. Spiraling costs, financial constraints, increased emphasis on accountability and transparency, changes in education, growing complexities of biomedical research, new partnerships in healthcare and great advances in IT suggest that a predominant paradigm shift is occurring. This shift is necessitating a focus on interaction, collaboration and increased sharing of information and knowledge which is in turn leading healthcare organizations to embrace the techniques of Knowledge Management (KM) in order to create and sustain optimal healthcare outcomes. This chapter describes the importance of knowledge management systems for healthcare organizations and provides an overview of knowledge management technologies and tools that may be used by healthcare organizations.
Publisher: Inderscience Publishers
Date: 2007
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-933-5.CH278
Abstract: The main purpose of this chapter is to bring out and discuss the central facts pertaining to the importance of incorporating knowledge management in the area of e-health. This is accomplished by focusing on the application of knowledge management in e-health and its effects.
Publisher: IEEE
Date: 04-2007
Publisher: IEEE
Date: 2015
Publisher: IEEE
Date: 2015
Publisher: Inderscience Publishers
Date: 2008
Publisher: IEEE
Date: 2015
Publisher: Emerald
Date: 06-11-2017
Abstract: The purpose of this paper is to investigate nurses’ attitudes, perceptions, and reactions to a new point-of-care information system for documenting nursing care. A design science research methodology (DSRM) was used to examine the feasibility and usability of a novel nursing informatics solution in the context of acute hospital care. Data were collected using focus groups and non-participant observations. Analyses were guided by the theoretical lens of actor-network theory (ANT). The findings unpack an understanding of the potential value of a new technology, rather than a binary understanding of positive or negative value. Using the ANT lens, the study reveals the dynamics of the nurse-technology relationships and consequent disruptions throughout the translation process. The findings highlight the central role of negotiation in the socio-technical construction of the hybrid actor-network during the implementation of new technology in acute hospital contexts. Further studies are needed to investigate the dynamics and complexity of the translation process that occurs during technology adoption, reactions of the involved actors to the emerging network and impacts on their role and work process. Engaging nurses early during development and testing aligning the new system’s functionality and interface with nurses’ interests and work practices and supporting changes to clinical work process to enable an effective heterogeneous actor-network to emerge and become stable. This study presents a novel use of ANT in a DSRM to understand an enterprise-wide system involving nurses and real clinical settings. The emerged actor-network provides insights into the translation process when nurses adapt to using new technology in their work.
Publisher: IEEE
Date: 2016
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6339-8.CH060
Abstract: Healthcare systems around the globe are facing a number of challenges. Thus Increasing focus is being placed on constructing appropriate healthcare reforms which are attempting to address how to tackle these challenges. A critical enabler in these reforms is the adoption of an e-health solution. Such e-health solutions are not only expensive and complex endeavours, but also have far reaching implications. Given that the implementation and adoption of these e-health solutions is so important, not to mention also requiring a substantial investment in various resources such as time and money, it is therefore essential to ensure their success. The following proffers a socio-technical analysis as an appropriate strategy to ensure more successful outcomes. An exemplar case study of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution by the Australian government is provided to illustrate the benefits such an analysis might provide
Publisher: Association for Information Systems
Date: 2013
DOI: 10.17705/1CAIS.03205
Publisher: Springer Science and Business Media LLC
Date: 10-01-2012
Publisher: JMIR Publications Inc.
Date: 09-11-2021
Abstract: dherence to anticancer medicines is critical for the success of cancer treatments however, nonadherence remains challenging, and there is limited evidence of interventions to improve adherence to medicines in patients with cancer. his overview of reviews aimed to identify and summarize available reviews of interventions to improve adherence to oral anticancer medicines in adult cancer survivors. comprehensive search of 7 electronic databases was conducted by 2 reviewers who independently conducted the study selection, quality assessment using the A Measurement Tool to Assess Systematic Reviews 2, and data extraction. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 checklist was adapted to report the results. total of 29 reviews were included in the narrative synthesis. The overall quality of the systematic reviews was low. The 4 main strategies to promote adherence were focused on education, reminders, behavior and monitoring, and multicomponent approaches. Digital technology–based interventions were reported in most reviews (27/29, 93%). A few interventions applied theories (10/29, 34%), design frameworks (2/29, 7%), or engaged stakeholders (1/29, 3%) in the development processes. The effectiveness of interventions was inconsistent between and within reviews. However, interventions using multiple strategies to promote adherence were more likely to be effective than single-strategy interventions (12/29, 41% reviews). Unidirectional communication (7/29, 24% reviews) and technology alone (11/29, 38% reviews) were not sufficient to demonstrate improvement in adherence outcomes. Nurses and pharmacists played a critical role in promoting patient adherence to oral cancer therapies, especially with the support of digital technologies (7/29, 24% reviews). ulticomponent interventions are potentially effective in promoting patient adherence to oral anticancer medicines. The seamless integration of digital solutions with direct clinical contacts is likely to be effective in promoting adherence. Future research for developing comprehensive digital adherence interventions should be evidence-based, theory-based, and rigorously evaluated.
Publisher: Springer Science and Business Media LLC
Date: 12-05-2013
Publisher: JMIR Publications Inc.
Date: 11-10-2020
Abstract: isease screening identifies a disease in an in idual/community at an early stage to prevent or treat the condition effectively. The current COVID-19 pandemic has restricted hospital visits for screening and other healthcare services resulting in the disruption of screening for diseases such as cancer, diabetes and CVD. Smartphone technologies, coupled with built-in sensors and wireless technologies, enable the smartphone to function as a device for disease screening and monitoring with negligible additional costs. his review aimed to evaluate the use of smartphone applications (apps) in the disease screening and acceptability of this technology in the medical and healthcare sectors. e followed a systematic review process to assess the scope for the app in the disease screening process. Four databases (Medline complete, Web of Science, Embase, and Proquest) were searched. Articles published in English and examining the use of the app in disease screening were included. Primary outcomes for the research articles and their statistically significant Results showed that app-based screening group had significant (OR:1.7, 95% CI: 1.2–2.4) eye care utilisation compared to their traditional screening counterparts. A good correlation between clinical Snellen and smartphone visual acuity measurements (ρ=.91) is observed. For depression screening, the ROC curve is .8012, indicating that mental-health ratings are comparable to Patient Health Questionnaire-9 (PHQ-9) results, and could be used as a depression screening tool in practice. Although the findings of cognitive impairment suggest that the digital-version readings are similar to the standard paper-version readings, the participants preferred devices with larger screen (e.g. tablet). Also, the smartphone-compatible oximeter is a weak predictor to detect central sleep apnoea in stable heart failure participants. value, where applicable are presented and discussed. esults showed that app-based screening group had significant (OR:1.7, 95% CI: 1.2–2.4) eye care utilisation compared to their traditional screening counterparts. A good correlation between clinical Snellen and smartphone visual acuity measurements (ρ=.91) is observed. For depression screening, the ROC curve is .8012, indicating that mental-health ratings are comparable to Patient Health Questionnaire-9 (PHQ-9) results, and could be used as a depression screening tool in practice. Although the findings of cognitive impairment suggest that the digital-version readings are similar to the standard paper-version readings, the participants preferred devices with larger screen (e.g. tablet). Also, the smartphone-compatible oximeter is a weak predictor to detect central sleep apnoea in stable heart failure participants. he review observed a significant statistical relationship between the app and standard clinical screening. Critical considerations when designing, developing, and deploying smartphone solutions is laid forth to provide equitable healthcare solutions without barriers. Furthermore, the findings might increase the research prospects to evaluate smartphone solutions as valid and reliable screening solutions.
Publisher: Emerald
Date: 06-2003
DOI: 10.1108/14637150310477902
Abstract: Knowledge management systems are predominant in both theory and practice. However, are the same systems discussed in theory actualized in practice? By comparing and contrasting knowledge management systems in theory and practice, this paper demonstrates that they are indeed dissimilar. In theory, they have both subjective and objective components. In practice, only the objective component appears to be actualized hence, these systems in practice are essentially organizational memory systems at best and not knowledge management systems at all. By unravelling the mystique of knowledge management systems, this paper exposes a fundamental anomaly. Further, an apparent void currently in practice is highlighted namely, the lack of the subjective component of knowledge management systems in practice. They are being heralded as key systems that are vital for organizations to survive and thrive in the intense competitive environment of the information age. Surely then, a system that in practice supports not only the objective component, but also the subjective component of knowledge management, would indeed be a truly powerful system.
Publisher: JMIR Publications Inc.
Date: 11-10-2022
DOI: 10.2196/40597
Abstract: Medication use can result in adverse drug reactions (ADRs) that cause increased morbidity and health care consumption for patients and could potentially be fatal. Timely reporting of ADRs to regulators may contribute to patient safety by facilitating information gathering on drug safety data. Currently, little is known about how community pharmacists (CPs) monitor, handle, and report ADRs in Australia. This study aimed to identify perceived barriers to and facilitators of ADR reporting by CPs in Australia and suggest digital interventions. A qualitative study with in idual interviews was conducted with CPs working across Victoria, Australia, between April 2022 and May 2022. A semistructured interview guide was used to identify perceived barriers to and facilitators of ADR reporting among CPs. The data were analyzed using thematic analysis. We constructed themes from the CP-reported barriers and facilitators. The themes were subsequently aligned with the Task-Technology Fit framework. A total of 12 CPs were interviewed. Identified barriers were lack of knowledge of both the ADR reporting process and ADR reporting systems, time constraints, lack of financial incentives, lack of organizational support for ADR reporting, inadequate IT systems, and preference to refer consumers to physicians. The proposed facilitators of ADR reporting included enhancing CPs knowledge and awareness of ADRs, financial incentives for ADR reporting, workflow-integrated ADR reporting technology systems, feedback provision to CPs on the reported ADRs, and promoting consumer ADR reporting. Barriers to and facilitators of ADR reporting spanned both the task and technology aspects of the Task-Technology Fit model. Addressing the identified barriers to ADR reporting and providing workplace technologies that support ADR reporting may improve ADR reporting by CPs. Further investigations to observe ADR handling and reporting within community pharmacies can enhance patient safety by increasing ADR reporting by CPs.
Publisher: IEEE
Date: 2013
Publisher: Springer International Publishing
Date: 2020
Publisher: Springer US
Date: 2012
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-423-1.CH017
Abstract: While healthcare is the biggest service industry on the globe, it has yet to realize the full potential of the e-business revolution in the form of e-health. This is due to many reasons, including the fact that the healthcare industry is faced with many complex challenges in trying to deliver cost-effective, high-value, accessible healthcare and has traditionally been slow to embrace new business techniques and technologies. Given that e-health to a great extent is a macro-level concern that has far reaching micro-level implications, this chapter first develops a framework to assess a country’s preparedness with respect to embracing e-health (i.e., the application of e-commerce to healthcare) and from this, an e-health preparedness grid to facilitate the assessment of any e-health initiative. Taken together, the integrative framework and preparedness grid provide useful and necessary tools to enable successful e-health initiatives to ensue by helping country and/or organization within a country to identify and thus address areas that require further attention in order for it to undertake a successful e-health initiative.
Publisher: Georg Thieme Verlag KG
Date: 2017
DOI: 10.3414/ME16-02-0041
Publisher: Elsevier BV
Date: 03-2017
Publisher: Inderscience Publishers
Date: 2008
Publisher: IGI Global
Date: 2012
DOI: 10.4018/978-1-4666-1559-5.CH010
Abstract: Rapid Application Development (RAD) is promising to bring many benefits and state-of-the-art uses to the discipline of software engineering. The plethora of low cost RAD tools, together with the claims made by advocates of this methodology, has lead to an explosion in the use of this technique across the field. Unfortunately, however, there has been comparatively little regard in context to the project management issues of adopting RAD methodologies on which this paper will focus.
Publisher: IGI Global
Date: 2018
DOI: 10.4018/978-1-5225-5490-5.CH026
Abstract: It is widely known that nurses are pivotal in coordinating and communicating patient care information in the complex network of healthcare professionals and service delivery. Yet, despite their pivotal role, information communication technologies have historically rarely been designed around nurses' operational needs. This could explain the poor integration of technologies into nursing work processes and consequent rejection by nursing professionals. The complex nature of acute care delivery in hospitals and the frequently interrupted patterns of nursing work suggest that nurses require flexible intelligent systems that can support and adapt to their variable workflow patterns. This study is designed to explore nurses' initial reactions to a new integrated point of care solution for acute healthcare contexts. We report on the first stage of a longitudinal project to use an innovative approach involving nurses in the development and refinement of this solution. Unified Theory of Acceptance and Use of Technology was used to evaluate acceptability of the proposed system by nurses.
Publisher: IEEE
Date: 2015
Publisher: IEEE
Date: 2012
Publisher: Springer Science and Business Media LLC
Date: 09-2021
Publisher: Emerald
Date: 03-2004
DOI: 10.1108/09526860410526673
Abstract: Currently the healthcare industry in the US is not only contending with relentless pressures to lower costs while maintaining and increasing the quality of service but is also under a stringent timeline to become compliant with the health insurance, portability and accountability act (HIPAA) regulatory requirements. Robust healthcare information systems (HCIS) become critical to enabling healthcare organizations address these challenges. Hence, it becomes an imperative need that the information that is captured, generated and disseminated by these HCIS be of the highest possible integrity and quality as well as compliant with regulatory requirements. This paper addresses this need by proposing an integrative framework for HIPAA compliant, I*IQ HCIS. It bases this framework on an integration of the requirements for HIPAA compliance, the principles of information integrity, as well as the healthcare quality aims set forth by the Committee on the Quality of Healthcare in America.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Inderscience Publishers
Date: 2008
Publisher: IEEE
Date: 2016
Publisher: Inderscience Publishers
Date: 2011
Publisher: Routledge
Date: 10-09-2009
Publisher: IEEE
Date: 2016
Publisher: IEEE
Date: 2014
Publisher: IEEE
Date: 2016
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Inderscience Publishers
Date: 2010
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer New York
Date: 20-08-2014
Publisher: Inderscience Publishers
Date: 2002
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Institution of Engineering and Technology (IET)
Date: 2000
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2013
Publisher: Springer US
Date: 2003
Publisher: Springer New York
Date: 20-08-2013
Publisher: IGI Global
Date: 07-2011
DOI: 10.4018/JISCRM.2011070102
Abstract: As part of its expanding role, particularly as an agent of peace building, the United Nations (UN) actively participates in the implementation of measures to prevent and manage crisis/disaster situations. The purpose of such an approach is to empower the victims, protect the environment, rebuild communities, and create employment. However, real world crisis management situations are complex given the multiple interrelated interests, actors, relations, and objectives. Recent studies in healthcare contexts, which also have dynamic and complex operations, have shown the merit and benefits of employing various tools and techniques from the domain of knowledge management (KM). Hence, this paper investigates three distinct natural crisis situations (the 2010 Haiti Earthquake, the 2004 Boxing Day Asian Tsunami, and the 2001 Gujarat Earthquake) with which the United Nations and international aid agencies have been and are currently involved, to identify recurring issues which continue to provide knowledge-based impediments. Major findings from each case study are analyzed according to the estimated impact of identified impediments. The severity of the enumerated knowledge-based issues is quantified and compared by means of an assigned qualitative to identify the most significant attribute.
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: IGI Global
Date: 2018
DOI: 10.4018/978-1-5225-5643-5.CH006
Abstract: Chinese Medicine (CM) has become increasingly demanding globally. Recent World Health Organisation traditional and complementary medicine strategy of integrating CM to Western Medicine (WM) indicates that it is crucial that CM developments have strong literature, scientific, and evidence-based medical approval and support. To achieve this, there is a need to form a synthesis foundation or platform for future studies. This chapter serves to discover this synthesis that is suitable for CM by discussing the basics of inquiring and Knowledge Management (KM) systems. It suggests that CM should follow a combination of Hegelian and Kantian inquiring systems with the support of Singerian and Leibnizian inquiring systems and KM features. This proposed synthesis is one of the first, if not the first study to apply Churchman's inquiring systems into the context of CM and differentiate them from WM.
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-459-0.CH001
Abstract: Healthcare organizations are facing many challenges in the 21st Century due to changes taking place in global healthcare systems. Spiraling costs, financial constraints, increased emphasis on accountability and transparency, changes in education, growing complexities of biomedical research, new partnerships in healthcare and great advances in IT suggest that a predominant paradigm shift is occurring. This shift is necessitating a focus on interaction, collaboration and increased sharing of information and knowledge which is in turn leading healthcare organizations to embrace the techniques of Knowledge Management (KM) in order to create and sustain optimal healthcare outcomes. This chapter describes the importance of knowledge management systems for healthcare organizations and provides an overview of knowledge management technologies and tools that may be used by healthcare organizations.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: IGI Global
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-9432-3.CH011
Abstract: Multi-spectral data residing in disparate data bases represents a critical raw asset for today's healthcare organizations (). However, in order to gain maximum value from such data, it is essential to apply prudent technology solutions and tailored analytic techniques. The following chapter proposes how the application of bespoke predictive analytic tools and techniques can be designed and then applied to a hospital data warehouse, called the Hospital Casemix Protocol (HCP) Extended data set, in order to improve decision efficiency in the private healthcare sector in Australia. The main objective of this chapter is to present the developed conceptual model to demonstrate inputs, outputs, components, principles and services of predictive analytics for private hospitals.
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: CSIRO Publishing
Date: 30-08-2021
DOI: 10.1071/AH21118
Abstract: Objective The aim of this study was to describe nurses’ and midwives’ experiences following the first phase of the implementation of an electronic medical record (EMR) system at a large public health service in metropolitan Melbourne, Australia. Methods Four focus groups were held 8–10 months after implementation of the EMR. Transcripts were analysed using thematic analysis. Results Of 39 participants, 25 were nurses (64%), 12 were midwives (31%) and two did not provide this information. The mean (±s.d.) duration of clinical experience was 15.6 ± 12.2 years (range 2–40 years). Three main themes were identified: (1) effects on workflow: although some participants reported that EMR facilitated easier access to real-time patient data, others indicated that workflow was disrupted by the EMR being slow and difficult to navigate, system outages and lack of interoperability between the EMR and other systems (2) effects on patient care and communication: some participants reported that the EMR improved their communication with patients and reduced medication errors, whereas others reported a negative effect on patient care and communication and (3) negative effects of the EMR on nurses’ and midwives’ personal well-being, including frustration, stress and exhaustion. These experiences were often reported in the context of cognitive workload due to having to use multiple systems simultaneously or extra work associated with EMR outages. Conclusion Nurses’ and midwives’ experiences of the EMR were complex and mixed. Nurses and midwives require significant training and ongoing technical support in the first 12 months after implementation of an EMR system. Including nurses and midwives in the design and refinement of the EMR will ensure that the EMR aligns with their workflow. What is known about the topic? Studies reporting nurses’ and midwives’ experiences of using EMR are scarce and mostly based in countries where whole-of-service implementations are carried out, funded by governments. What does this paper add? Nurses and midwives perceive benefits of using an EMR relatively soon after implementation in terms of their workflow and patient care. However, in the first year after EMR implementation, nurses and midwives experience some negative effects on workflow, patient care and their own well-being. The effects on clinical workflow are further compounded by EMR downtime (scheduled and unscheduled) and hybrid systems that require users to access other technology systems alongside the EMR. What are the implications for practitioners? In countries like Australia, whole-of-service, simultaneous implementation of EMR systems using best-available server technology may not be possible due to funding constraints. In these circumstances, nurses and midwives may initially experience increased workload and frustration. Ongoing training and technical support should be provided to nurses and midwives for several months following implementation. Including nurses and midwives in the design of the EMR will result in better alignment with their specific workflow, thus maximising benefits of EMR implementation.
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-6067-8.CH005
Abstract: The prevalence of diabetes type 2 among the population and the increasing rate of new diagnoses as well as other co-morbidities make it imperative that we develop a richer understanding of type 2 diabetes. An Australian survey of diabetes type 2 people for different co-morbidities was carried out to obtain information about the possible connections of the co-morbidities with type 2 diabetes. The analysis is done with the logit model and Pearson's chi-square and the results indicate that gender, age of the patients, and the duration of the diabetes type 2 diagnosis play a significant role in the exposure of in iduals to different comorbidities. The influence of the duration of diagnosis and age of the patients is limited in comparison to the gender, which has females at a very high risk of developing the studied co-morbidities compared to males. The findings can improve diabetes type 2 management to boost high quality, proactive, and cost-effective caregiving for the patients.
Publisher: IGI Global
Date: 2021
DOI: 10.4018/978-1-5225-6067-8.CH004
Abstract: The use of mobile solutions for clinical decision support is still a rather nascent area within digital health. Shedding light on this important application of mobile technology, this chapter presents the initial findings of a scoping review. The review's primary objective is to identify the state of the art of mobile solution based clinical decision support systems and the persisting critical issues. The authors contribute by classifying identified critical issues into two matrices. Firstly, the issues are classified according to a matrix the authors developed, to be indicative of the stage (or timing) at which the issues occur along the timeline of mobile solution development. This classification includes the three classes: issues persisting at the (1) stage of developing mobile solutions, (2) stage of evaluating developed solutions, and (3) stage of adoption of developed solutions. Secondly, the authors present a classification of the same issues according to a standard socio-technical matrix containing the three classes: (1) technological, (2) process, and (3) people issues.
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-6067-8.CH007
Abstract: Type II diabetes is a rapidly growing non-communicable chronic disease that is causing significant concern to healthcare systems around the world. As there is no foreseeable cure, the most effective solution is to focus on strategies to control blood glucose levels by regular monitoring of diet, exercise, and when necessary, medication management. In today's environment, to do so effectively necessitates the need for a personalised self-management technology solution which can help patients take control of their diabetes. This chapter presents initial data from a research in progress study focused on designing a personalised diabetic application. The authors proffer a design science research methodology (DSRM) approach to design, develop, and ultimately, evaluate a patient-centric diabetes platform. This application is not only a smart patient empowering solution which serves to guide patients and assist their care team with regard to diet, exercise, medication and their respective impacts on blood sugar levels but is also designed to be culturally sensitive.
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-5202-6.CH118
Abstract: Healthcare is an information rich industry where successful outcomes require the processing of multi-spectral data and sound decision making. The exponential growth of data coupled with a rapid increase of service demands in healthcare contexts today requires a robust framework enabled by IT (information technology) solutions as well as real-time service handling in order to ensure superior decision making and successful healthcare outcomes. Contemporaneous with the challenges facing healthcare, we are witnessing the development of very sophisticated intelligent tools and technologies. Therefore, it would appear to be prudent to investigate the possibility of applying such tools and technologies into various healthcare contexts to facilitate better risk detection and support superior decision making. The following serves to do this in the context of Orthopaedics and Congenital Heart Disease.
Publisher: Springer New York
Date: 20-08-2014
Publisher: IGI Global
Date: 2005
DOI: 10.4018/978-1-59140-459-0.CH009
Abstract: The main purpose of this chapter is to bring out and discuss the central facts pertaining to the importance of incorporating knowledge management in the area of e-health. This is accomplished by focusing on the application of knowledge management in e-health and its effects.
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-6067-8.CH001
Abstract: The novel coronavirus (SARS-CoV-2) first identified in Wuhan, China in late December 2019 was identified as a pandemic by the World Health Organization (WHO) in March 2020 and has caused tremendous disruption to economies around the world and significant loss of life and serious illness. The current outbreak which has been thought to have originated in an animal wet market in late 2019, being transferred from the horse shoe bat to the pangolin, is well adapted to human cell receptors. This enables it to easily infect people with an R0 of approximately 2.2 causing a respiratory illness (COVID-19) which can develop into pneumonia in moderate to severe cases. Older adults and people with underlying medical conditions are at higher risk. The following outlines a responsible digital health solution.
Publisher: Inderscience Publishers
Date: 2006
Publisher: Springer Science and Business Media LLC
Date: 26-07-2013
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH071
Abstract: Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.
Publisher: JMIR Publications Inc.
Date: 30-08-2021
Abstract: iabetes is one of the leading noncommunicable chronic diseases globally. In people with diabetes, blood glucose levels need to be monitored regularly and managed adequately through healthy lifestyles and medications. However, various factors contribute to poor medication adherence. Smartphone apps can improve medication adherence in people with diabetes, but it is not clear which app features are most beneficial. his study aims to systematically review and evaluate high-quality apps for diabetes medication adherence, which are freely available to the public in Android and Apple app stores and present the technical features of the apps. e systematically searched Apple App Store and Google Play for apps that assist in diabetes medication adherence, using predefined selection criteria. We assessed apps using the Mobile App Rating Scale (MARS) and calculated the mean app-specific score (MASS) by taking the average of app-specific scores on 6 dimensions, namely, awareness, knowledge, attitudes, intention to change, help-seeking, and behavior change rated on a 5-point scale (1=strongly disagree and 5=strongly agree). We used the mean of the app’s performance on these 6 dimensions to calculate the MASS. Apps that achieved a total MASS mean quality score greater than 4 out of 5 were considered to be of high quality in our study. We formulated a task-technology fit matrix to evaluate the apps for diabetes medication adherence. e identified 8 high-quality apps (MASS score≥4) and presented the findings under 3 main categories: characteristics of the included apps, app features, and diabetes medication adherence. Our framework to evaluate smartphone apps in promoting diabetes medication adherence considered physiological factors influencing diabetes and app features. On evaluation, we observed that 25% of the apps promoted high adherence and another 25% of the apps promoted moderate adherence. Finally, we found that 50% of the apps provided low adherence to diabetes medication. ur findings show that almost half of the high-quality apps publicly available for free did not achieve high to moderate medication adherence. Our framework could have positive implications for the future design and development of apps for patients with diabetes. Additionally, apps need to be evaluated using a standardized framework, and only those promoting higher medication adherence should be prescribed for better health outcomes.
Publisher: IGI Global
Date: 2021
DOI: 10.4018/978-1-7998-9023-2.CH027
Abstract: Intelligent tools and collaborative systems can be used in healthcare contexts to support clinical decision making. Such an approach is concerned with identifying the way in which information is gathered and decisions are made along specific care pathways. This study develops a real-time collaborative system using an intelligent risk detection model (IRD) to improve decision efficiency in the clinical case of patients undergoing hip or knee arthroplasty. The benefits of adopting this improved clinical decision-making solution include increasing awareness, supporting communication, improving the decision making process for patients and caregivers while also improving information sharing between surgeons as key collaborative parties in the research case. This in turn leads to higher levels of patient and clinical satisfaction and better clinical outcomes.
Publisher: IGI Global
Date: 2021
DOI: 10.4018/978-1-7998-9023-2.CH025
Abstract: A key activity in healthcare is clinical decision making. This decision making typically has to be made rapidly and often without complete information. Moreover, the consequences of these decisions could be far reaching including the difference between life or death. Today analytics can assist in clinical decision making as the following chapter highlights. However, to gain the most from any type of analytics, it is first necessary to fully understand the dynamics around the clinical decision making process.
Publisher: Elsevier BV
Date: 12-2022
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-6067-8.CH016
Abstract: Healthcare delivery is facing multiple orthogonal challenges around escalating costs and providing quality care, especially in OECD countries. This research examines the opportunity to leverage Health 4.0 technology and techniques to address the post-operative discharge phase of the patient journey. In so doing it serves to proffer a technology enabled model that supports not only a quality care experience post discharge but also prudent management to minimize costly unplanned readmissions and thereby subscribe to a value-based care paradigm. The chosen context is stoma patients but the solution can be easily generalized to other contexts. Next steps include the conducting of clinical trials to establish proof of concept, validity, and usability.
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-1837-2.CH035
Abstract: Multi-spectral data residing in disparate data bases represents a critical raw asset for today's healthcare organizations (). However, in order to gain maximum value from such data, it is essential to apply prudent technology solutions and tailored analytic techniques. The following chapter proposes how the application of bespoke predictive analytic tools and techniques can be designed and then applied to a hospital data warehouse, called the Hospital Casemix Protocol (HCP) Extended data set, in order to improve decision efficiency in the private healthcare sector in Australia. The main objective of this chapter is to present the developed conceptual model to demonstrate inputs, outputs, components, principles and services of predictive analytics for private hospitals.
Publisher: Inderscience Publishers
Date: 2008
Publisher: Springer New York
Date: 06-11-2012
Publisher: Springer New York
Date: 06-11-2013
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-5225-6067-8.CH010
Abstract: Care delivery services have been traditionally dependent on direct encounters between providers and patients. With the increase in the number of aging population and the added demand for most expensive and advanced care delivery services, healthcare organizations are investing in care services that are more effective and less costly. Use of technology in healthcare systems has been a significant driver for care improvement initiatives used for controlling cost and extending care delivery services that enhance healthcare accessibility. Implementing technology in healthcare demands proper alignment between newly developed tools and care delivery system needs. In this chapter, the authors discuss the role of technology in healthcare and the value of mHealth in erse clinical settings.
Publisher: Springer New York
Date: 06-11-2013
Publisher: IGI Global
Date: 10-2006
Abstract: Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing costs of healthcare expenditure. E-Health in its many forms and possibilities appears to offer a panacea for facilitating the necessary transformation for healthcare. While a plethora of e-health initiatives keep mushrooming both nationally and globally, there exists to date no unified system to evaluate these respective initiatives and assess their relative strengths and deficiencies in realizing superior access, quality and value of healthcare services. Our research serves to address this void. This is done by focusing on the following three key components: 1) understanding the Web of players (regulators, payers, providers, healthcare organizations, suppliers, and last but not least patients) and how e health can modify the interactions between these players as well as create added value healthcare services, 2) understand the competitive forces facing e-health organizations and the role of the Internet in modifying these forces, and 3) from analyzing the Web of players combined with the competitive forces for e-health organizations we develop a framework that serves to identify the key forces facing an e-health and suggestions of how such an organization can structure itself to be e-health prepared.
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 06-11-2013
Publisher: Springer New York
Date: 20-08-2014
Publisher: Springer New York
Date: 20-08-2014
Publisher: IGI Global
Date: 2007
Publisher: IGI Global
Date: 2020
Publisher: IGI Global
Date: 10-2012
Abstract: Globally, both wired and wireless technologies have been used for healthcare delivery. However, in the frenzy to secure the best solutions and applications, few have delved deeper into the key issues of how to successfully assimilate these new technologies into the whole healthcare delivery process. The authors focus on wireless healthcare solutions, specifically examining a single exemplar case study, the diamond solution that describes a pervasive technology solution of a diabetes monitoring device. They contend that a key barrier for preventing the full realization of the true potential of wireless solutions lies in the inability of information and necessary data to pass seamlessly from one platform to another. In addition, the authors suggest ways to integrate data from wireless healthcare solutions with the existing electronic health records (EHR) systems, and discuss the impact of wireless enabled solutions on the meaningful use of EHRS.
Publisher: Inderscience Publishers
Date: 2006
Publisher: Springer Science and Business Media LLC
Date: 16-10-2007
DOI: 10.1007/S00775-007-0305-Z
Abstract: Purple acid phosphatases (PAPs) are a group of heterovalent binuclear metalloenzymes that catalyze the hydrolysis of phosphomonoesters at acidic to neutral pH. While the metal ions are essential for catalysis, their precise roles are not fully understood. Here, the Fe(III)Ni(II) derivative of pig PAP (uteroferrin) was generated and its properties were compared with those of the native Fe(III)Fe(II) enzyme. The kcat of the Fe(III)Ni(II) derivative (approximately 60 s(-1)) is approximately 20% of that of native uteroferrin, and the Ni(II) uptake is considerably faster than the reconstitution of full enzymatic activity, suggesting a slow conformational change is required to attain optimal reactivity. An analysis of the pH dependence of the catalytic properties of Fe(III)Ni(II) uteroferrin indicates that the mu-hydroxide is the likely nucleophile. Thus, the Ni(II) derivative employs a mechanism similar to that proposed for the Ga(III)Zn(II) derivative of uteroferrin, but different from that of the native enzyme, which uses a terminal Fe(III)-bound nucleophile to initiate catalysis. Binuclear Fe(III)Ni(II) biomimetics with coordination environments similar to the coordination environment of uteroferrin were generated to provide both experimental benchmarks (structural and spectroscopic) and further insight into the catalytic mechanism of hydrolysis. The data are consistent with a reaction mechanism employing an Fe(III)-bound terminal hydroxide as a nucleophile, similar to that proposed for native uteroferrin and various related isostructural biomimetics. Thus, only in the uteroferrin-catalyzed reaction are the precise details of the catalytic mechanism sensitive to the metal ion composition, illustrating the significance of the dynamic ligand environment in the protein active site for the optimization of the catalytic efficiency.
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH054
Abstract: Rapid increase of service demands in healthcare contexts today requires a robust framework enabled by IT (information technology) solutions as well as real-time service handling in order to ensure superior decision making and successful healthcare outcomes. Contemporaneous with the challenges facing healthcare, we are witnessing the development of very sophisticated intelligent tools and technologies such as Business Analytics techniques. Therefore, it would appear to be prudent to investigate the possibility of applying such tools and technologies into various healthcare contexts to facilitate better risk detection and support superior decision making. The following serves to do this in the context of Total Hip and Knee Arthroplasty and Congenital Heart Disease.
Publisher: IEEE
Date: 2012
Publisher: Springer Science and Business Media LLC
Date: 13-04-2021
DOI: 10.1186/S13054-021-03465-0
Abstract: To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward. The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations. 2186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge. A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors. Trial Registration : ClinicalTrials.gov NCT02010073 .
Publisher: Springer New York
Date: 20-08-2013
Publisher: IGI Global
Date: 04-2013
Abstract: Healthcare systems around the globe are facing a number of challenges. Thus Increasing focus is being placed on constructing appropriate healthcare reforms which are attempting to address how to tackle these challenges. A critical enabler in these reforms is the adoption of an e-health solution. Such e-health solutions are not only expensive and complex endeavours, but also have far reaching implications. Given that the implementation and adoption of these e-health solutions is so important, not to mention also requiring a substantial investment in various resources such as time and money, it is therefore essential to ensure their success. The following proffers a socio-technical analysis as an appropriate strategy to ensure more successful outcomes. An exemplar case study of the Personally Controlled Electronic Health Record (PCEHR), the chosen e-health solution by the Australian government is provided to illustrate the benefits such an analysis might provide
Publisher: BMJ
Date: 07-2023
DOI: 10.1136/BMJOPEN-2022-071492
Abstract: In iduals at an inherited high-risk of developing adult-onset disease, such as breast cancer, are rare in the population. These in iduals require lifelong clinical, psychological and reproductive assistance. After a positive germline test result, clinical genetic services provide support and care coordination. However, ongoing systematic clinical follow-up programmes are uncommon. Digital health solutions offer efficient and sustainable ways to deliver affordable and equitable care. This paper outlines the codesign and development of a digital health platform to facilitate long-term clinical and psychological care, and foster self-efficacy in in iduals with a genetic disease predisposition. We adopt a mixed-methods approach for data gathering and analysis. Data collection is in two phases. In phase 1, 300 in iduals with a high-risk genetic predisposition to adult disease will undertake an online survey to assess their use of digital health applications (apps). In phase 2, we will conduct focus groups with 40 in iduals with a genetic predisposition to cardiac or cancer syndromes, and 30 clinicians from erse specialities involved in their care. These focus groups will inform the platform’s content, functionality and user interface design, as well as identify the barriers and enablers to the adoption and retention of the platform by all endusers. The focus groups will be audiorecorded and transcribed, and thematic and content data analysis will be undertaken by adopting the Unified Theory of Acceptance and Use of Technology. Descriptive statistics will be calculated from the survey data. Phase 3 will identify the core skillsets for a novel digital health coordinator role. Outcomes from phases 1 and 2 will inform development of the digital platform, which will be user-tested and optimised in phase 4. This study was approved by the Peter MacCallum Human Research Ethics Committee (HREC/88892/PMCC). Results will be disseminated in academic forums, peer-reviewed publications and used to optimise clinical care.
Publisher: University of Maribor Press
Date: 2020
DOI: 10.18690/978-961-286-362-3.3
Abstract: To effectively manage patients of different vulnerabilities to falls and pressure injury entails understanding the risk drivers and predicting risk profiles in real-time, thus, we determined the core drivers of patients’ proneness to these risks while developing a machine learning strategy for their real-time prediction in acute care hospital. By implementing a multivariate logistic analysis, the risk drivers and injury risk probabilities were obtained while establishing a comparative machine learning technique for patients’ risk-profiling. We observed Multi sclerosis & motor neuron disease (MSN) and Fall during current admission (FDA) as pronounced risk drivers, and Extra Tree Classifier (ETC) and Random Forest (RF) as the best algorithms with prediction accuracy of 90.6% - 99.8%. With a cost saving of 2.3% - 38.89%, our framework will provide an efficient technique for cost-effective management of inpatients susceptible to falls and pressure injury risks on admission.
Publisher: IGI Global
Date: 2019
DOI: 10.4018/978-1-7998-1371-2.CH014
Abstract: The negative and unbalanced nature of media and social media coverage has lified anxieties and fears about the Ebola outbreak. The authors analyse news articles on the Ebola outbreak from two leading news outlets, together with comments on the articles from a well-known social media platform, from March 2014 to July 2015. The volume of news articles was greatest between August 2014 and January 2015, with a spike in October 2014, and was driven by the few cases of transmission in Europe and the USA. Sentiment analysis reveals coverage and commentary on the small number of Ebola cases in Europe and the USA were much more extensive than coverage and commentary on the outbreak in West Africa. Articles expressing negative sentiments were more common in the USA and also received more comments than those expressing positive sentiments. The negative sentiments expressed in the media and social media lified fears about an Ebola outbreak outside West Africa, which increased pressure for unwarranted and wasteful precautionary measures.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-889-5.CH048
Abstract: Bionanotechnology is a combination of three terms: “bios” meaning “life,” “nano” (origin in Greek) meaning “dwarf,” and “technologia” (origin in Greek—comprised of “techne” meaning “craft,” and “logia” meaning “saying”), which is a broad term dealing with the use and knowledge of humanity’s tools and crafts. Biomolecular Nanotechnology—or Bionanotechnology— is a term coined for the area of study where nanotechnology has applications in the field of biology and medical sciences. One can also say that “Bionanotechnology” is derived by the combination of two terms: “nanotechnology,” and “biotechnology.”
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-889-5.CH168
Abstract: The adoption and diffusion of e-health and the application of IT in healthcare is increasing at a rapid rate. Both European and U.S. governments are making e-health a priority on their agendas. The technical infrastructure required to support initiatives such as community healthcare integrated networks (CHINs) and telemedicine efforts is often dependent upon connecting different types of computer networks, each running on different types of technologies so as to present to the user the image of a single virtual electronic health highway. It is generally agreed that current software development technology cannot deliver this due to limitations of restricted scalability, fragmented management, and inflexibility in providing business support. One of the potential solutions may be the use of Object Oriented (OO) technology. This article explores the feasibility of combining OO technologies with healthcare based workflow management systems (WFMS). We introduce the concept of workflow technologies and discuss the main advantages and limitations of WFMS. We detail the circumstances in which the use of WFMS could be considered and the technological factors necessary for its successful implementation.
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-7998-1371-2.CH017
Abstract: Cancer is among the top three chronic diseases both in developed countries as well as underdeveloped countries. The diagnosis, medication, and treatment for cancer is extremely costly. Typically, cancer treatment involves surgery, radiotherapy, and chemotherapy. Owing to the extremely high price of medicine and treatment along with cytotoxicity of medication, cancer treatment warrants extraordinary care in treating cancer patients. Oncology information systems (OIS) provide an all-in-one solution for such problems. The OIS can integrate different treatment protocols and update change in dose and treatment in real time.
Publisher: JMIR Publications Inc.
Date: 10-03-2018
Abstract: he World Health Organization notes that diabetes, a chronic disease, is a silent epidemic, and by 2020 there will be a 54% rise in the total number of in iduals diagnosed with this disease. These are alarming figures that have significant repercussions for the quality of life of in iduals and their families as well as for the financial stress of health care systems globally. Early detection and proactive management of diabetes is essential. The Diamond solution provides diabetes self-management by enabling patients to send details about their blood sugar readings at specific times to their nominated care coordinator to receive recommendations for diet and exercise and insulin titration. he aim of the study was to assess the usability, acceptability, and fidelity of the Diamond diabetes monitoring device for patients with gestational diabetes mellitus (GDM). Specifically assessed were (1) patient compliance, (2) patient satisfaction, (3) level of glycemic control achieved, and (4) health professional satisfaction. sing a design science research perspective, the Diamond diabetes monitoring device solution was adapted to the Australian health care environment. Once the solution was deemed fit for purpose by the director of the OB/GYN clinical institute and on securing all relevant ethics approvals, a 2-period 2-arm nonblinded crossover clinical trial was conducted for 8 weeks total time with crossover at 4 weeks to establish proof of concept, usability, and fidelity. The patient perspective was assessed by using structured questionnaires at 4 specific stages of the project, while the clinician perspective was captured via semistructured interviews and unstructured questionnaires. he 10 patients studied reported preferring standard care with the technology solution to standard care alone. Further, all clinicians involved concurred that the technology solution greatly assisted their ability to provide higher value patient-centered care. They also noted that it was extremely helpful for assisting in systematically monitoring glucose levels and any/all changes and trends. ased on these initial findings, we offer a holistic pervasive approach to enable the achievement of value-based, patient-centered care in chronic disease management. Key lessons include the importance when designing such solutions to focus on the two primary user groups (patients and clinicians).
Publisher: Inderscience Publishers
Date: 2019
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH028
Abstract: Healthcare delivery continues to be challenged in all OECD countries. To address these challenges, most are turning their attention to e-health as the panacea. Indeed, it is true that in today's global and networked world, e-health should be the answer for ensuring pertinent information, relevant data, and germane knowledge anywhere anytime so that clinicians can deliver superior healthcare. Sadly, healthcare has yet to realize the full potential of e-health, which is in stark contrast to other e-business initiatives such as e-government and e-education, e-finance, or e-commerce. This chapter asserts that it is only by embracing a rich theoretical lens of analysis that the full potential of e-health can be harnessed, and thus, it proffers Actor-Network Theory (ANT) as such a lens.
Publisher: JMIR Publications Inc.
Date: 30-11-2017
Abstract: he use of communication apps on mobile phones offers an efficient, unobtrusive, and portable mode of communication for medical staff. The potential enhancements in patient care and education appear significant, with clinical details able to be shared quickly within multidisciplinary teams, supporting rapid integration of disparate information, and more efficient patient care. However, sharing patient data in this way also raises legal and ethical issues. No data is currently available demonstrating how widespread the use of these apps are, doctor’s attitudes towards them, or what guides clinician choice of app. he objective of this study was to quantify and qualify the use of communication apps among medical staff in clinical situations, their role in patient care, and knowledge and attitudes towards safety, key benefits, potential disadvantages, and policy implications. edical staff in hospitals across Victoria (Australia) were invited to participate in an anonymous 33-question survey. The survey collected data on respondent’s demographics, their use of communication apps in clinical settings, attitudes towards communication apps, perceptions of data “safety,” and why one communication app was chosen over others. ommunication apps in Victorian hospitals are in widespread use from students to consultants, with WhatsApp being the primary app used. The median number of messages shared per day was 12, encompassing a range of patient information. All respondents viewed these apps positively in quickly communicating patient information in a clinical setting however, all had concerns about the privacy implications arising from sharing patient information in this way. In total, 67% (60/90) considered patient data “moderately safe” on these apps, and 50% (46/90) were concerned the use of these apps was inconsistent with current legislation and policy. Apps were more likely to be used if they were fast, easy to use, had an easy login process, and were already in widespread use. ommunication app use by medical personnel in Victorian hospitals is pervasive. These apps contribute to enhanced communication between medical staff, but their use raises compliance issues, most notably with Australian privacy legislation. Development of privacy-compliant apps such as MedX needs to prioritize a user-friendly interface and market the product as a privacy-compliant comparator to apps previously adapted to health care settings.
Publisher: American Chemical Society (ACS)
Date: 30-01-2012
DOI: 10.1021/IC201711P
Abstract: A mixed-valence complex, [Fe(III)Fe(II)L1(μ-OAc)(2)]BF(4)·H(2)O, where the ligand H(2)L1 = 2-{[[3-[((bis(pyridin-2-ylmethyl)amino)methyl)-2-hydroxy-5-methylbenzyl](pyridin-2-ylmethyl)amino]methyl]phenol}, has been studied with a range of techniques, and, where possible, its properties have been compared to those of the corresponding enzyme system purple acid phosphatase. The Fe(III)Fe(II) and Fe(III)(2) oxidized species were studied spectroelectrochemically. The temperature-dependent population of the S = 3/2 spin states of the heterovalent system, observed using magnetic circular dichroism, confirmed that the dinuclear center is weakly antiferromagnetically coupled (H = -2JS(1)·S(2), where J = -5.6 cm(-1)) in a frozen solution. The ligand-to-metal charge-transfer transitions are correlated with density functional theory calculations. The Fe(III)Fe(II) complex is electron paramagnetic resonance (EPR)-silent, except at very low temperatures (<2 K), because of the broadening caused by the exchange coupling and zero-field-splitting parameters being of comparable magnitude and rapid spin-lattice relaxation. However, a phosphate-bound Fe(III)(2) complex showed an EPR spectrum due to population of the S(tot) = 3 state (J= -3.5 cm(-1)). The phosphatase activity of the Fe(III)Fe(II) complex in hydrolysis of bis(2,4-dinitrophenyl)phosphate (k(cat.) = 1.88 × 10(-3) s(-1) K(m) = 4.63 × 10(-3) mol L(-1)) is similar to that of other bimetallic heterovalent complexes with the same ligand. Analysis of the kinetic data supports a mechanism where the initiating nucleophile in the phosphatase reaction is a hydroxide, terminally bound to Fe(III). It is interesting to note that aqueous solutions of [Fe(III)Fe(II)L1(μ-OAc)(2)](+) are also capable of protein cleavage, at mild temperature and pH conditions, thus further expanding the scope of this complex's catalytic promiscuity.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-60566-050-9.CH179
Abstract: The ongoing tension between certainty over uncertainty is the main force that is driving the evidence-based medicine movement. The central philosophy of this practice lies in the idea that one can never take for granted one’s own practice, but by using a structured, problem-based approach, practitioners can logically manoeuvre their way through the obstacle course of clinical decisionmaking. Attending postgraduate educational events and reading various science journals are no longer sufficient to keep healthcare practitioners aware of all the new developments in practice. To gain this knowledge they need to accept that there are questions they have to ask about their practice. Having posed a number of questions, answers should be found to the most important, practitioners should appraise the quality of the resulting evidence and, if appropriate, practitioners should implement change in response to that new knowledge.
Publisher: IGI Global
Date: 07-2013
DOI: 10.4018/JANTTI.2013070105
Abstract: Globally in healthcare, the focus is on designing and implementing national e-health solutions in an attempt to address key challenges that are plaguing healthcare delivery. However, despite the initial euphoria and notwithstanding the significant investments made, to date, many of these e-health solutions have yet to prove their success or have been complete failures. This paper presents the findings from an exploratory study that examined e-health initiatives in five countries Australia, China, Germany, UK and US to understand why these e-health solutions have not as yet delivered the promised results. The paper proffers Actor-Network Theory (ANT) as an appropriately rich theoretical lens that can be used to assist in the understanding of key issues for successful e-health solutions.
Publisher: JMIR Publications Inc.
Date: 13-05-2023
Abstract: dverse drug reactions (ADRs) are unintended and harmful events associated with medication use. Despite their significance in post-marketing surveillance, quality improvement, and drug safety research, ADRs are vastly underreported. Enhanced digital-based communication of ADR information to regulators and among care providers could significantly improve patient safety. his article presents a usability evaluation of the commercially available GuildCare Adverse Event Recording System, a web-based ADR reporting system widely used by community pharmacists (CPs) in Australia. structured interview protocol was developed, encompassing virtual observation, think-aloud moderating techniques, and retrospective questioning to gauge the overall user experience, complemented by the System Usability Scale (SUS) assessment. Thematic analysis was employed to analyse field notes from the interviews. total of 7 CPs participated in the study, who perceived the system to have above-average usability (SUS 68.57). Nonetheless, the structured approach to usability testing unveiled specific functional and user interpretation issues, such as unnecessary information, lack of system clarity, and redundant data fields—critical insights not captured by the SUS results. Design elements like drop-down menus, free-text entry, checkboxes, and pre-filled/auto-populated data fields were perceived useful for enhancing system navigation and facilitating ADR reporting. he user-centric design of technology solutions, like the one discussed herein, is crucial to meeting CPs' information needs and ensuring effective ADR reporting. Developers should adopt a structured approach to usability testing during the developmental phase to address identified issues comprehensively. Such a methodological approach may promote the adoption of ADR reporting systems by CPs and ultimately enhance patient safety. >
Publisher: Univresity of Maribor Press
Date: 2020
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH022
Abstract: Employing collaborative systems in healthcare contexts is an important approach towards designing and developing intelligent computer solutions. The objective of this study is to develop a real-time collaborative system using the Intelligent Risk Detection Model (IRD) to improve decision efficiency for the care of patients undergoing hip and knee arthroplasty (THA, TKA). Expected benefits include increasing awareness, supporting communication, improving decision making processes and also improving information sharing between surgeons, patients, families and consultants as key collaborative parties. The research question under investigation is: How can key information technologies be designed, developed and adopted to support clinical decision making in the context of THA and TKA? This research in progress has identified the value and benefit of developing a systematic and technology supported tool to facilitate the identification of various risks associated with THA and TKA.
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH025
Abstract: This chapter focuses on two specific e-health solutions, the PCEHR in Australia and the German EHC. National e-health solutions are being developed by most if not all OECD countries, but few studies compare and contrast these solutions to uncover the true benefits and critical success criteria. The chapter provides an assessment of these two solutions, the possibility for any lessons learnt with regard to designing and implementing successful and appropriate e-health solutions, as well as understanding the major barriers and facilitators that must be addressed. Finally, ANT is used to provide a rich lens to investigate the key issues in these respective e-health solutions.
Publisher: Inderscience Publishers
Date: 2006
Publisher: Inderscience Publishers
Date: 2004
Publisher: Wiley
Date: 21-04-2008
Publisher: IGI Global
Date: 31-07-2014
Publisher: Springer Science and Business Media LLC
Date: 09-05-2015
Publisher: IGI Global
Date: 2020
DOI: 10.4018/978-1-7998-1371-2.CH024
Abstract: Diabetes type 2 is a chronic condition that currently has no cure. Hence, proper management is key as the best approach to ensure the wellness of sufferers. To establish the attitudes of self-care patients towards the management of this ailment, the authors designed a study that targeted 100 Australian residents in the first phase. These participants provided quantitative and qualitative information about various diabetes type 2 management practices that include exercising and diet management and the co-morbidities they currently suffer.
Publisher: Springer Science and Business Media LLC
Date: 04-2006
Publisher: Elsevier BV
Date: 2006
Publisher: Routledge
Date: 19-11-2015
Publisher: IGI Global
Publisher: IGI Global
Date: 2018
DOI: 10.4018/978-1-5225-6198-9.CH015
Abstract: Pagers and phone conversations have been the stalwarts of hospital communication. With good reason - they are simple, reliable and relatively inexpensive. However, with the increasing complexity of patient care, the need for greater speed and the general inexorable progress of health technology, hospital communication systems appear to be increasingly inefficient, non-secure, and inadequate. Thus, this study is proposed to answer the key research question: How can ICT (information communication technology) solutions ameliorate the current challenges regarding communication inefficiencies within healthcare? To answer this question, the study will design and develop a bespoke ICT solution for a specific context using three strong theories communication theory, activity theory and agency theory to make a robust body of knowledge for the proposed solution. Further, it will serve to establish proof of concept, usability and feasibility of the proffered solution. The study participants will be selected from medical and nursing staff.
Publisher: SAGE Publications
Date: 2023
Publisher: Springer Science and Business Media LLC
Date: 03-01-2013
Publisher: IGI Global
Date: 2010
DOI: 10.4018/978-1-60566-701-0.CH011
Abstract: The proliferation of ICT (information communication technologies) throughout the business environment has lead to exponentially increasing amounts of data and information generation. Although these technologies were implemented to enhance and facilitate superior decision making, the result is information chaos and information overload the productivity paradox (O’Brien, 2005 Laudon & Laudon, 2004 Jessup & Valacich, 2005 Haag et al. 2004). Knowledge management (KM) is a modern management technique designed to make sense of this information chaos by applying strategies, structures and techniques to apparently unrelated and seemingly irrelevant data elements and information in order to extract germane knowledge to aid superior decision making. Critical to knowledge management is the application of ICT. However it is the configuration of these technologies that is important to support the techniques of knowledge management. This chapter discusses how the process oriented knowledge generation framework of Boyd and the use of sophisticated ICT can enable the design of a networkcentric healthcare perspective that enables effective and efficient healthcare operations.
Publisher: Springer International Publishing
Date: 2016
Publisher: Inderscience Publishers
Date: 2012
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH031
Abstract: The WHO has labelled diabetes the silent epidemic. This is because the instances of diabetes worldwide continue to grow exponentially. In fact, by 2030 it is expected that there will be a 54% global increase. Thus, it behooves all to focus on solutions that can result in superior management of this disease. Hence, this chapter presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution, a mobile phone to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT), and thus, the chapter underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.
Publisher: Springer Science and Business Media LLC
Date: 23-11-2022
DOI: 10.1007/S10916-022-01879-Z
Abstract: Unfortunately, many of the diabetes mobile apps have operational and design flaws that are debarring users from maximizing from the self-management paradigm. We, therefore, aim to identify the markers of operational and design flaws of diabetes mobile apps to facilitate a better user-centred design. e crowdsourced negative user review comments (rating score: 1-3) of 47 diabetes mobile apps from the google play store. A total of 781 negative user comments (rating score 1-3) from the apps are coded to identify and categorize the themes relating to the operational and design flaws. The operational and design flaws account for 50.32% of the challenges faced by the unhappy diabetes mobile apps users. Among them, 44.73% have issues with app crashing, 17.3% are concerned about device compatibility that inhibits seamless operations, 9.67% are worried about the problem of data uploading. Poor design is a worry to 19.29% of the users who complain of the crowded user interface, poor data management, poor analytics, difficulty scheduling doctors' appointments, and transferring data. More patients with diabetes can be encouraged to continue using diabetes mobile apps for self-management of diabetes through improved design and a pace-wise software advancement to match the ever-growing enhancements in android operating systems and telecommunication devices. This will help to counter most of the challenges identified in this study.
Publisher: Springer International Publishing
Date: 2016
Publisher: Springer International Publishing
Date: 2016
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-889-5.CH044
Abstract: Bionanotechnology is a combination of three terms: “bios” meaning “life,” “nano” (origin in Greek) meaning “dwarf,” and “technologia” (origin in Greek—comprised of “techne” meaning “craft” and “logia” meaning “saying”), which is a broad term dealing with the use and knowledge of humanity’s tools and crafts. Bionanotechnology is a term coined for the area of study where nanotechnology has applications in the field of biology and medical sciences. Healthcare is defined by the Oxford Dictionary as the “care for the general health of a person, community, etc., especially that is provided by an organized health service.” Moreover, Healthcare can also be defined as the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical, nursing, and allied health professions1.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-889-5.CH045
Abstract: Medical science has made revolutionary changes in the past decades. Contemporaneously however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare deliver and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies (or the value propostion) namely, 1. access - caring for anyone, anytime, anywhere 2. quality – offering world class care and establishing integrated information repositories and 3. value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact on the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare namely, m-health appears to offer a way for healthcare delivery to revolutionize itself. However, little if anything has been written regarding how to achieve excellence in m-health. This chapter serves to address this major void by presenting an integrative framework for achieving m-health, developed through the analysis of longitudinal applied research conducted by INET in conjunction with academe. After presenting this framework and discussing its key inputs we then illustrate how the mapping of case data to the model enable the attainment of a successful m-health application to ensue and the benefits of adopting such a methodology.
Publisher: IGI Global
Date: 2008
DOI: 10.4018/978-1-59904-889-5.CH043
Abstract: The cost of health care is increasing exponentially worldwide. The adoption and diffusion of e-health and the application of Internet and Communication Technology (ICT) in health care is growing at a rapid rate in an attempt to find cost-effective methods of providing quality health care. Both European and US governments are making e-health a priority on their agendas. However, few, if any, discuss the critical issues of the sustainability and feasibility of e-health models. We attempt to fill this critical void by presenting a macro framework that identifies the key components of a generic e-health system and identifying factors playing a role in the assessment of e-health sustainability.
Publisher: Elsevier BV
Date: 06-2021
Publisher: Inderscience Publishers
Date: 2007
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: IEEE
Date: 2011
Publisher: IGI Global
Date: 2019
DOI: 10.4018/978-1-7998-1204-3.CH001
Abstract: In healthcare, collaborative systems serve very different stakeholders: researchers, clinicians, nurses, patients, and administrators for instance. In order to design a collaborative healthcare information system that satisfies the stakeholders' needs, all in idual requirements have to be mapped into the software. Traditional system design focuses at technical features and oftentimes ignores social requirements like human factors or organizational structures. Instead of integrating existing processes and working habits into a system, a technical-focused design approach tries to force new behaviors. As a result, stakeholders could refuse to use collaborative healthcare information systems. In line with Kuutti (1991), we recommend activity theory as a rich framework to study and design collaborative information systems. We believe that activity theory analysis is particularly useful for healthcare settings where erse stakeholders pursue very different goals. This book chapter offers a structured approach to analyze collaborative activities and to design the IT-support accordingly.
Publisher: Inderscience Publishers
Date: 2021
Publisher: Institute of Electrical and Electronics Engineers (IEEE)
Date: 09-2021
Publisher: Springer International Publishing
Date: 28-11-2020
Publisher: Inderscience Publishers
Date: 2006
Publisher: IEEE
Date: 2013
Publisher: Springer Science and Business Media LLC
Date: 03-2013
Publisher: Inderscience Publishers
Date: 2005
Publisher: Inderscience Publishers
Date: 2006
Publisher: Oxford University Press (OUP)
Date: 11-07-2022
DOI: 10.1093/JAMIAOPEN/OOAC072
Abstract: In this perspective paper, we want to highlight the potential benefits of incorporating digital twins to support better dementia care. In particular, we assert that, by doing so, it is possible to ensure greater precision regarding dementia care while simultaneously enhancing personalization. Digital twins have been used successfully in manufacturing to enable better prediction and tailoring of solutions to meet required needs, and thereby have enabled more effective and efficient deployment of resources. We develop a model for digital twin in the healthcare domain as a clinical decision support tool by extrapolating its current uses from the manufacturing domain. We illustrate the power of the developed model in the context of dementia. Given the rapid rise of chronic conditions and the pressures on healthcare delivery to provide high quality, cost-effective care anywhere and anytime, we assert that such an approach is consistent with a value-based healthcare philosophy and thus important as the numbers of people with dementia continues to grow exponentially and this pressing healthcare issue is yet to be optimally addressed. Further research and development in this rapidly evolving domain is a strategic priority for ensuring the delivery of superior dementia care.
Publisher: Inderscience Publishers
Date: 2009
Publisher: Wiley
Date: 25-11-2020
DOI: 10.1002/CAM4.2718
Publisher: JMIR Publications Inc.
Date: 03-11-2021
Abstract: natomy has been the cornerstone of medical education for centuries. However, given the advances in the Internet of Things, this landscape has been augmented in the past decade, shifting toward a greater focus on adopting digital technologies. Digital anatomy is emerging as a new discipline that represents an opportunity to embrace advances in digital health technologies and apply them to the domain of modern medical sciences. Notably, the use of augmented or mixed and virtual reality as well as mobile and platforms and 3D printing in modern anatomy has dramatically increased in the last 5 years. his review aims to outline the emerging area of digital anatomy and summarize opportunities and challenges for incorporating digital anatomy in medical science education and practices. iterature searches were performed using the PubMed, Embase, and MEDLINE bibliographic databases for research articles published between January 2005 and June 2021 (inclusive). Out of the 4650 articles, 651 (14%) were advanced to full-text screening and 77 (1.7%) were eligible for inclusion in the narrative review. We performed a Strength, Weakness, Opportunity, and Threat (SWOT) analysis to evaluate the role that digital anatomy plays in both the learning and teaching of medicine and health sciences as well as its practice. igital anatomy has not only revolutionized undergraduate anatomy education via 3D reconstruction of the human body but is shifting the paradigm of pre- and vocational training for medical professionals via digital simulation, advancing health care. Importantly, it was noted that digital anatomy not only benefits in situ real time clinical practice but also has many advantages for learning and teaching clinicians at multiple levels. Using the SWOT analysis, we described strengths and opportunities that together serve to underscore the benefits of embracing digital anatomy, in particular the areas for collaboration and medical advances. The SWOT analysis also identified a few weaknesses associated with digital anatomy, which are primarily related to the fact that the current reach and range of applications for digital anatomy are very limited owing to its nascent nature. Furthermore, threats are limited to technical aspects such as hardware and software issues. his review highlights the advances in digital health and Health 4.0 in key areas of digital anatomy analytics. The continuous evolution of digital technologies will increase their ability to reinforce anatomy knowledge and advance clinical practice. However, digital anatomy education should not be viewed as a simple technical conversion and needs an explicit pedagogical framework. This review will be a valuable asset for educators and researchers to incorporate digital anatomy into the learning and teaching of medical sciences and their practice.
Publisher: BMJ
Date: 09-2016
Publisher: Inderscience Publishers
Date: 2006
Publisher: Inderscience Publishers
Date: 2012
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH017
Abstract: In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.
Publisher: Association for Computing Machinery (ACM)
Date: 20-08-2012
Abstract: Pressured by escalating costs, continual demand for high quality, and the speed of technological advances, the need for change and improvisation has become a critical priority for the healthcare industry. Now society demands that healthcare providers offer better patient care through the careful use of information technologies. For that, practitioners are urged to expand the boundaries of innovative IS design strategies. Unfortunately, research on healthcare information systems (HIS) improvisation remains relatively underdeveloped. Thus, this study uses the organizational improvisation and bricolage theoretical lenses, from the perspective of a case study, to examine how strategic improvisation might give rise to fruitful HIS novel design performances. Theoretically, we provide an inductively derived strategic conceptual model of improvisation that couples with network, structure, and institutional bricolage to execute a 'resource-time-effort' model. This enables us to improvise a superior HIS that offers quality patient-centric healthcare delivery and a valuable improvisation model. Professionally, this study contributes three key insights for IS improvisation in the healthcare industry.
Publisher: IEEE
Date: 2014
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3926-1.CH010
Abstract: Numerous mobile technology solutions are being developed and implemented today to address a myriad of healthcare problems. However, it remains unclear what the true cost/benefit of these solutions is and who benefits from them. To investigate this we apply a transaction cost economics framework to a pervasive mobile solution that has been designed and developed to enhance diabetes self-care. Diabetes is one of the leading chronic diseases and its prevalence continues to rise. The solution examined in this paper relies on pervasive wireless technology and is designed to facilitate the effective management of diabetes in the context of gestational diabetes, a conditions that affects up to 8% of pregnant women. A transactions cost assessment of this solution is provided.
Publisher: Elsevier BV
Date: 08-2002
Publisher: Wiley
Date: 15-02-2014
DOI: 10.1111/ANS.12534
Abstract: Obtaining informed consent from patients considering bunion surgery can be challenging. This study assessed the efficacy of a multimedia technology as an adjunct to the informed consent process. A prospective, cohort study was conducted involving 55 patients (7 males, 48 females) who underwent a standardized verbal discussion regarding bunion correction surgery followed by completion of a knowledge questionnaire. A multimedia educational program was then administered and the knowledge questionnaire repeated. Additional supplementary questions were then given regarding satisfaction with the multimedia program. Patients answered 74% questions correctly before the multimedia module compared with 94% after it (P < 0.0001). Patients rated the ease of understanding and the amount of information provided by the module highly. Eighty-four percent of patients considered that the multimedia tool performed as well as the treating surgeon. Multimedia technology is useful in enhancing patient knowledge regarding bunion surgery for the purposes of obtaining informed consent.
Publisher: American Institute of Mathematical Sciences (AIMS)
Date: 2017
DOI: 10.3934/JIMO.2016045
Publisher: IEEE
Date: 2014
Publisher: Springer International Publishing
Date: 28-11-2020
Start Date: 10-2022
End Date: 10-2025
Amount: $435,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 03-2018
End Date: 10-2023
Amount: $2,962,655.00
Funder: Australian Research Council
View Funded Activity