Dissertations / Theses on the topic 'E-health'
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Quynh, L. "Evaluation of E-Health." Thesis, Honours thesis, University of Tasmania, 2007. https://eprints.utas.edu.au/1414/1/evaluation-ehealth.pdf.
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The aims of this paper are to: 1)-Introduce current evaluation framework; 2)- Explore methods/tools used in E-Health evaluation; 3)- Identify research methods/tools used in E-Health evaluation; and 4)- Develop an evaluation plan for a systemic E-Health initiative.
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Jung, Marie-Louise. "From health to e-health : understanding citizens' acceptance of online health care /." Luleå, 2008. http://epubl.luth.se/1402-1544/2008/68.
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Iluyemi, Adesina. "National e-health innovation : conduct of international e-health technology transfers in Africa." Thesis, University of Portsmouth, 2012. https://researchportal.port.ac.uk/portal/en/theses/national-ehealth-innovation(fba79bf3-ec85-429a-bc65-76bbfd3a3c00).html.
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The sociology and economics of the conduct of international e-health technology transfers (IeTTs) is examined. Most African countries are perennial recipients with variations in their domestic e-health utilisation, development and implementation. We identify, explore, and demonstrate how complex and interlinked global, continental, national and subnational actions and institutions condition their national e-health implementations. Multidisciplinary literatures are from national e-health implementations, national innovation system (NIS) interactive learning, international technology transfers, global development and globalisation. Methodically, a unique combination of middle-range and moderate Science and Technology Studies constructivism, NIS institutionalism and Deleuzian poststructuralist narrative is employed. The conduct of IeTTs is characterised by technological path dependency, history, complexity, power, politics, multiple identities, self-interests and contestations in complex global and transnational interactions. Recipients‘ exercises of National Agency mirror their varied domestic technology acquisition dynamics and trajectories. Successful transfers are institutionally conditioned by interactions of global geopolitics, fragmented continental governance and national reticence. Agential asymmetry that results, accounts for why most recipients are variably struggling in their technology acquisitions. The exercise of National Agency is paramount. National economic size and maturity of extant national innovation capacity can determine if a recipient can acquire domestic e-health innovation and industrial competences. Actions taken by National governments, can strategically determine if technologies are accumulated and technical knowledge assimilated, for addressing the challenges of technology inappropriateness, incompatibilities and obsolescence encountered during subnational utilisations. We contend that implementing a national e-health infrastructure is a long-term and large-scale institutional engineering endeavour. Cumulative advantage explains difference between Schumpeter and Schumacher on e-health technology design and production. A Schumpeterian domestic industrial model of hi-tech e-health technology development, rather than a cosmopolitan Schumacher consumerist one, is proposed. Whilst, appreciating that Schumacher on incremental accumulation and assimilation from small-scale technological implementations can be instrumental. Uniquely, we identify that global geopolitical contention between global west and east economies and competitive global markets and global technoeconomic changes can either condition scale and depth of domestic acquisition. Nevertheless, these conditions and events have historically and contemporaneously shaped global e-health innovations. In a Schumpeterian evolutionary sense, Satcom technologies that powered e-health services in the past are now being substituted by mobile ones. This technological transition is bringing about a convergence of consumer electronics (i.e. Smartphones) and lifesciences industries, driven by a combinatorial biomedical, telecommunication and computing e-health innovations. With these findings, an innovation-based macro-societal perspective is proposed for studying e-health implementation, as opposed to the prevalent information based microbehavioural studies. Further contributions to academia and policy are made to ICT4D, Global Health and m-health practices. Policy recommendations are made to national, continental and global institutions on how to foster national technology acquisitions. Recipients are encouraged to learn from incremental domestic e-health implementations in global technology frontiers. Their share in intellectual property rights accruing from global-subnational e-health coinnovations must be repatriated. We conclude by proposing a global collaboration framework to guide and to foster cooperation amongst those involved in the conduct of IeTTs. Symmetry – an alignment of vertical hierarchical and diffuse horizontal complex sociotechnical interactions, though, not as the implied flat, circumscribed and cyclical dynamics of actor network theory, is proposed. So, an alignment of the constitutive diverse and competing interests and identities, is deemed strategic, to foster domestic accumulations and assimilations.
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Lagioia, Francesca <1985>. "Responsabilità penale e automazione nell'E-Health." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2016. http://amsdottorato.unibo.it/7697/1/Lagioia_Francesca_tesi.pdf.
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Questo lavoro di ricerca indaga i problemi relativi alla responsabilità penale legata all’uso di sistemi di automazione e d'intelligenza artificiale nel settore dell’e-health.
Tale indagine è stata svolta inquadrando il sistema sanitario all’interno di una visione socio-tecnica, con particolare attenzione all’interazione tra uomo e macchina, al livello di automazione dei sistemi e al concetto di errore e gestione del rischio.
Sono state approfondite alcune specifiche aree di interesse quali: la responsabilità penale per danno da dispositivi medici difettosi; la responsabilità medica, connessa all’uso di sistemi a elevata automazione e legata a difetti del sistema; e, in particolare, la responsabilità penale legata all’uso di sistemi d’intelligenza artificiale e i modelli elaborati dalla dottrina per regolare tale fenomeno. Sono stati esaminati: il modello zoologico, il modello dell’agente mediato, il modello della conseguenza naturale e probabile e il modello della responsabilità diretta. Si esamina la possibilità che un agente autonomo intelligente sia in grado di soddisfare i requisiti dell’actus reus e della mens rea, quali condizioni necessarie all’attribuzione di responsabilità penale, qualora un AI ponga in essere una condotta astrattamente riconducibile a una fattispecie criminosa.
I profili di responsabilità sono analizzati sulla base di casi e scenari e infine si cerca di evidenziare possibili soluzioni e rimedi, anche alla luce della teoria degli agenti normativi.This research thesis investigates all the issues related to the criminal liability that arise when highly automated and/or artificial intelligence systems are used in e-Health. This investigation has been conducted looking at the health system with a socio-technical point of view, paying specific attention to the human-machine interaction, the specific level of automation involved, and finally to concepts of error and risk management. Some topics over the others have been deeply examined, e.g. product liability for defective medical devices; medical liability in case of highly automated systems with defects; criminal liability in presence of artificial intelligence systems, along with the doctrine models developed to cope with these issues. The following models have been analysed: the zoological model, the perpetration through another model, the natural and probable consequences model, and finally the direct liability model. The existence of the criminal requirements, actus reus and mens rea, as mandatory elements to identify the criminal liability, has also been investigated. All the liability profiles have been analysed using real world case and scenarios. Eventually, some solution and remedies have been proposed as a conclusion, using also the theory elements of normative agents.
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Lagioia, Francesca <1985>. "Responsabilità penale e automazione nell'E-Health." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2016. http://amsdottorato.unibo.it/7697/.
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Questo lavoro di ricerca indaga i problemi relativi alla responsabilità penale legata all’uso di sistemi di automazione e d'intelligenza artificiale nel settore dell’e-health.
Tale indagine è stata svolta inquadrando il sistema sanitario all’interno di una visione socio-tecnica, con particolare attenzione all’interazione tra uomo e macchina, al livello di automazione dei sistemi e al concetto di errore e gestione del rischio.
Sono state approfondite alcune specifiche aree di interesse quali: la responsabilità penale per danno da dispositivi medici difettosi; la responsabilità medica, connessa all’uso di sistemi a elevata automazione e legata a difetti del sistema; e, in particolare, la responsabilità penale legata all’uso di sistemi d’intelligenza artificiale e i modelli elaborati dalla dottrina per regolare tale fenomeno. Sono stati esaminati: il modello zoologico, il modello dell’agente mediato, il modello della conseguenza naturale e probabile e il modello della responsabilità diretta. Si esamina la possibilità che un agente autonomo intelligente sia in grado di soddisfare i requisiti dell’actus reus e della mens rea, quali condizioni necessarie all’attribuzione di responsabilità penale, qualora un AI ponga in essere una condotta astrattamente riconducibile a una fattispecie criminosa.
I profili di responsabilità sono analizzati sulla base di casi e scenari e infine si cerca di evidenziare possibili soluzioni e rimedi, anche alla luce della teoria degli agenti normativi.This research thesis investigates all the issues related to the criminal liability that arise when highly automated and/or artificial intelligence systems are used in e-Health. This investigation has been conducted looking at the health system with a socio-technical point of view, paying specific attention to the human-machine interaction, the specific level of automation involved, and finally to concepts of error and risk management. Some topics over the others have been deeply examined, e.g. product liability for defective medical devices; medical liability in case of highly automated systems with defects; criminal liability in presence of artificial intelligence systems, along with the doctrine models developed to cope with these issues. The following models have been analysed: the zoological model, the perpetration through another model, the natural and probable consequences model, and finally the direct liability model. The existence of the criminal requirements, actus reus and mens rea, as mandatory elements to identify the criminal liability, has also been investigated. All the liability profiles have been analysed using real world case and scenarios. Eventually, some solution and remedies have been proposed as a conclusion, using also the theory elements of normative agents.
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Gremu, Chikumbutso David. "Building an E-health system for health awareness campaigns in poor areas." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017930.
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Appropriate e-services as well as revenue generation capabilities are key to the deployment and the sustainability for ICT installations in poor areas, particularly common in developing country. The area of e-Health is a promising area for e-services that are both important to the population in those areas and potentially of direct interest to National Health Organizations, which already spend money for Health campaigns there. This thesis focuses on the design, implementation, and full functional testing of HealthAware, an application that allows health organization to set up targeted awareness campaigns for poor areas. Requirements for such application are very specific, starting from the fact that the preparation of the campaign and its execution/consumption happen in two different environments from a technological and social point of view. Part of the research work done for this thesis was to make the above requirements explicit and then use them in the design. This phase of the research was facilitated by the fact that the thesis' work was executed within the context of the Siyakhula Living Lab (SLL; www.siyakhulaLL.org), which has accumulated multi-year experience of ICT deployment in such areas. As a result of the found requirements, HealthAware comprises two components, which are web-based, Java applications that run in a peer-to-peer fashion. The first component, the Dashboard, is used to create, manage, and publish information for conducting awareness campaigns or surveys. The second component, HealthMessenger, facilitates users' access to the campaigns or surveys that were created using the Dashboard. The HealthMessenger was designed to be hosted on TeleWeaver while the Dashboard is hosted independently of TeleWeaver and simply communicates with the HealthMessenger through webservices. TeleWeaver is an application integration platform developed within the SLL to host software applications for poor areas. Using a core service of TeleWeaver, the profile service, where all the users' defining elements are contained, campaigns and surveys can be easily and effectively targeted, for example to match specific demographics or geographic locations. Revenue generation is attained via the logging of the interactions of the target users in the communities with the applications in TeleWeaver, from which billing data is generated according to the specific contractual agreements with the National Health Organization. From a general point of view, HealthAware contributes to the concrete realizations of a bidirectional access channel between Health Organizations and users in poor communities, which not only allows the communication of appropriate content in both directions, but get 'monetized' and in so doing becomes a revenue generator.
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Ding, Yan Zhe. "E-health literacy in Mainland China :validation of the E-health Literacy Scale (eHEALS) in simplified Chinese." Thesis, University of Macau, 2017. http://umaclib3.umac.mo/record=b3690768.
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Phillips, Elena [Verfasser]. "E-mental health – using digital technologies to advance mental health care / Elena Phillips." Hamburg : Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky, 2021. http://d-nb.info/1235243931/34.
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Orizio, G. "PUBLIC E-HEALTH: THE IMPACT OF THE INTERNET ON THE WORLD OF HEALTH." Doctoral thesis, Università degli Studi di Milano, 2011. http://hdl.handle.net/2434/155938.
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The interconnectivity determined by the World Wide Web is a motor of change that has affected the very essence of modern society, and this sociological change is ultimately influencing the health sector. In this perspective, it is important to assess how the Internet has affected the health world thus far. Subsequently, we can try to identify the criticalities and the potential of these changes, and how this process could develop.
The aim of this research thesis was to establish how the Internet has changed and is likely to change health, taking into account the public health implications. In order to do this, we systematized the many strands of research concerning the effects of the Internet on public health, analyzing the issue from the perspective of the three actors identified: citizens, health professionals and health organizations.
The evidence we found during this research shows that public health has already become “public e-health”: huge changes have occurred in the way people deal with their health and with health professionals and organizations. This is why we will have to change the policies that guide us in disciplines such as health and medicine as technology becomes part of our lives. In conclusion, it seems sensible to promote a new role for public health in the era of the Internet: public health should also be the discipline that allows medicine to win the challenge posed by the information overload of our era, in view of defending knowledge and striving continuously to achieve wisdom.
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HINDEMARK, FILIP. "E-Health at Outpatient Clinics in Uganda." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-138002.
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Health Care in developing countries faces many issues, ranging from overburden to lack of funding and poor infrastructure. The use of information and communications technology (ICT) in health care, eHealth, has been seen by many as the remedy to the ills befalling health care in developing countries. Uganda has been the host of a large number of eHealth projects the last couple of years. However, few seem to have taken the infrastructural issues plaguing Ugandan health care into consideration. This report presents the result of an ethnographically inspired field study and considers how the lack of infrastructure and computer training of the local medical staff impact the use of eHealth applications at three different clinics, two public and one private. The lack of Internet, secure storage locations and electricity severely impacts the sustainability of eHealth at the public institution, as does medical personnel’s’ lack of computer proficiency. However, these problems can be overcome with training and the right equipment. Due to the multitude of non-compatible eHealth projects in Uganda, the report calls for a consolidation of efforts and sharing of information amongst the eHealth application developers of Uganda. Also, it might be time to reconsider if the public sector is the best partner for eHealth application developers, maybe the private sector could have more use of and help develop more usable eHealth applications.Sjukvård i u-länder står inför många utmaningar, allt från brist på resurser och dålig infrastruktur till överanvändning. Användningen av ICT inom sjukvården, eHealth, har setts av många som en lösning på de utmaningar som sjukvården i utvecklingsländerna står inför. Uganda har varit värd för ett stort antal av eHealth-projekt de senaste åren. Tyvärr verkar få ha tagit de infrastrukturproblem som präglar den Ugandiska sjukvården i beaktning. Denna rapport handlar om hur bristen på infrastruktur och datautbildning av den lokala sjukvårdspersonalen påverkar användningen av eHealth vid två offentliga vårdcentraler och en privat. Bristen på Internet, säkra lagringsutrymmen samt el påverkar allvarligt hållbarheten av eHealth vid offentliga institutioner, detsamma gäller den medicinska personalens bristande datorvana. Emellertid kan dessa problem lösas med utbildning och rätt utrustning. På grund av de många icke-kompatibla eHealth-projekt som genomförs i Uganda efterlyser rapporten en konsolidering av insatser och informationsspridning bland de hälsorelaterade applikationsutvecklarna i Uganda. Dessutom kan det vara dags att ompröva om den offentliga sektorn är den bästa partnern för eHealth-applikationsutvecklare, kanske den privata sektorn skulle ha mer användning av samt bidra mer till utveckling av mer användbara eHealthapplikationer.
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Li, Junhua Information Systems Technology & Management Australian School of Business UNSW. "E-health readiness assessment from EHR perspective." Publisher:University of New South Wales. Information Systems, Technology & Management, 2008. http://handle.unsw.edu.au/1959.4/42930.
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Many countries (especially developing countries) are plagued with critical healthcare issues such as chronic, infectious and pandemic diseases, a lack of basic healthcare programmes and facilities and a shortage of skilled healthcare workers. E-Health (healthcare based on the Internet technologies) promises to overcome some problems related to the reach of healthcare in remote communities. Electronic Health Record (EHR) (consisting of all diagnostic information related to a patient) forms the core of any E-Health system. Hence the success of an E-Health system is very much dependent on the success of the EHR systems. Although interest in automating the health record is generally high, the literature informs us that they do not always succeed in terms of adoption rate and/or acceptance, even in developed countries. The success of the adoption tends to be low for resource constrained (e.g. insufficient E-Health infrastructure) developing countries. As part of the effort to enhance EHR acceptance, readiness assessment for the innovation becomes an essential requirement for the successful implementation and use of EHR (and hence E-Health). Based on a thorough literature review, several research gaps have been identified. In order to address these gaps, this thesis (based on design science research methodology) presents E-Health Readiness Assessment Methodology (EHRAM). It involves a new E-Health Readiness Assessment Framework (EHRAF), an assessment process and several techniques for analysing the assessment data to arrive at a readiness score. The EHRAF (Model) integrates the components from healthcare providers?? and organisational perspectives of existing E-Health readiness evaluation frameworks. The process of EHRAM (Method) starts with the development of a set of hierarchical evaluation criteria based on EHRAF. This leads to the questionnaire development for data collection. The data is analysed in EHRAM using a number of statistical and data mining techniques. The instantiation part of the design science research involves an automated tool for the implementation of EHRAM and its application through a case study in a developing country.
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zhu, chenguang. "Data mining system in E-health system." Thesis, Mittuniversitetet, Avdelningen för informations- och kommunikationssystem, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-21127.
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Mårtensson, Jessica, and Cajsa Nilsson. "Usability and Trust in E-health applications." Thesis, Malmö universitet, Fakulteten för teknik och samhälle (TS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-20109.
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Tekniken är en stor del av dagens samhälle. Allt fler tjänster och saker blir digitaliserade, nu även sjukvården. Denna avhandling kommer att introducera dig till e-hälsa och hur digitaliseringen av sjukvården påverkar relationen mellan doktor och patient samt vilka förtroendeproblem som kan uppstå.E-hälsopplikationerna behöver vara användarvänliga och enkla att använda för patienterna. Patienterna behöver känna sig trygga och säkra. För att undersöka användarupplevelsen i de olika kanalerna jämförde vi de två olika flödena: personligt möte med videosamtal.Det finns många olika leverantörer av e-hälsoapplikationer i Sverige, Kry och Min Doktor är två av de mest populära. Digitaliseringen av sjukvården påverkar inte bara patienterna utan läkarna är lika involverade. För att få en läkares åsikt ställde vi ett par frågor till läkare om bedömning av patienter via videosamtal. Ett frågeformulär gjordes för att samla in information om patienternas förhållande, användning och erfarenhet av e-hälsoapplikationer.Frågeformuläret visade att det finns delade åsikter om e-hälsoapplikationerna. Vissa patienter tror att e-hälsapplikationerna kommer att gynna samhället och kan själva tänka sig att använda en e-hälsoapplikation för mindre åkommor. Andra patienter är starkt emot e-hälsa och de flesta av dem instämmer i att det är ett slöseri med skattepengar. En annan vanlig orsak emot e-hälsa är att patienter tycker att deras åkommor är för komplexa eller att de inte litar på att läkaren ger dem korrekt vård genom en applikation.Technology is a big part of today's society. At this time more things and services become digitized, now even healthcare. This thesis will introduce you to e-health and how digitized healthcare will affect the doctor-patient relationship and the trust issue that may occur.E-health applications need to be user-friendly and easy to use. The user needs to feel comfortable and safe. To investigate the cross-channel user experience we compared the two different flows: in-person appointment and video session.There are many different providers for e-health applications in Sweden, most popular are Kry and Min Doktor. This digitizing not only affects the patients, the doctors are equally involved. We questioned doctors about their approach towards assistance through an application. A questionnaire was done to gather information about the patient's relationship and usage of e-health applications.The questionnaire showed that there are some divided opinions regarding e-health applications. Some patients think that e-health applications will benefit society and may use an e-health application for minor complaints. Other patients are strongly against e-health, and most of them agree that it is a waste of tax money. Another common reason against e-health is that patients think that their complaints are too complex or that they do not trust the doctor to provide them the accurate assistance through an application.
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Oliveira, Joana Cristina Castro. "Air pollution and health: tradução e terminologia." Master's thesis, Universidade de Aveiro, 2013. http://hdl.handle.net/10773/12019.
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Mestrado em Tradução EspecializadaNo âmbito da Tradução Especializada, o presente projeto aborda os desafios de uma tradução técnica, tendo como texto de partida três capítulos de um livro científico relativo à poluição atmosférica e respetivos efeitos na saúde do ser humano. Este projeto é constituído pela análise e caracterização do texto de partida, metodologia de tradução, problemas terminológicos e elaboração de um glossário terminológico.
This project approaches the challenges of a technical translation having as a source text three chapters from a scientific book about air pollution and health effects on human beings. The project comprises the analysis and characterization of the source text, methodology of translation, terminology problems and elaboration of a terminological glossary.
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Acadia, Spencer. "Exploratory Analysis of Social E-health Behavior." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc500111/.
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Extant literature has documented well that people seek health information via the internet as patients and consumers. Much less, however, is known about interaction and creation behaviors in the development of new online health information and knowledge. More specifically, generalizable sociodemographic data on who engages in this online health behavior via social media is lacking in the sociological literature. The term “social e-health” is introduced to emphasize the difference between seeking behaviors and interaction and creation behaviors. A 2010 dataset of a large nationally representative and randomly sampled telephone survey made freely available from the Pew Research Center is used to examine social e-health behavior according to respondents’ sociodemographics. The dependent variable of social e-health behavior is measured by 13 survey questions from the survey. Gender, race, ethnicity, age, education, and income are used as independent variables. Logistic regression analysis was used to determine the odds of engagement in social e-health behavior based on the sociodemographic predictors. The social determinants of health and digital divide frameworks are used to help explain why socioeconomic variances exist in social e-health behavior. The findings of the current study suggest that predictable sociodemographic patterns along the dimensions of gender, race, age, education, and income exist for those who report engaging in social e-health behavior. This study is important because it underscores the fact that engagement in social e-health behavior is differentially distributed in the general U.S. population according to patterned sociodemographics.
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Chen, Zongzhe. "Privacy Preserving Implementation in the E-health System." Thesis, Mittuniversitetet, Institutionen för informationsteknologi och medier, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-19493.
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E-health systems are widely used in today’s world, and have a stillbrighter future with the rapid development of smart phones. A fewyears ago, e-health system could only be carried out on computers.But recently, people are using this as a phone application, so thatthey can get information at any time and anywhere. In addition,some smart phones can already measure heart rate and bloodpressure, for example, ‚Instant Heart Rate‛ and ‚Blood PressureMonitor‛. By using these kinds of applications, users can easilymeasure their health data and store them in their mobile phones.However, the problem of privacy has been attracting people’sattention. After uploading their data to the database, users do havethe right to protect their privacy. For instance, even the doctor hasthe authority to obtain the health record; the user's name can behidden, so that the doctor does not know who the owner of this datais. This problem also includes anonymization, pseudonymity,unlinkability, unobservability and many other aspects.In this thesis work, an android application is proposed to solve thisproblem. Users can set their own rules, and all data requests shouldbe dealt with by calling the rules. In addition, a module in the serveris to be developed to carry out the whole process of privacypreserving and the users’ data should be stored in the database.A standard for users to set rules is determined, which is bothdynamical and flexible. The application realizes some additional rulechecking functions to determine whether users have set a valid rule.Privacy rules can be created, deleted, or uploaded. In addition, userscan update their health record and upload it to the database. Theserver will call different protocols to deal with different requests, andthe data which obtains the requests is responded to by calling theusers’ own privacy rules.
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Bollineni, Pavan Kumar, and Kumar Neupane. "Implications for adopting cloud computing in e-Health." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4015.
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Context: Cloud computing is an emerging and growing field in an IT industry. Cost minimization, fast processing, easy accessibility and scalability are found to be the main attracting features of cloud computing. Cloud computing is known to be as robust authentication and enhanced security provider technology and it is increasing its scope in many sensitive areas like health sectors where data privacy and security hold the key position. Some of the issues when applying cloud solution is; trust of the new system, data confidentiality, security, storage and most importantly data sharing between different data centers locating in different geographical locations. Objectives: The aim of this thesis is to explore the limitations and find the opportunities and barriers between cloud computing and e-Health and finally suggest guidelines for adoption of cloud computing in an e-Health based sectors based on associates concerns. In the context of this research work, the authors have studied issues involved in the deployment of cloud computing, associates concerns and factors regarding adoption of cloud computing in e-Health and finally suggestion of future of cloud computing in e-Health. Methods: In order to identify and to get a deeper understanding of those issues, the author performed literature review, conducted interview with health care personnel and cloud computing associates and finally backed up with a web-based survey from the associates of cloud computing and e-Health. Results: Finally after the completion of entire analysis authors purposed suitable deployment model and guidelines for adoption of cloud computing in e-Health. Conclusions: Authors concluded that most people’s concerns can be due to lack of knowledge about cloud computing and the trust of vendor. However, authors also observed that people are facing problems with data security, data integrity and too much dependency to the technology and vendors.
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Ajayi, Oluwafemi O. "Dynamic trust negotiation for decentralised e-health collaborations." Thesis, University of Glasgow, 2009. http://theses.gla.ac.uk/848/.
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In the Internet-age, the geographical boundaries that have previously impinged upon inter-organisational collaborations have become decreasingly important. Of more importance for such collaborations is the notion and subsequent nature of security and trust - this is especially so in open collaborative environments like the Grid where resources can be both made available, subsequently accessed and used by remote users from a multitude of institutions with a variety of different privileges spanning across the collaboration. In this context, the ability to dynamically negotiate and subsequently enforce security policies driven by various levels of inter-organisational trust is essential. Numerous access control solutions exist today to address aspects of inter-organisational security. These include the use of centralised access control lists where all collaborating partners negotiate and agree on privileges required to access shared resources. Other solutions involve delegating aspects of access right management to trusted remote individuals in assigning privileges to their (remote) users. These solutions typically entail negotiations and delegations which are constrained by organisations, people and the static rules they impose. Such constraints often result in a lack of flexibility in what has been agreed; difficulties in reaching agreement, or once established, in subsequently maintaining these agreements. Furthermore, these solutions often reduce the autonomous capacity of collaborating organisations because of the need to satisfy collaborating partners demands. This can result in increased security risks or reducing the granularity of security policies. Underpinning this is the issue of trust. Specifically trust realisation between organisations, between individuals, and/or between entities or systems that are present in multi-domain authorities. Trust negotiation is one approach that allows and supports trust realisation. The thesis introduces a novel model called dynamic trust negotiation (DTN) that supports n-tier negotiation hops for trust realisation in multi-domain collaborative environments with specific focus on e-Health environments. DTN describes how trust pathways can be discovered and subsequently how remote security credentials can be mapped to local security credentials through trust contracts, thereby bridging the gap that makes decentralised security policies difficult to define and enforce. Furthermore, DTN shows how n-tier negotiation hops can limit the disclosure of access control policies and how semantic issues that exist with security attributes in decentralised environments can be reduced. The thesis presents the results from the application of DTN to various clinical trials and the implementation of DTN to Virtual Organisation for Trials of Epidemiological Studies (VOTES). The thesis concludes that DTN can address the issue of realising and establishing trust between systems or agents within the e-Health domain, such as the clinical trials domain.
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Alalwany, Hamid. "Cross disciplinary evaluation framework for e-health services." Thesis, Brunel University, 2010. http://bura.brunel.ac.uk/handle/2438/8216.
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E-health is an emerging field in the intersection of information systems, healthcare and business management, referring mainly to healthcare services delivered and enhanced through the use of information and communication technologies (ICT). In a broader sense, the term characterizes not only a technical development, but also a wider way of thinking, an attitude, and a commitment for a network to improve and connect provider, patients and governments. Such a network will be used to educate and inform healthcare professionals, managers and healthcare users; to stimulate innovation in care delivery and health system management; and to improve the healthcare system locally, regionally, and globally. The evaluation of e-health services in both theory and practice has proved to be important and complex. E-health evaluation will help achieve better user services utilization, justify the enormous investments of governments on delivering e-health services, and address the aspects that are hampering healthcare services from embracing the full potential of ICT towards successful e-health initiatives. The complexity of evaluation is mostly due to the challenges faced at the intersection of three areas, each well-known for its complexity; healthcare services, information systems, and evaluation methodologies. However, despite the importance of the evaluation of e-health services, literature shows that e-health evaluation is still in its infancy in terms of development and management. The aim of this research study is to develop, and assess a cross disciplinary evaluation framework for e-health services and to propose evaluation criteria for better user’s utilization and satisfaction of e-health services. The evaluation framework is criteria based, while the criteria are determined by an evaluation matrix of three elements, the evaluation rationales, the evaluation timeframes, and the evaluation stakeholders. The evaluation criteria have to be multi-dimensional as well as grounded in, or derived from, one or more specific perspectives or theories. The framework is designed to deal effectively with the challenges of e-health evaluation and overcome the limitation of existing evaluation frameworks. The cross disciplinary evaluation framework has been examined and validated by adopting an interpretive case study methodology. The chosen case study is NHS direct which is currently one of the largest e-health services in the world. The data collection process has been carried out by using three research methods; archival records, documentation analysis and semi-structured interviews. The use of multiple methods is essential to generate comparable data patterns and structures, and enhance the reliability of conclusions through data triangulation. The contribution of the research study is in bridging the gap between the theory and practice in the evaluation of e-health services by providing an efficient evaluation framework that can be applied to a wide range of e-health application and able to answer real-world concerns. The study also offers three sets of well-argued and balanced hierarchies of evaluation criteria that influence user’s utilization and satisfaction of e-health services. The evaluation criteria can be used to help achieve better user services utilization, to serve as part of e-health evaluation framework, and to address areas that require further attention in the development of future e-health initiatives.
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Tannous, Halim Elie. "Interactive and connected rehabilitation systems for e-health." Thesis, Compiègne, 2018. http://www.theses.fr/2018COMP2436/document.
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La rééducation fonctionnelle classique comprend des séances thérapeutiques, des exercices à domicile et des mouvements avec ou sans l'aide de thérapeutes. Cette approche classique souffre de nombreuses limitations, en raison de l’incapacité de l’expert à suivre les séances à domicile du patient et du manque de motivation du patient pour répéter les exercices sans retour. Les jeux sérieux ont été présentés comme une solution à ces problèmes. Premièrement, des exergames ont été développés à l’aide d’une méthodologie de codesign, où patients, experts et développeurs ont pris part aux procédures de conception. Le capteur Kinect a été utilisé pour capturer la cinématique en temps réel au cours de l’exercice. Ensuite, une fusion de données a été étudier entre le capteur Kinect et les unités de mesure inertielles, afin d’augmenter la précision de l’estimation de l’angle des articulations, à l’aide d’une approche système de systèmes. Le système a été évalué par des patients avec différentes pathologies au cours de multiples campagnes d'évaluation. Les résultats obtenus montrent que les jeux sérieux peuvent être une solution pour des pathologies spécifiques. En outre, les experts ont été convaincus de la pertinence clinique de ce dispositif et ont estimé que les données proposées étaient suffisantes pour évaluer la situation du patient. La mise en place de tels systèmes maximiserait l’efficacité du programme de réadaptation. D'autre part, ce système permettrait également de réduire les limitations actuellement présentes dans les programmes de rééducation classiques, permettant aux patients de visualiser leurs mouvements et aux experts de suivre l'exécution de l'exercice à domicileConventional musculoskeletal rehabilitation consists of therapeutic sessions, home exercise assignment, and movement execution with or without the assistance of therapists. This classical approach suffers from many limitations, due to the expert’s inability to follow the patient’s home sessions, and the patient’s lack of motivation to repeat the same exercises without feedback. Serious games have been presented as a possible solution for these problems. This thesis was carried out in the eBioMed experimental platform of the Université de technologie de Compiège, and in the framework of the Labex MS2T. The aim of this thesis is to develop a real-time, serious gaming system for home-based musculoskeletal rehabilitation. First, exergames were developed, using a codesign methodology, where the patients, experts and developers took part in the design and implementation procedures. The Kinect sensor was used to capture real-time kinematics during each exercise. Next, data fusion was implemented between the Kinect sensor and inertial measurement units, to increase the accuracy of joint angle estimation, using a system of systems approach. In addition, graphical user interfaces were developed, for experts and patients, to suit the needs of different end-users, based on the results of an end-user acceptability study. The system was evaluated by patients with different pathologies through multiple evaluation campaigns. Obtained results showed that serious games can be a good solution for specific types of pathologies. Moreover, experts were convinced of the clinical relevance of this device, and found that the estimated data was more than enough to assess the patient’s situation during their home-based exercise sessions. Finally, during these three years, we have set the base for a home-based rehabilitation system that can be deployed at home or in a clinical environment. The implementation of such systems would maximize the efficiency of rehabilitation program, while saving the patient’s and expert’s time and money. On the other hand, this system would also reduce the limitation that are currently present in classical rehabilitation programs, allowing the patients to visualize their movements, and the experts to follow the home exercise execution
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Feuk, Oscar. "E-health in Khartoum : Viewpoints from University Students." Thesis, Stockholms universitet, Avdelningen för mellanösternstudier, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-157179.
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The research was conducted in Khartoum, Sudan, with the purpose to see whether there was an awareness on e-health among students in Khartoum and how they perceive health-related information on the Internet. As there is very little covered in this area, this research also aims to cover the gap in information and data of this field in this particular region, as e-health in Africa is an under-researched area in general. The general picture is that health information in Africa lacks coordination and that e-health system implementations are incapable of allocating crucial information on health for a continuity of care.[1] Health care systems are shifting towards models that emphasizes self-care management and two major concerns in the general perception of online based health information are; The limitations in health-seekers’ own ability as well as the limitations/credibility of online information. With this in mind I conducted a qualitative method using focus groups. I did so due to the ability of creating a discussion with a wider range of perspectives, with a larger number of participants during one discussion, rather than one-to-one discussion/interview, and to identify collective thoughts or perspectives in order to see what might be treated/viewed upon as culturally. The targeted groups consisted of students, mixed gender, in the age group of 17-25 in Khartoum. [1] Funmi Adebesin et al., ”A review of interoperability standards in e-Health and imperatives for their adoption in Africa”, South African Computer Journal, no. 50, 2013: 56, accessed 7 April 2017, http://sacj.cs.uct.ac.za/index.php/sacj/article/view/176/73.
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Sembatya, Andrew Owen. "Examining accountability in e-health platforms in Stockholm." Thesis, Uppsala universitet, Informationssystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-413692.
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Technology has supported the progression of several areas of society and its application extends even within government. More societies and local governments around the world are putting the capabilities of new technologies to use to improve the way they govern and deliver services to citizens. This has effectively changed the relationship between citizens and their elected officials. As government operations become increasingly digital it is important that aspects of good governance do not get lost along the way.The notion of accountability in democracies is often linked to the idea of good governance. Good governance requires that authorities within democratic societies are answerable to their subjects or constituents with every decision they make on their behalfThis exploratory study examines how accountability is being upheld within e-government services today with the focus on e-health. The study makes use of Boven’s framework for assessing public accountability to evaluate e-health platforms available to citizens of the city of Stockholm. The results of the study indicate that while most e-government platforms communicate the possibility for adjustment in conduct, there is little indication that adjustment in behavior or processes is made as a result of influence from the users (citizens). The results also show that information on accountable actors is not readily available to users of e-government platforms.
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Dello, Preite Davide. "M-Health: analisi e sviluppo dei wearable sensors." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2012. http://amslaurea.unibo.it/3092/.
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Larsson, Sebastian, and Leif Sulaiman. "EnterMedic, an E-health application for telemonitoring and health status feedback : Development of a mobile healthcare tool and research about its usage in the field of E-health." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-43022.
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Digital tools are being implemented in every area of society. Digital healthcare, or E-health, is an area that is increasing in popularity with various mobile applications and online services available. Entergate, a company based in Halmstad, has developed a service called EnterMedic. It is a cloud service that collects data from patients through online questionnaires. Once submitted, the service can directly forward data from these questionnaires to patient journals. EnterMedic also helps researchers with data to develop effective work methods in healthcare. The service was however limited to the web. This thesis consists of developing a mobile version of the service as it is more convenient to use compared to a web-based one and research contributing to what E-health applications can be used for. Interactivity is a desired feature for applications. EnterMedic will provide the users with feedback after questionnaire submissions, to help them track their state of health.Digitala verktyg blir implementerade i alla områden av samhället. Digital hälsovård, eller E-hälsa, är ett område som ökar i populäritet med olika mobiltelefon applikationer och on-line tjänster tillgängliga. Entergate, ett företag baserat i Halmstad, har utvecklat en tjänst som heter EnterMedic. Det ar en moln-tjänst som samlar data från patienter genom online formulär. När dessa skickas in kan tjänsten direkt vidarebefodra datan från formulären till patient journaler. EnterMedic hjälper även forskare med data för att utveckla mer effektiva arbetsmetoder inom hälsovården. Tjänsten är dock begränsad till webben. Det här examensarbetet består av att utveckla en mobil version av tjänsten då det är mer bekvämt att använda jämfört med en webb-baserad tjänst och forskning som bidrar till vad E-hälsa applikationer kan användas för. Interaktivitet är en önskad funktion för applikationer. EnterMedic kommer förse användare med återkoppling efter att ett formulär har skickats in, som i sin tur hjälper dem följa sitt hälsotillstånd.
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Townsend, Beverley Alice. "E-health, social media and the law in South Africa can ethical concerns in e-health practice be addressed through regulation?" Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/4741.
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Includes abstract.This dissertation explores the various legal and ethical difficulties faced by health practitioners and patients alike in the application and practice of ehealth. These include informed consent, the relationship between the doctor and patient, accuracy of online content, confidentiality, privacy, data security and licensure. The existing and proposed legislation in place in South Africa and internationally to potentially address these issues is discussed. The broader question that is posed is whether greater e-health regulation is required in a developing country such as South Africa and if so what the regulations should address.
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Zaccarelli, Helena. "e-Health Progetti di integrazione e distribuzione di informazioni in ambito sanitario." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2022. http://amslaurea.unibo.it/25795/.
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Integrazione semantica di informazioni eterogenee e distribuite in ambito sanitario: prospettive e progetti; questo è il tema al centro di questa relazione.
Il testo si pone come obbiettivo quello di illustrare ed analizzare le caratteristiche, i limiti e i risultati dei principali progetti regionali, nazionali ed europei, nell’ambito della condivisione di dati sanitari e di ricerca.
La struttura è logico/sequenziale: si parte dalla situazione generale attuale per poi arrivare, attraverso la discussione dei progetti, ad illustrarne i limiti attualmente evidenti e le prospettive future.
Le informazioni sono state reperite prevalentemente online, consultando le pagine ufficiali dei progetti, degli Enti coinvolti e dei laboratori di Statistica.
L’argomento è vasto e molto attuale, data l’accelerazione nell’utilizzo della Sanità Digitale verificatasi a seguito dell’emergenza pandemica degli ultimi anni.
Il quadro generale presenta ad oggi ampi margini di miglioramento, sia per quanto riguarda l'interoperabilità che per quanto riguarda la frammentazione dei sistemi informatici sanitari e l’individuazione di standard comuni; i risultati ottenuti dai progetti passati e gli ingenti finanziamenti previsti dall’UE per i prossimi anni portano tuttavia a presagire un importante crescita del settore nel prossimo futuro.
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Campos, Mônica Chiodi Toscano de. "Adaptação transcultural e validação do World Health Organization Health and Work Performance Questionnaire para enfermeiros brasileiros." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-27022012-093012/.
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O Brasil tem experimentado transformações na composição etária e no perfil epidemiológico da população, com alterações relevantes no quadro de morbi-mortalidade. Diante deste contexto, aumenta o interesse dos estudiosos sobre as conseqüências sociais e econômicas das doenças crônicas não transmissíveis e a busca por novos métodos para analisar o perfil dessas doenças e formas de alocar, com eficiência, os recursos em saúde visando à promoção da saúde da população. Os objetivos deste estudo, de delineamento metodológico, foram traduzir, adaptar culturalmente para o Brasil o instrumento Health and Work Performance Questionnaire (HPQ) e avaliar as propriedades psicométricas da versão brasileira em enfermeiros. O HPQ é um instrumento adotado pela Organização Mundial da Saúde que permite a coleta de informações sobre condições crônicas de saúde e avaliar o impacto destas condições no desempenho do trabalho, pela análise do absenteísmo, presenteísmo e a ocorrência de acidentes de trabalho. O processo de adaptação seguiu o Protocolo de Tradução da Organização Mundial da Saúde. Os dados para a avaliação das propriedades psicométricas foram coletados no período de julho a agosto de 2011, em um hospital público e de ensino do interior do Estado de São Paulo, por meio da aplicação da versão adaptada do HPQ, denominada \"Questionário Saúde e Desempenho no Trabalho\" (HPQ Brasil), em 100 enfermeiros.. As propriedades psicométricas analisadas foram: a validade de face e conteúdo (grupo de especialistas), a confiabilidade pelo Alfa de Cronbach e a estabilidade por teste-reteste. O nível de significância adotado foi de 0,05. Os resultados demonstraram que a amostra estudada foi composta por enfermeiros que possuíam as seguintes características; 89% sujeitos do sexo feminino, com média de idade de 33,9 anos, 51% solteiros e 67% com formação de pós graduação. Na avaliação das propriedades psicométricas, a consistência interna da versão adaptada do HPQ, alfa de cronbach foi de 0,94 para a seção A e 0,86 para a seção B do instrumento. Na análise das concordâncias da estabilidade teste-reteste, as concordâncias foram positivas e estastisticamente significantes. Desta forma, a versão adaptada do HPQ mostrou-se valida e confiável na amostra estudada. O HPQ - Brasil poderá ser usado para acompanhar a prevalência de problemas de saúde entre trabalhadores, as taxas de tratamento destes problemas e os seus efeitos no desempenho no trabalho, além de oferecer as instituições de saúde informações fundamentais para o planejamento de programas de melhoria da saúde e da produtividade dos trabalhadores e de redução dos custos com as Doenças Crônicas Não-Trasmissíveis aspectos que denotam a relevância do estudo ora apresentado.Brazil has undergone a process of transition with changes in age composition and epidemiological profile of its population which has caused a significant impact on morbidity and mortality. In light of that there is a growing interest among experts in social and economic consequences of chronic noncommunicable diseases (NCDs) and new approaches to assess the profile of these diseases and to effectively allocate resources for health promotion. This study aimed to translate into Brazilian Portuguese and culturally adapt the World Health Organization (WHO) Health and Work Performance Questionnaire (HPQ) and evaluate its psychometric properties among Brazilian nurses. The HPQ was developed by the WHO and can measure the impact of chronic illnesses on work performance through the analysis of absenteeism, presenteeism and work-related injuries. The adaptation process followed the WHO Translation Protocol. The psychometric properties of the Brazilian version of the questionnaire (Health and Work Performance Questionnaire, HPQ-Brazil) were evaluated in a sample of 100 nurses from a public teaching hospital in the state of São Paulo, southeastern Brazil, between July and August 2011. The psychometric properties analyzed included face validity and content validity (expert group), reliability by Cronbach\'s alpha, and test-retest stability. A 5% level of significance was set. The study sample comprised nurses with the following characteristics: 89% were female, mean age 33.9 years; 51% were single and 67% had graduate training. The internal consistency of the adapted version of HPQ using Cronbach\'s alpha was 0.94 for the instrument\'s section A and 0.86 for section B. There were statistically significant positive concordances in the analysis of test-retest stability. Thus, the adapted version of the HPQ proved valid and reliable in the sample studied. The HPQ-Brazil can be used to assess the prevalence of health conditions and treatment rates and their impact on work performance among workers. In addition it can provide input for planning strategies to improve worker\'s health and productivity and reduce NCD-related costs.
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Sertori, Matteo. "Studio e realizzazione dell'interfaccia grafica per un applicativo Health." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2020. http://amslaurea.unibo.it/21539/.
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Chen, Lingzhen. "Android application of Doctor’s end in E-health system." Thesis, Mittuniversitetet, Institutionen för informationsteknologi och medier, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-19825.
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In recent years, with the arrival of information era and the rapid development of the medical health system, there has been a trend for hospitals and medical care centers to record the patients’ medical record electronically rather than by means of old-fashioned paper-based method. It has indeed reduced the workload of medical workers and it simplifies the procedure within the medical system. It is worth mentioning that the growth of mobile medical care is beginning to catch up as a consequence of the incredible popularization of mobile networks and the broad use of mobile devices. A significant possibility is that in the coming years, mobile medical care applications will play a large part of the whole electronic medical care system. This project will mainly focus on presenting the process of developing an Android application of doctor’s end in the electronic healthcare system which makes it possible for doctors to retrieve data from their patients and diagnose them as well as setting up appointments using mobile devices. The development for the doctor’s end application will follow the waterfall development methodology. In this report the functions of the doctor’s end application will be introduced, and how these functions are realized will also be displayed in detail. After the implementation, the app will be tested on an Android device emulator and on real Android mobile devices in order to evaluate their performance. In addition, it will be tested by mobile phone specialists in relation to gathering feedback. Finally, a reasonable conclusion will be drawn with regards to this project including ethical issues.
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Jones, Karen. "The remodelling of patient care pathway for e-health." Thesis, Brunel University, 2009. http://bura.brunel.ac.uk/handle/2438/3975.
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The interdependencies within the health care system are seldom taken into account prior to implementation of e-health projects, and there tends to be little change management as part of the plan. Our proposal offers a systems analysis model that gives e-health a framework to consider and manage the introduction, changes and outcomes. This research describes the use of a modified Patient Care Pathway as a method to design and implement e-health projects, presenting as a case study the pre-implementation phase of a teleradiology project in rural Thailand. The proposal is that a modified version of Patient Care Pathways can be used as a prospective design model for e-health services. The method adopts systems engineering principles and applies a ―whole systems approach‖ thereby providing a much richer schematic representation of the patient care pathway illustrating both the patient‘s journey through the system and also the information flow. Our method was applied to the design of a new teleradiology service that was to be established in Thailand, to connect GP‘s in a rural hospital to the radiology department in a tertiary hospital with a further connection to a specialist radiologist in a medical school in Bangkok. By comparing the pre-implementation Patient Care Pathway with the proposed pathway using the teleradiology, a systems analysis model was developed to identify critical points in the system and identify and anticipate how the system would support the changes in clinical practices. The method produced a valuable framework to better understand and thereby manage the implications of change prior to implementation of an e-health project.
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Hsiao, Franny Pai-Fang 1975. "Design issues in the Knowledge Based E-Health Project." Thesis, Massachusetts Institute of Technology, 2002. http://hdl.handle.net/1721.1/84793.
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Nind, Thomas. "Can increasing surface credibility improve e-health intervention effectiveness?" Thesis, University of Dundee, 2012. https://discovery.dundee.ac.uk/en/studentTheses/d7362264-b61a-4f4c-9aac-9d8efeb7aa4c.
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One way internet users determine the quality of a website is to look for so called 'credibility factors'. These factors can either be positive: the presence of a date, reference list, independent site certification; or negative: the presence of advertisements or broken links. This thesis investigates what role such factors play in the effectiveness of two e-health interventions. An e-health intervention is a health related website designed to change a person’s behaviour. Until now research into credibility has been largely theoretical. Studies have relied on subjective outcome measures such as Likert scales, website content recall, expressions of preference and self reported behaviour. This thesis describes two studies, the second of which investigates, for the first time, whether surface credibility manipulations change objective behavioural outcomes. Surface credibility is how much a perceiver believes a website on simple inspection. Based on a comprehensive literature review of credibility research, the following credibility factors were explored: presence of advertising, recognisable logos, contact details, physical address, references, third party certification, currency information, privacy statement, HTTPS encryption, top level domain and presence of a broken link. The first study involved the assembly of an exercise promotion website. Participants were randomised to receive the site modified to contain either factors heightening credibility or those lowering credibility. Participants using the high credibility version spent twice as long browsing the site as those using the low credibility version. There was no effect on attitude to exercise or self reported physical activity. The second study used the same methodology but with a website targeting an objectively measurable health behaviour (registration as an organ donor). In this study 889 university students were exposed to a website promoting organ donation. Information on the site was assembled based on theoretical domain interviewing and current research into organ donation interventions. 336 (37.79%) participants registered through the study website. The study detected no significant difference in registration rates between high and low credibility versions of the site. Of the 17 comments left on the low credibility site, only 3 were credibility related criticisms. It is the finding of this thesis that university students are willing to submit personal information and place trust in a website contravening many current credibility guidelines. Future studies into credibility are needed to explore why this is the case. One possibility is that the website was trusted simply because it was part of a research study. Another possibility is that the high quality of the textual content compensated for the lack of credibility of the site itself. It is the recommendation of this thesis that future studies focus on objective behavioural outcome measures and control for other forms of credibility such as participation in a research study.
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Liu, Yin-Miao (Vicky). "An architecture for enhanced assurance in e-health systems." Thesis, Queensland University of Technology, 2011. https://eprints.qut.edu.au/47051/1/Vicky_Liu_Thesis.pdf.
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Notwithstanding the obvious potential advantages of information and communications technology (ICT) in the enhanced provision of healthcare services, there are some concerns associated with integration of and access to electronic health records. A security violation in health records, such as an unauthorised disclosure or unauthorised alteration of an individual's health information, can significantly undermine both healthcare providers' and consumers' confidence and trust in e-health systems. A crisis in confidence in any national level e-health system could seriously degrade the realisation of the system's potential benefits. In response to the privacy and security requirements for the protection of health information, this research project investigated national and international e-health development activities to identify the necessary requirements for the creation of a trusted health information system architecture consistent with legislative and regulatory requirements and relevant health informatics standards. The research examined the appropriateness and sustainability of the current approaches for the protection of health information. It then proposed an architecture to facilitate the viable and sustainable enforcement of privacy and security in health information systems under the project title "Open and Trusted Health Information Systems (OTHIS)". OTHIS addresses necessary security controls to protect sensitive health information when such data is at rest, during processing and in transit with three separate and achievable security function-based concepts and modules: a) Health Informatics Application Security (HIAS); b) Health Informatics Access Control (HIAC); and c) Health Informatics Network Security (HINS). The outcome of this research is a roadmap for a viable and sustainable architecture for providing robust protection and security of health information including elucidations of three achievable security control subsystem requirements within the proposed architecture. The successful completion of two proof-of-concept prototypes demonstrated the comprehensibility, feasibility and practicality of the HIAC and HIAS models for the development and assessment of trusted health systems. Meanwhile, the OTHIS architecture has provided guidance for technical and security design appropriate to the development and implementation of trusted health information systems whilst simultaneously offering guidance for ongoing research projects. The socio-economic implications of this research can be summarised in the fact that this research embraces the need for low cost security strategies against economic realities by using open-source technologies for overall test implementation. This allows the proposed architecture to be publicly accessible, providing a platform for interoperability to meet real-world application security demands. On the whole, the OTHIS architecture sets a high level of security standard for the establishment and maintenance of both current and future health information systems. This thereby increases healthcare providers‘ and consumers‘ trust in the adoption of electronic health records to realise the associated benefits.
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Mani, Madhavan. "E-mindful health: Evaluation of mobile apps for mindfulness." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/102651/1/Madhavan_Mani_Thesis.pdf.
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This thesis tests the efficacy of mindfulness mobile apps to improve wellbeing of young people. It reviews and evaluates existing mindfulness mobile apps to identify high-quality ones and demonstrates their potential to improve wellbeing of young people. Mindfulness has gained empirical support as an effective treatment for variety of mental health conditions including stress, anxiety and depression. Not only can mindfulness be adapted to suit young people: mobile apps can potentially deliver it, which may help address the challenge of effectively delivering mindfulness training to this highly vulnerable population.
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Papakonstantinou, Maria. "e-Prescriptions : Privacy concerns and security risks in Greece’s e-Health care system." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-67143.
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The present thesis presents an informed by ethnography research that seeks to explore the privacy concerns and security risks that individuals perceive with regards to the electronic system of handling digital prescriptions. The research takes place in Athens, Greece and the participants are professionals who use daily the e-prescription platform and citizens whose data is being gathered and accessed. The paradiagm within which the research is unfolded is the interpretive one and a methodology of flexible design is followed. Thematic analysis of concepts produced by the data gathered is followed in order to offer an understanding of the concerns that the participants perceive. The methods that were used were interviews with professionals, focus groups with groups of citizens, individual interviews with citizens, observations and thinking aloud in pharmacies. The aim of the thesis is to illuminate those concerns with the aspiration that it be used as a basis for further research on the important issue of privacy of sensitive, medical data and suggest ways that could help ameliorate the identified concerns.
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Goulão, João Pedro Pereira de Carvalho. "Avaliação, prescrição e acompanhamento do exercício em contexto de Health e Fitness Club." Master's thesis, Universidade de Évora, 2015. http://hdl.handle.net/10174/16835.
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O presente relatório reúne a descrição, análise e reflexão de todas as atividades e projetos desenvolvidos no estágio final de Mestrado em Exercício e Saúde que teve lugar no ginásio BLive Health & Fitness. Teve como principais objetivos: vivenciar e acompanhar os processos de avaliação, prescrição e acompanhamento do Exercício; acompanhar, cooperar e participar em atividades da instituição integradas no âmbito do estágio; aplicar os conhecimentos adquiridos na componente curricular do Mestrado às diversas populações; aprender e aprofundar conteúdos específicos na área de intervenção do estágio e outros correlacionados; participar na organização e concretização de eventos e conhecer as funções e obrigações do técnico de Exercício e Saúde. Contempla as seguintes atividades e projetos: instrutor BLive, Combine Training, acompanhamento de clientes, estudo BLive: “Comparação dos efeitos entre um treino de hipertrofia e um treino misto na força de membros inferiores, composição corporal e VO2 Máx.” e evento BLive: Combine Training – Team Work Challenge; Evaluation, Exercise prescription and tracking in Health and Fitness Club context
Abstract: This report brings together the description, analysis and reflection of all activities and projects developed in the final stage of Masters in Exercise and Health which took place in the Blive Health & Fitness gym. Had as main objectives: experience and track the processes of evaluation, prescription and monitoring of the exercise; monitor, cooperate and participate in the institution's activities integrated within the stage; apply the knowledge acquired in the Masters curricular component to diverse populations; learn and deepen specific content on the stage of the intervention area and other related; participate in the organization and implementation of events and know the functions and duties of Exercise and Health technician. Includes the following activities and projects: Blive Trainer, Combine Training, clients tracking, Blive´s study: " Comparison of the effects between a hypertrophy training and a mixed training on the strength of lower limbs, body composition and VO2 Max." and Blive´s event: Combine Training - Team Work Challenge.
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Ribeiro, Cláudia Regina Santos. "Sexualidade, corpo e saúde masculinos: transformações e permanências nos discursos de homens e da revista Mens Health." Universidade do Estado do Rio de Janeiro, 2011. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2634.
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Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorO estudo analisa os discursos de homens e da revista Mens Health acerca do corpo, saúde e sexualidade. Para a construção dos discursos dos homens, realizamos entrevistas semi-estruturadas com 19 homens leitores e nove não leitores. E dois eventos de grupos focais que reuniram 11 homens no total. Foi entrevistado também o editor da revista. Os principais conceitos norteadores deste trabalho foram os de gênero, sexualidade, poder e masculinidades hegemônicas e subalternas. Evidenciou-se que a revista está fortemente atrelada à sociedade de consumo ao estimular a inserção dos homens em um mercado de produtos e serviços até então estranhos a esse gênero. E que suas concepções sobre saúde estão relacionadas a de bem-estar e de individualização que se articulam com os discursos hegemônicos que vêm dando sentido às concepções de saúde e doença atualmente. A publicação investe fortemente na ideia de um corpo musculoso que proporcionará ganhos sociais, sexuais e profissionais aos sujeitos, nem sempre atrelado às questões de saúde. Ela ratifica a heterossexualidade do leitor projetado, expondo o corpo feminino e o sexo heterossexual e silenciando sobre outras formas de sexualidade. Por isso consideramos que a revista se vincula a uma concepção tradicional da masculinidade. Seus discursos, no entanto, não são monolíticos ou isentos de contradição, e também manifestam nuances relativas a um modelo mais contemporâneo de masculinidade, como quando apresenta a ideia de uma nova pedagogia da sexualidade e a valorização dos cuidados estéticos e de saúde com o corpo, aspectos considerados pouco próximos da masculinidade tradicional. Com relação aos discursos dos homens, evidenciou-se que a classe social e a geração são as variáveis mais importantes nas suas concepções sobre corpo, saúde e sexualidade masculina. Que, entre os não leitores, de modo geral, há evidências mais fortes de flexibilização com relação aos padrões mais tradicionais entre os homens mais jovens e/ou de classes mais altas. Enquanto os homens com idade acima dos 30 anos e das classes populares estão mais atrelados às concepções tradicionais. Entre os leitores, observou-se uma grande reflexividade com relação aos discursos da revista demonstrando que eles vêm se apropriando de forma importante dos discursos da revista e ressignificando suas concepções e práticas sobre os três temas da pesquisa a partir desses discursos. E, assim como os discursos da revista, os discursos dos homens, leitores ou não, também apresentaram aspectos contraditórios, ora demonstrando mais afiliação a um novo modelo de masculinidade, ora ao modelo mais tradicional.
The study analyzes the speeches of men and Men's Health magazine about the body, health and sexuality. For the construction of discourses of men, we conducted semi-structured interviews with 19 men and nine readers not readers. And two events focus groups that gathered 11 men in total. Was also interviewed the magazine's editor. The main drivers of this work were the concepts of gender, sexuality, power and hegemonic and subordinate masculinities. It was evident that the magazine is strongly tied to the consumer society to encourage the inclusion of men in a market for goods and services hitherto strangers to this genre. And that his views on health are related to wellness and individualization that articulate with the hegemonic discourses that are giving meaning to the concepts of health and illness today. The publication invests heavily in the idea of a muscular body that will provide professionals subject to social gains, sexual, and not always linked to health issues. She confirms heterosexuality designed the reader, exposing the female body and heterosexual sex and silencing of other forms of sexuality. Therefore we consider that the magazine is linked to a traditional conception of masculinity. His speeches, however, are not monolithic or free from contradiction, and also express nuances on a more contemporary model of masculinity, as when he presents the idea of a new pedagogy of sexuality and appreciation of aesthetic and health care with the body aspects considered next bit of traditional masculinity. With regard to the resources of men, it became clear that social class and generation are the most important variables in their conceptions about body, health and male sexuality. That, among non-readers in general, there is stronger evidence of flexibility with respect to more traditional patterns between younger and / or more upper class men. While men above the age of 30 years and the lower classes are more tied to traditional concepts. Among readers, there was a big reflexivity with regard to the resources of the magazine showing that they are appropriating important form of speeches and magazine redefines its conceptions and practices of the three research themes from these speeches. And just like the speeches of the journal, the speeches of men, or not readers also showed contradictory aspects, sometimes showing more affiliation to a new model of masculinity, sometimes the more traditional model.
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Pedarla, Padmaja. "E-Intelligence Form Design and Data Preprocessing in Health Care." Thesis, University of Waterloo, 2004. http://hdl.handle.net/10012/945.
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Clinical data systems continue to grow as a result of the proliferation of features that are collected and stored. Demands for accurate and well-organized clinical data have intensified due to the increased focus on cost-effectiveness, and continuous quality improvement for better clinical diagnosis and prognosis. Clinical organizations have opportunities to use the information they collect and their oversight role to enhance health safety.
Due to the continuous growth in the number of parameters that are accumulated in large databases, the capability of interactively mining patient clinical information is an increasingly urgent need to the clinical domain for providing accurate and efficient health care. Simple database queries fail to address this concern for several problems like the lack of the use of knowledge contained in these extremely complex databases. Data mining addresses this problem by analyzing the databases and making decisions based on the hidden patterns.
The collection of data from multiple locations in clinical organizations leads to the loss of data in data warehouses. Data preprocessing is the part of knowledge discovery where the data is cleaned and transformed to perform accurate and efficient data mining results. Missing values in the databases result in the loss of useful data. Handling missing values and reducing noise in the data is necessary to acquire better quality mining results.
This thesis explores the idea of either rejecting inappropriate values during the data entry level or suggesting various methods of handling missing values in the databases. E-Intelligence form is designed to perform the data preprocessing tasks at different levels of the knowledge discovery process. Here the minimum data set of mental health and the breast cancer data set are used as case studies. Once the missing values are handled, decision trees are used as the data mining tool to perform the classification of the diagnosis of the databases for analyzing the results. Due to the ever increasing mobile devices and internet in health care, the analysis here also addresses issues relevant hand-held computers and communicational devices or web based applications for quick and better access.
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Coleman, Alfred. "Developing an e-health framework through electronic healthcare readiness assessment." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1519.
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The major socio-economic development challenges facing most African countries include economic diversification, poverty, unemployment, diseases and the unsustainable use of natural resources. The challenge of quality healthcare provisioning is compounded by the HIV/AIDS pandemic in Sub Saharan Africa. However, there is a great potential in using electronic healthcare (e-health) as one of the supportive systems within the healthcare sector to address these pressing challenges facing healthcare systems in developing countries, including solving inequalities in healthcare delivery between rural and urban hospitals/clinics. The purpose of this study was to compile a Provincial E-health Framework (PEHF) based on the feedback from electronic healthcare readiness assessments conducted in selected rural and urban hospitals/clinics in the North West Province in South Africa. The e-healthcare readiness assessment was conducted in the light of effective use of ICT in patient healthcare record system, consultation among healthcare professionals, prescription of medication, referral of patients and training of healthcare professionals in ICT usage. The study was divided into two phases which were phases 1 and 2 and a qualitative design supported by a case study approach was used. Data were collected using different techniques to enhance triangulation of data. The techniques included group interviews, qualitative questionnaires, photographs, document analysis and expert opinions. The outcome of the assessment led to the compilation of the PEHF which was based on Service Oriented Architecture (SOA). SOA was chosen to integrate the hospitals/clinics‟ ICT infrastructure yet allowing each hospital/clinic the autonomy to control its own ICT environment. To assist hospitals/clinics integrate their ICT resources, this research study proposed an Infrastructure Network Architecture which clustered hospitals/clinics to share common ICT infrastructure instead of duplicating these resources. Furthermore, processes of the e-health services (e-patient health IV record system, e-consultation system, e-prescription system, e-referral system and e-training system) were provided to assist in the implementation of the PEHF. Finally, a set of guidelines were provided by the research study to aid the implementation of the PEHF.
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Wei, Wenyang. "Private User’s Trust on Data sharing in e- health Applications." Thesis, Blekinge Tekniska Högskola, Institutionen för programvaruteknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-15462.
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Context. One of the challenges in requirement engineering is the ability using survey as a requirement-engineering tool towards the software to refine user’s requirements. For instance, with the development of the way of healthcare, many advances in technology transformed the way of healthcare. E-health application is one of the technologies. As more and more health information that is stored electronically, e- health applications have given rise to trust issue in the area of data sharing. Identified the relationship between trust and data sharing based on the survey method is a valid approach, but the current studies still do not give a definite guideline about how requirement engineering should use a survey method step-by-step to refine the needs of users’ trust into software attributes. Based on the mentioned situation in e-health, defining a method to design survey to elicit requirements is needed. Objective. In this paper, the aim of the study is to design a survey method for refining user’s requirements of trust in requirement engineering based on the current state-of-art. The paper present the research on data sharing in e-health application. Methods. This study presented an action research, which identified the way about how to refine user’s requirement of trust. Survey was the main approach to do investigation among the e-health applications. Three cycles of AR were conducted in this paper, and three versions of questionnaires were designed in the research process in order to identify the factors that affected user’s trust in data sharing in e-health applications. Results. Through the action research, I found out three factors that affected user’s trust in data sharing, then the factors were identified, analysis and summarized, and the relationship between trusts and the factors is describe based on analysis results of the collected data, which obtain from the improved questionnaires. To find out the relationship between trust and the factors help present the process that how to design an accurate survey to refine user’s requirements. Based on the process and results of the action research, the survey guideline to refine user’s requirements of trust is designed and described. Conclusions. Based on the results that obtained in this study, I designed a preliminary survey guideline for refining user’s requirements of trust. This study will help requirement engineering to elicit requirement of trust in e-health based on a new and specific survey method.
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Forsman, Robin, and Michal Sisak. "Challenges in software development of mobile apps in e-health." Thesis, Malmö universitet, Fakulteten för teknik och samhälle (TS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-20487.
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Throughout the development process within organizations, various complications can appear that can reduce the quality of a software or contribute to immense costs to organizations. This is especially true for organizations that operate in fields such as the health industry where stern rules and requirements are often a fact. This paper explores challenges that can arise during the development process of health applications as well as what effects these can have on the applications and organizations. The paper then examines how these difficulties can be prevented or mitigated. The intention is that this thesis should help organizations and developers to be able to go through a development process effectively without being overwhelmed by difficulties that can arise during the development process of health applications.
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Zvikhachevskaya, Anna Konstantinovna. "Wireless interconnected communication systems and protocols for E-health applications." Thesis, Lancaster University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547967.
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Mohamed, A. H. H. M. "Patient-centred culturally-aware design approach for e-health acceptance." Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3002613/.
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The importance of information and communication technology in healthcare has recently grown to an unprecedented dimension as more people are empowered by technology to participate more actively in their healthcare processes. New online applications for accessing healthcare information and for self-diagnosis have become increasingly available to diverse patient groups of different languages, educational backgrounds, and cultural orientations. However, the design of these applications typically follows Western cultural orientations. This approach has created a gap, which makes it difficult for users, who use the systems within their own cultural contexts, to derive maximum benefits from such use. As a result, the gap impedes the uptake, market success, and effective adoption of these e-Health applications in various cultural contexts. Moreover, as healthcare organisations increasingly seek to interact with patients, often in real-time, through enhanced web-based services, patient experiences often become tied to a largely ‘Western-driven’ style of patient interfaces, interaction, and look and feel that negatively impact the overall acceptance of these services across different cultures. This poses a tremendous challenge to technology adoption, in particular with regard to how to design culturally-aware and patientcentred e-Health applications that reflect the cultural diversity of today’s users and meaningfully empower them to better utilise such tools to enhance their day-to-day life. This research proposes to investigate the impact of a patient-centred culturally-aware design approach on the patient acceptance of e-Health web-based services, in particular, how e-Health web-based applications can be designed in a way that maximises their usability and ‘fits’ them into the cultural fabrics of individuals in different cultural contexts. To address this challenge, this research work examined existing literature in the fields of culture, technology acceptance and HCI, and identified relevant constructs that were used to develop a culturally-aware technology acceptance model for electronic health. Subsequently, the model provided a means for understanding the influence of different factors affecting patient acceptance and usage which were used as a foundation to inform the design of the Patient-Centred Culturally-aware e-Health Design Approach (PCCeDA) framework for e-Health web-based services developments. The novelty in PCCeDA is the notion of cultural awareness, which allows systems to personalise themselves according to a patient’s cultural profile while adhering to usability principles. As a result, the interface and contents presented to a patient are both dynamically tailored to better suit that patient’s cultural preferences, thereby increasing patient adoption. Based on PCCeDA, a proof of concept prototype called i-Diagnose was developed primarily to assess the validity of the framework and to answer the central questions of this research study. Evaluation results show that a patient-centred culturally-aware design approach enhances the effectiveness, usefulness and patient acceptance of e-Health web-based services in different cultural contexts. The main contributions of this work include: (i) a culturally sensitive technology acceptance model for e-Health (‘e-HTAM’) where both technology acceptance model and cultural dimensions are integrated to develop the e-HTAM model. The model highlighted various issues that need to be taken into consideration when designing patient-centred culturally-aware e-Health Design Approach applications; and (ii) a patient-centred Culturally-aware e-Health Design Approach framework that allows systems to personalise both the patient interface and the contents provided to a patient to better suit that patient’s cultural background. The research also includes a number of other minor contributions such as: (i) an approach for solving the static nature of Hofstede’s dimensions’ indexation, through the use of cultural parameters to dynamically model users’ cultural states, (ii) the introduction of personalisation based on cultural factors into the e-Health web-based services domain, and (iii) shed light on the electronic health acceptance state in the UAE as compared to the UK.
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Chen, Chen. "An e-health system for personalized automatic sleep stages classification." Thesis, Paris 6, 2016. http://www.theses.fr/2016PA066664/document.
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Dans cette thèse, un système personnalisé de stadification automatique du sommeil est proposé, combinant fusion symbolique et système de contrôle rétroactif. La fusion symbolique est inspirée par le processus décisionnel mis en œuvre par les cliniciens experts du sommeil lors la reconnaissance visuelle des stades de sommeil. Il commence par l'extraction de paramètres numériques à partir des signaux polysomnographiques bruts. L'interprétation symbolique de haut niveau se fait par l'intermédiaire de l'extraction de caractéristiques à partir des paramètres numériques. Enfin, la décision est générée en utilisant des règles inspirées par les recommandations internationales en médecine du sommeil. Les symboles et les valeurs des caractéristiques dépendent d'un ensemble de seuils, dont la détermination est une question clé. Dans cette thèse, deux algorithmes de recherche différents, Differential Evolution et Cross Entropy ont été étudiés pour calculer la valeur de ces seuils automatiquement. La variabilité individuelle a souvent été ignorée dans les systèmes automatiques de stadification du sommeil existants. Cependant, elle a été démontrée dans plusieurs travaux de recherche vis à vis de nombreux aspects du sommeil (comme les enregistrements polysomnographiques, les habitudes de sommeil, l'architecture du sommeil, la durée du sommeil, les événements liés au sommeil, etc.). Afin d'améliorer l'efficacité des classificateurs des stades de sommeil, un système automatisé de sommeil automatique adapté aux différentes personnes et tenant compte de la variabilité individuelle a été exploré et évaluéIn this thesis, a personalized automatic sleep staging system is proposed by combining symbolic fusion and feedback system control technique. Symbolic fusion is inspired by the decision-making process of clinical sleep staging. It starts from the extraction of digital parameters from raw polysomnography signals and it goes up to a high-level symbolic interpretation through a features extraction process. At last, the decision is generated using rules inspired by international guidelines in sleep medicine. Meanwhile, the symbols and the features computations depend on a set of thresholds, whose determination is a key issue. In this thesis, two different search algorithms, Differential Evolution and Cross Entropy, were studied to compute these thresholds automatically.Individual variability was often ignored in existing automatic sleep staging systems. However, an individual variability was observed in many aspects of sleep research (such as polysomnography recordings, sleep patterns, sleep architecture, sleep duration, sleep events, etc.). In order to improve the effectiveness of the sleep stages classifiers, a personalized automatic sleep staging system that can be adapted the different persons and take individual variability into consideration was explored and evaluated.The perspectives of this work are based on evaluating the complexity and the performances of these algorithms in terms of latencies and hardware resource requirements, in order to target a personalized automated embedded sleep staging system
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Chen, Chen. "An e-health system for personalized automatic sleep stages classification." Electronic Thesis or Diss., Paris 6, 2016. http://www.theses.fr/2016PA066664.
Full textAbstract:
Dans cette thèse, un système personnalisé de stadification automatique du sommeil est proposé, combinant fusion symbolique et système de contrôle rétroactif. La fusion symbolique est inspirée par le processus décisionnel mis en œuvre par les cliniciens experts du sommeil lors la reconnaissance visuelle des stades de sommeil. Il commence par l'extraction de paramètres numériques à partir des signaux polysomnographiques bruts. L'interprétation symbolique de haut niveau se fait par l'intermédiaire de l'extraction de caractéristiques à partir des paramètres numériques. Enfin, la décision est générée en utilisant des règles inspirées par les recommandations internationales en médecine du sommeil. Les symboles et les valeurs des caractéristiques dépendent d'un ensemble de seuils, dont la détermination est une question clé. Dans cette thèse, deux algorithmes de recherche différents, Differential Evolution et Cross Entropy ont été étudiés pour calculer la valeur de ces seuils automatiquement. La variabilité individuelle a souvent été ignorée dans les systèmes automatiques de stadification du sommeil existants. Cependant, elle a été démontrée dans plusieurs travaux de recherche vis à vis de nombreux aspects du sommeil (comme les enregistrements polysomnographiques, les habitudes de sommeil, l'architecture du sommeil, la durée du sommeil, les événements liés au sommeil, etc.). Afin d'améliorer l'efficacité des classificateurs des stades de sommeil, un système automatisé de sommeil automatique adapté aux différentes personnes et tenant compte de la variabilité individuelle a été exploré et évaluéIn this thesis, a personalized automatic sleep staging system is proposed by combining symbolic fusion and feedback system control technique. Symbolic fusion is inspired by the decision-making process of clinical sleep staging. It starts from the extraction of digital parameters from raw polysomnography signals and it goes up to a high-level symbolic interpretation through a features extraction process. At last, the decision is generated using rules inspired by international guidelines in sleep medicine. Meanwhile, the symbols and the features computations depend on a set of thresholds, whose determination is a key issue. In this thesis, two different search algorithms, Differential Evolution and Cross Entropy, were studied to compute these thresholds automatically.Individual variability was often ignored in existing automatic sleep staging systems. However, an individual variability was observed in many aspects of sleep research (such as polysomnography recordings, sleep patterns, sleep architecture, sleep duration, sleep events, etc.). In order to improve the effectiveness of the sleep stages classifiers, a personalized automatic sleep staging system that can be adapted the different persons and take individual variability into consideration was explored and evaluated.The perspectives of this work are based on evaluating the complexity and the performances of these algorithms in terms of latencies and hardware resource requirements, in order to target a personalized automated embedded sleep staging system
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Kurtinaityte, Laura. "E-HEALTH – THE USAGE OF ICT DEVELOPING HEALTH CARE SYSTEM : MULTIPLE-CASE STUDY OF EUROPEAN COUTRIES DENMARK AND LITHUANIA." Thesis, Halmstad University, School of Business and Engineering (SET), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-779.
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Electronic health – this is the object of study work. The focus of research is European countries, which use Information and Communication Technologies improving their Health care system and it is not excepted is the country advanced in developing e-Health or it just started to create or improve this system. As it is a new Developing research area, there are not so many direct relevant researches about it previously found. Therefore it encourages the investigation of this topic, which according to European Commission and Enterprise Directorate General (2003) could reach greatest economy on saving costs in whole service sector. Thus the guidelines for efficient e-Health development should be given as soon as possible. The study work is exactly aimed on this.
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Avén, Sara. "Continuous learning for health care workers in Tanzania : Design recommendations for an e-learning system within a health portal." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-154035.
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Continuous learning for health care workers in Tanzania - Design recommendations for an e-learning system within a health portal This report describes a Master thesis conducted at the Human-Computer Interaction Department at KTH The Royal Institute of Technology. The project is based on a nine weeks field study in Tanzania during the spring and summer 2013. The field study was conducted as a Minor Field Study (MFS) financed through Swedish International Development Cooperation Agency, SIDA and ÅF. The aim has been to investigate the users interest, needs and expectations on an e-learning system. Specifically designed for the health care workers in Tanzania, to improve and developed their knowledge within their specific work area. The investigation of these questions resulted in design recommendations that can be used as a basis for future development. The users and their expectations and needs of the e-learning system were mapped down through observations, interviews and questionnaires. The user group was positive to an e-learning system and is interested in ICT, Information and communication technology. The most important result from the research is that to get a successful project, the involvement of the users is critical. Otherwise there is a risk that the user will not use the product. Another important result is that the user does not have his or hers own computer or Internet connection, they are dependent on the hospitals devices and connection. At the same time their schedule at the hospital is very tight and it will be a challenge to find time and a place were the health care workers can use the system. This project is a part of a project called the National Health Portal in Tanzania. It is a co-operation between Sweden and Tanzania about information and communication technologies (ICT) in the health care in Tanzania, in order to facilitate the work. Keywords: ICT, user centered design, e-learning, health care, Minor Field Study, TanzaniaFortbildning för sjukvårdspersonal i Tanzania - Designrekommendationer för ett e-lärandesystem i en hälsoportal Rapporten beskriver ett examensarbete utfört på Institutionen för Människa-datorinteraktion på Kungliga Tekniska Högskolan (KTH). Projektet baseras på en nio veckors fältstudie i Tanzania under våren och sommaren 2013. Fältstudien är en Minor Field Study (MFS) och finansierades av Styrelsen för internationellt utvecklingssamarbete, SIDA och ÅF AB. Syftet har varit att undersöka användarnas intresse samt behov och förväntningar på ett e-lärandesystem, speciellt designat för sjukvårdspersonalen i Tanzania, för att förbättra och utveckla deras kunskaper inom sitt yrkesområde. Utredningen av dessa frågor har resulterat i designrekommendationer som kan användas som bas i det fortsatta utvecklandet av systemet. Användarna samt deras behov och förväntningar på e-lärandesystemet kartlades genom observationer, intervjuer och enkäter. Resultatet av denna rapport visar på vikten av att användarna är inblandade i projekt för att det ska bli lyckat. Användarna bör vara inblandade i och intresserade av projektet. I annat fall är risken stor att användarna inte vill bidra med sin expertis som just användare och att projekt därmed inte slutförs. Ett annat viktigt resultat är att användaren inte har någon dator eller internetuppkoppling hemma utan använder sig av den som finns på jobbet. Dock är det ett väldigt pressat schema på jobbet och det kommer att bli en utmaning att hitta tid och plats då sjukvårdspersonalen kan använda systemet. Examensarbetet är en del av ett projekt som är ett samarbete mellan Sverige och Tanzania vid namn National Health Portal in Tanzania. National Health Portal in Tanzania är ett projekt som handlar om hur man kan använda sig av informations- och kommunikationsteknologier (IKT) i sjukvården i Tanzania för att underlätta arbetet. Nyckelord: IKT, användarcentrerad design, e-lärande, sjukvård, Minor Field Study, Tanzania
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Mohammad, Yara Mahmoud. "Information security strategy in telemedicine and e-health systems : a case study of England’s shared electronic health record system." Thesis, Brunel University, 2010. http://bura.brunel.ac.uk/handle/2438/4669.
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Shared electronic health record (EHR) systems constitute an important Telemedicine and e-Health application. Successful implementation of shared health records calls for a satisfactory level of security. This is invariably achieved through applying and enforcing strict, and often quite complicated, rules and procedures in the access process. For this reason, information security strategy for EHR systems is needed to be in place. This research reviewed the definition of different terms that related to electronically stored and shared health records and delineated related information security terms leading to a definition of an information security strategy. This research also made a contribution to understanding information security strategy as a significant need in EHR systems. A major case study of the National Programme for IT (NPfIT) in England is used to be the container of other two sub-case studies in two different Acute Trusts. Different research methods used: participant observation and networking, semi-structured interviews, and documentary analysis. This research aimed to provide a comprehensive understanding to the information security strategy of England’s EHR system by presenting its different information security issues such as consent mechanisms, access control, sharing level, and related legal and regulatory documents. Six factors that influence the building of an information security strategy in EHR systems, were identified in this research, political, social, financial, technical, clinical and legal. Those factors are considered to be driving the strategy directly or indirectly. EHR systems are technical-clinical systems, but having other factors (than technical and clinical) that drive this technical-clinical system is a big concern. This research makes a significant contribution by identifying these factors, and in addition, this research shows not only how these factors can influence building the information security strategy, but also how they can influence each other. The study of the mutual influence among the six factors led to the argument that the most powerful factor is the political factor, as it directly or indirectly influences the remaining five factors. Finally, this research proposes guidelines for building an information security strategy in EHR systems. These guidelines are presented and discussed in the form of a framework. This framework was designed after literature analysis and after completing the whole research journey. It provides a tool to help putting the strategy in line by minimising the influence of various factors that may steer the strategy to undesirable directions.
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Tomi, Dimitrovski. "Investigation of national readiness for e-Health in a South East European country : technology acceptance for electronic health records." Thesis, University of Sheffield, 2018. http://etheses.whiterose.ac.uk/22172/.
Full textAbstract:
Background: The successful implementation of information and communication technology (ICT) in healthcare presents many challenges; the failures outnumber the successes in the implementation of ICT in the health sector. A better understanding of technology acceptance among healthcare professionals will be useful for managers in overcoming barriers to adopting ICT in healthcare. Aim and objectives: The principal gap in the literature that this research was intended to address was the lack of knowledge about the implementation and acceptance of e-Health and electronic health record (EHR) technologies among healthcare professionals in the Republic of Macedonia, in South East Europe (SEE). This research was intended to assess national readiness for acceptance of e-Health/EHR systems in an SEE country through technology acceptance, and to identify the main predictors of behavioural intentions towards e-Health/EHR. Using these findings, it was hoped to propose management, policy and government measures to increase healthcare professionals’ acceptance of e-Health/EHR systems. The ultimate aim of this is to improve the quality of services for patients and provide better health care. Methods: A positivist quantitative approach was used for the research undertaken for this Thesis. A research instrument based on modified technology acceptance models was developed and six hypotheses were tested. Attitudes of healthcare professionals to the new e-Health/EHR systems were assessed through two studies. A new model presenting healthcare professionals’ attitudes to the e-Health/EHR systems was developed, and technology acceptance predictors were identified. Results: Hierarchical linear regression, stepwise linear regression, and structural equation modelling indicated that perceived ease of use and effort expectancy are the strongest determinants of healthcare professionals’ attitudes concerning their intention to use future e-Health/EHR systems. Perceived usefulness and performance expectancy were excluded, or showed a weak effect in the overall prediction model. The findings on the importance of technology acceptance constructs (perceived ease of use and effort expectancy) are novel, and differ from those described in the relevant literature, where perceived usefulness and performance expectancy were identified as the most effective predictors of behaviour in healthcare settings. Technology acceptance variables such as job relevance, subjective norm, facilitating conditions, descriptive norm, and social influence were identified as having a strong influence on intentions to use prospective e-Health/EHR systems. Conclusions: This research assessed the national readiness for acceptance of future e-Health/EHR systems in an SEE country, and yielded novel findings that contribute to our current knowledge of technology acceptance in healthcare. Therefore, the findings of this Thesis can serve as a basis on which to build a bridge between policy makers, (i.e., government and management), industry, (i.e., producers of ICT hardware and software for healthcare), and end users (i.e., healthcare professionals). A set of specific measures are proposed for future managerial and policy interventions concerning the implementation of e-Health/EHR systems in a developing country in SEE. Finally, this may have many benefits, including reducing time and costs, making the adoption of e-Health/EHR systems more efficient and providing more effective healthcare.
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Zetler, Julie Anne. "The legal and ethical implications of electronic patient health records and e-health on Australian privacy and confidentiality law." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/13865.
Full textAbstract:
This thesis addresses the legal and ethical issues posed by introduction of electronic patient health records. Against the background of an analysis of broader conceptual and theoretical understandings of development of electronic patient health records (EPR) and e-health regimes in Australia and comparable countries over the last few decades, the thesis critically examines the extent to which its implementation is consistent with established legal and ethical principles underpinning traditional health assumptions and practices. To this end the thesis explores the evolution and progress of modern health, technology, law and governance issues in e-health, identifying critical features of emerging EPR and e-health systems such as broad innovative industry technology involvement, and potentially problematic practices such as personal information ‘collection’, ‘sharing’ and ‘networking’ activities. The thesis contends that while adopting technology such as e-health comports with modern day progress, the transformational power of technology on society and individual lives has the potential to impose significant human costs for health consumers and everyday life. Through an analysis of the new electronic regime the thesis reveals how Australian Governments, healthcare providers, consumers and other stakeholders interpret and deal with advances in personal healthcare information changes in the new electronic system. The healthcare privacy model advanced in the thesis, in conjunction with an analysis grounded in theories of deliberative democracy, provides the foundation for the thesis argument that the legal, ethical and democratic challenges posed to privacy and participation interests by implementation of e-health policies can best be alleviated in Australia through further structural reforms beyond those recently proposed by a federal review. The thesis contends that an independent ‘Council’, with broad powers to consult and engage the public is an important part of the solution to the political and economic problems identified by the thesis analysis showing that individual privacy protection in healthcare is threatened and that earlier privacy protection mechanisms may prove inadequate in the emerging global information era.