Academic literature on the topic 'Health services administration – Information technology – Evaluation'
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Journal articles on the topic "Health services administration – Information technology – Evaluation"
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Kuchma, V. R., and Svetlana B. Sokolova. "Harmonization of European and Russian standards of evaluation of the quality of delivery of health care in educational organizations." Russian Pediatric Journal 19, no. 3 (April 30, 2019): 157–62. http://dx.doi.org/10.18821/1560-9561-2016-19-3-157-162.
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Harmonization of European and Russian standards of the quality of the delivery of school health services and competencies for school health professionals allowed to justify the concept of the evaluation of the quality of the delivery of medical help to students in educational institutions. The concept does not prescribe a concrete methodfor the organizing school health services, unified process of the activity of health professionals. The concept consists of 7 groups of indices of quality and competences of health care workers. Quality criteria include the presence of a regulatory framework, indices of benevolence towards children, social equity and access to health care for students, requirements for premises, equipment of medical rooms in schools, cooperation with the administration and teachers of schools, parents and children, the medical community, the requirements for health care workers, a minimum list of services, covering both population and individual needs of students, the secure storage, the management and use ofpersonal medical data of children and adolescents. The competences of the staff of medical units are determined by provided medical services and technologies of the work. Properly medical competences of workers of medical care units for the delivery of medical aid to students are contributed by willingness to ensure the rights of children in the process of health care delivery in the educational organization, skills in the field of communication, sharing of information with children, parents and teachers, cooperation with colleagues, planning and coordination of the organization of medical care, the provision of sanitary epidemiological well-being of students, informational-elucidative activity for shaping of healthy lifestyle, research activity. Concept is the basis of the algorithm of the evaluation of the quality of the delivery of medical aid to students and quality assessment technology as well by medical organizations and institutions, as in the form of an independent audit of the quality of the delivery of medical aid to students in educational institutions.
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Eridadi, Hosea Mutanda, Inagaki Yoshihiko, Esayas Alemayehu, and Moses Kiwanuka. "Evaluation of willingness to pay toward improving water supply services in Sebeta town, Ethiopia." Journal of Water, Sanitation and Hygiene for Development 11, no. 2 (February 9, 2021): 282–94. http://dx.doi.org/10.2166/washdev.2021.204.
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Abstract Sebeta town is one of the rapidly growing towns in Ethiopia. Its closeness to Addis Ababa city has attracted industrial, urban development, and population growth. This development has created problems with drinking water shortages in the community. This study aimed at determining the household's willingness to pay (WTP) amount toward improving water supply services and analyzing the influencing factors of WTP. A contingent valuation (CV) technique was applied in quantifying the households' WTP and the influencing factors toward the program. The field observations, key informant interviews, and household questionnaire interviews from 250 respondents out of the targeted 280 were employed in collecting field data. Results from CV revealed that 66% of the households were WTP toward improving the water supply services beyond their current monthly water bills. Households were WTP about 20 Ethiopian Birr (ETB) above the average current water bill of 161 ETB. The binary logistic model results statistically demonstrated that independent variables of gender, age, marital status, education level, years in Sebeta, and average monthly income were significantly influencing the household's WTP at p = 0.01 and 0.05. This study provides vital hints for further research and baseline information for local administration and communities about the water supply in the area and holistic appropriation of water tariffs in line with government policy.
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Valentine, Lisa M., Shannon D. Donofry, and Minden B. Sexton. "Demographic and psychiatric predictors of engagement in psychotherapy services conducted via clinical video telehealth." Journal of Telemedicine and Telecare 26, no. 1-2 (September 27, 2018): 113–18. http://dx.doi.org/10.1177/1357633x18801713.
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IntroductionMilitary veterans are at high risk for developing mental health problems. Unfortunately, veterans have relatively low rates of engagement in mental health services compared with non-veterans. In order to address barriers to mental health care services, the Veteran’s Health Administration (VHA) has implemented clinical video telehealth (CVT). Although the effectiveness of this technology appears promising, there is limited research evaluating rates of engagement in CVT mental health services or what factors may predict premature attrition from mental health care delivered via this format.MethodsThe present study aimed to investigate treatment engagement among veterans enrolled in psychotherapy delivered via CVT, as well as to explore the effects of various demographic and clinical characteristics on these outcomes. Participants were 250 veterans with consults placed to the CVT clinic at a large Midwestern VHA. To evaluate characteristics related to therapy retention, demographic and symptom profile information was gathered from a subset of 93 participants who attended at least one CVT psychotherapy appointment.ResultsResults indicated there were no significant demographic differences between veterans who attended at least one CVT appointment and those who did not attend at least one session. Demographic variables were not related to the number of CVT visits attended. Regarding psychological characteristics, veterans with anxiety disorders attended fewer CVT appointments overall than veterans with mood disorders and attendance at CVT was negatively correlated with anxiety severity.DiscussionThese findings have potential implications for providers working in CVT clinics as well as for future research in this area.
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Márquez-Peláez, Sergio, Isabel Viguera-Guerra, Teresa Molina-Lopez, and Juan-Antonio Blasco Amaro. "OP169 Implementation Of A Quality Management System In The Spanish Network Of Health Technology Assessment." International Journal of Technology Assessment in Health Care 35, S1 (2019): 36–37. http://dx.doi.org/10.1017/s026646231900179x.
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IntroductionThe Spanish network of health technology assessment (HTA) agencies (REDETS) is a collaboration of eight agencies, units and services, commissioned by the national and regional governments. The network coordinates work within a common methodological and work framework, guided by the principles of mutual recognition and cooperation. In 2016, a common self-assessment quality tool was developed for the implementation of an overall Quality Management System. Currently we are working on the second step that deals with actions about management, joint activities as a network, and organizational aspects of the network.MethodsA structured search strategy in the main electronic databases and a manual search in websites of networks national and international agencies were carried out in June 2017, in order to gather previous knowledge and developed standards. Through the information included in this review, and with the collaboration of all members, a group of standards for REDETS was developed. Finally, standards proposed were discussed in a face-to face meeting until an agreement was reached.ResultsA proposal of 31 standards was put forward taking all the collected information. The aim of each standard was defined, and its level of compliance was specified. Those standards were grouped under nine quality criteria structured in four dimensions: (i) Responsibility and Resources, (ii) Performance and Membership, (iii) Procedures, and (iv) Relations.ConclusionsBased on the gathered information and the agreement of the all members, we developed a toolkit embracing a group of standards for the joint activities within the Spanish Network, network administration and management. It is a complementary instrument of the previous self-evaluating tool, following the establishment of an overall quality management system and under the philosophy of continuous improvement processes.
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Brooks, Ronald A., Omar Nieto, Dallas Swendeman, Janet Myers, Ricardo Mendoza Lepe, Alejandra Cabral, Uyen Kao, Thomas Donohoe, and Warren S. Comulada. "Qualitative Evaluation of Social Media and Mobile Technology Interventions Designed to Improve HIV Health Outcomes for Youth and Young Adults Living With HIV: A HRSA SPNS Initiative." Health Promotion Practice 21, no. 5 (August 6, 2020): 693–704. http://dx.doi.org/10.1177/1524839920938704.
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Youth and young adults living with HIV (YYALH) are less likely to be engaged in HIV care, adhere to their medications, and achieve viral suppression compared to older adult populations. In the United States, the majority of YYALH belong to racial/ethnic, sexual, and gender minority groups. HIV care interventions are needed that specifically target YYALH and that exploit the use of social media and mobile technology (SMMT) platforms, where youth and young adults have a ubiquitous presence. We conducted a qualitative evaluation of SMMT interventions included in a Health Resources and Services Administration Special Projects of National Significance initiative designed to improve medical care engagement, retention, and medication adherence to achieve viral suppression among YYALH. However, in this study, only young adults living with HIV (YALH) ages 18 to 34 years participated. A total of 48 YALH were interviewed. The data were analyzed using thematic analysis and revealed three main themes supporting the usefulness of the SMMT interventions, which included (1) acceptability of SMMT interventions in managing HIV care with subthemes of medical information accessibility, reminders, and self-efficacy; (2) feelings of support and personal connection afforded by SMMT interventions; and (3) SMMT interventions help to alleviate negative feelings about status and mitigate HIV-related stigma. A few participants identified problems with using their respective intervention, primarily related to the functionality of the technologies. Overall, findings from our qualitative evaluation suggest that SMMT-based interventions have the potential to increase engagement and retention in care, support YALH in adhering to medication, and help them adjust to their diagnosis.
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Iyer, Sowmya, Priyanka Mehta, Joanne Weith, Dat Hoang-Gia, Janet Moore, Chalise Carlson, Philip Choe, Erin Sakai, and Christine Gould. "Converting a Geriatrics Clinic to Virtual Visits during COVID-19: A Case Study." Journal of Primary Care & Community Health 12 (January 2021): 215013272110002. http://dx.doi.org/10.1177/21501327211000235.
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Background: To characterize the experience of converting a geriatrics clinic to telehealth visits in early stages of a pandemic. Design: An organizational case study with mixed methods evaluation from the first 8 weeks of converting a geriatrics clinic from in-person visits to video and telephone visits. Setting: Veteran’s Health Administration in Northern California Participants Community-dwelling older Veterans receiving care at VA Palo Alto Geriatrics clinic. Veterans had a mean age of 85.7 (SD = 6.8) and 72.1% had cognitive impairment. Intervention: Veterans with face-to-face appointments were converted to video or telephone visits to mitigate exposure to community spread of COVID-19. Measurements: Thirty-two patient evaluations and 80 clinician feedback evaluations were completed. This provided information on satisfaction, care access during pandemic, and travel and time savings. Results: Of the 62 scheduled appointments, 43 virtual visits (69.4%) were conducted. Twenty-six (60.5%) visits were conducted via video, 17 (39.5%) by telephone. Virtual visits saved patients an average of 118.6 minutes each. Patients and providers had similar, positive perceptions about telehealth to in-person visit comparison, limiting exposure, and visit satisfaction. After the telehealth appointment, patients indicated greater comfort with using virtual visits in the future. Thirty-one evaluations included comments for qualitative analysis. We identified 3 main themes of technology set-up and usability, satisfaction with visit, and clinical assessment and communication. Conclusion: During a pandemic that has limited the ability to safely conduct inperson services, virtual formats offer a feasible and acceptable alternative for clinically-complex older patients. Despite potential barriers and additional effort required for telehealth visits, patients expressed willingness to utilize this format. Patients and providers reported high satisfaction, particularly with the ability to access care similar to in-person while staying safe. Investing in telehealth services during a pandemic ensures that vulnerable older patients can access care while maintaining social distancing, an important safety measure.
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Ramos, Marcelo Cristiano de Azevedo, Lucila Pedroso da Cruz, Vanessa Chaer Kishima, Wilson Modesto Pollara, Antônio Carlos Onofre de Lira, and Bernard François Couttolenc. "Performance evaluation of hospitals that provide care in the public health system, Brazil." Revista de Saúde Pública 49 (2015): 1–9. http://dx.doi.org/10.1590/s0034-8910.2015049005748.
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<sec><title>OBJECTIVE</title><p> To analyze if size, administrative level, legal status, type of unit and educational activity influence the hospital network performance in providing services to the Brazilian Unified Health System.</p></sec><sec><title>METHODS</title><p> This cross-sectional study evaluated data from the Hospital Information System and the <italic>Cadastro Nacional de Estabelecimentos de Saúde</italic> (National Registry of Health Facilities), 2012, in Sao Paulo, Southeastern Brazil. We calculated performance indicators, such as: the ratio of hospital employees per bed; mean amount paid for admission; bed occupancy rate; average length of stay; bed turnover index and hospital mortality rate. Data were expressed as mean and standard deviation. The groups were compared using analysis of variance (ANOVA) and Bonferroni correction.</p></sec><sec><title>RESULTS</title><p> The hospital occupancy rate in small hospitals was lower than in medium, big and special-sized hospitals. Higher hospital occupancy rate and bed turnover index were observed in hospitals that include education in their activities. The hospital mortality rate was lower in specialized hospitals compared to general ones, despite their higher proportion of highly complex admissions. We found no differences between hospitals in the direct and indirect administration for most of the indicators analyzed.</p></sec><sec><title>CONCLUSIONS</title><p> The study indicated the importance of the scale effect on efficiency, and larger hospitals had a higher performance. Hospitals that include education in their activities had a higher operating performance, albeit with associated importance of using human resources and highly complex structures. Specialized hospitals had a significantly lower rate of mortality than general hospitals, indicating the positive effect of the volume of procedures and technology used on clinical outcomes. The analysis related to the administrative level and legal status did not show any significant performance differences between the categories of public hospitals.</p></sec>
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Lima, Yuri, Wallace Pinheiro, Carlos Eduardo Barbosa, Matheus Magalhães, Miriam Chaves, Jano Moreira de Souza, Sérgio Rodrigues, and Geraldo Xexéo. "Development of an Index for the Inspection of Aedes aegypti Breeding Sites in Brazil: Multi-criteria Analysis." JMIR Public Health and Surveillance 7, no. 5 (May 10, 2021): e19502. http://dx.doi.org/10.2196/19502.
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Background Aedes aegypti is a vector for the transmission of diseases such as dengue fever, chikungunya, Zika fever, and yellow fever. In 2016, over 1 million cases of these diseases were reported in Brazil, which is an alarming public health issue. One of the ways of controlling this disease is by inspecting and neutralizing the places where A. aegypti lays its eggs. The Ministry of Planning, Development, and Administration of Brazil maintains the inspection statistics. Objective We propose a multi-criteria analysis to create an index for A. aegypti inspections reported through the Ministry of Planning, Development, and Administration system of Brazil. Methods Based on the repository from urban cleaning services combined with data on inspections conducted by government agencies in several Brazilian cities and municipalities, we selected and combined metrics, which we further ranked using the analytic hierarchy process methodology. We also developed risk maps based on the analytic hierarchy process ranking of the A. aegypti breeding sites. Results Based on our analysis and the available data, the priority for inspections should consider the number of sick people (weight 0.350), medical evaluations (weight 0.239), inspections (weight 0.201), mosquito breeding sites (weight 0.126), and days of absence from work (weight 0.096). Conclusions The proposed index could aid public health practitioners in preventing the appearance of new A. aegypti breeding sites. This information technology application can help solve such public health challenges.
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Khorzad, Rebeca, Enid Montague, Anna P. Nannicelli, Donna M. Woods, Daniela P. Ladner, Alexandra Brown, and Jane Louise Holl. "Redesigning Transplant Organ Labeling to Prevent Patient Harm and Organ Loss." Progress in Transplantation 28, no. 3 (July 16, 2018): 271–77. http://dx.doi.org/10.1177/1526924818781574.
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Background: In 2012, the Health Resources and Services Administration and the United Network for Organ Sharing launched the “Electronic Tracking and Transportation” (ETT) project, in response to “labeling and packaging issues” being a frequently reported safety incident. This article describes an improvement project conducted as part of this United Network for Organ Sharing project. Methods: An interdisciplinary team conducted a Process Failure Modes and Effects Analysis, laboratory simulations of organ labeling during procurement, and a heuristic evaluation of a label software application to inform the design of TransNet, a system that uses barcode technology at the point of organ recovery. A total of 42 clinicians and staff from 10 organ procurement organizations and 2 transplant centers in the United States participated. Processes Addressed: Key features of the redesigned labeling system include independent, double entry of label information into the software application, a machine-readable barcode on each organ’s label, and a handheld printer for at “point of use” label printing. Outcomes: The new labeling system, TransNet, has become mandatory since June 2017. A survey conducted on early adopters (N = 11), after 1 year of use, indicates the process is safer and more efficient. Implications for Practice: The findings from this study suggest that the application of quality planning methods, common in other industries, when redesigning a health-care process, are valuable and revelatory and should be adopted more extensively. Future evaluation of TransNet effectiveness to reduce safety incidents is critical.
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Diamantopoulou, Vasiliki, and Haralambos Mouratidis. "Practical evaluation of a reference architecture for the management of privacy level agreements." Information & Computer Security 27, no. 5 (November 11, 2019): 711–30. http://dx.doi.org/10.1108/ics-04-2019-0052.
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Purpose The enforcement of the General Data Protection Regulation imposes specific privacy- and -security related requirements that any organisation that processes European Union citizens’ personal data must comply with. The application of privacy- and security-by-design principles are assisting organisation in achieving compliance with the Regulation. The purpose of this study is to assist data controllers in their effort to achieve compliance with the new Regulation, by proposing the adoption of the privacy level agreement (PLA). A PLA is considered as a formal way for the data controllers and the data subjects to mutually agree the privacy settings of a service provisioned. A PLA supports privacy management, by analysing privacy threats, vulnerabilities and information systems’ trust relationships. Design/methodology/approach However, the concept of PLA has only been proposed on a theoretical level. To this aim, two different domains have been selected acting as real-life case studies, the public administration and the health care, where special categories of personal data are processed. Findings The results of the evaluation of the adoption of the PLA by the data controllers are positive. Furthermore, they indicate that the adoption of such an agreement facilitates data controllers in demonstrating transparency of their processes. Regarding data subjects, the evaluation process revealed that the use of the PLA increases trust levels on data controllers. Originality/value This paper proposes a novel reference architecture to enable PLA management in practice and reports on the application and evaluation of PLA management.
Dissertations / Theses on the topic "Health services administration – Information technology – Evaluation"
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Forsyth, Rowena Public Health & Community Medicine Faculty of Medicine UNSW. "Tricky technology, troubled tribes: a video ethnographic study of the impact of information technology on health care professionals??? practices and relationships." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/30175.
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Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.
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Hu, Paul Jen-Hwa 1962. "Management of telemedicine technology in healthcare organizations: Technology acceptance, adoption, evaluation, and their implications." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/282579.
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As an exciting information technology-based innovation, telemedicine has potential to enhance physicians' patient care and management, improve healthcare organizations' operations and performance, and cause a paradigmatic shift in health care toward a progressively emerging digital practice. Previous research has concentrated on technology developments and clinical applications and therefore offers limited discussion of technology management. Managing telemedicine technology in healthcare organizations is so complex and dynamic that it has been an important factor in the failure of many early telemedicine attempts. This dissertation research directly addressed organizational management of telemedicine technology. To deal with complexity and dynamism, the research took a multi-phase approach, using a research framework built upon a well-established theoretical foundation. Case study was used in the exploratory phase to provide detailed understanding of the underlying technology implementation process and to generate specific research questions or models for the subsequent descriptive/explanatory phase. Systematic linkage of these investigations was safeguarded by desired methodological triangulation. Findings from the case study and substantiating interviews identified technology acceptance, adoption and evaluation as problematic areas in organizational technology management. Findings of a survey study administered to most physicians practicing in public tertiary hospitals in Hong Kong suggested that perceived usefulness and ease of use, self-efficacy, and subjective norms were important to their accepting telemedicine technology. Similarly, a survey conducted with hospital executive officers, chiefs of service and center directors of all Hong Kong public healthcare establishments indicated that service needs, attitudes of medical staff, and the technology's benefits, risks and compatibility were essential to organizational technology adoption. In addition, results of an evaluative experimental study showed that the clinical decision- making of physicians can be improved through use of appropriate telemedicine technology. The combined findings suggested that these separate technology management issues were closely interrelated rather than isolated. Effects of a technology on physicians' patient care and management practice have important impacts on their technology acceptance, which, in turn, needs to be considered by their affiliating organization when making an adoption decision.
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Johnson, Kendra, Kim K. Nguyen, Shimin Zheng, and Robin P. Pendley. "The Relationship between Quality Improvement and Health Information Technology Use in Local Health Departments." UKnowledge, 2013. https://uknowledge.uky.edu/frontiersinphssr/vol2/iss6/2.
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This research examined if there is a relationship between engagement in quality improvement (QI) and health information technology (HIT) for local health departments (LHDs) controlling for workforce, finance, population, and governance structure. This was a cross-sectional study that analyzed data obtained from the Core questions and Module 1 in the NACCHO 2010 Profile of LHDs. Descriptive statistics, bivariate analyses, and logistic regression analyses were conducted. Findings suggest that LHD engagement in QI has a relationship with utilization of HIT including electronic health records, practice management systems, and electronic syndromic surveillance systems. This study provides baseline information about the HIT use of LHDs. LHDs and their system partners (hospitals, federally qualified health centers, and primary care providers) that utilize HIT as part of their QI decision making may have an easier time of using data to support evidence-based decision making and implementing the provisions of the Patient Protection and Affordable Care Act of 2010 in order to achieve population health for all.
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Peabody, Tyler Robert, and Tali Freed. "RFID TECHNOLOGY SELECTION AND ECONOMIC JUSTIFICATION FOR HEALTHCARE ASSET TRACKING." DigitalCommons@CalPoly, 2013. https://digitalcommons.calpoly.edu/theses/1041.
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Although Radio Frequency Identification (RFID) and Real-Time Location System (RTLS) technologies for inventory tracking have been growing in popularity, the healthcare industry has been reluctant to adopt these technologies. One of the primary reasons for this lack of enthusiasm has been the risk associated with electromagnetic interference between RFID/RTLS systems and medical equipment functionality. The other reason has been the substantial cost and complexity of implementing RFID/RTLS in healthcare organizations. In this study, we show that there are several ways to safely install RFID/RTLS systems to improve the inventory management processes of hospitals and clinics. We then analyze the inventory shrinkage (loss and theft) data of the Veterans Health Administration VISN 10 (the Veterans Integrated Service Network of Ohio) using a mathematical model to estimate the annual shrinkage. Finally, we develop an economic cost/benefit analysis database system in Microsoft Access that can be used to calculate the breakeven point of RFID/RTLS implementations, as well as calculate the expected reduction in inventory- related operating costs. This system can be adapted for cost/benefit analyses in similar inventory-intensive environments.
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Hardy, Jennifer Lynette. "Healthcare providers communication mechanisms using a case management model of care implications for information systems development, implementation & evaluation /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060731.120940/index.html.
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Webb, Janet Marie. "Information about primary care physicians considered most useful by managed health care consumers." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1370.
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Matondolo, Siyamthanda Luthando. "Utilisation of ICT in healthcare centre to support HIV/AIDS flow of information and service delivery In Khayelitsha." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2477.
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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012.This research is an attempt to investigate the utilisation of Information Communication Technology (ICT) in Healthcare to support the flow of HIV/AIDS patient’s general information in public and private sector. Furthermore, the research examines the detail flow of database information for healthcare service delivery to patients, in particular HIV/AIDS patients, in Khayelitsha Township. Finally, the research will detail the types of technologies currently being utilised to transfer this information, technology utilised for capturing or data collection profile of the patient. The research study data collecting was done in 2009 in mostly private and public healthcare centre in Khayelitsha township. First, the study will concentrate on general utilisation of ICT in healthcare service delivery and flow of information for public and private sector healthcare centres. Additionally, the research also looks at NGOs such as HIV/AIDS Unit in Cape Peninsula University of Technology (CPUT) and Treament Action Campaign (TAC) to find out what ICT equipment is being utilised to transfer this information to adult people to inform and make them to be aware of HIV/AIDS and improve healthcare service delivery to patients and particularly to HIV/AIDS patients. Taking NGO’s such as TAC and CPUT HIV/AIDS Unit that are well informed about HIV/AIDS, nationally and internationally will make our research results to be more precise. The research will also look at the utilisation of ICT in flow of information at healthcare centre such as communication between healthcare providers such as receptionist/clerk, nurses, doctors and medical researchers since they are the first people who deal with HIV/AIDS patient cases when they come for healthcare provision.
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Okoro, Chris U. "Perspectives of Primary Care Physicians on Adopting Electronic Medical Records in the Atlanta, Georgia Area." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5923.
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Slow adoption of electronic medical records (EMR) by primary care physicians in medical office practices has not facilitated the EMR adoption process. The problem is the slow pace of EMR adoption by primary care physicians in the Atlanta, Georgia area has become a public health concern. Research regarding the lived experiences of these physicians with EMR implementation and utilization may identify reasons for the slow adoption. The purpose of this phenomenological study was to explore the lived experiences of primary care physicians, who practice in the Atlanta area, regarding their perception, successes, barriers, and urgency of adoption of EMR in their healthcare practice. Lewin's change management model of health services served as the framework for the study. Data was collected during face-to-face interviews with 19 primary care physicians at Grady's Ponce de Leon Clinic and Grady's East Point Clinic in Atlanta, Georgia. Participants were physicians or residents and not those in authority to make decisions about the EMR at the two clinics. NVivo 10 and automatic coding was used for data analysis to develop themes from the interviews. The findings revealed that the adoption of EMR has enabled primary care physicians to spend more time with their patients, but the barriers such as a lack of interoperability and lack of training, has fostered a feeling of disinterestedness towards EMR adoption. This study supports positive social change that EMR adoption aids in improving patient safety and outcome.
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Sansom, Karen. "Indicators of Academic Success in a Medical Record Technology Program & Their Relationship to Attainment of a Passing Score on the Accreditation Examination." TopSCHOLAR®, 1989. https://digitalcommons.wku.edu/theses/2810.
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During the selection and retention process in a medical record technology program, it is advantageous to identify those students who will fulfill the program's course requirements, as well as subsequently pass the accreditation examination. Graduates of such a program at Wbstern Kentucky University were studied to identify these demoaraphic and academic indicators. Using a stepwise multiple regression analysis, the variables of high school grade point average (GPA), college GPA, and composite ACT score were found to be significantly related to medical record GPA. Using the maximum Rsquare improvement technique, the variables of high school GPA, college GPA, age entering the program, English ACT score and number of credits at graduation were found to be significantly related to overall college GPA at graduation. Multiple regression analysis indicated that high school GPA and composite ACT score were found to be the best predictors of overall performance on the accreditation exam, though the relationship was not significant. Using the discriminant analysis technique, several variables were found to be significant in determining which students will pass the exam and which students will fail. Based on information age when entering the program, and number of medical record core courses repeated contributed significantly to the model. The model was applied to the actual data with a pass/fail accuracy rate of 82% for all students and a rate of 84% for those students passing the exam. Based on additional information after graduation, the variables of medical record GPA, composite ACT score, age when entering the program, and number of credits received at graduation contributed significantly to the model. The model was applied to the actual data with a pass:fail accuracy rate of 78% for all students and a rate of 89% for those students failing the exam.
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Gaudet, Cynthia. "Electronic Bedside Documentation and Nurse-Patient Communication: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/32.
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Nurses are often the first members of the health care team with whom patients interact. The initial impression of the nurses’ receptiveness to the patients’ needs influences the patients’ views of their overall care. Researchers have suggested that understanding communication between individuals can provide the human link, or social element, to the successful implementation and use of electronic health records, including documentation (Lanham, Leykum, & McDaniel, 2012). Zadvinskis, Chipps, and Yen (2014) identified that the helpful features of bedside documentation systems were offset by the mismatch between the system and nurse’s workflow. The purpose of this micro-ethnography study was to explore the culture of nurse-patient interaction associated with electronic documentation at the bedside. Data were collected through passive participant observation, audio-taping of the nurse-patient interactions, and informal and semi-structured interviews with the nurses. A total of twenty-six observations were conducted on three nursing units at an urban healthcare facility in New England. These three units were occupied by similar patient populations and all patients required cardiac monitoring. Three themes consistently emerged from qualitative data analysis: the nurses paused during verbal communication, the nurses played a game of tag between the patient and the computer, and the nurses performed automatic or machine-like actions. The participants described these themes in the informal and semi-structured interviews. The nurses’ actions were observed during passive participant observation, and the audio-taped interactions supported these themes. Understanding the adaptation of caregiving necessitated by bedside electronic documentation will have a positive impact on developing systems that interface seamlessly with the nurses’ workflow and encourage patients’ active participation in their care.
Books on the topic "Health services administration – Information technology – Evaluation"
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Chŏng, Yŏng-ch'ŏl. Pogŏn ŭiryo pumun chŏngbohwa saŏp chŏllyakchŏk p'yŏngka mohyŏng kaebal. Sŏul Tʻŭkpyŏlsi: Han'guk Pogŏn Sahoe Yŏn'guwŏn, 2003.
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Chŏng, Yŏng-chʻŏl. Pogŏn ŭiryo pumun chŏngbohwa saŏp chŏllyakchŏk pʻyŏngka mohyŏng kaebal. Sŏul Tʻŭkpyŏlsi: Hanʼguk Pogŏn Sahoe Yŏnʼguwŏn, 2003.
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Harkke, Ville. Knowledge freedom for medical professionals: An evaluation study of a mobile information system for physicians in Finland. Åbo: Åbo Akademi University Press, 2006.
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Michigan. Office of the Auditor General. Audit report: Performance audit of the Bureau of Health Services Review, Medical Services Administration, Department of Social Services, October 1, 1989 through April 30, 1993. [Lansing] (201 N. Washington Square, Lansing 48913): The Office, 1995.
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Willemssen, Joel C. Year 2000 computing challenge: Leadership and partnerships result in limited rollover disruptions : statement of Joel C. Willemssen, Director, Civil Agencies Information Systems, Accounting and Information Management Division, before the Subcommittee on Government Management, Information, and Technology, Committee on Government Reform, and the Subcommittee on Technology, Committee on Science, House of Representatives. Washington, DC: The Office, 2000.
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Willemssen, Joel C. Year 2000 computing challenge: Federal business continuity and contingency plans and Day One stategies : statement of Joel C. Willemssen, Director, Civil Agencies Information Systems, Accounting and Information Management Division, before the Subcommittee on Government Management, Information and Technology, Committee on Government Reform, and the Subcommittee on Technology, Committee on Science, House of Representatives. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1999.
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Willemssen, Joel C. Year 2000 computing challenge: Concerns about compliance information on biomedical equipment : statement of Joel C. Willemssen, Director, Civil Agencies Information Systems, Accounting and Information Management Division, before the Special Committee on the Year 2000 Technology Problem, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20013): The Office, 1999.
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Michigan. Office of the Auditor General. Audit report: Mental Health Services, Bureau of Health Care Services, Department of Corrections, October 1, 1984 through June 30, 1989. [Lansing, Mich.]: The Office, 1990.
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Strickland-Hodge, B. Information technology and health care. Aldershot: Gower, 1988.
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Willemssen, Joel C. Year 2000 computing challenge: Important progress made, yet much work remains to avoid disruption of critical services : statement of Joel C. Willemssen, Director, Civil Agencies Information Systems, Accounting and Information Management Division, before the Subcommittee on Government Management, Information and Technology, Committee on Government Reform, House of Representatives. Washington, D.C: The Office, 1999.
Find full textBook chapters on the topic "Health services administration – Information technology – Evaluation"
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Jarke, Juliane. "Ageing Societies and Technological Innovation." In Public Administration and Information Technology, 5–13. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-52873-7_2.
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Abstract Demographic ageing has been declared one of the main challenges for countries in the Global North by politicians, journalists, industry and academia alike. Many frame ageing as a problem that needs a technological fix and most digital technologies designed for older adults, reproduce images about old age defined by ill health, deficits and limitations. Digital public services are no different. However, scholars in critical and social gerontology argue that most of the alarmist rhetoric around demographic ageing and projected social implications are based on flawed assumptions about older people (e.g. their ability to contribute to their communities) and the ageing process (e.g. as solely described in terms of decline and long-term care needs). This chapter reviews dominant concepts about ageing societies, older adults and technological innovation. It argues, that engaging older adults in design processes, allows for alternative measures and attributes of “success” in later life and that participatory approaches can reconfigure how and which imaginaries and social practices are being scripted into technologies.
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Bergkvist, Sofi, and Hanna Pernefeldt. "Primary Care through a Public-Private Partnership." In Advances in Healthcare Information Systems and Administration, 127–53. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-61520-885-2.ch008.
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The primary care delivery model developed by the Health Management and Research Institute (HMRI) in India, integrates innovative technical solutions and process-oriented operations for the provision of healthcare services, while supporting the public health system. Through a public-private partnership with the state government of Andhra Pradesh, HMRI has a unique base to pilot large scale health interventions. The HMRI Model includes components such as a medical helpline, rural outreach health services, a disease surveillance program, a blood bank application, and telemedicine projects. Both clinical and non-clinical procedures are strengthened by technology that enables research, tailored and evidence-based interventions, as well as improves efficiency and quality of healthcare delivery. Health management and decision-making is assisted by the organization’s large database of electronic medical records. Challenges to implementation include implications of large government contracts, funding issues, as well as technical constraints and human resources issues. This chapter describes the Model’s various components and its contextual framework with enabling and constraining factors. HMRI has developed a unique system for preventive and primary care that can serve as a model for low, middle, and high income countries, though external evaluations are critically needed for further assessment of best practices.
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Al-Fedaghi, Sabah S. "Conceptual Modeling in Health Information Technology." In Advances in Healthcare Information Systems and Administration, 15–32. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-5460-8.ch002.
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Electronic health record (EHR) systems are the cornerstone of any modern health service. Studies have consistently shown, however, that introducing EHR systems is a complex task, with difficulties stemming from technical designs that fit poorly with the details of clinical work practices. Given the evolving role of EHRs, a unified framework for a holistic modeling approach is needed in health IT. Current conceptual modeling techniques use object-oriented diagrams as their main tools; the nature of this methodology requires breaking the system's behavior into several pieces and then further decomposing those pieces into other diagrams. This chapter introduces a conceptual-modeling methodology that is based on flows; it also presents different conceptualizations of such notions as processes, things (objects), and events. Without a loss of generality, this chapter focuses on documenting patterns of clinician-information use cases and tools for evaluating EHR implementation.
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Al-Fedaghi, Sabah S. "Design Principles in Health Information Technology." In E-Health and Telemedicine, 523–35. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch026.
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Electronic health record (EHR) systems are said to be the cornerstone of a modernized health service. They improve health care, allow for integrated information, and help prevent lost and duplicated records as well as occurrence of administrative errors. Studies have consistently shown, however, that introducing EHR systems is a complex task, with difficulties stemming from technical designs that fit poorly with the details of clinical work practices. Given the evolving role of EHRs and the importance of information design, the need exists for further exploration of EHRs with the purpose of advancing innovations in health IT with the potential for significant positive effects on clinical practice. This paper focuses on a subfield of EHR studies that is working to establish a foundation for applying information design principles to implementation of health information technology in primary care settings. Without loss of generality, the paper examines a specific attempt that includes documenting patterns of clinician information use and developing “use cases” and tools for evaluating EHR implementation. The paper proposes an alternative approach based on a new flow-based specification methodology. It is shown that the method can be applied uniformly at the conceptual requirements level and simultaneously at the user interface level. The new method seems to be a viable technique for expressing situations arising in clinical work practices.
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Pomares-Quimbaya, Alexandra, Rafael A. González, Alejandro Sierra, Julián Camilo Daza, Oscar Muñoz, Angel García, Alvaro Bustamante, Olga Milena García, and Wilson Ricardo Bohórquez. "ICT for Enabling the Quality Evaluation of Health Care Services." In Advances in Healthcare Information Systems and Administration, 196–210. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1724-5.ch012.
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Medical practice, monitoring and control guidelines enable standardization, assessment and quality improvement in healthcare. This often implies collecting and analyzing electronic medical records (EMRs) in order to calculate compliance metrics and support evidence-based decision-making. However, for these benefits to materialize a set of challenges must be overcome, including the complexity required to represent guidelines in such a way that compliance can be automatically determined with the aid of software; the combination of both structured and unstructured (narrative text) data; and cultural or political barriers. In this chapter, we present a strategy to overcome these challenges using three case studies in chronic disease for a developing country. As such, this work contributes an approach to enable the use of ICT-supported medical guideline evaluation, in order to contribute to a more reliable and context-dependent way of improving healthcare in developing countries in particular.
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Holban, Ionica, Ioana Duca, Rodica Gherghina, Diana Andreea Mândricel, and Elena Denisa Nicolescu. "Emotional Intelligence and Customer Satisfaction of Online Health Information." In Encyclopedia of Organizational Knowledge, Administration, and Technology, 2251–60. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3473-1.ch155.
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Today, more than ever, the consumer has become the centre of these concerns, and health information technology is seen as an integrated function of the work of health care institutions. Therewith, emotional intelligence equips the employee with the attitude needed for a customer service position. This paper aims to study online health service qualities and other underlying factors that influence customers' behavioural intentions towards using online health information in Romania. The empirical research builds on a survey with a sample of 850 consumers, using a questionnaire which analyses the customers' satisfactions of online health information. The results show that the major objective behind this digitalization health is to attract more customers, improve their satisfactions, and encourage loyalty towards online health information delivery channels. Romania providers often use the quality of online health services as a means of differentiation for their survival in the competitive environment as well as to gain a competitive edge.
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Middleton, Michael. "Evaluation of E-Government Web Sites." In Handbook of Research on Public Information Technology, 699–710. IGI Global, 2008. http://dx.doi.org/10.4018/978-1-59904-857-4.ch063.
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In recent times, the popularity of the Internet has led to e-government practices being widely recognized as an important option for service to the general public. In response, various tiers of government from national to local level have sought opportunities to engage the public through Web sites. Many governments now provide some level of access to government through Web interfaces, for example, through access to resources such as publications and government data. In some cases there are services provided that may be executed online. For example, users may provide personal information for licensing or to undertake payments. There continues to be a diversity of implementation quality and levels for such services. The facilitation of e-government has been characterized in various ways. For example, the European Union has seen it in terms of four main tasks: the development of Internet-based services to improve access to public information and services, the improvement of the transparency of public administration by using the Internet, the full exploitation of information technology within public administration, and the establishment of e-procurement (Strejcek & Theilb, 2003). More recently, the United Nations (UN), noting that ICTs may be used to transform its internal and external relationships, has also identified four similar but distinct areas: internal processes such as record keeping, electronic service delivery, virtual communities for digital democracy, and e-business opportunities such as procurement (United Nations Department of Economic and Social Affairs, 2005).
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Stoumpos, Angelos I., and Michael A. Talias. "Economic Sustainable Health Information Systems." In Interdisciplinary Perspectives on Operations Management and Service Evaluation, 234–51. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-5442-5.ch012.
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Public health systems have adopted computer health and information technology as a dynamic transformational tool both to improve real-time surveillance systems and to communicate and exchange information between different organizations. Health information systems (HIS) incorporate data collection, processing, report creation, and the use of information necessary to improve the efficiency and effectiveness of health services through better management of these services at every level. The sustainable development of these systems depends on their interoperability, the combination of the “three pillars of sustainability” (economic, social, environmental). At the global health level, there are variations between countries in terms of the application and implementation of sustainable systems. However, taking advantage of the available knowledge and technology, and with proper management of the economy, the viability of health information systems can be sustainable.
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Vahteristo, Anna, and Virpi Jylhä. "Effects of User Participation in the Development of Health Information Systems on Their Evaluation Within Occupational Health Services." In Studies in Health Technology and Informatics. IOS Press, 2020. http://dx.doi.org/10.3233/shti200724.
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Information management and the usability of health information systems (HIS) are important for the development of HIS in occupational health services. User participation in the HIS development process has been shown to contribute to the success of an HIS. The purpose of this study was to analyze how user participation in HIS development affected evaluation of the success of HIS. The success was assessed on the basis of the DeLone and McLean Information Systems (IS) Success Model. The study was conducted within occupational health services and the data (n=210) was analyzed with quantitative methods. The results showed that users participating in the HIS development process assessed the success of the HIS as better than those that had not taken part in the development. This difference could be seen in all seven dimensions of the DeLone and McLean IS success model but was statistically significant only for System Quality and Intention to Use. The results also showed that the users that had participated in the HIS development process also used the HIS more often and more extensively than those that had not participated in the development. The results indicate that user participation in the development process positively influences their assessment of the HIS and increases their active use of the IS. However, more research is needed to determine the long-term effects of using participatory design in HIS development.
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Rosiek-Kryszewska, Aleksandra, and Anna Rosiek. "The Involvement of the Patient and his Perspective Evaluation of the Quality of Healthcare." In Advances in Healthcare Information Systems and Administration, 121–44. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-3946-9.ch007.
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This chapter describes how the complexity of the process of satisfying health needs is in providing different type of services at the same time. It is associated with both the qualifications of the staff and the complexity of the procedures. High-quality healthcare is a priority, because it provides trust, safety and health of patients. Engaging a patient in assessing the quality of healthcare contributes to the change in the way people think about healthcare system. In the chapter, the authors point out the role of patient engagement in the quality assessment of healthcare. The quality of medical services is one of the fundamental problems of healthcare. Providing good quality services at the right price - this is the challenge healthcare institutions are facing to stay ahead of the increasingly competitive healthcare market. The hard market demands healthcare units pay attention to the quality of healthcare, seeing the patient's perspective, and gaining greater credibility in the healthcare market.
Conference papers on the topic "Health services administration – Information technology – Evaluation"
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Fiala, Zdenek, and Olga Sovova. "NEW CHALLENGES FOR PUBLIC ADMINISTRATION AT THE AGE OF THE RIGHT TO THE INTERNET ACCESS." In 4th International Scientific Conference – EMAN 2020 – Economics and Management: How to Cope With Disrupted Times. Association of Economists and Managers of the Balkans, Belgrade, Serbia, 2020. http://dx.doi.org/10.31410/eman.2020.201.
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The paper discusses the challenges, benefits, and risks of the digitization in public services; argues the internet access right as a fundamental human right and the obligation of a state to provide digital services in the public administration; points out the main tasks of public administration when introducing the principles of good governance; addresses the development of the mentioned principles in the European public space as well at the examples of the Czech Republic. The authors critically describe evaluation methods of digitized public administration and e-Government, including the general model of user acceptance of information technology and benchmarking within the global worldwide information society. The paper highlights practical examples of digitization of the public space in the European Union and in the Czech Republic. The paper concludes with the issues of the state obligation to cover gaps between the legal and economic demand for digitization and provision of digital public services and needs of communities and individuals. The authors use the economic approach to examine legal issues of digitization in public administration. The comparison of the European legislation and Czech national legislation form the primary methodology of the interpretation of the rights of users as well as the obligations of the public administration. Practical examples, figures and tables highlight the argued issues.
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Borţea, Andra-Nicoleta. "Ethics and Efficiency of Communication during COVID-19 Pandemic; Role of Public Administration Digitalization." In 2nd International Conference Global Ethics - Key of Sustainability (GEKoS). LUMEN Publishing House, 2021. http://dx.doi.org/10.18662/lumproc/gekos2021/22.
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In the age of technology, communication seems to be much easier for public institutions. Citizens' access to the necessary information is much easier, by accessing official websites or by e-mail. The pandemic has limited people's access to interaction with public institutions, which has increased the need to use online digital tools. Thus, the process of digitalization and the process of modernization of the public administration were hastened. This has led to the emergence of new types of social behaviours that have had negative effects on the use of digital tools by public entities. Until now, several approaches to public administration ethics have existed, and they have mostly centered on the civil servant's behaviour in his interaction with citizens and his respect for the workplace. As the online environment has become a necessity for public services in the digital age, ethics in the public system meets new challenges. Today, there is a need for a modernized digital system for civil servants to use. It should facilitate applicants' access to information and protect the confidentiality of certain information in an ethical and professional manner for all parties involved, in order to reduce misinformation. Misinformation in a pandemic can have serious consequences: it can lead to ignoring official health advice and risky behaviour, or it can have a negative impact on our democratic institutions and societies, as well as on the economic and financial situation. Therefore, there is a need for new protection measures, that can protect people, not only for medical safety in a public institution, but for ethic means in the online environment.
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Hindle, Ed, Robert Van Stone, Chris Brogan, John Vandike, Ken Dale, and Nathan Gibson. "A Prognostic and Diagnostic Approach to Engine Health Management." In ASME Turbo Expo 2006: Power for Land, Sea, and Air. ASMEDC, 2006. http://dx.doi.org/10.1115/gt2006-90614.
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A serious operational cost trend threatens the future technical preeminence of the United States DoD. Increasing readiness costs are severely impacting acquisition of new aircraft, which translates to an increase in the average age of the United States Air Force, Navy and Army aircraft fleet. As time marches on, this undesirable trend will become more and more difficult to overcome. It would be unwise to expect congress to increase the defense budget in the near future to overcome this dilemma. Hence, as the current aircraft fleets continue to age this problem will only get worse. A revolutionary paradigm shift must take place to reverse the aircraft sustainment demand for funding. Prognosis based asset management can go a long way towards reversing the operating cost trend. When applied to aircraft engines, prognosis based asset management may allow the services to reach cost of ownership entitlement as well as achieve significant safety and readiness improvements. This revolutionary change in engine management will employ condition (or state) based component lifing and inspections (verses the current hard time inspections limits). Instead of operating to fixed intervals, based on engine health, the component will dictate when the optimal inspection should occur. In other words, a sensor will determine when the engine needs to be inspected. This includes all nondestructive evaluation, borescope activities, component replacement and depot maintenance work. The concept of engine health management (EHM) has been an interesting topic for several years. The Navy explored prognosis and mechanical diagnostics in the early 70’s for the F-8 and A-7 applications (1). Various limitations such as engine controller, storage, limited computing capacity / capabilities have prevented this from moving forward. Significant advances in both computing power and sensor technology now make it possible to obtain real time engine information and to make EHM a reality on an engine-by-engine basis. Obtaining flight-by-flight usage parameter information will provide the foundation for robust diagnostics as well as engine prognostics and allow real time fault tree analysis and near real time damage accumulation calculations. Once this information is available, engine prognosis can provide predictive capability for the health of engine components, appropriate inspection intervals and maintenance activities providing a substantial long-range cost avoidance opportunity for the DoD sustainment budget. Current fleet management capability is constrained by uncertainty in the current state of the individual aircraft engines. The ability to sense or measure the damage state of an individual part is limited at best. Further, specific part operational severity is not captured with the current lifing process, hence many components are not operating to their life entitlement because the life is based on fleet weighted average missions. Unlike the fixed interval inspections currently being performed, precise assessment is required for condition-based lifing. The key considerations in this new assessment process are 1) the fidelity of the analysis tools and 2) the definition of the boundary conditions (or environmental conditions used by the analysis tools) 3) improved understanding of diagnostics and engine faults and a better troubleshooting tool.