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.
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Almklov, Erin, Niloofar Afari, Elizabeth Floto, Laurie Lindamer, Samantha Hurst, and James O. E. Pittman. "Post-9/11 Veteran Satisfaction With the VA eScreening Program." Military Medicine 185, no. 3-4 (February 15, 2020): 519–29. http://dx.doi.org/10.1093/milmed/usz324.
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Abstract Introduction eScreening is a mobile health technology resource for veterans and staff to support Veterans Health Administration initiatives such as early identification of health problems, shared decision-making, and measurement-based care. Methods We conducted an exploratory mixed methods retrospective study with newly enrolling post-9/11 veterans to (1) understand eScreening user experience and obtain practical feedback on the technology to guide improvements, (2) assess veteran satisfaction with eScreening following improvements to the technology, and (3) examine veteran characteristics associated with eScreening satisfaction. Focus group data were collected on user experience with eScreening from a sample of veterans who participated in an eScreening pilot. Guided by a user-centered design approach, findings informed improvements to the technology. Survey data were subsequently collected from a large cohort of veterans to assess satisfaction with the improved program. Questionnaire data were also collected to examine variables associated with eScreening satisfaction. Qualitative focus group data were analyzed using content analysis. Descriptive statistics were used to characterize sociodemographic variables, questionnaires, and satisfaction ratings. Correlations were run to examine the relationship between certain veteran characteristics (eg, age, resiliency, anxiety, insomnia, post-traumatic stress disorder, somatic symptoms, depression, pain) and satisfaction with eScreening. All research activities were conducted at VA San Diego Healthcare System and approved by the Institutional Review Board. Results Focus group data revealed that veterans were largely satisfied with eScreening, but they suggested some improvements (eg, to interface functionality), which were integrated into an updated version of eScreening. Following these changes, survey data revealed that veterans were highly satisfied with eScreening, including its usability, information security, and impact on health services. There were statistically significant, though not clinically meaningful relationships between health-related characteristics and satisfaction with eScreening. However, millennials showed significantly higher satisfaction ratings compared with non-millennials. Conclusions These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population.
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Ovčina, Amer, Jasmina Marušić, Amela Hajdarević, Nada Spasojević, Ernela Eminović, and Selveta Mušanović. "Health Care Documentation Management in Hospital Conditions." Journal of applied health sciences 6, no. 2 (October 7, 2020): 201–18. http://dx.doi.org/10.24141/1/6/2/3.
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Healthcare documentation or nursing documentation as often used in practice is the name of an indispensable part of a patient’s medical documentation, and documentation is an integral part of a nurse’s daily work. Documenting health care in the hospital means recording data on all procedures performed, during the entire health care process for the individual, all for the purpose of systematic monitoring, planning and evaluation of the quality of health care. Nursing documentation serves as a means of communication between the team and is of great importance for the quality and continuity of health care. AIMS: 1 - To determine the existence of health care documentation in hospital health care institutions; 2 - Examine the importance and purpose of documenting health care among nurses-medical technicians; 3 - Examine the practice of nurses-medical technicians in the process of administering health care; 4 - Present quality indicators that are monitored and analyzed through health care documentation; 5 - Compare the obtained results in two examined areas. METHODS: This research was conducted in two geographically separate areas of Sarajevo and Travnik. The study involved 210 respondents, 147 nurses-technicians employed at the Clinical Center of the University of Sarajevo and 63 nurses-technicians employed at the General Hospital in Travnik. Data collection for research was carried out by exploratory and descriptive method. An original authorized questionnaire was used for the descriptive research. The questionnaire was made available to respondents in the electronic form trough Google Forms. The anonymity of the respondents was fully guaranteed. The survey was conducted in the period from July 15- August 15, 2019. RESULTS: At the Clinical Center of the University of Sarajevo (CCU), 98% of respondents use health care documentation forms on a daily basis, and at the General Hospital Travnik 77.8% of respondents. In CCU Sarajevo, respondents use more standardized forms of health care documentation, 97.6%, compared to respondents in the General Hospital Travnik, where the documenting is carries out in nursing records, 74.6%. 68% of respondents at CCU Sarajevo believe that documentation contributes to the evaluation of nursing services, while only 19% of re-spondents at General Hospital Travnik believe the same. As the most common shortcomings, the respondents state the lack of computer technology in the department in 74.3%, then adequate premises for document administration in 37.6%, the lack of forms in printed form in 32.1% and 6 or 2.3% respondents did not answer this question. In both institutions, the biggest shortcoming is the problem of computer equipment in the department, in 70.7% in CCU Sarajevo and 82.5% in General Hospital Travnik. CONCLUSIONS: The research found that over 95% of respondents use standardized health care processes in their daily practice, document health care, know the basic purpose and monitor health care indicators. More than 90% of respondents in both study groups use health care documentation to plan health care and monitor its outcomes. More than half of respondents in both study groups stated that documenting health care is a problem because it consumes a lot of time. A larger number of respondents from both groups, as many as 30%, state that they do not use the data from the health care documentation for any purpose. The lack of workers in the health care process, insufficient knowledge of information technologies, and the lack of an information system represent an aggravating circumstance in documenting the health care process.
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Laborda, Jesús Garcia. "EDITORIAL." New Trends and Issues Proceedings on Humanities and Social Sciences 6, no. 7 (December 31, 2019): I. http://dx.doi.org/10.18844/prosoc.v6i7.4569.
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It is the great honor for us to edit proceedings of “10th World Conference on Learning, Teaching and Educational Leadership (WCLTA-2019)” held on 01-03 November, at the Novotel Conference Center Athens –Greece. This privileged scientific event has contributed to the field of educational sciences and research for ten years.
As the guest editors of this issue, we are glad to see variety of articles focusing on the Active Learning, Administration of Education, Adult Education, Affective Learning, Arts Teaching, Asynchronous Learning, Behaviorist Learning, Biology Education, Blended Learning, Chemistry Education, Classroom Assessment, Classroom Management, Classroom Teacher Education, Collaborative Learning, College and Higher Education, Constructivist Learning, Content Development, Counseling Underperformers, Course and Programme Evaluation, Critical Thinking and Problem Solving Development, Curriculum and Instruction, Democracy Education, Desktop Sharing, Developmental Psychology, Digital Content, Creation, Preservation and Delivery, Distance Learning, E-administration, E-assessment, Education and Culture, Educational Administration, Educational Technology, E-learning, E-Learning Strategies, E-Library and Learning Resources, Embedding Soft Skills in Curriculum Development, Enhancing and Integrating Employability, Environmental Education, ESL Education, E-teaching, Evaluation of e- Learning Technologies, Evaluation of Student Satisfaction, Faculty Development and Support, Future Learning Trends and Globalization, Gaming, Simulation and, Virtual Worlds, Guiding and Counseling, Healthy Education, High School Teacher Education, History Education, Human Resources in Education, Human Resources Management, Human Rights Education, Humanistic Learning, Information Literacy Support for Teaching, Learning and Assessment, Innovation and Changing in Education, Innovations in e-Assessment, Innovative Teaching Strategies, Institutional Audit and Quality Assurance, Institutional Performance, Instructional Design, Instructional Design,, Knowledge Management in Education, Language Learning and Teaching, Language Teacher Education, Learner Centered Strategies, Learners Diversity, Inclusiveness and Inequality, Learning and Teaching Research Methods, Learning Assessment and Evaluation, Learning Disabilities, Learning Psychology, Learning Skills, Learning Theories, Lifelong Learning Strategies, Mathematics Learning and Teaching, Measurement and Evaluation in Education, Middle School Teacher Education, Mobile Learning, Multi-cultural Education, Multiple Intelligences, Music Learning and Teaching, New Learning Environments, New Learning Web Technologies, Nursery Education, Outcome-based Education, Performance Assessment, Physics Education, Portfolio Assessment, Pre-school Education, Primary School Education, Professional Development, School Administration, Science Education, Science Teaching, Social Networking and Interactive, Participatory Applications and Services, Social Sciences Teaching, Special Education, Sport and Physical Education, Strategic Alliances, Collaborations and Partnerships, Student Diversity, Student Motivation, Supporting Students Experience, Table of Specifications, Teacher skills, Teacher Training, Technology and the Learning Environment, Virtual Classroom Management, Vocational Education, Web Conferencing and etc.
Furthermore, the conference is getting more international each year, which is an indicator that it is getting worldwide known and recognized. Scholars from all over the world contributed to the conference. Special thanks are to all the reviewers, the members of the international editorial board, the publisher, and those involved in technical processes. We would like to thank all who contributed to in every process to make this issue actualized. A total of 82 full papers or abstracts were submitted for this conference and each paper has been peer reviewed by the reviewers specialized in the related field. At the end of the review process, a total of 26 high quality research papers were selected and accepted for publication.
I hope that you will enjoy reading the papers.
Guest Editors
Prof. Dr. Jesús Garcia Laborda, University of Alcala, Spain
Editorial Assistant
Zeynep Genc, Phd. Istanbul Aydin University, Istanbul, Turkey
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Tolley, C. L., R. A. Sami, and S. P. Slight. "A Qualitative Study Exploring the Barriers and Facilitators Associated with the Implementation of a Closed Loop Medication System in a UK Hospital Trust." International Journal of Pharmacy Practice 29, Supplement_1 (March 26, 2021): i50—i51. http://dx.doi.org/10.1093/ijpp/riab015.062.
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Abstract Introduction Implementation of novel digital technologies into complex hospital systems, particularly within the United Kingdom’s (UKs) National Health Service, is challenging and can result in delays to the use and evaluation of innovative systems. MedEye is a bedside tool for preventing medication administration errors used as part of a closed-loop medication administration system. Aim The aim of this study was to understand the barriers and facilitators associated with implementing MedEye for the first time in a large UK Teaching Hospital Trust. Methods We used a case study approach and conducted semi-structured interviews (n=9) with key members of the project implementation team from Pharmacy (n=3), Nursing (n=2), commercial system provider(n=2), IT (n=1) and academia (n=1) and 20 hours of field observations. We explored stakeholder’s experiences about the implementation process, barriers and facilitators and any key lessons learnt according to constructs from Sittig and Singh’s Eight Dimension Sociotechnical Model.1 We analysed the data from interviews and observations using the framework approach.2 We firstly familiarised ourselves with the data, coded interviews, guided by our analytical framework, charted and then interpreted the data. All necessary ethical and organisational approvals were obtained. Results We identified themes relating to eight sociotechnical domains. Clinical Content: the format of the medication library and process for ordering medications were different to other European sites that had implemented MedEye, posing challenges for developers. Hardware and Software Computing Infrastructure: the integration of MedEye with the electronic prescribing system was one of the “biggest challenges”(P2) and contributed to delays. Human Computer Interface: the MedEye system’s user interface was described as “clean, simple and easy to use”(P2).People: nurses and senior management “absolutely wanted this [project] to work”(P1).Communication and Workflow: it was sometimes difficult to communicate effectively because the IT team had their own “set of jargon which is very technical” and the clinical team used “lots of medical jargon”(P2), resulting in misunderstandings. Internal Organisational Policies, Procedures and Culture: the hospital recognised the potential safety benefits of MedEye. However, its implementation was different to other IT products, which would “have actually gone through the development cycle”(P7).External Rules, Regulations and Pressures: the IT and informatics team’s resources were stretched with multiple projects been implemented simultaneously. System Measurement and Monitoring: the project team conducted “a lot of testing”(P3), to refine the technology. Conclusions This study sought to understand the sociotechnical challenges when implementing a novel digital technology in a UK hospital and identified themes related to eight domains. We acknowledge that our study had a few limitations: we interviewed a small number of participants who were directly involved in the implementation process, and the study was conducted in one hospital Trust, limiting the generalisability of the findings. However, use of the eight-domain sociotechnical framework strengthened our study, allowing us to derive the specific facilitators and barriers to the implementation and deployment process. This study also emphasises the importance of working closely with IT managers who can coordinate work within an organisation to anticipate delays and mitigate against project risks. References 1. Sittig, D.F. and H. Singh, A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Quality & safety in health care, 2010. 19 Suppl 3(Suppl 3): p. i68-i74. 2. Pope, C., S. Ziebland, and N. Mays, Qualitative research in health care. Analysing qualitative data. BMJ (Clinical research ed.), 2000. 320(7227): p. 114–116.
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Carson-Stevens, Andrew, Peter Hibbert, Huw Williams, Huw Prosser Evans, Alison Cooper, Philippa Rees, Anita Deakin, et al. "Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice." Health Services and Delivery Research 4, no. 27 (September 2016): 1–76. http://dx.doi.org/10.3310/hsdr04270.
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BackgroundThere is an emerging interest in the inadvertent harm caused to patients by the provision of primary health-care services. To date (up to 2015), there has been limited research interest and few policy directives focused on patient safety in primary care. In 2003, a major investment was made in the National Reporting and Learning System to better understand patient safety incidents occurring in England and Wales. This is now the largest repository of patient safety incidents in the world. Over 40,000 safety incident reports have arisen from general practice. These have never been systematically analysed, and a key challenge to exploiting these data has been the largely unstructured, free-text data.AimsTo characterise the nature and range of incidents reported from general practice in England and Wales (2005–13) in order to identify the most frequent and most harmful patient safety incidents, and relevant contributory issues, to inform recommendations for improving the safety of primary care provision in key strategic areas.MethodsWe undertook a cross-sectional mixed-methods evaluation of general practice patient safety incident reports. We developed our own classification (coding) system using an iterative approach to describe the incident, contributory factors and incident outcomes. Exploratory data analysis methods with subsequent thematic analysis was undertaken to identify the most harmful and most frequent incident types, and the underlying contributory themes. The study team discussed quantitative and qualitative analyses, and vignette examples, to propose recommendations for practice.Main findingsWe have identified considerable variation in reporting culture across England and Wales between organisations. Two-thirds of all reports did not describe explicit reasons about why an incident occurred. Diagnosis- and assessment-related incidents described the highest proportion of harm to patients; over three-quarters of these reports (79%) described a harmful outcome, and half of the total reports described serious harm or death (n = 366, 50%). Nine hundred and ninety-six reports described serious harm or death of a patient. Four main contributory themes underpinned serious harm- and death-related incidents: (1) communication errors in the referral and discharge of patients; (2) physician decision-making; (3) unfamiliar symptom presentation and inadequate administration delaying cancer diagnoses; and (4) delayed management or mismanagement following failures to recognise signs of clinical (medical, surgical and mental health) deterioration.ConclusionsAlthough there are recognised limitations of safety-reporting system data, this study has generated hypotheses, through an inductive process, that now require development and testing through future research and improvement efforts in clinical practice. Cross-cutting priority recommendations include maximising opportunities to learn from patient safety incidents; building information technology infrastructure to enable details of all health-care encounters to be recorded in one system; developing and testing methods to identify and manage vulnerable patients at risk of deterioration, unscheduled hospital admission or readmission following discharge from hospital; and identifying ways patients, parents and carers can help prevent safety incidents. Further work must now involve a wider characterisation of reports contributed by the rest of the primary care disciplines (pharmacy, midwifery, health visiting, nursing and dentistry), include scoping reviews to identify interventions and improvement initiatives that address priority recommendations, and continue to advance the methods used to generate learning from safety reports.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Delazari, Luciene Stamato, Leonardo Ercolin Filho, and Ana Luiza Stamato Delazari Skroch. "UFPR CampusMap: a laboratory for a Smart City developments." Abstracts of the ICA 1 (July 15, 2019): 1–2. http://dx.doi.org/10.5194/ica-abs-1-57-2019.
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<p><strong>Abstract.</strong> A Smart City is based on intelligent exchanges of information that flow between its many different subsystems. This flow of information is analyzed and translated into citizen and commercial services. The city will act on this information flow to make its wider ecosystem more resource-efficient and sustainable. The information exchange is based on a smart governance operating framework designed to make cities sustainable.</p><p>The public administration needs updated and reliable geospatial data which depicts the urban environment. These data can be obtained through smart devices (smartphones, e.g.), human agents (collaborative mapping) and remote sensing technologies, such as UAV (Unnamed Aerial Vehicles). According to some authors, there are four dimensions in a Smart City. The first dimension concerns the application of a wide range of electronic and digital technologies to create a cyber, digital, wired, informational or knowledge-based city; the second is the use of information technology to transform life and work; the third is to embed ICT (Information and Communication Technology) in the city infrastructure; the fourth is to bring ICT and people together to enhance innovation, learning, and knowledge. Analyzing these dimensions, it is possible to say that in all of them the geospatial information is crucial, otherwise, none of them are possible. Considering these aspects, this research intends to use the Smart City concept as a methodological approach using the UFPR (Federal University of Parana) as a target to develop a case study.</p><p>The UFPR has 26 campus in different cities of the Paraná State, south of Brazil. Its structure has 14 institutes. It comprises 11 million square meters of area, 500,000 square meters of constructed area and 316 buildings. There are more than 6,300 employees (staff and administration), 50,000 undergraduate students and 10,000 graduate students. Besides these figures, there are external people who need access to the UFPR facilities, such as deliveries, service providers and the community in general.</p><p>The lack of knowledge about the space and its characteristics has a direct impact on issues such as resources management (human and material), campi infrastructure (outside and inside of the buildings), security and other activities which can be supported using an updated geospatial database. In 2014, the UFPR CampusMap project was started with the indoor mapping as the main goal. However, the base map of the campus was needed in order to support the indoor mapping, the available one was produced in 2000. Thereafter, the campus Centro Politécnico (located in the city of Curitiba) is being used as a case study to develop methodologies to create a geospatial database which will allows to different users the knowledge and management of the space.</p><p>According to Gruen (2013), a Smart City must have spatial intelligence. Moreover, it is necessary the establishment of a database, in particular, a geospatial database. The knowledge of the space where the events happen is a key element in this context. This author also states that to achieve this objective are necessary the following items:</p> <ul><li>Automatic or semi-automated Digital Surface Models (DSM) generation from satellite, aerial and terrestrialimages and/or LiDAR data;</li><li>Further development of the semi-automated techniques onto a higher level of automation; </li><li>Integrated automated and semi-automated processing of LiDAR point clouds and images, both from aerial andterrestrial platforms; </li><li>Streamlining the processing pipeline for UAV image data projects; </li><li>Set-up of GIS with 3D/4D capabilities; </li><li>Change detection and databases updating; </li><li>Handling of dynamic and semantic aspects of city modeling and simulation. This leads to 4D city models; </li><li>LBS (Location Based Services) system investigations (PDAs, mobiles); and </li><li>Establishment of a powerful visualization and interaction platform.</li></ul><p>Some of these aspects are being addressed in this research. The first one is the integration of indoor/outdoor data to helps the space management and provides a tool for navigation between the spaces. The base map was updated through a stereo mapping compilation from images collected using a UAV Phantom 4 from DJI (https://www.dji.com/phantom-4). The use of this technology for data acquisition is not only faster but also cheaper compared to the traditional photogrammetric method. Besides the quality of the images (in this case a GSD – Ground Sample Distance – of 2,5 cm), it can be use in urban areas as a rapid response in emergency situations.</p><p> To georreferencing the image block, it was used 50 control points collected by GNSS (Global Navigation Satellite System) and the software Agisoft Photoscan (http://www.agisoft.com/) to perform the bundle block adjustment with self-calibration. After the processing, the exterior orientation parameters of image block and the tridimensional coordinates of each tie point were calculated simultaneously with the determination of the interior orientation parameters: focal length (f), principal point coordinates (x0, y0), radial symmetric (k1, k2, k3) and decentering distortion coefficients (p1, p2).</p><p> In the mapping production step, the features were extracted through stereo mapping compilation accordingly the standards defined by the Brazilian Mapping Agency. The several layers were edited in GIS software (QGIS) and then the topology was built. Afterward, it was created a spatial database using Postgre/PostGIS. Also, the dense point cloud was generated using SfM (Structure from Motion) algorithms to allow to generate the digital surface model and orthomosaics.</p><p> Meanwhile, a website using HTML5+CSS3&reg; and JavaScript&reg; technologies was developed to publish the results and the first applications. (www.campusmap.ufpr.br). The architecture of this application uses JavaScript&reg;, LeafLet, PgRouting library (to calculate the routes between interest points), files in GeoJson format and custom applications. The indoor database comprises the data about the interior of the buildings and provides to the user some functionalities such as: search for rooms, laboratories, and buildings; routes between points (inside and outside the buildings), floor change. Also, some web applications were developed in order to demonstrate the capabilities of the use of geospatial information in an environment very similar to a city and its problems, e.g. parking management, security, logistics, resources inventory, among others. It was developed a mobile application to provide the indoor user positioning through Wi-Fi (Wireless Fidelity) networks. This, combined with the indoor mapping, will allow the users to navigate in real time inside the buildings. Using the data from the point cloud and the CityGML standard it was developed a 3D model of some buildings. An application to inform crime occurrences (such as robbery, assaults) was also developed so these occurrences can be mapped, and the administration can increase the security of the campus.</p><ol type="a"> <li>Design an interface with functionalities to integrate all applications which are being presented in individual Webpages;</li><li>Develop a visualization tool for 3D models using CityGML;</li><li>Evaluate the potential of UAV images for different applications in urban scenarios;</li><li>Develop an interface for collaborative database update.</li><li>Expand the database to other campus of UFPR and develop new functionalities to different users;</li></ol><p> The “smart city” concept allows to develop an optimized system that use geospatial data to understand the complexity of the urban environments. The use of the geospatial data can improve efficiency and security to manage urban aspects like infrastructure, building and public spaces, natural environment, urban services, health and education. Also, this concept can give a support to the city management agents during the design, realization and evaluation of the urban projects.</p><p>In the present project, we believe these are the first steps to build a connected environment and apply the “smart city” concept into the university administration to make the sustainable use of resources and could suit as an example to some existing problems in public administrations.</p>
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Crawford, P. R., H. P. Lehmann, and P. S. Sockolow. "Health Services Research Evaluation Principles." Methods of Information in Medicine 51, no. 02 (2012): 122–30. http://dx.doi.org/10.3414/me10-01-0066.
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SummaryBackground: Our forthcoming national experiment in increased health information technology (HIT) adoption funded by the American Recovery and Reinvestment Act of 2009 will require a comprehensive approach to evaluating HIT. The quality of evaluation studies of HIT to date reveals a need for broader evaluation frameworks that limits the generalizability of findings and the depth of lessons learned.Objective: Develop an informatics evaluation framework for health information technology (HIT) integrating components of health services research (HSR) evaluation and informatics evaluation to address identified shortcomings in available HIT evaluation frameworks.Method: A systematic literature review updated and expanded the exhaustive review by Ammenwerth and deKeizer (AdK). From retained studies, criteria were elicited and organized into classes within a framework. The resulting Health Information Technology Research-based Evaluation Framework (HITREF) was used to guide clinician satisfaction survey construction, multi-dimensional analysis of data, and interpretation of findings in an evaluation of a vanguard community health care EHR.Results: The updated review identified 128 electronic health record (EHR) evaluation studies and seven evaluation criteria not in AdK: EHR Selection/Development/Training; Patient Privacy Concerns; Unintended Consequences/ Benefits; Functionality; Patient Satisfaction with EHR; Barriers/Facilitators to Adoption; and Patient Satisfaction with Care. HITREF was used productively and was a complete evaluation framework which included all themes that emerged.Conclusions: We can recommend to future EHR evaluators that they consider adding a complete, research-based HIT evaluation framework, such as HITREF, to their evaluation tools suite to monitor HIT challenges as the federal government strives to increase HIT adoption.
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Archer, Rachel, Paul Tappenden, Shijie Ren, Marrissa Martyn-St James, Rebecca Harvey, Hasan Basarir, John Stevens, et al. "Infliximab, adalimumab and golimumab for treating moderately to severely active ulcerative colitis after the failure of conventional therapy (including a review of TA140 and TA262): clinical effectiveness systematic review and economic model." Health Technology Assessment 20, no. 39 (May 2016): 1–326. http://dx.doi.org/10.3310/hta20390.
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BackgroundUlcerative colitis (UC) is the most common form of inflammatory bowel disease in the UK. UC can have a considerable impact on patients’ quality of life. The burden for the NHS is substantial.ObjectivesTo evaluate the clinical effectiveness and safety of interventions, to evaluate the incremental cost-effectiveness of all interventions and comparators (including medical and surgical options), to estimate the expected net budget impact of each intervention, and to identify key research priorities.Data sourcesPeer-reviewed publications, European Public Assessment Reports and manufacturers’ submissions. The following databases were searched from inception to December 2013 for clinical effectiveness searches and from inception to January 2014 for cost-effectiveness searches for published and unpublished research evidence: MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library including the Cochrane Systematic Reviews Database, Cochrane Controlled Trials Register, Database of Abstracts of Reviews of Effects, the Health Technology Assessment database and NHS Economic Evaluation Database; ISI Web of Science, including Science Citation Index, and the Conference Proceedings Citation Index-Science and Bioscience Information Service Previews. The US Food and Drug Administration website and the European Medicines Agency website were also searched, as were research registers, conference proceedings and key journals.Review methodsA systematic review [including network meta-analysis (NMA)] was conducted to evaluate the clinical effectiveness and safety of named interventions. The health economic analysis included a review of published economic evaluations and the development of a de novo model.ResultsTen randomised controlled trials were included in the systematic review. The trials suggest that adult patients receiving infliximab (IFX) [Remicade®, Merck Sharp & Dohme Ltd (MSD)], adalimumab (ADA) (Humira®, AbbVie) or golimumab (GOL) (Simponi®, MSD) were more likely to achieve clinical response and remission than those receiving placebo (PBO). Hospitalisation data were limited, but suggested more favourable outcomes for ADA- and IFX-treated patients. Data on the use of surgical intervention were sparse, with a potential benefit for intervention-treated patients. Data were available from one trial to support the use of IFX in paediatric patients. Safety issues identified included serious infections, malignancies and administration site reactions. Based on the NMA, in the induction phase, all biological treatments were associated with statistically significant beneficial effects relative to PBO, with the greatest effect associated with IFX. For patients in response following induction, all treatments except ADA and GOL 100 mg at 32–52 weeks were associated with beneficial effects when compared with PBO, although these were not significant. The greatest effects at 8–32 and 32–52 weeks were associated with 100 mg of GOL and 5 mg/kg of IFX, respectively. For patients in remission following induction, all treatments except ADA at 8–32 weeks and GOL 50 mg at 32–52 weeks were associated with beneficial effects when compared with PBO, although only the effect of ADA at 32–52 weeks was significant. The greatest effects were associated with GOL (at 8–32 weeks) and ADA (at 32–52 weeks). The economic analysis suggests that colectomy is expected to dominate drug therapies, but for some patients, colectomy may not be considered acceptable. In circumstances in which only drug options are considered, IFX and GOL are expected to be ruled out because of dominance, while the incremental cost-effectiveness ratio for ADA versus conventional treatment is approximately £50,300 per QALY gained.LimitationsThe health economic model is subject to several limitations: uncertainty associated with extrapolating trial data over a lifetime horizon, the model does not consider explicit sequential pathways of non-biological treatments, and evidence relating to complications of colectomy was identified through consideration of approaches used within previous models rather than a full systematic review.ConclusionsAdult patients receiving IFX, ADA or GOL were more likely to achieve clinical response and remission than those receiving PBO. Further data are required to conclusively demonstrate the effect of interventions on hospitalisation and surgical outcomes. The economic analysis indicates that colectomy is expected to dominate medical treatments for moderate to severe UC.Study registrationThis study is registered as PROSPERO CRD42013006883.FundingThe National Institute for Health Research Health Technology Assessment programme.
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Trunov, Alexandr, Volodymyr Beglytsia, Gennady Gryshchenko, Viktor Ziuzin, and Vitalii Koshovyi. "Methods and tools of formation of general indexes for automation of devices in rehabilitative medicine for post-stroke patients." Eastern-European Journal of Enterprise Technologies 4, no. 2(112) (August 31, 2021): 35–46. http://dx.doi.org/10.15587/1729-4061.2021.239288.
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The current processes of recovery of post-infarction and post-stroke patients in the context of the establishment of the institution of family doctors and insurance medicine are considered. It was proposed to introduce modules for automation of recovery devices (MARD) to ensure procedures, quality of life and reduce labor costs during the period of long-term recovery. The forms of presentation of the model of the integral indicator are substantiated, which, in accordance with the requirements of the Ministry of Health, assesses the generalized indicator of the patient's statement (GIPS), the quality of medical services and increases the efficiency of data compression. A consistent application of two Euclidean norms is proposed, which leads indicators of dissimilar physical nature to a limited metric space. The relationship between the lower and upper bounds of the GIPS, the error, the width of the sliding window, and the values of the derivatives was established on the basis of the Taylor series expansion, geometric inequality and limited space. The model for evaluating the GIPS as a lower bound and the method for generating information about its properties are substantiated. A three-level comparator is applied and an vector- indicator (VI) is introduced as an informational addition to the time series. Additional capabilities for intelligent analysis are demonstrated. The model of GIPS through VI is presented. The examples of VI values are used to demonstrate its applicability to the intelligent analysis of the recovery process. Openness, accessibility, transparency of GIPS and VI as tools of KIT is implemented by the princes of public administration (PA) by reducing it to quantitative control and comparison if there are quantitative and qualitative indicators in the list. VI, sliding windows, as PA and KIT tools in software (SW) for a diagnostic conclusion and correction of the course of procedures, are numerically investigated. It is demonstrated on examples of a numerical experiment with software how the combined application of the method for calculating the GIPS and VI effectively affects the compression ratio, increasing it to 60–75 %
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Stašys, Rimantas. "E-HEALTH SERVICES AND THEIR REQUIREMENTS EVALUATION." Business, Management and Education 8, no. 1 (December 20, 2010): 246–60. http://dx.doi.org/10.3846/bme.2010.17.
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E-health could be defined as the use of modern information technologies within the health care facilities in order to better satisfy expectations and needs of the patients, medical staff and administration. As the research shows economic profits exceed investments in the e-health three times. Studies in Lithuania in December of 2008 show that only 38 % of the country hospitals have online WebPages. Only large hospitals located in the major Lithuanian cities have internet sites. Situation within the outpatient facilities is even worse. Only 12 % of these health care facilities had online services offered to the public according to the survey completed at the end of 2008. There is insufficient focus for doctors’ advices and not enough links to other websites. Additionally, many sites do not contain information about career opportunities within a facility. Finally, online sites lack such information as the institution’s service charges or their implementation for various projects. Only a few hospitals have an online registra-tion feature and very few provide work hours. Outpatient service facilities do not reflect the institution’s activities adequately. None of the outpatient service facilities provide business reports; there is no information about their participation in the international projects. Only four WebPages contain sections providing the career opportunities for the office and a list of new doctor positions available. By the comparison of the Webpages of polyclinics and health care facilities one can indicate that polyclinic facilities have better online pages. Most of the health care consumers would use the Internet to find out such information as the doctor’s qualifications and work experience, information about main diseases and their symptoms, the medications and their side effects, tips on healthy lifestyle, as well as utilize registration to a specialist feature. Most of the respondents surveyed also indicated that there should be more information about health care services and their prices, institution’s medical equipment and devices as well as their methods of treatment. The best practice for the e-Health website is classifying it into four groups: information on the health care institution, information relating to the services provided, information on the medical staff working in the office, other information. 48 % of the respondents were not familiar with the online registration possibility, and 74 % of survey participants would like to use the feature. Only 13 % of the respondents knew that they could fill prescription online and only 10 % were aware of the electronic medical record. All of this leads to the conclusion that Lithuanian consumers lack information about the e-health.
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Hamid, Alalwany, and Alshawi Sarmad. "Evaluation of e‐health services: user's perspective criteria." Transforming Government: People, Process and Policy 2, no. 4 (August 2008): 243–55. http://dx.doi.org/10.1108/17506160810917945.
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Bott, O. J. "Health Information Systems - Technology and Acceptance." Yearbook of Medical Informatics 16, no. 01 (August 2007): 61–65. http://dx.doi.org/10.1055/s-0038-1638523.
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SummaryTo summarize current outstanding research in the field of health information systems (HIS).Synopsis of the articles selected for the IMIA Yearbook 2007.Five articles from three international peer reviewed journals were selected for the HIS section of the IMIA Yearbook 2007. They represent outstanding research on new user interfaces for mobile data entry, smart card based approaches for national eHealth projects, generic system architectures for telemedicine services, new approaches for electronic prescriptions based on ubiquitous computing, and telemedical systems for chronic care in COPD.In the field of health information systems, evaluation and general architectural aspects of telemedical platforms respectively eHealth infrastructures currently is an important research topic as well as establishing acceptance of new technologies from the users and the organizations point of view.
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James, Hannah M., Chrysanthi Papoutsi, Joseph Wherton, Trisha Greenhalgh, and Sara E. Shaw. "Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework." Journal of Medical Internet Research 23, no. 1 (January 26, 2021): e23775. http://dx.doi.org/10.2196/23775.
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Background COVID-19 has thrust video consulting into the limelight, as health care practitioners worldwide shift to delivering care remotely. Evidence suggests that video consulting is acceptable, safe, and effective in selected conditions and settings. However, research to date has mostly focused on initial adoption, with limited consideration of how video consulting can be mainstreamed and sustained. Objective This study sought to do the following: (1) review and synthesize reported opportunities, challenges, and lessons learned in the scale-up, spread, and sustainability of video consultations, and (2) identify transferable insights that can inform policy and practice. Methods We identified papers through systematic searches in PubMed, CINAHL, and Web of Science. Included articles reported on synchronous, video-based consultations that had spread to more than one setting beyond an initial pilot or feasibility stage, and were published since 2010. We used the Nonadoption, Abandonment, and challenges to the Scale-up, Spread, and Sustainability (NASSS) framework to synthesize findings relating to 7 domains: an understanding of the health condition(s) for which video consultations were being used, the material properties of the technological platform and relevant peripherals, the value proposition for patients and developers, the role of the adopter system, organizational factors, wider macro-level considerations, and emergence over time. Results We identified 13 papers describing 10 different video consultation services in 6 regions, covering the following: (1) video-to-home services, connecting providers directly to the patient; (2) hub-and-spoke models, connecting a provider at a central hub to a patient at a rural center; and (3) large-scale top-down evaluations scaled up or spread across a national health administration. Services covered rehabilitation, geriatrics, cancer surgery, diabetes, and mental health, as well as general specialist care and primary care. Potential enablers of spread and scale-up included embedded leadership and the presence of a telehealth champion, appropriate reimbursement mechanisms, user-friendly technology, pre-existing staff relationships, and adaptation (of technology and services) over time. Challenges tended to be related to service development, such as the absence of a long-term strategic plan, resistance to change, cost and reimbursement issues, and the technical experience of staff. There was limited articulation of the challenges to scale-up and spread of video consultations. This was combined with a lack of theorization, with papers tending to view spread and scale-up as the sum of multiple technical implementations, rather than theorizing the distinct processes required to achieve widespread adoption. Conclusions There remains a significant lack of evidence that can support the spread and scale-up of video consulting. Given the recent pace of change due to COVID-19, a more definitive evidence base is urgently needed to support global efforts and match enthusiasm for extending use.
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Ruffin, T. Ray. "Health Information Technology and Quality Management." International Journal of Information Communication Technologies and Human Development 8, no. 4 (October 2016): 56–72. http://dx.doi.org/10.4018/ijicthd.2016100105.
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Even in healthcare and health information technology change will not vanish or disperse. Technology, civilization, and creative thought will drive this force increasingly forward. Health care managers will continue being judged on their ability to efficiently and effectively manage (Patton & James, 2000). The arena of Health Services Research (HSR) is trusted on by judgment deciders and the public is the principal basis of data on how thriving health systems are meeting this task (Steinwachs & Hughes, 2008). The goal of HSR is to deliver material that will ultimately lead to advances in the health of the community. HSR evaluation of quality of care has demonstrated it is an unspecified science and multifaceted, even though its description is comparatively simple (Steinwachs & Hughes, 2008). This article is to investigate the background, controversies, and problems surrounding Health Information Technology (HIT) Change and Quality Management including an overview of current changes and benefits of implementation. This will be coupled with solutions and recommendations, further research, and conclusion. This will enhance the field of research in leadership, change management, quality management, and health care.
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Moore, Esther C., Clare L. Tolley, David W. Bates, and Sarah P. Slight. "A systematic review of the impact of health information technology on nurses’ time." Journal of the American Medical Informatics Association 27, no. 5 (March 6, 2020): 798–807. http://dx.doi.org/10.1093/jamia/ocz231.
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Abstract Objective Nursing time represents one of the highest costs for most health services. We conducted a systematic review of the literature on the impact of health information technology on nurses’ time. Materials and Methods We followed PRISMA guidelines and searched 6 large databases for relevant articles published between Jan 2004 and December 2019. Two authors reviewed the titles, abstracts, and full texts. We included articles that included a comparison group in the design, measured the time taken to carry out documentation or medication administration, documented the quantitative estimates of time differences between the 2, had nurses as subjects, and was conducted in either a care home, hospital, or community clinic. Results We identified a total of 1647 articles, of which 33 met our inclusion criteria. Twenty-one studies reported the impact of 12 different health information technology (HIT) implementations on nurses’ documentation time. Weighted averages were calculated for studies that implemented barcode medication administration (BCMA) and 2 weighted averages for those that implemented EHRs, as these studies used different sampling units; both showed an increase in the time spent in documentation (+22% and +46%). However, the time spent carrying out medication administration following BCMA implementation fell by 33% (P < .05). HIT also caused a redistribution of nurses’ time which, in some cases, was spent in more “value-adding” activities, such as delivering direct patient care as well as inter-professional communication. Discussion and Conclusions Most of the HIT systems increased nursing documentation time, although time fell for medication administration following BCMA. Many HIT systems also resulted in nurses spending more time in direct care and “value-adding” activities.
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Valentine, Lisa M., Shannon D. Donofry, Rachel B. Broman, Erin R. Smith, Sheila AM Rauch, and Minden B. Sexton. "Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches." Journal of Telemedicine and Telecare 26, no. 7-8 (April 11, 2019): 443–51. http://dx.doi.org/10.1177/1357633x19832419.
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Introduction Interventions such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have demonstrated efficacy for the treatment of post-traumatic stress disorder (PTSD) following military sexual trauma (MST). However, MST survivors report a number of logistical and social barriers that impede treatment engagement. In an effort to address these barriers, the Veterans Health Administration offers remote delivery of services using clinical video technology (CVT). Evidence suggests PE and CPT can be delivered effectively via CVT. However, it is unclear whether rates of veteran retention in PTSD treatment for MST delivered remotely is comparable to in-person delivery in standard care. Methods Data were drawn from veterans ( N = 171, 18.1% CVT-enrolled) with PTSD following MST who were engaged in either PE or CPT delivered either via CVT or in person. Veterans chose their preferred treatment modality and delivery format in collaboration with providers. Data were analysed to evaluate full completion (FP) of the protocol and completion of a minimally adequate care (MAC) number of sessions. Results FP treatment completion rates did not differ significantly by treatment delivery format. When evaluating receipt of MAC care, CVT utilizers were significantly less likely to complete. Kaplan–Meier analyses of both survival periods detected significant differences in attrition speed, with the CVT group having higher per-session attrition earlier in treatment. Discussion Disengagement from CVT-delivered treatment generally coincided with early imaginal exposures and writing of trauma narratives. CVT providers may have to take special care to develop rapport and problem-solve anticipated barriers to completion to retain survivors in effective trauma-focused interventions.
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LaMonica, Haley M., Alyssa Milton, Katharine Braunstein, Shelley C. Rowe, Antonia Ottavio, Tanya Jackson, Michael A. Easton, Ashlea Hambleton, Ian B. Hickie, and Tracey A. Davenport. "Technology-Enabled Solutions for Australian Mental Health Services Reform: Impact Evaluation." JMIR Formative Research 4, no. 11 (November 19, 2020): e18759. http://dx.doi.org/10.2196/18759.
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Background Health information technologies (HITs) are becoming increasingly recognized for their potential to provide innovative solutions to improve the delivery of mental health services and drive system reforms for better outcomes. Objective This paper describes the baseline results of a study designed to systematically monitor and evaluate the impact of implementing an HIT, namely the InnoWell Platform, into Australian mental health services to facilitate the iterative refinement of the HIT and the service model in which it is embedded to meet the needs of consumers and their supportive others as well as health professionals and service providers. Methods Data were collected via web-based surveys, semistructured interviews, and a workshop with staff from the mental health services implementing the InnoWell Platform to systematically monitor and evaluate its impact. Descriptive statistics, Fisher exact tests, and a reliability analysis were used to characterize the findings from the web-based surveys, including variability in the results between the services. Semistructured interviews were coded using a thematic analysis, and workshop data were coded using a basic content analysis. Results Baseline data were collected from the staff of 3 primary youth mental health services (n=18), a counseling service for veterans and their families (n=23), and a helpline for consumers affected by eating disorders and negative body image issues (n=6). As reported via web-based surveys, staff members across the services consistently agreed or strongly agreed that there was benefit associated with using technology as part of their work (38/47, 81%) and that the InnoWell Platform had the potential to improve outcomes for consumers (27/45, 60%); however, there was less certainty as to whether their consumers’ capability to use technology aligned with how the InnoWell Platform would be used as part of their mental health care (11/45, 24% of the participants strongly disagreed or disagreed; 15/45, 33% were neutral; and 19/45, 42% strongly agreed or agreed). During the semistructured interviews (n=3) and workshop, participants consistently indicated that the InnoWell Platform was appropriate for their respective services; however, they questioned whether the services’ respective consumers had the digital literacy required to use the technology. Additional potential barriers to implementation included health professionals’ digital literacy and service readiness for change. Conclusions Despite agreement among participants that HITs have the potential to result in improved outcomes for consumers and services, service readiness for change (eg, existing technology infrastructure and the digital literacy of staff and consumers) was noted to potentially impact the success of implementation, with less than half (20/45, 44%) of the participants indicating that their service was ready to implement new technologies to enhance mental health care. Furthermore, participants reported mixed opinions as to whether it was their responsibility to recommend technology as part of standard care.
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Yang, Wen Jing, Hai Yan Zhao, and Zhi Yuan Li. "Research on Public Health Information Resource Service System Based on Cloud Computing." Advanced Materials Research 998-999 (July 2014): 1215–18. http://dx.doi.org/10.4028/www.scientific.net/amr.998-999.1215.
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The development of network technology to integrate network health information resources, regulate commerce, associations and other web services and form a diversified public health network information services has a significant meaning for public health network information guidance. This paper proposed the concept of public health information resources service system based on the cloud computing technology and described the location of public health information resources cloud services and cloud deployment model. And we also build an overall framework of information resource cloud service system in which the characteristics and processes of information resource layer, service layer, user layer and evaluation layer were designed.
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Usachenko, Alexander Alexandrovich. "EUROONTEGRATION ASPECTS OF BASIC MECHANISMS DEVELOPMENT IN PUBLIC ADMINISTRATION." UKRAINIAN ASSEMBLY OF DOCTORS OF SCIENCES IN PUBLIC ADMINISTRATION 1, no. 12 (February 14, 2018): 282–93. http://dx.doi.org/10.31618/vadnd.v1i12.69.
Full textAbstract:
The article considers a number of European integration aspects of the basic mechanisms development in public administration in the context of the “Good Governance” paradigm. Their peculiarities and corresponding problem questions are singled out.
Proved that the efficiency and effectiveness of adopting and implementing state-management decisions associated with an increase in receiving and processing information electronically through a computer system and information technology (electronic information and referral and information-legal systems, networks, grid-technology, automated work places of the manager, etc.). It is about forecasting, planning and designing, monitoring, evaluation, monitoring, etc. All of this relates to strategic management and planning, programmatic and targeted (government action programs, national and other targeted programs, regional programs, national projects) management, state and local budgeting.
It is noted that increasing the efficiency of providing various administrative services is associated with an increase in the volume of administrative services and their geography and the reduction in the time of their provision (technology “single window”, information and reference electronic networks, etc.).
Identified the introduction of the model and paradigm of “good governance” in the national system of public administration, ignoring the world, especially European experience implementing the model and paradigm of “good governance”; excessive lobbying for decentralization by the authorities at the city level; an attempt to reform the public administration system, in particular by moving to the model of “state management” in real conditions of the limited budget of the state; lack of serious preparedness, first of all recruiting, to such a transition; in fact, there is an artificial attempt to combine two different models of public administration, namely, “good governance” and “state management”, etc.
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Wijatmoko, Taufiq Effendy, and Maria Ulfah Siregar. "Evaluation of e-Government Service Quality Using e-GovQual Dimensions Case Study Regional Office Ministry of Law and Human Rights DIY." IJID (International Journal on Informatics for Development) 8, no. 2 (March 23, 2020): 55. http://dx.doi.org/10.14421/ijid.2019.08202.
Full textAbstract:
Regional Office of the Ministry of Law and Human Rights DIY organizes a variety of public services using information technology, including correctional services, immigration services, general legal administration services, intellectual property services, communication services, data and information services, and other administrative services. None of these services can be separated from the role of information technology to provide services that are fast, cheap, effective and reliable to the public. This study was conducted to assess the quality Ministry of Law and Human Rights DIY e-Government service using e-GovQual dimensional framework as a best practice. This study includes quantitative research involving a number of respondents for the survey. Research questions are based on the dimensions of e-Govqual and represent the attributes of each dimension of e-GovQual to assess the quality of Ministry of Law and Human Rights DIY e-Government service. The question must pass the validation test using Cronbach’s α. The processing of data using confirmatory factor analysis to obtain the main factors that affect each of the dimensions of e-GovQual. The Importance Performance Analysis (IPA) method helps e-GovQual to measure the level of importance and level of performance of each e-GovQual attribute by classifying it in the Cartesian quadrants, which can help ensure the quality of e-Government services according to the needs and expectations of citizens as service user. Values in IPA (concentrating here, keeping up the good work, low priority, and possible overkill) will be the value of quality e-Government services. The results of this study are expected to give priority as a recommendation for Information and Communication Technology to the development of e-Government services in order to improve service quality.
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Usachenko, Alexander Alexandrovich. "EUROONTEGRATION ASPECTS OF BASIC MECHANISMS DEVELOPMENT IN PUBLIC ADMINISTRATION." UKRAINIAN ASSEMBLY OF DOCTORS OF SCIENCES IN PUBLIC ADMINISTRATION 1, no. 11 (January 24, 2018): 282–93. http://dx.doi.org/10.31618/vadnd.v1i11.34.
Full textAbstract:
The article considers a number of European integration aspects of the basic mechanisms development in public administration in the context of the “Good Governance” paradigm. Their peculiarities and corresponding problem questions are singled out.Proved that the efficiency and effectiveness of adopting and implementing state-management decisions associated with an increase in receiving and process- ing information electronically through a computer system and information tech- nology (electronic information and referral and information-legal systems, net- works, grid-technology, automated work places of the manager, etc.). It is about forecasting, planning and designing, monitoring, evaluation, monitoring, etc. All of this relates to strategic management and planning, programmatic and targeted (government action programs, national and other targeted programs, regional pro- grams, national projects) management, state and local budgeting.It is noted that increasing the efficiency of providing various administrative services is associated with an increase in the volume of administrative services and their geography and the reduction in the time of their provision (technology “single window”, information and reference electronic networks, etc.). Identified the introduction of the model and paradigm of “good governance” in the national system of public administration, ignoring the world, especially Eu- ropean experience implementing the model and paradigm of “good governance”; excessive lobbying for decentralization by the authorities at the city level; an at- tempt to reform the public administration system, in particular by moving to the model of “state management” in real conditions of the limited budget of the state; lack of serious preparedness, first of all recruiting, to such a transition; in fact, there is an artificial attempt to combine two different models of public administration, namely, “good governance” and “state management”, etc.
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Walker, Judi, Ros Hill, and Lorraine Green. "Tassie's Tele-rrific Telehealth Network: Linking Primary Health Care Services for Better Rural Health Outcomes." Australian Journal of Primary Health 6, no. 4 (2000): 108. http://dx.doi.org/10.1071/py00043.
Full textAbstract:
The Telehealth Tasmania Network is a statewide network covering a range of primary care services including Wound Management, Diabetes Education and Support, Specialist Clinics, Mental Health, Palliative Care, and health professional support and education. The Tasmanian Department of Health and Human Services instigated the Telehealth Network in conjunction with the Commonwealth Department of Communications, Information Technology and the Arts. The Network is built on a community development and primary care model. It is unique in that consultation with service providers and clients has determined the sites and services. Integration with other agencies is a key feature, with shared infrastructure ensuring viability and sustainability. Evaluation is an integral part of the design, development and implementation of the Network. It is a forward-looking process to guide program and policy development. Although the take-up rate has been relatively slow and uneven, the evaluation findings demonstrate how Information Technology and Advanced Telecommunications are being used effectively to link primary care services with each other and with acute care and institutional services. Key external factors for success and failure have been identified, showing that what works well in one place may well fail in another.
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Hammouri, Qais Mohammad, Emad Ahmed Abu-Shanab, and Nawras M. Nusairat. "Attitudes Toward Implementing E-Government in Health Insurance Administration." International Journal of Electronic Government Research 17, no. 2 (April 2021): 1–18. http://dx.doi.org/10.4018/ijegr.2021040101.
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Health insurance administration (HIA), a governmental institution that provides health insurance services for citizens in Jordan, is investing in an electronic health insurance administration (EHIA) system. This paper aims to explore the main factors influencing users' intention to adopt EHIA in Jordan, where little research focused on such systems. Using a quantitative approach, a sample of 315 citizens was utilized, and an instrument of 30 items was used. Findings revealed that perceived ease of use, perceived usefulness, information technology background, and social influence are major predictors of citizens' intention to use EHIA. In contrast, perceived security and perceived trust are not significant toward the adoption process. Jordanian government should focus on the ease and usefulness of the system to encourage citizens to use EHIA system, where substantial efforts need to be exerted to advance citizens' skills in using e-government applications. In addition, Jordanian authorities should utilize social media effectively to illustrate the significance of EHIA system for citizens.
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Cranovsky, Richard, Julian Schilling, Karin Faisst, Pedro Koch, Felix Gutzwiller, and Hans Heinrich Brunner. "HEALTH TECHNOLOGY ASSESSMENT IN SWITZERLAND." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 576–90. http://dx.doi.org/10.1017/s0266462300101163.
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Switzerland has a mixed public and private healthcare system. All citizens are enrolled in compulsory basic health insurance. A 1996 law allows people to choose among different sickness funds and managed care plans. The federal government is empowered to act on important health issues, but the 26 cantons have prime responsibility in health care and social welfare. They have their own laws on health care, hygiene, hospitals, and social welfare. These laws are not harmonized. The system is complex, with a mix of public (mainly hospitals) and private (mainly doctors' offices) providers. The health services are decentralized. Ambulatory care was traditionally provided in doctors' offices, but the last decade has seen the development of centers for day surgery, group practices, and managed care plans. Decisions on placement, location, and extension of services are decentralized. The payment system is very complex. Current trends include global budgets, cost analyses, and prices related to patient categories. However, coverage policy is developed centrally and includes both traditionally established services and new technologies. New technologies are added to the list only after evaluation by the Federal Coverage Committee. The coverage process integrates health technology assessment (HTA). Coverage can be granted in stages, including limited coverage and temporary coverage. Technologies and coverage can be reevaluated on the basis of registries or assessment information. The structure of the Swiss healthcare system does not lend itself to the establishment of a national HTA program. However, recent moves include the development of a coordinating mechanism for HTA in Switzerland.
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Sun, Jun, and Qiulan Luo. "Research on Application of Health Medical Information Science Data Sharing Standard System in Sports Rehabilitation." Journal of Medical Imaging and Health Informatics 11, no. 3 (March 1, 2021): 996–1003. http://dx.doi.org/10.1166/jmihi.2021.3352.
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The development of medical information technology has rapidly promoted the development of medical information technology towards intelligence. Health medical data provides basic data resource protection for intelligent medical services and smart medical services. This article abstracts the typical models of domestic and international health medical information management services, and provides theoretical basis and practical reference for the building of an evaluation index system for health management service capabilities. An system for health management service capabilities under a data sharing standard system was constructed, and the status and linkage of health management services were investigated and comprehensively evaluated to provide an index system and empirical data for evaluating hospital health management service capabilities. Finally, analyze the advantages and disadvantages of health management services under the medical consortium framework, propose countermeasures to improve the health management service system, provide decision-making references for units to improve their health management service capabilities, optimize health management service models, and formulate health management services for relevant government departments Provisional policies to promote the implementation of health management.
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Karni, Liran, Koustuv Dalal, Mevludin Memedi, Dipak Kalra, and Gunnar Oskar Klein. "Information and Communications Technology–Based Interventions Targeting Patient Empowerment: Framework Development." Journal of Medical Internet Research 22, no. 8 (August 26, 2020): e17459. http://dx.doi.org/10.2196/17459.
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Background Empowerment of patients is often an explicit goal of various information and communications technology (ICT) (electronic, digital) interventions where the patients themselves use ICT tools via the internet. Although several models of empowerment exist, a comprehensive and pragmatic framework is lacking for the development of such interventions. Objective This study proposes a framework for digital interventions aiming to empower patients that includes a methodology that links objectives, strategies, and evaluation. Methods This study is based on a literature review and iterated expert discussions including a focus group to formulate the proposed model. Our model is based on a review of various models of empowerment and models of technology intervention. Results Our framework includes the core characteristics of the empowerment concept (control, psychological coping, self-efficacy, understanding, legitimacy, and support) as well as a set of empowerment consequences: expressed patient perceptions, behavior, clinical outcomes, and health systems effects. The framework for designing interventions includes strategies to achieve empowerment goals using different ICT services. Finally, the intervention model can be used to define project evaluations where the aim is to demonstrate empowerment. The study also included example indicators and associated measurement instruments. Conclusions This framework, which includes definitions, can be useful for the design and evaluation of digital interventions targeting patient empowerment and assist in the development of methods to measure results in this dimension. Further evaluation in the form of interventional studies will be needed to assess the generalizability of the model.
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Deo, Sunny. "Survey of senior frontline clinicians regarding the quality of information technology across the UK." British Journal of Healthcare Management 26, no. 9 (September 2, 2020): 220–26. http://dx.doi.org/10.12968/bjhc.2017.0075.
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Background/Aims The quality of information technology (IT) services is key to effective healthcare delivery. However, the high aspirations of health ministers for IT services in hospitals may not be aligned with clinicians' perceptions. This study aimed to assess frontline clinicians' perceptions of the quality of IT services in their institutions. Methods The British Orthopaedics Directors Society online forum was used to invite a group of trauma and orthopaedic clinical leads from a range of hospitals to complete a short questionnaire regarding their perceptions of IT service quality in their practice. Results Negative perceptions of IT service quality were found to be common, with 45% of respondents rating their trusts' overall IT quality as poor or very poor. Of these, 13% deemed their trust's IT service quality to be so poor as to put patients at increased risk. Wide disparities were also reported between respondents' ratings of IT infrastructure quality and institutional responsiveness to concerns. Conclusions This small initial evaluation highlights concerning variations in clinicians' perceptions of IT service quality across different trusts. It also suggests the need for further, more detailed assessment and monitoring of IT quality improvement, for which the same questionnaire method may be useful.
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Kaur, Sukhpreet, Rajinder Kaur, and Rashmi Aggarwal. "E-health and its Impact on Indian Health Care: An Analysis." Paradigm 23, no. 2 (August 7, 2019): 164–74. http://dx.doi.org/10.1177/0971890719859943.
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Healthcare sector is progressing towards digitalization in every aspect such as e-consultations, health surveillance, health education and various other healthcare services. Developing countries like India lacks infrastructure to conduct studies to evaluate impact of these e-health services on patient outcomes. Various developed countries have electronic health records which makes evaluation of patient outcomes much easier. This paper aims to evaluate effect of e-health on patient outcomes in Indian healthcare scenario and future consequences of these e-health services. The integrative literature searches were conducted using various databases such as pubmed, google scholar and SCC web edition using keywords such as ‘e-health’, ‘telemedicine’, ‘mhealth’, ‘electronic health records’, ‘patient outcomes’ and ‘data protection laws’. From the papers retrieved only few papers studied impact of e health services in patient outcomes. Other papers assessed e-health on basis of accessibility, feasibility and medium of education in clinical practice. It was concluded that e-health services such as diagnostic services like teleopthalmology and tele ECG, distant consultation with specialist through telemedicine and adherence aids like automated voice reminder and pictorial messaging have positive impact on patient outcomes. Though e-health services can help us in various ways but it will also open the new Pandora box of problems in handling personal information. The information technology rules in India have certain grey areas in protection of digital data. In future, besides improving the data content of information system to analyse the impact of various services provided to the patients, we will have to relook the legal system to protect the data.
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Julaeha, Julaeha, and Devi Solikhati. "MOBILE HEALTH APPLICATION UTILIZATION AND E-HEALTH LITERACY AMONG MEDICAL AND HEALTH STUDENTS." Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan 6, no. 1 (March 30, 2021): 29–38. http://dx.doi.org/10.36387/jiis.v6i1.571.
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Fast changing technology application in industry 4.0 technology era implicated on teaching and health services face to face paradigm to virtual services. Excellence health services influenced by good health literacy. The propose of this study is to evaluation knowledge, attitude, and practice medical and health students toward mobile health application and e-health literacy.The study adopted a descriptive cross sectional survey design was conducted in medical and health students in Indonesia during March-July 2020. An Indonesian Electronic Health Literacy Scale (IEHLS) was developed to evaluate Knowledge, Attitude, and Practice (KAP) about e-health literacy and mobile health apps among medical and health students. The full response rate was 99% (n=301). Half of respondents are mobile health apps active user (52.6%). Hallodoc apps was th e most mobile health apps used (60.5%), followed by Medscape (41.5%) and MIMS (23.6%). Diseases information, side effect, indication, and regimen dose of drugs were the most favourite information accessed among medical and health students. Around 80% of medical and health students agree that mobile health apps improve patient’s knowledge on their own disease and medication and helped healthcare professionals on giving education and counseling. In other hand, only 60% medical and health students agree mobile health apps might be use full in learning process and healthcare services. Knowledge, attitude, and practice medical and health students toward mobile health application will be elevated with improving level of health literacy.
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Hilty, Donald M., John Luo, Evangelina Giron, and Dong-Gil Ko. "A Shared Information Technology-Business-Health Model: Lessons for Healthcare Leaders on Integrating Technology from Investment." Psychology and Cognitive Sciences – Open Journal 7, no. 1 (July 6, 2021): 1–18. http://dx.doi.org/10.17140/pcsoj-7-159.
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Objective: Technology is rapidly shifting our day-to-day existence, education, social relationships, health care and business. Psychiatric leaders have slowly explored telepsychiatric services – but few have an approach to technology in general–due to competing clinical, educational and research demands. Technology has typically been added on, rather than integrated, to institutional functions. Method: This narrative review used a literature search of Medline, PsycNET, PsycINFO, Embase, Cochrane, SpringerLink, Scopus, ABI/Inform, Business Source Complete, and Web of Science, using subject headings and keywords along with a manual search of reference lists of articles published by November 2020. The keywords explored four areas: 1) business; 2) service delivery; 3) system change; and 4) technology. Articles were reviewed by title/abstract, full text review and review of references. They were included if they discussed integration of technology into health care and compared literature from medicine/health, psychiatry/behavioral health, business, technology, leadership and health care administration. The goal was to explore how medicine/psychiatry has integrated technology compared to business, and apply business approaches to health care and training. Results: From a total of 2,710 potential references, two authors found 327 eligible for full text review and found 69 papers directly relevant to the concepts. Business and medicine/psychiatry have similarities/differences from both historical and contemporary views. Many health care systems and companies lack a strategic plan for technology and focus only on short-term due to administrative demands. Clinical informatics is a rapidly expanding area and would be central to this process. It has started to facilitate patient-centered care as defined by quality, affordable, and timely health care. While in principle information systems use integrative approaches, electronic health records, electronic means of communications with patients and staff, behavioral health indicators and related digital advances are often added to existing systems rather than integrated. Effective businesses use integrative approaches to share domain knowledge and streamline practices to link information technology (IT) with research and development, production, financing and marketing management. A case example highlights the IT strategy and business leaders’ comments in shifting to straight through processing (STP) from the banking industry for investments. It also exemplifies a model of shared IT-business understanding, which improves performance via efficiency, quality of data/information processing/integration and managerial teamwork. Conclusion: When it is integrated into health care service delivery workflow, evaluated and quality improved, IT facilitates the translation of strategic planning into organizational change. Incremental versus strategically innovative approaches to technological integration for care, education and administration are considered. Successful implementation requires a needs and impact assessment for patients, staff, clinicians and leaders across all levels of the organization. Benefits to the mission, limited disruptions of core operational workflow and reasonable costs reduce the likelihood of failure.
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Siau, Keng, and Hwee-Joo Kam. "E-Healthcare in ABC County Health Department (ABCCHD)1: Trade-offs Analysis and Evaluation." Journal of Information Technology 21, no. 1 (February 2006): 66–71. http://dx.doi.org/10.1057/palgrave.jit.2000054.
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The issue of privacy stirred a tumultuous uproar when the ABC County Health Department (ABCCHD) was planning for an e-Healthcare system that utilized information technology to streamline the administration process of patients. ABCCHD had hired a software vendor, Info-Health, a company that specialized in information system development for the healthcare industry to help in the project. The privacy of patients with Sexually Transmitted Diseases/Human Immunity System was a thorny issue in the implementation of the e-Healthcare system. A trade-off between privacy and cost was discussed and debated. Three alternatives, with varying degrees of privacy and cost, were considered.
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Cozza, Massimo, Mariannina Amara, Nicola Butera, Gaetano Infantino, Alessandra Maria Monti, and Rosa Provenzano. "Patients' and relatives' satisfaction with mental health services in Rome." Epidemiologia e Psichiatria Sociale 6, no. 3 (December 1997): 173–83. http://dx.doi.org/10.1017/s1121189x00005029.
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SUMMARYObjective – Satisfaction's measurement with Mental Health Services in patients and their relatives. Design – Satisfaction scale administration to the patients who were treated in community-based psychiatric service from 1.1.1996 to 31.3.1996 and the relatives who were primarily involved in caring for the patient. Setting – The ASL Rome «C» community-based psychiatric service. Main outcome measures – Verona Service Satisfaction Scale-54, a multidimensional instrument which measure satisfaction with community-based psychiatric service. Results – Main results (301 scales for patients, 163 scales for relatives), pointed out for patients a higher satisfaction for the technical and interpersonal skills of psychiatrists and psychologists (score of specific items >4). Lowest scores of satisfaction were towards the appearance, comfort level and physical layout of the facility (score 2.95) and towards the response of the service to emergencies during the night, weekend and Bank Holidays (score 2.87). Relatives were not particulary keen for the item regarding help to find open employement (score 2.76). Furthermore patients and their relatives gave a negative evaluation of the publicity and information offered by Mental Health Services. Dimensions's analysis reachs the same conclusions deduced items's average score. The result of this study emphasizes the patients higher degree of satisfaction than the relatives. Conclusions – The above results point out three aspects to be improved by the Menthal Health Service in order to satisfy the demands of the patients and relatives: 1. appearance, comfort level and physical layout of the facility, 2. publicity and information, 3. social actives and social skills.
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Smith, Michael W., Ashley M. Hughes, Charnetta Brown, Elise Russo, Traber D. Giardina, Praveen Mehta, and Hardeep Singh. "Test results management and distributed cognition in electronic health record–enabled primary care." Health Informatics Journal 25, no. 4 (June 15, 2018): 1549–62. http://dx.doi.org/10.1177/1460458218779114.
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Managing abnormal test results in primary care involves coordination across various settings. This study identifies how primary care teams manage test results in a large, computerized healthcare system in order to inform health information technology requirements for test results management and other distributed healthcare services. At five US Veterans Health Administration facilities, we interviewed 37 primary care team members, including 16 primary care providers, 12 registered nurses, and 9 licensed practical nurses. We performed content analysis using a distributed cognition approach, identifying patterns of information transmission across people and artifacts (e.g. electronic health records). Results illustrate challenges (e.g. information overload) as well as strategies used to overcome challenges. Various communication paths were used. Some team members served as intermediaries, processing information before relaying it. Artifacts were used as memory aids. Health information technology should address the risks of distributed work by supporting awareness of team and task status for reliable management of results.
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M. Taufiqur Rohman, Made Kamisutara, and Muhammad Mustajib. "Enterprise Architecture Planning at the Health Sciences Faculty of UMSurabaya Using the Zachman Framework." Jurnal E-Komtek (Elektro-Komputer-Teknik) 5, no. 1 (June 29, 2021): 89–101. http://dx.doi.org/10.37339/e-komtek.v5i1.416.
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Health Sciences Faculty of Muhammadiyah University of Surabaya (UM Surabaya) is a faculty in UM Surabaya. It has a mission to develop academic, general, and student administration services based on quality management systems and the application of Information Technology. To achieve the mission, it is necessary to design and implement Information Technology in assisting administrative service business processes including a letter management system, the attendance system of staff and lecturer, and a financial submission system for the activity plan of the Implementing Unit, Head of Study Program, and Quality Control Group at the Faculty of Health Sciences UM Surabaya. Therefore, this research aimed to build an Enterprise Architecture Planning (EAP) using Zachman Framework method. This research resulted a structured integrated information system Blueprint design along with application prototypes at the Faculty of Health Sciences UM Surabaya. With the Information System Blueprint design, it made it easier for Developers to develop information systems and documented every system transaction process.
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Goodman, Kenneth W. "Ethics, Information Technology, and Public Health: New Challenges for the Clinician-Patient Relationship." Journal of Law, Medicine & Ethics 38, no. 1 (2010): 58–63. http://dx.doi.org/10.1111/j.1748-720x.2010.00466.x.
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One of the largest, oldest, and most interesting challenges in health care is the balancing act in which clinicians have generally uncontroversial duties both to individual patients and to communities. Physicians and nurses must — so we teach them — put patients first, and at the same time recognize that individuals are members of communities. Individuals affect the health of communities, and communities affect the health of individuals. Thus, the moral and professional duties that result are sometimes in conflict.Moreover, the traditional, prosaic clinical encounter is evolving in an environment increasingly shaped (albeit too slowly according to some) by electronic health records, personal health records, pharmacogenomics and vast networks of data collection and storage for public health surveillance, human subjects research, health services evaluation, and comparative effectiveness research. Health information technology is changing everything. It would be perverse otherwise: imagine large amounts of data and information either ignored, missed, or collected and then ignored.
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Omelyanovskiy, V. V., E. S. Saybel, T. P. Bezdenezhnykh, and G. R. Khachatryan. "The health technology assessment system in Australia." FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology 12, no. 4 (February 18, 2020): 333–41. http://dx.doi.org/10.17749/2070-4909.2019.12.4.333-341.
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In Australia, the federal government is in charge of providing the health care to patients. The government agencies determine the list of reimbursable pharmaceuticals and medical services and also define the preferential categories of the population. The states and territories may have their own health care programs in addition to the federal ones. The Pharmaceutical Benefits Advisory Committee (PBAC) is responsible for the health technology assessment (HTA) and decides which technology is eligible for reimbursement by the federal budget. The drug evaluation process includes five stages: a review of general information about the product, assessment of its clinical efficacy, cost-effectiveness analysis, assessment of financial implications of including the drug in the reimbursement list, and consideration of any other factors that may influence the committee decision. In addition to the full reimbursement of pharmaceuticals, the committee may decide to provide funding based on a managed entry agreement.
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Su, Yu, Fei Hou, Mingde Qi, Wanxuan Li, and Ying Ji. "A Data-Enabled Business Model for a Smart Healthcare Information Service Platform in the Era of Digital Transformation." Journal of Healthcare Engineering 2021 (June 1, 2021): 1–9. http://dx.doi.org/10.1155/2021/5519891.
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Digital technology has promoted service innovation and provided effective technical support for public service innovation in recent years. Smart healthcare, a key element of smart city development, has gradually become an important issue in government administration. Digital technology is deeply embedded in healthcare services and reshapes value creation through digital transformation. This study combines data-enabled platform business models and value cocreation and adopts a case study approach to develop a business model for a medical information service platform that allows stakeholders to cocreate value through service exchange and resource integration in smart healthcare ecosystems, promotes efficient and coordinated applications of information, and realizes innovative development in the medical industry.
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Antczak-bouckoms, Alexia, Elisabeth Burdick, Sidney Klawansky, and Frederick Mosteller. "Introduction: Using Medical Registries and Data Sets for Technology Assessment." International Journal of Technology Assessment in Health Care 7, no. 2 (1991): 122–28. http://dx.doi.org/10.1017/s0266462300005006.
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The rising costs of health care and interest in the evaluation of health services and systems have sparked an increased need for technology assessment. A variety of available methods of assessment are described in the Institute of Medicine's book Assessing Medical Technologies (1). Although such methods as the randomized controlled trial (RCT) are widely accepted and used, obtaining information by such methods often takes a considerable amount of time, expense, and sophistication in study design. These costs suggest that a broader range of methods for collecting information about health care technologies should be considered. A vast resource of data collected on patients, ranging from a provider's practice records to national data sets, might be useful for technology assessment if it could be properly appraised.
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Linda, Tania, and Agustinus Fritz Wijaya. "Evaluation of Personnel Information System Performance at the Department of Population and Civil Registration of Bengkayang Regency Using COBIT 5." Journal of Information Systems and Informatics 3, no. 2 (June 25, 2021): 255–33. http://dx.doi.org/10.33557/journalisi.v3i2.102.
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The Bengkayang Regency Population and Civil Registry Service is an institution that aims to record population administration data which includes data including birth data, marriage data and death data, identity cards, family cards, and children's identity cards. The Dukcapil Service Office is one of the services that serves the community, especially in population management. This study aims to refer to the version 5 COBIT framework for reviewing the management of Personnel SI at the Bengkayang Regency Population and Civil Registry Service. The domain used in COBIT 5 is "Monitoring, Evaluation and Assessment" (MEA). The results of the study determine the maturity of the Bengkayang Regent's Population and Civil Registry, and provide suggestions for the application of information technology to make it better in the future.
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Lam, Raymond, Estie Kruger, and Marc Tennant. "A critical discussion of the benefits of e-health in population-level dental research." Australian Journal of Primary Health 19, no. 4 (2013): 303. http://dx.doi.org/10.1071/py13020.
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Population-level research is an essential area of health with the potential to affect quality of life and the broader economy. There are excellent epidemiological studies that have improved health services, but traditional research requires a considerable investment. Although electronic technology has changed the practice of many industries with improved efficiency, its application to health is relatively new. Termed ‘e-health’, this emerging area has been defined by the World Health Organization as the use of information technology to support many aspects of health such as in administration and scientific information. However, not all professionals are convinced of its use. This paper presents a novel application of this emerging area to describe the benefit in data collation and research to support one of the most pressing issues in public health: oral health and policy. Using the Chronic Disease Dental Scheme as an example, a critical discussion of its benefit to population-level research is presented. The Chronic Disease Dental Scheme method of electronic administration has been shown to enhance research and to complement existing progress in health data linkage. e-Health is an invaluable tool for population-level dental research.