Dissertations / Theses on the topic 'Healthcare'
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1
Ponce, Michael. "Healthcare fraud and non-fraud healthcare crimes: A comparison." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3233.
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Healthcare fraud is a major problem within the healthcare industry. The study examined medical fraud, its laws, and punishments on federal and state levels. It compared medical fraud to non-fraud crimes done in the healthcare industry. This comparison will be done on a state level. The study attempted to analyze the severity of fraud against non-fraud and that doctors would commit fraud offenses more often than non-fraud offenses.
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Miller, Aretha D. "Associations Between Healthcare Facility Types and Healthcare-Associated Infections." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2035.
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Healthcare-Associated Infections (HAIs) continue to be an epidemiological issue burdening patients and public health systems worldwide. The purpose of this study was to determine if specific healthcare facility types (Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities) were associated with particular categories of HAIs: Ventilator-Associated Pneumonias (VAPs), Central Line-Associated Bloodstream Infections (CLABSIs), and Catheter-Associated Urinary Tract Infections (CAUTIs). The theoretical framework for this study was the environmental determinants of infectious disease framework. A single research question focused on whether an association existed among the specified health care facility types and HAIs. Three independent categorical variables were used, including Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities, and 3 dependent variables were used, comprising of VAPs, CAUTIs, and CLABSIs. A quantitative design engaged the chi-square test of association, using a 2012 population-level report of archival data collected by the Centers for Disease Control and Prevention's National Healthcare Safety Network. Seven groups of HAIs and facility types were tested, and the results revealed that 6 groups had statistically significant differences. This study may contribute to positive social change by helping to identify whether healthcare facility types are associated with HAIs and to supply evidence to stakeholders to support standardization of best practices across all facility types, thus contributing to the reduction of HAIs in the United States.
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Kilic, Ozgur. "Achieving Electronic Healthcare Record (ehr) Interoperability Across Healthcare Information Systems." Phd thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609665/index.pdf.
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Providing an interoperability infrastructure for Electronic Healthcare Records (EHRs) is on the agenda of many national and regional eHealth initiatives. Two important integration profiles have been specified for this purpose: the "IHE Cross-enterprise Document Sharing (XDS)"
and the "
IHE Cross Community Access (XCA)"
. XDS describes how to share EHRs in a community of healthcare enterprises and XCA describes how EHRs are shared across communities. However, currently no solution addresses some of the important challenges of cross community exchange environments. The first challenge is scalability. If every community joining the network needs to connect to every other community, this solution will not scale. Furthermore, each community may use a different coding vocabulary for the same metadata attribute in which case the target community cannot interpret the query involving such an attribute. Another important challenge is that each community has a different patient identifier domain. Querying for the patient identifiers in another community using patient demographic data may create patient privacy concerns. Yet another challenge in cross community EHR access is the EHR interoperability since the communities may be using different EHR content standards.
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Kim, Beomsoo. "Legislating healthcare quality." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3520.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.Thesis research directed by: Economics. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Kling, Rakel Nessa. "Promoting the health of healthcare workers : evaluating patient violence in healthcare." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/32674.
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Introduction:
The high rate of violence in the healthcare sector supports the need for greater prevention efforts. This study had two main objectives: 1) identify risk factors for violence province- wide and 2) investigate the effectiveness of a violence risk assessment system in reducing the risk of violence in an acute care hospital in British Columbia.
Methods:
Study 1: Data was extracted for a one-year period from the Workplace Health Indicator Tracking and Evaluation (WHITE ™) database for all employee reports of violent incidents for four of the six British Columbia Health Authorities. Risk factors for violence were identified through comparisons of incident rates (number of incidents/100,000 worked hours) by work characteristics, and by regression models.
Study 2: Hospital violence incident rates (number of incidents/ 100,000 worked hours)were calculated pre, during and post implementation of the Alert System, a violence risk assessment system, at one acute care hospital. Then, using a retrospective case control study design, multivariable conditional logistic regression was used to model the effect of the Alert System (flag status yes or no) on the risk of a patient violent incident.
Results:
Study 1: Across health authorities, three groups at particularly high risk for violence were
identified: very small healthcare facilities, the care aide occupation, and pediatric departments in acute care hospitals.
Study 2: The violent incident rate decreased during the Alert System implementation period, but subsequently returned to pre-implementation levels. In the case-control analyses, patients flagged for violence were associated with an increased rather than decreased risk for violence.
Conclusions:
Study 1: The specific risk factors that put health care groups at an increased risk of violence should be examined so that targeted prevention or intervention efforts can be implemented. The identification of high-risk groups supports the importance of a province-wide surveillance system.
Study 2: Although useful at identifying violent patients, the Alert System does not appear to provide the resources or procedures needed by health care workers to prevent a patient from progressing to a violent incident once flagged.
These studies suggest that violence in healthcare should be studied and prevented using a
multifaceted approach.Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Gabassi, Gianfranco. "Innovation for a Sustainable Healthcare: : How can patients improve their own healthcare?" Thesis, KTH, Industriell produktion, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-129269.
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As the demographic pictures is changing across the Western world, healthcare costs are growing at unsustainable rates. In order to sustain the healthcare we’re used to in the Western world, new healthcare deliver strategies must be implemented. As the average person grows older, chronic diseases hit more people, requiring costly treatments for a growing part of the population. A successful approach could address the problem of medical adherence, together with increasing awareness among patients through increased involvement. During the last century, the healthcare industry has received vast amounts of technological and medical innovations. However, the interaction between the patient and the doctor has very much remained the same. Is it possible that an increase in patient involvement can lead to improved healthcare outcomes? And further, how would they be able to become more involved? Through a qualitative study involving interviews with experts in the field, ideas were shared on how patient involvement can benefit both the patient and the healthcare, followed by how this involvement can takeplace. Results involved the medical delivery strategy of P4 Medicine, closely related to the concept of Personalized Medicine. These theories advise the patients to take a much more active role in the healthcare. It encourages a shift from the reactive to the proactive healthcare, leading to a new view of the healthcare as a lifelong partner. The conclusion drawn included that patient involvement is an important step towards a much cheaper and effective healthcare. With more data-mining and smarter systems, more people are able to develop services that can improve life for both patients and health professionals.
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Gallagher, Martha S. "The Impact of an International Healthcare Mission on Participating Healthcare Professional Students." University of Toledo / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1083527751.
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Maparzadeh, Milad. "Patients’ perspective of digital healthcare : Social implications during a digital healthcare meeting." Thesis, Högskolan Väst, Avd för informatik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-16811.
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The purpose of this study was to gain a deeper understanding of the patient’s perspective regarding social interactions in video healthcare meetings. Social presence theory was used in the context of how video calls can result in vital aspects of social interactions disappearing and how that can affect the outcome of a doctor consultation in contrast to physical meetings. A qualitative method with semi-structured interviews was applied to this study. This study included 7 participants with similar age range from 26-36 years old including both genders. This study resulted in many different views and perspectives whereas some participants found it harder to communicate virtually whereas others did not think that social interactions was not even an important factor. The conclusion that could be made from this study is that virtual healthcare meetings are good depending on which context they are used for. Furthermore, the doctor cannot always get the full picture because the camera creates a psychological distance which makes it harder for the doctor to observe as much as he/she can in a physical setting which can lead to many signals and cues missing out.
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Owen-Smith, Amanda. "Knowing about healthcare rationing." Thesis, University of Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486124.
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How best to manage the obligation to ration healthcare, and in particular how explicit such priority setting processes should be, is a matter of increasing international interest. Despite this, there exists very limited empirical evidence about the views of clinicians on this issue, and none relating to the views of patients. Qualitative research methods were used to conduct a multi-stage empirical investigation, including an initial study at the community level, followed by two clinical case studies (of morbid obesity and breast cancer treatments) within secondary care. In total, 21 healthcare professionals and 31 patients were interviewed. Purposive and theoretical sampling methods were used and data were analysed using methods of constant comparison. The results revealed that patients had a broad awareness of healthcare rationing, and nearly all said they wanted to know how financial factors affected the provision of their healthcare. However, the data also demonstrated that the experience of explicit rationing could be extremely distressing for patients, particularly when decision-making was viewed as arbitrary or unfair. Clinical professionals reported a strong theoretical commitment to being open about rationing, although in practice this was sometimes over-ridden by ethical or pragmatic concerns, meaning that more implicit approaches were often employed. Patients had a choice whether to accept explicit rationing decisions, protest against them, or pay for private care. However, options were often constrained because of lack of personal resour~es or inadequate access to information. In conclusion, explicit rationing is generally favoured by clinicians and patients, and is amenable to being managed within the shared decision-making model of the doctor-patient relationship. However, clinicians need further training to assist them in appropriate disclosure techniques, and patients need access to adequate information about the basis for rationing decisions, and the possible routes to contest them, to ensure their involvement is meaningful.
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Larsson-Green, Peter. "Kinect’s potential in healthcare." Thesis, Linköpings universitet, Interaktiva och kognitiva system, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-109323.
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This project investigates if a Microsoft Kinect has the potential to be used in healthcare as an assisting tool for doctors in their work to diagnose patients or by supporting rehabilitation patients with their exercise training. To test its potential, the accuracy in the skeleton data it produces has been investigated, and two different computer programs making use of the Kinect has been created and evaluated. The results suggest that the Kinect has the potential to be used in some fields in healthcare as long as one takes its strengths and weaknesses into consideration.
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Burgess, Nicola. "Evaluating lean in healthcare." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/50272/.
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The overarching aim of this thesis is to evaluate Lean implementation in the English NHS. Against a background of financial austerity measures and the ostensible widespread adoption of Lean in the UK public sector, and particularly by healthcare organisations, the objective is to understand how Lean is being implemented by NHS hospital Trusts, and whether there is any quantitative evidence that Lean implementation is improving hospital performance. Adopting Pettigrew and Whipp’s (1991) framework of strategic change, this thesis aims to present theoretically sound and practically useful research through an exploration of the context, process and content of Lean implementation by English hospital Trusts. In order to achieve this, the research employs a mixed methods research design incorporating document analysis3, quantitative analysis and case study analysis to afford an insight into the implementation of Lean from multiple viewpoints and facilitate the development of new insights relating to the phenomena of Lean implementation in English hospital Trusts. The research provides a contribution to knowledge in three key areas: firstly through the identification and validation of a typology of approaches to Lean implementation by English hospital Trusts i.e. a characterisation of the method of Lean implementation; secondly through quantitative analysis and discussion of the potential link between Lean implementation and increased performance; and thirdly a set of propositions that provide a narrative and logic to explain the influence of contextual factors upon the process of Lean implementation in English hospitals.
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Scott, Helen. "Empathy in healthcare settings." Thesis, Goldsmiths College (University of London), 2011. http://research.gold.ac.uk/6704/.
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Empathy is an important concept associated with positive outcomes for healthcare practitioners and their patients. In order to identify the best methods to develop and sustain empathy in healthcare professionals there is a need for greater understanding of the antecedents and behaviours involved in empathic responding towards patients. This thesis used a multidimensional model of empathy as a guide for research aimed at understanding the antecedents and behaviours involved in empathic interactions between patients and healthcare professionals. Studies one to three were cross sectional and quantitative in design. Studies one and two investigated relationships between self-reported empathy, personality and emotional intelligence. Findings suggested that (1) perspective taking and empathic concern were closely associated with agreeableness and extraversion, and also loaded on to the single factor of emotional intelligence (2) fantasy was associated with with openness to experience but not emotional intelligence, and (3) personal distress was positively related to neuroticism and negatively related to emotional intelligence. Study three went on to investigate the relationships between emotional intelligence, propensity to empathise and empathic behaviour amongst doctors. Propensity to empathise was positively related to observer ratings of empathic behaviour, but not when doctors had qualified in a different country. finally, study four qualitatively examined empathy in the healthcare context, from patients' perspectives. Situational and patient characteristics were also identified as antecedents to empathy, further relating to employee engagement and work design. The specific behaviours associated with empathy as judged by patients included helping and prosocial behaviours. Implications for the development of empathy are discussed in terms of possible training , development and work design interventions. Finally areas for future research are identified.
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Bailey, Ruth. "Disabled people's healthcare encounters." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/4238.
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This thesis is about impairment, disability and health. Placed in the context of Disability Studies, it engages with the theoretical debates about how disability and impairment should be conceived. In doing so it pays particular attention to the embodiment of impairment and its relation to health matters. It also identifies and discusses the reasons for the apparent reluctance of Disability Studies to engage with health issues. The main source of data is interviews with 28 disabled people from Edinburgh and the Lothians. Using semi structured interviews, participants were encouraged to talk about their experiences of using healthcare including the access barriers they faced, the expertise they developed to manage their health care encounters and how these encounters mediated and were mediated by their lived experience as disabled people. A secondary source of data is autoethnographic writing. Through reflexivity, an assessment is made of the value and validity of using this method to explicitly incorporate the researcher’s own experiences in to the data and its analysis. Similarly reflexivity is deployed to consider the methodological issues that arise from the researcher being disabled and encountering access barriers during the research process. There were three sets of findings from the research. First, participants’ body talk suggested that in everyday life impairment and maintaining good health can be understood as something which is done by the embodied self to the body. This doing is often a taken-for-granted activity. It is also mediated through a number of factors including emotions, disabling barriers and broader social and economic structures. Second, participants’ accounts of the access barriers they faced when using the NHS suggested that there are two categories of access needs, the macro and micro. While macro needs such as ramped or flat access to premises were anticipated and routinely met without participants having to take any action, participants often felt they had to take the initiative to ensure their micro needs, such as the need for a hoist, were met. Some micro access needs were particular to a healthcare context and often emerged during diagnostic tests or treatment procedures. Healthcare professionals had to have sufficient skills and confidence to respond effectively to these clinical micro needs. The third set of findings was that some participants developed expertise to enable them to access the appropriate services to meet their needs and form a high quality relationship with healthcare professionals. However, other participants recalled situations where their expertise was not respected and felt abandoned by the NHS. The first set of findings has implications for theoretical development in Disability Studies. More work is needed to connect the doing of impairment to theoretical approaches found in sociology of the body and to empirically explore the nature and scope of impairment doing, The second and third set of findings have implications for current healthcare practice particularly in the context of the NHS’ responsibility under the Disability Discrimination Act.
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Sekhon, Mandeep. "Acceptability of healthcare interventions." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/19917/.
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Background: Problems with acceptability of healthcare interventions can undermine the validity of randomised evaluation studies. Hence, assessing acceptability is an important methodological issue. However, the research literature provides little guidance on how to define and assess acceptability. Acceptability of a healthcare intervention could be different, depending on the perspective taken: patients and healthcare professionals may have different views. Perceptions of acceptability may also change according to when acceptability is assessed, in relation to a person’s engagement with the intervention. A person can have perceptions about prospective acceptability (i.e. prior to taking part in the intervention); concurrent acceptability (i.e. whilst taking part in the intervention) and retrospective acceptability (after participating in the intervention). Objectives: The overall aim of this programme of research was to define acceptability in the context of healthcare interventions and to develop a Theoretical Framework of Acceptability (TFA) that can be applied to assess acceptability from two stakeholder perspectives: healthcare professionals and patients. The specific objectives were to: 1) Identify, from the published literature, how the acceptability of healthcare interventions has been defined, operationalised and theorised; 2) Theorise the concept of acceptability and develop a theoretical framework of acceptability (TFA) to guide assessment and develop preliminary assessment tools; 3) Use the tools to apply the TFA to assess intervention acceptability qualitatively, and 4) Apply pre-validation methods to develop preliminary versions of two TFA-based questionnaires. Methods: Six studies were conducted: 1. A systematic overview of reviews of published studies to investigate how the acceptability of healthcare interventions has been defined, theorised and assessed. The results of this study formed the basis for study 2. 2. Inductive and deductive methods of reasoning were applied to theorise acceptability and to develop the Theoretical Framework of Acceptability (TFA). 3. Semi-structured interviews with eligible participants who declined to participate in a Randomised Controlled Trial (RCT) comparing a new patient-led model of care with standard care, for managing blepharospasm and hemifacial spasm. The TFA was applied to identify whether participants’ reasons for refusal were associated with prospective acceptability of the intervention or with other factors. 4. Application of the TFA to analyse semi-structured interviews to assess healthcare professionals’ retrospective acceptability of two feedback interventions delivered in a research programme aimed at developing and evaluating audit and feedback interventions to increase evidence-based transfusion practice. 5. An extension of Study 3: semi-structured interviews with patients who agreed to participate in the RCT, at three-month follow-up, to assess patients’ concurrent acceptability of the standard model of care and the patient led model of care for managing blepharospasm and hemifacial spasm. 6. Pre-validation methods were applied to develop two TFA-based questionnaires applicable to the RCTs described in Studies 3, 4 and 5. Results: Study 1: acceptability had not been theorised and there was no standard definition used in the literature. Operational definitions of acceptability were often reported and often reflected measures of observed behaviour. Study 2: proposed definition: Acceptability is a multi-faceted construct that reflects the extent to which people delivering or receiving a healthcare intervention consider it to be appropriate, based on anticipated or experienced cognitive and emotional responses to the intervention. The TFA was proposed as a multi-component framework that can be applied to assess intervention acceptability across three temporal perspectives: prospective, concurrent and retrospective. The TFA consists of seven component constructs: Affective attitude, Burden, Ethicality, Intervention Coherence, Opportunity Costs, Perceived Effectiveness and Self-efficacy. Studies 3-5: It was feasible to apply the TFA in these empirical studies. Study 6: Two acceptability questionnaires were developed; the TFA informed the development of items reflecting the seven component constructs of the TFA. Conclusion: Despite frequent claims that the acceptability of healthcare interventions has been assessed, acceptability research could be more robust. Investigating acceptability as a multi-component construct resulted in richer information about the acceptability of each intervention, and suggestions for enhancing intervention acceptability across three temporal perspectives. The TFA offers the research community a systematic and theoretical approach to advance the science and practice of acceptability assessment for healthcare interventions.
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Crawford, William Charles Richards. "Mapping healthcare information technology." Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/58179.
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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2010.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 56-58).
In this thesis I have developed a map of Healthcare Information Technology applications used in the United States for care delivery, healthcare enterprise management, clinical support, research and patient engagement. No attempt has previously been made to develop such a taxonomy for use by healthcare policy makers and on-the-spot decision makers. Using my own fifteen years of experience in HIT, along with an extensive set of literature reviews, interviews and on-site research I assembled lists of applications and organized them into categories based on primary workflows. Seven categories of HIT systems emerged, which are Practice Tools, Advisory Tools, Financial Tools, Remote Healthcare Tools, Clinical Research Tools, Health 2.0 Tools and Enterprise Clinical Analytics, each of which have different operational characteristics and user communities. The results of this pilot study demonstrate that a map is possible. The draft map presented here will allow researchers and investors to focus on developing the next generation of HIT tools, including software platforms that orchestrate a variety of healthcare transactions, and will support policy makers as they consider the impact of Federal funding for HIT deployment and adoption. Further studies will refine the map, adding an additional level of detail below the seven categories established here, thus supporting tactical decision making at the hospital and medical practice level.
by William Charles Richards Crawford.
S.M.
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Silva, Audrey da. "Agile healthcare solution : nursing." Master's thesis, Instituto Politécnico de Leiria, 2011. http://hdl.handle.net/10400.8/1323.
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Dissertação apresentado à Escola Superior de Tecnologia e Gestão do IPL para obtenção do grau de Mestre em Engenharia Informática - Computação Móvel, orientada pela Professora Doutora Dulce Gonçalves.Actualmente, as novas tecnologias e o aparecimento de equipamentos móveis cada vez mais compactos e mais potentes fazem com que a computação móvel seja uma área em expansão sobretudo em sectores que exijam mobilidade e uma elevada componente prática dos utilizadores. O sector da saúde, particularmente, o da enfermagem é caracterizado por essas mesmas exigências. Apesar desse facto, existe ainda um número reduzido de soluções no mercado que sejam capazes de responder às necessidades e especificidades dos profissionais de enfermagem de uma forma simples, eficiente e segura tendo sido a constatação e identificação dessa principal lacuna a origem deste projecto. Deste modo, pretende-se apresentar uma possível solução ao problema anterior através da elaboração de uma proposta de um produto que permita a gestão do trabalho de rotina relacionado com o acompanhamento de pacientes realizado por profissionais de enfermagem (tanto do sector público, privado ou particular). Desta forma, os principais objectivos deste projecto são: obter uma prova de conceito capaz de validar o funcionamento da arquitectura proposta, a interoperabilidade das ferramentas de desenvolvimento escolhidas, e o potencial deste tipo de soluções no mercado actual; dar resposta às principais necessidades diárias dos profissionais de enfermagem dos diferentes sectores no exercício da sua actividade através da utilização conjugada de aplicações e equipamentos de diferentes tipos; permitir a efectivação do trabalho definido por uma aplicação Desktop junto do próprio utente em tempo real e de uma forma simples, eficiente e segura através de uma aplicação disponibilizada num dispositivo móvel; e obter uma solução adaptável e facilmente expansível (para efeitos de internacionalização ou de reformulação de interfaces).
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Sargsyan, Alex. "Animal Assistants in Healthcare." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etsu-works/8512.
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Schmitt, Mathias. "Leadership and Healthcare Performance." Diss., Virginia Tech, 2012. http://hdl.handle.net/10919/77975.
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The U.S. health care delivery system faces serious challenges such as an increasing demand for services due to an aging population, unhealthy lifestyles, growth in the number of uninsured individuals, and an increase in chronic diseases. At the same time, the system has to cope with a limited supply of money, physicians, and nurses inferior quality of care delivered by U.S. hospitals. While the U.S. hospital industry is adapting to address these issues, not much progress in improving the quality of care delivered has been made over the last decade. However, theories exist that management systems, organizational traits, and leadership are key factors for hospitals to improve quality of care outcomes. This study takes a holistic look at these factors to identify and analyze critical drivers for better quality of care outcomes of U.S. hospitals. The study also aims to identify differences between chief executive officers' (CEOs) leadership traits among lean (mediocre performance), high (top 20th percentile), and low performing (bottom 20th percentile) U.S. hospitals in regards to their quality of care measures.
Two separate online surveys were conducted. The first online survey was targeted at all 4,697 U.S. hospitals that are required to disclose quality of care measures to the Federal government. Results of this first survey revealed that two management system factors drive quality of care outcomes of U.S. hospitals. Furthermore, findings also show that critical access hospitals have a lower quality of care performance than acute care hospitals. Thus, based on the results from this survey, we concluded that management system factors are main drivers of hospital performance, whereas organizational trait and leadership factors did not significantly contribute to hospital performance.
A second survey to CEOs and CEO followers in 9 selected hospitals found significant differences between CEO traits leading lean and low performing hospitals, and, to a lesser degree, significant differences among high and low performing hospitals. However, the study did not find any significant differences in CEO traits between lean and high performing hospitals. Findings also include that some management system factors differed significantly between lean and high performing hospitals, but no evidence for such differences could be found between lean and high and high and low performing hospitals, respectively. These results suggest that management systems and CEO leadership traits play an important role in determining U.S. hospital performance as measured by their quality of care.Ph. D.
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Kessler, Aaron. "Transgender Experiences in Healthcare." Kent State University Honors College / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1588334197961745.
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Vaseigaran, Ajanth, and Gobi Sripathy. "Artificial Intelligence in Healthcare." Thesis, KTH, Industriell ekonomi och organisation (Inst.), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-296643.
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Healthcare systems play a critical role in ensuring people's health. Establishing accurate diagnoses is a vital element of this process. As sources highlight misdiagnoses and missed diagnoses as a common issue, a solution must be sought. Diagnostic errors are common in the emergency departments, which has been recognized as a stressful work environment. Today's industries are forced to deal with rapidly changing technological advances that result in reshaped systems, products, and services. Artificial Intelligence (AI) is one of such technologies that can work as a solution to diagnosis issues but comes with technical, ethical and legal challenges. Hence, the thesis intends to investigate how AI can affect the accuracy of diagnosis as well as how its integration in healthcare relates to the technical, ethical and legal aspects. The thesis begins with a literature review, which serves as a theoretical foundation and allows for a conceptual framework to be formed. The conceptual framework is used to select interviewees, which results in 12 interviews with professors, researchers, doctors and politicians. In addition, a survey is conducted to obtain the general public’s opinion on the matter. The findings present that AI is already mature enough to make more accurate diagnoses than doctors as well as release burden from medical practitioners in the form of administrative tasks. One obstacle is the incomplete data available since laws hinder sharing of patient data. Furthermore, the AI algorithms must be fit for all social minorities and not demonstrate racial discrimination. The European AI Alliance was established in 2018 with the aim to keep the technology in check. Similar initiatives can be created on a national- and regional level to maintain some form of control over its proper use.Sjukvårdssystem utgör en avgörande roll för att säkerställa människors välmående och hälsa. Att fastställa korrekta diagnoser är en viktig del av denna process. Enligt källor är feldiagnoser och uteblivna diagnoser ett vanligt problem och bör därför lösas. Diagnostiska fel är vanligt förekommande på akutmottagningar, vilka karaktäriseras som en stressig arbetsmiljö. Dagens industrier tvingas hantera snabbt föränderliga tekniska framsteg som resulterar i omformade system, produkter och tjänster. Artificiell Intelligens (AI) är en av sådana tekniker som kan fungera som en lösning på diagnosfrågor. Dock kommer den med tekniska, etiska och legala utmaningar. Examensarbetet avser därför att undersöka hur AI kan påverka diagnosens precision samt hur integrationen i vården relaterar till de tekniska, etiska och legala aspekterna. Rapporten inleds med en litteraturstudie, vilket fungerar som en teoretisk grund och bidrar till att skapa ett konceptuellt ramverk. Det konceptuella ramverket används för att välja intervjupersoner, vilket resulterar i 12 intervjuer med professorer, forskare, läkare och politiker. Dessutom genomförs en enkätundersökning för att få allmänhetens åsikt i frågan. Rapportens resultat visar att AI redan är tillräckligt utvecklad för att göra en mer precisionssäker diagnos än en läkare samt kan avlasta läkare i form av administrativa uppgifter. Ett hinder är att den data som finns tillgänglig är ofullständig på grund av lagar som hindrar delning av patientdata. AI-algoritmerna måste dessutom vara lämpliga för alla sociala minoriteter och inte leda till rasdiskriminering. European AI Alliance grundades 2018 med målet att hålla tekniken i schack i förhållande till de etiska och legala aspekterna. Liknande initiativ kan skapas på nationell och regional nivå för att bibehålla någon form av kontroll över dess korrekta användning.
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Govindasamy, Saravana P. "Scaling Innovations in Healthcare." Diss., Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/543975.
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Business Administration/Management Information SystemsD.B.A.
This research paper examines the innovation adoption of technology, specifically Artificial Intelligence (AI) implementations in hospitals by exploring the capabilities that enables AI innovations using the dynamic capabilities (sensing, seizing and reconfiguring) framework and clinicians’ intentions to use AI innovations for patient care by applying the technology adoption/acceptance framework Unified Theory of Acceptance and Use of Technology (UTAUT) utilizing qualitative case study analysis and quantitative survey methodology respectively. This multi-disciplinary research has considerable relevance to both healthcare business leaders and clinical practitioners by identifying the key factors that drives the decisions to adopt innovations to improve healthcare organizations' competitiveness to enhance patient care as well as to reduce overall healthcare costs. The main findings are: (1) On an organizational level, healthcare organizations with strong and versatile dynamic capabilities, who build on their existing knowledge and capabilities are better able to integrate the innovations into their internal operations and existing services. The identified barriers provide a clear sense of organizational barriers and resistance points for innovation adoption (2) On an individual level, the impact of quality of care and organization leadership support are the key factors that facilitates the adoption of innovation among the clinicians. (3) Current trends and key impact areas of AI technology in the healthcare industry are identified Key words: Innovation, Innovation Adoption, Dynamic Capabilities, Healthcare, Artificial Intelligence, AI, Technology, Strategic Management
Temple University--Theses
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ARONI, ANNA. "Performance Management in Healthcare." Doctoral thesis, Università degli Studi di Cagliari, 2018. http://hdl.handle.net/11584/255999.
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The relevance of the efficiency and the interest about the performance management in the public sector, has been highlighted by the New Public Management. Starting from 1980’, public organizations started to put more attention to the performance management and evaluation. A fundamental aspect is to underline the main role of the measurement of performance. Studies in performance measurement have shown that, thanks to an appropriate measurement and management of performance, organizations can have different benefits, in terms of formulation and implementation of organizational strategy, communication of the results achieved and motivation of employees (P. Micheli & Mari, 2014).With reference to the way in which the public organizations should measure their performance, there are many studies about this topic (Elg. et al, 2013). Del Bene (2014) affirmed that the system used to measure and evaluate performance must be conceptually, theoretically and empirically coherent. R.S. Kaplan and Norton (1992) consider that measures should be derived from strategy and represent different dimensions of an organization. In the public healthcare sector, the relevance of performance measurement is justified by the fact that health care organizations have a fundamental impact on the individuals’ life, thus, measuring the way in which these organizations work is fundamental to judge if they are effective and efficient. Currently, there is a higher interest in measuring and reporting performance in this sector, and in some cases there is the problem of having too many measure (Cassel et al., 2014). With reference to the performance management aspect in the Italian Health system, there is not a general model used by all the organizations to measure and manage their performance. Starting from these aspects the first research questions analyzed are: RQ1 “How do Italian healthcare organizations define Organizational Performance?” and RQ2 “Is Organizational Performance measured by Italian healthcare organizations, and if so, how?” In the literature there are some papers that study organizational performance measurement system at regional and national level, as in Italy (Giovanelli et al., 2015; Nuti, Seghieri, & Vainieri, 2013; Nuti, Seghieri, Vainieri, & Zett, 2012; Vittadini, 2012) as in other countries (P.C. Smith, 2002), but there is a lack with reference to the specific way in which each Italian public healthcare organizations measure their organizational performance. To this extent a third and fourth research questions have been analyzed: RQ3 “How do Italian public healthcare organizations measure their organizational performance?” and RQ4 “What are the factors that influence the design of performance measurement systems?” The Italian healthcare service is based on a solidarity approach, according to which all citizens have free access to a set of medical treatments, regardless of personal income or geographical distribution. This approach requires a high level of resources and health spending in Italy at national level is about 9.1% of GDP in 2015, in line with the OECD average (9%) and it is mainly public (77%, vs 73% of the OECD average) (OECD, 2015). To continue the previous researches, an analysis, to observe the presence of connections between performance achieved by Italian public health-care organizations at regional level and the changes in expenditure, will done. In particular, the study started from one research question: RQ5 “Is performance in universal health care provision influenced by changes in public expenditure?” This is the last research questions of this thesis.
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Hadziabdic, Emina. "The use of interpreter in healthcare : Perspectives of individuals, healthcare staff and families." Doctoral thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-14418.
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This thesis focuses on the use of interpreters in Swedish healthcare. The overall aim was to explore how individuals, healthcare professionals and family members experience and perceive the use of interpreters in healthcare. The study design was explorative and descriptive. The thesis included Serbo-Croatian(Bosnian/Croatian/Serbian)speaking individuals(n=17), healthcare professionals(n=24), official documents(n=60)and family members(n=10)of individuals using interpreters in healthcare. Individual interviews, written descriptions, review of official documents in the form of incident reports from a single case study and focus group interviews were used to collect data. Data were analyzed using phenomenography, qualitative content analysis and qualitative data analysis of focus group interviews. The overall finding from all perspectives was the wish to have a qualified interpreter whose role was as a communication aid but also as a practical and informative guide in healthcare. The perception of a qualified interpreter was someone highly skilled in medical terminology, Swedish and individuals’ native language with ability to adapt to different dialects, wearing non-provocative and neutral clothes, of the same gender, with a professional attitude and preferably in personal contact through face-to-face interaction. Besides being a communication aid, the interpreter was perceived as having an important role in helping individuals to find the right way to and within the healthcare system because foreign-born individuals were unable to understand information in healthcare. Another aspect was to have a well-developed organization with good cooperation between the parties involved in the interpretation situation, such as patients, interpreter, interpreter agency, family members and healthcare professionals to offer a good interpretation situation. In conclusion, the use of an interpreter was determined by individual and healthcare situational factors. Individualized holistic healthcare can be achieved by offering and using high-quality interpreters and cooperation within a well-developed interpreter organization. Keywords: communication, healthcare service, patient-safe quality care, qualitative data collection, qualitative data analysis, users’ perceptions/experiences, utilization of interpreters.
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Yahuza, Jibril. "Communication in the Healthcare Organization: The Perceived use of Rhetoric among Healthcare Professionals." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32404.
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The study of communication was born with the study of rhetoric, and scholars have been examining the creation and reception of messages for thousands of years. However, the term rhetoric often has negative connotations, as we hear people label some statement as “just rhetoric” or we hear them say, “The action doesn't match the rhetoric.” However, rhetoric is a style of communication that takes into account the effective use of both verbal and non-verbal languages, and it is one of the main ingredients in the day to day communication in organizations, healthcare organizations being no exception. It is virtually impossible to communicate without the use of rhetoric. This study focused on healthcare organizations because the delivery of healthcare is built on communication, and there is more to understand about the usage of language and organizational rhetoric in healthcare organizations. To these effects, the study examined communication in healthcare organizations and the perceived use of rhetoric among healthcare professionals; it explored how healthcare professionals perceive communication with their audiences, how the use of rhetoric, as perceived by healthcare professionals, affects communication in healthcare organizations and the contribution of rhetoric, as perceived by healthcare professionals, in motivating healthcare audience in healthcare organizations. The five canons of rhetoric were employed as a theoretical framework, and semi-structured interviews were used as tools for data collection. While contributing to existing literature on health and organizational communication, this study will also contribute in providing both government and private organizations insights into the use of rhetoric in professional communication with the hope of enhancing the quality of communication in the workplace.
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Hariss, Jimly. "National Center for Healthcare Leadership Competency Model Use in a Midwestern Healthcare Organization." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2545.
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The purpose of this study was to explore senior leaders integration of the National Center for Healthcare Leadership (NCHL) competency model within their employee evaluation system. This case study was conducted to explore how the NCHL leadership competency model is used within their organization's employee evaluation system. The NCHL leadership competency model guided this study. The research was an exploration of themes in leadership competencies used in the healthcare organization. Data collection included in-depth interviews with 10 healthcare junior leaders in a single healthcare organization in the Midwestern United States who had at least 1 year of experience as a leader and a review of secondary data related to their job skills and annual evaluations. Using Saldana's method of data analysis, 4 primary themes emerged: leaders are transformed by vision and focus, leaders need continuous training, leaders like accountability, and leaders like influence goal creation. The 4 themes indicated that participants perceived NCHL leadership competencies integrated in their performance evaluation system to be of benefit. The findings revealed senior leaders might benefit from integrating the NCHL competency model in new leader orientation competencies, leadership training, and performance assessment tools. Positive social change may result by successful implementation of the NCHL leadership competency model strategies from this study, improving societal healthcare through efficient healthcare delivery.
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Sykes, Jennifer. "Behavioural healthcare modelling : incorporating behaviour into healthcare simulation models ; a breast cancer screening example." Thesis, University of Southampton, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438669.
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Obuaku-Igwe, Chinwe Christopher. "The Nigerian healthcare system: A study of access to affordable essential medicines and healthcare." University of the Western Cape, 2015. http://hdl.handle.net/11394/4845.
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Philosophiae Doctor - PhDThe concepts of availability, affordability, accessibility and acceptability otherwise known as the 4As of ATM are key factors that influence access to essential medicines in any given health system. However, the exact scale and extent to which these 4As affect various populations in Nigeria remains unknown. This study investigates the Nigerian healthcare system with special focus on access to quality and affordable essential medicines in three Nigerian States; Abuja, Kaduna and Nassarawa, by drawing upon primary data, using qualitative and quantitative research methods.
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Bakhuizen, Ellinor. "Audible Healthcare Online : Towards Online Digital Healthcare Services Accessible for Users of Screen Readers." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-303132.
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In the last few years, and especially since the start of the COVID-19 pandemic, healthcare services have been moving online. Today, patients can book appointments with doctors and read their medical records in apps and web services. It is important that these services are equally accessible to all patients, regardless of for example disability. This study aims to identify opportunities and challenges in adapting these digital healthcare services towards increasing accessibility for screen reader users with visual impairments. Eight people with visual impairments participated in the study, whereof five had complete vision loss and three had low vision. First, the participants were interviewed about their experiences of using screen readers as well as their views on digital healthcare. Secondly, a usability test was conducted on an existing system at the online health service provider Kry. The interviews indicated that screen reader users face a lot of accessibility barriers online, and therefore might be hesitant towards using digital healthcare. Yet, accessible digital healthcare can bring positive consequences such as making people with visual impairments more independent in handling medical documents and communication with clinicians. Many of the common barriers mentioned, such as unlabelled buttons and missing alternative text for images were found in the usability test of the Kry app. Some barriers even caused dead ends, resulting in that only three out or eight tasks in the usability test were completed by all the participants. From the results of the interviews and usability test, this study proposes a set of recommendations for achieving screen reader friendly online services. The recommendations include for example prioritising simple navigation, always providing alternative text and to test with assistive technology. The recommendations are applicable to other types of services as well, although they might be extra important in the digital healthcare sector where accessibility is of extra high importance.De senaste åren och speciellt sedan COVID-19 tog fart har delar av sjukvården börjat flytta ut på internet. Idag finns det en rad olika appar som patienter kan använda för att träffa läkare och för att läsa sina journaler. Det är väldigt viktigt att dessa tjänster är tillgängliga för alla patienter, oavsett om man till exempel har en funktionsnedsättning. Denna studie undersöker vilka möjligheter och utmaningar den digitala sjukvården står inför vad gäller tillgänglighetsanpassning för personer med synnedsättningar som använder skärmläsare. Åtta personer deltog i studien varav tre hade nedsatt syn och fem helt saknade synperception. Deltagarna blev först intervjuade om sina erfarenheter av att använda skärmläsare samt sin syn på digital vård. Efter det fick de göra ett användbarhetstest av den digitala vårdappen Kry. Intervjuerna visade att personer med synnedsättningar stöter på många olika typer av tillgänglighetsproblem på internet. Därför är vissa personer tveksamma till att använda digitala vårdtjänster. Om digitala vårdtjänster var väl anpassade för skärmläsare skulle de däremot kunna hjälpa personer med synnedsättningar att bli mer självständiga vad gäller till exempel hantering av medicinska dokument och kommunikation med läkare. Många av de vanligaste tillgänglighetsproblemen på internet, så som omärkta knappar och utebliven alternativ text, påträffades under användbarhetstestet av Kry-appen. Vissa av problemen var så pass allvarliga att de ledde till att deltagarna fastnade i appen. Detta gjorde i sin tur att endast tre av de åtta uppgifterna som var del av testet löstes av samtliga deltagare. Baserat på resultaten från intervjuerna och användbarhetstestet föreslår denna studie en rad rekommendationer för att göra digitala tjänster bättre anpassade för skärmläsare. Rekommendationerna innebär bland annat att prioritera enkel navigation, att alltid ha alternativ text till bilder samt att aktivt testa digitala tjänster med skärmläsare. Rekommendationerna är applicerbara på de flesta typer av digitala tjänster, men är extra viktiga att använda inom digital vård eftersom det måste vara tillgängligt för alla.
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Pearce, Rebecca Elizabeth. "How can healthcare service engagement be supported for service users with complex healthcare needs?" Thesis, Lancaster University, 2015. http://eprints.lancs.ac.uk/79123/.
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By 2033 the number of elderly people in England and Wales is expected to exceed 16.4 million. The consequent increase in prevalence of chronic illness and demand on the health and social care services are major causes of concern for healthcare practitioners and policy-makers alike. In response, calls for greater service user autonomy, involvement, and self-care all indicate a shift away from existing paternalistic models of care to a model where service users knowledgably and competently manage their own healthcare and wellbeing. To equip healthcare professionals implement these fundamental changes, this thesis aims to capture, analyse, and articulate the process of healthcare service engagement. To investigate how healthcare services can be better designed to support healthcare engagement for service users with complex needs, this thesis conducts an empirical ethnographic study of a UK-based falls prevention service. Mixed methods were used to collect data from a wide range of sources, including twenty semi-structured interviews with healthcare professionals and service users, ninety-two surveys, referral forms, assessments, and healthcare promotional materials. The data were coded, conceptualised, and categorised to produce a grounded theory of healthcare service engagement represented in a specifically designed model. Key findings show that healthcare service engagement in the context of the chronically ill elderly needs to be understood as an interconnected, emergent, nonlinear, and situated process. It recommends that engagement should be supported in a more user-centric and personalised manner, assessing and responding to service users’ engagement needs as they emerge concurrently with the service’s pathway, integrating assessment practices within a wider healthcare context, and simplifying the existing multidisciplinary and multi-phase falls prevention pathway. Resulting from this thesis, healthcare professionals can more accurately, completely, and confidently reflect on the complex process of healthcare service engagement; better equipping the community for challenges it will face in the future.
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Bender, Kelly L. "Choosing a healthcare facility a survey of women's views in a local healthcare setting /." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008benderk.pdf.
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Hidalgo, Stevan. "Healthcare expenditure vs healthcare outcomes a comparison of 25 world health organization member countries /." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/SHidalgo2008.pdf.
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Åhlfeldt, Rose-mharie. "Information Security in Home Healthcare." Thesis, University of Skövde, Department of Computer Science, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-618.
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Healthcare is very information-intensive. Hence, it has become necessary to use the support of computers in order to efficiently improve such an information-intensive organisation.
This thesis points out deficiencies in the area of information security in home healthcare regarding personal integrity and secrecy. Home healthcare is, in Sweden, performed by the municipalities. The work is based on the recommendations and common advice for processing of personal data compiled by the Data Inspection Board. Two municipalities in the Västra Götaland Region have been investigated. One of the municipalities has a manual system and the other has a computerized system for personal data management.
The work includes a field study where persons from both municipalities have been observed. It also includes interviews based on the comprehensive questions from the Data Inspection Board and questions arisen from the observations.
The work shows that a very clear need of training among personnel involved in home healthcare. It also shows the need for elaborate security measures including levels on access profiles. A weak point concerning security is also the heavy use of facsimile transmission for information distribution.
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Andersson, Ann-Christine. "Practice-based Improvements in Healthcare." Licentiate thesis, Linköpings universitet, Kvalitetsteknik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-63717.
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A central problem for the healthcare sector today is how to manage change and improvements. In recent decades the county councils in Sweden have started various improvement initiatives and programs in order to improve their healthcare services. The improvement program of the Kalmar county council, which constitutes the empirical context for this thesis, is one of those initiatives. The purpose of this thesis is to contribute to a broader understanding of large-scale improvement program in a healthcare setting. This is done by analyzing practitioner’s improvement ideas, describing participants in the improvement projects, revising and testing a survey to measure the development of improvement ideas and describing the improvement program from a theoretical perspective. The theoretical change model used looks at change from two opposing directions in six dimensions; Goals, Leadership, Focus, Process, Reward system and Use of consultants. The aims of the county council improvement program are to become a learning organization, disseminate improvement methodologies and implement continuous quality improvements in the organization. All healthcare administrations and departments in the county council were invited to apply for funds to accomplish improvement projects. Another initiative invited staff teams to work with improvement ideas in a program with support from facilitators, using the breakthrough methodology. Now almost all ongoing developments, improvements, patient safety projects, manager and leader development initiatives are put together under the county council improvement program umbrella. In the appended papers both qualitative and quantitative research approach were used. The first study (paper I) analyzed which types of improvement projects practitioners are engaged in using qualitative content analysis. Five main categories were identified: Organizational Process; Evidence and Quality; Competence Development; Process Technology; and Proactive Patient Work. Most common was a focus on organizational changes and process, while least frequent was proactive patient work. Besides these areas of focus, almost all aimed to increase patient safety and increase effectiveness and availability. Paper II described the participants in two of the initiatives, the categorized improvement projects in paper I and the team members in the methodology guided improvement programs. Strong professions like physicians and nurses were well represented, but other staff groups were not as active. Managers were responsible for a majority of the projects. The gender perspective reflected the overall mix of employees in the county council. Paper III described a revision and test of a Minnesota Innovation Survey (MIS) that will be used to follow and measure how quality improvement ideas develop and improve over time. Descriptive statistics were presented. The respondents were satisfied with their work and what they had accomplished. The most common comment was about time, not having enough time to work with the improvement idea and the difficulty of finding time because of regular tasks. This was the first test of the revised survey and the high use of the answer alternative “Do not know” showed that the survey did not fit the context very well in its present version. Trying to connect the county council improvement program and the initiatives studied in papers I and II with the change model gave rise to some considerations. The county council improvement program has an effort to combine organizational changes and a culture that encourages continuous improvements. Top-down and bottom-up management approaches are used, through setting out strategies from above and at the same time encouraging practitioners to improve their day-to-day work. Whether this will be a successful way to implement and achieve a continuous improvement culture in the whole organization is one of the main issues remaining to find out in further studies.
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Gonzalez, Heidi M. "DiaBeaThis Healthcare Clinic Business Plan." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10603164.
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Diabetes is best described as a disease which affects blood levels and the body cannot regulate or produce enough insulin on its own causing sugar build up in the blood. Diabetes is the seventh leading cause of the death in the United States. Diabetes affects over 29 million Americans, with about 25% of them living with it undiagnosed. Another 86 million people living with pre-diabetes comprise 90% of the population is unaware they are pre-diabetic. Our business, DiaBeaThis Healthcare Clinic, provides health care services to adults 18 years or older who suffer from diabetes or are pre-diabetic. The diabetic services provided for these adults residing in Oceanside, North San Diego County, California. The clinic will provide testing for diabetes, health monitoring, and dietary counseling and will be a source for diabetics to obtain the required medication, supplies, and education needed.
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Majeed, Muhammad Ehsan Mansoor;Rashid. "Achieving Interoperability among Healthcare Organizations." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4339.
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The area of eHealth has been increased in the recent age but also facing a lot of challenges. In relation to these, there exists a lack of interoperability among different healthcare organizations in the way of providing care services to the healthcare professionals and the patients. Interoperability among the healthcare organizations is appreciated not only by the academia but also by the policy-makers and other related personnel. Today, implementation of interoperability has become an intricate job than expectations. Interoperability is resisted by different barriers but potentially can give several benefits to all stakeholders and ultimately should be focused. The study is conducted for investigation of challenges and benefits of interoperability among healthcare organizations in the Blekinge County. In the first phase, after having a comprehensive review of literature, the challenges and benefits for the implementation of interoperability among Swedish healthcare organizations are identified. Depending on the findings, interviews were conducted with the eHealth professionals of the Blekinge County to clearly understand about the strategies and plans regarding the interoperability among the healthcare organizations in the Blekinge County. After performing a thorough analysis, questionnaire were conducted with the Medical IT administrators and with other related personnel to know about their opinions about the problem. The authors find after analyzing the results of the study that focus on resolving issues like standards adaptation, accessibility, integration, privacy and proper ICT infrastructure could provide interoperable environment among municipality healthcare centers and hospitals in the Blekinge County and other areas in the Sweden.
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Åhlfeldt, Rose-Mharie. "Information Security in Home Healthcare." Thesis, Högskolan i Skövde, Institutionen för datavetenskap, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-618.
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Healthcare is very information-intensive. Hence, it has become necessary to use the support of computers in order to efficiently improve such an information-intensive organisation. This thesis points out deficiencies in the area of information security in home healthcare regarding personal integrity and secrecy. Home healthcare is, in Sweden, performed by the municipalities. The work is based on the recommendations and common advice for processing of personal data compiled by the Data Inspection Board. Two municipalities in the Västra Götaland Region have been investigated. One of the municipalities has a manual system and the other has a computerized system for personal data management. The work includes a field study where persons from both municipalities have been observed. It also includes interviews based on the comprehensive questions from the Data Inspection Board and questions arisen from the observations. The work shows that a very clear need of training among personnel involved in home healthcare. It also shows the need for elaborate security measures including levels on access profiles. A weak point concerning security is also the heavy use of facsimile transmission for information distribution.
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Huq, Rachaen Mahfuz. "Healthcare Transformation Based on ICT." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-204649.
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Personalized digital healthcare and wellbeing with the use of wearable devices and accompanying mobile apps is a recently evolved phenomenon. This technology architecture has given birth to a number of actors who make a complex network and work together closely to make things work. At the early stage of this industry, little work has been done focusing on understanding these complex business relationships among the actors in the wearable health ecosystem and also critically analyzing the current nature of the industry’s growth. This thesis contributes in filling this gap. It breaks down the complexity of actors by classifying them into distinguishable components according to their roles in the ecosystem, and identifies their inter-relationships by developing a framework based on the “matters of exchange” among them. The thesis also pinpoints some upcoming challenges in the industry based on the observation made on the current nature of growth among the present actors. Analyzing the cases of the present actors using the tools developed in this thesis, it is concluded that the major challenge lies within the application development frontier of the ecosystems, which is the gateway of innovation in this industry. We have observed that the fragmented growth of ecosystems is individually benefiting the platforms, but not benefiting the innovation in app development as a whole. It is concluded that collaboration among actors in managing and utilizing health data generated from wearable devices, such as a standardization has become essential to control the consequences of this fragmented growth and to enabling a device independent app-innovation environment.
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Gandhi, Sulma. "Taxonomy for guidelines of healthcare." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ58531.pdf.
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Opper, Scott. "Redesigning the American healthcare system." Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/400.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Social Work
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Karwacka, Ewa. "Well-being of healthcare staff." Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3023829/.
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Nagpure, Prashant. "Homebased healthcare : issues and challenges." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/45232.
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Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2008.Includes bibliographical references (leaves 75-80).
Healthcare costs in United States are projected to rise to 20% of GDP by 2015. This is a cause of major concern and current political debate. The largest contributor to this cost is the hospital cost accounting for 30 % to the healthcare expenditure. Segmenting healthcare through new delivery mechanisms may be an answer to the rising cost. Disruptive innovations like Retail clinic's is a prime example of this segmentation providing patients increased convenience at a reduced cost. This thesis presents the case of evolving Homebased healthcare as an alternative segment for healthcare with the objective that it would reduce the costs of healthcare by early monitoring, diagnosis and treatment of disease, a paradigm on which preventive healthcare is based. Synthesizing the information and research available this thesis proposes key elements of Homebased healthcare using which a model for Homebased healthcare is derived. Technology is discussed as a key enabler and a discussion is made regarding some of the current trends in evolving technology. Applying some lessons learned from other industry in high technology sector, this thesis then comment on the supply chain challenges arising due to homebased healthcare model.
by Prashant Nagpure.
M.Eng.in Logistics
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Yan, Qing. "Inequity of Chinese healthcare system." Thesis, University of Macau, 2015. http://umaclib3.umac.mo/record=b3258539.
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Dineley, Louise. "Risk management systems in healthcare." Thesis, University of Kent, 2016. https://kar.kent.ac.uk/68659/.
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Healthcare is recognised as a complex high risk industry that demands effective management of the risks presented. A total of 260 NHS Trusts were surveyed to identify the risk management arrangements in place. The results were analysed alongside three different sources of nationally published data (CQC, Monitor and NHSLA) to determine if certain organisational or system characteristics existed that would either predetermine risk performance or predispose the Trust to a higher or lower level of performance. The results successfully dispelled a number of preconceptions relating to the size and status of the Trust in determining the performance achieved. However what was evident was the influence that the Trust’s culture and commitment to risk has on the safety and quality of services delivered. A second finding was the significant influence of central policy in the arrangements that organisations had in place from the presentation and content of risk strategy documents, criteria considered and executive leadership. The constraints of a national policy applied locally potentially limits the effectiveness of the processes in managing risk. It was concluded that whilst central policy may help in standardising how risk is managed current arrangements focus arrangements to narrowly. As a result the role of central policy makers should be to set principles that draw on and translate best practice from other high risk industries and encourage local health leaders to flex the approach to reflect local needs and priorities. This local flex should aim to integrate with other corporate programmes to ensure that risk is embedded in all decision making and the risk of the safety and quality of patients is considered alongside risks that may be perceived to be a higher priority such as operational targets and financial balance.
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Jaishankar, Gayatri, and Matthew Tolliver. "Navigating the Complex Healthcare System." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8872.
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Tritella, Mirko. "Information's Coding Standards in Healthcare." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021.
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Close attention has been recently given to the need for interoperability in health information systems. Interoperability - defined as the ability to communicate between software and hardware of different systems - is necessary to provide complete and accurate patient information.
The need for interoperable systems is evident in every aspect of our healthcare organisations. For example, a physician treating a patient in the emergency room needs to know the patient’s medical history, current medications, and recent lab results in order to deal with patients in a proper way. Similarly,the emergency room physician is supposed to be able to communicate test results to the patient’s primary care physician.
This is the reason why standards are required.
Analysing resources published by the various SDOs and previous academic articles on the subject, the purpose of this article is to examine the major healthcare coding systems, illustrate them with examples, and relate them to each other. The first chapter is dedicated to standards used for coding healthcare terms while the second one mainly describes standards for coding healthcare documents and clinical summaries; the latter focuses on standards related to data transmission and messaging.
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Davis, Zachary Edward. "Toward A Healthcare Services Ecosystem." Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/82853.
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This research examines the healthcare services ecosystem and the impact and role service interventions made by providers and patients have on this ecosystem. Each area has an important role in contributing to the value and sustainability of the ecosystem. Healthcare, as a community service, requires a minimum of two counterparts: the providers and the customers, in this case the patients. Healthcare is a unique ecosystem because often the customers are not conscious of the interplay of the ecosystem but are reliant upon the system for their health and wellbeing.
The first section of this dissertation examines the effects that occur in the healthcare ecosystem when part of the system experiences a disaster and the impact and role of other areas of the system in response to the disaster, particularly regarding the resilience. Similar to a biological ecosystem that is undergoing a flood, in the healthcare services ecosystem if too many patients present to the Emergency Department (ED) at the same time disaster level overcrowding will occur. We aim to measure the resilience of the healthcare ecosystem to this disaster level overcrowding.
The second section of this dissertation examines how the components of the healthcare ecosystem maintain sustainability and usability. Healthcare professionals are assessed regarding their ability to maintain the healthcare ecosystem, with a specific focus on what occurs after patients are in the hospital system. To examine the ability of the healthcare professionals to maintain the ecosystem we analyze the usability and adaptability of the electronic health record and the professional's workflows to determine how they use this tool to sustain the healthcare ecosystem.
The third section of this dissertation examines patient self-management and the influence this has on the healthcare ecosystem. Much of the management of health in patients, particularly those with chronic illnesses, occurs outside of the hospital, thus examining this aspect of self-care provides insight on the overall system. This research examines patients with a chronic illness and their use of online health communities, with a particular focus on their reciprocal behaviors and the impact this support system has on their overall health state. By examining these aspects of the healthcare services ecosystem, we can better improve our understanding of these phenomena.Ph. D.
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Coffina, Matthew. "Premium risk and healthcare policy." Oberlin College Honors Theses / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=oberlin1354819796.
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Ferrand, Yann B. "Flexible Resource Utilization in Healthcare." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1337289368.
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Andersson, Oscar, and Tim Andersson. "AI applications on healthcare data." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-44752.
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The purpose of this research is to get a better understanding of how different machine learning algorithms work with different amounts of data corruption. This is important since data corruption is an overbearing issue within data collection and thus, in extension, any work that relies on the collected data. The questions we were looking at were: What feature is the most important? How significant is the correlation of features? What algorithms should be used given the data available? And, How much noise (inaccurate or unhelpful captured data) is acceptable? The study is structured to introduce AI in healthcare, data missingness, and the machine learning algorithms we used in the study. In the method section, we give a recommended workflow for handling data with machine learning in mind. The results show us that when a dataset is filled with random values, the run-time of algorithms increases since many patterns are lost. Randomly removing values also caused less of a problem than first anticipated since we ran multiple trials, evening out any problems caused by the lost values. Lastly, imputation is a preferred way of handling missing data since it retained many dataset structures. One has to keep in mind if the imputation is done on categories or numerical values. However, there is no easy "best-fit" for any dataset. It is hard to give a concrete answer when choosing a machine learning algorithm that fits any dataset. Nevertheless, since it is easy to simply plug-and-play with many algorithms, we would recommend any user try different ones before deciding which one fits a project the best.
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Scott, Kirstin W. "The Politics of Healthcare Quality." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17467364.
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Improving the quality of care provided by the U.S. healthcare system is an important societal goal. Policymakers who wish to operationalize this goal must navigate an increasingly polarized health policymaking environment. In this dissertation, I examine three stakeholders who can influence this environment: the public, state governors, and health care providers. In Chapter 1, I explore attitudes of and experiences with health care quality among Democrats and Republicans. Relying on a national survey of 1,508 American adults, I find that regardless of having a recent medical issue, Democrats express greater concerns about national quality of care problems relative to Republicans. At the same time, I find no difference in their personal experiences with quality of care received while hospitalized or with healthcare providers. In Chapter 2, I examine how gubernatorial candidates treat health policy in the 2012 and 2014 elections given the states’ increasing role in ACA implementation, which can collectively impact the quality of care provided nationally. After generating a novel database of all gubernatorial candidates’ campaign websites, I summarize the presence of healthcare content, framing of health system problems, and issue engagement with the ACA and its key coverage provisions in these two elections. I find the majority of gubernatorial candidates discuss health policy but are selective in their focus. Republicans, who are more likely than Democrats to express their views specifically regarding the ACA (which they nearly all refer to as “Obamacare”), won the majority of these 47 gubernatorial seats. Winning candidates from both parties discussed the Medicaid expansion decision of their state, with some expressing intentions to reverse course relative to their current expansion status. In Chapter 3, I examine a trend expected to grow under the ACA: hospital-physician integration. Using national hospital and Medicare data from 2003-2012, I document the rise of hospital employment of physicians and examine whether or not this yields improvements in mortality, readmission rates, length of stay or patient satisfaction. Though I find that a plurality of hospitals now enter into employment relationships with physicians, this study provides no evidence that these changes are associated with improvements in quality of care.Health Policy