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Relevant bibliographies by topics / Integrated healthcare systems

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Academic literature on the topic 'Integrated healthcare systems'

Author: Grafiati

Published: 1 February 2025

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Journal articles on the topic "Integrated healthcare systems"

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B U, Anjan, and Dr J. Bhuvana. "Revolutionizing Healthcare Supply Chains: Implementing Integrated Medical Stock Management Systems." International Journal of Research Publication and Reviews 5, no. 3 (March 9, 2024): 1895–99. http://dx.doi.org/10.55248/gengpi.5.0324.0721.

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Rizos, Albert L., Elaine Levy, Jeanne Furnier, and Kenton Crowley. "Formularies in integrated health systems: Sharp HealthCare." American Journal of Health-System Pharmacy 53, no. 3 (February 1, 1996): 274–78. http://dx.doi.org/10.1093/ajhp/53.3.274.

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Jensen, Tina Blegind. "Design principles for achieving integrated healthcare information systems." Health Informatics Journal 19, no. 1 (March 2013): 29–45. http://dx.doi.org/10.1177/1460458212448890.

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Cano, Steven B. "Formularies in integrated health systems: Fallon Healthcare System." American Journal of Health-System Pharmacy 53, no. 3 (February 1, 1996): 270–73. http://dx.doi.org/10.1093/ajhp/53.3.270.

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Maley, Robin A. "Building risk management into integrated healthcare delivery systems." Journal of Healthcare Risk Management 16, no. 4 (June 1996): 31–40. http://dx.doi.org/10.1002/jhrm.5600160405.

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Geiger, Ann M., Diana S. M. Buist, Sarah M. Greene, Andrea Altschuler, and Terry S. Field. "Survivorship research based in integrated healthcare delivery systems." Cancer 112, S11 (June 1, 2008): 2617–26. http://dx.doi.org/10.1002/cncr.23447.

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Goniewicz, Krzysztof, Eric Carlström, Attila J. Hertelendy, Frederick M. Burkle, Mariusz Goniewicz, Dorota Lasota, John G. Richmond, and Amir Khorram-Manesh. "Integrated Healthcare and the Dilemma of Public Health Emergencies." Sustainability 13, no. 8 (April 19, 2021): 4517. http://dx.doi.org/10.3390/su13084517.

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Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

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Araja, Diana, Uldis Berkis, and Modra Murovska. "Digital assistance to support integrated healthcare." International Journal of Integrated Care 23, S1 (December 28, 2023): 770. http://dx.doi.org/10.5334/ijic.icic23633.

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This abstract is devoted to digital assistance as a supportive tool of integrated healthcare. According to the World Health Organization, developing more integrated people-centred care systems has the potential to generate significant benefits to health and healthcare of all people, including improved access to care, improved health and clinical outcomes, better health literacy and self-care, increased satisfaction with care, improved job satisfaction, improved efficiency of services, and reduced overall costs [1]. At the same time, the concept of Digital Health supports the implementation of a person-centred integrative approach in healthcare. The European Commission published a Communication on the digital transformation of health and care, which identified the priorities, including personalised medicine through shared European data infrastructure, allowing researchers and other professionals to pool resources, and citizen empowerment with digital tools for user feedback and person-centred care using digital tools to empower people to look after their health, stimulate prevention and enable feedback and interaction between users and healthcare providers [2]. A project to develop a digital assistance platform for long-COVID and associated myalgic encephalomyelitis/ chronic fatigue syndrome (ME/CFS) patient healthcare is planned in Latvia. The current main challenge is diagnosis, stratification and monitoring of long-COVID and associated ME/CFS at the point of care, as well as patients’ self-awareness and proper practical navigation within the health system. A technology-grounded solution for m-Health based screening and self-management of ME/CFS will be developed within the patient-centred App model. The objectives of this model are: 1) Patient-centred, societally-oriented, real-time decision-support using an innovative App; 2) Using artificial intelligence to support decision-making on patients and treatment options; 3) Learning opportunities for patients, caregivers and health professionals about the illness. Sustainability of project activities will be supported by integrating of the new databases with the national e-Health and Electronic Health Records (EHRs) systems and national research institutions’ IT systems with the future option to become a base for further developing a common long-COVID and ME/CFS Patients’ Registry. The project intends to actively involve patients and clinicians in the development of a fully-fledged digital assistance platform that will support the development of digital health literacy and the implementation of integrated healthcare principles. References: 1. World Health Organization. (‎2015)‎. WHO global strategy on people-centred and integrated health services: interim report. World Health Organization. https://apps.who.int/iris/handle/10665/155002 2. European Commission. Shaping Europe’s digital future – eHealth. https://digital-strategy.ec.europa.eu/en/policies/ehealth

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KENETT, RON S. and LAVI, YIFAT. "Integrated management principles and their application to healthcare systems." Sinergie Italian Journal of Management, no. 93 (2018): 213–39. http://dx.doi.org/10.7433/s93.2014.13.

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Jabbar, Muhammad Abdul, Mahmood Hussain, Saad Farooqi, and Mohsin Ashraf. "Formal Modeling and Analysis of Integrated Healthcare System using Colored Petri Nets." VFAST Transactions on Software Engineering 10, no. 2 (June 30, 2022): 211–26. http://dx.doi.org/10.21015/vtse.v10i2.1094.

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Given today's situation, when a disease like COVID-19 has engulfed the world, the importance of the Integrated Healthcare System (HCS) increases a lot. Pakistan's healthcare system is not linked. Due to which the patients have trouble in the flow required for treatment in the existing healthcare system. This research understands and integrates the healthcare system in Pakistan. For this purpose, a formal modeling technique is used which not only helps us to integrate the system but also validate and verify the system. First of all, this research reviews existing Healthcare Systems. A comprehensive survey leads to the limitations of existing architectures. To address the limitations, this research proposes an improved architecture for the healthcare system that alleviates the issues of existing architectures. To verify the proposed architecture at the design level, a formal approach is adopted. Therefore, this architecture is modeled using a well-known technique, called Colored Petri Net (CPN). State Space Analysis after simulating the model ensures its consistency and authenticity. The properties indicate that any patient who enters the system exits without any hindrance after undergoing treatment.

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Dissertations / Theses on the topic "Integrated healthcare systems"

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Cai, Yi. "INTEGRATED WEARABLE SENSING AND SMART COMPUTING FOR MOBILE PARKINSONIAN HEALTHCARE." Case Western Reserve University School of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1617620318291192.

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Memon, Ally Raza. "Management in collaborative and integrated healthcare service systems : concept and practice." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/21998.

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This study explores how managers are coping within a changing public healthcare service context and how the role of service managers and the nature of Management Development are being transformed. With the public healthcare sector in the UK facing complex challenges including financial constraint and increasing service demand, it is inevitable that collaborative partnership working and service integration are viewed as a means of addressing such challenges. Using the views and experiences of service managers from Scottish Community Health Care Partnership cases, the study highlights the experiences of managers in relation to partnership working and service integration and explores the potential implications of this for managerial learning, training and development. The research evidence establishes the importance of changing roles, responsibilities and relationships for managers in a changing healthcare service environment and takes on board a Service-Dominant approach and propositions from New Public Governance theory to explain these and to address attendant issues. Specifically, the challenges surrounding the learning, training and development of managers in an increasingly integrated services environment are explored and reconceptualised through a Services-as-Systems approach. The outcomes of this study allow for a better understanding of the changing nature of work that managers do and attempts to reframe Management Development in such a context for the future.

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Carney, Philip Sheridan. "Managed healthcare and integrated delivery systems: A model for getting ahead of the change curve." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2103.

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Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.

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Cheng, Chih-Wen. "Development of integrated informatics analytics for improved evidence-based, personalized, and predictive health." Diss., Georgia Institute of Technology, 2015. http://hdl.handle.net/1853/54872.

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Advanced information technologies promise a massive influx of individual-specific medical data. These rich sources offer great potential for an increased understanding of disease mechanisms and for providing evidence-based and personalized clinical decision support. However, the size, complexity, and biases of the data pose new challenges, which make it difficult to transform the data to useful and actionable knowledge using conventional statistical analysis. The so-called “Big Data” era has created an emerging and urgent need for scalable, computer-based data mining methods that can turn data into useful, personalized decision support knowledge in a flexible, cost-effective, and productive way. The goal of my Ph.D. research is to address some key challenges in current clinical deci-sion support, including (1) the lack of a flexible, evidence-based, and personalized data mining tool, (2) the need for interactive interfaces and visualization to deliver the decision support knowledge in an accurate and effective way, (3) the ability to generate temporal rules based on patient-centric chronological events, and (4) the need for quantitative and progressive clinical predictions to investigate the causality of targeted clinical outcomes. The problem statement of this dissertation is that the size, complexity, and biases of the current clinical data make it very difficult for current informatics technologies to extract individual-specific knowledge for clinical decision support. This dissertation addresses these challenges with four overall specific aims: Evidence-Based and Personalized Decision Support: To develop clinical decision support systems that can generate evidence-based rules based on personalized clinical conditions. The systems should also show flexibility by using data from different clinical settings. Interactive Knowledge Delivery: To develop an interactive graphical user interface that expedites the delivery of discovered decision support knowledge and to propose a new visualiza-tion technique to improve the accuracy and efficiency of knowledge search. Temporal Knowledge Discovery: To improve conventional rule mining techniques for the discovery of relationships among temporal clinical events and to use case-based reasoning to evaluate the quality of discovered rules. Clinical Casual Analysis: To expand temporal rules with casual and time-after-cause analyses to provide progressive clinical prognostications without prediction time constraints. The research of this dissertation was conducted with frequent collaboration with Children’s Healthcare of Atlanta, Emory Hospital, and Georgia Institute of Technology. It resulted in the development and adoption of concrete application deliverables in different medical settings, including: the neuroARM system in pediatric neuropsychology, the PHARM system in predictive health, and the icuARM, icuARM-II, and icuARM-KM systems in intensive care. The case studies for the evaluation of these systems and the discovered knowledge demonstrate the scope of this research and its potential for future evidence-based and personalized clinical decision support.

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Ingabire, Paula. "Convergence of eco-system technologies : potential for hybrid electronic health record (EHR) systems combining distributed ledgers and the Internet of Medical Things towards delivering value-based Healthcare." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/118548.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 64-66).
The Healthcare industry, just like any industry, is constantly racing to stay abreast with pace of technological innovations, especially at such a time where the industry is experiencing a strain on the global healthcare infrastructure. Specifically, the evolution of record management systems in the healthcare system has taken a slow and gradual transformation with each stage of transformation carrying over certain aspects and functions of previous stages. A survey of record management practices reveals that record management begun with paper-based records that have since partially been replaced with centralized Electronic Health Records (EHR). With the advent of Electronic Health Records enabled by distributed ledgers, we continue to see the inclusion of traditional paper-based functions beyond centralized EHR functions. Electronic data sharing in the healthcare ecosystem is constrained by interoperability challenges with different providers choosing to implement systems that respond to increasing their productivity. Prioritizing a patient-focused strategy during implementation of EHRs forces providers to implement systems that are more interoperable. A system engineering approach was adopted to guide the development and valuation of candidate architectures from Stakeholder analysis to concept generation and enumeration. Nine (9) key design decisions were selected with their combinations yielding 512 feasible hybrid architectures. In this paper, we proposed a hybrid EHR solution combining distributed ledger technologies and Internet of Medical Things, which contributes towards providing value-based healthcare. Leveraging properties of distributed ledgers and IoMT, the hybrid solution interconnects various data sources for health records to provide real-time record creation and monitoring whilst enabling data sharing and management in a secure manner.
by Paula Ingabire.
S.M. in Engineering and Management

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Gautier, Sylvain. "La structuration territoriale des soins primaires à l'épreuve de l'épidémie de COVID-19 : quelle réponse de la médecine de ville aux situations sanitaires exceptionnelles ?" Electronic Thesis or Diss., université Paris-Saclay, 2024. http://www.theses.fr/2024UPASR031.

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La structuration territoriale des soins primaires peut être définie comme un processus de transformation évolutif et stratégique visant à réorganiser et renforcer l'organisation des soins et services de santé de première ligne. Ce processus consiste à passer d'un modèle traditionnel d'activité isolée à un modèle d'organisation territoriale plus intégré et coopératif entre professionnels, conduisant le secteur des soins primaires à se saisir d'enjeux de santé publique territoriaux. La gestion des situations sanitaires exceptionnelles constitue l'un de ces enjeux. Ce travail de thèse a pour objectif d'étudier le lien entre la structuration territoriale des soins primaires et la capacité de ce secteur à répondre aux situations sanitaires exceptionnelles, en s'appuyant sur l'exemple de l'épidémie de COVID-19.Le premier volet de la thèse présente une étude mixte visant à mieux comprendre le concept de structuration territoriale des soins primaires et à en proposer une typologie en France métropolitaine sur les territoires de vie-santé. La partie qualitative, réalisée au sein de 7 territoires, a permis d'identifier des facteurs clefs de cette structuration. A partir de ces facteurs, la partie quantitative a conduit, au moyen d'une classification hiérarchique sur composantes principales, à définir 4 types de territoires de vie-santé : des territoires peu ou pas structurés, des territoires à potentiel de structuration, des territoires en voie de structuration et des territoires déjà structurés abritant une communauté professionnelle territoriale de santé (CPTS).Le deuxième travail de la thèse a consisté à utiliser cette typologie dans une étude épidémiologique transversale portant sur l'évolution de l'activité des médecins généralistes lors de la première vague du COVID-19 en 2020. Cette étude a montré que les territoires bien structurés ont permis aux médecins de mieux s'adapter à la pandémie par un recours accru à la téléconsultation. Les résultats ont ainsi mis en évidence un lien significatif entre le niveau de structuration territoriale des soins primaires et la capacité d'adaptation des médecins généralistes.Le troisième volet s'est intéressé aux établissements d'hébergement pour personnes âgées dépendantes (EHPAD) et à leur adaptation à la crise en fonction de la structuration territoriale des soins primaires. En évaluant plusieurs catégories d'EHPAD, l'étude a montré que ceux situés dans des zones où les soins primaires étaient bien structurés présentaient une meilleure capacité de réponse face à la crise, avec moins de recours à l'hospitalisation et une mortalité plus faible. Cela souligne l'importance de la coopération entre les soins primaires et le secteur médico-social pour renforcer la résilience territoriale.La structuration territoriale des soins primaires apparaît comme un levier important pour améliorer la réponse aux crises sanitaires. Ce travail a montré que les territoires dotés d'une organisation des soins primaires structurée étaient mieux à même de maintenir la continuité des soins et de collaborer avec les autres secteurs de santé. Les perspectives pour l'avenir incluent le renforcement de cette structuration, catalyseur de la responsabilité populationnelle des acteurs, afin de mieux préparer le système de santé français aux futures crises
The territorial structuring of primary care can be defined as an evolving and strategic transformation process aimed at reorganising and strengthening the organisation of first-line healthcare services. This process involves moving from a traditional model of isolated practice to a more integrated and cooperative territorial organisation among professionals, leading the primary care sector to address territorial public health challenges. The management of exceptional health situations is one of these challenges. The main objective of this thesis is to study the relationship between the territorial structuring of primary care and the sector's capacity to respond to exceptional health situations, using the COVID-19 epidemic as an example.The first part of the thesis presents a mixed-methods study designed to better understand the concept of territorial structuring of primary care and to propose a typology for mainland France at the level of life-health territories. The qualitative component, conducted in seven territories, helped identify key factors of this structuring. Based on these factors, the quantitative component used a hierarchical clustering on principal components approach to define four types of life-health territories: territories that are poorly or not structured, territories with potential for structuring, territories in the process of structuring, and fully structured territories hosting a health territorial and professional community (HTPC).The second part of the thesis used this typology in a cross-sectional epidemiological study focused on changes in the activity of general practitioners during the first wave of COVID-19 in 2020. This study showed that well-structured territories allowed physicians to better adapt to the pandemic, notably through increased use of teleconsultation. The results highlighted a significant link between the level of territorial structuring of primary care and the adaptability of general practitioners.The third part focused on nursing homes and their adaptation to the crisis based on the territorial structuring of primary care. By evaluating several categories of nursing homes, the study demonstrated that those located in areas with well-structured primary care exhibited a better capacity to respond to the crisis, with fewer hospital admissions and lower mortality. This underscores the importance of cooperation between primary care and the medico-social sector to enhance territorial resilience.The territorial structuring of primary care appears to be an important lever for improving responses to health crises. This work has shown that territories with structured primary care organisations were better able to maintain continuity of care and collaborate with other health sectors. Future perspectives include strengthening this structuring, which serves as a catalyst for population-level responsibility among stakeholders, to better prepare the French healthcare system for future crises

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Elahi, Behin. "Integrated Optimization Models and Strategies for Green Supply Chain Planning." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1467266039.

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Gazana, Odwa. "The role of telehealth in enhancing access to healthcare services in an under-resourced setting: A case of Mantunzeleni in Eastern Cape Province." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2399.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2016.
The delivery of healthcare services should be of a high standard for everyone. For people in the location of Mantunzeleni this is not the case as there are still challenges that they go through in order to gain access to sufficient healthcare services. The location consists of four villages and the other nine which surround the four, in total this makes thirteen villages that are served by one clinic. These villages are divided by forest, rivers and mountains, people have to cross these and walk long distances to get to the clinic. Gaining access to basic healthcare services in rural areas has never been easy, hence this study seeks to understand the role telehealth could play to help improve the situation. It has been reported in the literature that telehealth has potential to address some of the problems experienced by healthcare service providers located in the rural areas. Research questions were posed to address the problem of limited access to healthcare services of under-served communities in rural areas. The study adopted an interpretive approach to understand how the people using healthcare services in the setting attach meaning to their experiences of the healthcare service. The study therefore seeks to understand how telehealth could improve healthcare service delivery through the participants’ views, perceptions and experiences. The research strategy for this study is a single case study without attempting to generalise the findings. Qualitative data was gathered using unstructured interviews, observations and co-design methods. The current state of telehealth and challenges of healthcare services in rural under-served communities was established through a review of relevant literature. It was important to actively involve the respondents in the research process for them to feel a sense of ownership. Data was analysed using a thematic analysis. The findings revealed the challenges currently hampering the delivery of healthcare in the research setting include poor infrastructure, high cost, the shortage of medical professionals, travelling distance, time management and lack of communication about the services. It was also revealed the role telehealth could play a role to improve access to healthcare and the findings indicate that the nurses feel that extending the healthcare service to include alternative access methods to health information, education and expertise could lead to a sense of appreciation, knowledge gain, dealing with distance problems and improved referrals, cost saving to improve healthcare service delivery.

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Tyali, Sinovuyo. "An integrated management system for quality and information security in healthcare." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1006670.

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Health service organizations are increasingly required to deliver quality healthcare services without increasing costs. The adoption of health information technologies can assist these organizations to deliver a quality service; however, this again exposes the health information to threats. The protection of personal health information is critical to ensure the privacy of patients in the care of health service organizations. Therefore both quality and information security are of importance in healthcare. Organisations commonly use management system standards to assist them to improve a particular function (e.g. quality or security) through structured organizational processes to establish, maintain and optimise a management system for the particular function. In the healthcare sector, the ISO 9001, ISO 9004 and IWA 1 standards may be used for the purpose of improving quality management through the establishment of a quality management system. Similarly, the ISO 27001 and ISO 27799 standards may be used to improve information security management through the establishment of an information security management system. However, the concurrent implementation of multiple standards brings confusion and complexity within organisations. A possible solution to the confusion is to introduce an integrated management system that addresses the requirements of multiple management systems. In this research, various standards relevant to the establishment of management systems for quality and security are studied. Additionally, literature on integrated management systems is reviewed to determine a possible approach to establishing an IMS for quality and information security in healthcare. It will be shown that the quality management and information security management standards contain commonalities that an integration approach can be based on. A detailed investigation of these commonalities is done in order to present the final proposal of the IMSQS, the Integrated Management System for Quality and Information Security in healthcare.

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Backe, Anton. "Users’ intention to systematically integrate healthcare information technology in a mandated context : A continuance perspective." Thesis, Uppsala universitet, Institutionen för informatik och media, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-324945.

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This thesis aimed to investigate the determinants of system satisfaction and the intention to systematically integrate a system from a continuous use perspective, where system use is mandatory. For this purpose, two identical questionnaires were distributed to collect data, 15 months apart. Respondents taking part in this study are healthcare multi-professionals who pertain to a work-group at an intensive care unit, at a large Swedish hospital. To evaluate the questionnaire data a research model was conceptualized, grounded in prior information system continuance research. It is also significantly influenced by the UMISC metamodel, conceptualized and suggested by Hadji & Degoulet (2016). The collected data was then analyzed using a two-stage analysis where one aspect was comparative, i.e., a comparison of the data between the two questionnaires, and the other was explorative, wherein research model constructs and their relations were evaluated. This analysis provided significant insight into the determinants of system satisfaction. However, regarding the determinants of the intention to systematically integrate as well as the research model itself, neither could be validated in this study. Nevertheless, these results allowed for a modified model to be conceptualized, with potentially promising results.

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Books on the topic "Integrated healthcare systems"

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Kailin, David C. The fundamentals of systems thinking in healthcare. Corvallis, OR: CMS Press, 2010.

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Craig, Schlenoff, and National Institute of Standards and Technology (U.S.), eds. An analysis of existing ontological systems for applications in manufacturing and healthcare. Gaithersburg, MD: U.S. Dept. of Commerce, Technology Administration, National Institute of Standards and Technology, 1999.

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Woodrin, Grossman, and Bigalke John, eds. Med Inc.: How consolidation is shaping tomorrow's healthcare system. San Francisco, Calif: Jossey-Bass Publishers, 1998.

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Partnership, Connecticut Behavioral Health. Developing an integrated system for financing and delivering public behavioral health services for children and adults in Connecticut. [Hartford: The Partnership, 2002.

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Jr, A. Laurence Smith. Integrated Healthcare Information Systems - Clinic/Group Based Systems. Larry Smith - LSA International, 2007.

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Gao, Wei, Yujun Song, and Haixia Zhang. Integrated Smart Micro-Systems Towards Personalized Healthcare. Wiley & Sons, Limited, John, 2022.

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Gao, Wei, Yujun Song, and Haixia Zhang. Integrated Smart Micro-Systems Towards Personalized Healthcare. Wiley & Sons, Incorporated, John, 2022.

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Gao, Wei, Yujun Song, and Haixia Zhang. Integrated Smart Micro-Systems Towards Personalized Healthcare. Wiley & Sons, Incorporated, John, 2022.

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Gao, Wei, Yujun Song, and Haixia Zhang. Integrated Smart Micro-Systems Towards Personalized Healthcare. Wiley & Sons, Incorporated, John, 2022.

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Yih, Yuehwern, and Yih Yuehwern. Handbook of Healthcare Delivery Systems. Taylor & Francis Group, 2010.

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Book chapters on the topic "Integrated healthcare systems"

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Pickton, Robert J., and Frances C. Seehausen. "Strategic Information Technology for an Integrated Delivery System." In Healthcare Information Management Systems, 55–63. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2402-8_4.

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Parasar, Deepa, Preet Viradiya, Aryaa Singh, Sumit Chahar, Vivek Prasad, and Varun Iyengar. "Blockchain-Based Smart Integrated Healthcare System." In Lecture Notes in Networks and Systems, 315–23. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-5191-6_26.

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Pickton, Robert J., and Frances C. Seehausen. "Baylor Health Care: From Integrated Delivery Network to Organized Delivery System." In Healthcare Information Management Systems, 41–52. New York, NY: Springer New York, 2004. http://dx.doi.org/10.1007/978-1-4757-4041-7_4.

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Dao, Nam Anh, Manh Hung Le, and Anh Ngoc Le. "Integrated Solution for Chest X-ray Image Classification." In Machine Learning for Healthcare Systems, 73–89. New York: River Publishers, 2023. http://dx.doi.org/10.1201/9781003438816-5.

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Vashishth, Tarun Kumar, Vikas Sharma, Bhupender Kumar, Rajneesh Panwar, Kewal Krishan Sharma, and Sachin Chaudhary. "AI-Integrated IoT in Healthcare Ecosystem." In AI and IoT Technology and Applications for Smart Healthcare Systems, 37–54. Boca Raton: Auerbach Publications, 2024. http://dx.doi.org/10.1201/9781032686745-4.

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Petrov, Ljubiša S., Snežana Kirin, and Nena Vasojević. "Integrated Adaptive Microlearning System for Healthcare Professionals." In Lecture Notes in Networks and Systems, 381–91. Cham: Springer Nature Switzerland, 2024. https://doi.org/10.1007/978-3-031-78635-8_30.

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Ionica, Andreea, and Monica Leba. "Integrated System for New Product Development in Healthcare." In Intelligent Systems Reference Library, 83–106. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-09928-1_6.

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Lagsten, Jenny, and Malin Nordström. "Conflicting Institutional Logics in Healthcare Organisations: Implications for IT Governance." In Integrated Series in Information Systems, 269–84. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-58978-7_12.

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Hammond, Kenric W. "Controlled Representation in Patient Records and Healthcare Delivery Systems." In Computerizing Large Integrated Health Networks, 164–82. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-0655-2_13.

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Hummel, John, Lee Marley, and Ed Kopetsky. "CIO Stories, VIII Sutter Health, California: IT Governance in an Integrated Healthcare Delivery System." In Healthcare Information Management Systems, 239–43. New York, NY: Springer New York, 2004. http://dx.doi.org/10.1007/978-1-4757-4041-7_21.

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Conference papers on the topic "Integrated healthcare systems"

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Kankanamge, Malithi Wanniarachchi, Syed Mhamudul Hasan, Abdur R. Shahid, and Ning Yang. "Large Language Model Integrated Healthcare Cyber-Physical Systems Architecture." In 2024 IEEE 48th Annual Computers, Software, and Applications Conference (COMPSAC), 1540–41. IEEE, 2024. http://dx.doi.org/10.1109/compsac61105.2024.00228.

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Ravi, Kiran Chand, Subramanyam M. Vadlamani, Asim KumarBasu, Vivek Kumar, Satadal Mallik, and K. Sreelatha. "Revolutionizing Healthcare: Federated Learning for Large-Scale Image Processing in IoT-Integrated Systems." In 2024 5th International Conference on Smart Electronics and Communication (ICOSEC), 432–39. IEEE, 2024. http://dx.doi.org/10.1109/icosec61587.2024.10722077.

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Garapati, Kartheek, Sri Satya Maram, V. M. Manikandan, and Shakeel Ahmed. "A Comprehensive Approach for Healthcare Decision-Making Through Integrated Data Mining and NLP-Enhanced Drug Recommendation Systems." In 2024 International Conference on Intelligent Computing and Emerging Communication Technologies (ICEC), 1–6. IEEE, 2024. https://doi.org/10.1109/icec59683.2024.10837245.

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Giugliano, Giusy, Lisa Miccio, Vittorio Bianco, Daniele Pirone, Pasquale Memmolo, and Pietro Ferraro. "Advances in Digital Holography: compact system integration for monitoring and diagnosis of astronaut health in space applications." In Digital Holography and Three-Dimensional Imaging, Th2A.3. Washington, D.C.: Optica Publishing Group, 2024. http://dx.doi.org/10.1364/dh.2024.th2a.3.

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Extreme conditions' impact on astronaut health necessitates robust diagnostics. Here, we propose to integrate telemedicine, compact devices, and Quantitative Phase Imaging with Artificial Intelligence as a diagnosis tool promising revolutionary advancements in space healthcare applications.

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Safitri, Meilia, Septian Tri Nugraha, Atikah Surriani, and Sotya Anggoro. "Development and Evaluation of an Integrated Vital Signs Simulator for Accurate Healthcare Measurements." In 2024 4th International Conference on Electronic and Electrical Engineering and Intelligent System (ICE3IS), 187–92. IEEE, 2024. https://doi.org/10.1109/ice3is62977.2024.10775608.

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Tawalbeh, Lo'ai A., and Suhaila Habeeb. "An Integrated Cloud Based Healthcare System." In 2018 Fifth International Conference on Internet of Things: Systems, Management and Security (IoTSMS). IEEE, 2018. http://dx.doi.org/10.1109/iotsms.2018.8554648.

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Yang, Yanjiang, Robert H. Deng, and Feng Bao. "Fortifying password authentication in integrated healthcare delivery systems." In the 2006 ACM Symposium. New York, New York, USA: ACM Press, 2006. http://dx.doi.org/10.1145/1128817.1128855.

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Sehgal, Amit, and Rajeev Agrawal. "Integrated network selection scheme for remote healthcare systems." In 2014 International Conference on Issues and Challenges in Intelligent Computing Techniques (ICICT). IEEE, 2014. http://dx.doi.org/10.1109/icicict.2014.6781381.

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Goldburgh, Mitchell M., Robert A. Glicksman, and Dennis L. Wilson. "Picture archiving and communications systems for integrated healthcare information solutions." In Medical Imaging 1997, edited by Steven C. Horii and G. James Blaine. SPIE, 1997. http://dx.doi.org/10.1117/12.274618.

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Rani, Sita, Piyush Kumar Pareek, Jaskiran Kaur, Meetali Chauhan, and Pankaj Bhambri. "Quantum Machine Learning in Healthcare: Developments and Challenges." In 2023 IEEE International Conference on Integrated Circuits and Communication Systems (ICICACS). IEEE, 2023. http://dx.doi.org/10.1109/icicacs57338.2023.10100075.

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Reports on the topic "Integrated healthcare systems"

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Taksa, Lucy, Rob Paterson, and Wendy Paterson. Biomedical engineering a critical workforce in healthcare delivery. The Sax Institute, January 2020. http://dx.doi.org/10.57022/nqvh2815.

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This Evidence Check aims to describe the current state of the biomedical engineering workforce in NSW and the challenges to maintaining this workforce. It draws on a scoping report prepared by the NSW Ministry of Health, a desktop review and interviews with key informants. The authors present key findings and recommendations for this small but critical workforce. These include addressing critical gaps in data on the workforce, clarifying and defining roles, issues around recruitment and retention, the impact of technological changes and issues around employment and deployment across diverse clinical contexts and within integrated health structures, services and systems.

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Wang, Zhen, Colin P. West, Brianna E. Vaa Stelling, Bashar Hasan, Suvyaktha Simha, Samer Saadi, Mohammed Firwana, et al. Measuring Documentation Burden in Healthcare. Agency for Healthcare Research and Quality (AHRQ), May 2024. http://dx.doi.org/10.23970/ahrqepctb47.

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Background. The 2009 enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act and the wide adoption of electronic health record systems (EHR) have ushered an increasing documentation burden, frequently cited as a key factor affecting the work experience of healthcare professionals and a contributor to burnout. Purpose. This Technical Brief aims to identify: (1) measures of documentation burden, including evaluation of validity evidence, strengths, and weaknesses; (2) different perspectives on the appropriateness of different measures of documentation burden; and (3) perceptions of documentation burden from people in different clinical roles including patients/caregivers. The targeted audiences of this Technical Brief are clinicians, researchers, healthcare system leaders, policymakers, and electronic health record (EHR) vendors. Methods. We integrated discussions with Key Informants and synthesis of evidence from a comprehensive search of the literature, including Embase®, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE® Daily, MEDLINE®, Cochrane Central Registrar of Controlled Trials, Ovid® Cochrane Database of Systematic Reviews, Scopus®, and select gray literature from January 2010 to December 2023. Findings. We identified 135 articles about measuring documentation burden. We identified 11 categories of measures for documentation burden: overall time spent in EHR, activities related to clinical documentation, inbox management, time spent in clinical review, time spent in orders, work outside work/after hours, administrative tasks (billing and insurance related), fragmentation of workflow, measures of efficiency, EHR activity rate, and usability. The most common source of data for most measures was EHR usage logs. Direct tracking such as through time–motion analysis was fairly uncommon. We found that measures have been developed and applied across a diverse range of settings, populations, and uses, with physicians and nurses in the United States being the most frequently represented groups. Evidence of validity of these measures was limited and incomplete. Published information on the appropriateness of measures in terms of scalability, feasibility, or equity across various contexts was limited. Physician perspective on documentation burden was the most robustly captured in the literature than other stakeholders and focused on increased stress and burnout due to documentation burden, satisfaction with EHR and its usability, EHR-associated workload, and impact on teaching. Conclusion. The current literature on documentation burden measures offers a wide range of measures, yet with serious limitations that must be remedied to further inform practical solutions. Greater diversity of settings and perspectives is needed for future development of valid measures. Identifying measurement gaps of documentation burden should serve as the basis for developing interventions and solutions, and benchmarking progression of mitigating documentation burden.

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Pinto, Diana M., William D. Savedoff, and Sebastian Bauhoff. Social Determinants of Health: A Health-Centered Approach to Multi-Sectoral Action. Inter-American Development Bank, September 2024. http://dx.doi.org/10.18235/0013155.

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The social determinants of health (SDH) are critical contextual factors, predominantly social, that directly and indirectly influence health outcomes by shaping individual behaviors and environmental health risks. SDH account for a significant portion of the burden of disease. Addressing these determinants through proven cost-effective interventions, such as reducing tobacco consumption, improving nutrition, and mitigating household air pollution, can prevent unnecessary illness and mortality. Moreover, tackling SDH enhances health equity, reduces the strain on healthcare systems, and accelerates progress toward Universal Health Coverage and the Sustainable Development Goals. The paper highlights the importance of integrated, multisectoral strategies in addressing SDH, illustrating their effectiveness with examples from various domains, and underscores the need for further research to develop policies that simultaneously target multiple social and environmental factors

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Marks, Megan. Integrated Medical Information Technology System (IMITS): Information and Clinical Technologies for the Advancement of Healthcare. Fort Belvoir, VA: Defense Technical Information Center, August 2010. http://dx.doi.org/10.21236/ada633139.

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Muhoza, Cassilde, Wikman Anna, and Rocio Diaz-Chavez. Mainstreaming gender in urban public transport: lessons from Nairobi, Kampala and Dar es Salaam. Stockholm Environment Institute, May 2021. http://dx.doi.org/10.51414/sei2021.006.

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The urban population of Africa, the fastest urbanizing continent, has increased from 19% to 39% in the past 50 years, and the number of urban dwellers is projected to reach 770 million by 2030. However, while rapid urbanization has increased mobility and created a subsequent growth in demand for public transport in cities, this has not been met by the provision of adequate and sustainable infrastructure and services. The majority of low-income residents and the urban poor still lack access to adequate transport services and rely on non-motorized and public transport, which is often informal and characterized by poor service delivery. Lack of access to transport services limits access to opportunities that aren’t in the proximity of residential areas, such as education, healthcare, and employment. The urban public transport sector not only faces the challenge of poor service provision, but also of gender inequality. Research shows that, in the existing urban transport systems, there are significant differences in the travel patterns of and modes of transport used by women and men, and that these differences are associated with their roles and responsibilities in society. Moreover, the differences in travel patterns are characterized by unequal access to transport facilities and services. Women are generally underrepresented in the sector, in both its operation and decision-making. Women’s mobility needs and patterns are rarely integrated into transport infrastructure design and services and female users are often victims of harassment and assault. As cities rapidly expand, meeting the transport needs of their growing populations while paying attention to gender-differentiated mobility patterns is a prerequisite to achieving sustainability, livability and inclusivity. Gender mainstreaming in urban public transport is therefore a critical issue, but one which is under-researched in East Africa. This research explores gender issues in public transport in East Africa, focusing in particular on women’s inclusion in both public transport systems and transport policy decision-making processes and using case studies from three cities: Nairobi, Kampala and Dar es Salaam.

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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.

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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.

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Integrated Healthcare and Care through distance spanning solutions – for increased service accessibility. Nordic Welfare Centre, September 2022. http://dx.doi.org/10.52746/dxai1711.

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This publication is an inspiration to generate insight about how system structures can be organized to secure new integrated healthcare and social care service models. In the digital shift of healthcare and social care, model areas with their solutions can serve as inspiration for further joint development between for example local and regional authorities within healthcare and care in the Nordics.

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