Journal articles: '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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Chehab, Khalil, Anis Kalboussi, and Ahmed Hadj Kacem. "Study of Healthcare Annotation Systems." International Journal of E-Health and Medical Communications 12, no. 3 (May 2021): 74–89. http://dx.doi.org/10.4018/ijehmc.20210501.oa5.

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The annotation practice is an almost daily activity used by healthcare professionals (PHC) to analyze patients' records, collaborate, share knowledge, and communicate. These annotations are generated within a healthcare cycle. Similarly, this cycle represents the life cycle of annotations in the patient record. The exponential increase in the number of medical annotation systems made the choice of a system by a PHC difficult, in a well-defined context (biology, radiology) and according to his/her needs to the functionalities offered by these tools. Therefore, the authors propose two taxonomies to distinguish annotation tools developed by industry and academia over the last two decades. The first classification provides an external vision based on five generic criteria. The second classification is an internal vision that gives us an idea about the functionalities offered by these systems. Finally, these unified and integrated classifications criteria are used to organize and observe the limitation of 50 medical annotation tool systems.

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Lin, Yuanjing. "Nanostructured Electrochemical Devices and Self-Powered Systems for Biosensing." ECS Meeting Abstracts MA2023-02, no. 63 (December 22, 2023): 2983. http://dx.doi.org/10.1149/ma2023-02632983mtgabs.

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Flexible and integrated systems for smart biosensing have attracted tremendous research interest in recent years, mainly due to the rapidly expanding market of wearable and portable devices for applications in clinical diagnosis and physiological monitoring. In our work, novel and unique hierarchical nanostructures were designed and synthesized to realize electrochemical devices with high performance, especially the sensor stability and energy storage capability. Meanwhile, scalable and printable approach was developed to integrate these electrochemical devices into monolithically integrated self-powered systems. The as-developed nanostructured electrochemical devices in conjunction with printable approach show great potency in fabrication of various wearable integrated self-powered devices for personalized healthcare monitoring applications.

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Chen, Hao. "Blockchain Targets Integrated IoT for Smart Healthcare Systems - A Bibliometric Analysis." Journal of Electrical Systems 20, no. 6s (April 29, 2024): 1893–903. http://dx.doi.org/10.52783/jes.3105.

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Blockchain technology and the Internet of Things (IoT) for smart healthcare systems has emerged as a promising area of research, as evidenced by a bibliometric analysis. This analysis explores the scholarly literature on the integration of blockchain and IoT in healthcare, identifying key trends, influential publications, and research directions. By leveraging blockchain's decentralized and immutable nature alongside the IoT's ability to collect and transmit real-time health data from various devices, smart healthcare systems aim to enhance data security, interoperability, and patient privacy. Bibliometric analysis provides valuable insights into the evolution of research in this field, highlighting emerging topics, interdisciplinary collaborations, and potential applications that can revolutionize healthcare delivery and management in the future. This paper introduces the Weighted Key Signature for Smart Healthcare Systems (WKSS), a framework designed to optimize healthcare operations within smart environments. With advanced technologies such as blockchain, Internet of Things (IoT), and integration technologies, WKSS aims to improve patient care, resource utilization, and overall healthcare system efficiency. The framework encompasses key components including digital signature generation, computational efficiency, and bibliometric analysis to provide insights into emerging trends and key contributors within smart healthcare systems. Through a comprehensive analysis, including simulations and bibliometric studies, this paper demonstrates the effectiveness of WKSS in reducing patient waiting times, enhancing resource utilization rates, and improving healthcare provider efficiency. Through simulations and bibliometric analysis, significant improvements were observed in key metrics. The average patient waiting time decreased from 45 to 34 minutes, resource utilization rates increased from 70% to 85%, and examination room occupancy rose from 60% to 75%. Additionally, physician and nurse utilization rates improved from 80% to 90% and from 75% to 85%, respectively.

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Wang, Duoying. "The Economic of Healthcare: Comparing Public and Private Healthcare Systems." Advances in Economics, Management and Political Sciences 131, no. 1 (December 19, 2024): 47–51. https://doi.org/10.54254/2754-1169/2024.18417.

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Healthcare represents a significant aspect of the global economy, and various countries are adopting different models to manage their healthcare systems: the public and private systems. Economic analysis of these systems is therefore essential because these systems determine the quality and availability of healthcare services and influence economic stability and social justice within nations. This paper incorporates comparative UK, US, China, Canada and Switzerland cases to review the economic principles, the business management policies, social perspective of the private and public healthcare systems. The essay introduces the importance of public and private healthcare to the economy followed by the comparison and integrated analysis of the business management and the sociological dimensions of the private and public healthcare systems. The paper recommends policymakers to opt for a fair and harmonised model to ensure quality medical needs of all citizens. This can be possible by adopting regular and formulation of policies to cater for the dynamic needs of the population.

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Jablonski, Stefan, Rainer Lay, Christian Melier, Matthias Faerber, Bernard Volz, Sebastian Dornstauder, Manuel Gotz, and Sascha Muller. "Integrated Process and Data Management for Healthcare Applications." International Journal of Healthcare Information Systems and Informatics 2, no. 4 (October 2007): 1–21. http://dx.doi.org/10.4018/jhisi.2007100101.

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Hoess, Victoria, Magdalena Thoeni, Roland Staudinger, and Bettina Staudinger. "Establishing 'integrated healthcare' in Austria." International Journal of Networking and Virtual Organisations 5, no. 2 (2008): 224. http://dx.doi.org/10.1504/ijnvo.2008.017012.

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Patrício, Lia, Daniela Sangiorgi, Dominik Mahr, Martina Čaić, Saleh Kalantari, and Sue Sundar. "Leveraging service design for healthcare transformation: toward people-centered, integrated, and technology-enabled healthcare systems." Journal of Service Management 31, no. 5 (June 8, 2020): 889–909. http://dx.doi.org/10.1108/josm-11-2019-0332.

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PurposeThis paper explores how service design can contribute to the evolution of health service systems, moving them toward people-centered, integrated and technology-enabled care; the paper develops a research agenda to leverage service design research for healthcare transformation.Design/methodology/approachThis conceptual study starts by analyzing healthcare challenges in terms of demographic trends and economic constraints, along with the problems of lack of people-centricity, dispersion of care and slowness in incorporating emerging technologies. Then, it examines the theoretical underpinnings of service design to develop a framework for exploring how a human-centered, transformative and service systems approach can contribute to addressing healthcare challenges, with illustrative cases of service design research in healthcare being given.FindingsThe proposed framework explores how a human-centered service design approach can leverage the potential of technology and advance healthcare systems toward people-centered care; how a transformative service design approach can go beyond explanatory research of healthcare phenomena to develop innovative solutions for healthcare change and wellbeing; and how a service systems perspective can address the complexity of healthcare systems, hence moving toward integrated care.Originality/valueThis paper systematizes and develops a framework for how service design can contribute to healthcare transformation. It identifies key healthcare application areas for future service design research and pathways for advancing service design in healthcare by using new interdisciplinary bridges, methodological developments and theoretical foundations.

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Almalki, Jameel, Waleed Al Shehri, Rashid Mehmood, Khalid Alsaif, Saeed M. Alshahrani, Najlaa Jannah, and Nayyar Ahmed Khan. "Enabling Blockchain with IoMT Devices for Healthcare." Information 13, no. 10 (September 25, 2022): 448. http://dx.doi.org/10.3390/info13100448.

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Significant modifications have been seen in healthcare facilities over the past two decades. With the use of IoT-enabled devices, the monitoring and analysis of patient diagnostic parameters is made considerably easy. The new technology shift for medical field is IoMT. However, the problem of privacy for patient data and the security of information still a point to ponder. This research proposed a prototype model to integrate the blockchain and IoMT for providing better analysis of patient health factors. The authors suggested IoMT data to be collected over Edge Computing gateway devices and forward to Cloud Gateway. The three-layered decision making structure ensures the integrity of the data. The further analysis of information collected over sensor-based devices is done in the Cloud IoT Central Hub service. To ensure the secrecy and compliance of the patient data, Smart Contracts are integrated. After the exchange of smart contracts, a block of information is broadcast over the health blockchain. The P2P network makes it viable to retain all health statistics and further processing of information. The paper describes the scenario and experimental setup for a COVID-19 data-set analyzed in the proposed prototype mode. After the collection of information and decision making, the block of data is sent across all peer nodes. Thus, the power of IoMT and blockchain makes it easy for the healthcare worker to diagnose and handle patient data with privacy. The IoMT is integrated with artificial intelligence to enable decision making based on the classification of data. The results are saved as transactions in the blockchain hyperledger. This study demonstrates the prototype model with test data in a testing network with two peer nodes.

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Palmer, Sarah Jane. "Remote care: part of an integrated future of healthcare systems?" British Journal of Cardiac Nursing 16, no. 10 (October 2, 2021): 1–3. http://dx.doi.org/10.12968/bjca.2021.0118.

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Shuenn-Yuh Lee, Liang-Hung Wang, and Qiang Fang. "A Low-Power RFID Integrated Circuits for Intelligent Healthcare Systems." IEEE Transactions on Information Technology in Biomedicine 14, no. 6 (November 2010): 1387–96. http://dx.doi.org/10.1109/titb.2010.2053942.

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Loggers, E., M. O'Keeffe-Rosetti, M. Hornbrook, and D. Ritzwoller. "PS1-06: Radiation Oncology Data in Integrated Healthcare Delivery Systems." Clinical Medicine & Research 10, no. 3 (August 1, 2012): 145. http://dx.doi.org/10.3121/cmr.2012.1100.ps1-06.

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Pascot, Daniel, Faouzi Bouslama, and Sehl Mellouli. "Architecturing large integrated complex information systems: an application to healthcare." Knowledge and Information Systems 27, no. 1 (March 19, 2010): 115–40. http://dx.doi.org/10.1007/s10115-010-0292-1.

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Larrain Venezian, Nicolas, and Oliver Groene. "Improving the evaluation of integrated healthcare systems using entropy balancing." International Journal of Integrated Care 22, S3 (November 4, 2022): 11. http://dx.doi.org/10.5334/ijic.icic22004.

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Martin, Livia, and Evelyn Everett Knowles. "Model for an integrated health system." Journal of Integrated Care 28, no. 2 (November 20, 2019): 161–70. http://dx.doi.org/10.1108/jica-08-2019-0034.

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Purpose Theoretically, a health system has been described in terms of integration being the coordination of health services and collaboration amongst provider organizations. The components of an integrated health system remain inconclusive. Although senior healthcare executives establish structures and designs which facilitate the delivery of integrated care, their perspectives of a health system have not been explored. The purpose of this paper is to present senior healthcare executives’ perspectives of a health system which, when combined, form a model for developing an integrated health system. Design/methodology/approach Using a qualitative methodology and a multi-case study design, 11 presidents and 4 senior vice presidents of major healthcare organizations or systems in Ontario Canada were selected from a target population of 246 senior healthcare executives to engage in 1 h interviews each. Critical case sampling was applied in the selection of the study sample. Interviews were conducted between December 2017 and February 2018. Findings Senior healthcare executives expressed four distinct perspectives of a health system: systems, institutional, clinical and governance. When combined, the four perspectives form an original research-based concept or model for an integrated health system. Originality/value This paper conveys results of personal interviews with senior healthcare executives and presents a proposed model for an integrated health system based on their four distinct perspectives of a health system.

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Sriborrirux, Wiroon, Aoranich Saleewong, Nakorn Indra-Payoong, Panuwat Danklang, and Hanmin Jung. "Integrated Healthcare Services for Ageing in Place." ECTI Transactions on Computer and Information Technology (ECTI-CIT) 15, no. 3 (October 18, 2021): 267–77. http://dx.doi.org/10.37936/ecti-cit.2021153.245165.

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This study investigates how healthcare practitioners handle significant circumstancesof providing medical assistance and treatments to patients and what challenges theyface. Drawing on key healthcare stakeholders and mixed smart living methods, wedevelop a guideline service protocol for Internet of Things (IoT) solution to helphealthcare stakeholders in coping with operational difficulties. IoT technology is one ofthe key determinants that empowers healthcare professionals to achieve their tasks,and our goal is to study the functions that provides to local citizens, especially olderpeople, and to evaluate how the functions and platform could assist corporatecompliance policies to increase the efficiency of healthcare service. Our fieldexperiments have indicated a need to educate healthcare users about IoT applicationthat provide advantages in decision making. In addition, our research has explored andevaluated the impacts and factors that influence the development and collaboration byallowing workflows of healthcare stakeholders and by following integrated smart livingplatform and required service protocol.

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Landry, Brett J. L., Sathi Mahesh, and Sandra J. Hartman. "The Impact of the Pervasive Information Age on Healthcare Organizations." Journal of Health and Human Services Administration 27, no. 4 (December 2005): 444–64. http://dx.doi.org/10.1177/107937390502700405.

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New information technologies place data on integrated information systems, and provide access via pervasive computing technologies. Pervasive computing puts computing power in the hands of all employees, available wherever it is needed. Integrated systems offer seamless data and process integration over diverse information systems. In this paper we look at the impact of these technologies on healthcare organizations in the future.

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Campean, Felician, Daniel Neagu, Aleksandr Doikin, Morteza Soleimani, Thomas Byrne, and Andrew Sherratt. "Automotive IVHM: Towards Intelligent Personalised Systems Healthcare." Proceedings of the Design Society: International Conference on Engineering Design 1, no. 1 (July 2019): 857–66. http://dx.doi.org/10.1017/dsi.2019.90.

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AbstractUnderpinned by a contemporary view of automotive systems as cyber-physical systems, characterised by progressively open architectures increasingly defined by their interaction with the users and the smart environment, this paper provides a critical and up-to-date review of automotive Integrated Vehicle Health Management (IVHM) systems. The paper discusses the challenges with prognostics and intelligent health management of automotive systems, and proposes a high-level framework, referred to as the Automotive Healthcare Analytic Factory, to systematically collect and process heterogeneous data from across the product lifecycle, towards actionable insight for personalised healthcare of systems.

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Abiodun, Oladunni, and Oluyemi Toyinbo. "An integrated literature review on cultural management systems and patient safety." Gazette of Medical Sciences 2, no. 2 (April 27, 2021): 30–54. http://dx.doi.org/10.46766/thegms.pubheal.21032104.

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The incidence of adverse events in healthcare is a global problem with negative consequences for all stakeholders including patients, their family members, health professionals and the government. Patient safety and patient safety culture lie at the heart of all adverse events within healthcare settings. The culture of an organization determines its approach to problem solving and determines how individuals within that setting work; this is also true for patient safety culture and the reduction of adverse events within healthcare organizations. The aim of this study was to assess, identify and have a better understanding of the importance of patient safety culture within the healthcare organization and to create insights on the impact of cultural management systems regarding patient safety. The research method of this study is an integrated literature of the patient safety culture and perspectives of healthcare workers, assessed using the Modified Stanford Instrument (MSI) and Manchester Patient Safety Framework (MaPSaF). Analysis of the data revealed that health professionals working in the same organizations have differing opinions on the same topic; therefore, there is need for open communication and a systematic approach to establishing the right safety culture within healthcare organizations. In conclusion, establishing the right culture and having systematic ways of measurement enable improvements and the ability of organizations to learn from their mistakes. There is paucity of data with respect to the use of these tools in the respective countries (Canada and United Kingdom) even though the tools are the national tools established through rigorous research. Therefore, a study of MaPSaF in New Zealand was also analyzed. There is need for further research and publications to enable learning on patient safety, which will reduce the incidence of adverse events and associated consequences in healthcare organizations.

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Gharbi, Nada, Mārīte Kirikova, and Lotfi Bouzguenda. "Integrated Cloud-Based Services for Medical Workflow Systems." Applied Computer Systems 20, no. 1 (December 1, 2016): 36–39. http://dx.doi.org/10.1515/acss-2016-0013.

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Abstract Recent years have witnessed significant progress of workflow systems in different business areas. However, in the medical domain, the workflow systems are comparatively scarcely researched. In the medical domain, the workflows are as important as in other areas. In fact, the flow of information in the healthcare industry is even more critical than it is in other industries. Workflow can provide a new way of looking at how processes and procedures are completed in particular medical systems, and it can help improve the decision-making in these systems. Despite potential capabilities of workflow systems, medical systems still often perceive critical challenges in maintaining patient medical information that results in the difficulties in accessing patient data by different systems. In this paper, a new cloud-based service-oriented architecture is proposed. This architecture will support a medical workflow system integrated with cloud services aligned with medical standards to improve the healthcare system.

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Djitog, Ignace, Hamzat Olanrewaju Aliyu, and Mamadou Kaba Traoré. "Multi-Perspective Modeling of Healthcare Systems." International Journal of Privacy and Health Information Management 5, no. 2 (July 2017): 1–20. http://dx.doi.org/10.4018/ijphim.2017070101.

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This paper presents a multi-perspective approach to Modeling and Simulation (M&S) of Healthcare Systems (HS) such that different perspectives are defined and integrated together. The interactions between the isolated perspectives are done through dynamic update of models output-to-parameter integration during concurrent simulations. Most often, simulation-based studies of HS in the literature focus on specific problem like allocation of resources, disease propagation, and population dynamics that are studied with constant parameters from their respective experimental frames throughout the simulation. The proposed idea provides a closer representation of the real situation and helps to capture the interactions between seemingly independent concerns - and the effects of such interactions - in simulation results. The article provides a DEVS (Discrete Event System Specification)-based formalization of the loose integration of the different perspectives, an Object-Oriented framework for its realization and a case study as illustration and proof of concept.

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López-Martínez, Fernando, Edward Rolando Núñez-Valdez, Vicente García-Díaz, and Zoran Bursac. "A Case Study for a Big Data and Machine Learning Platform to Improve Medical Decision Support in Population Health Management." Algorithms 13, no. 4 (April 23, 2020): 102. http://dx.doi.org/10.3390/a13040102.

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Big data and artificial intelligence are currently two of the most important and trending pieces for innovation and predictive analytics in healthcare, leading the digital healthcare transformation. Keralty organization is already working on developing an intelligent big data analytic platform based on machine learning and data integration principles. We discuss how this platform is the new pillar for the organization to improve population health management, value-based care, and new upcoming challenges in healthcare. The benefits of using this new data platform for community and population health include better healthcare outcomes, improvement of clinical operations, reducing costs of care, and generation of accurate medical information. Several machine learning algorithms implemented by the authors can use the large standardized datasets integrated into the platform to improve the effectiveness of public health interventions, improving diagnosis, and clinical decision support. The data integrated into the platform come from Electronic Health Records (EHR), Hospital Information Systems (HIS), Radiology Information Systems (RIS), and Laboratory Information Systems (LIS), as well as data generated by public health platforms, mobile data, social media, and clinical web portals. This massive volume of data is integrated using big data techniques for storage, retrieval, processing, and transformation. This paper presents the design of a digital health platform in a healthcare organization in Colombia to integrate operational, clinical, and business data repositories with advanced analytics to improve the decision-making process for population health management.

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Kontio, Elina, Heljä Lundgrén-Laine, Juha Kontio, Heikki Korvenranta, and Sanna Salanterä. "Enterprise Resource Planning Systems in Healthcare." International Journal of Information Systems in the Service Sector 6, no. 2 (April 2014): 36–50. http://dx.doi.org/10.4018/ijisss.2014040103.

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The aim of this article is to present an analysis of literature on the views, experiences and challenges of enterprise resource planning systems in healthcare. At the moment there is very limited systematic evidence on the role of these systems in healthcare. The PudMed, Emerald, CSA Engineering Research Database, ScienceDirect, ISI Web of Knowledge and Cinahl databases were searched, covering the period from January 2000 to April 2009. Studies were included if they concerned enterprise resource planning systems integrated into healthcare. The selected studies were analyzed with the thematic synthesis technique. The 135 articles were analyzed on the basis of the titles, abstracts, and full texts. At every phase, a number of articles were rejected for not meeting the inclusion criteria, and finally, 9 articles were accepted for deeper analysis. Three areas of views and experiences were identified from the reviewed studies. Furthermore, two challenge classes were identified when implementing enterprise resource planning systems.

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Alamri, Abdullah. "Ontology Middleware for Integration of IoT Healthcare Information Systems in EHR Systems." Computers 7, no. 4 (October 8, 2018): 51. http://dx.doi.org/10.3390/computers7040051.

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Healthcare sectors have been at the forefront of the adoption and use of IoT technologies for efficient healthcare diagnosis and treatment. Because healthcare IoT sensor technology obtains health-related data from patients, it needs to be integrated with the electronic healthcare records (EHR) system. Most EHR systems have not been designed for integration with IoT technology; they have been designed to be more patient-centric management systems. The use of the IoT in EHR remains a long-term goal. Configuring IoT in EHR can enhance patient healthcare, enabling health providers to monitor their patients outside of the clinic. To assist physicians to access data resources efficiently, a data model that is semantic and flexible is needed to connect EHR data and IoT data that may help to provide true interoperability and integration. This research proposes a semantic middleware that exploits ontology to support the semantic integration and functional collaborations between IoT healthcare Information Systems and EHR systems.

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Wu, Ruoyu, Gail-Joon Ahn, and Hongxin Hu. "Towards HIPAA-Compliant Healthcare Systems in Cloud Computing." International Journal of Computational Models and Algorithms in Medicine 3, no. 2 (April 2012): 1–22. http://dx.doi.org/10.4018/jcmam.2012040101.

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In modern healthcare environments, there is a strong need to create an infrastructure that reduces time-consuming efforts and costly operations to obtain a patient’s complete medical record and uniformly integrates this heterogeneous collection of medical data to deliver it to the healthcare professionals. As a result, healthcare providers are more willing to shift their electronic medical record (EMR) systems to clouds that can remove the geographical distance barriers among providers and patients. Since a shared electronic health record (EHR) essentially represents a virtualized aggregation of distributed clinical records from multiple healthcare providers, sharing of such integrated EHRs should comply with various authorization policies from these data providers. In previous work, the authors present and implement a secure medical data sharing system to support selective sharing of composite EHRs aggregated from various healthcare providers in cloud computing environments. In this paper, the authors point out that when EMR systems are migrated to clouds, it is also critical to ensure that EMR systems are compliant with government regulations such as the Health Insurance Portability and Accountability Act (HIPAA). Also, the authors propose a HIPAA compliance management approach by leveraging logic-based techniques and apply it to the cloud-based EHRs sharing system. The authors also describe evaluation results to demonstrate the feasibility and effectiveness of the approach.

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Kusano, Yukiko. "Nursing Perspectives on Person- and People-Centered Integrated Care for All." International Journal of Person Centered Medicine 4, no. 3 (February 27, 2015): 163–66. http://dx.doi.org/10.5750/ijpcm.v4i3.479.

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Person-centeredness resides at the heart of nursing and nurses also place people at the centre of their activities to achieve a healthier society. The commitment of the International Council of Nurses (ICN) to deliver person- and people-centered care is evident in the ICN Code of Ethics for Nurses [1], ICN policy papers and is translated into various guidelines, programmes and research. Person- and people-centered healthcare requires not only commitment of individual nurses and other healthcare workers but also changes in healthcare systems including service delivery systems and other structures. It is necessary to take a whole government approach where person- and people-centered healthcare is considered by all ministries including non-health sectors. Active involvement of care recipients, nurses and other healthcare professionals in healthcare design and decision making is essential to achieve person- and people-centered healthcare.

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Arling, Priscilla A., Bradley N. Doebbeling, and Rebekah L. Fox. "Improving the Implementation of Evidence-Based Practice and Information Systems in Healthcare." International Journal of Healthcare Information Systems and Informatics 6, no. 2 (April 2011): 37–59. http://dx.doi.org/10.4018/jhisi.2011040104.

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In healthcare, evidence-based practice (EBP) integrates clinical expertise with the best available external evidence from systematic research. Yet even with the aid of technology, implementation of EBP in many settings remains a challenge due in part to the complexity of the healthcare system and the lack of a strong theoretical and analytical foundation to guide implementation efforts. This paper combines research from the fields of healthcare implementation science and social networks to present a theoretically based, integrated framework for the study of EBP implementation. This study explores the application of the framework to a complex healthcare collaborative, the MRSA infection control project, a project intended to foster the implementation of EBP to reduce the spread of MRSA infections. The authors consider how the framework can also be used to inform future research into EBP-related information system implementations and innovations.

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Restrepo, María I., Louis-Martin Rousseau, and Jonathan Vallée. "Home healthcare integrated staffing and scheduling." Omega 95 (September 2020): 102057. http://dx.doi.org/10.1016/j.omega.2019.03.015.

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Pronovost, Peter J., Simon C. Mathews, Jill A. Marsteller, and Kathleen M. Sutcliffe. "Integrating traditional biomedical and high reliability organisation approaches: solving puzzles and problems." BMJ Leader 1, no. 4 (October 14, 2017): 64–65. http://dx.doi.org/10.1136/leader-2017-000022.

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ObjectiveTo describe the important distinctions between traditional biomedical and high reliability organisation (HRO) approaches in advancing healthcare delivery. To further describe how these two concepts can be integrated in a learning health system to improve care for patients, providers’ experience and healthcare organisations’ effectiveness.Methods and analysisA description of how HRO and traditional biomedical approaches address problems in healthcare is provided, along with a description of their key characteristics. This is followed by a discussion on how to combine these concepts synergistically to the benefit of all stakeholders in a learning health system.ResultsHealth systems are challenged to become learning health systems but the path toward this goal is not well described, particularly on how to integrate existing approaches.ConclusionHRO and traditional biomedical approaches are important strategies to improving healthcare. However, they fundamentally address the challenges in healthcare differently. It is important to find ways to integrate these concepts to achieve maximum benefit in a learning health system.

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Ugale, Prof Archana, Abhijeet Gadakh, Aniket Malunjkar, Roshan Sawant, and Vaibhav Dhakane. "Integrated Healthcare System Using Machine Learning." International Journal for Research in Applied Science and Engineering Technology 10, no. 11 (November 30, 2022): 1121–23. http://dx.doi.org/10.22214/ijraset.2022.47520.

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Abstract: In this digital world, data is an asset, and enormous data was generated in all fields. Data in the healthcare industry consists of all the information related to patients. Here a general architecture has been proposed for predicting disease in the healthcare industry. Many of the existing models are concentrating on one disease per analysis. There is no common system present that can analyze more than one disease at a time. Thus, we are concentrating on providing immediate and accurate disease predictions to the users about the symptoms they enter along with the disease predicted. So, we are proposing an integrated system which used to predict multiple diseases by using Deep learning and machine learning. In this system, we are going to analyze Diabetes, Heart, and covid-19, and brain tumor disease analysis. Later many more diseases can be included. To implement integrated healthcare systems, we are going to use machine learning algorithms, and deep learning such as CNN. The importance of this system analysis is that while analyzing the diseases all the parameters which cause the disease is included so it is possible to detect the disease efficiently and more accurately. In this prediction system, a user can analyze more than one disease on a single web application and if it is found that the result is positive then proper care guidance, diagnosis, and prescription will also give to the patient. Also, the list of specialist doctors in that disease will also be given. In an integrated healthcare system, the user needs to select the name of the particular disease, enter its parameters and just click on predict. The corresponding machine learning model will be invoked and it would predict the output and display it on the screen. Also, all the information will be stored securely in the database for generating reports and information for future use in understanding previous disease patterns.

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Buessecker, F., H. Herlofsen, F. Hinrichs, T. Zeiler, K. A. Kuhn, and R. Lenz. "Demand-driven Evolution of IT Systems in Healthcare." Methods of Information in Medicine 44, no. 01 (2005): 4–10. http://dx.doi.org/10.1055/s-0038-1633916.

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Summary Objectives: To analyze and to optimize interdisciplinary clinical processes, to introduce an IT-supported model for demand-driven system evolution in healthcare, and to demonstrate the feasibility of the approach for a clinical example and to present an evaluation. Methods: System evolution and change management are viewed as two sides of the same coin, thus formal methods for process analysis and IT system evolution were embedded into a goal-oriented change management model. Based on a process model, a Failure Mode and Effects Analysis (FMEA) and a computer simulation were performed. A tool for rapid application development (RAD) was used to incrementally improve the healthcare information system according to newly arising needs. Results: Each of the formal methods used contributed to the successful reorganization of the interdisciplinary clinical process. An evaluation demonstrated significant improvements. An integrated IT application was implemented to support the optimized process. Conclusions: Process improvement is feasible and effective when formal methods for process analysis and requirements specification are used in a reasonable and goal-oriented way. It might be necessary to trade off costs and benefits or simplify a given method in the context of a particular project. As the same information is utilized in different tools, it is supposed that the efforts for process analysis, documentation and implementation of adapted applications could be reduced if different tools were integrated and based on a single coherent reference model for description of clinical processes.

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Avinash Mavireddi. "Scalable Data Integration for Real-Time Patient Care: A Compliance and Cybersecurity Perspective." International Journal of Scientific Research in Computer Science, Engineering and Information Technology 10, no. 6 (November 27, 2024): 895–906. http://dx.doi.org/10.32628/cseit241061141.

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In the evolving landscape of modern healthcare, real-time data integration has emerged as a critical component for delivering optimal patient care while maintaining robust security and regulatory compliance. This comprehensive article explores the implementation strategies, challenges, and outcomes of healthcare data integration systems across diverse clinical settings. The article examines the impact of integrated systems on clinical workflows, patient outcomes, and operational efficiency while addressing the complex requirements of data security and regulatory compliance. Through detailed case studies of large hospital networks and rural healthcare providers, this article demonstrates how strategic implementation of integrated healthcare systems can transform care delivery, enhance patient outcomes, and optimize resource utilization. The findings provide valuable insights for healthcare organizations at various stages of their digital transformation journey, offering evidence-based strategies for successful system implementation and optimization.

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Bartels, Matthew N. "Physiatry as a Leader for Postacute Care in Integrated Healthcare Systems." American Journal of Physical Medicine & Rehabilitation 98, no. 4 (April 2019): 311–18. http://dx.doi.org/10.1097/phm.0000000000001039.

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Liang, Li-Lin. "Impact of integrated healthcare: Taiwan’s Family Doctor Plan." Health Policy and Planning 34, Supplement_2 (November 1, 2019): ii56—ii66. http://dx.doi.org/10.1093/heapol/czz111.

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Abstract Integration of health services has been pursued worldwide. Diversity in integration approaches and in the contexts in which integrated programmes operate, however, hinders comparative analysis of care integration in both high-income countries (HICs) and low- and middle-income countries (LMICs). This study evaluates an HIC programme implemented in a delivery system resembling those of LMICs, especially its weak primary care system. The programme, Taiwan’s Family Doctor Plan (FDP), targets high-cost and chronic patients, incorporating key elements of integrated care, viz., case management, multidisciplinary teams and care pathways. This study estimates the effects of shifting from usual to integrated care and locates contextual factors that may distort programme implementation. To estimate programme effects, difference-in-differences analysis is applied to a balanced panel comprising >160 000 patients over 2009–13. Because physician participation is voluntary, a propensity score matching method is used to match providers. The research findings reveal that introduction of the FDP has not reoriented the model of care from fragmented towards integrated health services. It reduces continuity of care and has no effect on co-ordination of care. Regarding quality of care, the FDP is shown to have no effect on avoidable admissions and increases drug injections and emergency department visits. Several contextual factors may serve as barriers that impede elements of FDP from generating desirable outcomes. These include absence of registration and gatekeeping systems; limited capacities of clinics; and preponderance of fee-for-service remuneration. These findings suggest that HIC design elements may not be directly transferrable to settings with weak primary care systems, as is typical of LMIC healthcare. Changes at the system level, such as establishing regular sources of care, may be necessary before elements of integrated care are introduced to a weaker primary care system.

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Verdonck, Caroline, Ruben Willems, and Borgermans Liesbeth. "Osteoporosis care through an Integrated, People-Centred Health Services framework lens: a hybrid qualitative analysis of international patient experiences." BMJ Open 13, no. 6 (June 2023): e072031. http://dx.doi.org/10.1136/bmjopen-2023-072031.

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ObjectivesGlobally, patients with osteoporosis have unmet needs in terms of care accessibility, patient-centredness and care comprehensiveness. The WHO developed the Integrated, People-Centred Health Services (IPCHS) framework to reorient and integrate healthcare systems using 5 interdependent strategies and 20 substrategies. Patients’ perspectives with regard to these strategies are poorly understood. We sought to relate patient-experienced gaps in osteoporosis care to the IPCHS strategies and identify key strategies to guide osteoporosis care reforms.Design, setting and participantsQualitative online study of the experiences of international patients with osteoporosis.ProcedureTwo researchers conducted semi-structured interviews in English, Dutch, Spanish and French that were recorded and transcribed verbatim. Patients were categorised according to their countries’ healthcare systems (universal, public/private and private) and fracture status. A hybrid (sequential theory-driven and data-driven) analysis was performed, with the IPCHS framework used for the theory-driven analysis.ResultsThirty-five patients (33 women) from 14 countries participated. Twenty-two patients had universal healthcare and 18 had experienced fragility fractures. Prioritised substrategies overlapped among healthcare systems, with reported shortcomings related primarily to ‘empowering and engaging individuals and families’ and ‘coordinating care’ (at varying levels). Patients with all healthcare types prioritised ‘reorienting care’, with different substrategies prioritised. Patients with private healthcare called for ‘improving funding and reforming payment systems’. Substrategy prioritisation did not differ between those receiving primary and secondary fracture prevention.ConclusionPatients’ experiences with osteoporosis care are universal. Given the current care gaps and associated patient burdens, policymakers should make osteoporosis a(n) (inter)national health priority. Integrated osteoporosis care reforms should focus on patient-reported experiences with and be guided by priorities in IPCHS strategies, taking into account the healthcare system context.

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Reha, Abdelati, Oumaima Benkhadda, Meryama Harrou, and Mohamed Saih. "Wearable fractal integrated antennas for medical applications." ITM Web of Conferences 69 (2024): 02005. https://doi.org/10.1051/itmconf/20246902005.

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Wearable embedded antennas are becoming increasingly vital in modern healthcare, enabling continuous monitoring and communication for medical purposes. Integrated into wearable devices, these antennas facilitate the transmission and reception of crucial health data, such as pulse rate, body temperature, and blood pressure, to healthcare professionals or real-time monitoring systems. This instant data transmission allows for swift interventions, thereby enhancing the quality of healthcare services. The aim of this study is to summarize recent research carried out in prestigious databases, focusing on the specificity and effectiveness of wearable fractal antennas used in medical applications. This synthesis offers valuable insights for researchers and practitioners aiming to develop and implement wearable integrated fractal antennas in the medical field, ultimately improving healthcare and patient outcomes.

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TUEPKER, ANAIS, and CHUNHUEI CHI. "Evaluating integrated healthcare for refugees and hosts in an African context." Health Economics, Policy and Law 4, no. 2 (April 2009): 159–78. http://dx.doi.org/10.1017/s1744133109004824.

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Abstract:This paper argues on ethical and practical grounds for more widespread use of an integrated approach to refugee healthcare, and proposes a basic model of assessment for integrated systems. A defining element of an integrated approach is an equal ability by refugee and host nationals to access the same healthcare resources from the same providers. This differs fundamentally from parallel care, currently the predominant practice in Africa. The authors put forward a general model for evaluation of integrated healthcare with four criteria: (1) improved health outcomes for both hosts and refugees, (2) increased social integration, (3) increased equitable use of healthcare resources, and (4) no undermining of protection. Historical examples of integrated care in Ethiopia and Uganda are examined in light of these criteria to illustrate how this evaluative model would generate evidence currently lacking in debates on the merit of integrated healthcare.

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Djitog, Ignace, and Muhammadou M. O. Kah. "Ontological Approach to Holistic Healthcare Systems Simulation." International Journal of Privacy and Health Information Management 8, no. 1 (January 2020): 88–104. http://dx.doi.org/10.4018/ijphim.2020010105.

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This article aims at developing a new ontology for healthcare systems (HS) simulation. The ontology includes various classes that represent major components of HS simulation and their relationships as an integrated whole. It is formally expressed using system entity structure language with links to basic models developed in various formalisms and stored in a model base repository. Entities are mapped into web ontology language (OWL) classes and can be visualized in Protégée and queried with SPARQL. Classes are built based on agreed-upon concepts in HS simulation domain and serve to document and formalize knowledge while providing notable benefits such as common representation of healthcare models from different simulation platforms, model reuse, querying simulation models, and browsing. The paper also presents an illustrative case study to showcase the use of the ontology while capturing successfully within its scope an outbreak of cholera disease and its mitigation plan.

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Raheja, Dev, and Maria Escano. "System Safety in Healthcare." Journal of System Safety 51, no. 1 (January 1, 2015): 12–13. http://dx.doi.org/10.56094/jss.v51i1.166.

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The medical industry is faced with new devices and technology on a regular basis. The multiple goals of these devices and technologies vary, depending on the user’s angle. Ultimately, they hopefully provide the best care for patients in the most efficient way possible, while containing costs and maintaining patient safety. Recent studies have found that rapid implementation of new medical technology — surgical devices, electronic health records, monitoring systems and other tools — can lead to adverse patient events when implementation is not thoughtfully and carefully integrated into the workflow. This integration requires not only a thorough understanding of how the new tools work, but also of how they can be safely integrated into the system — including an analysis of human factors, such as in environments where people interact with these devices repetitively or in high-pressure situations.

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Gyaase, Patrick Ohemeng, Richard Darko-Lartey, Harrison William, and Foster Borkloe. "Towards an Integrated Electronic Medical Records System for Quality Healthcare in Ghana." International Journal of Computers in Clinical Practice 2, no. 2 (July 2017): 38–55. http://dx.doi.org/10.4018/ijccp.2017070103.

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This article explores the factors militating against the diffusion integration electronic medical records in Ghana. Structured questionnaires were used to collect data from respondents in the healthcare ecosystem and analyzed quantitatively using descriptive and inferential statistics. The findings revealed non-integration of electronic medical records systems among the stakeholders of the healthcare ecosystem mostly due to and interoperability issues. There is also substantial usage of technology in capturing and storing medical records. The key factors militating against the integration of electronic medical records systems are inadequate funds to purchase database management systems, acquisition and maintenance costs of electronic medical records systems, and an unclear return on investment on the integrated electronic medical records systems. The article recommends sustained government financial support, standardization policy and implementation guidelines to facilitate the integration of electronic medical records systems in the various health institutions.

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Meirule, Laila, and Sandra Ežmale. "USE OF THE INFORMATION SYSTEM RESEARC IN A HEALTHCARE INSTITUTION." HUMAN. ENVIRONMENT. TECHNOLOGIES. Proceedings of the Students International Scientific and Practical Conference, no. 25 (April 23, 2021): 66–72. http://dx.doi.org/10.17770/het2021.25.6782.

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The author of the study studies the functional adequacy of information systems in a healthcare company SIA "Preiļu slimnīca". By studying both information systems integrated in the company, the author has compared both systems, as a result of which he has developed proposals for improving the sustainable development of the systems.

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Journal articles on the topic 'Integrated healthcare systems'

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