Dissertations / Theses on the topic 'Medical sciences Electronic information resources'
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Ramadan, Jemal Saleh, and Niclas Södermark. "Development of an Electronic Medical Record System." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-177008.
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Sofiaängen (http://sofiaangen.com/) är en psykoterapeutisk dagverksamhet och skola som ligger på Södermalm i Stockholm. Sofiaängen riktar sig till ungdomar i åldern 14 till 20 med psykiska och sociala problem. Det nuvarande systemet som används av Sofiaängen för att hantera patientjournaler är i form av textfiler placerade i en delad mapp på en Mac-server, vilketvarken är strukturerat, effektivt eller flexibelt. Syftet med detta examensarbete har därför varit att hitta det bästa sättet att implementera ett journalsystem för patientjournaler på, samt att utforma, utveckla och driftsätta den valda lösningen. Arbetet delades in i fyra olika faser. Under den första fasen genomfördes en förstudie där möjliga implementeringar (fristående eller webbaserad) studerades och resultatet överlämnades till beställaren som fick välja den mest lämpliga lösningen. De tre övriga faserna var att utforma, genomföra (och testa) och distribuera den valda lösningen, samt att skriva en användarmanual. Den valda lösningen, att skapa systemet som ett fristående program, implementerades med JavaFX:s plattform och MySQL:s databas-server. Vi använde en iterativ arbetsprocess för att stegvis utveckla de funktionella kraven. Detta för att kunna utvärdera vårt arbete tidigt, utifrån feedback på utvecklingen från beställaren, innan nästa uppsättning krav genomfördes. Examensarbetet har resulterat iett journalsystem som uppfyller alla krav på funktionalitet och design av användargränssnittet som krävdes av Sofiaängen.Sofiaängen (http://sofiaangen.com/)is a psychotherapeutic day activities center and school located in Södermalm in Stockholm. Sofiaängen targets young peo-ple between the age of 14 and 20 and who have psychological orsocial prob-lems. The current system used by Sofiaängen for handling patient medical records is a Microsoft word file-system on a Mac server, which is neitherefficient norflex-ible. The objective of this bachelor thesis has therefore been to find the best way of implementing an EMRS as well asdesigning, developingand deployingthe selected solution. The work was divided into four different phases. The first phase was conduct-ing feasibility study where possible implementations (standalone and web based) were studied. The result was submitted to Sofiaängen so they couldmake a selection. The second,third and fourth phases were respectively de-signing, implementing (and testing) and deploying the selected solution. The selected solution was to implement the system as a standalone application. The system was implemented using the JavaFX platform andaMySQL data-base server. We used an iterative software developmentmodel in order to implement the functional requirements incrementally andin doing so we were able to evaluate our work early, before the next set of requirements were implemented after get-tingfeedback on the development from Sofiaängen. The Degree project has resulted in an EMRS which fulfills all of the functional and look-and-feel requirements required by Sofiaängen.
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Chimwaza, Gracian. "Factors affecting the use and non-use of electronic information resources in scientific technological and medical disciplines at universities in Zimbabwe." Thesis, University of Pretoria, 2017. http://hdl.handle.net/2263/62812.
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The purpose of this study was to investigate factors affecting the use and non-use of free and low-cost library electronic information resources by information specialists (librarians charged with e-resource responsibilities), academic staff and postgraduate students in scientific, technological and medical (STM) disciplines at universities in Zimbabwe. The research problem was: What are the factors affecting the use and non-use of e-resources by information specialists, academic staff and postgraduate students in scientific, technological and medical (STM) disciplines at universities in Zimbabwe? To address this problem, several sub-questions were set, covering the situation of free and low-cost e-resources available to Zimbabwean universities, factors influencing access to e-resources, the actual use of such resources, and how these problems should be addressed. The study also considered reports from related studies. Using convenience and purposive sampling depending on the participant group, empirical data were collected from information specialists, academic staff and post-graduate students from five universities in Zimbabwe (Africa University, Chinhoyi University of Technology, Midlands State University, National University of Science and Technology and University of Zimbabwe) from May to July 2015. Quantitative and limited qualitative data were collected through questionnaires administered to library directors, information specialists, academic staff and post-graduate students in the STM disciplines. Four library directors or their representatives, 38 information specialists, 80 academic staff, 121 master’s and 14 doctoral students were involved in the study. Descriptive statistical data on all four groups and inferential statistical data on information specialists, academic staff and postgraduate students are provided. Content analysis was applied to qualitative data to reveal views on factors affecting the use of e-resources. The universities provide access to scholarly literature through large collections of e-resources by means of various databases, e-books and electronic theses and dissertations. The availability of journals is no longer a principal problem; the challenge is how to ensure that what is available can be accessed and is used to best effect. Access to computers is also not a problem, especially for information specialists. There are, however, problems with internet infrastructure (i.e. slow and/or unreliable internet, shortage of internet bandwidth), limited user skills and limited user awareness of available library e-resources. Inferential statistical data analysis determined that the position of the information specialist, whether junior or senior, has an important impact on their use of e-resources. Juniors tended to use e-resources more often than seniors. Good technical support when encountering problems with e-resources had the most significant influence on downloading of full-text articles by information specialists. The general linear model test identified lack of skills in using the e-resources as the factor with the highest significance, compared to other variables that had an effect on the use of e-resources by academic staff in STM disciplines. Of the seven significant variables that affected the frequency with which academic staff downloaded full-text articles, the factor of academic staff duties involving research and supervision of students had the highest significance value. On testing factors influencing postgraduate students’ frequency of using e-resources and their frequency of downloading full-text articles, postgraduate students’ training on Google Scholar was established to have the highest significance regarding both. Recommendations include: improved investment in user skills training and information literacy; tools to improve the discoverability of e-resources and content provided by libraries; effective marketing strategies to improve the use and uptake of e-resources by academic staff and students; ensuring that content covered by e-resources is relevant and up to date; providing technical support to e-resource users when they encounter problems; and ensuring adequate IT and internet infrastructure.Thesis (PhD)--University of Pretoria, 2017.
Information Science
PhD
Unrestricted
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Richardson, Tony Andrew. "Meeting Meaningful-Use Requirements With Electronic Medical Records in a Community Health Clinic." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2872.
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Small nonprofit medical practices lack the technical expertise to implement electronic medical records (EMRs) that are consistent with federal meaningful-use requirements. Failure to comply with meaningful-use EMR requirements affects nonprofit community health care leaders' ability to receive reimbursement for care. Complexity theory was the conceptual framework used in this exploratory single case study. The purpose of the study was to explore the strategies nonprofit community health care leaders in Washington, DC used to implement EMRs in order to comply with the meaningful-use requirements. Data were collected via in-depth interviews with 7 purposively-selected health care leaders in a nonprofit clinic and were supplemented with archival records from the organization's policies and legislated mandates. Participants' responses were coded into invariant constituents, single concepts, and ideas to develop theme clusters. Member checking was used to validate the transcribed data which was subsequently coded into 4 themes that included: access to information, quality of care, training, and reporting implications. Recommendations include increased effectiveness of training provided to health care leaders or the perceptions of the patients as stakeholders in EMR implementation. By using strategies that facilitate seamless movement of information within a digital health care infrastructure, business leaders could benefit from improved reimbursement for services. Implications for social change include progress and transformation in the way health care access is provided.
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Hopes, David. "Being objective : communities of practice and the use of cultural artefacts in digital learning environments." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5344/.
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Over the past decade there has been a dramatic increase in the volume of digital content created from museum, library and archive collections but research on how this material is actually used, particularly in digital learning environments, has fallen far behind the rate of supply. In order to address this gap, this thesis examines how communities of practice (CoPs) involved in the supply and use of digital artefacts in the Higher Education sector in the UK interact with content and what factors affect this process. It focuses on a case study involving the digitisation of Shakespeare collections used in postgraduate research, and the testing of use in a range of different learning environments. This produced a number of significant findings with implications for the HE and cultural sectors. Firstly, similar patterns of artefact use were found across all users suggesting there are generic ways in which everyone interacts with digital artefacts. However, distinct forms of use did emerge which correspond with membership of particular communities of practice. Secondly, members of a CoP appear to share a particular learning style and this is influenced by the learning environment. Finally, the research indicates that a mixed method for analysing and measuring use, piloted and tested in the case study, is possible.
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Diana, Mark L. "Information Technology Outsourcing in U.S. Hospital Systems." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/1093.
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The purpose of this study was to determine the factors associated with outsourcing of information systems (IS), and if there is a difference in IS sourcing based on the strategic value of the outsourced functions. The theoretical framework is based upon a synthesis of strategic management theory (SMT) and transaction cost economics (TCE) as they apply to vertical integration in the health care sector; therefore, IS sourcing behavior was conceptualized as a case of vertical integration. The conceptual model proposed that sourcing behavior would be determined by asset specificity, uncertainty, the interaction of asset specificity and uncertainty, bargaining power, corporate strategy needs, and the strategic value of the IS functions outsourced.A cross sectional design was used, consisting of data from the American Hospital Association (AHA), the Area Resource File (ARF), the HIMSS Analytics database, and the Centers for Medicare and Medicaid Services (CMS) hospital cost reports for 2003. The final sample consisted of 1,365 health care delivery systems and 3,452 hospitals. Analysis was conducted using a two-stage negative binomial regression model (using instrumental variables) to correct for suspected endogeneity. Tests of joint restrictions using the group of variables derived from TCE and SMT, respectively, were done with the dependent variable divided between strategic and non-strategic IS functions (the division was done based on a model of Core IS Capabilities developed as a model for a high-performance IS function).The results supported the relationship between bargaining power and IS outsourcing. Results for asset specificity and corporate strategy needs were significant in the opposite direction than hypothesized. No other findings were significant. These results suggest that hospital system managers are likely not considering significant factors when making sourcing decisions, including the relative strategic value of the functions they are outsourcing. This study contributes to the limited body of knowledge surrounding IS sourcing behavior in the health care sector. Future research should examine the effect of cost on IS sourcing decisions, and consider the use of alternative theoretical frameworks, particularly Institutional Theory.
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Li, Fu Min. "Collecting web data for social science research." Thesis, University of Macau, 2018. http://umaclib3.umac.mo/record=b3953492.
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Ugurbas, Suat Hayri. "Evaluation Of An Electronic Medical Record System: Zonguldak Karaelmas University Hospital Survey." Master's thesis, METU, 2006. http://etd.lib.metu.edu.tr/upload/12608125/index.pdf.
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The present study investigated the electronic medical record system (EMR) of Zonguldak Karaelmas University Hospital which is used for six years now. The advantages and disadvantages of an EMR system in comparison with paper
medical records were evaluated based on the user’
s opinion. The recommendations for the development of EMR and more efficient use of the system are principle goals of this study. The purposes of this thesis include promoting the implantation of EMR by introducing the advantages and disadvantages from the user&
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s point of view. The main source of information used in this analysis is gathered from a questionnaire. Hundred and twenty six users of EMR selected voluntarily and randomly from the hospital staffs are included in this survey. The hospital staffs including physicians, nurses, clinicians, administrative clerks and technicians were included in this survey. Implementation for certain medical tasks and efficiency of using these tasks in EMR are evaluated. The advantages and disadvantages of the system were surveyed from the user'
s point of view. In spite of the fact that health care professionals understand the benefits of electronic medical records, barriers to the use of EMR are also important for the current impediments in EMR introduction. While the successful applications of EMR systems are evident in western word, the implementation of EMR to a hospital information system is a new topic in Turkey. There are mainly attempts to convert the paper-based medical record systems to the fully automated electronic record systems. Our study is a pioneering attempt to analyze the users&
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opinion for a fully integrated EMR system in a Turkish academic hospital. The suggestions such as restricting the the access, improving the hardware, integrating to the internet are made for the improvement of the system in future.
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Liu, Hanjun. "Financial incentives and the type of specialty practices impact on the physician use of electronic medical records." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527725.
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Electronic Medical Records (EMRs) are increasingly being used in healthcare organizations. However, there are few factors influencing the physician adoption rate of EMRs. The purpose of this paper is to investigate the meaningful use incentives, and the type of specialty practices in relationship to the physician use of EMRs. Data from the National Ambulatory Medical Care Survey (NAMCS) were analyzed to how meaningful use incentives and the type of physician practices affect the physician use of EMRs. The Chi-Square test and ANOVA test have been use to examine the hypothesis, and the association was found to be statistically significant.
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Bui, Thai Le Quy. "Using Spammers' Computing Resources for Volunteer Computing." PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1629.
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Spammers are continually looking to circumvent counter-measures seeking to slow them down. An immense amount of time and money is currently devoted to hiding spam, but not enough is devoted to effectively preventing it. One approach for preventing spam is to force the spammer's machine to solve a computational problem of varying difficulty before granting access. The idea is that suspicious or problematic requests are given difficult problems to solve while legitimate requests are allowed through with minimal computation. Unfortunately, most systems that employ this model waste the computing resources being used, as they are directed towards solving cryptographic problems that provide no societal benefit. While systems such as reCAPTCHA and FoldIt have allowed users to contribute solutions to useful problems interactively, an analogous solution for non-interactive proof-of-work does not exist. Towards this end, this paper describes MetaCAPTCHA and reBOINC, an infrastructure for supporting useful proof-of-work that is integrated into a web spam throttling service. The infrastructure dynamically issues CAPTCHAs and proof-of-work puzzles while ensuring that malicious users solve challenging puzzles. Additionally, it provides a framework that enables the computational resources of spammers to be redirected towards meaningful research. To validate the efficacy of our approach, prototype implementations based on OpenCV and BOINC are described that demonstrate the ability to harvest spammer's resources for beneficial purposes.
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Bazile, Emmanuel Patrick. "Electronic Medical Records (EMR): An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems." NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.
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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them.
This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language.
A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences.
This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.
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Tannan, Ritu. "Acceptance and Usage of Electronic Health Record Systems in Small Medical Practices." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1028.
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One of the objectives of the U.S. government has been the development of a nationwide health information infrastructure, including adoption and use of an electronic health records (EHR) system. However, a 2008 survey conducted by the National Center for Health Statistics indicated a 41.5% usage of the EHR system by physicians in office-based practices. The purpose of this study was to explore opinions and beliefs on the barriers to the diffusion of an ERH system using Q-methodology. Specifically, the research questions examined the subjectivity in the patterns of perspectives at the preadoption stage of the nonusers and at the postadoption stage of the users of an EHR system to facilitate effective diffusion. Data were collected by self-referred rank ordering of opinions on such barriers and facilitators. The results suggested that the postadoption barriers of time, change in work processes, and organizational factors were critical. Although the time barrier was common, barriers of organizational culture and change in work processes differed among typologies of perspectives at the postadoption stage. Preadoption barriers of finance, organizational culture, time, technology, and autonomy were critical. The typologies of perspectives diverged on critical barriers at the preadoptive stage. A customized solution of an in-house system and training is recommended for perspectives dealing with technical and organizational concerns and a web-based system for perspectives concerned with barriers of finance, technology, and organization. The social impact of tailoring solutions to personal viewpoints would result in the increased sharing of quality medical information for meaningful decision making.
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Robinson, Alex James. "ICTs and poverty reduction in rural Java : information, access and markets." Thesis, University of Huddersfield, 2009. http://eprints.hud.ac.uk/id/eprint/9098/.
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Towards the end of the twentieth century there was a furore of activity and interest regarding the potential of information communication technologies (ICTs) to contribute towards a process of development. The growing interest in ICT for development (ICT4D) resulted in a World Summit held over two stages in 2003 and 2005 and a plethora of initiatives and interventions. However to date, the mechanisms and ways in which ICTs may best be applied to development, and in particular poverty reduction, remain unclear. The study described herein contributes to this debate. The study is concerned with the analysis of a single ICT based intervention in rural Java in the Republic of Indonesia; the e-Pabelan telecentre project. The objective of e-Pabelan was to overcome information asymmetries and improve the market participation of poor rural farmers. The objective of this study is to analyse the impacts of this intervention and its underlying conceptual basis. In order to facilitate the research a conceptual framework is presented that draws on Richard Heeks’ (1999b) concept of the information chain and Stuart Plattner’s (1985) concept of equilibrating markets. After Heeks, the conceptual framework emphasises that the assimilation and application of information towards a desired development outcome is a staged process. In order to better contextualise and understand such a process the research presents an analysis of actors, goods and transactions in relation to the market relations of poor farmers after Plattner. The research consists of an extended case study. Two key survey instruments are also employed. One is a survey of 216 poor households and the other is a survey of 70 poor farmers. These survey instruments are employed within a broader research context that utilises participant observation, informal interviews and occasional participatory rural appraisal (PRA) instruments. The research emphasises the importance of contextualisation in seeking to better understand the application of ICT based intervention towards poverty reduction. The research highlights issues of access within ICT4D and challenges approaches that see ICT4D as universally applicable and relevant. Instead, the research demonstrates that the institutional context that ICT4D initiatives are placed into and implemented through can have significant bearings on the perceived utility of the intervention by the intended beneficiaries. The research shows that a failure to engage with local contexts during the establishing of access to ICTs can result in such initiatives being disempowering rather than empowering. The research also questions conceptualisations of poverty within ICT4D that emphasise the widening of opportunities over and above the increasing of security. With regard to markets the research demonstrates that the received view not uncommon within ICT4D literature of the farmer as a passive victim of impersonal markets is flawed. The research shows that the way in which poor farmer in Java manage risk through their selection of differing crops and the manner in which these farmers play the market is central to understanding how ICT4D interventions are assessed in terms of utility and relevance. The research concludes that there is a need for greater engagement between the emerging field of ICT4D and the broader field of development studies. There is also a need to better contextualise and target ICT4D interventions in relation to the specific needs and conditions of the intended beneficiaries. Such an approach requires acknowledging that the adoption and application of information will be subject to a process of continual assessment; rather than seeing assessment as a separate stage within the information chain. In this regard a framework for the analysis of market based ICT4D interventions seeking to impact upon poverty is developed via the research from the original conceptual framework outlined above.
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Okoro, Chris U. "Perspectives of Primary Care Physicians on Adopting Electronic Medical Records in the Atlanta, Georgia Area." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5923.
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Slow adoption of electronic medical records (EMR) by primary care physicians in medical office practices has not facilitated the EMR adoption process. The problem is the slow pace of EMR adoption by primary care physicians in the Atlanta, Georgia area has become a public health concern. Research regarding the lived experiences of these physicians with EMR implementation and utilization may identify reasons for the slow adoption. The purpose of this phenomenological study was to explore the lived experiences of primary care physicians, who practice in the Atlanta area, regarding their perception, successes, barriers, and urgency of adoption of EMR in their healthcare practice. Lewin's change management model of health services served as the framework for the study. Data was collected during face-to-face interviews with 19 primary care physicians at Grady's Ponce de Leon Clinic and Grady's East Point Clinic in Atlanta, Georgia. Participants were physicians or residents and not those in authority to make decisions about the EMR at the two clinics. NVivo 10 and automatic coding was used for data analysis to develop themes from the interviews. The findings revealed that the adoption of EMR has enabled primary care physicians to spend more time with their patients, but the barriers such as a lack of interoperability and lack of training, has fostered a feeling of disinterestedness towards EMR adoption. This study supports positive social change that EMR adoption aids in improving patient safety and outcome.
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Reid, Jr Marvin Leon. "Adoption of Electronic Health Record Systems Within Primary Care Practices." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2228.
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Primary care physicians (PCPPs) have been slow to implement electronic health records (EHRs), even though there is a U.S. federal requirement to implement EHRs. The purpose of this phenomenological study was to determine why PCPPs have been slow to adopt electronic health record (EHR) systems despite the potential to increase efficiency and quality of health care. The complex adaptive systems theory (CAS) served as the conceptual framework for this study. Twenty-six PCPPs were interviewed from primary care practices (PCPs) based in southwestern Ohio. The data were collected through a semistructured interview format and analyzed using a modified van Kaam method. Several themes emerged as barriers to EHR implementation, including staff training on the new EHR system, the decrease in productivity experienced by primary care practice (PCP) staff adapting to the new EHR system, and system usability and technical support after adoption. The findings may contribute to the body of knowledge regarding EHR system implementation and assist healthcare providers who are slow to adopt EHRs. Additionally, findings could contribute to social change by reducing healthcare costs, increasing patient access to care, and improving the efficacy of patient diagnosis and treatment.
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May, Joy L. "The study of Electronic Medical Record adoption in a Medicare certified home health agency using a grounded theory approach." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3605534.
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The purpose of this qualitative grounded theory study was to examine the experiences of clinicians in the adoption of Electronic Medical Records in a Medicare certified Home Health Agency. An additional goal for this study was to triangulate qualitative research between describing, explaining, and exploring technology acceptance. The experiences were studied through an anonymous survey using a third party vendor. The data revealed that in spite of Internet and connectivity issues, clinicians at XYZ Home Care overlooked these issues because of the benefits in utilizing an electronic medical record system. These benefits include quick access to patient medical records and saving time. The data allowed for triangulation between describing, explaining, and exploring technology acceptance.
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Cooke, Helen. "Djembe in the field : an exploration of the evolution of the djembe habitus and the emergent djembe paradigm within Facebook." Thesis, University of Essex, 2017. http://repository.essex.ac.uk/20274/.
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The thesis addresses the evolution of West Africa’s djembe drumming, with particular reference to the changing habitus of the djembefola. It investigates how the djembe has developed from the rural system of tribal ritualistic music intended for ceremonies to a practice enacted in the Western world, in both geographical and virtual spaces, including the social networking platform Facebook. It also highlights how, at present, djembe related activities are subject to business transactions orientated towards generation of profit for both the djembefola and other parties. Conceptually, the thesis draws on Pierre Bourdieu’s Outline of a Theory of Practice (1972), Victor Turners approach to liminality in The Forest of Symbols (1967) and The Ritual Process (1997) and the concept of cultural paradigm, as used in anthropological studies (Douglas, 1985; Rogoff et al., 2014). Additionally, it explores the implications of the evolution of djembe drumming over time for our understanding of the organisation of the djembe. This is discussed in the context of the political, economic, social and technological conditions underlying djembe practice. Empirically, the research adopts an interpretive, ethnographic and netnographic approach, comprising four case studies. Fieldwork was conducted in the Gambia and in the virtual space represented by social media. The data included material obtained through interviews with djembe teachers and students, as well as Facebook posts contributed by members of djembe related interest groups. The analysis demonstrates that, at present, the djembe habitus has entered a new phase, which the thesis identifies as a fourth cultural paradigm, concomitant with the most contemporary version of the djembe habitus.
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Yeadon-Lee, Annie. "Effective action learning sets : an analysis of participant experiences." Thesis, University of Huddersfield, 2010. http://eprints.hud.ac.uk/id/eprint/9092/.
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This thesis examines an under researched area in the field of action learning: how learning set participants experience action learning and the effectiveness of action learning sets. Through the adoption of a qualitative research approach, which utilised unstructured interviews with learning set members and employed a grounded theory approach to analysis, the thesis thus provides a unique insight into action learning practices and group processes, the latter significantly adding to knowledge in the field of organisational behavior. The research presented, which traces the connections between the research process, methodology and the ongoing development of analysis, also adds to existing knowledge in organisational research methods. Within the thesis, a number of significant issues concerning group processes within action learning sets are discussed. Through analysis of the data it is shown that differing hierarchies exist amongst set members and that these affect the contribution that individual members make to the operations in the set. Furthermore, trust is shown to be vital to the effective working of the set, with members needing to feel psychologically and politically safe before they will self disclose. Finally, member?s self disclosure is revealed to be located on a continuum ranging from comfort to discomfort, with a possibility that some set members may actively engage in dissimulation as a way of reducing cognitive dissonance in self disclosure. Analysis within the thesis also provides a unique insight into action learning practices. A discussion of the findings reveals several significant issues in relation to both set members and facilitators. These include the effect of the location of the set, member?s expectations of the facilitator?s role and the extent to which these expectations accord with the facilitator?s style of facilitation. Analysis of this latter point directly adds to the body of literature concerning the skills of facilitators in action learning sets.
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Koppenhaver, II Kenneth E. "Effects of an Integrated Electronic Health Record on an Academic Medical Center." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2666.
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The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to explore the people, processes, and technology factors that change as a result of an EHR implementation. Complexity theory was used as the lens to evaluate the effects of the EHR on the holistic system of healthcare. Data were collected using semistructured interviews and observations of physicians, nurses, and administrators, as well as document reviews of organizational documents related to the EHR. Data were analyzed using open coding to identify themes and patterns of usage that redesign or restructure institutional resources. The results of this study demonstrated positive changes in the interactions of healthcare providers with increasing collaboration on process changes and reliance on EHR for communication. These findings may positively affect government policy and the organizational approach to adoption and ongoing use of EHRs to create organizational change beyond the implementation of such systems, thus benefiting both health care employees and patients.
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Williams, Patricia A. "An investigation into the use of the internet for medical informatics." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1031.
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The rapid evolution and popularity of the Internet technologies, and the World Wide Web, have resulted in unrestricted worldwide access to medical and health information. This has provided the medical profession with the ability to access up to date research more immediately than by traditional means, and has created the potential for advanced information collation. Also the availability of medical literature, previously difficult to obtain for the general public, is having an effect that is both a benefit and a burden to the medical profession. Whilst benefits exist in the use of the Internet in General Practice for clinical support, communication and education, there are also barriers to its inclusion in daily clinical practice. These include the issues of security, access availability, quality, time, research experience and Internet navigation familiarity. Questions remain as to whether or not the Internet can be used in General Practice efficiently, in order to provide a significant advantage over traditional information dissemination methods. This issue is also relevant for other primary health care providers such as pharmacists. In Australia, there has been a relatively slow adoption of both the technology and the use of the Internet for acquiring clinical and medical information. This thesis investigates the current issues surrounding the use of the Internet in general practice and pharmacy in Western Australia. The underlying assumption that the Internet is a useful tool for such information retrieval is examined in terms of useability and usefulness in clinical practice. Further the attitudes to the use of the Internet technology as an effective medium of information delivery were sought.
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Halter, Heather J. "Moving from a textbook to Facebook college students' motivations for using social networking sites in education." Master's thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/4617.
Full textAbstract:
This study examined college student motivations for using social networking sites for educational purposes. Motives were examined through the uses and gratifications approach. If we can determine student motivations for using social networking sites, perhaps we can determine a way to successfully implement social networking sites into the classroom. By adding the concept of satisfaction, we can also determine if students will use the sites again. If students are satisfied with educational social networking site use, they will return to these sites for educational purposes again. Data was collected by giving a questionnaire to undergraduate students that assessed social networking site use, as well as motivations for and satisfaction with use. For general uses, students were motivated to use social networking sites for relationship maintenance, passing time, and information seeking purposes. Overall, students were satisfied with their use of the sites. For educational uses, students were motivated to use the sites for relationship maintenance and information seeking purposes. Overall, students are not satisfied with their use of these sites for educational purposes. Theoretical and practical implications of these findings are discussed.ID: 029050089; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Thesis (M.A.)--University of Central Florida, 2010.; Includes bibliographical references (p. 94-98).
M.A.
Masters
Nicholson School of Communication
Sciences
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Chigudu, Kumbirai. "Design of a prototype mobile application interface for efficient accessing of electronic laboratory results by health clinicians." Thesis, University of Cape Town, 2018. http://pubs.cs.uct.ac.za/archive/00001267/.
Full textAbstract:
There is a significant increase in demand for rapid laboratory medical diagnoses for various ailments in order for clinicians to make informed medical decisions and prescribe the correct medication within a limited specified time. Since no further informed action can be taken on the patient until the laboratory report reaches the clinician, the delivery of the report to the clinician becomes a critical path in the value chain of the laboratory testing process.
The National Health Laboratory Service (NHLS) currently delivers lab results in three ways: via a physical paper report, and electronically through a web application. The third alternative is for short and high-priority test results, like human immunodeficiency virus (HIV) and tuberculosis (TB), that are delivered via short message service (SMS) printers in remote rural clinics. However, despite its inefficiencies, the paper report remains the most commonly used method. As turnaround times for basic and critical laboratory tests remain a great challenge for NHLS to meet the specified targets; there is need to shift method of final delivery from paper to a paperless secured electronic result delivery system. Accordingly, the recently-implemented centralised TrakCare Lab laboratory information system (LIS) makes provision for delivery of electronic results via a web application, 'TrakCarewebview'. However, the uptake of TrakCarewebview has been very low due to the cumbersomeness of the application; this web application takes users through nine steps to obtain the results and is not designed for mobile devices. In addition, its access in remote rural health care facilities is a great challenge because of lack of supportive infrastructure.
There is therefore an obvious gap and considerable potential in diagnostic result delivery system that calls for an immediate action to design and development of a less complex, cost effective and usable mobile application, for electronic delivery of laboratory results. After obtaining research ethics clearance approval from the University’s Faculty of Science Research Ethics Committee a research was sanctioned. A survey of public sector clinicians across South Africa indicated that 98% have access to the internet through smartphones, and 93% of the clinicians indicated that they would use their mobile devices to access electronic laboratory results. A significant number of clinicians believe that the use of a mobile application in health facilities will improve patient care. This belief, therefore, set a strong basis for designing and developing a mobile application for laboratory results. The study aims to design and develop a mobile application prototype that can demonstrate the capability of delivering electronic laboratory test results to clinicians on their smart devices, via a usable mobile application. The design of the mobile application prototype was driven by user-centred design (UCD) principles in order to develop an effective design. Core and critical to the process is the design step which establishes the user requirements specifications that meet the user expectations. The study substantiated the importance of the design aspect as the initial critical step in obtaining a good final product.
The prototype was developed through an iterative process alternating prototype development and evaluation. The development iterations consisted of a single paper prototyping iteration followed by further two iterations using an interactive Justinmind prototyping tool. Respective to the development iterations, cognitive walk-through and heuristic principles were used to evaluate the usability of the initial prototype. The final prototype was then evaluated using the system usability scale (SUS) survey quantitative tool, which determines the effectiveness and perceived usability of the application. The application scored an average SUS score of 77, which is significantly above the average acceptable SUS score of 68. The standard SUS measurement deems 80 to be an excellent score. Yet a score below 68 is considered below average. The evaluation was conducted by the potential user group which was involved in the initial design process. The ability of the interactive prototyping tool (Justinmind) to mimic the actual final product offered end users a feel of the actual product thus giving the outcome of the evaluation a strong basis to develop the actual product.
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Adu, Ebenezer Siaw. "Organizational Complexity and Hospitals' Adoption of Electronic Medical Records for Closed-loop Medication Therapy Management." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3652.
Full textAbstract:
Over 700,000 adverse drug events (ADEs) result in emergency hospital visits annually, and many of these ADEs are preventable through the use of health information technology in hospitals. However, only 12.6% of U.S. hospitals have developed the capacity to adopt closed-loop electronic medical records (EMR). Organizational complexity may be a major factor influencing hospitals' adoption of closed-loop EMR. This quantitative study explored how organizational complexity influenced hospitals' adoption of closed-loop EMR. Diffusion of innovation theory was the foundation for this study. Logistic regression was used to establish possible relationships between organizational complexity and hospitals' adoption of EMR for closed-loop medication therapy management. Secondary data from Health Information and Management Systems Society were examined to explore the relationship between organization complexity and hospitals' adoption of EMR for closed-loop medication therapy. The research questions explored whether vendor selection strategy, structural complexity, and management structure influence hospitals' adoption of EMR for closed-loop medication therapy management. The results indicated that all three variables, vendor selection strategy, structural complexity, and management structure, are statistically significant predictors of hospitals' adoption of EMR for closed-loop medication therapy management. Results from this study may promote positive social change by enhancing hospitals' adoption of EMR for closed-loop medication therapy management, which may therefore help improve the quality, efficiency, and safety of health care delivery in U.S. hospitals.
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Atkinson, Paul. "On the Origin of PCs." Thesis, University of Huddersfield, 2008. http://eprints.hud.ac.uk/id/eprint/9057/.
Full textAbstract:
The electronic computer is the most significant tecnological product of the 20th Century. It has changed the lives of a vast number of people beyond recognition. It has changed our work, our leisure, and our relationships with each other. Its development has taken place in a period where an increasing amount of information is documented and recorded, and yet elements of its history, particularly its social history are distinct. A number of histories have been written about the computer. Mostly, these address the technical developments and economic or business histories behind the products rather than the designed form of the computer itself. They have tended to view the development of computing from a technologically deterministic perspective. By presenting the computer as the reseult of inevitable technological progress, they have ignored the social agency of their users and the cultural contexts in which they operate. Over the past ten years, i have researched and published on vaious aspects of computing technology from a social construction perspective. Using a novel methodology developed and tested over a significant period, this body of work has considered the acceptance and use of computers by different social groups, exploring the role of a computer as a tool of production, a means of control, and as an indicator of status. It has considered the design form and the depiction of computers in the mass media and popular culture to assess the influences on its design and its role in social relations, and in the process has made an original contribution to knowledge in the field of design history. This submission draws together five published articles from this body of work, which individually trace the history of the conception, production, representation and consumption of different types of computer. Collectively, these articles construct a coherent account exploring the design history of the computer as a social and cultural artefact.
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Ansved, Linn, and Karin Eklann. "Exploring ways to convey medical information during digital triage : A combined user research and machine learning approach." Thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-386420.
Full textAbstract:
The aim of this project was to investigate what information is critical to convey to nurses when performing digital triage. In addition, the project aimed to investigate how such information could be visualized. This was done through a combined user research and machine learning approach, which enabled for a more nuanced and thorough investigation compared to only making use of one of the two fields. There is sparse research investigating how digital triaging can be improved and made more efficient. Therefore, this study has contributed with new and relevant insights. Three machine learning algorithms were implemented to predict the right level of care for a patient. Out of these three, the random forest classifier proved to have the best performance with an accuracy of 69.46%, also having the shortest execution time. Evaluating the random forest classifier, the most important features were stated to be the duration and progress of the symptoms, allergies to medicine, chronic diseases and the patient's own estimation of his/her health. These factors could all be confirmed by the user research approach, indicating that the results from the approaches were aligned. The results from the user research approach also showed that the patients' own description of their symptoms was of great importance. These findings served as a basis for a number of visualization decisions, aiming to make the triage process as accurate and efficient as possible.
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Winges, Adam. "Uppdatering av visualiseringsverktyg förförarstödsystem." Thesis, KTH, Skolan för kemi, bioteknologi och hälsa (CBH), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-278041.
Full textAbstract:
Sammanfattning Eftersom dagens fordonsindustri utgor en stor del av vårt samhällsliv har ständigtökade krav stälts på att fordon ska vara så trafiksäkra som möjligt. En allt mer vanligare del av denna utveckling har legat på förarstödssystem. Dessa förarstödssystem benämns i regel ADAS (Advanced Driving Assistance Systems).En central del i utveckling av ADAS har varit att säkerhetsställa funktionen avdessa för att föraren ska känna tillit till systemen, vilket har visat sig utmanande.Scania som även är uppdragsgivaren av detta arbete har valt att blandannat testa funktionen av deras ADAS genom simulering och granskning av körningar. Scania har därmed utvecklat ett visualiseringsverktyg kallat Track-Plotter för att åstadkomma detta. TrackPlotter skapar en 2D plot baserad på sensorinformation från en faktisk körning. Sensorinformationen som till stor del består av radardata används av TrackPlotter för att simulera körförloppet i 2Dplotten. I denna plot visas även radardetektioner på föremål, exempelvis bilar och fordonets släp eller semitrailer. Vid testning av ADAS där sidodetektering är relevant visade sig visualiseringensom TrackPlotter skapar i vissa fall otillräcklig, dessa var fall när fordonet hade ett tillhörande släp eller semitrailer. Detta då de plottade radardetektionerna på fordonssläpet i vissa fall, visade sig svåra att särskilja emot detektioner på andra föremål såsom andra trakanter. Detta skedde eftersom TrackPlotterinte visualiserade radardata från körloggen som denierade den faktiska storleken,vinkeln och positionen på fordonssläpet utan istället, primärt använde statiska värden för detta. Detta arbete ämnar att vidareutveckla TrackPlotter iform av ny funktionalitet för plottning av fordonssläp genom kodtillägg. Detta för att skapa en tydligare plot över körningen. Detta arbete uppfyllde målspecikationen Scania utgav vilket innefattade i första hand att en dragbilssemitrailer skulle kunna plottas baserat på radardata från en körlogg. Det andra som lades till i TrackPlotter var visualisering avlastbilssläp vilket innan detta arbete saknades. Avslutningsvis infördes ett sätt att visualisera en jämförelse på hur radarn på fordonets vänstra respektive högra sida uppfattade fordonsläpet. Slutsatsen av detta arbete blev att ADAS funktioner kunde klarare granskas i Scanias visualiseringsverktyg TrackPlotter. Detta genom att plotten avfordonssläp i det simulerade körförloppet baserades på radardata. Detta bidrog till att radardetektionerna TrackPlotter skapade i 2D plotten lättare gick att tolka. Nyckelord ADAS (Advanced driving assistance systems), simulering, körlogg, visualiseringsverktyg, fordonssläp, sensorinformation, radardata
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Hopes, Scott L. "Healthcare IT in Skilled Nursing and Post-Acute Care Facilities: Reducing Hospital Admissions and Re-Admissions, Improving Reimbursement and Improving Clinical Operations." Scholar Commons, 2017. https://scholarcommons.usf.edu/etd/7409.
Full textAbstract:
Health information technology (HIT), which includes electronic health record (EHR) systems and clinical data analytics, has become a major component of all health care delivery and care management. The adoption of HIT by physicians, hospitals, post-acute care organizations, pharmacies and other health care providers has been accepted as a necessary (and recently, a government required) step toward improved quality, care coordination and reduced costs: “Better coordination of care provides a path to improving communication, improving quality of care, and reducing unnecessary emergency room use and hospital readmissions. LTPAC providers play a critical role in achieving these goals” (HealthIT.gov, 2013).
Though some of the impacts of evolving HIT and EHRs have been studied in acute care hospitals and physician office settings, a dearth of information exists about the deployment and effectiveness of HIT and EHRs in long-term and post-acute care facilities, places where they are becoming more essential. This dissertation examines how and to what extent health information technology and electronic health record implementation and use affects certain measurable outcomes in long term and post-acute care facilities. Monthly data were obtained for the period beginning January 1, 2016 through June 30, 2017, a total of 18 months. The level of EHR adoption was found to positively impact hospital readmission rates, employee engagement, complaint deficiencies, failed revisit surveys, staff overtime (partial EHR), staff turnover rate (full EHR) and United States Centers for Medicare and Medicaid Services (CMS) Five Star Quality score. The level of EHR adoption was found to negatively impact CMS Five Star Total score, staff retention rate (full EHR) and staff overtime (full EHR group higher than partial EHR).
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Wilson, Kris K. "Factors Associated with Provider Utilization of the Heath Information Exchange in the State of Hawaii." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4694.
Full textAbstract:
In a context where technology is increasingly being incorporated into health care practice, many U.S. health care providers and organizations are finding it challenging to connect disparate electronic documentation systems to retrieve patient information when coordinating care across providers and heath care entities. Local and regional health information exchange (HIE) systems were created to facilitate collecting information into one integrated patient record to address information transfer between heath care providers. Yet, adoption and use of HIEs have been low. The purpose of this study was to review the predictive factors accounting for physicians' use of a HIE in the U.S. state of Hawaii. Key factors from the technology acceptance model were evaluated to determine the behavioral intention resulting in actual use of the Hawaii health information exchange (HHIE). Physician characteristics (medical specialty, age, and gender) and location characteristics were also assessed. The total population of the study contained 1034 Hawaii physicians who have signed up to use the HHIE. Linear and logistic regression models were structured to evaluate the predictive nature of (a) use to determine if a physician has ever logged into the HIE and (b) usage to evaluate the extent to which a physician is logging into the HIE. Findings from the study reveal a predictive relationship between the characteristic of medical specialty and HHIE use when comparing primary care and emergency department physicians to physician specialists. Using study results, health care leaders can improve physician outreach and review barriers when using the HIE systems to coordinate care. Policy implications include the possible formulation of future requirements surrounding HIE physician participation.
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Al-Kamha, Reema. "Grouping Search-Engine Returned Citations for Person-Name Queries." Diss., CLICK HERE for online access, 2004. http://contentdm.lib.byu.edu/ETD/image/etd472.pdf.
Full text
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Chinpanich, Vorapong. "Helpdesk Support Alert System." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2674.
Full textAbstract:
The goal of this project was to implement the Helpdesk Support Alert System in the Data Center Services (DCS) of California State University, San Bernardino's (CSUSB's) Information Resource and Technology Division (IRT). DCS is responsible for ensuring uninterrupted operation of all CSUSB administrative computing systems. These responsibilities include user support, system maintenance, and system security. The DCS helpdesk cannot be staffed 24 hours a day; this application is designed to alert DCS technicians of emergencies when they are away from the helpdesk. The Helpdesk Support Alert System sends out an automated emergency alert in the form of a short text message to technicians' mobile phones. Technicians respond back to their main office by using the Wireless Application Protocol (WAP) capability of their mobile phones.
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Francq, Pascal. "Structured and collaborative search: an integrated approach to share documents among users." Doctoral thesis, Universite Libre de Bruxelles, 2003. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/211315.
Full textAbstract:
Aujourd'hui, la gestion des documents est l'un des problèmes les plus importants en informatique. L'objectif de cette thèse est de proposer un système de gestion documentaire basé sur une approche appelée recherche structurée et collaborative. Les caractéristiques essentielles sont :
Dès lors que les utilisateurs ont plusieurs centres d'intérêts, ils sont décrits par des profils, un profil correspondant à un centre d'intérêt particulier. C'est la partie structurée du système.
Pour construire une description des profils, les utilisateurs jugent des documents en fonction de leur intérêt
Le système regroupe les profils similaires pour former un certain nombre de communautés virtuelles
Une fois les communautés virtuelles définies, des documents jugés comme intéressants par certains utilisateurs d'une communauté peuvent être partagés dans toute la communauté. C'est la partie collaborative du système.
Le système a été validé sur plusieurs corpora de documents en utilisant une méthodologie précise et offre des résultats prometteurs.
Doctorat en sciences appliquées
info:eu-repo/semantics/nonPublished
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Ottosson, Ulrika, and Siri Rönnlund. "Implementation of a Mobile Healthcare Solution at an Inpatient Ward." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279145.
Full textAbstract:
Healthcare is a complex system under great pressure for meeting the patients’ needs. Implementing technology at inpatient wards might possibly support healthcare professionals and improve quality of care. However, these technologies might come with issues and the system might not be used as intended. This master thesis project investigates how healthcare professionals communicate at an inpatient ward and how this might be affected by implementing a Mobile Healthcare Solution (MHS). Further, it sought to question why healthcare professions might, or might not, use the MHS as a support of their daily work and what some reasons for this might be. Research methods were of qualitative approach. Field studies were performed at an inpatient ward and further, two healthcare professionals were interviewed. Grounded Theory (GT) was chosen as a method to process the data and obtain understanding for communication at the inpatient ward. The results showed that healthcare professionals communicate verbally, written and by reading, using different tools. The most prominent ways of communication were verbally, where it was common to report or discuss about a patient. The means for communication did not get drastically affected by implementing the MHS and reasons for this were of social, technical and organizational types. Some reasons for not using the MHS were habits and due to healthcare professionals perceiving the MHS as more time consuming than manual handling. However, a specific investigation of whether this might affect the usage of the MHS is yet needed
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Cottrell, Genevieve Lee. "The development of a reference database of health information resources to facilitate informed lifestyle choice." Thesis, 2008. http://hdl.handle.net/10500/2018.
Full textAbstract:
This study investigates, within the current health care situation, the
interrelationship of the user, resources and tool in the design of a prototype
WELLNESS database-driven web site. A shift has taken place in health care,
in which the base of conventional medicine has broadened to integrate other
systems, practices and worldviews. These include complementary and
alternative medicine, health promotion, disease prevention and wellness.
Emphasis is placed on the need to take personal responsibility for one's own
health and wellness. The global burden of chronic disease, reaching
epidemic proportions, is increasingly linked to risk factors resulting from
personal lifestyle choices. The growing evidence of the user's need to make
personal, informed, lifestyle choices and their reliance on the Web for health
information, required investigation. WELLNESS, a specific orientation to
health and wellness, formed the framework within which the user and
resources were defined and the tool designed. The user was profiled as the
WELLNESS health information seeker, hereby contributing significantly to an
understanding of the user in this new context. The user profile informed the
establishment of resource selection criteria and tool design. The identification
of WELLNESS content selection criteria, within a five-dimensional model, was
required to ensure quality, relevant and credible resources. The tool is
comprised of the WELLNESS thesaurus and WELLNESS database-driven
web site. The WELLNESS thesaurus was constructed based on a
combination of relevant thesauri. It will be used as an indexing tool. An
investigation of existing health information web sites highlighted the
importance of designing a specific WELLNESS database-driven web site. A
database host was identified against which the original study's conceptual
schema was assessed. A low-fidelity prototype web site was designed as the
interface between the WELLNESS health information seeker and the
database of WELLNESS health information resources. This study has
epidemiological, philosophical, epistemological, sociological and
psychological relevance. The provision of access to WELLNESS health
information resources, made available in the WELLNESS database-driven
web site, for personal, informed lifestyle choice by the WELLNESS health information seeker could potentially contribute to the reduction of the global
burden of chronic disease.Information Science
D.Litt. et Phil. (Information Science)
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Forland, Lindsay. "Evaluating the implementation of an electronic medical record system for a health organization-affiliated family practice clinic." Thesis, 2007. http://hdl.handle.net/1828/218.
Full textAbstract:
The use of technology in primary care settings is not a new concept; the benefits of implementing electronic medical records are stated throughout the literature related to gains in productivity, patient safety, and adherence to clinical guidelines. Yet, despite these benefits, the adoption of electronic medical records in primary care settings, in Canada remains low. This thesis research, a descriptive case study, is an in-depth look at
the process of electronic medical record implementation for a family practice group in an attempt to understand the process, technology, and the challenges associated with such as transition. This research uses two well-known models as its framework: the Delone and
McLean IS Success Model and John Kotter’s Eight Stages of Organizational Change. The use of the two models together is unique; their use together provides a broader look at the aspects of implementation including the environment in which it is being conducted.
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Nevhutalu, Ntsako Fikile. "Improving patient referral processes through electronic health record system : a case study of rural hospitals in Limpopo province." Diss., 2013. http://hdl.handle.net/10500/14352.
Full textAbstract:
In the last decade, the deployment of Electronic Health Records has increased tremendously in many developed countries. This increasing trend intensifies the need for developing countries like South Africa to implement electronic health record systems in state owned hospitals to facilitate e-referral processes to improve health care delivery.
The aim of this research was to investigate the current process of patient record keeping, management, and the referral process of patients within the same hospital and to other hospitals and based on the findings compile an Electronic Health Record (EHR) framework to facilitate e- referral processes.
This research study was based on a qualitative case study approach. A multiple data collection technique was used which included group interviews, questionnaires, document analysis and informal discussions with the hospital workers. Data were analysed by categorization and thematic approach.
The findings obtained from state hospitals indicated that there is no EHR system which accommodates patient health record systems to facilitate e-referral processes. These findings led to a compilation of the Limpopo Electronic Health Record System (LEHRS) to aid e-referral processes in state hospitals. The increasing need for accurate, reliable, available and accessible EHR will be addressed by the implementation of LEHRS as information will be stored in a central database in a useable format and will be easily accessed.Computing
M. Tech. (Information Technology)
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Gebre-Mariam, Mikael. "Exploring challenges in patient monitoring and clinical information management of antiretroviral therapy (ART) and the perceived usefulness of electronic medical records (EMRs) in HIV care in Ethiopia." Thesis, 2010. http://hdl.handle.net/1828/2616.
Full textAbstract:
The implementation of electronic medical record (EMR) systems is a complex process that is receiving more focus in developing countries to support understaffed and overcrowded health facilities deal with the HIV/AIDS epidemic. This thesis research uses exploratory-grounded theory to study clinician perceived benefits of EMRs in antiretroviral therapy (ART) clinics at four hospitals in Ethiopia. The study is designed to understand the process, technology, social and organizational challenges associated with EMR implementation in resource-limited areas. The research found the attitude of ART clinicians towards the implementation of EMR systems to be overwhelmingly positive. The data showed that perceived benefits of EMRs are improved continuity of care, timely access to complete medical record, patient care efficiency, reduced medication errors, improved patient confidentiality, improved communication among clinicians, integration of various HIV programs, timely decision support and overall job motivation. Conversely, drawbacks to EMR implementation include productivity loss and negative impact on the interaction and relationship between clinicians and their patients. The study proposes a conceptual framework classifying key components for successful EMR implementation in Ethiopia.
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Woodcock-Reynolds, Hilary Julian. "The use of browser based resources for literature searches in the postgraduate cohort of the Faculty of Humanities, Development and Social Sciences (HDSS) at the Howard College Campus of the University of KwaZulu-Natal." Thesis, 2011. http://hdl.handle.net/10413/7784.
Full textAbstract:
The research reflected here examined in depth how one cohort of learners viewed and engaged
in literature searches using web browser based resources. Action research was employed using a
mixed methods approach. The research started with a survey followed by interviews and a
screencast examining practice based on a series of search related exercises. These were
analysed and used as data to establish what deficits in using the web to search for literature
existed in the target group. Based on the analysis of these instruments, the problem was
redefined and a workshop intended to help remediate deficiencies uncovered was run.
Based on this a recommendation is made that a credit bearing course teaching digital research
literacy be made available which would include information literacy as a component.Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.
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Kawasme, Luay. "Context-aware information systems and their application to health care." Thesis, 2008. http://hdl.handle.net/1828/1219.
Full textAbstract:
This thesis explores the field of context-aware information systems (CAIS). We present an approach called Compose, Learn, and Discover (CLD) to incorporate CAIS into the user daily workflow. The CLD approach is self-adjusting. It enables users to personalise the information views for different situations. The CAIS learns about the usage of the information views and recalls the right view in the right situation. We illustrate the CLD approach through an application in the health care field using the Clinical Document Architecture (CDA). In order to realise the CLD approach, we introduce Semantic Composition as a new paradigm to personalise information views. Semantic Composition leverages the type information in the domain model to simplify the user-interface composition process. We also introduce a pattern discovery mechanism that leverages data-mining algorithms to discover correlations between user information needs and different situations.
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Newsom, Eric Tyner. "An exploratory study using the predicate-argument structure to develop methodology for measuring semantic similarity of radiology sentences." Thesis, 2013. http://hdl.handle.net/1805/3666.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)The amount of information produced in the form of electronic free text in healthcare is increasing to levels incapable of being processed by humans for advancement of his/her professional practice. Information extraction (IE) is a sub-field of natural language processing with the goal of data reduction of unstructured free text. Pertinent to IE is an annotated corpus that frames how IE methods should create a logical expression necessary for processing meaning of text. Most annotation approaches seek to maximize meaning and knowledge by chunking sentences into phrases and mapping these phrases to a knowledge source to create a logical expression. However, these studies consistently have problems addressing semantics and none have addressed the issue of semantic similarity (or synonymy) to achieve data reduction. To achieve data reduction, a successful methodology for data reduction is dependent on a framework that can represent currently popular phrasal methods of IE but also fully represent the sentence. This study explores and reports on the benefits, problems, and requirements to using the predicate-argument statement (PAS) as the framework. A convenient sample from a prior study with ten synsets of 100 unique sentences from radiology reports deemed by domain experts to mean the same thing will be the text from which PAS structures are formed.
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Kalash, Abeer. "Trust modelling through social sciences." Thesis, 2014. http://hdl.handle.net/1805/6454.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)In today's fast paced world, people have become increasingly interested in online communication to facilitate their lives and make it faster. This goes on from simple social interactions to more advanced actions like shopping on the internet. The presence of such activities makes it crucial for people to use their common sense and judgment to process all this information and evaluate what/who they trust and what/whom they do not. This process would have been much easier if the number of people in such networks is really small and manageable. However, there are millions of users who are hooked online every day. This makes the person very overwhelmed with his trusting decision, especially when it comes to interacting with strangers over the internet, and/or buying personal items, especially expensive ones. Therefore, many trust models have been proposed by computer scientists trying to evaluate and manage the trust between users using different techniques and combining many factors. What these computer scientists basically do is coming up with mathematical formulas and models to express trust in online networks and capture its parameters. However, social scientists are the people better trained to deal with concepts related to human behaviors and their cognitive thinking such as trust. Thus, in order for computer scientists to support their ideas and get a better insight about how to direct their research, people like social scientists should contribute. With this in mind, we realized in our group work the importance of such contribution, so we came up with the idea of my research work. In my search, I tried to find how these social scientists think and tackle a dynamic notion like trust, so we can use their findings in order to enhance our work and trust model. Through the chapters, I will discuss an already developed trust model that uses measurement theory in modeling trust. I will refer back to this model and see how other social scientists dealt with some of the issues encountered by the model and its functionality. Some small experiments have been done to show and compare our results with social scientists results for the same matter. One of the most important and controversial points to be discussed from social scientists' point of view is whether trust is transitive or not. Other points to be discussed and supported by social scientists' research include aggregation, reputation, timing effects on trust, reciprocity, and experience effects on trust. Some of these points are classified into trust mapping categories and others are related to trust management or decision making stages. In sum, this work is a multidisciplinary study of trust whose overall goal is to enhance our work and results, as computer scientists.
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Park, Seong Cheol. "Indianapolis emergency medical service and the Indiana Network for Patient Care : evaluating the patient match process." Thesis, 2014. http://hdl.handle.net/1805/3808.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)In 2009, Indianapolis Emergency Medical Service (I-EMS, formerly Wishard Ambulance Service) launched an electronic medical record system within their ambulances and started to exchange patient data with the Indiana Network for Patient Care (INPC). This unique system allows EMS personnel in an ambulance to get important medical information prior to the patient’s arrival to the accepting hospital from incident scene. In this retrospective cohort study, we found EMS personnel made 3,021 patient data requests (14%) of 21,215 EMS transports during a one-year period, with a “success” match rate of 46%, and a match “failure” rate of 17%. The three major factors for causing match “failure” were (1) ZIP code 55%, (2) Patient Name 22%, and (3) Birth Date 12%. This study shows that the ZIP code is not a robust identifier in the patient identification process and Non-ZIP code identifiers may be a better choice due to inaccuracies and changes of the ZIP code in a patient’s record.
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Desai, Akshay A. "Data analysis and creation of epigenetics database." Thesis, 2014. http://hdl.handle.net/1805/4452.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)This thesis is aimed at creating a pipeline for analyzing DNA methylation epigenetics data and creating a data model structured well enough to store the analysis results of the pipeline. In addition to storing the results, the model is also designed to hold information which will help researchers to decipher a meaningful epigenetics sense from the results made available. Current major epigenetics resources such as PubMeth, MethyCancer, MethDB and NCBI’s Epigenomics database fail to provide holistic view of epigenetics. They provide datasets produced from different analysis techniques which raises an important issue of data integration. The resources also fail to include numerous factors defining the epigenetic nature of a gene. Some of the resources are also struggling to keep the data stored in their databases up-to-date. This has diminished their validity and coverage of epigenetics data. In this thesis we have tackled a major branch of epigenetics: DNA methylation. As a case study to prove the effectiveness of our pipeline, we have used stage-wise DNA methylation and expression raw data for Lung adenocarcinoma (LUAD) from TCGA data repository. The pipeline helped us to identify progressive methylation patterns across different stages of LUAD. It also identified some key targets which have a potential for being a drug target. Along with the results from methylation data analysis pipeline we combined data from various online data reserves such as KEGG database, GO database, UCSC database and BioGRID database which helped us to overcome the shortcomings of existing data collections and present a resource as complete solution for studying DNA methylation epigenetics data.