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Dissertations / Theses on the topic 'Remote medical care solution'

Author: Grafiati

Published: 25 June 2021

Last updated: 1 February 2022

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1

Marcos, Dora Vanesa Diaz, Jhezsenia Huaman Romero, Jimmy Armas Aguirre, and Paola A. Gonzalez. "Reduction of complications generated by Type 2 Diabetes Mellitus using a remote health care solution in Peru." IEEE Computer Society, 2020. http://hdl.handle.net/10757/656574.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
In this article, we propose a technological architecture that supports the remote medical care service for elderly people suffering from Type 2 Diabetes Mellitus in Peru. The problem is based on the limitations that elderly people have with compliance with medical controls, which leads to increased complications of the disease and the patient's quality of life. The design of the technological architecture is based on 6 layers: 1) devices, 2) software, 3) channels, 4) data storage, 5) data processing and 6) information visualization. Through the solution, patients are able to autonomously manage their disease through periodic glucose control and the execution of an updated treatment in real time. In the same way, the specialist doctor periodically analyzes the glucose level and it is notified in real time about the out-of-range indicators, which allows him to make treatment decisions as the anomaly occurs. The focus of the solution is to reduce the complications generated by the disease through efficient glucose control and periodic medical advice. The solution was validated in a nursing home with adults over 60 and an endocrinologist from a medical office in Lima, Peru. For the study, we measured the constancy of the glucose record, the average response time of the doctor in case of emergencies or indicators out of range, the percentage of reduction of complications and the level of satisfaction of the Telehomecare solution in older adults. The results show that patients interact more frequently as they adapt the solution as part of their daily routine. On the other hand, the response time was approximately 4.13 minutes from the anomaly record. The percentage of complication reduction was 14% and the level of satisfaction of the solution was reflected in the dimensions of the response time and understanding of the user's need.
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2

Fan, Yun-sun Susan. "Medical insurance : the solution to health care financing in Hong Kong? /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236404.

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3

Fan, Yun-sun Susan, and 范瑩孫. "Medical insurance: the solution to health care financing in Hong Kong?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964047.

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4

Thornell, Margaret Louise. "A Community-Oriented Solution to Access to Care." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10829714.

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Access to primary health care services is a significant issue for many communities seeking to improve the health of their populations. This single case study describes the 12-year journey of 2 adjoining rural counties in 2 states towards meeting the primary and specialty care needs of the uninsured and underinsured population. Data were triangulated using historical documents, first-person interviews, and health utilization data. The community leadership moved through various models including a free clinic and a university-sponsored health center before finally establishing a federally qualified health center, which now serves 40,000 citizens in these counties. The site is now hosting new programs funded by research grants in alliance with area universities. Success is contributed to an unwavering desire to provide a medical home for the underinsured and underinsured, a shared vision, recognition that continued success was dependent on a funding source, recognition that practices and processes must be in place to assist with navigation for those in need of services to seek care at the appropriate venue, and a belief that the infrastructure built to provide care was sustainable. All participants recognized the importance of funding for sustainability. Positive social change has occurred from the emergence of a multidisciplinary center to serve the community’s uninsured and underinsured, thus improving access to care, management of chronic conditions, and access to behavioral health professionals. Findings from this study may inform other communities faced with similar problems and can inform legislators of the importance of federally qualified health centers in the provision of health care to vulnerable populations.

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5

Shozi, Nobubele Angel. "Factors affecting the use of mobile devices for remote data collection in home community based care." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1012621.

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The health care systems of developing countries, which are already weak, have to carry an additional strain brought on by the burden of infectious diseases. This added strain means that the health care provided is not of the highest quality. The use of home community based care (HCBC) was introduced as an attempt to provide basic health care services to people through the services of community health care workers (CHCW). With the development of HCBC in developing countries and the CHCW playing a vital role in ensuring that the lives of people living with diseases are improved, the need for information and communication technology (ICT) solutions is increased. The information that is collected by the CHCW is paper-based and it cannot be analysed and used efficiently and effectively. This study embraces the adoption of a socio-technical perspective when an ICT solution is introduced in an environment. A socio-technical perspective focuses on three dimensions: the user, the environment and the technology used. These three need to be in coherence to ensure that the technology is used effectively by the user within the environment. Therefore the objective of this study is to identify a list of socio-technical factors that affect CHCWs when they are using mobile phones for data collection purposes in home community based care. In order to achieve this it was necessary to understand how the socio-technical subsystems of the HCBC environment are constituted. The study followed a qualitative approach, including interviews and observations, to collect the data which will best enable the researcher to understand the home community based care environment, its people and the use of the technology to collect data in this environment, in particular mobile phones. A qualitative content analysis approach was followed to analyse the data and constitute a list of factors affecting the use of mobile devices for remote data collection in home community based care. It is hoped that this research will assist to inform the design of appropriate mobile health applications to both ease the burden of CHCWs (i.e. it should be faster and easier to use than paper) and improve the healthcare service provided through enabling access to patient records to all partners in the care continuum.

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6

Shiu, Wan-yee Ruby. "An evaluation on 2007 obstetric service policy in Hong Kong a solution to the service-seeking behaviour of Mainland pregnant women? /." Click to view the E-thesis via HKUTO, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38598358.

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7

Watson, James W. "Free Clinics and the Uninsured: The Need for Remote Area Medical in Central Appalachia After Health Reform." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etd/1358.

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In 2008, the election of President Barack Obama brought health care to the forefront of national discussions and led to the passage of the Patient Protection and Affordable Care Act (ACA). The legislation changed the rules of health care delivery in the United States, but the ACA did not do one fundamental thing: It did not end the need for many of the nation's most needy patients to seek free medical care from groups such as Remote Area Medical (RAM). A mobile clinic, RAM brings together volunteer dentists, physicians, nurses, and other professionals as well as support staff for multi-day clinic events to provide free, on-site care to anyone presenting for treatment without qualification questions. This thesis looks at the ongoing need for RAM in central Appalachia after the passage of the ACA due to a continued lack of comprehensive health care coverage for all Americans.

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8

Kaur, Harsimran. "Digitally Enabled, Wearable Remote Patient Monitoring of Clinical Trials to Assess Patient Reported Outcomes-A Systematic Review : Shifting Paradigm from Site-Centric to Patient Centric Health Care." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-45283.

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Summary: Although the digital revolution has transformed many niches of human activity, healthcare sector and pharmaceutical drug development has been relatively slow in embracing emerging technologies to optimize health efficacy, especially in Nordic Countries. The topic is of more importance now owing to the present scenario of the corona virus (COVID-19)outbreak, which has caused unparalleled disruption in the conduct of clinical trials and presented challenges as well as opportunities for clinical trialists and data analysts. In this master thesis, the potential opportunity with virtual or digital clinical trials as viable options to enhance drug development efficiency is highlighted that offers diverse patients easier and attractive ways to participate in clinical trials. Special reference is made to wearable devices in clinical trial execution and generating real world data; its acquisition and processing in a virtual trial setting. Issues of patient safety, measurement reliability and validity, and data privacy & integrity are reviewed, and considerations are put forward for mitigation of underlying regulatory andoperational barriers. The aim of this thesis is to assess the recent wearable technologies that generate Real World Data and to understand the potential of this data to transform Nordic healthcare industry. A systematic review of clinical trials involving wearable patient monitoring technique in North America, Nordic Countries and other European countries was conducted. Out of various innovative wearable technologies, Smartwatches are found to be the most common and it is also observed that these wearable technologies have been able to help in early detection and diagnosis of diseases and modify disease progression by real time monitoring of data and develop precision medicine. thus, it is concluded that Wearable Remote Patient Monitoring is a novel technique that has few barriers;but promises a big transformation in Nordic Countries as well as in entire healthcare industry.

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Shiu, Wan-yee Ruby, and 邵韻儀. "An evaluation on 2007 obstetric service policy in Hong Kong: a solution to the service-seeking behaviourof Mainland pregnant women?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B38598358.

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10

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.

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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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11

Koelemeijer, Dorien. "The Design and Evaluation of Ambient Displays in a Hospital Environment." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23601.

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Hospital environments are ranked as one of the most stressful contemporary work environments for their employees, and this especially concerns nurses (Nejati et al. 2016). One of the core problems comprises the notion that the current technology adopted in hospitals does not support the mobile nature of medical work and the complex work environment, in which people and information are distributed (Bardram 2003). The employment of inadequate technology and the strenuous access to information results in a decrease in efficiency regarding the fulfilment of medical tasks, and puts a strain on the attention of the medical personnel. This thesis proposes a solution to the aforementioned problems through the design of ambient displays, that inform the medical personnel with the health statuses of patients whilst requiring minimal allocation of attention. The ambient displays concede a hierarchy of information, where the most essential information encompasses an overview of patients’ vital signs. Data regarding the vital signs are measured by biometric sensors and are embodied by shape-changing interfaces, of which the ambient displays consist. User-authentication permits the medical personnel to access a deeper layer within the hierarchy of information, entailing clinical data such as patient EMRs, after gesture-based interaction with the ambient display. The additional clinical information is retrieved on the user’s PDA, and can subsequently be viewed in more detail, or modified at any place within the hospital.In this thesis, prototypes of shape-changing interfaces were designed and evaluated in a hospital environment. The evaluation was focused on the interaction design and user-experience of the shape-changing interface, the capabilities of the ambient displays to inform users through peripheral awareness, as well as the remote communication between patient and healthcare professional through biometric data. The evaluations indicated that the required attention allocated for the acquisition of information from the shape-changing interface was minimal. The interaction with the ambient display, as well as with the PDA when accessing additional clinical data, was deemed intuitive, yet comprised a short learning curve. Furthermore, the evaluations in situ pointed out that for optimised communication through the ambient displays, an overview of the health statuses of approximately eight patients should be displayed, and placed in the corridors of the hospital ward.

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12

Pereira, Madalena Cachão Collares. "Consulting project for José de Mello Saúde: enhancing remote medical care in the portuguese market." Master's thesis, 2020. http://hdl.handle.net/10362/115538.

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The following report has the objective of assessing the remote health care market and defining how José de Mello Saúde can sustain its leadership position by establishing are mote clinical relationship with its clients. For that purpose, a market assessment was conducted, followed by an extensive analysis of the clients’ demand and of the health care professionals’ willingness to provide remote clinical services. Finally, the team focused its attention on there commendation of three services, which are the Teleconsultation ,the Clinical Contact Centre and the Direct Contact to Doctor. In the end, some limitations and future challenges were also analysed

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13

McIntosh, Bryan, B. Sheppy, and S. Rane. "An IndianTragedy, an Indian Solution : Perspective of Managing Service Quality in Emergency Medical Services in India." 2012. http://hdl.handle.net/10454/6513.

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India, the world’s largest democracy and second most populous country, is in the midst of an economic boom with gross domestic product growth averaging nearly 8% over the past several years despite a worldwide recession. The World Health Organization (WHO) has predicted that trauma case related deaths in India will move from ninth position up to the third position by 2020. The organization structure for an improved national trauma system in India will depend on a national inclusive strategy supported by resources and funding within a service quality framework to win public trust. This must include an integrated nationally coordinated approach to the organization of pre-hospital care facilities, hospital networking and communication systems, and the organization of in-hospital care.

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14

Simões, Maria Monteiro. "Consulting project for José de Mello saúde: enhancing remote medical care in the portuguese market- an overview of the potential remote clinical services." Master's thesis, 2020. http://hdl.handle.net/10362/107385.

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The following work project has the objective of developing the foundations for José de Mello Saúde ente ring the telemedicine market. The company's back ground and its financial performance are first presented, followed by the company’s resources and capabilities that can beused to embrace this new market. In addition, key national and world wide trends that are shaping the health care market and impacting JMS’s business were identified. The conducted benchmarks how show players are serving the market and the main remote clinical services of fered. Lastly, recommendations are givenin order to stream line the current process of contact in gadoctor.

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15

Mendes, João Maria De Herédia De Sousa. "Consulting project for José de Mello saude: enhancing remote medical care in the Portuguese market estimating the potential profitability of clinical remote services." Master's thesis, 2020. http://hdl.handle.net/10362/106057.

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The following report gives an overview of the viability of a Clinical Contact Centre as well as of the future challenges that José de Mello Saúde may face in the future. In relation to the Clinical Contact Centre, a qualitative research was performed regarding nurses’ willingness to provide out bound contacts in a centralized contact centre. Additionally, an operational recommendation is presented, which materializes in the definition of the daily operations since pilot testing to steady-state. To complement this recommendation, a detailed cost-benefit analysis is also provided. Lastly, the future challenges of the health care industry were identified.

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Lancastre, Maria Luísa Furtado De Mendonça. "Consulting project for José de Mello saúde: enhancing remote medical care in the portuguese market an investigation of the potential demand for clinicalL remote services." Master's thesis, 2020. http://hdl.handle.net/10362/115572.

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The following report aims to investigate if there is a business opportunity for José de Mello Saúde to innovate and extend the services provided by doctors through remote interactions. This analysis was conducted with the performance of qualitative research both to doctors and clients in order to assess their willing ness to provide/ use this new digital service .More over, with the support of internal teams, it was designeda detailed prototype of a teleconsultation pilot as well as a work flow of activities considering two potential partnerships .Finally, al is to the main limitations faced during the project was also analysed.

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17

Hsueh, Thomas Y., and 薛又仁. "FeedingGenius® Smart Feeder Medical Device Development - the Unmet Need and Solution for Long-term Care Patients." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/me87s5.

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18

Chen, Yu-Sheng, and 陳佑勝. "The Implementation of Home Medical Care in a Remote Area:A Case Study of a District Hospital of Eastern Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/s2vdkj.

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碩士
國立臺灣大學
健康政策與管理研究所
107
Research purposes: This study has four purposes. The first purpose aimed to elucidate factors that will affect the willingness of the care service team, patients, and their family members to participate in the “National Health Insurance Home Medical Care Integration Plan (HMCIP)”. The second aimed to understand problems that may be encountered when implementing the HMCIP. The third aimed to analyze discrepancies between the amount and the scope of payment and the users’ willingness to pay. The fourth aimed to explore the willingness and the influencing factors of the medical staffs who have not joined the service yet. The fourth aimed to conduct strategies and assessments for the case agency on expanding their service in the future or enabling more medical staffs to join the home medical service. Research method: Literatures concerning the implementation and development of home medical care services in the United States, Japan, France, and Australia were reviewed extensively. We applied case study with a semi-structured in-depth interview to analyze the strength-weakness-opportunities-threats (SWOT) of the case organization for implementing the HMCIP. Research result: The factors that can positively enhance the willingness of the service team (or the medical staffs who are not included in the program) to participate HMCIP include: ample medical staffs with willingness to dedicate themselves, simplified administrative procedures, interactive resource supports, a reasonable amount or range of payments, policy or service promotions, innovation of medical care models, and correction of out-of-date medical care habits. The factors which may influence patients and their family members to join HMCIP include: convenience of getting medical services, costs of co-payment, and customs. The implementation of HMCIP has not considered the relatively high costs in remote areas. Our analysis suggests that targeted payments or resources should be provided in different areas. Analysis conclusion: In the future, the organization needs to expand its service areas (Taitung City, Beinan Township,) to link long-term care and discharge preparation services in other hospitals, to integrate related services or plans, to continue recruiting medical staffs with enthusiasm for service, to conduct the informatization of care operations, to assign specialized nurses or case managers, to provide cost subsidies for vulnerable patients in the region, and to expand community cooperation agencies (community physicians, pharmacies, home care centers.) Building home medical care requires a patient-centered cohesive team that provides comprehensive and coordinated care. We should make efforts to slow down patients’ disability, to implement health care management to reduce social costs, and to enforce patients to recover, or finish their last path of life, in a familiar and comfort environment.

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19

Quintana, João Miguel Nunes Leite de Castro de. "Transforming lives and the halthcare business : remote patient 5G-IoT technology monitoring solution for the home hospitalization service." Master's thesis, 2019. http://hdl.handle.net/10400.14/29251.

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Nowadays, we live in an evolutionary world driven by technology and reliant on internet connectivity. 5G is the new cellular wireless technology imminent in the market, and it’s expected to enable innovation and transformation across many vertical industries. One of the most promising is the Healthcare industry once it’s facing an enormous digital and structural transformation. While a new business model is emerging (VBHC), new ways of providing care are also evolving, as the Home Hospitalization service. Portugal is following the global market trends, thus, recently, the government created a financial incentive to encourage the service deployment across public hospitals with the aim of reducing the hospitalization costs, the bed shortage crisis, and enhancing care quality and patients’ satisfaction. Consequently, many hospitals across the country are implementing the service. Therefore, this dissertation’s topic arise, with the aim of accessing, whether 5G-IoT Technology's use in a remote monitoring products’ kit, for the Home Hospitalization service represents a real Business Opportunity. A cross-sectional descriptive-exploratory research was performed through 6 in-depth expert interviews and 3 online surveys to understand the different stakeholders’ perspectives regarding the service proposed. The results showed a great interest from all the inquired: 82% of Hospital Managers claimed a great interest in acquiring; 75% of the general population stated that was very likely they would choose it; and 88% of Healthcare Professionals agreed that its integration in the HH service was useful. Accordingly, it was concluded that the Portuguese market has great potential.
Atualmente, vivemos em constante evolução, impulsionados pela tecnologia e dependentes da conectividade. O 5G é a nova tecnologia de comunicação móvel iminente no mercado, e espera-se que potencialize a inovação e transformação digital de muitas indústrias verticais. Uma das indústrias mais promissoras é a da saúde, porque está a experiênciar uma enorme transformação digital e estrutural. Um novo modelo de negócio e novas formas de prestar cuidados de saúde estão a emergir, como a Hospitalização Domiciliária. Portugal está a seguir as tendências do mercado global e, recentemente, o governo criou um incentivo financeiro para encorajar a implementação deste serviço em hospitais públicos com o objetivo de reduzir custos com hospitalização, fazer face à falta de camas e melhorar a qualidade dos serviços e a satisfação dos pacientes. Consequentemente, muitos hospitais em todo o país estão a implementar o serviço. Assim, surge o tema desta dissertação, que visa estudar a oportunidade de negócio que o uso da tecnologia 5G-IoT poderá trazer se incorporada num kit de produtos de monitorização remota. Desta forma, foi executado um estudo descritivo-exploratório com 6 entrevistas e 3 questionários online, para tentar compreender as perspectivas dos diferentes intervenientes no serviço. Os resultados demonstram um grande interesse por parte de todos os inquiridos: 82% dos gestores hospitalares alegaram um grande interesse em adquirir; 75% da população geral afirmou que era muito provável escolherem; e 88% dos profissionais de saúde concordaram que sua integração no serviço era útil. Assim, concluiu-se que o mercado português tem um grande potêncial.

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