Дисертації з теми "Technology and healthcare"
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1
Crawford, William Charles Richards. "Mapping healthcare information technology." Thesis, Massachusetts Institute of Technology, 2010. http://hdl.handle.net/1721.1/58179.
Анотація:
Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2010.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 56-58).
In this thesis I have developed a map of Healthcare Information Technology applications used in the United States for care delivery, healthcare enterprise management, clinical support, research and patient engagement. No attempt has previously been made to develop such a taxonomy for use by healthcare policy makers and on-the-spot decision makers. Using my own fifteen years of experience in HIT, along with an extensive set of literature reviews, interviews and on-site research I assembled lists of applications and organized them into categories based on primary workflows. Seven categories of HIT systems emerged, which are Practice Tools, Advisory Tools, Financial Tools, Remote Healthcare Tools, Clinical Research Tools, Health 2.0 Tools and Enterprise Clinical Analytics, each of which have different operational characteristics and user communities. The results of this pilot study demonstrate that a map is possible. The draft map presented here will allow researchers and investors to focus on developing the next generation of HIT tools, including software platforms that orchestrate a variety of healthcare transactions, and will support policy makers as they consider the impact of Federal funding for HIT deployment and adoption. Further studies will refine the map, adding an additional level of detail below the seven categories established here, thus supporting tactical decision making at the hospital and medical practice level.
by William Charles Richards Crawford.
S.M.
2
Sains, Parvinderpal Singh. "Remote presence robot technology in healthcare." Thesis, Imperial College London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502121.
3
Santos, João Pedro Nunes dos. "Identity management in healthcare using blockchain technology." Master's thesis, Universidade de Évora, 2018. http://hdl.handle.net/10174/24008.
Анотація:
Bitcoin served as the catalyst for creating a solution to secure digital transactions without requiring a trusted
third party to be involved. To solve this problem, the mechanisms now associated with a Blockchain were conceptualized
and implemented to serve as the backbone for the Bitcoin network. More specifically, it was used
as a security tool making Bitcoin a more transparent and reliable form of cash, a digital cryptographic currency.
Even tough Bitcoin ended up not fulfilling its intended purpose as a currency, the Blockchain technology has
enabled further avenues for innovation and creativity.
Blockchain has since been used as the backbone for various cryptocurrencies networks. Some implementations
of this technology allow the execution of code, also known as ”smart contracts”. Smart contracts are
executed in an autonomous manner, with no human intervention. These can be used to solve a new set of
problems due to their transparent behavior, lack of human intervention and distributed nature.
Blockchain technology allows the creation of systems that introduce a number of benefits over traditional data
handling used in today’s Healthcare Information Systems. Costs and risks associated with these systems can
be reduced and information can become transparent and trustworthy to all participants.
The Hyperledger Fabric Network with true private transactions and advanced security mechanisms was used to
serve as the basis for the system proposed in this dissertation. Moreover, a client application was also created
that interacts with smart contracts to manipulate the ledger.
The work discussed in this dissertation shows that a Blockchain system based on Hyperledger Fabric is suitable
for managing patients identity, in Healthcare. Even tough the feature set of this Blockchain is very focused in
privacy and security, some additional measures regarding confidentiality of data had to be implemented. Regardless,
a system was built successfully that met the requirements. The implementation of this system would
provide transparency, immutability and additional security for patients and medical staff alike; Sumário:
Gestão de Identidade nos Serviços de Saúde Utilizando Tecnologia Blockchain
A criptomoeda Bitcoin foi essencial para criar uma solução para transacções digitais seguras, sem requerer
a participação de um terceiro interveniente fidedigno para ambas as partes. Para resolver este problema, os
mecanismos que hoje são associados com a tecnologia Blockchain foram concebidos e implementados para
servir como base para a rede da Bitcoin. Mais especificamente, esta foi utilizada como um mecanismo de segurança,
de forma a tornar a Bitcoin uma forma de dinheiro mais transparente e estável, uma moeda criptográfica.
Mesmo que a Bitcoin não tenha conseguido cumprir o seu propósito original, a tecnologia Blockchain despoletou
novas inovações e permitiu maior criatividade.
A Blockchain tem sido, desde então, a base tecnológica de várias criptomoedas. Algumas implementações
desta tecnologia permitem a execução de código de uma forma autónoma exactamente como foi programado,
sem intervenção humana. Habitualmente chamados smart contracts, estes podem ser usados para resolver um
novo conjunto de problemas devido ao seu comportamento transparente, ausência de intervenção humana e
devido à sua natureza distribuida.
A Blockchain é uma tecnologia que permite a criação de sistemas que introduzem um conjunto de beneficios
em relação aos sistemas tradicionais de armazenamento de dados utilizados nos serviços de saúde. Custos e
riscos associados a estes sistemas podem ser reduzidos e a informação pode ser mais transparente e fidedigna
para todos os participantes.
A rede Hyperledger Fabric com transacções privadas e mecanismos avançados de segurança foi usada como
base para a criação do sistema proposto nesta dissertação. Adicionalmente, uma aplicação foi criada que usa
smart contracts para manipular o ledger da Blockchain.
O trabalho apresentado nesta dissertação mostra que um sistema baseado em Blockchain, neste caso em Hyperledger
Fabric, é adequado a gerir a identidade de utentes, em organizações prestadoras de cuidados de
saúde. Apesar das funcionalidades apresentadas por esta plataforma serem focadas em privacidade e segurança,
algumas medidas adicionais em torno da confidencialidade dos dados tiveram de ser implementadas.
Independentemente disso, o sistema foi construido com sucesso e conseguiu cumprir os requerimentos que
foram definidos. A implementação deste sistema em serviços de saúde traria tranparência, imutabilidade e
segurança adicional para utentes e profissionais de saúde.
4
Watson, Amanda Annette. "Wearable Technology For Healthcare And Athletic Performance." W&M ScholarWorks, 2020. https://scholarworks.wm.edu/etd/1593091706.
Анотація:
Wearable technology research has led to advancements in healthcare and athletic performance. Devices range from one size fits all fitness trackers to custom fitted devices with tailored algorithms. Because these devices are comfortable, discrete, and pervasive in everyday life, custom solutions can be created to fit an individual's specific needs. In this dissertation, we design wearable sensors, develop features and algorithms, and create intelligent feedback systems that promote the advancement of healthcare and athletic performance. First, we present Magneto: a body mounted electromagnet-based sensing system for joint motion analysis. Joint motion analysis facilitates research into injury prevention, rehabilitation, and activity monitoring. Sensors used in such analysis must be unobtrusive, accurate, and capable of monitoring fast-paced dynamic motions. Our system is wireless, has a high sampling rate, and is unaffected by outside magnetic noise. Magnetic noise commonly influences magnetic field readings via magnetic interference from the Earth's magnetic field, the environment, and nearby ferrous objects. Magneto uses the combination of an electromagnet and magnetometer to remove environmental interference from a magnetic field reading. We evaluated this sensing method to show its performance when removing the interference in three movement dimensions, in six environments, and with six different sampling rates. Then, we localized the electromagnet with respect to the magnetic field reader, allowing us to apply Magneto in two pilot studies: measuring elbow angles and calculating shoulder positions. We calculated elbow angles to the nearest 15â—¦ with 93.8% accuracy, shoulder position in two-degrees of freedom with 96.9% accuracy, and shoulder positions in three-degrees of freedom with 75.8% accuracy. Second, we present TracKnee: a sensing knee sleeve designed and fabricated to unobtrusively measure knee angles using conductive fabric sensors. We propose three models that can be used in succession to calculate knee angles from voltage. These models take an input of voltage, calculate the resistance of our conductive fabric sensor, then calculate the change in length across the front of the knee and finally to the angle of the knee. We evaluated our models and our device by conducting a user study with six participants where we collected 240 ground truth angles and sensor data from our TracKnee device. Our results show that our model is 94.86% accurate to the nearest 15th degree angle and that our average error per angle is error per angle is 3.69 degrees. Third, we present ServesUp: a sensing shirt designed to monitor shoulder and elbow motion during the volleyball serve. In this project, we will designed and fabricated a sensing shirt that is comfortable, unobtrusive, and washable that an athlete can wear during and without impeding volleyball play. To make the shirt comfortable, we used soft and flexible conductive fabric sensors to monitor the motion of the shoulder and the elbow. We conducted a user study with ten volleyball players for a total of 1000 volleyball serves. We classified serving motion using a KNN with a classification accuracy of 89.2%. We will use this data provide actionable insights back to the player to help improve their serving skill. Fourth, we present BreathEZ, the first smartwatch application that provides both choking first aid instruction and real-time tactile and visual feedback on the quality of the abdominal thrust compressions. We evaluated our application through two user studies involving 20 subjects and 200 abdominal thrust events. The results of our study show that BreathEZ achieves a classification accuracy of 90.9% for abdominal thrusts. All participants that used BreathEZ in our study were able to improve their performance of abdominal thrusts. Of these participants, 60% were able to perform within the recommended range with the use of BreathEZ. Comparatively no participants trained with a video only reached that range. Finally, we present BBAid: the first smartwatch based system that provides real-time feedback on the back blow portion of choking first aid while instructing the user on first aid procedure. We evaluated our application through two user studies involving 26 subjects and 260 back blow events. The results of our study show that BBAid achieves a classification accuracy of 93.75% for back blows. With the use of BBAid, participants in our study were able to perform back blows within the recommended range 75% of the time. Comparatively the participants trained with a video only reached that range 12% of the time. All participants in the study, after receiving training were much more willing to perform choking first aid.
5
Szilagyi, Kristoffer, and Carl Glennfalk. "Blockchain technology within the Swedish healthcare sector." Thesis, Malmö universitet, Fakulteten för teknik och samhälle (TS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-20838.
Анотація:
Sverige är ett av de mest framträdande digitaliserade länderna inom EU. Men vissa sektorer har hamnat efter i digitaliseringsprocessen, en av dem är sjukvården. Sjukvården är en av de mest informationsintensiva sektorerna i det svenska samhället, det är kritiskt att IT-systemen är sammanhållna och kommunicerande med varandra, s.k. interoperabla. Just där brister sjukvårdens IT-system idag, men sjukvården som organisation brister också i att ha någon form av enhetlig standard för hur vårdinformation ska dokumenteras. Dessa brister leder till försämrad vårdkvalitet och arbetsmiljö för vårdpersonalen. Syftet med denna studie är att utveckla en artefakt för hur blockkedjeteknikens egenskaper kan användas för att förbättra interoperabiliteten i de svenska hälso- och sjukvårdssystemen. Vi har genomfört studien med en designbaserad metod, där vi tar fram en modell baserat på blockkedjans egenskaper och presenterade problem utifrån sex intervjuer av personer som arbetar med IT i vården. Vårt resultat visar att blockkedjan har egenskaper som kan stödja interoperabilitet i sjukvården. Resultatet visar också det krävs en balans mellan säkerhet och flexibilitet samt någon form av standard för hur vårdinformation ska dokumenteras, antingen på nationell eller regional nivå, för att skapa interoperabilitet.Sweden is one of the most prominent digitized countries within the European Union. But some sectors have fallen behind in the digitizing process; one of them is the healthcare sector. The healthcare sector is one of the most information intensive fields in the Swedish society, where it is critical that the IT-systems are integrated and communicative with each other, so-called interoperable. Today's IT systems in healthcare are failing in terms of interoperability, but the healthcare itself as an organisation also fails to have some sort of uniform standard for documenting health data. These deficiencies lead to an impaired quality of care for the patients but also a worsened environment for the healthcare professionals. The purpose of this study is to develop an artefact for how the capabilities of the blockchain technology can be used to improve interoperability within the Swedish healthcare systems. We’ve conducted this paper by using a design-science based method, where we have developed a model based on the capabilities of blockchain technology and issues presented based on interviews with six people working with IT within healthcare. Our findings show that the blockchain technology has capabilities that can support interoperability within the healthcare systems. Our findings also show that to achieve interoperability there is a need to balance security and flexibility as well as some form of unified standard for how healthcare data is to be documented, on either a national or regional level.
6
LASORSA, IRENE. "Technology and Service Assessment Tools in Healthcare." Doctoral thesis, Università degli Studi di Trieste, 2017. http://hdl.handle.net/11368/2908174.
Анотація:
The role of clinical engineers is rapidly changing and the economic constraints have pulled them towards new responsibilities to manage. Particularly, the assessment of health technologies has covered one of the most important areas among clinical engineers’ duties. Different techniques and methodologies for technology assessment and improvement are available in the literature and they are currently in use within hospitals and healthcare facilities. However, scientific research and practical needs seem to be misaligned, causing misuse of scientific results due to the lack of tools easy-to-use from practical perspective.
This thesis aims at integrating methodologies, even derived from different sectors, for providing standardized and versatile tools that overcome the current issues, providing healthcare facility with a path to follow for choosing the best methodology to be used in diverse situations.
Different case studies are presented, in order to cover the wide range of possibilities within health technology assessment (HTA). Particularly, technology assessment was performed on medical devices using both Hospital-Based HTA for an existing technology and horizon scanning for designing an innovative solution. Then the assessment was extended to hospital services, with particular attention to clinical engineering services, using Multi-Criteria Decision Analysis. Process improvement methodologies were also considered and applied to sterilization service that was also studied and assessed integrating the classical HTA approach with Multi-Criteria Decision Analysis.
These studies allowed to identify a path useful from practical perspective and based on scientific approach aimed at helping healthcare professionals and clinical engineers to choose the best methodology in accordance to specific constraints and needs of particular situations.
7
Andersson, Ann-Christine. "Practice-based Improvements in Healthcare." Licentiate thesis, Linköpings universitet, Kvalitetsteknik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-63717.
Анотація:
A central problem for the healthcare sector today is how to manage change and improvements. In recent decades the county councils in Sweden have started various improvement initiatives and programs in order to improve their healthcare services. The improvement program of the Kalmar county council, which constitutes the empirical context for this thesis, is one of those initiatives. The purpose of this thesis is to contribute to a broader understanding of large-scale improvement program in a healthcare setting. This is done by analyzing practitioner’s improvement ideas, describing participants in the improvement projects, revising and testing a survey to measure the development of improvement ideas and describing the improvement program from a theoretical perspective. The theoretical change model used looks at change from two opposing directions in six dimensions; Goals, Leadership, Focus, Process, Reward system and Use of consultants. The aims of the county council improvement program are to become a learning organization, disseminate improvement methodologies and implement continuous quality improvements in the organization. All healthcare administrations and departments in the county council were invited to apply for funds to accomplish improvement projects. Another initiative invited staff teams to work with improvement ideas in a program with support from facilitators, using the breakthrough methodology. Now almost all ongoing developments, improvements, patient safety projects, manager and leader development initiatives are put together under the county council improvement program umbrella. In the appended papers both qualitative and quantitative research approach were used. The first study (paper I) analyzed which types of improvement projects practitioners are engaged in using qualitative content analysis. Five main categories were identified: Organizational Process; Evidence and Quality; Competence Development; Process Technology; and Proactive Patient Work. Most common was a focus on organizational changes and process, while least frequent was proactive patient work. Besides these areas of focus, almost all aimed to increase patient safety and increase effectiveness and availability. Paper II described the participants in two of the initiatives, the categorized improvement projects in paper I and the team members in the methodology guided improvement programs. Strong professions like physicians and nurses were well represented, but other staff groups were not as active. Managers were responsible for a majority of the projects. The gender perspective reflected the overall mix of employees in the county council. Paper III described a revision and test of a Minnesota Innovation Survey (MIS) that will be used to follow and measure how quality improvement ideas develop and improve over time. Descriptive statistics were presented. The respondents were satisfied with their work and what they had accomplished. The most common comment was about time, not having enough time to work with the improvement idea and the difficulty of finding time because of regular tasks. This was the first test of the revised survey and the high use of the answer alternative “Do not know” showed that the survey did not fit the context very well in its present version. Trying to connect the county council improvement program and the initiatives studied in papers I and II with the change model gave rise to some considerations. The county council improvement program has an effort to combine organizational changes and a culture that encourages continuous improvements. Top-down and bottom-up management approaches are used, through setting out strategies from above and at the same time encouraging practitioners to improve their day-to-day work. Whether this will be a successful way to implement and achieve a continuous improvement culture in the whole organization is one of the main issues remaining to find out in further studies.
8
Allsop, Matthew John. "Involving children in the design of healthcare technology." Thesis, University of Leeds, 2010. http://etheses.whiterose.ac.uk/1000/.
Анотація:
Although children are potential end users of healthcare technology, very little research has investigated their role in its design. Subsequently, very little guidance and few research methods are available for designers of healthcare technology to use in practice. Given that research involving funding from public sector sources in the United Kingdom calls for the compulsory addition of user involvement, there is a need to explore the most suitable methods to ensure the involvement of child populations in the design of healthcare technology. The first stage of the research explored the use of four interview methods for involving children in healthcare technology design. Personal and environmental factors influencing child involvement were examined, alongside the cost and value of child participation. A framework for examining the use of methods for designing with children was also developed and applied. The experience gathered from involving children in the first stage was used to inform the development of an internet application and practice guidelines in the second stage of the research. The internet application was provided as a means of overcoming a range of barriers to child involvement, including disability. The internet application also provided the opportunity to explore the involvement of children in the evaluation of healthcare technology. The experience gathered throughout all of the research was synthesised to produce guidelines for future research in the area. Although interview methods were used to involve children in the design of healthcare technology, future research should focus on examining a wider range of methods. It is recommended that strategies for validating information gathered from children should also be developed. Such future endeavours could be assisted by the insight provided in the guidelines and experiences formed throughout this research.
9
Ben, Basat Yaël, and Maja Ronca. "Effects of blockchain technology on Sweden's digital healthcare." Thesis, KTH, Skolan för industriell teknik och management (ITM), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-254201.
Анотація:
Blockchain technology has recently gained increased attention. Experts praise it as the “new Internet” for goods. The potential of blockchain technology today is undeniable. Yet, initiatives in other areas, outside the financial sector, are slow to evolve. Academic research shows a lack of studies on how blockchain, as a new disruptive innovation could affect the healthcare system. This paper sets out with the ambition to explore how blockchain technology can affect Sweden’s digital healthcare. More specifically, the study is based on a theoretical analysis. By firstly presenting a literature review on the topic, the theoretical framework based on trust theories, digitalization of the healthcare industry, globalization, data ownership and blockchain technology is developed through an analysis of established theoretical developments. The study proceeds from a constructivist perspective, acknowledging that the healthcare industry, with trends such as globalization and data ownership, could potentially be affected from a disruptive new technology such as blockchain. The findings suggest that blockchain technology could find a promising implementation in the healthcare industry, by creating trust for patient data ownership. However, the technology is still shows limitations and vulnerabilities, and thus cannot be applied immediately.
10
Kinley, Chad A. "Healthcare Technology: A Strategic Approach to Medical Device Management." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etd/1434.
Анотація:
The constant evolution of medical technology has increased the demand for managing medical devices to ensure safety and effectiveness. In this paper I will investigate how biomedical engineering has addressed the issue of equipment management and identifies strategies to successfully maintain an inventory of medical devices. Through research, on-the-job experience, and in-depth discussions with various biomedical engineering managers, I have been able to document possible equipment strategies and best practices for managing medical devices. There is really no "one size fits all" to medical equipment management due to the various clinical environments, but there are many aspects that remain necessary to ensure proper equipment safety and function while meeting or exceeding various regulatory requirements.
11
Dalla, Rosa Vittoria Scintilla <1997>. "Blockchain technology in Healthcare: a multiple case study analysis." Master's Degree Thesis, Università Ca' Foscari Venezia, 2021. http://hdl.handle.net/10579/20406.
Анотація:
L'elaborato mira ad analizzare le potenzialità della tecnologia Blockchain nel settore sanitario. Il testo si apre con una descrizione degli attuali problemi che affliggono la sanità, con la contestuale introduzione delle nozioni riguardanti la tecnologia Blockchain. Per vedere come essa possa impattare e trasformare il settore dell'healthcare, viene effettuata un’analisi di 26 start up che utilizzano tale tecnologia per offrire servizi in ambito sanitario, utilizzando il framework del Business Model Canvas. Una volta raccolte tutte le informazioni, l'elaborato procederà a verificare come i risultati ottenuti dall'analisi dall'applicazione della Blockchain sul sistema di business, possano in qualche modo portare alla risoluzione di taluni problemi. Tuttavia, nella parte finale verrà avanzata una critica sul perché tale tecnologia non sia ancora stata esaustivamente applicata e i limiti che ne derivano.
12
Hu, Paul Jen-Hwa 1962. "Management of telemedicine technology in healthcare organizations: Technology acceptance, adoption, evaluation, and their implications." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/282579.
Анотація:
As an exciting information technology-based innovation, telemedicine has potential to enhance physicians' patient care and management, improve healthcare organizations' operations and performance, and cause a paradigmatic shift in health care toward a progressively emerging digital practice. Previous research has concentrated on technology developments and clinical applications and therefore offers limited discussion of technology management. Managing telemedicine technology in healthcare organizations is so complex and dynamic that it has been an important factor in the failure of many early telemedicine attempts. This dissertation research directly addressed organizational management of telemedicine technology. To deal with complexity and dynamism, the research took a multi-phase approach, using a research framework built upon a well-established theoretical foundation. Case study was used in the exploratory phase to provide detailed understanding of the underlying technology implementation process and to generate specific research questions or models for the subsequent descriptive/explanatory phase. Systematic linkage of these investigations was safeguarded by desired methodological triangulation. Findings from the case study and substantiating interviews identified technology acceptance, adoption and evaluation as problematic areas in organizational technology management. Findings of a survey study administered to most physicians practicing in public tertiary hospitals in Hong Kong suggested that perceived usefulness and ease of use, self-efficacy, and subjective norms were important to their accepting telemedicine technology. Similarly, a survey conducted with hospital executive officers, chiefs of service and center directors of all Hong Kong public healthcare establishments indicated that service needs, attitudes of medical staff, and the technology's benefits, risks and compatibility were essential to organizational technology adoption. In addition, results of an evaluative experimental study showed that the clinical decision- making of physicians can be improved through use of appropriate telemedicine technology. The combined findings suggested that these separate technology management issues were closely interrelated rather than isolated. Effects of a technology on physicians' patient care and management practice have important impacts on their technology acceptance, which, in turn, needs to be considered by their affiliating organization when making an adoption decision.
13
Banerjea-Brodeur, Monica. "Selection hyper-heuristics for healthcare scheduling." Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/14395/.
Анотація:
A variety of approaches have been used to solve a variety of combinatorial optimisation problems. Many of those approaches are tailored to the particular problem being addressed. Recently, there has been a growing number of studies towards providing more general search methodologies than currently exist which are applicable to different problem domains without requiring any algorithmic modification. Hyper-heuristics represent a class of such general methodologies which are capable of automating the design of search process via generating new heuristics and/or mixing existing heuristics to solve hard computational problems. This study focuses on the design of selection hyper-heuristics which attempt to improve an initially created solution iteratively through heuristic selection and move acceptance processes and their application to the real-world healthcare scheduling problems, particularly, nurse rostering and surgery admission planning. One of the top previously proposed general hyper-heuristic methodology was an adaptive hyper-heuristic consisting of many parameters, although their values were either fixed or set during the search process, with a complicated design. This approach ranked the first at an international cross-domain heuristic search challenge among twenty other competitors for solving instances from six different problem domains, including maximum satisfiability, one dimensional bin packing, permutation flow shop, personnel scheduling, travelling salesman, vehicle routing problems. The hyper-heuristics submitted to the competition along with the problem domain implementations can now be considered as the benchmark for hyper-heuristics. This thesis describes two new easy-to-implement selection hyper-heuristics and their variants based on iterated and greedy search strategies. A crucial feature of the proposed hyper-heuristics is that they necessitate setting of less number of parameters when compared to many of the existing approaches. This entails an easier and more efficient implementation, since less time and effort is required for parameter tuning. The empirical results show that our most efficient and effective hyper-heuristic which contains only a single parameter outperforms the top ranking algorithm from the challenge when evaluated across all six problem domains. Moreover, experiments using additional nurse rostering problems which are different than the ones used in the challenge and surgery scheduling problems show that the results found by the proposed hyper-heuristics are very competitive, yielding with the best known solutions in some cases.
14
Bradley, Randy V. Byrd Terry Anthony. "Strategic valuation of enterprise information technology architecture in healthcare organizations." Auburn, Ala., 2006. http://repo.lib.auburn.edu/2006%20Summer/Dissertations/BRADLEY_RANDY_34.pdf.
15
McComiskey, Mark Henry. "Unrecognised healthcare consequences of children born following assisted reproductive technology." Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.675460.
Анотація:
The consensus is that children born following ART are delivered earlier and at a lower birthweight that those naturally conceived and have a higher likelihood of requiring admission to a neonatal intensive care unit (NICU). The longer term prospects for artificially conceived children seem comparable to the naturally conceived population for the majority of medical conditions. This study examined NICU admission registry data of children born 111/2001 to 31/12/2007. Odds ratios (OR) for NICU admission were produced. All paediatric hospital admissions in Northern Ireland 1/7/1996 through 3016/2009 were also studied. Standardised admission ratios (SAR's) for children up to 13 years old born following ART were calculated. Unadjusted OR for NICU admission was 0.92 (95% CI 0.71, 1.18) for singleton~ and 0.83 (95% CI 0.69, 0.99) for twins. Adjustment for hospital, gestation and year showed OR for NICU admission to be 0.68 (95% CI 0.49, 0.93) for singletons and 0.76 (95% CI 0.60, 0.97) for twins. SAR for all- and first hospital admissions in ART children were 80 (95% CI 76, 84) and 74 (95% CI 68, 80) respectively. Children born fOllowing IVF had increased all-hospital SAR compared to those born following ICSI (SAR 85, 95% CI 80, 90 vs. SAR 71,95% C164, 77; p=0.001). Those born following fresh embryo had increased all-hospital SAR compared to those born fallowing frozen embryo transfer. All-admission analysis showed Significant increases in SAR with diagnoses of cerebral palsy and inguinal hernia. Non-significant trend for increased SAR for all-hospital admission and first-hospital admission was found for some diagnoses. This study adds some reassurance to the neonatal and long-term child health of those born following ART. IVF children and those born following fresh embryo transfer may not be as healthy throughout childhood as their ICSI and frozen embryo transfer peers. Published concerns regarding neurological conditions and congenital abnormalities in children conceived using ART are supported by this study.
16
Robertson, Rachael. "Veterans’ Service Experiences in Healthcare: a Self-service Technology Orientation." Thesis, University of North Texas, 2013. https://digital.library.unt.edu/ark:/67531/metadc500005/.
Анотація:
This work focuses on how to improve medical services for veterans in a manner that will result in high levels of satisfaction and attainment of needed services. This research assess how veterans access healthcare and receive service. The problem to be addressed relates to reports by veteran healthcare organizations regarding the presence of gaps in coverage and customer service disparities in healthcare. Common concerns involve the gaps between veterans’ expectations for services and the provided services. This study created a survey instrument that contextualized components of established scales along with demographics and constructs specific to the current study. This study assessed the relationships among a variety of constructs and dimensions with healthcare expectations and service quality using a series of simple regressions. The results showed a statistically significant relationship between quality and the use or intention to use technology. The study supports the contention that respondents are willing to use self-service technologies. Technology that incorporates digital devices into healthcare services offers an opportunity to bridge service gaps and holds a promise for giving veterans faster access to service and care in a beneficial manner.
17
Peabody, Tyler Robert, and Tali Freed. "RFID TECHNOLOGY SELECTION AND ECONOMIC JUSTIFICATION FOR HEALTHCARE ASSET TRACKING." DigitalCommons@CalPoly, 2013. https://digitalcommons.calpoly.edu/theses/1041.
Анотація:
Although Radio Frequency Identification (RFID) and Real-Time Location System (RTLS) technologies for inventory tracking have been growing in popularity, the healthcare industry has been reluctant to adopt these technologies. One of the primary reasons for this lack of enthusiasm has been the risk associated with electromagnetic interference between RFID/RTLS systems and medical equipment functionality. The other reason has been the substantial cost and complexity of implementing RFID/RTLS in healthcare organizations. In this study, we show that there are several ways to safely install RFID/RTLS systems to improve the inventory management processes of hospitals and clinics. We then analyze the inventory shrinkage (loss and theft) data of the Veterans Health Administration VISN 10 (the Veterans Integrated Service Network of Ohio) using a mathematical model to estimate the annual shrinkage. Finally, we develop an economic cost/benefit analysis database system in Microsoft Access that can be used to calculate the breakeven point of RFID/RTLS implementations, as well as calculate the expected reduction in inventory- related operating costs. This system can be adapted for cost/benefit analyses in similar inventory-intensive environments.
18
Song, Won K. "Mobile Technology Deployment Strategies for Improving the Quality of Healthcare." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7431.
Анотація:
Ineffective deployment of mobile technology jeopardizes healthcare quality, cost control, and access, resulting in healthcare organizations losing customers and revenue. A multiple case study was conducted to explore the strategies that chief information officers (CIOs) used for the effective deployment of mobile technology in healthcare organizations. The study population consisted of 3 healthcare CIOs and 2 healthcare information technology consultants who have experience in deploying mobile technology in a healthcare organization in the United States. The conceptual framework that grounded the study was Wallace and Iyer's health information technology value hierarchy. Data were collected using semistructured interviews and document reviews, followed by within-case and cross-case analyses for triangulation and data saturation. Key themes that emerged from data analysis included the application of disruptive technology in healthcare, ownership and management of mobile health equipment, and cybersecurity. The healthcare CIOs and consultants emphasized their concern about the lack of cybersecurity in mobile technology. CIOs were reluctant to deploy the bring-your-own-device strategy in their organizations. The implications of this study for positive social change include the potential for healthcare CIOs to emphasize the business practice of supporting healthcare providers in using secure mobile equipment deployment strategies to provide enhanced care, safety, peace of mind, convenience, and ease of access to patients while controlling costs.
19
Forbes, David Edward. "A framework for assistive communications technology in cross-cultural healthcare." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/2453.
Анотація:
Rural and remote Australian Aboriginal communities suffer seriously adverse life expectancy rates, lifestyle disease complications and hospital treatment needs due to type 2 diabetes. In great part this is due to communications barriers arising from the lack of equitable acculturation within patient-practitioner consultations. This research presents a framework foundation for a computerised patient-practitioner lingua franca. Behavioural and design science ontology development delivers an intercultural patient-practitioner type 2 diabetes assistive communications system, known as P-PAC.
20
Thatcher, Malcolm P. "A framework of information technology governance controls in acute healthcare." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/96213/1/Malcolm_Thatcher_Thesis.pdf.
Анотація:
This thesis provides a framework of 25 information technology management controls to improve clinical IT systems implementation in hospitals. The research has identified external and internal risks associated with the implementation of clinical information systems and how hospitals can effectively manage those risks through mature IT governance practices.
21
Smith, Jennifer. "What are mothers' and healthcare professionals' experiences of infant feeding within the current policy context and culture of healthcare in England?" Thesis, University of Hull, 2014. http://hydra.hull.ac.uk/resources/hull:11526.
Анотація:
Background: Increasing breastfeeding rates is a longstanding goal of health policy in England. Rationale for this is premised upon the health benefits to both mother and child conferred by exclusive breastfeeding. Current UK Infant Feeding Policy (IFP) derives from international guidelines incorporating the Baby Friendly Initiative (BFI) that promote exclusive breastfeeding. Such ‘evidence informed policy formation’ is emblematic of the current context of health policymaking. However, the impact of current IFP upon women and healthcare professionals is under researched. Aim: This study explores the impact of IFP upon Women, Midwives and Heads of Midwifery services in England and considers the implications for maternity services. Methodology: A qualitative design used semi-structured interviews to determine the experiences and views of IFP with eight Heads of Midwifery and eight Midwives. Six women underwent three interviews exploring their infant feeding journeys at: 8 months pregnant, 1 month and 6 months’ post-partum. Data were analysed using Colaizzi’s phenomenological method. Findings: Three key themes arose contributing towards understanding the context of IFP: Being with IFP, Discourses of Self-Determination and The Emotion work of Compliance. For Midwives: The socio-political context of health and health-care system policy is multifarious but contains identifiable spheres relating to current IFP. Midwives do not appear to actively engage in the political process of this type of policy generation. For Mothers: Infant feeding remains emotionally fraught territory. Three key themes arose from the first interview: Adopting a Stance, Formulating a Vision and Processing the Dialogues of Infant Feeding. The second interview engendered three more key themes termed: Being with the Reality of Infant Feeding, Regaining Selfhood and Seeking Companions. Discussion and Conclusion: Foucault’s analyses of power and governmentality were used to explore the ‘Art of Midwifery’ vs the ‘Art of Governance’. Lack of holism and neoliberal agendas dominating current IFP may be detrimental to maternity service provision as they compromise decisional autonomy for women and clinical autonomy for midwives.
22
Iqbal, Irfan, and Bilal Qadir. "Biometrics Technology : Attitudes & influencing factors when trying to adopt this technology in Blekinge healthcare." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-1990.
Анотація:
Context. Biometric technology is a secure and convenient identification method and it does not need to remember complex passwords, nor smart cards, keys, and the like. Biometrics is the measurable characteristics of individuals based on their behavioral patterns or physiological features that can be used to verify or recognize their identity. Physical characteristics include fingerprints, palm or hand geometry, iris, retina, and facial characteristics. Behavioral characteristics include signature, keystroke and voice pattern. With the combination of biometric technology products and modern computer technology, it is easy to perform monitoring, management, systems integration, automated management, and security applications. Objective. The aim of this research is to explore and clarify the main influencing factors and attitudes concerning biometrics Security technology by analyzing expert opinions. This is done through informal interviews and a web based survey in Blekinge healthcare. Methods. Literature review was the starting phase to map the current state of research in biometric technology implementation. The literature review helped authors to explore and solve different ambiguities in authors’ minds, related to work flow, methods and procedures for different tasks. In our research, we selected five different interviewees from biometric solution supplier companies in Sweden and Denmark, Blekinge healthcare staff, biometric technology technical staff and IT security concerned to express their experiences, opinions and domain knowledge about the implementation of biometrics system in the county of Blekinge. Due to the resource and limited time constraint authors selected survey as a data collection procedure. In survey we planned a questionnaire with the different people related to healthcare. The questionnaire purpose was to collect the quantitative data and our questionnaire was relying on close ended questions. Results. It is analyzed that people have trust on biometrics system and in future they are agreed to face changing in the current system as well as the people who are related with healthcare system are already aware about biometrics and they will easily adopt the implementation of biometric system in healthcare. Conclusion. In concern of user acceptance it is analyzed that people have trust on biometrics system and in future they are agreed to face changing in the current system. In concern of implementation authors analyzed that it is very necessary to conduct a study in order to analyze the requirement of different actors that will participate in biometrics systems. In concern of cost Authors observed that for cost benefit advantage in the initial implementation stages the finger print technology could be a better selection as compared to other available biometric technologies. In concern of security there are strong reasons that biometrics could be implemented because there are many secure authentication devices related to biometrics are available in the market that could secure data in best possible way. Authors observed that there is a need of legislations for biometrics as the security measures going to be much higher as compared to the traditional password systems. In concern of privacy authors observed that the organizations are demanding strong authentication and focus on suggesting biometrics because it could provide advantages to patients, healthcare staff and healthcare providers.lineofaxis@gmail.com, ms24pk@gmail.com
23
Speed-Crittle, Sharita Dianthe. "Healthcare Organization Change Management Strategies to Guide Information Technology With for Information Technology Change Initiatives." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6679.
Анотація:
As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data analysis process was completed by transcribing the interview recordings and coding the data using a codebook and data-management software. Themes that emerged from data analysis included strategies to increase digitization in all areas, improve communication with IT personnel, provide ongoing training, and encourage the gradual adoption of technology. The implications of this study for positive social change include the potential to provide hospital managers with successful strategies related to the use of IT in hospitals to facilitate improved patient care and community well-being.
24
Govindasamy, Saravana P. "Scaling Innovations in Healthcare." Diss., Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/543975.
Анотація:
Business Administration/Management Information SystemsD.B.A.
This research paper examines the innovation adoption of technology, specifically Artificial Intelligence (AI) implementations in hospitals by exploring the capabilities that enables AI innovations using the dynamic capabilities (sensing, seizing and reconfiguring) framework and clinicians’ intentions to use AI innovations for patient care by applying the technology adoption/acceptance framework Unified Theory of Acceptance and Use of Technology (UTAUT) utilizing qualitative case study analysis and quantitative survey methodology respectively. This multi-disciplinary research has considerable relevance to both healthcare business leaders and clinical practitioners by identifying the key factors that drives the decisions to adopt innovations to improve healthcare organizations' competitiveness to enhance patient care as well as to reduce overall healthcare costs. The main findings are: (1) On an organizational level, healthcare organizations with strong and versatile dynamic capabilities, who build on their existing knowledge and capabilities are better able to integrate the innovations into their internal operations and existing services. The identified barriers provide a clear sense of organizational barriers and resistance points for innovation adoption (2) On an individual level, the impact of quality of care and organization leadership support are the key factors that facilitates the adoption of innovation among the clinicians. (3) Current trends and key impact areas of AI technology in the healthcare industry are identified Key words: Innovation, Innovation Adoption, Dynamic Capabilities, Healthcare, Artificial Intelligence, AI, Technology, Strategic Management
Temple University--Theses
25
ZAKERI, MOIEN. "Organizational Control in a Healthcare Setting." Thesis, KTH, Industriell Management, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-211062.
Анотація:
A sector affected by a constant rate of organizational growth is the healthcare sector. Consequently, the increased demand for healthcare services underline the importance to have a well-functioning organizational control that pushes towards continuous improvements to enhance the quality of care. This requires high standards regarding the formulation of objectives that are shared by the workforce and efficiently integrated into the organizations day-to-day operations, with the help of technological solutions.The purpose of this study was to investigate how the organizational control in the healthcare sector could be improved, in order to enhance the work towards the achievement of the objectives among the employees. To achieve the purpose, the research was conducted as a case study at the infectious disease department at Danderyds University Hospital, where the findings were derived from both qualitative and quantitative methods. To address the department’s objective areas, interviews with representatives from the management were conducted. A questionnaire was then distributed to gain insight in how the department’s operational activities are anchored, in relation to the employees’ respective profession.The findings showed a considerable gap between the employees’ awareness and their understanding of the objective areas, resulting in a misalignment of how each profession contributes towards the achievement of the objectives in their day-to-day operations. By analyzing the findings in relation to the selected theory of organizational control and change management, four improvement measures were identified: (1) visibility of the effects and outcomes of goal fulfilment, (2) establishment of incentives in relation to goal fulfilment, (3) formulation of well-defined internal key performance indicators related to each objective and (4) providing continuous feedback regarding the progress of each objective area. These areas need to be integrated into the department’s current information technology system in order to further streamline their operational work in reaching objectives. With the help of a strong coalition to initiate the change, the improvement areas can be found to affect the employees’ understanding and attitude toward the fulfilment of the objectives in the healthcare sector.
26
Wiger, Malin. "Logistics Management in a Healthcare Context : Methodological development for describing and evaluating a healthcare organisation as a logistics system." Licentiate thesis, Linköpings universitet, Logistik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-92821.
Анотація:
This thesis tests whether logistics knowledge, theories and principles can be used to provide potential patient flow efficiency improvements. By emphasizing an ideal logistics system by means of its main features and then using these to evaluate two different healthcare organisations, it is assumed that knowledge regarding patient flows can be obtained and potentials for improvement highlighted. Hence, this licentiate thesis presents a developed method intended for evaluating a healthcare organisation by means of a logistics system’s main features. The purpose rests on the assumption that effective management and real flow-efficient improvements can only be accomplished by viewing logistics as an integrated system. Demographics, increased costs, strong technical and medical developments, new kinds of customer requirements, stressed staff and preventable adverse events are some of the challenges the Swedish healthcare system is currently facing. In addition, there is a constant demand on healthcare to be more cost-effective while fulfilling demands as regards waiting times, quality and availability. Experience from structural changes in other industries gives reason to be positive about the potential for long-term productivity leaps in the healthcare sector. The challenge is to simultaneously find successful application of efficient production and flexible adaptation to changing patients’ demands and requirements. Taking advantage of the logistics expertise that already exists can be a way to meet these challenges. It can be assumed that logistics knowledge applied in healthcare can lead to lower costs, shorter waiting lists, better patient service, shorter treatment times and increased capacity. Nevertheless, flow-oriented design of healthcare delivery systems is novel and positions much currently isolated research on a conceptual level or within single wards (Wiger and Aronsson, 2012). The research is part of a three-year project, "Lean and agile – logistics driven improvement in health and social care”, funded by Vinnvård, a collaboration between the Department of Management and Engineering at Linköping University, Hässleholm Healthcare Organisation and the Medical Management Center at Karolinska Institutet in Stockholm. This thesis is partly a theoretical development of logistics models. This is done in order to create an ideal logistics system’s main features and description aspects to describe a system to be able to evaluate it using these features. The two cases are used to test the adequacy of the developed method and its associated models and to identify potential for improvement towards a more flow-oriented business. Four series of interview sessions were conducted with a total of 23 respondents and 18 interviews and over 500 Excel files were collected from the business system. It is suggested that a healthcare organisation can be evaluated by the developed logistics main features. These features, listed below, together provide a possibility to complement a healthcare organisation’s ability to meet patient requirements by flow-efficiency and demonstrate logistical operational excellence. A logistics system’s purpose is to meet customer requirements by cost-effective delivery service through flow orientation by prioritising the total performance A logistics system has a flow-oriented structure A logistics system transforms orders into customer services in a flow-oriented process A logistics system can control the transformation of input (demand) to output (customer service) and thus the cost of resources A logistics system measures to capture the whole system’s logistics performance, including total logistics costs, lead times and customer service A logistics system has a strategy to meet demand A logistics system uses logistics measurements as feedback to regulate its behaviour to reduce differences between actual and desired performance The analysis of the two cases confirms the picture of an organisational design driven by medical specialties. This implies a possibility to change perspective to a more holistic view with the patient flow in focus. The fact that there are very few possibilities to control the transformation has partly to do with ownership of patient flows being less well-defined than clearly defined medical responsibilities within each specialty. It also has to do with the inability to distinguish between the uncertainty regarding unique patients on a low level of aggregation and at the higher level where there should be complete and explicit specifications of the end-product requirements and delivery requirements. The lack of demand strategies that support the total logistics performance ultimately leads to both clinics having to use a sacrificing work effort rather than working systematically to be able to meet the demand. At the case hospital, there is a lack of information aggregated from operational level about patient processes that is made available for strategic decision-making. Neither of the two cases measure on the basis of improving patient flow efficiency, especially not the total patient flow costs or the total logistics costs. The major contribution is the analysis based on the logistics system’s main features, which gives a more purposive understanding of what can be done to improve flow efficiency within a healthcare organisation to make healthcare organisations progress in their ability to be more flow-oriented. A further contribution is a more clearly defined field of healthcare logistics research and the stressed importance of the “new” research field of logistics management.
27
Rogowski, Wolf. "Key issues in the economic evaluation of gene technology in healthcare /." [S.l. : s.n.], 2007. http://www.gbv.de/dms/zbw/559909535.pdf.
28
Weinstein, Adam S. M. Massachusetts Institute of Technology. "Adoption of healthcare information technology and the impact on clinician behavior." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/54592.
Анотація:
Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2009."June 2009." Cataloged from PDF version of thesis.
Includes bibliographical references (p. 49-52).
It is widely believed that healthcare information technology (health IT) can improve care and lower costs. However, the pattern and uptake of beneficial features of health IT is poorly understood, and is an important part of realizing the full benefits of health IT. This thesis examines the factors relating to adoption and use of reporting features within an outpatient practice management system. A retrospective observational study was performed utilizing web log data from a practice management and electronic health record system vendor. Two years of data were analyzed on the use of features within the system in two different scenarios: the use of a newly released custom reporting feature among existing clients, and the use of a physician-level monthly report among new clients. Among these two different populations and features, the first use and subsequent utilization exhibited similar patterns. Using the Bass model of technology diffusion to quantify the adoption of these features, it was found that adoption had a low social component (coefficient of imitation) and a high personal component (coefficient of innovation). One physician's use of a feature in his practice did not appear to influence whether a new physician joining the same practice would use the feature. In addition, the earliest users of a feature tended to utilize that feature more often. Practices and providers that used these features performed better across three of four operational and financial metrics. The purchase and installation of a health IT system by an organization does not ensure that individuals within it will fully utilize the system and realize all the benefits.
(cont.) Incentives for health IT should focus on the advantages gained from these systems, and not merely on their purchase. Health IT vendors should be cognizant of the way they introduce new functionality to their clients in order to ensure maximal use.
by Adam Weinstein.
S.M.
29
Jog, Chetan R. (Chetan Ravindra). "Healthcare technology, patient engagement and adherence : systems and business opportunity analysis." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76493.
Анотація:
Thesis (S.M. in Management and Engineering)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 63-64).
In the current shift in the US healthcare system, lower cost, higher quality of care, access and safety are the main drivers that are effecting changes. Patient compliance with medication and technology enabled wellness and engagement programs play an important role in ensuring the cost and quality of care is reduced. In a recent study, the overall cost of poor medication adherence, measured in otherwise avoidable medical spending, is close to $310 billion annually, representing approximately 14% of total healthcare expenditures. There have been several studies analyzing the reasons for and impact of non-adherence and solutions to achieve increasing compliance. With the recent wave in healthcare technology, the scope of prescription medication adherence needs to be expanded to include patient engagement and their awareness towards lifestyle changes and managing their own health. This thesis engages in an analysis of these compliance issues and in understanding the relationships among the various stakeholders involved. It also analyses the several technology platforms and solutions from mobile health to "gamification" and social networks from a business, user and regulatory standpoint. It looks into how these newer health technologies helps the individual in adhering and realizing novel insights into their own patterns related to medication, lifestyle and general health. Further, working with a health technology startup catering to the behavioral care market, a real world application of a health technology product that utilizes technology based patient assessment, decision support and patient communication, will be evaluated to explore how it will help in delivering value to several stakeholders.
by Chetan R. Jog.
S.M.in Management and Engineering
30
Maranganti, Kishore. "Strategies for Healthcare Payer Information Technology Integration After Mergers and Acquisitions." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5097.
Анотація:
Despite the high rate of failure in merger and acquisition (M&A) transactions, many organizations continue to rely on M&As as their primary growth strategy and to address market competition. The purpose of this qualitative single case study was to explore strategies managers from a large healthcare payer in the midwestern United States used to achieve operational and strategic synergies during the postacquisition information technology (IT) integration phase. Haspeslagh and Jemison's acquisition integration approaches model was the conceptual framework for the study. Methodological triangulation was established by analyzing the data from the semistructured interviews of 6 senior executives and 6 IT strategists, discussion points produced in a focus group involving 4 acquisition integration leaders, and information gleaned from M&A periodicals. Data were analyzed using Saldaña's thematic analysis method and showed that the healthcare payer organization managers used the following 4 strategies to achieve the planned synergies: plan for expected business synergies from the postacquisition IT integration, make cultural harmonization a key element of change management, align and continuously evaluate the progress of postacquisition IT integration strategies against planned synergies, and preserve durability of acquired capabilities by granting autonomy to the acquired organization. The findings of this study could lead to positive social change by stimulating a business environment that might allow healthcare payers to expand their strategic capabilities and serve their local communities with new products and other choices that improve the quality of care, health outcomes, well-being, and longevity of the consumer.
31
Skoog, Marcus, and Adam Backman. "Replacing waste streams in the healthcare industry by applied technology : Developing technology for a circular economy." Thesis, Blekinge Tekniska Högskola, Institutionen för maskinteknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-19719.
Анотація:
Background Waste has been around since humans started to create products. Today, it is a growing problem in the world; humans keep producing waste at a faster pace than we can handle. The world is becoming more conscious of our actions, and new solutions to manage and utilize the waste are desired. Medical waste lacks a global definition, which results in a lack of standardization for medical waste management. The rapid development of medical science and technology has led to increased use of medical consumables. Single-use gloves are the most commonly used consumable within healthcare. They are not recycled due to fear of contamination, which results in a big load on the environment by not preserving the value of the material. Objectives The objectives with the research have been to understand the waste industry and identify where waste streams have the opportunity to be replaced with circular systems through new technology. From the findings, design and propose a new technology that fits into a circular economy. Method Design Research Methodology and MSPI Innovation process worked as frameworks for the design process for the researchers during the thesis work. Inspiration from company visits, interviews, job shadowing, and literature research initiated the project and was used to clarify the problem. Prototypes, testing, and literature research were used to validate the design progress and followed up by lab experiments and mechanical design of a fully circular system. Results Through tests and experiments, a circular system for single-use protection gloves was designed. The proposed technology would eliminate the need for raw material extraction, manufacturing, and transportation. The system is based on making protection gloves from Polyvinyl Alcohol. Due to the unique properties of the material, it is possible to dissolve the gloves in water, sterilize them and remanufacture them into new gloves. The gloves proved to have similar mechanical properties to the current options on the market. The system includes many elements from the manufacturing process of nitrile rubber and latex gloves, but the introduction of cleaning and sterilization steps will question the main reason consumable protection gloves are used in the first place, to ensure sterility. Conclusion Optimizing, automating, and implementing this system will make the healthcare industry more environmentally friendly. Introducing a system to remanufacture and sterilize single-use gloves is a statement to prove the possibility to replace linear life cycles with circular ones, by questioning the reasons behind unsustainable behavior and solving those problems. Contaminated waste is incinerated today. Some argue that energy recovery classifies as recycling, but this system will focus on preserving the value of the material by reusing it in multiple cycles. Similar work will be necessary to keep up with the increased production of waste. Circular systems may enable humans to fulfill their needs with a significantly decreased environmental load. Before implementing this solution in the healthcare industry, more research must be carried out. However, the innovation of an in-house system and a more direct approach to manufacture – recycle – reuse, has presented to create new value of waste and further technological development to enhance the waste management and recycling industry.Bakgrund Avfall har funnits sedan människor började tillverka produkter. Idag är det ett växande problem i världen, människor fortsätter att producera avfall i en snabbare takt än vad vi kan hantera. Världen blir mer medveten om åtgärderna men nya innovationer för att hantera och utnyttja avfallet behövs. Medicinskt avfall saknar en global definition som resulterar i brist på standardisering för hantering av medicinskt avfall. En snabb utveckling av medicinsk vetenskap och teknik har lett till en ökad användning av medicinska engångsartiklar. Engångshandskar är de vanligaste förbrukningsvarorna inom sjukvården och återvinns inte på grund av rädsla för förorening, vilket resulterar i en stor belastning på miljön eftersom materialets värde inte tas vara på. Syfte Målet med forskningen har varit att förstå avfallsindustrin och identifiera var avfallsströmmar kan ersättas med cirkulära system genom ny teknik. Utifrån resultaten, utforma och föreslå ny teknik som passar in i en cirkulär ekonomi. Metod Designforskningsmetodik (Design Research Methodology) och MSPI:s Innovationsprocess användes som ramar för designprocessen för forskarna under avhandlingsarbetet. Inspiration från företagsbesök, shadowing, intervjuer och litteraturforskning initierade projektet och användes för att klargöra problemet. Prototyper, tester och litteraturforskning användes för att validera designframstegen. Följt av laborationer och mekanisk design av ett komplett cirkulärt system. Resultat Genom tester och experiment designades ett cirkulärt system för skyddshandskar avsedda för engångsbruk. Den föreslagna tekniken skulle eliminera behovet av råmaterialutvinning, tillverkning och transport. Systemet är baserat på tillverkning av skyddshandskar från polyvinylalkohol. På grund av materialets unika egenskaper är det möjligt att lösa upp handskarna i vatten, sterilisera dem och åter tillverka dem till nya handskar. Handskarna visade sig ha jämförbara mekaniska egenskaper som de nuvarande alternativen på marknaden. Systemet innehåller många element från tillverkningsprocessen av nitrilgummi- och latexhandskar, men införandet av rengörings- och steriliseringssteg kommer att ifrågasätta den främsta orsaken till att förbrukningsskyddshandskar används i första hand - för att säkerställa sterilitet. Slutsats Optimering, automatisering och implementering av detta system kommer att göra sjukvårdsindustrin mer oberoende och mer miljövänlig. Att införa ett system för att återvinna och sterilisera skyddshandskar för engångsbruk, bevisar möjligheten att ersätta linjära livscykler med cirkulära, genom att ifrågasätta orsakerna bakom ohållbart beteende och lösa dessa problem. Förorenat avfall förbränns idag, somliga hävdar att energiåtervinning kan klassificeras som återvinning, men energiåtervinning saknar egenskapen att bevara materialets värde. Detta system har materialvärdet i fokus genom att återanvända det i flera cykler. Liknande arbete kommer att krävas för att hålla jämna steg med den ökade avfallsproduktionen. Cirkulära system kan göra det möjligt för människor att uppfylla sina behov med en avsevärt minskad miljöbelastning. Lösningen behöver ytterligare forskning och måste förbättras före implementering. Men innovationen i ett internt system och ett mer direkt tillvägagångssätt för tillverkning - återvinning - återanvändning har presenterats för att skapa nytt värde för avfall och ny teknisk utveckling för att förbättra avfallshanteringen och återvinningsindustri.
32
Kakalelis, Iosif. "Investigations and solutions for safer medication in healthcare." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454875.
Анотація:
Uppsala University Hospital aims to automate its drug management and distribution system in order to increase the speed and accuracy of the prescription process and reduce prescription errors. In order to achieve those goals, the hospital plans to introduce Closed-Loop- Medication (CLM). CLM enforces digitalization and automation of the entire drug management process. Studies show that CLM can reduce prescription errors. The Closed Loop Medication Management System is an electronic drug management process that automates drug management and disease management and documents all relevant patient history information. Drug prescription verification is one of the prerequisites in order to implement CLM.The purpose of this thesis is to find solutions to support and improve the prescription verification routines at Uppsala University Hospital. The first part of the report consists of a literature review about CLM and its impact. The second and main part describes a solution that can facilitate the implementation of CLM at the hospital with focus on the prescription verification process. More specifically, I developed an interface prototype with the name VerifyPro. User-Centred Design (UCD) method was followed for the development of VerifyPro. UCD is an iterative design process in which designers focus on the users and their needs in each phase of the design process. Finally, user requirements for the new interface were gathered by performing interviews at the hospital. Analysis on the responses from the interviews illustrated some problems on the hospital’s information system (COSMIC). On top of that the user needs became clear. Healthcare professionals need a support decision system that can supplement and facilitate their decision process. Last but not the least, they desire a customisable interface where users view only what they need to view about a patient. VerifyPro was designed to work supplementary to COSMIC. Its goal is to improve the prescription verification process, improve the communication between the health professionals, and lastly to provide a better and customisable overview of patient data.
33
FAISAL, MUHAMMAD, and AFRIDI ADNAN ALI. "Lean Implementation in Healthcare : Redesign and organizational behavior." Thesis, KTH, Tillämpad maskinteknik (KTH Södertälje), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-211451.
34
Sethi, Rosh Kumar Viasha. "Technology Adoption in the United States: The Impact of Hospital Market Competition." Thesis, Harvard University, 2014. http://etds.lib.harvard.edu/hms/admin/view/57.
Анотація:
Objectives: Technological innovation in medicine is a significant driver of healthcare spending growth in the United States. Factors driving adoption and utilization of new technology is poorly understood, however market forces may play a significant role. Vascular surgery has experienced a surge in development of new devices and serves as an ideal case study. Specifically, the share of total abdominal aortic aneurysm (AAA) repairs performed by endovascular aneurysm repair (EVAR) increased rapidly from 32% in 2001 to 65% in 2006 with considerable variation between states. This paper hypothesizes that that hospitals in competitive markets were early EVAR adopters and had improved AAA repair outcomes.
Methods: The Nationwide Inpatient Sample (NIS) and linked Hospital Market Structure (HMS) data was queried for patients who underwent repair for non-ruptured AAA in 2003. In HMS the Herfindahl Hirschman Index (HHI, range 0-1) is a validated and widely accepted economic measure of competition. Hospital markets were defined using a variable geographic radius that encompassed 90% of discharged patients. Bivariable and multivariable linear and logistic regression analyses were performed for the dependent variable of EVAR use. A propensity score-adjusted multivariate logistic regression model was used to control for treatment bias in the assessment of competition on AAA-repair outcomes.
Results: A weighted total of 21,600 patients was included in the analyses. Patients at more competitive hospitals (lower HHI) were at increased odds of undergoing EVAR vs. open repair (Odds Ratio 1.127 per 0.1 decrease in HHI, P<0.0127) after adjusting for patient demographics, co-morbidities and hospital level factors (bed size, teaching status, AAA repair volume and ownership). Competition was not associated with differences in in-hospital mortality or vascular, neurologic or other minor post-operative complications.
Conclusion: Greater hospital competition is significantly associated with increased EVAR adoption at a time when diffusion of this technology passed its tipping point. Hospital competition does not influence post-AAA repair outcomes. These results suggest that adoption of novel technology is not solely driven by clinical indications, but may also be influenced by market forces.
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Furnell, Steven Marcus. "Data security in European healthcare information systems." Thesis, University of Plymouth, 1995. http://hdl.handle.net/10026.1/411.
Анотація:
This thesis considers the current requirements for data security in European healthcare systems and establishments. Information technology is being increasingly used in all areas of healthcare operation, from administration to direct care delivery, with a resulting dependence upon it by healthcare staff. Systems routinely store and communicate a wide variety of potentially sensitive data, much of which may also be critical to patient safety. There is consequently a significant requirement for protection in many cases. The thesis presents an assessment of healthcare security requirements at the European level, with a critical examination of how the issue has been addressed to date in operational systems. It is recognised that many systems were originally implemented without security needs being properly addressed, with a consequence that protection is often weak and inconsistent between establishments. The overall aim of the research has been to determine appropriate means by which security may be added or enhanced in these cases. The realisation of this objective has included the development of a common baseline standard for security in healthcare systems and environments. The underlying guidelines in this approach cover all of the principal protection issues, from physical and environmental measures to logical system access controls. Further to this, the work has encompassed the development of a new protection methodology by which establishments may determine their additional security requirements (by classifying aspects of their systems, environments and data). Both the guidelines and the methodology represent work submitted to the Commission of European Communities SEISMED (Secure Environment for Information Systems in MEDicine) project, with which the research programme was closely linked. The thesis also establishes that healthcare systems can present significant targets for both internal and external abuse, highlighting a requirement for improved logical controls. However, it is also shown that the issues of easy integration and convenience are of paramount importance if security is to be accepted and viable in practice. Unfortunately, many traditional methods do not offer these advantages, necessitating the need for a different approach. To this end, the conceptual design for a new intrusion monitoring system was developed, combining the key aspects of authentication and auditing into an advanced framework for real-time user supervision. A principal feature of the approach is the use of behaviour profiles, against which user activities may be continuously compared to determine potential system intrusions and anomalous events. The effectiveness of real-time monitoring was evaluated in an experimental study of keystroke analysis -a behavioural biometric technique that allows an assessment of user identity from their typing style. This technique was found to have significant potential for discriminating between impostors and legitimate users and was subsequently incorporated into a fully functional security system, which demonstrated further aspects of the conceptual design and showed how transparent supervision could be realised in practice. The thesis also examines how the intrusion monitoring concept may be integrated into a wider security architecture, allowing more comprehensive protection within both the local healthcare establishment and between remote domains.
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Salinero, Sandra C. Pollock. "Understanding the technology usage and acceptance behaviors of healthcare information technology users| A comparative cross-case analysis." Thesis, Capella University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10179208.
Анотація:
User acceptance and usage of technology is an established field of academic inquiry with distinct applications to health information technology adoption. Healthcare systems lag behind in technological advancements related to information systems. The recent push toward health information exchange (HIE) systems to enable the sharing of electronic medical records (EMR) between healthcare organizations has many working to upgrade to the latest EMR system technology. Healthcare organizations strive to lower costs, improve patient care, streamline processes, and meet regulatory requirements. Leading EMR systems promise the realization of attaining these goals. User acceptance and usage of technology is a challenge when implementing new technology. In more recent years, a growing need appeared to study user acceptance and usage behavior in healthcare organizations. The central question of this study is: What deeper understanding can be developed when evaluating the similarities and differences of healthcare and business users’ experiences and behaviors through the lens of the unified theory of acceptance and usage of technology (UTAUT)? A subset of related research questions focuses on factors influencing users’ acceptance and usage, similarities and differences among healthcare users, and similarities and differences between healthcare and non-healthcare users. This study explores participants’ experiences using a comparative cross-case approach applying the theoretical framework of the UTUAT by Venkatesh, Morris, Davis, and Davis (2003). Twenty-one participants were interviewed to ascertain their lived experiences of learning and using computer systems. Areas of inquiry included new system implementations; the importance of factors in the UTAUT model such as effort expectancy, facilitating conditions, performance expectancy, and social influence; and the impact of these on users’ experiences. The majority indicated sub-elements of facilitating conditions and effort expectancy as critical factors. Training is dominant among the majority of cases, while ease to learn and use, process alignment, and time are interwoven with training and usage experiences. Social influence and voluntariness of use were seldom observed, with shared experiences being circumstantial and situational. The success of EMR systems hinges on how the foundational system is built, which involves understanding detailed clinical and business processes, and ensuring the new system is built on forward-thinking practices.
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Zuiderent-Jerak, Teun. "Standardization healthcare practices; experimental interventions in medicine and science and technology studies." [S.l.] : Rotterdam : [The Author] ; Erasmus University [Host], 2007. http://hdl.handle.net/1765/10605.
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Temple-Bird, Caroline. "Managing the import and use of healthcare technology in Sub-Saharan Africa." Thesis, Open University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417461.
Анотація:
This Thesis investigates the import and use of healthcare technology into Sub-Saharan Africa. With the increasing range of equipment types present in the health sector, the effective management of technology is of growing importance if health services are to improve in developing countries. Yet this sector has been relatively neglected within the traditional technology transfer, management, and development literature. The activities and players involved in the healthcare technology sector are complex, thus an holistic healthcare technology package system is identified, and theoretically and practically assessed as a modelling framework. This tool is applied to provide detailed analysis in three case study countries over time - Zambia in 1990, Botswana in 1992, and Namibia in 1997, with a documented learning process. The key issue pursued is how to improve the sustainability of healthcare technology. This proves fundamentallyt o be a managementis sue, and five overarchingk ey constraints emerge-: * the institutional framework available for delivering healthcare technology management throughout a country, * training personnel and developing a national technical management capacity; * sufficient allocation of financial resources; * technical support availability from the private sector, * the role played by external support agencies. These five issues are studied in detail with support from relevant literature. The research proves that it is necessary to approach the subject from three perspectives. Thus a Thesis framework is used which ensures that healthcare technology is analysed as a Technological Systems issue, an Institutional Organization issue, and a Development issue. The area of overlap between these perspectives is key to finding creative solutions for sustainability. The conclusionss how that cross-denominationasl trategiesw ill be essentialb etweenh ealth service providers, the national support environment, donors agencies, the private sector, and the region. All institutions involved need to find ways to become `learning organizations' in this field
39
ILIE, Virginia. "WHAT DO PHYSICIANS WANT? INFORMATION TECHNOLOGY ACCEPTANCE AND USAGE BY HEALTHCARE PROFESSIONALS." Doctoral diss., University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2276.
Анотація:
This study builds on the theory of planned behavior, institutional and innovation diffusion theories to investigate physicians' responses to introduction of electronic medical records (EMR) in large healthcare organizations. Using a case study methodology, we show that physicians' attitudes towards using EMR are influenced by their perceptions of EMR complexity, relative advantage, compatibility with professional beliefs and individual predisposition to change. Specifically, we found that EMR usability characteristics such as system interface, "navigation," "search" and "speed" are major dimensions underlying physicians' perceptions of EMR complexity. To the extent that navigating and searching for clinical results are seen as difficult, physicians' perceptions of the complexity of using EMR are enhanced, with the result of physicians forming more negative attitudes towards EMR and using EMR less. Accessibility to EMR (i.e. logging in) and availability of hardware are two emergent constructs. These factors are immediate barriers for physicians not using EMR or using EMR minimally. At the same time, these barriers contribute to impacting physicians' perceptions that EMR is difficult to use and disadvantageous (i.e. time inefficient) compared to the paper chart. Results also show that most EMR usage at Alpha is rather "shallow." Physicians tend to use data-retrieval EMR minimally, mainly to supplement the paper chart. The availability of this "competing artifact," that is much easier to use and conveniently located near a patient's room limits the extent to which physicians use EMR at Alpha. Use of an imaging EMR system (EMR3) is more committed. EMR3 is used to replace the "old way" of accessing films. Lack of accessibility and hardware barriers, the relative advantage of EMR3 and other system usability considerations contribute to physicians using this system more faithfully. As regards the question "what do physicians want?" it seems that physicians want a system that that is easy to access and simple to use but most importantly, a system that they can directly identify with, an EMR that is personally relevant. In order to promote a "deeper" level of EMR usage, the benefits of EMR need to be emphasized to physicians while any potential costs or barriers reduced or eliminated.Ph.D.
Department of Management Information Systems
Business Administration
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Zinner, Darren E. "Payor vs. societal perspective for healthcare technology coverage decisions : effects and recommendations." Thesis, Massachusetts Institute of Technology, 1996. http://hdl.handle.net/1721.1/39760.
41
Bryan-Couch, Francesca A. "Evaluating VA Nurse Acceptance of Virtual Healthcare Technology During the Coronavirus Outbreak." Otterbein University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1619529997857295.
42
Cano, Ashley. "Women and Healthcare in Appalachia: Impeding Circumstance and the Role of Technology." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etd/3057.
Анотація:
For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally, women reported facing many barriers including trust in local physicians, access, availability, cost, and quality of healthcare. These issues often impede women’s access to preventative care and place burdens on their health and an already strained healthcare system.
43
Hu, Yan. "Cloud Computing for Achieving Interoperability in Home-based Healthcare." Doctoral thesis, Blekinge Tekniska Högskola, Institutionen för kreativa teknologier, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-14017.
Анотація:
The care of chronic disease has become the main challenge for healthcare institutions around the world. As the incidence and prevalence of chronic diseases continue to increase, it is a big challenge for traditional hospital-based healthcare to meet requirements of patients. To meet the growing needs of patients, moving the front desk of healthcare from hospital to home is essential. Home-based healthcare for chronic disease involves many different organizations and healthcare providers. Therefore, there are interoperability problems for cooperation among the various organizations and healthcare providers to provide efficient and seamless home-based healthcare. This thesis aims to point out an appropriate technical solution to interoperability problems in home-based healthcare. There are different levels of interoperability, such as pragmatic, semantic and syntactic. We explored alternative solutions specifically for syntactic interoperability. We started to identify the interoperability problems among different healthcare centers by interviews and online surveys. Based on this empirical study, we mainly used two current techniques, namely peer-to-peer (P2P) networks and cloud computing, to design prototypes for sharing healthcare data. Comparing these two techniques, we found the cloud-based solution figured out most of the problems encountered in healthcare interoperability. To identify state of the art, and pinpoint the challenges and possible future directions for applying a cloud-based solution, a systematic literature review was carried out on cloud-based healthcare solutions. Based on the literature reviewed, we suggest a hybrid cloud model, with access controls and techniques for securing data, could be an acceptable solution for home-based healthcare in the future. This cloud model would work as a community for both healthcare providers and recipients, as well as other stakeholders, such as family members and other patients with similar symptoms. Then we conducted a questionnaire study with healthcare recipients and interviewed healthcare providers to gather the requirements for the design of the community. Based on the concept of ‘community’ from the activity theory model, we designed a prototype to demonstrate our proposed solution. Finally, we proposed the conceptual hybrid cloud model. In our hybrid cloud model, hospitals and primary healthcare centers could continue using their own databases as private clouds. For home-based healthcare data, we argued, the best approach is to store and process the data in public clouds. Healthcare recipients, as the owners of their health data in public clouds, should then decide who can access their data and the conditions for sharing. To evaluate this model, we conducted a two-step case study of diabetes healthcare in Blekinge, Sweden. We found that our improved hybrid cloud model will be feasible in the future for home-based healthcare, and it will benefit both healthcare providers and recipients. To apply this model in practice, we suggest that a professional IT healthcare education team should be created to support both healthcare providers and recipients.
44
Isacsson, Felix. "Designing good healthcare : Improving ulcer monitoring in home care." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397074.
Анотація:
This thesis seeks to improve the ways in which healthcare professionals can monitor and treat ulcers using mobile technology. The work focuses on designing a well rounded user experience which is usable in a professional setting. The design presented in the work is based on established design rules and guidelines. The design is evaluated and verified using two usability evaluation methods. These methods are a heuristic evaluation and a cognitive walkthrough. The work also seeks to evaluate what impact user involvement in the development process has on the user experience. This is done using a questionnaire named AnvändbarhetsIndex and it focuses on evaluating the usability of a given system. The results of this thesis show that it is possible to implement the monitoring process while providing a positive user experience and that the user experience is positively impacted by involving the user in the development process.
45
Shkirando, Elizaveta. "Tangible interfaces for children’s mental healthcare." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23295.
Анотація:
The area of healthcare has a lot of challenges and restrictions when it comes to design. There is no access to one of the users. A research on this topic resulted in the creation of Robbi – an interactive toy that supports communication between a child and psychologist during their therapy sessions.Children (patients) as stakeholders are a very vulnerable party of this project and as they were not involved in the process directly; there was no opportunity for intervention, observation or action research. When the therapeutic session is happening, the setting of the environment has to be as comfortable for the client as possible and the presence of a third person at the session would disturb the result in a severe way.I would argue here that the therapists can act as proxies in the projects related to design for MHC clients. Psychology therapists are skilled and experienced observers and area experts. In many cases we actually have to think: who is the real end user of our design? What relationships are there between the stakeholders and the solution are? As the project involves therapists as participatory design actors it is fair to say that the therapists are primary users of the design concept that is to be created. It has to fit all the needs of the doctor, enable them to make the therapy sessions more efficient, engaging and profound. At the same time the concept has to be developed in the framework of interaction for children in terms of visuals, tangibility, emotional content and usability.
46
Holmlund, Jeanette, and Robyn Schimmer. "Implicit or Explicit: : Understanding the role of Information Technology in Co- Creational Workshop Results." Thesis, Umeå universitet, Institutionen för informatik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-90189.
Анотація:
The demand for increased efficiency and patient-centered care has been influencing the development of healthcare in Sweden, and information technology has an important role in that process. Developing and implementing systems for public healthcare have proven to be a great challenge. One way to address this challenge is open innovation and co-creation. While there are a lot of studies focusing on innovation processes, there is little research regarding how technology is presented in the results. We have studied a co-creational workshop that focused on putting new perspectives on the use of information technology in healthcare. The workshop resulted in eight concepts which have been analyzed in terms of how technology is expressed. The results were categorized into implicit and explicit use of technology and this categorization indicates that the implicit use of technology is of the bricolage kind. By being both implicit and bricolage-like, the concepts hold qualities that make them more likely to be integrated into existing workplaces.
47
Hamm, Julian J. "Technology-assisted healthcare : exploring the use of mobile 3D visualisation technology to augment home-based fall prevention assessments." Thesis, Brunel University, 2018. http://bura.brunel.ac.uk/handle/2438/16422.
Анотація:
Falls often cause devastating injuries which precipitate hospital and long-term care admission and result in an increased burden on health care services. Fall prevention interventions are used to overcome fall risk factors in an ageing population. There is an increasing need for technology-assisted interventions to reduce health care costs, whilst also lessening the burden that an ageing population increasingly has on health care services. Research efforts have been spent on reducing intrinsic fall risk factors (i.e. functional ability deficits and balance impairments) in the older adult population through the use of technology-assisted interventions, but relatively little effort has been expended on extrinsic risk factors (i.e. unsuitable environmental conditions and lack of assistive equipment use), considering the drive for healthcare outside of the clinical setting into the patients' home. In the field of occupational therapy, the extrinsic fall-risk assessment process (EFAP) is a prominent preventive intervention used to promote independent living and alleviate fall risk factors via the provision of assistive equipment prescribed for use by patients in their home environment. Currently, paper-based forms with measurement guidance presented in the form of 2D diagrams are used in the EFAP. These indicate the precise points and dimensions on a furniture item that must be measured as part of an assessment for equipment. However, this process involves challenges, such as inappropriate equipment prescribed due to inaccurate measurements being taken and recorded from the misinterpretation of the measurement guidance. This is largely due to the poor visual representation of guidance that is provided by existing paper-based forms, resulting in high levels of equipment abandonment by patients. Consequently, there is a need to overcome the challenges mentioned above by augmenting the limitations of the paper-based approach to visualise measurement guidance for equipment. To this end, this thesis proposes the use of 3D visualisation technology in the form of a novel mobile 3D application (Guidetomeasure) to visualise guidance in a well-perceived manner and support stakeholders with equipment prescriptions. To ensure that the artefact is a viable improvement over its 2D predecessor, it was designed, developed and empirically evaluated with patients and clinicians alike through conducting five user-centred design and experimental studies. A mixed-method analysis was undertaken to establish the design, effectiveness, efficiency and usability of the proposed artefact, compared with conventional approaches used for data collection and equipment prescription. The research findings show that both patients and clinicians suggest that 3D visualisation is a promising development of an alternative tool that contains functionality to overcome existing issues faced in the EFAP. Overall, this research makes a conceptual contribution (secondary) to the research domain and a software artefact (primary) that significantly improves practice, resulting in implications and recommendations for the wider healthcare provision (primary).
48
Mahmood, Ashrafullah Khalid. "Information Security Management of Healthcare System." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4353.
Анотація:
Information security has significant role in Healthcare organizations. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. Sensitive information of patients in healthcare has to be managed such that it is safe and secure from unauthorized access. The high-level quality care to patients is possible if healthcare management system is able to provide right information in right time to right place. Availability and accessibility are significant aspects of information security, where applicable information needs to be available and accessible for user within the healthcare organization as well as across organizational borders. At the same time, it is essentials to protect the patient security from unauthorized access and maintain the appropriate level in health care regarding information security. The aim of this thesis is to explore current management of information security in terms of Electronic Health Records (EHR) and how these are protected from possible security threats and risks in healthcare, when the sensitive information has to be communicated among different actors in healthcare as well as across borders. The Blekinge health care system was investigated through case study with conduction of several interviews to discover possible issues, concerning security threats to management of healthcare. The theoretical work was the framework and support for possible solutions of identified security risks and threats in Blekinge healthcare. At the end after mapping, the whole process possible guidelines and suggestions were recommended for healthcare in order to prevent the sensitive information from unauthorized access and maintain information security. The management of technical and administrative bodies was explored for security problems. It has main role to healthcare and in general, whole business is the responsibility of this management to manage the sensitive information of patients. Consequently, Blekinge healthcare was investigated for possible issues and some possible guidelines and suggestions in order to improve the current information security with prevention of necessary risks to healthcare sensitive information.muqadas@gmail.com
49
Engström, Jon. "Co-creation in Healthcare Service Development : A Diary-based approach." Licentiate thesis, Linköpings universitet, Kvalitetsteknik, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-78717.
Анотація:
The patient is the only person who experiences the complete course of a healthcare problem, from first symptom to any contacts with the healthcare system to examination, treatment, follow-up activities and rehabilitation. The aim of this thesis is to explore how caregivers, together with patients, can draw on the knowledge patients acquire from their experiences in healthcare service development. This represents a break with the traditional role of the patient, which has been one of a passive receiver of care, following a supplier-centered view on value creation, which has increasingly been challenged both in the healthcare management discourse and in service research. Instead it is argued that value can only be co-created with customers, or patients in the case of healthcare. This means that the patients’ value-creating processes and contexts need to be emphasized and that patients are seen as a possible resource in their own care but also in the development of services and products. Despite this change in discourse, practical methods and empirical studies concerning patient involvement are scarce. This thesis adds to the field through an empirical exploration of co-creation in the development of healthcare. Through an action research approach, researchers and healthcare personnel have collaborated to develop a model for involving patients in service development, by inviting patients to share ideas and experiences through diaries. A workable, three-phase (preparation, execution and learning) model for patient involvement through diaries has been developed, and applied in three clinics (orthopedic, rehabilitation, gastro). A total of 53 patients from the different care processes have contributed ideas and experiences using paper and pen diaries or blogs, or by calling an answering machine. By doing so for a period of 14 days, the patients have submitted a total of 360 ideas. Three ways are proposed for utilizing the rich data submitted by the patients in service development. First, ideas from diaries can be used as input for service development. Second, a larger sample of diaries can be used to create a report of patient experiences, in which problem areas in the care process can be identified, and combined with other statistics. Third, individual patients’ stories can be highlighted and serve as a basis for discussion in the organization to shift the focus to the patient’s experience, serving as a motivator for change within the caregiving organization. The study shows that patients can share ideas and experiences regarding a range of topics, including clinical, organizational, social, informational, and practical issues and attitudes among healthcare staff. The contexts to which these ideas and experiences applied were caregiver, home, extended caregiver, and work, and often concerned topics and aspects of the patient’s care process that are invisible to the caregiver. Although healthcare organizations should be aware of the limitations to participation an illness may imply among some patients, patient co-creation in service development provides several important benefits. Acquiring knowledge regarding the parts of the patient’s care process that are invisible to the caregiver is key to improving care and supporting patients’ work of healing and managing life. Patients’ insights and creativity are an untapped resource for development of many aspects of the healthcare process.
50
Eyemaro, John K. (John Kingsley). "The dynamics and strategic analysis of wireless communications technology in the healthcare industry." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/37114.
Анотація:
Thesis (S.M.)--Massachusetts Institute of Technology, Sloan School of Management, 2006.Includes bibliographical references (leaves 98-99).
The healthcare industry like other industry is on the cross roads as a result of rising demand for healthcare delivery and service, the industry is facing declining revenues and increasing cost. As a result, one of the industry's strategic arsenal to avert the continual declines in revenue and increases operating cost is to effectively use modern technology in form of wireless computing and communications technology to change the paradigm shift to improve outcomes of clinical services, enhance physician and nurse productivity and work flow efficiency, reduce supply chain cost, improve revenue collection and practice profitability. This report presents the dynamic and strategic analysis of wireless communications technology in the healthcare industry, by first evaluating the wireless technologies, industry standards and regulations, applicable standards for the healthcare information systems and innovative healthcare technologies.
(cont.) Based on an in-depth technical analysis of the wireless technology, I analyzed the market and industry by applying frameworks including Porter's 5 forces and The Delta model and system dynamics models presented to illustrate contributing factors affecting new technology adoption in the healthcare industry and a holistic view of a healthcare IT system architecture. Lastly, I analyzed emerging wireless technologies including WiMAX, UltraWide -Band and RFID, and reviewed market opportunities in the healthcare industry through 2011.
by John K. Eyemaro.
S.M.