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International Journal of Healthcare Delivery Reform Initiatives最新文献

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Tele-Practice Technology: A Model for Healthcare Delivery to Underserved Populations 远程实践技术:向服务不足人群提供医疗保健服务的一种模式
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-07-01 DOI: 10.4018/JHDRI.2009070104
T. W. Miller, R. Morgan, J. Woods
{"title":"Tele-Practice Technology: A Model for Healthcare Delivery to Underserved Populations","authors":"T. W. Miller, R. Morgan, J. Woods","doi":"10.4018/JHDRI.2009070104","DOIUrl":"https://doi.org/10.4018/JHDRI.2009070104","url":null,"abstract":"Telehealth is viewed as the removal of time and distance barriers in the provision of health care and patient education to underserved populations. Examined is a twenty first century clinical consultation model of health care. Offered are specific applications within a broad spectrum of services utilizing telehealth technology. Important technology shifts for administrative paradigms, clinical models, and educational information technology for healthcare services through telehealth technology are examined. The future of telehealth and its interface with various critical components of society needs to examine the potential benefits over risks in providing healthcare consultations and services through the educational settings available. Addressed is a technology model, which demonstrates the capability of reducing time and distance barriers in the provision of health care and education through telehealth technology. The use of telehealth technology in rural settings is seen as a viable medium for providing needed diagnostic and clinical consultation for underserved and rural [Article copies are available for purchase from InfoSci-on-Demand.com]","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117200142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Evidence on the Efficacy of Integrated Care 综合护理疗效的证据
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-07-01 DOI: 10.4018/JHDRI.2009070105
T. Larsen
{"title":"Evidence on the Efficacy of Integrated Care","authors":"T. Larsen","doi":"10.4018/JHDRI.2009070105","DOIUrl":"https://doi.org/10.4018/JHDRI.2009070105","url":null,"abstract":"The fragmented delivery of healthcare and social services was put on the agenda as a major problem by WHO in 2002. Early Home-Supported Discharge (EHSD) of stroke patients combining efficacy with net savings represents a prototype of integrated care (IC) or overlapping services for better clinical continuity. Other frequent chronic conditions as heart failure, chronic obstructive pulmonary disease and mental disease exhibit parallel results from home health interventions. A SWOT analysis of IC emphasizes: Strengths are 1) economic dominance, 2) benefits to a majority of the population and 3) psychological motivators for the patient (Hawthorne effect) Weaknesses are 1) moderate improvements on a day-to-day basis, 2) some lack of RCT and 3) lack of trust across settings Opportunities are 1) job enrichment to health professionals, 2) low-tech improvements affordable to low and middle income countries and 3) organisational quality Threats are 1) fragmented financial conditions, 2) defensive specialists and 3) Mediocre implementations","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131591483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Multi-Dimensional Criteria for the Evaluation of E-Health Services 电子卫生服务评价的多维标准
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-07-01 DOI: 10.4018/JHDRI.2009070101
Alalwany Hamid, A. Sarmad
{"title":"Multi-Dimensional Criteria for the Evaluation of E-Health Services","authors":"Alalwany Hamid, A. Sarmad","doi":"10.4018/JHDRI.2009070101","DOIUrl":"https://doi.org/10.4018/JHDRI.2009070101","url":null,"abstract":"E-health is an emerging field in the intersection of information systems, healthcare and business, referring mainly to healthcare services delivered and enhanced through the use of information and communication technologies (ICT). An important area of research is the evaluation of e-health services. A holistic e-health evaluation framework should address the aspects that are hampering healthcare services from embracing the full potential of ICT towards successful e-health initiatives. In order to build a holistic evaluation framework for e-health services, this article suggests framework characteristics for the appropriate evaluation for e-health services. The article argues that e-health services evaluation framework should be criteria based. The criteria have to be multi-dimensional that grounded in, or derived from, one or more specific perspectives or theories. The proposed evaluation criteria in this article can serve as part of an e-health evaluation framework, improve our understanding of the role of information systems in health care, and develop our ability to deliver high quality services.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125175322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Adoption of Mobile Technology by Public Healthcare Doctors: A Developing Country Perspective 公共医疗保健医生采用移动技术:一个发展中国家的视角
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-07-01 DOI: 10.4018/JHDRI.2009070103
Nesaar Banderker, Jean-Paul Van Belle
{"title":"Adoption of Mobile Technology by Public Healthcare Doctors: A Developing Country Perspective","authors":"Nesaar Banderker, Jean-Paul Van Belle","doi":"10.4018/JHDRI.2009070103","DOIUrl":"https://doi.org/10.4018/JHDRI.2009070103","url":null,"abstract":"Healthcare is a key component of South African society, socially and economically (Chiasson et al 2004). Total healthcare spending in South Africa is 8.7% of GDP which is substantially above the norm of 5% recommended for developing countries by the WHO (Chetty, 2007). The public healthcare budget alone totalled R47.8 billion (approximately US$ 6.7 billion) in 2006, representing 4.27% of GDP. This represents a substantial growth compared with 1995 when it stood at only 1.84% of GDP. However, despite these efforts by the new democratically elected government, huge inequalities remain. The budget of the private sector, which services less than 8 million people, exceeds that of the public sector servicing aBstract","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127112065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Confirmatory Factor Analysis to Establish Determinants of Wireless Technology in the Indian Healthcare 验证性因素分析以确定无线技术在印度医疗保健中的决定因素
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-07-01 DOI: 10.4018/JHDRI.2009070102
R. Gururajan, Tiana Gurney, Abdul Hafeez-Baig
{"title":"Confirmatory Factor Analysis to Establish Determinants of Wireless Technology in the Indian Healthcare","authors":"R. Gururajan, Tiana Gurney, Abdul Hafeez-Baig","doi":"10.4018/JHDRI.2009070102","DOIUrl":"https://doi.org/10.4018/JHDRI.2009070102","url":null,"abstract":"This study reports the determinants of wireless technology in the Indian healthcare validated by a second order regression model. In order to assert the determinants, a qualitative study was conducted with 30 physicians using interviews to arrive at a set of barriers and drivers. Further analysis of the qualitative data indicated that there is a third component emerging, namely, clinical influence. The interview data was used to develop a survey instrument and this was administered on the Indian clinicians with 200 completed surveys. This data was used to establish the sub-components of the three major determinants as identified in the qualitative study. This is reported in this article.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133599113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Physician Characteristics and EMR Attitudes 医师特征与电子病历态度
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-04-01 DOI: 10.4018/JHDRI.2009040103
David B. Meinert, Dane K. Peterson
{"title":"Physician Characteristics and EMR Attitudes","authors":"David B. Meinert, Dane K. Peterson","doi":"10.4018/JHDRI.2009040103","DOIUrl":"https://doi.org/10.4018/JHDRI.2009040103","url":null,"abstract":"Despite the numerous purported benefits of Electronic Medical Records (EMR), the medical profession has been extremely reluctant to embrace the technology. One of the barriers believed to be responsible for the slow adoption of EMR technology is resistance by many physicians who are not convinced of the advantages of using EMR systems. This study examined potential characteristics of physicians that might help identify those individuals that are most likely to pose a threat to the successful implementation of an EMR system in a multi-specialty clinic. The results demonstrated that older physicians and physicians with only minimal computer skills are more likely to have negative attitudes regarding EMR technology. Medical specialists were most likely to have positive attitudes with respects to the use of EMR systems, while primary care physicians were most likely to have doubts regarding the purported benefits of EMR technology. [Article copies are available for purchase from InfoSci-on-Demand.com]","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122818897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Wireless for Managing Health Care: The Wirhe Framework 无线管理医疗保健:有线框架
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-04-01 DOI: 10.4018/JHDRI.2009040104
E. Alasaarela, Ravi Nemana, S. DeMello, N. Oliver, M. Miyazaki
{"title":"Wireless for Managing Health Care: The Wirhe Framework","authors":"E. Alasaarela, Ravi Nemana, S. DeMello, N. Oliver, M. Miyazaki","doi":"10.4018/JHDRI.2009040104","DOIUrl":"https://doi.org/10.4018/JHDRI.2009040104","url":null,"abstract":"The Wirhe project is an international collaborative study that focused on the future of healthcare needs, technology requirements and solutions for effective use of wireless technologies for health care delivery. This paper presents results of a Wirhe survey of 85 experts and individual interviews with 35 experts. Key findings include: 1) both notable quality improvements and process enhancements can be expected from effectively utilizing wireless technologies and mobile solutions, 2) integration of personal health monitoring and professional health management is a key issue to be addressed and 3) health promotion and illness prevention efforts can grow by utilizing mobile solutions. We propose a framework that can be used in developing wireless health care solutions for managing diseases and related health problems. This framework can also be used to structure and stratify the needs of technologies and solutions, and to estimate their market potential. 790 Copyright © 2010, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. 791 Wireless for Managing Health Care","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129044341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Preparing Healthcare Organizations for New IT Systems Adoption: A Readiness Framework 准备医疗保健组织采用新的IT系统:准备框架
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 2009-04-01 DOI: 10.4018/JHDRI.2009040102
R. Breas, M. Guah
{"title":"Preparing Healthcare Organizations for New IT Systems Adoption: A Readiness Framework","authors":"R. Breas, M. Guah","doi":"10.4018/JHDRI.2009040102","DOIUrl":"https://doi.org/10.4018/JHDRI.2009040102","url":null,"abstract":"Information systems exist for hospitals but even the most advanced systems concentrate on relatively simple coordination, resource allocation and documentation aspects of healthcare operations. At the same time the need to improve health care performance by means of more sophisticated IT systems is widely felt. In practice, however, the adoption of new IT is usually a difficult and a very slow process. To analyse the underlying reasons, we identified a set of key bottlenecks in the IT adoption process by interviewing large groups of healthcare actors. We conclude that health care organizations should be better prepared in order to facilitate easier IT systems’ adoption. To do so, a readiness framework is considered to be helpful, the contours of which are sketched in this article. It is also discussed how, based on clarified clinical pathways, workflow management can assist in framing optimization of resource utilisation, clinical decision-making, staff training and quality improvement in healthcare delivery. [Article copies are available for purchase from InfoSci-on-Demand.com]","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1997 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125583719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Factors Affecting the Adoption of ICT for Health Service Delivery in Namibia: The Role of Functional Literacy and Policy Implications 影响纳米比亚采用信通技术提供保健服务的因素:功能性扫盲的作用和政策影响
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 1900-01-01 DOI: 10.4018/JHDRI.2009010105
B. Maumbe, Meke I. Shivute, V. Owei
{"title":"Factors Affecting the Adoption of ICT for Health Service Delivery in Namibia: The Role of Functional Literacy and Policy Implications","authors":"B. Maumbe, Meke I. Shivute, V. Owei","doi":"10.4018/JHDRI.2009010105","DOIUrl":"https://doi.org/10.4018/JHDRI.2009010105","url":null,"abstract":"The article examines ICT use in health service provision in Namibia. The patterns of ICT use for health services by patients, public and private health service providers are not yet fully understood. This study describes ICT applications in health service delivery to patients in the Khomas and Oshana regions of Namibia. The study interviewed 134 patients and 21 health service providers. Factor analysis on ICT use identified three main factor groupings namely, ‘high technology’, ’mobile technology’ and ‘traditional technology’. Multinomial regression results showed the major factors affecting multiple ICT awareness in the two regions as functional literacy, diverse sources of health information services, age and educational level of the patients. Logistic regression results on individual ICT use identified functional literacy, personal privacy, cost of ICT, age, education, and positive perceptions about ICT applications in improving health services as statistically significant factors influencing adoption by both rural and urban patients in Namibia.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115410503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Adoption of Electronic Health Records: A Study of CIO Perceptions 电子健康记录的采用:CIO感知的研究
International Journal of Healthcare Delivery Reform Initiatives Pub Date : 1900-01-01 DOI: 10.4018/JHDRI.2010010102
Yousuf Ahmad, V. Raghavan, W. Martz
{"title":"Adoption of Electronic Health Records: A Study of CIO Perceptions","authors":"Yousuf Ahmad, V. Raghavan, W. Martz","doi":"10.4018/JHDRI.2010010102","DOIUrl":"https://doi.org/10.4018/JHDRI.2010010102","url":null,"abstract":"Adoption of Electronic Health Records (EHR) can provide an impetus to a greater degree of overall adoption of Information Technology (IT) in many healthcare organizations. In this study, using a Delphi technique, input from 40 CIO responses is analyzed to provide an insight into acceptance and adoption of EHRs at an enterprise level. Many useful findings emerged from the study. First, a majority of the participants believed that about 40-49 percent of the providers will be using EHRs by the year 2014, thus highlighting the need for studying EHR diffusion in hospitals. As predictors of successful implementations, physicians’ leadership and attitude was ranked as the most important factor. Another significant determinant of success was the business model of the physicians—whether they are affiliated with hospitals or working independently. This factor highlights the need to employ different strategies to encourage adoption of EHRs among these distinct groups. All findings are discussed, including their implications for IT diffusion in healthcare. Yousuf J. Ahmad Mercy Health Partners, USA Vijay V. Raghavan Northern Kentucky University, USA William Benjamin Martz Jr. Northern Kentucky University, USA Adoption of Electronic Health Records: A Study of CIO Perceptions DOI: 10.4018/978-1-60960-561-2.ch109","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130133308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
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