International Journal of Healthcare Delivery Reform Initiatives最新文献

{"title":"Issues in Interoperable Structures of Regional Health Information Networks","authors":"Stergiani Spyrou, P. Bamidis, N. Maglaveras","doi":"10.4018/JHDRI.2010010104","DOIUrl":"https://doi.org/10.4018/JHDRI.2010010104","url":null,"abstract":"","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"35 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":"114786914","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}

{"title":"Perspectives on the Adoption of Electronic Resources for Use in Clinical Trials","authors":"M. Planas-Silva, Rhoda C. Joseph","doi":"10.4018/JHDRI.2009010102","DOIUrl":"https://doi.org/10.4018/JHDRI.2009010102","url":null,"abstract":"Clinical trials are specific medical studies that use human subjects for the advancement of medicine. Evidence-based medicine requires the use of clinical trials to evaluate new treatments, devices, drugs, and modalities for the prevention and treatment of diseases. Clinical trials have not been particularly aggressive in their adoption of information technology (IT). In this analysis, we examine the impact of electronic resources on the execution and management of clinical trials. Further, we present a theoretical model showing the main areas of clinical trials that can be directly impacted by the adoption of electronic resources. The four areas identified are recruitment, data collection, process data management, and information dissemination.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 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":"128400158","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}

{"title":"Decentralisation and Health Systems Performance in Developing Countries: Impact of “Decision Space” on Primary Health Care Delivery in Nigeria","authors":"Adebusoye Anifalaje","doi":"10.4018/JHDRI.2009010103","DOIUrl":"https://doi.org/10.4018/JHDRI.2009010103","url":null,"abstract":"This article attempts to elucidate the intricacies of primary health care delivery in Nigeria. Among myriad complexities, the central proposition made herein is that the absence of an effective regulatory and enforcement framework in developing countries results in a prominent informal decision space. The findings show that the prominence of an informal decision space compromises the objectives of an information-based public health system. The article concludes that decentralisation in developing countries must have a coordinated top-down and bottom-up development component for it to be effective in improving the performance of primary health systems. One of the implications of the study is that researching decentralised healthcare delivery requires analytical models which are able to illuminate the complexities of local accountability in developing countries. The study also reveals the need to further research the dynamics of democratic decentralisation in developing countries as this goes beyond administrative structures but involve sociocultural institutions.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"77 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":"115169649","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}

{"title":"Drivers for wireless technology acceptance in Indian healthcare","authors":"R. Gururajan","doi":"10.4018/JHDRI.2009010104","DOIUrl":"https://doi.org/10.4018/JHDRI.2009010104","url":null,"abstract":"[Abstract]: The outcomes of clinical usefulness as a driver of wireless technology for Indian healthcare are reported here. Using both qualitative and quantitative techniques, 30 physicians were interviewed and 200 health professionals were surveyed. The outcomes established that in addition to technology factors, other factors such as clinical factors, administration factors and communication factors play a crucial role in determining the uptake of wireless technology for healthcare. These factors were further validated using a PLS model.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"56 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":"131660660","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}

{"title":"The Adventure of Structuring Knowledge During Emergencies: Applying the Concepts “Knowledge Structuring” and “Knowledge Domination” on a Real-Life Work Situation","authors":"Carina Beckerman","doi":"10.4018/JHDRI.2011010102","DOIUrl":"https://doi.org/10.4018/JHDRI.2011010102","url":null,"abstract":"This paper applies two concepts, ‘knowledge structuring’ and ‘knowledge domination,’ to a real life work situation. The purpose is to explore, analyze and discuss what happens when management interferes into the activities of a knowledge worker in a specific organizational setting by computerizing a key document. Exercising knowledge is delicate and complex. This study makes visible how some parts of performing anesthesia become structured and re-structured when the anesthesia patient record is transformed into a knowledge management system at the same time as someone or something influences how that structuring takes place. is going on today. It is also an example of how modern man tries to manage knowledge to create increased values in society. These efforts have many different implications for people involved. This paper is not meant to be a full description on what happens when a patient record is transformed into a knowledge management system. It directs itself towards management and wants to touch on this very important question of how these computerized systems influence the way a specialist or a knowledge worker exercises his or her knowledge. The section that follow presents the theoretical framework used in this paper, then a description of how research has taken place DOI: 10.4018/jhdri.2011010102 14 International Journal of Healthcare Delivery Reform Initiatives, 3(1), 13-23, January-March 2011 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. is presented, and some information about the research context. THE PRACTICE OF MANAGING KNOWLEDGE IN THE KNOWLEDGE SOCIETY This research takes place in the knowledge society (Lane, 1966; Bell, 1974; Böhme & Stehr, 1986; Drucker, 1993; Castells, 1996; OECD, 1996). OECD has used the expression “the knowledge-based economies” instead of “the knowledge society” and characterized them as “those which are directly based on the production, distribution and use of knowledge and information”. One important difference between the two expressions “the information society” and “the knowledge society” is that the first one is characterized by low-cost information and a general use of information and communication technology while the key factor in the second is mainly investments in people, utilizing new information and communication technology. In the knowledge society there are a continuous structuring and re-structuring, construction and re-construction and learning and re-learning going on due to implementing new information and communication technology. Knowledge is viewed as localized and embedded in a specialist practice. It is an ongoing social process of construction and collective action in organizations and a cognitive capability that empowers its possessors with the capacity for physical or intellectual action. Exercising knowledge is a structured activity. In our heads we always make plans for what to do, ho","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"63 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":"125089704","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}

{"title":"Managing E-Procurement in Public Healthcare: A Knowledge Management Perspective","authors":"T. Federici, A. Resca","doi":"10.4018/JHDRI.2009010101","DOIUrl":"https://doi.org/10.4018/JHDRI.2009010101","url":null,"abstract":"In large parts of Europe, the development of healthcare is subject to contrasting forces: explosion in spending, while governments are faced with budget constraints, and pressures to be innovative, technologically advanced in order to improve the services’ quality. Even though e-procurement initatives can be seen as a solution to the first issue in this dilemma, such initiatives have not been widely deployed and have not delivered the expected benefits so far. In this perspective, as case study of an e-procurement implementation of an Italian local healthcare agency has been examined because of the comprehensive design of the e-procurement system, the differentiation of tools adopted and the multiple solutions already implemented or in progress. The aim of this work is to reconstruct, by following a knowledge management approach, the steps that led to the introduction of e-procurement as a new operating practice, by redesigning supply purchasing, supply chain and logistic processes.","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 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":"130542394","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}

{"title":"Physicians' Non-Use of Technology: Why, Oh Why Aren't Physicians Heavily Using Technology? What Technology Acceptance Theories Do Not Explain","authors":"Jon Blue","doi":"10.4018/JHDRI.2010010101","DOIUrl":"https://doi.org/10.4018/JHDRI.2010010101","url":null,"abstract":"","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"23 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":"114512937","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}

{"title":"Healthcare Information Exchange in Advancing Shared Care Regionally","authors":"K. Harno","doi":"10.4018/JHDRI.2010010103","DOIUrl":"https://doi.org/10.4018/JHDRI.2010010103","url":null,"abstract":"","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"185 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":"123412860","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}

{"title":"Preferred Types of Menopause Service Delivery: A Qualitative Study of Menopausal Women’s Perceptions","authors":"A. Hyde, J. Nee, M. Butler, J. Drennan, E. Howlett","doi":"10.4018/JHDRI.2011010101","DOIUrl":"https://doi.org/10.4018/JHDRI.2011010101","url":null,"abstract":"","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"1 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":"114491812","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}

{"title":"Analysis Using Identical Patient Types Across Providers and the Implications for the Health Care Supply Chain","authors":"B. Cameron, F. Payton","doi":"10.4018/JHDRI.2011010103","DOIUrl":"https://doi.org/10.4018/JHDRI.2011010103","url":null,"abstract":"Along the health care supply chain, cost and quality measures are vital in the decision-making process for treatment and care delivery. This study applies statistical significance to a hypothesis about cost effectiveness of patients’ total charges by health insurance providers for different heart conditions. A retrospective, observational analysis of data is collected from an urban hospital in the Southeastern United States. Using the Agency for Healthcare Research and Quality (AHRQ) database, diagnoses are selected for further analysis based on their prevalence in the general population. The numbers of procedures as well as the patient’s length of stay in the hospital are significantly higher among the Medicare population. However, results indicate that although Medicaid and Medicare have significantly higher ordinary average total charges than the private counterparts, the difference is negligible when comparing means adjusted to remove covariate influence. One implication is that if private insurers were to insure the same types of high risk patients as Medicare and Medicaid the average total charges of a visit would be comparable between providers. These results also suggest that to enhance cost saving measures in government funded insurance programs, the clinical pathways need to be adapted to reduce length of stay and number of procedures per visit. this should not be an issue for the government to tackle (Goodridge, 2007). In 1945, however, President Truman publicly addressed the need for a national health care plan to United States Congress (Igel, 2008). Given escalating health costs during the last few decades, much of the focus has been on what entity should shoulder the cost for national health insurance and how citizens should be transitioned to such a plan. Currently, in the U.S. Congress, the goal is to DOI: 10.4018/jhdri.2011010103 International Journal of Healthcare Delivery Reform Initiatives, 3(1), 24-38, January-March 2011 25 Copyright © 2011, IGI Global. Copying or distributing in print or electronic forms without written permission of IGI Global is prohibited. create a government-funded insurance plan to compete with private insurers, and one school of thought is to expand upon the already existing Medicare and Medicaid programs. The Centers for Medicare and Medicaid estimate that health care spending accounted for a record 16.2% of the United State’s gross domestic product in 2008; this translates to $2.3 trillion (U.S. Department of Health and Human Services Centers for Medicare and Medicaid, 2011). The cost of cardiovascular disease in that year was $448.5 billion, 19.5% of the total health care spending (American Heart Association, 2008). Coronary artery disease (CAD) was the most expensive diagnosis followed by acute myocardial infarction (AMI) and congestive heart failure (CHF). Non-specified (NOS) chest pain also appears on the list of conditions associated with health disease. In 2004, these medical conditions account","PeriodicalId":352165,"journal":{"name":"International Journal of Healthcare Delivery Reform Initiatives","volume":"194 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":"133349942","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}