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From digital health to learning health systems: four approaches to using data for digital health design. 从数字健康到学习型健康系统：利用数据进行数字健康设计的四种方法。
IF 1.2
Health Systems Pub Date : 2024-01-13 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2284712
Valeria Pannunzio, Maaike Kleinsmann, Dirk Snelders, Jeroen Raijmakers
{"title":"From digital health to learning health systems: four approaches to using data for digital health design.","authors":"Valeria Pannunzio, Maaike Kleinsmann, Dirk Snelders, Jeroen Raijmakers","doi":"10.1080/20476965.2023.2284712","DOIUrl":"10.1080/20476965.2023.2284712","url":null,"abstract":"<p><p>Digital health technologies, powered by digital data, provide an opportunity to improve the efficacy and efficiency of health systems at large. However, little is known about different approaches to the use of data for digital health design, or about their possible relations to system-level dynamics. In this contribution, we identify four existing approaches to the use of data for digital health design, namely the silent, the overt, the data-enabled, and the convergent. After characterising the approaches, we provide real-life examples of each. Furthermore, we compare the approaches in terms of selected desirable characteristics of the design process, highlighting relative advantages and disadvantages. Finally, we reflect on the system-level relevance of the differentiation between the approaches and point towards future research directions. Overall, the contribution provides researchers and practitioners with a broad conceptual framework to examine data-related challenges and opportunities in digital health design.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 4","pages":"481-494"},"PeriodicalIF":1.2,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of a composite, multi-scale COVID-19 mitigation framework: US border use-case 多尺度 COVID-19 综合缓解框架的应用：美国边境案例
IF 1.8
Health Systems Pub Date : 2023-12-21 DOI: 10.1080/20476965.2023.2287506
Zach Danial, Nathan Edwards, John James, Paula Mahoney, Casey Corrado, Brian Savage
{"title":"Application of a composite, multi-scale COVID-19 mitigation framework: US border use-case","authors":"Zach Danial, Nathan Edwards, John James, Paula Mahoney, Casey Corrado, Brian Savage","doi":"10.1080/20476965.2023.2287506","DOIUrl":"https://doi.org/10.1080/20476965.2023.2287506","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"49 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949993","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: 0
Determinants of health-related quality of life among patients with Ischemic heart disease 缺血性心脏病患者健康相关生活质量的决定因素
IF 1.8
Health Systems Pub Date : 2023-11-16 DOI: 10.1080/20476965.2023.2275799
O. Jlassi, Amira Omrane, M. Ben Massoud, Taoufik Khalfallah, Lamia Bouzgarrou, Habib Gamra
{"title":"Determinants of health-related quality of life among patients with Ischemic heart disease","authors":"O. Jlassi, Amira Omrane, M. Ben Massoud, Taoufik Khalfallah, Lamia Bouzgarrou, Habib Gamra","doi":"10.1080/20476965.2023.2275799","DOIUrl":"https://doi.org/10.1080/20476965.2023.2275799","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"36 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269463","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: 0
Taking a systems approach to promote posttraumatic growth: A position paper 采用系统方法促进创伤后成长:立场文件
Health Systems Pub Date : 2023-10-30 DOI: 10.1080/20476965.2023.2275794
Megan E. Call, Heather R. Walker, Michael L. Good, Joe Borgenicht, Gretchen A. Case, Amy B. Locke
{"title":"Taking a systems approach to promote posttraumatic growth: A position paper","authors":"Megan E. Call, Heather R. Walker, Michael L. Good, Joe Borgenicht, Gretchen A. Case, Amy B. Locke","doi":"10.1080/20476965.2023.2275794","DOIUrl":"https://doi.org/10.1080/20476965.2023.2275794","url":null,"abstract":"ABSTRACTAs health systems emerge from the pandemic, academic medical centres are motivated to have a healthy and resilient workforce. In the face of the collective traumas of the pandemic, we took a systems approach to infuse wellness into our culture by modelling collective recovery in a non-traditional town hall. Over a dozen senior leaders, faculty, staff, and students shared their personal experiences in a virtual forum, nearly 1000 attendees communally supported one another. Since the town hall, a recording of the experience has been broadly viewed, messaging from leaders proliferated, and smaller versions of the same exercise were implemented. At a time when academic medical centres faced multiple challenges, we chose to first value the well-being of our staff at a system-wide level. It is our hope that other academic medical centres leverage our story to hold space for the experiences of the people who make their work possible.KEYWORDS: COVID-19professional well-beingtrauma-informed Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1. Members of this group developed the 3 R’s as a collaborative approach to system-level conversations and financial strategy. The 3 R’s influences the development and implementation of this project. More can be read about the 3 R’s here: https://uofuhealth.utah.edu/notes/postings/2021/05/town-hall-moving-forward.php#.YQCMuBNKi8U2. Because this town hall was intended as a community building and quality improvement event, the metrics we use to measure its success are rooted in attendance and participation. These primary goals reflect our hopes for broad institutional change marked by events such as these which – in theory – promise cultural shifts.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136067382","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: 0
Fractured systems: a literature review of OR/MS methods applied to orthopaedic care settings and treatments 骨折系统:OR/MS方法应用于骨科护理设置和治疗的文献综述
Health Systems Pub Date : 2023-10-09 DOI: 10.1080/20476965.2023.2264348
Matthew Howells, Paul Harper, Geraint Palmer, Daniel Gartner
{"title":"Fractured systems: a literature review of OR/MS methods applied to orthopaedic care settings and treatments","authors":"Matthew Howells, Paul Harper, Geraint Palmer, Daniel Gartner","doi":"10.1080/20476965.2023.2264348","DOIUrl":"https://doi.org/10.1080/20476965.2023.2264348","url":null,"abstract":"Orthopaedic systems are facing an impending wave of increased pressures as a result of global ageing populations. This is compounded by the current stresses these services face, as a result of the COVID-19 pandemic, and increasing burden of musculoskeletal conditions. It is vital that measures are taken to alleviate the pressures on these systems, to ensure timely and quality access to care for patients. This literature review presents a taxonomic classification of the applications of Operational Research and Management Science (OR/MS) methodologies to orthopaedic care settings and treatments, covering the general, medical, and methodological context of each paper. Our structured search identified 492 relevant publications that have been included in our analysis. The results found a literature largely dominated by cost analysis applications, typically utilising Markov models or decision trees. Key gaps identified in this review include the lack of holistic modelling of orthopaedic systems and pathways, and limited applications to resource and capacity planning. The implications of our review are that researchers, healthcare professionals and managers can develop a research agenda to address these gaps, and enhance decision support in orthopaedics.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135146913","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: 0
Estimating the workload of a multi-disciplinary care team using patient-level encounter histories. 利用患者层面的就诊历史估算多学科护理团队的工作量
IF 1.2
Health Systems Pub Date : 2023-06-12 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2023.2215848
Ekin Koker, Hari Balasubramanian, Rebecca Castonguay, Aliecia Bottali, Aaron Truchil
{"title":"Estimating the workload of a multi-disciplinary care team using patient-level encounter histories.","authors":"Ekin Koker, Hari Balasubramanian, Rebecca Castonguay, Aliecia Bottali, Aaron Truchil","doi":"10.1080/20476965.2023.2215848","DOIUrl":"10.1080/20476965.2023.2215848","url":null,"abstract":"<p><p>Healthcare spending in the United States is concentrated on a small percentage of individuals, with 5% of the population accounting for 50% of annual spending. Many patients among the top 5% of spenders have complex health and social needs. Care coordination interventions, often led by a multidisciplinary team consisting of nurses, community health workers and social workers, are one strategy for addressing the challenges facing such patients. Care teams strive to improve health outcomes by forging strong relationships with clients, visiting them on a regular basis, reconciling medications, arranging primary and speciality care visits, and addressing social needs such as housing instability, unemployment and insurance. In this paper, we propose a simulation algorithm that samples longitudinal patient-level encounter histories to estimate the staffing needs for a multidisciplinary care team. Our numerical results illustrate multiple uses of the algorithm for staffing under stationary and non-stationary patient enrollment rates.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":" ","pages":"295-315"},"PeriodicalIF":1.2,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47549141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploratory analysis using discrete event simulation modelling of the wait times and service costs associated with the maximum wait time guarantee policy applied in a rheumatology central intake clinic. 探索性分析使用离散事件模拟建模的等待时间和服务成本与最大等待时间保证政策应用于风湿病中心门诊
IF 1.2
Health Systems Pub Date : 2023-06-01 eCollection Date: 2025-01-01 DOI: 10.1080/20476965.2023.2219293
Toni Tagimacruz, Monica Cepoiu-Martin, Deborah A Marshall
{"title":"Exploratory analysis using discrete event simulation modelling of the wait times and service costs associated with the maximum wait time guarantee policy applied in a rheumatology central intake clinic.","authors":"Toni Tagimacruz, Monica Cepoiu-Martin, Deborah A Marshall","doi":"10.1080/20476965.2023.2219293","DOIUrl":"10.1080/20476965.2023.2219293","url":null,"abstract":"<p><p>Adherence to wait time benchmark targets for the diagnosis and initiation of interventions for rheumatoid arthritis is crucial in altering the disease trajectory. We analysed the impact of the maximum wait time guarantee (MWTG) policy for routing referrals for the initial rheumatologist consults on the waiting and service costs. We modelled a central intake system for a rheumatology clinic as a discrete event simulation (DES) model. Using data from a central intake and rheumatology clinic as input to the model of the system, we simulated the arrival of referrals and rheumatologist visits of patients. We demonstrated the impact of the referral policy on system performance and compared the system costs in an MWTG policy and first-available-appointment policy scenarios. MWTG policy is an option for a wait time management strategy but comes with essential cost considerations. Healthcare managers and policymakers should consider the DES approach to support referral decision policy choices.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47741236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of implementation barriers of blockchain technology in public healthcare: evidences from developing countries. 区块链技术在公共医疗领域的实施障碍评估：来自发展中国家的证据。
IF 1.8
Health Systems Pub Date : 2023-05-23 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2206446
Sudhanshu Joshi, Manu Sharma
{"title":"Assessment of implementation barriers of blockchain technology in public healthcare: evidences from developing countries.","authors":"Sudhanshu Joshi, Manu Sharma","doi":"10.1080/20476965.2023.2206446","DOIUrl":"10.1080/20476965.2023.2206446","url":null,"abstract":"<p><p>The widespread use of Blockchain technology (BT) in nations that are developing remains in its early stages, necessitating a more comprehensive evaluation using efficient and adaptable approaches. The need for digitalization to boost operational effectiveness is growing in the healthcare sector. Despite BT's potential as a competitive option for the healthcare sector, insufficient research has prevented it being fully utilised. This study intends to identify the main sociological, economical, and infrastructure obstacles to BT adoption in developing nations' public health systems. To accomplish this goal, the study employs a multi-level analysis of blockchain hurdles using hybrid approach. The study's findings provide decision- makers with guidance on how to proceed, as well as insight into implementation challenges.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 2","pages":"223-242"},"PeriodicalIF":1.8,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long term simulation analysis of deceased donor initiated chains in kidney exchange programs. 肾脏交换计划中已故供者启动链的长期模拟分析
IF 1.8
Health Systems Pub Date : 2023-04-04 eCollection Date: 2024-01-01 DOI: 10.1080/20476965.2023.2197023
Utkarsh Verma, Nayaran Rangaraj, Viswanath Billa, Deepa Usulumarty
{"title":"Long term simulation analysis of deceased donor initiated chains in kidney exchange programs.","authors":"Utkarsh Verma, Nayaran Rangaraj, Viswanath Billa, Deepa Usulumarty","doi":"10.1080/20476965.2023.2197023","DOIUrl":"10.1080/20476965.2023.2197023","url":null,"abstract":"<p><p>Kidney exchange programs (KEPs) aim to find compatible kidneys for recipients with incompatible donors. Patients without a living donor depend upon deceased donor (DD) donations to get a kidney transplant. In India, a ©DD donates kidneys directly to a©DD wait-list. The idea of initiating an exchange chain starting from a ©DD kidney is proposed in a few articles (and executed in Italy in 2018), but no mathematical formulation has been given for this merger. We have introduced an integer programming formulation that creates ©DD-initiated chains, considering both paired exchange registry and ©DD allocations simultaneously and addressing the overlap issue between the exchange registry and ©DD wait-list as recipients can register for both registries independently. A long-term simulation study is done to ©analyse the gain of these DD-initiated chains over time. It suggests that even with small numbers of ©DDs, these chains can significantly increase potential transplants.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"1 1","pages":"121-132"},"PeriodicalIF":1.8,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42859045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new vision and direction for Health Systems. 卫生系统的新愿景和新方向。
IF 1.8
Health Systems Pub Date : 2023-03-08 eCollection Date: 2023-01-01 DOI: 10.1080/20476965.2023.2180173
Samir Chatterjee, Kathy Kotiadis, Daniel Gartner
{"title":"A new vision and direction for <i>Health Systems</i>.","authors":"Samir Chatterjee, Kathy Kotiadis, Daniel Gartner","doi":"10.1080/20476965.2023.2180173","DOIUrl":"10.1080/20476965.2023.2180173","url":null,"abstract":"","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":"12 1","pages":"1-2"},"PeriodicalIF":1.8,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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