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Testing Hospital Quality Strategic Determinants 检测医院质量战略决定因素
Pub Date : 2022-01-01 DOI: 10.4018/ijhisi.314221
M. C. Caccia-Bava, Sarah L. Smith, J. Mabry, T. Guimaraes
Hospital administrators are motivated to improve hospital quality in the eyes of their patients, healthcare quality regulators, and accrediting organizations. This study empirically tests the importance of some strategic determinants of hospital quality by collecting data using an emailed questionnaire filled by 258 chief quality officers. The results supported the importance of competitive intelligence, strategic leadership, management of technology, specific characteristics of the change process, and organization culture as major determinants of hospital quality.  Based on the results, the report makes recommendations on where to direct their efforts, including understanding how to measure these important factors. The important model tested here has not been proposed before and provides several research opportunities for perhaps expanding the model and account for unexplained variance in hospital quality, including other constructs potentially being moderators and mediators for the hypothesized relationships.
医院管理者有动力提高患者、医疗质量监管机构和认证组织眼中的医院质量。本研究通过收集258名首席质量官填写的电子邮件问卷的数据,实证检验了一些医院质量战略决定因素的重要性。研究结果支持了竞争情报、战略领导、技术管理、变革过程的具体特征和组织文化作为医院质量主要决定因素的重要性。 根据调查结果,该报告就如何指导他们的工作提出了建议,包括了解如何衡量这些重要因素。这里检验的重要模型以前没有被提出过,它提供了几个研究机会,可以扩展模型,解释医院质量中无法解释的差异,包括其他可能成为假设关系的调节因子和中介因子的结构。
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引用次数: 1
Book Review: Adaptive Health Management Information Systems 4th Edition 书评:适应性健康管理信息系统》第 4 版
Pub Date : 2022-01-01 DOI: 10.4018/ijhisi.313605
M. Hall

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引用次数: 0
Towards a Smart Healthcare System: An Architecture Based on IoT, Blockchain, and Fog Computing 迈向智能医疗系统:基于物联网、区块链和雾计算的架构
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.20211001.oa16
L. Fetjah, K. Azbeg, O. Ouchetto, Said Jai-Andaloussi
With the rapid development in smart medical devices, Internet of things has a large applicability in healthcare sector. The current system is based on a centralized communication with cloud servers. However, this architecture increases security and privacy risks. This paper describes an architecture of a smart healthcare system for remote patient monitoring. To ensure security and privacy, the architecture uses the Blockchain technology. For data analysis, smart contracts and artificial intelligence are used. The architecture is divided into three layers: smart medical devices layer, fog layer and cloud layer. To validate the proposed approach, a scenario based on diabetes management system is described. The architecture is applied to provide remote diabetic patients monitoring. The system could suggest treatments, generate proactive predictions and predict future complications as well as alerting physicians in case of emergency.
随着智能医疗设备的快速发展,物联网在医疗保健领域具有很大的适用性。目前的系统是基于与云服务器的集中通信。然而,这种架构增加了安全和隐私风险。本文描述了用于远程患者监测的智能医疗保健系统的体系结构。为了确保安全性和隐私性,该架构使用了区块链技术。对于数据分析,使用智能合约和人工智能。该架构分为三层:智能医疗设备层、雾层和云层。为了验证所提出的方法,描述了一个基于糖尿病管理系统的场景。该体系结构应用于糖尿病患者的远程监护。该系统可以提出治疗建议,产生前瞻性预测,预测未来的并发症,并在紧急情况下提醒医生。
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引用次数: 6
Diabetes Prediction Using Enhanced SVM and Deep Neural Network Learning Techniques: An Algorithmic Approach for Early Screening of Diabetes 基于增强支持向量机和深度神经网络学习技术的糖尿病预测:一种糖尿病早期筛查的算法方法
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.20211001.oa25
P. Nagaraj, P. Deepalakshmi
Diabetes, caused by the rise in level of glucose in blood, has many latest devices to identify from blood samples. Diabetes, when unnoticed, may bring many serious diseases like heart attack, kidney disease. In this way, there is a requirement for solid research and learning model’s enhancement in the field of gestational diabetes identification and analysis. SVM is one of the powerful classification models in machine learning, and similarly, Deep Neural Network is powerful under deep learning models. In this work, we applied Enhanced Support Vector Machine and Deep Learning model Deep Neural Network for diabetes prediction and screening. The proposed method uses Deep Neural Network obtaining its input from the output of Enhanced Support Vector Machine, thus having a combined efficacy. The dataset we considered includes 768 patients’ data with eight major features and a target column with result “Positive” or “Negative”. Experiment is done with Python and the outcome of our demonstration shows that the deep Learning model gives more efficiency for diabetes prediction.
糖尿病是由血液中葡萄糖水平升高引起的,有许多最新的设备可以从血液样本中识别出来。糖尿病,如果不被注意,可能会带来许多严重的疾病,如心脏病发作,肾脏疾病。因此,在妊娠期糖尿病的识别与分析领域需要有扎实的研究和学习模式的加强。SVM是机器学习中强大的分类模型之一,同样,Deep Neural Network在深度学习模型下也是强大的。在这项工作中,我们将增强支持向量机和深度学习模型深度神经网络应用于糖尿病的预测和筛查。该方法利用深度神经网络从增强支持向量机的输出中获取输入,具有综合效果。我们考虑的数据集包括768名患者的数据,具有8个主要特征和一个结果为“Positive”或“Negative”的目标列。用Python进行了实验,结果表明深度学习模型对糖尿病的预测效率更高。
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引用次数: 33
A Data Representation Model for Personalized Medicine 个性化医疗的数据表示模型
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.295822
Hafid Kadi, M. Rebbah, Boudjelal Meftah, O. Lézoray
Personalized medicine exploits the patient data, for example, genetic compositions, and key biomarkers. During the data mining process, the key challenges are the information loss, the data types heterogeneity and the time series representation. In this paper, a novel data representation model for personalized medicine is proposed in light of these challenges. The proposed model will account for the structured, temporal and non-temporal data and their types, namely, numeric, nominal, date, and Boolean. After the "Date and Boolean" data transformation, the nominal data are treated by dispersion while several clustering techniques are deployed to control the numeric data distribution. Ultimately, the transformation process results in three homogeneous representations with these representations having only two dimensions to ease the exploration of the represented dataset. Compared to the Symbolic Aggregate Approximation technique, the proposed model preserves the time-series information, conserves as much data as possible and offers multiple simple representations to be explored.
个性化医疗利用患者数据,例如,基因组成和关键生物标志物。在数据挖掘过程中,面临的主要挑战是信息丢失、数据类型异构和时间序列表示。针对这些挑战,本文提出了一种新的个性化医疗数据表示模型。建议的模型将考虑结构化、时态和非时态数据及其类型,即数字、标称、日期和布尔类型。在“日期和布尔”数据转换后,对标称数据进行离散处理,同时采用几种聚类技术控制数值数据的分布。最终,转换过程产生三个同构表示,这些表示只有两个维度,以简化对所表示数据集的探索。与符号聚合近似技术相比,该模型保留了时间序列信息,尽可能多地保留了数据,并提供了多种简单的表示方式供探索。
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引用次数: 1
Critical Success Factors of Business Intelligence Implementation in Thai Hospitals 商业智能在泰国医院实施的关键成功因素
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.20211001.oa19
Suwat Janyapoon, Jirapan Liangrokapart, Albert Tan
Business intelligence (BI) has become a popular among management executives of different industries. Many publications have mentioned Big Data and how to use data intelligently. However, little is known about how to successfully implement BI in the healthcare industry. The unique characteristic of this business, which focuses only on quality of care and patient safety, has a big impact on decision-making. This research is based on a literature review and empirical evidence collected from interviews with professionals involved in the healthcare industry. Twenty-four hospital executives and Information Technology staff who have direct or indirect experience with BI were interviewed. It investigates critical success factors for BI implementation in hospitals and provides insight into the healthcare industry in Thailand. The concept of grounded theory was applied for content analysis. Insights from this research contribute to academia and the healthcare industry by providing first-time evidence of specific factors for BI implementation and guidelines in hospitals.
商业智能(BI)在不同行业的管理人员中非常流行。许多出版物都提到了大数据以及如何智能地使用数据。然而,人们对如何在医疗保健行业成功实现BI知之甚少。这个行业的独特特点是只关注护理质量和患者安全,这对决策有很大影响。本研究是基于文献综述和经验证据收集与专业人士参与医疗保健行业的采访。对24名直接或间接使用过BI的医院管理人员和信息技术人员进行了访谈。它调查了在医院实施BI的关键成功因素,并提供了对泰国医疗保健行业的见解。内容分析采用扎根理论的概念。这项研究的见解为学术界和医疗保健行业提供了首次证据,证明了医院实施BI的具体因素和指导方针。
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引用次数: 2
Dynamic Contact Network Simulation Model Based on Multi-Agent Systems 基于多agent系统的动态接触网络仿真模型
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.289462
Fatima-Zohra Younsi, D. Hamdadou
Epidemic spread poses a new challenge to the public health community. Given its very rapid spread, public health decision makers are mobilized to fight and stop it by setting disposal several tools. This ongoing research aims to design and develop a new system based on Multi-Agent System, Suscpetible-Infected-Removed (SIR) model and Geographic Information System (GIS) for public health officials. The proposed system aimed to find out the real and responsible factors for the epidemic spread and explaining its emergence in human population. Moreover, it allows to monitor the disease spread in space and time and provides rapid early warning alert of disease outbreaks. In this paper, a multi-agent epidemic spread simulation system is proposed, discussed and implemented. Simulation result shows that the proposed multi-agent disease spread system performs well in reflecting the evolution of dynamic disease spread system's behavior
疫情蔓延对公共卫生界提出了新的挑战。鉴于其传播非常迅速,公共卫生决策者被动员起来,通过制定若干处置工具来对抗和制止它。本研究旨在设计和开发一个基于多智能体系统、易感-感染-移除(SIR)模型和地理信息系统(GIS)的公共卫生官员新系统。提出的系统旨在找出流行病传播的真实和负责任的因素,并解释其在人群中的出现。此外,它可以监测疾病在空间和时间上的传播,并提供疾病爆发的快速预警警报。本文提出、讨论并实现了一个多智能体传染病传播仿真系统。仿真结果表明,所提出的多智能体疾病传播系统能够很好地反映疾病传播系统动态行为的演化过程
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引用次数: 0
A Review on Negation Role in Twitter Sentiment Analysis 推特情感分析中的否定作用研究综述
Pub Date : 2021-10-01 DOI: 10.4018/IJHISI.20211001.OA14
Itisha Gupta, Nisheeth Joshi
Negation is an important linguistic phenomenon that needs to be considered for identifying correct sentiments from the opinionated data available in digital form. It has the power to alter the polarity or strength of the polarity of affected words. In this paper, the authors present a survey on the negation role that has been done until now in sentiment analysis, specifically Twitter sentiment analysis. The authors discuss the various approaches of modelling negation in Twitter sentiment analysis. In particular, their focus is on negation scope detection and negation handling methods. This article also presents some of the challenges and limits of negation accounting in the field of Twitter sentiment analysis.
否定是一种重要的语言现象,需要考虑从数字形式的自以为是的数据中识别正确的情绪。它有能力改变受影响词的极性或极性的强度。在本文中,作者对迄今为止在情感分析,特别是Twitter情感分析中所做的否定作用进行了调查。作者讨论了推特情感分析中建模否定的各种方法。特别是,他们的重点是否定范围检测和否定处理方法。本文还介绍了否定会计在Twitter情感分析领域的一些挑战和局限性。
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引用次数: 1
Exploring the Impact of Government Interventions on COVID-19 Pandemic Spread in Kuwait 探索政府干预对科威特COVID-19大流行传播的影响
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.288893
S. BuHamra, Jehad Al Dallal
To model the trajectory of the pandemic in Kuwait from February 24, 2020 to February 28, 2021, we used two modeling procedures: Auto Regressive Integrated Moving Average (ARIMA) with structural breaks and Multivariate Adaptive Regression Splines (MARS), and then mapped the key breakpoints of the models to the set of government-enforced interventions. The MARS model, as opposed to the ARIMA model, provides a more precise interpretation of the intervention's effects. It demonstrates that partial and total lockdown interventions were highly effective in reducing the number of confirmed cases. When some interventions, such as enforcing regional curfews, closing workplaces, and imposing travel restrictions, were combined, their impact became significant. MARS method is recommended to be applied when exploring the impact of interventions on the spread of a disease. It does not require any prior assumptions about the statistical distribution of data, does not affect data collinearity, has simple and transparent functions, and allows for a more accurate analysis of intervention results.
为了模拟2020年2月24日至2021年2月28日科威特大流行的轨迹,我们使用了两种建模程序:带有结构断裂的自动回归综合移动平均线(ARIMA)和多元自适应回归样条线(MARS),然后将模型的关键断点映射到政府强制干预措施集。与ARIMA模型相反,MARS模型对干预措施的效果提供了更精确的解释。这表明,部分封锁和全面封锁措施在减少确诊病例方面非常有效。当一些干预措施,如实施地区宵禁、关闭工作场所和实施旅行限制,结合在一起时,它们的影响变得显著。在探索干预措施对疾病传播的影响时,建议采用MARS方法。它不需要对数据的统计分布进行任何预先假设,不影响数据共线性,功能简单透明,并允许对干预结果进行更准确的分析。
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引用次数: 1
Posts Characterization and User Engagement: A Preliminary Study on a Mental Health Facebook Page in New Zealand 帖子特征和用户参与度:对新西兰心理健康Facebook页面的初步研究
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.20211001.oa33
A. Inthiran
Many health organizations use Facebook as a platform to engage with users. This has resulted in many research studies conducted on this platform. One popular type of research study is to characterize posts and measure user engagement levels . In this study, 100 post on the Mental Health Foundation of New Zealand Facebook page was analyzed this purpose. A mixed method approach was used. Quantitative descriptive statistics was used to analyze levels of engagement whilst qualitative content analysis was used to characterize posts into themes. Preliminary results indicate most posts fit in the awareness theme followed by the campaign theme. High levels of user engagements was observed for posts related to the awareness and others theme. Results of this study makes the suggestion for the implementation of intervention type awareness posts. A recommendation is also to made that the awareness posts promote mental health education and communication. This research study adds new knowledge to the area of posts characterization and user engagement levels on a mental health Facebook page.
许多卫生组织使用Facebook作为与用户互动的平台。这导致在这个平台上进行了许多研究。一种流行的研究类型是描述帖子并测量用户参与度。在这项研究中,新西兰心理健康基金会Facebook页面上的100个帖子被分析。采用混合方法。定量描述性统计用于分析参与水平,而定性内容分析用于描述帖子的主题。初步结果显示,大多数帖子符合宣传主题,其次是活动主题。与意识和其他主题相关的帖子的用户参与度很高。研究结果对干预型意识岗位的实施提出了建议。还建议提高认识的岗位促进心理健康教育和交流。这项研究为心理健康Facebook页面上的帖子特征和用户参与度领域增添了新的知识。
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引用次数: 0
期刊
Int. J. Heal. Inf. Syst. Informatics
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