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A Framework for the Adoption of Blockchain Technology in Healthcare Information Management Systems: A Case Study of Nigeria 在医疗信息管理系统中采用区块链技术的框架:尼日利亚的案例研究
Irene Azogu, A. Norta, Ingrid Pappel, Justin Longo, D. Draheim
The role of record keeping and information sharing in the health sector cannot be overemphasized. More recently, there has been renewed interest in finding a solution to the issues pertaining to privacy of health records and how these records can be easily accessed by different healthcare providers in healthcare-service delivery. Thus, such records comprise an individual's health history and other information that facilitates healthcare decisions. Furthermore, easy access to a patient's health information is an important aspect of health-service delivery that must be regulated and monitored because of the sensitivity of the information. Current approaches adopted in many hospitals face challenges of missing files, or records, lack of information sharing between healthcare providers, insecure records and also inaccessibility of patients' health information for healthcare providers that are needed to make informed health decisions. Building from a case study grounded in interviews and document review, we propose a scalable framework that supports the adoption of blockchain technology in addressing the issues of privacy, information sharing, and record keeping in the health sector.
记录保存和信息共享在卫生部门的作用怎么强调都不过分。最近,人们对寻找与健康记录隐私有关的问题的解决方案以及不同的医疗保健提供者如何在医疗保健服务提供过程中轻松访问这些记录重新产生了兴趣。因此,这些记录包括个人健康史和其他有助于医疗保健决策的信息。此外,方便地获取病人的健康信息是提供保健服务的一个重要方面,由于信息的敏感性,必须对其进行管理和监测。许多医院目前采用的方法面临以下挑战:缺少文件或记录、医疗保健提供者之间缺乏信息共享、记录不安全,以及医疗保健提供者无法获得患者的健康信息,而这些信息是做出明智的健康决策所必需的。基于基于访谈和文件审查的案例研究,我们提出了一个可扩展的框架,支持采用区块链技术来解决卫生部门的隐私、信息共享和记录保存问题。
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引用次数: 12
e-Governance and Digitalization of Indian Rural Development 印度农村发展的电子政务和数字化
D. Misra, P. Mittal
In a developing country like India, where more than half the population, resides in rural spaces, it becomes essential that the policies are made with an orientation towards the rural development. The Ministry of Rural development, as the face of government for rural population, has rolled out a variety of welfare schemes like MGNREGA -- Mahatma Gandhi National Rural Employment Guarantee Act and PMAY-G -- Pradhan Mantri Awaas Yojna Gramin, aimed at employment and housing for all. These schemes have been the very hallmarks of the social infrastructure of the country. It has fostered equality, and has been holistic and an aggressive attempt at alleviating poverty and for inclusive growth of all places. This has helped reduce migration and urbanization of only few places but has led to holistic growth across locations. However as the scope of these schemes have increased, the conventional approach of the government faced challenges. The widening interest and intersection with technology in governance has reinvigorated the process. Towards this, there has been sustained endeavor in the recent past to marry new emerging areas of technology to government. This has led to better implementation and management of the schemes and bringing e governance to people. To tackle the challenges stunting the progress of the welfare schemes, ICT enabled platforms like Awaassoft Awaas App, Gram Samvaad and NREGAsoft have been introduced. Digital governance has facilitated more transparency and brought the citizen close to the government.
在印度这样一个一半以上人口居住在农村的发展中国家,制定面向农村发展的政策是至关重要的。作为政府在农村人口中的代言人,农村发展部推出了各种福利计划,如MGNREGA——圣雄甘地全国农村就业保障法和PMAY-G——Pradhan Mantri Awaas Yojna Gramin,旨在为所有人提供就业和住房。这些计划是该国社会基础设施的标志。它促进了平等,并在减轻贫困和促进所有地方的包容性增长方面进行了全面和积极的尝试。这有助于减少少数地方的移民和城市化,但促进了各地的整体增长。然而,随着这些计划范围的扩大,政府的传统方法面临挑战。对治理技术的日益广泛的兴趣和交叉使这一进程重新焕发了活力。为此,最近一直在努力将新兴技术领域与政府结合起来。这有助于更好地实施和管理这些计划,并为人们带来电子治理。为了解决阻碍福利计划进展的挑战,引入了Awaassoft Awaas App, Gram Samvaad和NREGAsoft等ICT支持平台。数字治理提高了透明度,拉近了公民与政府的距离。
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引用次数: 0
The Role of Telecentre in Developing Entrepreneurship: a Case Study on Union Digital Centres in Bangladesh 电信中心在发展企业家精神方面的作用:对孟加拉国联合数字中心的案例研究
Md Gofran Faroqi
This paper evaluates the role of a telecentre project- the Union Digital Centres (UDC) in Bangladesh- in developing entrepreneurship among rural youths under Public-Private Partnership. Contrary to engaging qualified operators in terms of efficiency and investment the UDC has employed local youths who are small scale investors, home grown and amateur in skill. Many operators earn very low and some run off the project leading to closure of centres. In this context understanding the issue of entrepreneurship attains significance for the sustainability of the model. Entrepreneurship is defined in terms of operator's income, his/her satisfaction on income and the level of investment. The study hypothesizes that factors responsible for entrepreneurship development include ICT and internet, services, clients' turnout, stakeholders' involvement and experience of the operator. Based on an internet survey and interview of operators and a review of literature the study explores features of UDC facilitated entrepreneurship. It describes stakeholders' involvement in ensuring inputs and their roles in promoting entrepreneurship. An application of a structural equation model supports the hypotheses validating that operator's own initiative synergized with support from the government influence the development of entrepreneurship among operators. The results specify that the UDC bears potential to develop entrepreneurship among operators given they use a variety of equipment and better quality internet, provide a range of services to a greater volume of clients, receive stakeholder's support and demonstrate computer and managerial skills. The government's role in implementation, human resource management and monitoring of the project influences the process. The study also finds that the project experiences a range of challenges from inadequate involvement of partners. Since deficiency in any partner's role can affect the mission of entrepreneurship development, the author suggests that the government must take the lead role in engaging relevant partners to convert the UDC as an enterprise.
本文评估了一个远程中心项目——孟加拉国的联合数字中心(UDC)——在公私伙伴关系下发展农村青年创业精神方面的作用。与在效率和投资方面聘请合格的经营者不同,UDC雇用的是当地的年轻人,他们是小规模的投资者,是土生土长的,技能业余。许多运营商的收入非常低,一些运营商退出了该项目,导致中心关闭。在这种背景下,理解企业家精神问题对该模式的可持续性具有重要意义。企业家精神是由经营者的收入、经营者对收入的满意度和经营者的投资水平来定义的。研究假设影响创业发展的因素包括ICT和互联网、服务、客户参与、利益相关者参与和运营商经验。本研究以网路调查、业者访谈及文献回顾为基础,探讨UDC促进创业的特征。它描述了利益相关者在确保投入方面的参与及其在促进创业方面的作用。结构方程模型的应用支持了经营者自身主动性与政府支持协同作用影响经营者企业家精神发展的假设。研究结果表明,由于运营商使用各种设备和更高质量的互联网,为更多的客户提供一系列服务,得到利益相关者的支持,并展示了计算机和管理技能,UDC具有在运营商中发展创业精神的潜力。政府在项目实施、人力资源管理和监测方面的作用影响着项目的进程。研究还发现,由于合作伙伴参与不足,该项目面临一系列挑战。由于任何合作伙伴角色的缺失都会影响创业发展的使命,因此作者建议政府必须发挥主导作用,与相关合作伙伴合作,将UDC转变为企业。
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引用次数: 4
Towards a taxonomy of government webportals 政府门户网站的分类
Paul Henman, Timothy Graham
Government web portals are central to governments' web strategy, yet their rationale, design and effectiveness is scarcely studied. This paper comparatively examines the hyperlink structure of the government web portals of Australia, Canada, France, UK and USA. Websites are conceptualized as operating within web and informational ecologies in which governments seek to position their portal at the center. This paper investigates the different ways governments approach this task by analyzing the various sizes and shapes of the portal in terms of webpages and hyperlinks, and the makeup of webpages externally linked from the portal. This research highlights different design approaches between information repository portals and referral portals, as well as considerable differences in the presence of social media platforms for the operation of online government, revealing an interactive webportal design. The paper provides the basis for assessing the effectiveness of different portal designs and investigating how portal designs arise out of varied government institutional settings.
政府门户网站是政府网络战略的核心,但其基本原理、设计和有效性却鲜有研究。本文对澳大利亚、加拿大、法国、英国和美国政府门户网站的超链接结构进行了比较研究。网站的概念是在网络和信息生态中运作,政府试图将其门户网站置于中心位置。本文通过分析门户网站在网页和超链接方面的不同大小和形状,以及从门户网站外部链接的网页的组成,研究了政府处理这一任务的不同方式。本研究突出了信息库门户和推荐门户的不同设计方法,以及网络政务运行中社交媒体平台存在的巨大差异,揭示了交互式门户网站的设计。本文为评估不同门户设计的有效性和调查门户设计如何产生于不同的政府机构设置提供了基础。
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引用次数: 3
Building Trust Through Promises 通过承诺建立信任
Rochelle Wilson
Trust is an important factor for the smooth functioning of the government and implementation of its services like e-governance. The political environment today is highly volatile and unpredictable, resulting in declining citizen trust in government systems. This is a key concern for governance, citizen engagement and participation, and service delivery. Today the scholarship on trust in the e-governance arena is developing rapidly. One of the most common instruments to build and promote trust are promises. However, promises are sometimes broken due to intentional and unintentional reasons. Governments may renege due to economic uncertainty, obsolescing bargain, political change and competition. This study is the first to examine a new form of promise "partial promises" i.e., where a promisor (one who makes the promise), signals an intention to carry out what is promised with some probability rather than with certainty. Such promises help maintain a favourable reputation even when the promise is not honoured. This study shows that though individuals trust and utilise standard promises relatively more, partial promises too, are effective in building trust. It is seen that partial promises have fewer negative consequences when broken. They lead to less emotions of anger, sadness, feelings of betrayal, and are punished comparatively less than standard promises. The study recommends following a flexible approach to applying e-government systems that have little public support and trust. It focuses on the highly topical issue of promises made by governments, and whether a more nuanced approach to promises or bargains made, might be made more conditional, and thus be a useful strategy in retaining trust and/or building confidence in e-government systems.
信任是政府顺利运作和实施电子政务等服务的重要因素。今天的政治环境非常不稳定和不可预测,导致公民对政府系统的信任度下降。这是治理、公民参与和服务提供的关键问题。今天,电子政务领域的信任研究正在迅速发展。建立和促进信任的最常见手段之一是承诺。然而,承诺有时会因为有意无意的原因而被打破。由于经济的不确定性、过时的讨价还价、政治变化和竞争,政府可能会食言。这项研究首次研究了一种新的承诺形式“部分承诺”,即允诺者(做出承诺的人)以一定的概率而不是确定性表示愿意履行承诺。这样的承诺有助于保持良好的声誉,即使承诺没有兑现。本研究表明,虽然个体对标准承诺的信任和利用程度相对较高,但部分承诺也能有效地建立信任。可以看出,部分承诺一旦被打破,负面影响就会减少。它们会导致更少的愤怒、悲伤、背叛感等情绪,而且受到的惩罚也比标准承诺要少。该研究建议采用一种灵活的方法来应用很少得到公众支持和信任的电子政务系统。它着重于政府作出的承诺这一高度热门的问题,以及对作出的承诺或讨价还价采取更细致入微的方法是否可能更有条件,从而成为保持信任和/或建立对电子政府系统信心的有用策略。
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引用次数: 1
What is the role of New Generation of ICTs in transforming government operation and redefining State-citizen relationship in the last decade? 在过去十年中,新一代信息通信技术在改变政府运作和重新定义国家与公民关系方面发挥了什么作用?
S. Liu, Liting Pan, Y. Lei
This article first introduce a new government initiative emerging after the US presidential election in 2008. Comparing to the more descriptive definitions of e-government, supporters of these new government initiatives emphasize the transformative and normative aspect of the newest generation of Information and Communication Technology (ICTs). They argue that the new initiative redefines how government should operate and transform state-citizen relationships. To understand the core of this initiative and whether it offers new opportunities to solve public problems, we collected and analyzed research papers published in the e-governance area between 2008 and 2017. Our analysis demonstrates that the use of new generation of ICTs has promoted the government information infrastructure. In other words, the application of new ICTs enables the government to accumulate and use a large amount of data, so that the government makes better decisions. The advancement of open data, the wide use of social media, and the potential of data analytics have also generated pressure to address challenging questions and issues in e-democracy. However, the analysis leads us to deliberate on whether the use of new generation of ICTs worldwide have actually achieved their goal. In the conclusion, we present challenges to be addressed before new innovative ICTs realize their potential towards better public governance.
本文首先介绍了2008年美国总统大选后出现的一项新的政府举措。与电子政务的描述性定义相比,这些新的政府举措的支持者强调最新一代信息通信技术(ict)的变革和规范方面。他们认为,新的倡议重新定义了政府应该如何运作,并改变了国家与公民的关系。为了了解这一倡议的核心,以及它是否为解决公共问题提供了新的机会,我们收集并分析了2008年至2017年间在电子政务领域发表的研究论文。我们的分析表明,新一代信息通信技术的使用促进了政府信息基础设施的发展。换句话说,新信息通信技术的应用使政府能够积累和使用大量数据,从而使政府做出更好的决策。开放数据的进步、社交媒体的广泛使用以及数据分析的潜力也产生了解决电子民主中具有挑战性的问题和问题的压力。然而,这项分析让我们思考,全球新一代ict的使用是否真正实现了目标。在结论中,我们提出了在新的创新型信息通信技术发挥其改善公共治理的潜力之前需要解决的挑战。
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引用次数: 1
Variation in E-Participation Schemes and Strategies: Comparative Case Study of Oslo, Madrid, and Melbourne 电子参与计划和策略的差异:奥斯陆、马德里和墨尔本的比较案例研究
S. Legard, G. Giannoumis, Sissel Hovik, C. Paupini
Why are some cities more eager to adopt e-participation schemes than others, and why do e-participation practices vary among cities who adopts them? Current comparative research on e-participation in local government normally uses large-scale samples to identify determinants of e-participation adoption. Although these samples typically identify significant variables such as political will, modernization ambitions and political crisis, they often lack fine-grained explanations of the causal patterns leading to different forms of e-participation. In this on-going research paper, we therefore compare e-participation strategies and platforms in three cities: Oslo, Melbourne and Madrid. All cities are major urban centers within their countries and have affluent, highly educated and digitally connected populations. They do, however, have very different approaches to e-participation. We base our preliminary findings on government documents. Our analysis of these texts focuses on how these actors seek to attribute meaning or change practices through their communication with audiences in the field. Through the interviews, we both seek to elaborate on views presented in the documents, but also to trace the role these actors have played in developing the cities' e-participatory practices. The aim of this process tracing is to understand the causal processes and complex decision-making leading to the adoption of the particular form of e-participation in the cities. The goal is to complement the existing large sample literature on determinants of e-participation adoption. In addition, we want to develop a richer understanding of the differences between the various forms of e-participation adopted in the cities, which is often lost in the coarse typologies used in large n studies.
为什么有些城市比其他城市更渴望采用电子参与计划?为什么采用电子参与计划的城市之间的电子参与实践各不相同?目前对地方政府电子参与的比较研究通常采用大规模样本来确定电子参与采用的决定因素。尽管这些样本通常确定了政治意愿、现代化雄心和政治危机等重要变量,但它们往往缺乏对导致不同形式电子参与的因果模式的细致解释。因此,在这篇正在进行的研究论文中,我们比较了三个城市的电子参与策略和平台:奥斯陆、墨尔本和马德里。所有城市都是各自国家的主要城市中心,拥有富裕、受过高等教育和数字化互联的人口。然而,他们确实有非常不同的电子参与方式。我们的初步调查结果基于政府文件。我们对这些文本的分析侧重于这些演员如何通过与现场观众的交流来寻求赋予意义或改变实践。通过访谈,我们既试图详细阐述文件中提出的观点,也试图追溯这些行动者在发展城市电子参与性实践中所发挥的作用。这种过程追踪的目的是了解导致在城市中采用特定形式的电子参与的因果过程和复杂决策。目标是补充现有的关于电子参与采用决定因素的大样本文献。此外,我们希望对城市中采用的各种形式的电子参与之间的差异有更深入的了解,这在大型研究中使用的粗略类型学中经常被忽略。
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引用次数: 6
Implanting IT Applications in Government Institutions: A Process Model Emerging from a Case Study in a Medium-Sized Municipality 在政府机构中植入IT应用:一个基于中型城市案例的过程模型
Irving Reascos, J. Carvalho, Sonia Bossano
Organizations of any kind, including companies and government institutions, understand the need to incorporate information technologies (IT) to improve internal and external communication, faster access to information, modernize decision making and provide better service to their customers. Integrating IT into operations and management requires changes at various levels of the organization (services, processes, forms of work, technology and organizational structure) and brings up several challenges. Considering the level of maturity of existing IT solutions, the acquisition and implantation of ready-to-use software applications is, nowadays, a standard way of gaining access to IT solutions. However, there is a lack of models to guide this process. The objective of this article is to propose such a model. The proposed model is grounded on the findings of a case study carried out in medium size municipality that recently went through the implantation process of an ERP IT application. The study allowed to identify critical features in different facets of the implantation process. The study mainly involved interviews with key participants in the process. The model proposed in this article emerged during this study and accounts for the issues and concerns identified.
任何类型的组织,包括公司和政府机构,都明白需要整合信息技术(IT)来改善内部和外部通信,更快地获取信息,现代化决策并为客户提供更好的服务。将IT集成到运营和管理中需要在组织的各个层面(服务、流程、工作形式、技术和组织结构)进行更改,并带来了一些挑战。考虑到现有IT解决方案的成熟程度,现在获取和植入现成的软件应用程序是访问IT解决方案的一种标准方式。然而,缺乏指导这一过程的模型。本文的目的就是提出这样一个模型。所提出的模型是基于在一个中型城市进行的案例研究的结果,该城市最近经历了ERP IT应用程序的植入过程。该研究确定了植入过程中不同方面的关键特征。该研究主要涉及对过程中关键参与者的访谈。本文中提出的模型是在这项研究中出现的,并解释了所确定的问题和关注点。
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引用次数: 5
Bringing transparency and trust to elections: using blockchains for the transmission and tabulation of results 为选举带来透明度和信任:使用区块链传输和制表结果
Adrià Rodríguez-Pérez, Pol Valletbó-Montfort, Jordi Cucurull-Juan
The transmission and tabulation of results are critical steps in the election process. If election results are provided quickly and transparently, they may inspire trust and confidence in the overall management of the contest. On the contrary, the late and questionable delivery of results might raise concerns and suspicion. In some cases, improper counting and tabulation procedures have brought candidates to question election results and even spurred long periods of violence. In this paper, we explore the potential of blockchain technology to enhance the counting and tabulation procedures during elections. Blockchains are distributed ledgers technologies whose transactions are protected cryptographically. It means that their contents cannot be tampered with nor modified in the long term. We argue that blockchain technology meets the requirements for electronic transmission and consolidation of election results. To prove so, we have implemented a proof of concept with a smart contract running on an Ethereum blockchain that registers the address of several polling stations and records the tally sheets that these submit at the end of the election. We also resort to the smart contract for the automatic and accurate consolidation of the election results once they have been submitted.
选举结果的传送和统计是选举过程中的关键步骤。如果选举结果能够迅速和透明地公布,它们可能会激发人们对整个竞选管理工作的信任和信心。相反,延迟和有问题的结果交付可能会引起关注和怀疑。在某些情况下,不适当的点票和制表程序使候选人质疑选举结果,甚至引发长时间的暴力。在本文中,我们探讨了区块链技术在选举期间加强计票和制表程序的潜力。区块链是分布式账本技术,其交易受到加密保护。这意味着它们的内容在长期内不能被篡改或修改。我们认为区块链技术符合选举结果电子传输和整合的要求。为了证明这一点,我们通过在以太坊区块链上运行的智能合约实现了概念证明,该合约记录了几个投票站的地址,并记录了这些投票站在选举结束时提交的点票表。我们还利用智能合约在提交选举结果后自动准确地整合选举结果。
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引用次数: 1
Design and Use of New Media in Urban Development Processes 城市发展过程中新媒体的设计与使用
G. Giannoumis, S. Legard, Sissel Hovik, C. Paupini
This on-going research paper reports initial evidence gathered as part of the Democratic Urban Development in the Digital Age (DEMUDIG) project, which aims to investigate citizens' use of the internet and new media as channels for participation in urban development processes, with a focus on city governments' efforts to promote and make use of citizen initiatives through such channels. This on-going research paper focuses specifically on the new media platforms used to establish interactive dialogues with local communities. Preliminary results show that Oslo, Melbourne, and Madrid have used new media platforms for engaging public participation in a variety of urban development processes. Local districts in Oslo have begun to experiment with using social networking sites in conjunction with more traditional forms of digital communication such as email and SMS. In contrast, Melbourne has adopted Your City Your Voice, where citizens can engage with local government through surveys. Finally, the Decide Madrid platform has allowed citizens to directly impact area-based initiatives in the city and local districts of Madrid. The results additionally indicate that Oslo has relied to a greater extent than Melbourne or Madrid on mainstream new media platforms - i.e., Facebook.
这篇正在进行的研究报告报告了作为数字时代民主城市发展(DEMUDIG)项目的一部分收集的初步证据,该项目旨在调查公民使用互联网和新媒体作为参与城市发展过程的渠道,重点关注城市政府通过这些渠道促进和利用公民倡议的努力。这篇正在进行的研究论文特别关注用于与当地社区建立互动对话的新媒体平台。初步结果表明,奥斯陆、墨尔本和马德里已经利用新媒体平台让公众参与到各种城市发展过程中。奥斯陆的一些地区已经开始尝试将社交网站与电子邮件和短信等更传统的数字通信方式结合起来使用。相比之下,墨尔本采用了“你的城市,你的声音”,市民可以通过调查与当地政府互动。最后,“决定马德里”平台允许公民直接影响马德里城市和地方地区的区域倡议。结果还表明,奥斯陆比墨尔本或马德里更依赖主流新媒体平台,即Facebook。
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引用次数: 0
期刊
Proceedings of the 12th International Conference on Theory and Practice of Electronic Governance
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