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User-centred design and assessment of a prescription prior authorisation processing system 以用户为中心的处方事先授权处理系统的设计和评估
Pub Date : 2018-08-15 DOI: 10.1504/IJEH.2018.10015304
Ramandeep Kaur, Patricia Morreale
Electronic prior authorisation (ePA) is an efficient way to ensure prior authorisation completion for delivery of patient medications. Benefits include time savings for prescribers as well as cost-saving and quality-assurance solutions for insurers. Existing ePA systems have a gap in knowledge among medical professionals using the ePA systems and the IT solution providers designing the ePA systems. As a result, standard ePA designs lack components to facilitate the workflow. The research study presented here interviewed key stakeholders, including prescribers, care nurses, and call center agents, and used that information for development. Focusing on Case Create and Case Search functions, a new user-centred ePA system was designed. Assessment outcomes of the new system, SmartPA, include advocacy for secure centralised portals, with cross-checking search fields and integration with major formulary vendors. SmartPA proved to be more efficient in usability testing with stakeholders and provided a clean UI, supporting faster, secure case creation and searching, on a stable platform.
电子事前授权(ePA)是一种有效的方式,以确保事先授权完成交付患者的药物。好处包括为处方者节省时间,以及为保险公司节省成本和质量保证解决方案。现有ePA系统在使用ePA系统的医疗专业人员和设计ePA系统的IT解决方案提供商之间存在知识差距。因此,标准ePA设计缺乏促进工作流程的组件。本文介绍的研究采访了主要利益相关者,包括处方医生、护理护士和呼叫中心代理,并将这些信息用于开发。以案例创建和案例检索为核心,设计了以用户为中心的ePA系统。新系统SmartPA的评估结果包括倡导安全的集中门户,交叉检查搜索字段和与主要配方供应商的集成。事实证明,SmartPA在与利益相关者进行可用性测试时效率更高,并提供了一个干净的UI,在一个稳定的平台上支持更快、更安全的案例创建和搜索。
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引用次数: 0
Analysis and development of mobile perinatal mental health system 流动围产期心理健康系统的分析与开发
Pub Date : 2018-08-15 DOI: 10.1504/IJEH.2018.10015303
Mohammad I. Merhi, N. Islam, Greg Hintz
Perinatal depression includes major and minor depressive episodes during pregnancy or in the first 12 months after birth. The American College of Obstetricians and Gynecologists recommends that clinicians screen patients at least once during pregnancy for depression and anxiety symptoms using a standardised tool. This paper attempts to consolidate current depression screening tools into an electronic application that can be accessed from a computer, tablet or cell phone and can be sent directly to the primary care physician's office for review. The object-oriented approach was used to analysis and design the system. The systems requirements are first gathered using questionnaire and interviews with practitioners; then, analysed based on unified modelling language techniques such as use case, class, and sequence diagrams. This system will aid healthcare providers in identifying patients who are at risk of perinatal depression.
围产期抑郁症包括怀孕期间或出生后最初12个月的严重和轻微抑郁发作。美国妇产科医师学会建议临床医生在怀孕期间使用标准化工具对患者进行至少一次抑郁和焦虑症状的筛查。本文试图将当前的抑郁症筛查工具整合到一个电子应用程序中,该应用程序可以从计算机、平板电脑或手机访问,并可以直接发送到初级保健医生的办公室进行审查。采用面向对象的方法对系统进行分析和设计。首先通过问卷调查和与从业人员的访谈收集系统需求;然后,基于统一的建模语言技术,如用例图、类图和序列图进行分析。该系统将帮助医疗保健提供者识别有围产期抑郁症风险的患者。
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引用次数: 0
Factors affecting mobile immunisation notification system adoption in Uganda 影响乌干达移动免疫通知系统采用的因素
Pub Date : 2018-08-15 DOI: 10.1504/IJEH.2018.10015302
Jackson Abandu, F. Kivunike
Objective: The aim of this study was to assess factors that affect the adoption of mobile immunisation notification system in Uganda. Methods: Descriptive survey design and structured questionnaires were employed for the study that was carried out in Northern part of Uganda. A total of 51 health workers and mothers were purposively sampled from Gulu Referral and Independent hospitals. Statistical package for social sciences was used to evaluate the impact of the identified factors on the adoption of the proposed system. Results: The findings showed that e-health knowledge; trust; ICT skills; accessibility; support; awareness; knowledge sharing and compatibility affect the adoption of the proposed system. Conclusions: The study provides informative directions to adopt the proposed system. Government needs to improve ICT infrastructure and support user training on e-health to promote the adoption of the system.
目的:本研究的目的是评估影响乌干达采用移动免疫通知系统的因素。方法:采用描述性调查设计和结构化问卷,在乌干达北部地区进行研究。共有51名卫生工作者和母亲从古鲁转诊医院和独立医院进行了有目的的抽样调查。社会科学一揽子统计资料被用来评价已确定的因素对采用拟议制度的影响。结果:调查结果显示:电子卫生知识;信任;ICT技能;可访问性;支持;意识;知识共享和兼容性影响系统的采用。结论:本研究为采用该系统提供了有益的指导。政府需要改善信息和通信技术基础设施,并支持对用户进行电子保健培训,以促进该系统的采用。
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引用次数: 1
TsP-SA: usage of time series techniques on healthcare data TsP-SA:在医疗保健数据上使用时间序列技术
Pub Date : 2018-08-15 DOI: 10.1504/IJEH.2018.10015340
Soheila Mehrmolaei, M. Keyvanpour
In the recent years, there has been an increase in the usage of time series techniques on healthcare data. Although much effort has been made to develop techniques of time series, there is a lack of comprehensive categorisation of such techniques to make the possibility of exact study, comparison and assessment of techniques in terms of the ability predicting. We proposed time series prediction-strategy ahead (TsP-SA), a systematic framework which consists of the three main components: categorisation of time series prediction techniques in the context of healthcare, defining general evaluation criteria and analytical evaluation to illustrate a qualitative comparison between each category of techniques which is a proof of the understanding of their supremacy to one another. We believe that using proposed framework as a stimulus can help in the proper selecting technique, efficiency improvement, and development of techniques in researcher's future activities and can provide a helpful platform for the comparative study.
近年来,在医疗保健数据上使用时间序列技术的情况有所增加。虽然在开发时间序列技术方面做了很多努力,但缺乏对这些技术进行全面的分类,以便在预测能力方面对技术进行精确的研究、比较和评估。我们提出了时间序列预测策略(TsP-SA),这是一个由三个主要组成部分组成的系统框架:医疗保健背景下时间序列预测技术的分类,定义一般评估标准和分析评估,以说明每种技术类别之间的定性比较,这是对彼此至高无上的理解的证明。我们认为,利用所提出的框架作为激励,可以帮助研究者在未来的研究活动中正确选择技术、提高效率和发展技术,并为比较研究提供有益的平台。
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引用次数: 9
Understanding EHRs continuance intention to use from the perspectives of UTAUT: practice environment moderating effect and top management support as predictor variables 从UTAUT的角度理解电子病历的延续意图:实践环境的调节效应和高层管理人员的支持作为预测变量
Pub Date : 2018-06-07 DOI: 10.1504/IJEH.2018.10013367
Adi Alsyouf, Awanis Ku Ishak
This study attempts to comprehend factors influencing nurses' continuance intention to use electronic health records (EHR) system in Jordan since they as the key service providers in healthcare services are main users of the system. Their acceptance and usage of the system are imperative to evaluate the system's implementation success. A cross-sectional survey is conducted on the fully implemented EHR system public hospitals. Study framework is based on the extended model of the unified theory of acceptance and use of technology (UTAUT) and top management support (TMS). Results reveal effort expectancy, performance expectancy and facilitating conditions positively influence nurses' continuance intention to use and top management support as significant and negatively related to nurses' continuance intention to use. Results also disclose relationship between social influence and continuance intention to use as not significant. Multi-group analysis result indicates stronger relationship between effort expectancy and continuance intention to use is evident to ward nurses than special unit nurses. Findings confirm on the necessity to support new technologies specifically EHR system in hospitals and contributes to UTAUT theory through revealing the impact of top management support on continuance intention to use and establishing relevant measurement accuracy of study framework in Jordanian context.
本研究试图了解约旦护士继续使用电子健康档案(EHR)系统的影响因素,因为护士作为医疗保健服务的关键服务提供者,是该系统的主要用户。他们对系统的接受和使用是评估系统实施成功的必要条件。对全面推行电子健康档案系统的公立医院进行横断面调查。研究框架基于技术接受与使用统一理论(UTAUT)和高层管理支持(TMS)的扩展模型。结果显示,努力期望、绩效期望和便利条件正向影响护士的继续使用意愿,高层管理人员的支持对护士的继续使用意愿有显著的负相关影响。结果还显示,社会影响与继续使用意愿之间的关系不显著。多组分析结果显示,病区护士的努力期望与继续使用意愿的关系明显强于专科护士。研究结果证实了医院支持新技术特别是电子病历系统的必要性,并通过揭示高层管理支持对持续使用意愿的影响以及在约旦背景下建立相关研究框架的测量准确性,为UTAUT理论做出了贡献。
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引用次数: 37
Connecting digital pharma and e-healthcare value networks through product-service design: a conceptual model 通过产品服务设计连接数字制药和电子医疗价值网络:一个概念模型
Pub Date : 2018-06-07 DOI: 10.1504/IJEH.2018.10013369
T. Harrington, T. A. Burge
With the move towards more 'outcome' and 'value'-based treatment regimens – increasingly tailored for the individual patient – there is growing pressure on healthcare systems and the pharmaceutical sector to collaborate and co-develop innovative models of care and medication. This paper focuses on the impact disruptive digital technologies may have on the UK Pharma/National Health Service (NHS) ecosystem. Underpinned by the literature on digital/IoT-based business models and product-service systems (PSS), a conceptual model for designing more 'connected' value networks is developed and validated by an expert panel. Applying the model, we assess emerging PSS concepts and scenarios involving more distributed 'make-to-order' service models - demonstrating the potential for technologies, such as 3D printing, to enable localised and personalised medication manufacture. The model reduces complexity and serves to provide practical guidance on future operating principles and protocols to be used in the design and implementation of improved e-healthcare solutions.
随着更多地转向基于“结果”和“价值”的治疗方案——越来越多地为个体患者量身定制——医疗保健系统和制药部门面临越来越大的压力,需要合作和共同开发创新的护理和药物治疗模式。本文关注的是颠覆性数字技术可能对英国制药/国民健康服务(NHS)生态系统产生的影响。在基于数字/物联网的商业模式和产品服务系统(PSS)的文献基础上,一个设计更多“连接”价值网络的概念模型被专家小组开发和验证。应用该模型,我们评估了新兴的PSS概念和涉及更多分布式“按订单生产”服务模型的场景——展示了3D打印等技术的潜力,使本地化和个性化药物制造成为可能。该模型降低了复杂性,并提供了用于设计和实施改进的电子医疗保健解决方案的未来操作原则和协议的实用指导。
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引用次数: 3
eHealth in India: a model for healthcare accessibility at the 'bottom of the pyramid' 印度的电子医疗:“金字塔底层”医疗可及性的典范
Pub Date : 2018-06-07 DOI: 10.1504/IJEH.2018.10013370
Ridhi Bhatia, U. Taneja
The objective of this research is to study the scope of eHealth as a means to reach the 'bottom of the pyramid (BOP)' in India and making healthcare services accessible to this segment. For this purpose, a detailed study of the eHealth initiatives in India is done in terms of their objectives, value proposition, penetration, customer segment, and operating model. This study also analyses the macro-economic, technological, social and other demographic factors in India in order to understand the scope of eHealth in terms of its drivers and inhibitors in the growth of eHealth in India. This is a qualitative and descriptive research study that is based on secondary research which involves a review of existing literature and data. The findings and analyses done on the basis of secondary research are further reinforced through discussions with healthcare providers, researchers and consumers.
本研究的目的是研究电子健康的范围,作为一种手段,以达到“金字塔底部(BOP)”在印度,并使医疗保健服务可访问的部分。为此,对印度的电子健康计划进行了详细的研究,包括其目标、价值主张、渗透、客户细分和运营模式。本研究还分析了印度的宏观经济、技术、社会和其他人口因素,以了解印度电子健康增长的驱动因素和抑制因素。这是一个定性和描述性的研究,是基于二次研究,其中涉及到现有的文献和数据的审查。通过与医疗保健提供者、研究人员和消费者的讨论,进一步加强了在二次研究基础上所做的调查结果和分析。
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引用次数: 3
Impact of perceived HIS users' performance on job satisfaction: moderating effect of perceived HIS quality 认知资讯科技使用者绩效对工作满意度的影响:认知资讯科技品质的调节作用
Pub Date : 2018-06-07 DOI: 10.1504/IJEH.2018.10013366
Bassem E. Maamari, Johnny C. Chaanine
The study examines the effect of perceived healthcare information system users' performance on their job satisfaction, and the moderating role of employees' perception of the healthcare information system's quality on the relationship. The results show that the perceived quality of the system coupled with their perceived performance using the system affects their job satisfaction. Moreover, in these facilities, health information systems add value to their services at the expense of the employees' workload and perceived performance, and thereby satisfaction. Therefore managers and administrators need to provide inclusion programs as well as training workshops and follow-up sessions. In addition, these healthcare facilities can build internal marketing programs to boost employees' perception of the system's quality and use.
本研究考察了感知医疗保健信息系统用户绩效对其工作满意度的影响,以及员工感知医疗保健信息系统质量对二者关系的调节作用。结果表明,系统的感知质量与他们使用系统的感知绩效相结合,影响了他们的工作满意度。此外,在这些设施中,卫生信息系统增加了其服务的价值,但牺牲了员工的工作量和感知绩效,从而降低了满意度。因此,管理者和管理者需要提供包容性项目以及培训研讨会和后续会议。此外,这些医疗机构可以建立内部营销计划,以提高员工对系统质量和使用的认识。
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引用次数: 1
The moderating effect of information technology on the relationship between self-efficacy and self-management for patients with type (2) diabetes in Jordan 信息技术对约旦(2)型糖尿病患者自我效能感与自我管理关系的调节作用
Pub Date : 2018-06-07 DOI: 10.1504/IJEH.2018.10013368
F. Qutaishat
The purpose of this study is to investigate the moderating effect of Information Technology on the relationship between self-efficacy and self-management for patients with type (2) diabetes in Jordan. To achieve this, a survey questionnaire was developed and then distributed to participants of this study. Participants were chosen based on their diagnosis with diabetes (type (2) only) and also based on their experience of using Information Technology to access diabetes-related information. Several statistical tests were used to examine the research hypotheses including descriptive analysis, simple regression analysis and moderated hierarchical regression. It was evident according to the results of this study that self-efficacy was a predictor for self-management, and information technology positively moderated the relationship between these variables.
本研究旨在探讨资讯科技对约旦(2)型糖尿病患者自我效能感与自我管理的调节作用。为了做到这一点,我们制作了一份调查问卷,然后分发给本研究的参与者。参与者是根据他们的糖尿病诊断(仅2型)以及他们使用信息技术获取糖尿病相关信息的经验来选择的。采用描述性分析、简单回归分析和有调节层次回归等统计检验对研究假设进行检验。本研究结果表明,自我效能感是自我管理的预测因子,信息技术正向调节了这些变量之间的关系。
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引用次数: 0
Clinician value from big data: creating a path forwards 临床医生的价值来自大数据:创造前进的道路
Pub Date : 2017-08-16 DOI: 10.1504/IJEH.2017.10006683
Christopher A. Bain, J. Seah, Bismi Jomon
Whilst many in healthcare view the arrival of the era of big data as an overwhelmingly positive thing, there are some who refute that claim and increasingly point out the limitations of using big data derived datasets for clinical research in particular. In this paper we examine some of the challenges and constraints regarding access to data for clinicians and researchers, despite the collection and generation of vast amounts of data (big data) in the healthcare industry. We also briefly explore some of the challenges around identifying cohorts from, and performing analysis on, such datasets. As part of this we present on the latest developments with a custom designed search tool (The cohort discovery tool (CDT)) that allows such users flexibility in how they access a vast clinical data repository inside The REASON Discovery Platform®. We also examine some of the strengths and weaknesses of the tool and factors influencing its uptake by clinicians at its primary site.
虽然许多医疗保健行业的人认为大数据时代的到来是一件非常积极的事情,但也有一些人反驳了这一说法,并越来越多地指出在临床研究中使用大数据衍生数据集的局限性。在本文中,我们研究了一些关于临床医生和研究人员访问数据的挑战和限制,尽管在医疗保健行业中收集和生成了大量数据(大数据)。我们还简要探讨了从这些数据集中识别队列并对其进行分析的一些挑战。作为其中的一部分,我们介绍了定制设计的搜索工具(队列发现工具(CDT))的最新发展,该工具允许此类用户灵活地访问REASON发现平台®内庞大的临床数据存储库。我们还研究了该工具的一些优点和缺点,以及影响临床医生在其原发部位吸收的因素。
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引用次数: 0
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Int. J. Electron. Heal.
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