Pub Date : 2016-08-17DOI: 10.1504/IJHTM.2016.078367
P. Abor
This present study examines the effect of healthcare governance on the patients' perception of service quality of hospitals in Ghana. The study employs a cross-sectional regression model. The results of the study show that hospitals with governing boards are perceived to deliver better health service quality compared to hospitals without a governing board. This demonstrates the importance of hospital boards in the provision of better quality of care. In terms of the hospital board characteristics, we observe that hospitals with smaller board size, those with separate roles of the CEO and board chair, those with more female representation on the board, and those that hold frequent board meetings tend to provide better quality of healthcare. We also found that not-for-profit mission and for-profit private hospitals deliver better service quality compared to public hospitals. The results also reveal that interacting mission-based and private hospitals with effective board characteristics leads to better service quality. This paper examines the issue from a developing country context. The findings of this study suggest that structuring an effective hospital board is important in delivering good quality of healthcare.
{"title":"Healthcare governance and patients' perception of service quality in Ghana","authors":"P. Abor","doi":"10.1504/IJHTM.2016.078367","DOIUrl":"https://doi.org/10.1504/IJHTM.2016.078367","url":null,"abstract":"This present study examines the effect of healthcare governance on the patients' perception of service quality of hospitals in Ghana. The study employs a cross-sectional regression model. The results of the study show that hospitals with governing boards are perceived to deliver better health service quality compared to hospitals without a governing board. This demonstrates the importance of hospital boards in the provision of better quality of care. In terms of the hospital board characteristics, we observe that hospitals with smaller board size, those with separate roles of the CEO and board chair, those with more female representation on the board, and those that hold frequent board meetings tend to provide better quality of healthcare. We also found that not-for-profit mission and for-profit private hospitals deliver better service quality compared to public hospitals. The results also reveal that interacting mission-based and private hospitals with effective board characteristics leads to better service quality. This paper examines the issue from a developing country context. The findings of this study suggest that structuring an effective hospital board is important in delivering good quality of healthcare.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":"228"},"PeriodicalIF":1.0,"publicationDate":"2016-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2016.078367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971698","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}
Pub Date : 2016-08-17DOI: 10.1504/IJHTM.2016.078371
Sumayya Banna, H. Hasan, Patrick Dawson
The purpose of the study presented in this paper is to develop our understanding of the diversity of user requirements for interactive online health services in order to inform improvements to their design leading to better health outcomes. Data collected in Australia was analysed following the established but unfamiliar regime of Q methodology that enables the subjectivities of a diverse set of respondents to be studied systematically. This analysis produced three significant groupings of respondents referred to as: 'service-oriented users', 'collaborative interactive users' and 'health information seekers'. Among these groups we identify and discuss a range of elements indicative of the variety of users' experiences and subjective views on the content, design, functionality and usability of systems for the development of effective interactive online health service provision.
{"title":"Understanding the Diversity of User Requirements for Interactive Online Health Services","authors":"Sumayya Banna, H. Hasan, Patrick Dawson","doi":"10.1504/IJHTM.2016.078371","DOIUrl":"https://doi.org/10.1504/IJHTM.2016.078371","url":null,"abstract":"The purpose of the study presented in this paper is to develop our understanding of the diversity of user requirements for interactive online health services in order to inform improvements to their design leading to better health outcomes. Data collected in Australia was analysed following the established but unfamiliar regime of Q methodology that enables the subjectivities of a diverse set of respondents to be studied systematically. This analysis produced three significant groupings of respondents referred to as: 'service-oriented users', 'collaborative interactive users' and 'health information seekers'. Among these groups we identify and discuss a range of elements indicative of the variety of users' experiences and subjective views on the content, design, functionality and usability of systems for the development of effective interactive online health service provision.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":"253-271"},"PeriodicalIF":1.0,"publicationDate":"2016-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2016.078371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971811","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}
Pub Date : 2016-08-17DOI: 10.1504/IJHTM.2016.078346
Malak Khreiss, I. Zaarour, H. Mcheick
Remote healthcare has made a revolution in the healthcare domain. However, an important problem this field is facing is supporting patients who are subjected to severe emergencies (as heart attacks) to be both monitored and protected while being at home. In this paper, we present a conceptual framework with the main objectives of: 1) emergency handling through monitoring patients, detecting emergencies and insuring fast emergency responses; 2) preventing an emergency from happening in the first place through protecting patients by organising their lifestyles and habits. To achieve these objectives, we propose a layered middleware. Our context model combines two modelling methods: probabilistic modelling to capture uncertain information and ontology to ease knowledge sharing and reuse. In addition, our system uses a two-level reasoning approach (ontology-based reasoning and Bayesian-based reasoning) to manage both certain and uncertain contextual parameters in an adaptive manner. Bayesian network is learned from ontology. Moreover, to ensure a more sophisticated decision-making for service presentation, influence diagram and analytic hierarchy process are used along with regular probabilistic rules (confidence level) and basic semantic logic rules.
{"title":"SMILE: smart monitoring intelligent learning engine: an ontology-based context-aware system for supporting patients subjected to severe emergencies","authors":"Malak Khreiss, I. Zaarour, H. Mcheick","doi":"10.1504/IJHTM.2016.078346","DOIUrl":"https://doi.org/10.1504/IJHTM.2016.078346","url":null,"abstract":"Remote healthcare has made a revolution in the healthcare domain. However, an important problem this field is facing is supporting patients who are subjected to severe emergencies (as heart attacks) to be both monitored and protected while being at home. In this paper, we present a conceptual framework with the main objectives of: 1) emergency handling through monitoring patients, detecting emergencies and insuring fast emergency responses; 2) preventing an emergency from happening in the first place through protecting patients by organising their lifestyles and habits. To achieve these objectives, we propose a layered middleware. Our context model combines two modelling methods: probabilistic modelling to capture uncertain information and ontology to ease knowledge sharing and reuse. In addition, our system uses a two-level reasoning approach (ontology-based reasoning and Bayesian-based reasoning) to manage both certain and uncertain contextual parameters in an adaptive manner. Bayesian network is learned from ontology. Moreover, to ensure a more sophisticated decision-making for service presentation, influence diagram and analytic hierarchy process are used along with regular probabilistic rules (confidence level) and basic semantic logic rules.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":"194"},"PeriodicalIF":1.0,"publicationDate":"2016-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2016.078346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971237","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}
Pub Date : 2016-08-17DOI: 10.1504/IJHTM.2016.078360
R. Leskelä, F. Herse, P. Torkki, J. Laine, T. Vilkuna, T. Raatikainen
Health technology assessment focuses on clinical effectiveness and cost efficiency, but achieving these goals does not guarantee the adoption of a new technology if the incentives of individual decision makers (payers, patients, providers) are not aligned. This study creates a framework for the analysis of the adoption phase. The framework is tested in the case of a new, non-invasive treatment for Dupuytren's disease. The framework is developed based on existing operations management theories. The cost-benefit analysis in the case study utilises information on the Finnish healthcare system, detailed data on the process of the surgical and treatment for Dupuytren's from seven hospital districts and expert interviews on the non-surgical treatment process. The analysis suggests that the new technology will most likely be adopted, but it also shows that there are potential hindrances. The study shows that it is important to consider the incentives of individual operators within the healthcare system.
{"title":"Analysis of the adoption of new health technology: The case of Dupuytren's disease","authors":"R. Leskelä, F. Herse, P. Torkki, J. Laine, T. Vilkuna, T. Raatikainen","doi":"10.1504/IJHTM.2016.078360","DOIUrl":"https://doi.org/10.1504/IJHTM.2016.078360","url":null,"abstract":"Health technology assessment focuses on clinical effectiveness and cost efficiency, but achieving these goals does not guarantee the adoption of a new technology if the incentives of individual decision makers (payers, patients, providers) are not aligned. This study creates a framework for the analysis of the adoption phase. The framework is tested in the case of a new, non-invasive treatment for Dupuytren's disease. The framework is developed based on existing operations management theories. The cost-benefit analysis in the case study utilises information on the Finnish healthcare system, detailed data on the process of the surgical and treatment for Dupuytren's from seven hospital districts and expert interviews on the non-surgical treatment process. The analysis suggests that the new technology will most likely be adopted, but it also shows that there are potential hindrances. The study shows that it is important to consider the incentives of individual operators within the healthcare system.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":"210-227"},"PeriodicalIF":1.0,"publicationDate":"2016-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2016.078360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66972048","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}
Pub Date : 2016-02-08DOI: 10.1504/IJHTM.2015.074538
A. Al-Adwan, H. Berger
The response of health professionals to the use of health information technology (HIT) can partly explain the success or failure of any HIT adoption and/or its application. The present study applies a modified version of the revised technology acceptance model (TAM) to examine EHR acceptance and utilisation by physicians in Jordan. The paper presents the theoretical basis behind the development of a research model which was employed to empirically validate the model using substantial quantitative data. The theoretical significance of this work is evidenced by utilising a rigorously constructed research model to extend technology acceptance research into the health sector.
{"title":"Exploring physicians' behavioural intention toward the adoption of electronic health records: an empirical study from Jordan","authors":"A. Al-Adwan, H. Berger","doi":"10.1504/IJHTM.2015.074538","DOIUrl":"https://doi.org/10.1504/IJHTM.2015.074538","url":null,"abstract":"The response of health professionals to the use of health information technology (HIT) can partly explain the success or failure of any HIT adoption and/or its application. The present study applies a modified version of the revised technology acceptance model (TAM) to examine EHR acceptance and utilisation by physicians in Jordan. The paper presents the theoretical basis behind the development of a research model which was employed to empirically validate the model using substantial quantitative data. The theoretical significance of this work is evidenced by utilising a rigorously constructed research model to extend technology acceptance research into the health sector.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"123 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2015.074538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971400","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}
Pub Date : 2016-02-08DOI: 10.1504/ijhtm.2015.074539
C. Moore
Hospital readmission rate has long been one of the most watched measures for hospital quality of care and possesses significant financial implications. On 1 October 2012, CMS started to reduce payments to the hospitals with excessive readmissions. The penalties implemented by CMS have rekindled extensive research activities centred on the fairness of the penalties owing to racial disparities for hospitals serving disadvantaged populations and on the interventions that can reduce readmissions. In this study, we found that no racial and income disparities exist in the Veterans Integrated Healthcare Network Upstate New York, which could have broader policy implications. We explored demographic and socioeconomic risk factors and found that unmarried patients were 19% more likely to be rehospitalised. Given more than half of the inpatients are unmarried, 19% more readmissions merit greater attention from hospital managers and policymakers alike.
{"title":"Thirty-day All-cause Hospital Readmissions – Racial and Income Disparities and Risk Factors in a Veteransintegrated Healthcare Network","authors":"C. Moore","doi":"10.1504/ijhtm.2015.074539","DOIUrl":"https://doi.org/10.1504/ijhtm.2015.074539","url":null,"abstract":"Hospital readmission rate has long been one of the most watched measures for hospital quality of care and possesses significant financial implications. On 1 October 2012, CMS started to reduce payments to the hospitals with excessive readmissions. The penalties implemented by CMS have rekindled extensive research activities centred on the fairness of the penalties owing to racial disparities for hospitals serving disadvantaged populations and on the interventions that can reduce readmissions. In this study, we found that no racial and income disparities exist in the Veterans Integrated Healthcare Network Upstate New York, which could have broader policy implications. We explored demographic and socioeconomic risk factors and found that unmarried patients were 19% more likely to be rehospitalised. Given more than half of the inpatients are unmarried, 19% more readmissions merit greater attention from hospital managers and policymakers alike.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/ijhtm.2015.074539","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971458","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}
Pub Date : 2016-02-08DOI: 10.1504/IJHTM.2015.074555
N. Saxena, Himanshu Rai
The paper explores the correlation effects of recruitment, selection, training and development in public and private hospitals of India. The data was collected using a questionnaire survey method from the medical staff including doctors, nurses and administrators of 30 (15 private and 15 government) hospitals in India. The data was analysed using statistical measures like descriptive statistics, correlation and regression. The results revealed that the public hospital employees were more satisfied with their recruitment and selection process, less committed to their organisation and experienced lower levels of occupational stress than the employees of private hospitals. Furthermore, the healthcare personnel who were satisfied with the recruitment, selection, training and development process were also found to be satisfied with their job and career. These persons are more committed to their organisation and experienced lower levels of occupational stress.
{"title":"The correlation effects between recruitment, selection, training, development and employee stress, satisfaction and commitment: findings from a survey of 30 hospitals in India","authors":"N. Saxena, Himanshu Rai","doi":"10.1504/IJHTM.2015.074555","DOIUrl":"https://doi.org/10.1504/IJHTM.2015.074555","url":null,"abstract":"The paper explores the correlation effects of recruitment, selection, training and development in public and private hospitals of India. The data was collected using a questionnaire survey method from the medical staff including doctors, nurses and administrators of 30 (15 private and 15 government) hospitals in India. The data was analysed using statistical measures like descriptive statistics, correlation and regression. The results revealed that the public hospital employees were more satisfied with their recruitment and selection process, less committed to their organisation and experienced lower levels of occupational stress than the employees of private hospitals. Furthermore, the healthcare personnel who were satisfied with the recruitment, selection, training and development process were also found to be satisfied with their job and career. These persons are more committed to their organisation and experienced lower levels of occupational stress.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2015.074555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971536","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}
Pub Date : 2016-02-08DOI: 10.1504/ijhtm.2015.074554
P. A. Nail, Yu-Li Huang
Electronic medical records (EMRs) are the wave of the near future for healthcare documentation. Organisations have begun the process of integrating electronic workflows with their existing and the evidence-based work. Basic workflow analysis is essential to accomplish the goals of a well-integrated EMR which sets a standard for balanced organisational ecology and a stable EMR habitat for the system and its users. This paper presents a standard approach for analysing the needs and workflow impact of EMR implementation. Results presented here are garnered from EMR implementation in a cardiology specialty to demonstrate a best practice standardised regimen for identifying pitfalls and procedural issues related to implementation of EMR and addressing those issues in a manner consistent with easing adaptation to the entire EMR habitat. The example of medication refill demonstrates the rapid changes of turnaround time from two to three days to less than 2 hours and a 6% improvement in patient satisfaction.
{"title":"Engineering the EMR habitat through workflow design in a specialty setting","authors":"P. A. Nail, Yu-Li Huang","doi":"10.1504/ijhtm.2015.074554","DOIUrl":"https://doi.org/10.1504/ijhtm.2015.074554","url":null,"abstract":"Electronic medical records (EMRs) are the wave of the near future for healthcare documentation. Organisations have begun the process of integrating electronic workflows with their existing and the evidence-based work. Basic workflow analysis is essential to accomplish the goals of a well-integrated EMR which sets a standard for balanced organisational ecology and a stable EMR habitat for the system and its users. This paper presents a standard approach for analysing the needs and workflow impact of EMR implementation. Results presented here are garnered from EMR implementation in a cardiology specialty to demonstrate a best practice standardised regimen for identifying pitfalls and procedural issues related to implementation of EMR and addressing those issues in a manner consistent with easing adaptation to the entire EMR habitat. The example of medication refill demonstrates the rapid changes of turnaround time from two to three days to less than 2 hours and a 6% improvement in patient satisfaction.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/ijhtm.2015.074554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971472","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}
Pub Date : 2016-02-08DOI: 10.1504/ijhtm.2015.074556
S. Sintonen, K. Mäkelä, Raimo Miettinen
Health organisations have faced a challenge in the transition from paper-based archiving systems to electronic health record systems. The potential of new technologies exists if medical personnel accept the information system as part of their work routine. This paper analyses electronic health record system acceptance with a post-implementation study in a regional hospital in south-eastern Finland. Quantitative data was collected with a mail survey and it was analysed with partial least squares structural equation modelling. The results suggest that a system's complexity and problems with reliability negatively influence its usefulness and decrease the willingness of personnel to use the system. Indicated with perceived behavioural control, the personnel have the necessary abilities for system usage, and the control has no influence on usage intention or actual usage of the system.
{"title":"User acceptance of electronic health records: a post-implementation study","authors":"S. Sintonen, K. Mäkelä, Raimo Miettinen","doi":"10.1504/ijhtm.2015.074556","DOIUrl":"https://doi.org/10.1504/ijhtm.2015.074556","url":null,"abstract":"Health organisations have faced a challenge in the transition from paper-based archiving systems to electronic health record systems. The potential of new technologies exists if medical personnel accept the information system as part of their work routine. This paper analyses electronic health record system acceptance with a post-implementation study in a regional hospital in south-eastern Finland. Quantitative data was collected with a mail survey and it was analysed with partial least squares structural equation modelling. The results suggest that a system's complexity and problems with reliability negatively influence its usefulness and decrease the willingness of personnel to use the system. Indicated with perceived behavioural control, the personnel have the necessary abilities for system usage, and the control has no influence on usage intention or actual usage of the system.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/ijhtm.2015.074556","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971592","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}
Pub Date : 2016-01-01DOI: 10.1504/IJHTM.2016.084128
F. Oderanti, Feng Li
Despite heavy investment in health and social care sectors in the UK, large scale deployment of assisted living technologies and services (ALTS) continues to face significant obstacles, and the lack of sustainable business models (BM) is widely regarded as one of the greatest hindrances. Based on a systematic review of previous studies, this paper identifies current trends in digital technologies and how they are used in assisted living. We categorise and analyse these technologies and through the lens of diffusion of innovation theory (DOI), we review the concepts and frameworks of BM as used in the literature to suggest conceptual frameworks for sustainable BMs for scalable ALTS in digital economy. This is expected to help in reducing the pressure on the already stretched health and social care services in the UK and other similar economies. Our approach suggests that BM canvas and DOI innovation diffusion characteristics are complements, not substitutes.
{"title":"A holistic review and framework for sustainable business models for assisted living technologies and services","authors":"F. Oderanti, Feng Li","doi":"10.1504/IJHTM.2016.084128","DOIUrl":"https://doi.org/10.1504/IJHTM.2016.084128","url":null,"abstract":"Despite heavy investment in health and social care sectors in the UK, large scale deployment of assisted living technologies and services (ALTS) continues to face significant obstacles, and the lack of sustainable business models (BM) is widely regarded as one of the greatest hindrances. Based on a systematic review of previous studies, this paper identifies current trends in digital technologies and how they are used in assisted living. We categorise and analyse these technologies and through the lens of diffusion of innovation theory (DOI), we review the concepts and frameworks of BM as used in the literature to suggest conceptual frameworks for sustainable BMs for scalable ALTS in digital economy. This is expected to help in reducing the pressure on the already stretched health and social care services in the UK and other similar economies. Our approach suggests that BM canvas and DOI innovation diffusion characteristics are complements, not substitutes.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"15 1","pages":"273"},"PeriodicalIF":1.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2016.084128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66971920","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}
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