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A healthy lifestyle app for older adults with diabetes and hypertension: usability assessment 针对糖尿病和高血压老年人的健康生活方式应用程序:可用性评估
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-12-23 DOI: 10.1504/IJHTM.2017.10009747
Jenna Smith-Turchyn, Janelle Gravesande, G. Agarwal, D. Mangin, D. Javadi, J. Peter, F. Parascandalo, L. Dolovich, J. Richardson
Risk factor modification interventions using mobile health technology have been shown to be effective in managing non-communicable lifestyle related conditions. The objective of this study was to explore how older adults with type 2 diabetes and hypertension use an online app developed to help manage these conditions. Usability testing was conducted on the TAPESTRY-CM Healthy Lifestyle App, an online self-management application. This included an online session, using a cognitive interviewing approach, and semi-structured interviews at various times. Qualitative content analysis was performed as sessions were completed using coding and category formation. All participants commented positively on app content. Suggestions for improvement were given in regard to app content and layout. This study provides strong support for initial use of this app. Results of this study will be used to improve the app prior to conducting larger scale effectiveness trials or using it in clinical practice.
使用移动保健技术的风险因素修改干预措施已被证明在管理与非传染性生活方式有关的疾病方面是有效的。这项研究的目的是探索患有2型糖尿病和高血压的老年人如何使用开发的在线应用程序来帮助管理这些疾病。对在线自我管理应用程序TAPESTRY-CM健康生活方式App进行可用性测试。这包括一个在线会议,使用认知访谈方法,以及不同时间的半结构化访谈。在使用编码和类别形成完成会话时进行定性内容分析。所有参与者都对app内容给予了正面评价。在app内容和布局方面提出了改进建议。本研究为该app的初始使用提供了强有力的支持。在进行更大规模的有效性试验或临床应用之前,本研究的结果将用于改进该app。
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引用次数: 6
Ontology driven meta-modelling of clinical documents 临床文献本体驱动的元建模
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-12-23 DOI: 10.1504/IJHTM.2017.10009750
Shreya M. Banerjee, A. Sarkar
In recent days, distinct healthcare information systems use and exchange electronic clinical documents enormously. Further, modern technologies, such as connected home monitoring devices, incorporate contextual awareness into clinical documents. Besides this, today's healthcare domain is driven by emergence of new roles played by related stakeholders. Consequently, there is a need in healthcare information systems to achieve common semantic interpretation of clinical documents so that, 1) those can be exchanged among healthcare information systems meaningfully; 2) personalised document view in a specific context can be achieved effectively. To address these issues in this paper, an ontology driven meta-model for clinical documents is proposed. The proposed conceptualisation is implemented in an ontology editorial tool Protege and illustrated using a case study based on e-prescription. Further, the specification is transformed towards JSON (Java Script Object Notation Schema) schema for demonstration of its practical utility.
近年来,不同的医疗保健信息系统大量使用和交换电子临床文档。此外,现代技术,如连接的家庭监控设备,将上下文感知纳入临床文件。除此之外,今天的医疗保健领域是由相关利益相关者扮演的新角色的出现所驱动的。因此,医疗保健信息系统需要实现临床文件的共同语义解释,以便:1)这些可以在医疗保健信息系统之间有意义地交换;2)可以有效地实现特定语境下的个性化文档视图。为了解决这些问题,本文提出了一个基于本体驱动的临床文献元模型。提出的概念化在本体编辑工具Protege中实现,并使用基于电子处方的案例研究进行说明。此外,该规范被转换为JSON (Java Script Object Notation Schema)模式,以演示其实际效用。
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引用次数: 0
Value chain building and business model in the mobile device healthcare industry - the case of China 移动设备医疗行业的价值链构建与商业模式——以中国为例
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-10-24 DOI: 10.1504/IJHTM.2017.10008507
Jie Zhang
Although mobile device healthcare (MDH) industry is developing fast, people do not have a deep understanding of its value chain, and further, its business model. In this paper, I analyse the development of The MDH industry in China, then clarify the total market scale of MDH. Based on these, I discuss key segments in the value chain of MDH industry and unveil the business model of MDH firms. After that, the change brought by the mobile devices for the traditional healthcare industry is investigated. Finally, six cases of MDH firms in China are raised and discussed in detail.
虽然移动设备医疗(MDH)行业正在快速发展,但人们对其价值链和商业模式的了解并不深入。本文通过对中国MDH产业发展的分析,明确了MDH的总市场规模。在此基础上,探讨了医疗保健产业价值链中的关键环节,揭示了医疗保健企业的商业模式。然后,研究移动设备给传统医疗行业带来的变化。最后,提出了六个中国MDH企业的案例并进行了详细的讨论。
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引用次数: 1
China's legal framework for pharmaceutical products: challenges and opportunities for EU companies 中国医药产品法律框架:欧盟企业面临的挑战与机遇
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-10-24 DOI: 10.1504/IJHTM.2017.10006645
Pamela Lattanzi, Federica Monti, Zhao Xu
It is unanimously recognised in the literature that although the Chinese pharmaceutical market offers huge opportunities to European industry, it poses several challenges regarding compliance with the laws governing this sector. Because of the different legal traditions, a peculiar public health history and culture, and a different system of healthcare, EU companies have faced many barriers in accessing the Chinese pharmaceutical market over the years. In order to provide a better understanding of the China's regulatory landscape and its emerging trends, the article focuses on three critical legal topics, which are relevant for the business of EU pharmaceutical companies in the Chinese market: drug registration, drug distribution system, and IP rights protection.
文献中一致认为,尽管中国医药市场为欧洲工业提供了巨大的机会,但在遵守该行业的法律方面也存在一些挑战。由于不同的法律传统、独特的公共卫生历史和文化以及不同的医疗体系,欧盟公司多年来在进入中国药品市场方面面临着许多障碍。为了更好地了解中国的监管格局及其新兴趋势,本文重点讨论了与欧盟制药公司在中国市场的业务相关的三个关键法律主题:药品注册、药品分销系统和知识产权保护。
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引用次数: 5
Chinese pharmaceuticals: does sub-national marketisation matter? Evidence of cross-province acquisitions by Guangdong pharmaceutical firms 中国制药:跨国市场化重要吗?广东医药企业跨省收购的证据
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-10-24 DOI: 10.1504/IJHTM.2017.087596
Manli Huang, Huiru Zhang, Antonio Angelino
This article assesses the influence of sub-national marketisation on the equity share choice in mergers and acquisitions. Focusing on domestic acquisitions, we examine the relationship between marketisation of the target firm and the acquirer firm's equity share choice by Guangdong (GD) firms in pharmaceuticals. Our sample consists of 53 domestic acquisitions in China of which acquirers are located in GD province and targets are located all over China. Findings confirm that differences exist in equity share choice based on different sub-national marketisation within China. Sub-national marketisation has significant association with equity share in cross-province acquisitions. An acquirer will more likely opt for partial shares in the acquired firm than full shares when acquiring a firm across provinces.
本文研究了地方市场化对企业并购股权选择的影响。本文以国内并购为研究对象,考察了广东制药企业并购目标企业市场化程度与收购方股权选择之间的关系。我们的样本包括中国境内的53宗收购,其中收购方位于广东省,收购目标遍布中国各地。研究结果证实,中国不同地方市场化程度的股权选择存在差异。地方市场化程度与跨省并购中的股权比例有显著关联。当跨省收购一家公司时,收购者更有可能选择收购被收购公司的部分股份,而不是全部股份。
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引用次数: 1
Focusing on the Chinese health industry: an empirical enquiry on the TCM listed firms. Is large and private beautiful? 聚焦中国健康产业:中药上市公司的实证研究。大而私密是美丽的吗?
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-10-24 DOI: 10.1504/IJHTM.2017.10006769
M. R. D. Tommaso, S. Bonnini, Y. Qi
TCM is a key part of the Chinese healthcare system and TCM industries might play a growing role in the domestic and international markets. This work focuses on TCM listed companies in China. In particular, we study the effect of ownership and size on corporate performance. Multivariate permutation tests on the effects of ownership and size on corporate performance show that among the TCM listed companies, private companies perform better than state-owned ones, while big companies perform better than small ones. Moreover, the study shows that in TCM industry ownership has stronger effects than size on corporate performance.
中医药是中国医疗体系的重要组成部分,中医药产业可能在国内和国际市场上发挥越来越大的作用。本文以中国中药上市公司为研究对象。特别地,我们研究了所有权和规模对公司绩效的影响。股权和规模对公司绩效影响的多元置换检验表明,在中药上市公司中,民营公司绩效优于国有公司,大公司绩效优于小公司。此外,研究表明,在中药行业中,所有权对公司绩效的影响强于规模。
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引用次数: 5
Perceptions of health technology assessment knowledge translation in China: a qualitative study on HTA researchers and policy-makers 中国卫生技术评估知识转化的认知:基于卫生技术评估研究者和决策者的质性研究
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-10-24 DOI: 10.1504/IJHTM.2017.10008509
Yan Wei, R. Pong, Lizheng Shi, J. Ming, Meng Tang, Yiwei Mao, Wenbin Liu, Yingyao Chen
Although health technology assessment (HTA) has existed in China since the 1980s, the integration of HTA and policy-making is still in its infancy. Knowledge translation (KT) can play an important role in facilitating evidence-based policy-making. This study aims to describe the process of KT from researches to policy-makers and identifying the main determinants of the use of HTA evidence in policy-making in China. Researchers' and health policy-makers' perceptions of HTA KT were identified, using a grounded theory analysis approach. A theoretical framework consisting of four domains emerged to represent researchers' and policy-makers' perceptions of KT from HTA to policy making. Health policy-makers and researchers identified several determinants of KT, including HTA KT processes, alignment between research and decision-making and features of HTA research and health decisions, communication between policy-makers and HTA researchers, and support and resources for KT (organisational support, researchers' and health policy-makers' personal relationships and macro environment support).
尽管卫生技术评估自20世纪80年代以来就在中国存在,但卫生技术评估与政策制定的结合仍处于初级阶段。知识翻译(KT)可以在促进循证决策方面发挥重要作用。本研究旨在描述KT从研究者到决策者的过程,并确定HTA证据在中国决策中使用的主要决定因素。采用扎根理论分析方法,确定了研究人员和卫生政策制定者对HTA-KT的看法。一个由四个领域组成的理论框架出现了,代表了研究人员和决策者从HTA到政策制定对KT的看法。卫生政策制定者和研究人员确定了KT的几个决定因素,包括HTA-KT过程、研究和决策之间的一致性以及HTA研究和卫生决策的特点、政策制定者与HTA研究人员之间的沟通、,KT的支持和资源(组织支持、研究人员和卫生政策制定者的个人关系以及宏观环境支持)。
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引用次数: 2
Chinese pharmaceuticals: does sub-national marketization matter? Evidence of cross-province acquisitions by Guangdong firms 中国医药:地方市场化重要吗?广东公司跨省收购的证据
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-01-01 DOI: 10.1504/IJHTM.2017.10006561
Manli Huang, Huiru Zhang, Antonio Angelino
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引用次数: 3
Multi-level determinants of tele-healthcare innovations: an Italian case study. 远程医疗创新的多层次决定因素:意大利案例研究。
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2017-01-01 DOI: 10.1504/IJHTM.2017.10008836
S. Barsanti, S. D. Rosis
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引用次数: 0
Introduction of a non-ported peripheral intravenous catheter with multi-use blood control septum offers improvements in the overall efficiency of the procedure and is clinically well accepted 引入无孔外周静脉导管,多用途血液控制隔,提高了手术的整体效率,在临床上被广泛接受
IF 1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2016-08-17 DOI: 10.1504/IJHTM.2016.078336
D. M. Cooper, M. Whitfield, D. Newton, J. Chiarella, K. Machaczek
Financial challenges that the National Health Service (NHS), England, faces may jeopardise its future. This study evaluated the direct cost of using two different safety peripheral intravenous cannulae (SPIVC) with and without a blood control septum, including the cost of device and clinician time. Observation of 103 cannulations demonstrated a 54 second (29%) time reduction per cannulation with the non-ported SPIVC with multi-use blood control septum (Introcan Safety® 3 B Braun), compared to the standard ported SPIVC (Vasofix® Safety B Braun) (P < 0.05). The direct cost analysis, including clinician time, demonstrated that the introduction of SPIVC with multi-use blood control septum could offer time efficiency savings equivalent to a reduction in average cannulation costs by 25%. 82% of users perceived the insertion of SPIVC with multi-use blood control septum to be easy to use; 82% would choose to use it in clinical practice.
英国国家医疗服务体系(NHS)面临的财政挑战可能会危及其未来。本研究评估了使用两种不同的安全外周静脉插管(SPIVC)的直接成本,包括设备成本和临床时间。103次插管的观察表明,与标准端口SPIVC (Vasofix®Safety B Braun)相比,使用多用途血液控制隔(Introcan Safety®3 B Braun)的非端口SPIVC每次插管时间减少54秒(29%)(P < 0.05)。包括临床医生时间在内的直接成本分析表明,引入SPIVC和多用途血液控制隔膜可以节省时间效率,相当于平均降低25%的插管成本。82%的用户认为SPIVC与多用途血液控制隔膜的插入易于使用;82%的人会选择在临床实践中使用它。
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引用次数: 3
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International Journal of Healthcare Technology and Management
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