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Faced by a confluence of onerous challenges including escalating healthcare costs, ageing populations and the advance of technology as well as the need to provide effective and efficient healthcare services, OECD countries today are turning to e-health as the silver bullet or panacea. However, despite the initial euphoria and notwithstanding the significant investments made, to date, many of these...
The goal of this study is to examine how to facilitate cross-cultural groups in problem-based learning (PBL) using video triggers and computer-based technology tools. Medical students from Asia and North America participated in two sessions and watched physicians deliver bad news to a patient in two video cases. Experienced facilitators help support collaboration in the two PBL sessions. An expert...
Adult ADHD is a complex neuropsychiatric disorder, which is affecting the daily lives of 2-5 % of the adult population. This paper introduces a Clinical Decision Support System for diagnostics of ADHD. The introduced CDSS is currently in use in the South Karelia District of Social and Health Services (Eksote) in Finland. Eksote needed to establish the program for adult ADHD patients, and an evaluation,...
Paradoxes and tensions are ubiquitous to innovation and change in socio-technical systems in a wide range of contexts including but not limited to open innovation, e-health, mobile platforms, and integrated supply chains. Conflicting demands, contradictory practices, and competing views create fiction that can energize or inhibit the performance of a complex socio-technical system. There is a growing...
The typical family physician, or specialist, sees patients on a scheduled basis for physical exams, chronic care management, or a pre-determined follow-up. They also handle 'emergency priority' visits by their patients - handling unexpected clinical conditions such as flu, rapid blood pressure increase, or a sudden allergic reaction to a maintenance drug. This happens as the patients prefer care continuity...
This year the Information Issues in Supply chain and in Service System Design minitrack at HICSS has accepted a total of eight papers on important and highly relevant topics in supply chain, service system design, and other emerging research areas.
This paper follows the documents (texts, numbers) of a statistics system called IPLOS. IPLOS is intended to coordinate, control, standardize and stabilize municipal care services in Norway and generate statistical knowledge about the clients. We follow the production of IPLOS numbers, their movements through the interlocking organizations, and how IPLOS is understood, used, and interacts with service...
In very recent times, the pressing need to compete on the basis of process-related knowledge rather than process automation has expanded the field of Business Process Management (BPM) to include knowledge intensive business processes (BP). This paper focuses on one of BPM's core aspects -- BP ownership, aiming to explore its main characteristics in the context of knowledge-intensive BPs. Using a combined...
Objective: the objectives of this article are: (a) to provide an analysis of the key factors of an efficient web strategy with regard to the issue of patient empowerment, (b) to build an index for measuring the degree of empowerment of healthcare providers' web sites, (c) to measure the degree of "patient web empowerment" within the Italian National Health Service (INHS). Methods: a Patient...
Advances in information technology (IT) have resulted in a proliferation of IT-based solution to support the self-care and management for healthy individuals as well as patients with chronic conditions. Despite these advances, the adoption and diffusion of these solutions into practice is limited. The objective of this paper is to enhance adoption and diffusion by providing actionable recommendations...
This research addresses the urgent need to create a comprehensive guide for healthcare providers to follow to exchange electronic health records securely and meet the associated the Department of Health and Human Services' Meaningful Use objectives. Healthcare providers have numerous legal, financial, and ethical motivations to exchange patient data securely. Unfortunately, healthcare providers are...
E-health data management is characterized by high pressure and timely access. Accessing patient data requires that all services and objects are connected to make data from different health care sources available. Clinical data warehouses in this context facilitate the analysis, consolidation and access of the data obtained in the patient care process to improve the quality of decision making. There...
Thousands of U.S. physicians have reached the first stage of "meaningful use" and received incentive payments through the HITECH Act. Yet doubts have surfaced about the sustainability of EHR diffusion, as well as about which providers will benefit from program incentives. In this paper we report the findings of a survey conducted among Hawaii physicians, in which we assessed the views of...
Based on US healthcare policy there has been a movement toward increased adoption and use of electronic medical records [12, 18]. As Hersh noted in his comment on the 2009 HITECH Act, it is time for U.S. physicians to 'catch up with the pack' [11, p. 327]. The same may be said for university clinics that train future healthcare providers. The paper reports findings from a 2012 survey of Psychology...
The principle of modularity is well established in product development and software engineering. In recent years, this principle has been extended to services in different industries, such as financial services, hospital, logistics, IT, or health care. Service providers apply the principle of modularity to achieve reductions in time and cost of delivering customized services. Service modularity is...
Suicide is an important emerging problem among active duty personnel and veterans of recent conflicts in Iraq and Afghanistan. Suicide rates among veterans treated in the VA System are about 50% higher than in the general population, and the rate of suicide among active duty service personnel has recently exceeded the rate in the general population. Preventing suicides and providing services is a...
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