scholarly journals Use of Open Source Software in Health Care Delivery – Results of a Qualitative Field Study

2013 ◽  
Vol 22 (01) ◽  
pp. 107-113
Author(s):  
O. Heinze ◽  
B. Bergh ◽  
H. Schmuhl
Keyword(s):  
Health Care ◽  
Field Study ◽  
Open Source ◽  
Health Care Delivery ◽  
Open Source Software ◽  
Clinical Setting ◽  
Care Delivery ◽  
Theory Approach ◽  
Health It ◽  
It Executives

Summary Objectives: To assess and analyze the attitude of health IT executives towards the utilization of specialized medical Open Source software (OSS) in Germany's and other European countries' health care delivery. Methods: After an initial literature review a field study was carried out based on semi-structured expert interviews. Eight German and 11 other European health IT executives were surveyed. The results were qualitatively analyzed using the grounded theory approach. Identified concepts were reviewed using SWOT analysis. Results: In total, 13 strengths, 11 weaknesses, 3 opportunities, and 8 threats of the utilization of OSS in a clinical setting could be identified. Additionally, closely related aspects like general software procurement criteria, the overall attitude of health IT executives, users, and management towards OSS and its current and future use could as well be assessed. Conclusions: Medical OSS is rarely used in health care delivery. In order to capitalize the unique advantages of OSS in a clinical setting, complex requirements need to be addressed. Shortcomings of OSS describe an attractive breeding ground for new commercial offerings and services that need yet to be seen.

scholarly journals Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care

2017 ◽  
Vol 24 (5) ◽  
pp. 1036-1043 ◽  
Author(s):  
Julia Adler-Milstein ◽  
Peter J Embi ◽  
Blackford Middleton ◽  
Indra Neil Sarkar ◽  
Jeff Smith
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Policy Recommendations ◽  
It Infrastructure ◽  
Health It ◽  
Current Health ◽  
Value Based Care ◽  
Care System

Abstract While great progress has been made in digitizing the US health care system, today’s health information technology (IT) infrastructure remains largely a collection of systems that are not designed to support a transition to value-based care. In addition, the pursuit of value-based care, in which we deliver better care with better outcomes at lower cost, places new demands on the health care system that our IT infrastructure needs to be able to support. Provider organizations pursuing new models of health care delivery and payment are finding that their electronic systems lack the capabilities needed to succeed. The result is a chasm between the current health IT ecosystem and the health IT ecosystem that is desperately needed. In this paper, we identify a set of focal goals and associated near-term achievable actions that are critical to pursue in order to enable the health IT ecosystem to meet the acute needs of modern health care delivery. These ideas emerged from discussions that occurred during the 2015 American Medical Informatics Association Policy Invitational Meeting. To illustrate the chasm and motivate our recommendations, we created a vignette from the multistakeholder perspectives of a patient, his provider, and researchers/innovators. It describes an idealized scenario in which each stakeholder’s needs are supported by an integrated health IT environment. We identify the gaps preventing such a reality today and present associated policy recommendations that serve as a blueprint for critical actions that would enable us to cross the current health IT chasm by leveraging systems and information to routinely deliver high-value care.

scholarly journals Planning for the Next Generation of Health Care Delivery: Designing for Telemedicine Spaces

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Robert Hume ◽  
Jeff Looney
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Human Services ◽  
Care Delivery ◽  
Technological Innovations ◽  
Health It ◽  
Shortage Of Physicians ◽  
Reducing Costs ◽  
Healthcare Associated ◽  
Delivery Models

The increase in telemedicine adoption has been driven by expanding reimbursements, the shortage of physicians due to the growing and aging population, the increase in insurance enrollment, changing health care delivery models, and technological innovations. Telemedicine offers promise in reducing costs, increasing accessibility to care, and reducing the risk of healthcare-associated infections. Telehealth is explicitly listed as a strategy in three out of the four goals in the Health & Human Services’ Federal Health IT Strategic Plan for 2015–2020.

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