Information and knowledge processes as a knowledge management framework in health care

2017 ◽  
Vol 73 (4) ◽  
pp. 748-766 ◽  
Author(s):  
Helena Känsäkoski

Purpose Effective knowledge management (KM) enables the health care organisations to reach their goals. In modern health care the empowered patients are active partners, whose preferences, needs and values should be taken into account. Shared decision making (SDM) aims at involving the patient and the health professionals as equal partners in care. The purpose of this paper is to present a new model of health care information and knowledge processes (IKPs) as a KM framework. The aim is to scrutinise what types of knowing can be identified the IKPs and how do the knowledge processes support SDM. The role of patients in the IKPs is discussed. Design/methodology/approach The qualitative case study was conducted in two Finnish university hospital districts in integrated care pathways of childhood obesity. In total, 30 professionals and three mothers and children were interviewed 2009-2011 and the findings were supported with a survey (n=13) and document material. Findings The findings indicate that the patients and families involvement in the IKPs is modest. This implies that SDM is not completely fulfilled which may affect the families commitment to positive lifestyle changes. Research limitations/implications The data of the patients and families were limited due to the challenges with recruitment. Practical implications The detailed IKP model enables the health organisations to scrutinise their own IKPs and to identify the shortages in order to change practices. Originality/value This paper presents a new model of health care KM which recognises the patients as active partners.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dana Abdulla Alrahbi ◽  
Mehmood Khan ◽  
Shivam Gupta ◽  
Sachin Modgil ◽  
Charbel Jose Chiappetta Jabbour

Purpose The health-care industry has multiple stakeholders, with knowledge dispersed among clinicians, experts and patients and their families. As the adoption of health-care information technologies (HITs) depends on multiple factors, this study aims to uncover the motivators for adopting them. Design/methodology/approach The study considers 391 respondents, representing the health-care sector, to evaluate the motivators for adopting HITs for better-dispersed knowledge management. The authors analyze the responses using exploratory factor analysis (EFA) to identify the actual structure of the factors, followed by confirmatory factor analysis (CFA). Findings EFA categorized the factors into four classes: quality management; information sharing; strategic governance; and available technological infrastructure. CFA revealed that the strategic governance factor is most predictive of successfully adopting HITs that model the normative pressure of Institutional theory in health-care organizations. These results indicate that, along with considerations of finances, care quality and infrastructure, effective government involvement and policy-making are important for successful HIT adoption. Practical implications Results reveal that stakeholders’ motivating factors for HIT adoption in a developed economy like the United Arab Emirates are based on considering HITs as a knowledge management mechanism. These factors may help other nations in HIT implementation and drive valuable innovations in the health-care sector. This research presents the implications for health-care professionals and stakeholders in relation to adopting HITs and their role in knowledge flow for efficient care. Originality/value HITs offer an affordable and convenient platform for collaboration among diverse teams in the health-care sector. Apart from this, it helps in facilitating an interactive platform for knowledge creation and transfer for the benefit of users and providers.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prathamesh Churi ◽  
Ambika Vishal Pawar ◽  
Amir A. Abdulmuhsin

Purpose Focusing on the Indian context, with the increase in the amount of data and its analysis in health-care knowledge management (KM), the privacy concerns rise which results in loss of trust of an individual in e-health-care systems. Privacy issues in health care, specific to India, are caused by prevalent complacency, culture, politics, budget limitations, large population and infrastructures. Because of these factors, data security requires a backseat that allows easy access to confidential information. Furthermore, the prevalent culture affects health-care disclosure in India. In many cultures, disclosing sensitive personal health-care data is considered ill mannered. This leads to discrepancies in the recorded health-care data and a decrease in the level of treatment meted out. The results and statistics of treatments given do not match the records because of inaccurate data reporting. With the significant rise in the analysis and use of technology in health-care KM systems, it is important to understand the perception of KM in terms of its use and awareness about data sharing in the KM system. The purpose of the paper is to measure the perception of privacy issues in the context of Indian healthcare management systems. Design/methodology/approach To measure the perception of the use of the KM system, a set of 20 questions was circulated with a sample size of 337 which includes health-care researchers, doctors, practitioners and patients. The questions focused upon the use, share the sensitive health data in the KM platform. All the demographic information such as age, sex, religion, occupation is recorded. The privacy of the individual is maintained while circulating the questionnaire. The usage of health KM system and its privacy is measured through means and t-test. Findings The results of the t-test were found positive. This research study finds that the privacy factor is important among the Indians to share the information with the KM repository. It is also found that medical practitioners or data custodians are not much serious about sensitive data is being stored for analysis. From the statistical perception of usage of KM and its privacy, new architecture and privacy guidelines were suggested which can be considered in future research. Research limitations/implications From the literature review, the questionnaire has developed which can help policymakers and hospital administrators collect information about KM processes in health-care organizations, and this can result in higher performance of health organizations. The privacy factor can also be included in typical health KM architecture ensure that while knowledge acquisition process, privacy of individual or organization can be maintained. Social implications KM enhances the value of corporations and business industries through knowledge production, distribution and provides reliable access to the knowledge resources. KM in health care can comprise a confluence of formal methodologies and techniques to facilitate the creation, identification, acquisition, development, preservation, dissemination and finally the utilization of the various facets of a health-care enterprise’s knowledge assets. According to IBM Global executive report in the year 2012, the entire health-care system has changed from diseases-centric to patient-centric. India is emerging in terms of revenue and employment in the health-care field. The advances of information and communication technology help the health-care sector streamline for data structure and access and health analytics. Originality/value In India, the KM is frequently used in health-care industries majorly by health-care practitioners and professionals. As health-care data and knowledge are considered to be sensitive, the privacy of an individual while using the data cannot be compromised. The proposed empirical work will provide a solution in determining the main barriers of implementing privacy policies that need to be solved first and to ensure effective implementation of KM in the health care of India.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Judith Fletcher-Brown ◽  
Diane Carter ◽  
Vijay Pereira ◽  
Rajesh Chandwani

Purpose Knowledge is a key success factor in achieving competitive advantage. The purpose of this paper is to examine how mobile health technology facilitates knowledge management (KM) practices to enhance a public health service in an emerging economies context. Specifically, the acceptance of a knowledge-resource application by community health workers (CHWs) to deliver breast cancer health care in India, where resources are depleted, is explored. Design/methodology/approach Fieldwork activity conducted 20 semi-structured interviews with frontline CHWs, which were analysed using an interpretive inductive approach. Findings The application generates knowledge as a resource that signals quality health care and yields a positive reputation for the public health service. The CHW’s acceptance of technology enables knowledge generation and knowledge capture. The design facilitates knowledge codification and knowledge transfer of breast cancer information to standardise quality patient care. Practical implications KM insights are provided for the implementation of mobile health technology for frontline health-care professionals in an emerging economies context. The knowledge-resource application can deliver breast cancer care, in localised areas with the potential for wider contexts. The outcomes are valuable for policymakers, health service managers and KM practitioners in an emerging economies context. Social implications The legacy of the mobile heath technology is the normalisation of breast cancer discourse and the technical up-skilling of CHWs. Originality/value First, this paper contributes three propositions to KM scholarship, in a public health care, emerging economies context. Second, via an interdisciplinary theoretical lens (signalling theory and technology acceptance model), this paper offers a novel conceptualisation to illustrate how a knowledge-resource application can shape an organisation’s KM to form a resource-based competitive advantage.


2015 ◽  
Vol 31 (6) ◽  
pp. 42-44

Purpose – This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach – This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings – We are, as we are constantly reminded, in a knowledge economy, and as such are liable to succumb to different market forces and variations than in previous paradigms. However if this is true, there is a central irony to our development of business activities in this area, in that there seems to be somewhat of a vacuum of knowledge about the knowledge economy. Practical implications – The paper provides strategic insights and practical thinking that have influenced some of the world’s leading organizations. Originality/value – The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.


2018 ◽  
Vol 22 (1) ◽  
pp. 21-43 ◽  
Author(s):  
Jang Bahadur Singh ◽  
Rajesh Chandwani ◽  
Mayank Kumar

Purpose This research aims to explore the factors that affect the adoption of Web 2.0 among knowledge workers. The research specifically investigated the role of factors related to both knowledge seeking and knowledge sharing, in the context of Web 2.0 use by health care professionals. Design/methodology/approach For this research, a cross-sectional survey design was adopted. The data were analyzed using the partial least square-structural equation modeling. Findings The results confirmed that the intention to adopt Web 2.0 depends upon both the knowledge-seeking and the knowledge-sharing attitudes. However, between the two, it is knowledge-sharing factors that are more important. Health care professionals tend to share knowledge driven by intrinsic motivators rather than by extrinsic motivators. On the other hand, knowledge-seeking attitude was determined by usefulness of knowledge and was not affected by the effort involved. Research limitations/implications All the respondents were health care professionals from India, and convenience sampling was used to reach them. This may limit the generalizability of the findings. Practical implications This research provides useful insights on implementing Web 2.0-based knowledge management systems, specifically for health care professionals. Particularly, it emphasizes the need to focus on reinforcing intrinsic motivators like self-efficacy and the joy of sharing. Originality/value It is perhaps the first study that integrates the factors related to knowledge sharing and seeking in a single theoretical model, thereby presents and tests a more realistic model of knowledge management.


2016 ◽  
Vol 72 (2) ◽  
pp. 321-341 ◽  
Author(s):  
Helena Känsäkoski ◽  
Maija-Leena Huotari

Purpose – The purpose of this paper is to increase understanding about value creation to families in childhood obesity care in multiprofessional collaboration in an integrated care pathway (ICP). Design/methodology/approach – The qualitative case study involves the ICPs of two Finnish University Hospital districts. The empirical data, collected between 2009 and 2012, consists of semi-structured interviews of 30 health professionals in primary and special health care, of three children and their mothers, a family questionnaire (n=13) complemented with care path instructions and memos of an ICP work group. Findings – The findings indicate that organisational culture confirms boundaries which hinder transfer of information and sharing of knowledge between organisations and professional groups. The concepts of Chatman’s theory of everyday life information seeking complemented with the concepts of Burnett’s and Jaeger’s theory of information worlds are applicable to describe aspects of organisational culture on patient value creation in the ICP for obese children. Research limitations/implications – The data of the patients and families were limited. Interviews were completed with a questionnaire which has its limitations in qualitative research. In future studies, e.g., families’ focus-group interviews could bring new insights. Practical implications – The practise of information transfer between Finnish primary and special health care need changes. Modern information technology, e.g., videoconference could be used to increase family involvement in the value creation and the environment should be more supportive for healthy lifestyle. Originality/value – The study is one of the first which empirically applies Chatman’s and Burnett’s and Jaeger’s theories in a work-related setting.


2015 ◽  
Vol 28 (3) ◽  
pp. 486-503 ◽  
Author(s):  
Hao Shen ◽  
Ziye Li ◽  
Xiuyun Yang

Purpose – The purpose of this paper is to address important but unresolved questions regarding how different knowledge transfer processes and characteristics affect knowledge transfer effectiveness (KTE). This study, which draws on an integrative knowledge management framework, forces us to reconsider successful knowledge transfer within organizations. Design/methodology/approach – The data for this study were obtained through an interview survey of 117 firms in China. The questionnaire was adapted from several previous studies on processes, characteristics, and effectiveness of knowledge transfer. A regression method was conducted to test all hypotheses. Findings – The findings show that both structured and unstructured knowledge processes has positive effects on KTE. Furthermore, knowledge embeddedness and articulability differently moderate the relationship between transfer processes and effectiveness. Originality/value – The paper contributes to knowledge management theory by providing an integrative framework on how organizations can facilitate KTE by conducting appropriate transfer processes aligned with differentiated knowledge characteristics. Further, this study investigates the “fit” between knowledge transfer processes and characteristics.


2020 ◽  
Vol 48 (4) ◽  
pp. 187-197
Author(s):  
Salman Bin Naeem ◽  
Rubina Bhatti ◽  
Khurshid Ahmad

Purpose This study is a part of the doctoral dissertation that proposes concrete measures to improve health-care information outreach program for rural health-care professionals in primary and secondary health care in Punjab, Pakistan. This study aims to report on the barriers to accessing and using online health-care information from rural settings of the Punjab province of Pakistan. Design/methodology/approach A cross-sectional survey was conducted in primary and secondary health-care settings in the Punjab province of Pakistan. The study’s population consisted of the rural primary care physicians (PCPs), who were geographically dispersed across 2,873 different remote health-care settings across Punjab. These practice settings included 2,455 basic health units, 293 rural health centers, 89 tehsil headquarter hospitals and 36 district headquarter hospitals. Findings Limited internet access, non-availability of required equipment and lack of training facilities were identified as the main barriers. PCPs’ gender, previous enrollment in post-graduation programs and type of health-care facility were significant factors in the perceived barriers related to both “non-availability of required equipment” and “inadequate training facilities on the use of information resources”. Practical implications The findings of the study hold some important practical implications for different stakeholders. This study identifies and addresses the barriers to accessing and using health-care information for PCPs in rural settings. The success of the health-care information outreach program in Punjab, Pakistan, should rely on the eradication of these barriers. Originality/value To the best of the authors’ knowledge, this is the first large-scale study in Pakistan that assesses the barriers and proposes ways to overcome these barriers to effectively access and use health-care information.


2014 ◽  
Vol 17 (3) ◽  
pp. 283-296 ◽  
Author(s):  
Hatem Bugshan ◽  
M. Nick Hajli ◽  
Xiaolin Lin ◽  
Mauricio Featherman ◽  
Ivan Cohen

Purpose – The purpose of this paper is to explore in depth how Web 2.0 (focusing on social media) contributes to create a better communication channel to provide information, support and assistance to patients. Social relationships of individuals on the Internet through social media have created added value for many industries. This phenomenon can be an opportunity for the health care industry, which has encountered huge challenges such as increasing demands, budget cuts, growing numbers of patients and more demanding patient expectations. Web 2.0 and social media have the potential value to make possible an increase in the productivity of modern health care and a reduction in cost to the central government. Social media introduces better channels of communication with patients to increase the value of e-health. Social media are building more social communities that empower patients to share their personalized health information and treatments. Design/methodology/approach – Grounded on social support and transaction cost theories, this paper evaluates the current potential of social media to discuss values it can offer for the overall benefit of the health care industry. Findings – The results show how the social relationship of individuals provides online social support and reduction of cost through social media, leading to the development of modern health care. Implications and limitations are discussed at the end of the paper. Originality/value – The analysis results indicated that social media provides strong social support for patients who seek help online. Informational support and emotional support have been confirmed as two main dimensions of social support in online health care. It makes a contribution to the health care literature by extending it to online health care support in the context of social media. It may inform and provide some initial understanding to guide future research. In addition, this study indicates that social support theory and transaction cost are appropriate theoretical foundations for studies of online health care. This finding is very valuable, as it helps researchers to advance the understanding of how social media support online health care.


2016 ◽  
Vol 46 (3) ◽  
pp. 386-410 ◽  
Author(s):  
Vítor Costa ◽  
Samuel Monteiro

Purpose The purpose of this paper is to review current literature on knowledge management processes considering the relationship between the key knowledge processes of acquisition, sharing, storage, codification, creation, application and different types of innovation, through a systematic literature review. Design/methodology/approach This study follows systematic review protocols for management and organisational sciences and analyses 45 full papers on knowledge management processes and innovation. Findings Results not only show that all knowledge processes can directly support innovation but also that other organisational variables (e.g. organisational learning, absorptive capacity) mediate this relationship. Moreover, knowledge creation and knowledge application appear as two central processes through which knowledge acquisition, sharing, codification and storage influence innovation. Knowledge acquisition and knowledge sharing are the most frequently studied knowledge processes. The majority of the sample papers present traditional innovation definitions (product vs process, radical vs incremental and technical vs administrative). However, organisational innovation, innovation capability and innovation performance approaches emerge from the papers’ analysis. Research limitations/implications The present review includes major scientific papers; however, the search is limited to the Web of ScienceTM platform. Originality/value This literature review analyses high-quality, peer-reviewed papers, following a systematic methodology that can be tested and updated. Papers were divided based upon the knowledge process(es) being analysed and the innovation type/approach, providing a twofold contribution to knowledge management and innovation literature.


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