scholarly journals Research on the Application of Blockchain in Smart Healthcare: Constructing a Hierarchical Framework

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Xiaomin Du ◽  
Beibei Chen ◽  
Ming Ma ◽  
Yanjiao Zhang

This study aims to explore the application of blockchain technology in smart healthcare, establish a hierarchical theoretical framework of smart healthcare, reveal the impact of blockchain on smart healthcare, and finally, construct a development application system of smart healthcare under the blockchain based on stakeholder theory. However, such a hierarchical theoretical framework should consider not only the necessary attributes and the interrelationship among various aspects and attributes but also the role of multiple stakeholders. Therefore, the paper uses fuzzy set theory to filter unnecessary attributes, proposes a decision-making and experimental evaluation laboratory (DEMATEL) to manage the complex interrelationships between various aspects and attributes, and uses Interpretive Structure Modeling (ISM) to divide the hierarchy and construct a hierarchical theoretical framework. The results show that (1) the top-level design, the medical record management, and the doctor management are the root causes of system. (2) The specific application of blockchain in the field of smart healthcare is mainly carried out around the intelligent contract, which relies on the medical record management and is constrained by the system, and optimization of application is the key to system upgrading. (3) The internal and external regulation, the medical insurance, and the environmental governance play a guaranteed role for the development of the system and effectively safeguard the interests of stakeholders. (4) The application system of smart healthcare under the blockchain needs to be built based on three layers: the transaction layer, information layer, and stakeholder layer. The theoretical hierarchical framework is intended to guide smart healthcare towards blockchain applications, and stakeholders are suggested to participate in the development application systems.

1988 ◽  
Vol 18 (1) ◽  
pp. 7-10 ◽  
Author(s):  
Jennifer Mitchell

Information technology will have a significant impact on the role of the medical record administrator within the next decade. In this paper, the author discusses some of the ramifications of the increasing use of information technology; the likely impact of new technology on health information systems; and the need for medical record administrators to be sufficiently familiar with the technology to recognise where and how it can usefully be applied in health information management. A set of minimum competence standards for medical record administrators is provided.


1970 ◽  
Vol 09 (02) ◽  
pp. 75-80
Author(s):  
B. G. Lamson ◽  
W. S. Russell ◽  
J. Fullmore ◽  
W. E. Nix

Total information and communication systems within hospitals have been designed, but successful complete implementation, to date, has not been achieved. Limited applications with both patient medical data, notably in the clinical laboratories, and in the hospital accounting offices have been numerous. Although total programs are not yet a reality, it is apparent that the computer will serve ultimately many communication requirements, both medical and financial, within the hospital.Sound hospital management requires that costs of all component operations be known in order that value judgments concerning worth and efficiency may be made. Accrual accounting systems which match revenue and expense over the same time period are a prerequisite. Cash and modified cash hospital accounting cannot provide current reliable data for sound decision making.Costs of hospital operations cannot be evaluated unless related to the characteristics of the patient service load. Average per diem costs mean little except when large similar populations of patients are being compared. A modern hospital accrual accounting system should be able to provide information concerning the costs of caring for specific diseases in patients with known age and sex and disease severity characteristics. Without information of this type, it will not be possible to objectively evaluate alternative systems of financing and organizing patient care.Medical record management offers the promise of prospective use of patient disease information in the planning and scheduling of facilities. The prose content of medical record summaries, such as diagnostic statements in tissue pathology, radiology, and admission and discharge diagnoses, may be susceptible to non-coded, full prose input into computer controlled diagnostic files. Thesauri in the several medical specialties will be necessary for this achievement.There is little immediate prospect for complete hospital communication systems that can be made available as a package to any hospital without substantial local alteration. Pilot projects in teaching centers should be viewed for the time being as opportunities to define objectives, evaluate feasibility, and determine degree of risk and expense.A brief survey of applications in the United States which have been successfully implemented or which appear suitable for successful implementation is recorded.Eleven general principles which have been associated with successful implementation of computer applications within the UCLA Hospital are enumerated.


ACI Open ◽  
2020 ◽  
Vol 04 (02) ◽  
pp. e114-e118
Author(s):  
Joanna Lawrence ◽  
Sharman Tan Tanny ◽  
Victoria Heaton ◽  
Lauren Andrew

Abstract Objectives Given the importance of onboarding education in ensuring the safety and efficiency of medical users in the electronic medical record (EMR), we re-designed our EMR curriculum to incorporate adult learning principles, informed and delivered by peers. We aimed to evaluate the impact of these changes based on their satisfaction with the training. Methods A single site pre- and post-observational study measured satisfaction scores (four questions) from junior doctors attending EMR onboarding education in 2018 (pre-implementation) compared with 2019 (post-implementation). An additional four questions were asked in the post-implementation survey. All questions employed a Likert scale (1–5) with an opportunity for free-text. Raw data were used to calculate averages, standard deviations and the student t-test was used to compare the two cohorts where applicable. Results There were a total of 98 respondents in 2018 (pre-implementation) and 119 in 2019 (post-implementation). Satisfaction increased from 3.8/5 to 4.5/5 (p < 0.0001) following implementation of a peer-delivered curriculum in line with adult learning practices. The highest-rated factors were being taught by other doctors (4.9/5) and doctors having the appropriate knowledge to deliver training (4.9/5). Ninety-two percent of junior doctors were motivated to engage in further EMR education and 90% felt classroom support was adequate. Conclusion EMR onboarding education for medical users is a critical ingredient to organizational safety and efficiency. An improvement in satisfaction ratings by junior doctors was demonstrated after significant re-design of the curriculum was informed and delivered by peers, in line with adult learning principles.


2006 ◽  
Vol 11 (03) ◽  
pp. 207-231 ◽  
Author(s):  
ALLAN O'CONNOR ◽  
JOSE M. RAMOS

This study explores how education and development in the skills and knowledge of foresight, innovation and enterprise (FI and E) relate to the empowerment of young individuals with respect to creating a new venture. In 2003, three groups of young persons aged between 13 and 18 years participated in a program designed for empowerment. An evaluation was conducted nine months later that provided useful insight into the impact of the education design, content and delivery. This research provides deeper insight into the way FI and E education can be used to create empowerment through the derivation of a framework that addresses entry, process and agency factors.


2021 ◽  
pp. 1-28
Author(s):  
Ya-Wen Lei

Abstract Literature on scientific controversies has inadequately attended to the impact of globalization and, more specifically, the emergence of China as a leader in scientific research. To bridge this gap in the literature, this article develops a theoretical framework to analyse global scientific controversies surrounding research in China. The framework highlights the existence of four overlapping discursive arenas: China's national public sphere and national expert sphere, the transnational public sphere and the transnational expert sphere. It then examines the struggles over inclusion/exclusion and publicity within these spheres as well as the within- and across-sphere effects of such struggles. Empirically, the article analyses the human genome editing controversy surrounding research conducted by scientists in China between 2015 and 2019. It shows how elite scientists negotiated expert–public relationships within and across the national and transnational expert spheres, how unexpected disruption at the nexus of the four spheres disrupted expert–public relationships as envisioned by elite experts, and how the Chinese state intervened to redraw the boundary between openness and secrecy at both national and transnational levels.


2021 ◽  
Vol 19 (3) ◽  
pp. 257-276
Author(s):  
Michał Wawrzonek ◽  
Oliwia Kropornicka

The aim of the paper is to scrutinize activities related to the commemoration of Metropolitan Andrey Sheptytsky. There were three main goals of the research. The first one was to identify the most important actors of the commemorative activities. The second goal was to reconstruct the strategies applied by these agents. Thirdly, this research aimed to consider current processes in the Ukrainian political system. In particular, the question was what we can know about the evolution of these commemorative activities after the Euromaidan based on relations between different agents in the mnemonic field. Special emphasis was placed on Sheptytsky’s attitude during the Holocaust and on the impact of this topic on the commemorative activities. As a theoretical framework of the research, Jan Kubik and Michael Bernhard’s theory of the politics of memory was applied. The research enabled verification of some elements of Kubik and Bernhard’s concept. Inter alia it was an issue of a set of presumptions regarding interrelations between strategies applied by mnemonic actors, the structure of mnemonic regime, and prospects for democratization of a political system.


1997 ◽  
Vol 61 (2) ◽  
pp. 35-51 ◽  
Author(s):  
Patricia M. Doney ◽  
Joseph P. Cannon

The authors integrate theory developed in several disciplines to determine five cognitive processes through which industrial buyers can develop trust of a supplier firm and its salesperson. These processes provide a theoretical framework used to identify antecedents of trust. The authors also examine the impact of supplier firm and salesperson trust on a buying firm's current supplier choice and future purchase intentions. The theoretical model is tested on data collected from more than 200 purchasing managers. The authors find that several variables influence the development of supplier firm and salesperson trust. Trust of the supplier firm and trust of the salesperson (operating indirectly through supplier firm trust) influence a buyer's anticipated future interaction with the supplier. However, after controlling for previous experience and supplier performance, neither trust of the selling firm nor its salesperson influence the current supplier selection decision.


2018 ◽  
Vol 65 (11) ◽  
pp. 1537-1569 ◽  
Author(s):  
Jessica Huff ◽  
Danielle Wallace ◽  
Courtney Riggs ◽  
Charles M. Katz ◽  
David Choate

Although massage parlors have been associated with illicit activities including prostitution, less is known about their association with neighborhood crime. Employing the Computer Automated Dispatch/Record Management System (CAD/RMS), online user review, licensing, Census, and zoning data, we examine the impact of massage parlors on crime in their surrounding neighborhoods. Using spatial autoregressive models, our results indicate the total number of massage parlors was associated with increased social disorder. The presence of illicit massage parlors in adjacent neighborhoods was associated with crime and physical disorder in the focal neighborhoods. This study has consequences for how police address crime associated with massage parlors. Specifically, the use of online user review forums could be an effective way to identify illicit massage parlors. Recommendations for policing and code enforcement are discussed.


2014 ◽  
Vol 494-495 ◽  
pp. 1262-1265
Author(s):  
Jian Tang ◽  
Chang Shui Xiao ◽  
Jian Ping Wu

The users and permission management functions of multiple application system will increase management complexity, reduce the convenience of users using.Analyze the module features of application system , LDAP technology , XML and RBAC technologies,etc. to build a permission centralized control system and combine with configuration file to solve the docking problems between various application systems and control systems.The system achieve unified management of users, permissions, application modules and access control and improve management efficiency and user experience.


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