scholarly journals ІНФОРМАТИЗАЦІЯ ОХОРОНИ ЗДОРОВ’Я. ОСОБЛИВОСТІ АНАЛІЗУ ІНФОРМАЦІЇ В РЕАБІЛІТАЦІЙНОМУ ПРОЦЕСІ

Author(s):  
O. P. Mintser ◽  
L.Yu. Babintseva ◽  
О. А. Panchenko

<p class="41" align="center">Innovative processes in modem society, of course, touched and medicine. Caused by their structural and organizational changes in health care require a rethinking of many postulates, increased reserves, and most importantly - bringing the most advanced technology.</p><p class="41">Particular attention is drawn to the area such as Rehabilitology and its practical implementation - Rehabilitation of patients. The success of the solutions of problems of rehabilitation is defined as the presence of the appropriate material and technical base and a sufficient level of training of medical personnel and methodological level of medicine in general. Therefore, a permanent modification of scientific and practical problems of rehabilitation under the influence of processes occurring in health care is inevitable.</p><p class="41">Purpose - conceptual generalization prospects of Rehabilitation in modern medicine on the basis of extensive use of information technology. The goal of rehabilitation should be not only to restore health, but also in restoring the dignity of man, his social and social independence. Such judgments are more and more in the latest definitions of the concept of rehabilitation.</p><p class="41">Information technology - this is the provision that allows you to raise the level of rehabilitation care through the introduction of new organizational methods, new ways and means of rehabilitation. Knowledge of current trends of information Rehabilitation, of course, is a basis for determining further ways to improve the industry. Conventionally, there are three main areas of information technology in Rehabilitation: the automation of diagnostic and therapeutic techniques of medical information to support decision-making, telerehabilitation.</p><p class="41">The authors propose a new concept of rehabilitation. Its main differences are the three concepts: the rehabilitation program should be considered, ranging from inpatient treatment period, patient risk monitoring of the pathological process is the link that unites medical monitoring strategy and the impact on the patient, the need for analysis and standardization of variants of the rehabilitation period on the basis of principles of medical ontology. In the new coordinate system created becomes relevant issue is not the etiology and pathogenesis of the disease, and the mechanisms of the transition state of the body from illness to health.</p><p class="41" align="center">The paper also proposed the original division of the rehabilitation period, into 4 stages: clinical, sanatorium, residual, adaptation.</p><p class="41">Given that rehabilitation programs are individually designed for each patient, taking into account the general condition, the characteristics of the disease, the initial level of physical condition, the patient’s personality, age, gender, occupation, etc., they can be viewed as a project or pre-plan the system of measures.</p>

2020 ◽  
Author(s):  
Ke Zeng ◽  
Weiguo Zhu ◽  
Caiyou Wang ◽  
Liyan Zhu

BACKGROUND The rapid spread of COVID-19 has created a severe challenge to China’s healthcare system. Hospitals across the country reacted quickly under the leadership of the Chinese government and implemented a range of informatization measures to effectively respond to the COVID-19. OBJECTIVE To understand the impact of the pandemic on the medical business of Chinese hospitals and the difficulties faced by hospital informatization construction. To discuss the application of hospital informatization measures during the COVID-19 pandemic. To summarize the practical experience of hospitals using information technology to fight the pandemic. METHODS Performing a cross-sectional on-line questionnaire survey in Chinese hospitals, of which the participants are invited including hospital information staff, hospital administrators, medical staff, etc. Statistical analyzing the collected data by using SPSS version 24. RESULTS A total of 804 valid questionnaires (88.45%) are collected in this study from 30 provinces in mainland China, of which 731 (90.92%) were filled out by hospital information staff. 473 (58.83%) hospitals are tertiary hospitals while the remaining 331 (41.17%) are secondary hospitals. The majority hospitals (82.46%) had a drop in their business volume during the pandemic and a more substantial drop is found in tertiary hospitals. 70.40% (n=566) of hospitals have upgraded or modified their information systems in response to the epidemic. The proportion of tertiary hospitals that upgraded or modified systems is significantly higher than that of secondary hospitals. Internet hospital consultation (70.52%), pre-check and triage (62.56%), telemedicine (60.32%), health QR code (57.71%), and telecommuting (50.87%) are the most used informatization anti-pandemic measures. There are obvious differences in the application of information measures between tertiary hospitals and secondary hospitals. Among these measures, most of them (41.17%) are aiming at serving patients and most of them (62.38%) are universal which continue to be used after pandemic. The informatization measures are mostly used to control the source of infection (48.19%), such as health QR Code, etc. During the pandemic, the main difficulties faced by the hospital information department are “information construction projects are hindered” (58.96%) and “increased difficulty in ensuring network information security” (58.58%). There are significant differences in this issue between tertiary hospitals and secondary hospitals. The shortcomings of hospital informatization that should be made up for are “shorten patient consultation time and optimize consultation process” (72.51%), “Ensure network information security” (72.14%) and “build internet hospital consultations platform” (59.95%). CONCLUSIONS A significant number of innovative medical information technology have been used and played a significant role in all phases of COVID-19 prevention and control in China. Since the COVID-19 brought many challenges and difficulties for informatization work, hospitals need to constantly improve their own information technology skills to respond to public health emergencies that arise at any moment.


2012 ◽  
Vol 14 (4) ◽  
pp. 56-62 ◽  
Author(s):  
Au Vo ◽  
Rahul Bhaskar

In the era of health care reforms, the executives and CEO of the SBC Company are faced with many questions. They wonder about the impact of these changes on their market share. They also wanted to determine the impact on prices they can charge for their services. The changes in the ways the health care will be bought were causing a rapid transformation in the behavior of the consumers. The executives determined that they need to focus on specific areas to keep abreast of all the changes. These will have a profound impact on the information technology implementation across the company. For example, the need for analyzing a large amount of data and data in real time was becoming acute among many departments; there was a need for different skillsets in the employees in almost all the departments across the company. These changes across the industry were presenting new and unique challenges to the executive team.


2007 ◽  
Vol 32 (3) ◽  
Author(s):  
Cindy Patton

Abstract: Tracing the movement of new medical information from the laboratory to individual consumers is a challenge to communications theorists and social scientists alike. This article adopts the position of the social study of medicine, which takes into account the impact of people’s perceptions of disease on treatment decisions and outcomes, to locate instances of the movement of information—and its limitations—in a unique setting: a metabolic disorders clinic for HIV-positive patients. Analysis of data from a participatory observation study at the clinic reveals that the clinician, inculcated into endocrinology, must adapt new information to enable communication with patients, who hold a different view of the body heavily informed by virology. This adaptation also occurs in the reverse, as patients adjust their thinking to make room for new information that will directly impact their treatment decisions. Résumé : Retracer le transfert de nouvelles informations médicales du laboratoire au consommateur pose un défi au théoricien en communication tout autant qu’au savant en sciences humaines. Cet article a recours aux études sociales en médecine, où l’on étudie les perceptions des gens à l’égard de la maladie et les effets de celle-ci sur les traitements, afin de situer des exemples de transferts d’information dans un emplacement singulier : une clinique pour les perturbations métaboliques qui traite les patients atteints du VIH. L’analyse de données provenant d’une observation participante menée à la clinique révèle que le clinicien, avec son expertise en endocrinologie, doit reformuler de nouvelles informations afin de mieux communiquer avec ses patients, car ces derniers ont sur le corps un point de vue différent, fortement influencé par la virologie. Cette reformulation a aussi lieu dans le sens inverse, car les patients doivent ajuster leurs perceptions afin de mieux intégrer de nouvelles informations qui auront une portée directe sur leurs décisions à l’égard de leur traitement.


10.2196/22280 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e22280
Author(s):  
Davide Golinelli ◽  
Erik Boetto ◽  
Gherardo Carullo ◽  
Andrea Giovanni Nuzzolese ◽  
Maria Paola Landini ◽  
...  

Background The COVID-19 pandemic is favoring digital transitions in many industries and in society as a whole. Health care organizations have responded to the first phase of the pandemic by rapidly adopting digital solutions and advanced technology tools. Objective The aim of this review is to describe the digital solutions that have been reported in the early scientific literature to mitigate the impact of COVID-19 on individuals and health systems. Methods We conducted a systematic review of early COVID-19–related literature (from January 1 to April 30, 2020) by searching MEDLINE and medRxiv with appropriate terms to find relevant literature on the use of digital technologies in response to the pandemic. We extracted study characteristics such as the paper title, journal, and publication date, and we categorized the retrieved papers by the type of technology and patient needs addressed. We built a scoring rubric by cross-classifying the patient needs with the type of technology. We also extracted information and classified each technology reported by the selected articles according to health care system target, grade of innovation, and scalability to other geographical areas. Results The search identified 269 articles, of which 124 full-text articles were assessed and included in the review after screening. Most of the selected articles addressed the use of digital technologies for diagnosis, surveillance, and prevention. We report that most of these digital solutions and innovative technologies have been proposed for the diagnosis of COVID-19. In particular, within the reviewed articles, we identified numerous suggestions on the use of artificial intelligence (AI)–powered tools for the diagnosis and screening of COVID-19. Digital technologies are also useful for prevention and surveillance measures, such as contact-tracing apps and monitoring of internet searches and social media usage. Fewer scientific contributions address the use of digital technologies for lifestyle empowerment or patient engagement. Conclusions In the field of diagnosis, digital solutions that integrate with traditional methods, such as AI-based diagnostic algorithms based both on imaging and clinical data, appear to be promising. For surveillance, digital apps have already proven their effectiveness; however, problems related to privacy and usability remain. For other patient needs, several solutions have been proposed, such as telemedicine or telehealth tools. These tools have long been available, but this historical moment may actually be favoring their definitive large-scale adoption. It is worth taking advantage of the impetus provided by the crisis; it is also important to keep track of the digital solutions currently being proposed to implement best practices and models of care in future and to adopt at least some of the solutions proposed in the scientific literature, especially in national health systems, which have proved to be particularly resistant to the digital transition in recent years.


2019 ◽  
pp. 65-73
Author(s):  
A. V. Babkin ◽  
V. A. Kunin ◽  
О. A. Tarut’ko

The current stage in the development of civilization is characterized by the development and practical implementation of advanced technology, particularly innovative information technology, which affects all areas of society. Digitalization of the economy forms new competitiveness factors for business structures and calls for a comprehensive consideration of all competitiveness factors in managerial decision-making.Aim. The study aims to determine the effects of digitalization of the economy on the competitiveness of business structures and to identify additional factors that need to be taken into account during its assessment.Tasks. The authors determine the specific features of digitalization of the economy, reveal the integral factors of the competitiveness of business structures, and identify the specifics of consideration of competitiveness factors in the context of digitalization of the economy.Methods. The study is based on the dialectical systems approach as well as logical and factorial analysis using the theoretical framework of analysis of economic processes. The analysis is based on the international scientometric database Scopus and the bibliographic database of the Russian Science Citation Index (RSCI).Results. The authors substantiate the need to make allowance for additional specific factors of competitiveness of business structures under modern conditions, particularly in the assessment of the competitiveness of business structures, financial factors, and the level of human capital development in addition to the factors of operating efficiency, strategic positioning, and innovation potential.Conclusions. During the assessment of competitiveness of business structures, particularly in the context of digitalization, it is advisable to make allowance for return on assets, indicators of innovation potential, integrated human capital development index, and integrated indices of financial sustainability, variability and at the same time stability of the financial state of a business structure.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tasseda Boukherroub ◽  
Lysane Ouellet ◽  
Guillaume Lemay ◽  
Nathalie Bibeau ◽  
Diane Thiffault ◽  
...  

Purpose This study aims to improve accessibility to frontline psychological services for youths in difficulty. In the province of Quebec, Canada, the first significant intervention must take place within 30 days for at least 75% of the clients. Achieving this target is challenging. This was observed in the Youth Programme of a health-care network in Montreal (Centre Intégré (Universitaire) de la Santé et des Services Sociaux Centre-Sud-de-l’île-de-Montréal). Design/methodology/approach Lean Six Sigma (LSS) approach within the Action Research methodology was used. Define, Measure, Analyse, Innovate, Implement and Control structure combined with Lean techniques and a Kaizen event were implemented. Findings In total 69% of the clients have now had their first intervention within 30 days and 91% within 60 days. Improving accessibility to frontline services led to improving accessibility to second-line services. Communicating performance objectives to employees led to increasing their awareness about the importance of performance assessment and their willingness to contribute to improvement. The Kaizen event was a driving force that enabled more collaboration and trust. The participation of a partner-client in the Kaizen helped finding client-centred solutions. The large number of participants in the Kaizen added complexity. Research limitations/implications It was difficult to sort and rank a large number of solutions during the Kaizen. The impact of hiring additional employees has not been investigated. Despite the significant improvements, the targets were not achieved. More research is required to identify more accurately critical factors that have a major impact on the success of LSS projects involving complex processes. Originality/value This study contributes to the body of knowledge in Lean health care. It describes Lean tools/techniques used, solution implementation and improvements achieved in a real context. 10 success factors and 4 challenges were identified. The study provides a model for other organizations for developing their own roadmap to improve accessibility to their services, notably in large and complex processes.


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