scholarly journals The Institutional Logic of Digitalism: Exploring The Aftermath of Large-Scale Technology In Healthcare Organisations

2021 ◽  
Author(s):  
Lars Erik Kjekshus ◽  
Bendik Bygstad
Keyword(s):  
Large Scale ◽  
Enterprise Architecture ◽  
Organisational Change ◽  
Healthcare Management ◽  
University Hospital ◽  
Institutional Logic ◽  
Systems Research ◽  
Information Systems Research ◽  
Before And After ◽  
Source Case

Abstract Background: Healthcare organisations experience organisational difficulties and inertia in the implementation of large-scale information and communication technology (ICT). The ongoing discussion concerns the full understanding of these changes and the interplay between ICT, innovation and organisational change.Methods: We introduce ‘digitalism’ as a new institutional logic in healthcare organisations, alongside managerialism and professionalism. To develop our argument, we combine organisational and institutional logic theory with information systems research into enterprise architecture and large-scale ICT systems. We illustrate our arguments with a multi-source case study of a process of organisational development before and after the implementation of centralised large-scale ICT systems at a large Norwegian university hospital in 2015. Conclusion: Understanding of digitalism, blending and competing with traditional institutional logics in healthcare organisations, gives insight into how large-scale technology and organisations are tied together and can contribute to effective healthcare management and prevent organisational inertia.

A Bridge Too Far?

2018 ◽  
Author(s):  
Charlotte P. Lee ◽  
Kjeld Schmidt
Keyword(s):  
Information Systems ◽  
Science And Technology Studies ◽  
Large Scale ◽  
Cooperative Work ◽  
Computer Supported Cooperative Work ◽  
Practical Action ◽  
Systems Research ◽  
Information Infrastructures ◽  
Information Systems Research ◽  
Critical Investigation

The study of computing infrastructures has grown significantly due to the rapid proliferation and ubiquity of large-scale IT-based installations. At the same time, recognition has also grown of the usefulness of such studies as a means for understanding computing infrastructures as material complements of practical action. Subsequently the concept of “infrastructure” (or “information infrastructures,” “cyberinfrastructures,” and “infrastructuring”) has gained increasing importance in the area of Computer-Supported Cooperative Work (CSCW) as well as in neighboring areas such as Information Systems research (IS) and Science and Technology Studies (STS). However, as such studies have unfolded, the very concept of “infrastructure” is being applied in different discourses, for different purposes, in myriad different senses. Consequently, the concept of “infrastructure” has become increasingly muddled and needs clarification. The chapter presents a critical investigation of the vicissitudes of the concept of “infrastructure” over the last 35 years.

Developing a User Centered Model for Ubiquitous Healthcare System Implementation

2011 ◽  
pp. 1243-1259
Author(s):  
Jongtae Yu ◽  
Chengqi Guo ◽  
Mincheol Kim
Keyword(s):  
Health System ◽  
New Technology ◽  
Healthcare Management ◽  
Healthcare Industry ◽  
Ubiquitous Healthcare ◽  
Perceived Need ◽  
Systems Research ◽  
Information Systems Research ◽  
Effort Expectancy ◽  
Ordinary Line

In the advent of pervasive computing technologies, the ubiquitous healthcare information system, or u-health system, has emerged as an innovative avenue for many healthcare management issues. Drawing upon practices in healthcare industry and conceptual developments in information systems research, this article aims to explain the latent relationships amongst user-oriented factors that lead to individual’s adoption of the new technology. Specifically, this study focuses on the introduction of chronic disease u-health system. Using the ordinary line square (OLS) regression analysis, we are able to discover the insights concerning which constructs affect service subscriber’s behavioral intention of use. Based on the data collected from over 440 respondents, empirical evidences are presented to support that factors such as medical conditions, perceived need, consumer behavior, and effort expectancy significantly influence the formation of usage intention.

Enterprise Architecture, Enterprise Information Systems and Enterprise Integration: A Review Based on Systems Theory Perspective

2019 ◽  
Vol 04 (02) ◽  
pp. 1950001 ◽  
Author(s):  
Anjee Gorkhali ◽  
Li Da Xu
Keyword(s):  
Information Systems ◽  
Systems Theory ◽  
Enterprise Architecture ◽  
Systems Science ◽  
Enterprise Information ◽  
Enterprise Information Systems ◽  
Systems Perspective ◽  
Systems Research ◽  
Information Systems Research ◽  
The Impact

Systems theory is one of the most important and well-used concept to explain the phenomenon in social sciences. Therefore, systems science plays an important role in explaining many of the phenomena in information systems research. Enterprise Systems (ES), Enterprise Information Systems (EIS) and Enterprise Architecture (EA) are three such emerging technologies in which systems’ perspective plays an important role in explaining the growth and development of these technologies. However, there is lack of literature that illustrates the development and the impact of systems science in these three technologies. This research carefully collects and studies 106 existing literature in the field of ES, EA and EIS, and a summary review of all the latest developments in the ways systems theory has been implemented to these three fields as well as different areas of these three technologies. In the conclusion, three future trends are concluded from the review.

scholarly journals Effect of Facial Cosmetic Acupuncture on Facial Elasticity: An Open-Label, Single-Arm Pilot Study

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Younghee Yun ◽  
Sehyun Kim ◽  
Minhee Kim ◽  
KyuSeok Kim ◽  
Jeong-Su Park ◽  
...  
Keyword(s):  
Pilot Study ◽  
Large Scale ◽  
Muscle Tone ◽  
Common Adverse Event ◽  
University Hospital ◽  
Secondary Outcome ◽  
Open Label ◽  
Self Assessment ◽  
Before And After ◽  
Moiré Topography

Background. The use of acupuncture for cosmetic purposes has gained popularity worldwide. Facial cosmetic acupuncture (FCA) is applied to the head, face, and neck. However, little evidence supports the efficacy and safety of FCA. We hypothesized that FCA affects facial elasticity by restoring resting mimetic muscle tone through the insertion of needles into the muscles of the head, face, and neck.Methods. This open-label, single-arm pilot study was implemented at Kyung Hee University Hospital at Gangdong from August through September 2011. Participants were women aged 40 to 59 years with a Glogau photoaging scale III. Participants received five treatment sessions over three weeks. Participants were measured before and after FCA. The primary outcome was the Moire topography criteria. The secondary outcome was a patient-oriented self-assessment scale of facial elasticity.Results. Among 50 women screened, 28 were eligible and 27 completed the five FCA treatment sessions. A significant improvement after FCA treatment was evident according to mean change in Moire topography criteria (from 1.70 ± 0.724 to 2.26 ± 1.059,P<0.0001). The most common adverse event was mild bruising at the needle site.Conclusions. In this pilot study, FCA showed promising results as a therapy for facial elasticity. However, further large-scale trials with a controlled design and objective measurements are needed.

Metahuman systems = humans + machines that learn

2020 ◽  
pp. 026839622091591 ◽  
Author(s):  
Kalle Lyytinen ◽  
Jeffrey V Nickerson ◽  
John L King
Keyword(s):  
Information Systems ◽  
Large Scale ◽  
Organization Design ◽  
Human Learning ◽  
Learning By Doing ◽  
Organizational Level ◽  
Work Systems ◽  
Systems Research ◽  
Information Systems Research ◽  
New Research

Metahuman systems are new, emergent, sociotechnical systems where machines that learn join human learning and create original systemic capabilities. Metahuman systems will change many facets of the way we think about organizations and work. They will push information systems research in new directions that may involve a revision of the field’s research goals, methods and theorizing. Information systems researchers can look beyond the capabilities and constraints of human learning toward hybrid human/machine learning systems that exhibit major differences in scale, scope and speed. We review how these changes influence organization design and goals. We identify four organizational level generic functions critical to organize metahuman systems properly: delegating, monitoring, cultivating, and reflecting. We show how each function raises new research questions for the field. We conclude by noting that improved understanding of metahuman systems will primarily come from learning-by-doing as information systems scholars try out new forms of hybrid learning in multiple settings to generate novel, generalizable, impactful designs. Such trials will result in improved understanding of metahuman systems. This need for large-scale experimentation will push many scholars out from their comfort zone, because it calls for the revitalization of action research programs that informed the first wave of socio-technical research at the dawn of automating work systems.

A Longitudinal Examination of Enterprise Resource Planning System Post-Implementation Enhancements

2013 ◽  
Vol 27 (1) ◽  
pp. 13-39 ◽  
Author(s):  
Jian Cao ◽  
Andreas I. Nicolaou ◽  
Somnath Bhattacharya
Keyword(s):  
Real Options ◽  
Enterprise Resource Planning ◽  
Large Scale ◽  
Resource Planning ◽  
Performance Outcomes ◽  
Planning System ◽  
Systems Research ◽  
Information Systems Research ◽  
Joint Decisions ◽  
Longitudinal Examination

ABSTRACT Past information systems research on real options suggests that large-scale information technology projects, such as enterprise resource planning systems (ERPS), create various future options for system reconfiguration and extension. Management would decide whether to exercise an option according to future conditions. From the real options lens, we conduct a longitudinal examination of the determinants of post-implementation enhancement decisions for firms that have previously reported ERPS adoptions. We find that proactive ERPS adopters that employ performance-enhancing post-implementation review (PIR) practices and obtain favorable performance outcomes are more likely to make system enhancements. Evidence also shows that management likely makes joint decisions on PIR uses and ERPS enhancements, consistent with the view that managers perform gateway reviews at points where potential enhancement opportunities are present. Moreover, management tends to delay the enhancing decision until after the initial results are in place. Overall, our findings are consistent with the logic of real options, suggesting that managers make heuristic evaluations for general conditions that allow for future contingent investments.

Clinical impact of a gastrointestinal PCR panel in children with infectious diarrhoea

2021 ◽  
pp. archdischild-2021-322465
Author(s):  
Jeanne Truong ◽  
Aurélie Cointe ◽  
Enora Le Roux ◽  
Philippe Bidet ◽  
Morgane Michel ◽  
...  
Keyword(s):  
Medical Management ◽  
Simultaneous Detection ◽  
Stool Culture ◽  
Healthcare Management ◽  
University Hospital ◽  
E Coli ◽  
Infectious Diarrhoea ◽  
Clostridioides Difficile ◽  
Before And After ◽  
Traveller’S Diarrhoea

ObjectivesMultiplex gastrointestinal PCR (GI-PCR) allows fast and simultaneous detection of 22 enteric pathogens (including Campylobacter, Salmonella, Shigella/enteroinvasive Escherichia coli (EIEC), among other bacteria, parasites and viruses). However, its impact on the management of children with infectious diarrhoea remains unknown.Patients/DesignAll children eligible for stool culture from May to October 2018 were prospectively included in a monocentric study at Robert-Debré University-Hospital.InterventionA GI-PCR (BioFire FilmArray) was performed on each stool sample.Main measuresData on the children’s healthcare management before and after GI-PCR results were collected. Stool culture results were also reported.Results172 children were included. The main criteria for performing stool analysis were mucous/bloody diarrhoea and/or traveller’s diarrhoea (n=130). GI-PCR’s were positive for 120 patients (70%). The main pathogens were enteroaggregative E. coli (n=39; 23%), enteropathogenic E. coli (n=34; 20%), Shigella/EIEC (n=27; 16%) and Campylobacter (n=21; 12%). Compared with stool cultures, GI-PCR enabled the detection of 21 vs 19 Campylobacter, 12 vs 10 Salmonella, 27 Shigella/EIEC vs 13 Shigella, 2 vs 2 Yersinia enterocolitica, 1 vs 1 Plesiomonas shigelloides, respectively. Considering the GI-PCR results and before stool culture results, the medical management was revised for 40 patients (23%): 28 initiations, 2 changes and 1 discontinuation of antibiotics, 1 hospitalisation, 2 specific room isolations related to Clostridioides difficile infections, 4 additional test prescriptions and 2 test cancellations.ConclusionThe GI-PCR’s results impacted the medical management of gastroenteritis for almostone-fourth of the children, and especially the prescription of appropriate antibiotic treatment before stool culture results.

Towards a Conceptual Framework of Adopting Ubiquitous Technology in Chronic Health Care

2011 ◽  
pp. 214-231
Author(s):  
Jongtae Yu ◽  
Chengqi Guo ◽  
Mincheol Kim
Keyword(s):  
Information System ◽  
Health System ◽  
New Technology ◽  
Healthcare Management ◽  
Healthcare Industry ◽  
Perceived Need ◽  
Systems Research ◽  
Information Systems Research ◽  
Effort Expectancy ◽  
Ordinary Line

In the advent of pervasive computing technologies, the ubiquitous healthcare information system, or U-health system, has emerged as an innovative avenue for many healthcare management issues. Drawing upon practices in healthcare industry and conceptual developments in information systems research, this paper aims to explain the latent relationships amongst user-oriented factors that lead to individual’s adoption of the new technology. Specifically, this study focuses on the introduction of chronic disease U-health system. Using the Ordinary Line Square (OLS) regression analysis, we are able to discover the insights concerning which constructs affect service subscriber’s behavioral intention of use. Based on the data collected from over 440 respondents, empirical evidences are presented to support that factors such as medical conditions, perceived need, consumer behavior, and effort expectancy significantly influence the formation of usage intention.

The Effect of Active Site-inhibited Factor VIIa on Tissue Factor-initiated Coagulation Using Platelets before and after Aspirin Administration

1997 ◽  
Vol 78 (04) ◽  
pp. 1202-1208 ◽  
Author(s):  
Marianne Kjalke ◽  
Julie A Oliver ◽  
Dougald M Monroe ◽  
Maureane Hoffman ◽  
Mirella Ezban ◽  
...  
Keyword(s):  
Tissue Factor ◽  
Active Site ◽  
Large Scale ◽  
Thrombin Generation ◽  
Factor Viia ◽  
Dependent Manner ◽  
Antithrombotic Agent ◽  
Before And After ◽  
Ic50 Values

SummaryActive site-inactivated factor VIIa has potential as an antithrombotic agent. The effects of D-Phe-L-Phe-L-Arg-chloromethyl ketone-treated factor VIla (FFR-FVIIa) were evaluated in a cell-based system mimicking in vivo initiation of coagulation. FFR-FVIIa inhibited platelet activation (as measured by expression of P-selectin) and subsequent large-scale thrombin generation in a dose-dependent manner with IC50 values of 1.4 ± 0.8 nM (n = 8) and 0.9 ± 0.7 nM (n = 7), respectively. Kd for factor VIIa binding to monocytes ki for FFR-FVIIa competing with factor VIIa were similar (11.4 ± 0.8 pM and 10.6 ± 1.1 pM, respectively), showing that FFR-FVIIa binds to tissue factor in the tenase complex with the same affinity as factor VIIa. Using platelets from volunteers before and after ingestion of aspirin (1.3 g), there were no significant differences in the IC50 values of FFR-FVIIa [after aspirin ingestion, the IC50 values were 1.7 ± 0.9 nM (n = 8) for P-selectin expression, p = 0.37, and 1.4 ± 1.3 nM (n = 7) for thrombin generation, p = 0.38]. This shows that aspirin treatment of platelets does not influence the inhibition of tissue factor-initiated coagulation by FFR-FVIIa, probably because thrombin activation of platelets is not entirely dependent upon expression of thromboxane A2.

A STUDY ON THE VARIATION IN CA 72-4 LEVELS OF THE GASTRIC CANCER’S PATIENTS BEFORE AND AFTER SURGERY TREATMENT

2011 ◽  
pp. 81-87
Author(s):  
Thi Thu Huong Hoang ◽  
Minh Vuong Nguyen
Keyword(s):  
Gastric Cancer ◽  
Study Groups ◽  
University Hospital ◽  
Control Group ◽  
Central Hospital ◽  
Before And After

Objectives: Studying on the variation in CA 72-4 levels of the gastric cancer’s patients before and after 10 days and 30 days surgery treatment. Materials and methods: The studying group included 42 gastric cancer’s patients who were examinated and treated in cancerology service of Hue University Hospital and gastroenterology service of Hue Central Hospital. The control group included 30 healthy normal examinated at Hue University Hospital. The study groups were clinical, endoscopic anatopathologic examination diagnosed with gastric cancer and quantitative levels of CA 72-4 in three times points: before surgerying, after surgerying 10 days and 30 days postoperatively. Rerults: The concentration of CA 72-4 in gastric cancer’s patients was 10.06 ± 16.49 U/ml. Clearly higher than the control group 1.2 ± 0.4 U/ml(p <0.01). The rate increased levels of CA 72-4 in gastric cancer’s patients before surgerying was 27.5% and the control group was 0%. After 10 days of surgery, CA 72-4 level was 5.56 ± 8.55 U/ml; 82.5% of patients have reduced levels of CA 72-4 and 17.5% no changes; there are 0% increased cases. After 30 days of surgery, CA 72-4 level was 3.79 ± 6,52 U/ml. CA 72-4 level 10 days after surgering have decreased significantly compared to before surgery (p < 0.05) and 30 days after surgery have decreased significantly compared to after 10 days (p < 0.05). 30 days postoperatively, 90% patients had reduced levels of CA 72-4, 10% no changes, no patient had increased levels of CA 72-4 and no patient be relapsed after 30 days of treatment. Conclusions: CA 72-4 concentrations before surgerying increased 27.5%, after surgery 10 days and 30 days reduced step by step, no case have increased CA 72-4 levels, no case relapsed after 30 days.

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