scholarly journals Design and validation of a questionnaire to measure the acceptance of telemedicine by healthcare professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Literature Review ◽  
Technology Acceptance ◽  
Field Test ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Healthcare Systems ◽  
Future Research ◽  
The World ◽  
External Variables ◽  
Organization Policy

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

scholarly journals Design and Validation of a Questionnaire to Measure the Acceptance of Telemedicine by Healthcare Professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Technology Acceptance ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Future Research ◽  
Telemedicine Service ◽  
Service Programs ◽  
External Variables ◽  
Organization Policy ◽  
Acceptance Model ◽  
Relevant Factors

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here. As there is less focus on guidance for building acceptance constructs, and, in particular, little research on the acceptance of interactive telemedicine by healthcare professionals in Germany, the objective was the collection of the relevant factors influencing German healthcare professionals in the implementation of telemedicine service programs (TSSs). Acceptance constructs were built and operationalized in a questionnaire, taking into consideration the gold standard technology acceptance model of Davis.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

scholarly journals Design and Validation of a Questionnaire to Measure the Acceptance of Telemedicine by Healthcare Professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Technology Acceptance ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Future Research ◽  
Telemedicine Service ◽  
Service Programs ◽  
External Variables ◽  
Organization Policy ◽  
Acceptance Model ◽  
Relevant Factors

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here. As there is less focus on guidance for building acceptance constructs, and, in particular, little research on the acceptance of interactive telemedicine by healthcare professionals in Germany, the objective was the collection of the relevant factors influencing German healthcare professionals in the implementation of telemedicine service programs (TSSs). Acceptance constructs were built and operationalized in a questionnaire, taking into consideration the gold standard technology acceptance model of Davis.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

Women with haemophilia: more than just carriers

2013 ◽  
Vol 1 (2) ◽  
pp. 2-7 ◽  
Author(s):  
Robin Sager
Keyword(s):  
Healthcare Professionals ◽  
Historical Context ◽  
Healthcare Systems ◽  
Bleeding Disorder ◽  
Factor Ix ◽  
Medical Community ◽  
Factor Level ◽  
Access To Treatment ◽  
The World ◽  
Changing Attitudes

Abstract It is said that men have haemophilia and women are carriers, affected or unaffected. The terminology used is significant. Why it is that men are described as ‘having’ haemophilia and women with haemophilia are described as affected carriers? After all the men ‘carry’ the gene just as the women do and pass it on to their daughters. Likewise many women have Factor IX or Factor VIII levels that, if they were a man, would be categorised as mild or even in some cases moderate or severe haemophilia. Yet haemophilia is widely viewed as a condition affecting men with women as the passive vehicle for its transmission from generation to generation. There are many issues for women that are affected by this choice of terminology. Among them are their ability to access healthcare and their acknowledgement within healthcare systems throughout the world. Are women with the same factor level as men viewed in the same manner by healthcare professionals and do they acknowledge their own bleeding disorder as being the same as their male counterparts? How many women are unaware of their own bleeding disorder because they have only been viewed as ‘carriers’? Research into these issues is limited. This paper explores the aspects that affect women with haemophilia, from the definition in its historical context, obtaining a diagnosis, psychosocial elements, access to treatment, changing attitudes and acknowledgements within both the medical community and the wider community.

scholarly journals Efficiency measures of emergency departments: an Italian systematic literature review

2021 ◽  
Vol 10 (3) ◽  
pp. e001058
Author(s):  
Danilo Di Laura ◽  
Lucia D'Angiolella ◽  
Lorenzo Mantovani ◽  
Ginevra Squassabia ◽  
Francesco Clemente ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Emergency Departments ◽  
Critical Role ◽  
Evidence Base ◽  
Healthcare Systems ◽  
Cochrane Library ◽  
Number Of Patients ◽  
The World

Life expectancy globally increased in the last decades: the number of people aged 65 or older is consequently projected to grow, and healthcare demand will increase as well. In the recent years, the number of patients visiting the hospital emergency departments (EDs) rocked in almost all countries of the world. These departments are crucial in all healthcare systems and play a critical role in providing an efficient assistance to all patients. A systematic literature review covering PubMed, Scopus and the Cochrane Library was performed from 2009 to 2019. Of the 718 references found in the literature research, more than 25 studies were included in the current review. Different predictors were associated with the quality of EDs care, which may help to define and implement preventive strategies in the near future. There is no harmonisation in efficiency measurements reflecting the performance in the ED setting. The identification of consistent measures of efficiency is crucial to build an evidence base for future initiatives. The aim of this study is to review the literature on the problems encountered in the efficiency of EDs around the world in order to identify an organisational model or guidelines that can be implemented in EDs to fill inefficiencies and ensure access optimal treatment both in terms of resources and timing. This review will support policy makers to improve the quality of health facilities, and, consequently of the entire healthcare systems.

scholarly journals The Challenge of Forecasting Demand of Medical Resources and Supplies During a Pandemic: A Comparative Evaluation of Three Surge Calculators for COVID-19

2020 ◽  
Author(s):  
Amina A. Kamar ◽  
Noel Maalouf ◽  
Eveline Hitti ◽  
Ghada El Eid ◽  
Hussain A Ismaeel ◽  
...  
Keyword(s):  
Comparative Evaluation ◽  
Healthcare Professionals ◽  
Healthcare Systems ◽  
World Health ◽  
Medical Resources ◽  
Social Distancing ◽  
The Social ◽  
The World ◽  
Health Organization

Ever since the World Health Organization (WHO) declared the new coronavirus disease 2019 (COVID-19) as a pandemic, there has been a public health debate concerning medical resources and supplies including hospital beds, intensive care units (ICU), ventilators, and Protective Personal Equipment (PPE). Forecasting COVID-19 dissemination has played a key role in informing healthcare professionals and governments on how to manage overburdened healthcare systems. However, forecasting during the pandemic remained challenging and sometimes highly controversial. Here, we highlight this challenge by performing a comparative evaluation for the estimations obtained from three COVID-19 surge calculators under different social distancing approaches, taking Lebanon as a case study. Despite discrepancies in estimations, the three surge calculators used herein agree that there will be a relative shortage in the capacity of medical resources and a significant surge in PPE demand as the social distancing policy is removed. Our results underscore the importance of implementing containment interventions including social distancing in alleviating the demand for medical care during the COVID-19 pandemic in the absence of any medication or vaccine. It is said that ″All models are wrong, but some are useful″, in this paper we highlight that it is even more useful to employ several models.  

What is religious fundamentalism? A literature review

2021 ◽  
Vol 43 (3) ◽  
pp. 317-338
Author(s):  
Russell Earl Phillips ◽  
Michael Kitchens
Keyword(s):  
Social Sciences ◽  
Literature Review ◽  
Religious Fundamentalism ◽  
Future Research ◽  
The Past ◽  
World Today ◽  
The Social ◽  
The World ◽  
Relevant Topic

Religious fundamentalism (RF) is a relevant topic in the world today. Over the past two decades there is an increase in definitions, theories, and measures of RF in the social sciences. The present publication reviews and integrates this information into an overarching definition and provides suggestions for future research.

scholarly journals The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic

2021 ◽  
Vol 18 (22) ◽  
pp. 11969
Author(s):  
Anas Taha ◽  
Bara Saad ◽  
Bassey Enodien ◽  
Marta Bachmann ◽  
Daniel M. Frey ◽  
...  
Keyword(s):  
United States ◽  
Literature Review ◽  
Systematic Reviews ◽  
Rapid Growth ◽  
The United States ◽  
Healthcare Systems ◽  
Alternative Methods ◽  
The World ◽  
Poor Outcomes ◽  
Meta Analyses

SARS-CoV-2 has hampered healthcare systems worldwide, but some countries have found new opportunities and methods to combat it. In this study, we focused on the rapid growth of telemedicine during the pandemic around the world. We conducted a systematic literature review of all the articles published up to the present year, 2021, by following the requirements of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The data extracted comprised eHealth and telemedicine in surgery globally, and independently in Europe, the United States, and Switzerland. This review explicitly included fifty-nine studies. Out of all the articles included, none of them found that telemedicine causes poor outcomes in patients. Telemedicine has created a new path in the world of healthcare, revolutionizing how healthcare is delivered to patients and developing alternative methods for clinicians.

scholarly journals COVID-19 Outbreak in Post-Soviet States: Modeling the Best and Worst Possible Scenarios

2020 ◽  
Author(s):  
Alpamys Issanov ◽  
Yerlan Amanbek ◽  
Anara Abbay ◽  
Shalkar Adambekov ◽  
Mohamad Aljofan ◽  
...  
Keyword(s):  
Developing Countries ◽  
Healthcare Professionals ◽  
Healthcare Systems ◽  
Current Development ◽  
Case Scenario ◽  
Proposed Model ◽  
The World ◽  
Governmental Response ◽  
Determining Factor

ABSTRACTBackgroundCOVID-19 pandemic has presented extreme challenges to developing countries across the world. Post-Soviet states are facing unique challenges due to their developing healthcare systems and unstable economy. The aim of this paper was to provide estimates for current development COVID-19 pandemic in the Post-Soviet states and forecast potential best and worst scenarios for spread of this deadly infection.MethodsThe data on confirmed cases and deaths were extracted from official governmental sources for a period from beginning of outbreak dates for each country until April 18, 2020. A modified SEIR (Susceptible-Exposed-Infected-Recovered) modelling was used to plot the parameters of epidemic in 10 post-Soviet states and forecast the number of cases over a period of 10, 30 and 60 days. We also estimated the numbers of cases based on the optimal measures (best scenario) and suboptimal measures (worst scenarios) of potential spread of COVID-19 in these countries.ResultsIt was estimated that Armenia and Azerbaijan have reached their peaks, Kazakhstan, Kyrgyzstan, Moldova and Uzbekistan are expected to reach their peaks in the coming week (April 29 – May 7, 2020), with comparatively low cases of COVID-19 and loss of lives in the best-case scenario. In contrast, Belarus, Russia, and Ukraine would likely see the outbreaks with the largest number of COVID-19 cases amongst the studied Post-Soviet States in the worst scenario during the next 30 and 60 days. Geographical remoteness and small number of international travelers from the countries heavily affected by the pandemic could also have contributed to delay in the spread of COVID-19.ConclusionGovernmental response was shown to be as an important determining factor responsible for the development of COVID-19 epidemic in Post-Soviet states. The current protection rates should be maintained to reduce active cases during upcoming 30 and 60 days. The estimated possible scenarios based on the proposed model can potentially be used by healthcare professionals from each studied Post-Soviet States as well as others to improve plans to contain the current and future epidemic.

scholarly journals The two door Perspective: An assessment framework for Open Government

2011 ◽  
Vol 3 (2) ◽  
pp. 166-181 ◽  
Author(s):  
Rodrigo Sandoval
Keyword(s):  
Literature Review ◽  
Final Section ◽  
Recent Trend ◽  
Open Government ◽  
Future Research ◽  
Assessment Framework ◽  
Theoretical Approaches ◽  
Public Resources ◽  
The World ◽  
Government Perspective

The recent trend of open government in the worlds has created an avalanche of initiatives, metrics, and research paths. However this directions are usually random and disperse. Governments around the world understand the trend with different perspectives, focus and theoretical approaches. Neverthelss the open government perspective is evolving step by step. This paper proposes an assessment framework to contribute on the line of reflection and understand of open government initiatives. And helps policymakers, stakeholders, practicioners and scholars to improve this field and spend public resources in a more accurate way. The paper is structured as follows: an introductory section that leads the open government problem and directions; a second section of literature review; a third section of model proposal and a final section of discussion and future research.

TECHNOLOGY ADOPTION AND CONTINUANCE OF MOOCS: A SYSTEMATIC LITERATURE REVIEW, SYNTHESIS AND FUTURE RESEARCH AGENDA

2021 ◽  
Vol 14 (8) ◽  
pp. 106-132
Author(s):  
Jinal Shah ◽  
Monica Khanna ◽  
Hiren Patel
Keyword(s):  
Literature Review ◽  
Technology Acceptance ◽  
Systematic Literature Review ◽  
State Of The Art ◽  
Practical Knowledge ◽  
Future Research ◽  
Future Research Agenda ◽  
Adoption Research ◽  
Acceptance Model ◽  
Context Characteristics

Massive Open Online Courses (MOOCs) have garnered a lot of attention and interest from academia and industry. The proliferation of MOOC platforms has opened up immense opportunities for fulfilling learner needs and improving the education landscape. It is important to understand the drivers of MOOC adoption to ensure its complete utilization. Research on MOOC adoption, acceptance, usage, and continuance has increased over a period of time. With this regard, the purpose of this study was to review and synthesize the research on MOOC adoption using a structured and domain-based approach in order to understand its state-of-the-art literature. Seventy empirical articles indexed in Scopus or Web of Science were identified and reviewed systematically using the Theories, Context, Characteristics, and Methods (TCCM) framework. Systematic mapping of studies was taken place to determine the year-wise publications, journal quality, citations, widely used theories, the context in terms of MOOC platforms and country of research, characteristics in terms of widely used constructs, and hypothesized relationships. The systematic literature review highlights Technology Acceptance Model is the dominant model applied in the MOOC adoption research. Further research on MOOC adoption is seen majorly in Asian economies with a narrow focus on developed economies. Although several review studies have taken place on MOOC, their focus has been on the quality, pedagogical or user perspective. This study is the first effort in synthesizing the state-of-the-art literature on MOOC adoption. Future avenues of research are suggested in terms of Theories, Context, Characteristics, and Methods to further the theoretical and practical knowledge on MOOC adoption.

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