scholarly journals Acceptance and Resistance of New Digital Technologies in Medicine: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Sabur Safi ◽  
Thomas Thiessen ◽  
Kurt JG Schmailzl
Keyword(s):  
Health Care ◽  
Technology Acceptance ◽  
Medical Staff ◽  
New Technologies ◽  
Medical Professionals ◽  
Successful Implementation ◽  
Local Health ◽  
Medical Technologies ◽  
Health Care Structure ◽  
Wide Range

BACKGROUND This study discusses the acceptance of new medical technologies in health care settings and resistance to these technologies from hospitals, doctors’ surgical centers, electronic health (eHealth) centers, and related institutions. We suggest a novel method of identifying factors that influence the acceptance of, and resistance to, new technologies by medical staff and patients. OBJECTIVE The objective of this study was to determine and evaluate the factors that influence acceptance and resistance to achieve a successful implementation of new technologies. METHODS The target group was patients residing in Brandenburg and major stakeholders in the local health care structure, for instance, medical institutions and medical professionals. The process relies on 3 models: the technology acceptance model, the unified technology acceptance and use of technology model, and the theory of technical innovation diffusion. Qualitative methodology was employed in this study, and an exploratory design was adopted to gain new insights into a poorly understood phenomenon in the German context. This enabled the researcher to take a flexible approach toward exploring a wide range of secondary data and to choose a different approach when unexpected information emerged. Content analysis was used to identify and interpret the data, and the researcher assured that the meaning associated with the information has concurred with that of the original source. RESULTS This study confirmed that adoption of new technologies in health care depended on individual opinions of the factors relating to them. Some medical professionals believed that technology would interfere with their ability to make independent diagnoses and their relationships with patients. Doctors also feared that technology was a means of management control. In contrast, other medical staff welcomed technology because it provided them with more opportunities to interact with patients and their carers. Generally, patients were more enthusiastic about technology than medical professionals and health care managers because it allowed them to have greater autonomy in selecting health care options. The need for all groups to be involved in the development of the new health care approach was an important outcome, otherwise resistance to it was likely to be greater. In other words, the strategy for change management was the indicator of success or failure. Therefore, following our analysis, a number of practical precepts emerged that could facilitate user acceptance of digital solutions and innovative medical technologies. CONCLUSIONS The acceptance of digital solutions and innovative medical technology by patients and professionals relies on understanding their anxieties and feelings of insecurity. The process will take time because individuals accept change at different rates. Hence, the development of an extensive user community to fully and successfully implement eHealth is less likely in the short term; however, this should not prevent the push for changes in health care technology.

scholarly journals Risk and the Republican National Convention: Application of the Novel COVID-19 Operational Risk Assessment

2021 ◽  
pp. 1-6
Author(s):  
David Callaway ◽  
Jeff Runge ◽  
Lucia Mullen ◽  
Lisa Rentz ◽  
Kevin Staley ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Care Delivery ◽  
The United States ◽  
Lessons Learned ◽  
World Health ◽  
Local Health ◽  
Mass Gathering ◽  
Wide Range ◽  
National Convention

Abstract The United States Centers for Disease Control and Prevention and the World Health Organization broadly categorize mass gathering events as high risk for amplification of coronavirus disease 2019 (COVID-19) spread in a community due to the nature of respiratory diseases and the transmission dynamics. However, various measures and modifications can be put in place to limit or reduce the risk of further spread of COVID-19 for the mass gathering. During this pandemic, the Johns Hopkins University Center for Health Security produced a risk assessment and mitigation tool for decision-makers to assess SARS-CoV-2 transmission risks that may arise as organizations and businesses hold mass gatherings or increase business operations: The JHU Operational Toolkit for Businesses Considering Reopening or Expanding Operations in COVID-19 (Toolkit). This article describes the deployment of a data-informed, risk-reduction strategy that protects local communities, preserves local health-care capacity, and supports democratic processes through the safe execution of the Republican National Convention in Charlotte, North Carolina. The successful use of the Toolkit and the lessons learned from this experience are applicable in a wide range of public health settings, including school reopening, expansion of public services, and even resumption of health-care delivery.

scholarly journals Digital Health Value Realization Through Active Change Efforts

2021 ◽  
Vol 9 ◽  
Author(s):  
Rashaad Bhyat ◽  
Simon Hagens ◽  
Katie Bryski ◽  
Jocelyn Fausto Kohlmaier
Keyword(s):  
Health Care ◽  
New Technologies ◽  
Digital Health ◽  
Successful Implementation ◽  
Care Providers ◽  
Change Initiatives ◽  
Case Examples ◽  
Virtual Care ◽  
Clinical Adoption ◽  
Change Efforts

Digital health has massive potential in health care but has been slow to evolve in comparison to other information-intensive industries, which have more readily taken advantage of new technology. One of the key barriers has been the complex relationship between the perceived return on investment for the investor and the resulting value to patients and caregivers. Those actors who pay for technologies do not always see an appreciable return for themselves, while those actors who must apply the technology to generate value are not always incentivized to do so. This misalignment across health system payers and administrators, clinicians and patients must be better understood and addressed to help accelerate digital health. This paper will examine this challenge through the clinician experience, using empirical case examples from Canada to illustrate opportunities for change. While many factors may influence digital health adoption, this paper specifically aims to explore the shifts in the balance of the perceived value of implementing digital health tools, vs. the efforts required to adopt them. It will explore two contrasting case examples: clinical adoption of EMRs in Canada from 2009 to 2015, and clinical adoption of virtual care technologies during the COVID-19 pandemic from 2020 to 2021. In 2006, Canada lagged peer countries significantly in the adoption of electronic medical records (EMR) in community-based care. Financial support and cooperation of multiple levels of government and clinical stakeholders were required to address the misaligned incentives, which led to significant uptake by care providers. The rapid adoption of virtual care in Canada in response to the pandemic provides another relevant example of the importance of alignment among the factors of clinical workflows, clinical appropriateness, technology integration and payment models. Experts have highlighted the need for standardization, regulation, and clear policy to ensure sustainable, high quality virtual care that complements in-person care. In both cases, the costs and effort of adopting new technologies outweighed direct clinician value, requiring change initiatives to catalyze progress. This imbalance could be unique to these examples in Canada, and may not be globally generalizable to the adoption of all digital health tools. However, how change efforts can be tailored to adjust to a rapidly evolving health care workforce, spanning diverse jurisdictions and stakeholder groups will be critical to the sustainability of virtual care adoption. Furthermore, what key elements must be considered to guide change initiatives for successful implementation, designed to influence change while adding value for patients, clinicians and Canada's health care systems? Using insights from successful change initiatives past and present, this paper aims to answer these questions to enable a smoother transition to digital health innovations of the future.

RFID in Hospitals and Factors Restricting Adoption

2011 ◽  
pp. 825-852 ◽  
Author(s):  
Bryan Houliston
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Information Systems ◽  
New Zealand ◽  
Radio Frequency Identification ◽  
Successful Implementation ◽  
New Information ◽  
Wide Range ◽  
Frequency Identification ◽  
Rfid Applications

Hospitals are traditionally slow to adopt new information systems (IS). However, health care funders and regulators are demanding greater use of IS as part of the solution to chronic problems with patient safety and access to medical records. One technology offering benefits in these areas is Radio Frequency Identification (RFID). Pilot systems have demonstrated the feasibility of a wide range of hospital applications, but few have been fully implemented. This chapter investigates the factors that have restricted the adoption of RFID technology in hospitals. It draws on related work on the adoption of IS generally, published case studies of RFID pilots, and interviews with clinicians, IS staff and RFID vendors operating in New Zealand (NZ) hospitals. The chapter concludes with an analysis of the key differences between RFID and other IS, and which RFID applications have the greatest chance of successful implementation in hospitals.

RFID in Hospitals and Factors Restricting Adoption

2010 ◽  
pp. 91-118
Author(s):  
Bryan Houliston
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Information Systems ◽  
New Zealand ◽  
Radio Frequency Identification ◽  
Successful Implementation ◽  
New Information ◽  
Wide Range ◽  
Frequency Identification ◽  
Rfid Applications

Hospitals are traditionally slow to adopt new information systems (IS). However, health care funders and regulators are demanding greater use of IS as part of the solution to chronic problems with patient safety and access to medical records. One technology offering benefits in these areas is Radio Frequency Identification (RFID). Pilot systems have demonstrated the feasibility of a wide range of hospital applications, but few have been fully implemented. This chapter investigates the factors that have restricted the adoption of RFID technology in hospitals. It draws on related work on the adoption of IS generally, published case studies of RFID pilots, and interviews with clinicians, IS staff and RFID vendors operating in New Zealand (NZ) hospitals. The chapter concludes with an analysis of the key differences between RFID and other IS, and which RFID applications have the greatest chance of successful implementation in hospitals.

ANALISIS FAKTOR KEPERCAYAAN TERHADAP TEKNOLOGI PADA KEINGINAN MASYARAKAT DALAM MENGADOPSI E-VOTING

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Anik Hanifatul Azizah
Keyword(s):  
New Technologies ◽  
New Technology ◽  
Positive Influence ◽  
Successful Implementation ◽  
Intention To Use ◽  
Actual System ◽  
Wide Range ◽  
Voting System ◽  
The Government ◽  
The Impact

[Id]Berkembangnya penggunaan mesin e-voting dan meningkatnya penerapan pemilu dalam jaringan (daring) mengindikasikan bahwa masyarakat percaya akan performansi teknologi informasi dalam meningkatkan proses pemilu. Kesuksesan implementasi teknologi informasi mutlak dibutuhkan, Sebagai dukungan kesuksesan tersebut diperlukan analisis yang mendalam. Sebelum mengimplementasikan teknologi e-voting, pemerintah perlu mengetahui tingkat kesediaan (willingness) masyarakat untuk menggunakan teknologi baru. Tingkatan tertentu bahwa ekspektasi seseorang dapat terpenuhi dengan baik adalah definisi dari kepercayaan (trust). Kepercayaan masyarakat teridentifikasi sebagai faktor utama untuk mempengaruhi niat/ kemauan masyarakat menggunakan sebuah teknologi. Penelitian ini menganalisis pengaruh dari faktor kepercayaan terhadap niat untuk menggunakan e-voting. Penelitian ini mengusulkan sebuah model yang menggambarkan niat masyarakat untuk menggunakan e-voting (Intention to use) dengan mengidentifikasi kepercayaan masyarakat terhadap teknologi (trust of technology). Trust dibagi menjadi beberapa faktor yang lebih spesifik. Kuisioner kertas disebarkan kepada 370 masyarakat negara Indonesia dan 346 di antaranya valid. Kuisioner disebarkan secara langsung oleh surveyor kepada masyarakat yang telah memiliki hak pilih dan disebar secara merata kepada golongan umur yang bervariasi, serta tingkat Pendidikan maupun profesi yang beragam. Hasil penelitian menunjukkan bahwa semakin tinggi Trust of Technology (TOT) dapat meningkatkan niat masyarakat untuk menggunakan e-voting (Intention to Use E-voting - ITU). Ditemukan juga beberapa faktor dapat mempengaruhi pengaruh positif terhadap kepercayaan masyarakat terhadap teknologi. Hasil dari penelitian ini menunjukkan bahwa pemerintah diharapkan untuk memperhatikan fakto-faktor yang mempengaruhi kepercayaan masyarakat yang berujung niat dan kemauan masyarakat untuk menggunakan e-voting sebelum menerapkan e-voting tersebut.Kata Kunci: Kepercayaan, Keinginan, Keamanan, Validitas, Pemilu.[En]Increasing adoption of the electronic voting machine and rising pilot testing of internet voting suggests people believe that ICT can improve the electoral process. Since every new technology adoption needs to achieve successful implementation, deeper analysis on several sides was needed to support it. Before implementing a particular e-voting technology, the government needs to know the level of citizen willingness to adopt those new technologies. The expectancy that promise of an individual or group can be relied upon is defined as trust. The citizen trust can be identified by certain factors that lead to intention to use actual system. This study analyzes the impact of trustworthiness on citizen intention to use e-voting system in a developing country. The research proposes a model of e-voting adoption intention by investigating citizen trustworthiness from trust of technology (TOT). The trust was expanded to more specific unique factors. Offline questionnaires were spreaded to 370 respondents and 346 of them were valid. Questionnaires were distributed directly by surveyors to people who have the right to vote and distributed equally for a wide range of ages, as well as varying levels of education and professions. The results indicate that higher TOT increase citizen intention to use e-voting, and also several key determinants have positive influence on the citizen trust. This result suggested that government should first comply with several factors in citizen trustworthiness before conducting an e-voting system.

Patronage and health care in eighteenth-century Irish county infirmaries

2017 ◽  
Vol 41 (159) ◽  
pp. 1-21 ◽  
Author(s):  
Pierce Grace
Keyword(s):  
Health Care ◽  
Eighteenth Century ◽  
Medical Staff ◽  
Medical Professionals ◽  
Good Care ◽  
Inspector General ◽  
Late Eighteenth Century ◽  
Late Eighteenth ◽  
Significant Step ◽  
John Howard

AbstractThe creation of a network of county infirmaries was a remarkable achievement in late eighteenth-century Ireland. Supported by grants from parliament and the county grand juries, each hospital was managed by governors whose subscriptions entitled them to appoint the medical staff and decide on the patient population. While the laudable aim of the legislators was that the infirmaries would be ‘a means of restoring the health and preserving the lives of many’, the reality was quite different. In 1788 the prison reformer, John Howard, and the inspector general of prisons, Sir Jeremiah Fitzpatrick, delivered a damning report to parliament on the state of the county infirmaries. They described good care and governance in a minority of institutions, but most were in a very bad state; they noted decayed and broken buildings, dirty or no bedding, poor food, lack of regulation, financial malfeasance, few patients and absent staff. Based on their report, this paper argues that the county infirmaries benefited the governors and the staff considerably, and had little impact on the health of the nation. However, providing a hospital and trained medical professionals in every county was a significant step in the formation of the Irish institutional healthcare system.

Frontiers and perspectives on research strategies in grassland technology

2014 ◽  
Vol 65 (6) ◽  
pp. 508 ◽  
Author(s):  
J. Schellberg ◽  
E. Verbruggen
Keyword(s):  
Precision Agriculture ◽  
New Technologies ◽  
Arable Land ◽  
Successful Implementation ◽  
Research Strategies ◽  
Climatic Regions ◽  
Engineering Sciences ◽  
Wide Range ◽  
Recent Developments ◽  
On Farm

Grassland scientists and farmers are increasingly faced with emerging new technologies and information systems that have been primarily developed in engineering sciences, in particular, precision agriculture, remote sensing, geographic information and biotechnology. Judgment upon whether the implementation of any of these technologies may be beneficial in economic and ecological respects is challenging, especially to those who have to make on-farm decisions. New technologies have been applied on grassland only partially and with some delay compared with arable land. However, as we will show here, there is scope for successful implementation of new technologies in various climatic regions and for a wide range of applications. The paper presents the most important recent developments of new technologies in agriculture that have scope for application in grasslands. It defines the relevant terms and processes, provides examples of successful implementation, and discusses future directions and research needs.

scholarly journals STUDENTS’ VIEWS ON THE ROLE OF ETHICS EDUCATION FOR THEIR FUTURE MEDICAL PRACTICE

2021 ◽  
Vol 2 ◽  
pp. 87-91
Author(s):  
Nikoleta Leventi ◽  
Alexandrina Vodenitcharova ◽  
Kristina Popova ◽  
Kremena Ivanova ◽  
Svetlin Georgiev ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Medical Ethics ◽  
Ethics Education ◽  
New Technologies ◽  
Ethical Issues ◽  
Everyday Practice ◽  
Medical Professionals ◽  
Medical Ethics Education

INTRODUCTION: Worldwide, in different ways, ethical dilemmas arise in medicine and life sciences. It is critical for medical professionals to respond with confidence when ethical challenges are addressed in their clinical practice. Medical ethics and bioethics education is recognized as an essential course of the medical curriculum. The course aims to provide students with knowledge and competencies on dealing with moral problems. OBJECTIVES: In this article, we aim to explore students’ views about the importance and role of medical ethics education for their future practice. Their suggestions on specific medical ethics and bioethics topics were also considered, as well as previous knowledge on ethics before they enrolled in university. METHODS: A paper questionnaire was developed and distributed among first-year foreign medical students from the Faculty of Medicine in the Medical University-Sofia in Bulgaria. All students participated in the study anonymously and voluntarily. The study was conducted during January and February 2020. RESULTS: Completed questionnaires were received from 366 medical students. Data collected demonstrates that only 19% of the students were taught ethics before enrolling in university and covered topics on philosophy and ethics, civil and human rights. The majority (92%) of the responders believe that the study of medical ethics and bioethics helps medical professionals to improve their skills in identifying ethical problems in their everyday practice. Interesting were the suggestions for topics in medical ethics and bioethics that needed further study during lectures and seminars and included principles of medical ethics and bioethics, ethical behavior in medicine and health care, ethical dimensions of new technologies in health care, ethical dimensions of clinical decisions and patients’ quality of life, ethics and health management. CONCLUSIONS: Medical ethics education is significant for future physicians, helping them to improve their skills in identifying ethical issues, and base their decisions on fundamental ethical principals in their everyday practice. Attention should be given to topics related to principles of medical ethics, models of patient-physician relationships, new technologies in health care, ethics and health policy. 

scholarly journals Cross-Cultural Exchange Experiences in China: Medical Anthropology and Community Health Nursing Clinical for Nursing Students

2009 ◽  
Vol 32 (1) ◽  
pp. 21-25
Author(s):  
Susan Andreatta ◽  
Jie Hu
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Service Learning ◽  
Undergraduate Students ◽  
International Travel ◽  
Local Health ◽  
Undergraduate Nursing ◽  
Health Care Experiences ◽  
Wide Range ◽  
Local Health Care

As most would say, traveling to China is a trip of a lifetime. With the support of many at UNCG and from various connections in China, we have provided undergraduate students a cultural experience that will be transformative, one that they may be able to use in their profession, in future international travel experiences or when they meet up with others from another country, especially those unable to communicate in English. The short-term study abroad experience incorporated a number of activities both in preparation as well as from the day of departure to completion of the trip. The way the program is arranged is for students to visit three major Chinese cities (Beijing, Wuhan and Shanghai) and engage in service learning while participating in local health care experiences. Undergraduate nursing students complete some of their clinical hours and the anthropology students dip their toes in doing fieldwork in a vast country with a wide range of culture groups, and differing approaches to health care, nutrition, environmental conditions and ideas for solutions to many contemporary problems facing the Chinese people of the twenty first century.

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