scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study (Preprint)

2019 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

BACKGROUND Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. OBJECTIVE This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. METHODS This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. RESULTS A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. CONCLUSIONS Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. INTERNATIONAL REGISTERED REPORT RR2-10.2196/10734

scholarly journals Communication Behavior Changes Between Patients With Diabetes and Healthcare Providers Over 9 Years: Retrospective Cohort Study

10.2196/17186 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17186 ◽  
Author(s):  
Arriel Benis ◽  
Refael Barak Barkan ◽  
Tomer Sela ◽  
Nissim Harel
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Health Care Organization ◽  
Communication Channels ◽  
Communication Behavior ◽  
Care Organization ◽  
Health Organizations ◽  
Patient Profile ◽  
Health Organization

Background Health organizations and patients interact over different communication channels and are harnessing digital communications for this purpose. Assisting health organizations to improve, adapt, and introduce new patient–health care practitioner communication channels (such as patient portals, mobile apps, and text messaging) enhances health care services access. Objective This retrospective data study aims to assist health care administrators and policy makers to improve and personalize communication between patients and health care professionals by expanding the capabilities of current communication channels and introducing new ones. Our main hypothesis is that patient follow-up and clinical outcomes are influenced by their preferred communication channels with the health care organization. Methods This study analyzes data stored in electronic medical records and logs documenting access to various communication channels between patients and a health organization (Clalit Health Services, Israel). Data were collected between 2008 and 2016 from records of 311,168 patients diagnosed with diabetes, aged 21 years and over, members of Clalit at least since 2007, and still alive in 2016. The analysis consisted of characterizing the use profiles of communication channels over time and used clustering for discretization purposes and patient profile building and then a hierarchical clustering and heatmaps to visualize the different communication profiles. Results A total of 13 profiles of patients were identified and characterized. We have shown how the communication channels provided by the health organization influence the communication behavior of patients. We observed how different patients respond differently to technological means of communication and change or don’t change their communication patterns with the health care organization based on the communication channels available to them. Conclusions Identifying the channels of communication within the health organization and which are preferred by each patient creates an opportunity to convey messages adapted to the patient in the most appropriate way. The greater the likelihood that the therapeutic message is received by the patient, the greater the patient's response and proactiveness to the treatment will be. International Registered Report Identifier (IRRID) RR2-10.2196/10734

scholarly journals Patterns of Patients’ Interactions With a Health Care Organization and Their Impacts on Health Quality Measurements: Protocol for a Retrospective Cohort Study (Preprint)

2018 ◽  
Author(s):  
Arriel Benis ◽  
Nissim Harel ◽  
Refael Barak Barkan ◽  
Einav Srulovici ◽  
Calanit Key
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Communication Channel ◽  
Clustering Algorithm ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Communication Channels ◽  
Care Organization ◽  
Care Providers ◽  
Different Types

BACKGROUND Data collected by health care organizations consist of medical information and documentation of interactions with patients through different communication channels. This enables the health care organization to measure various features of its performance such as activity, efficiency, adherence to a treatment, and different quality indicators. This information can be linked to sociodemographic, clinical, and communication data with the health care providers and administrative teams. Analyzing all these measurements together may provide insights into the different types of patient behaviors or more accurately to the different types of interactions patients have with the health care organizations. OBJECTIVE The primary aim of this study is to characterize usage profiles of the available communication channels with the health care organization. The main objective is to suggest new ways to encourage the usage of the most appropriate communication channel based on the patient’s profile. The first hypothesis is that the patient’s follow-up and clinical outcomes are influenced by the patient’s preferred communication channels with the health care organization. The second hypothesis is that the adoption of newly introduced communication channels between the patient and the health care organization is influenced by the patient’s sociodemographic or clinical profile. The third hypothesis is that the introduction of a new communication channel influences the usage of existing communication channels. METHODS All relevant data will be extracted from the Clalit Health Services data warehouse, the largest health care management organization in Israel. Data analysis process will use data mining approach as a process of discovering new knowledge and dealing with processing data extracted with statistical methods, machine learning algorithms, and information visualization tools. More specifically, we will mainly use the k-means clustering algorithm for discretization purposes and patients’ profile building, a hierarchical clustering algorithm, and heat maps for generating a visualization of the different communication profiles. In addition, patients’ interviews will be conducted to complement the information drawn from the data analysis phase with the aim of suggesting ways to optimize existing communication flows. RESULTS The project was funded in 2016. Data analysis is currently under way and the results are expected to be submitted for publication in 2019. Identification of patient profiles will allow the health care organization to improve its accessibility to patients and their engagement, which in turn will achieve a better treatment adherence, quality of care, and patient experience. CONCLUSIONS Defining solutions to increase patient accessibility to health care organization by matching the communication channels to the patient’s profile and to change the health care organization’s communication with the patient to a highly proactive one will increase the patient’s engagement according to his or her profile. INTERNATIONAL REGISTERED REPOR RR1-10.2196/10734

scholarly journals Building perspective awareness as a workplace practice

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pia Andersson ◽  
Lotta Dellve ◽  
Gunnar Gillberg ◽  
Hans Lindgren
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Organization ◽  
Work Organization ◽  
Implementation Process ◽  
Care Organization ◽  
Content Type ◽  
Dialogue Model ◽  
Organizational Conditions ◽  
The Right

Purpose The present study aims to describe the implementation of a facilitated dialogue model intended to improve communication across professional logics and knowledge boundaries in two units of a large health-care organization in Sweden. Design/methodology/approach This is a mixed-methods study with interviews, field observations and follow- up questionnaires that were conducted during the implementation process. Findings The conclusion drawn in this study is that it is possible to change and improve the dialogue between health-care professionals with the help of a tailored, facilitated dialogue model. The authors found that different professional logics can indeed meet and share perspectives if the right conditions are provided. Moreover, an improved dialogue between different professional groups may contribute to work satisfaction, engagement, social cohesion and communication between professionals. Practical implications This study shows that the right organizational conditions, such as support from managers, must exist if the model’s inherent possibilities are to be used. Inhouse facilitation may be a sustainable model for facilitated workplace dialogue when its implementation is supported by the overall organization. Originality/value The contribution is an empirically based analysis of a new form of model for mediating perspectives within an organization with distinct professional roles. This study shows how, under the right conditions, the model can contribute to a perspective awareness and thus a more mature work organization.

Assessment

2020 ◽  
pp. 73-82
Author(s):  
Stephen J. Swensen ◽  
Tait D. Shanafelt
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Health Care Professionals ◽  
Health Care Organization ◽  
Well Being ◽  
Intangible Asset ◽  
Care Organization ◽  
Time Data ◽  
Current State ◽  
Common Purpose

The most important determinant of value in a health care organization is an intangible asset called social capital. Social capital comprises the talent, knowledge, goodwill, trust, skill, and interconnectedness of people. Social capital is a critical characteristic of organizations and the ingredient that allows people to work together for a common purpose. Organizations need objective data to understand the experience and well-being of their health care professionals. A baseline measurement is necessary to assess the current state and to evaluate progress toward an ideal future state. Objective measures of the efficiency of the practice environment can also serve as improvement targets and often provide continuous real time data on progress without burdening staff with repeated surveys.

Reconciling value-based objectives for security and identity management

2018 ◽  
Vol 26 (2) ◽  
pp. 194-212 ◽  
Author(s):  
Kane J. Smith ◽  
Gurpreet Dhillon ◽  
Karin Hedström
Keyword(s):  
Health Care ◽  
Identity Management ◽  
Health Care Organization ◽  
Strategic Decision ◽  
Management Approach ◽  
Care Organization ◽  
Content Type ◽  
Stakeholder Groups ◽  
Value Focused Thinking ◽  
Health Organization

Purpose In this paper, using values of individuals in a Swedish health-care organization, electronic identity management objectives related to security are defined. Design/methodology/approach By using value-focused thinking, eliciting values from interviews of three groups of health-care staff’s objective hierarchies for three stakeholder groups are identified and defined. Objective hierarchies allow comparison across multiple stakeholder groups such that strategic objectives for identity management can be compared and contrasted. Findings This qualitative investigation, which used value-focused thinking, revealed 94 subobjectives, grouped into 12 fundamental and 14 means objectives, which are essential for developing measures that address potential value conflicts in a health-care organization around electronic identity management. The objectives developed in this study are grounded socioorganizationally and provide a way forward in developing measures aimed to reducing potential conflicts at a policy level. Originality/value In a final synthesis, congruence (or lack thereof) in the electronic identity management approach for a Swedish health organization is suggested. This also creates a foundation to evaluate and weight different objectives for strategic decision management.

Clinical Guidelines as Plans

2006 ◽  
Vol 45 (02) ◽  
pp. 204-210 ◽  
Author(s):  
B. Smith ◽  
D. M. Pisanelli ◽  
A. Gangemi ◽  
M. Stefanelli ◽  
A. Kumar
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Guidelines ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Two Dimensions ◽  
Care Organization ◽  
Standard Guideline ◽  
Different Levels ◽  
Ontological Theory

Summary Objective: Clinical guidelines are special types of plans realized by collective agents. We provide an ontological theory of such plans that is designed to support the construction of a framework in which guideline-based information systems can be employed in the management of workflow in health care organizations. Method: The framework we propose allows us to represent, in formal terms, how clinical guidelines are realized through the actions of individuals or ganized into teams. We provide various levels of implementation representing different levels of conformity on the part of health care organizations. Result: Implementations built in conformity with our framework are marked by two dimensions of flexibility that are designed to make them more likely to be accepted by health care professionals than standard guideline-based management systems. They do justice to the fact 1) that responsibilities within a health care organization are widely shared, and 2) that health care professionals may on different occasions be non-compliant with guidelines for a variety of well justified reasons. Conclusion: The advantage of the framework lies in its built-in flexibility, its sensitivity to clinical context, and its ability to use inference tools based on a robust ontology. One disadvantage lies in its complicated implementation.

scholarly journals Some Aspects of the Health-Care Institutions Management in Slovenia

Organizacija ◽  
2009 ◽  
Vol 42 (3) ◽  
pp. 95-102
Author(s):  
Jaka Vadnjal ◽  
Jurij Bernik ◽  
Andrej Baričič
Keyword(s):  
Health Care ◽  
Course Design ◽  
Medical Training ◽  
Health Care Organization ◽  
Care Organization ◽  
Organization Management ◽  
Future Design ◽  
Health Care Institutions ◽  
Management Institutions ◽  
Health Organization

Some Aspects of the Health-Care Institutions Management in SloveniaNot much has research has so far been done into the peculiarities of health-care organization management. The motivation was to explore the possible perspectives of the health-organization management system in comparison to other business forms. The hypotheses were tested through a questionnaire that was mailed to managers in health-care institutions. It has been confirmed to a certain degree that managers with a medical training background have different managerial scopes, oriented more to their own profession, including economics of their organization, need for enhanced knowledge and, their managerial style. The implications of the study are at two levels. The future design of training programs for top and middle management institutions will be influenced by the results and findings. At the other level, the implications are expected to arouse interest in the field of multidisciplinary education course design as well as some providing possible background for development of business consulting services in the field.

Quality Assurance to Quality Improvement: The Impact of the Agenda for Changes

1991 ◽  
Vol 2 (1) ◽  
pp. 82-89
Author(s):  
Joanne Moreland
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Patient Care ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Organization ◽  
Flow Monitoring ◽  
The Impact

Health care professionals are committed to the continual improvement of the quality of patient care. The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has launched a major research and development project intended to improve its ability to evaluate health care organizations and encourage greater attention to the quality of daily patient care. This chapter describes JCAHO’s challenge to evaluate capability and performance of health care organizations and practitioners. The intent of JCAHO’s agenda for change is to focus on patient outcomes and quality improvement through a more precise and objective evaluation of both clinical and managerial performance. Through the agenda for change, JCAHO and the health care organization will participate in a continuous-flow monitoring system in which clinical and organizational data are transmitted from the field to JCAHO, analyzed, and fed back to the health care organization

Intelligent Processing of Loosely Structured Documents as a Strategy for Organizing Electronic Health Care Records

1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Database Systems ◽  
Relevant Information ◽  
Full Potential ◽  
Care Organization ◽  
Intelligent Processing ◽  
Data Interchange ◽  
Structured Documents ◽  
Health Care Records

AbstractLoosely structured documents can capture more relevant information about medical events than is possible using today’s popular databases. In order to realize the full potential of this increased information content, techniques will be required that go beyond the static mapping of stored data into a single, rigid data model. Through intelligent processing, loosely structured documents can become a rich source of detailed data about actual events that can support the wide variety of applications needed to run a health-care organization, document medical care or conduct research. Abstraction and indirection are the means by which dynamic data models and intelligent processing are introduced into database systems. A system designed around loosely structured documents can evolve gracefully while preserving the integrity of the stored data. The ability to identify and locate the information contained within documents offers new opportunities to exchange data that can replace more rigid standards of data interchange.

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