Perspectives of policymakers and service-users concerning the implementation of eHealth in Sweden: how do the “back-end” and the “front-end” meet? (Preprint)

2021 ◽  
Author(s):  
Margit Neher ◽  
Annette Nygårdh ◽  
Anders Broström ◽  
Johan Lundgren ◽  
Peter Johansson
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Healthcare System ◽  
Service User ◽  
Qualitative Content Analysis ◽  
Barriers And Facilitators ◽  
User Needs ◽  
Service Users ◽  
Implementation Barriers ◽  
Stakeholder Groups

BACKGROUND Because of the increasing lifespan of populations in many countries and the growing demand for more advanced care, the need for effective and cost-efficient provision of healthcare is a matter of national concern. eHealth technology is often proposed, although research about barriers and facilitators for the implementation of eHealth technology is still scarce and fragmented in groups of stakeholders, including policymakers and service users. OBJECTIVE The aim of this study was to explore perceptions concerning barriers and facilitators for the implementation of eHealth among policymakers and of service-users, and also to explore the ways in which their perceptions converge and differ. METHODS The study applied a qualitative study design. In the first step, Qualitative Content Analysis was performed separately in two groups: policymakers at different levels in healthcare (n=7) and service users (n= 25). Differences and commonalities between the two groups were explored through a second Qualitative Content Analysis. RESULTS Implementation barriers perceived by policymakers were that not all service-users benefit from eHealth, and uncertainty about the impact of eHealth on the work of healthcare professionals. Policymakers also perceived political decision-making as complex, they had a fear of problems with the provision of technical infrastructure and perceived that extra resources for healthcare digitalization were lacking. Perceived facilitators were policymakers´ conviction that e-Health is what citizens want, their belief in eHealth solutions as beneficial for healthcare practice and their belief in the importance of healthcare digitalization. Perceived implementation barriers for service-users consisted of capability limitations and/or varied preferences of service-users and a mismatch of technology with user needs, as well as lack of data protection and their perception of eHealth as more time-consuming. Perceived facilitators for service-users were user-friendly design of the eHealth technology and match to the skill-set of service-user as were personal feedback and staff support, a sense of privacy, a credible sender and the flexible use of time. There were several commonalities between the two stakeholder groups. Facilitators for both groups were the strong impetus towards technology adoption in society, and expectations of time-flexibility. Both groups perceived barriers in the difficulties of tailoring eHealth to different users’ capabilitíes and preferences, and both expressed uncertainty about the care burden distribution. There were also differences: policy-makers perceived that their decision-making was very complex and that resources for implementation were limited. Service-users highlighted their need to feel that their digital data were protected and that they needed to trust the eHealth “sender”. CONCLUSIONS Perceptions about barriers and facilitators for eHealth implementation varied between stakeholders in different parts of the healthcare system. The study points to the need to exchange knowledge between the stakeholder groups in order to reach a mutual understanding of priorities, and to overcome challenges at both the micro- and macro-levels of the healthcare system. More well-balanced decisions at the policymaker level in relation to service-user needs may lead to more effective and sustainable development and future implementation of eHealth.

Institutionalization of Business Intelligence for the Decision-Making Iteration

2021 ◽  
pp. 267-287
Author(s):  
Shaheb Ali ◽  
Rafiqul Islam ◽  
Ferdausur Rahman
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Information Management ◽  
Business Intelligence ◽  
Qualitative Content Analysis ◽  
Research Area ◽  
The Body ◽  
Research Articles ◽  
Body Of Knowledge ◽  
Management Capability

Business intelligence (BI) institutionalization has become a growing research area within the information systems (IS) discipline because of the decision-making iteration in businesses. Studies on BI application in improving decision support are not new. However, research on BI institutionalization seems sparse. BI institutionalization may positively contribute to a managerial role in using BI application repetitively for the decision-making iteration in businesses. This article aims to carry out an integrative literature review and report consolidated views of the body of knowledge. The study adopted a qualitative content analysis to generate themes about BI routinization in the decision-making iteration. Eighty-eight research articles were selected for the study. However, 57 articles were finally included for review. The findings suggest information management capability as the key necessity for BI application and its alignment with the organizational standard for BI institutionalization.

scholarly journals Understanding Behavioral Intent to Participate in Shared Decision-making in Medically Uncertain Situations

2012 ◽  
Vol 51 (04) ◽  
pp. 301-308 ◽  
Author(s):  
K. Dunn ◽  
J. Zhang ◽  
C. E. Hsu ◽  
J. H. Holmes ◽  
R. M. Maffei
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Shared Decision Making ◽  
Information Seeking ◽  
Health Informatics ◽  
Qualitative Content Analysis ◽  
Shared Decision ◽  
Behavioral Intent ◽  
Patient Interview ◽  
Medical Uncertainty

SummaryObjective: This article describes the process undertaken to identify and validate behavioral and normative beliefs and behavioral intent based on the Theory of Reasoned Action (TRA) and applied to men between the ages of 45 and 70 in the context of their participation in shared decision-making (SDM) in medically uncertain situations. This article also discusses the preliminary results of the aforementioned processes and explores potential future uses of this information that may facilitate greater understanding, efficiency and effectiveness of clinician-patient consultations.Materials and Methods: Twenty-five male subjects from the Philadelphia community participated in this study. Individual semi-structure patient interviews were conducted until data saturation was reached. Based on their review of the patient interview transcripts, researchers conducted a qualitative content analysis to identify prevalent themes and, subsequently, create a category framework. Qualitative indicators were used to evaluate respondents’ experiences, beliefs, and behavioral intent relative to participation in shared decision-making during medical uncertainty.Results: Based on the themes uncovered through the content analysis, a category framework was developed to facilitate understanding and increase the accuracy of predictions related to an individual’s behavioral intent to participate in shared decision-making in medical uncertainty. The emerged themes included past experience with medical uncertainty, individual personality, and the relationship between the patient and his physician. The resulting three main framework categories include 1) an individual’s Foundation for the concept of medical uncertainty, 2) how the individual Copes with medical uncertainty, and 3) the individual’s Behavioral Intent to seek information and participate in shared decision-making during times of medically uncertain situations.Discussion: The theme of Coping (with uncertainty) emerged as a particularly critical behavior/characteristic amongst the subjects. By understanding a subject’s disposition with regard to coping, researchers were better able to make connections between a subject’s prior experiences, their knowledge seeking activities, and their intent to participate in SDM. Despite having information and social support, the subjects still had to cope with the idea of uncertainty before determining how to proceed with regard to shared decision-making. In addition, the coping category reinforced the importance of information seeking behaviors and preferences for shared decision-making.Conclusions: This study applies and extends the field of behavioral and health informatics to assist medical practice and decision-making in situations of medical uncertainty. More specifically, this study led to the development of a category framework that facilitates the identification of an individual’s needs and motivational factors with regard to their intent to participate in shared decision-making in situations of medical uncertainty.

The Populist Discourse on Representation in Lithuania

2020 ◽  
Vol 28 (5) ◽  
pp. 744-760
Author(s):  
Jogilė Ulinskaitė
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Political Parties ◽  
Empirical Study ◽  
Political Identity ◽  
Political Representation ◽  
Qualitative Content Analysis ◽  
Moral Values ◽  
Election Manifestos ◽  
2016 Election

Populist parties participate in the process of political representation through elections. Little is known about how they conceptualize this process since their statements refer to a direct involvement of citizens in decision-making and disapprove of representatives. This article addresses this issue and presents an empirical study about how Lithuanian populist political parties define political representation. The data come from the 2016 election manifestos and from party websites between April 2016 and September 2017. The qualitative content analysis reveals that populists define representation by referencing common moral values and constant communication with citizens. This helps them create a political identity common to themselves as representatives and the represented.

Patient involvement in consultation for atrial fibrillation – the cardiologists’ perspective

2019 ◽  
Vol 32 (4) ◽  
pp. 765-776 ◽  
Author(s):  
Ulla Hellström Muhli ◽  
Jan Trost ◽  
Eleni Siouta
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Content Analysis ◽  
Shared Decision Making ◽  
Patient Involvement ◽  
Qualitative Content Analysis ◽  
Medical Consultation ◽  
Shared Decision ◽  
Consultation Process ◽  
Content Type

Purpose The purpose of this paper is to analyse the accounts of Swedish cardiologists concerning patient involvement in consultations for atrial fibrillation (AF). The questions were: how cardiologists handle and provide scope for patient involvement in medical consultations regarding AF treatment and how cardiologists describe their familiarity with shared decision-making. Design/methodology/approach A descriptive study was designed. Ten interviews with cardiologists at four Swedish hospitals were held, and a qualitative content analysis was performed on the collected data. Findings The analysis shows cardiologists’ accounts of persuasive practice, protective practice, professional role and medical craftsmanship when it comes to patient involvement and shared decision-making. The term “shared decision-making” implies a concept of not only making one decision but also ensuring that it is finalised with a satisfactory agreement between both parties involved, the patient as well as the cardiologist. In order for the idea of patient involvement to be fulfilled, the two parties involved must have equal power, which can never actually be guaranteed. Research limitations/implications Methodologically, this paper reflects the special contribution that can be made by the research design of descriptive qualitative content analysis (Krippendorff, 2004) to reveal and understand cardiologists’ perspectives on patient involvement and participation in medical consultation and shared decision-making. The utility of this kind of analysis is to find what cardiologists said and how they arrived at their understanding about patient involvement. Accordingly, there is no quantification in this type of research. Practical implications Cardiologists should prioritise patient involvement and participation in decision-making regarding AF treatment decisions in consultations when trying to meet the request of patient involvement. Originality/value Theoretically, the authors have learned that the patient involvement and shared decision-making requires the ability to see patients as active participants in the medical consultation process.

scholarly journals Barriers and Facilitators of Adherence to the COVID-19 Prevention Guidelines: A Qualitative Study

2021 ◽  
Vol 6 (1) ◽  
pp. 9-20
Author(s):  
Shoaib Dehghani ◽  
◽  
Arash Pooladi ◽  
Bijan Nouri ◽  
Sina Valiee ◽  
...  
Keyword(s):  
Content Analysis ◽  
Sampling Method ◽  
Qualitative Content Analysis ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Analysis Study ◽  
The People ◽  
Data Saturation ◽  
Conventional Content Analysis ◽  
Prevention Guidelines

Background: Despite the recommendations to follow guidelines for the prevention of COVID-19, different communities do not completely adhere to these guidelines. The aim of this study was to explore the barriers and facilitators of the adherence of the people of Sanandaj to the COVID-19 prevention guidelines. Materials & Methods: The present study was a qualitative content analysis study conducted in 2020. A purposive sampling method among the residents of Sanandaj, Iran was applied and continued until data saturation was achieved. Twenty semi-structured interviews were conducted with the participants. A verbatim transcription of interviews was analyzed through qualitative conventional content analysis. Results: Participants included 12 men and 8 women. Data analysis yielded 8 categories and 26 sub-categories regarding the barriers and facilitators of the participants’ adherence to the COVID-19 prevention guidelines. The barriers included myths, being under pressure, and letting and facilitators included awareness, fear, commitment, unity against the disease, and warnings. Conclusion: According to the findings, it is necessary to correct people’s beliefs, support them, and continue to make them informed about the disease. Increasing awareness and commitment, strengthening the spirit of unity among people, and increasing the level of warnings can be effective in increasing adherence of people to the COVID-19 prevention guidelines.

Managing boundaries at the accident scene – a qualitative study of collaboration exercises

2014 ◽  
Vol 3 (1) ◽  
pp. 77-94 ◽  
Author(s):  
Annika Andersson ◽  
Eric D. Carlstrom ◽  
Bengt Ahgren ◽  
Johan M. Berlin
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Design Methodology ◽  
Qualitative Content Analysis ◽  
Lessons Learned ◽  
Leadership Roles ◽  
Content Type ◽  
Organisational Routines ◽  
Injured Patients ◽  
Accident Scene

Purpose – The purpose of this paper is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration. Design/methodology/approach – Interviews with 23 participants from four collaboration exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis. Findings – Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision making. Originality/value – The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.

Report and repeat: Investigating Facebook’s hate speech removal process

First Monday ◽  
2020 ◽  
Author(s):  
Caitlin Ring Carlson ◽  
Hayley Rousselle
Keyword(s):  
Decision Making ◽  
Social Media ◽  
Content Analysis ◽  
Policy Change ◽  
Hate Speech ◽  
Qualitative Content Analysis ◽  
Decision Making Process ◽  
Removal Processes ◽  
The Universe ◽  
Universe Of Discourse

Social media is rife with hate speech. Although Facebook prohibits this content on its site, little is known about how much of the hate speech reported by users is actually removed by the company. Given the enormous power Facebook has to shape the universe of discourse, this study sought to determine what proportion of reported hate speech is removed from the platform and whether patterns exist in Facebook’s decision-making process. To understand how the company is interpreting and applying its own Community Standards regarding hate speech, the authors identified and reported hundreds of comments, posts, and images featuring hate speech to the company (n=311) and recorded Facebook’s decision regarding whether or not to remove the reported content. A qualitative content analysis was then performed on the content that was and was not removed to identify trends in Facebook’s content moderation decisions about hate speech. Of particular interest was whether the company’s 2018 policy update resulted in any meaningful change.Our results indicated that only about half of reported content containing hate speech was removed. The 2018 policy change also appeared to have little impact on the company’s decision-making. The results suggest that Facebook also had substantial issues including: removing misogynistic hate speech, establishing consistency in removing attacks and threats, an inability to consider context in removal decisions, and a general lack of transparency within the hate speech removal processes. Facebook’s failure to effectively remove reported hate speech allows misethnic discourses to spread and perpetuates stereotypes. The paper concludes with recommendations for Facebook and other social media organizations to consider to minimize the amount and impact of hate speech on their platforms.

Responsibility, rationality, and acceptance: How future users of autonomous driving are constructed in stakeholders’ sociotechnical imaginaries

2019 ◽  
Vol 29 (1) ◽  
pp. 61-75 ◽  
Author(s):  
Antonia Graf ◽  
Marco Sonnberger
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emerging Technologies ◽  
Qualitative Content Analysis ◽  
Autonomous Driving ◽  
Minor Role ◽  
Social Constructions ◽  
Sociotechnical Imaginaries ◽  
The Future ◽  
A Minor

Although autonomous driving is expected to provide a solution for various mobility-related issues, ideas on how the technology will actually unfold are vague. Nevertheless, stakeholders in the field hold expectations about the technology and the future users. With very few exceptions, so far research does not focus on these expectations as social constructions of individuals and publics. In addition, these perceptions play only a minor role in the technology-centered debate. Thus, to bring these perceptions to light and to analyze their implications, we draw on the sociotechnical imaginaries approach to reconstruct stakeholders’ views of future users and publics. We perform a qualitative content analysis and show that imaginaries unfold along the themes of responsibility for the process of driving, rationality in decision-making, and acceptance for emerging technologies. We discuss how the themes relate to each other, what role science plays, and what implications follow from the respective stakeholders’ views.

scholarly journals EMPOWERING WOMEN THROUGH ISLAMIC MICROFINANCE: EXPERIENCE OF BMT BERINGHARJO

2018 ◽  
Vol 3 (1) ◽  
pp. 89
Author(s):  
IZZANI ULFI
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Primary Data ◽  
Women Empowerment ◽  
Economic Aspects ◽  
Analysis Method ◽  
Community Activities ◽  
Content Analysis Method ◽  
Islamic Microfinance

This study aims to analyze the benefits of empowering women program through Islamic microfinance program by focusing on the case of Baitulmal wat Tamwil (BMT) in Beringharjo, Indonesia. It is expected to fill the gap in the literature since most of the current studies have been focusing on conventional microfinance rather than Islamic microfinance. This study used primary data collected by interviewing participants of the Islamic microfinance program offered by the BMT. The Qualitative Content Analysis method has been used to extend the conceptual theoretical framework and give wider results description that could not be captured by the quantitative approach. The result shows that there were improvements in various socio-economic aspects of the participants such as higher income and expenditure, and more involvements in community activities, decision making and children’s education. While the focus of this study is only limited to the case of BMT Beringharjo in Jogjakarta, Indonesia, the findings from this study can be generalized and would contribute towards further improvements of future women empowerment programs throughout the globe.

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