Adoption of ICT in Rural Medical General Practices in Australia

2012 ◽  
pp. 40-51 ◽  
Author(s):  
Patricia Deering ◽  
Arthur Tatnall ◽  
Stephen Burgess
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Network Theory ◽  
Medical Records ◽  
Actor Network Theory ◽  
Actor Network ◽  
Its Analysis ◽  
General Practices ◽  
Suitable Framework

ICT has been used in medical General Practice throughout Australia now for some years, but although most General Practices make use of ICT for administrative purposes such as billing, prescribing and medical records, many individual General Practitioners themselves do not make full use of these ICT systems for clinical purposes. The decisions taken in the adoption of ICT in general practice are very complex, and involve many actors, both human and non-human. This means that actor-network theory offers a most suitable framework for its analysis. This article investigates how GPs in a rural Division of General Practice not far from Melbourne considered the adoption and use of ICT. The study reported in the article shows that, rather than characteristics of the technology itself, it is often seemingly unimportant human issues that determine if and how ICT is used in General Practice.

Adoption of ICT in Rural Medical General Practices in Australia

2010 ◽  
Vol 2 (1) ◽  
pp. 54-69 ◽  
Author(s):  
Patricia Deering ◽  
Arthur Tatnall ◽  
Stephen Burgess
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Network Theory ◽  
Medical Records ◽  
Actor Network Theory ◽  
Actor Network ◽  
Its Analysis ◽  
General Practices ◽  
Suitable Framework

ICT has been used in medical General Practice throughout Australia now for some years, but although most General Practices make use of ICT for administrative purposes such as billing, prescribing and medical records, many individual General Practitioners themselves do not make full use of these ICT systems for clinical purposes. The decisions taken in the adoption of ICT in general practice are very complex, and involve many actors, both human and non-human. This means that actor-network theory offers a most suitable framework for its analysis. This article investigates how GPs in a rural Division of General Practice not far from Melbourne considered the adoption and use of ICT. The study reported in the article shows that, rather than characteristics of the technology itself, it is often seemingly unimportant human issues that determine if and how ICT is used in General Practice.

Adoption of ICT in Primary Healthcare in the 21st Century

2019 ◽  
pp. 238-255
Author(s):  
Quazi Omar Faruq ◽  
Arthur Tatnall
Keyword(s):  
Information And Communication Technologies ◽  
General Practitioners ◽  
21St Century ◽  
Primary Healthcare ◽  
Network Theory ◽  
New Technology ◽  
Actor Network Theory ◽  
Communication Technologies ◽  
Actor Network ◽  
Information And Communication

This chapter looks at the use of ICT by medical general practitioners in the Australian eHealth and the Virtual Doctor Program. It discusses introduction, adoption, and use of information and communication technologies in primary healthcare and investigates reasons for adoption, or non-adoption, of these technologies. For a new technology to be put into use, a decision must be made to adopt it, or at least some aspects of it, and this chapter makes use of innovation translation informed by actor-network theory to explain this.

scholarly journals Emergence of a Novel Coronavirus (COVID-19): Protocol for Extending Surveillance Used by the Royal College of General Practitioners Research and Surveillance Centre and Public Health England (Preprint)

2020 ◽  
Author(s):  
Simon de Lusignan ◽  
Jamie Lopez Bernal ◽  
Maria Zambon ◽  
Oluwafunmi Akinyemi ◽  
Gayatri Amirthalingam ◽  
...  
Keyword(s):  
Public Health ◽  
General Practice ◽  
General Practitioners ◽  
Royal College ◽  
Medical Records ◽  
Influenza Surveillance ◽  
General Practices ◽  
New Codes ◽  
Containment Policy ◽  
Tract Infections

BACKGROUND The Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) and Public Health England (PHE) have successfully worked together on the surveillance of influenza and other infectious diseases for over 50 years, including three previous pandemics. With the emergence of the international outbreak of the coronavirus infection (COVID-19), a UK national approach to containment has been established to test people suspected of exposure to COVID-19. At the same time and separately, the RCGP RSC’s surveillance has been extended to monitor the temporal and geographical distribution of COVID-19 infection in the community as well as assess the effectiveness of the containment strategy. OBJECTIVE The aim of this study is the surveillance of COVID-19 in both asymptomatic populations and ambulatory cases with respiratory infections to ascertain both the rate and pattern of COVID-19 spread and to assess the effectiveness of the containment policy. METHODS The RCGP RSC, a network of over 500 general practices in England, extract pseudonymized data weekly. This extended surveillance comprises of five components: (1) Recording in medical records of anyone suspected to have or who has been exposed to COVID-19. Computerized medical records suppliers have within a week of request created new codes to support this. (2) Extension of current virological surveillance and testing people with influenza-like illness or lower respiratory tract infections (LRTI)—with the caveat that people suspected to have or who have been exposed to COVID-19 should be referred to the national containment pathway and not seen in primary care. (3) Serology sample collection across all age groups. This will be an extra blood sample taken from people who are attending their general practice for a scheduled blood test. The 100 general practices currently undertaking annual influenza virology surveillance will be involved in the extended virological and serological surveillance. (4) Collecting convalescent serum samples. (5) Data curation. We have the opportunity to escalate the data extraction to twice weekly if needed. Swabs and sera will be analyzed in PHE reference laboratories. RESULTS General practice clinical system providers have introduced an emergency new set of clinical codes to support COVID-19 surveillance. Additionally, practices participating in current virology surveillance are now taking samples for COVID-19 surveillance from low-risk patients presenting with LRTIs. Within the first 2 weeks of setup of this surveillance, we have identified 3 cases: 1 through the new coding system, the other 2 through the extended virology sampling. CONCLUSIONS We have rapidly converted the established national RCGP RSC influenza surveillance system into one that can test the effectiveness of the COVID-19 containment policy. The extended surveillance has already seen the use of new codes with 3 cases reported. Rapid sharing of this protocol should enable scientific critique and shared learning. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18606

scholarly journals Emergence of a Novel Coronavirus (COVID-19): Protocol for Extending Surveillance Used by the Royal College of General Practitioners Research and Surveillance Centre and Public Health England

10.2196/18606 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e18606 ◽  
Author(s):  
Simon de Lusignan ◽  
Jamie Lopez Bernal ◽  
Maria Zambon ◽  
Oluwafunmi Akinyemi ◽  
Gayatri Amirthalingam ◽  
...  
Keyword(s):  
Public Health ◽  
General Practice ◽  
General Practitioners ◽  
Royal College ◽  
Medical Records ◽  
Influenza Surveillance ◽  
General Practices ◽  
New Codes ◽  
Containment Policy ◽  
Tract Infections

Background The Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) and Public Health England (PHE) have successfully worked together on the surveillance of influenza and other infectious diseases for over 50 years, including three previous pandemics. With the emergence of the international outbreak of the coronavirus infection (COVID-19), a UK national approach to containment has been established to test people suspected of exposure to COVID-19. At the same time and separately, the RCGP RSC’s surveillance has been extended to monitor the temporal and geographical distribution of COVID-19 infection in the community as well as assess the effectiveness of the containment strategy. Objectives The aims of this study are to surveil COVID-19 in both asymptomatic populations and ambulatory cases with respiratory infections, ascertain both the rate and pattern of COVID-19 spread, and assess the effectiveness of the containment policy. Methods The RCGP RSC, a network of over 500 general practices in England, extract pseudonymized data weekly. This extended surveillance comprises of five components: (1) Recording in medical records of anyone suspected to have or who has been exposed to COVID-19. Computerized medical records suppliers have within a week of request created new codes to support this. (2) Extension of current virological surveillance and testing people with influenza-like illness or lower respiratory tract infections (LRTI)—with the caveat that people suspected to have or who have been exposed to COVID-19 should be referred to the national containment pathway and not seen in primary care. (3) Serology sample collection across all age groups. This will be an extra blood sample taken from people who are attending their general practice for a scheduled blood test. The 100 general practices currently undertaking annual influenza virology surveillance will be involved in the extended virological and serological surveillance. (4) Collecting convalescent serum samples. (5) Data curation. We have the opportunity to escalate the data extraction to twice weekly if needed. Swabs and sera will be analyzed in PHE reference laboratories. Results General practice clinical system providers have introduced an emergency new set of clinical codes to support COVID-19 surveillance. Additionally, practices participating in current virology surveillance are now taking samples for COVID-19 surveillance from low-risk patients presenting with LRTIs. Within the first 2 weeks of setup of this surveillance, we have identified 3 cases: 1 through the new coding system, the other 2 through the extended virology sampling. Conclusions We have rapidly converted the established national RCGP RSC influenza surveillance system into one that can test the effectiveness of the COVID-19 containment policy. The extended surveillance has already seen the use of new codes with 3 cases reported. Rapid sharing of this protocol should enable scientific critique and shared learning. International Registered Report Identifier (IRRID) DERR1-10.2196/18606

STRUCTURING A SUCCESSFUL INFORMATION TECHNOLOGY TRANSFER PROCESS: A CASE STUDY FROM THE PERSPECTIVES OF ACTOR NETWORK THEORY

2010 ◽  
Author(s):  
Huda Ibrahim ◽  
Hasmiah Kasimin
Keyword(s):  
Information Technology ◽  
Technology Transfer ◽  
Transfer Process ◽  
Network Theory ◽  
Actor Network Theory ◽  
Developed Countries ◽  
Local Market ◽  
Private Company ◽  
Actor Network ◽  
Technology Transfer Process

An effi cient and effective information technology transfer from developed countries to Malaysia is an important issue as a prerequisite to support the ICT needs of the country to become not only a ICT user but also a ICT producer. One of the factors that infl uences successful information technology transfer is managing the process of how technology transfer occurs in one environment. It involves managing interaction between all parties concerned which requires an organized strategy and action toward accomplishing technology transfer objective in an integrated and effective mode. Using a conceptual framework based on the Actor Network Theory (ANT), this paper will analyse a successful information technology transfer process at a private company which is also a supplier of information technology (IT) products to the local market. This framework will explain how the company has come up with a successful technology transfer in a local environment. Our study shows that the company had given interest to its relationships with all the parties involved in the transfer process. The technology transfer programme and the strategy formulated take into account the characteristics of technology and all those involved.  

The Action of Christian Buildings on their Chinese Environment

2017 ◽  
Vol 23 (2) ◽  
pp. 100-121
Author(s):  
Michel Chambon
Keyword(s):  
Network Theory ◽  
Actor Network Theory ◽  
Active Part ◽  
Architectural Style ◽  
Actor Network

This article explores the ways in which Christians are building churches in contemporary Nanping, China. At first glance, their architectural style appears simply neo-Gothic, but these buildings indeed enact a rich web of significances that acts upon local Christians and beyond. Building on Actor-Network Theory and exploring the multiple ties in which they are embedded, I argue that these buildings are agents acting in their own right, which take an active part in the process of making the presence of the Christian God tangible.

The model of an intelligent information security control system for supply chains based on the spatial concepts of the actor-network theory

2020 ◽  
Vol 5 ◽  
pp. 94-106
Author(s):  
Y.M. Iskanderov ◽  
◽  
M.D. Pautov
Keyword(s):  
Control System ◽  
Information Security ◽  
Supply Chains ◽  
Network Theory ◽  
Actor Network Theory ◽  
Spatial Concepts ◽  
Actor Network ◽  
Information Security Management System ◽  
Security Control ◽  
Intelligent Information

Aim. The use of modern information technologies makes it possible to achieve a qualitatively new level of control in supply chains. In these conditions, ensuring information security is the most important task. The article shows the possibilities of applying the spatial concepts of the actor-network theory in the interests of forming a relevant intelligent information security management system for supply chains. Materials and methods. The article discusses a new approach based on the provisions of the actor-network theory, which makes it possible to form the structure of an intelligent information security control system for supply chains, consisting of three main functional blocks: technical, psychological and administrative. The incoming information security threats and the relevant system responses generated through the interaction of the system blocks were considered as enacting the three Law’s spaces: the space of regions, the space of networks and the space of fl uids. Results. It is shown that the stability of this system in the space of networks is a necessary condition for its successful functioning in the space of regions, and its resilience in the space of fl uids gained through the dynamic knowledge formation helps overcome the adverse effects of the fl uidity. The problems of the intentional / unintentional nature of information security threats, as well as the reactivity / proactivity of the corresponding responses of the intelligent information security management system for supply chains are investigated. Conclusions. The proposed approach showed the possibility of using such an interdisciplinary tool in the fi eld of information security as the concepts of the actor-network theory. The intelligent information security control system built on its basis ensures that almost all the features of solving information security problems in supply chains are taken into account.

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