Telemedicine and Development

Author(s):  
Gianluca Miscione

This study is based on an ethnographic study of a telemedicine system implemented in Northeastern Peru. This system connects a hospital in the Upper Amazon with health care facilities scattered throughout that area of the jungle. Patients’ transport through the physical nodes of the public health care system relied on rivers and wooden boats, but voice and data can now flow directly through channels apart from the existing health care organization. The time required to reach a doctor might previously have been the travel distance for different medicines served as a justification for people not to follow new ways to recovery. After the implementation of telemedicine, the effectiveness of medical talks depends on the ability to understand each other. Locally there is no single health care practice that is believed to be the right one: patients follow different paths for recovery through traditional and biomedical treatments. Thus, the diverse social environment affects both directly and indirectly the use of the telemedicine system, which evolves accordingly with how public healthcare service is perceived and used.

Author(s):  
Gianluca Miscione

This study is based on an ethnographic study of a telemedicine system implemented in Northeastern Peru. This system connects a hospital in the Upper Amazon with health care facilities scattered throughout that area of the jungle. Patients’ transport through the physical nodes of the public health care system relied on rivers and wooden boats, but voice and data can now flow directly through channels apart from the existing health care organization. The time required to reach a doctor might previously have been the travel distance for different medicines served as a justification for people not to follow new ways to recovery. After the implementation of telemedicine, the effectiveness of medical talks depends on the ability to understand each other. Locally there is no single health care practice that is believed to be the right one: patients follow different paths for recovery through traditional and biomedical treatments. Thus, the diverse social environment affects both directly and indirectly the use of the telemedicine system, which evolves accordingly with how public healthcare service is perceived and used.


2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pia Andersson ◽  
Lotta Dellve ◽  
Gunnar Gillberg ◽  
Hans Lindgren

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.


2012 ◽  
Vol 20 (2) ◽  
pp. 158-167 ◽  
Author(s):  
Carla AA Ventura ◽  
Isabel AC Mendes ◽  
Maria A Trevizan ◽  
Driéli P Rodrigues

Health is a basic human right, and drug use represents a severe influence on people’s health. This qualitative study aimed to understand how health professionals in a public health-care team working with drug users in a city of the state of São Paulo, Brazil, perceive the human rights of these users and how these rights are being respected in health care. Data were collected through semistructured interviews with 10 health professionals at the service under analysis. A thematic analysis of the interviews reveals the professionals’ difficulty to define the concept of human right and contextualize these rights in their work environment. A deeper understanding of the right to health, however, represents an important premise for a more humanized care practice in health services to drug users.


2011 ◽  
Vol 51 (1) ◽  
pp. 58-71 ◽  
Author(s):  
João Porto de Albuquerque ◽  
Edmir P. V. Prado ◽  
Gabriel Raja Machado

This article evaluates social implications of the "SIGA" Health Care Information System (HIS) in a public health care organization in the city of São Paulo. The evaluation was performed by means of an in-depth case study with patients and staff of a public health care organization, using qualitative and quantitative data. On the one hand, the system had consequences perceived as positive such as improved convenience and democratization of specialized treatment for patients and improvements in work organization. On the other hand, negative outcomes were reported, like difficulties faced by employees due to little familiarity with IT and an increase in the time needed to schedule appointments. Results show the ambiguity of the implications of HIS in developing countries, emphasizing the need for a more nuanced view of the evaluation of failures and successes and the importance of social contextual factors.


1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin

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.


2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski

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