Tele-Medicine

2011 ◽  
pp. 1209-1221
Author(s):  
Nabeel A.Y. Al-Qirim

This chapter reviews the strategic planning of health information systems in New Zealand. This step is deemed necessary to identify the main accelerators and/or impediments that influence technology adoption and diffusion in health organisations in New Zealand. This research introduces the tele-medicine technology as one possible solution to provide continuous, quality, and immediate medical care to rural patients and to encourage networking among the different hospitals in New Zealand. This research suggests that in order to realise tele-medicine benefits in health care delivery in New Zealand, certain issues need to be addressed such as implementing comprehensive cost-benefit analysis and identifying the benefits sought from adopting the telemedicine technology. The New Zealand context is unique and this perspective with respect to tele-medicine adoption and success is addressed in this research.

Author(s):  
Nabeel A.Y. Al-Qirim

This chapter reviews the strategic planning of health information systems in New Zealand. This step is deemed necessary to identify the main accelerators and/or impediments that influence technology adoption and diffusion in health organisations in New Zealand. This research introduces the tele-medicine technology as one possible solution to provide continuous, quality, and immediate medical care to rural patients and to encourage networking among the different hospitals in New Zealand. This research suggests that in order to realise tele-medicine benefits in health care delivery in New Zealand, certain issues need to be addressed such as implementing comprehensive cost-benefit analysis and identifying the benefits sought from adopting the tele-medicine technology. The New Zealand context is unique and this perspective with respect to tele-medicine adoption and success is addressed in this research.


2021 ◽  
Author(s):  
◽  
Rachel Gwendoline McInnes

<p>This research applies Frambach's integrated model of the adoption and diffusion of innovations to the adoption of digital technology in the New Zealand motion picture industry. Previous models concerning innovation adoption have typically focused on adopter side variables. The model employed here integrates supply-side variables with the adopter-side variables focused on in traditional research. This research extends Frambach's model to consider the time and extent of adoption. The model is tested through a mail-out survey. Tests of associations between dependent and independent variables are carried out through four measures of association in a bivariate fashion. The results show that supply-side and adopter-side variables are both important influencers of the extent of adoption of digital technology in the motion picture industry. However supply-side factors do not appear to be important determinants of the time of adoption of digital technology in this industry.</p>


2021 ◽  
Author(s):  
◽  
Nicholas Jonathan Preval

<p>Despite New Zealand's temperate climate, New Zealand homes are generally cold, primarily as the result of a historical lack of insulation. Many New Zealand households also suffer fuel poverty and have inadequate domestic space heating, including unflued gas heaters which emit harmful gases directly into the indoor environment. There is a large body of evidence correlating improved domestic space heating and respiratory health outcomes such as asthma. There is also evidence of connections between improved domestic space heating and mental health, COPD, rheumatism, ischaemic heart disease and strokes. Improvements in domestic space heating have the potential to improve occupant health via increased temperatures and reduced dampness, mould, and harmful emissions and also have the potential to reduce household energy bills and CO2 emissions. This potential was the basis of the Housing, Heating and Health Study, a randomised community trial carried out by He Kainga Oranga, the Housing and Health Research Programme of the School of Medicine and Health Sciences of the University of Otago, Wellington, which involved the installation of energy efficient and healthy heaters in the dwellings of families who used ineffective heating and included an asthmatic child aged seven to twelve. This thesis is a cost benefit analysis based primarily on energy use and health outcome related data from the Housing, Heating and Health Study. It concludes that the outcome of the intervention was equivocal from a societal perspective, due in part to limitations of the data and analysis, with a negative "net present value" (NPV) for the baseline scenario, but positive NPVs for a number of alternative scenarios and a strong suggestion that if the full benefits of the intervention were captured that the NPV of the intervention is likely to be positive. Predicted changes to the New Zealand economy resulting from climate change mitigation policies and increasing real energy costs also increase the likelihood that similar future interventions may have a positive NPV.</p>


2021 ◽  
Author(s):  
◽  
Nick Smith

<p>Homes with single glazing represent a large majority of the New Zealand housing stock. With the recent changes to the NZ Building Code Clause H1 Energy Efficiency, new homes require higher glazing thermal performance. This will lead to an increased need for cost effective methods to improve window thermal performance in existing single glazed homes without completely replacing the windows, which includes 'secondary' glazing. There are several secondary glazing options available including 'stick-on' plastic glazing as well as aluminium framed glass solutions that are installed inside the existing joinery. Secondary glazing is marketed as a cost effective alternative to insulated glazing units, providing both improved acoustic and thermal insulation to existing windows. There is little information regarding the in-use performance and cost benefits of secondary glazing in New Zealand. This thesis explores the efficacy of the secondary glazing products when installed in existing single pane frames. A guarded hotbox was used to make thermal resistance measurements on a typical single glazed aluminium window with timber reveal liner. Four common secondary glazing systems were retrofitted into the window - (1) thin plastic film; (2) magnetically-attached acrylic sheet; (3) aluminium framed secondary glazing; and (4) aluminium framed low emissivity (low-E) secondary glazing. Models of 'typical' New Zealand homes created in the ALF building thermal simulation programme were used to explore the heating energy savings and cost benefits provided by the different secondary glazing systems in a range of locations. Of the tested products, the low-E secondary glazing produces the largest cost-benefits. At current energy and material costs, secondary glazing was found to not be a financially viable solution in warmer climates such as Auckland. In cooler climates such as Christchurch and Dunedin, secondary glazing was found to be a cost effective retrofit alternative for existing single glazed homes</p>


PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 799-800
Author(s):  
DONNA-JEAN B. WALKER ◽  
ALLAN FELDMAN ◽  
BETTY R. VOHR ◽  
WILLIAM OH

In Reply.— In response to the comments on our paper1 dealing with the issue of cost-benefit analysis of health care delivery to the very low-birth-weight infants. 1. Neuspiel raised two issues. The first issue refers to placing a dollar value on human life. The final sentence of the abstract of our paper may be read by some to infer that care of infants weighing less than 900 g at birth is not economically beneficial; therefore, these infants should be restricted from receiving this care.


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