Multicriteria Models for E-Health Service Evaluation

2011 ◽  
pp. 1976-1993
Author(s):  
Gulcin Buyukozkan ◽  
Ufuk Bilsel
Keyword(s):  
Health Service ◽  
Health Services ◽  
Information Technologies ◽  
Healthcare Services ◽  
Service Evaluation ◽  
Service Planning ◽  
Alternative Methods ◽  
Borda Count ◽  
Provider Perspectives ◽  
Multiple Criteria Evaluation

The use of advanced telecommunication and information technologies has been investigated for several decades as an effort in improving healthcare services. Over the last ten years, in particular, efforts have been centered on telemedicine, which has become an increasingly attractive field of research in healthcare service delivery. This chapter discusses multiple criteria evaluation of electronic healthcare (e-health) services, a branch of telemedicine, with both users’ and practitioners’ (service provider) perspectives. The proposed approach integrates several analytical decision making techniques and can be helpful in increasing the flexibility and efficiency of e-health service planning. Several different discrete alternative methods, namely AHP, Borda Count, LINMAP, and PROMETHEE are utilized to prioritize different e-health services and to evaluate preferences of both users and practitioners.

Multicriteria Models for E-Health Service Evaluation

2011 ◽  
pp. 143-160 ◽  
Author(s):  
Gulcin Buyukozkan ◽  
Ufuk Bilsel
Keyword(s):  
Health Service ◽  
Health Services ◽  
Information Technologies ◽  
Healthcare Services ◽  
Service Evaluation ◽  
Service Planning ◽  
Alternative Methods ◽  
Borda Count ◽  
Provider Perspectives ◽  
Multiple Criteria Evaluation

The use of advanced telecommunication and information technologies has been investigated for several decades as an effort in improving healthcare services. Over the last ten years, in particular, efforts have been centered on telemedicine, which has become an increasingly attractive field of research in healthcare service delivery. This chapter discusses multiple criteria evaluation of electronic healthcare (e-health) services, a branch of telemedicine, with both users’ and practitioners’ (service provider) perspectives. The proposed approach integrates several analytical decision making techniques and can be helpful in increasing the flexibility and efficiency of e-health service planning. Several different discrete alternative methods, namely AHP, Borda Count, LINMAP, and PROMETHEE are utilized to prioritize different e-health services and to evaluate preferences of both users and practitioners.

scholarly journals How to increase the value of self-reported health service data by using data linkage: a case study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Peng ◽  
J Maguire ◽  
A Hayen ◽  
J Adams ◽  
D Sibbritt
Keyword(s):  
Data Collection ◽  
Health Service ◽  
Health Services ◽  
Stroke Prevention ◽  
Data Linkage ◽  
Recurrent Stroke ◽  
Service Planning ◽  
Stroke Survivors ◽  
Reported Data

Abstract Background This is a case study for recurrent stroke prevention. Lifestyle factors account for about 80% of the risk of recurrent stroke. Most health services studies examining stroke prevention rely on stroke survivors' self-reported lifestyle behaviour data. How can researchers increase the value of collected self-reported data to provide additional information for more comprehensive assessments? Methods 45 and Up Study is the largest ongoing study in the Southern Hemisphere focusing on the health of people aged 45 years and older living in NSW, Australia. This case study linked self-reported longitudinal lifestyle data in the 45 and Up Study, with corresponding mortality data (i.e. NSW Registry of Births, Deaths and Marriages & NSW Cause of Death Unit Record File) and hospital data (i.e. NSW Admitted Patient Data Collection) via the Centre for Health Record Linkage (CHeReL). The main outcome measures are health services, clinical outcomes, and mortality rates for stroke care. The analyses will include descriptive analysis, multivariate regression analysis, and survival analysis. Results A total of 8410 stroke survivors who participated in the 45 and Up Study were included in this data linkage study. From January 2006 to December 2015, 99249 hospital claims (mean: 13 times admission to hospital per person) and 2656 death registration records have been linked to these participants. The mean age of the stroke survivors was 72 (SD = 11) years, with 56% being males. These results are preliminary and more analyses will be conducted by using quality of life status, clinical diagnosis, comorbidities, and procedures. Conclusions Data linkage enables researchers to generate comprehensive findings on health services studies and gain a more holistic understanding of the determinants and outcomes of stroke prevention with lower data collection costs and less burden on participants. Key messages Data linkage brings about a new opportunity for self-reported data on health services utilisation. It is a cost-effective way to enhance existing self-reported data via the data linkage approach to increase its usefulness for informing health service planning.

Analysis of health administration data to inform health service planning for paediatric palliative care

2020 ◽  
pp. bmjspcare-2020-002449
Author(s):  
Alison Pauline Bowers ◽  
Natalie Bradford ◽  
Raymond Javan Chan ◽  
Anthony Herbert ◽  
Patsy Yates
Keyword(s):  
Palliative Care ◽  
Health Service ◽  
Health Services ◽  
Hospital Admissions ◽  
Demographic Characteristics ◽  
Service Planning ◽  
Service Usage ◽  
Paediatric Palliative Care ◽  
Icd 10 ◽  
Limiting Condition

BackgroundHealth service planning in paediatric palliative care is complex, with the diverse geographical and demographic characteristics adding to the challenge of developing services across different nations. Accurate and reliable data are essential to inform effective, efficient and equitable health services.AimTo quantify health service usage by children and young people aged 0–21 years with a life-limiting condition admitted to hospital and health service facilities in Queensland, Australia during the 2011 and 2016 calendar years, and describe the clinical and demographic characteristics associated with health services usage.DesignRetrospective health administrative data linkage of clinical and demographic information with hospital admissions was extracted using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision Australian Modification (ICD-10-AM) diagnostic codes. Data were analysed using descriptive statistics.Setting/participantsIndividuals aged 0–21 years with a life-limiting condition admitted to a Queensland Public Hospital and Health Service or private hospital.ResultsHospital admissions increased from 17 955 in 2011 to 23 273 in 2016, an increase of 5318 (29.6%). The greatest percentage increase in admissions were for those aged 16–18 years (58.1%, n=1050), and those with non-oncological conditions (36.2%, n=4256). The greatest number of admissions by ICD-10-AM chapter for 2011 and 2016 were by individuals with neoplasms (6174, 34.4% and 7206, 31.0% respectively). Overall, the number of admissions by Indigenous children and young people increased by 70.2% (n=838).ConclusionsAdministrative data are useful to describe clinical and demographic characteristics and quantify health service usage. Available data suggest a growing demand for health services by children eligible for palliative care that will require an appropriate response from health service planners.

Planning health services

2020 ◽  
pp. 402-411
Author(s):  
David Lawrence
Keyword(s):  
Health Service ◽  
Health Services ◽  
Conceptual Framework ◽  
Service Planning ◽  
Health Service Planning ◽  
Soft Systems ◽  
Successes And Failures

This chapter shows you how to contribute to planning health services successfully at strategic and operational levels. It first explains what health service planning is and the nature of health services as mainly ‘soft’ systems. It provides a conceptual framework for planning and then goes through steps and tasks in planning. It then suggests some ways of overcoming pitfalls, notes some common fallacies about planning, and provides a real planning case study with its successes and failures. Finally, it notes ways to assess how well you are doing

scholarly journals Qualitative analysis of the coordination of major system change within the Colombian health system in response to COVID-19: study protocol

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Simon Turner ◽  
Natalia Niño
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health System ◽  
Case Studies ◽  
Health Systems ◽  
National Level ◽  
System Change ◽  
Service Planning ◽  
Local Health ◽  
Health Service Planning

Abstract Background Coronavirus (COVID-19) is posing a major and unprecedented challenge to health service planning and delivery across health systems internationally. This nationally funded study is analysing the response of the Colombian health system to the COVID-19 pandemic, drawing on qualitative case studies of three local health systems within the country. The approach will be informed by the concept of ‘major system change’—or coordinated change among a variety of healthcare organizations and other relevant stakeholders— to identify processes that both enable and inhibit adaptation of health services to the challenges presented by COVID-19. The study will collect information on capacity ‘bottlenecks’ as well as successful practices and forms of innovation that have emerged locally, which have the potential for being ‘scaled up’ across Colombia’s health services. Methods/design This qualitative study will be undertaken in two phases. In the first, up to 30 stakeholder interviews will be conducted to ascertain immediate challenges and opportunities for improvement in response to COVID-19 that can be shared in a timely way with health service leaders to inform health service planning. The stakeholders will include planning, provider and intermediary organizations within the health system at the national level. In the second, up to 60 further interviews will be conducted to develop in-depth case studies of three local health systems at the metropolitan area level within Colombia. The interview data will be supplemented with documentary analysis and, where feasible, non-participant observation of planning meetings. Discussion The study’s findings will aid evaluation of the relevance of the concept of major system change in a context of ‘crisis’ decision-making and contribute to international lessons on improving health systems’ capacity to respond to COVID-19 and future pandemics. Study findings will be shared among various stakeholders in the Colombian healthcare system in a formative and timely way in order to inform healthcare planning in response to COVID-19 and future pandemics. Conducting the study at a time of COVID-19 raises a number of practical issues (including physical distancing and pressure on health services) which have been anticipated in the study design and research team’s ways of working.

Rural and regional community health service boards: perceptions of community health – a Delphi study

2017 ◽  
Vol 23 (6) ◽  
pp. 543 ◽  
Author(s):  
Diana Guzys ◽  
Guinever Threlkeld ◽  
Virginia Dickson-Swift ◽  
Amanda Kenny
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Delphi Study ◽  
Healthcare Services ◽  
Community Health Services ◽  
Health Improvement ◽  
Strategic Direction ◽  
Rural Community Health ◽  
Governance Training

Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members’ understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community. The Delphi technique was employed to facilitate communication between participants from difference geographic locations. The findings of the study highlight the different ways that participants view the health of their community. Participants prioritised indicators of community health that do not align with standard measures used by government to plan for, fund or report on health. Devolved governance of healthcare services aims to improve local healthcare responsiveness. Yet, if not accompanied with the redistribution of resources and power, policy claimed to promote localised decision-making is simply tokenistic.

scholarly journals MODEL PENGEMBANGAN MASYARAKAT BERBASIS LAYANAN KESEHATAN CUMA-CUMA UNTUK KAUM DHU’AFA Kasus di Pos Sehat Al Ikhwan Parung-Bogor

2014 ◽  
Vol 34 (2) ◽  
pp. 197
Author(s):  
Wati Nilamsari
Keyword(s):  
Health Service ◽  
Community Development ◽  
Health Services ◽  
Local Community ◽  
Research Result ◽  
Healthcare Services ◽  
Development Model ◽  
Community Based ◽  
The Poor

<p>This paper is a research result examining the development model of community-based free health services to the poor (dhuafa) at Pos Sehat Al Ikhwan, Parung-Bogor. The writer used the Rothman and Glen’s theory to analize the case. This study used the local community development model. It is aimed to build the economic autonomy of community, in which they could determine and meet their own needs by using creative and operative processes. Having completed the mentoring process conducted by Da'wah and Communication Faculty, “Pos Sehat Al Ikhwan” attempts to maintain the continuity of health services for the dhu'afa in Bojong Indah, Parung, Bogor by strengthening network of the similar healthcare services being performed by advanced institutions to support the operational of “Pos Sehat”. Some of those are the health service of At Taqwa Mosque, and free health services of Dompet Dhu'afa which is until now still help advocating the “Pos Sehat Al Ikhwan” through connecting the Dompet Dhuafa donors with the “Pos Sehat Al-Ikhwan”.</p><p align="center"><strong>***</strong></p><p>Paper ini merupakan hasil penelitian yang mengkaji tentang Model Pengembangan Masyarakat berbasis layanan kesehatan Cuma-Cuma untuk kaum Dhuafa, dengan mengangkat kasus yang terjadi di Pos Sehat Al Ikhwan, Parung-Bogor. Analisis mengenai model pengembangan masyarakat pada  layanan Kesehatan Pos Sehat Al Ikhwan menggunakan teori dari Rothman dan kawan-kawan maupun Glen. Penelitian ini merupakan model pengembangan masyarakat lokal. Model ini bertujuan untuk membangun kemandirian masyarakat, dimana masyarakat sendiri yang mendefinisikan dan memenuhi kebutuhan mereka sendiri dengan menggunakan proses-proses yang kratif dan operatif. Upaya yang dilakukan oleh Pos Sehat Al Ikhwan untuk menjaga keberlangsungan layanan kesehatan untuk kaum dhu’afa di Desa Bojong Indah, Parung, Bogor setelah selesainya proses pendampingan yang dilakukan oleh Fakultas Dakwah dan Komunikasi yaitu dengan memperkuat jaringan pada layanan kesehatan mandiri yang dilakukan oleh lembaga yang sudah maju untuk mendukung operasional Pos sehat, antara lain dengan Layanan Kesehatan Masjid At Taqwa Bintaro, dan juga Layanan Kesehatan Cuma-Cuma Dompet Dhua’afa yang hingga sekarang melakukan pendampingan pada pos sehat Al Ikhwan melaui mekanisme menghubungkan donatur Dompet Dhuafa dengan pos sehat Al Ikhwan.</p>

scholarly journals Making the link: using long-term cancer survival measures linked with acute care data to plan health services.

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Cameron Wright ◽  
Rachael Moorin
Keyword(s):  
Health Service ◽  
Health Services ◽  
Acute Care ◽  
Service Use ◽  
Cancer Survival ◽  
Service Planning ◽  
Parametric Models ◽  
Expected Number ◽  
Services Research

IntroductionLong-term cancer survival measures have become more important as management has improved outcomes. However, we know some cancer-related acute care use persists into the long-term. This project sought to integrate cancer survival analysis and health services research, validating our modelling retrospectively, for prospective application for health service planning. Objectives and ApproachWe used linked Western Australian cancer registry, mortality and hospitalisation data. Flexible parametric models for first-time invasive cancer diagnoses between 1/1/1997 and 31/12/2006 were used to extract marginal estimates of the cure proportion –that expected not to experience excess mortality from cancer - for those diagnosed in 1999. Fine and Gray competing risks regression was used to estimate the proportion who had died of non-cancer causes. The expected number of individuals diagnosed in 1999 still alive in 2011 was multiplied by the mean expected rate of cancer-related hospitalisations 12 years post-diagnosis (modelled for individuals diagnosed between 1/1/1997 and 31/12/2011). ResultsCure modelling was appropriate for colorectal cancer (CRC) and melanoma. CRC cure proportions were 0.58 for ≤ 50 years at diagnosis, 0.61 for 51 – 70 years, and 0.49 for ≥71 years. For melanoma, corresponding proportions were 0.94, 0.91 and 0.83. The expected number still alive in 2011 was similar to the actual observed in the linked data for the youngest age group, with an over-estimate for older groups. The actual age-standardised, cancer-related hospitalisations in 2011 for those diagnosed with CRC or melanoma in 1999, was within the lower and upper limits of the expected number for all except melanoma diagnosed between 51 and 70 years of age. For this group, observed cancer-related hospitalisations were higher than the expected (355 versus 271 (203 – 341)). Conclusion/ImplicationsCancer registry linked with health service use data can provide useful insights for health service planners. While a decline in cancer-related hospitalisations from diagnosis is expected, this study shows that some demand remains 12 years post-diagnosis. Further refinement of our approach will facilitate its utility in planning cancer-related acute care.

Smiling and accessible health services: Assessment of patients

2017 ◽  
Vol 4 (2) ◽  
pp. 31-40
Author(s):  
Havva Ozturk
Keyword(s):  
Health Service ◽  
Health Services ◽  
Descriptive Study ◽  
Healthcare Services ◽  
Demographic Characteristics ◽  
Healthcare Personnel ◽  
Chi Square ◽  
Chi Square Test ◽  
Selection Of

The current study was done to determine whether smiling and accessible healthcare services were provided to the patients. This descriptive study was conducted at a university. The sample of the study was composed of 188 patients who were hospitalized in hospitals. The data were collected with a questionnaire consisted of 15 questions about patients’ demographic characteristics and their views about smiling and were analyzed with percentages, means, chi-square test.  In the selection of the healthcare personnel, 62% of the patients paid attention to the fact that healthcare personnel should be caring and behave well. However; 83% of the patients stated that they could contact nurses easily while only 2% of the patients could reach physicians easily. In conclusion, patients thought that nurses were more smiling and accessible than physicians and particularly medical secretaries.  Keywords: Health service; nursing; smiling; Turkey.

Rural health services and the task of community participation at the local community level: a case study

2018 ◽  
Vol 42 (1) ◽  
pp. 111 ◽  
Author(s):  
Elena Wilson ◽  
Amanda Kenny ◽  
Virginia Dickson-Swift
Keyword(s):  
Health Policy ◽  
Health Service ◽  
Health Services ◽  
Community Participation ◽  
Rural Health ◽  
Service Planning ◽  
Rural Health Services ◽  
Case Study Methodology ◽  
Rural Health Service

Community participation in health service decision making is entrenched in health policy, with a strong directive to develop sustainable, effective, locally responsive services. However, it is recognised that community participation is challenging to achieve. The aim of the present study was to explore how a rural health service in Victoria enacts community participation at the local level. Using case study methodology, the findings indicate that enactment of community participation is desired by the health service, but a lack of understanding of the concept and how to enact associated policy are barriers that are exacerbated by a lack of resources and community capacity. The findings reveal a disconnect between community participation policy and practice. What is known about the topic? The need to involve communities in health service planning, implementation and evaluation is a feature of health policy across major Western countries. However, researchers have identified a dearth of research on how community participation is enacted at the local service level. What does this paper add? The study that is presented herein addresses a gap in knowledge of community participation policy enactment within a rural health service. Insights are provided into the challenges faced by rural health services, with a disconnect between policy ideal and the reality of implementation. What are the implications for practitioners? Health service staff need clear direction from chief executive officers about the purpose of community participation policy and the expectations for individual roles. Community advisory committees need clarity about the community member role and the processes for making decisions. Services and their boards would benefit from targeted government funding to resource community participation activity.

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