Technology Transforming Healthcare

2010 ◽  
pp. 290-306
Author(s):  
Emmett Davis
Keyword(s):  
Health Care ◽  
Complex Adaptive System ◽  
Radical Change ◽  
Control Mechanisms ◽  
Focal Points ◽  
Care Needs ◽  
Complex Adaptive ◽  
Optimal Health ◽  
Smart Technologies ◽  
And Control

Information and knowledge technologies, both alone and embedded in other advancing technologies, will transform health care. These technologies become part of health care because they bring efficiencies until they reach a tipping point where health care cannot function without them. These technologies add to the complexity of health care further creating a complex adaptive system. They function as strange attractors, or focal points, for intense, persistent, and accelerating change, which transforms the culture and control mechanisms of health care. Such smart technologies as artificial intelligence combined with genomic and nanotechnologies may bring about such a radical change that we could not return to today’s health care system. For the transformation to be optimal, health care needs to address such issues as quality improvement processes, more intelligent electronic security, new control mechanisms, redefinition of the boundaries of health care enterprises, and a change from operating in discrete to continuous information flows.

Optimization of the care model for elderly in Poland

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Felicja Lwow ◽  
Małgorzata Korzeniowska ◽  
Joanna Dadacz ◽  
Ewa Hladik ◽  
Agata Łukojko ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Institutional Care ◽  
Developed Countries ◽  
Social Aspect ◽  
Age Group ◽  
Care Needs ◽  
Optimal Health ◽  
Health Care Models ◽  
The Individual

AbstractThe demographic situation of Poland as well as other developed countries shows a growing number of people at retirement age. According to the data from GUS (Central Statistical Office), their number reached 6.5 mln in Poland in 2011, and the prognosis for shows 8,3 mln by the year 2035. The consequence of this fact is a necessity of including the specificity of this age group in the functioning of Polish health care as well as in preventive medicine and health promotion. Unifying the health needs of this age group would be disadvantageous due to the diversification of physical efficiency level in the psychosomatic and social aspect. Nevertheless, the key problem is to distinguish the optimal health care models which include not only chronic conditions and dysfunctions but also the quality of life and socially independent life style that guarantee the lack of isolation and social exclusion. Distinguishing the four action models, namely people considered as healthy by the system, autonomously functioning people with chronic conditions, and people who need other people or institutional care to function in a society, seems to cover the individual needs of this group. Concluding, the National Health Care needs to work out some proceeding algorithms for these models. The optimal program adjustment for the needs of the target group would most certainly improve the effectiveness of the Health Care.

scholarly journals Understanding Patients’ Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery

2021 ◽  
pp. 104973232110024
Author(s):  
Stephanie T. Lumpkin ◽  
Eileen Harvey ◽  
Paul Mihas ◽  
Timothy Carey ◽  
Alessandro Fichera ◽  
...  
Keyword(s):  
Health Care ◽  
Colorectal Surgery ◽  
Health Care Utilization ◽  
Care Coordination ◽  
Health Care Use ◽  
Care Utilization ◽  
Discharge Instructions ◽  
Care Needs ◽  
High Resource ◽  
Optimal Health

Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Thirteen (72%) participants had an unplanned postdischarge health care visit. Participant decision-making was classified by methodology (algorithmic, guided, or impulsive), preexisting rationale, and emotional response to perceived health care needs. Participants voiced clear mental algorithms about when to visit an ED. In addition, participants identified facilitators and barriers to optimal health care use. They also identified tangible targets for health care utilization reduction efforts, such as improved care coordination with streamlined discharge instructions and improved communication with the surgical team. Efforts should be directed at improving postdischarge communication and care coordination to reduce CRS patients’ high-resource health care utilization.

scholarly journals Proposal of an Activity-Based Adaptive Process Model for Innovative Design

2013 ◽  
Author(s):  
Qiang Zhang ◽  
Ioana Deniaud ◽  
Claude Baron ◽  
Emmanuel Caillaud
Keyword(s):  
Process Model ◽  
Complex Adaptive System ◽  
Evaluation Methodology ◽  
Design Activity ◽  
Model Framework ◽  
Innovative Design ◽  
Adaptive Process ◽  
Complex Adaptive ◽  
Process Architecture ◽  
And Control

In this paper, we introduced an activity-based adaptive process model that views innovative design as a complex adaptive system. Instead of predefining the process architecture, we constructed the model framework by adaptively selecting the design activity by the activity value. We defined the activity value as the complexity reduction associated with the possibility of satisfying the design targets and design stages. Moreover, this paper contributes an expert evaluation methodology to evaluate the activity value in order to balance innovation and control. Finally, we applied the model to an industrial case and analyzed the simulation results.

scholarly journals The spectrum of control: A social theory of the smart city

First Monday ◽  
2015 ◽  
Author(s):  
Jathan Sadowski ◽  
Frank Pasquale
Keyword(s):  
Internet Of Things ◽  
Social Theory ◽  
Smart City ◽  
Critical Infrastructure ◽  
The Internet ◽  
Control Mechanisms ◽  
Physical Objects ◽  
Smart Technologies ◽  
And Control ◽  
The Internet Of Things

There is a certain allure to the idea that cities allow a person to both feel at home and like a stranger in the same place. That one can know the streets and shops, avenues and alleys, while also going days without being recognized. But as elites fill cities with “smart” technologies — turning them into platforms for the “Internet of Things” (IoT): sensors and computation embedded within physical objects that then connect, communicate, and/or transmit information with or between each other through the Internet — there is little escape from a seamless web of surveillance and power. This paper will outline a social theory of the “smart city” by developing our Deleuzian concept of the “spectrum of control.” We present two illustrative examples: biometric surveillance as a form of monitoring, and automated policing as a particularly brutal and exacting form of manipulation. We conclude by offering normative guidelines for governance of the pervasive surveillance and control mechanisms that constitute an emerging critical infrastructure of the “smart city.”

Academic Institutions’ Critical Guidelines for Health Care Workers Who Deploy to West Africa for the Ebola Response and Future Crises

2015 ◽  
Vol 9 (5) ◽  
pp. 586-590 ◽  
Author(s):  
Hilarie Cranmer ◽  
Miriam Aschkenasy ◽  
Ryan Wildes ◽  
Stephanie Kayden ◽  
David Bangsberg ◽  
...  
Keyword(s):  
Health Care ◽  
West Africa ◽  
Health Care Workers ◽  
Ebola Virus ◽  
Virus Disease ◽  
Care Needs ◽  
Medical Response ◽  
Care Workers ◽  
Health Care Infrastructure ◽  
And Control

AbstractThe unprecedented Ebola Virus Disease (EVD) outbreak in West Africa, with its first cases documented in March 2014, has claimed the lives of thousands of people, and it has devastated the health care infrastructure and workforce in affected countries. Throughout this outbreak, there has been a critical lack of health care workers (HCW), including physicians, nurses, and other essential non-clinical staff, who have been needed, in most of the affected countries, to support the medical response to EVD, to attend to the health care needs of the population overall, and to be trained effectively in infection protection and control. This lack of sufficient and qualified HCW is due in large part to three factors: 1) limited HCW staff prior to the outbreak, 2) disproportionate illness and death among HCWs caused by EVD directly, and 3) valid concerns about personal safety among international HCWs who are considering responding to the affected areas. These guidelines are meant to inform institutions who deploy professional HCWs. (Disaster Med Public Health Preparedness. 2015;9:586–590)

scholarly journals Better and fulfilling healthcare at lower costs: The need to manage health systems as complex adaptive systems

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 789 ◽  
Author(s):  
Joachim P. Sturmberg ◽  
Johannes Bircher
Keyword(s):  
Health Care ◽  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Complex Adaptive System ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
Best Interests ◽  
Top Down ◽  
Behavioral Norms ◽  
Complex Adaptive

Rising healthcare costs are major concerns in most high-income countries. Yet, political measures to reduce costs have so far remained futile and have damaged the best interests of patients and citizen. We therefore explored the possibilities to analyze healthcare systems as a socially constructed complex adaptive system (CAS) and found that by their very nature such CAS tend not to respond as expected to top-down interventions. As CAS have emergent behaviors, the focus on their drivers – purpose, economy and behavioral norms – requires particular attention. First, the importance of understanding the purpose of health care as improvement of health and its experience has been emphasized by two recent complementary re-definitions of health and disease. The economic models underpinning today’s healthcare – profit maximization – have shifted the focus away from its main purpose. Second, although economic considerations are important, they must serve and not dominate the provision of healthcare delivery. Third, expected health professionals’ behavioral norms – to first consider the health and wellbeing of patients – have been codified in the universally accepted Declaration of Geneva 2017. Considering these three aspects it becomes clear that complex adaptive healthcare systems need mindful top-down/bottom-up leadership that supports the nature of innovation for health care driven by local needs. The systemic focus on improving people’s health will then result in significant cost reductions.

C2 Model of Agent-Based Radar Network

2013 ◽  
Vol 347-350 ◽  
pp. 1063-1067
Author(s):  
Zao Zhang ◽  
Guang Ya Si
Keyword(s):  
Adaptive System ◽  
Complex Adaptive System ◽  
Command And Control ◽  
Agent Based ◽  
Radar Network ◽  
Complex Adaptive ◽  
And Control ◽  
Made In

Radar network is a typical complex adaptive system (CAS). The command and control (C2) of radar network plays a big part in improving the quality of the acquired data and the anti-damage ability of radar network. On the basis of analyzingradar networkcombat process,a method based on Agent was proposed to establish command and control (C2) modelof radar network.The structure of the Agent was put forward and based on that, theadaptive C2 model was represented as a 6-tuple system.The simulation experimentwas made in the presumed background and the results showed that the modeling of adaptive command and control of radar network was implemented.

Dangerous Times for Medicaid

2005 ◽  
Vol 33 (4) ◽  
pp. 834-843 ◽  
Author(s):  
John V. Jacobi
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Safety Net ◽  
Care Providers ◽  
Care Needs ◽  
Scarce Resources ◽  
Health Care Safety Net ◽  
The Poor ◽  
The Subject ◽  
And Control

These are indeed dangerous times. In the name of “cost-effectiveness,” we cut back health benefits to the poor, who are more likely to be sick than the nonpoor. We miss our chance to heal. In the setting, we’re told, of “scarce resources,” we imperil the health care safety net. In the name of expedience, we miss our chance to be humane and compassionate.’Medicaid is again - still - the subject of reform discussions in Washington and in state capitals. The program has been subject to varying, sometimes conflicting pressures since its inception. Its primary purpose has been serving the health care needs of the poor and disabled. It was structured, however, to appeal to (or at least to not alienate) private health care providers. In addition, its mix of state and federal funding and control was intended to draw in the states as partners.

eSelf or Computerized Self Network

2013 ◽  
Vol 3 (2) ◽  
pp. 20-32
Author(s):  
Fereydoon Baradaran Bagheri
Keyword(s):  
Health Care Providers ◽  
Complex Adaptive System ◽  
Personal Health Information ◽  
Personal Health ◽  
Conceptual System ◽  
Self Awareness ◽  
Care Providers ◽  
Complex Adaptive ◽  
Optimal Health ◽  
Self Knowledge

Empowering individuals is carried out through improving self-knowledge and self-awareness and maximization of their autonomous self-regulatory potential. In order to improve individual self-knowledge the author needs to provide evidence-based and need-oriented information to individuals and help them to process and self-reflect this information This paper attempts to describe a conceptual system, called Electronic-Self or Computerized Self Network, encompassing Medical Informatics Systems, Personal Informatics System, and Optimal Health Care Providers and explain how such a system can be considered as a practical solution. eSelf a complex adaptive system and based complexity sciences rules. eSelf strategy for individual empowerment based on each individual should be in personal health context play two role philosopher and scientist in personal health information processing and embodied self awareness.

Sign in / Sign up

Export Citation Format

Share Document