Evaluation Considerations for E-Health Systems

2010 ◽  
pp. 263-277 ◽  
Author(s):  
Anastasia N. Kastania
Keyword(s):  
Health Systems ◽  
Scientific Literature ◽  
Evaluation Studies ◽  
Healthcare Quality ◽  
Evaluation Procedure ◽  
Health Evaluation ◽  
Reliability Improvement ◽  
Quality Dimensions ◽  
Different Dimensions ◽  
Quality And Reliability

E-health evaluation, which involves different dimensions, has increased. In traditional healthcare, quality dimensions exist but these are not sufficiently exploited for e-health. Reliability is often examined regarding technology, software, demand and survival. This chapter reviews the reasons that e-health systems need to be evaluated, the methods followed for conducting e-health evaluation studies and the main points that characterize an evaluation procedure as successful. Many researchers have presented evaluation considerations for e-health. Herein, the emphasis is on analyzing a series of ideas mined from the scientific literature that allows drawing up practical considerations for e-health evaluation. These considerations focus both on quality and reliability assurance as well as on quality and reliability improvement.

Evaluation Considerations for E-Health Systems

2012 ◽  
pp. 1126-1140
Author(s):  
Anastasia N. Kastania
Keyword(s):  
Health Systems ◽  
Scientific Literature ◽  
Evaluation Studies ◽  
Healthcare Quality ◽  
Evaluation Procedure ◽  
Health Evaluation ◽  
Reliability Improvement ◽  
Quality Dimensions ◽  
Different Dimensions ◽  
Quality And Reliability

E-health evaluation, which involves different dimensions, has increased. In traditional healthcare, quality dimensions exist but these are not sufficiently exploited for e-health. Reliability is often examined regarding technology, software, demand and survival. This chapter reviews the reasons that e-health systems need to be evaluated, the methods followed for conducting e-health evaluation studies and the main points that characterize an evaluation procedure as successful. Many researchers have presented evaluation considerations for e-health. Herein, the emphasis is on analyzing a series of ideas mined from the scientific literature that allows drawing up practical considerations for e-health evaluation. These considerations focus both on quality and reliability assurance as well as on quality and reliability improvement.

scholarly journals Hospital accreditation impact on healthcare quality dimensions: a systematic review

2020 ◽  
Vol 32 (8) ◽  
pp. 531-544 ◽  
Author(s):  
Claudia A S Araujo ◽  
Marina Martins Siqueira ◽  
Ana Maria Malik
Keyword(s):  
Quality Indicators ◽  
Quantitative Methods ◽  
Positive Impact ◽  
Healthcare Quality ◽  
Patient Centeredness ◽  
Hospital Accreditation ◽  
Eligibility Criteria ◽  
Healthcare Quality Indicators ◽  
Quality Dimensions ◽  
The Impact

Abstract Purpose To systematically review the impact of hospital accreditation on healthcare quality indicators, as classified into seven healthcare quality dimensions. Data source We searched eight databases in June 2020: EBSCO, PubMed, Web of Science, Emerald, ProQuest, Science Direct, Scopus and Virtual Health Library. Search terms were conceptualized into three groups: hospitals, accreditation and terms relating to healthcare quality. The eligibility criteria included academic articles that applied quantitative methods to examine the impact of hospital accreditation on healthcare quality indicators. Study selection We applied the PICO framework to select the articles according to the following criteria: Population—all types of hospitals; Intervention—hospital accreditation; Comparison—quantitative method applied to compare accredited vs. nonaccredited hospitals, or hospitals before vs. after accreditation; Outcomes—regarding the seven healthcare quality dimensions. After a critical appraisal of the 943 citations initially retrieved, 36 studies were included in this review. Results of data synthesis Overall results suggest that accreditation may have a positive impact on efficiency, safety, effectiveness, timeliness and patient-centeredness. In turn, only one study analyzes the impact on access, and no study has investigated the impact on equity dimension yet. Conclusion Mainly due to the methodological shortcomings, the positive impact of accreditation on healthcare dimensions should be interpreted with caution. This study provides an up-to-date overview of the main themes examined in the literature, highlighting critical knowledge-gaps and methodological flaws. The findings may provide value to healthcare stakeholders in terms of improving their ability to assess the relevance of accreditation processes.

scholarly journals A new tuning fork with different vibration frequencies as an aid to bronchopulmonary hygiene physiotherapy

2014 ◽  
Vol 9 ◽  
Author(s):  
José Roberto De Alcântara ◽  
Roberta Munhoz Manzano ◽  
Maicon Gabriel Gonçalves ◽  
Rodrigo Leonel Dos Santos ◽  
Daniel Donaire Albino ◽  
...  
Keyword(s):  
Tuning Fork ◽  
Scientific Literature ◽  
Fork Length ◽  
Main Function ◽  
Vibration Frequencies ◽  
Fixed Frequency ◽  
Digital Oscilloscope ◽  
Mucociliary System ◽  
Tuning Forks ◽  
Different Dimensions

Background: The main function of the mucociliary system is the removal of particles or substances that are potentially harmful to the respiratory tract. The tuning fork therapeutic for the purpose of bronchial hygiene has still not been described in the literature. The optimal vibration frequency to mobilize secretions is widely debated and varies between 3 and 25 Hz. It is expected that a tuning fork is able to generate vibrations in the thorax, facilitating bronchial hygiene. The aim of the present study is to develop tuning forks with different frequencies, for use in bronchopulmonary hygiene therapy. Methods: The first tuning fork was made with a fixed frequency of 25 Hz and it was recorded in the Brazilian institution of patent registration. This device generated a frequency of 25 Hz and had a weight of 521 g, with dimensions of 600 mm in total length. The device is characterized by a bottom end containing a transducer with a diameter of 62 mm and a thickness of 5/16 mm (8''), a rod removable 148 mm, fork length of 362 mm and an extension at the upper end of sinuous shape bilaterally.The tuning forks must be applied at an angle of 90° directly on the chest wall of the patient after pulmonary auscultation for location of secretions. The tuning fork is activated by squeezing the tips of the extensions together and releasing them in a sudden movement. Results: This study shows the result of the development of others three tuning forks of different dimensions to generate different frequencies. Each equipment reaches a fixed frequency preset of 12, 15 and 20 Hz measured by digital oscilloscope. Conclusions: The tuning fork models developed in this study generated different frequencies proposed by the scientific literature as effective in the mobilization of pulmonary secretions.

scholarly journals Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature

10.2196/22280 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e22280
Author(s):  
Davide Golinelli ◽  
Erik Boetto ◽  
Gherardo Carullo ◽  
Andrea Giovanni Nuzzolese ◽  
Maria Paola Landini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Systems ◽  
Scientific Literature ◽  
Digital Technologies ◽  
Advanced Technology ◽  
Contact Tracing ◽  
Publication Date ◽  
Patient Needs ◽  
The Impact

Background The COVID-19 pandemic is favoring digital transitions in many industries and in society as a whole. Health care organizations have responded to the first phase of the pandemic by rapidly adopting digital solutions and advanced technology tools. Objective The aim of this review is to describe the digital solutions that have been reported in the early scientific literature to mitigate the impact of COVID-19 on individuals and health systems. Methods We conducted a systematic review of early COVID-19–related literature (from January 1 to April 30, 2020) by searching MEDLINE and medRxiv with appropriate terms to find relevant literature on the use of digital technologies in response to the pandemic. We extracted study characteristics such as the paper title, journal, and publication date, and we categorized the retrieved papers by the type of technology and patient needs addressed. We built a scoring rubric by cross-classifying the patient needs with the type of technology. We also extracted information and classified each technology reported by the selected articles according to health care system target, grade of innovation, and scalability to other geographical areas. Results The search identified 269 articles, of which 124 full-text articles were assessed and included in the review after screening. Most of the selected articles addressed the use of digital technologies for diagnosis, surveillance, and prevention. We report that most of these digital solutions and innovative technologies have been proposed for the diagnosis of COVID-19. In particular, within the reviewed articles, we identified numerous suggestions on the use of artificial intelligence (AI)–powered tools for the diagnosis and screening of COVID-19. Digital technologies are also useful for prevention and surveillance measures, such as contact-tracing apps and monitoring of internet searches and social media usage. Fewer scientific contributions address the use of digital technologies for lifestyle empowerment or patient engagement. Conclusions In the field of diagnosis, digital solutions that integrate with traditional methods, such as AI-based diagnostic algorithms based both on imaging and clinical data, appear to be promising. For surveillance, digital apps have already proven their effectiveness; however, problems related to privacy and usability remain. For other patient needs, several solutions have been proposed, such as telemedicine or telehealth tools. These tools have long been available, but this historical moment may actually be favoring their definitive large-scale adoption. It is worth taking advantage of the impetus provided by the crisis; it is also important to keep track of the digital solutions currently being proposed to implement best practices and models of care in future and to adopt at least some of the solutions proposed in the scientific literature, especially in national health systems, which have proved to be particularly resistant to the digital transition in recent years.

Quality and Reliability Aspects in Evidence Based E-Medicine

2010 ◽  
pp. 100-117
Author(s):  
Asen Atanasov
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Healthcare Quality ◽  
Medical Professionals ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Present Evidence ◽  
Evidence Strength ◽  
Quality And Reliability ◽  
Based Medicine

This chapter is a brief survey on some e-medicine resources and international definitions focused on the three main subjects of the healthcare quality – the patient, the costs and the evidence for quality. The patients can find in e-medicine everything that they need, but often without data on the supporting evidence. The medical professionals can learn where to find e-information on cost, quality and patient safety, and, more importantly, how to distinguish claims from evidence by applying the principles of evidence based medicine. The goal is to spread and popularize the knowledge in this field with an emphasis on how one can find, assess and utilize the best present evidence for more effective healthcare. The sites discussed below could assist in the retrieval of information about methods for obtaining evidence along with the ways of measuring evidence strength and limitations. These sites also provide information on implementing the ultimate evidence-based product – clinical guidelines for better medical practice and health service.

The Evaluation of Learner Experience in Serious Games

2022 ◽  
pp. 1521-1548
Author(s):  
Laila Shoukry ◽  
Johannes Konert ◽  
Stefan Göbel
Keyword(s):  
Serious Games ◽  
User Study ◽  
Evaluation Studies ◽  
Relevant Literature ◽  
Evaluation Process ◽  
Special Focus ◽  
Four Dimensions ◽  
Research Fields ◽  
Different Dimensions ◽  
Learner Experience

In this chapter, the topic of evaluating learner experience in serious games is discussed with respect to four different dimensions: gaming, learning, using and context with a special focus on using multimodal data. After reviewing relevant research fields, the steps involved in a serious games evaluation process is investigated and relevant evaluation studies are reviewed with emphasis on the use of different modalities for recording and assessing in-game interactions. Finally, a theoretical framework (LeGUC) is proposed defining parameters related to the four dimensions discussed which can be observed during evaluation studies of serious games and how they relate to logged in-game interactions. The framework is based on relevant literature as well as a conducted observational user study.

Modeling lifetime and degradability of organic compounds in air, soil, and water systems (IUPAC Technical Report)

2001 ◽  
Vol 73 (8) ◽  
pp. 1331-1348 ◽  
Author(s):  
A. Sabljic ◽  
W. Peijnenburg
Keyword(s):  
Organic Compounds ◽  
Rate Constants ◽  
Reaction Rate ◽  
Evaluation Studies ◽  
Direct Calculation ◽  
Degradation Process ◽  
Evaluation Procedure ◽  
Reaction Rate Constants ◽  
Extensive Evaluation ◽  
Soil And Water

Degradability of organic compounds in air, soil, and water is the most important factor for evaluating their environment fate as well as possible adverse effects to humans and the environment. The primary degradation process in the troposphere is the reaction with the hydroxyl radical. For water and soil compartments, the primary degradation process is biodegradation. The objectives of this report are: (i) to review published models and their evaluation studies, (ii) to perform an in-house evaluation of general models for estimating tropospheric degradation and biodegradation of organic compounds, and (iii) to recommend reliable procedures for estimating degradability of organic compounds in the environment. The extensive evaluation procedure has shown that the most accurate method for estimating tropospheric degradation is Atkinson's group contribution method. Although this method has some limitations, it seems to be a method of choice. A viable alternative to Atkinson's method is a direct calculation, performed today almost routinely, of the reaction rate constants with hydroxyl radicals. Recently, a methodology based on reliable semiempirical potential energy surfaces was developed that enables the calculation of reaction rate constants within a factor of 2 of their measured values. A partial least squares (PLS) model and a set of seven biodegradation rules have been found to be the most reliable in estimating complete biodegradation of organic compounds. However, it is recommended to use all four evaluated methods to estimate biodegradation in the environment. If their results agree, such estimates are very reliable.

scholarly journals Are All Quality Dimensions of Equal Importance when Measuring the Perceived Quality of Official Statistics? Evidence from Spain

2014 ◽  
Vol 30 (3) ◽  
pp. 547-562 ◽  
Author(s):  
Alex Costa ◽  
Jaume Garcıá ◽  
Josep Lluis Raymond
Keyword(s):  
Perceived Quality ◽  
Central Administration ◽  
Official Statistics ◽  
Highest Weight ◽  
Information Relevance ◽  
Equal Importance ◽  
Quality Dimensions ◽  
Different Dimensions ◽  
Preliminary Draft

Abstract Quality has become the key concept in official statistics. There is a general consensus that we have to consider several components when assessing the quality of statistical information. Relevance, accuracy, timeliness, punctuality, comparability, coherence, accessibility and clarity are the dimensions most frequently mentioned. In this article we use regression analysis to evaluate the contribution of these different dimensions when assessing the overall quality of statistical products. We do this using the information collected in the structured consultation with users and experts from both inside and outside the Spanish Central Administration carried out by the Working Group of the Spanish High Council on Statistics, responsible for the preliminary draft of the proposals and recommendations of this council for the Spanish Multiannual Statistical Programme 2013-2016. We find that the abovementioned dimensions have different weights in the overall assessment of perceived quality (with accuracy and reliability having the highest weight, and relevance having the lowest) and that the structure differs between both types of users.

Notes: Classifying Research Questions Addressed in Published Evaluation Studies

1994 ◽  
Vol 16 (2) ◽  
pp. 223-230
Author(s):  
Nick L. Smith ◽  
Prachee Mukherjee
Keyword(s):  
Educational Research ◽  
Evaluation Studies ◽  
Health Evaluation ◽  
Logical Operation ◽  
Empirical Educational Research ◽  
Question And Answer ◽  
Research Questions

All question and answer propositions from 25 education and 38 health evaluation studies published between 1976 and 1987 were categorized by means of a 29-category scheme reflecting the logical operation of the evaluation questions. Results of this analysis were compared with a prior classification of questions addressed in empirical educational research. The findings suggest how evaluators may be translating stakeholder concerns into empirical questions and the relationships between evaluation questions and choice of methods. Limitations of this form of analysis are also discussed.

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