Introducing Computer-Based Telemedicine in Three Rural Missouri Counties

Author(s):  
Kimberly D. Harris ◽  
Joseph F. Donaldson ◽  
James D. Campbell

This study investigated predictors of utilization of the computer-based telemedicine in three rural Missouri counties. Participating health care agencies were given computers and access to an Internet-based workstation that provided e-mail and World Wide Web (WWW) services. Utilization data for e-mail messages sent and WWW pages accessed were collected through proxy servers. A survey was distributed to those employees who are enrolled in the Rural Telemedicine Evaluation Project (RTEP), which addressed perceptions of the Internet-based RTEP workstation. The results of the survey were analyzed to see how perceptions and demographic variables predicted actual utilization. The findings of the study revealed that for e-mail, behavioral intentions/attitude, age, organizational support, and time were the most significant predictors. For WWW, only the behavioral intentions/attitude subscale predicted utilization. The majority of respondents did not utilize the e-mail technology. Strategies need to be developed through training interventions and organizational policies to address non-utilization.

Author(s):  
Kimberly D. Harris ◽  
Joseph F. Donaldson ◽  
James D. Campbell

This study investigated predictors of utilization of the computer-based telemedicine in three rural Missouri counties. Participating health care agencies were given computers and access to an Internet-based workstation that provided e-mail and World Wide Web (WWW) services. Utilization data for e-mail messages sent and WWW pages accessed were collected through proxy servers. A survey was distributed to those employees who are enrolled in the Rural Telemedicine Evaluation Project (RTEP), which addressed perceptions of the Internet-based RTEP workstation. The results of the survey were analyzed to see how perceptions and demographic variables predicted actual utilization. The findings of the study revealed that for e-mail, behavioral intentions/attitude, age, organizational support, and time were the most significant predictors. For WWW, only the behavioral intentions/attitude subscale predicted utilization. The majority of respondents did not utilize the e-mail technology. Strategies need to be developed through training interventions and organizational policies to address non-utilization.


Author(s):  
Nestor J. Zaluzec

The Information SuperHighway, Email, The Internet, FTP, BBS, Modems, : all buzz words which are becoming more and more routine in our daily life. Confusing terminology? Hopefully it won't be in a few minutes, all you need is to have a handle on a few basic concepts and terms and you will be on-line with the rest of the "telecommunication experts". These terms all refer to some type or aspect of tools associated with a range of computer-based communication software and hardware. They are in fact far less complex than the instruments we use on a day to day basis as microscopist's and microanalyst's. The key is for each of us to know what each is and how to make use of the wealth of information which they can make available to us for the asking. Basically all of these items relate to mechanisms and protocols by which we as scientists can easily exchange information rapidly and efficiently to colleagues in the office down the hall, or half-way around the world using computers and various communications media. The purpose of this tutorial/paper is to outline and demonstrate the basic ideas of some of the major information systems available to all of us today. For the sake of simplicity we will break this presentation down into two distinct (but as we shall see later connected) areas: telecommunications over conventional phone lines, and telecommunications by computer networks. Live tutorial/demonstrations of both procedures will be presented in the Computer Workshop/Software Exchange during the course of the meeting.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Arash Mashhady

Purpose Supervisors play an important role in the implementation of organizational policies and practices. This study aims to examine the role of supervisors as both recipients and main implementers of organizational change by investigating how supervisors’ relationship with organization would affect their attitude toward change (ATC) and how employees–supervisor relationship, as perceived by employees, would influence their reaction to change. Design/methodology/approach The influence of participation, perceived organizational support (POS) and mutual expectation clarity (MEC) on supervisors’ ATC was examined, along with the influence of leader–member exchange, perception of supervisor’s expressed ATC and also supervisors’ organizational status on employees’ ATC. Two studies were conducted in a chain hospital in India. Findings The findings suggest that supervisors’ ATC improved by higher participation, POS and MEC. Also, while employees’ change attitude was predicted by how they perceived their supervisors’ status, expressed reaction toward change and perception of employee–supervisor relationship, for employees who either perceived highly negative change attitude of their supervisors or believed that their supervisors had low organizational status, the employee–supervisor relationship had almost no effect on improving employees’ attitude. Originality/value Considering that supervisors often tend to engage in professional relationships with their subordinate employees, little is investigated on how, through the lens of relationships, supervisors may affect employees’ ATC. This paper attempts to make a difference by conducting two connected studies in a chain hospital to examine how supervisors – as recipients and implementers of organizational policies and practices – could influence employees’ ATC. The findings suggest managerial implications that could inform practitioners toward improvement of employee buy-ins for change programs.


2015 ◽  
Vol 8 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Enayatollah Homaie Rad ◽  
Akbar Ghaisi ◽  
Masoud Arefnezhad ◽  
Mohsen Bayati

Purpose – The purpose of this paper is to study, inequalities between general physicians’ and specialists’ visits in Shiraz. Also, the factors effecting the utilization of visits were determined. Design/methodology/approach – Concentration index and curves, ranked by income and quality of life were used to estimate the amount of inequality in the utilization of services. Health utilization data which had been gathered already were used for this purpose. Poisson regression was used to construct the models. Findings – Results of the study showed that, inequalities in specialists’ visits were higher than GPs’. Complementary insurances users and females used more specialist services. People with higher quality of life utilized fewer GPs’ and specialists’ services. Originality/value – New evidences about inequality in health services utilization and its components in Iran was surveyed.


2001 ◽  
Vol 2 (2) ◽  
pp. 36-41
Author(s):  
James Day

Abstract E-mail is an increasingly common way to share information within business communities and the general population. This technology can significantly affect the process of and expectations for communications between the clinician and the patient. The unique characteristics and attributes of computer-based communications can ultimately enhance outcomes for patient well-being if the clinician is informed, proactive, and avoids certain potential pitfalls related to the technology and its inclusion within the pattern of care. In this article the author considers the impact of E-mail on personal and professional life and includes ideas the reader may find of value in managing and orchestrating this new dimension for communications.


2006 ◽  
Vol 23 (3) ◽  
pp. 273-283 ◽  
Author(s):  
Frederick A. Seddon

This article reports on an exploratory investigation of the relationship between prior experience of formal instrumental music tuition (FIMT) and the process of collaborative computer-based music composition. The study linked a school in the UK with a school in Norway to engage in computer-mediated collaborative composition via e-mail. Participants were grouped into composing pairs (one from each country) balanced for prior musical experience. Results revealed prior experience of FIMT was associated with extended and complex musical dialogues, critical engagement with musical ideas and produced an ‘exploratory’ environment. No prior experience of FIMT was associated with uncritical and descriptive dialogues and a ‘cumulative’ environment. Proposals for future research are discussed.


1995 ◽  
Vol 13 (2) ◽  
pp. 129-149 ◽  
Author(s):  
Anju Relan

The purpose of this study was to investigate the effects of learning strategy training interventions and the incorporation of learner control on achievement, learning efficiency, and instructional choice, while subjects learned from a computer-based science tutorial. One hundred and seven sixth-graders were randomly divided into six cells, within a 3 × 2 factorial experimental design consisting of two treatment factors: Learner Control ( Complete and Limited), and Strategy Training ( Comprehensive, Partial, and No Training). An ANCOVA performed on the immediate posttest revealed an interaction between Strategy Training and Learner Control, favoring the Limited Learner Control, trained groups. However, the small positive achievement effects were not sustained over the delayed posttest. Total amount of review was not affected by treatments, but an interaction was found between Strategy Training (Partial vs. Comprehensive), and Learner Control on amount of review during practice. These findings are discussed within the framework of learning strategy training research and principles for instructional designs incorporating learner control.


2016 ◽  
Vol 23 (5) ◽  
pp. 521-528 ◽  
Author(s):  
Céline Mavrot ◽  
Iris Stucki ◽  
Fritz Sager ◽  
Jean-François Etter

Introduction Self-help computer-based programs are easily accessible and cost-effective interventions with a great recruitment potential. However, each program is different and results of meta-analyses may not apply to each new program; therefore, evaluations of new programs are warranted. The aim of this study was to assess the marginal efficacy of a computer-based, individually tailored program (the Coach) over and above the use of a comprehensive Internet smoking cessation website. Methods A two-group randomized controlled trial was conducted. The control group only accessed the website, whereas the intervention group received the Coach in addition. Follow-up was conducted by e-mail after three and six months (self-administrated questionnaires). Of 1120 participants, 579 (51.7%) responded after three months and 436 (38.9%) after six months. The primary outcome was self-reported smoking abstinence over four weeks. Results Counting dropouts as smokers, there were no statistically significant differences between intervention and control groups in smoking cessation rates after three months (20.2% vs. 17.5%, p = 0.25, odds ratio (OR) = 1.20) and six months (17% vs. 15.5%, p = 0.52, OR = 1.12). Excluding dropouts from the analysis, there were statistically significant differences after three months (42% vs. 31.6%, p = 0.01, OR = 1.57), but not after six months (46.1% vs. 37.8%, p = 0.081, OR = 1.41). The program also significantly increased motivation to quit after three months and self-efficacy after three and six months. Discussion An individually tailored program delivered via the Internet and by e-mail in addition to a smoking cessation website did not significantly increase smoking cessation rates, but it increased motivation to quit and self-efficacy.


Sign in / Sign up

Export Citation Format

Share Document