A Computational Perspective of Knowledge Empowerment for Healthcare Decision Making

2016 ◽  
Vol 3 (3) ◽  
pp. 16-35
Author(s):  
Timothy Jay Carney
Keyword(s):  
Computational Models ◽  
Healthcare Delivery ◽  
Research Literature ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Simulation Experiments ◽  
Healthcare Decision Making ◽  
Computational Perspective ◽  
Centered Care ◽  
The Relationship

People in a variety of settings can be heard uttering the phrase that “knowledge is power” or the relatively equivalent concept that “information is power.” However, the research literature in particular lacks a simple and standardized way to examine the relationship between knowledge and power. There is a lack operational quantitative definitions of this relationship to adequately support the building of complex computational models used in addressing some longstanding public health and healthcare delivery issues like differential access to care, inequitable care and treatment, institutional bias, disparities in health outcomes, and eliminating barriers to patient-centered care. The objective of this discussion is to present a relational algorithm that can be used in both conceptual discussions on knowledge empowerment modeling, as well as in the building of computational models that want to explore the variable of knowledge empowerment within computer simulation experiments.

A Computational Perspective of Knowledge Empowerment for Healthcare Decision Making

2017 ◽  
pp. 134-155
Author(s):  
Timothy Jay Carney
Keyword(s):  
Public Health ◽  
Computational Models ◽  
Healthcare Delivery ◽  
Research Literature ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Healthcare Decision Making ◽  
Computational Perspective ◽  
Centered Care ◽  
The Relationship

People in a variety of settings can be heard uttering the phrase that “knowledge is power” or the relatively equivalent concept that “information is power.” However, the research literature in particular lacks a simple and standardized way to examine the relationship between knowledge and power. There is a lack operational quantitative definitions of this relationship to adequately support the building of complex computational models used in addressing some longstanding public health and healthcare delivery issues like differential access to care, inequitable care and treatment, institutional bias, disparities in health outcomes, and eliminating barriers to patient-centered care. The objective of this discussion is to present a relational algorithm that can be used in both conceptual discussions on knowledge empowerment modeling, as well as in the building of computational models that want to explore the variable of knowledge empowerment within computer simulation experiments.

scholarly journals Quality and safety by design

2006 ◽  
Vol 15 (suppl 1) ◽  
pp. i1-i3 ◽  
Author(s):  
J B Battles
Keyword(s):  
Healthcare Delivery ◽  
Clinical Work ◽  
Design Methods ◽  
Quality And Safety ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Framework Design ◽  
Design Attributes ◽  
Centered Care

Rather than continuing to try to measure the width and depths of the quality chasm, a legitimate question is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge rather than as a quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care. Is it possible to actually design in quality and design out failure? A three level conceptual framework design would use the six quality aims laid out in Crossing the quality chasm. The first or core level of the framework would be designing for patient centered care, with safety as the second level. The third design attributes would be efficiency, effectiveness, timeliness, and equity. Design methods and approaches are available that can be used for the design of healthcare organizations and facilities, learning systems to train and maintain competency of health professionals, clinical systems, clinical work, and information technology systems. In order to bring about major improvements in quality and safety, these design methods can and should be used to redesign healthcare delivery systems.

Expanding Role of Telephone Systems in Healthcare

2017 ◽  
pp. 564-598
Author(s):  
Jing Shi ◽  
Ergin Erdem ◽  
Heping Liu
Keyword(s):  
Performance Metrics ◽  
Healthcare Delivery ◽  
Patient Acceptance ◽  
Patient Centered ◽  
Healthcare Settings ◽  
Challenges And Opportunities ◽  
Centered Care ◽  
The Cost ◽  
Telephone Systems

The telephone systems in healthcare settings serve as a viable tool for improving the quality of service provided to patients, decreasing the cost, and improving the patient satisfaction. It can play a pivotal role for transformation of the healthcare delivery for embracing personalized and patient centered care. This chapter presents a systematic review of new developments of healthcare telephone system operations in various areas such as tele-health. Current research on topics such as tele-diagnosis, tele-nursing, tele-consultation is outlined. Specific issues associated with the emerging applications such as underreferral, legal issues, patient acceptance, on-call physician are discussed. Meanwhile, the architecture and underlying technologies for healthcare telephone systems are introduced, and the performance metrics for measuring the system operations are provided. In addition, challenges and opportunities related with improving the healthcare telephone systems are identified, and the potential opportunities of optimizing these systems are pointed out.

Electronic Health Records

2010 ◽  
pp. 287-299
Author(s):  
Eike-Henner W. Kluge
Keyword(s):  
Electronic Health Records ◽  
Professional Education ◽  
Legal Status ◽  
Healthcare Decision ◽  
Technical Standards ◽  
Health Records ◽  
Healthcare Decision Making ◽  
Electronic Health ◽  
Privacy And Confidentiality ◽  
The Relationship

The development of electronic health records marked a fundamental change in the ethical and legal status of health records and in the relationship between the subjects of the records, the records themselves and health information and healthcare professionals—changes that are not fully captured by traditional privacy and confidentiality considerations. The chapter begins with a sketch of the nature of this evolution and places it into the epistemic framework of healthcare decision-making. It then outlines why EHRs are special, what the implications of this special status are both ethically and juridically, and what this means for professionals and institutions. An attempt is made to link these considerations to the development of secure e-health, which requires not only the interoperability of technical standards but also the harmonization of professional education, institutional protocols and of laws and regulations.

The relationship between patient-centered care and outcomes in specialist drug and alcohol treatment: A systematic literature review

2019 ◽  
Vol 41 (2) ◽  
pp. 216-231 ◽  
Author(s):  
Esther L. Davis ◽  
Peter J. Kelly ◽  
Frank P. Deane ◽  
Amanda L. Baker ◽  
Mark Buckingham ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Alcohol Treatment ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
Drug And Alcohol Treatment ◽  
Drug And Alcohol ◽  
The Relationship

Our Stories, Ourselves

2013 ◽  
Author(s):  
Richard M. Frankel
Keyword(s):  
Medical School ◽  
Appreciative Inquiry ◽  
Indiana University ◽  
Patient Centered ◽  
School Of Medicine ◽  
Centered Care ◽  
Traditional Approaches ◽  
Emergent Design ◽  
The Relationship ◽  
Relationship Centered

This chapter aims to combine traditional approaches to analyzing narratives with strategies for using them to change organizational culture; introduce the concepts of emergent design and appreciative inquiry as a framework for uncovering and disseminating an organization’s core narrative; and describe several innovative organization-level activities that used emergent design and appreciative inquiry narratives to change the culture of a large medical school. Indiana University School of Medicine (IUSM) is currently the largest medical school in North America. In January of 2003, the Relationship-Centered Care Initiative (RCCI) was launched, with an audacious goal: to change the culture of the school and reverse some of the negative trends it had been experiencing over the past decade. Relationship-Centered Care is an expanded form of patient-centered care, which focuses on including the values, attitudes, and preferences of patients as they seek and receive care.

Role of laboratory medicine in collaborative healthcare

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Ian D. Watson ◽  
Patricia Wilkie ◽  
Amir Hannan ◽  
Graham H. Beastall
Keyword(s):  
Clinical Laboratory ◽  
Point Of Care ◽  
Healthcare Delivery ◽  
Continuing Professional Development ◽  
Laboratory Medicine ◽  
Sources Of Information ◽  
Patient Centered ◽  
Laboratory Service ◽  
Laboratory Services ◽  
Centered Care

Abstract Healthcare delivery and responsibility is changing. Patient-centered care is gaining international acceptance with the patient taking greater responsibility for his/her health and sharing decision making for the diagnosis and management of illness. Laboratory medicine must embrace this change and work in a tripartite collaboration with patients and with the clinicians who use clinical laboratory services. Improved communication is the key to participation, including the provision of educational information and support. Knowledge management should be targeted to each stakeholder group. As part of collaborative healthcare clinical laboratory service provision needs to be more flexible and available, with implications for managers who oversee the structure and governance of the service. Increased use of managed point of care testing will be essential. The curriculum content of laboratory medicine training programs will require trainees to undertake practice-based learning that facilitates interaction with patients, clinicians and managers. Continuing professional development for specialists in laboratory medicine should also embrace new sources of information and opportunities for collaborative healthcare.

Design and Program Elements of a Clinical Leadership Program

2018 ◽  
pp. 94-114
Author(s):  
Anthony DelConte ◽  
Michael J. Gast
Keyword(s):  
Healthcare Delivery ◽  
The United States ◽  
Healthcare Decision ◽  
Ethical Considerations ◽  
Clinical Leadership ◽  
Healthcare Decision Making ◽  
Physician Leaders ◽  
Mba Curriculum ◽  
Strategic Perspective

Healthcare delivery in the United States is an ever-evolving field that is changing across multiple economic and cultural levels. Healthcare delivery systems are being affected not just by emerging technological capabilities but by ongoing changes in the structure and role of health systems themselves, as well as in the diversity of the communities they service. The older model of physician-provider is likewise evolving, and today's clinician requires the skill set necessary to navigate this new healthcare delivery environment. This chapter describes the development and implementation of a clinical leadership MBA curriculum designed to provide physician-leaders with a strategic perspective on healthcare decision making that encompasses a broad range of structural, technological, financial, cultural, and ethical considerations.

The Impact of COVID-19 on the Prevalence and Perception of Telehealth Utilization. (Preprint)

2021 ◽  
Author(s):  
Khalid Adnan Shamiyah ◽  
Simon Whitebridge ◽  
Nitya Kumar ◽  
Stephen Atkin ◽  
Khawla Fuad Ali ◽  
...  
Keyword(s):  
Social Media ◽  
Public Attitudes ◽  
Healthcare Delivery ◽  
Mena Region ◽  
Patient Centered ◽  
Patient Acceptability ◽  
Online Social Media ◽  
Centered Care ◽  
Future Utility ◽  
The Impact

BACKGROUND Due to the COVID-19 pandemic, telehealth has emerged as a safer way to access healthcare. The telehealth industry has been rapidly expanding over the last decade as a modality to provide patient-centered care. However, the prevalence of its use and patient acceptability remains unclear in the Middle East and North Africa (MENA) region. OBJECTIVE The primary aim was to assess the prevalence of telehealth use before and during the pandemic by utilizing social media (Instagram) as an online platform for survey administration across different countries simultaneously. Our secondary aim was to assess the perceptions regarding telehealth usage amongst those utilizing it. METHODS An online social media platform (Instagram) that reaches 130,000 subjects daily, was used to administer a questionnaire that assessed the current prevalence of telehealth use and public attitudes and acceptability towards this modality of healthcare delivery during the COVID-19 pandemic. RESULTS 1524 respondents participated in the survey (females 89.3%; age range 25-38) of whom 91.2% lived in the GCC. Prior to COVID-19, 1440 (88%) had no exposure to telehealth. Following the covid-19 pandemic telehealth usage increased by 237% to a total of 644 users (40%) (follow-up consultations (n=410, 47%); first-time consultations (n=348, 40%)) that was associated with older age (p=0.001), having one or more comorbidities (p=0.001), taking one or more pills (p=0.001), living in the GCC (p=0.003). Those who reported using telehealth (n=679), 247 (36.4%) reported their willingness to continue using telehealth, 254 (37.4%) were unsure and 178 (26.2%) did not wish to continue to use telehealth after the COVID19 pandemic. An inverse relationship between telehealth usage and the increasing number of medical comorbidities was shown (OR= 0.76, p= 0.023). Respondents using messaging or video telehealth usage were more likely recommend virtual visits than those who used audio calls (OR= 0.49, p= 0.024). Overall, there was general satisfaction with telehealth usage and respondents found telehealth to be equally effective to in-person visits. CONCLUSIONS Telehealth usage increased dramatically and was found to be acceptable though less so if there were other comorbidities; however, further innovation to increase telehealth acceptability is needed if this is to have greater future utility in healthcare delivery.

PATIENT-CENTERED DECISION MAKING: LESSONS FROM MULTI-CRITERIA DECISION ANALYSIS FOR QUANTIFYING PATIENT PREFERENCES

2017 ◽  
Vol 34 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Kevin Marsh ◽  
J. Jaime Caro ◽  
Erica Zaiser ◽  
James Heywood ◽  
Alaa Hamed
Keyword(s):  
Decision Making ◽  
Decision Analysis ◽  
Patient Preferences ◽  
Good Practice ◽  
Decision Makers ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Multi Criteria Decision Analysis ◽  
Healthcare Decision Making ◽  
Decision Making Processes

Objectives: Patient preferences should be a central consideration in healthcare decision making. However, stories of patients challenging regulatory and reimbursement decisions has led to questions on whether patient voices are being considered sufficiently during those decision making processes. This has led some to argue that it is necessary to quantify patient preferences before they can be adequately considered.Methods: This study considers the lessons from the use of multi-criteria decision analysis (MCDA) for efforts to quantify patient preferences. It defines MCDA and summarizes the benefits it can provide to decision makers, identifies examples of MCDAs that have involved patients, and summarizes good practice guidelines as they relate to quantifying patient preferences.Results: The guidance developed to support the use of MCDA in healthcare provide some useful considerations for the quantification of patient preferences, namely that researchers should give appropriate consideration to: the heterogeneity of patient preferences, and its relevance to decision makers; the cognitive challenges posed by different elicitation methods; and validity of the results they produce. Furthermore, it is important to consider how the relevance of these considerations varies with the decision being supported.Conclusions: The MCDA literature holds important lessons for how patient preferences should be quantified to support healthcare decision making.

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