scholarly journals Service Design as a Catalyst for Patient-Centered eHealth Innovation

2021 ◽  
Vol 12 (3) ◽  
pp. 62-85
Author(s):  
Danny Ronald Nyatuka ◽  
Retha De La Harpe
Keyword(s):  
Health Information ◽  
Information And Communication Technologies ◽  
Design Research ◽  
Information Service ◽  
Health Sector ◽  
Service Design ◽  
Research Strategy ◽  
Three Dimensions ◽  
Design Solution ◽  
Patient Centered

Today's healthcare industry is confronted with a myriad of challenges amidst emerging trends and opportunities which trigger a paradigm shift in healthcare design from stand-alone products to holistic services. These three dimensions are critical in assessing and managing healthcare, particularly in underserved settings. This study aims to maximize opportunities presented by both design and information and communication technologies to enhance the implementation of integrated people-centered health services. It is a qualitative study conducted across six government health facilities within Nairobi slums in Kenya as a case study of maternal health information services. Co-design-oriented service design research strategy is employed while a representative sample of (n=47) participants is drawn from different stakeholders in the public health sector. An architectural design framework for cloud-based patient-centered health information service is designed to support maternal care in underserved settings. A prototype service (AfyaTab app) is developed as a proof-of-concept of the proposed design solution.

Exploring the Adoption of Technology Driven Services in the Healthcare Industry

2010 ◽  
pp. 1172-1192
Author(s):  
Umit Topacan ◽  
A. Nuri Basoglu ◽  
Tugrul U. Daim
Keyword(s):  
Health Information ◽  
Information And Communication Technologies ◽  
Medical Information ◽  
User Behavior ◽  
Information Service ◽  
User Characteristics ◽  
Adoption Of Technology ◽  
Service Adoption ◽  
Recent Developments ◽  
Facilitating Conditions

Recent developments in information and communication technologies have helped to accelerate the diffusion of electronic services in the medical industry. Health information services house, retrieve, and make use of medical information to improve service quality and reduce cost. Users—including medical staff, administrative staff, and patients—of these systems cannot fully benefit from them unless they can use them comfortably. User behavior is affected by various factors relating to technology characteristics, user characteristics, social environment, and organizational environment. Our research evaluated the determinants of health information service adoption and analyzed the relationship between these determinants and the behavior of the user. Health information service adoption was found to be influenced by service characteristics, user characteristics, intermediary variables, facilitating conditions, and social factors.

scholarly journals The significance of information standards for development of integrated health information system

2006 ◽  
Vol 14 (1-2) ◽  
pp. 64-66 ◽  
Author(s):  
Ljerka Luic ◽  
Dubravka Striber-Devaja
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Information And Communication Technologies ◽  
New Technologies ◽  
Health Sector ◽  
Health Information System ◽  
Healthcare Sector ◽  
Successful Implementation ◽  
Local Conditions

Information systems play a significant role in helping to improve health outcomes and decision-making at the point of care, as well as in the planning and funding of care. There is no doubt that new technologies, especially information and communication technologies, could dramatically contribute to achieve better results in our activities in general. The healthcare sector, one of the largest sectors of society accounting, is very complex with many different application requirements. There are also a number of different types of actors that need to communicate for various healthcare purposes (patients/citizens, healthcare professionals and organizations providing health care cervices, payment bodies, pharmaceutical industry, the national governments). Standardization is the first and the most important step in building an Integral Healthcare Information System. However, standardization has been recognized in most of the countries as an important tool to achieve some of the general goals in healthcare systems. The relationship between the participants locally, regionally and nationally requires that information is shared for planning, funding and treatment purposes. Health information standards are instrumental for the operation of healthcare organizations, the planning and management of the health sector, for electronic business transactions and the development of a national system of electronic health records as well. It is necessary to make relevant decisions on adoption of specific health information standards, to adjust them to local conditions as necessary, define in sufficient details methods the manner of their introduction and implementation. The successful implementation of each National Health Information Systems Strategy is heavily dependent upon the implementation of information standards.

Exploring the Adoption of Technology Driven Services in the Healthcare Industry

2010 ◽  
Vol 2 (1) ◽  
pp. 71-93 ◽  
Author(s):  
Umit Topacan ◽  
A. Nuri Basoglu ◽  
Tugrul U. Daim
Keyword(s):  
Health Information ◽  
Information And Communication Technologies ◽  
Medical Information ◽  
User Behavior ◽  
Information Service ◽  
User Characteristics ◽  
Adoption Of Technology ◽  
Service Adoption ◽  
Recent Developments ◽  
Facilitating Conditions

Recent developments in information and communication technologies have helped to accelerate the diffusion of electronic services in the medical industry. Health information services house, retrieve, and make use of medical information to improve service quality and reduce cost. Users—including medical staff, administrative staff, and patients—of these systems cannot fully benefit from them unless they can use them comfortably. User behavior is affected by various factors relating to technology characteristics, user characteristics, social environment, and organizational environment. Our research evaluated the determinants of health information service adoption and analyzed the relationship between these determinants and the behavior of the user. Health information service adoption was found to be influenced by service characteristics, user characteristics, intermediary variables, facilitating conditions, and social factors.

Exploring the Adoption of Technology Driven Services in the Healthcare Industry

2012 ◽  
pp. 66-86 ◽  
Author(s):  
Umit Topacan ◽  
A. Nuri Basoglu ◽  
Tugrul Daim
Keyword(s):  
Health Information ◽  
Information And Communication Technologies ◽  
Medical Information ◽  
User Behavior ◽  
Information Service ◽  
User Characteristics ◽  
Adoption Of Technology ◽  
Service Adoption ◽  
Recent Developments ◽  
Facilitating Conditions

Recent developments in information and communication technologies have helped to accelerate the diffusion of electronic services in the medical industry. Health information services house, retrieve, and make use of medical information to improve service quality and reduce cost. Users—including medical staff, administrative staff, and patients—of these systems cannot fully benefit from them unless they can use them comfortably. User behavior is affected by various factors relating to technology characteristics, user characteristics, social environment, and organizational environment. Our research evaluated the determinants of health information service adoption and analyzed the relationship between these determinants and the behavior of the user. Health information service adoption was found to be influenced by service characteristics, user characteristics, intermediary variables, facilitating conditions, and social factors.

A Stroke Information System (SIS)

2010 ◽  
pp. 177-191
Author(s):  
Subana Shanmuganathan
Keyword(s):  
Information System ◽  
Information And Communication Technologies ◽  
Health Sector ◽  
Information Management System ◽  
Design Stage ◽  
Design Solution ◽  
Special Care Unit ◽  
Useful Knowledge ◽  
Information And Communication ◽  
Intelligent Information

Fundamental end user issues identified in the design stage of a Stroke Information System (SIS) for Hospital Information Management System (HIMS) in the secondary care and above phase of TACMIS1, depict the ‘gloomy trend’ in introducing Information and Communication Technologies (ICT) to the health sector observed across the world and understanding this trend is vital to the future of eHealth ’. TACMIS is a total, integrated and inclusive healthcare information system design solution that reflects DAITS2 core ideas, namely, creativity, cutting edge and being global. In align with the architecture and concept.of the main system TACMIS, the subsystem HIMS-SIS design as well consists of functions that provide stakeholders and nonmedical professionals involved within a stroke special care unit practice, with access to information stored in this subsystem. The SIS functions are especially introduced to inform staff from the so called nonmedical professions in order to improve healthcare quality. This may also make improved treatment affordable for many if not all. At the end of this chapter, some initial investigations on how to transform large volumes of patient data into useful knowledge using intelligent information processing methodologies are outlined.

Social Design for Services Framework

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Melanie SARANTOU ◽  
Satu MIETTINEN
Keyword(s):  
South Africa ◽  
Sustainable Development ◽  
Research Group ◽  
Design Research ◽  
Service Design ◽  
Social Design ◽  
Practical Action ◽  
The Social ◽  
The World

This paper addresses the fields of social and service design in development contexts, practice-based and constructive design research. A framework for social design for services will be explored through the survey of existing literature, specifically by drawing on eight doctoral theses that were produced by the World Design research group. The work of World Design researcher-designers was guided by a strong ethos of social and service design for development in marginalised communities. The paper also draws on a case study in Namibia and South Africa titled ‘My Dream World’. This case study presents a good example of how the social design for services framework functions in practice during experimentation and research in the field. The social design for services framework transfers the World Design group’s research results into practical action, providing a tool for the facilitation of design and research processes for sustainable development in marginal contexts.

Association between Patient Portal Usage and Perceived Patient-Centered Communication among Adults with Cancer: Cross-Sectional Survey Study (Preprint)

2021 ◽  
Author(s):  
Maryum Zaidi ◽  
Daniel J. Amante ◽  
Ekaterina Anderson ◽  
Mayuko Ito Fukunaga ◽  
Jamie Marie Faro ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Information ◽  
Information Seeking ◽  
Self Efficacy ◽  
Multinomial Logistic Regression ◽  
Patient Portal ◽  
Health Information Seeking ◽  
Patient Portals ◽  
Patient Centered ◽  
Cancer Management

BACKGROUND Patient-centered communication (PCC) plays a vital role in effective cancer management and care. Patient portals are increasingly available to patients and hold potential as a valuable tool to facilitate PCC. However, whether the use of patient portals may improve perceived PCC or which mechanisms might mediate this relationship has not been studied. OBJECTIVE The primary goal of this study was to investigate the association between the frequency of access to patient portals and perceived PCC in patients with cancer. A secondary goal was to explore whether this association was mediated by patients' self-efficacy in health information seeking. METHODS We used data from the Health Information National Trend Survey 5 (HINTS 5) cycle 3 (2019) and cycle 4 (2020). The present analysis includes 1,222 individuals who self-reported having a current or past diagnosis of cancer. Perceived PCC was measured with a 7-item HINTS derived scale and classified as low, medium, or high. Patient portal usage was measured by a single item assessing the frequency of use. Self-efficacy about health information seeking was assessed with a one-item measure assessing confidence in obtaining health information. We used adjusted multinomial logistic regression models to estimate relative risk ratios (RRR) of the association between patients' patient portal usage and perceived PCC. Mediation by health information self-efficacy was investigated using the Baron and Kenny and Karlson, Holm, and Breen methods. RESULTS 54.5% of the sample reported that they did not access their patient portals in the past 12 months, 12.6 % accessed it 1-2 times, 24.8% accessed it 3-9 times, and 8.2% accessed it 10 or more times. Overall, the frequency of accessing the patient portal was marginally associated (P=0.06) with perceived PCC in an adjusted multinominal logistic regression model. Patients who accessed their patient portal 10 or more times in the previous 12 months were almost 4 times more likely (RRR=3.8; 95% CI 1.6–9.0) to report high perceived PCC. In mediation analysis, the association between patient portal use and perceived PCC was attenuated adjusting for health information seeking self-efficacy, but those with the most frequent patient portal use (ten or more times in the previous 12 months) were still almost 2.5 times more likely to report high perceived PCC (RRR=2.4; 95% CI 1.1–5.6) compared to those with no portal use. CONCLUSIONS PCC is an integral part of patient-centered care. Those who reported the greatest use of patient portals were more likely to report higher perceived PCC. These findings emphasize the importance of encouraging cancer patients and providers to use patient portals to increase patient-centeredness of care and suggest that interventions to promote the adoption and use of patient portals could incorporate strategies to improve health information self-efficacy.

Evaluation of functional maturity for a network information service - design and case analysis

2021 ◽  
Vol 38 (1/2/3) ◽  
pp. 3
Author(s):  
Lakshmana Kumar Ramasamy ◽  
Mohammad Al Rawajbeh ◽  
Vladimir I. Sayenko ◽  
Fadi Al Turjman ◽  
Issam Hamad Alhadid
Keyword(s):  
Information Service ◽  
Case Analysis ◽  
Service Design ◽  
Functional Maturity ◽  
Network Information

scholarly journals Health Information Technology Challenges to Support Patient-Centered Care Coordination

2015 ◽  
Vol 24 (01) ◽  
pp. 8-10 ◽  
Author(s):  
B. Séroussi ◽  
M.-C. Jaulent ◽  
C. U. Lehmann
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
Clinical Pathways ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Holistic View ◽  
25Th Anniversary ◽  
Centered Care

Summary Objectives: To provide an editorial introduction to the 2015 IMIA Yearbook of Medical Informatics. Methods: We provide a brief overview of the 2015 special topic “Patient-Centered Care Coordination”, discuss the addition of two new sections to the Yearbook, Natural Language Processing and Public Health & Epidemiology Informatics, and present our editorial plans for the upcoming celebration of the 25th anniversary of the Yearbook. Results: Care delivery currently occurs through the processing of complex clinical pathways designed for increasingly multi-morbid patients by various practitioners in different settings. To avoid the consequences of the fragmentation of services, care should be organized to coordinate all providers, giving them the opportunity to share the same holistic view of the patient’s condition, and to be informed of the planned clinical pathway that establishes the roles and interventions of each one. The adoption and use of electronic health records (EHRs) is a solution to address health information sharing and care coordination challenges. However, while EHRs are necessary, they are not sufficient to achieve care coordination, creating information availability does not mean the information will be accessed. This edition of the Yearbook acknowledges the fact that health information technology (HIT), and EHRs in particular, are not yet fully addressing the challenges in care coordination. Emerging trends, tools, and applications of HIT to support care coordination are presented through the keynote paper, survey papers, and working group contributions. Conclusions: In 2015, the IMIA Yearbook has been extended to emphasize two fields of biomedical informatics through new sections. Next year, the 25th anniversary of the Yearbook will be celebrated in grand style! A special issue with a touch of reflection, a bit of rediscovery, and some “science-fiction” will be published in addition to the usual edition.

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