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11 – 20 of over 2000Mehdi Hosseinzadeh, Omed Hassan Ahmed, Ali Ehsani, Aram Mahmood Ahmed, Hawkar Kamaran Hama and Bay Vo
Economists have recognized knowledge management as a promising tool regarding all aspects of the economy, including health care. The volume of biomedical literature is currently…
Abstract
Purpose
Economists have recognized knowledge management as a promising tool regarding all aspects of the economy, including health care. The volume of biomedical literature is currently growing at an exponential rate, and the vast number of studies makes it extremely difficult for researchers to keep up with new developments in their research areas. Therefore, the efficient management of huge amounts of data and the accuracy of the knowledge thus obtained are vital concerns. Electronic health (e-health) has emerged as a useful concept to provide data for solo self-care management. Although health care is a common topic on the internet, patients rarely share their health care-related knowledge on social media. This study aims to examine the impact of knowledge on e-health.
Design/methodology/approach
This paper complies with the methodological requirements of systematic literature reviews. The present paper has investigated the newest systems and studied their practical techniques in detail. The effects of knowledge on e-health have been categorized into major groups.
Findings
The outcomes indicate that the capabilities of information and communication technology certainly promote the exchange of knowledge within clinics. The results also show that institutional architectures have significant impacts on knowledge-sharing exercises, significantly improving patient safety.
Practical implications
These findings will be essential in the understanding of the interplay among various signals in theory and in the understanding of patients’ choice in the e-health community in practice. The results have implications for existing health management and e-health literature. The present paper will help policymakers, health-care executives and project managers to effectively set their operations and make them maintainable, prevent unpredicted obstacles and better allocate their resources. Overall, the results of this paper will guide researchers who are working in the field of e-health.
Originality/value
E-health attempts have mostly focused on answering questions using context-specific technical answers, regardless of the key role of knowledge resources. The present paper has provided an innovative viewpoint on how knowledge resources and knowledge-sharing initiatives may have a role in the innovative work behaviors shown by health-care employees. As noted before, there have been only a few studies regarding the effects of knowledge on health care, so the present paper contributes to the previous literature, particularly about e-health.
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Karsten Hadwich, Dominik Georgi, Sven Tuzovic, Julia Büttner and Manfred Bruhn
Health service quality is an important determinant for health service satisfaction and behavioral intentions. The purpose of this paper is to investigate requirements of e‐health…
Abstract
Purpose
Health service quality is an important determinant for health service satisfaction and behavioral intentions. The purpose of this paper is to investigate requirements of e‐health services and to develop a measurement model to analyze the construct of “perceived e‐health service quality.”
Design/methodology/approach
The paper adapts the C‐OAR‐SE procedure for scale development by Rossiter. The focal aspect is the “physician‐patient relationship” which forms the core dyad in the healthcare service provision. Several in‐depth interviews were conducted in Switzerland; first with six patients (as raters), followed by two experts of the healthcare system (as judges). Based on the results and an extensive literature research, the classification of object and attributes is developed for this model.
Findings
The construct e‐health service quality can be described as an abstract formative object and is operationalized with 13 items: accessibility, competence, information, usability/user friendliness, security, system integration, trust, individualization, empathy, ethical conduct, degree of performance, reliability, and ability to respond.
Research limitations/implications
Limitations include the number of interviews with patients and experts as well as critical issues associated with C‐OAR‐SE. More empirical research is needed to confirm the quality indicators of e‐health services.
Practical implications
Health care providers can utilize the results for the evaluation of their service quality. Practitioners can use the hierarchical structure to measure service quality at different levels. The model provides a diagnostic tool to identify poor and/or excellent performance with regard to the e‐service delivery.
Originality/value
The paper contributes to knowledge with regard to the measurement of e‐health quality and improves the understanding of how customers evaluate the quality of e‐health services.
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Youseef Alotaibi and Ahmad F. Subahi
This paper aims to introduce the goal-oriented requirements extraction approach (GOREA). It is an elicitation approach that uses, specifically, healthcare business goals to derive…
Abstract
Purpose
This paper aims to introduce the goal-oriented requirements extraction approach (GOREA). It is an elicitation approach that uses, specifically, healthcare business goals to derive the requirements of e-health system to be developed.
Design/methodology/approach
GOREA consists of two major phases: (1) modelling e-health business requirements phase and (2) modelling e-health information technology (IT) and systems requirements phase. The modelling e-health business requirements phase is divided into two main stages: (1) model e-health business strategy stage and (2) model e-health business environment stage. The modelling e-health IT and systems requirements phase illustrates the process of obtaining requirements of e-health system from the organizational goals that are determined in the previous phase. It consists of four main steps that deal with business goals of e-health system: (1) modelling e-health business process (BP) step; (2) modelling e-health business goals step; (3) analysing e-health business goals step; and (4) eliciting e-health system requirements step. A case study based on the basic operations and services in hospital emergency unit for checking patient against COVID-19 virus and taking its diagnostic testing has been set and used to examine the validity of the proposed approach by achieving the conformance of the developed system to the business goals.
Findings
The results indicate that (1) the proposed GOREA has a positive influence on the system implementation according to e-health business expectations; and (2) it can successfully fulfil the need of e-health business in order to save the citizens life by checking them against COVID-19 virus.
Research limitations/implications
The proposed approach has some limitations. For example, it is only validated using one e-health business goal and thus it has to be authenticated with different e-health business goals in order to address different e-health problems.
Originality/value
Many e-health projects and innovations are not established based on robust system requirements engineering phase. In order to ensure the success delivery of e-health services, all characteristics of e-health systems and applications must be understood in terms of technological perspectives as well as the all system requirements.
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Prachi Verma, Satinder Kumar and Sanjeev K. Sharma
This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare…
Abstract
Purpose
This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare choices.
Design/methodology/approach
A study was conducted at two identified major hospitals of Punjab (a private hospital) and Chandigarh (a public hospital), India providing e-healthcare services with the help of a self-administered questionnaire. The respondents were identified from the waiting areas of the selected hospitals, and only those respondents were selected for the study, who agreed to be aware of e-health services and were using them for some time. The statistical analysis was done using the structural equation modeling technique and included both exploratory and confirmatory factor analysis using SPSS 20 and AMOS 21.
Findings
Exploratory factor analysis extracted five dimensions of ethical concerns of the consumer, which include service promotion, content quality, candor, professionalism and confidentiality. The results signify that content quality plays a significant role in ethics, followed by candor, service promotion and confidentiality. However, the relationship with professionalism did not prove to be significant for the ethical concerns of the e-health consumer.
Practical implications
This research delivers a practical significance in identifying the critical dimensions of the ethical concerns of the consumer while selecting e-health services. It gives an insight into the various dimensions, which should be considered by the e-health providers while crafting e-health services to make it more ethically acceptable by the consumers.
Originality/value
By using e-health services, consumers play an active role in their health-care decisions. The consumers need to consider ethics while choosing health-care services as an ethical judgment will also be the correct judgment. This study helps in the identification of the significant dimensions for the ethical concerns of the consumers.
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Umar Sheraz, Sohail Inayatullah and Ali Shah
The purpose of this paper is to delineate alternative e‐health futures for public health policymaking in Bangladesh.
Abstract
Purpose
The purpose of this paper is to delineate alternative e‐health futures for public health policymaking in Bangladesh.
Design/methodology/approach
The methodology used in the paper is the Six Pillars approach to explore alternative and preferred futures for the establishment of a health information system and e‐health provision in Bangladesh.
Findings
There is a great deal of potential for encouraging participatory engagement between various stakeholders in Bangladesh's public health policymaking. The Six Pillars approach is used not only to enhance this participatory approach but also to examine various discourses and different stakeholder voices to create four alternative futures for e‐health delivery in Bangladesh: first, leap‐frog 2025; second, e‐health car 2025; third, health cloud 2025; and fourth, e‐health political party aimed at optimizing the use of information and communication technologies (ICTs) on one hand and ensuring widened access and participation on the other.
Practical implications
The alternative scenarios identify four possible ways of bringing together society, government and business to achieve positive public health outcomes by creating an open, trust‐based and efficient e‐health system, not only in Bangladesh but also in other developing countries. The scenarios challenge health business as usual and used futures.
Social implications
The paper aims to communicate a humane public approach to the issue of health which envisages using modern ICTs to maximize democratic access to the public health system and reduce health marginalization in Bangladesh.
Originality/value
The paper is a pioneering attempt to use Six Pillars for public health policymaking in Bangladesh. It is based on the first e‐health workshop in Bangladesh.
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Jawahitha Sarabdeen and Immanuel Azaad Moonesar
The move toward e-health care in various countries is envisaged to reduce the cost of provision of health care, improve the quality of care and reduce medical errors. The most…
Abstract
Purpose
The move toward e-health care in various countries is envisaged to reduce the cost of provision of health care, improve the quality of care and reduce medical errors. The most significant problem is the protection of patients’ data privacy. If the patients are reluctant or refuse to participate in health care system due to lack of privacy laws and regulations, the benefit of the full-fledged e-health care system cannot be materialized. The purpose of this paper is to investigate the available e-health data privacy protection laws and the perception of the people using the e-health care facilities.
Design/methodology/approach
The researchers used content analysis to analyze the availability and comprehensive nature of the laws and regulations. The researchers also used survey method. Participants in the study comprised of health care professionals (n=46) and health care users (n=187) who are based in the Dubai, United Arab Emirates. The researchers applied descriptive statistics mechanisms and correlational analysis to analyze the data in the survey.
Findings
The content analysis revealed that the available health data protection laws are limited in scope. The survey results, however, showed that the respondents felt that they could trust the e-health services systems offered in the UAE as the data collected is protected, the rights are not violated. The research also revealed that there was no significance difference between the nationality and the privacy data statements. All the nationality agreed that there is protection in place for the protection of e-health data. There was no significance difference between the demographic data sets and the many data protection principles.
Originality/value
The findings on the users’ perception could help to evaluate the success in realizing current strategies and an action plan of benchmarking could be introduced.
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Alalwany Hamid and Alshawi Sarmad
The purpose of this paper is to explore the user's perspective in evaluating e‐health services and to present evaluation criteria that influence users' utilization and…
Abstract
Purpose
The purpose of this paper is to explore the user's perspective in evaluating e‐health services and to present evaluation criteria that influence users' utilization and satisfaction of e‐health services.
Design/methodology/approach
The paper is based on two lines of studies relating to the behaviour of users of new products or services and on broad examining and critical analysis of the existing evaluations initiatives in e‐governments services generally but also particularly in an e‐health context.
Findings
The paper argues that e‐health services evaluation frameworks should be criteria‐based, while the criteria can be grounded in, and derived from, one or more specific perspectives or theories, and cannot be entirely framed within the bounds of a single theory or perspective. The paper suggests an evaluation framework for e‐health services and provides a set of clear and useful e‐health evaluation criteria that can be accommodated by such a framework.
Research limitations/implications
The limitation of this paper lies in the absence of empirical validation and examination of the proposed evaluation criteria that have not yet been applied in the fieldwork. Hence, the proposed criteria require an empirical validation which will be performed by the authors in the next stage of this research using a multiple case study strategy and will form the basis for further research.
Practical implications
The proposed evaluation criteria can be used to help achieve better user services utilization, to serve as part of an e‐health evaluation framework, and to address areas that require further attention in the development of future e‐health initiatives.
Originality/value
The paper presents a well‐argued and balanced hierarchy of evaluation criteria that can contribute to an area of research which is still in its infancy in terms of development and management.
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Hai Thi Thanh Nguyen, Tommi Tapanainen and Geoffrey Hubona
The advancement of technologies has made it possible for health-care organizations to provide convenient online services that enable people to manage their health conditions…
Abstract
Purpose
The advancement of technologies has made it possible for health-care organizations to provide convenient online services that enable people to manage their health conditions. Although many studies have investigated the adoption and benefits of e-health services, there has been little focus on health-oriented behaviors after adoption, particularly in relation to service quality and user satisfaction.
Design/methodology/approach
This paper is based on the SOR model and service quality theories to investigate behavioral responses, including word-of-mouth, intention to use and intention to act. The authors use a partial least squares structural equation modeling analysis with 194 participants and the diabetes risk test survey in Finland.
Findings
The results show that people are willing to engage in health self-management behaviors if they intend to use the e-health service and are satisfied with it. User satisfaction can be enhanced by improving the visual appeal of the website presentation, the quality of the presented information, as well as the usability of the website, all as components of e-health services.
Originality/value
The authors contribute by creating a construct “intention to act,” referring to health-oriented behaviors resulting from e-health service use. In addition, this study is among the first to apply the SOR model to investigate how user satisfaction leads to intention to use, intention to act and word-of-mouth.
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Ann-Marie Bright, Agnes Higgins and Annmarie Grealish
There has been a move towards the implementation of digital/e-health interventions for some time. Digital/e-health interventions have demonstrable efficacy in increasing…
Abstract
Purpose
There has been a move towards the implementation of digital/e-health interventions for some time. Digital/e-health interventions have demonstrable efficacy in increasing individual empowerment, providing timely access to psychological interventions for those experiencing mental ill-health and improving outcomes for those using them. This study aims to determine the efficacy of digital/e-health interventions for individuals detained in prison who experience mental ill-health.
Design/methodology/approach
A systematic search of five academic databases – CINAHL, ASSIA, PsycINFO, Embase and Medline – was completed in December 2020 and updated in February 2022. The review was guided by the Whittemore and Knafl (2005) framework for integrative reviews. A total of 6,255 studies were returned and screened by title and abstract. A full-text screening of nine (n = 9) studies was conducted.
Findings
No study met the inclusion criteria for the clinical efficacy of digital/e-health interventions in a prison setting. Subsequently, a review of the literature that made it to the full-text review stage was conducted, and gaps in the literature were identified to inform policy, practice and future research.
Originality/value
To the best of the authors’ knowledge, this is the first integrative review conducted on the efficacy of digital/e-health interventions for mental ill-health in prison settings.
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Sik Sumaedi, Sumardjo Sumardjo, Amiruddin Saleh and Agus Fanar Syukri
This research aims to test the simultaneous effects of the perceived threat of COVID-19, e-health literacy, e-health access barrier, loyalty toward healthy foods in general…
Abstract
Purpose
This research aims to test the simultaneous effects of the perceived threat of COVID-19, e-health literacy, e-health access barrier, loyalty toward healthy foods in general, loyalty toward functional foods, the affordability of healthy foods in general and the affordability of functional foods on health-related quality of life (HrQoL) during the COVID-19 pandemic.
Design/methodology/approach
A survey with 400 respondents in Banten, Indonesia, was performed. The data were analyzed using multiple regression analysis.
Findings
The results of the research showed that HrQoL during the COVID-19 pandemic was positively affected by e-health literacy and the affordability of healthy foods in general while negatively affected by the e-health access barrier, the perceived threat of COVID-19 and loyalty toward healthy foods in general. Furthermore, HrQoL was not influenced by loyalty toward and affordability of functional foods.
Research limitations/implications
This research was conducted in Banten. Due to the operational limitations during the COVID-19 pandemic, this research used a purposive sampling technique. Therefore, the next research should retest the model in different contexts and locations.
Practical implications
To improve HrQoL during the COVID-19 pandemic, citizens need to be educated on finding and utilizing credible online health information during the COVID-19 pandemic. Governments and health service providers should also strive to offer ease of access to credible online health information. Furthermore, the affordability of healthy foods, in general, should be managed well.
Originality/value
A few studies on HrQoL during COVID-19 pandemic were performed. However, there is a lack of paper that examines the role of food customer loyalty and affordability in a model of HrQoL during the COVID-19 pandemic. To the best of the authors’ knowledge, this paper is the first that involved and tested the role of food customer loyalty and affordability in a model of HrQoL during the COVID-19 pandemic.
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