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1 – 10 of 834Kevin Wang and Peter Alexander Muennig
The study explores how Taiwan’s electronic health data systems can be used to build algorithms that reduce or eliminate medical errors and to advance precision medicine.
Abstract
Purpose
The study explores how Taiwan’s electronic health data systems can be used to build algorithms that reduce or eliminate medical errors and to advance precision medicine.
Design/methodology/approach
This study is a narrative review of the literature.
Findings
The body of medical knowledge has grown far too large for human clinicians to parse. In theory, electronic health records could augment clinical decision-making with electronic clinical decision support systems (CDSSs). However, computer scientists and clinicians have made remarkably little progress in building CDSSs, because health data tend to be siloed across many different systems that are not interoperable and cannot be linked using common identifiers. As a result, medicine in the USA is often practiced inconsistently with poor adherence to the best preventive and clinical practices. Poor information technology infrastructure contributes to medical errors and waste, resulting in suboptimal care and tens of thousands of premature deaths every year. Taiwan’s national health system, in contrast, is underpinned by a coordinated system of electronic data systems but remains underutilized. In this paper, the authors present a theoretical path toward developing artificial intelligence (AI)-driven CDSS systems using Taiwan’s National Health Insurance Research Database. Such a system could in theory not only optimize care and prevent clinical errors but also empower patients to track their progress in achieving their personal health goals.
Originality/value
While research teams have previously built AI systems with limited applications, this study provides a framework for building global AI-based CDSS systems using one of the world’s few unified electronic health data systems.
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Shamsuddin Ahmed and Rayan Hamza Alsisi
A new triage method, MBCE (Medical Bio Social Ethics), is presented with social justice, bio, and medical ethics for critical resource distribution during a pandemic. Ethical…
Abstract
Purpose
A new triage method, MBCE (Medical Bio Social Ethics), is presented with social justice, bio, and medical ethics for critical resource distribution during a pandemic. Ethical triage is a complex and challenging process that requires careful consideration of medical, social, cultural, and ethical factors to guide the decision-making process and ensure fair and transparent allocation of resources. When assigning priorities to patients, a clinician would evaluate each patient’s medical condition, age, comorbidities, and prognosis, as well as their cultural and social background and ethical factors.
Design/methodology/approach
A statistical analysis shows no interactions among the ethical triage factors. It implies the ethical components have no moderation effect; hence, each is independent. The result also points out that medical and bioethics may have an affinity for interactions. In such cases, there seem to be some ethical factors related to bio and medical ethics that are correlated. Therefore, the triage team should be careful in evaluating patient cases. The algorithm is explained with case histories of the selected patient. A group of triage nurses and general medical practitioners assists with the triage.
Findings
The MBCE triage algorithm aims to allocate scarce resources fairly and equitably. Another ethical principle in this triage algorithm is the principle of utility. In a pandemic, the principle of utility may require prioritizing patients with a higher likelihood of survival or requiring less medical care. The research presents a sensitivity analysis of a patient’s triage score to show the algorithm’s robustness. A weighted score of ethical factors combined with an assessment of triage factors combines multiple objectives to assign a fair triage score. These distinctive features of the algorithm are reasonably easy to implement and a new direction for the unbiased triage principle.
Originality/value
The idea is to make decisions about distributing and using scarce medical resources. Triage algorithms raise ethical issues, such as discrimination and justice, guiding medical ethics in treating patients with terminal diseases or comorbidity. One of the main ethical principles in triage algorithms is the principle of distributive justice.
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Salman Alzayani, Khaldoon Al-Roomi, Ahmed Jaradat, Ali M. Hamdi and Mohamed H. Shehata
Medical schools aspire to graduate doctors who are competent in interpreting, conducting and publishing scientific research. Hence, the purpose of the paper is explore the impact…
Abstract
Purpose
Medical schools aspire to graduate doctors who are competent in interpreting, conducting and publishing scientific research. Hence, the purpose of the paper is explore the impact of a structured compulsory community-oriented, project-based research program in the undergraduate medical curriculum on medical graduates’ future careers, publications and motivation for scientific research.
Design/methodology/approach
An online questionnaire was sent through the Alumni Association of the Arabian Gulf University (AGU) to medical graduates who have valid email addresses, seeking information on their scientific productivity along with demographic and current employment data. Responses were collated and analyzed using a standard statistical software package. The chi-square test and p-value were calculated. P-value <0.05 was considered statistically significant.
Findings
Completed forms were received from 91 medical graduates. In this sample, almost a quarter of the respondents have published a research paper out of their undergraduate research project, and about 50% have published at least one paper (as main or co-author) after graduation. Both demographic and medical specialty was not related to the doctor's perception of the benefits they have attained from the compulsory undergraduate research program. However, medical graduates who are at senior levels in their medical careers and those who are employed in secondary healthcare are significantly more likely to publish research papers.
Originality/value
The compulsory community-oriented, project-based research program in AGU has positively contributed to the research productivity of graduates, and it would be worthwhile to include such programs as an integral part of the undergraduate medical curriculum.
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Manuel Goyanes, Márton Demeter, Gergő Háló, Carlos Arcila-Calderón and Homero Gil de Zúñiga
Gender and geographical imbalance in production and impact levels is a pressing issue in global knowledge production. Within Health Sciences, while some studies found stark gender…
Abstract
Purpose
Gender and geographical imbalance in production and impact levels is a pressing issue in global knowledge production. Within Health Sciences, while some studies found stark gender and geographical biases and inequalities, others found little empirical evidence of this marginalization. The purpose of the study is to clear the ambiguity concerning the topic.
Design/methodology/approach
Based on a comprehensive and systematic analysis of Health Sciences research data downloaded from the Scival (Scopus/Scimago) database from 2017 to 2020 (n = 7,990), this study first compares gender representation in research productivity, as well as differences in terms of citation per document, citations per document view and view per document scores according to geographical location. Additionally, the study clarifies whether there is a geographic bias in productivity and impact measures (i.e. citation per document, citations per document view and view per document) moderated by gender.
Findings
Results indicate that gender inequalities in productivity are systematic at the overall disciplinary, as well as the subfield levels. Findings also suggest statistically significant geographical differences in citation per document, citations per document view, and view per document scores, and interaction effect of gender over the relation between geography and (1) the number of citations per view and (2) the number of views per document.
Originality/value
This study contributes to scientometric studies in health sciences by providing insightful findings about the geographical and gender bias in productivity and impact across world regions.
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Leticia Mahuwi and Baraka Israel
Understanding the interplay between transparency, accountability and e-procurement and their collective contribution to anti-corruption efforts in public procurement is crucial…
Abstract
Purpose
Understanding the interplay between transparency, accountability and e-procurement and their collective contribution to anti-corruption efforts in public procurement is crucial for developing effective strategies and policies. This research seeks to investigate whether e-procurement plays a significant role in enhancing transparency and accountability and subsequently reducing corruption risks in the public pharmaceutical procurement system.
Design/methodology/approach
The study employed a cross-sectional questionnaire survey to gather data from 274 procurement personnel and pharmacists working in 28 government-owned hospitals in the Southern Highlands of Tanzania. The collected data were then analysed using confirmatory factor analysis (CFA) and the Hayes PROCESS macro to test the study hypotheses.
Findings
The study findings revealed a negative and significant relationship between transparency and procurement corruption (ß = −0.117, p < 0.008). Moreover, accountability negatively and significantly affects procurement corruption (ß = −0.162, p = 0.006). Furthermore, the findings indicate that, at a high degree of e-procurement system implementation, transparency and accountability have a stronger impact on procurement anti-corruption measures.
Practical implications
Policymakers and decision-makers should implement robust mechanisms that enhance transparency, accountability and anti-corruption efforts. These may include providing clear and accessible information on procurement processes, efficient mechanisms for monitoring and reporting procurement irregularities and continuous improvement of e-procurement systems. By incorporating these measures and nurturing collaboration amongst procurement stakeholders, it becomes possible to foster a procurement environment characterised by integrity, fairness, accountability and reduced corruption.
Originality/value
Whilst previous studies delved into exploring the effect of transparency and accountability on procurement anti-corruption, the novelty of this study is the inclusion of e-procurement as a moderating variable in the relationship between transparency, accountability and anti-corruption. By so doing, this study adds to the existing body of knowledge regarding anti-corruption measures and offers valuable practical insights for policymakers and professionals aiming to enhance transparency, accountability and ethical conduct within the public pharmaceutical procurement system.
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This paper aims to examine why people with disabilities (PWDs) are at risk due to climate change. It also discusses the linkage between climate change events and the mental health…
Abstract
Purpose
This paper aims to examine why people with disabilities (PWDs) are at risk due to climate change. It also discusses the linkage between climate change events and the mental health of the disabled population.
Design/methodology/approach
This paper follows a qualitative approach.
Findings
Climate change can affect the mental well-being of PWDs in several ways such as increased vulnerability, displacement-related trauma, social isolation, loss of independence, climate anxiety and eco-grief.
Practical implications
The paper has practical implications for policymakers. Because climate change has a disproportionate impact on PWDs, there is an urgent need to include them in climate action, both as beneficiaries and decision-makers.
Originality/value
The paper attempts to explore the measures that can be taken for prevention and mitigation of impacts on the mental health of PWDs.
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This study aims to give a glimpse of the existing blockchain applications across industries and add to a complete knowledge of the blockchain’s properties.
Abstract
Purpose
This study aims to give a glimpse of the existing blockchain applications across industries and add to a complete knowledge of the blockchain’s properties.
Design/methodology/approach
Systematic literature review is used as the research strategy for this investigation and other aspects of the preferred reporting items for systematic reviews and meta-analyses framework have been incorporated to create a scholarly publications evaluation of the blockchain-based application in the financial arena and its future. The research looks at 86 studies published between 2018 and 2022.
Findings
There has been a steady but noticeable increase in the study of blockchain’s potential in many application domains over the past few of years. This rising tendency illustrates the newness and potential of blockchain technology, as well as the increasing attention from academics. According to the findings, blockchain is an appropriate solution for processing transactions using cryptocurrencies; nevertheless, it still has significant technical issues and limits that require to be exploring and solving before it can be considered a viable option. It is therefore, necessary to have a high level of reliability for payments and confidentiality, in addition to maintaining the anonymity of nodes, to stop assaults and efforts to disrupt transactions in the blockchain.
Practical implications
This study has several important theoretical and practical implications. First, it adds to the body of knowledge on blockchain and Fintech, focusing on the transaction side. While much blockchain research has focused on how the technology may affect strategic choices, this study has shed light on its potential from the perspective of financial reporting. Second, by highlighting the importance of the demand for the prompt identification of losses, this work adds to the body of knowledge on the factors that influence transaction frauds involving paper money. Additionally, by establishing the link between transparency and virtual transactions, the author backs up the asymmetric responses of investors to different investment possibilities. It looks at the evolution of financial technology (Fintech) and shows how it can be used to take the advantage of unique opportunities.
Originality/value
The study is different and novel from the previously published literature on this topic mainly because of its comprehensiveness, as it revolves around all industrial and commercial areas. The three main lines of research have been outlined, namely, classifying the many blockchain-based innovations that will alter the financial landscape in many industries; identifying whether these industries are a good fit for blockchain’s wealth creation potential; and directing researchers by outlining prospective study pathways.
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Jinhua He, Jiaxin Xiang and Jing Wang
This study explores the influence of heritage brand extension on consumer purchase intention and analyses the effects of pop culture involvement. The extension of heritage brands…
Abstract
Purpose
This study explores the influence of heritage brand extension on consumer purchase intention and analyses the effects of pop culture involvement. The extension of heritage brands is becoming increasingly difficult because such an extension needs to be consistent with the unique characteristics of brands and resonate with consumers. However, few scholars discuss the influence of consumers' level of pop culture involvement on brand extension and purchasing behaviour.
Design/methodology/approach
Taking time-honoured brands as an example, this study established a conceptual model based on a comprehensive review of the literature, and then tested the model using a sample of 255 respondents who were familiar with one of the selected Chinese time-honoured brands. Structural equation modelling was used to analyse the relationships amongst brand extension fit, pop culture involvement, perceived value and purchase intention.
Findings
Time-honoured brand extension fit has a positive impact on consumer purchase intention, and this path is significantly influenced by the mediation mechanisms of perceived value. Situational pop culture involvement can significantly strengthen the relationship between time-honoured brand extension fit and perceived value, whereas enduring pop culture involvement does not.
Originality/value
The results clarify and expand on the different roles of cultural involvement in time-honoured brands and broaden research on the influence of cultural involvement in this regard. This study has significant theoretical value for the inheritance and revival of heritage brands and provides a reference for the practice of time-honoured brands.
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Abdul Moid, M. Masoom Raza, Mohammad Javed and Keshwar Jahan
Records are current documents containing crucial personal, legal, financial and medical information, while archives house non-current documents with the same details. This study…
Abstract
Purpose
Records are current documents containing crucial personal, legal, financial and medical information, while archives house non-current documents with the same details. This study specifically aims to measure existing research in records and archives management with various scientific indicators.
Design/methodology/approach
Data extraction was conducted using the Web of Science, resulting in a data set of 2003 records for further analysis. Biblioshiny and VOSviewer have been used for mapping and visualization of the extracted data.
Findings
Managing and organizing this essential information is equally vital to maintaining records and archives. The findings encompass various aspects such as publications and citations, influential authors, source impact factors, relevant articles, affiliations, co-authorship trends across the top 10 countries and regions, references, publication year spectroscopy, keyword co-occurrence and historiography. The study concludes that medical records management prominently dominates the selected research area.
Originality/value
The study reflects the advancements in management systems and continues to emerge as research on the management of records and archives has gained significance.
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This paper reviews recent research on the expected economic effects of developing artificial intelligence (AI) through a survey of the latest publications, in particular papers…
Abstract
Purpose
This paper reviews recent research on the expected economic effects of developing artificial intelligence (AI) through a survey of the latest publications, in particular papers and reports issued by academics, consulting companies and think tanks.
Design/methodology/approach
Our paper represents a point of view on AI and its impact on the global economy. It represents a descriptive analysis of the AI phenomenon.
Findings
AI represents a driver of productivity and economic growth. It can increase efficiency and significantly improve the decision-making process by analyzing large amounts of data, yet at the same time it creates equally serious risks of job market polarization, rising inequality, structural unemployment and the emergence of new undesirable industrial structures.
Practical implications
This paper presents itself as a building block for further research by introducing the two main factors in the production function (Cobb-Douglas): labor and capital. Indeed, Zeira (1998) and Aghion, Jones and Jones (2017) suggested that AI can stimulate growth by replacing labor, which is a limited resource, with capital, an unlimited resource, both for the production of goods, services and ideas.
Originality/value
Our study contributes to the previous literature and presents a descriptive analysis of the impact of AI on technological development, economic growth and employment.
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