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Article
Publication date: 14 August 2009

Jorma Jokela, Shengnan Han, Ville Harkke, Markku Kallio, Leena Lindgren and Maaret Castrèn

The purpose of this paper is to present the results of a comparison study of using a mobile medical information system between civilian medical students and physicians…

Abstract

Purpose

The purpose of this paper is to present the results of a comparison study of using a mobile medical information system between civilian medical students and physicians undergoing military service in Finland. Special emphasis is on differences in system usage, and perceptions towards the mobile medical system. Other points of interest are the important features of the mobile medical system, advantages and disadvantages of using the system in actual emergency situations and use of the device to search for general information.

Design/methodology/approach

The study is conducted between two groups of users, medical students and physicians undertaking military service.

Findings

The two groups are found to have similar behaviors toward the mobile system in different contexts. This study helps develop an understanding of how the two groups of users use a mobile medical information system while also providing insights of some behavioral differences between them. Not all of the differences are significant; indicating the possibility of developing a universal tool for both military and civilian contexts, but more contents of military medicine should be supplemented for military physicians.

Originality/value

This paper addresses an area of increasing research interest, i.e. mobile medical informatics.

Details

Journal of Systems and Information Technology, vol. 11 no. 3
Type: Research Article
ISSN: 1328-7265

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Article
Publication date: 6 April 2012

Myongho Yi

As international users increase rapidly, multilingual systems have become a very important service for global users. The purpose of this paper is to design and implement…

Abstract

Purpose

As international users increase rapidly, multilingual systems have become a very important service for global users. The purpose of this paper is to design and implement an ontology‐driven medical information retrieval (OMIR) system by building a medical ontology based on the Centers for Disease Control and Prevention's (CDC) medical records.

Design/methodology/approach

A traditional cataloging scheme is used as a navigation menu in the CDC system. This traditional cataloging scheme is transformed to a unique medical ontology for global users in the OMIR system. An experimental study was conducted on both an ontology‐driven medical information system (OMIR) and the CDC system.

Findings

The medical ontology can be used to filter out unsuitable resources based on semantic relationships. In addition, the recommended resources can be categorized and provide the patron with different languages to access resources. The OMIR system provides better relevancy and shorter search times compared with alternative systems.

Research limitations/implications

The OMIR system is currently implemented for medical resources from the CDC. The developed method may also be applied to other domain areas.

Originality/value

This paper represents a practical method of building a multilingual medical information retrieval system and explains the functional use of ontological knowledge. This study provides insights into medical information seeking performance on the medical database systems.

Details

The Electronic Library, vol. 30 no. 2
Type: Research Article
ISSN: 0264-0473

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Article
Publication date: 18 December 2008

Shiaw‐Wen Tien, Chiu‐Yen Liu, Yi‐Chan Chung, Chih‐Hung Tsai and Ching‐Piao Chen

Since the execution of National Health Insurance system in Taiwan, the competition of medical industry is becoming more and more severe. The ways the hospital operate…

Abstract

Since the execution of National Health Insurance system in Taiwan, the competition of medical industry is becoming more and more severe. The ways the hospital operate knowledge management (KM) concept, combine current human resources and professional knowledge by information techniques and upgrade the competitiveness through reinvention of organizational culture have become the important issues. This research is based on the relationship between KM and organizational operation, integrates the characteristic of medical institutions and framework of medical knowledge cycle and starts the research subject by questionnaires from three dimensions: current situation of KM construction in medical organizations, executive effect of KM activities and the challenges faced by KM; subsequently, from qualitative interview, this research attempts to understand how a medical organization executes and adjusts in the consideration of theory and reality as well as quality and costs when actually operates the organization. This research accesses to KM system application of medical institutions and the empirical executive benefits and difficulties through questionnaires. The research results are as follows: (1) having initial understanding toward current KM establishment of medical institutions; (2) confirming the most important items of KM establishment of medical organizations; (3) understanding the most difficulty which the medical organizations encounter when executing KM; (4) establishing medical knowledge cycle figure of the hospitals receiving interviews. Through case interview, this research profoundly accessed to the actual operation of KM application of medical organizations. The target hospitals intended to try many medical KM measures; however, during to complicated hospital organizations and cultural characteristics, the promotion was not successful and the results were not apparent. The most difficulty was to change the employees’ behavior. The targets believed that only the continuous promotion of KM can allow it to be an important aspect of organizational culture and the competitiveness could constant be upgraded.

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Asian Journal on Quality, vol. 9 no. 3
Type: Research Article
ISSN: 1598-2688

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Article
Publication date: 1 April 1996

JENNIFER MACDOUGALL, J. MICHAEL BRITTAIN and ROBERT GANN

This paper provides an overview of the range and development of health informatics, with examples from the literature world wide covering the types of information

Abstract

This paper provides an overview of the range and development of health informatics, with examples from the literature world wide covering the types of information involved, the areas of application, the impact of evidence based medicine and other professional issues, integrated information systems, and the needs of the public, patients and their carers. While medical informatics certainly comprises a major part of health informatics it is not the main focus of this paper. Medical informatics is the older term and involves the use of information technology and computing specifically for medical science research, and the diagnosis and treatment of disease involving, for example, X‐rays, imaging, resonance, and magnetic scanning techniques. Rather, the scope of this review is the literature relating to the wider concept of the management of information through the interdisciplinary application of information science and technology for the benefit of patients, scientists, managers, staff, and carers involved in the whole range of healthcare activity.

Details

Journal of Documentation, vol. 52 no. 4
Type: Research Article
ISSN: 0022-0418

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Article
Publication date: 10 August 2012

S.L. Ting, W.H. Ip, Albert H.C. Tsang and George T.S. Ho

The purpose of this paper is to show how a clinical decision support system can help in prescription and knowledge acquisition processes.

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Abstract

Purpose

The purpose of this paper is to show how a clinical decision support system can help in prescription and knowledge acquisition processes.

Design/methodology/approach

An integrated electronic medical records system (iEMRS) is designed to enhance the decision support quality in prescription.

Findings

By evaluating the system performance through 135 prescription records collected from a Hong Kong medical organization, iEMRS shows a satisfactory result in suggesting medicines that is properly the same as the decisions made by the physicians.

Originality/value

Compared with the static clinical guidelines built (manually) in the traditional clinical decision support system, knowledge in iEMRS is generated by the knowledge discovery result from professional experiences of various physicians and patient histories, which are more dynamic in nature. A treatment algorithm, designed in data mining technique, is introduced to improve information management in medical organizations by integration of decision support capability and EMRS, and supplement the deficiencies of traditional clinical decision support system.

Details

Journal of Systems and Information Technology, vol. 14 no. 3
Type: Research Article
ISSN: 1328-7265

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Article
Publication date: 12 September 2016

Abdullah Ibrahim Alkraiji, Thomas Jackson and Ian Murray

Recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low worldwide although health data standards…

Abstract

Purpose

Recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low worldwide although health data standards have been perceived to be an essential tool for interoperability barriers within health information systems. The relevant literature still lacks significant studies concerning the issues of the adoption process of health data standards in healthcare organisations, and in particular those in developing nation. In addressing this gap in knowledge, the purpose of this paper is to investigate the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia, and to develop a technology-organisation-environment list that contains the critical factors influencing their adoption.

Design/methodology/approach

A multiple-case study methodology was conducted in Saudi Arabia and different data collection methods were used included semi-structured interviews with different decision makers at various levels and departments of the subject organisations, and documents analysis to identify critical factors to the adoption decision of health data standards.

Findings

The findings demonstrated a list of key factors from different aspects impacting the adoption decision of health data standards in the subject organisations. The technological factors are complexity and compatibility of health data standards, IT infrastructure, switching costs, market uncertainties, systems integration and enhancing the use of advanced systems. The main organisational factors are the lack of adequate policies and procedures and information management plan, resistance to change, data analysis and accreditation. The core environmental factors are the lack of national regulator and data exchange plan, national healthcare system and the shortage of professionals.

Research limitations/implications

The results from the qualitative data were difficult to generalise to other populations. For example, the structure of the health sector varies from country to country as each health sector has its own characteristics that affect and are affected by national circumstances. In order to provide a more grounded theory resulting from a qualitative study, further examination by conducting quantitative studies is required. In addition, the TOE approach does not take into account the sociotechnical issues and further research is required in this area.

Practical implications

The investigation into the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia has led to the development of a technology-organisation-environment list that contains the critical factors influencing their adoption. The research outcome has addressed the gap in knowledge of the adoption of health data standards in healthcare organisations. It also provides the decision maker, and in particular those in developing nations, with better understanding of the adoption process of those standards to better judge and to develop suitable strategy of adoption interventions.

Originality/value

Although recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low, the prior studies related to health data standards missed out on the exploration of the adoption decision of different types of health data standards in healthcare organisations and the critical factors influencing their adoption. Research on health data standards adoption based out of a developing country such as Saudi Arabia can also potentially provide several new insights on standards practices.

Details

Journal of Enterprise Information Management, vol. 29 no. 5
Type: Research Article
ISSN: 1741-0398

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Article
Publication date: 19 June 2009

Mina Deng, Danny De Cock and Bart Preneel

Modern e‐health systems incorporate different healthcare providers in one system and provide an electronic platform to share medical information efficiently. In…

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1134

Abstract

Purpose

Modern e‐health systems incorporate different healthcare providers in one system and provide an electronic platform to share medical information efficiently. In cross‐context communications between healthcare providers, the same information can be interpreted as different types or values, so that one patient will be issued different identifiers by different healthcare providers. This paper aims to provide a solution to ensure interoperability so that multiple healthcare providers will be able to collaborate in one e‐health system.

Design/methodology/approach

This paper primarily focuses on how different healthcare providers, instead of the patients, are able to interact and share information on a common e‐health platform.

Findings

In the course of the work, it was found that previous e‐health solutions mainly have a limited view of patient information, where a user‐centric approach for identity management is usually restricted to a single healthcare provider. Interoperability in an e‐health system becomes more problematic when more actors collaborate, and hence linkability from one context to another should not be straightforward. However, some form of linkability, such as the possibility to follow up a patient's medical treatment, is desirable in the e‐health sector, even when it needs to cross different contexts. Therefore, the authors have designed an identity management mechanism to ensure semantic interoperability when data is exchanged among different authorized healthcare providers.

Research limitations/implications

The paper points out that the next generation of e‐health will move towards federated e‐health and will require user‐centricity and transparency properties so that patients are able to specify and verify the disclosure of their medical information.

Originality/value

This paper proposes a new service for cross‐context identity management in e‐health systems, improving interoperability between agencies when context‐specific information is transferred from one healthcare provider to another. How the proposed cross‐context identity management service can be integrated in an e‐health system is explained with a use case scenario.

Details

Online Information Review, vol. 33 no. 3
Type: Research Article
ISSN: 1468-4527

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Article
Publication date: 28 September 2012

Yossy Machluf, Avinoam Pirogovsky, Elio Palma, Avi Yona, Amir Navon, Tamar Shohat, Amir Yitzak, Orna Tal, Nachman Ash, Michael Nachman and Yoram Chaiter

As part of the routine work of the medical committees in the Israel Defense Forces, a unique nationwide computerized control system is being implemented to assess and…

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1101

Abstract

Purpose

As part of the routine work of the medical committees in the Israel Defense Forces, a unique nationwide computerized control system is being implemented to assess and manage medical processes. The purpose of this paper is to report on that implementation.

Design/methodology/approach

The computerized system consists of three main components: a specific status indicating the processes in each file, an appointment system, and an internal computerized system that uses a magnetic card for the regulation of the local waiting lists.

Findings

The combined computerized system improves the control and management of the medical processes and informatics from the point‐of‐view of both the patients and system operators. Different parameters of quality control regarding the medical and administrative processes are assessed (such as efficiency), and solutions are sought. Computerized system‐based design and re‐allocation of human and medical resources were implemented according to the capacities and limitations of the medical system. A reduction in the daily number of invited recruits improved the quality of the medical encounters. Specific combined status codes were introduced for the efficient planning of the medical encounters. Implementation and automation of medical regulations and procedures within the computerized system make the latter play a key role and serve as a control tool during the decision‐making process.

Originality/value

The computerized system allows efficient follow‐up and management of medical processes and informatics, led to a better utilization of human and medical resources, and becomes a component of the decision making by the system operators and the administrative staff. Such a system could be used with success in clinics, hospitals, and other medical facilities.

Details

International Journal of Health Care Quality Assurance, vol. 25 no. 8
Type: Research Article
ISSN: 0952-6862

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Book part
Publication date: 25 July 2012

Susan Albers Mohrman and Michael H. Kanter

Purpose – This chapter argues that health care is best conceptualized as a complex adaptive system. Sustainable health care depends on harnessing the complexity of the…

Abstract

Purpose – This chapter argues that health care is best conceptualized as a complex adaptive system. Sustainable health care depends on harnessing the complexity of the system by building aligned purpose, flexible pathways to connect people, knowledge and resources, and the capacity for self-organization.

Design/methodology/approach – The case study of the Southern California Region of Kaiser Permanente is based on three years of interviews and archival data collection examining the system's transformational change that began in 2004 and has been aimed at building a sustainable health care system with the guiding principles of value and prevention. The case focuses primarily on the medical care delivery system designed by the Southern California Permanente Medical Group, the capabilities that have been built into the system to continually improve the quality of care and the outcomes of the system, and the results that have been achieved.

Findings – During the period from 2004 to 2011, the region improved significantly in slowing cost acceleration by significantly improving medical care. The implementation of an electronic medical records system and its integration with other clinical information technology systems have enabled: (1) truly integrated, well defined, and easily navigated care delivery systems that are based on evidence; (2) upstream focus on prevention, disease control, patient education, and population health; and (3) management accountability and organizational improvement systems based on transparency of data and feedback. Physician leadership and partnering with the region's administrative and hospital leadership have been critical change enablers.

Originality/value – Embracing the complexity of the system has led to the crafting of pathways and linkages that enable patients to move through the system to flexibly and efficiently connect to the knowledge and resources required to optimize their health. This requires continual self-organization based on well-defined roles and connections. Previous health care improvement approaches have stressed initiatives and organizational changes that may further fragment the health care system.

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Article
Publication date: 11 February 2019

Mehrdad Farzandipour, Mahtab Karami, Mohsen Arbabi and Sakine Abbasi Moghadam

Data comprise one of the key resources currently used in organizations. High-quality data are those that are appropriate for use by the customer. The quality of data is a…

Abstract

Purpose

Data comprise one of the key resources currently used in organizations. High-quality data are those that are appropriate for use by the customer. The quality of data is a key factor in determining the level of healthcare in hospitals, and its improvement leads to an improved quality of health and treatment and ultimately increases patient satisfaction. The purpose of this paper is to assess the quality of emergency patients’ information in a hospital information system.

Design/methodology/approach

This cross-sectional study was conducted on 385 randomly selected records of patients admitted to the emergency department of Shahid Beheshti Hospital in Kashan, Iran, in 2016. Data on five dimensions of quality, including accuracy, accessibility, timeliness, completeness and definition, were collected using a researcher-made checklist and were then analyzed in SPSS. The results are presented using descriptive statistics, such as frequency distribution and percentage.

Findings

The overall quality of emergency patients’ information in the hospital information system was 86 percent, and the dimensions of quality scored 87.7 percent for accuracy, 86.8 percent for completeness, 83.9 percent for timeliness, 79 percent for definition and 62.1 percent for accessibility.

Originality/value

Increasing the quality of patient information at emergency departments can lead to improvements in the timely diagnosis and management of diseases and patient and personnel satisfaction, and reduce hospital costs.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 1
Type: Research Article
ISSN: 0952-6862

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