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Article

Ghasem Abedi, Ghahraman Mahmoodi, Roya Malekzadeh, Zeinab Khodaei, Yibeltal Siraneh Belete and Edris Hasanpoor

The regulation defines patients’ rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patients’ rights accepted in…

Abstract

Purpose

The regulation defines patients’ rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patients’ rights accepted in international texts. Hence, the purpose of this paper is to investigate the relationship between patients’ safety, medical errors and patients’ safety rights with patients’ security feeling in selected hospitals of Mazandaran Province, Iran.

Design/methodology/approach

This descriptive cross-sectional study was conducted in selected hospitals of Mazandaran Province in public, social and private hospitals in 2016. In total, 1,083 patients were randomly selected for the study. The developed tool (questionnaire) was used for data collection. Questionnaire validity was verified through experts and its reliability was confirmed by Cronbach’s α coefficient (95 percent). Data were analyzed through multiple regressions by SPSS software (version 21).

Findings

The findings of this paper showed that the mean (standard deviation) medical error, patient’s safety, patient’s rights and patient’s security feeling were 2.50±0.61, 2.22±0.67, 2.11±0.68 and 2.73±0.63, respectively. Correlation testing results showed that medical error, patient’s safety and patient’s rights simultaneously had a significant relation with patient’s security feeling in the selected hospitals (p<0.05).

Originality/value

A simultaneous correlation between patient’s safety, patient’s rights and medical errors with patient’s security feeling in social security hospitals was higher than other hospitals. Hence, the authorities and officials of hospitals and healthcare centers were advised to make effective attempts to perceive the patient’s safety, medical errors and patient’s rights to improve the patient’s security feeling and calmness and also to make better decisions to promote the healthcare and therapeutic services.

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 3
Type: Research Article
ISSN: 2056-4902

Keywords

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Article

Agneta Schröder, Bodil Wilde Larsson and Gerd Ahlström

The principal aim of this paper is to develop an instrument to measure quality of care in the psychiatric setting from an in‐patient perspective and to describe quality of…

Abstract

Purpose

The principal aim of this paper is to develop an instrument to measure quality of care in the psychiatric setting from an in‐patient perspective and to describe quality of care by means of this instrument. A further aim is to investigate the influence of background variables and expectations on the experience of care.

Design/methodology/approach

The instrument “Quality in psychiatric care” consists of two parts: one for measuring the patient's expectations regarding quality of care, the other for measuring his or her experiences regarding it. The instrument was derived from an earlier interview study of patients' perceptions of the quality of psychiatric care. A sample of 116 patients from eight in‐patient wards in Sweden participated in the present study.

Findings

Results indicate a generally high quality of care. Experienced quality of care was significantly lower, however, than expectations in all the dimensions of the instrument: total dimension, dignity, security, participation, recovery and environment. Patients who perceived that the time of discharge was consistent with the stage of their illness experienced significantly higher Recovery; patients with good psychiatric health experienced this too, but also significantly higher participation.

Research limitations/implications

This new instrument needs to be further tested before the psychometric properties can be established.

Originality/value

The value of the research is that instruments for measuring the quality of in‐patient psychiatric care from the patient's perspective and with a theoretical foundation are less common.

Details

International Journal of Health Care Quality Assurance, vol. 20 no. 2
Type: Research Article
ISSN: 0952-6862

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Article

Pouyan Esmaeilzadeh

Health information exchange (HIE) initiatives utilize sharing mechanisms through which health information is mostly transmitted without a patient's close supervision;…

Abstract

Purpose

Health information exchange (HIE) initiatives utilize sharing mechanisms through which health information is mostly transmitted without a patient's close supervision; thus, patient trust in the HIE is the core in this setting. Existing technology acceptance theories mainly consider cognitive beliefs resulting in adoption behavior. The study argues that existing theories should be expanded to cover not only cognitive beliefs but also the emotion provoked by the sharing nature of the technology. Based on the theory of reasoned action, the technology adoption literature, and the trust literature, we theoretically explain and empirically test the impact of perceived transparency of privacy policy on cognitive trust and emotional trust in HIEs. Moreover, the study analyzes the effects of cognitive trust and emotional trust on the intention to opt in to HIEs and willingness to disclose health information.

Design/methodology/approach

An online survey was conducted using data from individuals who were aware of HIEs through experience with at least one provider participating in an HIE network. Data were collected from a wide range of adult population groups in the United States.

Findings

The structural equation modeling analysis results provide empirical support for the proposed model. The model highlights the strategic role of the perceived transparency of the privacy policy in building trust in HIEs. When patients know more about HIE security measures, sharing procedures, and privacy terms, they feel more in control, more assured, and less at risk. The results also show that patient trust in HIEs may take the forms of intention to opt in to an HIE and willingness to disclose health information exchanged through HIE networks.

Originality/value

The findings of this study should be of interest to both academics and practitioners. The research highlights the importance of developing and using a transparent privacy policy in the diffusion of HIEs. The findings provide a deep understanding of dimensions of HIE privacy policy that should be addressed by health-care organizations to exchange personal health information in a secure and private manner.

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Article

Pouyan Esmaeilzadeh, Spurthy Dharanikota and Tala Mirzaei

Patient-centric exchanges, a major type of Health Information Exchange (HIE), empower patients to aggregate and manage their health information. This exchange model helps…

Abstract

Purpose

Patient-centric exchanges, a major type of Health Information Exchange (HIE), empower patients to aggregate and manage their health information. This exchange model helps patients access, modify and share their medical information with multiple healthcare organizations. Although existing studies examine patient engagement, more research is required to investigate patients' attitudes and willingness to play an active role in patient-centered information exchange. The study's main objective is to develop a model based on the belief-attitude-intention paradigm to empirically examine the effects of patients' attitudes toward engagement in care on their willingness to participate in patient-centric HIE.

Design/methodology/approach

The authors conducted an online survey study to identify the antecedents and consequences of patients' attitudes toward engagement in care. To empirically test the research model, the authors collected data from a national sample (n = 357) of individuals in the United States. The data were analyzed using structural equation modeling (SEM).

Findings

The proposed model categorizes the antecedents to patients' attitudes toward engagement in patient-related and healthcare system factors. The results show that patient-related factors (perceived health literacy and perceived coping ability) and health system factors (perceived experience with the healthcare organization and perceived patient-provider interaction) significantly shape patient attitude toward care management engagement. The results indicate that patients' attitudes toward engaging in their healthcare significantly contribute to their willingness to participate in medical information sharing through patient-centric HIE initiatives. Moreover, the authors’ findings also demonstrate that the link between patient engagement and willingness to participate in HIE is stronger for individuals who perceive lower levels of privacy and security concerns.

Originality/value

The authors validate the proposed model explaining patients' perceptions about their characteristics and the healthcare system significantly influence their attitude toward engaging in their care. This study also suggests that patients' favorable attitude toward engagement can bring patient-centric HIE efforts onto a path to success. The authors’ research attempts to shed light on the importance of patients' roles in adopting patient-centric HIE initiatives. Theoretical and practical contributions of this study are noticeable since they could result in a deeper understanding of the concept of patient engagement and how it may affect healthcare services in an evolving digital world. The authors’ findings can help healthcare organizations provide public citizen-centric services by introducing user-oriented approaches in healthcare delivery systems.

Details

Information Technology & People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0959-3845

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Article

Agneta Schröder, Bodil Wilde Larsson, Gerd Ahlström and Lars‐Olov Lundqvist

The purpose of this paper is to test the psychometric properties and dimensionality of a new instrument, quality in psychiatric care (QPC), and to describe and compare…

Abstract

Purpose

The purpose of this paper is to test the psychometric properties and dimensionality of a new instrument, quality in psychiatric care (QPC), and to describe and compare quality of care among in‐patients as measured by this instrument.

Design/methodology/approach

The instrument quality in psychiatric care measures patients' experiences regarding quality of care. The instrument is based on a definition of quality of care from the patients' perspective. A sample of 265 in‐patients at eight general psychiatric wards in Sweden was assessed.

Findings

Exploratory factor analysis revealed that the original five‐dimensional 69‐item QPC was better with six dimensions and reduced to 30 items, hereinafter denoted quality in psychiatric care‐in‐patients (QPC‐IP) with retained internal consistency. The patients' ratings of quality of care were generally high; the highest rating was for quality of encounter and the lowest for participation.

Research limitations/implications

Analysis of the dropouts was not possible because of incomplete registrations at the wards.

Practical implications

QPC‐IP is a simple, inexpensive and quick way to evaluate quality of care and thus contributes to health care improvement in the field of psychiatry.

Originality/value

The new 30 items instrument, QPC‐IP includes important aspects of patients' perceptions of quality of care. The QPC‐IP is psychometrically adequate and thus recommended for evaluating patients' experiences of the quality of psychiatric care.

Details

International Journal of Health Care Quality Assurance, vol. 23 no. 6
Type: Research Article
ISSN: 0952-6862

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Article

J Aruna Santhi and T Vijaya Saradhi

This paper tactics to implement the attack detection in medical Internet of things (IoT) devices using improved deep learning architecture for accomplishing the concept…

Abstract

Purpose

This paper tactics to implement the attack detection in medical Internet of things (IoT) devices using improved deep learning architecture for accomplishing the concept bring your own device (BYOD). Here, a simulation-based hospital environment is modeled where many IoT devices or medical equipment are communicated with each other. The node or the device, which is creating the attack are recognized with the support of attribute collection. The dataset pertaining to the attack detection in medical IoT is gathered from each node that is considered as features. These features are subjected to a deep belief network (DBN), which is a part of deep learning algorithm. Despite the existing DBN, the number of hidden neurons of DBN is tuned or optimized correctly with the help of a hybrid meta-heuristic algorithm by merging grasshopper optimization algorithm (GOA) and spider monkey optimization (SMO) in order to enhance the accuracy of detection. The hybrid algorithm is termed as local leader phase-based GOA (LLP-GOA). The DBN is used to train the nodes by creating the data library with attack details, thus maintaining accurate detection during testing.

Design/methodology/approach

This paper has presented novel attack detection in medical IoT devices using improved deep learning architecture as BYOD. With this, this paper aims to show the high convergence and better performance in detecting attacks in the hospital network.

Findings

From the analysis, the overall performance analysis of the proposed LLP-GOA-based DBN in terms of accuracy was 0.25% better than particle swarm optimization (PSO)-DBN, 0.15% enhanced than grey wolf algorithm (GWO)-DBN, 0.26% enhanced than SMO-DBN and 0.43% enhanced than GOA-DBN. Similarly, the accuracy of the proposed LLP-GOA-DBN model was 13% better than support vector machine (SVM), 5.4% enhanced than k-nearest neighbor (KNN), 8.7% finer than neural network (NN) and 3.5% enhanced than DBN.

Originality/value

This paper adopts a hybrid algorithm termed as LLP-GOA for the accurate detection of attacks in medical IoT for improving the enhanced security in healthcare sector using the optimized deep learning. This is the first work which utilizes LLP-GOA algorithm for improving the performance of DBN for enhancing the security in the healthcare sector.

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Article

Rajesh Kumar Singh, Saurabh Agrawal, Abhishek Sahu and Yigit Kazancoglu

The proposed article is aimed at exploring the opportunities, challenges and possible outcomes of incorporating big data analytics (BDA) into health-care sector. The…

Abstract

Purpose

The proposed article is aimed at exploring the opportunities, challenges and possible outcomes of incorporating big data analytics (BDA) into health-care sector. The purpose of this study is to find the research gaps in the literature and to investigate the scope of incorporating new strategies in the health-care sector for increasing the efficiency of the system.

Design/methodology/approach

Fora state-of-the-art literature review, a systematic literature review has been carried out to find out research gaps in the field of healthcare using big data (BD) applications. A detailed research methodology including material collection, descriptive analysis and categorization is utilized to carry out the literature review.

Findings

BD analysis is rapidly being adopted in health-care sector for utilizing precious information available in terms of BD. However, it puts forth certain challenges that need to be focused upon. The article identifies and explains the challenges thoroughly.

Research limitations/implications

The proposed study will provide useful guidance to the health-care sector professionals for managing health-care system. It will help academicians and physicians for evaluating, improving and benchmarking the health-care strategies through BDA in the health-care sector. One of the limitations of the study is that it is based on literature review and more in-depth studies may be carried out for the generalization of results.

Originality/value

There are certain effective tools available in the market today that are currently being used by both small and large businesses and corporations. One of them is BD, which may be very useful for health-care sector. A comprehensive literature review is carried out for research papers published between 1974 and 2021.

Details

The TQM Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1754-2731

Keywords

Content available

Abstract

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 3
Type: Research Article
ISSN: 2056-4902

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Article

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…

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.

Details

Benchmarking: An International Journal, vol. 25 no. 6
Type: Research Article
ISSN: 1463-5771

Keywords

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Article

Eva Söderström, Nomie Eriksson and Rose-Mharie Åhlfeldt

– The purpose of this paper is to analyze two case studies with a trust matrix tool, to identify trust issues related to electronic health records.

Abstract

Purpose

The purpose of this paper is to analyze two case studies with a trust matrix tool, to identify trust issues related to electronic health records.

Design/methodology/approach

A qualitative research approach is applied using two case studies. The data analysis of these studies generated a problem list, which was mapped to a trust matrix.

Findings

Results demonstrate flaws in current practices and point to achieving balance between organizational, person and technology trust perspectives. The analysis revealed three challenge areas, to: achieve higher trust in patient-focussed healthcare; improve communication between patients and healthcare professionals; and establish clear terminology. By taking trust into account, a more holistic perspective on healthcare can be achieved, where trust can be obtained and optimized.

Research limitations/implications

A trust matrix is tested and shown to identify trust problems on different levels and relating to trusting beliefs. Future research should elaborate and more fully address issues within three identified challenge areas.

Practical implications

The trust matrix’s usefulness as a tool for organizations to analyze trust problems and issues is demonstrated.

Originality/value

Healthcare trust issues are captured to a greater extent and from previously unchartered perspectives.

Details

International Journal of Health Care Quality Assurance, vol. 29 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

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