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Book part
Publication date: 25 June 2012

Chunhuei Chi, Jwo-Leun Lee and Rebecca Schoon

Purpose – The purpose of this article is to investigate one core research question: How can health information technology (HIT) be assessed in a national health care system

Abstract

Purpose – The purpose of this article is to investigate one core research question: How can health information technology (HIT) be assessed in a national health care system context?

Design/methodology – We examine this question by taking a systematic approach within a national care system, in which the purpose of HIT is to contribute to a common national health care system's goal: to promote population health in an efficient way. Based on this approach we first develop a framework and our criteria of assessment, and then using Taiwan as a case study, demonstrate how one can apply this framework to assess a national system's HIT. The five criteria we developed are how well does the HIT (1) provide accessible and accurate public health and health care information to the population; (2) collect and provide population health and health care data for government and researchers to analyze population health and processes and outcomes of health care services; (3) provide accessible and timely information that helps to improve provision of cost-effective health care at an institutional level and promotes system-wide efficiency; (4) minimize transaction and administrative costs of the health care system; and (5) establish channels for population participation in governance while also protecting individual privacy.

Findings – The results indicate that Taiwan has high levels of achievement in two criteria while falling short in the other three. Major lessons we learned from this study are that HIT exists to serve a health care system, and the national health care system context dictates how one assesses its HIT.

Originality/value – There is a large body of literature published on the implementation of HIT and its impact on the quality and cost of health care delivery. The vast majority of the literature, however, is focused on a micro institutional level such as a hospital or a bit higher up, on an HMO or health insurance firm. Few have gone further to evaluate the implementation of HIT and its impact on a national health care system. The lack of such research motivated this study. The major contributions of this study are (i) to develop a framework that follows systems thinking principles and (ii) propose a process through which a nation can identify its objectives for HIT and systematically assess its national HIT system. Using Taiwan's national health care system as a case study, this paper demonstrated how it can be done.

Article
Publication date: 1 April 2004

Georgios I. Zekos

Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way…

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Abstract

Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way of using the law in specific circumstances, and shows the variations therein. Sums up that arbitration is much the better way to gok as it avoids delays and expenses, plus the vexation/frustration of normal litigation. Concludes that the US and Greek constitutions and common law tradition in England appear to allow involved parties to choose their own judge, who can thus be an arbitrator. Discusses e‐commerce and speculates on this for the future.

Details

Managerial Law, vol. 46 no. 2/3
Type: Research Article
ISSN: 0309-0558

Keywords

Article
Publication date: 8 April 2019

Konstantin V. Vodenko

The purpose of this paper is to analyze the current problems and the main perspectives of the development of state regulation of the Russian system of higher education in the…

Abstract

Purpose

The purpose of this paper is to analyze the current problems and the main perspectives of the development of state regulation of the Russian system of higher education in the context of the provision of Russia’s national security.

Design/methodology/approach

The research of formation of the system of national security in Russia and the problems of the development of education is based on the methods of Russian and foreign Institutionalists (D. North, S.G. Kirdina, R.M. Nureev, Y.V. Latov, etc.). The research is also based on the theory of inequality in the system of education (D.L. Konstantinovsky), the idea of cultural aspects of social inequality (Pierre Bourdieu) and the theory that connects the problem of the development of the educational system with the system of national security and social inequalities (A.V. Vereshchagina, S.I. Samygina, etc.).

Findings

The modern state and perspectives of state regulation of higher education in the modern Russian conditions are analyzed in this paper. A complex analysis of risks of the modern state of Russia’s educational system is performed, and educational inequality as a risk to national security is studied in this paper. Perspectives of state regulation of higher education in view of the national model of socio-economic activities and principles of national security are viewed in this paper. The main directions of improving the educational system in the context of the provision of national security of the state are given in this paper.

Research limitations/implications

The results of the research could be used for correcting the main directions of Russia’s socio-economic policy in the long term. The central trend of this policy is the reformation of the development of the sphere of education as a factor of the formation of the system of Russia’s national security.

Practical implications

The results of the research could be used for correcting the main directions of Russia’s socio-economic policy in the long term. The central trend of this policy is the reformation of the development of the sphere of education as a factor of formation of the system of Russia’s national security.

Social implications

The ideas of the research could stimulate the reconsideration and harmonization of perspectives of the development of social policy of the state, which includes the interaction of the development of higher education and system of national security.

Originality/value

Originality of this paper consists in setting the problem of the implementation of social senses of the development of state policy in the sphere of higher education into the discourse of theoretical and practical consideration of the problems of national security.

Details

International Journal of Educational Management, vol. 33 no. 3
Type: Research Article
ISSN: 0951-354X

Keywords

Article
Publication date: 19 June 2007

Roxanne Missingham

This paper sets out to describe developments in Australian libraries and the national interlibrary loan and document delivery systems, in particular the outcomes of the Local…

Abstract

Purpose

This paper sets out to describe developments in Australian libraries and the national interlibrary loan and document delivery systems, in particular the outcomes of the Local Interlending and Document Delivery Administration Systems (LIDDAS) project. Australian libraries have had a highly cooperative approach to resource sharing for many years. ILL (Inter Library Loan) has become increasingly automated since the introduction of the online union catalogue in 1981 and the national interlending system in 1989. In 2004 interoperability was introduced, with 2006 developments in directories completing the national connected system.

Design/methodology/approach

Analysis is undertaken of the factors leading to a national approach, use of the automated solution by libraries and trends in use by end users.

Findings

Rapid and easy access to interlibrary lending has increased significantly through automation of local and national systems. While the overall number of loans and copies has not increased, the speed of delivery and efficiency of ILL has increased significantly.

Practical implications

By understanding the environment that led to a coordinated approach to automation by libraries in a variety of sectors, and evaluating the outcomes of the technological developments, this paper gives a basis for considering opportunities for future cooperative arrangements.

Originality/value

LIDDAS has stood the test of time as a highly original approach to providing access to the resources of the nation's libraries. This paper provides a study of the outcomes of the project, the impact of interlibrary lending in Australia and a cooperative approach between university, state, national and public libraries.

Details

Library Hi Tech, vol. 25 no. 2
Type: Research Article
ISSN: 0737-8831

Keywords

Article
Publication date: 1 April 1982

Judith Collins and Ruth Finer

Acquisition is an essential element in Universal Availability of Publications. An extensive literature review and a questionnaire survey revealed that few countries have a national

Abstract

Acquisition is an essential element in Universal Availability of Publications. An extensive literature review and a questionnaire survey revealed that few countries have a national acquisition policy but that there are numerous examples of informal arrangements involving substantial numbers of libraries. Factors influencing the existence and nature of a national acquisition system include the level of national commitment to libraries, attitudes of libraries to co‐operation, and administrative responsibility for libraries. National plans must be geared to national needs and circumstances; systems may be centralized or decentralized (by subject or other features), and may be centrally planned or based on voluntary co‐operation. The National Library may have a critical role to play. Five possible models are: a centralized unit of first resort; a decentralized region‐based system; centralized national subject libraries; decentralized responsibilities; and a central collection of journals only. Each country can decide on the appropriate model for its situation and requirements.

Details

Interlending Review, vol. 10 no. 4
Type: Research Article
ISSN: 0140-2773

Open Access
Article
Publication date: 13 February 2019

Tariq H. Malik and Chunhui Huo

This paper aims to assess the comparative position of the national innovation system of Chinese state entrepreneurship versus liberal market entrepreneurship. Based on the…

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Abstract

Purpose

This paper aims to assess the comparative position of the national innovation system of Chinese state entrepreneurship versus liberal market entrepreneurship. Based on the comparative institutional framework, it asks whether Chinese state entrepreneurship has a comparative disadvantage because of its incoherent institutions in liberal or coordinated economies. Hence, does the Chinese institutional system of innovation lag behind that of US or liberal countries of Organisation for Economic Co-operation and Development (OECD) economies in the transformation of national science into economic products measured as high-technology exports?

Design/methodology/approach

This study uses panel data analysis based on 29 OECD economies and the Chinese economy over 23 years. Regarding national science productivity (explorative capabilities), it includes published and patented science streams; regarding technological transformation (exploitative capabilities), it measures the percentage of high-technology exports in gross domestic product (GDP). The interactions between the types of entrepreneurship and national science institutions serve as predictors in the design.

Findings

The results show that Chinese state entrepreneurship has a comparative advantage over liberal economies in published science. However, Chinese state entrepreneurship has a comparative disadvantage compared to liberal entrepreneurship in patent science. Regarding the dyadic level of comparability between the national economies, there are mixed results in the transformation of national science.

Research limitations/implications

This study supports the three following theoretical points: national institutions differ regardless of the pressure of convergence through globalization; national science contingencies influence different paths of the transformation of national science to technology; and mixed economies, such as state entrepreneurship, can achieve high performance without fully conforming to liberal markets.

Practical implications

This study emphasizes institutional mechanisms for future research to support the innovation of incoherent institutions and suggests the benefit of cross-pollination of senior managers between state and private organizations for a defined duration.

Originality/value

Theoretically, this research combines an interdisciplinary and interinstitutional level of analysis, and in so doing, it deals with the transformation of national science in scientific publications and patents in the vertical value chain. Empirically, this study links the national published and patented science with the national economic artifacts in high-technology sectors. This novel approach to assess the national and discipline-level interaction sets a context for the future research in other settings. It also informs policy decisions regarding the growth of science, innovation and development.

Article
Publication date: 1 January 1980

D. ANDREW ROBERTS and RICHARD B. LIGHT

A survey of the current state of documentation practice in museums is presented. This concentrates on the broad themes of the practice, making comparisons with analogous library…

Abstract

A survey of the current state of documentation practice in museums is presented. This concentrates on the broad themes of the practice, making comparisons with analogous library procedures, where appropriate. A brief introduction to museums and their organizational framework within the United Kingdom is given. With this as background, the methods of documentation used by museums are reviewed, and a survey presented of current developments on an international and national scale.

Details

Journal of Documentation, vol. 36 no. 1
Type: Research Article
ISSN: 0022-0418

Article
Publication date: 1 December 2005

N.C. Proudlove and R. Boaden

To consider how information and information systems can be used to support improving patient flow in acute hospitals (a key target for the National Health Service in England), and…

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Abstract

Purpose

To consider how information and information systems can be used to support improving patient flow in acute hospitals (a key target for the National Health Service in England), and the potential role of the National Programme for Information Technology currently being developed.

Design/methodology/approach

The literature plus past and present research, teaching and consulting experience with all levels of the National Health Service is drawn on to consider information provision and requirements.

Findings

The National Programme for Information Technology specifies many features designed to support improving patient flows, though timescales for implementation are longer than those for the pledged flow improvements, and operational use of this type of information system has been problematic in the National Health Service.

Research limitations/implications

The work is limited to the National Health Service and information systems in use and planned for it. The National Health Service access targets, flow improvement initiatives and the National Programme for Information Technology apply primarily to England.

Practical implications

Some bed/flow management information systems currently in use incorporate tools and capabilities in advance of what is outlined in the National Programme for Information Technology, and some rare cases of culture changes in information system use have been achieved. One should learn from these to inform development and implementation of National Programme systems. These existing information systems and approaches may also be useful to hospitals considering systems prior to implementation of the National Programme for Information Technology.

Originality/value

There has been very little consideration of the use of operational information and information systems for bed/flow management in the literature. Development and implementation of National Programme for Information Technology systems should build from an understanding of the practice and context of bed/flow management.

Details

Journal of Health Organization and Management, vol. 19 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 April 2003

Georgios I. Zekos

Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some…

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Abstract

Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some legal aspects concerning MNEs, cyberspace and e‐commerce as the means of expression of the digital economy. The whole effort of the author is focused on the examination of various aspects of MNEs and their impact upon globalisation and vice versa and how and if we are moving towards a global digital economy.

Details

Managerial Law, vol. 45 no. 1/2
Type: Research Article
ISSN: 0309-0558

Keywords

Article
Publication date: 17 October 2008

Fang Shuqiong, Yang Baoan and Yu Yin

The purpose of this paper is to provide a new mentality of constructing the evaluation index system on national energy security, in favor of analyzing its influencing factors and…

Abstract

Purpose

The purpose of this paper is to provide a new mentality of constructing the evaluation index system on national energy security, in favor of analyzing its influencing factors and coupling relations thoroughly.

Design/methodology/approach

The complex adaptive system (CAS) theory has provided one kind analysis method on modeling and simulation for question of the social economic system, which based on the adaptive agent and mutual interaction. In view of this, the authors' expect to use this kind of new research paradigm for reference, and construct the evaluation index systems on national energy security using the integration of CAS theory and pressure‐state‐response (PSR) conceptual model.

Findings

Constructs a set of compound index system of “six parallel layers, gradually converge, six layers three dimensions three degrees.”

Research limitations/implications

The evaluation index system on national energy security is in the discussion stage at present, and the comparatively systematic or accepted index system has not been established. So the further study on influencing factors and measurement indicator system based on multi‐dimension of national energy security, is the emphasis of the continued further research.

Practical implications

Constructing the evaluation index system on national energy security integrating PSR conceptual model from the perspective CAS.

Originality/value

Divides the carrier of energy security problem's happening into three energy domains (non‐renewable energy), and introduces the theory and method of CAS to construct the agent layer to carry on the multi‐agent gambling analysis. Simultaneously separately analyses the coal security, the petroleum security as well as the natural gas security using the concept framework of PSR.

Details

Kybernetes, vol. 37 no. 9/10
Type: Research Article
ISSN: 0368-492X

Keywords

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