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Dissertations / Theses on the topic 'Healthcare system'
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Opper, Scott. "Redesigning the American healthcare system." Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/400.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Health and Public Affairs<br>Social Work
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Yan, Qing. "Inequity of Chinese healthcare system." Thesis, University of Macau, 2015. http://umaclib3.umac.mo/record=b3258539.
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Jaishankar, Gayatri, and Matthew Tolliver. "Navigating the Complex Healthcare System." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8872.
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Chaudhary, Anjali S. M. Massachusetts Institute of Technology. "System dynamics approach to healthcare affordability in India." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105305.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, 2015.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (pages [66]-[67]).<br>Affordability of healthcare is a growing concern across the world. For India, with a population of over 1.2 billion people and one third of world's poorest, to provide affordable and sustainable healthcare to all its citizens becomes even more challenging. The country faces the triple burden of controlling communicable diseases, managing non communicable diseases, and limiting the deaths from injury and mental health. The public healthcare system is underfunded and underutilized while the private facilities are unregulated and unaccountable for quality and cost of care. The high reliance of the population on the private facilities, low insurance coverage, and high emphasis on curative care than the preventive care is further making the cost prohibitive for the general population. There is a lot to be desired in the areas of Pharmaceuticals, Medical Devices, and Research and Development for a holistic development of healthcare system in India. This thesis attempts to model the current healthcare system and how different entities of the system interact to influence the affordability. The simulation of the model projects the affordability in the next 50 years. The study also checks the impact of three different policies on the affordability of care.<br>by Anjali Chaudhary.<br>S.M. in Engineering and Management
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Chung, Kristie (Kristie J. ). "Applying systems thinking to healthcare data cybersecurity." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/105307.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, 2015.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (pages 85-90).<br>Since the HITECH Act of 2009, adoption of Electronic Health Record (EHR) systems in US healthcare organizations has increased significantly. Along with the rapid increase in usage of EHR, cybercrimes are on the rise as well. Two recent cybercrime cases from early 2015, the Anthem and Premera breaches, are examples of the alarming increase of cybercrimes in this domain. Although modem Information Technology (IT) systems have evolved to become very complex and dynamic, cybersecurity strategies have remained static. Cyber attackers are now adopting more adaptive, sophisticated tactics, yet the cybersecurity counter tactics have proven to be inadequate and ineffective. The objective of this thesis is to analyze the recent Anthem security breach to assess the vulnerabilities of Anthem's data systems using current cybersecurity frameworks and guidelines and the Systems-Theoretic Accident Model and Process (STAMP) method. The STAMP analysis revealed Anthem's cybersecurity strategy needs to be reassessed and redesigned from a systems perspective using a holistic approach. Unless our society and government understand cybersecurity from a sociotechnical perspective, we will never be equipped to protect valuable information and will always lose this battle.<br>by Kristie Chung.<br>S.M. in Engineering and Management
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Liang, Xiaojie. "Exercise Monitor on E-healthcare System." Thesis, Mittuniversitetet, Institutionen för informationsteknologi och medier, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-16590.
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With the rapid development of terminal hardware, mobile users and network environments, the scale of the mobile Internet appears to be catching up with the desktop Internet. Positioning System, phone sensors and applications which are able to be used anywhere have caused the arrival and increase in usage of the smart phone, and the world has become mobile-first. Within medical fields, the smart phone is also regarded as an acceptableassistant for nurses and patients as based on the advantages of mobile Internet. It is possible for healthcare personnel to assign tasks for the patients from a different place if there is a computer connected to the Internet. In addition,the smart phones is able to act as a nurse and remind the patients to complete their tasks. Accordingly, it has become a necessity to achieve this electronic healthcare system for hospitals. The objective of this research project is to summarize the procedures of this development, and release the relevant software based on an Android platform. Additionally, a corresponding website is to be designed so that healthcare personnel are able to sign in in order to deal with the tasks. The entire system has been tested in real scenarios, at this point only by the authorbut has still not been used by other organizations. The final part of the report involves the conclusions drawn and provides suggestions for further work about the whole project.
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Mahmood, Ashrafullah Khalid. "Information Security Management of Healthcare System." Thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-4353.
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Information security has significant role in Healthcare organizations. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. Sensitive information of patients in healthcare has to be managed such that it is safe and secure from unauthorized access. The high-level quality care to patients is possible if healthcare management system is able to provide right information in right time to right place. Availability and accessibility are significant aspects of information security, where applicable information needs to be available and accessible for user within the healthcare organization as well as across organizational borders. At the same time, it is essentials to protect the patient security from unauthorized access and maintain the appropriate level in health care regarding information security. The aim of this thesis is to explore current management of information security in terms of Electronic Health Records (EHR) and how these are protected from possible security threats and risks in healthcare, when the sensitive information has to be communicated among different actors in healthcare as well as across borders. The Blekinge health care system was investigated through case study with conduction of several interviews to discover possible issues, concerning security threats to management of healthcare. The theoretical work was the framework and support for possible solutions of identified security risks and threats in Blekinge healthcare. At the end after mapping, the whole process possible guidelines and suggestions were recommended for healthcare in order to prevent the sensitive information from unauthorized access and maintain information security. The management of technical and administrative bodies was explored for security problems. It has main role to healthcare and in general, whole business is the responsibility of this management to manage the sensitive information of patients. Consequently, Blekinge healthcare was investigated for possible issues and some possible guidelines and suggestions in order to improve the current information security with prevention of necessary risks to healthcare sensitive information.<br>muqadas@gmail.com
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Yesmin, Sabina. "Mobile Application for Secure Healthcare System." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-127456.
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Usage of mobile applications and wireless networks is growing rapidly at different sectors in the world. Mobile healthcare application is devotedly accepted by the healthcare organizations and also by patients. The reasons behind accepting mobile healthcare applications are as user friendly, reliable, low cost, time efficient, mobility etc. Though the use of mobile applications is rising day by day in the healthcare sectors still those applications are not completely secure to prevent disclosure and misuse of patient’s sensitive data. However, security issues in healthcare applications get attention by many organizations. In this thesis we have presented an integrated architecture for secure mobile healthcare system. This application provides management of patient medical records in a regional environment. Our mobile application is developed for Android platform. This solution is secure enough, because it fulfills important security requirements: integrity, confidentiality and availability.
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Gautam, Sanjay Kumar S. M. Massachusetts Institute of Technology. "Healthcare market outlook and emerging technologies in India." Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/100375.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, February 2015.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (page 77).<br>Usage in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. India's healthcare information technology market is slow with technology adoption but there is little traction shown in last couple of years. This growth is expected to hit US $1.45 billion in 2018, more than three times the US $381.3 million reached in 2012. The increase in adoption of electronic health records, mHealth, telemedicine, and Web-based services has made electronic patient data expand, necessitating the implementation of robust IT systems in Indian healthcare institutions. Information technology (IT) has the potential to improve the quality, safety, and efficiency of health care. Diffusion of IT in health care is generally low (varying, however, with the application and setting) but surveys indicate that providers plan to increase their investments. Drivers of investment in IT include the promise of quality and efficiency gains. Barriers include the cost and complexity of IT implementation, which often necessitates significant work process and cultural changes. Given IT's potential, both the private and public sectors have engaged in numerous efforts to promote its use within and across health care settings. Delivering quality health care requires providers and patients to integrate complex information from many different sources. Thus, increasing the ability of physicians, nurses, clinical technicians, and others to readily access and use the right information about their patients should improve care. The purpose of this thesis is to assess the current state of healthcare in India and specifically look into the emerging technology trends in healthcare IT. During analysis secondary data has been used. Various articles and research papers published in national and international journals are used. India is hub of IT and its use is increasing in health sector.<br>by Sanjay Kumar Gautam.<br>S.M. in Engineering and Management
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Ren, Haiying S. M. Massachusetts Institute of Technology. "Transition to cloud computing in healthcare information systems." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76507.
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Thesis (S.M. in Engineering and Management)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 60-63).<br>This thesis is a study on the adoption of cloud computing in healthcare information technology industry. It provides a guideline for people who are trying to bring cloud computing into healthcare information systems through the use of a framework of tools and processes to overcome both technical and business challenges.<br>by Haiying Ren.<br>S.M.in Engineering and Management
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Ramadoss, Balaji. "Ontology Driven Model for an Engineered Agile Healthcare System." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5110.
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Healthcare is in urgent need of an effective way to manage the complexity it of its systems and to prepare quickly for immense changes in the economics of healthcare delivery and reimbursement. Centers for Medicare & Medicaid Services (CMS) releases policies affecting inpatient and long-term care hospitals policies that directly affect reimbursement and payment rates. One of these policy changes, a quality-reporting program called Hospital Inpatient Quality Reporting (IQR), will effect approximately 3,400 acute-care and 440 long-term care hospitals. IQR sets guidelines and measures that will contain financial incentives and penalties based on the quality of care provided. CMS, the largest healthcare payer, is aggressively promoting high quality of care by linking payment incentives to outcomes. With CMS assessing each hospital's performance by comparing its Quality Achievements and Quality Improvement scores, there is a growing need and demand to understand these quality measures under the context of patient care, data management and system integration. This focus on patient-centered quality care is difficult for healthcare systems due to the lack of a systemic view of the patient and patient care. This research uniquely addresses the hospital's need to meet these challenges by presenting a healthcare specific framework and methodology for translating data on quality metrics into actionable processes and feedback to produce the desired quality outcome. The solution is based on a patient-care level process ontology, rather than the technology itself, and creates a bridge that applies systems engineering principles to permit observation and control of the system. This is a transformative framework conceived to meet the needs of the rapidly changing healthcare landscape. Without this framework, healthcare is dealing with outcomes that are six to seven months old, meaning patients may not have been cared for effectively. In this research a framework and methodology called the Healthcare Ontology Based Systems Engineering Model (HOB-SEM) is developed to allow for observability and controllability of compartmental healthcare systems. HOB-SEM applies systems and controls engineering principles to healthcare using ontology as the method and the data lifecycle as the framework. The ontology view of patient-level system interaction and the framework to deliver data management and quality lifecycles enables the development of an agile systemic healthcare view for observability and controllability
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Warren, Matthew John. "A security advisory system for healthcare environments." Thesis, University of Plymouth, 1996. http://hdl.handle.net/10026.1/1833.
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This thesis considers the current requirements for security in European healthcare establishments. Information Technology is being used increasingly by all areas of healthcare, from administration to clinical treatment and this has resulted in increased dependence upon computer systems by healthcare staff. The thesis looks at healthcare security requirements from the European perspective. An aim of the research was to develop security guidelines that could be used by healthcare establishments to implement a common baseline standard for security. These guidelines represent work submitted to the Commission of European Communities SEISMED (Secure Environment for Information Systems in Medicine) project, with which the research programme was closely linked. The guidelines were validated by implementing them with the Plymouth and Torbay Health Trust. The thesis also describes the development of a new management methodology and this was developed to allow the smooth implementation of security within healthcare establishments. The methodology was validated by actually using it within the Plymouth and Torbay Health Authority to implement security countermeasures. A major area of the research was looking at the use of risk analysis and reviewing all the known risk analysis methodologies. The use of risk analysis within healthcare was also considered and the main risk analysis methods used by UK healthcare establishments were reviewed. The thesis explains why there is a need for a risk analysis method specially developed for healthcare. As part of the research a new risk analysis method was developed, this allows healthcare establishments to determine their own security requirements. The method was also combined with the new management methodology that would determine any implementional problems. The risk analysis methodology was developed into a computerised prototype, which demonstrated the different stages of the methodology.
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Jean, Paul Bambanza. "iSEE:A Semantic Sensors Selection System for Healthcare." Thesis, Luleå tekniska universitet, Institutionen för system- och rymdteknik, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-59635.
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The massive use of Internet-based connectivity of devices such as smartphones and sensors has led to the emergence of Internet of Things(IoT). Healthcare is one of the areas that IoT-based applications deployment is becoming more successful. However, the deployment of IoT in healthcare faces one major challenge, the selection of IoT devices by stakeholders (for example, patients, caregivers, health professionals and other government agencies) given an amount of available IoT devices based on a disease(for ex-ample, Asthma) or various healthcare scenarios (for example, disease management, prevention and rehabilitation). Since healthcare stakeholders currently do not have enough knowledge about IoT, the IoT devices selection process has to proceed in a way that it allows users to have more detailed information about IoT devices for example, Quality of Service (QoS) parameters, cost, availability(manufacturer), device placement and associated disease. To address this challenge, this thesis work proposes, develops and validates a novel Semantic sEnsor sElection system(iSEE) for healthcare. This thesis also develops iSEE system prototype and Smart Healthcare Ontology(SHO). A Java application is built to allow users for querying our developed SHO in an efficient way.The iSEE system is evaluated based on query response time and the result-set for the queries. Further, we evaluate SHO using Competency Questions(CQs). The conducted evaluations show that our iSEE system can be used efficiently to support stakeholders within the healthcare domain.
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Avirovik, Dragan. "System Level Approach towards Intelligent Healthcare Environment." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/49581.
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Surgical procedures conducted without proper guidance and dynamic feedback mechanism could lead to unintended consequences. In-vivo diagnostics and imaging (the Gastro-Intestinal tract) has shown to be inconvenient for the patients using traditional endoscopic instruments and often these conventional methods are limited in terms of their access to various organs (e.g. small intestines). Embedding sensors inside the living body is complex and further the communication with the implanted sensors is challenging using the current RF technology. Additionally, continuous replacement and/or batteries recharging for wireless sensors networks both in-vivo and ex-vivo adds towards the complexity. Advances in diagnostics and prognostics techniques require development at multiple levels through systems approach, guided by the futuristic intelligent decision making environment that reduces the human interference. The demands are not only at the component level, but also at the connectivity of the components such that secure, sustainable, self-reliant, and intelligent environment can be realized. This thesis provides important breakthroughs required to achieve the vision of intelligent healthcare environment. The research contributions of this thesis provide foundation for developing a new architecture for continuous medical diagnostic and monitoring. The chapters in this thesis cover four fundamental technologies covering the in-vivo imaging, ex-vivo imaging, energy for sensors, and acoustic communication. These technologies are: locomotion mechanism for wireless capsule endoscope (WCE), multifunctional image guided surgical (MIGS) platform, shape memory alloy (SMA) thermal energy harvester and thermo-acoustic sonar using carbon nanotube (CNT) sheets.
First, two types of locomotion mechanisms were developed, the first one inspired by millipede legged type mechanism and the second one based on the traveling waves that were induced onto the walls of the WCEs through vibration. Both mechanisms utilize piezoelectric actuators and couple their dynamics and actuation capability in order to achieve propulsion. This controlled locomotion will provide WCE advantage in terms of conducting localized diagnostics. Next, in order to conduct ex-vivo surgical procedures using the OCT such as removing the unwanted tissue and tumors short distance beneath the skin, MIGS platform was developed. The MIGS platform is composed of three key elements: optical coherence tomography (OCT) probe, laser scalpel and high precision miniature scanning and positioning stage. The focus in this dissertation was on design and development of the programmable scanning and positioning stage. The combination of in-vivo tool such as WCE and ex-vivo tool such as MIGS will provide opportunity to conduct many non-invasive procedures which will save time and cost. In order to power the feedback sensors that assist in remote operation of surgical procedures and automation of the diagnostic algorithms, an energy harvester technology based on the SMA thermal engine was designed, fabricated, and characterized. A mechano-thermal model for the overall SMA engine was developed and experimentally validated. Finally, the thermo-acoustic sound generation mechanism using CNT sheets was investigated with the goal of developing techniques for acoustic localization of WCE and customized sound generation devices. CNT thermo-acoustic projectors were modeled and experimentally characterized to quantify the dynamics of the system under varying drive conditions.
The overall vision of this thesis is to lay down the foundation for intelligent healthcare environment that provides the ability to conduct automated diagnostics, prognostics, and non-invasive surgical procedures. In accomplishing this vision, the thesis has addressed several key fundamental aspects of various technologies that will be required for implementing the automation algorithms.<br>Ph. D.
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Baidoo, Rhodaline. "Toward a Comprehensive Healthcare System in Ghana." Ohio University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1237304137.
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Tubertini, Paolo <1986>. "Operational research applied to regional healthcare system." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6541/1/Tubertini_Paolo_tesi.pdf.
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In this thesis we focus on optimization and simulation techniques applied to solve strategic, tactical and operational problems rising in the healthcare sector. At first we present three applications to Emilia-Romagna Public Health System (SSR) developed in collaboration with Agenzia Sanitaria e Sociale dell'Emilia-Romagna (ASSR), a regional center for innovation and improvement in health. Agenzia launched a strategic campaign aimed at introducing Operations Research techniques as decision making tools to support technological and organizational innovations. The three applications focus on forecast and fund allocation of medical specialty positions, breast screening program extension and operating theater planning. The case studies exploit the potential of combinatorial optimization, discrete event simulation and system dynamics techniques to solve resource constrained problem arising within Emilia-Romagna territory. We then present an application in collaboration with Dipartimento di Epidemiologia del Lazio that focuses on population demand of service allocation to regional emergency departments. Finally, a simulation-optimization approach, developed in collaboration with INESC TECH center of Porto, to evaluate matching policies for the kidney exchange problem is discussed.
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Tubertini, Paolo <1986>. "Operational research applied to regional healthcare system." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6541/.
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In this thesis we focus on optimization and simulation techniques applied to solve strategic, tactical and operational problems rising in the healthcare sector. At first we present three applications to Emilia-Romagna Public Health System (SSR) developed in collaboration with Agenzia Sanitaria e Sociale dell'Emilia-Romagna (ASSR), a regional center for innovation and improvement in health. Agenzia launched a strategic campaign aimed at introducing Operations Research techniques as decision making tools to support technological and organizational innovations. The three applications focus on forecast and fund allocation of medical specialty positions, breast screening program extension and operating theater planning. The case studies exploit the potential of combinatorial optimization, discrete event simulation and system dynamics techniques to solve resource constrained problem arising within Emilia-Romagna territory. We then present an application in collaboration with Dipartimento di Epidemiologia del Lazio that focuses on population demand of service allocation to regional emergency departments. Finally, a simulation-optimization approach, developed in collaboration with INESC TECH center of Porto, to evaluate matching policies for the kidney exchange problem is discussed.
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Hsieh, Sheau-Ling 1952. "Distributed multimedia collaborative system framework for tele-healthcare remote consultation systems." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/284034.
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The Remote Consultation and Diagnosis (RCD) in Global Picture Archiving and Communication System (Global PACS) is a unique suite of multimedia telemedicine applications developed at the University of Arizona. The applications support real-time patients' data, image files, audio and video consultation and diagnosis annotation exchanges. The RCD enables joint collaboration between pathologists, radiologists, or physicians while they are at distant geographical locations. This project provides four RCD scenarios, i.e., Case Review, Case Acquire, Store and Forward Analysis, as well as Interactive Diagnosis and Consultation. The RCD Global PACS environment consists of heterogeneous, autonomous, and legacy resources. The Common Object Request Broker Architecture (CORBA), Java Database Connectivity (JDBC), and Java language provide the capability to combine the RCD Global PACS resources into an integrated, interoperable, and scalable system. The underneath technology, including IDL, ORB, Event Service, IIOP, JDBC/ODBC, legacy system wrapping and Java implementation are explored. This distributed collaborative CORBA/JDBC based framework will challenge the advanced, medical information management requirements. It also makes the RCD Global PACS both hardware and software technologically independent. As our research and development extend, we will continue to incorporate the latest advances in computer technology. RCD Global PACS is not another new tool in telemedicine, but rather a new paradigm for the delivery of health services that requires process reengineering, cultural changes, as well as organizational changes. It is a whole new way of practicing in telemedicine. We ensure that the RCD Global PACS project has long-term, comprehensive solutions for today and tomorrow's healthcare needs.
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Obuaku-Igwe, Chinwe Christopher. "The Nigerian healthcare system: A study of access to affordable essential medicines and healthcare." University of the Western Cape, 2015. http://hdl.handle.net/11394/4845.
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Philosophiae Doctor - PhD<br>The concepts of availability, affordability, accessibility and acceptability otherwise known as the 4As of ATM are key factors that influence access to essential medicines in any given health system. However, the exact scale and extent to which these 4As affect various populations in Nigeria remains unknown. This study investigates the Nigerian healthcare system with special focus on access to quality and affordable essential medicines in three Nigerian States; Abuja, Kaduna and Nassarawa, by drawing upon primary data, using qualitative and quantitative research methods.
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Liu, Yazhuo. "Patient Populations, Clinical Associations, and System Efficiency in Healthcare Delivery System." Thesis, University of South Florida, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3714134.
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<p> The efforts to improve health care delivery usually involve studies and analysis of patient populations and healthcare systems. In this dissertation, I present the research conducted in the following areas: identifying patient groups, improving treatments for specific conditions by using statistical as well as data mining techniques, and developing new operation research models to increase system efficiency from the health institutes’ perspective. The results provide better understanding of high risk patient groups, more accuracy in detecting disease’ correlations and practical scheduling tools that consider uncertain operation durations and real-life constraints. </p>
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Starks, Anthony D. "Evaluating medicare subvention in the military healthcare system." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1999. http://handle.dtic.mil/100.2/ADA369918.
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Thesis (M.S. in Management) Naval Postgraduate School, September 1999.<br>"September 1999". Thesis advisor(s): William Gates, Jim Scaramozzino. Includes bibliographical references (p. 55-57). Also Available online.
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Williams, Charisse P. "Procedural and distributive justice in the healthcare system." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010504.
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Yip, Man Hang. "Healthcare product-service system characterisation : implications for design." Thesis, University of Cambridge, 2015. https://www.repository.cam.ac.uk/handle/1810/249205.
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The engineering design process transforms stakeholders’ needs and desires into design specifications. In this process, manufacturers make decisions that impact how much value can be generated from a new product/service. Clear design specification can enhance the value of a product/service. This research study focuses on the engineering design process for systems of products and services - product-service systems (PSSs). An unambiguous PSS classification could help manufacturers to produce clearer design specifications, however there is a lack of clear PSS classifications for engineering design. Existing classifications rely on an out-dated distinction between tangible objects as products, and everything else as a service, a division that inappropriately classifies digital products as services. To develop a coherent PSS classification, it is necessary to understand which characteristics of PSS can clarify its design specification. This research addresses this problem by determining the PSS characteristics that are useful for clarifying the design specification. The research aims to develop a PSS characterisation scheme and explore how the scheme influences design specifications. To achieve these aims, case study and action research methods are employed. This study has developed a PSS characterisation scheme that clarifies design specifications and a method to systematically apply this scheme, the PSS characterisation approach. This approach proves useful for practitioners to clarify design specifications, and has extended the application of the theory of technical systems to instruments supporting the engineering design process. The PSS characterisation scheme comprises four characteristics: customer perceived value level, ‘connectivity number’, type and degree of connectivity and configuration type. The scheme does not use the ‘tangibility’ distinction, but incorporates concepts of value creation and interdependencies within a PSS and between a PSS and its environment. This novel characterisation scheme contributes to the development of a PSS classification scheme for engineering design and also to the literature of PSS classifications.
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Klahn, Erin J. "Debating identity urban Indians in the healthcare system /." CONNECT TO THIS TITLE ONLINE, 2008. http://etd.lib.umt.edu/theses/available/etd-05272008-202310/.
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Symons, Tanya Jane. "Trial Consent Models in a Learning Healthcare System." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/30058.
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Background: Embedding trials into the health system requires risk-based approaches to their conduct. This includes streamlined ways to obtain consent when patients participate in trials. Risk-based approaches to consent can improve trial efficiency, but it is unclear whether the models used internationally can be adopted in Australia.
Objectives: This thesis aims to contribute to evidence on risk-based consent to support the embedding of trials in the health system and to contribute to the implementation of risk-based consent models through the development of evidence-based guidelines.
Method: A literature review and analysis of regulatory frameworks was conducted to clarify international frameworks for the use of risk-based consent in a learning healthcare system context, and to confirm patient perspectives on their use. Studies were conducted to quantify the length and complexity of PICFs in Australia and to gather consumer perspectives on a novel intervention to simplify consent documents, known as integrated consent.
Findings: Several factors support the embedding of trials and risk-based consent, including supportive governance frameworks and greater engagement of clinicians, who are the linchpin for increased trial activity. A range of consent models are feasible in Australia, but further work is required before they can be fully implemented.
Conclusion: Waiver of consent and verbal consent are feasible, but requires explicit clarification in the National Statement that they can be used for trials. Although international evidence suggests patient support for these models, Australian research would facilitate implementation. Integrated consent, which provides participant information in layers, is supported by patients and is a promising intervention to improve written trial consent. Privacy law may also support a no-consent model for some trials that are considered quality improvement research.
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Ahuja, Gurlivleen (Minnie). "Price Transparency in the United States Healthcare System." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7460.
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The study explores price transparency in the healthcare system. With the increase in healthcare spending resulting in the advent of high deductible plans, consumers have been exposed to high healthcare cost. Despite being burdened with outrageous and extravagant bills, studies have shown that the consumers are not using price transparency tools to their benefit.
The literature review reveals that the major stakeholders in the healthcare industry have never been studied together to understand the research question on ‘Why is there lack of price transparency in the healthcare system?’ moreover, there is no theory to explains this phenomenon.
This study undertakes a 360-degree, exhaustive view of all the major stakeholders of the healthcare industry in aims to understand the reasons behind the lack of price transparency in the healthcare system and what is holding the industry back.
The study followed a grounded theory methodology approach, utilizing the data from 78 semi-structured interviews. The 78 professionals and executives representing the major stakeholders in the healthcare industry contributed to providing information to uncover the key factors for an opaque healthcare industry.
Eighty-five hours of interviews resulted in 1,686 transcribed pages that provided insights and discernment to understanding the complexities and intricacies in the healthcare industry that prevent it from becoming fully transparent. The results provide the richness of data for an emergent theory that explains the actions taken by major stakeholders to reduce healthcare spending based on their intrinsic interests and their perceptions of complexities of the healthcare industry.
The study presents practical implications on how a complex industry is slow to evolve and that a change is not possible unless it is deconstructed layer by layer to recognize the root cause. The change has to start from the core by simplifying the complexities that are created over time by the stakeholders who have always looked to optimize their motivations and have had no incentives to make the industry efficient.
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Erdil, Nadiye Özlem. "Systems analysis of electronic health record adoption in the U.S. healthcare system." Diss., Online access via UMI:, 2009.
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Thesis (Ph. D.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009.<br>Includes bibliographical references.
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Jog, Chetan R. (Chetan Ravindra). "Healthcare technology, patient engagement and adherence : systems and business opportunity analysis." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76493.
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Thesis (S.M. in Management and Engineering)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 63-64).<br>In the current shift in the US healthcare system, lower cost, higher quality of care, access and safety are the main drivers that are effecting changes. Patient compliance with medication and technology enabled wellness and engagement programs play an important role in ensuring the cost and quality of care is reduced. In a recent study, the overall cost of poor medication adherence, measured in otherwise avoidable medical spending, is close to $310 billion annually, representing approximately 14% of total healthcare expenditures. There have been several studies analyzing the reasons for and impact of non-adherence and solutions to achieve increasing compliance. With the recent wave in healthcare technology, the scope of prescription medication adherence needs to be expanded to include patient engagement and their awareness towards lifestyle changes and managing their own health. This thesis engages in an analysis of these compliance issues and in understanding the relationships among the various stakeholders involved. It also analyses the several technology platforms and solutions from mobile health to "gamification" and social networks from a business, user and regulatory standpoint. It looks into how these newer health technologies helps the individual in adhering and realizing novel insights into their own patterns related to medication, lifestyle and general health. Further, working with a health technology startup catering to the behavioral care market, a real world application of a health technology product that utilizes technology based patient assessment, decision support and patient communication, will be evaluated to explore how it will help in delivering value to several stakeholders.<br>by Chetan R. Jog.<br>S.M.in Management and Engineering
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Kostera, Thomas. "When Europa meets Bismarck: cross-border healthcare and usages of Europe in the Austrian healthcare system." Doctoral thesis, Universite Libre de Bruxelles, 2014. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209268.
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In a series of landmark rulings on patient mobility and cross-border healthcare, the European Court of Justice (ECJ) has made clear that Member States’ healthcare systems have to comply with the rules of the EU’s Internal Market when it comes to individual patient rights and the non-discrimination of healthcare providers. The rulings increased the possibilities for EU Member State citizens to get medical treatment in another Member State (“cross-border healthcare”), yet providing that under certain conditions the home Member State has to pay for these treatments in the other country. After a decade of negotiations, these rulings have been codified in a European Directive. Assuming that European integration has an impact on national welfare states and taking the example of European rules on access to cross-border healthcare, this thesis suggests analyzes the domestic impact of European integration in terms of Europeanization of the Austrian healthcare system within the context of the interplay between actors’ interests and practices on the one hand, and institutional effects on the other. European cross-border healthcare in forms of regional projects and privately or publicly organized healthcare arrangements has already become a reality in many European countries, especially in border regions. The main research questions which guides this thesis can be be put as follows: How does European integration in healthcare impact on the interests, practices and strategies of national actors that operate between national institutional constraints and European opportunities? And if national actors’ interests and strategies change, does this in turn have repercussions on the national institutional rules of healthcare governance? Given that European integration in healthcare delivery is a rather a “recent” phenomenon, and based on the assumption that actors’ strategies change more easily than national institutions, the following hypothesis is tested: Even if national healthcare actors use Europe – and hence their practices and strategies change – their interests remain largely determined by the national institutional set-up of the healthcare system. The institutional boundaries of the national healthcare system may have become porous, but for the time being they remain intact. The main findings of this study confirm the hypothesis and can be summarized as follows: Austrian actors responsible for the delivery of healthcare actively integrate various usages Europe into their existing practices of healthcare governance. These usages of Europe are more frequent at European level than at national level. Those actors who have important legal competencies, financial resources, and hence power in healthcare governance at national level, are also in a better position to use Europe effectively than those actors who lack such national resources. Limited usages of Europe at national level by corporate actors can best be accounted for by practices of consensually governing a typically Bismarckian healthcare system. None of the actors analysed, no matter how critical their stance vis-à-vis their own healthcare system might be, puts into question the legitimacy of the national healthcare system in the light of increased European competencies in regulating cross-border healthcare. Advancing European integration, mainly through the ECJ’s rulings on cross-border healthcare, might have rendered national institutional boundaries porous, but national institutions retain – at least for the time being – their power of channelling actors’ interests and of influencing corresponding practices of healthcare governance. These results invite us to further investigate which kind of healthcare governance structures are being developed at European level in parallel to those existing at national level, and to what extent Bismarckian welfare regimes might be showing resistance to institutional change induced by European integration.<br>Doctorat en Sciences politiques et sociales<br>info:eu-repo/semantics/nonPublished
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Sadeghi, Payam. "A Mashup Based Framework for Multi Level Healthcare Interoperability." Thesis, University of Ottawa (Canada), 2011. http://hdl.handle.net/10393/28901.
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During the past few years, various healthcare models and e-Health 2.0 technologies have been developed in order to effectively deliver the right information to the right process to provide effective and efficient healthcare services. On the other hand, healthcare delivery is evolving from disease-centered to patient-centered where patients are active participants in their healthcare delivery. Thus communications and collaboration among different healthcare actors is taking place on a much larger scale. There is also an increasing demand for personalized health systems facilitating the effective management of information, simplifying communication and collaboration, and supporting applications and services for meeting different users' specific requirements and ongoing needs. In order to properly address the aforementioned challenges, a framework is needed to advance information integration and interoperability of health applications and services in a controlled manner.
In this thesis, we present a framework which allows patients and other healthcare actors to collaboratively develop personalized online health applications according to their specific and ongoing needs and requirements. For this purpose, we illustrate how Web 2.0 collaborative technologies, such as mashups, can represent an adequate foundation for implementing such framework. The value and capabilities of mashups in healthcare have already been studied and demonstrated, and this technology is able to provide an interoperable framework for communication and integration between healthcare processes and applications. We believe that integration and interoperability of health applications/services can be defined at the following levels: Process Level, System Level, and Data Level. The interoperability and integration of services at the system and data levels have already been intensively researched. However, not enough consideration has been given to interoperability issues at the process level. Healthcare must have interoperable systems and interoperable people who will use the systems. Therefore, a shift from a technology-driven implementation to a process-driven conceptual model is needed.
Our aim in this thesis is to further research how Web 2.0 technologies and tools, such a mashups, can facilitate the exchange of processes between various healthcare entities and actors, and the role of mashup patterns for enhancing the interoperability and integration of healthcare services and applications.
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Oswald, Malcolm Leslie. "In a democracy, what should a healthcare system do?" Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/in-a-democracy-what-should-a-healthcare-system-do(ffd05f70-2f0a-42ae-88ff-c1a317145bbd).html.
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In a democracy, what should a healthcare system do? It is a question of relevance to many disciplines. In this thesis, I examine that question, and add something original to the existing debate by drawing on, and synthesizing, thinking from several disciplines, and especially philosophical ethics, economics and systems theory. Paper 6 in this thesis, entitled “In a democracy, what should a healthcare system do?”, tackles the thesis question directly. The central conclusion of that paper, and of this thesis, is that a healthcare system in a democracy should do as much good as possible, although sometimes some overall good should be sacrificed for the sake of fairness, as John Broome has argued. However, what counts as the good of healthcare, and when good should be traded off for fairness, depend on your weltanschauung (or worldview). Political pluralism is normal, and every democracy has institutions and processes for making policy when people disagree because their worldviews differ. Ultimately, elected policymakers are accountable for making decisions. This analysis is complemented by paper 5, entitled “Accountability for reasonableness – as unfair as QALYs?”. It assesses the vulnerability of three theories of resource allocation to injustice. It concludes that Daniels and Sabins’ accountability for reasonableness approach is vulnerable because it does not require evidence of costs and benefits. Maximising quality-adjusted life years can also lead to large-scale injustice because it is concerned only with health gain, and not with fairness. I conclude that a “good and fairness framework”, which is drawn from the writing of John Broome, is the least vulnerable to large-scale injustice. There are four other papers in this thesis. “What has the state got to do with healthcare?” (paper 3) makes the case for an important assumption underpinning this thesis, namely that the question of what a healthcare system should do is a question of public policy. Paper 1, entitled “It’s time for rational rationing” argues that efficiency gains are not inexhaustible, and to continue with its austerity programme, policymakers should assess whether the NHS in England could do more good with the same money by doing different things. I explore how philosophical ethics can contribute to policy, and the importance of context when writing papers about policy, in: “Should policy ethics come in one of two colours: green or white?” (paper 2) and “How can one be both a philosophical ethicist and a democrat?” (paper 4).These latter two papers, and much of the narrative within this thesis, explain how my thinking has developed during the course of my PhD, and why I have looked within and beyond philosophical ethics for an answer to my central research question.
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Chan, Weng Chi. "ECG parameter extractor of intelligent home healthcare embedded system." Thesis, University of Macau, 2005. http://umaclib3.umac.mo/record=b1445845.
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Chung, W. Y. (Wan-Young). "Ubiquitous healthcare system based on a wireless sensor network." Doctoral thesis, University of Oulu, 2009. http://urn.fi/urn:isbn:9789514292903.
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Abstract
This dissertation aimed at developing a multi-modal sensing u-healthcare system (MSUS), which reflects the unique properties of a healthcare application in a wireless sensor network. Together with health parameters, such as ECG, SpO2 and blood pressure, the system also transfers context-aware data, including activity, position and tracking data, in a wireless sensor network environment at home or in a hospital.
Since packet loss may have fatal consequences for patients, health-related data are more critical than most other types of monitoring data. Thus, compared to environmental, agricultural or industrial monitoring, healthcare monitoring in a wireless environment imposes different requirements and priorities. These include heavy data traffic with wavelike parameters in wireless sensor network and fatal data loss due to the traffic. To ensure reliable data transfer in a wireless sensor network, this research placed special emphasis on the optimization of sampling rate, packet length and transmission rate, and on the traffic reduction method.
To improve the reliability and accuracy of diagnosis, the u-healthcare system also collects context-aware information on the user’s activity and location and provides real-time tracking.
Waveform health parameters, such as ECG, are normally sampled in the 100 to 400 Hz range according to the monitoring purpose. This type of waveform data may incur a heavy burden in wireless communication. To reduce wireless traffic between the sensor nodes and the gateway node, the system utilizes on-site ECG analysis implemented on the sensor nodes as well as query architecture. A 3D VRML viewer was also developed for the realistic monitoring of the user’s moving path and location.
Two communication methods, an 802.15.4-based wireless sensor network and a CDMA cellular network are used by sensors placed on the users’ bodies to gather medical data, which is then transmitted to a server PC at home or in the hospital, depending on whether the sensor is within or outside the range of the wireless sensor network.
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Powers, Brook Marie. "Integrative Medical Practice: A Proposed System for Women's Healthcare." NCSU, 2008. http://www.lib.ncsu.edu/theses/available/etd-03212008-095148/.
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Female health is a complex and dynamic component of the female lifecycle. It is not based on a single entity, rather it is holistic and comprised of several individual facets. Thus, female healthcare should be approached from a wellness perspective and treated in an integrative system. While an integrative approach to healthcare is optimal for all people, this research study explores female development holistically as it relates to wellness and integrated healthcare.
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Gombera, Peter Pachipano. "A risk management system for healthcare facilities service operators." Thesis, University of Derby, 2003. http://hdl.handle.net/10545/202349.
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Alhimale, Laila. "Development of a healthcare software system for the elderly." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/9696.
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This research focused on the implementation of a reliable intelligent fall detection system so as to reduce accidental falls among the elderly people. A video-based detection system was used because it preserved privacy while monitoring the activities of the senior citizens. Another advantage of the video-based system is that the senior citizens are able to move freely without experiencing any hassles in wearing them as opposed to portable fall detection sensors so that they can have a more independent and happy life. A scientific research method was employed to improve the existing fall detection systems in terms of reliability and accuracy. This thesis consists of four stages where the first stage reviews the literature on the current fall detection systems, the second stage investigates the various algorithms of these existing fall detection systems, the third stage describes the proposed fall detection algorithm in detecting falls using two distinct approaches. The first approach deals with the use of specific features of the silhouette, an extracted binary map obtained from the subtraction of the foreground from the background, to determine the fall angle (FA), the bounding box (BB) ratio, the Hidden Markov Models (HMM) and the combination of FA, BB, and HMM. The second approach used is the neural network approach which is incorporated in the algorithm to identify a predetermined set of situations such as praying, sitting, standing, bending, kneeling, and lying down. The fourth stage involves the evalua- tion of the developed video-based fall detection system using different metrics which measure sensitivity (i.e. the capacity of the fall detection system to detect as well as declare a fall) and specificity (i.e. the capacity of the algorithm to detect only falls) of this algorithm. The video camera was properly positioned to avoid any occluding objects and also to cover a certain range of motion of the stunt participants performing the falls. The silhouette is extracted using an approximate median filtering approach and the threshold criteria value of 30 pixels was used. Morphological filtering methods that were dilation and erosion were used to remove any spurious noises from the extracted image prior to subsequent feature analysis. Then, this extracted silhouette was scaled and quantised using 8 bits/pixel and compared to the set of predetermined scenarios using a neural network of perceptrons. This neural network was trained based on various situations and the falls of the participants which represent inputs to the neural network algorithm during the neural learning process. In this research study, the built neural network consisted of 600 inputs, as well as 10 neurons in the hidden layer together with 7 distinct outputs which represent the set of predefined situations. Furthermore, an alarm generation algorithm was included in the fall detection algorithm such that there were three states that were STATE NULL (set at 0), STATE LYING (set at 1) and STATE ALL OTHERS (set at 2) and the initial alarm count was set to 90 frames (meaning 3 seconds of recorded consecutive images at 30 frames per second). Therefore, an alarm was generated only when the in-built counter surpassed this threshold of 90 frames to signal that a fall occurred. Following the evaluation stage, it was found that the combination of the first approach fall detection algorithm method (fall angle, bounding box, and hidden Markov) was 89% with specificity and 84.2% with sensitivity which is better than individual performance. Moreover, it was found that the second approach fall detection algorithm method (neural network performance) 94.3% of the scenarios were successfully classified whereby the specificity of the developed algorithm was determined to be 94.8% and the sensitivity was 93.8% which altogether show a promising overall performance of the fall detection video-based intelligent system. Moreover, the developed fall detection system were tested using two types of handicaps such as limping and stumbling stunt participants to observe how well this detection algorithm can detect falls as in the practical situations encountered or present in elderly people. In these cases it was found that about 90.2% of the falls were detected which showed still that the developed algorithm was quite robust and reliable subjected to these two physical handicaps motion behaviours.
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Xiao, Liyang. "Contributions on planning and optimization in modern healthcare system." Thesis, Bourgogne Franche-Comté, 2018. http://www.theses.fr/2018UBFCA028.
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La recherche opérationnelle (RO) joue un rôle important dans les systèmes de santé. Au cours des dernières années, l'hospitalisation à domicile comme les hôpitaux de réhabilitation ont émergé pour pallier aux coûts du système de santé et à la qualité de vie des patients. Dans les secteurs de la réhabilitation, la gestion des soins de santé est sous-développée et la plupart des hôpitaux de réhabilitation sont gérés uniquement par l’expérience. Dans cette thèse, nous traitons d'abord le problème de la planification des traitements dans les hôpitaux de réhabilitation afin de les optimiser. Notre travail vise à réduire le temps d’attente des patients hospitalisés et ainsi améliorer leur satisfaction. Afin de résoudre efficacement ce problème de planification de traitements complexes, nous proposons une approche basée sur un algorithme de recherche hybride de coucou qui est testée et validée dans un cas réel. Nous nous intéressons ensuite à l'hospitalisation à domicile qui constitue un autre problème réel compte tenu du vieillissement de la population. Dans la plupart des régions, un nombre croissant d’organisations à but lucratif et à but non lucratif s’associent pour offrir des soins aux patients. Elles ont tendance à atteindre un niveau hospitalier tant en quantité et qu'en qualité avec une flexibilité accrue par rapport aux services hospitaliers. Nous étudions les problèmes de planification et d'acheminement des soins à domicile en tenant compte de nombreuses contraintes liées à la fois aux patients et aux soignants. Le problème est un scénario pratique motivé et vise à minimiser les coûts d'exploitation totaux. Nous utilisons le solveur commercial Gurobi pour résoudre et valider le modèle avec des données réelles<br>Operations research (OR) plays an important role in healthcare system. In recent years, rehabilitation hospitals have been emerging to meet the increasing needs for rehabilitation services due to the ageing population trend. However, the healthcare management in rehabilitation sectors is undeveloped and most of the rehabilitation hospitals (departments) are managed by experience. In this thesis, we deal with a treatment scheduling problem in rehabilitation hospitals. The objective is to facilitate the scheduling process. More importantly, our work aims at reducing the waiting time of inpatients so as to improve inpatients’ satisfactions. In order to solve the complex treatment scheduling problem efficiently, we propose an approach based on a hybrid cuckoo search algorithm which is tested and validated in a real case. Moreover, home healthcare (HHC) is another real-world issue considering the aggravating trend of ageing population. In most areas, an increasing number of social-profit & non-profit organizations are joining in providing healthcare services to patients at their homes and it has a tendency to reach the hospital-level in both quantity and quality for the added flexibility than hospital's service. We investigate home healthcare scheduling and routing problem with consideration of many real-life factors, especially lunch break requirement. The problem is practical scenario motivated and aims at minimizing the total operating cost. We use the commercial solver Gurobi to solve and validate the model with real data
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Zhang, Peng. "Multi-Agent Systems Supported Collaboration in Diabetic Healthcare." Doctoral thesis, Karlskrona : Department of Interaction and System Design, Blekinge Institute of Technology, 2008. http://www.bth.se/fou/Forskinfo.nsf/allfirst2/412a22709997af61c125745e003680a2?OpenDocument.
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Zhang, Jing Kai. "An investigation on system interoperability in healthcare information systems based on the web services." Thesis, University of Surrey, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442674.
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Sondheim, Mike. "Applying Systems Engineering and Lean Healthcare Tactics to the Veterans Health Administration Enrollment System." Digital Commons at Loyola Marymount University and Loyola Law School, 2015. https://digitalcommons.lmu.edu/etd/443.
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The Veterans Health Administration of the United States Department of Veteran Affairs has been reported to have a large backlog of patients waiting for healthcare services. The root cause of the issue has been pinpointed to flaws in the VHA's Healthcare Eligibility Center process and software systems. But moreover, the issues within the VHA stem from a lack of management oversight and lack of ownership of the products and services. It is suggested in the following document that the VHA apply Systems Engineering and Lean Healthcare initiatives in order to: baseline the current process and system, generate new process and system requirements aimed at meeting patient's expectations, and use Measures of Effectiveness to validate that the positive impact of the changes.
The goal of this report is to provide solutions for the VHA fix the patient enrollment process and software systems. The VHA already has a group of Systems Engineers (called the Veterans Administration - Center for Applied Systems Engineering) that is currently working to promote Systems and ·Lean Engineering within the VHA, however they are focusing on general training as opposed to fixing the immediate issue presented in this report.
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He, Ying. "Generic security templates for information system security arguments : mapping security arguments within healthcare systems." Thesis, University of Glasgow, 2014. http://theses.gla.ac.uk/5773/.
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Industry reports indicate that the number of security incidents happened in healthcare organisation is increasing. Lessons learned (i.e. the causes of a security incident and the recommendations intended to avoid any recurrence) from those security incidents should ideally inform information security management systems (ISMS). The sharing of the lessons learned is an essential activity in the “follow-up” phase of security incident response lifecycle, which has long been addressed but not given enough attention in academic and industry. This dissertation proposes a novel approach, the Generic Security Template (GST), aiming to feed back the lessons learned from real world security incidents to the ISMS. It adapts graphical Goal Structuring Notations (GSN), to present the lessons learned in a structured manner through mapping them to the security requirements of the ISMS. The suitability of the GST has been confirmed by demonstrating that instances of the GST can be produced from real world security incidents of different countries based on in-depth analysis of case studies. The usability of the GST has been evaluated using a series of empirical studies. The GST is empirically evaluated in terms of its given effectiveness in assisting the communication of the lessons learned from security incidents as compared to the traditional text based approach alone. The results show that the GST can help to improve the accuracy and reduce the mental efforts in assisting the identification of the lessons learned from security incidents and the results are statistically significant. The GST is further evaluated to determine whether users can apply the GST to structure insights derived from a specific security incident. The results show that students with a computer science background can create an instance of the GST. The acceptability of the GST is assessed in a healthcare organisation. Strengths and weaknesses are identified and the GST has been adjusted to fit into organisational needs. The GST is then further tested to examine its capability to feed back the security lessons to the ISMS. The results show that, by using the GST, lessons identified from security incidents from one healthcare organisation in a specific country can be transferred to another and can indeed inform the improvements of the ISMS. In summary, the GST provides a unified way to feed back the lessons learned to the ISMS. It fosters an environment where different stakeholders can speak the same language while exchanging the lessons learned from the security incidents around the world.
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Akcay, Bugrahan. "An Agent-based Alert Distribution System For Intelligent Healthcare Monitoring." Master's thesis, METU, 2006. http://etd.lib.metu.edu.tr/upload/2/12607257/index.pdf.
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With the high-level developments in the information technologies, there is a big
movement in the e-health area both to give better healthcare services and to
reduce cost. Monitoring the patients from their home location is one of the
important branches of e-health with the aging societies. In this work, an agentbased
alert system is introduced which analyzes the alert message requests and
sends the alert messages within the appropriate structure and communication
channel to the related healthcare user. A guideline execution system produces
the alert requests based on sensor data and informs the alert agents.
A multi-agent platform is developed which proactively sends the alert messages
on behalf of the system with acknowledgement and message routing abilities.
The multi-agent platform has patient alert agents for each patient in the system.
A rule engine is cooperated with agents for the analysis of the alert message
requests to bind these requests with the healthcare user specifications. E-mail
messaging, SMS and MSN Instant messaging are used to reach the healthcare users. Additionally, web-based user interfaces are developed for healthcare users
to manage the alert system for intelligent healthcare monitoring by specifying
alert message receiving rules, personal and contact information, and some more
additional options.
The work presented in this thesis is realized as a part of the SAPHIRE project
funded by the European Commission.
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Laleci, Gokce Banu. "Intelligent Healthcare Monitoring System Based On Semantically Enriched Clinical Guidelines." Phd thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609657/index.pdf.
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Clinical guidelines are developed to assist healthcare practitioners to make
decisions on a patient'<br>s medical problems and as such they communicate
with external applications to retrieve patient data, to initiate medical
actions through clinical workflows and to transmit information to alert/reminder systems.
The interoperability problems in the healthcare IT domain for interacting with heterogeneous clinical workflow systems and Electronic Healthcare Record (EHR) Systems prevent wider deployment of
clinical guidelines because each deployment requires a tedious
custom adaptation phase.
In this thesis, we provide machine processable mechanisms that
express the semantics of clinical guideline interfaces
so that automated processes can be used to access the clinical resources
for guideline deployment and execution. For this purpose, we propose a semantically enriched clinical guideline representation formalism by extending one of the computer interpretable guideline representation languages, GuideLine Interchange Format (GLIF). To be able to deploy the semantically extended
guidelines to healthcare settings semi-automatically, the underlying application'<br>s
semantics must also be available. We describe how this can
be achieved based on two prominent implementation technologies
in use in the eHealth domain: Integrating Healthcare
Enterprise (IHE) Cross Enterprise Document
Sharing Integration Profile (XDS) for discovering and exchanging
EHRs and
Web service technology for interacting with the clinical workflows and
wireless medical sensor devices. Since the deployment and execution architecture should
be dynamic, and address the heterogeneity of underlying clinical environment, the deployment and execution is coordinated by a multi-agent system.
The system described in this thesis is realized within the scope of the SAPHIRE Project.
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Condominas, Jordi. "Mobile phone based imaging system for selected tele-healthcare applications." Thesis, Purdue University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1549315.
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<p> A mobile phone based telemedicine study is developed to see how feasible phone usage is in selected health care applications. The research is divided into three different objectives. The first objective is to compile the technical characteristics of selected mobile phones from telemedicine perspective. The second objective is to develop techniques to acquire quality images of skin with mobile phones. Finally a smartphone based telemedicine application will be developed to assess skin cancer.</p>
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McCall, Corey. "An automatic medication management system for independently living healthcare patients." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1450.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Engineering and Computer Science<br>Computer Engineering
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Hagg, Heather. "Large System Transformation within Healthcare Organizations utilizing Lean Deployment Strategies." Digital WPI, 2013. https://digitalcommons.wpi.edu/etd-dissertations/415.
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"Multiple U.S. healthcare organizations have been recognized as successful in enterprise-level transformation to create healthcare delivery systems that are safe, effective, patient-centered, timely, efficient and equitable. Many of these organizations have specifically cited the development, deployment and integration of enterprise-level deployment of Lean Management Systems as key to their transformational efforts. Given the intense national interest in improving quality, efficiency and efficacy of healthcare delivery systems, a greater understanding of the strategies utilized by these organizations was required in order to provide an understanding of the mechanisms that drive successful, sustained, enterprise-level transformation. We conducted a realist review of large system transformation utilizing enterprise-level Lean Deployment methods within healthcare organizations. Synthesis and analysis of the results from this review indicate that there are five primary strategies associated with successful healthcare-based Lean deployments: Respect for People; Strategic Alignment; Strategic Deployment; Large Scale System Improvement Efforts; and Small-Scale, Local Improvement Efforts. Additional findings from this review indicate that the applications of the specific mechanisms with these strategies are emergent within multiple transitional phases spanning 6-8 years. To supplement the findings from the realist review, a series of dynamic hypotheses and system dynamics model was created in order to explore how the mechanisms and context interact to drive phase transitions within healthcare-based enterprise-level Lean deployments. The results from this model indicate that no steady state initial conditions exist that support sustained enterprise-level transformation and that the emergent nature of these deployments is necessary to overcome constraints related to the organizational capacity and capability. Additionally, we investigate the design and deployment of enterprise-level Lean programs in order to increase rate of success and decrease deployment cycles. "
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Huang, Yu-Min, and 黃裕閔. "RFID Location-based Healthcare System." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/2p9u4p.
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碩士<br>國立中興大學<br>資訊管理學系所<br>103<br>In recent years, due to the rapid growth of the elderly people, shortage of healthcare staff and increasing of medical negligence. Nowadays, information technology is import to healthcare industry. RFID (Radio Frequency Identification) which is used to identifying and tracking is one of the most important techniques in 21 century. This study use RFID system to implement the indoor positioning system which is tracking medical equipment in the medical center or related areas of healthcare.
In this study, A RFID position will be used in indoor positioning and combines with LBS (Location-based System) to implement a locating system. With the user-defined of tag name, activator position and the floor plane in the system. A RFID raw data sends to the system which shows the equipment position from RFID reader. The position of equipment will be shown via mobile Android-based system in real time. The RFID data and the floor plane are synchronized by web server. Therefore, the time for staff to locate the equipment is dramatically reducing via the system. The ISSM (Information System Successful Model) was applied to check the impact of the system. The results revealed that most of respondents are positive toward the system.
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Yang, Yi-Jung, and 楊宜鈞. "An Integrated Teleconsultation Healthcare System." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/40574281878351510353.
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碩士<br>中原大學<br>醫學工程研究所<br>96<br>The concept of Tele-medicine has emerged since (for example late 1950) and it has been evolving into a real-world application nowadays. Nevertheless, Tele-medicine is still facing a number of challenges on multiple fronts. In major society, patient-doctor direct consultation is still considered as the best health treatment method. Tele-medicine development is also hindered by a lack of regulation standards in medical area. Communication technology, as backbone for Tele-medicine was not as sophisticated as recent time. Those three factors are perceived to constraint the development and implementation of Tele-medicine system.
Tele-consultation system, as one of the supporting elements of Tele-medicine has been designed and implemented to demonstrate the basic, general purpose Tele-medicine system.
There are two functions integrated in the system. The first function is remote real-time ECG monitor. The second function is the bi-directional audio and video transmission. The implementation of the framework is based on the Microsoft DirectShow environment. The MIT ECG database is utilized to simulate ECG signal on the patient-side.
The system can transfer the bi-directional video through Ethernet 10/100 Mbps network with 320 x 240 pixel resolution without particular coding algorithm. The frame rate can be up to 25 fps. The audio is transmitted using 44.1 kHz sample rate with 16 bit resolution per sample. The remote side can monitor the ECG signal at 360 Hz rate and 11 bit resolution synchronously.
The system can provide the basic form of the bi-directional video transmission and general remote bio-signal monitor as foundation for Tele-healthcare and Tele-consultation applications.
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Hsieh, Fan-Chun, and 謝釩軍. "Eye Tracking Healthcare Communication System." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/81431786402203975334.
Full textAbstract:
碩士<br>國立屏東教育大學<br>資訊科學系碩士班<br>102<br>This study is the use of eye tracker to develop a human-computer interaction system. Let disabled patient can transfer their body information to nursing aide and communicate with people by using the eye tracker. In recent years, the eye tracking technology has been grown up and the calibration ability of eye tracking is faster and more precise than before. The eye tracking can provide a precise control at human-computer interaction. Most eye trackers are developed for psychology analysis by collecting eye gaze data, e.g., detecting the area where a user looks most. We develop a system interface called “Body Information Transmission Function” that placed a human body image, and let patient gaze the area of body feature to transmit the information to nursing aide. With the “Common Words Function”, patient can do simple communicate with his family or friends. This function also can customize the interface according to the patient’s request. Besides, we set the threshold to trigger the mouse click event. The body information transmission function can quickly let patient transmits his abnormal body parts to nursing aide. Let nursing aide can get the information through normal medical equipment, but also can quickly and accurately obtain the abnormal body parts from patients themselves when they deal with patients problem. It can improve the accuracy and response time of the abnormal condition of the judgment that. And, let nursing aide can deal with the problem in a quickly time. The common words function provides the patient doing simple communication with his family and friends by selecting the common words. It can improve the quality of patient’s daily life, and the high flexibility of this function provides customizing system according to patient’s request. Let patients can use this function more effectively.
Through setting the threshold of selecting time, the input method of this system can improve the accuracy of input and decrease the probability of error input. It im-proves the effective of system usability.
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YE, LIANG-HONG, and 葉亮宏. "Mobile Indoor Healthcare Service System." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/nzg678.
Full textAbstract:
碩士<br>崑山科技大學<br>電腦與通訊研究所<br>104<br>Along with the development of mobile communication and smart handheld devices, wearable devices are honored as the important technology for next generation. The emergence of the concept of M-Health has changed people’s idea towards healthy life; to enable people to quickly know their health condition and avoid accidental injuries caused by bad physical condition, this study bases on indoor positioning combining with wearable devices to develop a mobile health promotion system; this study develops an integrated health promotion system which enables users to obtain real-time health information; when emergent accidents occur, this system enable users to know their current location and provide location-based services such as indoor positioning and route guidance; in addition, this system enables surrounding service user’s to monitor the user’s health condition and exercise habit, providing health inquiry service. Meanwhile, it enables users to wear in everyday living and measure all physiological parameters, assisting users to know their personal physical condition and promoting physical health.