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Journal articles on the topic 'ICT in health services'
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NAKAJIMA, Hiroshi, and Toshikazu SHIGA. "Health Care Services Empowered by ICT." Journal of The Institute of Electrical Engineers of Japan 132, no. 3 (2012): 144–47. http://dx.doi.org/10.1541/ieejjournal.132.144.
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Cardno, E. Jayne. "Managing the ‘fit‘ of information and communication technology in community health: A framework for decision making." Journal of Telemedicine and Telecare 6, no. 2_suppl (August 2000): 6–8. http://dx.doi.org/10.1258/1357633001935644.
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The ‘fit‘ of information and communication technologies (ICT) in community health is important in meeting the needs of patients, carers, staff and organizations in the delivery of services. A good fit leads to greater efficiencies and effectiveness in ICT use. A multi-step research project was conducted to look not only at the role of ICT but at how to manage ICT and make a good ICT fit to enhance community health services. Telehealth was identified as the application of ICT to enhance population health, health promotion and health-service delivery. A participatory process was identified as critical to determining needs and potential uses as well as to the successful design and implementation of ICT in health. There was additional value in ensuring a diversity of desired outcomes which balance costs and benefits while fostering capacity and technical sustainability.
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Klimova, Blanka, Petra Maresova, and Sunwoo Lee. "Elderly’s Attitude towards the Selected Types of e-Health." Healthcare 8, no. 1 (February 13, 2020): 38. http://dx.doi.org/10.3390/healthcare8010038.
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This current study was sought to explore how older adults’ adaptation of information and communication technology (ICT) devices was associated with their preference for e-Health services. A total of 224 Czech older adults aged 60+ were analyzed for the study. The sample comprised 21% male and 79% female. A self-reported survey questionnaire was employed to assess the prevalence of the use of ICT devices and the Internet and general preference for e-Health services. A series of t-tests were performed between and within two groups divided into e-Health supporters and non-supporters. The results indicated that nearly half of the respondents preferred to use the Internet for searching for health-related information. We found that older adults’ use of ICT devices and educational level was significantly associated with the selection of the e-Health services. However, gender, household type, and the place for a residence did not count additional variance for the preferred e-Health services. For those who express willingness to receive the e-Health service, the preferred e-Health services should be implemented across relevant health domains. To do so, health professionals ought to provide the necessary equipment and educational programs that help older adults better access and adapt to e-Health services.
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Islam, Mohammad Shafiqul. "Introducing modern technology to promote transparency in health services." International Journal of Health Care Quality Assurance 28, no. 6 (July 13, 2015): 611–20. http://dx.doi.org/10.1108/ijhcqa-01-2015-0016.
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Purpose – Quantitative indicators show that Bangladeshi maternal and child healthcare is progressing satisfactorily. However, healthcare quality is still inadequate. It is hypothesised that modern technology enhances healthcare quality. Therefore, the purpose of this paper is to investigate how modern technology such as electronic record keeping and the internet can contribute to enhancing Bangladeshi healthcare quality. This study also explores how socio-economic and political factors affect the healthcare quality. Design/methodology/approach – This paper is based on a qualitative case study involving 68 in-depth interviews with healthcare professionals, elected representatives, local informants and five focus group discussions with healthcare service users to understand technology’s effect on health service quality. The study has been conducted in one rural and one urban service organisations to understand how various factors contribute differently to healthcare quality. Findings – The findings show that modern technology, such as the internet and electronic devices for record keeping, contribute significantly to enhancing health service transparency, which in turn leads to quality health and family planning services. The findings also show that information and communication technology (ICT) is an effective mechanism for reducing corruption and promoting transparency. However, resource constraints impact adversely on the introduction of technology, which leads to less transparent healthcare. Progress in education and general socio-economic conditions makes it suitable to enhance ICT usage, which could lead to healthcare transparency, but political and bureaucratic factors pose a major challenge to ensure transparency. Practical implications – This paper can be a useful guide for promoting governance and healthcare quality in developing countries including Bangladesh. It analyses the ICT challenges that healthcare staff face when promoting transparent healthcare. Originality/value – This paper provides a deeper understanding of transparency and healthcare quality in an ICT context using empirical data, which has not been explored in Bangladesh. This critical thinking is useful for policy makers and healthcare practitioners for promoting health service quality.
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Devika, P., and N. Mathiyalagan. "Situational Analysis of E-Health Initiative using ICT in Emergency Care Services." International Journal of Healthcare Delivery Reform Initiatives 3, no. 3 (July 2011): 10–28. http://dx.doi.org/10.4018/jhdri.2011070102.
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India, with its billion inhabitants, requires better emergency services to meet the growing demand for faster critical care facilitation. The scientific advances in the field of information and communication technology have contributed to the implementation of various e-health initiatives by various state governments within the country to improve the quality, access, and delivery of emergency care. “108 Emergency Response Service” is an e-health project established by the government of Tamilnadu state in India to render emergency services to the people. A qualitative study of the effectiveness of Information and Communication technologies in this Emergency Response Service (108 Emergency Service) in Coimbatore district of Tamilnadu state (http://www.coimbatore.tn.nic) was done and recommendations to increase the effectiveness were provided. The results reveal that the efficiency and effectiveness of 108 ERS could be greatly enhanced by providing better telecommunication facilities in rural areas and by deploying Global Positioning System (GPS) and Geographic Information System (GIS) and Automatic Vehicle Location (AVL) technologies to reduce the response time of the emergency vehicles.
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Helin, Ari Juhani, and Tomi Dahlberg. "Volume, benefits and factors that influence inter-municipal ICT cooperation in relation to ICT-related social services and healthcare services." Finnish Journal of eHealth and eWelfare 9, no. 4 (November 29, 2017): 299–312. http://dx.doi.org/10.23996/fjhw.61065.
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Information and communication technology (ICT) has become an integral part of the daily municipal administration, production and development of municipal services. Social services and health care account for ≥ 50% of municipal ICT expenditure. Municipalities operate and develop their ICT activities with limited ICT resources. This is an incentive for inter-municipal ICT cooperation. Four sets of secondary data are analysed in this article to evaluate how ICT cooperation is carried out in 20 Finnish municipal regions. Transaction cost economics (TCE), resource-based view (RBV), resource dependency theory (RDT) and the concepts of Granovetter’s social network theory are reviewed. The data are used to describe the expected and perceived economic and social benefits of inter-municipal ICT cooperation, and to understand the social connections that influence the execution of inter-municipal ICT cooperation. The data analysis revealed distinctive differences in the amount and forms of ICT cooperation, and regarding its governance. The results suggest that public organisations were able to benefit substantially from well-organised ICT cooperation. The characteristics of social networks were also found to relate to variations in the degree to which ICT cooperation was performed.
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Ara, Jobayda Gulshan, S. M. Rafid Amin, and Khadiza Zannat Sheuli. "Providing Community-Based Effective e-Health Services in Bangladesh: An Analysis on Sylhet Sadar Upazila." Journal of Public Administration and Governance 10, no. 1 (March 2, 2020): 211. http://dx.doi.org/10.5296/jpag.v10i1.16103.
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E-Health is the new component of e-governance which can give cost-effective, efficient, less time-consuming services and a key strategy to meet people health related needs by using different electronic devices. The aim of this study is to identify the effectiveness of e-health services provided by community clinics situated in Sylhet sadar upazila and also discover the major challenges faced by community clinics to provide e-health services. In order to explain and exploring the effectiveness of e-health services provided by Community Clinics social survey method has been used in this study. E-health initiative through community clinics are creating a great opportunity for the rural backward people to access primary treatment and helping them to connect with specialized doctors using electronic devices. For these purpose laptops, modems and others electronic devices are provided in every community clinic but the majority of service providers said the standards of these are not satisfactory. Service receivers (68.00%) said there has a limited access to consult with specialized doctors in their CC’s means telemedicine facilities are not available. Inadequate ICT infrastructure, insufficient training program and other instruments create difficulty in terms of ensuring safe and effective health services in rural area. The government should provide sufficient training facility for the service providers, ensure sound development of ICT infrastructures and arrange different program to inform the public about the available facilities of community clinics can create a more effectual system of health care service delivery.
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Andersen, Synnøve Thomassen, and Arild Jansen. "Innovation in ICT-Based Health Care Provision." International Journal of Healthcare Information Systems and Informatics 6, no. 2 (April 2011): 14–27. http://dx.doi.org/10.4018/jhisi.2011040102.
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This paper describes a project redesigning psychiatric services for children and adolescents, introducing a new decentralized model into the ordinary structures of health care services in rural areas in Norway by using mobile phone technology. The authors apply a multilayer and dialectic perspective in the analysis of the innovation process that created the ICT solution that supports this treatment model. The salient challenges of the project were related to the contradictions between the existing, dominant power structures and the emergent structures in the different layers of the design structures. As a result of the development process, a new model emerged with a larger potential for creating a new innovation path than if it had been linked to existing structures. This paper contributes to the understanding of how user-driven innovation can break with existing power structures through focusing on different layers in the change processes.
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Honka, Anita, Kirsikka Kaipainen, Henri Hietala, and Niilo Saranummi. "Rethinking Health: ICT-Enabled Services to Empower People to Manage Their Health." IEEE Reviews in Biomedical Engineering 4 (2011): 119–39. http://dx.doi.org/10.1109/rbme.2011.2174217.
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Pankomera, Richard, and Darelle Van Greunen. "ICT Framework to Support a Patient-Centric approach in Public Healthcare." Journal of Community Informatics 16 (December 22, 2020): 45–76. http://dx.doi.org/10.15353/joci.v16i0.3494.
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Although Information and Communication Technologies (ICTs) in the healthcare sector are extensively deployed globally, they are not used effectively in developing countries. Many resource poor countries face numerous challenges in implementing the ICT interventions. For instance, many health applications that have been deployed are not user-centric. As a result, such ICT interventions do not benefit many health consumers. The lack of an ICT framework to support patient-centric healthcare services in Malawi renders the e-health and mhealth interventions less sustainable and less cost effective. The aim of the study was therefore to develop an ICT Framework that could support patient-centric healthcare services in the public health sector in Malawi. The comprehensive literature review and semi-structured interviews highlighted many challenges underlying ICT development in Malawi. An ICT framework for patient-centric healthcare services is therefore proposed to ensure that eHealth and mobile health interventions are more sustainable and cost effective. The framework was validated by five experts selected from different areas of expertise including mhealth application developers, ICT policy makers and public health practitioners. Results show that the framework is relevant, useful and applicable within the setting of Malawi. The framework can also be implemented in various countries with similar settings.
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Bryant, Lia, Bridget Garnham, Deirdre Tedmanson, and Sophie Diamandi. "Tele-social work and mental health in rural and remote communities in Australia." International Social Work 61, no. 1 (November 27, 2015): 143–55. http://dx.doi.org/10.1177/0020872815606794.
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Rural and remote communities often have complex and diverse mental health needs and inadequate mental health services and infrastructure. Information and communication technologies (ICTs) provide an array of potentially innovative and cost-effective means for connecting rural and remote communities to specialist mental health practitioners, services, and supports, irrespective of physical location. However, despite this potential, a review of Australian and international literature reveals that ICT has not attained widespread uptake into social work practice or implementation in rural communities. This article reviews the social work literature on ICT, draws on research on tele-psychology and tele-education, and provides suggestions on how to enhance engagement with ICT by social workers to implement and provide mental health services and supports tailored to community values, needs, and preferences that are commensurate with the values of the social work profession.
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Ross, J. D. C., A. Copas, J. Stephenson, L. Fellows, and G. Gilleran. "Optimizing information technology to improve sexual health-care delivery: public and patient preferences." International Journal of STD & AIDS 18, no. 7 (July 1, 2007): 440–45. http://dx.doi.org/10.1258/095646207781147210.
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Information and communication technology (ICT) has the potential to improve the quality of care and efficiency in sexual health clinics, but its introduction requires input not only from health-care professionals and ICT specialists but also from service users and potential future users. In this study, views on ICT in relation to the delivery of sexual health services were assessed using a structured interview in two groups – a community sample of young people and a clinic sample of existing patients. In all, 542 community interviewees and 202 clinic patients participated. About 75% of respondents had access to the Internet and overall 60% reported that the self-collection of a sexual history on an electronic form was acceptable. Black Caribbean individuals had significantly less access to the Internet and a lower acceptance of electronic data collection. For booking an appointment, the majority of patients reported the telephone (community sample 93%, clinic sample 96%) or attending in person (community sample 77%, clinic sample 54%) to be acceptable, with a smaller proportion choosing email (community sample 10%, clinic sample 27%) or the Internet (community sample 7%, clinic sample 11%). Electronic booking was significantly less acceptable to Black Caribbean respondents. Although new technologies offer the opportunity to improve the quality of sexual health services, patient preferences and differences between groups in access to technology also need to be considered when services are reconfigured.
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Kabashiki, Israel R., and Ngozi I. Moneke. "The impact of the use of health information and communication technology on health care delivery in Manitoba, Canada." Journal of Hospital Administration 3, no. 6 (September 4, 2014): 8. http://dx.doi.org/10.5430/jha.v3n6p8.
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Background: Health Information and Communication Technology (HICT) has the potential to reduce patient wait time and improves patient satisfaction. The Long wait times for patients to receive medical services are a big issue in Canada. The Canadian government has invested in Information and Communication Technology (ICT) to shorten patient referral wait times for medical services. Little was known about the association between ICT investments and the quality of health care delivery, and particularly between the use of ICT and referral wait times in the Manitoba Health System (MHS). Methods: The purpose of this quantitative correlational study was to determine if a relationship existed between the use of HICT and the quality of health care delivery in the MHS. The quality of health care delivery was measured in terms of referral wait time, health information sharing effectiveness, physicians’ satisfaction, and patients’ satisfaction. Conclusion: Findings indicated the absence of a significant association between HICT use and referral wait times. Significant correlations were found to exist between (1) HICT use and health information sharing effectiveness, (2) HICT use and physician’s satisfaction, and (3) HICT use and patient’s satisfaction. Four recommendations emerged from this study: First, patient satisfaction should be used as an indicator of the quality of health care delivery. Second, health knowledge repository and expert systems should be integrated into health ICT systems to minimize unnecessary referrals. Third, a mixed health system should be implemented to shorten wait times. Fourth, the portability of the Canadian Medicare should be enhanced to allow Manitobans in particular and Canadians in general to seek medical services abroad. This study was intended to contribute to the existing body of knowledge associated with ICT investments’ outcomes and health care delivery in the MHS.
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Glanowski, Grzegorz. "Legal Status of Telemedicine in the Internal Market." European Journal of Health Law 23, no. 3 (June 14, 2016): 231–47. http://dx.doi.org/10.1163/15718093-12341414.
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Health services enjoy freedom of movement within the European Union (eu). This freedom also applies to information society services (iss). This article presents a legal framework within which it is possible to provide qualifying health services with the help of information and telecommunications technology (ict) as iss. Due to the ambiguity of eu regulation, the problem regarding how to determine whether a particular medical service corresponds to favourable structural iss conditions is considered. Since telemedicine makes a wide application of electronic devices possible, a new element appears in the relationship between physicians and their patients. Therefore, using electronic devices may cause numerous doubts regarding the normative status of these devices, since they modify the physician’s responsibility and affect the scope of his duty with regard to information. At the same time, the complexity of functional elements (actions) necessary to provide health services using ict can, in some cases, prevent them from being recognised as iss.
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Jang, Wan-ho, Seung-bok Lee, Dong-wan Kim, Yun-hwan Lee, Yun-jeong Uhm, Seung-wan Yang, Jeong-hyun Kim, and Jong-bae Kim. "ICT-Based Health Care Services for Individuals with Spinal Cord Injuries: A Feasibility Study." Sensors 20, no. 9 (April 28, 2020): 2491. http://dx.doi.org/10.3390/s20092491.
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In the Republic of Korea, 90.5% of those living with spinal cord injury (SCI) are faced with medical complications that require chronic care. Some of the more common ones include urinary tract infections, pressure sores, and pain symptomatology. These and other morbidities have been recognized to deteriorate the individual’s health, eventually restricting their community participation. Telerehabilitation, using information and communication technology, has propelled a modern-day movement in providing comprehensive medical services to patients who have difficulty in mobilizing themselves to medical care facilities. This study aims to verify the effectiveness of health care and management in the SCI population by providing ICT-based health care services. We visited eight individuals living with chronic SCI in the community, and provided ICT-based health management services. After using respiratory and urinary care devices with the provision of home visit occupational therapy, data acquisition was achieved and subsequently entered into a smart device. The entered information was readily accessible to the necessary clinicians and researchers. The clients were notified if there were any concerning results from the acquired data. Subsequently, they were advised to follow up with their providers for any immediate medical care requirements. Digital hand-bike ergometers and specialized seating system cushions are currently in development. The ICT-based health care management service for individuals with SCI resulted in a favorable expected level of outcome. Based on the results of this study, we have proposed and are now in preparation for a randomized clinical trial.
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Zhang, Yao, Zhenping Lin, Xiaoming Li, Tu Xiaoming, Yeqin Zhou, and Xinping Zhang. "Factors Affecting ICT Use in Health Communication among the Older Population in Jiangsu, China." Libri 69, no. 1 (March 26, 2019): 41–53. http://dx.doi.org/10.1515/libri-2018-0103.
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AbstractWe examined the status of information communication technology (ICT) use among the older population in China and investigated their use of ICT in health communication and the factors that impacted their ICT adoption. A total of 215 people who were 45 or older participated in the study. A questionnaire survey was conducted to collect data on the participants’ social demographic characteristics, health condition, ICT use and ICT-based health communication activities. The data were analyzed using Chi-square test, one-way ANOVA, univariate logistic regression and multiple logistic regression. The results showed that 38.1 % of the participants reported being in a good health while 14.9 % were living with no chronic disease. The utilization of ICT was low, especially for computer and digital monitor devices. Only 4.7 % of the participants reported seeking health information online via computer and 7.4 % seeking health information using their cellphone, while 32 % and 14.9 % of the participants contacted healthcare providers or other patients via cellphone. Findings suggest a digital divide exists between the older population and other age groups in China. The older population need to increase the use of digital monitor devices and other ICT to facilitate their self-management process for healthcare purposes. eHealth literacy should be promoted among the older population to increase the adoption and use of ICT in health communication. Future intervention program developers and service providers should tailor their products and services to benefit the older population, especially those with low incomes, limited education and little experience of using ICT.
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Haux, Reinhold, Jürgen Howe, Michael Marschollek, Maik Plischke, and Klaus-Hendrik Wolf. "Health-enabling technologies for pervasive health care: on services and ICT architecture paradigms." Informatics for Health and Social Care 33, no. 2 (January 2008): 77–89. http://dx.doi.org/10.1080/17538150802127140.
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Mucchi, Lorenzo, Sara Jayousi, Antonio Gant, Elisabetta Paoletti, and Paolo Zoppi. "Tele-Monitoring System for Chronic Diseases Management: Requirements and Architecture." International Journal of Environmental Research and Public Health 18, no. 14 (July 13, 2021): 7459. http://dx.doi.org/10.3390/ijerph18147459.
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In the last years a large variety of eHealth services and Apps for professional medical users have been developed for different scenarios. The increasing elderly population (+100% in 2050) makes urgent to implement tele-medicine paradigm in the healthcare structures. The need of monitoring large number of patients distributed over the territory, together with the lack of medical resources, makes the adoption of Information Communication Technologies (ICT) crucial for the future healthcare services. This paper presents an ICT architecture model for the provision of tele-monitoring services within a novel proposed remote monitoring concept for healthcare, considering the new Family and Community Nurse (FCN). An integrated and personalized tele-monitoring solution is presented, through a detailed description of the reference network architecture and service platform. Moreover, the preliminary results of the experimental activities carried out for the evaluation of the system in terms of usability in operational scenarios are provided.
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Omotosho, Adebayo, Peace Ayegba, Justice Emuoyibofarhe, and Christoph Meinel. "Current State of ICT in Healthcare Delivery in Developing Countries." International Journal of Online and Biomedical Engineering (iJOE) 15, no. 08 (May 14, 2019): 91. http://dx.doi.org/10.3991/ijoe.v15i08.10294.
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Electronic health is one of the most popular applications of information and communication technologies and it has contributed immensely to health delivery through the provision of quality health service and ubiquitous access at a lower cost. Even though this mode of health service is increasingly becoming known or used in developing nations, these countries are faced with a myriad of challenges when implementing and deploying e-health services on both small and large scale. It is estimated that the Africa population alone carries the highest percentage of the world’s global diseases despite its certain level of e-health adoption. This paper aims at analyzing the progress so far and the current state of e-health in developing countries particularly Africa and propose a framework for further improvement.
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JOPKIEWICZ, Szymon, and Agata JOPKIEWICZ. "Innovations in the dimension of communication in health sector and the perspective of Society 5.0." Scientific Papers of Silesian University of Technology. Organization and Management Series 2021, no. 150 (2021): 47–56. http://dx.doi.org/10.29119/1641-3466.2021.150.4.
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Purpose: The aim of the article is to present the perceptions of ICT in times of the development of Society 5.0 in the awareness of beneficiaries of the healthcare system, and outlining the prospects of applying these solutions in the health sector. Design/methodology/approach: The research was conducted in Świętokrzyskie Voivodeship. The questionnaire was used to survey people using primary healthcare services. Findings: The respondents identified the importance of various forms of using ICT by primary healthcare entities, specifying their preferred information communication channel. The greatest number of indications, nearly 92% of the respondents, chose a direct contact with the doctor as important or very important. Originality/value: The health sector in Poland, as well as in other countries of the EU, has been the subject of constant changes though they are not clearly visible for the general public. Technological progress and the related innovations in the field of communication are an opportunity to improve the information flow between the doctor and patient. Moreover, they facilitate gaining knowledge and thus constitute an important dimension in the process of learning in the perspective of Society 5.0 development. New ICT channels may be an important method for the health sector to find ways of reducing the costs of patient service.
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Amin, M. Miftakul, Adi Sutrisman, Deris Stiawan, Ermatita Ermatita, Mohammed Y. Alzahrani, and Rahmat Budiarto. "Interoperability framework for integrated e-health services." Bulletin of Electrical Engineering and Informatics 9, no. 1 (February 1, 2020): 354–61. http://dx.doi.org/10.11591/eei.v9i1.1825.
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As one of the country with largest population in the world, Indonesia is facing major challenge to serve people in various sectors, one of them is health sector. Utilization of Information and Communication Technology (ICT) has a strategic role in improving efficiency and expanding services access. The main challenge related to data interoperability is the ability to integrate and synchronize data sourced from health information (e-health) systems with different (heterogeneous) platforms. This research aims to build a framework to materialize data interoperability and information exchange among e-health systems. The interoperability is materialized by utilizing service oriented architecture (SOA) paradigm and is implemented using Web Service technology. Service oriented analysis and design (SOAD) is used as method in the system development at the analysis phase and designing phase to generate service portfolio which consisting of three levels: conceptual view, logical view, and physical view. This research intruduces Interoperability Matrix (IM) to describe the modules and entities that involved in the framework design. The framework resulted from this research can be used as reference in e-health systems development in variety of health care applications.
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Emmanouil, Dimitrios, Antonia Mourtzikou, and John Mantas. "Semi-Automatic Systems for Exchanging Health Information." International Journal of Reliable and Quality E-Healthcare 3, no. 4 (October 2014): 38–54. http://dx.doi.org/10.4018/ijrqeh.2014100103.
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The present paper deals with the topic of application possibilities of modern technology in daily practice, for the benefit of citizens. In particular, this work examines the implementation of e-Government at the local level in the field of e-Health for exchanging information. In the authors' introduction, will see how from the first calculating machines, the authors have arrived today up to the modern computer, to the Internet and ICT. Then, the modern technology led them up to the e-Governance at central, regional and local level. Initially the authors examine the international, European and Greek ICT environment; subsequently, within the same geographical contexts, the authors investigated the existence of e-services and e-health services to citizens. Finally, the authors focus on issues related to automated machines for helping citizens on health related issues.
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Chiou, Chuang Chun. "Health Care Service Designs with ICT." Applied Mechanics and Materials 135-136 (October 2011): 565–72. http://dx.doi.org/10.4028/www.scientific.net/amm.135-136.565.
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The applications of Information and Communication Technology (ICT) on new health care service design have drawn vast interests from both academics and industry. In this study we systematically analyzed the needs of different levels for the elderly. From home care service to acute medical treatment at hospital, the selection of appropriate service mainly depends on the level of medication. We address some critical issues and new trends for designing new care service via ICT. The study finds that the availability of enhanced Internet access, innovative interactive tools and devices, integrated health information systems, as well as gene-based screening and diagnostic tools will be the main areas for new health service design which can be tailored for the needs of different service levels.
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Akhtar, Rasheda, Sazzadul Alam, and Noor Kutubul Alam Siddiquee. "Telemedicine: an ICT based healthcare approach to ensure health service for all." International Journal Of Community Medicine And Public Health 6, no. 9 (August 27, 2019): 3732. http://dx.doi.org/10.18203/2394-6040.ijcmph20193961.
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Background: Despite enormous efforts, healthcare service is still a daunting challenge area of Bangladesh healthcare systems. Bangladesh suffers from both a shortage of and geographic mal-distribution of human resource for health, as well as inadequate resources. Considering the challenges, telemedicine can be a blessing especially to the people living in hard-to-reach and rural areas. The current study was conducted on to measure the outcomes of providing telemedicine service at the field level.Methods: The study was conducted in Nagarkanda Upazilla of Faridpur district. Mixed method approaches including user experience and perception survey, case study and in-depth interview were adopted in order to bring a comprehensive scenario.Results: Around 50% of the users used to visit telemedicine center frequently. For quality of service provided from telemedicine service point, there were few benchmarks like service provider’s behavior, waiting time, accessibility, distance, cost of treatment, willingness to pay and referral mechanism. Telemedicine service centers were found situated within the reach of people (within 1-2 km of 83.30% km). 97% participants rated service provider’s behavior as good. Cost of treatment including diagnosis, prescription and medication was found within 501-3000 BDT for 60% of participants.Conclusions: Although the studied telemedicine service was not comprehensive in nature, it still helped to save time, reduce cost and most of all increased access to healthcare services.
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Blom, P. P., and D. E. Uwizeyimana. "Assessing the Effectiveness of e-Government and e-Governance in South Africa: During National Lockdown 2020." Research in World Economy 11, no. 5 (September 3, 2020): 208. http://dx.doi.org/10.5430/rwe.v11n5p208.
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This article aims to assess the effectiveness of e-Government and e-Governance service during the national lockdown in South Africa. The focus of this article is on e-Health, e-Education and e-Municipal Services delivery, as these are the most sought-after e-Services during the national lockdown caused by COVID-19 (coronavirus) pandemic in 2020. Education, health, and municipal services are some of the core functions that could not be paused during the lockdown due to their importance. The methodology used in this research is mainly qualitative. Unobtrusive research techniques based on documentary and theoretical analysis will be applied to assess the state and use of e-Government and e-Governance within the public sector during the national lockdown in South Africa. The findings of this article suggest that government failed to achieve its objective of building an inclusive Information and Communication Technologies (ICTs) infrastructure in South Africa. Even though steps have been taken by the government to provide free access to basic e-Services, network coverage, and ICT infrastructures, poverty and inequality remain the major challenges in rural areas. The findings of this research suggest that the South African government needs to build ICT infrastructures in rural areas and to provide citizens with training on how to utilise ICT infrastructures in order to reduce the gap between rural and urban areas.
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Rahimi, Bahlol, Hamed Nadri, Hadi Lotfnezhad Afshar, and Toomas Timpka. "A Systematic Review of the Technology Acceptance Model in Health Informatics." Applied Clinical Informatics 09, no. 03 (July 2018): 604–34. http://dx.doi.org/10.1055/s-0038-1668091.
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Background One common model utilized to understand clinical staff and patients' technology adoption is the technology acceptance model (TAM). Objective This article reviews published research on TAM use in health information systems development and implementation with regard to application areas and model extensions after its initial introduction. Method An electronic literature search supplemented by citation searching was conducted on February 2017 of the Web of Science, PubMed, and Scopus databases, yielding a total of 492 references. Upon eliminating duplicates and applying inclusion and exclusion criteria, 134 articles were retained. These articles were appraised and divided into three categories according to research topic: studies using the original TAM, studies using an extended TAM, and acceptance model comparisons including the TAM. Results The review identified three main information and communication technology (ICT) application areas for the TAM in health services: telemedicine, electronic health records, and mobile applications. The original TAM was found to have been extended to fit dynamic health service environments by integration of components from theoretical frameworks such as the theory of planned behavior and unified theory of acceptance and use of technology, as well as by adding variables in specific contextual settings. These variables frequently reflected the concepts subjective norm and self-efficacy, but also compatibility, experience, training, anxiety, habit, and facilitators were considered. Conclusion Telemedicine applications were between 1999 and 2017, the ICT application area most frequently studied using the TAM, implying that acceptance of this technology was a major challenge when exploiting ICT to develop health service organizations during this period. A majority of the reviewed articles reported extensions of the original TAM, suggesting that no optimal TAM version for use in health services has been established. Although the review results indicate a continuous progress, there are still areas that can be expanded and improved to increase the predictive performance of the TAM.
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Rojas, D., and J. Carnicero. "Lessons Learned from Implementation of Information and Communication Technologies in Spain’s Healthcare Services." Applied Clinical Informatics 01, no. 04 (2010): 363–76. http://dx.doi.org/10.4338/aci-2010-07-cr-0041.
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Summary Background: Spain’s health services have undertaken a number of important projects aimed at the creation of Electronic Health Records (EHR) through the incorporation of Information and Communication Technologies (ICT) into patient care practices. The objective of this endeavor is to improve care quality and efficiency and increase responsiveness to the population‘s needs and demands. Between 2006-2009 over 300 million Euro were invested in projects of this type. Objective: To better understand the success criteria, the difficulties encountered and certain issues that must be kept in mind to ensure successful implementation of ICT projects in health organizations, based on Spain‘s experiences in this field. Methods: The projects’ results are analyzed using the criteria of compliance with the expected scope, cost and time frame. Results: The results can be considered satisfactory in primary care facilities, where almost 90% of Spain‘s general practitioners, pediatricians and primary care nurses are using electronic health record (EHR) systems. In hospitals EHR implementation is more uneven. Over 40% of Spanish primary care centers and 42% of pharmacies are using electronic prescription (the information system that connects the physician to the dispensing pharmacy and the dispensing pharmacy to the payer). Discussion: All of Spain’s health services are currently carrying out projects involving ICT application in healthcare, and a priori the benefits of ICT are not questioned. However, the costs and time frames required for these projects are clearly surpassing initial expectations, while the benefits perceived by both professionals and institutions remain limited. This situation may be due in part to the absence of a project management culture in the health services, which has led them to pay insufficient attention to the main difficulties and key issues related to the implementation of EHR.
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Newman, Lareen, Kate Biedrzycki, and Fran Baum. "Digital technology use among disadvantaged Australians: implications for equitable consumer participation in digitally-mediated communication and information exchange with health services." Australian Health Review 36, no. 2 (2012): 125. http://dx.doi.org/10.1071/ah11042.
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Objective. To present research findings on access to, and use of, digital information and communication technologies (ICTs) by Australians from lower income and disadvantaged backgrounds to determine implications for equitable consumer access to digitally-mediated health services and information. Methods. Focus groups were held in 2008-09 with 80 residents from lower income and disadvantaged backgrounds in South Australia, predominantly of working- and family-formation age (25 to 55 years). Qualitative analysis was conducted on a-priori and emergent themes to describe dominant categories. Results. Access to, and use of, computers, the Internet and mobile phones varied considerably in extent, frequency and quality within and across groups due to differences in abilities, resources and life experience. Barriers and facilitators included English literacy (including for native speakers), technological literacy, education, income, housing situation, social connection, health status, employment status, and trust. Many people gained ICT skills by trial and error or help from friends, and only a few from formal programs, resulting in varied skills. Conclusion. The considerable variation in ICT access and use within lower income and disadvantaged groups must be acknowledged and accommodated by health initiatives and services when delivering digitally-mediated consumer-provider interaction, online health information, or online self-management of health conditions. If services require consumers to participate in a digitally-mediated communication exchange, then we suggest they might support skills and technology acquisition, or provide non-ICT alternatives, in order to avoid exacerbating health inequities. 1. What is known about the topic? Government and health provider use of digitally-mediated information and communication is rapidly increasing. However, national data show that ICT access is distributed unevenly across Australia’s population. Furthermore, this distribution mirrors the health gradient. There is little qualitative data on the extent to which, and ways in which, ICTs are used within lower income and disadvantaged groups - those with greater health need. 2. What does this paper add? This paper augments the scant literature to describe ICT access and use in a range of lower income and disadvantaged groups. It indicates barriers and facilitators, and highlights the need for formal supports to level up the whole population to have the skills, confidence and resources to use and benefit from ICT-mediated communication. 3. What are the implications for practitioners? As health services and governments increase the level of digitally-mediated information and communication connection with consumers/patients, it is important to understand and find ways to address differential consumer access to and use of ICTs, so that equity of access to services and information is promoted. This is particularly important as lower income and disadvantaged groups are likely to have both poorer health and lower ICT use.
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Shin, Junseob, Min-So Paek, Karpjoo Jeong, and Yu-Seon Shin. "ICT application to community care : Integrated strategies for health care and welfare services for older adults." Journal of community welfare 75, no. 4 (November 30, 2020): 83–112. http://dx.doi.org/10.15300/jcw.2020.75.4.83.
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Mindarti, Lely Indah, and Aryn Pratista Azaria Juniar. "INOVASI LAYANAN KESEHATAN BERBASIS E-GOVERNMENT (Studi pada Puskesmas Kecamatan Kepanjen Kabupaten Malang)." JPSI (Journal of Public Sector Innovations) 3, no. 1 (January 22, 2019): 19. http://dx.doi.org/10.26740/jpsi.v3n1.p19-27.
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Health is considered an investment for the development of Indonesian people resources. Health is one of the important aspects of a country. Health becomes one of the welfare benchmarks in a country. Health is an obligation of every person to participate in realizing, maintaining and improving public health status as high as possible. The public is entitled to obtain optimal health services in accordance with the needs of the Government and health facilities is an obligation to be able to control and improve the health services available to the community. But now the public service in the field of health has not been said to be good. Until now the government is still improving to provide public services in the field of optimal health. There needs to be a link between government, business sector and society in creating an optimal service based on e-goverment. Because of these demands Puskesmas Kecamatan Kepanjen, Malang Regency to create and implement innovation programs related to health services applied ICT namely Sutera Emas Program
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Heponiemi, Tarja, Vesa Jormanainen, Lars Leemann, Kristiina Manderbacka, Anna-Mari Aalto, and Hannele Hyppönen. "Digital Divide in Perceived Benefits of Online Health Care and Social Welfare Services: National Cross-Sectional Survey Study." Journal of Medical Internet Research 22, no. 7 (July 7, 2020): e17616. http://dx.doi.org/10.2196/17616.
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Background The number of online services in health care is increasing rapidly in developed countries. Users are expected to take a more skilled and active role in taking care of their health and prevention of ill health. This induces risks that users (especially those who need the services the most) will drop out of digital services, resulting in a digital divide or exclusion. To ensure wide and equal use of online services, all users must experience them as beneficial. Objective This study aimed to examine associations of (1) demographics (age, gender, and degree of urbanization), (2) self-rated health, (3) socioeconomic position (education, experienced financial hardship, labor market position, and living alone), (4) social participation (voting, satisfaction with relationships, and keeping in touch with friends and family members), and (5) access, skills, and extent of use of information and communication technologies (ICT) with perceived benefits of online health care and social welfare services. Associations were examined separately for perceived health, economic, and collaboration benefits. Methods We used a large random sample representative of the Finnish population including 4495 (56.77% women) respondents aged between 20 and 97 years. Analyses of covariance were used to examine the associations of independent variables with perceived benefits. Results Access to online services, ICT skills, and extent of use were associated with all examined benefits of online services. ICT skills seemed to be the most important factor. Poor self-rated health was also consistently associated with lower levels of perceived benefits. Similarly, those who were keeping in touch with their friends and relatives at least once a week perceived online services more often beneficial in all the examined dimensions. Those who had experienced financial hardship perceived fewer health and economic benefits than others. Those who were satisfied with their relationships reported higher levels of health and collaboration benefits compared with their counterparts. Also age, education, and degree of urbanization had some statistically significant associations with benefits but they seemed to be at least partly explained by differences in access, skills, and extent of use of online services. Conclusions According to our results, providing health care services online has the potential to reinforce existing social and health inequalities. Our findings suggest that access to online services, skills to use them, and extent of use play crucial roles in perceiving them as beneficial. Moreover, there is a risk of digital exclusion among those who are socioeconomically disadvantaged, in poor health, or socially isolated. In times when health and social services are increasingly offered online, this digital divide may predispose people with high needs for services to exclusion from them.
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Srivastava, Shilpa, Millie Pant, Ajith Abraham, and Namrata Agrawal. "The Technological Growth in eHealth Services." Computational and Mathematical Methods in Medicine 2015 (2015): 1–18. http://dx.doi.org/10.1155/2015/894171.
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The infusion of information communication technology (ICT) into health services is emerging as an active area of research. It has several advantages but perhaps the most important one is providing medical benefits to one and all irrespective of geographic boundaries in a cost effective manner, providing global expertise and holistic services, in a time bound manner. This paper provides a systematic review of technological growth in eHealth services. The present study reviews and analyzes the role of four important technologies, namely, satellite, internet, mobile, and cloud for providing health services.
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Kharel, Suman. "Information and Communication Technology for the Rural Development in Nepal." Tribhuvan University Journal 32, no. 2 (December 31, 2018): 177–90. http://dx.doi.org/10.3126/tuj.v32i2.24714.
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The present article describes the significance of Information and Communication Technology (ICT) for the rural development. It is based on the perception survey about ICT, suggesting that ICT can be very beneficial and powerful tool for facilitating rural development, particularly in the sectors of e-commerce, e-health, e-government services and the most important e-education, training, information and expertise exchange, experience sharing, communication and society engagement. Overall, ICT is an effective tool for the different dimension of rural development.
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Oo, Hlaing Min, Ye Minn Htun, Tun Tun Win, Zaw Myo Han, Thein Zaw, and Kyaw Myo Tun. "Information and communication technology literacy, knowledge and readiness for electronic medical record system adoption among health professionals in a tertiary hospital, Myanmar: A cross-sectional study." PLOS ONE 16, no. 7 (July 1, 2021): e0253691. http://dx.doi.org/10.1371/journal.pone.0253691.
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Some developing countries are currently introducing and implementing an electronic medical record system (EMRs) for improvement in healthcare delivery services. Availability of information and communication technology (ICT), technical skillful staff, and strong resistance to change by the health professionals impacted the successful adoption of EMRs. This study aimed to assess the ICT literacy, knowledge, and readiness for EMRs adoption among health professionals in a tertiary hospital, Myanmar. A cross-sectional study was conducted among 118 health professionals involving in a tertiary hospital at Nay Pyi Taw, Myanmar from February to April 2020 using a stratified sampling method. The data were collected through face-to-face interviews using a pretested structured questionnaire after getting informed consent. Data were analyzed by using SPSS version 23.0. Chi-square test, Fisher’s exact test, and logistic regression analysis were performed to assess the associated factors of ICT literacy, knowledge, and overall readiness for EMRs adoption. The prevalence of high ICT literacy and knowledge on EMRs among health professionals were 20.3% and 24.6% respectively. The factors associated with ICT literacy were professional, education, duration of service, and reported English language skills. Duration of service was associated with knowledge on EMRs. The overall readiness was 54.2% (core readiness 59.3% and engagement readiness 61.9%), and postgraduate [Adjusted Odds Ratio (AOR): 7.32, 95% Confidence Interval (CI): 2.26–23.68] and knowledge on EMRs (AOR: 1.27, 95% CI: 1.13–1.43) were the factors associated with overall readiness for EMRs adoption. Expanding infrastructure and provision of ICT development training are crucial for the improvement of ICT literacy. EMRs training program enabling hands-on experience should be implemented for improvement of knowledge on EMRs. In general, the overall readiness for EMRs adoption was found to be moderate. Enhancing the establishment of comprehensive on-the-job training and contextualization of curriculum in EMRs training program are recommended to improve the health professionals’ readiness for EMRs adoption.
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Ahamed, S. B. Hidayath, and Dr N. Rajendhiran. "An Empirical Study On The Prevalence Of Ict On Healthcare And Healthcare Services." Restaurant Business 118, no. 8 (August 23, 2019): 225–35. http://dx.doi.org/10.26643/rb.v118i8.7680.
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Experts say “Health is Wealth”. Human resources are the driving resources for any nation and health is the driving force for any human. Health and health care services happen to be the strategic threshold for any nation. This sector happens to be crucial irrespective of the GDP of the nation and the purchasing power of its citizens, henceforth due care and attention need to be given to this crucial sector of the nation. In this present era of digitalization, it has become inevitable to be including technology in every progressive field of the nation in order to enhance the performance and increase the efficiency of the services. One such variant of the digital world is Information and communication technology (ICT). The World Health Organization (WHO) details the advantages associated with the use of ICT in primary healthcare services in terms of better and easy access to information, providing learning tools for healthcare professionals, patients, and community as a whole. Information and communication technology are being widely utilized in healthcare control structures. Rapid advancements in ICT in the last decade or so provide solutions to the problems in healthcare management structures. Those encompass a huge spectrum of troubles together with affected person safety, nutritional management, telemedicine, virtual imaging, file Control, and many others. This paper makes an attempt to detail the role of the rising technology that is getting used for the development of the healthcare process and become aware of the problems and their probable answers. Telemedicine gives a medium of enhancing the same old pattern of healthcare specifically in the developing global. The growing countries can make the most of it to the present better healthcare services as proper health Training. This paper highlights the boom of ICT area within the growing world and explores its viable uses in healthcare zone. Those may also assist healthcare specialists and community health employees to carry out their work in a better manner especially in far off region.
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Kusumasari, Bevaola, Widodo Agus Setianto, and Li Li Pang. "A Study on Digital Democracy Practice: Opportunities and Challenges of e-Health Implementation in Indonesia." Jurnal Ilmu Sosial dan Ilmu Politik 22, no. 1 (September 5, 2018): 1. http://dx.doi.org/10.22146/jsp.28863.
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As a developing country, Indonesia faces a crucial issue concerning the provision of health services to the public. The 1998 political reform led to demands for more aspiring and accommodating bureaucratic services being afforded to the public. The political reform brought about bureaucratic reform bearing good governance, wherein one of its forms is the provision of health services through the innovation of an information technology (IT) based service named e-Health. Keeping in mind Indonesia’s characteristics as a developing country, the implementation of IT-based services evokes numerous debates. This study aims to analyze the implementation of e-Health along with the opportunities it has, and the challenges it faces. By using a study case approach on the Surabaya Municipality Health Authority as the initiator and implementer of e-Health, as well as observations and user surveys, the results show that in spite of having been prepared properly with supporting policies, infrastructure, budgeting, dissemination, and operational system, there were still many prevalent obstacles encountered, particularly concerning digital divide, technical difficulties, psychological barriers, and cultural issues. Nevertheless, there are numerous opportunities available for refining e-Health implementation, provided there is a political will from the government to improve and enhance the ICT infrastructure, widespread use of mobile devices, involvement of public participation, and equal distribution of service points easily accessible to the public. Strong government commitment also serves as a guarantee for e-Health service program sustainability in Surabaya Municipality.
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Hermawati, Tanti, and Prahastiwi Utari. "Information Technology as Tools of Public Relations Inform in Health Services." KnE Social Sciences 2, no. 4 (June 13, 2017): 96. http://dx.doi.org/10.18502/kss.v2i4.873.
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Internet usage in Indonesia has jumped from just 2 million in 2000 to 45 million in 2011. The use of communication technology has impacted on all aspects of life in Indonesia, including the marketing of medical services by public and private hospitals. This paper reports on a survey ofthree private hospitals in Surakarta, Indonesia, that have usedfive types of marketing communications including: advertising, personal selling, sales promotions, public relations and direct marketing. One of direct marketing methods used is internet marketing with the development of hospital website. This paper describes ICT used by RSU PKU Muhammadiyah Delanggu in informing the public of its health services.
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Rogers, Michelle, Janice Masud-Paul, and Rania El Desoki. "Understanding the use of health information technology for maternal and child health practitioner training in low and middle income countries." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 63, no. 1 (November 2019): 743–46. http://dx.doi.org/10.1177/1071181319631521.
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Objectives: To assess the evidence of information communication technology (ICT) use in the training of maternal and child health (MCH) workers, discuss methodological issues present in the identified studies, and identify future work areas. Introduction: The explosive growth of cellphone usage in low and middle-income countries (LMIC) has made mobile technology an increasingly attractive form of information communication technology (ICT) to be used to meet healthcare needs that go unmet, rising due to the paucity of trained clinical workers (O’Donovan, Bersin, & O’Donovan, 2015). The portability and relative low cost of cellphones have made them ubiquitous and efficient to use. For example, subscriptions in Africa have risen from 12.4 per hundred inhabitants in 2005 to per hundred inhabitants in 2015 (ITU, 2017). ICT is an umbrella term that encompasses the hardware, software and networks that provide its users with data and information resources. As far as healthcare is concerned, these resources include access to varied tools and services such as electronic health records, point-of-care databases, decision support systems, clinical guidelines or training modules for continuing education (Machingura et al., 2014). This technology has made healthcare more efficient in affluent countries where funding and infrastructure to build, support and maintain ICT is readily available. However, ICT development is critical to LMIC’s which have the greatest barriers to effective and efficient healthcare systems and fewer resources to overcome challenges. The aims of this paper are to (1) summarize the literature on ICT use in the training of MCH workers, (2) discuss methodological issues present in the identified studies, and (3) identify future work areas. Our specific research questions are: Which ICT tools have been used in developing countries for training the MCH workforce? How successful are the tools for instructing health care workers? A major impediment to health care improvements in underdeveloped countries is the low ratio of health professionals to patients. A developed workforce is critical for sustaining healthcare infrastructure. Because there is an insufficient number of professional practitioners, many MCH health needs are met by community workers with limited or no formal training (Chipps et al., 2015). Since the level of services range from general check-ups to life-saving interventions, training must address a variety of educational requirements. (Agarwal et al., 2015). In addition to primary professional education, health workers require training for re-licensure and continuous professional development (CPD). Training, particularly in remote areas, requires travel, time away from work as well as funding for food and lodging (Chipps et al., 2015). This exacerbates uneven healthcare coverage with the majority of MCH health care workers concentrated in urban centers, leaving rural residents with inadequate services (Middleberg et al., 2013; Modi et al., 2015). ICT reduces costs by enabling personnel to remain in their communities while providing digital access to educational content, mentors, guidelines and decision support systems (Saronga et al., 2015). It is commonly recognized that underdeveloped countries have occasional brown-outs in their urban centers and the power grid may not reach rural or remote areas. Even if seed money is acquired for start-up costs, funding for technology maintenance and technical manpower beyond the pilot stage can be tentative (Achampong, 2012). Secondly, while cell phone use across LMICs has exploded in recent years, its use for advancing training has not grown in comparison. A limited number of reports have been published, reporting the use of ICT for communication (Andreatta et al., 2011), tracking health worker behavior (Awoonor-Williams et al., 2013), attitudes towards using ICT (Sukums et al., 2014; Zakane et al., 2014), and the impact of the design of ICT (Valez et. al., 2014). This paucity of studies understanding the impact of ICT on measurable training outcomes leaves a troubling gap in the literature if progress is to be made in addressing the training needs. Finally, government entities, educators and administrators may be reluctant to adopt ICT into health training for practical, fiscal and political reasons. Because health personnel may not have exposure to technology in their daily lives, staff may require basic computer training on operating systems, file management, word processing and databases in conjunction with ICT projects (Sukums, 2014). In addition to a lack of knowledge about computers in general, use of ICT also comes with associated monetary costs. Both of these issues are also exacerbated by resulting government policy changes. We endeavored to fill this gap by completing a literature review to bring the disparate work together, but to our surprise, it did not really exist. This paper reports on (1) what studies have been conducted on the use of ICT in training; (2) what common methods are used and how they are evaluated and (3) what outcomes have been reported. Methods: Medline (OVID), CINAHL and Web of Science were searched for relevant articles published between January 1, 2007 and February 28, 2017. Studies were included if they included training and education in low and middle-income countries using ICT for maternal child health workers. Results: 111 unique articles from electronic searches with seven additional articles discovered through hand-searching reference lists were identified. After review, 15 articles aligned with the necessities to analyze the current environment of the ICT tools. The study designs in the reviewed articles were usually pre- and post-evaluations (n=7). There were also a small number of single cross-sectional studies (n=3) measuring the use of the tool. Two studies also evaluated the use of electronic clinical decision support systems (CDSS) applications or algorithms. The remainder of the studies (n=3) used ICT to provide resources for meeting information needs, as well as repositories of protocols and best practice documents. The outcomes reported ranged from access to medical resources (n=3), accuracy in clinical documentation (n=2), need for remedial computer training (n=2) and an increase in clinical knowledge and proper use of protocols (n=4) Discussion and conclusion: The current evidence-base does not show a clear indication that there were particular initiatives using ICT for the training of health workers. While the majority of projects identified were shown to improve outcomes, there were limited results reported. This lack of documented evidence hinders decisions about the content and methods that should be used to support training. We are missing an opportunity for advancement. The World Health Organization identified community health worker training as a lever to move the improvement of health care in low and middle-income countries (LMICs). An understanding of barriers and facilitators to using ICTs to meet this need, provides key directions for policy makers and non-governmental organizations as they apply limited resources to these issues.
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Narzisi, Antonio, Mariasole Bondioli, Francesca Pardossi, Lucia Billeci, Maria Claudia Buzzi, Marina Buzzi, Martina Pinzino, et al. "“Mom Let’s Go to the Dentist!” Preliminary Feasibility of a Tailored Dental Intervention for Children with Autism Spectrum Disorder in the Italian Public Health Service." Brain Sciences 10, no. 7 (July 12, 2020): 444. http://dx.doi.org/10.3390/brainsci10070444.
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Children with autism spectrum disorder (ASD) show worse oral health than their peers. Their access to health services is, at present, inadequate: few high-quality interventions have been designed and implemented to improve their care procedures so far. The purpose of this study is to describe an experience of dental care supported by Information and Communication Technologies (ICT), for children with ASD in a public health service. In our study, 59 children (mean age 9.9 years; SD = 5.43) participated in the MyDentist project. It integrates classic dental care techniques with new practices for desensitization and fear control, delivered through an enhanced customized ICT-based intervention aiming at familiarizing the child with ASD with the medical setting and procedures. Two questionnaires were filled out by parents to describe the acceptability of the MyDentist experience for their children. Significant results were shown from T0 (before initiating MyDentist) to T1 (after 6 months of the MyDentist experience) regarding improved oral hygiene and cooperation during dental treatments. Families positively assessed the use of ICT support. In conclusion, the project demonstrated acceptability by parents, suggesting that public health dental care and prevention can be successfully implemented without resorting to costly pharmacological interventions (with potential side effects), taking better care of children’s health.
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Pikkarainen, Minna, Saara Pekkarinen, Timo Koivumäki, and Tero Huhtala. "Data as a driver for shaping the practices of a preventive healthcare service delivery network." Journal of Innovation Management 6, no. 1 (May 8, 2018): 55–79. http://dx.doi.org/10.24840/2183-0606_006.001_0005.
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Though data is largely recognized as a new form of capital in the digital era, little research has been done on how innovations related to finding health professionals and using health services are evolving in smart-city-based, preventive healthcare service delivery networks. How does digital data affect preventive healthcare practices in service delivery networks? Evidence is provided from a smart city service delivery network on how data and ICT usage impact preventive healthcare innovations. The research is based on a case study highlighting the transformations continuously occurring in such a network. The results suggest that using data from different sectors will enable individuals and health professionals to communicate via intelligent personalized services, which will act as agents, guiding and coaching individuals to change their lifestyles to avoid chronic diseases. This study provides new knowledge on how continuously using health data can produce novel routines and innovations in healthcare networks over time.
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KC, Ashish, Avinash K. Sunny, Rajendra Prasad Poudel, and Omkar Basnet. "A Review of eHealth Initiatives: Implications for Improving Health Service Delivery in Nepal." Journal of Nepal Health Research Council 17, no. 3 (November 13, 2019): 269–77. http://dx.doi.org/10.33314/jnhrc.v17i3.1787.
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The aim of this paper is to take stock of the use of information and communication technologies in delivering health services in Nepal and identify bottlenecks in implementation for improving delivery of health services. A descriptive review was conducted from May to September 2016. Data were collected from organizations working on the different thematic areas in health where information and communication technologies was used. Fifteen ongoing eHealth projects were identified in the areas of monitoring and surveillance, electronic health records/electronic medical records, health information system, and telemedicine. Common challenges were addressed, including a lack of funding, infrastructure, electricity and network, and national capacity. Most eHealth projects were not integrated into the national system. Working at a national level to address the challenges, centralizing eHealth projects and developing national policies would ensure to adopt eHealth at a right place and to accelerate eHealth initiatives.Keywords: eHealth; health service delivery;information and communication technologies (ICT); Nepal.
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Faujdar, D. S., Neha Dahiya, and Har Ashish Jindal. "Tracking of antenatal services and outcomes using community health information system in a slum population of North India." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4257. http://dx.doi.org/10.18203/2394-6040.ijcmph20194151.
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Background: Despite of improvement of public health service, the reach of these services has remained low in urban slums due to various socio cultural and environmental factors.Methods: An information and communication technology (ICT) based community health information system was installed in a urban primary health centre catering to urban slum populations in North India. The system was used to track all the antenatal cases registered over a period of one and half years for antenatal services, risk factors and antenatal outcome. The system allowed for tracking of antenatal cases for antenatal care (ANC) visits, investigations, high risk factors, delivery and perinatal care. Real-time monitoring of antenatal cases was made possible through dynamic dashboard with indicators.Results: Among 614 women tracked for ANC and outcome, majority were below 30 years of age (78.3%), belonged to lower caste (85.7%) and many were illiterate (42.8%). Out of all antenatal cases 68% got registered in 1st trimester and only 47% completed 4 ANC visit. Majority delivered in government hospitals (95.4%) with 22.8% delivered through caesarean section. Illiteracy was found to have significant association with higher gravida (>2) (p<0.001). The high risk factors were present in 29.5% of antenatal cases and it was found to be significantly associated with increasing age (p=0.02) and preterm deliveries (p<0.001). Twin pregnancy was also found to be significantly associated with increasing age (p<0.001).Conclusions: An ICT based community health information system can be an effective tool for real-time monitoring of health services, identifying the gaps and tracking of antennal cases especially in difficult to reach slum population.
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Otake, Mihoko. "Special Issue on Service Technology for Health and Well-Being." Journal of Robotics and Mechatronics 20, no. 6 (December 20, 2008): 809. http://dx.doi.org/10.20965/jrm.2008.p0809.
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Thanks to the growing awareness that human health is inextricably linked to the health of our planet and environmental change, it is difficult to envisage an integrated scientific approach to sustainable development that does not include human health issues. In parallel with science for health and well-being (SHWB), which is recognized today as a major challenge, the field of service science, management and engineering (SSME) has emerged as a potential solution. How can robotics and mechatronics, both used in SHWB and SSME, contribute to solving human health issues? This special issue focuses on service technology for health and well-being. It starts with studies on on-demand bus services for alternative transportation systems and home healthcare service for disease prevention based on ICT. Devices and systems then introduced include stand-up support devices, gait rehabilitation, omnidirectional wheelchairs and wheelchair design simulators, musculoskeletal simulators for rehabilitation, force display communication analysis systems, and evaluation method of driver's temporary arousal level. These technologies for health and welfare services are the core of sustainable development. We thank the authors for their invaluable contributions and the reviewers for their time and effort in making this special issue possible. We also thank the JRM Editorial Board for the opportunity to take part in this work.
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Takenga, Claude, Rolf-Dietrich Berndt, Olivier Musongya, Joël Kitero, Remi Katoke, Kakule Molo, Basile Kazingufu, Malikwisha Meni, Mambo Vikandy, and Henri Takenga. "An ICT-Based Diabetes Management System Tested for Health Care Delivery in the African Context." International Journal of Telemedicine and Applications 2014 (2014): 1–10. http://dx.doi.org/10.1155/2014/437307.
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The demand for new healthcare services is growing rapidly. Improving accessibility of the African population to diabetes care seems to be a big challenge in most countries where the number of care centers and medical staff is reduced. Information and communication technologies (ICT) have great potential to address some of these challenges faced by several countries in providing accessible, cost-effective, and high-quality health care services. This paper presents the Mobil Diab system which is a telemedical approach proposed for the management of long-term diseases. The system applies modern mobile and web technologies which overcome geographical barriers, and increase access to health care services. The idea of the system is to involve patients in the therapy process and motivate them for an active participation. For validation of the system in African context, a trial was conducted in the Democratic Republic of Congo. 40 Subjects with diabetes divided randomly into control and intervention groups were included in the test. Results show that Mobil Diab is suitable for African countries and presents a number of benefits for the population and public health care system. It improves clinical management and delivery of diabetes care services by enhancing access, quality, motivation, reassurance, efficiency, and cost-effectiveness.
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Tateo, Luca, and Paola Adinolfi. "Integrating Educational and ICT Innovations." International Journal of Digital Literacy and Digital Competence 1, no. 4 (October 2010): 16–29. http://dx.doi.org/10.4018/jdldc.2010100103.
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The paper explores the effectiveness of a new computer-supported collaborative problem solving educational approach in higher education at a master’s course level. After outlining the technological and pedagogical characteristics of a new digital cooperative environment, as well as the constructivist, learner-centered philosophy of the Daosan Master (Management of Health-care Services) at the University of Salerno, the integration of the educational approach and the technological support is reported and discussed in an exploratory case-study. The authors show that a large number of post-graduate students have been able to participate in a dense collaborative problem solving activity within a relatively short lesson period, working and reflecting on a real problem of healthcare management. This indicates that the experience is effective in fostering reflexivity, collaboration and situated learning in management training.
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Alonso-Solís, Anna, Susana Ochoa, Eva Grasa, Katya Rubinstein, Asaf Caspi, Kinga Farkas, Zsolt Unoka, et al. "A Method to Compare the Delivery of Psychiatric Care for People with Treatment-Resistant Schizophrenia." International Journal of Environmental Research and Public Health 17, no. 20 (October 16, 2020): 7527. http://dx.doi.org/10.3390/ijerph17207527.
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Introduction: Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to community services. This study compares the differences in mental health services provided for patients with TRS in Budapest (Hungary), Tel-Aviv (Israel) and Catalonia (Spain) by means of a method for the quick appraisal of gaps among the three places, for a potential implementation of the same ICT tool in these regions. Methods: An adapted version of the Description and Standardised Evaluation of Services and Directories in Europe for Long Term Care (DESDE-LTC) instrument was made by researchers in Semmelweis University (Budapest, Hungary), Gertner Institute (Tel-Aviv, Israel) and Hospital de la Santa Creu I Sant Pau and Parc Sanitari Sant Joan de Déu (Catalonia, Spain). Results: Two types of outpatient care services were available in the three regions. Only one type of day-care facility was common in the whole study area. Two residential care services, one for acute and the other for non-acute patients were available in every region. Finally, two self-care and volunteer-care facilities were available in the three places. Conclusion: Although the availability of services was different in each region, most of the services provided were sufficiently similar to allow the implementation of the same ICT solution in the three places.
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Kosiński, Eryk. "Prawne formy podejmowania i prowadzenia działalności leczniczej jako element systemu ochrony zdrowia w Polsce. Wybrane aspekty." Przegląd Prawa i Administracji 114 (August 10, 2018): 121–38. http://dx.doi.org/10.19195/0137-1134.114.7.
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LEGAL FORMS OF UNDERTAKING AND CONDUCTING MEDICAL SERVICES ACTIVITY AS AN ELEMENT OF HEALTH CARE SYSTEM IN POLAND. CERTAIN ASPECTSThe health care system in Poland is characterized by big diversity on side of patients, services delivered by medical services organizations, and medical services organizations entities. The meaning of health care in terms of modern state is quite blatant. The appropriate legal regulation and the structural organization constitutes one of biggest challenges which now-a-days states face. A constitutional provision that guarantees right to health care and to access to health services “right to medical care”, “right to health”. In Poland such right is guaranteed by art. 68 secs. 1–5 of the Polish Constitution. There are many legal forms entities of medical services organizations. Those organizations may be divided into entrepreneurs and non-entrepreneurs. Such division is provided by the Polish act on medical services activity of April 15, 2011. Among entrepreneurs there are all entities which are undertakings according to Polish law, and research institutions, foundations, associations, organizational units of associations with legal entity, and units which function under laws regulating relations of the State with diff erent churches. There are additionally private medical practices conducted by medicine doctors and nurses. Among non-entrepreneurs there are so-called public independent health care units, budget units and military units. Moreover, one of the most important issues in the area of health care is a phenomenon of confl ict of interests. It relates to medicine doctors who are employed at the same time in public medical services organizations and in the private sector of health care, or the owners of the private sector medical services organizations, including private medical practice. It seems that such a confl ict of interests should be stopped by non-compete clauses provided in contacts concluded with public medical services organizations. Another possibility is to provide a general prohibition of combining both employment in public medical services organizations with private activities in this sector, including any form of capital involvement in this area.
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Ploug, Thomas, and Søren Holm. "Agreeing in Ignorance: Mapping the Routinisation of Consent in ICT-Services." Science and Engineering Ethics 20, no. 4 (October 30, 2013): 1097–110. http://dx.doi.org/10.1007/s11948-013-9492-x.
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Anshari, Muhammad, and Mohammad Nabil Almunawar. "Tracking Future Path of Consumers' Empowerment in E-Health." International Journal of E-Health and Medical Communications 6, no. 3 (July 2015): 63–76. http://dx.doi.org/10.4018/ijehmc.2015070104.
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Developments in ICT have created a new generation of networking technology that affects all areas, including healthcare. The use of ICT in healthcare organizations, for example in health information systems (HIS), has developed the same way as the wider landscape, and includes the use of Internet-based technology. The adoption of social network features as the ‘front end' of electronic health (e-health) systems is believed to boost sharing between consumers, leading to greater satisfaction. E-health is likely to become more consumer-centric, accommodating consumers' participation in the healthcare process, including decision-making. The government of Taiwan has successfully implemented a National Health Insurance (NHI) system as the foundation for e-health. Improvements in technology may drive changing consumer behavior concerning healthcare services. This paper addresses some important concepts, milestones, challenges, and future direction of consumer empowerment in Taiwan, and proposes that empowerment will be personal, social, and medical.
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Niknam, Fatemeh, Omid Pournik, Zahra Rojhani Shirazi, Naghmeh Ebrahimi, and Roxana Sharifian. "The Survey of Willingness and Use of Information and Communication Technologies by People with Low Back Pain." Frontiers in Health Informatics 8, no. 1 (April 16, 2019): 8. http://dx.doi.org/10.30699/fhi.v8i1.166.
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Introduction: Regular physical activity is effective in the treatment of low back pain. However, adherence to these exercises is difficult. Nowadays, the health care industry is using various forms of ICT to provide services to patients. Therefore, the aim of this study was to survey the willingness and use of information and communication technologies among people with low back pain.Method: This is an analytical study conducted in 2017. In this study, 200 samples low back pain were collected by use of convenience sampling method. The data collection tool was a checklist.Result: Nighty-nine percent of the participants used mobile phones based on Android; in addition, 51% of people stated that they were familiar with the Internet. Also, people with the mean age and standard deviation of 37 ± 9 were willing to use ICT tools more compared with people with the mean age and standard deviation of 45±13; in addition, they had a high willingness to use ICT tools and low willingness to use traditional tools (p<0.001).Conclusion: In general, the results showed that a large number of people with low back pain were willing to use ICT tools to receive care services (like exercise therapy). The majority of people with low back pain used social networks and they had smart phones based on the Android whose services were used widely. So the technologies such as smartphones, laptops, social networks and internet services could be used for e-learning.