Dissertations / Theses: 'ICT in health'

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Jama, Mahmud Amina. "Designing ICT-Supported Health Promoting Communication in Primary Health Care." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00571.

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Increasing lifestyle-related ill health, escalating health care costs, expanding health inequalities within and between nations, and an aging population are challenges facing governments globally. Governments, especially in industrialized countries like Sweden, are investing in health promotion and health communication, especially in ICT-supported health communication as a way to increase health literacy and empowerment at individual and population levels. Studies show that many eHealth communication efforts are narrow in scope, medical oriented and therefore not enough to address the complexity of lifestyle-related ill health and equity issues. This thesis proposes integrating health promotion values and principles in the design process of eHealth systems for health promotion in order to develop usable, sustainable, engaging, eHealth resources that are adaptable to their context of use and user’s skills. The overall aim of this thesis was study the participatory development process of an interactive ICT-supported health communication channel for health promotion and enhancing health literacy in PHC context. Participatory Action Research (PAR) with a multi-phase and multi-method approach was used in this thesis. A model entitled Spiral Technology Action Research’ (STAR) was used to guide the development of the health channel. This design process was framed in three developmental and evaluation phases corresponding to formative, process and outcome evaluation. A total of 146 participants consisting of professionals from primary health care services, information technology and academia, and local citizens participated in the project’s different phases. A triangulation of methods was used to collect the data; survey, document analysis, participatory observations with field notes, individual interviews, focus groups, think aloud protocols and log statistics. Qualitative and quantitative content analyses were used to analyse data. The results revealed that integrating health promotion values and principles in the design process proved to be valuable not only to the content of the channel, but also in PHC practice. The different design phases yielded valuable results that built into each other and contributed to an eHealth channel that was perceived as relevant to the local people’s need for health communication; accessible and user friendly. The results also indicated that an Internet based interactive health channel, could be a valuable resource for enhancing health literacy if users are involved in the design.

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K, c. D. (Deepak). "ICT for elderly health and independent living opportunities & challenges." Master's thesis, University of Oulu, 2014. http://urn.fi/URN:NBN:fi:oulu-201403151203.

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Introduction: Digital technologies are increasingly being used to assist older people to live more independently and better lives. The rapid increase in ageing population requires and enforces the development of adaptive technological products and services to improve the quality of life for the elderly. ICT has a huge impact on healthcare from both perspectives of delivering and providing accessibility to healthcare for elderly living independently at homes. The usability issues remain major concern for older adults as a challenge in adopting ICT solutions and services. The purpose of this study was to analyse the importance, role and impacts of ICT on elderly health, identify challenges in slow adoption of solutions and to develop a framework for better interfaces that meets the diverse requirements of older adults due to differences in physical and cognitive abilities. Methodology: This research work presented the results of an interpretative research process that was applied to conduct literature review on relevant literature. The research work analysed the role and importance of using information and communication technology to support integrated healthcare services and independent living for the elderly population in remote, sparsely populated areas. The research work identified the importance of e-health, ambient intelligence, telemedicine, ubiquitous computing and smart homes in today’s digital world. The major constraints and challenges faced by older adults in using ICT effectively in the health sector was studied and a user adaptive interface was proposed as a solution to overcome some challenges faced by developers in developing health applications. To incorporate diverse user requirements, inclusive requirement design (for mobile interface) and universal design were discussed in the research work. Results: The main conclusions are that ICT offers lots of potentials to support independent and healthy living for older adults. Several applications and tools already exist, however they are not user friendly and convenient for older adults. The technology has changed the paradigm of health care from general health care to self-care and prevention. Mobile, interactive TV, interactive games and Internet are utilized to improve cognitive, functional and social skills of older people. Usability problems seem to be the major issue for older people in adopting the latest technology and successfully interacting with them. The age related cognitive abilities have a huge relevance on system design especially for older people. To incorporate the diverse needs of older adults for the purpose of developing universal design is challenging to developers. User adaptive interface and inclusive requirement design model are suitable to develop more user-friendly applications and technology for older adults. Several social and legal issues are encountered when deploying health care systems. The benefits offered by technologies should be balanced with the privacy concerns of the user by utilizing strong policies for medical record storage, access and mining process. Encrypted databases, role based access control and proper authentication mechanism can be implemented to ensure privacy of patients.

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Liu, Jie, and 刘捷. "ICT delivery of health information for older adults in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47469390.

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Although there is a general trend of aging as the expected longitude increase for human being, the developing countries which, according to the report of WHO, have grown old even before grow rich face a more challenging state than the developed countries. These countries, especially their rural parts, are less likely to adapt to the aging trend with relatively smaller medical budget, less developed professional training of care takers, and a lack of public awareness of prevention and treatment of geriatric disease.(Organization, Health, Promotion, & Course, 2011) On the other hand, it indicates a big stage for distant medical service to play because of its lower cost of implementation and effectiveness in controlling the overall medical expenditure given such service would help to prevent and control at a earlier stage of disease. Therefore in developing countries like China and for population like the older citizen who has less mobility, online healthcare information platform is expected to play a much more important role than in developed countries. At the same time, experienced can be borrowed from investigations and installations of online platform of health information designed for the older population where they usually serve as a supplement to the primary health care facility in developed countries like UK.
published_or_final_version
Library and Information Management
Master
Master of Science in Library and Information Management

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Oddershede, Astrid. "Methodology to Evaluate QoS of ICT Networks for the Chilean National Health Service." Thesis, University of Newcastle Upon Tyne, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.512183.

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Rozmarinová, Jana. "Příspěvek k hospodářsko-politickému hodnocení zavádění elektronizace zdravotnictví." Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-4327.

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This thesis is dealing with problems of eHealth specified on particular conditions on the territory of the Czech Republic in context of national economy. Positive and negative aspects of implementation of eHealth solution into health services is evaluated in theoretic part of thesis as well as dominative problems which faces development of eHealth in the Czech Republic. Fundamental plans of support eHealth in the European Union and Czech Republic are described as well. Practical part of thesis is concerned with particular projects of eHealth in the Czech republic. Evaluation of project IZIP is performed due to questionnaire inquiry among the doctors. The example of contribution of implementation eHealth solution into health services is shown on Oblastní nemocnice Mladá Boleslav, a.s.

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Kvastad, Johan. "ICT Security of an Electronic Health Record System: an Empirical Investigation : An in depth investigation of ICT security in a modern healthcare system." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-194121.

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An empirical investigation of the security flaws and features of an in-use modern electronic health record system is performed. The investigation was carried out using dynamic analysis, manual testing and interviews with developers. The results indicate that in-use electronic health record systems suffer from serious authentication flaws, arising from the interaction of many different proprietary systems. The authentication problems are so severe that gaining access to any user’s computer on the hospital intranet would compromise a large database of patient medical records, including radiological data regarding the patients. Common web vulnerabilities were also present, such as injections and incorrectly configured HTTP security headers. These vulnerabilities were heavily mitigated by the use of libraries for constructing web interfaces.
En empirisk undersökning av säkerheten inom ett modernt elektroniskt patientjournal-system har utförts. Undersökningen genomfördes med hjälp av dynamisk analys, manuell testning och intervjuer med utvecklarna. Resultatet indikerar att system för elektroniska patientjournaler har stora brister inom autentisering, vilka uppstår p.g.a. att flera olika kommersiella system måste samarbeta. Problemen är så allvarliga att med tillgång till en enda dator på intranätet kan en stor databas med patientdata äventyras, inklusive radiologisk data gällande patienterna. Vanliga websårbarheter fanns också, så som injektioner av skript och inkorrekt konfigurerade HTTP säkerhetsheaders. Dessa sårbarheter mitigerades starkt genom användandet av bibliotek för webinterface.

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Kurtinaityte, Laura. "E-HEALTH – THE USAGE OF ICT DEVELOPING HEALTH CARE SYSTEM : MULTIPLE-CASE STUDY OF EUROPEAN COUTRIES DENMARK AND LITHUANIA." Thesis, Halmstad University, School of Business and Engineering (SET), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-779.

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Electronic health – this is the object of study work. The focus of research is European countries, which use Information and Communication Technologies improving their Health care system and it is not excepted is the country advanced in developing e-Health or it just started to create or improve this system. As it is a new Developing research area, there are not so many direct relevant researches about it previously found. Therefore it encourages the investigation of this topic, which according to European Commission and Enterprise Directorate General (2003) could reach greatest economy on saving costs in whole service sector. Thus the guidelines for efficient e-Health development should be given as soon as possible. The study work is exactly aimed on this.

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Weinsteinová, Adéla. "Negativní aspekty nasazování ICT." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-199727.

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This diploma thesis exmines the negative aspects of using information and communication technologies. The main attention is fosused on virtual reality, especially 3D projection in order to decide wheather the using of it has negative impact on phycal and psychological state of the user or not, which exactly are these impacts and what probably cause them. This first part is dedicated to expain concept and history of ICT, explonation of the multidimensional princip and content of each dimension. The following is determination of which ICT areas are currently struggling in their use with negative effects. Detected list of these areas is reduced to six specific technologies which common user has opportunities to experience. These particular technologies were examined as a form of questionnaire, which resulted in a determination of the most used one, ie virtual reality. Shortly afterwards was conducted an experiment imparting undesirable effects caused by using virtual reality. The other five selected technologies are discussed for the most important negatives with which has to face today. The main finding of this study is the identification the side effects of virtual reality based on different types of technologies which are anaglyf 3D projection, passive 3D projection, active 3D projection and comparing if adverse effects depends on the type. It also includes determining the rate of uptake in virtual reality.

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Nováková, Veronika. "eHealth -- Elektronické zdravotnictví v rámci EU." Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-75866.

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This thesis deals with the problems of e-Health in the Czech Republic within the European Union. The thesis is divided into five main parts. The first of them describes the definition and concept of e Health together with other selected topics. It also describes the reasons why e-health needs support. The second part is focused on the computerization of health care and describes the recommendations of the EU standards and documents for support of e-health. The third part describes the state of e-health in selected EU Member States. The fourth part is focuses on e-health in the Czech Republic. The final part suggests possible ways how to solve problems of IZIP project in the Czech Republic to be more useful. The first goal is to analyze the e-Health environment and current trends in this area in the Czech Republic. The goal is to analyze the EU initiative on data interoperability and support from European Union to member states. The third goal is to analyze the situation of e-health in at least three other EU countries (excluding the CR). All the objectives will be achieved by studying available electronic materials issued by the EU, national government agencies, private experience and consultations with professional public. The benefit of this work is the current view of the state of e-Health in the Republic and in selected EU countries, according to available resources. Another benefit is the proposal addressing some of weaknesses IZIP project in the CR, which I chose as the most important representative e-health solution in the country.

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Buldum, Asli. "AN EVALUATION OF CROSSROADS: A JUVENILE CO-OCCURRING DRUG AND MENTAL HEALTH COURT." University of Akron / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=akron1138071982.

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Cucciniello, Maria. "Investigation of the use of ICT in the modernization of the health care sector : a comparative analysis." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/8733.

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This Ph.D. project started from a broad analysis aiming at investigating the key issues in the development of Information and Communication Technologies (ICT) in the health care sector, with the aim of making an in depth investigation to evaluate the effects of Electronic Medical Record (EMR) implementation on the organizations adopting them. Furthermore the study examined two study settings which have adopted the same EMR system produced by the same provider. This comparative study aims, in particular, to analyse how EMR systems are adopted by different health organizations focusing on the antecedents of the EMR project, on the implementation processes used and on the impacts produced. Diffusion theory, through the lens of socio-technical approach, represents the theoretical framework of the analysis. The research results are based on policy evaluation and case studies. The two hospitals selected for the case study analysis are the Regional Hospital of Local Health Authority in Aosta, Italy and the Royal Infirmary of Edinburgh, Scotland. In conducting the data collection several strategies have been used: documentary analysis, interviews and observations have been carried out. This work provides an overview of the key issues arising over e-health policy development through a comparative analysis of the UK and Italy and provides an insight into how EMR systems are adopted, implemented and evaluated within acute care organizations. The thesis is a comparative international research about the development of e-health and the use of ICT in health care sector. This approach makes a both a theoretical and methodological contribution. By focusing, in particular, on EMR systems, it offers to practitioners and policy makers a better basis of analysing ICT usage and its impacts on health care service delivery.

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Fulford, Hamish. "Exploring the use of mobile information and communication technology by people with mood disorders, and their health and social care professionals." Thesis, University of Dundee, 2017. https://discovery.dundee.ac.uk/en/studentTheses/61eb74d9-ba3c-42fb-9789-8c7a99a9d28d.

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Background and objectives: Information and communication technologies (ICTs) have been in use in the health setting since the time of the first telephones. However, the advent of computers, personal-computers (PCs) and, more recently, mobile information and communication technologies (mICTs) such as mobile phones, smartphones, tablet-pcs and laptops, has seen technology become increasingly integrated into how care is delivered and received. No research has yet explored how people with mood disorders use mICTs in their everyday lives and, more specifically, how they might use mICTs to look after themselves. This oversight has led to technology redundancy and high attrition rates in the use of this type of technology. Further research was therefore required to understand the meaning that this type of technology holds for people with mood disorders. This qualitative study aimed to explore the views and experiences of people with mood disorders, and their mental health and social care professionals, in using mICTs. Design and methods: A meta-synthesis was completed, guided by the work of Sandelowski and Barroso, using thematic synthesis an approach, as designed by Thomas and Harden. An exploratory qualitative approach, using in-depth, semi-structured interviews with 26 patients with mood disorders in secondary and specialist mental health services, and ten mental health and social care professionals, was subsequently employed. Participants’ datasets were analysed using Constructivist Grounded Theory (CGT). Grounded theory (GT) involves the gradual identification and integration of categories of meaning from the data, and the identification of relationships between them. Results: The rigorous and systematic nature of the meta-synthesis identified shortcomings in current research and clearly identified a gap in the research literature regarding mICTs and mood disorders. The in-depth primary study created a theory explaining how mobile technology was used in daily life, and also, more specifically, how it was used to manage recovery from mood disorders. The core category and participants’ main concern that emerged from the data, forming theory, was ‘Centrality; through praxis of interconnectivity’. Patients with mood disorders used their mICTs to stay central within their on-and-offline worlds and held them central in their importance of attachment. Health and social care professionals worked around their provision of basic mICTs and lack of informational support when using them with their patients. Centrality was achieved through the ‘Praxis of interconnectivity’; the act of managing their connectedness using mICTs. This interconnectivity was not fixed; instead, it offered fluidity for participants to manage their continuums of use through their ‘Outsourcing of needs’, ‘Management of needs’, and ‘Disconnection of needs’. Conclusions and future implications: This study refocused the attention of ICT research onto arguably the most important person, the end-user, and, in this instance, the people recovering from mood disorders, and their health and social care professionals. The CGT provided, for the first time, a theory that explained how people made use of their mICTs. Additional research is warranted to further understand the transferability of the theory to other client groups, and, in so doing, whether it can be transformed into a formal theory. Also, further research is recommended to translate the theory into practical tools for clinicians; for example, the creation of an mICT self-management questionnaire or a digital hygiene support package. Both patients recovering from mood disorders, and health and social care professionals, can utilise the findings of this study to help make sense of their mICT use. The study findings can also help inform and encourage the further incorporation of mICTs into the health and social care settings; spanning the therapeutic to systemic levels so that the full potential of these ubiquitous technologies can be harnessed to improve care and care delivery.

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Abdulla, Rabab H. M. "Towards an understanding of ICT in the Hamad Health Science Library in the State of Qatar." Thesis, Loughborough University, 2004. https://dspace.lboro.ac.uk/2134/13507.

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Information and communication technologies (lCTs) are increasingly changing the way in which working, learning, doing research and administrations are carried out. ICTs have the changed natute of many academic, public and organisations libraries. Health service is an important and essential element of any modern society. Therefore, development of this service and updating its services is a priority for most of modern governments. Current developments in ICTs are changing the nature of health science libraries. Therefore research in this area is important to provide guidelines, recommendations to improve the health services. This study explores the impact of ICTs in Hamad Health Science Library in Qatar. Physicians and staff in the Hamad Medical Corporation were surveyed by questionnaire to identify the use of ICTs and their effect on them. Then personal interviews detertnined their perceptions of the impact on the research productivity of end-users. There is a lack of this type of study in the literature. Those that there are specifically address the impact of ICTs in health science library. ICTs have become a major link to health care resources for many health care workers. The study employs a systems methodological approach in order to better understand the impact and value of ICTs in Hamad Health Sciences Library (HHSL). Using the systems intervention, issues that affect the system were identified (technological issues, cooperation issues, cultural issues and staff (and user) training and development) and the problem situation improved. An ordered roadmap of elements necessary to bring about change was produced and a HHSL systems model constructed to understand the change processes in context. Conclusions drawn reflect the level of success of the aims and objectives and indicate ways in which the problem situation can be improved from a systemic standpoint. Recommendations to management include aspects associated with operational planning, policy objectives and strategic formulation.

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Rahimi, Bahlol. "Supporting collaborative work through ICT : how end-users think of and adopt integrated health information systems /." Linköping : Department of Computer and Information Science, Linköping University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-20572.

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Ruxwana, NL, ME Herselman, and DP Conradie. "ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa." Health Information Management Journal, 2010. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001187.

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Abstract Information and Communication Technology (ICT) solutions (e.g. e-health, telemedicine, e-education) are often viewed as vehicles to bridge the digital divide between rural and urban healthcare centres and to resolve shortcomings in the rural health sector. This study focused on factors perceived to infl uence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes. Attention was also given to two psychological variables that may underlie an individual’s acceptance and use of ICTs: usefulness and ease of use. Recommendations are made with regard to how ICTs can be used more effectively to improve health systems at fi ve rural healthcare centres where questionnaire and interview data were collected: St. Lucy’s Hospital, Nessie Knight Hospital, the Tsilitwa Clinic, the Madzikane Ka-Zulu Memorial Hospital and the Nelson Mandela General Hospital.

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Potančok, Martin. "Sourcingové strategie IS/ICT ve zdravotnických zařízeních." Doctoral thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-203739.

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The dissertation thesis focuses on information systems and communication technologies and ways they are provided (sourced) in healthcare. The aim of this dissertation thesis is to design and verify a model of IS/ICT sourcing strategy for healthcare as a factor leading to the improvement of patient care, taking into account different categories of healthcare facilities and other specifics resulting from the application in medicine. The introductory section of the thesis (Section A) defines the areas of health care and identifies their specifics. Moreover, categories of healthcare facilities are defined and therapeutic, nursing and IS/ICT processes are identified. Sourcing is defined for the needs of the designed sourcing strategy model and the current trends are analysed as well as the offered outsourcing services. In the next section of the thesis (Section B), requirements on the IS/ICT sourcing strategy model are defined. Theories of sourcing strategies are analysed including assessment of the current practices of healthcare facilities. Identification of specific factors affecting sourcing in healthcare is an essential part of this section. The most important section of the thesis is a design of the IS/ICT sourcing strategy model and its verification in practice at a real healthcare facility, which is described in the final part (Section C). The designed model employs two layers to cover the whole spectrum of healthcare facilities. The base layer defines the types of objects used in developing the sourcing strategy. The specific layer takes into consideration the differences between the various categories of healthcare facilities and provides the actual implementation. Successful implementation of the model including its two layers was achieved in an independent outpatient healthcare facility.

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Blusi, Madeleine. "E-health and information- and communication technology (ICT) as support systems for older family caregivers in rural areas." Doctoral thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23281.

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The overall objective of the thesis was to investigate how older family caregivers in rural areas experienced participation in an e-health based caregiver support system. Participants were 95 caregivers allocated to intervention group (n=63) and control group (n=32). The thesis had a mixed method design and is based on four original articles (I-IV). Data was collected through web-camera interviews (I-III), telephone interviews (II,IV) and questionnaires (II,IV) after 1.5 years of using e-health support. Quantitative data was analyzed using comparative statistics, multiple linear regression and logistic regression. Qualitative data was analyzed with content analysis. Article I showed that the caregivers, despite lacking experience from using computers, were able to adopt the new technology, with help from support nurses and family. Caregivers felt e-health helped them to regain social inclusion. Article II had a comparative design, comparing e-health support with conventional caregiver support. Caregivers using e-health were more satisfied with their support and found it to be available, flexible and helping them enhance caregiver competence. Control group caregivers were less satisfied with support and experienced unmet needs. Article III showed that e-health can reduce caregivers’ feelings of isolation. Two themes were created, Expanding the concept of place and Developing networks. Article IV revealed that caregivers used e-health frequently, experienced benefits from using it and had become more independent. Support nurses were disappointed about the decrease in contact with caregivers, and also acknowledged a need for developing the professional nursing role while working with e-health. Conclusions drawn from the findings were that participants experienced benefits from e-health support and it helped them become more independent. Swedish municipalities are obliged to provide caregiver support, the findings from the study are valid to conclude that e-health support are as good as, or even more effective, than conventional support for older family caregivers in rural areas.
Det övergripande syftet vara att undersöka hur äldre anhörigvårdare på landsbygden upplevde att få anhörigstöd via en e-hälsa-tjänst. Avhandlingen hade en mixed method design och bestod av fyra originalarbeten (I-IV). Deltagare i studien var 95 personer, boendes i gles- och landsbygdsområden, som i det egna hemmet vårdade en make eller maka med kronisk sjukdom. Deltagarna var fördelade på interventionsgrupp (n=63) och kontrollgrupp (n=32). Datainsamling skedde efter 1.5 års användning av e-anhhörigstödet, genom web-kamera intervjuer (I-III), telefonintervjuer (II,IV) och frågeformulär (II,IV). Kvantitativa data analyserades genom komparativ statistik, multipel linjär regression och logistisk regression. Kvalitativa data analyserades med innehållsanalys. Artikel I visade att anhörigvårdarna, även om de inte hade någon vana av datorer sedan tidigare, kunde lära sig och bli användare av den teknik och utrustning som ingick i e-anhörigstödet, när de fick hjälp och stöd av anhörigstödjare eller andra. Anhörigvårdarna upplevde att e-anhörigstödet hjälpte dem att återfå social delaktighet. Artikel II hade en komparativ design och jämförde e-anhörigstöd med traditionellt anhörigstöd. De som använde e-anhörigstödet var nöjda med stödet i högre utsträckning än de som fick traditionellt stöd. E-anhörigstödet upplevdes som tillgänglig, flexibelt samt bidrog till att de utvecklade sin kompetens i vårdandet. Kontrollgruppen var mindre nöjd med sitt stöd samt upplevde att de hade behov som inte tillgodoseddes av stödet. Artikel III visade att e-anhörigstöd kan minska anhörigvårdares upplevelse av isolering, dels genom att de upplevde en känsla av att vara på andra platser fast de rent fysiskt befann sig i hemmet, dels genom att de utvecklade sociala nätverk. Artikel IV visade att anhörigvårdarna ofta använde e-anhörigstödet och att de upplevde nytta av att använda det. De blev också mer självständiga vilket ledde till färre kontakter med anhörigstödspersonalen. Personalen kände viss besvikelse över att kontakterna iv med anhöriga minskade och uttryckte att den professionella omvårdnads-rollen behöver utvecklas när e-hälsa införs och tillämpas i vård- och omsorgsarbete. Slutsatser som drogs från fynden i avhandlingen var att anhörigvårdarna hade stor nytta av att använda e-anhörigstöd samt att det hjälpte dem att bli mer självständiga, vilket reducerade deras behov av kontakt med kommunernas anhörigstöd. Sveriges kommuner har en skyldighet enligt lag att tillhandahålla anhörigstöd, med stöd av fynden från den här studien kan man dra slutsatsen att e-anhörigstöd kan fungera lika bra som, ibland till och med effektivare än, traditionellt anhörigstöd.

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Melander, Wikman Anita. "Ageing well : mobile ICT as a tool for empowerment of elderly people in home health care and rehabilitation /." Luleå : Department of Health Science, Luleå University of Technology, 2008. http://epubl.ltu.se/1402-1544/2008/44/.

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Melander-Wikman, Anita. "Ageing well : mobile ICT as a tool for empowerment of elderly people in home health care and rehabilitation." Doctoral thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-18645.

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The ageing of Europe's population is a crucial challenge for the 21st century. Today, the mean life expectancy in Sweden is 83 years for women and 78 for men. Ageing well is a frequently used process, describing the objectives of future elderly care and rehabilitation. Enabling elderly people to live longer and independently in their homes is one goal for society as a whole. Providing health care of high quality, on equal terms for all citizens, is an important political goal in Sweden. It is a great challenge for providers to achieve elderly care of high quality and to develop products, services and technologies that meet the needs of elderly people. There is an assumption that Information and Communication Technologies (ICT) will enhance quality of life. Additionally "electronic accessibility" is one of the goals for the European Information Society to support and enable self-determination and mobility. Dimensions of empowerment such as participation and ability to influence/control one's life situation imply an approach to health care with the patient/client in focus. The aim of this thesis was to explore different dimensions of empowerment and an empowerment methodology for elderly persons in home health care, and if ICT was a useful tool in this process. A multi-method approach was used that included interviews with patients with experience of rehabilitation, interviews with elderly persons with homecare and safety alarms, exploring their needs in relation to empowerment dimensions such as autonomy, self-determination, participation and mobility, an intervention where a mobile safety alarm was tested by elderly individuals and reflective learning workshops with front line staff in home care. Different methods of analysis were used, including Grounded Theory, Latent Content analysis and Constructivist Grounded Theory together with reflections. One of the overall findings was that all patients/clients that participated in these studies had not reflected upon whether it would be possible or not, to influence care and rehabilitation. The results indicate low patient participation in and influence on, the rehabilitation process. Elderly people perceived freedom of movement as a prerequisite for participation and in one of the studies the elderly participants felt that they could influence care and be participating in one aspect, but they still wanted more support with, for example, being more physically active, like walking out doors. The overall findings show a genuine patient/client desire, but limited possibilities to influence care and rehabilitation. Put another way, patients/clients want to have influence and participate authentically, but they do not exactly know how to achieve this. All patients/clients were positive towards the professionals in care and rehabilitation. They were really grateful and admired the professionals and also identified themselves with how stressed and how overloaded with work the professionals were. This might mean that the concept interdependency is looked upon as more important than real autonomy. The patients/clients tried to be compliant and this can be understood as "learning unpretentiousness". After reflecting upon their situation they were more able to articulate their needs that were not responded to or taken care of. When ICT, as an empowering tool, was implemented, findings showed that elderly people experienced the use of a mobile safety alarm as empowering. The mobile safety alarm gave them the freedom of movement needed to be physically active and still feel safe. The positioning device was not experienced as a threat to their integrity. Mobility and safety were experienced as more important than privacy. The research findings indicate that in order to improve home health care services from the patient's/client's perspective, we need to work with the triads of participation, empowerment and mobile Information and Communication Technology. We need to critically and creatively reflect on what clients say and then try to respond positively to what we learn and shift the focus away from ‘what's life like?' and ‘what should life be like?', towards the explicit action question, ‘what needs to be done to make life as good as it can be?' Real improvement is more likely to be sustained with some changes in accountability.
Godkänd; 2008; 20080929 (ysko)
e-Home HealthCare @ North Calotte

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Melander-Wikman, Anita. "Empowerment in living practice : mobile ICT as a tool for empowerment of elderly people in home health care." Licentiate thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-18671.

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The aging of Europe's population is a crucial challenge for the 21st century. Today, the mean life expectancy in Sweden is 83 years for women and 78 for men. Providing health care of high quality on equal terms for all citizens is an important political goal in Sweden. It is a great challenge for providers to achieve elderly care of high quality and to develop products, services and technologies that meet the needs of elderly people. Increased use of various forms of Information and Communication Technology (ICT) can enable the citizens to take more active part in their own health care. Dimensions of empowerment such as participation and ability to influence/control one's life situation imply an approach to health care with the patient/client in focus. The aim of this thesis was to explore different dimensions of empowerment and empowerment methodology for elderly persons in home health care, and if ICT is a useful tool in this process. Methods used included interviews with patients with experience of rehabilitation, reflective learning workshops with first line staff in home care and an intervention where a mobile safety alarm was tested by elderly individuals. Different analysis methods were used, including Grounded Theory, Latent content analysis and constructivist Grounded Theory together with reflections. My findings were that the process of rehabilitation was experienced as a parallel process based on traditional and individual models, implying that a patient copes with a situation by shifting between being compliant and adopting more self-regulatory behaviour. The results indicated low patient participation in and influence on the rehabilitation process in the hospital. When ICT as an empowering tool was implemented, findings showed that elderly people experienced the use of a mobile safety alarm as an empowering tool. The mobile safety alarm gave the freedom of movement needed to be physical active and still feel safe. The positioning device was not experienced as a threat to their integrity. Mobility and safety were experienced as more important than privacy. Freedom of movement and mobility were described as matters of freedom and empowerment. My research findings indicate that in order to improve home health care services from the patient's/client's perspective, we need to work with the triads of participation, empowerment and mobile Information and Communication Technology. We need to critically and creatively reflect on what clients say and then try to respond positively to what we learn. Real improvement might only occur when accountability changes.
Godkänd; 2007; 20070220 (ysko)

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Acheampong, Faustina. "Development of Web-based Health Care Services in Swedish County Councils : Strategies, Usage and Challenges." Thesis, Jönköping University, JIBS, Business Informatics, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-13061.

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eHealth has been adopted by many countries across the globe in response to cut down cost and improve the quality of life. Sweden has been engaged in providing web-based health care services for its citizens for the past decade and county councils have the responsibility to develop them. The main aim of this thesis is to present answers to the following research questions:What strategies (formal and informal) guide the development of web-based health care services provided by the Swedish county councils?What barriers exist in relation to the development and usage of web-based health care services provided by the county councils from the viewpoint of their IT leaders?From the perspective of IT leaders in the county councils and in their capacity to develop, manage and monitor their organizations‘ website content, which web-based health care services are mostly accessed by users and what age group utilize the services most?The thesis is an exploratory research conducted through a survey based on a mail questionnaire that was posted to all 21 county councils in Sweden with 18 councils responding. The results show that all county councils have formally adopted the National eHealth Strategy to guide the development of web-based health care services and some have other informal strategies as well. Technological barriers, resistance to use the web-based services and changing business process to integrate ICTs have been identified by IT leaders as major challenges that impede the development of web-based health care services in Swedish county councils. Swedish citizens more frequently access prescription renewal and booking and cancellation of appointments than other available web-based health care services which depicts a trend towards the use of advanced interactive services than basic information seeking, and people in the ages of 46 to 55 have been identified as the frequent users of web-based health care services according to IT leaders from the county councils.

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Vos, Jolien. "Navigating the care system : feasibility and acceptability of the use of ICT to support older people with multimorbidity." Thesis, University of Lincoln, 2017. http://eprints.lincoln.ac.uk/28656/.

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Health and social care systems, primarily designed for people with single diseases rather than those with multimorbidity (two or more long-term conditions [LTCs]), are becoming more complex. With increases in the older population, a rise of multimorbidity and greater fragmentation in the care landscape, little is known about how multimorbidity affects the patient’s task to find appropriate care in the right place and at the right time (i.e. care navigation). Difficulties in care navigation have proven to cause delays in access and use of inappropriate services. For older individuals with a number of LTCs, there is an urgent need to support them in appropriately navigating the care system to maximise their health and wellbeing. Using a mixed method design, this study aims to map the personal care network (PCN) of older people (aged 55 years and over) with multimorbidity. It explores the use of Information and Communication Technologies (ICT) to support this patient group in finding their way through the care system. The research involves three stages, addressing the overall question: “Navigating the care system: what is feasible and acceptable with regard to the use of ICT to support older people with multimorbidity?” A scoping review brings together the limited literature on care navigation in older people with multimorbidity and identifies gaps in knowledge. The results demonstrate that navigating the care system is perceived to be a daunting task for many patients. Patients have to learn through experience, rather than being able to rely on systems and actors within the care environment. The gaps in knowledge and practice, identified in the scoping review, are the drivers of the second stage of the study. Stage two investigates from a patients’ perspective, the structure and composition of the PCN surrounding older people with multimorbidity. People and services (actors) involved in the care for this patient group are explored through data from self-administered questionnaires (n=62) and semi-structured interviews (n=7). PCNs are visualised through Social Network Analysis (SNA), detailing those actors involved in the network and their relationship. The application of framework analysis enables a definition of roles and responsibilities within the PCN. Stage three of the study outlines the process of creating data-driven personas for the design of digital PCN navigation support for the study population. This study stands at the intersection of care and ICT. With the expansion of research informing design of ICT for care, this study delivers a number of original contributions to the field. First, the study develops and applies a new conceptual framework: Patient-Centred-Design. Patient-Centred-Design is grounded in and connects three distinguished theories (patient-centred care, patient empowerment and user-centred design). Secondly, the use of innovative methods dictated by this conceptual framework provides valuable additions to the field of SNA by comparing pre and post interview maps of PCNs. Thirdly, this study contributes to health and social care by filling current gaps in care navigation in older people with multimorbidity. Finally, theoretical and practical additions are presented to the field of Human-Computer Interaction through the provision of design requirements.

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Petratos, Anastasia. "An ICT strategy to support a patient-centred approach to diabetes care." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/14466.

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Factors such as poverty, ethnicity, socio-economic status, poor infrastructure and governance, etc., are some of the reasons that effective and proven prevention and treatment interventions for most of the major causes of mortality and morbidity in the developing world continue to fail. Chronic diseases require complex interventions that these countries simply cannot maintain. Diabetes mellitus (DM) is a chronic disease that is on the rise worldwide. This disease is a lifestyle disease, which means, that it is brought on by poor health habits. Statistics show that 285 million (6.4%) people aged between 20 and 79 years will be affected by Diabetes in 2010 and a staggering 439 million (7.7%) by 2030. This is a projected growth of 69% in developing countries and 20% in developed countries. The findings from studies conducted from 1993 to 2003 in Sub-Saharan Africa, particularly in South Africa, around the health care services for diabetes highlights many challenges. Sadly, the challenges 10 years after that study, are very similar. The conditions of people with Diabetes can be improved through regular monitoring of patients, improvement and monitoring of health care provided, education on healthy lifestyle, as well as education on the importance of adherence to treatment plans for the successful management of the condition. The diabetes endemic in South Africa is exacerbated by the manual functions that are performed in all aspects of monitoring and management of the disease. With the advancements that have been made in ICT and the many apps that already exist for healthcare, it is sensible to state that ICT can assist in the monitoring and management of diabetes. Another factor that is considered is that of patient-centred care. The huge number of people who need acute care and treatment in hospitals and clinics have forced a previously caring environment, to turn into a cold, almost production line affair. The sick wait in long queues and are ushered in and out of the consulting rooms as fast as possible without even as much as a “hallo”. This has left a void in the healthcare delivery to South Africans which should never have been removed in the first place, namely patient-centred care. This means that the patient is at the centre of the treatment and fully involved in the decisions about his/her health. Every patient deserves to be recognised as a human-being and treated with dignity and respect. Treatment plans for long term chronic care patients such as diabetics, should be thoroughly discussed with the patient and they should believe and comit themselves to the treatment plan. These plans are life-long and require dedication and as it is vital that patients are part of decision making and understand fully what they are expected to do. Bearing this in mind, this study has investigated the needs and care plans for people with diabetes. Specialist in the field of diabetes were interviewed and recognised care plans for diabetes such as those from WHO, IDF and SEMSDA were studied. This study also established, that by practising a patient-centred approach the adherence to a treatment plan is likely to be higher. The strategy developed involves the person with diabetes, the healthcare worker and the support structure in the care plan of the diabetic. The use of ICT as part of the solution must consider the patient-centred requirements for using IT so that the people using the strategy are comfortable and not intimidated by the technology. The need to incorporate e-health into governments’ healthcare plans has been growing over the last decade. The GSMA conducted research into mobile health opportunities in South Africa and found that SA now has a penetration of 98% and that this is the ideal medium to address the inaccessibility and inequality of healthcare in SA. The causes identified as playing a major role in the rise in diabetes were identified and it was determined that through the implementation of an ICT strategy for diabetes care, many of these can be addressed. These include the use of technology for, improved monitoring and management, increased diabetes awareness and education, and promotion of healthy lifestyle. The study focuses on the self-management aspect of diabetes and produces a strategy that incorporates various ICT solutions that would assist in the daily aspects of diabetes care, as well as follow a patient-centred approach to diabetes care. This strategy developed in this study does not need any intervention from government as it is driven by the people who have diabetes and their healthcare workers, with the aid of the technology that they currently have on hand.

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Gustafsson, Magnus, Jonas Norlinder, and Michael Rehn. "Using an ICT System to Increase Efficiency and Effectiveness in Patient-Practitioner Communication." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-352274.

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The number of people dealing with mental health issues like depression is increasing in Sweden. One common tool used by healthcare practitioners when treating depression is the use of self-assessment questionnaires, which estimates how severe the depression is. The current modus operandi is to let patients answer questionnaires with pen-and-paper, a practice with major inefficiencies. Our aim was to develop an ICT (information and communication technology) system that enables efficient and effective communication between patients and practitioners. Efficient in the way that manually transferring questionnaire results from pen-and-paper into the medical record is not necessary and effective in the way that the system enables data visualisation that makes it easier for the healthcare practitioner to make decisions. The result was an ICT system, ready for use by a healthcare provider, that was developed with the current regulations in mind. The system developed was deemed to make the utilisation of self-assessment questionnaires more efficient and effective. However, some features in the system can be further improved or added, to increase the efficiency and effectiveness of patient-practitioner communication.
Antalet människor med mentala sjukdomar så som depression ökar i Sverige. Ett verktyg som används av vårdgivare under behandlingen av depression är självskattningsformulär, dessa kan uppskatta hur allvarlig depressionen är. Den nuvarande arbetsmetoden är att patienter fyller i formulär med papper och penna, en arbetsmetod som kan vara mycket ineffektiv. För att lösa problemet utvecklades ett IT-system som möjliggör både produktivare och effektivare kommunikation mellan patienter och dess vårdgivare. Produktivare i den bemärkelsen att föra över formulärsvar från papper till patientjournalen inte längre kommer vara nödvändigt och effektivare då systemets datavisualisering tillåter vårdgivaren att fatta mer välgrundade beslut. Resultatet var ett IT-system, färdigt att användas av en vårdenhet, som dessutom har utvecklats med den rådande lagen i åtanke. Systemet som utvecklades anses göra hanteringen av självskattningsformulär mer produktiv och effektiv, dock kan vissa funktioner i systemet förbättras eller tillföras för att ytterligare öka produktiviteten och effektiviteten i kommunikationen mellan patienter och vårdgivare.

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Algilani, Samal. "To be at one's best : The evolution of Optimal Functionality and its possible implementation in an ICT-platform." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-49577.

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At the Nutrition and Physical Activity Research Centre for Optimal Health and Functionality through Life (NUPARC), a research gap was uncovered regarding the concept optimal functionality based on the older adult’s own perspective. The overall aim was to explore the concept of optimal functionality among older adults and the possibility of creating and developing an ICT-platform to measure it. Method: An existing cohort from NUPARC was used for recruitment in studies I-III and to some extent study IV. A scoping study design and framework was adopted for the inclusion of the articles in Study I. Study II had a descriptive design. Six focus group discussions were conducted and analysed using qualitative deductive content analysis to extend the qualitative understanding. Study III used a phenomenological approach describing the experience of mental health and its impact on the ability to function as optimally as possible. Six interviews were analysed using Giorgi’s phenomenological approach. Study IV was a feasibility study and included 8 older adults using an ICTplatform for a period of four weeks. Results: Optimal Functionality comprises three major corner stones: Body-related factors, Self-related factors and External factors (I) accompanied by nine aspects, and according to older adults it is a matter of functioning as optimally as possible (II). The three major cornerstones are intricately linked and all but the mental aspects were included in the discussions (II). Life situations affecting mental health, consequences of mental health and strategies for maintaining good mental health were described by older adults as having an impact on mental health and affecting their ability to function as optimally as possible (III). The older adults managed the usage of an ICT-tool well and it was perceived as meaningful (IV). Conclusion: Optimal functionality is holistic, subjective, dynamic and applicable to all older adults. Identification of the factors involved can help the older adults on their path to health. An ICT-platform can facilitate the identification of the factors for optimal functionality and the eventual measurement of it.

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Matondolo, Siyamthanda Luthando. "Utilisation of ICT in healthcare centre to support HIV/AIDS flow of information and service delivery In Khayelitsha." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2477.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012.
This research is an attempt to investigate the utilisation of Information Communication Technology (ICT) in Healthcare to support the flow of HIV/AIDS patient’s general information in public and private sector. Furthermore, the research examines the detail flow of database information for healthcare service delivery to patients, in particular HIV/AIDS patients, in Khayelitsha Township. Finally, the research will detail the types of technologies currently being utilised to transfer this information, technology utilised for capturing or data collection profile of the patient. The research study data collecting was done in 2009 in mostly private and public healthcare centre in Khayelitsha township. First, the study will concentrate on general utilisation of ICT in healthcare service delivery and flow of information for public and private sector healthcare centres. Additionally, the research also looks at NGOs such as HIV/AIDS Unit in Cape Peninsula University of Technology (CPUT) and Treament Action Campaign (TAC) to find out what ICT equipment is being utilised to transfer this information to adult people to inform and make them to be aware of HIV/AIDS and improve healthcare service delivery to patients and particularly to HIV/AIDS patients. Taking NGO’s such as TAC and CPUT HIV/AIDS Unit that are well informed about HIV/AIDS, nationally and internationally will make our research results to be more precise. The research will also look at the utilisation of ICT in flow of information at healthcare centre such as communication between healthcare providers such as receptionist/clerk, nurses, doctors and medical researchers since they are the first people who deal with HIV/AIDS patient cases when they come for healthcare provision.

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Bruthans, Jan. "EKONOMICKÝ POTENCIÁL EXISTUJÍCÍCH SYSTÉMŮ eHEALTH V ČR." Doctoral thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-165925.

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The purpose of this dissertation is to explore the contemporary area of information technologies employed in health care (eHealth). Focusing on the systems already employed in the Czech Republic, it aims to analyse them, to quantify expenditures of their introduction and maximum benefits derived from these, as well as to evaluate their real current profit. Out of the three existing national systems, this dissertation concentrates on the two only (eRecept, ePACS), as it became impossible to evaluate the third -- IZIP system due to scarcity of the relevant information available. In the field of expenditures not only generally published numbers are taken into consideration, but this dissertation also evaluates the expenditures of other subjects involved (IT systems producers, health care providers, etc.). As the first dissertation in the Czech Republic it quantifies benefits derived from the existing eHealth systems and unlike foreign theses it greatly emphasizes just the expenditures of other subjects involved. Included in this dissertation is also the evaluation of achievements of the eHealth systems in the Czech Republic complete with supposed grounds for this situation. This dissertation also recommends courses of action for contractors of these systems to ensure future basis for more economical and successful eHealth systems. These recommendations are mainly based on analysis of development of the existing national eHealth systems. For the complex evaluation of the costs, maximum of possible and real benefit of the individual eHealth systems the research approach adopted in this dissertation includes descriptive method and SWOT analysis, extrapolation and abstraction, comparative and factor analysis.

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Laya, Andrés. "The Internet of Things in Health, Social Care, and Wellbeing." Doctoral thesis, KTH, Radio Systems Laboratory (RS Lab), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-212548.

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The Internet of Things (IoT) enables opportunities to remotely sense and control objects via communication networks. We study services based on connected devices and the collaboration they generate between the ICT and the Health, Social Care and Wellbeing (HSCWB) industries. In HSCWB, IoT can support a change from episodic treatments of illness to preventive care and wellbeing solutions. The IoT can be a supporter in cost efficient and high quality health care. The objective is to achieve healthier life years and more efficiency in health and social care. Even if the potential of IoT in HSCWB has been proven in pilot projects and small-scale solutions, the benefits and opportunities for many actors are still unclear. There is a research gap in studying the roles and business opportunities for market-driven technology-based solutions enabled by connected devices. The research approach separates technological and business domains. On the technology side, the focus is on advances in connectivity for IoT. We present the technical details on a limitation to support IoT devices in cellular networks. We quantify the limitations in the Random Access Channel of the LTE air interface to support IoT devices. Moreover, we propose the adaptation of an access mechanism to enable massive number of simultaneous access attempt in cellular networks. On the business side, we identify and present how the conditions of the health and social care structure in Sweden affect the establishment of IoT solutions in HSCWB. We then show how these conditions have generated three distinctive development patterns—to innovate within the public sector, to develop solutions in the private care sector, or to target the wellbeing sector to avoid regulatory setbacks. Based on these patterns, we look closer into study cases to show how business opportunities have been addressed from a business network perspective. When deploying an IoT service, not all critical challenges can be appreciated at a single firm level. Therefore, we rely on a network-level business model framework to analyze emerging IoT services in HSCWB. The findings suggest that IoT components can improve an existing service by automating internal working processes, or they can enable new value propositions and convenience to end users. In general terms, the collaboration can be used (i) to improve the efficiency of existing services in health and social care without an original intention to change the service offering, or (ii) to create novelty and differentiation, without affecting the internal logics of existing HSCWB services.

QC 20180828

IoT Ecosystems (VINNOVA)
COIN-SWEAT
MTC2020
M2MRISE

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Gunzo, Fortunate Takawira. "Informing an ICT intervention for HIV and AIDS education at Rhodes University." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1003459.

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This study captures the process and methods used in selecting and organising content for an ontology. In the Information and Communication Technology (ICT) field ontology refers to a way of organising and storing information and facilitating interaction between the system and its users. Ontologies are being used more frequently to provide services that deal with complex information. In this study, I record my experience of developing content for an HIV and AIDS ontology for Rhodes University students. Using several different methods, I started the process of selecting and organising HIV and AIDS information, free of scientific jargon and prescriptive language, and consisting only of relevant information. I used data derived from interviews with six HIV and AIDS experts to develop questions for a survey that was open to all Rhodes University students. The 689 people who responded to the survey indicated that they needed more information on testing, treatment and living with HIV. Responses also showed that students had a lot of information on HIV prevention and transmission. Four focus group discussions revealed that students were tired of repetitions of the „same‟ information on HIV and AIDS and wanted to know more about life after contracting HIV. Using this data, I propose some guidelines to populate HIV and AIDS ontology. Ontologies can be customized for particular groups of users, for example according to gender, race, year of study etc. Another advantage of the ontology is that it can be expanded or contracted depending on the scope of one‟s intervention.

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Kyhlbäck, Hans. "The Problem of Objects in Design of Health Care Information Systems." Licentiate thesis, Karlskrona : Blekinge Institute of Technology, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00293.

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This thesis is about two different theoretical interpretations of objects and object-orientation in design of health care information systems – the interpretations of Activity Theory/Developmental Work Research and Computer Science respectively. One motive to my interest in objects of work and software, is to better understand the problems and possibilities in an inter¬dis¬ciplinary research project. With an origin in 2001, a Wound Care Project began as a joint R & D endeavour with the initial idea of utili¬zing digital photos. Soon, an information system (“Hedvig”) was developed for the purpose of managing digital photos and related treatment records on wounds. Later, this work expanded in creation of a distributed information system (“Helar”), a digital prototype for support of wound care treatment. Eventually, the thesis is summing up reflections related to the object concepts. AT/DWR has its strength in analysis and design of required change in a work practice but is still weak in method and techniques for support of making specific computa¬tional systems. In a way this shortcoming is thought of to be balanced by the technological CS discipline of which one of its main forces is to develop theory and practice for construction of computational information systems. This thesis suggest, in the inter¬dis¬ciplinary field of Health Care Information Systems Design, a further developed object con¬cept, and related scenarios and use cases, as a way of taking advantage of a combination of those two different strengths.
Avhandlingen handlar om två olika teoretiska tolkningar av objekt och objektorientering i design av informationssystem för hälso- och omvårdnadsarbete - tolkningar utifrån verksamhetsteori/utvecklande arbetsforskning (activity theory/developmental work research: AT/DWR) å ena sidan och datavetenskap (computer science: CS) å den andra. Ett motiv för mitt intresse för objekt i arbete och i programvara, är att bättre förstå problem och möjligheter i ett tvärvetenskapligt forskningsprojekt. Med en början i 2001, startade ett sårvårdsprojekt som ett forsknings- och utvecklingsarbete med den initiala idén att nyttja digitala foton, och snart utvecklades ett informationssystem ("Hedvig") för syftet att hantera digitala foton och annan relaterad behandlingsdokumentation för sårvård. Senare expanderade detta arbetet i skapandet av ett distribuerat informationssystem ("Helar"), en digital prototyp för stöd av sårbehandlingsarbete. Denna avhandling summerar reflektioner relaterade till objektbegreppen. AT/DWR har sin styrka i analys och design av efterfrågad förändring av en arbetspraktik, men är fortfarande svag i metod och tekniker för att stödja skapandet av specifika datorsystem. På ett sätt är det här tillkortakommandet tänkt att balanseras av den teknologiskt datavetenskapliga disciplinen, där en av dess främsta drivkrafter är att utveckla teori och praktik för konstruktion av datoriserade informationssystem. I det tvärvetenskapliga fältet av design av informationssystem för hälso- och omvårdnadsarbete, föreslår denna avhandling fortsatt utveckling av objektkoncepten, och utveckling av de relaterade "scenarios" och "use cases", som ett sätt att dra fördel av en kombination av dessa två olika förtjänster, som de olika disciplinerna står för. objekt, objektorientering, sårvård, digitala foton, verksamhetsteori, datavetenskap, informationssystem

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Boman, John. "Real-time Benchmarking with a Business Intelligence System : A Case Study of Aravind Eye Care System." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-193033.

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39 million people in the world are blind and approximately 15 million of them live in India. Aravind Eye Care System is the biggest provider of eye care in India and the world and it continues to expand and spread medical understanding and best practice to improve ophthalmological care. Aravind Hospitals measure data of performance indicators for management and identify best practice. Currently, each department handles data of these parameters in locally stored excel sheets which limiting benchmarking in real-time. The main objective of this project has been to develop a user-friendly web platform that enables real time benchmarking across all of Aravind’s hospitals. A prototype of a web based business intelligence system has been developed as a proof of concept. The aim of this prototype has been to enable benchmarking across Aravind’s hospitals. The impact has been studied to analyse the extents to which the organization can become more efficient through continuous benchmarking. Initially, a database was developed containing data from the glaucoma clinics in Coimbatore, Madurai, Pondicherry and Tirunelveli. Subsequent was a web platform developed which presents the data dynamically with Google Charts. Interviews and analyses support the implementation of a business intelligence system at Aravind’s Hospitals. Testing and analysis have proven that a business intelligence system can improve value, create innovation and spread best practice at Aravind’s Hospitals.
39 miljoner personer i världen är blinda och uppskattningsvis 15 miljoner av dem bor i Indien. Aravind Eye Care System är de största leverantörerna av ögonsjukvård i Indien och i världen. De fortsätter att växa och sprida medicinsk kunskap och best practice för att förbättra ögonsjukvården. Aravinds sjukhus mäter data på nyckelparametrar av verksamheten för management och för att identifiera best practice. För närvarande så hanterar varje avdelning data av dessa parametrar i lokalt lagrade Excel dokument vilket begränsar benchmarking i realtid. Det huvudsakliga syftet med detta projekt har varit att utveckla en användarvänlig web plattform som möjliggör benchmarking mellan Aravinds sjukhus i realtid. En prototyp av ett web baserat business intelligence system har utvecklats i form av ett proof of concept. Syftet med denna prototyp har varit att möjliggöra benchmarking mellan Aravinds sjukhus. Dess påverkan har utvärderats och analyserats för att studera till vilken utsträckning organisationen kan bli mer effektiv genom kontinuerlig benchmarking. Till en början har en databas utvecklats för att hantera data från glaukom klinikerna i Coimbatore, Madurai, Pondicherry and Tirunelveli. Där efter har en web plattform utvecklats som presenterar dynamisk data med Google Charts. Intervjuer och analyser stödjer implementationen av ett business intelligence system på Aravinds sjukhus. Denna rapport har bevisat att det är genomförbart att utveckla en skalbar open-source webbplattform som möjliggör benchmarking i realtid. Tester och analyser har även visat att ett business intelligence kan vara värdeskapande, innovation skapande samt sprida kunskap på Aravinds sjukhus.

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Sarvari, Ladan, and Samaneh Norouzi. "The Impact of ICT-enabled solutions on elderly with mild cognitive impairment and mild dementia." Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Informatik, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42837.

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Background: Previous studies have shown that ICT applications could affect elderly people who suffer from mild dementia (MD) or mild cognitive impairment (MCI) positively. These applications might help patients with MD or MCI, improving their cognitive performance, independency and, their quality of life. Elderly may also be able to live alone at their own home with the help of these ICT applications. Therefore, the burden of caregivers and family members can be reduced. An IT-enabled solution was proposed to create new knowledge and experience among MCI and MD patients and their caregivers. The project was funded by European union and four countries i.e. Sweden, Spain, Italy and Israel were involved in it. Purpose: The purpose of this study was to apply a technology-enabled integrated care model. Two aspects of the study were to measure the quality of life of the elderly with mild cognitive impairment (MCI) or mild dementia (MD) after using the model and to understand the professional caregivers’ perspectives of the model. Method: A mixed-method approach was applied in this research which was a combination of using standard and internally developed questionnaires and semi-structured interviews. Conclusion: The result of the study showed that DECI could have positive effect as a complementary tool for the care process of the elderly who suffered from dementia. The general perception in all sites was positive and professionals confirmed the willingness to use DECI in the future.

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Sobin, Jonathan, and Ludvig Jakobsson. "eHealth development in Sweden : A study of prominent aspects and benefits from a multi-user perspective." Thesis, KTH, Industriell ekonomi och organisation (Inst.), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-148795.

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The European health care is facing challenges with an increasing ageing population, with a higher frequency of chronic diseases, which have resulted in rising health care costs. Meanwhile, the trend shows how patients and citizens are becoming more active in their personal health care, with the number of existing doctors and nurses subsiding furthermore entailing problems. The area of eHealth, which involves information and communication technologies with health care, is hence seen as a partial long-term solution and is considered being a rapidly growing market both in Sweden, but also in Europe. eHealth services further consider to promote increased access, mobility and interoperability in the health care, but the lack of wholehearted commitment, financial support and complex EHR-systems in Sweden's municipalities and county councils might partially impeding down the development. The purpose of this report is therefore targeting to explore, identify and analyze prominent aspects for the continued development of the Swedish health care and eHealth services. The study also examines what subsequent benefits an implementation of an eHealth service entails, which also has been related to the identified prominent aspects. This master thesis is based on a thorough literature review extracted from a theoretical framework including an interoperability-, security-, mobility- and business-modeling perspective, which are used as a foundation for the building of a set of hypotheses, which are subsequently verified with the aid of gathered empirics. The empirics are obtained from 10 semi-structured qualitative interviews, as well as two case studies, which together resulted in key-findings and conclusions. Firstly, in relation to the interoperability perspective, it became clear how there should exist both a technical and social interoperability that communicate with each other. The EHR-systems of today are often considered difficult to learn, non-intuitive and lacking interfaces that are user-friendly designed for the end-user. Increased interoperability was also seen as enabling and simplifying the access to the patient’s medical history, which the EHR-system TakeCare evidently demonstrated. Furthermore, it was acknowledged how there is no correlation between the increased time spent by health care professionals with administrative tasks and documentation with an increased interoperability. It also emerged that patients and the dominant part of the population had either no or very limited knowledge regarding the underlying security and overall management of personal health information in health care. Patients instead often blindly trust the Swedish health care system being secure, and prioritizing other things during medical appointments. The knowledge of security issues in the health care is predicted to increase among patients if they in the future would obtain full access to their own medical records. There is also a general opinion among health care professionals and related instances how new security risks will arise alongside the eHealth wave, with a particular concern for the increasing involvement of mobile devices. Relationships between an increased interoperability also seem to favor increased mobility in health care, but security aspects often prevent the mobility development. Finally, it was unanimously espoused how non-financial values must not be ignored, where the on-going debate argues whether what real impact these non-financial values have, where inter alia strict budgets and large gaps between the decision-makers and end-users appeared as issues. Similar arguments were encountered regarding the actual impact of the opinions of patients in relation to business modeling, where a tripartite-problem and the patients’ limited access to their medical records was partly seen as a primary issue. Secondly, the case studies demonstrated how a transition to the EHR-system TakeCare generally did result in cost- and resource savings in terms of local servers, IT-maintenance and inventory management. The TakeCare implementation also led to an increased visibility among health care centers by enabling and simplifying the access to patient medical history. Increased communication, awareness, and more effective internal processes due to integrated modules and direct connections to ePrescriptions could also be accessed from the TakeCare transition. Finally, it emerged that relations existed between simplified access to the patient’s medical history and how it subsequently resulted in an increased interoperability. A correlation was also seen as the health care become generally more mobile due to increased interoperability.
Hälso- och sjukvården i Europa står inför utmaningar i och med en stigande åldersgrupp med en större andel kroniska sjukdomar, vilket resulterat i stegrande sjukvårdskostnader. Samtidigt ses en trend i hur patienter och medborgare börjar bli mer aktiva i sin egen vård och efterfrågan på sjukvårdspersonal ökar, med ökande utmaningar som följd. eHälsa-området, vilket involverar informations- och kommunikationsteknik inom sjukvården, ses därför som en potentiell långsiktig del-lösning och anses samtidigt vara ett starkt växande område i Sverige, men också på den övriga europeiska marknaden. eHälsa betraktas vidare främja en ökad åtkomst, mobilitet och interoperabilitet inom sjukvården, men bristen på helhjärtat engagemang, finansiellt stöd och det stora antal komplexa journalsystem i Sveriges olika kommuner och landsting ses delvis ligga till grund för en bromsad utveckling. Syftet med denna rapport är därför att undersöka, kartlägga och analysera de mest centrala aspekterna för den fortsatta utvecklingen av svensk sjukvård och eHälso-tjänster. Studien undersöker även vad implement av en eHälso-tjänst praktiskt har medfört, med ett fokus på journalsystem där de enskilda förändringarna även har relaterats till de identifierade centrala aspekterna. Examensarbetet är baserat på en gedigen litteraturstudie som utifrån ett teoretiskt ramverk inkluderande ett interoperabilitets-, säkerhets-, mobilitets- och affärsmoduleringsperspektiv ligger till grund för framtagandet av hypoteser som sedan verifierats med hjälp av empiriskt insamlad information. Empirin är erhållen från tio semi-strukturerande kvalitativa intervjuer, samt två fallstudier, vilka tillsammans har resulterat i ett flertal slutsatser. Utifrån ett interoperabilitetsperspektiv framgick det hur det bör finnas både en teknisk och social interoperabilitet som kommunicerar med varandra, då journalsystem idag anses vara svåra att lära sig, icke intuitiva och ej användarvänligt utformade för slutanvändaren. Ökad interoperabilitet ses även möjliggöra och förenkla åtkomsten av patienthistorik, vilket journalsystemet TakeCare tydligt påvisat. Vidare kunde det konstateras att det inte finns en korrelation mellan den progressivt ökande avsatta tiden som sjukvårdspersonal idag tillbringar med administrativa uppgifter och dokumentation med en förhöjd interoperabilitet. Det framkom även att patienter har väldigt liten eller obefintlig kunskap rörande den underliggande säkerheten och hanteringen av personlig information i sjukvården, då de ofta blint litar på att svensk sjukvård anses vara säker samt att patienter prioriterar annat vid läkarbesök. Kunskaper om säkerheten i sjukvården bland patienterna anses dock öka ifall de i framtiden får tillgång till sin journal. Det finns även en allmän oro bland sjukvårdspersonal och närbesläktade instanser för att nya säkerhetsrisker kommer att uppstå i och med eHälsa-vågen, med ett särskilt orosmoln för den ökande användningen av mobila enheter. Relationer mellan hur ökad interoperabilitet även gynnar förhöjd mobilitet sågs även förekomma, men att det ofta samtidigt är säkerhetsaspekter som hindrar den mobila utvecklingen. Avslutningsvis förespråkades det hur icke-finansiella värden inte får bli ignorerade, men problemet kring hur verkningsfull dess faktiska påverkan är, relateras bland annat till strikta budgetar samt stora avstånd mellan beslutstagare och slutanvändare. Liknande argument påträffades angående den faktiska inverkan av åsikter från patienter vid affärsmodulering, där ett trepartsproblem och patienternas begränsade åtkomst till sina journaler delvis sågs ligga till grund. Fallstudierna påvisade hur övergången till journalsystemet TakeCare generellt har lett till resursbesparingar i form av lokala servrars underhåll och lageranvändning, samt en ökad synlighet i vården med förbättrad tillgång till patienthistorik jämfört med tidigare journalsystem. En ökad kommunikation och medvetenhet samt effektivare interna processer på grund av integrerade moduler och direktkoppling till eRecept kunde även påvisas. Slutligen framgick det att relationer förekom mellan den ökande åtkomsten av patienthistorik och andra journaler, och hur förhöjd interoperabilitet medfört detta. Samband kunde även ses hur ökad interoperabilitet positivt gynnar mobiliteten i sjukvården.

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Tokosi, Temitope Oluwaseyi. "Electronic patient record (EPR) system in South Africa : information, storage, retrieval and share amongst clinicians." University of the Western cape, 2016. http://hdl.handle.net/11394/5414.

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Philosophiae Doctor - PhD
A phenomenological philosophy underlies this research study which attempts to understand clinicians’ perception and understanding of an electronic patient record (EPR) system currently operational at a hospital in the Western Cape Province in South Africa (SA). Healthcare is a human right, thus patient records contain critical data and mostly paper-based in many SA hospitals. Clinicians are the EPR primary users and their attitude in its use is important for its success. This study explores, identifies and determines clinicians’ cognitive attributes towards EPR with a technology use framework developed. An initial quantitative approach was applied but unsuccessful due to low sample size. A pilot study was then conducted using 11 respondents. Purposive sampling was first initiated then snowball introduced later to improve the sample size qualitatively. Interviews were administered to 15 clinicians and tape recorded. Narrative content analysis was used as the preferred analysis technique because of the advantage of gaining direct information from study participants, unobtrusive and a nonreactive way to study the phenomenon of interest. Research findings tested 12 propositions and found high impact relationships between attitude (ATT) and each listed theme namely: perceived usefulness (PU), perceived ease of use (PEOU), complexity (COM), facilitating condition (FC), use behaviour (USE). Use behaviour had high impact relationships with storage (STO) and retrieval (RET). There were moderate impact relationships between PU and USE; PEOU and PU; RA and ATT; job fit (JF) and ATT; USE and share (SHA). The implication here is that any EPR system to be implemented should be tested using this framework to ascertain its usefulness and fit with a hospital's objectives and users expectations. By so doing, anticipated problems can be mitigated against and resolved before implementation. The study contributes to the information system (IS) body of knowledge through the technology use framework. The framework is for adoption by hospital management and its use by clinicians where EPR is operational. Traditional IS frameworks can be adopted for hospitals about to implement EPR because of the relevance of the "intent to use" theme.

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Roth, Marcel. "Analysis of digital health solutions and the most significant challenges for rural areas." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279430.

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The problem of insufficient healthcare is particularly noticeable in rural regions. Despite this, there is still little research on the digital transformation of healthcare in rural areas. This thesis aims to bridge the gap between the two research fields of "digital health” and “rural development” to find out the most significant challenges for rural areas when implementing and using digital health solutions. "Rural areas" in this work are referring to areas with low population density and small settlements in the industrialised EU countries. First of all, a “Digital Health Ecosystem” was developed based on a research review, which served as an overview of the most important factors and stakeholders regarding digital health in general. The “Digital Health Ecosystem” was used as part of the qualitative research method and interview guide to identify the challenges in transferring the overview to rural areas. An interview study was conducted with eight experts from the field of digital health with different backgrounds like technology, economics, social sciences, healthcare systems and smart village. The results show that digital health in general involves many barriers, which also apply to rural areas. The specific challenges for rural areas could be divided into four main categories: broadband and mobile networks; structural barriers; digital acceptance & competence; rural innovation. The findings reveal that the smart village concept and rural initiatives are still in their early stages and digital strategies and networks will have to spread more widely across the entire countries. Furthermore, services must be better targeted to the specific problems of rural communities. In particular, because the need for digital health solutions is very great in rural areas, where they can counteract problems like lack of healthcare providers and poor healthcare. In this context, all the general and specific challenges should not be considered separately, because the complexity of the ecosystem can only be understood by connecting all the different fields of action.
Problemet med otillräcklig sjukvård märks särskilt på landsbygden. Trots detta finns det fortfarande lite forskning om den digitala omvandlingen av sjukvården på landsbygden. Denna rapport syftar till att överbrygga klyftan mellan de två forskningsområdena "digital health" och "rural development" för att ta reda på de viktigaste utmaningarna för landsbygden när de implementerar och använder digitala hälsolösningar. "Landsbygdsområden" avser i detta arbete områden med låg befolkningstäthet och små bosättningar i de industrialiserade EU-länderna. Till att börja med byggdes ett ramverk, “Digital Health Ecosystem”, baserat på en forskningsöversikt. Detta ramverk fungerade som en översikt över de viktigaste faktorerna och intressenterna beträffande digital hälsa i allmänhet. ”Digital Health Ecosystem” användes som en del av den kvalitativa forskningsmetoden och intervjuguiden för att identifiera utmaningarna i överföringen av översikten till landsbygden. En intervjustudie genomfördes med åtta experter inom området digital hälsa med olika bakgrunder som teknik, ekonomi, samhällsvetenskap, hälsovårdssystem och smart by. Resultaten visar att det finns många hinder för digital hälsa i allmänhet, som också gäller för landsbygden. De specifika utmaningarna för landsbygden kan delas in i fyra huvudkategorier: bredbands- och mobilnät; strukturella hinder; digital acceptans & kompetens; landsbygdens innovation. Resultaten visar att det smarta landsbygder och andra typer av liknande initiativ i rurala områden fortfarande befinner sig i sina tidiga stadier och att digitala strategier och nätverk måste spridas mer över hela länderna. Dessutom måste tjänsterna riktas bättre mot de specifika problemen i landsbygdssamhällen. I synnerhet eftersom behovet av digitala sjukvårdslösningar är mycket stort på landsbygden, där de kan motverka problem som brist på vårdgivare och dålig sjukvård. I detta sammanhang bör alla allmänna och specifika utmaningar inte beaktas separat, eftersom ekosystemets komplexitet bara kan förstås genom att koppla samman alla olika handlingsfält.

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Marchesoni, Maria Andersson. "“Just deal with it” Health and social care staff´s perspectives on changing work routines by introducing ICT : Perspectives on the process and interpretation of values." Doctoral thesis, Luleå tekniska universitet, Gemensamt HLV, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-17618.

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Policymakers emphasize that the increased use of information andcommunication technologies (ICT) will improve efficiency and reinforceaccountability in health and social care. Care has an intrinsic value that isunquestionable; everyone needs care more or less throughout their life. The twodifferent rationalities, the technical rationality and the caring rationality,raise the question of how technologies can be used in the care sector as ameans to support care. The overall aim of thisdoctoral thesis was to describe and interprethealth and social care staff´s expectations, perceptions, experiencesand values when changing work routines by introducing ICT.Data was collected through group- and individual interviews with primary healthcare and social care staff during a research and development (R&D) project.The R&D project aimed at developing work procedures for staff in health andsocial care by introducing new ICT applications. Data was analyzed with qualitative interpretiveapproaches. The results showed that expectations from participating staff were overshadowed by earlier development work and they distancedthemselves from the R&D project. Staff perceived the ICT solution inrelation to utility in their daily practice but also on its impact on thealready strained economy and the working environment. Participants experiencedunclear decisions and hardly any power of influence in the project. Similarexperiences from the past seemed to trigger participants as they were emotionaland upset. Once again they experienced low power to influence. Interpretedvalues showed that staff did not reject technologies per se but they argued foror against the technologies in relation to what they believed would supporttheir view of what good care was. This leads to the conclusionthat disturbance-free interactions with the care receiver were prerequisitesfor accepting any technologies. Furthermore, participants had a wish of takingresponsibility in care work and of being confirmed, in an organization withclear visions and management. The caregiving process and its challenges fromthe perspective of the caregivers need consideration and the concept of caringrationality needs to be put on the agenda. More concern of what good care is and who is defining it should be more investigated and discussed.Change processes in health and social care often focuses on finance andeffectiveness. R&D projects and nursing researchers should consider thatfrom a staff perspective it would be beneficial to use approaches where powerrelations are questioned, and organizations that management should encouragechange initiatives from staff. Key words: Care, ICT, staff perspectives, values, nursing, individual interviews, group interviews, qualitative interpretive analysis, feminist ethics of care

Godkänd; 2015; 20150401 (marand); Nedanstående person kommer att disputera för avläggande av filosofie doktorsexamen, Namn: Maria Andersson Marchesoni Ämne: Omvårdnad / Nursing Avhandling: “Just Deal With It” Health and Social Care Staff´s Perspectives on Changing Work Routines by Introducing ICT Perspectives on the Process and Interpretation of Values Opponent: Annica Kihlgren Institutionen för hälsovetenskap och medicin Örebro universitets Ordförande: Dr Mai Lindström Institutionen för Hälsovetenskap Luleå tekniska universitet Tid: Tisdag den 5 maj 2015, kl. 10.00 Plats: E246, Luleå tekniska universitet

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Musiimenta, Angella. "Evaluating the computer-assisted HIV/AIDS education intervention implemented in schools in Uganda." Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/evaluating-the-computerassisted-hivaids-education-intervention-implemented-in-schools-in-uganda(e44b1835-60c8-4a9b-85c1-1e8e69b6cbe8).html.

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Over 29 years into the epidemic, fighting HIV (Human Immunodeficiency Virus), the virus that causes AIDS (Acquired, Immune, Deficiency, Syndrome) continues to be a global concern. School-based computer-assisted HIV/AIDS interventions can provide innovative ways of preventing HIV among young people from diverse backgrounds in Africa. However, questions of technological, social and organisational readiness cannot be overlooked. This is because of: (1) being health interventions implemented in educational centres; (2) limited technological facilities and skills; (3) the prevailing norms that associate young people's sex education with sex experimentation. Despite these concerns, there are significantly few studies evaluating school-based computer-assisted HIV/AIDS interventions in developing countries. In addition, the commonly used health promotion theories have limited application in HIV prevention. These theories tend to lack sufficient attention to contextual mediators that influence implementation and impacts of HIV interventions.This research addresses some of these gaps by evaluating the implementation and the impacts of a computer-assisted HIV/AIDS intervention, known as the World Starts With Me (WSWM), which is implemented in schools in Uganda. To overcome some of the criticisms voiced above, this research employed mixed quantitative and qualitative methods to conduct three investigations. Investigation 1 is a quantitative controlled before-after intervention study that assessed the level of significance of the impacts of the WSWM intervention on in-school young people. Investigation 2 is a qualitative cross-case analysis study that explored in-depth why the WSWM intervention implementation was completed in one school but abandoned in another. Investigation 3 is a qualitative study that assessed in-depth the impacts and the computer-mediated benefits of the WSWM intervention on out-of-school young people. Overall, this research involved 584 quantitative questionnaires answered by 292 participants, 53 interviewees and 2 focus group discussions comprising of 50 participants.Findings indicate that: (1) the intervention significantly improved the in-school young people's HIV/AIDS knowledge, attitudes self-efficacy, sex abstinence and fidelity, but had no significant impact on condom use. (2) Implementation factors include technological facilities, perceived usefulness, confidence and skills, cultural-religious compatibility, management support, match with routine workflow, and institutional climate, all of which were more favourable in the school that completed the intervention than in the school that abandoned it. (3) The intervention had positive impacts on the out-of-school young people's sexual behaviours, HIV/AIDS knowledge and perception of vulnerability, attitudes and self-efficacy. (4) Contextual mediators such as familial mediators, relationship characteristics, peer influence, gender-biased social norms, economic constraints and religious beliefs influence young people's uptake of HIV preventive measures. (5) Computer-mediated benefits of the intervention include privacy and confidentiality of the otherwise sensitive information, unlimited geographical accessibility, source of the otherwise denied sexuality and HIV/AIDS information, and interactivity and social support.

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Al-Huneiti, Rasmeh. "Towards a new framework for nursing education and training in developing countries." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/8515.

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The advancement in ICT in recent decades has transformed every aspect of life, including medical care. The most sophisticated example of this is electronic health (e-health), which in developed counties has been a major contributor to enhancing the overall quality of healthcare services. However, e-health remains primitive in developing countries, whether they are relatively poor like Jordan or wealthy like Qatar. Barriers to successful e-health adoption in developing countries are attributable either to superimposing the technology itself while ignoring staff preparedness to integrated e-health or financial inhibitions to making such fundamental changes to healthcare delivery. Staff preparedness is related to educating or training healthcare staff, particularly nurses, who have fewer opportunities to attend training, or are sometimes ignored. Hence, the focus of this research is to evaluate the preparedness of nursing community for e-health adaption in the developing countries, taking Qatar and Jordan as case studies, in order to identify existing challenges and the key requirements to establish an educational framework that can be integrated in nursing curricula or professional development to promote e-health adaptation by nurses. This research critically reviews previous literature related to the research project, identifying the challenges to e-health preparedness, and analyses nursing and midwifery curricula from different countries with regard to e-health and ICT. The findings show that e-health modules are not generally included in any higher education nursing programme, with only a few transcripts showing basic computing or ICT modules. E-health national strategies for both Jordan and Qatar were analysed to identify whether the inclusion of professional training on e-health has been considered as part of e-heath strategy. In addition, analysis of e-health national strategies for other leading countries in the field of e-heath was conducted, finding that there is a decided gap between developed and developing countries with regard to e-health. The level of readiness in nursing was investigated and to identify the main barriers for using e-health/e-nursing in Jordan and Qatar. The results showed the top challenges facing e-health are educational-related aspects, hence a plan for promoting and providing education on the benefits and use of ehealth processes and applications is advised, with prerequisite ICT training, as the results showed that nurses lack sufficient knowledge about e-health processes and applications. The findings from earlier tasks were used to identify the requirements and then propose the framework to achieve main goal of this research in providing a roadmap. The framework was constructed in accordance to with the Technology Acceptance Model (TAM), followed by evaluation by different expert groups. All the groups voted for the suggested structure of the framework to be taken to the next phase of deployment. The final task was to evaluate the attitude of the nursing community working towards the possibility of implementing an e-learning system, which has been presented as the main platform in the proposed framework. The findings have demonstrated a very positive attitude from the nursing staff towards the idea of using e-learning. There also does not appear to be any apparent obstacles to deploying the concept of e-health as the audience in question have the necessary computer skills. In summary, this research project has contributed in presenting framework and some useful findings related to e-health in general and in Qatar and Jordan in particular. The proposed framework can be as a roadmap for future e-heath/e-nursing projects, in addition, it can be utilised with some modifications to foster similar electronic applications.

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Björkqvist, Maja. "Asking for a friend : Youths experience with youth health centres in Sweden." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-174529.

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This thesis explores the stigmas and taboos surrounding youth health centers in Sweden and how this might be hindering young people to visit the youth health centers. It’s exploring how this can be challenged and how the threshold can be lowered by involving the informal support system and bringing the youth health center to the youth arena which allows for a more informal type of support and guidance. The youth health centers in Sweden have been around since 1970 and are a well known and established form of healthcare, yet the majority of the visitors are young women. How come? I’ve been working from the hypothesis that there is a need for more youth to seek help but that they for various reasons don’t manage to make it all the way there. There are many stigmas surrounding topics that the youth health center is dealing with, such as sex, depression, or domestic violence. This is especially true for young people on the edge between childhood and adulthood. Using a human-centered design approach this project has through the involvement of adolescents, midwives and youth workers among others, been exploring challenges and finding opportunities where interaction design can be used to improve the situation for the youth that do not make it to the youth health centers but that want and would benefit from their services. The final design proposal is an ambassadorship, aimed towards adults already part of the informal support system, that will enable youth to feel more empowered to seek help. It is set up to reach the youth in new ways, in an informal manner to bring the solution to the youth and to create a more comfortable space for them to open up within. Part of this is also a service for youth to effortlessly get in contact with the youth health center and to create personal connections to its personnel through link cards and video presentations. These connections are there to prepare the youth and to lower the bar of contact by building trust and humanize the help-seeking process. To make it clear that they are not trying to contact an institution but a person.

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Gudmundsson, Magdalena. "Aging-in-place with ICT : A qualitative study of senior citizen users’ perception and acceptance towards Smart home technology." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-67074.

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This is a qualitative, interpretive research study of how six senior citizens’ aged 70-85 describe their use and need of Smart home technology for their independent living and welfare. Data was collected through technology probing and interviews. Data analysis was done using a thematic method. The research was underpinned by the theoretical model Unified Theory of Acceptance and Use of Technology (UTAUT2). The research setting was senior citizens’ living in Care housing rented out by the municipality owned company. The findings show that technology is perceived by the senior citizens’ to be something must be taught and takes effort. Senior housing need to be better designed for its senior tenants. It was also found that if technology is used to ensure safety, fall detection for instance, trust and sufficient support is crucial. The findings suggest it could be difficult to assess your own need and to realize when assistance technology is needed. It also found that the use of technology was perceived as being individual and as something that cannot be treated collectively. It was suggested that health professionals do have some influence on the senior citizen and their use of technology. The findings of this study was compared to previous studies and how it relates to the determinants and moderating factors suggested by the theoretical model UTAUT2.

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Altmann, Valerie, and Maike Gries. "Factors influencing the usage intention of mHealth apps : An Empirical Study on the example of Sweden." Thesis, Karlstads universitet, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-56706.

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Technology has taken over tasks that were originally carried out by professionals in all different kinds of industries and sectors ranging from self-check in at airports to money transfer via mobile devices. In the healthcare sector the internet has become one main information resource for health-related issues and with the introduction of mobile devices such as smartphones the mHealth market has evolved. With help of mHealth applications (mHealth apps) patients can actively participate in maintaining their health and take over tasks usually fulfilled by health professionals. Despite the advantages of mHealth apps in practice, the download numbers are decreasing and the academic world has not paid much attention to the end-users point of view. The purpose of this paper is to identify factors influencing end-users in their intention to use mHealth apps. In order to answer this research question a quantitative research design has been chosen. The data is collected with help of an online self-completion questionnaire and statistical analysis with the software SPSS. Time and Perceived Usefulness were two out of five factors that had an influence on the end-users intention to use mHealth apps. A key finding of this study is that the mHealth app market is still in its early stage and end-users lack knowledge about it. This paper contributes to theory as well as to practice by providing new research directions for the academic world and insights for app developers and marketers to adapt their marketing strategies in order to meet the customers’ needs.

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Axelsson, Sofia, and Golkar Ami Nadjie. "HUR KAN VÅRDUPPLEVELSEN PÅVERKAS GENOM ANVÄNDNING AV IKT VERKTYGET SMS? : En studie om sms-påminnelsers påverkan på vårdupplevelsen från vårdtagaren och vårdgivarens perspektiv." Thesis, Mittuniversitetet, Avdelningen för data- och systemvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-28962.

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An ICT tool is not only used in healthcare as an aid for caregivers, but can also help enhance the care experience of care recipients as these tools can bring benefit to the recipient. The positive care experience can also have the opposite effect, depending on the quality of information conveyed to the recipient. This study deals with SMS reminders information related to the quality of the care experience. It examines whether SMS reminders within the health system contains sufficient quality information to influence recipients care experience to the positive. This study was conducted by a qualitative method of semi-structured interviews with both care recipients and caregivers. This is to get two different perspectives on the information and quality care experience – from a care recipients perspective as receiving the SMS reminder, and from a caregivers perspective that send out the SMS reminders. By conducting a literature review, we acquired material that formed the basis of our interview questions. The results of the study show that SMS reminders in the current situation does not contain sufficient high quality information in order to reach a positive care experience for patients. In addition to information quality, we have also identified communication as a major factor contributing to increasing health care experience. Besides these two factors, we could also deduce that health care consumers have different needs depending on the life situation they are in.

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Davids, Kaashiefah. "The role of electronic healthcare systems (EHS) for patient recordkeeping in the Western Cape." University of Western Cape, 2019. http://hdl.handle.net/11394/7829.

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Magister Commercii - MCom
Information and communication technologies (ICT) have changed the way healthcare processes are being documented. This results in better quality and ethical vigilance to ensure a more accurate form of data recordkeeping (Stevenson, Nilsson, Petersson & Johansson, 2010). Health care in South Africa, is facing major issues relating to patient care, such as delays in patients receiving medical care. According to the national Department of Health, the improvement of public healthcare facilities is crucial (McIntyre & Ataguba, 2017). Information and communication technology (ICT) has the ability to significantly alter the status of healthcare services in the Western Cape, which can be achieved through the role of an electronic healthcare record (EHR).

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Nkondjock, Corinne. "Les usages du numérique dans la prise en charge et la prévention des affections de longue durée en France : les perceptions du changement du point de vue des consommateurs de soins et des professionnels de santé. Une communication à double vitesse ?" Thesis, Paris Est, 2018. http://www.theses.fr/2018PESC0036/document.

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En France, depuis de nombreuses années nous assistons à des transformations diverses telles que la hausse des maladies chroniques, l’augmentation de l’espérance de vie mais également l’évolution des technologies de l’information et de la communication. Les maladies chroniques correspondent à la première cause de décès dans le monde. Elles coûtent cher à notre système de santé car elles impliquent plus de dépenses sur une période de vie davantage longue. La communication est au cœur des organisations. De plus en plus, on fait appel aux outils informatiques pour mieux communiquer, améliorer les processus et la qualité, pour accompagner les patients également. Nous remarquons pourtant de nombreuses difficultés dans la mise en œuvre de ces outils. La communication sur ces derniers étant soit insuffisante soit inappropriée. Cela rend alors les changements de pratiques difficiles. Nous essaierons de nous appuyer sur des études de cas et des observations de diverses natures afin de comprendre les facteurs de succès et les facteurs bloquants. Nous visiterons les pratiques, les perceptions et les représentations sociales autour de l’utilisation des technologies de l’information et de la communication, de plus en plus présentes dans la sphère médicale et médico-sociale.L’intérêt de cette thèse est donc d’essayer d’apporter un regard neutre sur les comportements des acteurs de santé, professionnels et patients face à un secteur de la santé faisant appel aux technologies de l’information dans un contexte économique contraignant. Les travaux de recherche se situent à l’interface des domaines de la communication et de la gestion. La thèse réalisée s’appuie sur des travaux de terrain tels que des audits cliniques, des auto-évaluations, des observations et des entretiens dans le secteur médico-social et le secteur du sanitaire.Nous nous demandons comment concilier maîtrise des dépenses, évolution technologique et accompagnement des équipes de soins et des patients. Nous interrogeons le vécu des personnes et essayons de proposer des axes d’amélioration. Pour ce faire, notre thèse a évolué grâce à la contribution de plusieurs structures d’accueil sur lesquelles reposent différentes études de cas. La première a lieu au sein d’un établissement médico-social assurant la prévention et les soins relatifs aux troubles addictifs. Cette étude de cas est mise en perspective avec une enquête comparative effectuée au sein d’un hôpital seine-et-marnais. Nous avons mis en place des interviews auprès des professionnels de santé et des managers des deux établissements, ainsi qu’une enquête sur le changement.La deuxième étude de cas se déroule dans le cadre d’audits cliniques ciblés de deux EHPAD de Franche-Comté. Notre rôle a été d’auditer les pratiques des professionnels de santé, sur la base d’observations et d’entretiens. Nous avons élaboré en équipe des préconisations et organisé des sessions de formation avec les managers de proximité et les professionnels de santé volontaires. La troisième étude de cas, quant à elle, a lieu au sein d’un groupement de coopération sanitaire spécialisé dans la filière diabète et maladies chroniques, le GCS Diapason. Ce dernier regroupe plusieurs structures et nous avons particulièrement porté nos regards sur un des établissements hospitaliers
In recent years we have observed an increase in chronic illnesses in French soil, resulting in a significant growth in health expenses. In fact, such chronic diseases often lead to degradation in the quality of life of patients and necessitate longer treatment times. Some even face treatment for life. Chronic illnesses are "long-term illnesses that, as a general rule, develop slowly. Causing 63% of deaths, chronic illnesses (congenital heart diseases, strokes, cancer, Chronic respiratory diseases, diabetes...) are the number one cause of mortality in the world. Out of the 36 million people who died from chronic illnesses in 2008, 29% were less than 60 years old and half were women" (World Health Organization).We consider communication to be at the heart of human social life, and we begin with the assumption that it is thanks to communication that changes occur. If communication is effective, then the change that is undertaken has more chances of success. The concept of communication is understood here in the general sense as the sharing of information. Hence, communication constitutes the zone of sharing that exists between two human beings. In other words, it is the combination of messages that are shared between people. We think that these messages can be conscious or unconscious. Since the latter plays a higher role, it is without a doubt what makes human relationships more complex, particularly those relationships in the professional realm. We will thus attempt to illustrate in this dissertation the different aspects of communication through case studies.We also think that there is no societal life without communication. The exchange of information is therefore necessary. For the individual, communication has two main goals: on the one hand to obtain something from the other and on the other hand to be known or even to be recognized as a being.Therefore, the interest of this paper is to shed a neutral perspective on the behavior of participants in health services, including professionals and patients, in the face of a health sector that appeals to information technologies within economic constraints. The research work will be based at once on scientific data from the fields of communication and management, as well as on clinical audits, auto-evaluations, observations and interviews in the medical-social sector and the public health sector. Our thesis has evolved thanks to the contribution of several facilities on which different case studies are based. The first one is situated within the institution témoin 1, a medical-social institution that provides services for the prevention and treatment of addiction. This case study is carried out through a comparative survey conducted in a hospital in Seine-et-Marne, described under the name of institution témoin 3. We set up interviews with the healthcare professionals and managers of two institutions, as well as a survey on the changes. The second case study takes place in the context of clinical audits at two retirement homes in Franche-Comté, referred to here as EHPAD 1 and EHPAD 2. Our role was to audit the practices of healthcare professionals, on the basis of observations and interviews. We developed recommendations as a group and organized training sessions with local managers and volunteer healthcare professionals. As for the third case study, it takes place within a « groupement de coopération sanitaire » specialized in the field of diabetes and chronic illnesses, the GCS Diapason. The latter brings together several organizations and we examined in particular a hospital facility named here as témoin 2

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JUSTINA, BERNYTE. "Digital competences in eHealth for stroke survivors: a scoping review." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-46651.

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Background: Aspects of digital competence associated with occupation, participation, well-being, and health are core concerns of occupational therapy. Nevertheless, there is limited information collected about stroke survivors’ digital competences. Consequences of digitalization are lacking clarity in the field of occupational therapy. Aim/Objective: The purpose of the study is to (1) explore the literature and identify digital competences for older adults to participate in eHealth and, in relation to that, (2) describe stroke survivors’ digital competences in eHealth. Material and Methods: Scoping review aimed to examine the extent, range, and nature of the literature on digital competences of stroke survivors’ in eHealth and identify research gaps. MEDLINE, CINAHL, Scopus, PubMed, and Google Scholar databases were searched. Results: 13 studies met the inclusion criteria from 599 identified. Three themes emerged: ‘Information and data literacy’, ‘Communication and Collaboration’, and ‘Problem solving’. Conclusions: Methodological gaps in the study revealed that before doing an intervention study in telerehabilitation, there is a need for occupational therapists to consider stroke survivors’ needs of education about technology and eHealth in order to ensure successful participation. Significance: Further studies in the field can encourage occupational therapy with its unique focus on occupation contribute to the changes digitalisation brought into peoples’ everyday live.

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Nähr, Veronica. "En beskrivning av syntetisk media i relation till folkhälsovetenskapligt arbete och empowerment hos hälsokonsumenten : En strukturerad litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19833.

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Introduktion: Syntetisk media omfattar teknik som berör många områden, t ex syntetisk text- och röstbearbetning, videomanipulation, bildmanipulation, digitala människor och ansikten. Under de senaste åren har den tekniska utvecklingen accelererat ytterligare, till en informations- och kommunikationsteknologi (IKT) som omfattar möjligheten att använda syntetisk media alltmer. Detta har lett till implementering av nya informations- och kommunikationsverktyg för hälsokonsumenten, bl. a med förhoppning om ökad individuell empowerment. Det är således intressant att undersöka hur syntetisk media beskrivs vara möjligt att användas hälsofrämjande inom folkhälsoarbete samt beskriva hur det påverkar empowerment hos hälsokonsumenter. Syfte: Syftet för detta examensarbete har varit att redogöra för vilka syntetisk media som används idag som informations- och kommunikationsverktyg inom hälsopromotion och prevention samt undersöka deras konsekvenser på hälsokonsumentens empowerment. Metod: En strukturerad litteraturöversikt med tematisk analys enligt Braun &. Clarks (2006) modell. Resultat: Totalt har 14 vetenskapliga artiklar ingått som urval i den tematiska analysen. Efter tematisering har slutligen 5 teman kunnat presenteras; Hälsokonsumentens karakteristika, Målområden för digital hälsa, Digitalt verktyg-syntetisk media, Intervention genom digitalt verktyg-syntetisk media, Konsekvenser för hälsokonsumenten. Slutsats: Syntetisk media kan verka som ett digitalt hälsofrämjande informations- och kommunikationsverktyg och har möjlighet att genom olika digitala interventioner rikta sig till hälsokonsumenter med potential för att stärka deras empowerment. Hälsokonsumenterna har beskrivits som en heterogen grupp, med olika åldrar, kön och bakgrund. I dagsläget är det till arbetets syfte relaterade urvalet av studier dock begränsat. Det finns därmed ett behov av fortsatta studier som följer utvecklingen av syntetisk media i relation till folkhälsoarbete beträffande utformning, effekt, hållbarhet och säkerhet.
Introduction: Synthetic media includes technologies such as synthetic text and voice processing, video manipulation, image manipulation, digital people and faces. In recent years, technological development has accelerated further, to an information and communication technology (ICT) that increasingly embraces the possibility of using synthetic media. This has led to the implementation of new tools for the health consumer, in the hope of increased individual empowerment. It is therefore interesting to investigate synthetic media in the context of public health work and empowerment in health consumers. Aim: The aim of this thesis has been to account for which synthetic media is today used as information and communication tools in health promotion and disease prevention and to investigate their consequences on the empowerment of the health consumer. Methods: A structured literature review with thematic analysis according to Braun & Clark's (2006) model. Results: Totally 14 scientific articles have been selected for the thematic analysis. All together 5 themes could be presented: Characteristics of the health consumer, Target areas for digital health, Digital tools-synthetic media, Intervention through digital tools-synthetic media, Consequences for the health consumer. Conclusion: Synthetic media can act as a digital health promoting information and communication tool and target health consumers through various digital interventions with the potential to strengthen their empowerment. Health consumers have been described as a heterogeneous group. At present, there are limited studies available related to the study aim. There is therefore a need for further studies of synthetic media in relation to public health work related to design, efficacy, sustainability and safety.

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Jonsson, Lina, and Therese Karlsson. "John Blund i Cyberspace : En undersökning om ungdomars sömn kopplat till deras användning av Informations- och Kommunikationsteknik." Thesis, University West, Division of Health and Culture, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-1597.

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Sömnstörningar hos ungdomar anses vara ett växande problem. Det finns misstankar om att ungdomarnas ökade användning av Informations- och Kommunikationsteknik (IKT) är boven i dramat. Ungdomar upplevs spendera en allt större del av sin tid framför datorn, samtidigt som mobilen går varm av samtal och SMS. Det saknas dock utförlig forskning kring sambanden mellan IKT-användande och sömn. Syfte: Att undersöka huruvida ungdomar lider av sömnstörningar och om det i så fall kan kopplas till deras IKT-användande. De frågeställningar som behandlas är hur ungdomars sömnmönster ser ut och om det finns några kopplingar mellan eventuella negativa sömnmönster och deras IKT-användande. Dessutom undersöker vi om det finns några könsmässiga skillnader i sömn och IKT-användandet. Metod: Den metod som används är kvantitativ och datainsamlingen har skett genom en enkät. Urvalet består av 392 elever i årskurs ett från en gymnasieskola i västra Sverige. Enkäten besvarades och samlades in vid ett och samma tillfälle. Datan har bearbetats och analyserats i statistikprogrammet SPSS. Resultat: Analysen av resultaten visar att deltagarna har sömnproblem och att de upplever negativa effekter av dessa sömnproblem. Resultatet visar även att det finns ett samband mellan deltagarnas IKT-användande och dålig sömnkvalité, ju högre användande desto sämre sömn. Det finns inga direkta könsmässiga skillnader gällande sömnmönstret, däremot finns det skillnader gällande IKT-användandet. Slutsats: Undersökningen visar att deltagarna faktiskt lider av sömnproblem, och att användandet av IKT påverkar sömnen. Samtidigt indikerar resultatet att IKT-användning endast är en av flera påverkansfaktorer. Ytterligare forskning behövs för att till fullo förstå de bakomliggande orsakerna till ungdomarnas sömnproblem.

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Souza, Telma de Almeida. "A incorporação de tecnologias da informação e comunicação na educação profissional em saúde: contribuições para a rede de atenção oncológica." EPSJV, 2015. https://www.arca.fiocruz.br/handle/icict/9747.

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Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Programa de Pós-Graduação em Educação Profissional em Saúde.
Este estudo tem como objetivo analisar de que forma são utilizadas as Tecnologias da Informação e Comunicação (TIC) pelos Centros de Assistência de Alta Complexidade em Oncologia (CACON), na educação permanente dos profissionais técnicos da saúde que trabalham na rede de atenção oncológica brasileira e discutir quais as contribuições desta incorporação, para superar as barreiras geográficas, temporais e financeiras de acesso à educação profissional em oncologia. Foi realizado estudo exploratório, por meio de pesquisa bibliográfica, documental e pesquisa de campo, utilizando a ferramenta FormSUS para o envio de formulários online aos CACON. Foi possível identificar o perfil de utilização das TIC na educação permanente dos profissionais em 17 CACON, públicos e privados, localizados em todas as regiões do país. A maioria realiza ensino presencial para capacitação de seus profissionais, utilizando as tecnologias relacionadas a este tipo de modalidade. Enquanto alguns (6%) desconhecem sobre o uso de tecnologias para qualificação profissional, outros (41%) utilizam ensino a distância e semipresencial. A maioria (88%) reconhece como contribuição das TIC a possibilidade de disseminar conteúdo para grande número de profissionais e de atualizá-los no próprio local de trabalho. Corrobora com o sentido apoiado pelas políticas governamentais analisadas. O uso das tecnologias aliado a um projeto pedagógico de educação integral do profissional pode democratizar os avanços reais trazidos pela tecnologia e contribuir para a desapropriação dos mecanismos de exploração do trabalhador, proporcionando autonomia, emancipação e, consequentemente, um processo de trabalho mais qualificado para atender à sociedade.
Este estudo tem como objetivo analisar de que forma são utilizadas as Tecnologias da Informação e Comunicação (TIC) pelos Centros de Assistência de Alta Complexidade em Oncologia (CACON), na educação permanente dos profissionais técnicos da saúde que trabalham na rede de atenção oncológica brasileira e discutir quais as contribuições desta incorporação, para superar as barreiras geográficas, temporais e financeiras de acesso à educação profissional em oncologia. Foi realizado estudo exploratório, por meio de pesquisa bibliográfica, documental e pesquisa de campo, utilizando a ferramenta FormSUS para o envio de formulários online aos CACON. Foi possível identificar o perfil de utilização das TIC na educação permanente dos profissionais em 17 CACON, públicos e privados, localizados em todas as regiões do país. A maioria realiza ensino presencial para capacitação de seus profissionais, utilizando as tecnologias relacionadas a este tipo de modalidade. Enquanto alguns (6%) desconhecem sobre o uso de tecnologias para qualificação profissional, outros (41%) utilizam ensino a distância e semipresencial. A maioria (88%) reconhece como contribuição das TIC a possibilidade de disseminar conteúdo para grande número de profissionais e de atualizá-los no próprio local de trabalho. Corrobora com o sentido apoiado pelas políticas governamentais analisadas. O uso das tecnologias aliado a um projeto pedagógico de educação integral do profissional pode democratizar os avanços reais trazidos pela tecnologia e contribuir para a desapropriação dos mecanismos de exploração do trabalhador, proporcionando autonomia, emancipação e, consequentemente, um processo de trabalho mais qualificado para atender à sociedade.

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Monu, Ruban. "Design and implementation of a basic laboratory information system for resource-limited settings." Thesis, Georgia Institute of Technology, 2010. http://hdl.handle.net/1853/34792.

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Basic Laboratory Information System (BLIS) is a joint initiative of C4G @ Georgia Tech, the Centers for Disease Control and Prevention (CDC) and Ministries of Health in several countries in Africa. The vast majority of health laboratories in Africa, engaged in routinely testing samples drawn from patients (for HIV, malaria etc.), have been using non-standardized paper logs and manual entries for keeping track of patients, test samples and results. Besides the obvious burden of tedious record-keeping, these methods increase the chances of errors due to transcription and mismatches, making it difficult to track patient history or view critical population-wide data. In 2008, PEPFAR (the United States President's Emergency Plan for AIDS Relief) together with the CDC was reauthorized with a $48 billion budget over five years to combat HIV/AIDS, tuberculosis, and malaria. The focus of PEPFAR has shifted from rapid scale-up to the quality and reliability of the clinical health programs and having an effective laboratory management system is one of its goals. C4G BLIS is a robust, customizable and easy-to-use system that keeps track of patients, samples, results, lab workflow and reports. It is meant to be an effective and sustainable enhancement to manual logs and paper-based approaches. The system is designed to work in resource-constrained laboratories with limited IT equipment and across sites with good, intermittent or no internet availability. With varied practices, workflow and terminology being followed across laboratories in various African countries, the system has been developed to enable each laboratory or country to customize and configure the system in a way that suits them best. We describe various aspects of BLIS including its flexible database schema design, configurable reports and language settings, end-user customizability and development model for rapid incorporation of user feedback. Through BLIS, we aim to demonstrate a sustainable ICT solution brought about by the early and constant involvement of the target laboratory staff and technicians, identifying their short- and long-term needs, and ensuring that the system can match these needs. We will present preliminary evaluation results from laboratories in Cameroon, Ghana, Tanzania and Uganda.

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Ljungkvist, Sanna, and Bodil Rönnewald. "Hälsofrämjande effekter med informations- och kommunikationstekniska verktyg och sociala medier för den psykiska hälsan hos unga vuxna : En strukturerad litteraturstudie." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18526.

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Introduktion: Den psykiska ohälsan bland unga vuxna har ökat under de senaste tio åren och är en av Sveriges största folkhälsoutmaningar. Globalt sett är 322 miljoner människor drabbade av depression och 264 miljoner är drabbade av ångestsjukdom. Ett delmål bland de globala hållbarhetsmålen är att den mentala hälsan skall beaktas och främjas med preventiva insatser. Ytterligare ett steg för att uppnå en god och jämlik hälsa är den av Sverige antagna Vision e-hälsa 2025 som innebär att Sverige skall bli världsledande i att tillvarata möjligheterna med digitalisering. Informations- och kommunikationsteknologin [IKT] och sociala medier ökar möjligheten till interaktion, oberoende av tid och rum. Syfte: Att beskriva hälsofrämjande effekter som sociala medier och IKT-verktyg kan ha för att minska den psykiska ohälsan bland unga vuxna. Metod: En strukturerad litteraturstudie baserad på 20 vetenskapliga originalartiklar som inhämtats från databaserna Pubmed och Cinahl. Artiklarna har analyserats med en tematisk analys. Resultat: Sex teman med främjande effekt på den psykiska hälsan urskildes och grupperades i tre kategorier. Kategorierna var kunskapsutveckling, psykologiska aspekter och användbara verktyg. Teman var personlig utveckling och förändring, ökad kunskap och förmåga, trygghet och anonymitet, motivation och engagemang, social tillhörighet och socialt stöd samt lättillgänglighet och användarvänlighet. Slutsats: Resultatet visar att det finns hälsofrämjande effekter inom det digitala området. Teknikanvändningen kan bidra till implementering av digitala hälsofrämjande insatser i syfte att minska den mentala ohälsan hos unga vuxna. Dock finns lite forskning inom området och fler studier behövs för att få full effekt av digitaliseringens möjligheter.
Introduction: The mental ill-health of young adults has increased over the past ten years and is one of Sweden's largest public health challenges. Globally, 322 million people are suffering from depression and 264 million are suffering from anxiety disorder. One of the global sustainability goals is that mental health must be considered and promoted with preventive measures. Another step to achieve good and equal health is Vision e-health 2025, in which Sweden is aiming to become a world leader in utilizing the opportunities of digitalisation. Information and communication technology [ICT] and social media increase the possibility of interaction, regardless of time and space. Aim: To describe health-promoting effects that social media and ICT tools can have to alliviate the mental ill-health of young adults. Method: A structured literature study based on 20 scientific original articles obtained from the PubMed and CINAHL databases. The articles have been analyzed with a thematic analysis. Results: Six themes with a promoting effect on mental health were identified and grouped into three categories. The categories were knowledge development, psychological aspects, and useful tools. The themes were personal development and change, increased knowledge and ability, security and anonymity, motivation and engagement, social belonging, and social support, as well as easy accessibility and user-friendliness. Conclusion: The result shows that health-promoting effects are evident in the digital field. The use of technology can contribute to the implementation of digital health promotion efforts aimed at alleviating the mental ill-health of young adults. However, research in the field is limited and more studies are needed to achieve the full effect of the opportunities of digitisation.

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Dissertations / Theses on the topic 'ICT in health'

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