| 31. |
- Lundberg, Nina, et al.
(författare)
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My Care Pathways - creating open innovation in healthcare
- 2013
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Ingår i: Medinfo 2013. - Netherländerna. - 9781614992882 ; 192, s. 687-91
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Konferensbidrag (refereegranskat)abstract
- In this paper we describe initial results from the Swedish innovation project “My Care Pathways” which envisions enabling citizens to track their own health by providing them with online access to their historical, current and prospective future events. We describe an information infrastructure and its base services as well as the use of this solution as an open source platform for open innovation in healthcare. This will facilitate the development of end-user e-services for citizens. We have technically enabled the information infrastructure in close collaboration with decision makers in three Swedish health care regions, and system vendors as well as with National eHealth projects. Close collaboration between heterogeneous actors made implementation in real practice possible. However, a number of challenges, mainly related to legal and business issues, persist when implementing our results. Future work should therefore target the development of business models for sustainable provision of end-user e-services in a public health care system such as the Swedish one. Also, a legal analysis of the development of third party provider (nonhealthcare based) personal health data e-services should be done.
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| 32. |
- Manzoor, Mirfa, et al.
(författare)
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Digital technologies for social inclusion of individuals with disabilities
- 2018
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 8:5, s. 377-390
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Forskningsöversikt (refereegranskat)abstract
- Information technology can be an important facilitator of social inclusion for people with disabilities into society. However, the goals specified in this area by organizations such as the European Commission have not yet been achieved in their totality. The aim of this paper is to explore which types of information communication technology-based applications and/or digital services have been suggested to facilitate the social integration of people who suffer from different types of disabilities. We performed a literature review that included studies published during a period of 6 years (2010–2016). The results show that, in the data we have had access to, no concrete patterns can be identified regarding the type of technology or technological trends that can be used to support the social integration of individuals with disabilities. This literature review is of relevance to the identification of further research areas and to the identification of issues which have to be considered in the context of the development and implementation of technological innovations that are aimed at promoting or facilitating social inclusion of individuals with disabilities.
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| 33. |
- Manzoor, Mirfa, et al.
(författare)
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E-services for the social inclusion of people with disabilities : A literature review
- 2017
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Ingår i: Technology and Disability. - : IOS Press. - 1055-4181 .- 1878-643X. ; 29:1-2, s. 15-33
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: It is assumed that e-services support persons with disabilities in their everyday life by improving communication and interaction with healthcare organizations and whilst facilitating their social inclusion.AIM: The aim of this study is to examine the contribution of e-services in terms of how they diminish barriers and constraints on social inclusion.METHOD: A literature review was performed, covering the period between 2010 and 2016 (6 years). Only studies that discussed the social inclusion of people with disabilities or presented prototype solutions to this problem were included.RESULTS: The results of this study show that there is a lack of theoretical framework which can be used to measure the effectiveness of the e-services or innovations in the area of e-services in the contexts that were examined. The existing research studies are normally generic and do not discuss whether the requirements that are imposed on a particular e-service differ depending on (i) type of disability, (ii) the ICT-maturity or skill of the end-user, or (iii) context in which the e-service will be used. In general, previous research in this area claims that e-services do assist people with disabilities access to society (defined as the community in which they live), even when no evidence is actually presented about the impact such services have in this area of the end-user's life.CONCLUSION: The results of the present study present us with new knowledge about the types of ICT-based innovations and e-services that have been proposed to facilitate the social integration of people with disabilities.
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| 34. |
- Manzoor, Mirfa, et al.
(författare)
-
From prototype to societal inclusion : Identified challenges for sustainable implementation of e-services for individuals with disabilities
- 2018
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Ingår i: Technology and Disability. - : IOS Press. - 1055-4181 .- 1878-643X. ; 30:3, s. 97-103
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In recent years, the interest of performing research about and providing e-services for individuals with disabilities has grown significantly. However, there is a knowledge gap in the existing literature on how to stimulate the pre-requisites needed for a sustainable implementation of e-services.AIM AND METHOD: The study aims to contribute to this knowledge gap by performing semi-structured email interviews with twelve project coordinators from the EU programmes of FP6-IST and FP7-ICT.RESULTS: The findings showed that knowledge-based and financially based resources, the complexity of the project context, ethical issues and the structural responsibility of the implementation process were key issues in creating a sustainable implementation. Furthermore, users often were not able to perceive added value from the e-services as they seldom were developed beyond prototypes within the research project.CONCLUSION: The implementation of e-services and/or ICT based applications for individuals with disabilities face similar challenges to the challenges that have been identified when implementing IT-based innovations. Further studies should focus on how users can be involved in the choice and development of e-services they understand as effective, and how to ensure that the implementation strategy will contribute to long-term social inclusion, that is, sustainability.
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| 35. |
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| 36. |
- Mettler, Tobias, et al.
(författare)
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All that Glitters is not Gold: Six Steps Before Selecting and Prioritizing e-Health Services
- 2017
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Ingår i: Journal of medical systems. - : SPRINGER. - 0148-5598 .- 1573-689X. ; 41:10
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Tidskriftsartikel (refereegranskat)abstract
- Since the market for e-health applications is constantly growing, it is getting an ever more complex endeavor to select and prioritize the right service offering given a particular situation. In examining the extant literature, it was revealed that little emphasis is actually placed on how to analyze contextual or environmental factors prior to the selection and prioritization of e-health services. With this paper, we therefore propose a formative framework consisting of six fundamental yet very pragmatic steps that may support decision makers in identifying the most important contextual pre-requisites that e-health services need to fulfill in order to be considered as effective for their environment to be implemented.
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| 37. |
- Mettler, Tobias, et al.
(författare)
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Evaluation of E-Health Strategies : A Portfolio Approach
- 2011
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Ingår i: Proceedings of the 15th International Symposium on Health Information Management Research - ISHIMR 2011. - 9780955928314 ; , s. 296-305
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Today it is a general belief that e-health has a positive effect on costs as well as on quality of health service delivery. Nevertheless, lots of projects failed in the past to clearly demonstrate a positive value proposition. Difficulties arise especially when not only evaluating a single action but a whole strategy for adopting national or provincial e-health. Grounding on the experience of an ex ante evaluation of the Swiss e-health strategy, a first attempt how to practically demonstrate the value of the planned health systemￕs changes is discussed in this article. On the basis of a ￒutilityￓ and a ￒreadinessￓ portfolio, generic allocation decisions are formulated for prioritising investments as well as for identifying weak points in the defined e- health strategy.
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| 38. |
- Mettler, Tobias, et al.
(författare)
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The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics
- 2011
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Ingår i: Informatics for Health and Social Care. - : Informa Healthcare. - 1753-8157 .- 1753-8165. ; 36:4, s. 220-232
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Tidskriftsartikel (refereegranskat)abstract
- Background. Different studies have analysed a wide range of use cases and scenarios for using IT-based services in homecare settings for elderly people. In most instances, the impact of such services has been studied using a one-dimensional approach, either focusing on the benefits for the patient or health service provider. Purpose. The objective of this contribution is to explore a model for identifying and understanding outcomes of IT-based homecare services from a multi-actor perspective. Methods. In order to better understand the state of the art in homecare informatics, we conducted a literature review. We use experiences from previous research in the area of informatics to develop the proposed model. Results. The proposed model consists of four core activities identify involved actors, understand consequences, clarify contingencies, take corrective actions, and one additional activity brainstorming IT use. Conclusion. The primary goal of innovating organisations, processes and services in homecare informatics today, is to offer continued care, better decision support both to practitioners and patients, as well as effective distribution of resources. A multi-actor analysis perspective is needed to understand utility determination for the involved stakeholders.
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| 39. |
- Mettler, T., et al.
(författare)
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Understanding business intelligence in the context of healthcare
- 2009
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 15:3, s. 254-264
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Tidskriftsartikel (refereegranskat)abstract
- In todays fast changing healthcare sector, decision makers are facing a growing demand for both clinical and administrative information in order to comply with legal and customer-specific requirements. The use of business intelligence (BI) is seen as a possible solution to this actual challenge. As the existing research about BI is primarily focused on the industrial sector, it is the aim of this contribution to translate and adapt the current findings for the healthcare context. For this purpose, different definitions of BI are examined and condensed in a framework. Furthermore, the sector-specific preconditions for the effective use and future role of BI are discussed.
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| 40. |
- Mugabe, Gabriel Nzarama, et al.
(författare)
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Implementation of ict based innovations as electronic medical record in sub-sahara Africa : Issues of relevance for future implementations
- 2017
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Ingår i: Proceedings of the International Conference on E-Health, EH 2017 - Part of the Multi Conference on Computer Science and Information Systems 2017. - : IADIS Press. - 9789898533654 ; , s. 95-101
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Konferensbidrag (refereegranskat)abstract
- Electronic medical records (EMR) have been implemented in developed countries since 1972 when the first computer-stored medical record at Wishard Memorial Hospital was designed. However, less seem to be known about EMRs in an African context. The purpose of this paper is therefore to review studies on EMRs implemented in sub-Saharan Africa and to identify benefits and challenges met. Articles available in PubMed, PMC, Scopus, JAMIA and Google were searched through JIBS online library using the search string "EMR systems in Sub-Saharan Africa". In most the papers, EMRs have been implemented in HIV/AIDS settings allowing better monitoring of patients under antiretroviral therapy (ART). EMR systems have also succeeded to increase the number of patients under ART. Moreover, EMRs have improved work processes as they have reduced patients waiting time and enhanced monitoring of medical appointments. However, EMRs have suffered lack of electricity, poor Internet connectivity and computer illiteracy. Today, HIV/AIDS care providers have benefited on the implementation of EMRs and there is a possibility to extend the implementation to other healthcare departments.
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