| 1. |
- Acheampong, Faustina, et al.
(author)
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Effects of a Home-based Monitoring Device on Innovation in Healthcare Delivery: A Pilot Study
- 2013
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In: Information Systems and Technology for Organizations in a Networked Society. - Hershey, PA, USA : IGI Global. - 9781466640627 ; , s. 316-334
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Book chapter (peer-reviewed)abstract
- Information technology has been suggested to improve patient health outcomes and reduce the burden of care. In this study, we explored the effects of collaborative innovation between caregivers and patients on healthcare delivery as a consequence of the use of an IT-based device by patients with atrial fibrillation. Two cardiologists and two nurses were interviewed while questionnaires were mailed to 75 patients querying them about the use of a home-based ECG for remote monitoring. Findings indicated that the caregivers considered the device to enhance the quality of clinical decision-making. Patients found the device to be useful and felt more involved in their own care. However, the introduction of the device presented work overload for the caregivers. Thus, the facilitation of timely diagnostics and decision-making were not realized. IT is an enabler through which innovation in healthcare delivery can be realized, but it must be integrated into work practices to realize potential benefits.
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| 2. |
- Acheampong, Faustina, 1981-, et al.
(author)
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Innovating healthcare through remote monitoring : Effects and business model
- 2017
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In: Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications. - : IGI Global. - 9781522539261 - 9781522539278 ; , s. 247-268
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Book chapter (other academic/artistic)abstract
- Information technology has been suggested to improve patient health outcomes and reduce healthcare cost. This study explored the business model and effects of collaborative innovation between caregivers and patients on healthcare delivery through remote patient monitoring by interviewing caregivers and surveying atrial fibrillation patients. Findings indicate that remote monitoring enhanced early detection of potential risks and quality of clinical decision-making with patients feeling more empowered and involved in their own care. The remote monitoring system which consisted of a home-based ECG and a web-based service and was offered free to patients, brought together caregivers, patients, service provider and the government as actors. The introduction of remote monitoring increased the workload of caregivers and facilitation of timely diagnostics and decision-making were not realized. IT is an enabler of innovation in healthcare, but it must be integrated into work processes with a viable business model to realize potential benefits and sustain it.
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| 3. |
- Nøhr, Christian, et al.
(author)
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Monitoring and benchmarking eHealth in the Nordic countries
- 2018
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In: Building continents of knowledge in oceans of data. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 86-90
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Book chapter (peer-reviewed)abstract
- The Nordic eHealth Research Network, a subgroup of the Nordic Council of Ministers eHealth group, is working on developing indicators to monitor progress in availability, use and outcome of eHealth applications in the Nordic countries. This paper reports on the consecutive analysis of National eHealth policies in the Nordic countries from 2012 to 2016. Furthermore, it discusses the consequences for the development of indicators that can measure changes in the eHealth environment arising from the policies. The main change in policies is reflected in a shift towards more stakeholder involvement and intensified focus on clinical infrastructure. This change suggests developing indicators that can monitor understandability and usability of eHealth systems, and the use and utility of shared information infrastructure from the perspective of the end-users - citizens/patients and clinicians in particular.
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| 4. |
- Vimarlund, Vivian, 1951-, et al.
(author)
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Business models in two-sided markets (analysis of potential payments and reimbursement models that can be used)
- 2016
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In: E-health two-sided markets. - : Elsevier. - 9780128054413 - 9780128052501 ; , s. 173-185
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Book chapter (peer-reviewed)abstract
- Business models play an important role in establishing sustainable intermediary platforms for e-health services in two-sided markets. In this chapter, we describe different types of business models and potential revenue and reimbursement schemes based on the Swedish HealthForMe platform. In doing so, we also discuss many of today's open questions and challenges to be addressed by intermediaries operating in two-sided e-health markets. We conclude this chapter by providing an overview of key implications and success factors for owners of such intermediary platforms, and offer an outlook to focal research areas within the context of business models for two-sided markets.
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| 5. |
- Vimarlund, Vivian, 1951-
(author)
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Health informatics and healthcare redesign usung ICT to move from an evolutionary to a revolutionary stage
- 2008
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In: Human, social, and organizational aspects of health information systems. - Herhey : Medical Information Science Reference. - 9781599047928 ; , s. 139-147
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Book chapter (other academic/artistic)abstract
- This chapter introduces a framework to analyze the pre-requisites to move from an evolutionary stage to a revolutionary on when using ICT in healthcare. It argues that the degree of transformation should be determined by the role ICT has in the organization when initiating the redesigning process, but also by the aims technology is supposed to achieve. The suggested framework can be used to identify preconditions and areas affected from the implementation and use of ICT providing a structure to evaluate how changes will affect key actors and the organization. The classification suggested to identify different steps of transformation should indicate stakeholders, healthcare personnel, and managers how to refocus their priorities to be able to built organizations that can be adapted to the revolutionary stage to obtain the same benefits that the industry has previously identified from the implementation of use of ICT.
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| 6. |
- Vimarlund, Vivian, 1951-, et al.
(author)
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Introduction to the ecosystem for two-sided markets, barriers and facilitators
- 2016
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In: E-health two-sided markets. - : Elsevier. - 9780128054413 - 9780128052501 ; , s. 3-15
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Book chapter (other academic/artistic)abstract
- Two-sided markets arise in situations in which there are externalities and in which transaction costs, broadly considered, prevent the two sides from solving this externality directly. In the e-health market, the expansion of the Internet economy has shown to be significant in stimulating the entry of business organizations, many of which are already in two-sided markets.An e-health two-sided market needs to offer sustainable structures, i.e., an ecosystem to support a flexible model that must meet unexpected demand and at the same time be able to handle high demand peaks and long periods if needed. In this chapter we introduce key concepts and factors that are of relevance in two-sided markets. We further discuss the fundamental role of two-side market ecosystem in enabling parties to realize gains from trade or other interactions by reducing the transactions costs of finding each other and interacting. Hence, e-health market ecosystems first and foremost need to be designed for adaptability and network effects. We discuss issues that influence the sustainability and further development of a two-sided e-health market.
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| 7. |
- Vimarlund, Vivian, 1951-
(author)
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The future of two-sided e-health markets
- 2016
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In: E-health two-sided markets. - : Elsevier. - 9780128054413 - 9780128052501 ; , s. 189-195
-
Book chapter (peer-reviewed)abstract
- The two-sided e-health market is rapidly becoming fundamental for health and social care. Worldwide many different steps have been taken to increase the engagement of consumers with e-health, mainly focusing in the development of novel digital services that increase well-being or tackle some social challenges, such as the lack of qualified personnel, or dwindling resources. At the same time, some effort is also spent on establishing a market in which both sides-e-health consumers and providers-can interact and benefit from with each other (Connell and Young, 2007). In this sideline, there has been a great ambition to introduce "service innovation," "design thinking," and other tenors of the service-dominant logic (Vargo and Lusch, 2008) to open up for new collaborations between private and public actors. Intermediary platforms, provided by regional or national authorities (Aanestad and Jensen, 2011) or private actors such as insurance companies (Scott et al., 2006), become a key coordination infrastructure that allows information to flow within and between the two sides of the market, regulating nontransaction activities and making decisions that determine which group receives support and in which manner, and which kind of price structure will exist to stimulate the two sides to become an active actor of the market.
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