Health Information management
Mohammad Hossein Ronaghi; Naiemeh Kamjoo
Abstract
Introduction: As the worldwide population grows and the access to healthcare is increasingly being demanded, real-time monitoring of different biological signals has driven the study and development of diverse wearable technology. Monitoring of physical activity and behaviors by wearable devices may ...
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Introduction: As the worldwide population grows and the access to healthcare is increasingly being demanded, real-time monitoring of different biological signals has driven the study and development of diverse wearable technology. Monitoring of physical activity and behaviors by wearable devices may improve these health behaviors. This study endeavored to recognize the challenges of wearable technology in medicine and healthcare.Methods: This applied study was conducted in two phases using qualitative approach in winter 2023. Initially, the challenges of wearable devices were recognized from previous studies. In the second step, the study experts evaluated conceptual model by Delphi method. The expert panel consists of 13 individuals active in information technology in healthcare according to targeted sampling.Results: According results the main challenges of wearable devices are technology acceptance (0.923), design/development (0.769), data quality/safety (0.769), privacy/confidentiality (0.923), socioeconomic impact (0.846), interoperability/connectivity (0.769), patient information/data overload (0.846), remote monitoring (0.846), and sanctions (0.769).Conclusion: This study revealed that applications of the wearable technology in healthcare are becoming mature and established as a scientific domain. Practical adoption in wearable technology still demands design and validation of new pathways, strategic formulation, and a sound business model. Practitioners and researchers should consider how these technological advances may impact healthcare in the new era.
Health Information management
Esmaeil Mazroui Nasrabadi; Zahra Kheirkhah Maraghi
Abstract
Introduction: The fourth industrial revolution or the 0.4 industry will change our perception of the world around us by benefiting from technologies such as the Internet of Things, the Internet, cloud computing and artificial intelligence. This industry has wide applications in the health sector. As ...
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Introduction: The fourth industrial revolution or the 0.4 industry will change our perception of the world around us by benefiting from technologies such as the Internet of Things, the Internet, cloud computing and artificial intelligence. This industry has wide applications in the health sector. As a result, this research was conducted with the aim of identifying and modeling the resulting drivers of the 0.4 industry in Kashan health and treatment.Methods: This research is a mixed type of research and was done in 2 stages. In the first stage, the outcome drivers are identified and in the second stage, a model for them is presented. The sampling method is purposeful in both stages. The number of participants in stages 1 and 2 is 14 and 10 people, respectively, the data collection tool is semi-structured interviews and a researcher-made questionnaire, and the method of data analysis is thematic analysis and fuzzy total interpretive structural modeling.Results: To identify the outcome drivers of using industry 4.0 in the health sector, 55 drivers were identified through interviews, which were categorized into 12 categories. Based on the drivers model, it was determined that improving medical science, product and service design, access, and data protection are the most important drivers that can be considered in the country's macro policies, health sector policies, and organizational strategies.Conclusion: To stimulate the health sector to go towards healthcare 0.4, the three main sides (government, society, and health sector managers) must gain the necessary knowledge in this regard. According to the findings of the research, it is necessary to hold recent developments in the field of medical science, which have been caused by industry 4.0, in the form of educational workshops for health department managers and government policymakers.
Health Information management
Asefeh Asemi
Abstract
This letter has been written to express my views on the increasing use of pervasive and mobile computing in health information systems. Pervasive and mobile computing has become increasingly important in the field of healthcare over the past decade. The use of mobile devices, wireless communication, ...
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This letter has been written to express my views on the increasing use of pervasive and mobile computing in health information systems. Pervasive and mobile computing has become increasingly important in the field of healthcare over the past decade. The use of mobile devices, wireless communication, and cloud computing has revolutionized the way healthcare is delivered, making it more efficient and accessible to patients as well as healthcare providers.Pervasive computing refers to the integration of computing technology into daily life. This includes the use of smart devices, such as smartphones, tablets, and wearable technology, to connect individuals to the Internet and to other devices. Mobile computing, on the other hand, refers specifically to the use of mobile devices to access information and communication. Both pervasive and mobile computing have the potential to transform the way healthcare is delivered, making it more patient-centered, personalized, and accessible.One of the most significant applications of pervasive and mobile computing in healthcare is the use of mobile health apps like MHealth. These apps can be used by patients to monitor their health, track their medication, and communicate with healthcare providers. For example, a patient with diabetes can use an app to track their blood sugar levels and send the data to their doctor in real time, allowing for quick adjustments to treatment plans. These apps could also be used to provide patients with education and support, helping them to manage their condition more effectively Another important application of pervasive and mobile computing in healthcare is the use of telemedicine. Telemedicine allows healthcare providers to communicate with patients remotely, using video conferencing and other technology tools. This can be particularly beneficial for patients who live in rural areas or who have mobility issues, as it allows them to access healthcare services without having to travel long distances. Telemedicine can also be used to provide patients with access to specialists who may not be available locally.In addition to healthcare apps and telemedicine, pervasive and mobile computing can be used to improve the efficiency of healthcare delivery. For example, electronic health records (EHRs) can be accessed from mobile devices, allowing healthcare providers to access patient information anywhere. This can be particularly useful in emergency situations, where quick access to patient data can be critical.Despite the benefits of pervasive and mobile computing in healthcare, there are challenges to their implementation. One of the biggest challenges is ensuring the security and privacy of patient data. Healthcare data is highly sensitive, and the use of mobile devices and cloud computing can increase the risk of data breaches. It seems indispensable that healthcare providers take steps to ensure the security of patient data, including the use of encryption and other security measures.Another challenge is ensuring that patients have access to the technology they need to benefit from pervasive and mobile computing. While smartphones and other mobile devices are becoming increasingly widespread, not all patients may have access to these technologies. Healthcare providers may need to provide patients with devices or other support to ensure that they are able to use related apps and other technology tools.In conclusion, the use of pervasive and mobile computing in healthcare has the potential to revolutionize the way healthcare is delivered, making it more patient-centered, personalized, and accessible. From healthcare apps to telemedicine, these technologies can improve the efficiency of healthcare delivery while providing patients with better access to care. However, there are also challenges to their implementation, including the need to ensure the security and privacy of patient data and to provide patients with access to the necessary technology. By addressing these challenges, healthcare providers can harness the power of pervasive and mobile computing to improve the health and well-being of their patients.
Behzad Enjezab; Shahnaz Nayebzadeh; Sayyed Hassan Hataminasab
Abstract
Introduction: The dramatic growth of Web 2.0 technologies and social networks provides a lot of potential for promoting health and health behavior change programs. Organizations and healthcare providers also play a major role in the use of this tool as the main contributors to these programs. This study ...
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Introduction: The dramatic growth of Web 2.0 technologies and social networks provides a lot of potential for promoting health and health behavior change programs. Organizations and healthcare providers also play a major role in the use of this tool as the main contributors to these programs. This study aimed to assess published texts to identify opportunities and challenges in the use of social networks in healthcare organizations.Methods: In a systematic review study, we assessed published articles between January 2008 and July 2018 using related keywords in Emerald, ScienceDirect, Springer, Wiley, Magiran, SID, Irandoc and PubMed databases.Results: Fifteen opportunities and six challenges were identified for healthcare organizations. The opportunities for these organizations included informational support, social support, searching for instrumental support, reduction of organizational costs, provision of patient satisfaction, real-time client monitoring, accessing a new atmosphere for communication with clients, educating clients, branding, knowledge management, increased access to specific clients, encouraging behavioral changes, direct communication with clients, instant communication with clients, and identification of opportunities for improving quality within organizations. And also the facing challenges included one-way communication, lack of expertise in the area of information technology and in proper client interaction, protecting the privacy of clients, poor understanding perception of the public, negative comments by patients and ultimately, more follow-ups by other organizations rather than individuals.Conclusion: The identification of the opportunities and challenges provides the possibility of more favorable planning and operation of these networks by policymakers and managers of health organizations.
Mehrnoosh Shahmoradi; Ali-Asghar Safaei; Hoora Tajrishi; Elham Nazari; Zeinab Delaram; Zeinab Zarei; Nahid Zeinali
Volume 13, Issue 3 , September 2016, , Pages 243-248
Abstract
Social networks can have an important role in treatment of patients, instant transmission of information and feedback, and improvement of the doctor-patient relationship. In this study, the common applications of social networks in the field of healthcare were determined and classified. This narrative ...
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Social networks can have an important role in treatment of patients, instant transmission of information and feedback, and improvement of the doctor-patient relationship. In this study, the common applications of social networks in the field of healthcare were determined and classified. This narrative review of literature was performed in 2015. Data were collected through an electronic search for articles published in English and Persian in the past 11 years in PubMed, ScienceDirect, Google Scholar, SID, Medlib, and Magiran databases. The keywords used in this search included "social network", "healthcare", "social media", and other similar keywords. Based on our review, social networks have significant applications in the healthcare sector such as enhancing the effects of antidepressant pharmacotherapy, identifying influential users, and measuring the quality criteria. In addition, healthcare social networks have some complications such as unprofessional behaviors of users and privacy concerns. Therefore, through understanding the applications and limitations of social networks, the requirements of applying these networks in the healthcare sector can be specified.
Mahmoud Keyvanara; Saeed Karimi; Elahe Khorasani; Marzie Jafarian jazi
Volume 10, Issue 4 , November 2013, , Pages 538-548
Abstract
Introduction: Induced demand is one of the challenges of health care systems in different countries. It increases health care costs and also increases catastrophic cost index. This article seeks to examine the challenges of induced demand with the use of expert’s experiences of Isfahan University ...
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Introduction: Induced demand is one of the challenges of health care systems in different countries. It increases health care costs and also increases catastrophic cost index. This article seeks to examine the challenges of induced demand with the use of expert’s experiences of Isfahan University of Medical Sciences. Methods: The research is applied a qualitative method which done in Isfahan in 2012. Semi-structured interview was used for data gathering. For validity and reliability criteria such as data reliability of information and stability were considered. Participants in this study were people who had been informed in this regard and had to be experienced and were known as experts. Purposive sampling was done for data saturation. 17 people were interviewed. The anonymity of the interviewees was preserved. The data are transcribed, categorized and then used the thematic analysis. Results: In this study thematic analysis was conducted and 41 sub-themes and three themes were extracted. The three main themes include insurance organizations challenges, health systems challenges and patient’s challenges. Each of them has some sub-themes. Conclusion: the results of this study provide challenges due to induced demand. The most notable findings include insurance organizations challenges, health care system challenges and patient challenges. These findings will help health policymakers consider challenges to design appropriate strategies to reduce them. Keywords: Healthcare; Healthcare System; Insurance; Patients; Healthcare Costs
Sima Ajami; Farideh Movahedi
Volume 9, Issue 6 , March 2012, , Pages 929-941
Abstract
Lean thinking requires certain techniques and tools to support lean processing and to penetrate anorganization in which 5S system (sorting, set in order, shining, standardization, sustaining) is to developvalue process workflow system. Kanban, a card containing a set of manufacturing specifications andrequirements ...
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Lean thinking requires certain techniques and tools to support lean processing and to penetrate anorganization in which 5S system (sorting, set in order, shining, standardization, sustaining) is to developvalue process workflow system. Kanban, a card containing a set of manufacturing specifications andrequirements used to regulate the supply of components, is one of the most famous and important leantools. 5S system is in fact a technique to minimize wastes in the workplace and thereby can establish abetter environment, a better communication, optimize productivity and eventually provides a general 5Ssystem in the organization. 5S system has been founded in the West and was developed in Japan andevolved all around the world. Development and acceptance of 5S system in various countries withdifferent cultures indicates that the concepts of this system are compatible with a variety of cultures. Thereare some lessons and doctrines in Islam and Iranian national culture which are compatible with the 5Ssystem and can facilitate the acceptance of this system. Lean processing emphasizes on performing thebest well-organized task in the most appropriate place and in the first opportunity to reduce waste andoptimize the processes in line with the customer’s needs. Industrial societies have long used leanmanagement to improve their processes. In addition, arrival of lean management in healthcare system hadsignificant impacts on management structure and providing healthcare services. Healthcare system canremarkably improve its performance through implementing the lean management system and provide theservices in a just-in-time (JIT) and an optimized level for the clients. This new approach system has beenestablished as a cultural strategy in order to provide high quality services at lowest price during theshortest time in hospitals. 5S system is a tool, a management system and a philosophy for changing theapproach of hospitals toward a managed and organized method. This system is a methodology whichallows hospitals to increase quality of health care with reducing errors and waiting time. 5S system is anapproach to support health staff and physicians, eliminate the current obstacles in the workflow and helpthem to merely focus on providing patient’s healthcare. Therefore, the present study aimed to introducethe establishment of the 5S system which is one of the major lean tools in the healthcare system andextend its principles with an Islamic view. This was an unsystematic review study conducted in 2012using the Google engine search in sites of journals, the Holy Quran, Nahj-al-Balagha, Bihar-al-Anwar, Al-Kafi, Kanz al-A’mal, Wasael al-Shia, and Al-khesal and using keywords of 5S system, lean, healthsystem, healthcare, set-in-order, discipline, purification, cleanliness, hygiene, purity, durability in full textsand abstracts. Approximately, 100 articles, verses, hadiths and abstracts were obtained among which 45cases were found to be related with the objects of this study. Regular enforcement of the 5S procedurescan provide a clean and sanitary environment. Moreover, efforts to establish correct habits in staff is themost important factor in accomplishing standardized and sorted workplaces and this major factor is doneby implementing the fifth technique (5th S i.e. sustaining). An organized environment is due to providehigh quality services.
Maryam Ahmadi; Ali Maher; Mohammad Hossein Hayavi Haqiqi; Jahanpour Alipour
Volume 8, Issue 6 , January and February 2012, , Pages 894-899
Abstract
Introduction: The goal of every healthcare risk management program is to reduce the possibility of undesired events for patients. Such programs include identifying undesired events, analyzing their causes, estimating the possibility of outbreak and their results and taking proper actions to prevent ...
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Introduction: The goal of every healthcare risk management program is to reduce the possibility of undesired events for patients. Such programs include identifying undesired events, analyzing their causes, estimating the possibility of outbreak and their results and taking proper actions to prevent their recurrence. The goal of this study was to compare healthcare risk management programs in selected countries and to propose a model for Iran. Methods: This descriptive-comparative study included England, the USA and Australia. National Health Services (NHS), Joint Commission on Accreditation of Health care Organization (JCAHO) and Medical Defenses Association of Victoria (MDAV) were selected as samples (because of functionality scope). Available information through the Internet, email and library references were used to collect data. Data was analyzed by comparative tables and descriptive statistical methods. The final model was prepared based on the performed analyses and after obtaining the viewpoints of related specialists. Results: There were numerous common points between the risk management process and documentation principles while few were observed in informed consent gathering principles. On the other hand, many differences were found among data elements in incident report forms. JCAHO gave more roles to medical record managers. Conclusion: Despite common points in risk management principles, each sample had mainly focused on needs and infrastructures of care delivery in their country.
