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Exploring the effects of eHealth service innovation
Informa UK Limited - Tập 4 - Trang 212-223 - 2014
To analyse the impact of implementation and use of eHealth services is fraught with difficulty, and there is often a gap between expected and identified outcomes. In this paper, we identify innovation effects of an eHealth service by applying a framework that focusses on the expected coherent impacts of implementing an IT innovation and contributes to the body of knowledge on tracking innovation e......
Patient safety and satisfaction drivers in emergency departments re-visited – an empirical analysis using structural equation modeling
Informa UK Limited - Tập 3 - Trang 105-116 - 2013
How can emergency department (ED) decision makers contribute to increase patient satisfaction rates? This question has been thoroughly investigated in many hospital departments but not so much in the ED, which has led to a number of untested hypotheses. Maximising value-added activities seen from a patient’s perspective has become an essential outcome in health care, meaning that the untested hypo......
PERiMETER – pseudonymization and personal metadata encryption for privacy-preserving searchable documents
Informa UK Limited - Tập 1 - Trang 46-57 - 2012
The average costs of data leakage are steadily on the rise. Especially in healthcare, the disclosure of sensitive information may have unfavorable consequences for the patient. As a consequence, several data security and access control mechanisms have been introduced, ranging from data encryption to intrusion detection or role-based access control, doing a great work in protecting sensitive inform......
Using social network analysis to identify the most central services in an emergency department
Informa UK Limited - Tập 5 Số 1 - Trang 29-42 - 2016
Sensitivity to model structure: a comparison of compartmental models in epidemiology
Informa UK Limited - Tập 5 - Trang 178-191 - 2016
Compartmental models have provided a framework for understanding disease transmission dynamics for over 100 years. The predictions from these models are often policy relevant and need to be robust to model assumptions, parameter values and model structure. A selection of compartmental models with the same parameter values but different model structures (ranging from simple structures to complex on......
Hospital and skilled nursing facility patient flows during Hurricane Katrina and the Midwest floods of 2008
Informa UK Limited - Tập 4 - Trang 29-40 - 2014
Simulation and surge studies benefit from realistic assumptions about changes in patient flows during disasters. We sought to determine the impact of Hurricane Katrina and the 2008 Midwest floods on hospital and skilled nursing facility (SNF) discharge patterns. We used Medicare claims to identify beneficiaries admitted to hospitals or SNFs in the affected areas for each disaster. We used Cox prop......
A bioethical framework for health systems activity: a conceptual exploration applying ‘systems thinking’
Informa UK Limited - Tập 3 - Trang 124-135 - 2014
Recognizing that the health system is a complex and dynamic network of actors and activities, this paper seeks to push the field of bioethics to develop a more holistic approach from the health systems perspective. Expanding upon the work of existing public health frameworks and drawing upon concepts from related areas such as governance, human rights, and organizational ethics, our provisional li......
Centers for medicare and medicaid services provider characteristics fail to explain billing variability
Informa UK Limited - - 2016
Health care: a case of hypercomplexity?
Informa UK Limited - Tập 4 - Trang 104-110 - 2014
This position paper argues that the lack of take-up of management science (MS) modelling in health care is a particularly severe example of a more general problem for MS, articulated by many authorities. We relate this severity to the extreme complexity of the health care domain, which might be termed ‘hypercomplexity’. We argue that, for a variety of reasons, the health care domain is different t......
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