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Patient information system for national health care : an intranet internet-based model for the State of Kuwait

By Abdullah A. J. Akbar

Abstract

This research seeks to introduce for the first time a conceptual solution to Kuwait's problems in healthcare delivery. The core objective of the study which is to promote and recommend the basis for the best possible patient information and national healthcare delivery system in the State of Kuwait. The research question is directed\ud towards the appropriateness and usefulness of introducing the pay-per-use concept in the context of national (Kuwait) and global use.\ud \ud The research introduces a new pay-per-use concept for IT services associated with Kuwait's healthcare delivery system within an environment that is investment,\ud communication, technology, platform, database and application-independent. Being the first study on health informatics in Kuwait, the research also sheds light on the\ud contemporary health industry and addresses issues that focus on health information management within the State of Kuwait.\ud \ud The new paradigm for healthcare delivery is presented in such a way that both the potential practical benefits for national users (Kuwait) and the advantages that may be\ud reaped by global users within the health industry are described. The required shift in the paradigm in Kuwait healthcare will take the form of cultural and social\ud transformations, namely, changes in the doctor-patient relationship and in the increase of patient empowerment where health issues are concerned.\ud \ud The research methodology uses a social process (Grounded Theory) to delineate social context (clinical scenario) in order to understand the relationships between medical work and IT networks. Analysis of the data obtained from the clinical scenario and implications of human experiences within the social settings enable the interpretation and the development of a theory, and a model architecture, that can be used for pay-per-use. \ud \ud The State of Kuwait has developed its medical facilities but it lacks the resources to meet the rising demands of the medical and IT worlds. It is argued that the proposed\ud pay-per-use concept can prove feasible, adaptable and globally accessible with an infrastructure that is less burdensome on the national budget. Additionally, the\ud conceptual 'open' architecture to be used with the concept, with its integrated and independent features, is anticipated to provide ample scope for future amendments\ud and development within an evolving technological world. Thus protecting from technologically obsolescence.\ud \ud The study concludes with proposed for further research \ud work on the subject so as to enable additional evaluation and verification of results and thus fully establish the\ud concept, prior to its Potential implementation in the national and international health care delivery system

Publisher: School of Computing (Leeds)
Year: 2003
OAI identifier: oai:etheses.whiterose.ac.uk:194

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Citations

  1. (2001b) "Delivering business critical information systems though application service providers: the need for a market segmentation strategy". doi
  2. (2002). (Department of Health) (2002b) Delivering 21st century IT supportfor the NHS. National specification for integrated care records service: consultation draft.
  3. (1999). A
  4. A (2000) Understanding and Managing Integrated Delivery.
  5. (1998). A CORBA-Based Integration of Distributed Electronic Healthcare Record Using the Synapses Approach. doi
  6. (1995). A Document Processing Architecture for Electronic Medical Records.
  7. (1994). A dynamic theory of organizational knowledge creation", doi
  8. (1993). A Framework for Modeling the Electronic Medical Record. Methods ofInformation in Medicine, doi
  9. (1999). A General Model for the Electronic Medical Record based on ASTM-E31-1384, WWW Architecture and Standard at all levels.
  10. (1998). A Model for Enhancing Worldwide Personal Health and Wellness.
  11. (1996). A Multi-strategy Approach for Medical Records of Specialists. doi
  12. (1998). A Patient-Centric Approach to Telemedicine Database Development. In: Hoffinan,
  13. (1997). A progress report on computer-based patient records in Europe. In: Institute of Medicine. The computerhasedpatient record: an essential technologyfor health care. Rev ed. Washington DC:
  14. (2000). A Strategy for Tacit Knowledge Acquisition and Representation: A Case for Scenarios,
  15. (1998). ABCD .. SGML: A user's guide to structured information. doi
  16. (1998). Access to Health Inforination and Support: A Public Highway or a Private Road? doi
  17. (2002). Accessed doi
  18. Accessed 28/11/2001, http: H www.
  19. (2001). Achieving Intemet-based Efficiencies in a Rural IDS: A Case Study.
  20. (2000). Aligning strategies, processes and IT: a case study", doi
  21. (1998). An Evidence-Based Approach to Interactive Health Communication: A Challenge to Medicine in the Infonnation Age. doi
  22. (1999). An Internet Implementation of an International Clinical Study.
  23. (2001). An Overview in Healthcare Information System Security. doi
  24. (1998). Analysing four types of IT sourcing decisions in the context of scale, client/supplier interdependency and risk mitigation", doi
  25. (1999). Analysis of Free MEDLINE on the WWW. In: Premik,
  26. (1998). and National Roundtabic on Health Carc Quality
  27. (2000). Annual Statistical Abstract. Statistics and Infonnation Sector,
  28. (1999). Application Integration in Healthcare. Windows on Healthcare, Spring (5),
  29. (2002). Application service providers: issues and challenges", doi
  30. (2000). Application Service Providers. doi
  31. (2000). Application service providers",
  32. (1999). Are Healthcare Professionals Really Prepared to Deal with Infonnation-Empowered Citizens?
  33. (1995). Arterial Hypertension: Lessons from Patient Education. doi
  34. (2001). ASP reaches crossroads",
  35. (1992). Aspects of the Computer-based Patient Record. doi
  36. (2000). ASPS: are you ready to play? ",
  37. (2001). ASPs: real Internet powee,
  38. (1997). Assessing, Controlling, and Assuring the Quality of Medical Information on the Internet. doi
  39. (2001). Augmenting Knowledge-Based Medical Systems with Tacit Healthcare Expertise: Towards an Intelligent Tacit Knowledge Acquisition Info-Structure. doi
  40. Authority. NHS connect programme. doi
  41. (1998). Availability of Health Data: Requirements and Solutions. doi
  42. (2000). Back to Basics on doi
  43. (1999). Barriers to a Global Information Society
  44. (1998). Basics of Qualitative Research: Techniques and Proceduresfor Developing Grounded Theory. doi
  45. (1999). Best Principles for Health Privacy. Institute for Health Care Research and Policy.
  46. (1998). Beyond Health Promotion: Reducing the Demand for Medical Care. doi
  47. (1995). Beyond Systems Development Methodologies: Time to Leave the Lamppost?,
  48. (2001). Bringing Health-Care Applications to the Internet. doi
  49. (2000). Building an IP Network Quality-of-Service Test bed. doi
  50. (1996). Building National Electronic Medical Record Systems via the World Wide Web. doi
  51. (2001). Building the information core: implementing the NHS Plan. Department of Health: London.
  52. (1999). Calming the Waters: Helping Patients Find Healthcare Resources in the Sea of Information.
  53. (1998). Challenges to Accessing Useful Information in Health Policy and Public Health: An Introduction to a National Forum Held at the New York Academy of Medicine. doi
  54. (1996). Characteristics of Physicians with Participatory Decision-Making Styles. doi
  55. (1996). Chronic Disease Self-management: A Model for Tertiary Prevention. doi
  56. (2001). Chronic Disease SelfManagement Program: 2-Year Health Status and Health Care Utilization Outcomes. doi
  57. (1997). Client / Server and Beyond. Strategiesfor the 21" century.
  58. (1987). Communication in Medical Practice.
  59. (1997). Communication Standards: Problems and Future Trends.
  60. (2002). Comparative Analysis Between the Public and Private Sectors on the ISAT Outsourcing Practices in a Developing Country: A Field Study. Logistics Information Management: doi
  61. (2002). Computer literacy and electronic medical records.
  62. (1996). Computing Practices: Refining the Curriculum: Client Server and Object-oriented Training. doi
  63. (1996). Congestion Control for Best-Effort Service: Why We Need a New Paradigm. doi
  64. (1999). Constructing Scenarios for Validating the Electronic Health Care Record Architecture. In: Premik,
  65. (2001). Consumer health information seeking on the intemet: the state of the art. doi
  66. (2001). Crossing the quality chasm: a new health system for the 21st century. doi
  67. (1998). Cybermedicine: How Computing Empowers Doctors and Patients for Better Health Care. doi
  68. (1995). Database Access Method for Autonomous Distributed Total Hospital Information System and its Object-Oriented Design.
  69. (2002). Delivering 21st century IT support for the NHS. - national strategic programme,
  70. (2002). Delivering enterprise resource planning systems through application providers", doi
  71. (1988). Descriptive, Normative and Prescriptive Interactions in Decision Making. doi
  72. (1998). Developing Countries Find Telernedicine Forges Links to More Care and Research. doi
  73. (1990). Discovering Chronic Illness: Using Grounded T'heory.
  74. (1999). Distributed Object Architecture with CORBA. Managing Object Technology Series: 21. doi
  75. (1999). Doctor in the House: the Internet as a Sourýe of lay health Knowledge and the Challenge of Expertise, doi
  76. (2000). E-health: The Changing Model of Healthcare.
  77. (1988). Education and Grounded Theory.
  78. (1998). Effects of Computer-based Clinical Support Systems on Physician Performance and Patient Outcomes: A Systematic Review. doi
  79. (2000). Electronic Health Care Record Architecture: Consolidated List of Requirements. The Electronic Health Record SupportAction (EHCR- SupA), version 1.3.
  80. (1999). Electronic Health Records: Changing the Vision. Sanders Company:
  81. (1998). Electronic Patient-Physician Communication: Problems and Promise. doi
  82. (2000). Enabling knowledge creation: How to unlock the mystery of tacit knowledge and release the power of innovation Oxford doi
  83. (2002). Enabling the Virtual Workplace with an Access Portal. at http: //www. bitpipe. com// accessed
  84. (1997). End-to-End Routing Behavior in the Internet. doi
  85. (1999). End-user Point of View to Establish Real-time Broadband ATM Connection over Europe. In: Prernik,
  86. (2001). End-user Support: A Necessary Issue in the Implementation and use of EPR Systems.
  87. (2002). Engineering Task Force doi
  88. (2001). Essentials of Telmedicine and Telecare, John Whiley and sons,
  89. (1998). Evaluating Information Technology in Health Care: Barriers and Challenges. doi
  90. (1998). Evidence Based Patient Information is Important, so there Needs to be a National Strategy to Ensure it.
  91. (1999). Evidence Suggesting that a Chronic Disease Self-management Program can Improve Health Status while Reducing Utilization and Costs: A Randomized Trial. doi
  92. (2001). Evidence-base Patient Choice and Consumer Health Informatics in the Internet Age. doi
  93. (1995). Evolving the High Performance Computing and Communications Initiative to Support the Nation's Information Infrastructure. National Academy Press:
  94. (1984). Exchange Networks and the Analysis of Complex Organisations.
  95. (1997). Experience with DCE: The Pro7 Communication Server based on OSF-
  96. (2000). Exploring Infonnation Technology Adaptation By Family Physicians: Survey Instrument Valuation.
  97. (2001). Exploring the Supply-side of IT Outsourcing: Evaluating the Emerging Role of Application Service Provider. doi
  98. (2001). Exploring the supply-side of IT outsourcing: the emerging role of application service providers", doi
  99. (1997). Filtering Infonnation on the Internet.
  100. (1995). Financial and strategic motivations behind IS outsourcing", doi
  101. (1999). Five reasons for scenario-based design. In: doi
  102. (2000). Five Views on the Web's Role for Consumers.
  103. (1988). Formal and Informal Co-operation Strategies
  104. (1991). Foundations for an Electronic Medical Record. doi
  105. (1996). From Black Bag to Black Box: Will Computers Improve the NHS? doi
  106. (1997). From WING to MMSA: Experiences with the Implementation of Distributed HIS,
  107. (1995). Future Direction in Distributed Computing.
  108. (2002). Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente", doi
  109. (2000). Global Information Flow. doi
  110. (1995). Goal Setting as a Strategy for Health Behaviour Change. doi
  111. (2002). Good Doctor, Bad Doctor: A PsYChodynamic Approach. doi
  112. (1999). Grounded Action Research: A Method for Understanding doi
  113. (1994). Grounded Theory Methodology: An Overview.
  114. (1982). Grounded Theory: A Constructive Critique. doi
  115. (2000). Grounded Theory: Never Knowingly Understood.
  116. (2000). Group Practices Find Their Way to the Internet.
  117. (1998). Guidelines for the Clinical Use of Electronic Mail with Patients. Report for the AMIA Internet Working Group, Task Force on Guidelines for the Use of Clinic-Patient Electronic Mail, doi
  118. (1997). Health Care in Cyberspace: Patients Lead a Revolution. Yhe Futurist, November-December,
  119. (1997). Health care Information System. doi
  120. (2000). Health ePeople: The Online Consumer Experience.
  121. (2000). Health Expert's Tacit Knowledge Acquisition and Representation Using Specialised Healthcare Scenarios. In: Hasman,
  122. (2000). Health Infonnation on the Internet: Let the Viewer Beware (Caveat Viewer). doi
  123. (2002). Health Informatics, European Committee for Standarisation.
  124. (1994). Health Information and Health Reform, doi
  125. (2000). Health Information Networks: Enabling Care Management in IDSs.
  126. (1997). Health Information System Architecture.
  127. (1998). Health Kuwait. Health and Vital Statistics Division, Department of Statistics and Medical Records, Edition 37. Kuwait: State of Kuwait.
  128. (2000). Health Kuwait. Health and Vital Statistics Division, Department of Statistics and Medical Records, Edition 39. Kuwait: State of Kuwait.
  129. (1989). Health Promotion, Disease Prevention, and Program Retention. In:
  130. (2000). Healthcare Information System, doi
  131. (2000). Healthcare Information Systems: Challenges of the New Millennium. Idea Group, doi
  132. (1999). Healthcare Knowledge Management Through Building and Operational ising Healthcare Enterprise Memory.
  133. (1997). Here Come Patients who've "Studied" Medicine On-line.
  134. (1999). HL7 Message Development Framework.
  135. (1954). How Communication Works. doi
  136. (1997). How Computers Enrich Patient Education.
  137. (2000). How does physician advice influence patient behavior? Evidence for a priming effect. doi
  138. (1995). How to manage an IT outsourcing alliance",
  139. (1999). Impact of a Patient-Centred Computer-Based Health Information/Support System.
  140. (1998). Improving Breast Cancer Control Among Latinas: Evaluation of a Theory-based Educational Program. doi
  141. (1998). Information Epidemics, Economics, and Immunity on the Internet. doi
  142. (1998). Information System for IDNs: Best Practice and Key Success Factors. In:
  143. (1998). Information System Interoperability,
  144. (2000). Information Systems Evaluation in Practice: a Case Study of Organisational Change. doi
  145. (1999). Information Systems for IDSs: Meeting the Challenges.
  146. (2002). Information Technology / Information 4stems Success and Evaluation: An Evaluation Framework and General Practitioner Model, PhD Thesis,
  147. (1996). Information Technology and Innovation: Strategiesfor Success, Financial Executives Research Foundation: Morristown,
  148. (1998). Informationfor Health- An Information Strategyfor the Modern
  149. (2001). Innovative Bandwidth Arrangements for the Australian Education and Training Sector.
  150. (1994). Inquiry-Based Scenario Analysis of System Requirements, doi
  151. (1999). Integrated Delivery Network, doi
  152. (1995). Integrated Delivery Systems: Fact or Fiction?
  153. (2001). Integration as Networks and Systems: A Strategic Stakeholder Analysis. doi
  154. (1999). Interactive Computer Technology, Behavioral Science, and Family Practice.
  155. (1999). Internet Access and Use Among Disadvantaged Inner-City Patients. doi
  156. (1998). Internet Access Transforming Healthcare, says Koop.
  157. (1997). Internet Routing Architectures.
  158. (1998). Internet Tools and Resources in Continuing Health Education. doi
  159. (1997). Interpretive Research in Information Systems doi
  160. (1997). INTRANETS: Healthcare Organisations are Going Beyond Electronic Publishing of Documents.
  161. (1998). IP Authentication Header. IETF Request for Comment (RFC)
  162. (2001). Ip Video Conferencing using a Quality of Service Public Network.
  163. (1998). Is Health Care Ready for Six Sigma Quality? " doi
  164. (2000). IS Project Characteristics and Performance: A Kuwaiti Illustration. doi
  165. (2000). Is Provider Capitation Working? Effects on Physician-Hospital Integration and Costs of Care. doi
  166. (2000). IS/IT Outsourcing Practices in the Public Sector: A Case Study of a Developing Country. doi
  167. (2001). ISO Strategies 2002-2004: Raising Standards for the World. Accessed
  168. (1999). Issues in promoting health. doi
  169. (1999). IT Integration Option for Integrated Delivery Systems.
  170. (2001). IT Planning Effectiveness in a Developing Country.
  171. (1996). IT RX : Trim Costs, Move Medicine to Intemet, Internet Week
  172. (2002). IT Vendor Selection Criteria and PostImplementation Evaluation Practices for IS Outsourcing: An
  173. (1998). Java Software Solution,
  174. (2001). Just how Integrated are Integrated Delivery System? Result from a National Survey. doi
  175. (2001). Kellogg wakes up to pay-per-use.
  176. (1997). Knowledge Management: From Terra Incognita to Terra Firma,
  177. (1997). Learning to Break Things: Adaptive Testing of Intelligent Controllers, doi
  178. (1992). Magnetic Resonance Imaging: doi
  179. (1997). Maintaining the Confldentiality of Medical Records Shared Over The University of Leeds School of Computing Reference 269 Intemet and The World Wide Web.
  180. (1997). Managed Care's Last Frontier,
  181. (1999). Management Challengesfor the 21" Century.
  182. (2001). Management of Quality of Service Enabled VPNs. doi
  183. (2002). Managing IT outsourcing: a value-driven approach to outsourcing using application service providers. Logistics Information Management: doi
  184. (1992). Managing the Medical Arms Race: Public Policy and Medical Device Innovation. doi
  185. (1999). Managing the three levels of change. doi
  186. (1996). Managing the Transition to Integrated Health Care Organisations. Frontiers
  187. (1989). Measuring Patients' Desire for Autonomy: Decision Making and Information Seeking Preferences among Medical Patients. doi
  188. (1990). Medical Data: Their Acquisition, Storage, and Use. doi
  189. (1997). Medical Information on the Internet: a Study of Electronic Bulletin Board.
  190. (1996). Medical Record and other Stories: A Narratological Framework.,
  191. (1990). Medical-Record Systems. In:
  192. (1997). Medicine and the Iýternet. 2 nd edition,
  193. (1998). Message Development Framework Version 3.1. Health Level Seven,
  194. (1998). Middleware for Healthcare Information Systems. doi
  195. (1999). Migrating to network-based application services",
  196. (1977). MIS problems and failures: a socio-technical perspective. doi
  197. (1994). Modeling Medical Work: on some Problems of Expert Systems in Medicine. doi
  198. (1995). Modem Database Systems: the Object Model, Interoperability, and Beyond",
  199. (2002). National Research Council
  200. National Research Council (1997a) The Evolution of Untethered Communication.
  201. (1996). National Strategy for Implementation Health Care Network: the Human Facet.
  202. (1982). Network Analysis,
  203. (1999). Network Structure and Hospital Financial Performance in doi
  204. (2000). Networking Health: Prescriptions for the Internet. National Academy Press:
  205. (1997). New Connections Between Medical Knowledge and Patient Care. doi
  206. (1993). Object Orientation in Heterogeneous Distributed Computing System. doi
  207. (2001). On the Efficiency of Multicast. doi
  208. (1998). Online Practice Guidelines: Issues, Obstacles, and Future Prospects. doi
  209. (1997). Open Architecture for Health Care System: The European
  210. (1995). Open Standards in Medical Infonnatics.
  211. (1999). Opening the Black Box of Clinical Judgment how the Doctor-patient Relationship is Changing with new Technology. doi
  212. (1998). Opportunities and Challenges for Developing Countries in Health Sector. In:
  213. (2002). Oracle Web Application Server Documentation. at http: //www.
  214. (1995). Organisational Issues in Health Inforinatics: The Challenges We Face.
  215. (1997). Patient Computer Dialogue and the Patient's Right to Decide. doi
  216. (2000). Patient Computer Dialogue. doi
  217. (1998). Patient Informatics: Creating New Partnerships doi
  218. (2000). Patient Privacy, Confidentiality and Security.
  219. (2000). Patient-ccntered Infonnation Systems. In:
  220. (1997). Patient-Centred Access to Secure System Online (PCASSO): A Secure Approach to Clinical Data Access Via the World
  221. (2000). Patient-Centred Information System, In:
  222. (1974). Personal Knowledge: Towards a Post-Critical Philosophy, doi
  223. (2000). Placement of network servers in a widearea network. doi
  224. (1993). Portrait ofKuwait.
  225. (1999). Privacy, Confidentiality and Security: Protecting 'Personally Identifiable Infonnation.
  226. (2000). Pros and Cons of ASPs.
  227. (1998). Protecting Clinical Data on Web Client Computer: The (PCASSO) approach.
  228. (1998). Public Trust and Initiatives for New Healthcare Partnerships. doi
  229. (2001). QOS Guarantees. InfoWorld,
  230. (2001). Quality of Service among IP-Based Heterogeneous Networks. doi
  231. (1999). Race, Gender, and Partnership in the Patient-physician Relationship.
  232. (1998). Rating Health Information on the Internet: Navigating to knowledge or to Babel? doi
  233. (1997). Rationalizing Medical Work Decision Support Techniques and Medical Practices. doi
  234. (1999). Real-time Medical Applications and Telecommunication.
  235. (1994). Realizing the Information Future: doi
  236. (1998). Relationship of Functional Health Literacy to Patients' Knowledge of Their Chronic Disease: A Study of Patients With Hypertension and Diabetes. doi
  237. (1997). Reliability of Health Information for the Public on the World Wide Web: Systematic Survey on Managing Fever in Children at Home. doi
  238. (2000). Research in medical informatics. doi
  239. (1999). Restructuring Virtual Memory to support Distributed Computing Environments. doi
  240. (1998). Rethinking NHS Networking. doi
  241. (1999). Reuters News Service doi
  242. (1998). Role of Information Technology.
  243. (1995). Routing in the Internet. Prentice-Hall: Englewood Cliffs,
  244. (2000). Royal College of General Practitioners, doi
  245. (1998). Scenarios in system development: Current practice. doi
  246. (1996). Seamless Telematics Across Region- StarEvolution and Practical Approach of Open, Modular, Patient Based Health Care Telematic Solution.
  247. (2001). Secure Remote Access from Office to Home. doi
  248. (2000). Securing Electronic Commerce: Reducing the SSL Overhead. doi
  249. (2002). Securing ourfuture health: taking a long-term view. Final report,
  250. (1995). Security and Confidentiality issues from a National Perspective.
  251. (1999). Security for Electronic Patient Record System.
  252. (1998). Security for the Digital Infonnation Age of Medicine: Issues, Applications, and Implementation. doi
  253. (1996). Security in Clinical information systems. doi
  254. (2000). Security Issues in Control, Management and Routing Protocols. doi
  255. (2000). Services doi
  256. (2001). Setting the Record Straight: Physician Networking is an Effective Strategy.
  257. (1995). Setting the Records Straight: a Study of Hospital Medical Records. Audit Commission: doi
  258. (1997). Shared Decision-Making in the Medical Encounter: What Does it Mean"? (Or it takes at least two to tango). doi
  259. (1999). Sharing Electronic Medical Record on the WWW Using Intercare Architecture and Smart Cards.
  260. (2000). Sharing Health Information via the Internet in Developed and Developing Countries alike. Super course mirror sites (letter).
  261. (2001). Sharing Health-Care Records over the Internet. doi
  262. (1997). Social Research Methods. Allyn and Bacon: doi
  263. (1979). Sociological Paradigms and Organisational Analysis, Heinemann: London doi
  264. (2000). Standard Method for Describing an Electronic Patient Record Template:
  265. (1998). Standardisation and Security for the EMR, doi
  266. (1996). Standardising the Elimination of Unnecessary Data from Interview Transcripts for the Purposes of Knowledge-Based Systems -A Case Study. doi
  267. (1999). Strategic uses of Information Technology in Health Care: A State-of-the-Art Survey,
  268. (1999). Systems Development as a Research Act. doi
  269. (1997). Taking Computers to Task, doi
  270. (2000). Telehealth in the Pacific: Current Status and j Analysis Report
  271. (1998). TELEMEDICINE: A Personal Journey.
  272. (2001). The Allure, Limitations of ASPs,
  273. (2001). The allure, limitations of ASPs", Modem Health Care,
  274. (1999). The Basis for using the Internet to Support the Information Needs of Primary Care. doi
  275. (1997). The computer-based patient record., an essential technology for health care. doi
  276. (1999). The Computerized Patient Record: a Global View,
  277. (2000). The Diffusion of Decision Support Systems in Healthcare: Are We There Yet?
  278. (1991). The Diffusion of Medical Technology: Free Enterprise and Regulatory Models in the USA. doi
  279. (2000). The Digital Transformation of Health Care.
  280. (1999). The Doctor Is Online. doi
  281. (1999). The Electronic Patient Records of the Hannover Medical School.
  282. (1995). The Emergence of Interpretivism in doi
  283. (2001). The Extent of Patients Understanding of the Risk of Treatments. doi
  284. (1998). The Globalization of Medical Care.
  285. (2001). The government's expenditure plans
  286. (1995). The Information Society: Why Europe and Develop Countries should boost Partnership in Health Knowledge transfer. Health Information Society and Developing Countries,
  287. (1999). The Internet in Medicine: An Update.
  288. (2000). The Internet: A Global Telecommunications Solution? doi
  289. (2001). The Latest Revolution,
  290. (1995). The Learning Process in the Epistemology of Medical Information.
  291. (1997). The Management of Patients in a Hospital Information System Based on Common Middleware: A Case Study for the Al-Amal Cancer Centre.
  292. (1971). The Nature of Communication between Humans.
  293. (1998). The New Health Information Networks:
  294. (1990). The New Medicine: Reshaping Medical Practice and Health Care Management,
  295. (2001). The Propagation of Technology Management Taxonomies for Evaluating Investments in Information Systems.
  296. (1999). The Role of Clinical Terminologies in Supporting the NHS Infonnation Strategy.
  297. (1999). The Strategic Application of Information Technology in Healthcare Organizations: A Guide to Implementing Integrated Systems,
  298. (2000). The Supply-side of IT outsourcing: the trend towards mergers, acquisitions and joint ventures", doi
  299. (1996). The Unpredictable Certainty : Information Infrastructure Through doi
  300. (2000). The Urgent Call for Knowledge Management in Medicine.
  301. (1991). The Use of Grounded Theory for Conceptual Analysis in Knowledge Elicitation. doi
  302. (1996). The Virtual Patient Record: A Key to Distributed Healthcare and Telemedicine.
  303. (2000). To Err Is Human: Building A Safe Health System,
  304. (2000). To Err Is Human: Building a Safer Health System, doi
  305. (1994). Toolsfor change andprogress: A Sociotechnical approach to business re-engineering,
  306. (1998). Touch-Screen Computerized Education for Patients with Brain Injuries. doi
  307. (1999). Toward An Electronic Health Record doi
  308. (1998). Towards Personal Health Record: Current Situation, Obstacles and Trends
  309. (1998). Towards Quality Management of Medical Infonnation on the Internet: Evaluation, Labelling, and Filtering of Infonnation. doi
  310. (1997). Understanding Object-Oriented Programming with Java. doi
  311. (2000). Using Internet to Access Confidential Patient Records: A Case Study. doi
  312. (2001). Vendor Selection Criteria and Postimplementation Evaluation Practices for ISAT Outsourcing: A Case Study of a Developing Country.
  313. (1998). Virtual meeting with desktop conferencing. doi
  314. (1999). Voice, Data, Video Network Offered With I-step Shopping.
  315. (2000). Web Consortium Member doi
  316. (1998). What is an Electronic Patient Record?
  317. (1996). What value do computers provide to NHS hospitals? doi
  318. (1998). Where's the chief knowledge officer? doi
  319. (2001). Who will come out swinging? ", America's Network March,
  320. (2001). Why Integrated Health Networks have Failed,
  321. (2000). Why Outsourcing is in Application Service Providers (ASPs) are Making it Easier for Companies to use Outside Services Again,
  322. (2000). Why outsourcing is in: application service providers (ASPs) are making it easier for companies to use outside services again",
  323. (2000). Wireless boom fuels application service providers",
  324. (1995). Work Processes: Scenarios as a Preliminary Vocabulary.
  325. (2001). XML in Health Care. XmI Europe
  326. (1967). Yhe Discovery of Grounded Yheory: Strategiesfor Qualitafive Research,
  327. (1999). Yhe Future of the Internet in Health Care: Five Year Forecast. Institute for the Future: Menlo Park, Calif. doi
  328. (1998). Yhe Origins of Kuwait.
  329. (1992). Yhe Other
  330. (1999). Yhe Strategic Application of Information Technology in Healthcare Organisations.
  331. (2002). YheXML FAQ. at http: //www.
  332. (2000). YML: Helping Exchange Data on the Internet. Intemet Health Care Magazine, Mar-Apr,

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