5 research outputs found
Gestión del conocimiento en el ámbito sanitario: revisión de la literatura.
En el ámbito sanitario, la toma de decisiones desempeña un papel fundamental a la hora de garantizar una
asistencia sanitaria de calidad. Con la aparición de nuevas técnicas, como la gestión del conocimiento
(Knowledge Management), se facilita la conversión de la información relativa a pacientes (pruebas clínicas,
historial, resolución de casos, etc.) en conocimiento, haciendo posible la integración de éste en un sistema de
soporte a la toma de decisiones en el ámbito sanitario. En este trabajo se muestran los resultados preliminares
(arquitecturas, aplicaciones y herramientas) de una revisión sistemática de la gestión del conocimiento en el
ámbito sanitario
Assessing the impact of Physicians’ Virtual Communities on their medical Decision Making quality
Medical decision making is daunting to physicians of its unclear benefits for improving patient care while such decisions are evidence based and also are from the social capital of resources of the advises shared between their peers. Past scholars have reported great deal of medical errors and misdiagnoses caused by physicians: a situation that is degrading healthcare quality. It is not surprising why past research also stressed on the importance to empirically explore the effect of physicians’ virtual community on their medical decision making quality. Virtual communities are a promising initiative in the healthcare sector. This paper describes how the participation of VC members is possible through the application of the Social Capital Theory’s three dimensions in order to assess the effectiveness of physicians’ virtual community so they can make better quality of medical decisions. Such is depicted in this paper’s conceptual model. The model was empirically tested for its validity and reliability using an adapted survey for which data was collected from 204 SurveyMonkey virtual community physician members. The empirical evidence supports the hypothesis of the conceptual model through physicians’ identification and shared vision, i.e. two pre-requisites for medical DM
Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems
Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches
GCC–EU Interregionalism: challenges, opportunities and future prospects
This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University London.This thesis addresses the gap in the literature of the Gulf Cooperation Council and its distinct relations with the European Union by identifying the obstacles preventing the development of GCC–EU interregionalism, in two case studies: energy security and economic cooperation in the Mediterranean. By bringing an empirical application of interregionalism to the study of GCC–EU relations, the thesis draws an original comparison that is based on a Hettne and Söderbaum typology of regionness (2000) to determine the GCC’s and the EU’s types, levels of actorness and the subsequent type of interregionalism resulting from the interaction between their kinds. The theoretical construct of the thesis underlines interregionalism as a tool for consolidating the organisations’ identities and actorness and increasing their capacities at exerting influence within the changing dynamics in the regional and global theatres. In addition, this thesis sheds light on the obstacles that impede the development of interregional cooperation and the mechanism to overcome them. As such, the thesis considers the dynamics instigating the renewed interest in deepening GCC–EU interregional relations; outlines the tools available at the GCC and the EU, and highlights the implications of the Arab Spring and GCC–Asia ties on GCC–EU relations. By avoiding benchmarking the EU as a model, the thesis purports that cooperation in energy security is ongoing and is opening avenues for promising partnerships in renewables, energy sustainability and efficiency. On the other hand, the divergence in the organisations’ levels of actorness, economic strategies and the unwillingness to assess policies are major hindrances against a successful partnership in the Mediterranean. Asymmetries in actorness, bilateralism, the American influence and the growing GCC–Asia ties do impact the development of the relations; albeit, they do not impede the multilateral framework from producing unintended outcomes in other areas of the relations.Saudi Arabian Ministry of Higher Educatio
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Assessing the impact of physicians' social capital on decision making quality mediated by knowledge sharing in a virtual community of practice: an empirical quantitative analysis
This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University London.Purpose - Healthcare (HC) is a globally expensive investment, suffering from service quality, due
to medical errors caused by physicians’ poor decisions making (DM). Current published
literature: (1) encourages clinical DM research to reduce diagnostic errors and (2) stresses on the
dearth of means for practitioners’ knowledge shared DM; this research focuses on knowledge
sharing for improving medical DM quality through physicians’ social capital (SC) in a virtual
community of practice (VCoP). Physicians join a virtual community (VC) to share clinical
practice knowledge to aid medical DM. This study aims to assess the effect of physicians’ SC on
medical DM and assess the mediating role of knowledge sharing quality, between physicians’ SC
and medical DM quality since research lacks to investigate the impact of knowledge management
(KM) tools in a HC context. VCoP is a KM tool and medical DM quality is a HC topic of this
study. Design/methodology/approach – This positivist, quantitative research utilizes non-experimental
survey to empirically assess its conceptual framework. After attaining an ethical approval, from
Brunel Business School Research Ethics Committee, online survey was pre-tested and pilot tested
for clarity and validity. 10 non-physician Ph.D. academics voluntarily participated during the
survey’s pre-test phase. The survey was amendment for its pilot study phase; conducted in
“plastic surgery yahoo group” VC. 31 physician VC members voluntarily participated. Again,
the survey was amended and distributed for main data collection from 204 voluntary
SurveyMonkey’s VC’s physician members. Findings – Data was analysed using SPSS 20 and LISREL 8.80 by means of confirmatory factor analysis and Structural Equation Modeling. Empirical findings supported this study’s four main hypotheses as well as supported this study’s initially proposed conceptual framework.
Originality/value – This study customized the Honeycomb framework to establish a definition of
professional physicians; HC VCs followed by identifying 51 VCs from social networking
platforms like LinkedIn, Facebook, etc. This study also fulfilled its aim and hence proposed a
structurally fit conceptual framework.
Keywords –Virtual Community of Practice; Healthcare Knowledge Management; Confirmatory
Factor Analysis; Structural Equation Modelin