33,909 research outputs found

    Towards a Smarter organization for a Self-servicing Society

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    Traditional social organizations such as those for the management of healthcare are the result of designs that matched well with an operational context considerably different from the one we are experiencing today. The new context reveals all the fragility of our societies. In this paper, a platform is introduced by combining social-oriented communities and complex-event processing concepts: SELFSERV. Its aim is to complement the "old recipes" with smarter forms of social organization based on the self-service paradigm and by exploring culture-specific aspects and technological challenges.Comment: Final version of a paper published in the Proceedings of International Conference on Software Development and Technologies for Enhancing Accessibility and Fighting Info-exclusion (DSAI'16), special track on Emergent Technologies for Ambient Assisted Living (ETAAL

    Ontological support for managing non-functional requirements in pervasive healthcare

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    We designed and implemented an ontological solution which makes provisions for choosing adequate devices/sensors for remote monitoring of patients who are suffering from post-stroke health complications. We argue that non-functional requirements in pervasive healthcare systems can be elicited and managed through semantics stored in ontological models and reasoning created upon them. Our contribution is twofold: we enrich the elicitation process and specification of non-functional requirements within the requirements engineering discipline and we address the pervasiveness of healthcare software systems through the way of choosing devices embedded in them and users expectations in terms of having access to pervasive services personalized to their needs

    The non-market benefits of rural service provision

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    The provision of services in rural areas is constrained by a number of issues arising from the remoteness of such areas and the relative sparsity of rural populations. These factors combine to increase the cost of supply and reduce the demand for services, which consequently threatens the viability of service provision whether by the public or private sectors. A possible to solution to these issues lies in the co-location of rural services, which in general means that two or more distinct services are located within the same premises thus reducing the delivery costs associated with one or more of these services. Beyond the simple economics of service provision lies the existence of nonmarket elements of services in terms of benefits to local communities of service provision that might arise from the social elements of local provided services such as community cohesion. This paper applies non-market valuation to quantify these benefits in three case studies across Scotland. The results indicate that relative degree of these benefits can be related to the remoteness of rural communities in that more remote communities particularly value the community aspects of services whereas less remote communities are more resistant to increased distances to access services. More generally, the results provide evidence on the inherent trade-offs between factors such as opening hours, levels of service and distance that can be used in determining the optimal configuration of service provision.Community/Rural/Urban Development,

    Institutions for Health Care Delivery: A Formal Exploration of What Matters to Health Workers Evidence from Rwanda

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    Most developing countries face important challenges regarding both the quality and quantity of health care they provide and there is a growing consensus that health workers play an important role in this. Although contemporary analysis of development emphasizes the central role of institutions, surprisingly little work looks at how institutions matter for health workers and health care delivery, which is the focus of this paper. One reason for the scarcity of work in this field is that it is unclear what the relevant theory is in this area. We carry out a formal exploratory analysis to identify both the problems and the institutional factors that offer an explanation. Using qualitative research on Rwanda, a country where health care problems are typical but where the institutional environment is dynamic enough to embody changes, we find that four institutional factors explain health worker performance and career choice. Ranked in order of ease of malleability they are: incentives, monitoring arrangements, professional norms and health workers’ intrinsic motivation. We discuss their role and the implications for future research.health workers, institutions

    What Matters Most to Patients and Rheumatologists? A Discrete Choice Experiment in Rheumatoid Arthritis

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    Introduction: To determine patient and rheumatologist preferences for rheumatoid arthritis (RA) treatment attributes in Spain and to evaluate their attitude towards shared decision-making (SDM). Methods: Observational, descriptive, exploratory and cross-sectional study based on a discrete choice experiment (DCE). To identify the attributes and their levels, a literature review and two focus groups (patients [P] = 5; rheumatologists [R] = 4) were undertaken. Seven attributes with 2–4 levels were presented in eight scenarios. Attribute utility and relative importance (RI) were assessed using a conditional logit model. Patient preferences for SDM were assessed using an ad hoc questionnaire. Results: Ninety rheumatologists [52.2% women; mean years of experience 18.1 (SD: 9.0); seeing an average of 24.4 RA patients/week (SD: 15.3)] and 137 RA patients [mean age: 47.5 years (SD: 10.7); 84.0% women; mean time since diagnosis of RA: 14.2 years (SD: 11.8) and time in treatment: 13.2 years (SD: 11.2), mean HAQ score 1.2 (SD: 0.7)] participated in the study. In terms of RI, rheumatologists and RA patients viewed: time with optimal QoL: R: 23.41%/P: 35.05%; substantial symptom improvement: R: 13.15%/P: 3.62%; time to onset of treatment action: R: 16.24%/P: 13.56%; severe adverse events: R: 10.89%/P: 11.20%; mild adverse events: R: 4.16%/P: 0.91%; mode of administration: R: 25.23%/P: 25.00%; and added cost: R: 6.93%/P: 10.66%. Nearly 73% of RA patients were involved in treatment decision-making to a greater or lesser extent; however, 27.4% did not participate at all. Conclusion: Both for rheumatologists and patients, the top three decision-making drivers are time with optimal quality, treatment mode of administration and time to onset of action, although in different ranking order. Patients were willing to be more involved in the treatment decision-making process

    Assessing Needs of Care in European Nations. ENEPRI Policy Brief No. 14, 28 December 2012

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    This Policy Brief presents the research questions, main results and policy implications and recommendations of the seven Work Packages that formed the basis of the ANCIEN research project, financed under the 7th EU Research Framework Programme of the European Commission. Carried out over a 44-month period and involving 20 partners from EU member states, the project principally concerns the future of long-term care (LTC) for the elderly in Europe and addresses two questions in particular: How will need, demand, supply and use of LTC develop? How do different systems of LTC perform

    Radical Technological Innovation and Perception: A Non-Physician Practitioners’ Perspective

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    Radical technological innovations, such as chatbots, fundamentally alter many aspects of healthcare organizations. For example, they transform how clinicians care for their patients. Despite the potential benefits, they cannot be integrated into practice without the support of the clinicians whose jobs are affected. While previous research shed important light on physicians’ perceptions, little is known on nonphysician practitioners view said innovations. This paper reports on a qualitative study, involving 10 nonphysician clinicians from Ontario, Canada, conducted to determine the perceptions and cognitions of clinicians regarding radical innovation and their previous experiences with technological change. Results indicate that clinicians as semi-autonomous agents can interpret and act upon their environment with regard to determining how innovations such as chatbots are implemented

    In Any Language: Improving the Quality and Availability of Language Services in Hospitals

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    Showcases initiatives and interventions implemented in ten hospitals participating in RWJF's Speaking Together initiative to measure and enhance language services delivery. Discusses factors for success, strategies for improvement, and lessons learned
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