The rationale of e-health evaluation: The case of NHS Direct

An important area of research is that of the evaluation of e-health services. A holistic e-health evaluation framework should address the aspects that are hampering healthcare services from embracing the full potential of information and communication technologies towards successful e-health initiatives. Towards building a holistic evaluation framework for e-health services, this paper is intended to examine the rationale of e-health evaluation, as the paper argues that this aspect should be addressed first in the development of such a framework. NHS Direct which is one of the largest e-health services in the world has been chosen to discuss and validate a set of evaluation rationales and their applicability in practice

A Pervasive Technology Solution for Diabetes Using Gestational Diabetes as a Model

Diabetes is one of the leading chronic diseases affecting Australians and its prevalence continues to rise. Diabetes is therefore becoming a serious challenge for both the quality of healthcare and expenditure in the Australian healthcare system. The goal of this study is to investigate the development and application of a pervasive wireless technology solution to facilitate the effective management of diabetic patients, using the context of the care of women with gestational diabetes, a form of diabetes that affects up to 8% of pregnant women as a test case. Integral to the success of this solution is the unique software technology developed by INET to enable mobile phones to facilitate superior diabetes self-management

Evaluation of e-Health in China

Healthcare service is the core of the social welfare system, and has been widely focused by the governments, media and the public. The rapid development of e-commerce and the wide application of ICT have accelerated their uses in healthcare service. China welcomes ehealth service as it is developing globally, but like many other nations it encounters both opportunities and challenges. Therefore, the assessment of e-health is becoming more important. We analyze the current situation in China and assess its goals of realizing ehealth and the challenges of developing e-health

Enabling superior m-health project success: a tricountry validation

The healthcare industry is facing increasing pressures to embrace new technologies that support greater patient access to, and higher quality of (but at the same time offer cost-effective), healthcare delivery. This pressure has spawned a plethora of initiatives to embrace the possibilities and potentials of technologies to develop and then diffuse new devices, new pharmaceutical products and support minimal invasive surgical techniques that will facilitate superior healthcare delivery

Analisis Penggunaan Sistem Pendaftaran Online (E-Health) berdasarkan Unified Theory of Acceptance and Use of Technology (UTAUT)

Surabaya is a pioneer of E-Health innovation in Indonesia by providing online registration system to facilitate to take a quenue number anytime anywhere. The users online registration at RSUD dr.M. Soewandhie Surabaya is the largest, but dissatisfaction figure of online registration services reached 31,4%. Therefore, the purpose of this research is to analyze use behavior online registration at RSUD dr.M. Soewandhie based on Unified Theory of Acceptance and Use of Technology (UTAUT). This research was an analytic observational with quantitative approach and cross sectional design. Sample were collected by systematic random sampling and consist of 50 users and 50 nonusers. The result showed that individual characteristic which has p value below 0,05 was experience, knowledge and IT skills. Performance expectancy (p = 0,044) significantly influence behavioral intention , whereas effort expectancy (p = 0,982) and social influence (p = 0,124) do not. Facilitating condition (p = 0,812) and behavioral intention (p=0,189) had no influence with use behavior because p value was above 0,05. In conclusion, performance expectancy has a significant influence with behavioral intention, therefore experience, knowledge and IT skills had influence with use behavior online registration in RSUD dr.M. Soewandhie Surabaya.   Keyword: e-Health, online registration, Unified Theory of Acceptance and Use of Technology (UTAUT), use behavio

Flexible Investment Decisions in the Telecommunications Industry: Case Applications using Real Options

The telecommunications sector is one of the most innovative, high-growth, capitalintensive yet volatile sector of the economy. This research addresses critical concerns of how, when, and why an enterprise or a service provider should undertake new investments. The study investigates the power of flexibility in investment decision making process, by applying the real options methodology. Five case applications are studied: a) investment decisions in next generation wireless networks; b) investing in integrated wireless networks; c) migration to wireless broadband internet services; d) valuing deployment of Wi-Fi networks in enterprise markets; and e) valuing Hosted VOIP services for enterprise markets. The case studies are analyzed both qualitatively and quantitatively

Cross disciplinary evaluation framework for e-health services

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel UniversityE-health is an emerging field in the intersection of information systems, healthcare and business management, referring mainly to healthcare services delivered and enhanced through the use of information and communication technologies (ICT). In a broader sense, the term characterizes not only a technical development, but also a wider way of thinking, an attitude, and a commitment for a network to improve and connect provider, patients and governments. Such a network will be used to educate and inform healthcare professionals, managers and healthcare users; to stimulate innovation in care delivery and health system management; and to improve the healthcare system locally, regionally, and globally. The evaluation of e-health services in both theory and practice has proved to be important and complex. E-health evaluation will help achieve better user services utilization, justify the enormous investments of governments on delivering e-health services, and address the aspects that are hampering healthcare services from embracing the full potential of ICT towards successful e-health initiatives. The complexity of evaluation is mostly due to the challenges faced at the intersection of three areas, each well-known for its complexity; healthcare services, information systems, and evaluation methodologies. However, despite the importance of the evaluation of e-health services, literature shows that e-health evaluation is still in its infancy in terms of development and management. The aim of this research study is to develop, and assess a cross disciplinary evaluation framework for e-health services and to propose evaluation criteria for better user’s utilization and satisfaction of e-health services. The evaluation framework is criteria based, while the criteria are determined by an evaluation matrix of three elements, the evaluation rationales, the evaluation timeframes, and the evaluation stakeholders. The evaluation criteria have to be multi-dimensional as well as grounded in, or derived from, one or more specific perspectives or theories. The framework is designed to deal effectively with the challenges of e-health evaluation and overcome the limitation of existing evaluation frameworks. The cross disciplinary evaluation framework has been examined and validated by adopting an interpretive case study methodology. The chosen case study is NHS direct which is currently one of the largest e-health services in the world. The data collection process has been carried out by using three research methods; archival records, documentation analysis and semi-structured interviews. The use of multiple methods is essential to generate comparable data patterns and structures, and enhance the reliability of conclusions through data triangulation. The contribution of the research study is in bridging the gap between the theory and practice in the evaluation of e-health services by providing an efficient evaluation framework that can be applied to a wide range of e-health application and able to answer real-world concerns. The study also offers three sets of well-argued and balanced hierarchies of evaluation criteria that influence user’s utilization and satisfaction of e-health services. The evaluation criteria can be used to help achieve better user services utilization, to serve as part of e-health evaluation framework, and to address areas that require further attention in the development of future e-health initiatives