785 research outputs found

    Multidisciplinary perspectives on Artificial Intelligence and the law

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    This open access book presents an interdisciplinary, multi-authored, edited collection of chapters on Artificial Intelligence (‘AI’) and the Law. AI technology has come to play a central role in the modern data economy. Through a combination of increased computing power, the growing availability of data and the advancement of algorithms, AI has now become an umbrella term for some of the most transformational technological breakthroughs of this age. The importance of AI stems from both the opportunities that it offers and the challenges that it entails. While AI applications hold the promise of economic growth and efficiency gains, they also create significant risks and uncertainty. The potential and perils of AI have thus come to dominate modern discussions of technology and ethics – and although AI was initially allowed to largely develop without guidelines or rules, few would deny that the law is set to play a fundamental role in shaping the future of AI. As the debate over AI is far from over, the need for rigorous analysis has never been greater. This book thus brings together contributors from different fields and backgrounds to explore how the law might provide answers to some of the most pressing questions raised by AI. An outcome of the Católica Research Centre for the Future of Law and its interdisciplinary working group on Law and Artificial Intelligence, it includes contributions by leading scholars in the fields of technology, ethics and the law.info:eu-repo/semantics/publishedVersio

    AI: Limits and Prospects of Artificial Intelligence

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    The emergence of artificial intelligence has triggered enthusiasm and promise of boundless opportunities as much as uncertainty about its limits. The contributions to this volume explore the limits of AI, describe the necessary conditions for its functionality, reveal its attendant technical and social problems, and present some existing and potential solutions. At the same time, the contributors highlight the societal and attending economic hopes and fears, utopias and dystopias that are associated with the current and future development of artificial intelligence

    30th European Congress on Obesity (ECO 2023)

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    This is the abstract book of 30th European Congress on Obesity (ECO 2023

    Seamless Multimodal Biometrics for Continuous Personalised Wellbeing Monitoring

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    Artificially intelligent perception is increasingly present in the lives of every one of us. Vehicles are no exception, (...) In the near future, pattern recognition will have an even stronger role in vehicles, as self-driving cars will require automated ways to understand what is happening around (and within) them and act accordingly. (...) This doctoral work focused on advancing in-vehicle sensing through the research of novel computer vision and pattern recognition methodologies for both biometrics and wellbeing monitoring. The main focus has been on electrocardiogram (ECG) biometrics, a trait well-known for its potential for seamless driver monitoring. Major efforts were devoted to achieving improved performance in identification and identity verification in off-the-person scenarios, well-known for increased noise and variability. Here, end-to-end deep learning ECG biometric solutions were proposed and important topics were addressed such as cross-database and long-term performance, waveform relevance through explainability, and interlead conversion. Face biometrics, a natural complement to the ECG in seamless unconstrained scenarios, was also studied in this work. The open challenges of masked face recognition and interpretability in biometrics were tackled in an effort to evolve towards algorithms that are more transparent, trustworthy, and robust to significant occlusions. Within the topic of wellbeing monitoring, improved solutions to multimodal emotion recognition in groups of people and activity/violence recognition in in-vehicle scenarios were proposed. At last, we also proposed a novel way to learn template security within end-to-end models, dismissing additional separate encryption processes, and a self-supervised learning approach tailored to sequential data, in order to ensure data security and optimal performance. (...)Comment: Doctoral thesis presented and approved on the 21st of December 2022 to the University of Port

    A Cybersecurity review of Healthcare Industry

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    Antecedentes La ciberseguridad no es un concepto nuevo de nuestros días. Desde los años 60 la ciberseguridad ha sido un ámbito de discusión e investigación. Aunque los mecanismos de defensa en materia de seguridad han evolucionado, las capacidades del atacante también se han incrementado de igual o mayor manera. Prueba de este hecho es la precaria situación en materia de ciberseguridad de muchas empresas, que ha llevado a un incremento de ataques de ransomware y el establecimiento de grandes organizaciones criminales dedicadas al cibercrimen. Esta situación, evidencia la necesidad de avances e inversión en ciberseguridad en multitud de sectores, siendo especialmente relevante en la protección de infraestructuras críticas. Se conoce como infraestructuras críticas aquellas infraestructuras estratégicas cuyo funcionamiento es indispensable y no permite soluciones alternativas, por lo que su perturbación o destrucción tendría un grave impacto sobre los servicios esenciales. Dentro de esta categorización se encuentran los servicios e infraestructuras sanitarias. Estas infraestructuras ofrecen un servicio, cuya interrupción conlleva graves consecuencias, como la pérdida de vidas humanas. Un ciberataque puede afectar a estos servicios sanitarios, llevando a su paralización total o parcial, como se ha visto en recientes incidentes, llevando incluso a la pérdida de vidas humanas. Además, este tipo de servicios contienen multitud de información personal de carácter altamente sensible. Los datos médicos son un tipo de datos con alto valor en mercados ilegales, y por tanto objetivos de ataques centrados en su robo. Por otra parte, se debe mencionar, que al igual que otros sectores, actualmente los servicios sanitarios se encuentran en un proceso de digitalización. Esta evolución, ha obviado la ciberseguridad en la mayoría de sus desarrollos, contribuyendo al crecimiento y gravedad de los ataques previamente mencionados. - Metodología e investigación El trabajo presentado en esta tesis sigue claramente un método experimental y deductivo. Está investigación se ha centrado en evaluar el estado de la ciberseguridad en infraestructuras sanitarias y proponer mejoras y mecanismos de detección de ciberataques. Las tres publicaciones científicas incluidas en esta tesis buscan dar soluciones y evaluar problemas actuales en el ámbito de las infraestructuras y sistemas sanitarios. La primera publicación, 'Mobile malware detection using machine learning techniques', se centró en desarrollar nuevas técnicas de detección de amenazas basadas en el uso de tecnologías de inteligencia artificial y ‘machine learning’. Esta investigación fue capaz de desarrollar un método de detección de aplicaciones potencialmente no deseadas y maliciosas en entornos móviles de tipo Android. Además, tanto en el diseño y creación se tuvo en cuenta las necesidades específicas de los entornos sanitarios. Buscando ofrecer una implantación sencilla y viable de acorde las necesidades de estos centros, obteniéndose resultados satisfactorios. La segunda publicación, 'Interconnection Between Darknets', buscaba identificar y detectar robos y venta de datos médicos en darknets. El desarrollo de esta investigación conllevó el descubrimiento y prueba de la interconexión entre distintas darknets. La búsqueda y el análisis de información en este tipo de redes permitió demostrar como distintas redes comparten información y referencias entre ellas. El análisis de una darknet implica la necesidad de analizar otras, para obtener una información más completa de la primera. Finalmente, la última publicación, 'Security and privacy issues of data-over-sound technologies used in IoT healthcare devices' buscó investigar y evaluar la seguridad de dispositivos médicos IoT ('Internet of Things'). Para desarrollar esta investigación se adquirió un dispositivo médico, un electrocardiógrafo portable, actualmente en uso por diversos hospitales. Las pruebas realizadas sobre este dispositivo fueron capaces de descubrir múltiples fallos de ciberseguridad. Estos descubrimientos evidenciaron la carencia de certificaciones y revisiones obligatorias en materia ciberseguridad en productos sanitarios, comercializados actualmente. Desgraciadamente la falta de presupuesto dedicado a investigación no permitió la adquisición de varios dispositivos médicos, para su posterior evaluación en ciberseguridad. - Conclusiones La realización de los trabajos e investigaciones previamente mencionadas permitió obtener las siguientes conclusiones. Partiendo de la necesidad en mecanismos de ciberseguridad de las infraestructuras sanitarias, se debe tener en cuenta su particularidad diseño y funcionamiento. Las pruebas y mecanismos de ciberseguridad diseñados han de ser aplicables en entornos reales. Desgraciadamente actualmente en las infraestructuras sanitarias hay sistemas tecnológicos imposibles de actualizar o modificar. Multitud de máquinas de tratamiento y diagnostico cuentan con software y sistemas operativos propietarios a los cuales los administradores y empleados no tienen acceso. Teniendo en cuenta esta situación, se deben desarrollar medidas que permitan su aplicación en este ecosistema y que en la medida de los posible puedan reducir y paliar el riesgo ofrecido por estos sistemas. Esta conclusión viene ligada a la falta de seguridad en dispositivos médicos. La mayoría de los dispositivos médicos no han seguido un proceso de diseño seguro y no han sido sometidos a pruebas de seguridad por parte de los fabricantes, al suponer esto un coste directo en el desarrollo del producto. La única solución en este aspecto es la aplicación de una legislación que fuerce a los fabricantes a cumplir estándares de seguridad. Y aunque actualmente se ha avanzado en este aspecto regulatorio, se tardaran años o décadas en sustituir los dispositivos inseguros. La imposibilidad de actualizar, o fallos relacionados con el hardware de los productos, hacen imposible la solución de todos los fallos de seguridad que se descubran. Abocando al reemplazo del dispositivo, cuando exista una alternativa satisfactoria en materia de ciberseguridad. Por esta razón es necesario diseñar nuevos mecanismos de ciberseguridad que puedan ser aplicados actualmente y puedan mitigar estos riesgos en este periodo de transición. Finalmente, en materia de robo de datos. Aunque las investigaciones preliminares realizadas en esta tesis no consiguieron realizar ningún descubrimiento significativo en el robo y venta de datos. Actualmente las darknets, en concreto la red Tor, se han convertido un punto clave en el modelo de Ransomware as a Business (RaaB), al ofrecer sitios webs de extorsión y contacto con estos grupos

    Data ethics : building trust : how digital technologies can serve humanity

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    Data is the magic word of the 21st century. As oil in the 20th century and electricity in the 19th century: For citizens, data means support in daily life in almost all activities, from watch to laptop, from kitchen to car, from mobile phone to politics. For business and politics, data means power, dominance, winning the race. Data can be used for good and bad, for services and hacking, for medicine and arms race. How can we build trust in this complex and ambiguous data world? How can digital technologies serve humanity? The 45 articles in this book represent a broad range of ethical reflections and recommendations in eight sections: a) Values, Trust and Law, b) AI, Robots and Humans, c) Health and Neuroscience, d) Religions for Digital Justice, e) Farming, Business, Finance, f) Security, War, Peace, g) Data Governance, Geopolitics, h) Media, Education, Communication. The authors and institutions come from all continents. The book serves as reading material for teachers, students, policy makers, politicians, business, hospitals, NGOs and religious organisations alike. It is an invitation for dialogue, debate and building trust! The book is a continuation of the volume “Cyber Ethics 4.0” published in 2018 by the same editors

    Application of knowledge management principles to support maintenance strategies in healthcare organisations

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    Healthcare is a vital service that touches people's lives on a daily basis by providing treatment and resolving patients' health problems through the staff. Human lives are ultimately dependent on the skilled hands of the staff and those who manage the infrastructure that supports the daily operations of the service, making it a compelling reason for a dedicated research study. However, the UK healthcare sector is undergoing rapid changes, driven by rising costs, technological advancements, changing patient expectations, and increasing pressure to deliver sustainable healthcare. With the global rise in healthcare challenges, the need for sustainable healthcare delivery has become imperative. Sustainable healthcare delivery requires the integration of various practices that enhance the efficiency and effectiveness of healthcare infrastructural assets. One critical area that requires attention is the management of healthcare facilities. Healthcare facilitiesis considered one of the core elements in the delivery of effective healthcare services, as shortcomings in the provision of facilities management (FM) services in hospitals may have much more drastic negative effects than in any other general forms of buildings. An essential element in healthcare FM is linked to the relationship between action and knowledge. With a full sense of understanding of infrastructural assets, it is possible to improve, manage and make buildings suitable to the needs of users and to ensure the functionality of the structure and processes. The premise of FM is that an organisation's effectiveness and efficiency are linked to the physical environment in which it operates and that improving the environment can result in direct benefits in operational performance. The goal of healthcare FM is to support the achievement of organisational mission and goals by designing and managing space and infrastructural assets in the best combination of suitability, efficiency, and cost. In operational terms, performance refers to how well a building contributes to fulfilling its intended functions. Therefore, comprehensive deployment of efficient FM approaches is essential for ensuring quality healthcare provision while positively impacting overall patient experiences. In this regard, incorporating knowledge management (KM) principles into hospitals' FM processes contributes significantly to ensuring sustainable healthcare provision and enhancement of patient experiences. Organisations implementing KM principles are better positioned to navigate the constantly evolving business ecosystem easily. Furthermore, KM is vital in processes and service improvement, strategic decision-making, and organisational adaptation and renewal. In this regard, KM principles can be applied to improve hospital FM, thereby ensuring sustainable healthcare delivery. Knowledge management assumes that organisations that manage their organisational and individual knowledge more effectively will be able to cope more successfully with the challenges of the new business ecosystem. There is also the argument that KM plays a crucial role in improving processes and services, strategic decision-making, and adapting and renewing an organisation. The goal of KM is to aid action – providing "a knowledge pull" rather than the information overload most people experience in healthcare FM. Other motivations for seeking better KM in healthcare FM include patient safety, evidence-based care, and cost efficiency as the dominant drivers. The most evidence exists for the success of such approaches at knowledge bottlenecks, such as infection prevention and control, working safely, compliances, automated systems and reminders, and recall based on best practices. The ability to cultivate, nurture and maximise knowledge at multiple levels and in multiple contexts is one of the most significant challenges for those responsible for KM. However, despite the potential benefits, applying KM principles in hospital facilities is still limited. There is a lack of understanding of how KM can be effectively applied in this context, and few studies have explored the potential challenges and opportunities associated with implementing KM principles in hospitals facilities for sustainable healthcare delivery. This study explores applying KM principles to support maintenance strategies in healthcare organisations. The study also explores the challenges and opportunities, for healthcare organisations and FM practitioners, in operationalising a framework which draws the interconnectedness between healthcare. The study begins by defining healthcare FM and its importance in the healthcare industry. It then discusses the concept of KM and the different types of knowledge that are relevant in the healthcare FM sector. The study also examines the challenges that healthcare FM face in managing knowledge and how the application of KM principles can help to overcome these challenges. The study then explores the different KM strategies that can be applied in healthcare FM. The KM benefits include improved patient outcomes, reduced costs, increased efficiency, and enhanced collaboration among healthcare professionals. Additionally, issues like creating a culture of innovation, technology, and benchmarking are considered. In addition, a framework that integrates the essential concepts of KM in healthcare FM will be presented and discussed. The field of KM is introduced as a complex adaptive system with numerous possibilities and challenges. In this context, and in consideration of healthcare FM, five objectives have been formulated to achieve the research aim. As part of the research, a number of objectives will be evaluated, including appraising the concept of KM and how knowledge is created, stored, transferred, and utilised in healthcare FM, evaluating the impact of organisational structure on job satisfaction as well as exploring how cultural differences impact knowledge sharing and performance in healthcare FM organisations. This study uses a combination of qualitative methods, such as meetings, observations, document analysis (internal and external), and semi-structured interviews, to discover the subjective experiences of healthcare FM employees and to understand the phenomenon within a real-world context and attitudes of healthcare FM as the data collection method, using open questions to allow probing where appropriate and facilitating KM development in the delivery and practice of healthcare FM. The study describes the research methodology using the theoretical concept of the "research onion". The qualitative research was conducted in the NHS acute and non-acute hospitals in Northwest England. Findings from the research study revealed that while the concept of KM has grown significantly in recent years, KM in healthcare FM has received little or no attention. The target population was fifty (five FM directors, five academics, five industry experts, ten managers, ten supervisors, five team leaders and ten operatives). These seven groups were purposively selected as the target population because they play a crucial role in KM enhancement in healthcare FM. Face-to-face interviews were conducted with all participants based on their pre-determined availability. Out of the 50-target population, only 25 were successfully interviewed to the point of saturation. Data collected from the interview were coded and analysed using NVivo to identify themes and patterns related to KM in healthcare FM. The study is divided into eight major sections. First, it discusses literature findings regarding healthcare FM and KM, including underlying trends in FM, KM in general, and KM in healthcare FM. Second, the research establishes the study's methodology, introducing the five research objectives, questions and hypothesis. The chapter introduces the literature on methodology elements, including philosophical views and inquiry strategies. The interview and data analysis look at the feedback from the interviews. Lastly, a conclusion and recommendation summarise the research objectives and suggest further research. Overall, this study highlights the importance of KM in healthcare FM and provides insights for healthcare FM directors, managers, supervisors, academia, researchers and operatives on effectively leveraging knowledge to improve patient care and organisational effectiveness

    Assessment of ambient assisted living systems for patients with mild cognitive impairment

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    According to the World Health Organization, about 50 million people worldwide suffer from dementia. Ten million new cases added every year. Mild Cognitive Impairment (MCI) affects more than 15% of the population aged 65. Technological solutions, such as smart home technology with ubiquitous computing devices, 24/7 telemedical observation and support can alleviate the growing problem and lower pressure on the healthcare system. This approach is also preferable for homecare patients in distant and rural areas. MCI patients are mostly home-based. Ambient Assisted Living (AAL) systems provide tools for automatic registration of vital signs and other medically and socially important information. AAL system for MCI patients is a logical answer to the problem. At the same time, many of the proposed AAL systems are proprietary, technically complicated and have a high price tag for implementation and service. Also, some proposed technical solutions not entirely reflect the opinion of healthcare stakeholders. The current study was proposed as a way to bridge the possible differences in the positions. An online anonymous questionnaire for healthcare professionals was created to prove or disprove the number of interconnected hypotheses about the necessity and feasibility of AAL system for MCI patients. The main focus was made on the hypotheses: "There is necessity of AAL systems for the healthcare" and "AAL systems are capable of providing assistance for patients with Mild Cognitive Impairment". The questionnaire was presented to more than three hundred potential respondents. Around a hundred and twenty agreed to fill it, and sixty completed the whole questionnaire. Results were analyzed to produce some directions guideline for future technical applications of AAL systems for MCI patients and future research. Descriptive statistics show support for the implementation of general AAL and variants for MCI patients. Comparative analysis of ordinal data for specific groups of respondents is done with help of non-parametric tests. Mann–Whitney–Wilcoxon test and Kruskal-Wallis test are applied. Table questions results are analyzed with chisquare for frequency tables. Group analysis demonstrated relative positive uniformity in of responses in the support of AAL of MCI patients.Segundo a Organização Mundial da Saúde, cerca de 50 milhões de pessoas em todo o mundo sofrem de demência. Dez milhões de novos casos adicionados a cada ano. O comprometimento cognitivo leve (MCI) afeta mais de 15% da população com 65 anos. Soluções tecnológicas, como tecnologia de casa inteligente com dispositivos de computação onipresentes, observação e suporte telemédico 24 horas por dia, 7 dias por semana, podem aliviar o problema crescente e diminuir a pressão sobre o sistema de saúde. Essa abordagem também é preferível para pacientes de cuidados domiciliares em áreas distantes e rurais. Os pacientes com CCL são, em sua maioria, domiciliares. Os sistemas Ambient Assisted Living (AAL) fornecem ferramentas para registro automático de sinais vitais e outras informações médicas e socialmente importantes. O sistema AAL para pacientes com MCI é uma resposta lógica para o problema. Ao mesmo tempo, muitos dos sistemas AAL propostos são proprietários, tecnicamente complicados e têm um alto preço para implementação e serviço. Além disso, algumas soluções técnicas propostas não refletem inteiramente a opinião das partes interessadas na área da saúde. O presente estudo foi proposto como forma de colmatar as possíveis diferenças nas posições. Um questionário anônimo online para profissionais de saúde foi criado para comprovar ou refutar o número de hipóteses interligadas sobre a necessidade e viabilidade do sistema AAL para pacientes com CCL. O foco principal foi feito nas hipóteses: "Há necessidade de sistemas de AAL para a saúde" e "Os sistemas de AAL são capazes de prestar assistência a pacientes com Comprometimento Cognitivo Leve". O questionário foi apresentado a mais de trezentos respondentes potenciais. Cerca de cento e vinte concordaram em preenchê-lo e sessenta preencheram todo o questionário. Os resultados foram analisados para produzir algumas diretrizes para futuras aplicações técnicas de sistemas AAL para pacientes com MCI e pesquisas futuras. Estatísticas descritivas mostram suporte para a implementação de AAL geral e variantes para pacientes com CCL. A análise comparativa de dados ordinais para grupos específicos de respondentes é feita com a ajuda de testes não paramétricos. Aplicam-se os testes de Mann-Whitney-Wilcoxon e Kruskal-Wallis. Os resultados das questões da tabela são analisados com qui-quadrado para tabelas de frequência. A análise do grupo demonstrou relativa uniformidade positiva nas respostas no suporte de AAL de pacientes com CCL.Selon l'Organisation mondiale de la santé, environ 50 millions de personnes dans le monde souffrent de démence. Dix millions de nouveaux cas ajoutés chaque année. Les troubles cognitifs légers (MCI) touchent plus de 15 % de la population âgée de 65 ans. Les solutions technologiques, telles que la technologie de la maison intelligente avec des appareils informatiques omniprésents, l'observation et le soutien télémédicaux 24 heures sur 24, 7 jours sur 7, peuvent atténuer le problème croissant et réduire la pression sur le système de santé. Cette approche est également préférable pour les patients en soins à domicile dans les régions éloignées et rurales. Les patients MCI sont pour la plupart à domicile. Les systèmes Ambient Assisted Living (AAL) fournissent des outils pour l'enregistrement automatique des signes vitaux et d'autres informations importantes sur le plan médical et social. Le système AAL pour les patients MCI est une réponse logique au problème. Dans le même temps, bon nombre des systèmes AAL proposés sont propriétaires, techniquement compliqués et ont un prix élevé pour la mise en oeuvre et le service. De plus, certaines solutions techniques proposées ne reflètent pas entièrement l'opinion des acteurs de santé. L'étude actuelle a été proposée comme un moyen de combler les différences possible dans les positions. Un questionnaire anonyme en ligne destiné aux professionnels de la santé a été créé pour prouver ou réfuter le nombre d'hypothèses interconnectées sur la nécessité et la faisabilité du système AAL pour les patients MCI. L'accent a été mis principalement sur les hypothèses: "Il existe une nécessité de systèmes AAL pour les soins de santé" et "Les systèmes AAL sont capables de fournir une assistance aux patients atteints de troubles cognitifs légers". Le questionnaire a été présenté à plus de trois cents répondants potentiels. Environ cent vingt ont accepté de le remplir, et soixante ont rempli tout le questionnaire. Les résultats ont été analysés pour produire des lignes directrices pour les futures applications techniques des systèmes AAL pour les patients MCI et l'avenir de la recherche. Les statistiques descriptives montrent un soutien à la mise en oeuvre de l'AAL général et des variantes pour les patients MCI. L'analyse comparative des données ordinales pour des groupes spécifiques de répondants est effectuée à l'aide de tests non paramétriques. Le test de Mann-Whitney-Wilcoxon et le test de Kruskal-Wallis sont appliqués. Les résultats des questions de tableau sont analysés avec le chi carré pour les tableaux de fréquence. L'analyse de groupe a démontré une uniformité positive relative dans les réponses à l'appui de l'AAL des patients MCI

    Understanding the Big Data Analytics Deployment Gap: Operationally Leveraging Big Data Analytics Capability for Value Generation in Healthcare

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    Despite the surge of big data analytics (BDA) deployments in healthcare, many organizations still struggle to successfully realize value from their investments. This has resulted in the phenomenon of BDA deployment gap, where relative to the interest and investments in BDA initiatives by the organizations, actual value generated from successful migrations of BDA models from data labs to in-practice environment deployments at the initiative level have been scarce. To leverage the growing repository of big data, organizations are required to develop the ability to collect, store, process, and analyze big data (BD); this process is referred to as big data analytics capability (BDAC) in the literature. However, the underlying assumption that organizations with BDAC will always be able to orchestrate the necessary resources and capabilities to use the information from analytics to generate value largely ignores the operational mechanisms involved in how the information is leveraged. This thesis seeks to address this gap in the literature by investigating how organizations find ways to operationally leverage BDAC to generate value in the context of healthcare and generating a better understanding of the knowledge management practices involved in transforming the information from analytics into BDA-enabled capabilities that can lead to improved operational and clinical outcomes. This thesis includes three components. First, the constructs involved in the value generation process from BDAC in the general context are identified: BDA resources, BDAC, and value. Second, a systematic literature review (SLR) is conducted to develop the conceptual framework in the healthcare context and identify the possible constituents of the mediating ‘black box’, which serve as the operational mechanisms in the leveraging process of BDAC in generating value. Finally, a multiple case study is presented to empirically validate the presence and explicate the workings of the ‘black box’ presented in the indirect value generation pathway framework via BDA-enabled functioning capability (BDA-eFC), a dual-purpose capability. The study further supplements the BDAC literature by offering a nuanced understanding of the underlying mechanisms of how organizations implement BDA in the healthcare delivery process at a functional level to generate value, and address the BDA deployment gap in the healthcare context
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