Forthcoming and Online First Articles
International Journal of Healthcare Technology and Management
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International Journal of Healthcare Technology and Management (11 papers in press)
Abstract: In this paper, we critically assess the contribution of the operations management literature in creating pragmatic knowledge regarding how IT deployment can improve healthcare performance. A systematic literature review is conducted, and the following issues limiting knowledge generation have been identified: (1) IT deployment and healthcare performance are often conceptualised as black boxes; (2) existing theories are used inadequately, and emerging theories are lacking, which restricts the identification of the underlying mechanisms in the IT-performance relation; and 3) contextual factors are often overlooked. We develop a framework, arguing that to overcome these limitations, future studies require the following: 1) conceptualise IT in terms of its functionalities; 2) explain the reason(s) for selecting the performance attribute(s); 3) identify the mechanisms of the relationship of IT-performance by investigating and theorising the consequences of IT deployment on service operations; and 4) consider the contextual factors while explaining the IT-performance relation.
Keywords: IT; healthcare; performance; mechanism; operations management; systematic literature review; theory building; research framework; PRISMA method.
Application of GIS and SPSS for prostate cancer and health disparity detection in Texas
by Jose Huerta, Gayle Prybutok, Victor Prybutok
Abstract: This study uses a geographic information system to create and analyse choropleth maps determining the distribution of prostate cancer in Texas and uses SPSS software to analyse social determinants of health that may explain prostate cancer mortality. The data, collected for period 19992009, was furnished by the Texas Health Rankings and VitalWeb. The dataset was for 19992004 and 20042009. It comprised age-adjusted data specific to the 2000 US Standard Population data, based on an age-distributed and -weighted methodology to create age adjustments for statistical purposes. The study found there was a statistically significant (P < .05) percentage of African Americans with age-adjusted prostate cancer mortality, but no statistically significant correlations were found in other races. The study indicates a number of ways in which medical communities and public health agencies can employ GIS and SPSS to screen for and treat prostate cancer more effectively.
Keywords: GIS; prostate cancer; social determinants of health; spatial patterns; SPSS; choropleth maps; geographic information systems.
The Stent for Life Initiative in Portugal: a critical realist perspective
by Maria Major
Abstract: Drawing on the morphogenetic approach proposed by Archer (1995), this study explains how the Stent for Life (SFL) initiative emerged and developed in Portugal and how it was embraced as a means to reduce mortality following acute myocardial infarction. A qualitative research strategy based upon a case study was adopted. Only by conducting qualitative research was it possible to join context with explanation and produce understandings for the 'who', 'when', 'why', 'how' and 'what' of SFL in Portugal (Mason, 2018; Ackroyd and Karlsson, 2014; Yin, 2011, 2015). By making analytical dualism explicit, Archers morphogenetic approach proved very useful in accounting for the existence of prior material structures and cultural structures that affected (but did not determine) agents' actions. The investigation revealed that there was morphogenesis (i.e. the former structures were transformed) and that new structures emerged from the intended consequences of agents' activities.
Keywords: Stent for Life in Portugal; Archer’s morphogenetic approach; critical realism; ST-segment elevation myocardial infarction.
Differences in manufacturing and healthcare supply chain management: an overview
by Sahand Ashtab, William Anderson
Abstract: Given the growing costs in the healthcare supply chain management, optimising the healthcare supply chain configuration, accurate demand forecast and efficient distribution of products, and increasing the efficiency of processes and operations in healthcare organisations via deployment of innovative ideas and technologies are critical to maintain a sustainable healthcare supply chain system. A descriptive review approach is used to systematically study the different echelons in a typical healthcare supply chain system and provide insight into understanding of its structural characteristics that make it different from manufacturing supply chain networks. Particularly, the structure of healthcare supply chain network, the goal of a healthcare supply chain system, complexities associated with healthcare products, criticality of reliable product transportation, and complex dynamics in the physician-hospital-vendor loop are studied. A better understanding of the differences between manufacturing and healthcare supply chain management can provide a guideline to systematically improve healthcare supply chain management.
Keywords: healthcare supply chain; healthcare innovation; healthcare networks.
Resource management for full-paying patient service in Malaysia: issues and challenges
by Muhammad Nur Amir Bin Abdul Rassip, Nor Haniza Binti Zakaria, Pangie Bakit, Mohd Anis Bin Haron @ Harun, Raoul @. Muhammad Yusof Sibert, Noriah Binti Bidin, Nor Izzah Binti Ahmad Shauki, Nor Hayati Binti Ibrahim
Abstract: Full Paying Patient Service (FPP) in the Ministry of Health Malaysia (MOH) hospitals was established as one of the specialist retention initiatives in 2007. FPP hospitals experience significant challenges in managing their resources while serving the public as their utmost priority. A semi-structured guide was used in 17 focus group discussions and 12 in-depth interviews with specialists, hospital directors, and supporting staff exploring issues and challenges in managing hospitals resources. Four sub-themes were identified (ward/facility, medical equipment, drugs/consumable, workforce). Some of the issues include no dedicated FPP ward/equivalent ward, sharing of medical equipment and specialists medication quota between public and FPP patients, inability to charge unlisted drug/consumables in the Fee Act. Limited human resources, especially among the support group to run FPP lead to an increase in workload and dissatisfaction. Proper planning and close monitoring by MOH and individual hospitals are crucial to overcome these issues and improve the service.
Keywords: Malaysia; health resources management; Ministry of Health; specialist retention; full-paying patient service.
Sustainable healthcare information exchanges network design: a scenario-based planning approach
by Hamed Maleki, Davood Shishebori
Abstract: As information technology becomes widely embedded in all areas of healthcare operations, healthcare providers have found that patient information sharing is imperative to the sustainability of health organizations. This can be achieved using the Healthcare Information Exchange (HIE). When an agent decides to join the health network, a subscription fee is paid to the HIE for access to services. There are many challenges to creating an effective healthcare information exchanges network. This involves understanding the sustainability of the HIE network as well as the dynamic behaviour of healthcare information exchanges. The effect of the uncertainty may increase the infeasibility of the solution. Accordingly, the current study aims to examine the sustainability of the HIE network with uncertain demand. The modelling and solution deal with scenarios-based demand uncertainty, operating costs, and revenues. The computational analyses show the satisfactory performance and the effectiveness of the proposed approach for obtaining a high sustainability level.
Keywords: well-established optimisation; health information exchange; healthcare provider; scenario-based planning approach.
Some key aspects of telemedicine development to support human illness: a systematic review
by Claudio Rocco, Fabrizio Striani, Pierpaolo Pontrandolfo, Angelo Corallo
Abstract: This work employed the Tranfield approach to carry out a systematic literature review, in order to provide an efficient and high-quality method for identifying and evaluating extensive studies. The methodology was pursued step by step, analysing keywords, topics, journal quality to arrive at a set of relevant open access papers that was analysed in detail. The same papers were compared with each other, and then they were categorised according to significant metrics, also evaluating technologies and methods employed. Through our systematic review, we found that most of the patients involved in telemedicine programs agreed with this service model and the clinical results appeared encouraging. Findings suggested that telemedicine services were appreciated by patients, they increased the access to care and could be a better way to face emergencies and pandemics, lowering overall costs and promoting social inclusion.
Keywords: telemedicine; e-health services; systematic literature review; Tranfield approach.
Navigating co-design of actor networks
by Signe Pedersen, Søsser Brodersen
Abstract: In this article, we illustrate the importance of involving different types of user in collaborative design and innovation processes to allow end-users to speak on their own behalf. However, involving multiple actors with diverse concerns requires designers to carefully stage spaces for negotiation. Through a case study of the design of a pilot program to make insulin more accessible to marginalised diabetes patients in India, we explore how designers navigate the design process by staging and facilitating several spaces for negotiation populated by patients with diabetes, doctors, company representatives, design games and management templates.
Keywords: navigation; participatory design; matters of concern.
Finnish primary care leaders' perceptions of leadership in digital health services: an inductive content analysis
by Elina Laukka, Tarja Pölkki, Tarja Heponiemi, Outi Kanste
Abstract: The role of leadership in how digital health services are managed has not been extensively covered. Most of the research concerning leadership in digital services has concentrated on digital service implementation, which represents only one element of leadership. Thus, further research is needed to provide a comprehensive description of leadership in digital services. This study aimed to describe primary care leaders perceptions of leadership in digital health services. A descriptive qualitative study involving 21 semi-structured interviews was conducted with Finnish primary care leaders in different leadership positions. Inductive content analysis was used to analyse the collected data. The following six main categories were formed: strategic leadership; operative leadership; transformational leadership; competence leadership; remote leadership; and leading collaboration and co-creation. The present research has shown that healthcare leaders require education that will provide adequate digital health capability to face todays complex, and constantly changing, digital healthcare environment.
Keywords: leadership; digital; health services; semi-structured interviews; content analysis; primary care.
An IoMT-based steganography model for securing medical information
by Joseph Bamidele Awotunde, Idowu Dauda Oladipo, Muyideen AbdulRaheem, Ghaniyat Bolanle Balogun, Adekola Rasheed Tomori
Abstract: The integration of biomedical technologies in medical systems has supported healthcare events, for instance, real-time disease analysis, remote monitoring, and real-time drug prescriptions, among others. These methods have helped greatly storing both patients' personal information and their symptoms, and aid the quality of services provided by health workers. However, the security and privacy of the patients have attracted great attention in healthcare systems. Another serious concern in implementing security for patients' medical information is data privacy over the internet. Therefore, this paper proposes a steganography model to secure healthcare information. The paper validated the system on medical information records and revealed remarkable results in terms of visual quality, high resistance to data loss, and security, which make the proposed system an authentic strategy for resourceful and efficient medical information on the cloud platform. Steganography is used to conceal the private information, to provide security and privacy of medical information.
Keywords: healthcare information system; steganography; medical information; patient records; security and privacy; internet of things.
Security and privacy model of electronic medical record systems
by Hyun-A Park
Abstract: Health information has some unique characteristics. Although it has a lot of personal sensitive information, it should be provided as research data for the development of biomedical science. Another important characteristic is that the information subject and the information producer are not the same. However, some security scholars have made some errors in applying the security module to the medical information system without considering these characteristics. In this paper, we first analyse the errors. We divide the medical practices performed in the hospital into each process starting from the time the patient visits and registers, and we list the types of medical information used at each stage. Then, we analyse the information subject and information producer for the medical information, set the appropriate encryption key, and design an encrypted communication protocol for the entire EMR data flow This is a secure and efficient scheme as a hybrid encryption technique
Keywords: medical information; security; privacy; information subject; information producer/manager; information ownership.