International Journal of Healthcare Technology and Management (9 papers in press)
Examining Taiwan's national health insurance website quality and customers' loyalty
by Jengchung Victor Chen, Timothy McBush Hiele, Mei-Tsui Lin
Abstract: The favourable impact on the assessment of website quality and response from customers can explain and justify the manifestation and significance of an online healthcare platform. This study applies the information systems (IS) success model and technology acceptance model (TAM) to assess Taiwans bureau of national health insurance (BNHI) online platform. In particular, this study presents and empirically tests the research framework by using a SmartPLS path analysis through the use and validation of Taiwans BNHI customers feedback. Overall, this study sheds light on the value and importance of a medical institution and/or organisation to offer better and quality information technology (IT) platform that can serve and retain its loyal customers.
Keywords: customer loyalty; e-government; IS success model; Taiwan national health insurance; website quality.
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.
The impact of healthcare legislation on the relationship between intangible investments and investor returns in the USA Pharmaceutical Industry
by Richard A. Heiens, Robert Leach
Abstract: The current study examines the relationship between intangibles and investor returns in the pharmaceutical industry over two separate time frames: before the Patient Protection and Affordable Care Act (ACA) was initially enacted in 2010, and post-ACA. Our results show that pharmaceutical firms in the post-ACA sample significantly outperformed those firms in the pre-ACA sample. Secondly, pharmaceutical firms investing little in R&D offered higher investor returns in comparison with those that invested more in R&D. Also, the negative relationship between R&D and holding-period returns was more pronounced in the post-ACA sample than in the pre-ACA sample. Finally, in the post-ACA period, investor holding-period returns were above average for firms that included goodwill and other intangible assets on their balance sheets, and negative for firms that did not.
Keywords: Affordable Care Act; intangibles; R&D; holding period returns; pharmaceutical industry.
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.
Tuberculosis disease detection using blockchain in the healthcare system
by Atul Srivastava, Mitali Srivastava
Abstract: Blockchain technology is being employed in a variety of disciplines, including online shopping, industry, medicine, and even government departments. The healthcare industry is becoming one of the most well-known and well-liked, and it requires mechanisation through the use of numerous technologies. The automated healthcare module is made up of two modules: one that oversees all functions and another that stores data in a central location called the electronic health record (EHRs). Tuberculosis is one of the fastest-growing diseases, with an ever-increasing fatality rate all over the world. This research shows how a blockchain-based system can be used to diagnose tuberculosis disease early using a machine learning algorithm, as well as keep track of patient data for monitoring and medication administration. The system given here can be used in the medical community to securely store, process, and communicate patient health data. Seven performance measuring matrices are used to evaluate the model: accuracy, sensitivity, specificity, precision, Matthew correlation coefficient, F1-score, and ROC. Experiment results show that, for these parameters, LR and KNN provide the best results
Keywords: electronic health record; blockchain; tuberculosis disease; machine learning; healthcare system; secure system.
Organisational maturity and project success in healthcare: the mediating effect of project management
by Jose Manuel Vareda Gomes, Mário Romão, Helena Carvalho
Abstract: The challenges that healthcare organizations face today is to obtain better organisational performance, reliable information, and faster quality services at prices that should be affordable for all. To fulfil this goal, healthcare organisations require more comprehensive and integrated approaches to reduce operational inefficiencies and to achieve the planned benefits from investments. The adoption of Health Information Systems (HIS) has been a way to achieve these goals. However, investments in HIS have brought increasing complexity to projects. The organisations have systematically adopted project management and maturity models to respond to these challenges. We propose and test a mediation model in which organisational maturity promotes the success of the HIS projects in the healthcare sector when project management practices are considered in the process. This study emphasises the role of project management practices as a mechanism that reinforces the effect of organisational maturity on HIS projects success in healthcare sector.
Keywords: healthcare information systems; project success in healthcare sector; project success; organisational maturity; project management.