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2012

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Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki Dec 2012

Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki

Journal of Health Disparities Research and Practice

This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better …


Electronic Health Record System Evaluation Based On Patient Safety, Yung-Yu Su, Khin Than Win, John A. Fulcher Dec 2012

Electronic Health Record System Evaluation Based On Patient Safety, Yung-Yu Su, Khin Than Win, John A. Fulcher

Dr Khin Win

After describing the general characteristics of Electronic Health Records (EHRs), we consider patient safety. We then proceed to discuss IS evaluation in general terms, followed by HIS system evaluation in particular. The D&M IS Success model, Technology Acceptance model and Task-Technology Fit model are considered as potential candidates for EHR System evaluation. Based upon a critical review of the available literature, we draw some conclusions about the appropriateness of current HIS/EHR evaluation approaches. Finally, we suggest that by incorporating patient safety attributes in any EHR System evaluation framework, then this could lead to improved accuracy, and in turn improved patient …


Evaluating The Implementation Of Emr Systems From The Perspective Of Health Professionals, Yung-Yu Su, John A. Fulcher, Khin Than Win, Herng-Chia Chiu, Gui-Fen Chiu Dec 2012

Evaluating The Implementation Of Emr Systems From The Perspective Of Health Professionals, Yung-Yu Su, John A. Fulcher, Khin Than Win, Herng-Chia Chiu, Gui-Fen Chiu

Dr Khin Win

In health informatics, the "updated DeLone and McLean IS success model" is reviewed as a mature model in measuring health information system (HIS) success. This research provided an evaluation model to estimate the implementation of electronic medical records (EMR) systems from a health professional perspective by combined the updated DeLone and McLean IS success model, data quality management model, and EMR systems safety attributes. Based on evidence-based management (EBM), this research could be regarded as an empirical example for further EMR systems research since it not only provided a model to measure the Taiwanese EMR systems in two hospitals by …


Consent Mechanisms For Electronic Health Record Systems: A Simple Yet Unresolved Issue, Khin Than Win, John Fulcher Dec 2012

Consent Mechanisms For Electronic Health Record Systems: A Simple Yet Unresolved Issue, Khin Than Win, John Fulcher

Dr Khin Win

No abstract provided.


Trauma Care In Tennessee; 2012 Report To The 108th General Assembly, Tennessee. Department Of Health. Dec 2012

Trauma Care In Tennessee; 2012 Report To The 108th General Assembly, Tennessee. Department Of Health.

Trauma Care in Tennessee

No abstract provided.


A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber Dec 2012

A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber

Master's Theses

The current study sought to develop a practical scale to measure workplace health climate in a way that has not previously been conceptualized – as a three-faceted approach from the employee perspective serving as an indicator of a healthy organization. The goal was to create a short, useable yet comprehensive scale that could translate into practical use by organizations and occupational health professionals planning workplace interventions. To accomplish this, the proposed multi-faceted organizational health climate scale (MOHCA) assesses three-facets which match up with three organizational levels: 1) organization 2) supervisor and 3) workgroup. Ten items were developed and tested on …


Trajectories Of Depression And Their Relationship With Health Status And Social Service Use, Chun-Min Chen, Judy Mullan, David Griffiths, Irene A. Kreis, Tzuo-Yun Lan, Herng-Chia Chiu Dec 2012

Trajectories Of Depression And Their Relationship With Health Status And Social Service Use, Chun-Min Chen, Judy Mullan, David Griffiths, Irene A. Kreis, Tzuo-Yun Lan, Herng-Chia Chiu

Professor David Griffiths

This longitudinal study was conducted between 1994 and 2004 in a cohort of Southern Taiwan community-living elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule …


Methods To Evaluate Health Information Systems, Ping Yu, Hui Yu, Jeffrey Soar Dec 2012

Methods To Evaluate Health Information Systems, Ping Yu, Hui Yu, Jeffrey Soar

Dr Ping Yu

To ensure the introduction of a health information system (HIS) is on track and will bring in the ex-pected outcomes, it is essential to evaluate the critical success factors at every stage of the system introduction life cy-cle. Based on comprehensive literature research and personal experience of evaluating HIS, the author proposes a multi -method approach that incorporates both quantitative and qualitative research, conceptualized through the DeLone and McLean Information Systems Success Model. The advantage of this approach is not only identifying the factors impacting on implementation success, but also distinguishing the critical factors from the less important ones.Thus it …


Heuristic Evaluation Of An Online Help System For An E-Health Application, Yiyu Qiu, Ping Yu Dec 2012

Heuristic Evaluation Of An Online Help System For An E-Health Application, Yiyu Qiu, Ping Yu

Dr Ping Yu

No abstract provided.


Piloting A Logic-Based Framework For Understanding Organisational Change Process For A Health It Implementation, Kieren Diment, Karin Garrety, Ping Yu Dec 2012

Piloting A Logic-Based Framework For Understanding Organisational Change Process For A Health It Implementation, Kieren Diment, Karin Garrety, Ping Yu

Dr Ping Yu

This paper describes how a method for evaluating organisational change based on the theory of logical types can be used for classifying organisational change processes to understand change after the implementation of an electronic documentation system in a residential aged care facility. In this instance we assess the organisational change reflected by care staff's perceptions of the benefits of the new documentation system at one site, at pre-implementation, and at 12 months post-implementation. The results show how a coherent view from the staff as a whole of the personal benefits, the benefits for others and the benefits for the organization …


Sharable Electronic Health Records And Conflicting Moral Orders In Healthcare: A Comparison Of Developments In England And Australia, Karin Garrety, Andrew Dalley, Ian Mcloughlin, Robert Wilson, Ping Yu Dec 2012

Sharable Electronic Health Records And Conflicting Moral Orders In Healthcare: A Comparison Of Developments In England And Australia, Karin Garrety, Andrew Dalley, Ian Mcloughlin, Robert Wilson, Ping Yu

Dr Ping Yu

No abstract provided.


A Comparison Of Nurses' Satisfaction With Online Help Or Hardcopy User Manuals To Facilitate Their Mastering An E-Health Application, Yiyu Qiu, Ping Yu, Richard Flemming Dec 2012

A Comparison Of Nurses' Satisfaction With Online Help Or Hardcopy User Manuals To Facilitate Their Mastering An E-Health Application, Yiyu Qiu, Ping Yu, Richard Flemming

Dr Ping Yu

No abstract provided.


Critical Factors For The Successful Introduction Of Information And Communication Technologies Into Health Care Organisations, Ping Yu, Hui Yu, Tracey Mcdonald Dec 2012

Critical Factors For The Successful Introduction Of Information And Communication Technologies Into Health Care Organisations, Ping Yu, Hui Yu, Tracey Mcdonald

Dr Ping Yu

The paper discusses critical factors for the successful introduction of information and communication technologies (ICT) into health care organisations. The proven evidence around the world suggests that introducing health ICT is a mutual transformation process that actively involves people, organisation and technology. The key people factors include personal attributes of the change agent, user ownership and positive user attitudes. The organisational facilitators are adequate funding, strong leadership and project management, integration of IT with work practices, managing change and end user expectations, and end user training and support. User friendly and useful systems can be achieved by involving both management …


Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan Dec 2012

Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan

Dr Ping Yu

Advanced Access model has been introduced in general practice in the United States to improve patient access to primary health care services for more than ten years. It has brought in the benefits of eliminating service provider’s waiting lists, improving patients’ timely access to services and reducing no-show rate. However, to implement this model, practices need to collect relevant information, develop contingency plans and set up practice strategies to balance the provision of care and patient’s demand. These tasks are not always easy to achieve. Understanding the requirements and constraints for effective management of patient booking is essential for developing …


A Multi-Method Approach To Evaluate Health Information Systems, Ping Yu Dec 2012

A Multi-Method Approach To Evaluate Health Information Systems, Ping Yu

Dr Ping Yu

Systematic evaluation of the introduction and impact of health information systems (HIS) is a challenging task. As the implementation is a dynamic process, with diverse issues emerge at various stages of system introduction, it is challenge to weigh the contribution of various factors and differentiate the critical ones. A conceptual framework will be helpful in guiding the evaluation effort; otherwise data collection may not be comprehensive and accurate. This may again lead to inadequate interpretation of the phenomena under study. Based on comprehensive literature research and own practice of evaluating health information systems, the author proposes a multimethod approach that …


A Preliminary Investigation Of Complex Adaptive Systems As A Model For Explaining Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment, Ping Yu, Karin Garrety Dec 2012

A Preliminary Investigation Of Complex Adaptive Systems As A Model For Explaining Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment, Ping Yu, Karin Garrety

Dr Ping Yu

This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews …


A Collaborative Approach To Health Informatics Capacity Building - Learning From Canadian Practice In Fostering Research And Education, Ping Yu, Marilynne Herbert, Francis Lau Dec 2012

A Collaborative Approach To Health Informatics Capacity Building - Learning From Canadian Practice In Fostering Research And Education, Ping Yu, Marilynne Herbert, Francis Lau

Dr Ping Yu

Objectives: Canada and Australia share two priority areas for HI workforce capacity building: to support research and education. This presentation will discuss a collaborative, nationwide health informatics (HI) PhD/Postdoc training program in Canada, which demonstrates a potential solution to meet these priorities. The status of HI higher education in Australia is briefly reviewed. The potential solution in resolving workforce shortage in Australia through adopting overseas practice is discussed, such as implementing a similar collaborative HI research training program across the country. Background: A Think Tank organized by Commonwealth Department of Health and Ageing in 2003 explored the issue of HI …


Healthcare Workers' Readiness To Adopt E-Health Applications In Public Hospitals In Regional Saudi Arabia: A Case Study, Fares Alshammari, Ping Yu Dec 2012

Healthcare Workers' Readiness To Adopt E-Health Applications In Public Hospitals In Regional Saudi Arabia: A Case Study, Fares Alshammari, Ping Yu

Dr Ping Yu

No abstract provided.


A Discussion About The Importance Of Laws And Policies For Data Sharing For Public Health In The People's Republic Of China, Xiue Fan, Ping Yu Dec 2012

A Discussion About The Importance Of Laws And Policies For Data Sharing For Public Health In The People's Republic Of China, Xiue Fan, Ping Yu

Dr Ping Yu

This paper introduces the current status of data sharing in the People's Republic of China. It discusses barriers to data sharing and proposes three key solutions to overcome these barriers in China. The establishment of national laws and policies for data sharing is considered the key prerequisite to ensuring the successful implementation of resource sharing activities in public health. Driven by established laws and policies, the relevant operational models should be developed. It is also important to have strategies in place to ensure the established laws and policies are implemented by various organizations in different jurisdictions. These discussions are supported …


Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan Dec 2012

Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan

Dr Jun Yan

Advanced Access model has been introduced in general practice in the United States to improve patient access to primary health care services for more than ten years. It has brought in the benefits of eliminating service provider’s waiting lists, improving patients’ timely access to services and reducing no-show rate. However, to implement this model, practices need to collect relevant information, develop contingency plans and set up practice strategies to balance the provision of care and patient’s demand. These tasks are not always easy to achieve. Understanding the requirements and constraints for effective management of patient booking is essential for developing …


A Preliminary Investigation Of Complex Adaptive Systems As A Model For Explaining Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment, Ping Yu, Karin Garrety Dec 2012

A Preliminary Investigation Of Complex Adaptive Systems As A Model For Explaining Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment, Ping Yu, Karin Garrety

Karin Garrety

This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews …


Setting Directions For Research Capacity Building In Primary Health Care: A Survey Of A Research Network, Karin Ried, Elizabeth Farmer, Kathryn M. Weston Dec 2012

Setting Directions For Research Capacity Building In Primary Health Care: A Survey Of A Research Network, Karin Ried, Elizabeth Farmer, Kathryn M. Weston

Elizabeth Farmer

Background The South Australian Research Network 'SARNet' aims to build research capacity in primary health care, as part of a national government-funded strategy to integrate research into clinical practice. Internationally, research networks have been a fundamental part of research culture change, and a variety of network models exist. The 'SARNet' model uses a whole system, multidisciplinary approach to capacity building and supports individuals and groups. We undertook a descriptive baseline survey in order to understand the background and needs of SARNet members and to tailor network activities towards those needs. Methods A questionnaire survey, assessing members' professional background, research experience, …


Research Networks: Enhancing Change In Australian Primary Health Care, Elizabeth Farmer, Raechel L. Waters, Kathryn M. Weston Dec 2012

Research Networks: Enhancing Change In Australian Primary Health Care, Elizabeth Farmer, Raechel L. Waters, Kathryn M. Weston

Elizabeth Farmer

As primary health care disciplines evolve and strengthen both in Australia and internationally, primary care practitioners need to develop their research capacity at all levels. This paper discusses the changing face of primary health care and the emergence of primary care research networks as agents for research skills capacity building. Much can be learnt from international experiences, such as those in the United Kingdom, in terms of network models and approaches that have demonstrated successful outcomes including increased grant applications, research higher degree completions and publications. However, these outcomes are at least partly dependent on different contexts of health care …


Linking Primary Health Care Researchers In South Australia: A Network Strategy, Sarnet, Raechel L. Waters, Kathryn M. Weston, Elizabeth Farmer Dec 2012

Linking Primary Health Care Researchers In South Australia: A Network Strategy, Sarnet, Raechel L. Waters, Kathryn M. Weston, Elizabeth Farmer

Elizabeth Farmer

In response to the changing definitions of primary care delivery there is a growing need for research to be practitioner-driven and multidisciplinary. This paper addresses the strategies used to enhance multidisciplinary participation and capacity building in research in the South Australian Primary Health Care Research Network (SARNet). This network has 198 members currently. Membership is strongly multidisciplinary and spans all levels of research expertise. The services offered by the network are member-driven and include competitive bursary funding for research and evaluation skills development, writing groups, training events, access to web-based resources and information, special interest groups, and email alerts. Potential …


The Clinical Services Redesign Program In New South Wales : Perceptions Of Senior Health Managers, Malcolm R. Masso, Glenn Robert, Grace Mccarthy, Kathy Eagar Dec 2012

The Clinical Services Redesign Program In New South Wales : Perceptions Of Senior Health Managers, Malcolm R. Masso, Glenn Robert, Grace Mccarthy, Kathy Eagar

Kathy Eagar

OBJECTIVE: This study explores the views of senior managers regarding their experience of participating in the Clinical Services Redesign Program (CSRP) in New South Wales and the impact of that Program. METHODS: Semi-structured interviews were conducted in 2007 with 42 senior managers working in the NSW health system. RESULTS: Managers reported being increasingly oriented towards efficiency, achieving results and using data to support decision-making. The increased focus on managing performance was accompanied by concerns about the narrowness of the indicators being used to manage performance and how these are applied. The value placed by interviewees on the use of 'competition' …


Creating Connections - Health, Community And Residential Care Assessments, Kathy Eagar Dec 2012

Creating Connections - Health, Community And Residential Care Assessments, Kathy Eagar

Kathy Eagar

Health - multiple program and service types. - primary, secondary, tertiary and super-speciality levels Community Care - multiple programs and service types -including extended aged care in the home packages Residential Care -residential programs with various levels of care


Learning Preferences And Impacts Of Education Programs In Dog Health Programs In Five Rural And Remote Indigenous Australian Communities, Roselyn Dixon, Sophie Constable, Robert Dixon Dec 2012

Learning Preferences And Impacts Of Education Programs In Dog Health Programs In Five Rural And Remote Indigenous Australian Communities, Roselyn Dixon, Sophie Constable, Robert Dixon

Rose Dixon

As part of strategies to improve dog and community health in rural and remote Indigenous communities, this study investigated preferences and impacts of dog health education programs. Semistructured interviews with 63 residents from five communities explored learning preferences. Though each community differed, on average yarning was preferred by most (68.4%) respondents, followed by visual (65.0%) and practical learning (46.9%). Text-based and computer/screen-based learning were important to 16.2% and 14.6% of respondents respectively. With paper-based visual and text resources, respondents reported a preference for locally made (28/36 or 78%) over mainstream resources. Twenty eight residents involved in the creation of locally …


Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen Dec 2012

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Frank Deane

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …


The 2003 Australian Breast Health Survey: Survey Design And Preliminary Results, Elmer V. Villanueva, Sandra C. Jones, Caroline Nehill, Simone K. Favelle, David G. Steel, Don Iverson, Helen Zorbas Dec 2012

The 2003 Australian Breast Health Survey: Survey Design And Preliminary Results, Elmer V. Villanueva, Sandra C. Jones, Caroline Nehill, Simone K. Favelle, David G. Steel, Don Iverson, Helen Zorbas

Professor David Steel

The Breast Health Surveys, conducted by the National Breast Cancer Centre (NBCC) in 1996 and 2003, are designed to gain insight into the knowledge, attitudes and behaviours of a nationally representative sample of Australian women on issues relevant to breast cancer. In this article, we focus on major aspects of the design and present results on respondents' knowledge about mammographic screening. Methods: The 2003 BHS surveyed English-speaking Australian women aged 3069 without a history of breast cancer using computer-assisted telephone interviewing. Questions covered the following themes: knowledge and perceptions about incidence, mortality and risk; knowledge and behaviour regarding early detection, …


Huntington, New York's Sex Offender Policy And The Intrastate Right To Travel, James Tierney Dec 2012

Huntington, New York's Sex Offender Policy And The Intrastate Right To Travel, James Tierney

Touro Law Review

Sex offenders are among the most loathed and detested members of our society. Over the past fifteen years, communities have zealously passed laws restricting the rights of sex offenders. These laws mandate that sex offenders register with authorities and severely limit where sex offenders may reside. This legislation is designed to foster an important goal: to protect the health and safety of children from possible recidivism from sex offenders. In 2007, the Town Board of Huntington, New York, passed a law barring sex offenders from renting or leasing accessory apartments within the Town. The health and safety of the town's …