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Articles 1 - 30 of 58
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Electronic Health Record System Evaluation Based On Patient Safety, Yung-Yu Su, Khin Than Win, John A. Fulcher
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
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 …
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
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 …
Piloting A Logic-Based Framework For Understanding Organisational Change Process For A Health It Implementation, Kieren Diment, Karin Garrety, Ping Yu
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 …
Critical Factors For The Successful Introduction Of Information And Communication Technologies Into Health Care Organisations, Ping Yu, Hui Yu, Tracey Mcdonald
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 …
A Multi-Method Approach To Evaluate Health Information Systems, Ping Yu
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 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
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
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
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
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
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
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
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' …
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
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
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, …
Electronic Health Record System Evaluation Based On Patient Safety, Yung-Yu Su, Khin Than Win, John A. Fulcher
Electronic Health Record System Evaluation Based On Patient Safety, Yung-Yu Su, Khin Than Win, John A. Fulcher
Professor John Fulcher
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
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
Professor John Fulcher
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 …
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
Trevor Crowe
A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.
Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams
Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams
Trevor Crowe
No abstract provided.
Does Health Capital Have Differential Effects On Economic Growth?, Arusha V. Cooray
Does Health Capital Have Differential Effects On Economic Growth?, Arusha V. Cooray
Arusha Cooray
Investigating the impact of health capital disaggregated by gender on economic growth in a sample of 210 countries over the 1990-2008 period, this study suggests that the influence of health capital across countries cannot be generalised. Results for the full sample indicate that health capital does not have a robust and significant effect on economic growth unless through their interactions with health expenditure and education. The results disaggregated by income group reveal that health capital has a positive robust influence on economic growth in high and upper middle income economies. In low and low middle income economies, health capital gains …
A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch
A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch
Angela M Brown
The School of Nursing, Midwifery and Indigenous Health (SNMIH) at the University of Wollongong, places great emphasis on providing nursing students with fundamental education and knowledge in mental health nursing. There are two dedicated undergraduate mental health subjects delivered within the Bachelor of Nursing (BN) program. Both subjects are placed in adjacent sessions to provide a consolidated speciality experience for all BN students. The two subjects incorporate core values and principles to guide the teaching of mental health nursing, learning outcomes that reflect the Australian Nursing and Midwifery Council (ANMC) competencies and are based on recommendations from the Mental Health …
Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche
Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche
Sumayya a Banna
While the Internet provides many opportunities for increased levels of care and access to information services in the area of public health, many web designers are not yet taking full advantage of its potential. This study looks at Intensive Care and Palliative Care, as important instances where health informatics could improve public web-based services, in meeting the particular information needs of family members of critically and chronically ill patients. This study is significant in adopting an approach to the usability testing of websites based on concepts from Activity Theory. This takes a realistic and practical approach, which identifies the purpose …
Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche
Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche
Sumayya a Banna
The Internet has many advantages over other media in the provision of information services in the area of public health. However many designers are not yet taking full advantage of its potential for interactivity. This paper examines the development of interactivity in public health websites in the increasingly important area of Palliative Care. Content analysis is used here to map the interactivity in a sample of 30 existing websites along with Heeter’s six dimensions (content and availability of choice, effort users must exert, responsiveness to the users, and the ease of adding information, monitoring the information and the system use, …
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Frank Deane
Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …
Simulation Of Low Dose Positron Emission Mammography Scanner For Global Breast Health Applications, W. J Ryder, I. N Wienberg, P. S Stepanov, A Reznik, M Urdaneta, E Anashkin, M. A Masoomi, Anatoly B. Rosenfeld
Simulation Of Low Dose Positron Emission Mammography Scanner For Global Breast Health Applications, W. J Ryder, I. N Wienberg, P. S Stepanov, A Reznik, M Urdaneta, E Anashkin, M. A Masoomi, Anatoly B. Rosenfeld
Anatoly Rozenfeld
Positron emission mammography ("PEM") is a breast imaging modality that typically involves the administration of relatively high doses of radiotracer. In order to reduce tracer costs and consider PEM for global screening applications, it would be helpful to reduce the required amount of administered radiotracer so that patient dose would be comparable to conventional x-ray mammograms. We performed GATE Monte Carlo investigations of several possible camera configurations. Increasing the detector thickness from 10 to 30 mm, increasing the camera surface area from 5 x 20cm2 to 20 x 20cm2, and applying depth-ofinteraction information to increase the acceptance angle, increased the …
Media Reporting Of Health Interventions: Signs Of Improvement, But Major Problems Persist, Amanda J. Wilson, Billie Bonevski, Alison L. Jones, David Henry
Media Reporting Of Health Interventions: Signs Of Improvement, But Major Problems Persist, Amanda J. Wilson, Billie Bonevski, Alison L. Jones, David Henry
Alison L Jones
Background: Studies have persistently shown deficiencies in medical reporting by the mainstream media. We have been monitoring the accuracy and comprehensiveness of medical news reporting in Australia since mid 2004. This analysis of more than 1200 stories in the Australian media compares different types of media outlets and examines reporting trends over time. Methods and Findings: Between March 2004 and June 2008 1230 news stories were rated on a national medical news monitoring web site, Media Doctor Australia. These covered a variety of health interventions ranging from drugs, diagnostic tests and surgery to dietary and complementary therapies. Each story was …
Gender Discrimination And Quality Of Life: A Perspective Of The Health Care Delivery In Zuba District, Federal Capital Territory, Nigeria, Tanimu T. Zakariah, Esther Englama
Gender Discrimination And Quality Of Life: A Perspective Of The Health Care Delivery In Zuba District, Federal Capital Territory, Nigeria, Tanimu T. Zakariah, Esther Englama
Confluence Journal Environmental Studies (CJES), Kogi State University, Nigeria
The study seeks to find out the reasons for gender discrimination in health care service provision having established that gender discrimination exists in the area. The paper also examines the implications and the impact of this discrimination on the quality of life in the area. The instrument used to generate data for the study was the questionnaire two hundred questionnaire copies were administered by the researchers with the help of the research assistant. The data generated were analyzed using the mean and standard deviation, while the hypothesis was tested with student, t-test. It was discovered that women are discriminated in …
Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche
Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche
Helen Hasan
While the Internet provides many opportunities for increased levels of care and access to information services in the area of public health, many web designers are not yet taking full advantage of its potential. This study looks at Intensive Care and Palliative Care, as important instances where health informatics could improve public web-based services, in meeting the particular information needs of family members of critically and chronically ill patients. This study is significant in adopting an approach to the usability testing of websites based on concepts from Activity Theory. This takes a realistic and practical approach, which identifies the purpose …
Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche
Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche
Helen Hasan
The Internet has many advantages over other media in the provision of information services in the area of public health. However many designers are not yet taking full advantage of its potential for interactivity. This paper examines the development of interactivity in public health websites in the increasingly important area of Palliative Care. Content analysis is used here to map the interactivity in a sample of 30 existing websites along with Heeter’s six dimensions (content and availability of choice, effort users must exert, responsiveness to the users, and the ease of adding information, monitoring the information and the system use, …
Piloting A Logic-Based Framework For Understanding Organisational Change Process For A Health It Implementation, Kieren Diment, Karin Garrety, Ping Yu
Piloting A Logic-Based Framework For Understanding Organisational Change Process For A Health It Implementation, Kieren Diment, Karin Garrety, Ping Yu
Karin Garrety
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 …