Surveying Health Executives

In this research, we electronically surveyed (e-surveyed) executive team members of the forty largest Canadian teaching hospitals on the topic of HCTM. Our target sample was representative of senior administrators across the Canadian health care system. Selected individuals from this group responded to a newly developed instrument. Factor analysis and cluster analysis were applied to the resulting data set. The research methodology involved the development of a new measurement structure or...

Vision

From a practical perspective, the e-health vision must begin with a national strategy to create a common platform to do business. Extending this idea to a global perspective would translate into international agendas for (1) information and technological standards, (2) public health information infrastructures and highways, (3) electronic and digital networks to connect different health care professionals from all over the globe, and (4) a philosophy that good health care should be ubiquitous....

Computers and Internet Use Among Seniors

Here, a key question is Does MMP promote better health because of access to computers To answer this question, we look at the literature regarding computer use and its impact on changing health behaviors. Bernard L. Bloom (1996) found that computer technology is playing an increasingly important role in personality and behavioral assessment, diagnostic interviewing and history taking, health education, mental health consultation, and clinical training. In these areas, the reliability, validity,...

Friends of Cyber Angel

Cyber-Angel acts like an E-Robin Hood, taking resources from those who are wealthy and able and giving them to the poor and needy. The Web site therefore invites donations from anyone who would like to contribute time, money, or effort to aid fellow Americans who carry no medical insurance coverage. Cyber-Angel has managed to attract a large network of volunteers, including lawyers, social workers, physicians, psychologists, nurses, and students. Each donor or volunteer is automatically...

Virtual Reality Cases in Health Care

We now move to VR cases in Health Care, including training and education applications, psychology and psychiatry, and phobia therapies. Training and Education. Computer graphics have been adapted in the Animated Dissection of Anatomy for Medicine (ADAM). With an extensive collection of two-dimensional anatomy drawings, ADAM creates a 3-D effect by cutting away tissue layers and sections. Another form of VR-like training simulation is electronic laparoscopic simulation. Dunkley (1994) notes that...

Pharmaceutical and Health Care Product Companies

Pharmaceutical and health care product companies provide health care products to hospitals, physicians, and patients. The primary role of these companies involves new product research and product sales. Traditional business-to-business (B2B) and business-to-consumer (B2C) sales in the health care industry are done with telephones, paper, and faxes or in drugstores and through personal sales. Product advertisement and education of potential customers in regard to products is typically done...

Teleradiology Case Present and Future

We have introduced a case on Teleradiology here as this technology often incorporates the use of e-DSS and e-diagnosis on the part of teleradiologists. However, the case is an expansion of e-medicine and telemedicine discussion, a central theme of the e-health domains explored throughout Part Three of this text. Telemedicine can be defined in a broad sense as any medicine-related interaction between a user and a provider that is not done face-to-face. The provider can be either a human being or...

An EDSS for Lower Back Pain

Liu Sheng, Joseph Tan I. Learning Objectives II. Introduction III. Designing an E-Diagnosis Support System for Lower Back Pain Key Challenging Characteristics A. Diagnosis Involving Uncertainty B. Clinical Decision Making Involving Multiple Diagnoses C. Completeness of a Clinical Diagnosis Support System IV A Web-Based e-Diagnosis Support System for Lower Back Pain B. Knowledge Acquisition and Representation V A Framework for Evaluation of an e-Diagnosis...

Web Based eDiagnosis Support System for Lower Back Pain

An intelligent, Web-based e-DSS was designed, implemented, and evaluated to support clinicians' diagnosis of LBP problems. Key objectives of this design included verifiable knowledge, validated system utility and clinical efficacy, and user-friendly interfaces for knowledge access and update. The Web is a prevailing platform that allows round-the-clock access to the e-DSS, without geographic constraints (Bharati and Chaudhury, in press) in addition to assisting clinicians' diagnoses, this...

Profiling of Community Health Performance Indicators Case

During times of increasing uncertainty, gathering massive amounts of data is insufficient without the ability to transform the data into critical information and organized knowledge to support intelligent decision making and policymaking at all levels. Information technology (IT) can play a significant role in that transformation. For example, a technologically driven program for public and community health that applies software tools and analytical methods such as intelligent software, data...

Systems Thinking and Analysis

Over the past fifty years, systems thinking and analysis have developed a body of knowledge and tools to make the complete patterns embedded in systems clearer and to help us see how to change them effectively. One such approach involves the execution of five learning disciplines personal mastery, shared vision, mental models, team learning, and the overarching discipline of systems thinking (Senge, 1990). Systems thinking means seeing the connections among the processes of change, not just...

Home Care Applications

With the development of portable monitoring devices and the diffusion of the Internet, the number of e-home care applications started to increase in the 1990s. Sparks and others (1993) investigated the use of exercise monitoring via telephone as an alternative for cardiac rehabilitation patients who were unable to participate in a hospital-based program. The study was conducted as a randomized, controlled trial and provided indications that this kind of monitoring was an effective supplement to...

Speech Therapy for Children in a Rural Oklahoma School Case

Cynthia Scheideman-Miller, Pam Forducey, Sharon S. Smeltzer, Avery Clouds, Bob Hodge, David Prouty Since the Individuals with Disabilities Education Act (IDEA) was implemented in 1990, schools have been required to supply specific specialty services such as speech therapy, occupational therapy, and physical therapy. Because of their geographic locations and sparse populations, many rural communities do not have the resources to provide these services to their students. Traveling to metropolitan...

Virtual Reality in Phobia Therapy

Acrophobia (fear of heights) can be a debilitating phobia. People with acrophobia avoid heights whenever possible, and this can interfere with their daily activities and routines. Therapy often takes the form of exposing these victims to varying heights in order to decrease their level of anxiety. Traditional therapy entails placing the victims in increasingly threatening real-life situations (in vivo exposure), controlling the exposure periods. VR effectiveness studies conducted on acrophobia...

References

E-commerce in healthcare Changing the traditional landscape. Journal of Healthcare Information Management, 15, 25-36. Alzheimer's Caregiver Support Online. 2003 . Alzheimer's caregiver support online. Retrieved November 1B, 2003, from http www.alzonline.net Anderson, D.G.M., amp Stenzel, C. 2001 . Internet patient care applications in ambulatory care. Journal of Ambulatory Care Management, 24, 1-3B. Arbietman, D., Lirov, E., Lirov, R., amp Lirov, Y. 2001 ....

Home Care Concepts

The goal of making e-health care systems sustainable in this era of health care reform and fiscal constraints focuses on improving quality and health outcomes while delivering health care services using cost-effective methods. Providing responsive and dynamic health care requires the effective and coordinated use of new information and communications technologies. E-home care is an innovative approach that has the potential to improve our health care delivery system by meeting the growing need...

Medicine in Ethiopia

For the last decade, Ethiopia has been planning a long-term national health care strategy to increase the number of citizens receiving care and to decrease the subsequent health care costs. However, health problems such as HIV AIDS and malaria, combined with high population growth rates 2.6 percent in 2002 , have increased the demand for health care services and have resulted in more expensive treatments. Moreover, slow economic growth and funding of the health sectors have not kept up with...