No abstract available.

No abstract available.
Education* ; Informatics*

OBJECTIVES: Technological advances using telemedicine and telehealth are growing in healthcare fields, but the evaluation framework for them is inconsistent and limited. This paper suggests a comprehensive evaluation framework for telemedicine system implementation and will support related stakeholders' decision-making by promoting general understanding, and resolving arguments and controversies. METHODS: This study focused on developing a comprehensive evaluation framework by summarizing themes across the range of evaluation techniques and organized foundational evaluation frameworks generally applicable through studies and cases of diverse telemedicine. Evaluation factors related to aspects of information technology; the evaluation of satisfaction of service providers and consumers, cost, quality, and information security are organized using the fishbone diagram. RESULTS: It was not easy to develop a monitoring and evaluation framework for telemedicine since evaluation frameworks for telemedicine are very complex with many potential inputs, activities, outputs, outcomes, and stakeholders. A conceptual framework was developed that incorporates the key dimensions that need to be considered in the evaluation of telehealth implementation for a formal structured approach to the evaluation of a service. The suggested framework consists of six major dimensions and the subsequent branches for each dimension. CONCLUSIONS: To implement telemedicine and telehealth services, stakeholders should make decisions based on sufficient evidence in quality and safety measured by the comprehensive evaluation framework. Further work would be valuable in applying more comprehensive evaluations to verify and improve the comprehensive framework across a variety of contexts with more factors and participant group dimensions.
Delivery of Health Care ; Logic* ; Patient Safety ; Program Evaluation ; Quality of Health Care ; Telemedicine*

OBJECTIVES: Services based on the Internet of Things (IoT) technologies have emerged in various business environments. To enhance health service quality and maximize benefits, this study applied an IoT technology based on NFC and iBeacon as an omni-channel service for patient care in hospitals. METHODS: Application of the IoT technology based on NFC and iBeacon was conducted in a general hospital during August 2015 through June 2016, and the development and evaluation results were aligned to an action research framework. The five phases in the action research included diagnosing, planning action, taking action, evaluating action, and specifying learning phases. RESULTS: During the first two phases, problems of functional operations in a hospital were diagnosed and eight service models were designed by using iBeacon and NFC to solve the problems. Service models were applied to the hospital by installing beacons, wearable beacons, beacon scanners, and NFC tags during the third phase. During the fourth and fifth phases, the roles and benefits of stakeholders participating in the service models were evaluated, and issues and knowledge of the whole application process were derived and summarized from technological, economic, social and legal perspectives, respectively. CONCLUSIONS: From an action research perspective, IoT-based healthcare services were developed and verified. IoT-based services enable the hospital to acquire lifelog data for precision medicine and ultimately be able to go one step closer to precision medical care. The derived service models could provide patients more enhanced healthcare services and improve the work efficiency and effectiveness of the hospital.
Commerce ; Computer Communication Networks ; Delivery of Health Care ; Health Services ; Health Services Research* ; Hospital Communication Systems ; Hospitals, General ; Humans ; Internet* ; Learning ; Patient Care ; Precision Medicine ; Telemedicine ; Wireless Technology

OBJECTIVE: An application service provider (ASP) is a business that provides computer-based services to customers over a network. The need for ASPs has developed due to increasing costs of information systems, which have far exceeded the price-range of small to medium sized businesses. The ASP could be considered as a potential strategy in hospital information systems (HIS). This study investigates significant factors influencing the adoption of an ASP in hospitals. METHODS: Two survey instruments were developed for information technology (IT) experts in hospitals and IT companies, respectively, and a total of 101 responses were analyzed using SAS, version 9.1. Respondents' characteristics were presented using descriptive statistics, while factor analyses were performed for ASP characteristics and influencing factors for ASP adoption. Regression analyses enabled the understanding of relationships between factors and attitudes toward ASP adoption. RESULTS: Nine factors were derived: efficiency, availability, responsiveness, security, resistancy, service quality, attitude toward information-oriented work of CEO or IT experts, environment, and user attitude. Except for responsiveness and CEO or IT experts' attitude, the seven factors had significant effects on the adoption of an ASP in hospitals. In particular, security and user attitude showed negative effects on ASP adoption. There were variations in the subsystems of HIS. CONCLUSION: For adopting ASP in hospitals, efficiency, availability, security, resistancy, service quality, environment, and user attitude need to be considered, especially security and user attitude. This study allowed the understanding and comparative analysis of user (hospitals) and supplier (IT companies) perspectives of information systems in terms of ASP adoption in hospitals.
Adoption ; Commerce ; Hospital Information Systems ; Information Systems ; Phenothiazines ; Viperidae ; Surveys and Questionnaires

With the institutional and market changes in hospitals, strategic management has become increasingly important. Strategic managerial innovations can have impact on market pioneering and hospital performance, enabling better customer satisfaction, productivity improvement, and quality management. Hospital Information systems also require strategic planning to improve functionality in all aspects. This article reviewed the concept of strategic management and strategic information system (SIS), and summarized a framework for developing SIS for hospitals. The SIS formulation process consists of two interrelated phases: organizational analysis and SIS development. The first phase involves an analysis of the hospital's current position and the development of the hospital's vision and goals. The second phase incorporates three activities: SIS goals assessment, strategic information requirements analysis (SIRA), and SIS implementation planning. In particular, in SIRA, four dimensions of SIS and their interrelationships between dimensions would permit an organization to specify the strategic information needs within a hospital. Hospitals that integrate this framework with other aspects of their own hospital management information systems cope more effectively with the rapid changes and challenges encountered in today's health service industry.
Efficiency ; Health Services ; Hospital Information Systems ; Information Management ; Information Systems* ; Management Information Systems

OBJECTIVES: Big data analysis is receiving increasing attention in many industries, including healthcare. Visualization plays an important role not only in intuitively showing the results of data analysis but also in the whole process of collecting, cleaning, analyzing, and sharing data. This paper presents a procedure for the interactive visualization and analysis of healthcare data using Tableau as a business intelligence tool. METHODS: Starting with installation of the Tableau Desktop Personal version 10.3, this paper describes the process of understanding and visualizing healthcare data using an example. The example data of colon cancer patients were obtained from health insurance claims in years 2012 and 2013, provided by the Health Insurance Review and Assessment Service. RESULTS: To explore the visualization of healthcare data using Tableau for beginners, this paper describes the creation of a simple view for the average length of stay of colon cancer patients. Since Tableau provides various visualizations and customizations, the level of analysis can be increased with small multiples, view filtering, mark cards, and Tableau charts. CONCLUSIONS: Tableau is a software that can help users explore and understand their data by creating interactive visualizations. The software has the advantages that it can be used in conjunction with almost any database, and it is easy to use by dragging and dropping to create an interactive visualization expressing the desired format.
Artificial Intelligence ; Colonic Neoplasms ; Commerce ; Data Display ; Delivery of Health Care* ; Humans ; Information Storage and Retrieval ; Insurance, Health ; Intelligence ; Length of Stay ; Statistics as Topic

No abstract available.
Anniversaries and Special Events ; Periodicals as Topic ; Medical Informatics ; Societies, Medical

No abstract available.

OBJECTIVES: The number of healthcare institutions adopting smartphones continues to increase, implying that their utilization is undoubtedly gaining attention. Understanding the needs of smartphone users will provide a greater opportunity for successful information technology acceptance by expanding the scope of its utilization. This study focuses on how smartphones are accepted and utilized in hospitals and analyzes the factors influencing users' attitude, social influence, and intention of use. METHODS: For the study model, the researcher has mainly adopted the Theory of Reasoned Action and further modified and used the models of Technology Acceptance and Information Systems Success. To test the model empirically, a survey was conducted with 122 professionals on information development teams in Korean tertiary hospitals. RESULTS: The common smartphone usage modes were Internet searching, e-mail, scheduling, and social networking in consecutive order. Phone calls consisted of 51.4% of work-related purposes, while other functions, such as text message, Web browser, and scheduling, were mostly used for personal purposes. Costs, contents quality, innovation, ease of use, and support were shown to have statistically significant effects on user attitude, and social influence, portability, security, content quality, and innovation were significant. User attitude and social influence were both statistically significant with respect to intention of use, with user attitude greater than social influence. CONCLUSIONS: The participating staff were analyzed as having strong personal faith and principles, independent from their external environment. Timely information exchanges among medical staff will facilitate appropriate communication and improved health services to patients in need.
Consumer Health Information ; Delivery of Health Care ; Electronic Mail ; Health Information Management ; Health Services ; Humans ; Information Systems ; Intention ; Internet ; Medical Staff ; Smartphone ; Telecommunications ; Tertiary Care Centers ; Text Messaging ; Web Browser ; Wireless Technology