Exploring technology adoption in the case of the Patient-Centered Medical Home

Behkami, Nima A.; Daim, Tuğrul U.

doi:10.1016/j.hlpt.2016.02.008

Cited by 12 publications

(7 citation statements)

References 89 publications

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“…Hospitals have shifted their focus to advanced ICT to facilitate health care delivery through telehealth services to alleviate the industry's most pressing challenges in quality care and access. 11,12 Studies have shown that technology can improve patient outcomes, it may also increase hospital efficiency and financial performance especially under changing reimbursement payment approaches. 13…”

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confidence: 99%

Telehealth: Advances in Alternative Payment Models

Zhao

Hamadi

Haley

et al. 2020

Telemedicine and e-Health

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Introduction: The hospital sector has shifted its focus to advanced information and communication technologies to facilitate health care delivery through telehealth services to alleviate the industry's most pressing challenges in quality care and access, especially under changing reimbursement payment approaches. The aim of this study was to examine the association between alternative payment models (APMs), market competition, and telehealth provisions in the hospital setting. Materials and Methods: A secondary cross-sectional design to analyze 2018 census data of nonfederal short-term acute care hospitals in the United States was used. Multilevel logistic regressions models were used to analyze data from 4,257 hospitals across 1,874 counties. Counties with less than one hospital were excluded. Results: Regarding APMs, we found that hospital participation in accountable care organizations and participation in a bundled payment risk arrangement are significantly associated with the provision of telehealth services. From the market perspective, competitive advantage was found to be statistically associated with hospitals providing telehealth services. In addition, other hospital characteristics such as ownership, part of a system, part of a network, and major teaching affiliation also have impact on the provision of telehealth. Conclusions: The increase uptake of telehealth-related capabilities and their strong integration into care-delivery systems under APMs present exciting opportunities to enhance the merit of clinical care, and challenges as clinical professionals are not adept to using such technologies. There is a need to provide comprehensive of evidence on telehealth.

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confidence: 99%

Telehealth: Advances in Alternative Payment Models

Zhao

Hamadi

Haley

et al. 2020

Telemedicine and e-Health

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“…Social outcomes are less of a research priority. Only four literature reviews (Balas et al , 2004; Lobach et al , 2012; Jacob et al , 2017; Aakre et al , 2018) and three original papers (Holbrook et al , 2009; Behkami and Daim, 2016; Popa and Ştefan, 2019) report on patient satisfaction, which is measured by questionnaire. Only three papers from the human-centered literature consider staff satisfaction (Hugenholtz et al , 2008; Popa et al , 2018; Popa and Ştefan, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, employee satisfaction (Linzer et al , 2000; Schyns and von Collani, 2002; Stefan et al , 2016), professional development (Houwink et al , 2014a) and performance (Schaafsma et al , 2004) as well as innovation in the form of new practice implementation (Tucker et al , 2007) were measured by prevalidated questionnaires. Some studies also validated their customized scales by consensus-based (Metcalfe et al , 2005; Houwink et al , 2015; Behkami and Daim, 2016) or statistical methods (Blazer et al , 2011; Popa and Ştefan, 2019). The remainder of the studies used unvalidated scales.…”

Section: Resultsmentioning

confidence: 99%

“…These data were frequently supplemented with patient surveys or clinical measurements, which are more difficult to obtain. Human-centered contributions relied heavily on employee surveys, which sometimes included questions on patient satisfaction (Apkon et al , 2005; Behkami and Daim, 2016; Popa and Ştefan, 2019) to replace yet more resource-intense patient surveys. Training outcomes were commonly assessed by resource-intense tests.…”

Section: Resultsmentioning

confidence: 99%

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Knowledge management as a driver of performance in ambulatory healthcare – a systematic literature review through an intellectual capital lens

Pflugfelder

2020

JIC

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PurposeThe purpose of this study is to investigate how Knowledge Management (KM) and Intellectual Capital (IC) can increase the organizational performance of ambulatory healthcare providers and how such performance can be assessed.Design/methodology/approachFollowing the PRISMA guidelines, a structured review of peer-reviewed English-speaking articles up to 31st December 2019 was conducted. A search of ACM Digital Library, Cochrane Library, DARE, EBSCOHost, Medline, ProQuest, PubMed, ScienceDirect, Scopus and Web of Science produced 8,391 results. All studies that did not examine the impact of KM initiatives on organizational performance in an ambulatory healthcare provider setting were eliminated. The final sample of 31 studies was examined regarding the design of the KM initiatives as well as the performance concepts and indicators employed.FindingsA range of KM tools and methods (Electronic Health Records, Clinical Decision Support, Health Information Technology, Training, Communities of Practice) have been shown to improve healthcare processes but evidence of an impact on outcomes remains mixed. Performance indicators focus on medical quality but rarely capture economic or social performance. Indicators have been adapted from the medical field, but do not adequately capture IC and KM-induced performance.Originality/valueThis review provides an overview of KM initiatives in ambulatory healthcare and assesses the associated performance metrics through an IC lens. Thereby, it enables further research on the interplay of IC, KM and performance in ambulatory care and points to several research gaps. It provides managers with guidance for designing KM initiatives in their organizations

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“…Una de las áreas de conocimiento que más ha contribuido a proporcionar avances y mejoras en el ámbito de las Ciencias de la Salud y en el entorno específico de las personas con diversidad funcional, es el de las Tecnologías de la Información y las Comunicaciones (TIC), la revolución tecnológica ha sido muy bien recibida por la sociedad en general, y uno de los sectores más beneficiados ha sido el de las personas con diversidad funcional, tanto es así que los avances tecnológicos han supuesto en este colectivo un antes y un después en la manera de enfrentarse al día a día y de relacionarse con el mundo, se puede afirmar que las TIC han mejorado notablemente su calidad de vida (Ramos, 2007), (Gamito et al, 2011), (Behkami & Daim, 2016), (Papanastasiou, Drigas, Skianis, Lytras, & Papanastasiou, 2018).…”

Section: Tic Y Diversidad Funcionalunclassified

Herramienta de apoyo para personas con limitaciones comunicativas utilizando un lenguaje visual = Support tool for people with communicative limitations using a visual language

Colín¹

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RESUMENLa presente tesis doctoral se desarrolla en el marco de los lenguajes visuales como recurso para satisfacer necesidades específicas de determinados grupos de personas que, bien por cuestiones de salud o bien por discapacidades físicas, presentan limitaciones a la hora de comunicarse mediante el lenguaje oral o el lenguaje escrito, se trata de individuos con necesidades especiales y en situación de dependencia que necesitan de otros recursos para minimizar y superar las dificultades comunicativas a las que se enfrentan.El colectivo concreto en el que se centra esta tesis es el de personas que padecen enfermedad de Alzheimer (EA) y sus cuidadores; para la elaboración de la tesis se ha trabajado desde varios escenarios, como el estudio de los síntomas de esta demencia, la búsqueda de información sobre la evolución de la misma, el estudio de las aplicaciones informáticas existentes que pretenden mejorar la calidad de vida de este colectivo, y la colaboración directa con profesionales del sector y pacientes para desarrollar un prototipo de herramienta que fortalezca la memoria, favorezca y aumente la interacción comunicativa, y facilite al profesional o cuidador que explote la herramienta la ejecución de sesiones de entrenamiento productivas sobre un interfaz de usuario sencillo y amigable. Para comprobar la eficiencia del prototipo desarrollado se han realizado varias sesiones de prueba que han sido ejecutadas y evaluadas por un profesional.Mediante el análisis de los resultados obtenidos en estas sesiones se ha comprobado que este tipo de herramientas pueden servir para diseñar y crear ejercicios de estimulación cognitiva adaptados a las necesidades de los usuarios, de forma que éstos obtengan un mayor beneficio de estas sesiones, redundando en una mejora de su calidad de vida. ABSTRACTThe present doctoral thesis is developed within the framework of visual languages as a resource to meet the specific needs of certain groups of people who, either because of health issues or because of physical disabilities, have limitations when communicating through oral language or written language, it is about individuals with special needs and in a dependency situation who need other resources to minimize and overcome the communication difficulties they face.The specific group in which this thesis focuses is that of people suffering from Alzheimer's disease and their caregivers; for its elaboration this thesis has been worked from various scenarios, such as the study of the symptoms of this dementia, the search for information on its evolution, the study of the existing computer applications that aim to improve the quality of life of this group of people, and the direct collaboration with professionals of the sector and patients to develop a prototype tool that strengthens the memory, favour and increase the communicative interaction , and provide the professional or caregiver who exploits the tool the execution of productive training sessions on a simple and friendly user interface. To verify the efficiency of the develop...

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Exploring technology adoption in the case of the Patient-Centered Medical Home

Cited by 12 publications

References 89 publications

Telehealth: Advances in Alternative Payment Models

Telehealth: Advances in Alternative Payment Models

Knowledge management as a driver of performance in ambulatory healthcare – a systematic literature review through an intellectual capital lens

Herramienta de apoyo para personas con limitaciones comunicativas utilizando un lenguaje visual = Support tool for people with communicative limitations using a visual language

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