The COVID-19 pandemic has significantly augmented the urgency for service providers to identify and develop clinically urgent system alterations into healthcare systems to facilitate antibody testing and treatment interventions. However, it has been difficult to determine how users assess the value of an information system in terms of its functionality and features. Conversely, the system development process to address urgent user requirements, for example, developing new functionality for COVID antibody testing, has been beset by a myriad of difficulties as research to understand the value of specific aspects of clinical information systems has been elusive. This study addresses this knowledge gap by identifying specific aspects of a national clinical information system in Wales, UK. Through a series of semi-structured interviews, a quantitative study of 559 clinical users and a focus group, the study deconstructs system-related value into 14 unique attributes that have been found to vary according to different types of user roles and geographic location.
Attribution theory is identified in this study as a novel and effective way to study this multifaceted concept of system value. The identification of component attributes of the value of a clinical information system provides insights for service users, system developers, and organization managers to prioritize and focus their system development activity by using an importance ranking identified through this study.
Purpose: Oncologic outcomes in diverse malignancies are associated with inflammation-based prognostic scores including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyteto-monocyte ratio (LMR LMR (cutoff<1.8; AUC, 0.644) and PLR (cut off>218; AUC, 0.596)
. Univariate analysis identified NLR, PLR, LMR, Tumour size and Tumour multiplicity as significant predictors of muscle-invasive bladder cancer (MIBC) Table: 15. The multivariate logistic regression model identified NLR (OR, 11.822; 95% CI, p=0.001) and tumour size (OR, 6.306; 95% CI, p=0.010)
IT organisations at some point will have to consider whether to build or buy their services, writes Dr Naveen Madhavan MBCS, Senior Product Specialist (Pathology) at NHS Digital Health & Care Wales.
Naveen Madhavan PhD MBCS, Senior Product Specialist (Pathology) at the NHS Wales Informatics Service, assesses how COVID-19 has changed our perceptions of the workplace and explores the likely lasting influence for the virus on digital transformation.
The adoption of digitisation has transformed organisations to become entirely reliant on information systems to function, writes Naveen Madhavan PhD MBCS, Senior Product Specialist (pathology) at Digital Health and Care Wales.
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