Nursing home residents who experience exacerbations of chronic health conditions or new illnesses must generally go to the emergency department for health care. This reliance on two distinct settings of care requires organizations to engage in an interorganizational relationship, which can be problematic, particularly when each organization has its own governing structures, policies, practices, and culture. Although it is widely acknowledged that interorganizational relationships can be the source of much frustration and conflict, little is known about their underpinnings. In this article, the authors draw on the literature to explore the interorganizational relationship that emerges each time a resident transfers between a nursing home and an emergency department in Canada. The authors apply this knowledge to develop a conceptual model that can be used to explore other interorganizational relationships that are formed when patients move between settings of care.
This chapter describes some of the results of the EU-funded SOPRANO project to develop an Ambient Assisted Living system to promote active ageing and ageing-in-place. The chapter outlines SOPRANO‘s experience and application research approach to ensure that end-users are involved in all stages of the research and development. A number of key areas for application development were identified and developed as a set of use cases (or descriptive models), for example for medication reminding, and to support exercise. These use cases were further refined through visualization and iterative prototyping techniques with end-users to ensure usability, usefulness and acceptability for users. The SOPRANO prototype system is described together with future plans for deployment in demonstration sites and field trials.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.