2017
DOI: 10.3390/su9101819
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A Hybrid MCDM Model for Improving the Electronic Health Record to Better Serve Client Needs

Abstract: Abstract:Although the electronic health record (EHR) is a promising innovation in the healthcare industry, the implementation of EHR has been relatively slow. A theoretical structure for the exploration and improvement of this usage of EHR is proposed. Incorporating the theoretical structure of TOE (technology-organization-environment), we apply the DEMATEL (decision-making trial and evaluation laboratory) technique to illustrate the influence-matrix and to construct the INRM (influential network relationship … Show more

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Cited by 29 publications
(24 citation statements)
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“…The tenth paper [25], also an invited article, turns its attention from manufacturing to the health sector, which attempts to improve the electronic health record (EHR) solution from users' perspectives. Its theoretical foundation is based on the well-known TOE (technology-organization-environment) theory [26].…”
Section: Contributionsmentioning
confidence: 99%
“…The tenth paper [25], also an invited article, turns its attention from manufacturing to the health sector, which attempts to improve the electronic health record (EHR) solution from users' perspectives. Its theoretical foundation is based on the well-known TOE (technology-organization-environment) theory [26].…”
Section: Contributionsmentioning
confidence: 99%
“…The DEMATEL was proposed by the Geneva Battelle Research Center [28,29] to construct structural analysis model. Then, Prof. Tzeng used the DEMATEL method as a MADM method applied in various fields of practical experience experts to determine the interrelationship matrix necessary for solving real-world relationship problems and building an INRM to identify the sources of cause-effect problems, thereby enabling the systematic improvement [4][5][6][7][8][9][10][11][12][13][14][15][30][31][32][33]. Expert questionnaires are used as part of the techniques that survey the degree of influence relation of criterion i on criterion j utilizing a measurement scale from 0 to 4 (no influence ← 0, 1, 2, 3, 4 → very high influence) by a linguistic perception (natural language) of the pairwise comparison of dimensions/criteria according to experts' experience (see Appendix A in detail).…”
Section: Establishing the Inrm And Total Influence Relation Matrix Utmentioning
confidence: 99%
“…The DANP was proposed by Tzeng et al [33,34] from the basic concepts of the ANP as a MADM method for solving real world problems with feedback and dependence between criteria or dimensions and determining influential weights [9,[11][12][13][14][15][33][34][35][36][37][38][39][40][41][42]. The DANP can additionally obtain the relative influence weights not only for use in selection/ranking but also for making performance-gap improvements according to the relationships, including those among real-world dimensions and criteria.…”
Section: Calculated the Influence Weights Using The Danpmentioning
confidence: 99%
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“…The Decision-Making Trial and Evaluation Laboratory (DEMATEL) method combined with the Analytic Network Process (ANP) method can solve the problem by constructing an interaction between the evaluation dimensions and the criteria of sustainable OGD. This method has been widely used to examine emergency strategies, transportation, green buildings, network reputation, service quality, and other applications [31][32][33][34][35][36][37]. However, it is rarely used on OGD.…”
Section: Introductionmentioning
confidence: 99%