Hospital information management system: an evolutionary knowledge management perspective

Wadhwa, Subhash; Saxena, Abhinav; Wadhwa, Bharat

doi:10.1504/ijeh.2007.013103

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…Bai and Srivatsa (2007) discuss the design of a wearable cardiac telemedicine system that can help the mobility of patients, so as to regain their independence and return to an active social or work schedule, thereby improving their psychological well-being. Wadhwa et al (2007) propose a functional Hospital Information Management System (HIMS) which helps in processing and management of internal and inter-organisational hospital information, e.g., telemedicine or e-healthcare. The proposed system is fully compatible with future technical, social, managerial and economical requirements.…”

Section: Future Trendsmentioning

confidence: 99%

Personal health records: key adoption issues and implications for management

Raisinghani

Young²

2008

IJEH

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Electronic Personal Health Records (PHRs) has been perceived as the tool to empower consumers to become active decision-makers of their healthcare instead of leaving the decision to providers. However, there has been the lack of enthusiasm and adoption of PHRs. This paper examines the current healthcare climate and attempts to understand the major challenges associated with PHRs adoption. The paper-based and fragmented healthcare system is no longer appropriate for the digital economy of the 21st century. The integrated health information technology system is the solution to transform clinical practice to consumer centric and information driven. Tools such as PHRs are means to an end that provide better, safer and more affordable healthcare for consumers. However, there has been little research conducted to demonstrate PHR's tangible value, despite the widespread perceived value of these technologies. Although survey data reveals that there is a lack of awareness among the public, consumers are receptive to this concept, especially when a physician recommends it. Key issues in adopting PHRs and strategies for successful implementation of PHRs are discussed.

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Section: Future Trendsmentioning

confidence: 99%

Personal health records: key adoption issues and implications for management

Raisinghani

Young²

2008

IJEH

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“…If an independent management department is not currently established, it is suggested that the medical manager, who is responsible for the main management, take on the management role and assume the corresponding responsibilities. Meanwhile, it is recommended that a service management system for internet hospitals be established, considering three aspects: quality and safety, process standardization, and information security [ 19 ]. Of these, patient safety and the risk of treatment errors are particularly important.…”

Section: Discussionmentioning

confidence: 99%

The construction and operational models of internet hospitals in China: a hospital-based survey study

Chen¹,

Zhang

et al. 2023

BMC Health Serv Res

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Background China has empowered and continues to empower internet hospitals, which saw an increase in their development due to the pandemic, to fight against COVID-19. The construction and operational models of internet hospitals can be categorized as self-constructed and self-managed models, self-constructed and enterprise-run models, hospital and enterprise joint-owned models, and hosted by a third-party platform. Despite the growing importance of internet hospitals, there have been few systematic summaries of their construction and operational models. The primary purpose of the study was to understand the construction and operational models of internet hospitals in China. Methods Data was collected from 39 internet hospitals and 356 medical staff between September 2020 and April 2021, via internet hospital and hospital staff surveys. T-tests were used to compare the continuous variables, while Chi-square tests were employed to compare the proportions of categorical variables. The self-perception of the internet hospitals’ services was assessed using a 5-point Likert scale on 16 aspects and a root cause analysis was conducted to identify the root causes and influencing factors of current deficiencies experienced by internet hospitals. Results Among the 39 internet hospitals, 22 (56.4%) were self-constructed and self-managed. Compared to other models of Internet hospitals, self-constructed and self-managed hospitals had lower percentages of professionals providing online services (P = 0.006), numbers of doctors outside of the entity (P = 0.006), numbers of online nurses (P = 0.004), and the ratio of online nurses to offline doctors (P < 0.001). Of the 16 aspects evaluated with regards to the medical staff’s self-perception of the internet hospital services, the highest scores were given for fee transparency, fee rationality, travel cost capital, patience and responsibility, and consultation behaviors. The root causes included five aspects: human, channels, prices, services, and time. Conclusions While the self-constructed and self-managed model was found to be the most prevalent form of internet hospital in China, the different models of internet hospitals can have an impact on both the quantity and quality of online healthcare services. This study contributes to the existing literature on internet hospitals' construction and operational models, offering additional policy implications for telemedicine management.

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“…Wadhwa (2007) proposed a viable vision for healthcare based on the study conducted in the oral and maxillofacial surgery department in which TOC was combined with lean and six sigma. Ferguson and Gelder (2010) presented a Generic Strategy and Tactics tree for the healthcare environment to improve the hospital’s financial performance and provided strategy, parallel assumptions, tactics, necessary assumptions and sufficiency assumptions for the viable vision of hospitals.…”

Section: Tocico Healthcare Studiesmentioning

confidence: 99%

Theory of constraints in healthcare: a systematic literature review

Datt,

Gupta,

Misra

et al. 2024

IJQRM

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PurposeTheory of Constraints (TOC), though a well-established process improvement methodology in manufacturing, is still a novel philosophy for healthcare and an exhaustive review of literature is needed to summarize the key findings of various researchers. Such a review can provide a direction to the researchers and academicians interested in exploring the application of TOC in the healthcare sector. This paper aims to review the existing literature of TOC tools and techniques applied to the healthcare environment, and to investigate motivating factors, benefits and key gaps for identifying directions for future research in the domain of healthcare.Design/methodology/approachIn this paper, different electronic repositories were searched using multiple keywords. The current study identified 36 articles published between January 1999 to mid-2021 to conceptualize and summarize the research questions used in the study. Descriptive analysis along with pictorial representations have been used for better visualization of work.FindingsThis paper presents a thorough literature review of TOC in healthcare and identifies the evolution, current trends, tools used, nature of services chosen for application and research gaps and recommends future direction for research. A variety of motivating factors and benefits of TOC in healthcare are identified. Another key finding of this study is that almost all implementations listed in literature reported positive outcomes and substantial improvements in the performance of the healthcare unit chosen for study.Practical implicationsThis paper provides valuable insight to researchers, practitioners and policymakers on the potential of TOC to improve quality of services, flow of patients, revenues, process efficiency and cost reduction in different health care settings. A number of findings and suggestions compiled in the paper from literature study can be used for diagnosing, learning and making substantial changes in healthcare. The methodologies used by different researchers were analysed and combined to propose a generic step by step procedure to apply TOC. This methodology will guide the practising managers about the appropriate tools of TOC for their specific need.Social implicationsGood health is always the first desire of all men and women around the globe. The global aim of healthcare is to quickly cure more patients and ensure healthier population both today and in future. This article will work as a foundation for future applications of TOC in healthcare and guide upcoming applications in the booming healthcare sector. The paper will help the healthcare managers in serving a greater number of patients with limited available resources.Originality/valueThis paper provides original collaborative work compiled by the authors. Since no comprehensive systematic review of TOC in healthcare has been reported earlier, this study would be a valuable asset for researchers in this field. A model has been presented that links various benefits with one another and clarifies the need to focus on process improvement which naturally results in these benefits. Similarly, a model has been presented to guide the users in implementation of TOC in healthcare.

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Hospital information management system: an evolutionary knowledge management perspective

Cited by 8 publications

References 33 publications

Personal health records: key adoption issues and implications for management

Personal health records: key adoption issues and implications for management

The construction and operational models of internet hospitals in China: a hospital-based survey study

Theory of constraints in healthcare: a systematic literature review

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