Toward Quality Transparency in Healthcare: Exploring Hospital-Operated Online Physician Review Systems in Northeastern United States
ConclusionFuture research should examine how to improve the quality and usability of these systems to better empower patients in their decision-making. (Source: Health Policy and Technology)
Source: Health Policy and Technology - November 13, 2019 Category: Health Management Source Type: research

The Antecedents and Results of Seniors’ Use of Activity Tracking Wearable Devices
Conclusionseniors’ use of wearable devices is a complex process that involves the interactions of social, psychological, and technological factors. By understanding these factors, we can develop strategies to enhance seniors’ use of wearable devices and improve their overall health and quality of life. (Source: Health Policy and Technology)
Source: Health Policy and Technology - November 10, 2019 Category: Health Management Source Type: research

Biases and imperatives in handling medical technology
ConclusionWe need to include biases and imperatives in our theories and our strategies to handle medical technologies. Believing and acting as if we implement and use technology in health care as external means to our internal goals may be treacherous. Understanding technology indeed includes understanding of ourselves. (Source: Health Policy and Technology)
Source: Health Policy and Technology - November 6, 2019 Category: Health Management Source Type: research

Product Service Platform to improve care systems for elderly living at home
ConclusionsThe involvement of the end-user and all the stakeholders allowed for the consideration of different perspectives and the creation of a value network that aggregates existing services, resources, and information with new opportunities to achieve common benefits. This work provides guidelines on how to develop this type of platform by exploiting the potential of each stakeholder without creating new barriers. Technology, caregivers, and society are combined synergistically to provide tailored services able to satisfy specific users’ needs. (Source: Health Policy and Technology)
Source: Health Policy and Technology - November 1, 2019 Category: Health Management Source Type: research

Budget Impact of Incorporating Non-invasive Prenatal Testing in Prenatal Screening for Down Syndrome in Turkey
Publication date: Available online 31 October 2019Source: Health Policy and TechnologyAuthor(s): Zeynep Guldem Okem, Gokcen Orgul, Berna Tari Kasnakoglu, Mehmet Cakar, Mehmet Sinan BeksacAbstractObjectivesTo provide information to the government about the budget impact of implementing NIPT into prenatal screening strategies to detect Down syndrome (DS) in singleton pregnancies in Turkey; the likely costs or savings associated with NIPT in comparison to the current practice were calculated.MethodsA decision-analytic model was developed to calculate the cost estimates for 1,309,771 women who gave birth in 2016; 84.8% of whom were
Source: Health Policy and Technology - November 1, 2019 Category: Health Management Source Type: research

Usability and Cognitive Load in the Design of a Personal Health Record
Publication date: Available online 24 October 2019Source: Health Policy and TechnologyAuthor(s): Martina A. Clarke, Ryan M. Schuetzler, John R. Windle, Emily Pachunka, Ann FruhlingAbstractWhile personal health records (PHRs) carry an array of potential benefits such as increased patient engagement, poor usability remains a significant barrier to patients’ adoption of PHRs. In this mixed-methods study, we evaluate the usability of an important PHR feature, a patient intake form called the pre-visit summary, from the perspective of cognitive load using real cardiovascular patients in vivo. A validated measure for cogni...
Source: Health Policy and Technology - October 25, 2019 Category: Health Management Source Type: research

Relationship between accessibility and resources to treat acute ischemic stroke. Hokkaido, Japan: Analysis of inequality and coverage using geographic information systems
ConclusionsCombining Gini coefficient and GIS network analysis in accessibility can be useful in quantifying and monitoring variation by region. We propose this combination as a new method for helping the government to make evidence-based healthcare planning. (Source: Health Policy and Technology)
Source: Health Policy and Technology - October 17, 2019 Category: Health Management Source Type: research

Taking the CON out of Pennsylvania: Did Hip/Knee Replacement Patients Benefit? A retrospective analysis
Publication date: Available online 10 October 2019Source: Health Policy and TechnologyAuthor(s): Susan L. Averett, Sabrina Terrizzi, Yang WangAbstractWe analyze the effects of Certificate of Need (CON) laws on outcomes for hip and knee replacement procedures. Federal CON programs began in 1974 to stem rising health care costs by limiting hospital expansion and acquisition of equipment. The federal requirement for CON programs ended in 1987; however, 36 states and DC still maintain various forms of CON programs.In 1996, Pennsylvania (PA) let its CON law expire. We use data from the National Inpatient Survey from HCUP for th...
Source: Health Policy and Technology - October 11, 2019 Category: Health Management Source Type: research

Emergency department ergonomic design evaluation: A case study using fuzzy DEMATEL-focused two-stage methodology
ConclusionIn conclusion, several suggestions are offered that the ED needs interventions on accessibility, patient and personnel accommodations, and personnel privacy. (Source: Health Policy and Technology)
Source: Health Policy and Technology - October 10, 2019 Category: Health Management Source Type: research

Correction of patient medical record errors through a file control method
ConclusionOur data demonstrate the importance of educating health workers to prevent mistakes in medical records. Our data also demonstrate the necessity of using electronic medical recording systems. All health institutions should move into regular, accurate, and complete recording systems to prevent medical errors that might arise in terms of patient and employee safety, thereby helping to fulfill their legal responsibilities. (Source: Health Policy and Technology)
Source: Health Policy and Technology - October 4, 2019 Category: Health Management Source Type: research

The impact of implemented regulations on biosimilars in Slovakia
ConclusionsOur findings show that proactive strategies and policies should be implemented to increase availability and penetration of biosimilars on the Slovak pharmaceutical market to reduce societal losses that are caused by the lack of biosimilar medicines availability. (Source: Health Policy and Technology)
Source: Health Policy and Technology - October 4, 2019 Category: Health Management Source Type: research

Factors influencing the download of mobile health apps: Content review-led regression analysis
ConclusionsContent review highlights the various self-management capabilities offered by diabetes apps. This study adds to the extant literature on mobile application classification by introducing the business model dimension. (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 28, 2019 Category: Health Management Source Type: research

Clustering patterns of behavioural risk factors for cardiovascular diseases in Bangladeshi adolescents: a population-based study
ConclusionsThis study fills the gap in the scientific literature by providing evidence that behavioural risk factors tend to cluster among adolescents in Bangladesh. Early prevention programs with evidence-based strategies need to target adolescents who are at a greater risk of engaging in multiple risk behaviours. (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 27, 2019 Category: Health Management Source Type: research

Factors influencing the download of mobile health apps: Content review cum regression analysis
ConclusionsContent review highlights the various self-management capabilities offered by diabetes apps. This study adds to the extant literature on mobile application classification by introducing the business model dimension. (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 19, 2019 Category: Health Management Source Type: research

Digital health: Cybersecurity is a value creation lever, not only a source of expenditure
Publication date: Available online 18 September 2019Source: Health Policy and TechnologyAuthor(s): Hassane Alami, Marie-Pierre Gagnon, Mohamed Ali Ag Ahmed, Jean-Paul FortinAbstractDigital technologies have become an essential lever for developing patient-centered services and outcomes while ensuring financial sustainability in healthcare organizations and systems. They contribute to provide high quality, coordinated, and continuing care; to improve practices and support strategies for the management and monitoring of the population health; and to build collective responsibility for healthcare stakeholders to contain costs...
Source: Health Policy and Technology - September 19, 2019 Category: Health Management Source Type: research

Assessment of efficiency levels of training and research hospitals in Turkey and the factors affecting their efficiencies
ConclusionsThe research revealed that efficiency increased as BTR and SNSD increased, and that MCS also had a positive effect on efficiency. Policy makers should therefore consider the province's MCS status while allocating resources to relevant educational research hospitals for improving their efficiency. Likewise, policy makers should pay more attention to increasing BTR and SNSD compared to other variables. (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 13, 2019 Category: Health Management Source Type: research

Editorial Board
Publication date: September 2019Source: Health Policy and Technology, Volume 8, Issue 3Author(s): (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 11, 2019 Category: Health Management Source Type: research

In this issue: improving health outcomes and reducing health inequalities
Publication date: September 2019Source: Health Policy and Technology, Volume 8, Issue 3Author(s): W. Ken Redekop (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 11, 2019 Category: Health Management Source Type: research

European cooperation on healthcare: report on the FPM-HPT conference at Erasmus University in Rotterdam
Publication date: September 2019Source: Health Policy and Technology, Volume 8, Issue 3Author(s): Donald R.J. Singer, Lytske J. Bakker, W. Ken Redekop (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 11, 2019 Category: Health Management Source Type: research

Trust for Online Social Media Direct-to-consumer Prescription Medication Advertisements
Publication date: Available online 4 September 2019Source: Health Policy and TechnologyAuthor(s): Joshua Fogel, Mohamed AdnanAbstractObjectivesWe are not aware of research on the association of social factors with trust for online social media direct-to-consumer prescription medication advertisements (DTCA). We study the association of race/ethnicity and social factors with online social media DTCA trust.MethodsParticipants (n=665) were asked no/yes questions about their exposure to online social media DTCA advertisements from any of the following online social media platforms of Facebook, Google+, Instagram, LinkedIn, Pin...
Source: Health Policy and Technology - September 5, 2019 Category: Health Management Source Type: research

Assessment of Efficiency Levels of the Training and Research Hospitals and the Factors Affecting Their Efficiencies
ConclusionsThe research revealed that efficiency increased as BTR and SNSD increased, and that MCS also had a positive effect on efficiency. Policy makers should therefore consider the province's MCS status while allocating resources to relevant educational research hospitals for improving their efficiency. Likewise, policy makers should pay more attention to increasing BTR and SNSD compared to other variables. (Source: Health Policy and Technology)
Source: Health Policy and Technology - September 5, 2019 Category: Health Management Source Type: research

Modeling manpower requirement for a changing population health needs: The case of ophthalmic nurses and allied health ophthalmic professionals
ConclusionThis research provides a future demand outlook for ophthalmic nurses, technicians and patient service assistants in Singapore and has implications for recruitment and training of ophthalmic nurses and allied health professionals in Singapore. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 14, 2019 Category: Health Management Source Type: research

Modeling manpower requirement for a changing population health needs: The case of ophthalmic nurseVictors and allied health ophthalmic professionals
ConclusionThis research provides a future demand outlook for ophthalmic nurses, technicians and patient service assistants in Singapore and has implications for recruitment and training of ophthalmic nurses and allied health professionals in Singapore. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 10, 2019 Category: Health Management Source Type: research

Does X(a) mark the spot? An indirect mixed treatment comparison of Xa inhibitors compared to warfarin for patients with Atrial Fibrillation
ConclusionsThe Non-vitamin K antagonist oral anticoagulants constitute a new and promising category in the field of atrial fibrillation, even in the context of uncertainty, which an indirect comparison yields. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 10, 2019 Category: Health Management Source Type: research

What stroke image do we want? European survey on acute stroke imaging and revascularisation treatment
ConclusionThe diagnostic workup and, to a greater extent, the revascularisation treatments of typical stroke patients vary considerably across European countries. This study reinforces the need to compare the quality of stroke care in terms of process and outcomes between countries. Research is also needed to investigate the cost-effectiveness of second-line imaging strategies in acute stroke care. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 10, 2019 Category: Health Management Source Type: research

A checklist for healthcare organisations undergoing transformational change associated with large-scale Health Information Systems implementation
Conclusions: The checklist provides healthcare policy-makers and organisations with a template which can identify each of the components of a complex system. The checklist is created to adapt as organisational transformation evolves so is an advancement in both the use of checklists and in successful implementation of transformational change. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 9, 2019 Category: Health Management Source Type: research

Effective policies for eliminating nursing workforce shortages: A systematic review
Conclusions: Through the current review, the authors seek to promote policies using a multi-dimensional approach of cooperation between the government and health institutions, systematic information collection on health-care personnel, and government investment in crucial private programs during times of need. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 8, 2019 Category: Health Management Source Type: research

Electronic Health Record use-diffusion patterns and eSharing of health information among US office-based physician practices
ConclusionsThe use-diffusion model can describe office-based physician practices’ use-pattern of EHR capabilities, and the characteristics that differentiate the groups. Solo and specialty practices may lag in their readiness to meet the Stage 1 meaningful use objectives, both in the variety of capabilities and the frequency of use to qualify for incentive payments. (Source: Health Policy and Technology)
Source: Health Policy and Technology - August 7, 2019 Category: Health Management Source Type: research

Patterns and trends in outpatient diagnostic imaging studies of the Brazilian public healthcare system, 2002-2014
ConclusionsThe use of diagnostic imaging in SUS-Brazil greatly increased since 2002, but was still much lower than in developed countries, mainly for advanced imaging modalities. Nevertheless, the steep growth in CT use in Brazil raises concerns regarding its potential radiation-related risks, mainly among children. (Source: Health Policy and Technology)
Source: Health Policy and Technology - July 19, 2019 Category: Health Management Source Type: research

Good Practices Systematization for Medical Equipment Development and Certification Process: a Brazilian case study
Publication date: Available online 16 July 2019Source: Health Policy and TechnologyAuthor(s): Kelly C. Lobato, Ana Paula Almeida, Rodrigo M. Almeida, Janaína M. Costa, Carlos H. Mello (Source: Health Policy and Technology)
Source: Health Policy and Technology - July 18, 2019 Category: Health Management Source Type: research

Survey on the willingness to pay for tele-health consultation
ConclusionTo gather basic information concerning the economic value of the tele-health consultation system, we clarified the appropriate WTP fee and the factors leading to a higher WTP fee. In future research, we will conduct follow-up research and consider adding more information concerning the advantages and limitations of implementing remote health consulting to build a clearer scenario. (Source: Health Policy and Technology)
Source: Health Policy and Technology - July 16, 2019 Category: Health Management Source Type: research

The Need to Address Legal Ambiguity on Conceiving Saviour Siblings in Malaysia
Publication date: Available online 9 July 2019Source: Health Policy and TechnologyAuthor(s): Chee Ying Kuek, Sharon Kaur Gurmukh Singh, Pek San TayAbstractConceiving a saviour sibling can be a vital treatment option for a child suffering from a haematological condition. However, the legality of this option may be called into question in countries where there is no clear law or policy regarding the use of preimplantation genetic diagnosis with HLA typing (PGD-HLA typing) or HLA typing alone for this purpose. In Malaysia for instance, there is no legislative framework governing the use of assisted reproductive technology and...
Source: Health Policy and Technology - July 10, 2019 Category: Health Management Source Type: research

Social media use is associated with sleep duration and disturbance among adolescents in Bangladesh
Publication date: Available online 6 June 2019Source: Health Policy and TechnologyAuthor(s): Asaduzzaman Khan, Riaz Uddin, Sheikh Mohammed Shariful Islam (Source: Health Policy and Technology)
Source: Health Policy and Technology - June 7, 2019 Category: Health Management Source Type: research

Editorial Board
Publication date: June 2019Source: Health Policy and Technology, Volume 8, Issue 2Author(s): (Source: Health Policy and Technology)
Source: Health Policy and Technology - June 6, 2019 Category: Health Management Source Type: research

Assessing Electronic Personal Health Information Use: An Update on Progress Toward Healthy People 2020 Objectives
Publication date: Available online 31 May 2019Source: Health Policy and TechnologyAuthor(s): Alexandra J. Greenberg-Worisek, Shaheen Kurani, Lila J. Finney Rutten, Kelly D. Blake, Richard P. Moser, Bradford W. HesseAbstractObjective: To assess progress toward Healthy People 2020 health information technology objectives using nationally representative data.Methods: We used data from six administrations (2003-2017) of the Health Information National Trends Survey (HINTS) to examine trends in the proportion of Americans who manage electronic Personal Health Information (ePHI) and email their healthcare providers. Two targets ...
Source: Health Policy and Technology - May 31, 2019 Category: Health Management Source Type: research

Assessing Awareness and Use of Mobile Phone Technology for Health and Wellness: Insights from India
ConclusionThe study recommends to improve peoples’ awareness and familiarity about the use of mobile phone for managing health and service delivery. This can be achieved with the help of health professionals as most of the people prefer personal visits than through mobile interventions. Moreover, peoples’ socio-demographic factors, perception about the device, and health information also play an important role in using mobile health applications for health service delivery. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 31, 2019 Category: Health Management Source Type: research

Smartphone as an Intervention to Intention-Behavior of Patient Care
This study attempts to assist healthcare professionals to better understand the intervention role of smartphones in intention-behavior of patient care.Research Design/MethodologyExploratory in nature, this study uses various literatures and articles published in journals and magazines as well as primary data collected using a qualitative approach. Purposive sampling made it possible to conduct in-depth interviews with healthcare professionals, namely, doctors, nurses, and ward boys from hospitals and clinics of the Punjab region of India. The study uses a data saturation method to realize the adequacy of the sample size, a...
Source: Health Policy and Technology - May 25, 2019 Category: Health Management Source Type: research

Information and Communication Technology usage in post-conflict maternal healthcare: Northern Uganda Referral hospital perspective
ConclusionWe recommend management and Government improve ICT infrastructure and offer user training to impart knowledge and skills that are needed for handling sensitive or private health data. Adequate funding is also needed to strengthen ICT infrastructure. Due to the complex or dynamic nature of the society and advance in ICT more promoting and deterring factors should be explored in future. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 24, 2019 Category: Health Management Source Type: research

Lessons regarding the implementation of a national personal medical account system: Recent experiences in two developed countries
ConclusionA number of core issues regarding the technical introduction and political acceptability of personal medical accounts remain unresolved and will require considerable attention in the future. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 24, 2019 Category: Health Management Source Type: research

A novel framework for a remote patient monitoring (RPM) system with abnormality detection
ConclusionsThe proposed framework can not only reach the machine-to-machine (M2M) realm, but also provide support in emergency cases. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 24, 2019 Category: Health Management Source Type: research

Understanding psychological determinants to promote the adoption of general practitioner by Chinese elderly
Publication date: Available online 23 May 2019Source: Health Policy and TechnologyAuthor(s): Min Zhou, Shujuan Qu, Lindu Zhao, Kathryn S. Campy, Song Wang (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 24, 2019 Category: Health Management Source Type: research

Modelling uncertainty in survival and cost-effectiveness is vital in the era of gene therapies: the case of axicabtagene ciloleucel
Publication date: Available online 21 May 2019Source: Health Policy and TechnologyAuthor(s): Adam JN Raymakers, Dean A Regier, Stuart J Peacock (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 22, 2019 Category: Health Management Source Type: research

United States Regulatory Approval of Medical Devices and Software Applications Enhanced by Artificial Intelligence
Publication date: Available online 18 May 2019Source: Health Policy and TechnologyAuthor(s): Kurt A. Yaeger, Michael Martini, Gal Yaniv, Eric K. Oermann, Anthony B. CostaAbstractIn the United States, regulatory oversight of medical devices has evolved with the changing technology. With the introduction into routine clinical practice software applications and computer-based devices, the U.S. Food and Drug Administration (FDA) has further defined categories of risk and intended use to better uphold patient safety, while encouraging innovation in medical technology. However, as new software technologies such as artificial int...
Source: Health Policy and Technology - May 19, 2019 Category: Health Management Source Type: research

IInformation and Communication Technology usage in post-conflict maternal healthcare: Northern Uganda Referral Hospital Perspective
ConclusionWe recommend management and Government improve ICT infrastructure and offer user training to impart knowledge and skills that are needed for handling sensitive or private health data. Adequate funding is also needed to strengthen ICT infrastructure. Due to the complex or dynamic nature of the society and advance in ICT more promoting and deterring factors should be explored in future. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 18, 2019 Category: Health Management Source Type: research

Projecting future supply and demand for physical therapists in Japan using system dynamics
ConclusionsAlthough the current supply appears to be needed, considering the expected increase and uncertainty in medical needs. However, there is a possibility of a future oversupply, especially after 2025, when the rate of increase in demand will lessen. Further studies are required to evaluate the distribution of physical therapists among regions and specialties. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 17, 2019 Category: Health Management Source Type: research

Cost-effectiveness of novel imaging tests to select patients for carotid endarterectomy
ConclusionsInformation from new imaging technologies may improve stroke risk prediction and thereby improve decisions about which patients should undergo CEA. However, their cost-effectiveness strongly depends on the current test strategy and choice of patient subpopulation. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 16, 2019 Category: Health Management Source Type: research

Creating Online Personal Medical Accounts: Recent Experience in Two Developed Countries
ConclusionA number of core issues regarding the technical introduction and political acceptability of personal medical accounts remain unresolved, and that going forward they will continue to occupy considerable attention. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 16, 2019 Category: Health Management Source Type: research

Evaluation of the Effectiveness of the Notification Process in the Area of Health Products
Conclusions: The questionnaire developed throughout the study proved to be a useful tool for the diagnosis of the degree of implementation of health products monitoring procedures. Company “A” appeared to be meeting what Brazilian legislation requires as a standard procedure for health technology monitoring. (Source: Health Policy and Technology)
Source: Health Policy and Technology - May 2, 2019 Category: Health Management Source Type: research

Worldwide Implementation of Telemedicine Programs in Association with Research Performance and Health Policy
Publication date: Available online 18 April 2019Source: Health Policy and TechnologyAuthor(s): Anna A Avanesova, Tatyana A. Shamliyan (Source: Health Policy and Technology)
Source: Health Policy and Technology - April 19, 2019 Category: Health Management Source Type: research

Artificial Intelligence in Medicine: What is It Doing for Us Today?
Publication date: Available online 29 March 2019Source: Health Policy and TechnologyAuthor(s): Aliza BeckerAbstractWith its origins in the mid- to late-1900s, today, artificial intelligence (AI) is used in a wide range of medical fields for varying purposes. This review first covers the early work regarding AI in medicine, then aims to elucidate some of the most current applications of machine learning in medicine according to the following four specific categories: (1) its use in assessing the risk of disease onset and in estimating treatment success; (2) its use in managing or alleviating complications; (3) its role in o...
Source: Health Policy and Technology - March 30, 2019 Category: Health Management Source Type: research