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Care Networking: A Study of Technical Mediations in a Home Telecare Service  [PDF]
Gonzalo Correa,Miquel Domènech
International Journal of Environmental Research and Public Health , 2013, DOI: 10.3390/ijerph10073072
Abstract: This article examines the processes of technical mediation within familial care networks based on a study of home telecare targeted at older people. Supported by contributions from the actor—network theory as part of the social psychology of science and technology, these processes of technical mediation are analyzed using a qualitative approach. The data were gathered through six focus groups and four in-depth interviews; the participants in the study included users, relatives and formal carers. Thematic analysis techniques encompassing the information were used, revealing the effects on the patterns of caring relationships. The results show the interplay between presence-absence made possible by the devices; the two-way direction of care between the older people and the artifacts; and the process of sustaining care using the technology. We conclude that care should be seen as a socio-technical network where technology plays an active role in sustaining family relationships.
Integrating telecare for chronic disease management in the community: What needs to be done?
Carl R May, Tracy L Finch, James Cornford, Catherine Exley, Claire Gately, Sue Kirk, K Jenkings, Janice Osbourne, A Robinson, Anne Rogers, Robert Wilson, Frances S Mair
BMC Health Services Research , 2011, DOI: 10.1186/1472-6963-11-131
Abstract: Large scale comparative study employing qualitative data collection techniques: semi-structured interviews with key informants, task-groups, and workshops; framework analysis of qualitative data informed by Normalization Process Theory. Drawn from telecare services in community and domestic settings in England and Scotland, 221 participants were included, consisting of health professionals and managers; patients and carers; social care professionals and managers; and service suppliers and manufacturers.Key barriers to telecare integration were uncertainties about coherent and sustainable service and business models; lack of coordination across social and primary care boundaries, lack of financial or other incentives to include telecare within primary care services; a lack of a sense of continuity with previous service provision and self-care work undertaken by patients; and general uncertainty about the adequacy of telecare systems. These problems led to poor integration of policy and practice.Telecare services may offer a cost effective and safe form of care for some people living with chronic illness. Slow and uneven implementation and integration do not stem from problems of adoption. They result from incomplete understanding of the role of telecare systems and subsequent adaption and embeddedness to context, and uncertainties about the best way to develop, coordinate, and sustain services that assist with chronic disease management. Interventions are therefore needed that (i) reduce uncertainty about the ownership of implementation processes and that lock together health and social care agencies; and (ii) ensure user centred rather than biomedical/service-centred models of care.Since the beginning of the 1990s, telecare systems - information and communications technologies that link people (usually at home) to health and social care services - have been promoted as a technological solution for problems of equity and access to care, and as a means of support for
The Impact of Health Service Quality on Patients’ Satisfaction over Private and Public Hospitals in Jordan: A Comparative Study  [cached]
Ahmad Mahmoud Ahmad Zamil,Ahmad Yousef Areiqat,Waleed Tailakh
International Journal of Marketing Studies , 2012, DOI: 10.5539/ijms.v4n1p123
Abstract: This study aimed to measure the Impact of Health Service Quality on Patient's Satisfaction in the Hospital's of Public and Private sectors in Jordan. To attain the aim of this study a random sample of inpatients was chosen to conduct this study within. The sample consisted of 450 inpatients. To determine the impact of Health Service Quality on Patient's satisfaction the researcher used a special measure called "SERVPERF" which was designed specially to measure the quality of service in different Service sectors the content validity of the measure conducted by committee arbitrators and throughout the multiple use of this measure over the time. The reliability of the measure computed using Cronbach alpha and the result indicated that the internal consistency of the measure was 90%. The result revealed that: 1) There is an Impact for the health service quality on patient's satisfaction. 2) There is a significant statistical difference of the Impact of Health Service quality on patient's satisfaction between Hospitals of public and private sector. 3) The Impact of health service quality on patient's satisfaction in private Hospitals sector is better than that in public Hospitals sector. 4) The responsiveness diminution of health service quality has the lowest mean out of other service quality diminutions in public and private sectors. This study find out many recommendations as: 1) The hospital's administration in both public and private sector should to raise up the employee's qualifications to ward assimilation of the patients need and wants such as to tell them exactly when service will be performed, and to submit prompt service for the patients, and the employees should have the willing to help patients. 2) The Hospitals administrations should make periodic revision for the application each service quality divisions and their items in their Items in their Hospitals through the applying (SERVEPERF) measure and they should have to measure the patents satisfaction to mend any defect automation ally. 3) Hospital's administrations should put mechanisms to keep in touch with patients after discharge to hear from them about their Hospitals service and the extent of their satisfactions because the patients after discharge feet freely to say and criticize.
Model Construction for the Intention to Use Telecare in Patients with Chronic Diseases  [PDF]
Jui-Chen Huang,Yii-Ching Lee
International Journal of Telemedicine and Applications , 2013, DOI: 10.1155/2013/650238
Abstract: Objective. This study chose patients with chronic diseases as study subjects to investigate their intention to use telecare. Methods. A large medical institute in Taiwan was used as the sample unit. Patients older than 20 years, who had chronic diseases, were sampled by convenience sampling and surveyed with a structural questionnaire, and a total of 500 valid questionnaires were collected. Model construction was based on the Health Belief Model. The reliability and validity of the measurement model were tested using confirmatory factor analysis (CFA), and the causal model was explained by structural equation modeling (SEM). Results. The priority should be on promoting the perceived benefits of telecare, with a secondary focus on the external cues to action, such as promoting the influences of important people on the patients. Conclusion. The findings demonstrated that patients with chronic diseases use telecare differently from the general public. To promote the use and acceptance of telecare in patients with chronic diseases, technology developers should prioritize the promotion of the usefulness of telecare. In addition, policy makers can strengthen the marketing from media and medical personnel, in order to increase the acceptance of telecare by patients with chronic diseases. 1. Introduction With the rapid aging of the population and the abrupt increase in the number of people needing care, the ability of a family to provide care has become relatively insufficient. Nowadays, the nuclear family is unable to support the care for family members, and the employment rate for women, who are traditionally the caretakers, is growing. As there lacks the understanding of telecare, and the government has limited funding to invest in related services, the amount of manpower providing care cannot meet the demands of the market. Telecare refers to the utilization of distance communication techniques that link the user end and the service end to provide continuous, instant, and accessible care services. Telecare can be used not only in disease monitoring but also in health promotion and disease prevention. Its main clinical applications are in patients with chronic diseases, as well as the elderly or young patients. It has been shown to be especially effective in helping patients with chronic diseases (e.g., diabetes, coronary heart disease, and asthma) [1–3]. Although related industries are aggressively seeking cooperation with medical care industries and institutions, the technical maturity of related products needs to be continuously improved. In addition, the
Security Enhancement of Biometric Authentication Scheme for Telecare Medicine Information Systems with Nonce  [PDF]
Dheerendra Mishra,Sourav Mukhopadhyay
Computer Science , 2013,
Abstract: Telecare medicine information systems (TMIS) present the platform to deliver clinical service door to door. The technological advances in mobile computing are enhancing the quality of healthcare and a user can access these services using its mobile device. Existing authentication schemes for TMIS are either vulnerable to attacks or they have higher computational cost. We propose a biometric based efficient authentication scheme for TMIS which only requires the computation of the hash and XOR functions.
How do Service Encounters Impact on Relationship Benefits  [cached]
Chao-Hung Wang,Li-Chang Hsu
International Business Research , 2011, DOI: 10.5539/ibr.v5n1p98
Abstract: The literature has generally held that interpersonal-based service encounters strongly affect the relationship benefits, though technology-based service encounters are increasing importance. However, there has been no systematic comparison of the impact of two service encounters on relationship benefits. We test hypotheses about the respective effects of both service encounters on different relationship benefits in two services industries. The results provide support for the proposal model and indicate that there are higher special treatment benefits when the technology-based service encounter is higher. In addition, the interpersonal-based service encounter has significant positive effect on the confidence benefit. However, the technology-based service encounter leads to significant negative effect on the social benefit.
A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial
Peter Bower, Martin Cartwright, Shashivadan P Hirani, James Barlow, Jane Hendy, Martin Knapp, Catherine Henderson, Anne Rogers, Caroline Sanders, Martin Bardsley, Adam Steventon, Raymond Fitzpatrick, Helen Doll, Stanton Newman
BMC Health Services Research , 2011, DOI: 10.1186/1472-6963-11-184
Abstract: We are conducting a large scale, multi-site study of the implementation, impact and acceptability of these new technologies. A major part of the evaluation is a cluster-randomised controlled trial of telehealth and telecare versus usual care in patients with long-term conditions or social care needs. The trial involves a number of outcomes, including health care utilisation and quality of life. We describe the broad evaluation and the methods of the cluster randomised trialIf telehealth and telecare technology proves effective, it will provide additional options for health services worldwide to deliver care for populations with high levels of need.Current Controlled Trials ISRCTN43002091It is expected that increased demands on health and social care services will result from the rise in the numbers of older people with long-term conditions and social care needs [1]. While there are alternative proposals about the implications of increasing numbers of older people on demand for services [2], much planning is predicated on expected increases in social and health service use amongst older people. Shifting the balance of care towards the home environment is seen as requiring an investment in 'upstream' interventions by providing enhanced primary and community care-based alternatives to secondary care and focusing on self-care at the patient level.In the current context of economic pressures and a desire to secure efficiency savings, there is significant interest in the potential for technology to reduce utilisation of health services in older people with long-term conditions and social care needs, while improving the quality and cost-effectiveness of care. There are a number of relevant types of telemonitoring technology and a lack of consensus concerning terminology. For the present paper we make the following distinction:? Telecare is the remote, automatic and passive monitoring of changes in an individual's condition or lifestyle (including emergencies) in order to m
Impact of precipitation and land biophysical variables on the simulated discharge of European and Mediterranean rivers
C. Szczypta, B. Decharme, D. Carrer, J.-C. Calvet, S. Lafont, S. Somot, S. Faroux,E. Martin
Hydrology and Earth System Sciences (HESS) & Discussions (HESSD) , 2012,
Abstract: This study investigates the impact on river discharge simulations of errors in the precipitation forcing, together with changes in the representation of vegetation variables and of plant transpiration. The most recent European Centre for Medium-Range Weather Forecasts reanalysis (ERA-Interim) is used to drive the Interactions between Soil, Biosphere, and Atmosphere–Total Runoff Integrating Pathways (ISBA-TRIP) continental hydrological system over Europe and the Mediterranean basin over the 1991–2008 period. As ERA-Interim tends to underestimate precipitation, a number of precipitation corrections are proposed. In particular, the monthly Global Precipitation Climatology Centre (GPCC) precipitation product is used to bias-correct the 3-hourly ERA-Interim estimates. This correction markedly improves the match between the ISBA-TRIP simulations and the river discharge observations from the Global Runoff Data Centre (GRDC), at 150 gauging stations. The impact on TRIP river discharge simulations of various representations of the evapotranspiration in the ISBA land surface model is investigated as well: ISBA is used together with its upgraded carbon flux version (ISBA-A-gs). The latter is either driven by the satellite-derived climatology of the Leaf Area Index (LAI) used by ISBA, or performs prognostic LAI simulations. The ISBA-A-gs model, with or without dynamically simulated LAI, allows a better representation of river discharge at low water levels. On the other hand, ISBA-A-gs does not perform as well as the original ISBA model at springtime.
The Impact of Job Characteristics on Social and Human Service Workers
Allen, Reva I.,Lambert, Eric G.,Pasupuleti, Sudershan,Ventura, Terry Cluse-Tolar and Lois A.
Social Work and Society , 2004,
Abstract: The work environment characteristics of job stress, job variety, job autonomy, and supervision are theorized to affect the job satisfaction and organizational commitment of social and human service workers. Most research to date has focused upon the impact of these variables on job satisfaction, with little attention being paid to organizational commitment. To determine the effects these characteristics have on both job satisfaction and organizational commitment, data from a survey of social and human service employees across Northwest Ohio were examined. In Ordinary Least Squares regression, all four job characteristics had a significant impact on job satisfaction, while only job variety and supervision had statistically significant effects on organizational commitment.
Impact of precipitation and land biophysical variables on the simulated discharge of European and Mediterranean rivers
C. Szczypta,B. Decharme,D. Carrer,J.-C. Calvet
Hydrology and Earth System Sciences Discussions , 2012, DOI: 10.5194/hessd-9-5437-2012
Abstract: This study investigates the use of the ERA-Interim 3-hourly atmospheric reanalysis over Europe and the Mediterranean basin, to drive the ISBA-TRIP continental hydrological system, at a spatial resolution of 0.5°, over the 1991–2008 period. Several versions of the representation of evapotranspiration in the ISBA land surface model are used to simulate the runoff which is converted into river discharge by the TRIP river routing model. In particular, the impact of using contrasting representations of the vegetation variables is investigated: ISBA is used together with its upgraded carbon flux version (ISBA-A-gs). The latter is either driven by a satellite-derived climatology of the Leaf Area Index (LAI) or performs prognostic LAI simulations. As ERA-Interim tends to underestimate precipitation, a number of precipitation corrections are proposed. In particular, the monthly GPCC precipitation product is used to un-bias the 3-hourly ERA-Interim estimates. This correction markedly improves the match between the ISBA-TRIP simulations and the river discharge observations of the Global Runoff Data Centre (GRDC), at 150 gauging stations. The interactive LAI version of ISBA-A-gs does not perform as well as the original ISBA model at springtime. On the other hand, the use of the ISBA-A-gs model allows a better representation of river discharge at low water levels. Constraining the ISBA-A-gs LAI with satellite-derived LAI data improves the simulations at springtime.
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