• Journal of Information Science Theory and Practice
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• 제11권2호
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• pp.82-103
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• 2023

The Zimbabwean healthcare sector faces huge challenges due to increased demands for improved services for a growing number of patients with fewer resources. The use of information and communications technologies, prevalent in many industries, but lacking in Zimbabwean healthcare, could increase productivity and innovation. The adoption of health management information systems (HMISs) can lead to improved patient safety and high-level patient care. These technologies can change delivery methods to be more patient focused by utilising integrated models and allowing for a continuum of care across healthcare providers. However, implementation of these technologies in the health care sector remains low. The purpose of this study is to demonstrate the advantages to be attained by using HMISs in healthcare delivery and to ascertain the factors that influence the uptake of such systems in the public healthcare sector. A conceptual model, extending the technology, organization, and environment framework by means of other adoption models, underpins the study of adoption behavior. A mixed method methodology was used to conduct the study. For the quantitative approach, questionnaires were used to allow for regression analysis. For the qualitative approach, thematic analysis was used to analyse interview data. The results showed that the critical success factors (namely, relative advantage, availability, complexity, compatibility, trialability, observability, management support, information and communication technology expertise, communication processes, government regulation, infrastructure support, organizational readiness, industry and competitive support, external support, perceived ease of use, perceived usefulness, attitude, and intention to use) influenced adoption of HMISs in public hospitals in Zimbabwe.

• 한국정보시스템학회지:정보시스템연구
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• 제32권3호
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• pp.41-61
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• 2023

Purpose This study aims to categorize the types of health, analyze the effects among health types based on network analysis find the most important type of health, and explain whether the results between health types vary depending on demographic characteristics. Design/methodology/approach This study investigated individual physical, clinical, mental, and social health(social capital and social support) levels through a survey of 100 people. Network analysis was applied to the survey data to confirm the degree centrality of nodes. Furthemore, we investigated the differences in core nodes according to gender and age groups. Findings According to the analysis result, social support was the most important health type in the entire group. Furthermore, the importance of health type was different depending on the characteristics of the groups. In the case of men, clinical health was the most important health type, and social support was analyzed to be the most important for women. In the case of young people, clinical health was the most important health type, and mental health was the most important health type in the middle-aged.

• 디지털콘텐츠학회 논문지
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• 제17권6호
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• pp.537-543
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• 2016

본 연구의 목적은 유헬스 시스템의 사용(usage)이라는 행위 의도(behavioral intention)에 미치는 영향 요인들 간의 관계에서 건강개인정보(health privacy information)의 조절적 효과(moderating effect)를 분석하는데 있다. 합리적 행동이론에 근거한 모형 내 연구가설로서 자기효능(self-effiacy) 및 인지된 유용성(perceived usefulness)은 유헬스 시스템의 행위 의도(behavioral intention)에 긍정적인 (positive) 영향을 미칠 것이며, 그 경로(path)에서 사용자의 건강개인정보 요인이 각 경로에서 어떤 영향을 미칠 것으로 제시하였다. 본 연구는 그 제시된 연구모형을 검증하기 위해서 PLS-SEM 방법론을 활용하였다. 분석 결과, 제시된 모형 내에서 건강개인정보의 조절적 효과가 R2 설명력의 증가치에 의해 어느 정도의 영향을 미친다고 볼 수 있지만, 조절변수로의 역할보다는 인지적 유용성(perceived usefulness)에 영향을 미치는 독립변수의 역할에 부합됨을 알 수 있었다.

• Asia pacific journal of information systems
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• 제24권1호
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• pp.65-91
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• 2014

Our study adopted ELM (Elaboration Likelihood Model) to measure the impact of central and peripheral cues on e-healthcare website behavior and its consequence on perceived loyalty of users. While most of ELM studies did not elaborate the antecedent of both central and peripheral cues, we measured the antecedents of those information processing routes to clarify how technical and quality factors (i.e. information organization, security concern, and website attractiveness) develop the nature of either central or peripheral route. We found that information organization was the main antecedent of information quality presented on the website. Second, the results revealed that website security has a positive effect on website credibility. Third, we also found that website attractiveness was positively associated with website credibility. Fourth, consistent with elaboration likelihood model, the empirical findings suggested that information quality (central cue) and website credibility (peripheral cue) were strong predictors of behavior intention to use health website. Our findings also suggested that behavior intention to use health website significantly influenced perceived loyalty.

• 한국인터넷방송통신학회논문지
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• 제14권3호
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• pp.131-137
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• 2014

스마트폰과 태블릿등 다양한 스마트 기기들의 등장으로 의료기관의 정보 시스템에도 많은 변화가 시작 되었다. 특히 클라이언트 기기의 다양화는 의료기관내에서 효과적인 의료정보 공유의 필요성은 증대시켰고 이를 위해 N 스크린 기반의 서비스의 요구가 커지고 있다. 그러나 N 스크린 기반의 의료 정보 공유 서비스를 위해 iOS, 안드로이드 등 서로 다른 OS를 지원하는 클라이언트를 개별적으로 개발하고 유지하기에는 많은 비용이 소요되고 사용자에게 다중기기를 통해서 끊김없는(seamless) 서비스를 제공하는 것을 어렵게 하는 문제가 있다. 또한 보안상의 문제로 클라이언트와 의료정보 시스템과의 데이터를 중계해주기 위한 방법도 필요 하다. 본 논문에서는 이러한 문제점 해결을 위해 실시간 의료정보 공유 프레임워크 기반의 스마트 의료정보 클라이언트를 개발 하였다. 개발된 클라이언트는 하이브리드앱 기반으로 의료정보공유 프레임워크를 통해 N 디바이스간의 실시간 정보공유가 가능하며 다양한 클라이언트 개발에도 활용될 수 있다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권3호
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• pp.685-703
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• 2024

Cloud computing provides each consumer with a large-scale computing tool. Different Cyber Attacks can potentially target cloud computing systems, as most cloud computing systems offer services to many people who are not known to be trustworthy. Therefore, to protect that Virtual Machine from threats, a cloud computing system must incorporate some security monitoring framework. There is a tradeoff between the security level of the security system and the performance of the system in this scenario. If strong security is needed, then the service of stronger security using more rules or patterns is provided, since it needs much more computing resources. A new way of security system is introduced in this work in cloud environments to the VM on account of resources allocated to customers are ease. The main spike of Fog computing is part of the cloud server's work in the ongoing study tells the step-by-step cloud server to change the tremendous measurement of information because the endeavor apps are relocated to the cloud to keep the framework cost. The cloud server is devouring and changing a huge measure of information step by step to reduce complications. The Medical Data Health-Care (MDHC) records are stored in Cloud datacenters and Fog layer based on the guard intensity and the key is provoked for ingress the file. The monitoring center sustains the Activity Log, Risk Table, and Health Records. Cloud computing and Fog computing were combined in this paper to review data movement and safe information about MDHC.

• Nutrition Research and Practice
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• 제1권1호
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• pp.42-45
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• 2007

Rapid integration of information technology into health care systems has included the use of highly portable systems-in particular, personal digital assistants (PDAs). With their large built-in memories, fast processors, wireless connectivity, multimedia capacity, and large library of applications, PDAs have been widely adopted by physicians and nurses for patient tracking, disease management, medical references and drug information, enhancing quality of health care. Many health-related PDA applications are available to both dietetics professionals and clients. Dietetics professionals can effectively use PDAs for client tracking and support, accessing to hospital database or information, and providing better self-monitoring tools to clients. Internship programs for dietetics professionals should include training in the use of PDAs and their dietetics applications, so that new practitioners can stay abreast of this rapidly evolving technology. Several considerations to keep in mind in selecting a PDA and its applications are discussed.

• 한국산학기술학회논문지
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• 제10권5호
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• pp.1126-1132
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• 2009

본 연구는 가정간호사의 표준간호중재를 개발하여 이를 근거로 각각의 진단과 연결된 중재를 분류하고 프로토콜을 전산화하여 사용함으로써 의료기관간, 또한 의료인간의 격차를 없애고 서비스의 질 개선에 도움을 주고자 시행하였다. 연구방법은 크게 가정간호 표준중재 개발과정과 개발된 가정간호 표준중재 프로토콜을 전산화하는 과정으로 나누었는데, 가정간호 표준중재를 개발하기 위하여 먼저, 국내외 가정간호사의 직무분석, 대상자 사정 프로토콜 개발, 대상자 진단 프로토콜 개발, 대상자 중재 프로토콜 개발의 4가지 연구내용으로 구성하였다. 개발된 가정간호 표준 중재 프로토콜을 전산화하는 과정으로, 크게 가정간호 정보시스템을 위한 전략수립과 가정간호 정보시스템의 분석, 설계, 운영 및 평가 등의 4개 연구내용으로 구성하였다. 개발된 프로그램은 P시에서 가정간호사업 실시 기관에 근무하는 가정간호사를 대상으로, 가정간호 정보시스템 매뉴얼을 사용하여 직접 시범, 교육하였다. 따라서 본 연구에서는 표준 가정간호중재에 속하는 구성요소를 가정간호정보조사지, 가정간호경과기록지, 가정간호경과요약서, 가정간호종결 요약서 양식에 포함될 수 있도록 개발하였으며, 표준 가정간호중재가 개발됨으로써 가정간호사업부서 간의 정보교환이 용이하고 기록의 누락 및 중복을 막을 수 있으며 EMR, HMR 개발시 병원용어의 표준화에 기여할 수 있을 것이다.

• 한국멀티미디어학회논문지
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• 제19권3호
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• pp.595-602
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• 2016

With the evolution and development of many kinds of healthcare devices and techniques, u-health standards have emerged as a major issue. Yet, most legacy medical devices and systems are still being used without deployment of the standards. Therefore, it is required to support backward compatibility for u-health standard-compliant systems to communicate with legacy non-standard medical and healthcare devices. This paper proposes a new scheme to support backward compatibility of IEEE 11073 system by adding a codec module to IEEE 11073 agent. The codec converts data sent by non-standard health devices to IEEE 11073 MDER data. Plus, we implemented the proposed IEEE 11073 agent with an Intel Edison board which is one of popular open source H/W platforms. The IEEE 11073 manager of the proposed system can monitor and control legacy non-standard devices through the proposed agent system. In our experimental results, we examined the proposed system can support interoperability between u-health standard and non-standard devices and contribute to the growth and expansion of u-health services.

• Healthcare Informatics Research
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• 제24권4호
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• pp.327-334
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• 2018

Objectives: The objective of this study was to investigate the relationship between the level of Electronic Medical Record (EMR) system adoption and healthcare information technology (IT) infrastructure. Methods: Both survey and various healthcare administrative datasets in Korea were used. The survey was conducted during the period from June 13 to September 25, 2017. The chief information officers of hospitals were respondents. Among them, 257 general hospitals and 273 small hospitals were analyzed. A logistic regression analysis was conducted using the SAS program. Results: The odds of having full EMR systems in general hospitals statistically significantly increased as the number of IT department staff members increased (odds ratio [OR] = 1.058, confidence interval [CI], 1.003-1.115; p = 0.038). The odds of having full EMR systems was significantly higher for small hospitals that had an IT department than those of small hospitals with no IT department (OR = 1.325; CI, 1.150-1.525; p < 0.001). Full EMR system adoption had a positive relationship with IT infrastructure in both general hospitals and small hospitals, which was statistically significant in small hospitals. The odds of having full EMR systems for small hospitals increased as IT infrastructure increased after controlling the covariates (OR = 1.527; CI, 1.317-4.135; p = 0.004). Conclusions: This study verified that full EMR adoption was closely associated with IT infrastructure, such as organizational structure, human resources, and various IT subsystems. This finding suggests that political support related to these areas is indeed necessary for the fast dispersion of EMR systems into the healthcare industry.