Field Of Health Care Services Research Articles

Optimal Ambulance Positioning for Road Accidents With Deep Embedded Clustering

The number of casualties and fatalities brought on by road accidents is one of the most significant concerns in the modern world. Instead of dispatching ambulances only at the time of demand, pre-positioning them can reduce the response time and provide prompt medical attention. Deep learning techniques hold great potential and have proven to be essential for problem-solving and decision-making in the field of healthcare services. This study introduces a deep-embedded clustering-based approach to predict optimal locations for ambulance positing. Various factors and patterns in a geographical region greatly influence the occurrence of road crashes, hence understanding such relationships while model building is crucial. The present study also emphasizes the need of preserving such patterns during model building to ensure real-time results and implements them with the help of another deep-learning-based model, Cat2Vec. The proposed framework is also compared with traditional clustering algorithms like K-means, GMM, and Agglomerative clustering. Moreover, to calculate response time and distance in real time, a novel scoring function has also been introduced for the performance evaluation of various algorithms. The proposed ambulance-positing system exhibits remarkable performance, achieving an accuracy of 95% with k-fold cross-validation and a novel distance score of 7.581 proving the use of the proposed approach is better than all the other traditional algorithms used.

Enhancing Orthopedic Surgery and Treatment Using Artificial Intelligence and Its Application in Health and Dietary Welfare

The current decade has seen an increased usage of high-end digital technologies like machine learning in the field of health care services which enable in supporting and performing different functions with less or no human interventions. The application of machine learning tools in the orthopedic area is gaining more popularity as it can support in analyzing the issues in a more comprehensive manner, provide accurate data, support in forecasting the pattern. It enables offering critical information for taking quick decisions by the medical practitioners in order to enhance the health and dietary care service delivery. The ML tools can support in collecting patient centric data related to orthopedic surgery and also estimate the postoperative complications, level of treatment modalities to be provided, and guide the medical practitioners in taking effective clinical device decisions. The ML approach also supports in providing prediction methods of implementing the ortho surgical outcomes. Furthermore, it can also guide in making better treatment procedures, forecast the patterns, and stream the health care management services for better patient recovery. This study implements a quantitative research approach which will support in sourcing the data from the respondents who are currently working as medical practitioners, orthopedic experts, and radiologists who use ML-based models in making critical decisions related to orthopedic surgery. The researchers chose nearly 149 respondents, and the information was analysed using the IBM SPSS package for gaining critical interpretation. The major analyses cover descriptive analysis, regression analysis, and analysis of variances.

Respect in the Eyes of Non-Urban Elders: Using Qualitative Interviews to Distinguish Community Elders' Perspective of Respect in General and Healthcare Services.

This study aimed to describe the connotation of respect for community elders in daily situations, and discuss the elderly’s views on respect for healthcare services. A qualitative research design was conducted to interview elders from a non-urban area in Changhua, Taiwan. Study sites were Lukang and Ershui. A total of 52 people were interviewed, with an average age of 75 years old. Based on Grounded theory, the thematic analysis method was used to analyze data. This study found that respect from the perspective of the elderly can be divided into three categories: (1) verbal expression, (2) non-verbal behavior, and (3) behavior combined with appropriate language. We found that elders use the performance of healthcare service providers to discuss respect in the field of healthcare services. Respect can also be shown in the physical environment in healthcare settings. This study found that, for the community elders, respect is an individual’s subjective feelings regarding the process of interpersonal interaction. Compared to daily life, the respect of the elderly for the healthcare setting has increased the element of the environment. In addition, it was found that elderly people have lower expectations and requirements for respect in healthcare settings.

Review in IoT for Healthcare in Our Life Engineering

Over the previous decade, significant research has been conducted in the field of healthcare services and their technological advancement. To be more precise, the Internet of Things (IoT) has demonstrated potential for connecting numerous medical devices, sensors, and healthcare professionals in order to deliver high-quality medical services in remote locations. This has resulted in an increase in patient safety, a decrease in healthcare expenses, an increase in the healthcare services’ accessibility, and an increase in the industry’s healthcare operational efficiency. This paper provides an overview of the possible healthcare uses of Internet of Things (IoT)-based technologies. The evolution of the HIoT application has been discussed in this article in terms of enabling technology, services of healthcare, and applications for resolving different healthcare challenges. Additionally, effort difficulties and drawbacks with the HIoT system are explored. In summary, this study provides a complete source of information on the many applications of HIoT together the purpose is to help future academics who are interested in working in the field and making advances gain knowledge into the issue.

SOCIAL IMAGES OF EYE DONATION:THE PATHWAY TOWARDS MAKING A 'GIFT OF SIGHT'

Stupendous possibility of scientific and technological advancement in the field of health care services, the corneal transplantation emerges as a mechanism to enhance the life of a corneal blind person. The number of corneal transplantation has increased with the decrease in graft failure.The institutionalization of corneal transplantation and eye donation has blurred the line between human and machine.This brings a transformation in the outlook of people towards body and eye in the society.The body is considered as a machine and cornea (part of eye anatomy) is regarded as spare part which can be exchanged to replace the healthy donated cornea with the damage cornea of a recipient.The paper seeks to understand the perception towards dead body and willingness for eye donation in the society. The symbolic meaning attached with body and eye in the society is also outlined in the paper.The aim of the paper is to describe the representation of eye and willingness for eye donation among students of Panjab University and its affiliated colleges in Chandigarh,India.

AI and the Healthcare sector: Industry, legal and ethical issues

In this modern era, AI systems, robotics and all kinds of technological innovations have prevailed in almost every industry there is. Even though, they provide with several advantages and benefits, such novelties, due to their newly found capacities pose a certain undoubted risk for contemporary societies, unfamiliar yet with the full extent of the perils following these kind of innovations.This article engages in an examination of one of the industries critically changed and influenceδ by AI technology, the healthcare industry, as it possesses the highest bioethical interest. The article, thus, is divided to four sections. The first is dedicated to novel advancements in the field of health care services and medicine, which include the introduction and/or full deployment of machine learning and robotics. Second, as already mentioned due to the fact that these technologies are accompanied by legal concerns, especially in terms of privacy, a legal analysis of the most relevant and prominent concerns is attempted. The emphasis is given on the European Union’s approach on the matter of AI related technology. Both its main bodies are mentioned, the European Parliament and the European Commission, for their procurement of documents related to novel technologies.In addition, after the legal framework analysis and the more binding in nature legislative efforts, the article proceeds with the presentation of the soft-law related to the AI technological field, as well as the ethics and guidelines developed to mitigate its risks and issues. Lastly, the following analysis is closed by conclusions based on the combination of remarks and resolutions from the above mentioned sections of the article.

IoT-Based Applications in Healthcare Devices

The last decade has witnessed extensive research in the field of healthcare services and their technological upgradation. To be more specific, the Internet of Things (IoT) has shown potential application in connecting various medical devices, sensors, and healthcare professionals to provide quality medical services in a remote location. This has improved patient safety, reduced healthcare costs, enhanced the accessibility of healthcare services, and increased operational efficiency in the healthcare industry. The current study gives an up-to-date summary of the potential healthcare applications of IoT- (HIoT-) based technologies. Herein, the advancement of the application of the HIoT has been reported from the perspective of enabling technologies, healthcare services, and applications in solving various healthcare issues. Moreover, potential challenges and issues in the HIoT system are also discussed. In sum, the current study provides a comprehensive source of information regarding the different fields of application of HIoT intending to help future researchers, who have the interest to work and make advancements in the field to gain insight into the topic.

Nursing Care and Postmodernism

As a historical era, postmodernism signifies transition from inflexible and logical positivism and entry into a new view to science. Postmodernism offers a number of nursing practice revise that including humanism, conditions, and borderless, multi-voice, view, and multicultural world, changes in meaning of knowledge, and life-long learning. Demographic changes, technological advances, ethnic and cultural diversity, poverty, and other issues have thus encountered nursing profession more than before with demanding challenges in the field of health care services. I personally believe that nurses� philosophical thinking can have significant effects on development of patient care programs. Under the influence of postmodern assumptions, nursing care can also put emphasis on plurality, respect for cultural and individual differences, relativism of truth or reality, constructive discourse, different views to special knowledge, positioning, as well as listening to different voices. Besides, postmodernists reject traditional of truth and any kind of centralism and work against consideration of a central truth in life.

Mothers’ experiences after single-event multilevel orthopedic surgery in cerebral palsy: A descriptive qualitative study

Background & Aim: Mothers with children with cerebral palsy experience various problems during the care process, especially after surgery. Since these problems of parents directly affect the care provided to the child, it is essential to evaluate the problems that families experience in this process. This study aims to explore the experiences of mothers of children with cerebral palsy and to find out how these mothers care for their children that underwent single-event multilevel orthopedic surgery due to cerebral palsy.
 Methods & Materials: A descriptive phenomenological study was used to explore the life experiences of 24 participants who had children with CP. This study was performed in the Department of Orthopedics at a Training and Research Hospital in Turkey, between March and July 2015. The study was completed with the participation of 24 mothers who had children with cerebral palsy. A qualitative, face-to-face and in-depth interview technique were used for data collection. Colaizzi’s method and Professional Software for Qualitative and Mixed Methods Research 11 software were used for analysis.
 Results: The mean age was 37.29±6.86. Based on the mothers’ care experiences data, three main themes were identified, namely “Be concern about the process,” “Facing the Difficulties and Coping,” “Adaptations the changing family lifestyle.”
 Conclusions: The findings demonstrated that CP affects intra-family relations and functions, and contributes to various physical and mental health problems, and financial statement. We believe that the findings may help healthcare professionals to provide and plan education in the field of healthcare services in a way that helps families cope with the process successfully.

Big Data Analytics for Improved Care Delivery in the Healthcare Industry

<p class="0abstract">The big data analytics plays a pivotal role in the field of healthcare services and research to facilitate better service to the patients. It has provided tools to accumulate, manage, analysis the structured and unstructured data produced by the healthcare systems. Recently the utilization of big data analytics has been increased in the healthcare industry for assisting the process of diagnosing diseases and care delivery. However, the adoption and research development of big data analysis in the healthcare industry is still slow down due to facing some fundamental problems inherent within the big data paradigm. In this study, addresses these problems which focus on the upcoming and promising areas of medical research and proposed a novel big data analytics approach using Apache Spark. The proposed approach will improve care delivery in the healthcare industry. Big data analytics can continually evaluate clinical data in order to improve the effective practices of physicians and improved patient care.</p>

Influences of Brand on Hospital Performance and Patient Behavioral Expectations

Increasing number of Hospital in Asia at the present triggers hospital to build a marketing strategy. Hospital branding is one of the choosen way for marketing which giving benefits for internal and externals. This study aims to identify the influences of brand on hospital performance and patient behavioral expectations. The research method is literature review with 7 included studies. Research related to branding in the field of healthcare services was searched using valid keywords, including hospital branding, hospital, patient combined with keywords such as the effect dan the influence,dan melalui berbagai database. (mis. Google Scholar, Emerald, Scopus). A total 7 articles were selected to be studied in literature review. From these studies we have managed to categories the influences of brand on hospital performance and patient behavioral expectation and reported on three categories, including the influences of brand on hospital performance, on patient behavioral expectation, and medical team in referral. From these studies we have managed to categorize even practical considerations that is considered as influence of brand on hospital performance and patient behavioral expectation are influence of brand on hospital performance, influence of brand on patient behavioral expectation, Medical team in referral.

Estimation of Needs for Addiction Services: A Youth Model

In the field of health care services, resource allocation is increasingly determined based on a population needs model. Although service needs models have been developed for adults with substance use problems, it would seem inappropriate to apply them indiscriminately to young people. The method used proposes six steps: (1) targeting the population, (2) estimating the proportion of the population affected by substance misuse and (3) the proportion of youths who should receive services, (4) identifying categories of services, (5) estimating the proportions of youths who should have access to each category of services, and (6) applying the model to real use of services by youths to recalibrate it. Youths ages 12-17 from the Province of Québec were classified within a tiered model comprising four levels of substance use severity. Youths in need of services varied from 38% (weak response) to 95% (high response) for the highest severity cases. Service categories retained are detoxification/intoxication, outpatient, and residential, with each one being subdivided into four categories. The proportion of youths from each tier who should access categories and subcategories of services varied widely. After a pre-experimentation, the model was adjusted. The model can be applied in different jurisdictions, with the caution of adjusting prevalence to local reality. Further improvement will be based on more accurate information concerning the path of clients through services, better strategies to reach youths in need of services, and increased knowledge of optimal service categories. Models adapted to low- or moderate-income countries, where the health care system has minimal services in the areas of mental health and addiction, should be developed.

THE BENEFIT ASPECTS FROM INTERNATIONAL EXPERIMENTS IN HEALTH INSURANCE SERVICE IN EGYPT

There is doubt that concerning with health aspects and presenting health care for any society has its own reflections on its individuals' productive part, contributing in turn in achieving more positive economic outcomes. Consequently, this study attempts to examine some successful states' experiments in field of health care services in Egypt. So, this study drives at benefitting from these states' experiments in the health insurance service, particularly, the medical service itself and resources of funding of this service. The study sets a proposed framework for benefitting from the various international states' experiments in the health insurance service in Egypt, particularly, with the issue of the new law health insurance that has started to be applied on some governorates in Egypt. Regarding these experiments of other states which have different aspects to make use of such as the British experiment, the Japanese experiment, and the Canadian, Corian and Indian experiment. The researchers count on international reports published on the internet. The study comes to the necessity for increasing the role of the private sector and full-time physicians who work in public hospitals and setting plans and special policies for development of health services. Recommendations: Variation of funding resources to expend on health and increase contribution of the private sector and the society's civil organizations. Establishing a union for pricing medications and distribute them to hospitals.

Visualizing Collaboration Characteristics and Topic Burst on International Mobile Health Research: Bibliometric Analysis.

BackgroundIn the last few decades, mobile technologies have been widely adopted in the field of health care services to improve the accessibility to and the quality of health services received. Mobile health (mHealth) has emerged as a field of research with increasing attention being paid to it by scientific researchers and a rapid increase in related literature being reported.ObjectiveThe purpose of this study was to analyze the current state of research, including publication outputs, in the field of mHealth to uncover in-depth collaboration characteristics and topic burst of international mHealth research.MethodsThe authors collected literature that has been published in the last 20 years and indexed by Thomson Reuters Web of Science Core Collection (WoSCC). Various statistical techniques and bibliometric measures were employed, including publication growth analysis; journal distribution; and collaboration network analysis at the author, institution, and country collaboration level. The temporal visualization map of burst terms was drawn, and the co-occurrence matrix of these burst terms was analyzed by hierarchical cluster analysis and social network analysis.ResultsA total of 2704 bibliographic records on mHealth were collected. The earliest paper centered on mHealth was published in 1997, with the number of papers rising continuously since then. A total of 21.28% (2318/10,895) of authors publishing mHealth research were first author, whereas only 1.29% (141/10,895) of authors had published one paper. The total degree of author collaboration was 4.42 (11,958/2704) and there are 266 core authors who have collectively published 53.07% (1435/2704) of the total number of publications, which means that the core group of authors has fundamentally been formed based on the Law of Price. The University of Michigan published the highest number of mHealth-related publications, but less collaboration among institutions exits. The United States is the most productive country in the field and plays a leading role in collaborative research on mHealth. There are 5543 different identified keywords in the cleaned records. The temporal bar graph clearly presents overall topic evolutionary process over time. There are 12 important research directions identified, which are in the imbalanced development. Moreover, the density of the network was 0.007, a relatively low level. These 12 topics can be categorized into 4 areas: (1) patient engagement and patient intervention, (2) health monitoring and self-care, (3) mobile device and mobile computing, and (4) security and privacy.ConclusionsThe collaboration of core authors on mHealth research is not tight and stable. Furthermore, collaboration between institutions mainly occurs in the United States, although country collaboration is seen as relatively scarce. The focus of research topics on mHealth is decentralized. Our study might provide a potential guide for future research in mHealth.

Pemetaan Kompetensi untuk Pengembangan Penilaian Kinerja Berbasis Kompetensi di Unit Kerja Perawatan Intensif (ICU) Rumah Sakit Adi Husada Kapasari Surabaya

Adi Husada Kapasari Hospital is one of the companies that is engaged in the field of health care services which prioritize the development of human resources to achieve strategic objectives of the company. Relating to the company's priorities, Adi Husada Kapasari Hospital require a good performance appraisal systems, including for employee of Intensive Care Unit (ICU). The Development of a competency-based performance appraisal is one of the alternatives to evaluate employees performance objectively. Competency-based performance appraisal performance appraisal is based on the competencies that is needed in order to make the job can be implemented effectively which the criterias of the assessment obtained from the job descriptions and the job specifications. In other words, a competency-based performance appraisal want to connect whether the competency of an employee can meet the demands of a position or a job, so it can be performed well. The Competency mapping which conducted in the job analysis successfully identified a number of competencies of each position in the intensive care unit, which divided into core competencies, general competencies , and specific competencies. The combination of three kinds of competence is referred to as the competency profile. The Competency profile of each position becomes the performance assessment criteria that will be used to evaluate performance each of the incumbent.

From theoretical concepts to policies and applied programmes: the landscape of integration of oral health in primary care

BackgroundDespite its importance, the integration of oral health into primary care is still an emerging practice in the field of health care services. This scoping review aims to map the literature and provide a summary on the conceptual frameworks, policies and programs related to this concept.MethodsUsing the Levac et al. six-stage framework, we performed a systematic search of electronic databases, organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize the results.ResultsFrom a total of 1619 citations, 67 publications were included in the review. Two conceptual frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented toward common risk factors approach and care coordination processes. In general, oral health integrated care programs were designed in the public health sector and based on partnerships with various private and public health organizations, governmental bodies and academic institutions. These programmes used various strategies to empower oral health integrated care, including building interdisciplinary networks, training non-dental care providers, oral health champion modelling, enabling care linkages and care coordinated process, as well as the use of e-health technologies. The majority of studies on the programs outcomes were descriptive in nature without reporting long-term outcomes.ConclusionsThis scoping review provided a comprehensive overview on the concept of integration of oral health in primary care. The findings identified major gaps in reported programs outcomes mainly because of the lack of related research. However, the results could be considered as a first step in the development of health care policies that support collaborative practices and patient-centred care in the field of primary care sector.

A systematic review of medical service branding: Essential approach to hospital sector

Introduction: Understanding the branding aspects of health care and its application and development strategies is undoubtedly necessary for hospitals to achieve optimal marketing. The purpose of the present paper was to systematically review healthcare branding factors, the results of which can be useful in the understanding of these factors and improving the healthcare services. Materials and Methods: The present systematic review was conducted in 2017. Research related to branding in the field of healthcare services was searched using valid keywords, including hospital, medical service, and healthcare combined with keywords such as brand and brand building and through various databases (e. g., Google Scholar, Scopus, PubMed, and Web of Sciences). Using a check list, analytical studies (SCORB) were evaluated qualitatively. Endnote X6 was applied to arrange and evaluate abstract titles and to remove duplicate abstracts. Results: A total of 54 papers were selected for the systematic review. The results were classified and reported based on three categories, including dimension, process/strategies, and results/benefits. The most important brand building dimension was brand equity, the most important process was stabilization of brand positioning, and the most important result was development of optimal marketing. Moreover, some of the results suggested the effect of branding on financial and clinical performance of hospitals. Conclusion: The concept of brand building in healthcare services is an emerging phenomenon, and most of the healthcare organizations have limited experience in building brand strategies and developing their services. In this regard, it is necessary for hospitals to identify comprehensively the dimensions, processes, and results of optimal branding in healthcare services and use them for planning, implementation, and management.

An AHP-Based Interface and Channel Selection for Multi-channel MAC Protocol in IoT Ecosystem

Recently, the significance of internet of things (IoT) is rapidly growing in the next generation of information and communication technology due to rapid advances in wireless communication technologies which have triggered the development of low-power, reliable and miniaturized devices. These advances lead to the creation of IoT ecosystem that enables development of various services. Especially, there are a number of attempts to apply communication technology of IoT in the field of healthcare services which deals with medical applications such as a remote medical treatment. In IoT-based healthcare system, in general, a number of medical devices are densely deployed in narrow area. Therefore, they are exposed to signal interference among them which causes significant performance degradation. In this paper, we present an Analytical Hierarchy Process (AHP)-based network interface and channel selection algorithm for multi-channel MAC protocols in IoT ecosystem that take into account a multitude of decision factors, such as expected channel condition, latency and frame reception ratio. The proposed scheme can provide flexibility for various requirements of different medical services through performing AHP. In particular, the proposed scheme considers IoT-based healthcare system because it is the most complex scenario of fundamental IoT applications. To evaluate the performance of the proposed algorithm, we perform extensive simulations, and the simulation study shows that the proposed algorithm provides low latency and high reliability.

FAER Announces Pilot Healthcare Services Research Grant, Seeks Applications for 2013 Grant Cycle, All Grant Types

NOVEMBER 12, 2012 — With the urgency to transform healthcare along the triple aim of improving health for the individual, improving health for the population, and reducing costs, it is critical to train anesthesiologists in the science of healthcare services research. The Foundation for Anesthesia Education and Research and the Anesthesia Quality Institute are partnering to offer a pilot mentored grant for early-career investigators in the field of healthcare services research.The Mentored Research Training Grant – Healthcare Services Research (MRTG-HSR) is a 2-year $175,000 grant that provides funding for research and training in healthcare services research to faculty members who are within 10 years of having completed an anesthesiology residency or fellowship program. Year one is funded up to $75,000. Year two is funded up to $100,000. The MRTG-HSR requires 75 percent research time. There is dedicated funding for the MRTG-HSR to start in July 2013.The MRTG-HSR joins the other FAER grants that are offered on an annual basis. The application deadline for the MRTG-HSR and all FAER research grants is February 15, 2013. Eligibility requirements and application information can be found online at FAER.org/research-grants .ADDITIONAL FAER GRANT OPPORTUNITIES— Apply by February 15 If you have questions about the Mentored Research Grant in Healthcare Services Research or about applying for a FAER research grant, contact Carol Demulling, Associate Director, 507-538-7879 or CarolDemulling@faer.org.To learn more about FAER, visit FAER.org/about.

European Health Systems and the Internal Market: Reshaping Ideology?

Departing from theories of distributive justice and their relation with the distribution of health care within society, especially egalitarianism and libertarianism, this paper aims at demonstrating that the approach taken by the European Court of Justice regarding the application of the Internal Market principles (or the market freedoms) to the field of health care services has introduced new values which are more concerned with a libertarian view of health care. Moreover, the paper also addresses the question of how these new values introduced by the Court may affect common principles of European health systems, such as equity and accessibility.