Academic journals,consulting firms,and mainstream media have often published“predictions”about the future develop-ment of medical and health care.These publications often emphasize the potential of cutting-edge scie...Academic journals,consulting firms,and mainstream media have often published“predictions”about the future develop-ment of medical and health care.These publications often emphasize the potential of cutting-edge scientific or technical breakthroughs.Health Care Science looks at the problem from another perspective.We focus on how these changes enter the health system,how they operate in the real world,and how they reshape the organization and governance of medical services.At the beginning of 2026,we envision the following three major shifts that will reshape healthcare.展开更多
This paper focuses on C-K theory with its application to expand the scope of innovative solutions to transform health systems.The previous paper(Huttin,2024)provided a review of main design theories and a description ...This paper focuses on C-K theory with its application to expand the scope of innovative solutions to transform health systems.The previous paper(Huttin,2024)provided a review of main design theories and a description of the research process and interactions between investigators for physicians’choice models using random price generators.The selection of alternatives for that user case mainly related to medical policy problems(e.g.Huttin&Hausman,2021).However,such experimental studies require scaling up for bigger samples and therefore comprehensive user cases,to be useful for transformative tools in health system reforms.The use of C-K theory(Hatchuel&Weil,2002)may be a useful framework to generate data elements on economic and financial information,from conversation of care,and expand the dataspace,with innovative applications of the algorithms(as proposed in Prof.Huttin’s studies).The development of such economic models will impact the architecture of national or international accounting systems;therefore,they may require the design of ad hoc or satellite health accounts with such additional type of information.However,the architecture of health accounts is more driven by environmental communities who dominate methodological advances(e.g.agriculture,forestry management,etc.);modeling techniques in international health accounting generate specific tracers to integrate in aggregate indexes.Such development of the K space may be used for the health targets under the global agenda(e.g.SDGs).The statistical methods used to transform this K space,their selection process,and the identification of key parameters estimates will determine to a certain extent the transformation of health systems and will nurture the C concepts(e.g.more justice in reallocation of services and access to care).In global health,comparable national estimates are used(e.g.“Global Burden of Diseases”(GBD)and risk predictors for health risk evaluation).In relation to global pricing,the agenda refers to“Universal Health Coverage”(UHC),to accelerate access to affordable medical services in different regions of the world.Additional economic and financial information on populations with methodologies such as Hierarchical Bayesian Modeling(HBM)and its countervailing use(e.g.,physicians reversed conjoint models,Huttin,2017),with trained models on bigger samples and comprehensive user cases,contributes to structuring the pathway to transformative changes.展开更多
Objective: A resilient health system plays a crucial role in pandemic preparedness and response. Althoughthe World Health Organization (WHO) has required all states parties to strengthen core capacities to respondto p...Objective: A resilient health system plays a crucial role in pandemic preparedness and response. Althoughthe World Health Organization (WHO) has required all states parties to strengthen core capacities to respondto public health emergencies under the International Health Regulations (2005), the actions of most countriesto combating coronavirus disease 2019 (COVID-19) has showed that they are not well-prepared. This crosssectionalstudy aimed to examine the health system resilience of selected countries and analyze their strategiesand measures in response to the COVID-19 pandemic.Methods: This study selected five countries including the Iran, Japan, Republic of Korea (South Korea), the U.K.,and the U.S., based on the severity of the national epidemic, the geographical location, and the developmentlevel. Cumulative number of death cases derived from WHO COVID-19 dashboard was used to measure theseverity of the impact of the pandemic in each country;WHO State Parties Self-Assessment Annual Reporting (SPAR)Scores and Global Health Security (GHS) Index were applied to measure the national health system resilience;and research articles and press materials were summarized to identify the strategies and measures adopted bycountries during response to COVID-19. This study applied the resilient health systems framework to analyzehealth system resilience in the selected countries from five dimensions, including awareness, diversity, selfregulation,integration and adaptation.Results: The SPAR Scores and GHS Index of the four developed countries, Japan, South Korea, the U.K. and theU.S. were above the global and regional averages;the SPAR Scores of Iran were above the global average whilethe GHI Index lain below the global average. In terms of response strategies, Japan, the U.K. and the U.S. investedmore health resources in the treatment of severe patients, while South Korea and Iran had adopted a strategyof extensive testing and identification of suspected patients. In terms of specific measures, all the five countriesadopted measures such as restrictions on entry and international travel, closure of schools and industries,lockdown and quarantine. Nevertheless, the effectiveness of implementing these measures varied acrosscountries, based on the response strategies.Conclusion: Although SPAR Scores and GHS Index have evaluated the national core capacities for preparednessand response, the actions to cope with the COVID-19 pandemic has revealed the fact that most countries stilldo not build resilient health systems in response to public health emergencies. Health system strengtheningand health security efforts should be pursued in tandem, as part of the same mutually reinforcing approach todeveloping resilient health systems.展开更多
1 Background Congenital heart disease(CHD)is the most common major congenital anomaly,affecting approximately one in every 100 live births[1].Among congenital anomalies,66%of preventable deaths are due to CHD,and 58%o...1 Background Congenital heart disease(CHD)is the most common major congenital anomaly,affecting approximately one in every 100 live births[1].Among congenital anomalies,66%of preventable deaths are due to CHD,and 58%of the avertable morbidity and mortality due to congenital anomalies would result from scaling congenital heart surgery services[2].Every year,nearly 300,000 children and adults die from CHD,the majority of whom live in low-and middle-income countries(LMICs)[3].Approximately 49%of all individuals with CHD will require surgical or interventional care at some point in their lifetime[4];as a result of advances in access to and the delivery of such services,over 95%of children born with CHD in high-income countries now live into adulthood[3].Here,adults have surpassed children in the number of CHD cases at a ratio of 2:1[5].展开更多
The first International Conference on Environment and Human Health Systems Engineering was held on July 8,2017 in Northwestern Polytechnical University（NPU）,Xi’an.This conference was jointly held by the School of L...The first International Conference on Environment and Human Health Systems Engineering was held on July 8,2017 in Northwestern Polytechnical University（NPU）,Xi’an.This conference was jointly held by the School of Life Sciences of NPU,the Office of International Cooperation of NPU and the China Aerospace Academy of Systems Science and Engineering（CAASSE）.展开更多
The health of cropland systems is directly related to the degree of food security guarantee,and the‘quantity-quality-ecology as a whole’protection is of great significance for maintaining the health of cropland syst...The health of cropland systems is directly related to the degree of food security guarantee,and the‘quantity-quality-ecology as a whole’protection is of great significance for maintaining the health of cropland systems.Taking the typical black soil region in Northeast China(TBSN)as an example,this paper combined the concept of‘quantity-quality-ecology as a whole’protection with crop-land systems health,constructed a health assessment model for cropland systems,and used Google Earth Engine to conduct a quantitat-ive analysis of the temporal and spatial evolution of cropland systems health in TBSN during 2003–2023.By coupling the geographical detector and the Multi-scale Geographically Weighted Regression(MGWR)model,the driving factors of cropland health changes were explored.The study finds that during the research period,the health status of cropland systems in TBSN showed a slight downward trend,and the distribution pattern of cropland systems health gradually shifted from‘better in the east’to‘high in the northeast and low in the southwest’.Changes in average annual sunshine duration,relative humidity,and precipitation had a significant impact on the spa-tial differentiation of cropland systems health in the early stages,and were considered as dominant factors.Meanwhile,the influence of dual dominant factors in the natural environment on cropland systems health is increasing.Furthermore,the MGWR model performed better in revealing the complex relationships between natural and social factors and changes in cropland systems health,demonstrating the significant spatial heterogeneity of the impacts of natural environment and human activities on cropland systems health.The re-search can provide scientific guidance for the sustainable development of TBSN and formulate more precise and effective cropland pro-tection policies.展开更多
This study was designed to measure the performance of county health systems in central and western China utilizing routine healthcare data.Drawing on a literature review and expert consultation,the study established a...This study was designed to measure the performance of county health systems in central and western China utilizing routine healthcare data.Drawing on a literature review and expert consultation,the study established a theoretical framework and an indicator system for performance review.Questionnaires were designed and disseminated to collect empirical data on health system performance in four counties of two central and western provinces.Quantitative data were subjected to descriptive statistical analysis through SPSS12.0.Three dimensions were introduced in the performance review framework—health outcomes,financial risk protection and consumer and provider satisfaction.Health outcomes were assessed from four secondary indicators：infant mortality rate;maternal mortality rate;under-5 child mortality rate;and the incidence of Class A and Class B notifiable diseases.Financial risk was assessed using two secondary indicators：the proportion of the cost of inpatient care that was reimbursed under the New Cooperative Medical System（NCMS） insurance scheme,and the rate of NCMS funds utilization.The assessment of satisfaction was made using two secondary indicators：the overall satisfaction of local residents with healthcare services,and the satisfaction of health practitioners at the township and village level.The study indicated better health system performance in the two counties in Chongqing than those in Shanxi.It was concluded that outcome framework scores can fairly reveal performance differences among county health systems in central and western China,and can provide practical evidence for optimizing the operation and inputs of county health systems.Caution needs to be exercised in generalizing such performance outcomes as many factors such as spending and organization that contribute to county health system performance were not included in the study.展开更多
<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local com...<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local communities in Kenya since access to maternal and newborn healthcare services remains a big challenge. Barriers to access in resource-constrained settings have not been examined adequately in literature. The World Health Organization (WHO) has 6 building blocks for strengthening healthcare systems that informed this study. This paper examines how user-side and institutional factors influence access and use of Maternal and Newborn Healthcare (MNH) Services in Matayos sub-County-Busia County. <b></b></span><b><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">A mixed method approach, with an ethnographic inquiry and a descriptive cross-sectional design, was adopted to assess access to MNH services in Matayos-Busia County, Western Kenya. Postpartum women who had delivered within the previous 12 months and health care providers in the study area were recruited as respondents. A total of 348 postpartum women were selected through stratified systematic random sampling for the survey. Purposive sampling was used to select postpartum women, conventional and traditional health care providers for 16 in-depth interviews and 7 focus group discussions. Data were analyzed using descriptive and inferential statistics. Qualitative data analysis was done thematically. <b></b></span><b><b><span style="font-family:Verdana;">Results</span><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></b><span style="font-family:Verdana;"> Institutional delivery was low at 68% and family planning at 75% although demand for services was high at 99%. User-side barriers to access included shared beliefs and practices in the community;high direct transport costs from home;and high costs for missing drugs and other supplies in hospitals. Middle (5</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">-7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">) order deliveries occurred at home with traditional birth attendants. The choice of place of delivery in households was influenced by spouses to respondents and communities of residence where respondents lived or were married. All 6 WHO health system building blocks were weak in Matayos sub-County and needed system-wide strengthening involving all pillars. The user-community voice alone was insufficient and the 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> pillar for user-community engagement was absent. The underlying factors were weak governance and underfunding for healthcare.</span> <b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">The six WHO building blocks were inadequate due to weak governance and inadequate funding. User-community engagement, the 7<sup>th</sup> Pillar, was absent in these resource-limited settings. We recommend user-community empowerment, engagement and participation, adoption of a system thinking approach and adequate funding.</span>展开更多
The Internet ofThings(IoT)and edge computing have substantially contributed to the development and growth of smart cities.It handled time-constrained services and mobile devices to capture the observing environment fo...The Internet ofThings(IoT)and edge computing have substantially contributed to the development and growth of smart cities.It handled time-constrained services and mobile devices to capture the observing environment for surveillance applications.These systems are composed of wireless cameras,digital devices,and tiny sensors to facilitate the operations of crucial healthcare services.Recently,many interactive applications have been proposed,including integrating intelligent systems to handle data processing and enable dynamic communication functionalities for crucial IoT services.Nonetheless,most solutions lack optimizing relayingmethods and impose excessive overheads for maintaining devices’connectivity.Alternatively,data integrity and trust are another vital consideration for nextgeneration networks.This research proposed a load-balanced trusted surveillance routing model with collaborative decisions at network edges to enhance energymanagement and resource balancing.It leverages graph-based optimization to enable reliable analysis of decision-making parameters.Furthermore,mobile devices integratewith the proposed model to sustain trusted routes with lightweight privacy-preserving and authentication.The proposed model analyzed its performance results in a simulation-based environment and illustrated an exceptional improvement in packet loss ratio,energy consumption,detection anomaly,and blockchain overhead than related solutions.展开更多
Background:Developing countries have the potential to reach vulnerable and underserved populations marginalized by the country’s health care systems by way of community health work-ers(CHWs).It is imperative that hea...Background:Developing countries have the potential to reach vulnerable and underserved populations marginalized by the country’s health care systems by way of community health work-ers(CHWs).It is imperative that health care systems focus on improving access to quality continu-ous primary care through the use of CHWs while paying attention to the factors that impact on CHWs and their effectiveness.Objective:To explore the possible opportunities and challenges of integrating CHWs into the health care systems of developing countries.Methods:Six databases were examined for quantitative,qualitative,and mixed-methods stud-ies that included the integration of CHWs,their motivation and supervision,and CHW policy making and implementation in developing countries.Thirty-three studies met the inclusion criteria and were double read to extract data relevant to the context of CHW programs.Thematic coding was conducted and evidence on the main categories of contextual factors influencing integration of CHWs into the health system was synthesized.Results:CHWs are an effective and appropriate element of a health care team and can assist in addressing health disparities and social determinants of health.Important facilitators of integration of CHWs into health care teams are support from other health workers and inclusion of CHWs in case management meetings.Sustainable integration of CHWs into the health care system requires the formulation and implementation of polices that support their work,as well as financial and nonfinancial incentives,motivation,collaborative and supportive supervision,and a manageable workload.Conclusions:For sustainable integration of CHWs into health care systems,high-performing health systems with sound governance,adequate financing,well-organized service delivery,and adequate supplies and equipment are essential.Similarly,competent communities could contrib-ute to better CHW performance through sound governance of community resources,promotion of inclusiveness and cohesion,engagement in participatory decision making,and mobilization of local resources for community welfare.展开更多
The integration of wearable technologies and artificial intelligence (AI) has revolutionized healthcare, enabling advanced personal health monitoring systems. This article explores the transformative impact of wearabl...The integration of wearable technologies and artificial intelligence (AI) has revolutionized healthcare, enabling advanced personal health monitoring systems. This article explores the transformative impact of wearable technologies and AI on healthcare, highlighting the development and theoretical application of the Integrated Personal Health Monitoring System (IPHMS). By integrating data from various wearable devices, such as smartphones, Apple Watches, and Oura Rings, the IPHMS framework aims to revolutionize personal health monitoring through real-time alerts, comprehensive tracking, and personalized insights. Despite its potential, the practical implementation faces challenges, including data privacy, system interoperability, and scalability. The evolution of healthcare technology from traditional methods to AI-enhanced wearables underscores a significant advancement towards personalized care, necessitating further research and innovation to address existing limitations and fully realize the benefits of such integrated health monitoring systems.展开更多
Aims:To identify virtual healthcare services and digital health technologies deployed in South Africa during coronavirus disease 2019(COVID-19)and the challenges associated with their use.Metiiods:To determine the sta...Aims:To identify virtual healthcare services and digital health technologies deployed in South Africa during coronavirus disease 2019(COVID-19)and the challenges associated with their use.Metiiods:To determine the status of digital health utilization during COVID-19 in South Africa,the preferred reporting items for systematic reviews and meta-analyses model was used to perform a systematic and in-depth critical analysis of previously published studies in well-known and trusted online electronic databases using specific search keywords words that are relevant to this study.We selected published peer-reviewed articles available from the onset of COVID-19 to July 2021.Results:Total of 24 articles were included into this study.This study revealed that South Africa adopted digital technologies such as SMS-based solutions,mobile health applications,telemedicine and telehealth,WhatsApp-based systems,artificial intelligence and chatbots and robotics to provide healthcare services during COVID-19 pandemic.These innovative technologies have been used for various purposes including screening infectious and non-infectious diseases,disease surveillance and monitoring,medication and treatment compliance,creating awareness and communication.The study also revealed that teleconsultation and e-prescription,telelaboratory and telepharmacy,teleeducation and teletraining,teledermatology,teleradiology,telecardiology,teleophthalmology,teleneurology,telerehabilitation,teleoncology and telepsychiatry are among virtual healthcare services delivered through digital health technologies during COVID-19 in South Africa.However,these smart digital health technologies face several impediments such as infrastructural and technological barriers,organization and financial barriers,policy and regulatory barriers as well as cultural barriers.Conclusion:Although COVID-19 has invigorated the use of digital health technologies,there are still some shortcomings.The outbreak of pandemics like COVID-19 in the future is not inevitable.Therefore,we recommend increasing community networks in rural areas to bridge the digital divide and the modification of mHealth policy to advocate for the effective use of innovative technologies in healthcare and the development of sustainable strategies for resources mobilization through private-public partnerships as well as joining available international initiatives advocating for smart digital health.展开更多
Objective:Gambling is a complex topic in relation to health systems.It is always unclear how to strike a balance between the gambling economy and the impact of gambling on public health or social wellbeing at any age....Objective:Gambling is a complex topic in relation to health systems.It is always unclear how to strike a balance between the gambling economy and the impact of gambling on public health or social wellbeing at any age.There are limited studies considering the association between determinants of gambling and the life expectancy of the ageing population in a country.From an evaluation perspective,this article aims to demonstrate the correlation between life expectancy and gambling and public health systems.Methods:The approach of analysis has two parts.One is the influence of gambling prevalence in populations on life expectancy among old adults.Another is the association between the effect of changes in legal gambling provisions within public health systems and life expectancy among old adults.Healthy adjusted life expectancy at age 60 from the World Health Organization and gross gambling yield were used.ANOVA was performed with SPSS.Results:The population groups with HALE at age 60 of 15 years or over are likely more active in gambling than the population groups with smaller HALE at age 60 of 14 years or less.On the other hand,the influence of a health policy may be sidelined when it is implemented for older adult populations because the resource distribution magnitude or number of strategical techniques may not be the same for younger adult populations.The study here is marked as a good practical start,and there is room for further research with big data analysis on additional gambling variables against other life expectancy variables,quality of life variables or public health system variables.Conclusion:Associations between the determinants of gambling and the life expectancy of the ageing population in a country have not yet been identified.Continuous measurements of policy implementation and effectiveness and assessments of health equity,while gambling policies worldwide continue to change,have not yet been performed.Researchers and policy makers should understand the importance of holistic integration of the gambling economy and policy within a public health and social paradigm with the help of big data insights to achieve sustainability in their cities and health equity in their communities.展开更多
Objective:To make evidence-based decisions based on broad mortality trends for Razavi Khorasan province,Iran.Methods:In order to determine the baseline number of deaths,we used univariate time series analyses for mont...Objective:To make evidence-based decisions based on broad mortality trends for Razavi Khorasan province,Iran.Methods:In order to determine the baseline number of deaths,we used univariate time series analyses for monthly data from the monthly vital statistics reports(From April 2015 to March 2022).For excess mortalities,these baselines were subtracted from reported deaths with a 95%prediction interval.To compare time and causes,a P-score was calculated.Results:From March 2020 to March 2022,there were 61949 registered deaths,and the estimated deaths with a 95%confidence interval(CI)were 43246.16(35718.28,50774.05).So,in 2020-2021 and 2021-2022,the death counts were 35.15%and 51.33%higher than projected.A total of 18666 cardiovascular diseases were reported and a total of 15704.46(12006.95,19401.96)was estimated.The P-score for this duration was 14.49%and 23.23%higher than expected.Infectious and parasitic diseases plus COVID-19 were 16633 and estimated to be 1044.87(456.77,1632.96).A total of 4420 diseases of the respiratory system were reported,and 4564.94 deaths were predicted(2277.43,6852.43).In the first year of the pandemic,the P-score dropped to-35.28%and in the second year,it jumped sharply to 22.38%.Conclusions:Excess mortality,along with cause-specific mortality,can be helpful for monitoring trends and developing public health policies at the local,national,and international levels.展开更多
The burden of noncommunicable diseases is increasing rapidly in low-and middle-income countries creating a growing need for advanced diagnostic and therapeutic modalities.Nuclear medicine offers great potential in dis...The burden of noncommunicable diseases is increasing rapidly in low-and middle-income countries creating a growing need for advanced diagnostic and therapeutic modalities.Nuclear medicine offers great potential in disease detection,treatment planning,and monitoring,yet its integration into resource-limited health systems remains challenging.This review synthesizes evidence from peer-reviewed publications and relevant reports from international agencies to examine barriers to,and enablers of,nuclear medicine adoption in these settings.We found that key obstacles include financial constraints,restricted access to essential materials,insufficient regulatory frameworks,and shortages of skilled professionals.These gaps contribute to safety concerns,inadequate waste management,and delays in service delivery.Although global initiatives have strengthened workforce training and promoted regulatory harmonization,persistent issues in financial sustainability and retention of trained staff hinder progress.Technological advances,such as novel imaging and therapeutic approaches,present opportunities;however,their successful implementation requires context-specific strategies that align with local infrastructure and policy realities.Integrating nuclear medicine into health systems in low-resource environments can address multiple health care priorities simultaneously,but this will require targeted investment,sustainable financing mechanisms,and strengthened institutional capacity.Collaborative international support,coupled with locally adapted policies,could accelerate equitable access and improve patient outcomes.Expanding the role of nuclear medicine in these regions has the potential to significantly enhance health care delivery and contribute to closing the global disparity in advanced medical services.展开更多
This paper analyses the five years’monitored strains collected from a long-term health monitoring system installed on a bridge with wavelet transform.In the analysis,the monitored strains are pre-processed,features o...This paper analyses the five years’monitored strains collected from a long-term health monitoring system installed on a bridge with wavelet transform.In the analysis,the monitored strains are pre-processed,features of the monitored data are summarized briefly.The influences of the base functions on the results of wavelet analysis are studied simultaneously.The results show that the db wavelet is a good mother wavelet function in the analysis,and the order N should be larger than 20,but less than 46 in decomposing the monitored strains of the bridge.According to the strain variation features of concrete bridge,the proper decomposition level is 4 in the wavelet multi-resolution analysis.With the present method,the strains caused by random loads and daily sunlight can be accurately extracted from the monitored strains.The decomposed components of the monitored strains show that the amplitudes of the strains caused by random loads,daily sunlight,and annual temperature effect,are about 5με,25με,and 50μεrespectively.The structural response under random load is smaller than the other parts.展开更多
Mining safety and health improvements over the past decades are remarkable by many metrics, and yet the expectation of society, and the goal of the mining industry, is zero harm. If we examine the underlying enablers ...Mining safety and health improvements over the past decades are remarkable by many metrics, and yet the expectation of society, and the goal of the mining industry, is zero harm. If we examine the underlying enablers for the significant gains that have been achieved, the key role that research to help understand the causes of problems and to develop lasting solutions is clear. Many of the remaining challenges have been resistant to solutions by various approaches. Some, such as fatalities and injuries from ground control or powered haulage are prominent year after year. Different approaches are indicated and new solutions will be required if we are to achieve a goal of zero harm. These will originate with research, but into which topics, and what are some of these different approaches? This paper examines the current state of mine safety in the United States and highlights areas of significant opportunity for research that will lead to solutions. The likely direction of research that will enable realization of the ‘‘zero harm'' goal is described in terms of evolutionary and revolutionary approaches. Both are important, but the author's view is that some of the largest gains will be made with trans-disciplinary approaches that break from the past. Topical areas of research are suggested and several research questions are given to illustrate the direction of future research in mining safety and health.展开更多
Background: Health information systems (HIS) play a major role in decision-making. The aim is to identify the components of computerized HIS and their relationship to administrative decisions at the main referral hosp...Background: Health information systems (HIS) play a major role in decision-making. The aim is to identify the components of computerized HIS and their relationship to administrative decisions at the main referral hospitals for Sana’a city. Method: This applied research is a descriptive, cross-sectional study in which the HIS of 7 hospitals affiliated with Sana’a city hospitals during “2017-2020”, was evaluated based on Self-administered questionnaires. Data were collected by using Self-administered questionnaires and analyzed in SPSS 16 by using descriptive statistics. Results: A total of 626 users (95.7%) had responded. 73%, 75%, 69%, 70%, 71% of users mentioned that resources were available, for physical, software, human, organizational, and decision computerized HIS, respectively. The study showed a strong relationship between computerized information systems with their physical, software, human and organizational components, and medical and administrative decisions. While the study showed the absence of a relationship between demographic factors and computerized information systems with their hardware, software, human and organizational components, medical and administrative decisions, except for gender with organizational components, age, qualification with hardware and software components, and years of experience with all study variables. Conclusion: The application of HIS at hospitals in decision-making has several challenges, including the lack of updating of hardware and software components Furthermore, the absence of specific, focusing on developing their technical staffs, and mobilizing financial resources to achieve implementation properly. Therefore, establishing the technical management with clear roles and tasks with multi-disciplinary, and increasing the support of the administrative leadership in the process of implementing HIS are recommended.展开更多
With the advent of the pandemic, the Brazilian Ministry of Health structured in record time the Telehealth Service of the Unified Health System called TeleSUS, an ecosystem based on the intensive use of information te...With the advent of the pandemic, the Brazilian Ministry of Health structured in record time the Telehealth Service of the Unified Health System called TeleSUS, an ecosystem based on the intensive use of information technology involving automated mechanisms and a personalized health care center at distance. In addition to constant evaluations carried out in the service as a public health strategy, at clinical and epidemiological levels, the team involved in the project was also concerned with evaluating the system developed to enable the operation of remote care, from the conception of the organization of health actions to the technological development of the digital health tool. The objective of this study was to carry out an evaluation of a telehealth system, measuring the degree of satisfaction of users of health professionals regarding its usability and identifying factors that positively and/or negatively influence the evaluation.展开更多
文摘Academic journals,consulting firms,and mainstream media have often published“predictions”about the future develop-ment of medical and health care.These publications often emphasize the potential of cutting-edge scientific or technical breakthroughs.Health Care Science looks at the problem from another perspective.We focus on how these changes enter the health system,how they operate in the real world,and how they reshape the organization and governance of medical services.At the beginning of 2026,we envision the following three major shifts that will reshape healthcare.
文摘This paper focuses on C-K theory with its application to expand the scope of innovative solutions to transform health systems.The previous paper(Huttin,2024)provided a review of main design theories and a description of the research process and interactions between investigators for physicians’choice models using random price generators.The selection of alternatives for that user case mainly related to medical policy problems(e.g.Huttin&Hausman,2021).However,such experimental studies require scaling up for bigger samples and therefore comprehensive user cases,to be useful for transformative tools in health system reforms.The use of C-K theory(Hatchuel&Weil,2002)may be a useful framework to generate data elements on economic and financial information,from conversation of care,and expand the dataspace,with innovative applications of the algorithms(as proposed in Prof.Huttin’s studies).The development of such economic models will impact the architecture of national or international accounting systems;therefore,they may require the design of ad hoc or satellite health accounts with such additional type of information.However,the architecture of health accounts is more driven by environmental communities who dominate methodological advances(e.g.agriculture,forestry management,etc.);modeling techniques in international health accounting generate specific tracers to integrate in aggregate indexes.Such development of the K space may be used for the health targets under the global agenda(e.g.SDGs).The statistical methods used to transform this K space,their selection process,and the identification of key parameters estimates will determine to a certain extent the transformation of health systems and will nurture the C concepts(e.g.more justice in reallocation of services and access to care).In global health,comparable national estimates are used(e.g.“Global Burden of Diseases”(GBD)and risk predictors for health risk evaluation).In relation to global pricing,the agenda refers to“Universal Health Coverage”(UHC),to accelerate access to affordable medical services in different regions of the world.Additional economic and financial information on populations with methodologies such as Hierarchical Bayesian Modeling(HBM)and its countervailing use(e.g.,physicians reversed conjoint models,Huttin,2017),with trained models on bigger samples and comprehensive user cases,contributes to structuring the pathway to transformative changes.
基金supported by the National Natural Science Foundationof China (No. 72042014).
文摘Objective: A resilient health system plays a crucial role in pandemic preparedness and response. Althoughthe World Health Organization (WHO) has required all states parties to strengthen core capacities to respondto public health emergencies under the International Health Regulations (2005), the actions of most countriesto combating coronavirus disease 2019 (COVID-19) has showed that they are not well-prepared. This crosssectionalstudy aimed to examine the health system resilience of selected countries and analyze their strategiesand measures in response to the COVID-19 pandemic.Methods: This study selected five countries including the Iran, Japan, Republic of Korea (South Korea), the U.K.,and the U.S., based on the severity of the national epidemic, the geographical location, and the developmentlevel. Cumulative number of death cases derived from WHO COVID-19 dashboard was used to measure theseverity of the impact of the pandemic in each country;WHO State Parties Self-Assessment Annual Reporting (SPAR)Scores and Global Health Security (GHS) Index were applied to measure the national health system resilience;and research articles and press materials were summarized to identify the strategies and measures adopted bycountries during response to COVID-19. This study applied the resilient health systems framework to analyzehealth system resilience in the selected countries from five dimensions, including awareness, diversity, selfregulation,integration and adaptation.Results: The SPAR Scores and GHS Index of the four developed countries, Japan, South Korea, the U.K. and theU.S. were above the global and regional averages;the SPAR Scores of Iran were above the global average whilethe GHI Index lain below the global average. In terms of response strategies, Japan, the U.K. and the U.S. investedmore health resources in the treatment of severe patients, while South Korea and Iran had adopted a strategyof extensive testing and identification of suspected patients. In terms of specific measures, all the five countriesadopted measures such as restrictions on entry and international travel, closure of schools and industries,lockdown and quarantine. Nevertheless, the effectiveness of implementing these measures varied acrosscountries, based on the response strategies.Conclusion: Although SPAR Scores and GHS Index have evaluated the national core capacities for preparednessand response, the actions to cope with the COVID-19 pandemic has revealed the fact that most countries stilldo not build resilient health systems in response to public health emergencies. Health system strengtheningand health security efforts should be pursued in tandem, as part of the same mutually reinforcing approach todeveloping resilient health systems.
文摘1 Background Congenital heart disease(CHD)is the most common major congenital anomaly,affecting approximately one in every 100 live births[1].Among congenital anomalies,66%of preventable deaths are due to CHD,and 58%of the avertable morbidity and mortality due to congenital anomalies would result from scaling congenital heart surgery services[2].Every year,nearly 300,000 children and adults die from CHD,the majority of whom live in low-and middle-income countries(LMICs)[3].Approximately 49%of all individuals with CHD will require surgical or interventional care at some point in their lifetime[4];as a result of advances in access to and the delivery of such services,over 95%of children born with CHD in high-income countries now live into adulthood[3].Here,adults have surpassed children in the number of CHD cases at a ratio of 2:1[5].
文摘The first International Conference on Environment and Human Health Systems Engineering was held on July 8,2017 in Northwestern Polytechnical University（NPU）,Xi’an.This conference was jointly held by the School of Life Sciences of NPU,the Office of International Cooperation of NPU and the China Aerospace Academy of Systems Science and Engineering（CAASSE）.
基金Under the auspices of National Natural Science Foundation Youth Fund Project(No.41701424)Open Research Fund of State Key Laboratory of Remote Sensing Science(No.OFSLRSS201716)+1 种基金Jilin Province Science and Technology Development Plan Project(No.20240701167FG)Science and Technology Research Project of Education Department of Jilin Province(No.JJKH20230502KJ)。
文摘The health of cropland systems is directly related to the degree of food security guarantee,and the‘quantity-quality-ecology as a whole’protection is of great significance for maintaining the health of cropland systems.Taking the typical black soil region in Northeast China(TBSN)as an example,this paper combined the concept of‘quantity-quality-ecology as a whole’protection with crop-land systems health,constructed a health assessment model for cropland systems,and used Google Earth Engine to conduct a quantitat-ive analysis of the temporal and spatial evolution of cropland systems health in TBSN during 2003–2023.By coupling the geographical detector and the Multi-scale Geographically Weighted Regression(MGWR)model,the driving factors of cropland health changes were explored.The study finds that during the research period,the health status of cropland systems in TBSN showed a slight downward trend,and the distribution pattern of cropland systems health gradually shifted from‘better in the east’to‘high in the northeast and low in the southwest’.Changes in average annual sunshine duration,relative humidity,and precipitation had a significant impact on the spa-tial differentiation of cropland systems health in the early stages,and were considered as dominant factors.Meanwhile,the influence of dual dominant factors in the natural environment on cropland systems health is increasing.Furthermore,the MGWR model performed better in revealing the complex relationships between natural and social factors and changes in cropland systems health,demonstrating the significant spatial heterogeneity of the impacts of natural environment and human activities on cropland systems health.The re-search can provide scientific guidance for the sustainable development of TBSN and formulate more precise and effective cropland pro-tection policies.
文摘This study was designed to measure the performance of county health systems in central and western China utilizing routine healthcare data.Drawing on a literature review and expert consultation,the study established a theoretical framework and an indicator system for performance review.Questionnaires were designed and disseminated to collect empirical data on health system performance in four counties of two central and western provinces.Quantitative data were subjected to descriptive statistical analysis through SPSS12.0.Three dimensions were introduced in the performance review framework—health outcomes,financial risk protection and consumer and provider satisfaction.Health outcomes were assessed from four secondary indicators：infant mortality rate;maternal mortality rate;under-5 child mortality rate;and the incidence of Class A and Class B notifiable diseases.Financial risk was assessed using two secondary indicators：the proportion of the cost of inpatient care that was reimbursed under the New Cooperative Medical System（NCMS） insurance scheme,and the rate of NCMS funds utilization.The assessment of satisfaction was made using two secondary indicators：the overall satisfaction of local residents with healthcare services,and the satisfaction of health practitioners at the township and village level.The study indicated better health system performance in the two counties in Chongqing than those in Shanxi.It was concluded that outcome framework scores can fairly reveal performance differences among county health systems in central and western China,and can provide practical evidence for optimizing the operation and inputs of county health systems.Caution needs to be exercised in generalizing such performance outcomes as many factors such as spending and organization that contribute to county health system performance were not included in the study.
文摘<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Preventable maternal and newborn mortalities still occur in local communities in Kenya since access to maternal and newborn healthcare services remains a big challenge. Barriers to access in resource-constrained settings have not been examined adequately in literature. The World Health Organization (WHO) has 6 building blocks for strengthening healthcare systems that informed this study. This paper examines how user-side and institutional factors influence access and use of Maternal and Newborn Healthcare (MNH) Services in Matayos sub-County-Busia County. <b></b></span><b><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">A mixed method approach, with an ethnographic inquiry and a descriptive cross-sectional design, was adopted to assess access to MNH services in Matayos-Busia County, Western Kenya. Postpartum women who had delivered within the previous 12 months and health care providers in the study area were recruited as respondents. A total of 348 postpartum women were selected through stratified systematic random sampling for the survey. Purposive sampling was used to select postpartum women, conventional and traditional health care providers for 16 in-depth interviews and 7 focus group discussions. Data were analyzed using descriptive and inferential statistics. Qualitative data analysis was done thematically. <b></b></span><b><b><span style="font-family:Verdana;">Results</span><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"></span></b><span style="font-family:Verdana;"> Institutional delivery was low at 68% and family planning at 75% although demand for services was high at 99%. User-side barriers to access included shared beliefs and practices in the community;high direct transport costs from home;and high costs for missing drugs and other supplies in hospitals. Middle (5</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">-7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;">) order deliveries occurred at home with traditional birth attendants. The choice of place of delivery in households was influenced by spouses to respondents and communities of residence where respondents lived or were married. All 6 WHO health system building blocks were weak in Matayos sub-County and needed system-wide strengthening involving all pillars. The user-community voice alone was insufficient and the 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> pillar for user-community engagement was absent. The underlying factors were weak governance and underfunding for healthcare.</span> <b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b><b> </b><span style="font-family:Verdana;">The six WHO building blocks were inadequate due to weak governance and inadequate funding. User-community engagement, the 7<sup>th</sup> Pillar, was absent in these resource-limited settings. We recommend user-community empowerment, engagement and participation, adoption of a system thinking approach and adequate funding.</span>
基金funded by the Deanship of Graduate Studies and Scientific Research at Jouf University under grant No.(DGSSR-2024-02-02090).
文摘The Internet ofThings(IoT)and edge computing have substantially contributed to the development and growth of smart cities.It handled time-constrained services and mobile devices to capture the observing environment for surveillance applications.These systems are composed of wireless cameras,digital devices,and tiny sensors to facilitate the operations of crucial healthcare services.Recently,many interactive applications have been proposed,including integrating intelligent systems to handle data processing and enable dynamic communication functionalities for crucial IoT services.Nonetheless,most solutions lack optimizing relayingmethods and impose excessive overheads for maintaining devices’connectivity.Alternatively,data integrity and trust are another vital consideration for nextgeneration networks.This research proposed a load-balanced trusted surveillance routing model with collaborative decisions at network edges to enhance energymanagement and resource balancing.It leverages graph-based optimization to enable reliable analysis of decision-making parameters.Furthermore,mobile devices integratewith the proposed model to sustain trusted routes with lightweight privacy-preserving and authentication.The proposed model analyzed its performance results in a simulation-based environment and illustrated an exceptional improvement in packet loss ratio,energy consumption,detection anomaly,and blockchain overhead than related solutions.
文摘Background:Developing countries have the potential to reach vulnerable and underserved populations marginalized by the country’s health care systems by way of community health work-ers(CHWs).It is imperative that health care systems focus on improving access to quality continu-ous primary care through the use of CHWs while paying attention to the factors that impact on CHWs and their effectiveness.Objective:To explore the possible opportunities and challenges of integrating CHWs into the health care systems of developing countries.Methods:Six databases were examined for quantitative,qualitative,and mixed-methods stud-ies that included the integration of CHWs,their motivation and supervision,and CHW policy making and implementation in developing countries.Thirty-three studies met the inclusion criteria and were double read to extract data relevant to the context of CHW programs.Thematic coding was conducted and evidence on the main categories of contextual factors influencing integration of CHWs into the health system was synthesized.Results:CHWs are an effective and appropriate element of a health care team and can assist in addressing health disparities and social determinants of health.Important facilitators of integration of CHWs into health care teams are support from other health workers and inclusion of CHWs in case management meetings.Sustainable integration of CHWs into the health care system requires the formulation and implementation of polices that support their work,as well as financial and nonfinancial incentives,motivation,collaborative and supportive supervision,and a manageable workload.Conclusions:For sustainable integration of CHWs into health care systems,high-performing health systems with sound governance,adequate financing,well-organized service delivery,and adequate supplies and equipment are essential.Similarly,competent communities could contrib-ute to better CHW performance through sound governance of community resources,promotion of inclusiveness and cohesion,engagement in participatory decision making,and mobilization of local resources for community welfare.
文摘The integration of wearable technologies and artificial intelligence (AI) has revolutionized healthcare, enabling advanced personal health monitoring systems. This article explores the transformative impact of wearable technologies and AI on healthcare, highlighting the development and theoretical application of the Integrated Personal Health Monitoring System (IPHMS). By integrating data from various wearable devices, such as smartphones, Apple Watches, and Oura Rings, the IPHMS framework aims to revolutionize personal health monitoring through real-time alerts, comprehensive tracking, and personalized insights. Despite its potential, the practical implementation faces challenges, including data privacy, system interoperability, and scalability. The evolution of healthcare technology from traditional methods to AI-enhanced wearables underscores a significant advancement towards personalized care, necessitating further research and innovation to address existing limitations and fully realize the benefits of such integrated health monitoring systems.
文摘Aims:To identify virtual healthcare services and digital health technologies deployed in South Africa during coronavirus disease 2019(COVID-19)and the challenges associated with their use.Metiiods:To determine the status of digital health utilization during COVID-19 in South Africa,the preferred reporting items for systematic reviews and meta-analyses model was used to perform a systematic and in-depth critical analysis of previously published studies in well-known and trusted online electronic databases using specific search keywords words that are relevant to this study.We selected published peer-reviewed articles available from the onset of COVID-19 to July 2021.Results:Total of 24 articles were included into this study.This study revealed that South Africa adopted digital technologies such as SMS-based solutions,mobile health applications,telemedicine and telehealth,WhatsApp-based systems,artificial intelligence and chatbots and robotics to provide healthcare services during COVID-19 pandemic.These innovative technologies have been used for various purposes including screening infectious and non-infectious diseases,disease surveillance and monitoring,medication and treatment compliance,creating awareness and communication.The study also revealed that teleconsultation and e-prescription,telelaboratory and telepharmacy,teleeducation and teletraining,teledermatology,teleradiology,telecardiology,teleophthalmology,teleneurology,telerehabilitation,teleoncology and telepsychiatry are among virtual healthcare services delivered through digital health technologies during COVID-19 in South Africa.However,these smart digital health technologies face several impediments such as infrastructural and technological barriers,organization and financial barriers,policy and regulatory barriers as well as cultural barriers.Conclusion:Although COVID-19 has invigorated the use of digital health technologies,there are still some shortcomings.The outbreak of pandemics like COVID-19 in the future is not inevitable.Therefore,we recommend increasing community networks in rural areas to bridge the digital divide and the modification of mHealth policy to advocate for the effective use of innovative technologies in healthcare and the development of sustainable strategies for resources mobilization through private-public partnerships as well as joining available international initiatives advocating for smart digital health.
文摘Objective:Gambling is a complex topic in relation to health systems.It is always unclear how to strike a balance between the gambling economy and the impact of gambling on public health or social wellbeing at any age.There are limited studies considering the association between determinants of gambling and the life expectancy of the ageing population in a country.From an evaluation perspective,this article aims to demonstrate the correlation between life expectancy and gambling and public health systems.Methods:The approach of analysis has two parts.One is the influence of gambling prevalence in populations on life expectancy among old adults.Another is the association between the effect of changes in legal gambling provisions within public health systems and life expectancy among old adults.Healthy adjusted life expectancy at age 60 from the World Health Organization and gross gambling yield were used.ANOVA was performed with SPSS.Results:The population groups with HALE at age 60 of 15 years or over are likely more active in gambling than the population groups with smaller HALE at age 60 of 14 years or less.On the other hand,the influence of a health policy may be sidelined when it is implemented for older adult populations because the resource distribution magnitude or number of strategical techniques may not be the same for younger adult populations.The study here is marked as a good practical start,and there is room for further research with big data analysis on additional gambling variables against other life expectancy variables,quality of life variables or public health system variables.Conclusion:Associations between the determinants of gambling and the life expectancy of the ageing population in a country have not yet been identified.Continuous measurements of policy implementation and effectiveness and assessments of health equity,while gambling policies worldwide continue to change,have not yet been performed.Researchers and policy makers should understand the importance of holistic integration of the gambling economy and policy within a public health and social paradigm with the help of big data insights to achieve sustainability in their cities and health equity in their communities.
基金supported by Mashhad University of Medical Sciencesapproved by the Ethics Committee of Mashhad University of Medical Sciences(Ethics ID:IR.MUMS.REC.1400.144).
文摘Objective:To make evidence-based decisions based on broad mortality trends for Razavi Khorasan province,Iran.Methods:In order to determine the baseline number of deaths,we used univariate time series analyses for monthly data from the monthly vital statistics reports(From April 2015 to March 2022).For excess mortalities,these baselines were subtracted from reported deaths with a 95%prediction interval.To compare time and causes,a P-score was calculated.Results:From March 2020 to March 2022,there were 61949 registered deaths,and the estimated deaths with a 95%confidence interval(CI)were 43246.16(35718.28,50774.05).So,in 2020-2021 and 2021-2022,the death counts were 35.15%and 51.33%higher than projected.A total of 18666 cardiovascular diseases were reported and a total of 15704.46(12006.95,19401.96)was estimated.The P-score for this duration was 14.49%and 23.23%higher than expected.Infectious and parasitic diseases plus COVID-19 were 16633 and estimated to be 1044.87(456.77,1632.96).A total of 4420 diseases of the respiratory system were reported,and 4564.94 deaths were predicted(2277.43,6852.43).In the first year of the pandemic,the P-score dropped to-35.28%and in the second year,it jumped sharply to 22.38%.Conclusions:Excess mortality,along with cause-specific mortality,can be helpful for monitoring trends and developing public health policies at the local,national,and international levels.
文摘The burden of noncommunicable diseases is increasing rapidly in low-and middle-income countries creating a growing need for advanced diagnostic and therapeutic modalities.Nuclear medicine offers great potential in disease detection,treatment planning,and monitoring,yet its integration into resource-limited health systems remains challenging.This review synthesizes evidence from peer-reviewed publications and relevant reports from international agencies to examine barriers to,and enablers of,nuclear medicine adoption in these settings.We found that key obstacles include financial constraints,restricted access to essential materials,insufficient regulatory frameworks,and shortages of skilled professionals.These gaps contribute to safety concerns,inadequate waste management,and delays in service delivery.Although global initiatives have strengthened workforce training and promoted regulatory harmonization,persistent issues in financial sustainability and retention of trained staff hinder progress.Technological advances,such as novel imaging and therapeutic approaches,present opportunities;however,their successful implementation requires context-specific strategies that align with local infrastructure and policy realities.Integrating nuclear medicine into health systems in low-resource environments can address multiple health care priorities simultaneously,but this will require targeted investment,sustainable financing mechanisms,and strengthened institutional capacity.Collaborative international support,coupled with locally adapted policies,could accelerate equitable access and improve patient outcomes.Expanding the role of nuclear medicine in these regions has the potential to significantly enhance health care delivery and contribute to closing the global disparity in advanced medical services.
文摘This paper analyses the five years’monitored strains collected from a long-term health monitoring system installed on a bridge with wavelet transform.In the analysis,the monitored strains are pre-processed,features of the monitored data are summarized briefly.The influences of the base functions on the results of wavelet analysis are studied simultaneously.The results show that the db wavelet is a good mother wavelet function in the analysis,and the order N should be larger than 20,but less than 46 in decomposing the monitored strains of the bridge.According to the strain variation features of concrete bridge,the proper decomposition level is 4 in the wavelet multi-resolution analysis.With the present method,the strains caused by random loads and daily sunlight can be accurately extracted from the monitored strains.The decomposed components of the monitored strains show that the amplitudes of the strains caused by random loads,daily sunlight,and annual temperature effect,are about 5με,25με,and 50μεrespectively.The structural response under random load is smaller than the other parts.
文摘Mining safety and health improvements over the past decades are remarkable by many metrics, and yet the expectation of society, and the goal of the mining industry, is zero harm. If we examine the underlying enablers for the significant gains that have been achieved, the key role that research to help understand the causes of problems and to develop lasting solutions is clear. Many of the remaining challenges have been resistant to solutions by various approaches. Some, such as fatalities and injuries from ground control or powered haulage are prominent year after year. Different approaches are indicated and new solutions will be required if we are to achieve a goal of zero harm. These will originate with research, but into which topics, and what are some of these different approaches? This paper examines the current state of mine safety in the United States and highlights areas of significant opportunity for research that will lead to solutions. The likely direction of research that will enable realization of the ‘‘zero harm'' goal is described in terms of evolutionary and revolutionary approaches. Both are important, but the author's view is that some of the largest gains will be made with trans-disciplinary approaches that break from the past. Topical areas of research are suggested and several research questions are given to illustrate the direction of future research in mining safety and health.
文摘Background: Health information systems (HIS) play a major role in decision-making. The aim is to identify the components of computerized HIS and their relationship to administrative decisions at the main referral hospitals for Sana’a city. Method: This applied research is a descriptive, cross-sectional study in which the HIS of 7 hospitals affiliated with Sana’a city hospitals during “2017-2020”, was evaluated based on Self-administered questionnaires. Data were collected by using Self-administered questionnaires and analyzed in SPSS 16 by using descriptive statistics. Results: A total of 626 users (95.7%) had responded. 73%, 75%, 69%, 70%, 71% of users mentioned that resources were available, for physical, software, human, organizational, and decision computerized HIS, respectively. The study showed a strong relationship between computerized information systems with their physical, software, human and organizational components, and medical and administrative decisions. While the study showed the absence of a relationship between demographic factors and computerized information systems with their hardware, software, human and organizational components, medical and administrative decisions, except for gender with organizational components, age, qualification with hardware and software components, and years of experience with all study variables. Conclusion: The application of HIS at hospitals in decision-making has several challenges, including the lack of updating of hardware and software components Furthermore, the absence of specific, focusing on developing their technical staffs, and mobilizing financial resources to achieve implementation properly. Therefore, establishing the technical management with clear roles and tasks with multi-disciplinary, and increasing the support of the administrative leadership in the process of implementing HIS are recommended.
文摘With the advent of the pandemic, the Brazilian Ministry of Health structured in record time the Telehealth Service of the Unified Health System called TeleSUS, an ecosystem based on the intensive use of information technology involving automated mechanisms and a personalized health care center at distance. In addition to constant evaluations carried out in the service as a public health strategy, at clinical and epidemiological levels, the team involved in the project was also concerned with evaluating the system developed to enable the operation of remote care, from the conception of the organization of health actions to the technological development of the digital health tool. The objective of this study was to carry out an evaluation of a telehealth system, measuring the degree of satisfaction of users of health professionals regarding its usability and identifying factors that positively and/or negatively influence the evaluation.
