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Yang CH, Chen YC, Hsu W, Chen YH. Evaluation of smart long-term care information strategy portfolio decision model: the national healthcare environment in Taiwan. ANNALS OF OPERATIONS RESEARCH 2023; 326:1-32. [PMID: 37361069 PMCID: PMC10148017 DOI: 10.1007/s10479-023-05358-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/13/2023] [Indexed: 06/28/2023]
Abstract
A globally aging population results in the long-term care of people with chronic illnesses, affecting the living quality of the elderly. Integrating smart technology and long-term care services will enhance and maximize healthcare quality, while planning a smart long-term care information strategy could satisfy the variety of care demands regarding hospitals, home-care institutions, and communities. The evaluation of a smart long-term care information strategy is necessary to develop smart long-term care technology. This study applies a hybrid Multi-Criteria Decision-Making (MCDM) method, which uses the Decision-Making Trial and Evaluation Laboratory (DEMATEL) integrated with the Analytic Network Process (ANP) for ranking and priority of a smart long-term care information strategy. In addition, this study considers the various resource constraints (budget, network platform cost, training time, labor cost-saving ratio, and information transmission efficiency) into the Zero-one Goal Programming (ZOGP) model to capture the optimal smart long-term care information strategy portfolios. The results of this study indicate that a hybrid MCDM decision model can provide decision-makers with the optimal service platform selection for a smart long-term care information strategy that can maximize information service benefits and allocate constrained resources most efficiently.
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Affiliation(s)
- Chih-Hao Yang
- Department of Accounting, Ming Chuan University, Shilin, Taipei, 111005 Taiwan, ROC
| | - Yen-Chi Chen
- Department of Accounting Information, National Taipei University of Business, Zhongzheng, Taipei, 100025 Taiwan, ROC
| | - Wei Hsu
- Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Beitou, Taipei, 112303 Taiwan, ROC
| | - Yu-Hui Chen
- Department of Financial Management, National Defense University, Beitou, Taipei, 112305 Taiwan, ROC
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Rostam Niakan Kalhori S, Rahmani Katigari M, Talebi Azadboni T, Pahlevanynejad S, Hosseini Eshpala R. The effect of m-health applications on self-care improvement in older adults: A systematic review. Inform Health Soc Care 2023. [PMID: 36867051 DOI: 10.1080/17538157.2023.2171878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
PARTICIPANTS Four electronic databases were searched on March 6, 2020 including Scopus, PubMed, ISI, and Embase. METHODS Our search consisted of concepts of "self-care," "elderly" and "Mobile device." English journal papers and, RCTs conducted for individuals older than 60 in the last 10 years were included. A narrative approach was used to synthesize the data due to the heterogeneous nature of the data. RESULTS Initially, 3047 studies were obtained and finally 19 studies were identified for deep analysis. 13 outcomes were identified in m-health interventions to help older adults' self-care. Each outcome has at least one or more positive results. The psychological status and clinical outcome measures were all significantly improved. CONCLUSION According to the findings, it is not possible to draw a definite positive decision about the effectiveness of interventions on older adults because the measures are very diverse and have been measured with different tools. However, it might be declared that m-health interventions have one or more positive results and can be used along with other interventions to improve the health of older adults.
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Affiliation(s)
- Sharareh Rostam Niakan Kalhori
- Peter L. Reichertz Institute for Medical Informatics, TU Braunschweig and Hannover Medical School, Braunschweig, Germany.,Ph.D of Medical Informatics, Health Information Technology Department, Tehran University of Medical Sciences, Tehran, Iran
| | - Meysam Rahmani Katigari
- PhD in Health Information Management, Health Information Technology Department, Saveh University of Medical Sciences, Saveh, Iran.,Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Tahere Talebi Azadboni
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.,Ph.D Candidate, Health Information Management Department, Iran University of Medical Sciences, Tehran, Iran
| | - Shahrbanoo Pahlevanynejad
- Ph.D in Health Information Management, Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran
| | - Rahil Hosseini Eshpala
- Ph.D Candidate, Health Information Management Department, Tehran University of Medical Sciences, Tehran, Iran
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3
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Galavi Z, Montazeri M, Ahmadian L. Barriers and challenges of using health information technology in home care: A systematic review. Int J Health Plann Manage 2022; 37:2542-2568. [DOI: 10.1002/hpm.3492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 02/27/2022] [Accepted: 03/15/2022] [Indexed: 11/09/2022] Open
Affiliation(s)
- Zahra Galavi
- Department of Health Information Sciences Faculty of Management and Medical Information Sciences Kerman University of Medical Sciences Kerman Iran
| | - Mahdieh Montazeri
- Department of Health Information Sciences Faculty of Management and Medical Information Sciences Kerman University of Medical Sciences Kerman Iran
- Medical Informatics Research Center Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran
| | - Leila Ahmadian
- Department of Health Information Sciences Faculty of Management and Medical Information Sciences Kerman University of Medical Sciences Kerman Iran
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Symbiosis Evolution Model and Behavior of Multiple Resource Agents in the Smart Elderly Care Service Ecosystem. Symmetry (Basel) 2021. [DOI: 10.3390/sym13040570] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Population aging has become an important factor restricting China′s social and economic development. The smart health and elderly care industry has developed rapidly in the past five years. However, the service resources among various elderly service providers are relatively isolated and scattered. In other words, the core management problem in the components of the smart elderly care service ecosystem is how to deal with the relationships of interest among multiple resource agents. Thus, the main contribution of this study is to employ symbiosis theory and the logistic growth model to construct a model of the evolution of the symbiosis of multiple resource agents in the smart elderly care service ecosystem. Then, we carry out a stability analysis, and analyze the evolutionary model of two resource agents′ symbiosis under different values of interdependence coefficients. Finally, we use computer simulations to dynamically simulate the model and comparatively analyze the population density of the hospital–nursing home symbiotic relationship using real cases in China. According to the study, we find that the enterprise goal in the smart elderly care service ecosystem should be to maximize the overall value of the multiple resource agents, and the result of the symbiotic evolution between different resource agents depends on the symbiotic interdependence coefficient, while the resource agent uses different strategies under different symbiosis models. Therefore, regulation is needed to ensure the relative fairness of the distribution of value co-creation in the smart elderly care service ecosystem when the resource agent takes actions that benefit itself. Of course, when the ecosystem is in a reciprocal symbiosis model, each resource agent benefits from the activities of the other resource agents, which is ideal in reality; in other words, the best symbiosis model between the two resource agents should be the similar reciprocal symbiosis model.
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Senior Consumer Motivations and Perceived Value of Robot Service Restaurants in Korea. SUSTAINABILITY 2021. [DOI: 10.3390/su13052755] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This research empirically tested a theoretical model by defining senior customers’ intentions to use robot service restaurants emerging in South Korea. Non-face-to-face services have become increasingly important for seniors. Therefore, restaurant marketers should cater to senior customers’ needs by sustaining robot service restaurants. The study analyzed 243 questionnaires to verify the reliability and validity of the measurement items. The research hypotheses were examined using structural equation modeling (SEM). The suggested model comprised three stages: motivated consumer innovativeness (MCI), perceived value, and planned behavior (attitude, intention to use). The results revealed that senior customers’ perceived values positively influenced attitude and were enhanced by hedonically MCI (hMCI) and socially MCI. Moreover, the hedonic and social elements of motivation improved the attitude and usage intentions of robot service restaurants for senior customers. However, these relationships differed in terms of the income level of the customer groups. For the low-income senior-level group, hMCI was more influential on the perceived value. This study is meaningful because it analyzes the effect of MCI of seniors on the perceived value of robot service restaurants, which are growing rapidly in South Korea. It has empirically proved the moderating effect of different income groups, providing practical implications.
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Shagerdi G, Ayatollahi H, Oskouie F. Mobile-Based Technology for the Management of Chronic Diseases in the Elderly: A Feasibility Study. Curr Aging Sci 2020; 12:84-90. [PMID: 31223097 DOI: 10.2174/1874609812666190621145057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 05/22/2019] [Accepted: 05/28/2019] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Population aging and related issues are among the most important challenges in different countries. It seems that the use of remote technology can provide the elderly with better healthcare services and can help them to manage chronic diseases. This research aimed to investigate the experts' views about the feasibility of using mobile-based technology to manage chronic diseases in the elderly. METHODS This was a survey study which was completed in 2018. The participants were the faculty members of the department of geriatrics across the country (n=33). In order to collect data, two questionnaires were used. The first questionnaire contained questions related to the five dimensions of a feasibility study and the second questionnaire consisted of five open questions about the opportunities, threats, strengths and weaknesses of using mobile-based technology in chronic disease management. The qualitative data were analyzed by using content analysis method and the quantitative data were analyzed by using descriptive statistics. RESULTS From the participants' perspectives, it was feasible to use mobile-based technology in chronic disease management for elderly people. The mean values for five feasibility dimensions were as follows: ethico-legal dimension (4.09±1.01), scheduling dimension (3.70±1.03), economic dimension (3.47±1.04), operational dimension (3.42±1.12) and technical dimension (3.07±1.27). While such a technology can help increasing the accessibility of healthcare services, raising health literacy, and saving time and costs, the main threats, namely; the misinterpretation of information and the possibility of breeching confidentiality should not be underestimated. CONCLUSION The results showed that mHealth and remote medical technologies can be used for chronic disease management among elderly people. However, these technologies have some strengths and weaknesses. In order to succeed in the development and implementation of these projects, it is essential to consider probable threats and weaknesses before implementing the applications.
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Affiliation(s)
- Ghazal Shagerdi
- Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Haleh Ayatollahi
- Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.,Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Oskouie
- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
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Esteves M, Esteves M, Abelha AC. A New System to Assist Elders' Self-Care and Their Informal Caregivers. ACTA ACUST UNITED AC 2020. [DOI: 10.4018/ijrqeh.2020010105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The ageing of a population increases the number of elders dependent in self-care. Thus, being dependent in a home context is a fact that deserves attention from social support entities integrated into the community, such as nursing homes, which play a central role in supporting the families involved. In this sense, this study is aimed at seniors dependent in self-care, their informal caregivers, and health professionals from Portuguese nursing homes and emerged to assist elders' self-care and their informal caregivers and to strengthen the communication strategies between the different elements of the target audience. Therefore, the design and development of an archetype of a new system is proposed, which main objectives are to accompany, teach, and share information between its users, taking into account safe medical validation and ethical issues, through emerging health ICT technologies. This archetype is a reinforcement, that is, a way to promote and complete the knowledge and skills to deal with elders' well-being and health, as well as their informal caregivers' welfare.
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Affiliation(s)
- Marisa Esteves
- Algoritmi Research Center, University of Minho, Braga, Portugal
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Menghi R, Papetti A, Germani M. Product Service Platform to improve care systems for elderly living at home. HEALTH POLICY AND TECHNOLOGY 2019. [DOI: 10.1016/j.hlpt.2019.10.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Hung LC, Yang JY, Chen MC, Chang HL, Ku CY, Hou TW. Design and evaluation of the bed-cleaning mobile application. J Nurs Manag 2019; 28:771-776. [PMID: 31710410 DOI: 10.1111/jonm.12900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 11/02/2019] [Accepted: 11/06/2019] [Indexed: 12/01/2022]
Abstract
AIM To develop a mobile application (App) that enhances bed-cleaning management. BACKGROUND Bed cleaning affects clinical work in hospitals. The nursing department needed an App to enhance bed-cleaning management, especially one on the status of all beds to be cleaned. METHODS Bed-Cleaning App (BedCApp) was developed. Then, a survey was administered to 50 BedCApp users. RESULTS BedCApp helped the administrative staff and nurse managers in adjusting their workload effectively. A complete presentation of beds to be cleaned and reminders were found to be the most satisfactory features. The average time from receiving the notice to completing bed cleaning was shortened by 25.5 min. The user satisfaction survey comprised 50 valid questionnaires, with a satisfaction rate of 3.6/5. CONCLUSION BedCApp provides the actual workload status; therefore, the administrative staff and nurse managers can optimize the workload during rush hours. The software is user-oriented, with good user acceptance. IMPLICATIONS FOR NURSING MANAGEMENT Proactive workload management would improve outcomes during rush hours and avoid interference in clinical care. The user interfaces for the elderly staff has special design-simple to use, larger font size than that in the interface for non-elderly staff and workflow reminders.
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Affiliation(s)
- Li-Chuan Hung
- Department of Nursing, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.,Department of Engineering Science, National Cheng Kung University, Tainan, Taiwan
| | - Jen-Yu Yang
- Department of Nursing, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Mei-Chun Chen
- Department of Nursing, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Hsiu-Lan Chang
- Department of Nursing, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Chiou-Yun Ku
- Department of Nursing, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Ting-Wei Hou
- Department of Engineering Science, National Cheng Kung University, Tainan, Taiwan
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A Proof of Concept of a Mobile Health Application to Support Professionals in a Portuguese Nursing Home. SENSORS 2019; 19:s19183951. [PMID: 31547445 PMCID: PMC6767027 DOI: 10.3390/s19183951] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 09/09/2019] [Accepted: 09/09/2019] [Indexed: 11/24/2022]
Abstract
Over the past few years, the rapidly aging population has been posing several challenges to healthcare systems worldwide. Consequently, in Portugal, nursing homes have been getting a higher demand, and health professionals working in these facilities are overloaded with work. Moreover, the lack of health information and communication technology (HICT) and the use of unsophisticated methods, such as paper, in nursing homes to clinically manage residents lead to more errors and are time-consuming. Thus, this article proposes a proof of concept of a mobile health (mHealth) application developed for the health professionals working in a Portuguese nursing home to support them at the point-of-care, namely to manage and have access to information and to help them schedule, perform, and digitally record their tasks. Additionally, clinical and performance business intelligence (BI) indicators to assist the decision-making process are also defined. Thereby, this solution aims to introduce technological improvements into the facility to improve healthcare delivery and, by taking advantage of the benefits provided by these improvements, lessen some of the workload experienced by health professionals, reduce time-waste and errors, and, ultimately, enhance elders’ quality of life and improve the quality of the services provided.
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Rahman A, Akbar D, Rolfe J, Nguyen J. Developing a population wide cost estimating framework and methods for technological intervention enabling ageing in place: An Australian case. PLoS One 2019; 14:e0218448. [PMID: 31242208 PMCID: PMC6594731 DOI: 10.1371/journal.pone.0218448] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 06/03/2019] [Indexed: 11/19/2022] Open
Abstract
Purpose Ageing in place is one of the greatest desires of elderly people. Assistive digital technologies could potentially delay the institutionalization of the elderly people and allow them ageing in place. This study develops a population-wide cost estimating framework for adopting digital technologies that can improve the quality of life of elderly people through examining an Australian region. Methods We developed a five-stage cost estimation framework, which involved progressive forecasting of elderly population and direct cost estimation methods. The forecasting and cost estimation models have been set for a 10-year period because the prediction accuracy from cross-sectional data is better in the short to medium term compared to the long-term. For cost estimation, we categorised the ageing population on the basis of the number of chronic diseases that they have contracted. Costs of assistive technologies were collected from open sources. The model has been tested in the Fitzroy and Central West, a regional area of Queensland in Australia. A stakeholder panel discussion in a workshop format was used to validate the appropriateness of the proposed framework and the study findings. Results This study identified eight common chronic diseases with different comorbidity patterns in Australia. We also identified the required assistive technologies to assist patients with chronic diseases. This study estimated that annual per capita cost for technological intervention could range from AUD 4,169 to AUD 7,551 on the basis of different price margins of the technologies. Conclusion The approach of categorising the aged cohorts on the basis of the number of chronic diseases helps estimate population-wide costs compared to using single technology intervention costs for a particular chronic disease cohort. The cost estimation framework and the method developed in this study can assist the government to estimate costs for ageing-in-place programs.
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Affiliation(s)
- Azad Rahman
- School of Business and Law, Central Queensland University, Rockhampton, QLD, Australia
- * E-mail:
| | - Delwar Akbar
- School of Business and Law, Central Queensland University, Rockhampton, QLD, Australia
| | - John Rolfe
- School of Business and Law, Central Queensland University, Rockhampton, QLD, Australia
| | - Julie Nguyen
- School of Health, Medical & Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
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Oh YS, Choi EY, Kim YS. Predictors of Smartphone Uses for Health Information Seeking in the Korean Elderly. SOCIAL WORK IN PUBLIC HEALTH 2017; 33:43-54. [PMID: 29257932 DOI: 10.1080/19371918.2017.1391150] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The purpose of this research is to examine the predictors of smartphone uses for health information-seeking (SHIS) in the Korean elderly. This research applies the comprehensive model of information seeking as a theoretical framework. Data reported in this study are from the 2016 Dementia Literacy Survey, and 235 elderly smartphone users were included in logistic regression model. SHIS was significantly predicted by younger age, higher education levels, having a regular exercise, higher medical expenditures, and health literacy. The findings of this study can help social workers understand the specific features of health information seeking in the Korean elderly.
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Affiliation(s)
- Young Sam Oh
- a Department of Public Administration , Pukyong National University , Busan , Republic of Korea
| | - Eun Young Choi
- b Graduate School of East-West Medical Science , Kyung Hee University , Yongin-si , Republic of Korea
| | - Young Sun Kim
- b Graduate School of East-West Medical Science , Kyung Hee University , Yongin-si , Republic of Korea
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Grace A, Gleasure R. Supporting the critical role of family carers in wellness management. HEALTH POLICY AND TECHNOLOGY 2017. [DOI: 10.1016/j.hlpt.2017.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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