1,720,974 research outputs found
Enhancing the Sustainable Goal of Access to Healthcare: Findings from a Literature Review on Telemedicine Employment in Rural Areas
Full text linkFighting health inequalities is a challenge addressed by the United Nations Strategic Development Goals (UN-SDGs). Particularly, people living in rural areas suffer from a lack of health infrastructure, which would jeopardize their inclusion in universal coverage for specialist care. Delivering valuable healthcare in underserved areas can be achieved through the employment of new technical innovations, such as telemedicine, which improves service delivery processes. Accordingly, this paper discusses how telemedicine strategies have enhanced the sustainability of right of “access to healthcare” in rural areas. Once we derived the sustainability pillars for healthcare from the UN-SDGs 3 and 10 according to the WHO innovation assessment metrics, a PRISMA-based literature review was conducted using the Scopus database. English, peer-reviewed articles/reviews from 1973 to 2019 were considered. The enquiry covers two analyses: (i) quantitative-bibliometric on 2267 papers; and (ii) qualitative-narrative on the 30 most significant papers. Interest about the topic has increased in the last decade following digitalization diffusion. The most productive and collaborative countries are those with huge dimensions and under financial restrictions. From a sustainability-oriented standpoint, telemedicine enhances both emergency and diagnostic healthcare in rural areas by decreasing the cost of services, expanding coverage of specialist cares, and increasing the quality of the outcomes. For health policies, telemedicine can be considered a suitable solution for providing cost-effective and sustainable healthcare
Access to Healthcare as a New Commons: Telemedicine as a Strategy for Providing Value-Based Healthcare Services in Rural Areas
Full text linkCommons is a general term that refers to a resource shared by a group of people. Over the years, scholars have identified two generations of commons. The first generation of commons was about sharing of physical things; the second one is about intangible commons pool resources such as science and culture. These generally can be recognized as "rights" (Hess 2008). Among the various New Commons sectors there is medical and health. In the perspective of guaranteeing the right of Health, the ―Access to Healthcare‖ could be considered as a New Commons provided by worldwide National Healthcare Systems (NHS), However, healthcare sector is characterized by plenty of stakeholders with myriad, often, conflicting goals. The value-based approach (Porte, 2010) attempts to introduce a new universal language in healthcare management around the value for the patient that reconcile all stakeholders‘ interests. The goal of this approach is to improve the outcome and increase the number of treatments. This aim is very difficult to be enriched for rural residents; when patients live in remote areas, providing them with valuable medical care can be considered a hard challenge for the NHS, which has to be addressed also by the employment of new healthcare strategies and technologies. Defined as "a new healthcare delivery process provided when patient and professional are not physically in the same place" (Italian Ministry of Health, 2014), telemedicine could be seen as an answer to this challenge. Accordingly, this study aims at discovering if telemedicine employment can be effectively considered as a successful strategy to improve healthcare in location far from specialized hospital, enhancing the New Commons ―Access to care‖.
A statistical-based narrative review of the literature was conducted in the field of telemedicine, with the aim to understand which experiences of telemedicine applications have got successful results as support of healthcare delivering in rural locations. With regards to rural and remote areas, several Authors recognized telemedicine-based strategies as a method to facilitate the access to healthcare in different medical disciplines. In particular, many studies highlight that telemedicine improves patient care by increasing the capacity of the rural clinician to manage patient locally, minimizing time away to support networks and reducing unnecessary transfers. Telemedicine could also be considered a cost-effective method whose outcomes remain similar (if not better) in quality to ―staffed‖ services, whose infrastructural costs could be easily paid-back
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Enhancing Healthcare Field Decision-Making Process through Accounting Tools: Findings from the Surgical Field
No full textHealthcare decision making process is a cognitive process included a choice between option as
categories and diagnosis; its complexity is due to the involvement of more peoples and the gap
between information availability and necessity. It could be affected by several factors including
cognitive shortcut of decision makers. To identify these biases of decision-making process and
improve its quality Kahneman identified a tool: the checklist.
This study aims to analyse firstly the clinical decision process of orthopaedic surgeons, secondly it
aims to understand if and how the more information availability derived by the use of an accounting
tool (Time Driven Activity based Costing) can modify the decision-making process.
Both goals regarding the decision making process about management of follow-up of patient
undergoing a knee and hip arthroplasty surgery.
To achieve its goals semi-structured interviews with three orthopaedic surgeons from three different
working contexts were conducted.
Several biases affected the decision-making process of orthopaedic surgeons choosing follow-up
path of their patients; in particular, physicians are mainly influenced by consolidated practice and
by the decisions of other departments or opinion leaders.
The information derived using an accounting tool might be helpful to improve or modify decision
process, although further empirical studies are required to test the feasibility and utility of the tool.
This study fosters the debate between practitioners and scholars about the use of tools to improve
quality decision process in healthcare sector
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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