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  • 1.
    Andersson, Matilda
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Att leva med Myelom2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Myelom är en sällsynt och obotbar sjukdom men är trots detta bland de vanligare haematologiska cancersjukdomarna. Fram till början på 1980-talet orsakade myelom en långsam med gradvis nedgång i patientens hälsotillstånd och medellivslängden då var 2 år efter diagnos. Nu har den förbättrade behandlingen av högdosterapi främjat patientvården och även ökat medellivslängden. Behandling och effekter av sjukdomen har olika påverkan på kropp och psyke och kunskapen om upplevelserna av att leva med myelom är en viktig del i omvårdnadsarbetet.

  • 2.
    Castaño Labajo, Víctor
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.
    Xiao, Jinsong
    Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.
    Market Entry, Strategy and Business Development in Mobile Health (mHealth) Industry2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Problem formulation. The European Commission considers that health care providers and potential payers may need further evidence of mobile health (mHealth) clinical and economic benefits and despite there are hundreds of mHealth initiatives, most of them did not move beyond the pilot phase.

     

    Purpose. This thesis aims at analyzing how can mHealth companies contribute towards solving existing health care challenges while becoming successful businesses in such an immature market. The expected results are a set of empirical evidences for companies and investors interested in this relatively new industry for the development of successful businesses, products and services.

     

    Literature. The authors have explored classic theories and models on market entry, business and strategy development in combination with recent studies on health care, Internet and mHealth economy and ecosystem.

     

    Methods. A qualitative multiple case study has been conducted. An analytical framework with propositions derived from the literature analysis guide the empirical study of two organizations that have successfully developed mHealth solutions in two countries with different socio-economic situations: China and Spain. Organization A is a health care and lifestyle company from Beijing responsible for a successful app with 80 million users that has brought 45 million USD investment. Organization B is the first intrapreneurial public organization born within a hospital in Madrid and committed to make knowledge available to patients and health care professionals through ICT. After a set of interviews with executive representatives and project managers, a pattern-matching analysis has been used to extract inferences and to identify correlations and deviations from literature research.

     

    Key findings. The main conclusion of this thesis work is that mHealth is clearly a profitable blue ocean industry nowadays with lots of business opportunities to explore, room for competition and complex challenges to solve. On one side, mHealth is presented as a disruptive industry expected to cause a big impact in health care by contributing to solve costs and quality problems although there is little evidence on such benefits. On the other side, privacy, security, regulations, governments’ decisions and reluctant health care professionals become the main barriers for adoption. The outlook for the future of mHealth proves that it will be fundamental to count with multidisciplinary teams of professionals, geographically distributed health centers and technological platforms with secure and standardized communications. All these will not be possible without a general mindset change from government, administrators, regulators and health care professionals to incentivize and foster new mobile health technologies treating them as an ally rather than a threat.

  • 3.
    Ghani, Zartashia
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Jarl, Johan
    Lunds universitet, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Andersson, Martin
    Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    The Cost Effectiveness of M-health Interventions for Older Adults: Protocol for a Systematic Review2018Manuscript (preprint) (Other academic)
    Abstract [en]

    Background: Many studies reported effectiveness of mhealth interventions targeting middle aged and older adults to improve healthcare delivery process, efficacy and management of chronic diseases. However, the knowledge about their cost-effectiveness is important to implement mhealth interventions at large scale for proper allocation of scarce resources. This systematic review will summarize the results from identified studies for the cost effectiveness of mhealth interventions aimed for middle aged and older adults.

    Method: mhealth interventions aimed to improve healthcare delivery process, efficacy and delivering training will be included in this systematic review. A comprehensive electronic search strategy will be used to identify health economic evaluations, published since 2007, and indexed in Pubmed, Scopus and CINAHL. The search strategy will include terms (and synonyms) for the following mhealth devices: mobile phone, smartphone, mhealth. Middle aged and older adults will be used to identify all mhealth interventions introduced to middle aged and older adults. Terms such as economic evaluation, cost effectiveness, cost utility etc will be used to identify economic evaluations of all mhealth interventions.

    Discussion: This systematic review will report evidence on cost effectiveness of mhealth interventions targeting middle aged and older adults.

  • 4.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Nilsson, Lina
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Eriksén, Sara
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Borg, Christel
    Healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions: An interview study2016In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 3, p. 108-115Article in journal (Refereed)
    Abstract [en]

    This article describes healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions as a new tool in everyday practice. Data collection took place through individual interviews and the interviews were analyzed using qualitative content analysis with an inductive approach. The results indicate that managers identified two distinct leadership perspectives when they reflected on the implementation process. They described a desired way of leading the implementation and communicating about the upcoming change, understanding and securing support for decisions, as well as ensuring that sufficient time is available throughout the change process. They also, however, described how they perceived that the implementation process was actually taking place, highlighting the lack of planning and preparation as well as the need for support and to be supportive, and having the courage to adopt and lead the implementation. It is suggested thatmanagers at all levels require more information and training in how to encourage staff to become involved in designing their everyday work and in the implementation process. Managers, too, need ongoing organizational support for good leadership throughout the implementation of video conferencing in discharge planning sessions, including planning, start-up, implementation, and evaluation. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

  • 5. Iveroth, Einar
    et al.
    Fryk, Pontus
    Rapp, Birger
    Blekinge Institute of Technology, School of Management.
    Information technology strategy and alignment issues in health care organizations2013In: Health Care Management Review, ISSN 0361-6274, E-ISSN 1550-5030, Vol. 38, no 3, p. 188-200Article in journal (Refereed)
    Abstract [en]

    Information technology (IT) plays a key role in public health care management because it could improve quality, efficiency, and patient care. Researchers and practitioners repeatedly contend that a health care organization's information systems strategy should be aligned with its objectives and strategies, a notion commonly known as IT alignment. Actor-related IT alignment issues in health care institutions were explored in this study. More specifically, it explores the possibility of moving beyond the current IT alignment perspective and, in so doing, explores whether IT alignmentas currently conceptualized in the dominant body of researchis sufficient for attaining improved quality, efficiency, and patient care in health care organizations. The findings are based on a qualitative and longitudinal study of six health care organizations in the Stockholm metropolitan area. The empirical data were gathered over the 2005-2011 period from interviews, a focus group, observations, and archival material. The data suggest recurrent misalignments between IT strategy and organizational strategy and operations due to the failure to deconstruct the IT artifact and to the existence of various levels of IT maturity. A more complex picture of IT alignment in health care that goes beyond the current perspective is being offered by this study. It argues that the previously common way of handling IT as a single artifact and applying one IT strategy to the entire organizational system is obsolete. The article suggests that considerable benefits can be gained by assessing IT maturity and its impact on IT alignment. The article also shows that there are different kinds of IT in medical care that requires diverse decisions, investments, prioritizations, and implementation approaches.

  • 6.
    Khambhammettu, Mahith
    et al.
    Blekinge Institute of Technology, Faculty of Computing, Department of Computer Science and Engineering.
    Persson, Marie
    Blekinge Institute of Technology, Faculty of Computing, Department of Computer Science and Engineering.
    Analyzing a Decision Support System for Resource Planning and Surgery Scheduling2016In: Procedia Computer Science / [ed] Martinho R.,Rijo R.,Cruz-Cunha M.M.,Bjorn-Andersen N.,Quintela Varajao J.E., Elsevier, 2016, Vol. 100, p. 532-538Conference paper (Refereed)
    Abstract [en]

    This study aims to propose a decision support system based on optimization modelling for operating room resource planning and sequence dependent scheduling of surgery operations. We conduct a simulation experiment using real world data collected from the local hospital to evaluate the proposed model. The obtained results are compared with real surgery schedules, planned at the local hospital. The experiment shows that the efficiency of schedules produced by the proposed model are significantly improved, in terms of less surgery turnover time, increased utilization of operating rooms and minimized make-span, compared to the real schedules. Moreover, the proposed optimization based decision support system enables analysis of surgery scheduling in relation to resource planning.

  • 7.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Eriksen, Sara
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Borg, Christel
    Linneaus Univ, SWE.
    The influence of social challenges when implementing information systems in a Swedish health-care organisation2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 6, p. 789-797Article in journal (Refereed)
    Abstract [en]

    Aim To describe and obtain a deeper understanding of social challenges and their influence on the implementation process when implementing Information systems in a Swedish health-care organisation. Background Despite positive effects when implementing Information systems in health-care organisations, there are difficulties in the implementation process. Nurses' experiences of being neglected have been dismissed as reasons for setbacks in implementation. Methods An Institutional Ethnography design was used. A deductive content analysis was made influenced by empirically identified social challenges of power, professional identity and encounters. An abstraction was made of the analysis. Results Nineteen nurses at macro, meso and micro levels were interviewed in focus groups. Organisational levels are lost in different ways in how to control the reformation, how to introduce Information systems as reformation strategies and in how to translate new tools and assumptions that do not fit traditional ways of working in shaping professional identities. Conclusion and implication for nurse management Different focus may affect the reformation of health-care organisations and implementation and knowledge processes. An implementation climate is needed where the system standards fit the values of the users. Nursing management needs to be visionary, engaged and work with risk factors in order to reform the hierarchical health-care organisation.

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