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|Title: ||The remodelling of patient care pathway for e-health|
|Authors: ||Jones, Karen|
|Advisors: ||Clarke, M|
|Publication Date: ||2009|
|Publisher: ||Brunel University, School of Information Systems, Computing and Mathematics|
|Abstract: ||The interdependencies within the health care system are seldom taken into account prior to implementation of e-health projects, and there tends to be little change management as part of the plan.
Our proposal offers a systems analysis model that gives e-health a framework to consider and manage the introduction, changes and outcomes.
This research describes the use of a modified Patient Care Pathway as a method to design and implement e-health projects, presenting as a case study the pre-implementation phase of a teleradiology project in rural Thailand.
The proposal is that a modified version of Patient Care Pathways can be used as a prospective design model for e-health services.
The method adopts systems engineering principles and applies a ―whole systems approach‖ thereby providing a much richer schematic representation of the patient care pathway illustrating both the patient‘s journey through the system and also the information flow.
Our method was applied to the design of a new teleradiology service that was to be established in Thailand, to connect GP‘s in a rural hospital to the radiology department in a tertiary hospital with a further connection to a specialist radiologist in a medical school in Bangkok.
By comparing the pre-implementation Patient Care Pathway with the proposed pathway using the teleradiology, a systems analysis model was developed to identify critical points in the system and identify and anticipate how the system would support the changes in clinical practices.
The method produced a valuable framework to better understand and thereby manage the implications of change prior to implementation of an e-health project.|
|Description: ||This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.|
|Appears in Collections:||Information Systems and Computing|
School of Information Systems, Computing and Mathematics Theses
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