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DC Field | Value | Language |
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dc.contributor.advisor | Clarke, M | en |
dc.contributor.advisor | Baldwin, LP | en |
dc.contributor.author | Jones, Karen | - |
dc.date.accessioned | 2009-12-14T11:55:32Z | - |
dc.date.available | 2009-12-14T11:55:32Z | - |
dc.date.issued | 2009 | - |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/3975 | - |
dc.description | This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. | - |
dc.description.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. | en |
dc.language.iso | en | en |
dc.publisher | Brunel University, School of Information Systems, Computing and Mathematics | - |
dc.relation.ispartof | School of Information Systems, Computing and Mathematics | - |
dc.relation.uri | http://bura.brunel.ac.uk/bitstream/2438/3975/1/FulltextThesis.pdf | - |
dc.title | The remodelling of patient care pathway for e-health | en |
dc.type | Thesis | en |
Appears in Collections: | Computer Science Dept of Computer Science Theses |
Files in This Item:
File | Description | Size | Format | |
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FulltextThesis.pdf | 1.28 MB | Adobe PDF | View/Open | |
license.txt | 2.32 kB | Text | View/Open |
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