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1.
Regulation of clinical practice is a characteristic aspect of the medical profession. Regardless of whether this regulation derives from government-sourced guidelines or materials from government-sponsored institutions, it results in a high production of information resources (institutional information resources), which are disseminated to the clinical stuff in order to ensure compliance. In that case, the issue of credibility of these information resources might arise, since medical practice is characterized by a high frequency of change. The latter involves a continuous effort on the part of the clinical staff, which is motivated by work-related factors (e.g., need for compliance) or personal motivation (e.g., need for self-improvement). In this study we consider a simple trust model, according to which we assume that perceived trust is a direct antecedent of perceived credibility. We evaluate whether work-related or personal motivating factors influence the relation between perceived credibility and trust toward institutional information sources and how the effect of each factor affects this relation. Findings suggest that work-related factors have a higher impact on the relation between credibility and trust than personal motivation factors, while they are stressing the important role of hospital libraries as a dissemination point for government-sponsored information resources.  相似文献   
2.
Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers (EHP; i.e., Emergency Room Nurses, Paramedics, Emergency Medical Technicians, etc.) frequent experience of witnessing death, the dying processes, and regular involvement at the end-of-life. Twenty interviews from across the United States offered accounts of witnessing the death of a patient, communicating with the patient’s families, coworkers, and personal networks. The first research question explored the population’s normalization of death and changed outlook of dying. This population sees death and dying in real-time and must disconnect at the moment from their emotions to do their jobs. The second research question focused on preparing patient families for death, coping with coworkers, and protecting personal networks. In communicating with patient families, EHP educates/answers questions, advocate for families to be present during life-saving procedures and offer verbal and nonverbal comfort. In talking with coworkers, EHP copes with reassuring skill competency and offering emotional social support. Lastly, in communicating with their networks, EHP struggle with discussing emotions and event details in a protective function. From these results, the benefits, and challenges of communicating about death regularly are offered through a CPM lens, and recommendations to help the general population deal with death are given.  相似文献   
3.
中国公共医疗服务体系的发展方向是政府出资为一部分群体,特别是老年人、失业者、低收入者等社会弱势群体的医疗服务买单,确保全体国民能够享受到高效、公平的医疗服务。这与美国现行的公共医疗服务体系有很大的相似性。美国政府对公共医疗领域投入巨大,在整个医疗系统开支中,政府承担的开支占到了总数的50%左右,为了提高这些资金的使用效率,防止公共医疗开支的非正当使用,更是为了确保接受政府公共医疗服务的公民对政府的服务感到满意,美国政府下属的医疗保险和医疗补助服务中心The Centers for Medicare and Medicaid Services组织并开展了一系列针对公共医疗服务体系的绩效评估活动,其结果一方面向上级政府汇报,作为政府考核相关行政人员的标准和调整公共医疗政策的依据.一方面向社会公布,接受社会各界的质询与建议。这些绩效评估活动影响深远,意义重大。中国公共医疗系统的改革和相关政策制定,没有绩效评估这个环节是很难保证成功的,因此,美国公共医疗服务体系绩效评估的实践对于中国具有非常重要的意义.值得借鉴和学习。  相似文献   
4.
This study examines how healthcare communication professionals (HCPs) cope with workplace stress while working in an inherently stressful industry. In-depth, semi-structured interviews were conducted with 17 HCPs (14 females, 3 males) from seven nonprofit and for-profit hospitals in the midwestern and eastern regions of the United States. Communication positions held by participants included marketing, media/community relations, public information, public relations, corporate communication, and social media. Interviews revealed HCPs use four strategies to cope with workplace stress: prioritizing, seeking colleague support, keeping perspective, and being active. HCPs primarily relied on employee-centered coping strategies, even though all sources of stress were organizationally-based (i.e., workload, lack of resources, client confidentiality). The majority of HCPs emphasized the benefits of using problem-centered (i.e., prioritizing) and emotion-centered (i.e., seeking colleague support) coping strategies. Although mentioned less often, HCPs utilized more avoidance-centered coping strategies (i.e., keeping perspective, being active). More importantly, they highlighted the benefits of using avoidance-centered strategies to help them mentally and physically disengage from workplace stress. Hospital administration should reassess if, and how, they help HCPs effectively cope with workplace stress (i.e., outlets, programs, professional development opportunities) in order to improve the well-being of HCPs and increase the likelihood of organizational success.  相似文献   
5.
This study collects survey data (n = 345) from a healthcare organization in the early stages of electronic health record (EHR) implementation to understand how a series of organizational communication sources—managers, coworkers, IT personnel, and online organizational sources—impact healthcare employees’ (a) EHR resistance and (b) perceptions of EHR’s relative advantage. Regression results reveal that the levels of EHR information employees sought from coworkers did not predict EHR resistance or perceived relative advantage. Seeking information from managerial sources enhances EHR’s perceived relative advantage and decreases affective EHR resistance but is not related to behavioral or cognitive EHR resistance. Seeking information from IT staff decreased all types of EHR resistance and increased EHR’s perceived relative advantage. Finally, seeking information from online organizational sources increased EHR’s perceived relative advantage and decreased behavioral and cognitive resistance but is not related to affective EHR resistance. Study implications and limitations are offered.  相似文献   
6.
Cognitive impairments like memory disorder and depressive disorders lead to fatal consequences if proper attention is not given to such health hazards. Their impact is extended to the socioeconomic status of the developed and low or middle-income countries in terms of loss of talented and skilled population. Additionally, financial burden is borne by the countries in terms of additional health budget allotment. This paper presents a novel strategy for early detection of cognitive deficiency to eliminate the economic repercussions caused by memory disorder and depressive disorders. In this work, Electroencephalogram (EEG) and a word learning neuropsychological test, i.e. California Verbal Learning Task (CVLT), are conjunctively used for memory assessment. The features of EEG and scores of CVLT are modeled by applying different machine learning techniques, namely K-Nearest Neighbor (KNN), Gaussian Naive Bayes (GNB), Decision Tree (DT), Random Forest (RF), and Support Vector Machine (SVM). Comparatively, experimental results have better classification accuracy than the existing schemes that considered EEG for estimating cognitive heuristics. More specifically, SVM attains the highest accuracy score of 81.56% among all machine learning algorithms, which can assist in the early detection of cognitive impairments. The proposed strategy can be helpful in clinical diagnosis of psychological health and improving quality of life as a whole.  相似文献   
7.
Professional work is often regulated by procedures that shape the information seeking involved in performing a task. Yet, research on professionals’ information seeking tends to bypass procedures and depict information seeking as an informal activity. In this study we analyze two healthcare tasks governed by procedures: triage and timeouts. While information seeking is central to both procedures, we find that the coordinating nurses rarely engage in information seeking when they triage patients. Inversely, the physicians value convening for timeouts to seek information. To explain these findings we distinguish between junior and expert professionals and between uncertain and equivocal tasks. The triage procedure specifies which information to retrieve but expert professionals such as the coordinating nurses tend to perform triage, which is an uncertain task, by holistic pattern recognition rather than information seeking. For timeouts, which target an equivocal task, the procedure facilitates information seeking by creating a space for open-ended collaborative reflection. Both junior and expert physicians temporarily suspend patient treatment in favor of this opportunity to reflect on their actions, though partly for different reasons. We discuss implications for models of professionals’ information seeking.  相似文献   
8.
Auto identification and data capture (AIDC) technologies, such as radio frequency identification (RFID) has been promising for real time traceability, communication, identification and location of goods, assets and people. Despite this promising trend, health care sector has not fully embraced RFID technology. The purpose of this study is to understand how RFID technology can be beneficial for meeting hospital real time asset and people management information requirements prior to adoption of the technology.  相似文献   
9.
The existing literature has given little consideration to social values of information technology in general or of wireless technology in particular. The purpose of this paper is thus to shed new light on this issue. Based on an interpretive case study, we examine two healthcare organisations and discover that social values are often manifested beyond, as well as within, organisations. A matrix of social values in relation to technology changes and their interactions with various stakeholders is further discussed. The matrix helps understand how various social values emerge from and revolve around organisations’ strategic management of information technology. The implications of the findings about social values are discussed and future research directions are suggested.  相似文献   
10.
Recently, patient safety and healthcare have gained high attention in professional and health policy-makers. This rapid growth causes generating a high amount of data, which is known as big data. Therefore, handling and processing of this data are attracted great attention. Cloud computing is one of the main choices for handling and processing of this type of data. But, as far as we know, the detailed review and deep discussion in this filed are very rare. Therefore, this paper reviews and discusses the recently introduced mechanisms in this field as well as providing a deep analysis of their applied mechanisms. Moreover, the drawbacks and benefits of the reviewed mechanisms have been discussed and the main challenges of these mechanisms are highlighted for developing more efficient healthcare big data processing techniques over cloud computing in the future.  相似文献   
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