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Home informatics in healthcare: Assessment guidelines to keep up quality of care and avoid adverse effects
Linköping University, Department of Medicine and Health Sciences, Health Technology Assessment. Linköping University, The Institute of Technology.
Linköping University, Department of Computer and Information Science, IISLAB - Laboratory for Intelligent Information Systems. Linköping University, The Institute of Technology.
2003 (English)In: Technology and Health Care - European Society for Engineering and Medicine, ISSN 0928-7329 (Print) 1878-7401 (Online), Vol. 11, no 3, 195-206 p.Article in journal (Refereed) Published
Abstract [en]

Due to an ageing population and improved treatment possibilities, a shortage in hospital beds is a fact in many countries. Home healthcare schemes using information technology (IT) are under development as a response to this and with the intention to produce a more cost-effective care. So far it has been shown that home healthcare is beneficial to certain patient groups. The trend is a widening of the criteria for admission to home healthcare, which means treatment in the home of more severe conditions that otherwise would require in-hospital care. Home informatics has the potential to become a means of providing good care at home. In this process, it is important to consider what new risks will be encountered when placing electronic equipment in the home care environment. Continuous assessment and guidance is important in order to achieve a safe and effective care. Based on a review of current knowledge this paper presents an inventory of risks and adverse events specific to this area. It was found that risks and adverse events could stem from technology in itself, from human-technology interaction conditions or from the environment in which the technology is placed. As a result from the risk inventory, this paper proposes guidelines for the planning and assessment of IT-based hospital-at-home schemes . These assessment guidelines are specifically aimed at performance improvement and thus to be considered a complement to the more general guidelines on telehomecare adopted by the American Telemedicine Association (ATA) in October 2002.

Place, publisher, year, edition, pages
2003. Vol. 11, no 3, 195-206 p.
Keyword [en]
assessment, home informatics, hospital-at-home, telehomecare
National Category
Medical Laboratory and Measurements Technologies
URN: urn:nbn:se:liu:diva-14142OAI: diva2:22710
Available from: 2006-11-13 Created: 2006-11-13
In thesis
1. Medical Device Innovation: The integrated processes of invention, diffusion and deployment
Open this publication in new window or tab >>Medical Device Innovation: The integrated processes of invention, diffusion and deployment
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

An increased use of medical devices has been assumed to be a major cause of rising healthcare expenditures. Nations around the world are trying to keep costs down, but strong incentives still exist for the development and use of new devices. Innovation is, however, never exclusively good or bad and it is not easy to evaluate the net effect. Theories and empirical research on innovation have been produced for more than 100 years. In this, the diffusion of innovations has attracted the most interest, while other areas, such as the integration of technologies, have been less thoroughly researched.

This thesis presents a model of medical device innovation in hospitals – from the first idea and invention effort to regular use of a new technology. The suggested model is built on three fundaments: (1) academic innovation literature, (2) empirical studies, and (3) observations of on-going innovation processes. The model is a synthesis of the accumulated knowledge in different innovation research traditions, and of empirical studies of the Swedish healthcare system and the medical device industry. The aim is to give a comprehensive picture of the innovation process, and to provide a theoretical model, which can be used for studying and influencing the paths of medical device innovations into healthcare practice.

In order to achieve a balanced rate of change, with long-term societal benefits, an inter-disciplinary approach is necessary in the planning and regulation of medical device innovation. The new model combines academic views with political/entrepreneurial and healthcare views. Innovation, in this model, is suggested to occur in three integrated activity domains: invention, diffusion, and deployment. A great number of factors that influence these activities are investigated and described, and different roles and incentives are discussed. Deviations from traditional innovation theory are for example: (a) integration of invention activities as having an impact on later events; (b) inclusion of the inventor/developer as a main actor also in the diffusion and deployment domains; (c) increased focus of the concept of technology cluster innovation, and (d) the rationality of use and abandonment of knowledge as factors to be included in the estimation of consequences of innovation.

Finally, the thesis suggests a number of model and methodology improvements and policy implications for management of innovation in hospitals.

Place, publisher, year, edition, pages
Institutionen för hälsa och samhälle, 2006
Linköping Dissertations on Health and Society, ISSN 1651-1646 ; 9Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 1040
Innovation, Medical technical products, Spread, Technique use, Technical development, Social change, Innovation, Medicintekniska produkter, Spridning, Teknikanvändning, Seknisk utveckling, Social förändring
National Category
Medical Laboratory and Measurements Technologies
urn:nbn:se:liu:diva-7717 (URN)91-85523-16-X (ISBN)
Public defence
2006-11-02, Aulan, Hälsans hus, Campus US, Linköpings Universitet, Linköping, 09:00 (English)
Available from: 2006-11-13 Created: 2006-11-13 Last updated: 2009-03-10

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