Stakeholder driven indicators for eHealth performance management

The aim of this research is to develop a method for creating an online service site in the field of health care. The object of research is the process of developing a medical website. The developed site of online services of the medical institution is a partial implementation of the medical information system. The creation of the methodology for the development of the site of online services in the field of health care was carried out on the basis of the development of API methods (Application Programming Interface methods) and functionality on the site server, which provides the opportunity to interact with eHealth and will allow integration with other medical systems. A feature of the created medical information system is interaction with the centralized eHealth system. API documentation, which is publicly available, is used to interact with the eHealth system. The choice of tools for the development of a medical information system is substantiated. For this, alternative variants of means of developing the client side of the site are determined and the importance of each means was calculated. Super Decisions software is used to determine the importance of criteria and compare alternative options. With the help of the Super Decisions program, the React framework is chosen for the development of the client side of the site. The structure of the website of online services in the medical field is developed, the client and server sides of the product are practically implemented. Development of the server part of the site was carried out based on integration with third-party systems and creation of API methods for exchanging information on the client side. Criteria are defined and programming languages for backend development are analyzed. PHP (Hypertext Preprocessor) language is chosen based on the analysis of reasonable criteria. Symfony is chosen as the PHP framework. A graphic representation of the structure and navigation of the site is developed. The procedure for setting up the environment and raising the project according to the selected technologies is proposed. Integration of the developed site with eHealth is proposed. Experimental testing of the developed site for online services in the field of health care is performed

У даній статті розкрито основні етапи формування державної політики та здійснення реформ у сфері охорони здоров'я.Окреслено основні проблеми та перспективні напрями розвитку галузі

This research aims to find out the implementation of the human resource information system at SD Laboratorium UNG. The purpose of the information system is to help organize all functional areas of human resource management efficiently. SD Laboratorium UNG is a school that has been accredited as superior. This mini-research was conducted using a qualitative approach and data collection techniques in the form of observation, interviews, and documentation, and data presentation was carried out using a descriptive approach, in the form of words, writing, or oral from the subjects observed, namely the principal and teachers. Based on the mini research that has been carried out, the results show that the implementation of the Human Resource Management System at SD Laboratorium UNG has been carried out, but it has not been carried out optimally, but the school has been able to utilize the development of information and communication technology for the progress of the school towards a better direction. The applications used at SD Laboratorium UNG are Facebook, YouTube, Instagram, Email, Zoom, Google Drive, WhatsApp, Ms.Word, Ms.Exel, and JunioSmart.

The article summarizes the forms and directions of international cooperation in the field of health care and evaluates the effectiveness of each of the individual forms. Based on the generalization of approaches to the classification of directions of international cooperation, the following forms of it are distinguished: membership in international organizations, cooperation of specialists in countering global health threats at the non-governmental level, international economic relations, international research and educational activities, international technical assistance, international exchange experience of state management in the field of health care. The effectiveness of Ukraine's international cooperation in the field of health care is analyzed in the following directions: development and adoption of international legislative acts, access of Ukrainian specialists to online platforms, thanks to the use of which international cooperation in the field of health care is carried out at the non-governmental level; the amount of investment in the development of the health care sector and the identification of potentially attractive areas of foreign investment; state and prospects for the development of medical tourism; analysis of publication activity in Ukraine, indicators of citation of scientific publications of Ukrainian researchers; scope and thematic direction of international technical assistance projects; characteristics of projects on the international exchange of experience in state management in the field of health care. The article determines that certain problems of Ukraine's international cooperation in the field of health care are related to insufficient activity of the Government and the Ministry of Health regarding the introduction of international cooperation at the government level; the low investment attractiveness of medical institutions of Ukraine, due to a number of institutional obstacles; lack of appropriate legislative regulation and support for medical tourism; the negative dynamics of the index of citations of scientific publications of Ukrainian researchers, despite the increase in the number of publications and the growth of funding for research and scientific and technical developments. Among the positive results of international cooperation, it is possible to note the presence of a significant number of international Internet platforms and significant volumes of implementation of international technical assistance projects.

Within the scope of this article, public management in the field of health care was investigated as a structural and functional means of improving the quality of life of citizens, which allowed to identify the purpose of state institutions to increase the efficiency of the provision of medical services and ensure the necessary guarantees of social security of the population, which together form a certain institutional maximum to ensure controllability of relevant processes in the field of providing medical services and improving the quality of the population’s health. The development of national health care systems is identified, which is determined by the criterion of strengthening the state’s social security indicators, the effectiveness of its participation in the processes of expanding social guarantees to the population. The expediency of introducing an integrated indicator of determining the institutional capacity of the state to improve the quality of life of the population is substantiated, in accordance with which a modernization and reform toolkit for the transformation of the public administration system in the field of health care is proposed, by bringing it into maximum compliance with the expectations and demands of the population in the form of building an integrated system public management in the field of health care, as a condition for guaranteeing the effectiveness of institutional changes in the field of health care and restraining the negative dynamics associated with the decline in the quality of medical care and the quality of life of the population in general.Public administration in the field of health care has been identified as a structural condition for ensuring the social security of the state in the postmodern period in the form of providing institutional guarantees for the realization of the rights of citizens to receive quality medical care, improving the quality of life of the population, improving the demographic situation, employment and social security, the effectiveness of overcoming relevant social anomalies characteristic of the development of the welfare state as an indicator of the state’s ability to respond appropriately to ensuring the anthropocentric value of its public policy; it was established that the strategic priority for national systems of public administration in the field of health care in the postmodern period is the introduction of complex systems of strategic planning in the field of social security of the population, aimed at ensuring high indicators of the quality of life of the population by organizing the interaction of institutions of the state, society and business, forming of the latest network determination between them regarding the coordination of efforts in the context of ensuring the effectiveness of the quality of life of the population

The subject of the research is the approach to the possibility of using data science methods in the field of health care for integrated data processing and analysis in order to optimize economic and specialized processes The purpose of writing this article is to address issues related to the specifics of the use of Data Science methods in the field of health care on the basis of comprehensive information obtained from various sources. Methodology. The research methodology is system-structural and comparative analyzes (to study the application of BI-systems in the process of working with large data sets); monograph (the study of various software solutions in the market of business intelligence); economic analysis (when assessing the possibility of using business intelligence systems to strengthen the competitive position of companies). The scientific novelty the main sources of data on key processes in the medical field. Examples of innovative methods of collecting information in the field of health care, which are becoming widespread in the context of digitalization, are presented. The main sources of data in the field of health care used in Data Science are revealed. The specifics of the application of machine learning methods in the field of health care in the conditions of increasing competition between market participants and increasing demand for relevant products from the population are presented. Conclusions. The intensification of the integration of Data Science in the medical field is due to the increase of digitized data (statistics, textual informa- tion, visualizations, etc.). Through the use of machine learning methods, doctors and other health professionals have new opportunities to improve the efficiency of the health care system as a whole. Key words: Data science, efficiency, information, machine learning, medicine, Python, healthcare.

Introduction. Moral, ethical, and professional deontological rules have a substantial impact on the social relations of legal regulation regarding liability for abuses and violations of citizens’ rights – people taking medication – patients as part of the health care system. The identification of the place and role of moral norms, ethics, and professional deontology, their quality as specific non-traditional primary sources in the development of the health care system, and the sub-branch of pharmaceutical law in the Republic of Moldova were the focus of the present study. Material and methods. The secondary descriptive synthesis study of normative-legal acts as primary specific non-traditional sources, viewed through the lens of the protection of the rights of the consumer of medicines, the patient – the ultimate beneficiary of the social relations in the field of health care – spanned the years 1991 to 2021. The most relevant sources subject to analysis are the Constitution of the Republic of Moldova, the Code of Ethics for doctors and pharmacists in the Republic of Moldova, laws, and sub-legislative acts, etc. The study is based on the use of several recognized techniques and methods of analysis: systemic approach, synthesis, logical-legal deduction, content and comparative analysis, etc. Results. Both the literature and recognized authors state that respect for moral, ethical, bioethical, and professional deontological norms in the field of health care has always been highly appreciated in society, which has led to the recognition of the nobility of medical and pharmaceutical activity. The results presented in this paper have made it possible to highlight aspects that recommend that the investigation of the role of legal regulation in medical and pharmaceutical activities also question the place and role of moral, ethical, and bioethical norms, as they generally have the same thematic orientation and influence on law, legislation, the practice of applying the law, and vice versa. Conclusions. The accomplished study allowed the identification of the dialectical and organic unity between moral, ethical, bioethical, and deontological sources with the rules of law - the moral-legal foundation of medico-pharmaceutical law. The consolidation of legal and moral norms demonstrates the structuring of the sub-branch of medico-pharmaceutical law. The analysis of the normative-legal acts in the Republic of Moldova confirms both the functionality of the „moral-ethics-deontology-law” system and the importance given to the protection of the rights of the consumer of medicines, the patient, as the ultimate beneficiary of social relations in the field of health care.

On the basis of the analysis of the normative and legal regulation of health care in Ukraine, it was possible to establish that the adoption of the Act of Independence at the extraordinary session of the Verkhovna Rada of the Ukrainian SSR on August 24, 1991 prompted the young state to adopt normative and legal acts, including those that should to ensure the realization of citizens’right to health care, as well as to develop new terms of payment for medical workers of health care institutions in the conditions of the market economy existing at that time. During the first year of independence, a number of regulatory and legal acts were adopted, which related to raising the wages of health care workers, combating the spread of diseases caused by the human immunodeficiency virus, as well as legal and social protection of people living with such a virus. Attention is drawn to the first Regulations on the Ministry of Health (1992) and the adoption of the Law of Ukraine «Basics of the Legislation of Ukraine on Health Care», which despite the fact that certain provisions of this legislative act do not fully meet modern requirements, it is laid the foundations of the protective function of the state, ensured the guarantees of citizens’right to health care and their protection. It is emphasized that the adoption of the Constitution of Ukraine marked a new stage in the development of legal relations in the field of health care, which later found its continuation in normative legal acts that regulate relations in the field of health care. It is emphasized that the research carried out on the legal regulation of social relations in the field of health care in Ukraine gave reasons to find out that such regulation has a complex, interdisciplinary nature, which is due to a wide range of public and private legal relations, united by the common goal of realizing the right of each of a person for health care as the highest social value. It is noted that the current stage of legal regulation is characterized by the implementation of measures for the ability of the health care system of Ukraine to operate under martial law conditions. The author’s periodization of the formation and development of health care in Ukraine is proposed, which includes five main periods of this process.

The rapid development in technology has provided the globalization and to facilitate the exchange of information. The importance of tertiary education has been increasing due to its contribution for development plan’s manpower requirements in quality and quantity. Developments in information systems and technology have provided significant opportunities for higher education institutions. In this research; the implementation and development of information systems and technology in higher education institutions are chosen as a problem in comparison with global scale and taking into account the development of proposals. In this context; the developed countries’ higher education institutions’ were examined, after then universities’ information systems and technologies’ current status and degree of functionality are compared, and finally the proposals were developed. For this purpose; higher education institutions’ level of readiness for e-transformation, information technologies’ contribution to today's class and on the quality of education in shaping the contribution of higher education to shape the future and global competition ready workforce, the growing importance of information technologies on distance learning and on lifelong learning, higher education institutions’ role, and contribution to development of information technology, and the contribution of the envisaged objectives of the development plan.

Systematic approaches to the selection of innovative technologies for environmental protection are investigated. The features and directions of ensuring environmental safety are considered by means of a substantiated method of selecting innovative technologies. A method is used that substantiates the procedure for determining the relative importance of criteria and indicators of environmental protection technologies and methods using the program-analytical method. The basic and fundamental principles of project activities are well developed by specialists, but the practical orientation, application of aspects and algorithms for the implementation of these innovative decision support systems at the level of project activities at the regional level need further development. Decision support systems in the design of innovative environmental protection technologies will increase the complexity and effectiveness of solutions to improve environmental safety. According to the developed approach, criteria formulated as influencing groups of factors. Relevant experts, relying on various types of information on the specific purpose and innovative ecological solutions, give their own judgments regarding the priority of the advantages of the specified criteria. Expert judgments are processed according to the formal procedure of the MAI, which is implemented on a computer, and is the basis for decision-making when choosing the innovative ecological solutions in specific conditions. The criteria hierarchical structure of innovative ecological solutions is represented by a sequence of actions that include the following stages: development of elements of a methodical approach; verification of the consistency of the proposed hierarchical structure for determining priority technologies based on the input data of several objects of settlements; obtaining data on the priority of innovative ecological solutions for implementation on these objects. The advantages of the proposed methodical approach should include the possibility to link to a single algorithm for the justification of the required decision data that differ both in their content and in the form of presentation. Implementation of complex support systems for making innovative decisions in nature protection activities will increase the complexity and effectiveness of decisions to ensure environmental safety. Keywords: environmental safety, system analysis, innovative solutions, environmental protection tools and technologies, sustainable development.

After the implementation of information system will bring a series of changes to the enterprise, the staff's work content and business processes will also change. Based on the theory of job embeddedness and social network, this study focuses on relationship between employee's behavior and job performance after the implementation of information system. The job embeddedness will affect the employee performance. And the implementation of information system will bring more information exchange among employees, it will form lots of networks, and staff embedded in relationship between these networks will affect the work performance. Besides, there are three dimensions of job embeddedness: job connection, job fit and job sacrifice. Job performance is divided into two dimensions: task performance and relationship performance. The purpose of this paper is to study the relationship between job embeddedness and job performance, and to explore the regulate effect of relationship embeddedness between job embeddedness and job performance.

BACKGROUND:Chemotherapy is a complex, multi-disciplinary, and error-prone process. Information technology is being increasingly used in different health care settings with complex work procedures such as cancer care to enhance the quality and safety of care. In this study, we aimed to develop a computerized physician order entry (CPOE) for chemotherapy prescribing in patients with gastric cancer and to evaluate the impact of CPOE on medication errors and order problems.MATERIALS AND METHODS:A multi-disciplinary team consisting of a chemotherapy council group and system design and implementation team was formed for chemotherapy process evaluation, requirement analysis, developing computer-based protocols, and implementation of CPOE. A before and after study was conducted to evaluate the impact of CPOE on the chemotherapy process and medication errors and problem orders. To evaluate the level of end-user satisfaction, an ISO Norm 9241/110 usability questionnaire was chosen for the evaluation.RESULTS:Before the implementation of the CPOE system, 37 medication errors (46.25%) and 53 problem orders (66.25%) were recorded for 80 paper-based chemotherapy prescriptions. After implementation of the CPOE system, 7 (8.7%) medication errors and 6 (7.5%) problem orders were recorded for 80 CPOE prescriptions. The implementation of CPOE reduced the medication error by 37.55% and the problematic order by 58.75%. The results for usability evaluation indicate that the CPOE was within the first class of the ISONORM level rating; this shows that a CPOE is with very high satisfaction and a very high functionality rate.CONCLUSION:Developing a CPOE system significantly improved safety and quality of the chemotherapy process in cancer care settings by reducing the medication error, deleting unnecessary steps, improving communication and coordination between providers, and use of updated evidence-based medicine in direct chemotherapy orders. However, the CPOE system does not prevent all medication errors and may cause new errors. These errors can be human-related factors or associated with the design and implementation of the systems.

This article presents qualitative results collected 6 months after implementation of a clinical information system in four nursing homes in the Midwestern USA. Researchers explored initial implementation strategies, discussed employee experiences and analyzed employee satisfaction. Transcript-based analysis and axial coding were completed to illustrate recurring phenomena. Common attributes were identified by two gerontological nurse experts and a researcher with human factors expertise. Common themes emerging from 22 focus groups and direct observation of more than 120 nursing home staff were perception and cognition, change, workable systems, competence, and connectedness. Implementation strategies associated with lower satisfaction were availability of equipment, training resources, and the presence of information technology professionals. Initial clinical information system implementation strategies and employee satisfaction could be enhanced by the inclusion of a system life cycle charter plan, emphasizing change management procedures, improving start-up projections, hiring adequately trained information technology staff, and providing a system support plan. Findings will be useful to administrators and policy makers who are contemplating implementation of a clinical information system.

Information system (IS) implementation can often lead to inherently contradictory issues, standardization, and evolve‐ability, which requires different, sets of information technology (IT) governance mechanisms. Recent research advocate ambidexterity mechanisms which consider the contradictory logic for long‐term success yet it has paid little attention to resource‐constrained settings which is a source of contradiction for the lack of technical and financial resource. Using an interpretative approach, based on institutional logic and dynamic ambidexterity concepts, this study revealed how centralized, systemic, and IT logics shaped IT governance mechanisms toward centralized and ad hoc‐based decentralized structures. Furthermore, the study depicted how the lack of a common vision for IS implementation impeded defining roles, identifying and collaborating with similar initiatives that led the implementation to uncontrolled evolve‐ability. Despite the absence of a common vision in resource‐constrained settings, the study identified the importance of resource‐chasing collaboration among heterogeneous actors to achieve standardization and evolve‐ability at a certain level though not sufficient. The study proposed an ambidextrous implementation framework by combining dynamic ambidexterity and institutional logic concepts to complement the resource‐chased collaboration with major HIS logics‐based collaboration through devising common vision, strategy, and mechanisms which allows sensing, seizing, and reconfiguring the emergent heterogeneous system implementation initiatives to achieve standardization and evolve‐ability simultaneously.

Background SIMRS is a communication information technology system that processes and integrates the entire flow of hospital service processes in forms of coordination network, reporting and administrative procedures to obtain precise and accurate information and is part of the Health Information System. The purpose of this study was to identify how to implement computer-based administrative information systems to improve service quality performance in hospitals. The method applied in this study was a literature study to examine journal articles regarding the Implementation of Computer-Based Administrative Information Systems to Improve Service Quality Performance in Hospitals, data collection used was secondary data. The results of 20 literature journal articles study showed that the implementation of SIMRS has not run efficiently or has problems. This is because the SIMRS implemented by the hospital was considered less attention by related parties and they have not properly prepared all related to SIMRS (i.e. many officers do not understand because there are no support, supervision and evaluation from the management and technology that has not been running maximally). Conclusion, based on the Literature Review on the Implementation of Computer-Based Administrative Information Systems to Improve Service Quality Performance in Hospitals were found there were obstacles in implementing computer-based information systems, including lack of personnel, less skilled, less disciplined and less responsible personnel, facilities and infrastructure constraints (less stable Wi-Fi network and crashed system) and obstacles from the management (no training and proper SOP). To deal with these problems, IT knowledge training to the employees, improving the system and applying proper SOP should be applied so that information systems can be implemented and used in order to help simplify the work and improve service quality in hospitals in the future.