The Walled Gardens of Healthcare
Notice bibliographique
Résumé
The disruption to healthcare caused due to the bottom-up adoption of mobile technologies has brought forth signals of health seekers managing their own health. Propelling this movement forward is the consumer technology sector’s growing interest in health care. By realizing an unmet need for health management tools, direct-to-consumer technology products and services are targeted at those who prefer to supervise their own health. However, their efforts have had limited success in integrating with the actual needs of the health care providers or physicians that rely on clinical data for diagnosis and disease management. Adding to this, there is an increasing demand for systems that can connect clinical data with extra clinical data platforms to bridge the continuity gaps in patient care. \n \nThis research uses Brenda Dervin’s sense-making methodology as a framework for introspection into the current system and extrospection of the emergent environment for the drivers of this change in the health data landscape. Through a systemic analysis, current challenges and barriers that limit the integration of extra clinical platforms with clinical platforms have been brought forth to highlight points of intervention. Foresight tools and methodologies have been employed to explore future strategies, within the areas of opportunities that can be utilized to bridge the currently disconnected worlds of health data. Through expert interviews and literature reviews, the aim was to identify key stakeholders and analyze their needs to build criteria and determine the success of these future strategies. The two-pronged approach is a means to base the design interventions and maximize the impact of strategies built around the principle of holistic experience of care for health seekers and patients. \n \nBy identifying the scope and the scale of the current health data landscape, criteria for the design of the connected health system was based on the existing principles of the Canada Health Act; allowing them to be grounded on the Canadian values of equality and solidarity, simultaneously calling for a reflection needed to expand and revolutionize the present scope. The strategic recommendations aim at instilling tolerance and a culture of innovation; devising comprehensive incentive models for physician-provider compensation that allow for the successful implementation of out-patient strategies; and formation of a digital health governance model through the creation of a unique digital health identity. The design principles and strategic recommendations are proposed to bridge the disconnected health data worlds and provide a seamless care experience to health seekers and patients.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».