Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/3975
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dc.contributor.advisorClarke, Men
dc.contributor.advisorBaldwin, LPen
dc.contributor.authorJones, Karen-
dc.date.accessioned2009-12-14T11:55:32Z-
dc.date.available2009-12-14T11:55:32Z-
dc.date.issued2009-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/3975-
dc.descriptionThis thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.-
dc.description.abstractThe 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.isoenen
dc.publisherBrunel University, School of Information Systems, Computing and Mathematics-
dc.relation.ispartofSchool of Information Systems, Computing and Mathematics-
dc.relation.urihttp://bura.brunel.ac.uk/bitstream/2438/3975/1/FulltextThesis.pdf-
dc.titleThe remodelling of patient care pathway for e-healthen
dc.typeThesisen
Appears in Collections:Computer Science
Dept of Computer Science Theses

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