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Lindegren, D., Karegar, F., Kane, B. & Pettersson, J. S. (2019). An evaluation of three designs to engage users when providing their consent on smartphones. Behavior and Information Technology
Open this publication in new window or tab >>An evaluation of three designs to engage users when providing their consent on smartphones
2019 (English)In: Behavior and Information Technology, ISSN 0144-929X, E-ISSN 1362-3001Article in journal (Refereed) Epub ahead of print
Abstract [en]

The graphical and interactive design of a consent form helps individuals to keep control and pay attention to the information that they are disclosing. In the context of mobile apps we propose and test alternative interaction design solutions for selecting personal information on permission dialogues, namely using checkboxes, a drag-and-drop selection, and a swiping action. We test each proposed design and compare the results in terms of their usability and effectiveness in helping users to be more attentive and aware of their data flow, in other words, to provide their informed consent. This study demonstrates that checkboxes while speedy do not engage the user as much as drag-and-drop or swiping. User satisfaction is positively impacted by these newer ways of giving consent.

Place, publisher, year, edition, pages
Oxon, UK: Taylor & Francis, 2019
Keywords
Consent form, usable privacy, user awareness, permission dialogues, user interfaces, personal data
National Category
Computer and Information Sciences
Research subject
Computer Science; Information Systems
Identifiers
urn:nbn:se:kau:diva-76241 (URN)10.1080/0144929X.2019.1697898 (DOI)000503509000001 ()
Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2020-01-23Bibliographically approved
Thomas, S., Foley, C., Kane, B., Johnston, B. M., Lynch, B., Smith, S., . . . Browne, J. (2019). Variation in resource allocation in urgent and emergency Care Systems in Ireland. BMC Health Services Research, 9(1), Article ID 657.
Open this publication in new window or tab >>Variation in resource allocation in urgent and emergency Care Systems in Ireland
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 9, no 1, article id 657Article in journal (Refereed) Published
Abstract [en]

Background: A key challenge for most systems is how to provide effective access to urgent and emergency care across rural and urban populations. Tensions about the placement and scope of hospital emergency services are longstanding in Irish political life and there has been recent reform to centralise hospital services in some regions. The focus of this paper is a system approach to examine the geographic variation in resourcing and utilisation of such care across GP practices, out-of-hours care, ambulance services, Emergency Departments and Local Injury Units in Ireland.

Methods: We used a cross-sectional study design to evaluate variation in resource allocation by aggregating geographic funding to various elements of the urgent and emergency care system and assessing patterns in hospital resource utilisation across the population. Expenditure, staffing, access and activity data were gathered from government sources, individual facilities and service providers, health professional bodies, private firms and central statistics. Data on costs and activity in 2014 are collated and presented at both county and regional levels. Analyses focus on resources spent on urgent and emergency care across geographic areas, the role of population concentration in allocation, the relationship between pre-hospital spending and in-hospital spending, and the utilisation of hospital-based emergency care resources by residents of each county.

Results: An array of funding mechanisms exists, resulting in a fragmented approach to the resourcing of urgent and emergency care. There are large differences in spending per capita at the county-level, ranging from between €50 and €200 per capita; however, these are less pronounced regionally. Distribution of hospital emergency care resources is highly skewed to the North East of the country, and away from the recently reconfigured South and Mid-West regions.

Conclusions: This analysis advances the traditional approach of evaluating individual services or hospital resourcing. There are notable differences in utilisation of hospital-based emergency care resources at the regional level, indicating that populations within those regions which have been reconfigured have lower utilisation of hospital resources. There is a clear case for more integration in decision-making around funding and consideration of key principles, such as equity, to guide that process.

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019
Keywords
Emergency care, Health system, Resource allocation, Universal health care, Urgent care, Ireland
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Public Health Care Administration
Identifiers
urn:nbn:se:kau:diva-75166 (URN)10.1186/s12913-019-4504-4 (DOI)000485244600002 ()
Available from: 2019-10-08 Created: 2019-10-08 Last updated: 2019-10-25Bibliographically approved
Kane, B. (Ed.). (2018). CBMS 2018 Welcome Message and Preface. Paper presented at 2018 IEEE 31st International Symposium on Computer-Based Medical Systems (CBMS). Karlstad, 18-21 Juni, 2018.. IEEE Computer Society, 2018-June
Open this publication in new window or tab >>CBMS 2018 Welcome Message and Preface
2018 (English)Conference proceedings (editor) (Refereed)
Place, publisher, year, edition, pages
IEEE Computer Society, 2018
National Category
Information Systems
Research subject
Information Systems
Identifiers
urn:nbn:se:kau:diva-69098 (URN)10.1109/CBMS.2018.00005 (DOI)2-s2.0-85050959541 (Scopus ID)978-1-5386-6060-7 (ISBN)
Conference
2018 IEEE 31st International Symposium on Computer-Based Medical Systems (CBMS). Karlstad, 18-21 Juni, 2018.
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2018-09-11Bibliographically approved
Gahan, J. A. & Kane, B. (2018). Determining User Requirements for an Audiology Information System. In: Proceedings - IEEE International Symposium on Computer-Based Medical Systems: . Paper presented at 31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018, 18 June 2018 through 21 June 2018 (pp. 268-273). IEEE
Open this publication in new window or tab >>Determining User Requirements for an Audiology Information System
2018 (English)In: Proceedings - IEEE International Symposium on Computer-Based Medical Systems, IEEE, 2018, p. 268-273Conference paper, Published paper (Refereed)
Abstract [en]

This paper examines user requirements for a new audiology information system for use in audiology departments by audiology staff. There is a lack of literature on requirements for an audiology information system. This ethnographic study describes the current audiology service and the equipment used in the diagnosis and treatment of hearing loss. Eliciting user requirements from all the users of a clinical information system provides the best possible outcomes for all user groups: clinical, administration and hearing aid technicians. The study includes a review of audiology internal policies and a survey of all potential end users of a new audiology information system in the Health Service Executive (HSE) community service. The findings identify the six most important user requirements in a new audiology information system. These priority requirements include the storage of all Noah files, multiple patient search options, have all test results stored in the patient's electronic record, be capable of generating IT-based reports and store the audiogram in the patient's electronic record (EHR). Other findings include the desire for a paperless system and for the integration of all audiology equipment and existing IT databases, with up-to-date? information system involving automated processes.

Place, publisher, year, edition, pages
IEEE, 2018
Series
IEEE International Symposium on Computer-Based Medical Systems, E-ISSN 2372-9198
Keywords
audiology, information system, user requirements, Audition, Automation, Diagnosis, Hearing aids, Human computer interaction, Information systems, Medical information systems, Records management, Automated process, Clinical information system, Community services, Electronic records, Ethnographic study, Health services, Information use
National Category
Medical Engineering
Identifiers
urn:nbn:se:kau:diva-69101 (URN)10.1109/CBMS.2018.00054 (DOI)2-s2.0-85050978950 (Scopus ID)9781538660607 (ISBN)
Conference
31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018, 18 June 2018 through 21 June 2018
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2019-11-10Bibliographically approved
Porsteinsdóttir, G. & Kane, B. (2018). Health Information Seeking among Young Adults in Sweden. In: Proceedings - IEEE International Symposium on Computer-Based Medical Systems: . Paper presented at 31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018, 18 June 2018 through 21 June 2018 (pp. 262-267). IEEE
Open this publication in new window or tab >>Health Information Seeking among Young Adults in Sweden
2018 (English)In: Proceedings - IEEE International Symposium on Computer-Based Medical Systems, IEEE, 2018, p. 262-267Conference paper, Published paper (Refereed)
Abstract [en]

A survey of health information seeking behaviour among young adults, 18-29 years old, reports that as well as searching for information for their own use, searching for information to help family and friends is also practised?. Overall, the top 5 categories of information searched are 'Personal Health', 'Symptoms', 'Healthy Diet', 'Mental Health' and 'Treatment'. For the Top 5 Information searches for Self, 'Disease Prevention' is in 5th place and displaces 'Mental Health'. Respondents mostly report a high regard for the information they retrieve in their searches. The use of support groups for themselves is reported, as well an altruistic motivation to support others. While the motivation for many searches is to avoid attending a health professional, approximately one-third search after their visit. Of the respondents who are Swedish residents, 42% are unaware of the availability of their Journalen, online health record in Sweden, and of those 56.7% who know of it, 18% have never accessed it.

Place, publisher, year, edition, pages
IEEE, 2018
Series
IEEE International Symposium on Computer-Based Medical Systems, E-ISSN 2372-9198
Keywords
Health information seeking, on line health information, young adults health information seeking behaviour, Health, Information retrieval, Motivation, Disease prevention, Health informations, Health professionals, Health records, Information search, Personal health, Searching for informations, Support groups, Information use
National Category
Medical Engineering
Identifiers
urn:nbn:se:kau:diva-69099 (URN)10.1109/CBMS.2018.00053 (DOI)2-s2.0-85050970901 (Scopus ID)9781538660607 (ISBN)
Conference
31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018, 18 June 2018 through 21 June 2018
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2019-11-10Bibliographically approved
Nyren Andersson, M., Hansell, B., Emilsson, H., Asmussen, L. & Kane, B. (2017). The Development of an Application for Patients to Communicate Location and Intensity of their Pain. Paper presented at The RAMI Section of Healthcare InformaticsStudents Meeting, 17th June 2016, Royal College of Physicians of Ireland, Setanta House, Dublin. Irish Journal of Medical Science, 186(Suppl.4), S161-S161
Open this publication in new window or tab >>The Development of an Application for Patients to Communicate Location and Intensity of their Pain
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2017 (English)In: Irish Journal of Medical Science, ISSN 0021-1265, E-ISSN 1863-4362, Vol. 186, no Suppl.4, p. S161-S161Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2017
National Category
Other Medical Engineering
Identifiers
urn:nbn:se:kau:diva-65689 (URN)10.1007/s11845-017-1573-4 (DOI)000405392800003 ()
Conference
The RAMI Section of Healthcare InformaticsStudents Meeting, 17th June 2016, Royal College of Physicians of Ireland, Setanta House, Dublin
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-07-04Bibliographically approved
Asmussen, L., Nyren, A. M. & Kane, B. (2017). The Experience of Healthcare Workers Following the Implementation of an IT-System in a Home for the Aged. Paper presented at The RAMI Section of Healthcare Informatics Students Meeting, Friday 17th June 2016, Setanta House, Dublin. Irish Journal of Medical Science, 186(Suppl.4), S161-S161
Open this publication in new window or tab >>The Experience of Healthcare Workers Following the Implementation of an IT-System in a Home for the Aged
2017 (English)In: Irish Journal of Medical Science, ISSN 0021-1265, E-ISSN 1863-4362, Vol. 186, no Suppl.4, p. S161-S161Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

We report on how health personnel at a home for the aged wereaffected by the introduction of an IT-system to help when nursedocumentation of patient activity and condition. The design of ITsystems for documentation by care-givers in healthcare is topicalbecause of the challenges posed by the need for high levels of safety,confidentiality and ethical responsibility. Health care staff work underextreme time-pressure including emergency situations. It is criticallyimportant to have IT-systems that are easy to use: to find informationand make records.This qualitative study utilises observation and interviews to gaindeep understanding. Observation data guide the interviews. Interviewswith nurses (10) and an IT analyst (1) are reported.Lack of time is a contributing factor as to why health personnel donot have a positive attitude to the use of IT documentation systems.Nurses feel that the lack of time does not afford them the opportunityto learn properly about the IT-system, and many of the staff haveworked with paper for over 20 years. It is also seen as a problem thatthere are many steps (clicks) before one can make a note or findinformation. One of the advantages reported with using IT-systems isthat all information is at one site. Everything is safety copied andconfidentiality is easier to secure.Using IT documentation systems facilitates the use of careplansthat are individualized for patient needs, instead treating all patientswith a particular disease, e.g. dementia, in the same way

Place, publisher, year, edition, pages
Springer, 2017
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy Medical Ethics
Identifiers
urn:nbn:se:kau:diva-65688 (URN)000405392800002 ()
Conference
The RAMI Section of Healthcare Informatics Students Meeting, Friday 17th June 2016, Setanta House, Dublin
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2019-11-22Bibliographically approved
Kane, B. & Luz, S. (2017). Trust, Ethics and Access: Challenges in studying the work of Multidisciplinary Medical Teams. In: Bamidis, PD; Konstantinidis, ST; Rodrigues, PP (Ed.), Bamidis, PD Konstantinidis, ST Rodrigues, PP (Ed.), 2017 IEEE 30Th International Symposium On Computer-Based Medical Systems (CBMS): . Paper presented at 30th IEEE International Symposium on Computer-Based Medical Systems (IEEE CBMS), JUN 22-24, 2017, Aristotle Univ Thessaloniki, Thessaloniki, GREECE (pp. 527-528). Paper presented at 30th IEEE International Symposium on Computer-Based Medical Systems (IEEE CBMS), JUN 22-24, 2017, Aristotle Univ Thessaloniki, Thessaloniki, GREECE. New York: IEEE
Open this publication in new window or tab >>Trust, Ethics and Access: Challenges in studying the work of Multidisciplinary Medical Teams
2017 (English)In: 2017 IEEE 30Th International Symposium On Computer-Based Medical Systems (CBMS) / [ed] Bamidis, PD; Konstantinidis, ST; Rodrigues, PP, New York: IEEE, 2017, p. 527-528Chapter in book (Refereed)
Abstract [en]

This paper highlights the challenges for researchers when undertaking research on multidisciplinary medical teams (MDTs) in real-world healthcare settings, and suggests ways in which these challenges may be addressed.

Place, publisher, year, edition, pages
New York: IEEE, 2017
Series
IEEE International Symposium on Computer-Based Medical Systems, ISSN 2372-9198
National Category
Medical Ethics Medical Engineering
Identifiers
urn:nbn:se:kau:diva-66627 (URN)10.1109/CBMS.2017.150 (DOI)000424864800105 ()978-1-5386-1710-6 (ISBN)
Conference
30th IEEE International Symposium on Computer-Based Medical Systems (IEEE CBMS), JUN 22-24, 2017, Aristotle Univ Thessaloniki, Thessaloniki, GREECE
Available from: 2018-03-08 Created: 2018-03-08 Last updated: 2018-06-27Bibliographically approved
Gruenloh, C., Haslwanter, J. D. H., Kane, B., Lee, E., Lind, T., Moll, J., . . . Scandurra, I. (2017). Using Critical Incidents in Workshops to Inform eHealth Design. In: R Bernhaupt, G Dalvi, A Joshi, DK Dalkrishan, J ONeill, M Winckler (Ed.), Human-Computer Interaction - INTERACT 2017: . Paper presented at 16th IFIP TC 13 International Conference on Human-Computer Interaction (INTERACT), SEP 25-29, 2017, Indian Inst Technol, Mumbai, INDIA (pp. 364-373). Cham: Springer, 10513
Open this publication in new window or tab >>Using Critical Incidents in Workshops to Inform eHealth Design
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2017 (English)In: Human-Computer Interaction - INTERACT 2017 / [ed] R Bernhaupt, G Dalvi, A Joshi, DK Dalkrishan, J ONeill, M Winckler, Cham: Springer, 2017, Vol. 10513, p. 364-373Conference paper, Published paper (Refereed)
Abstract [en]

Demands for technological solutions to address the variety of problems in healthcare have increased. The design of eHealth is challenging due to e.g. the complexity of the domain and the multitude of stakeholders involved. We describe a workshop method based on Critical Incidents that can be used to reflect on, and critically analyze, different experiences and practices in healthcare. We propose the workshop format, which was used during a conference and found very helpful by the participants to identify possible implications for eHealth design, that can be applied in future projects. This new format shows promise to evaluate eHealth designs, to learn from patients' real stories and case studies through retrospective meta-analyses, and to inform design through joint reflection of understandings about users' needs and issues for designers.

Place, publisher, year, edition, pages
Cham: Springer, 2017
Series
Lecture Notes in Computer Science, ISSN 0302-9743, E-ISSN 1611-3349 ; 10513
Keywords
Method, Workshop format, Design, Development, eHealth, Critical incidents, Stakeholders, Reflective practice, Evaluation
National Category
Information Systems, Social aspects
Research subject
Information Systems
Identifiers
urn:nbn:se:kau:diva-70569 (URN)10.1007/978-3-319-67744-6_24 (DOI)000452466200024 ()978-3-319-67744-6 (ISBN)978-3-319-67743-9 (ISBN)
Conference
16th IFIP TC 13 International Conference on Human-Computer Interaction (INTERACT), SEP 25-29, 2017, Indian Inst Technol, Mumbai, INDIA
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2019-11-11Bibliographically approved
Pius, A. & Kane, B. (2016). Development of Minimum Dataset (MDS) for Postnatal Discharge Summaries (PDS). In: 2016 IEEE 29th International Symposium on Computer-Based Medical Systems (CBMS): . Paper presented at IEEE CBMS (pp. 94-99). IEEE
Open this publication in new window or tab >>Development of Minimum Dataset (MDS) for Postnatal Discharge Summaries (PDS)
2016 (English)In: 2016 IEEE 29th International Symposium on Computer-Based Medical Systems (CBMS), IEEE, 2016, p. 94-99Conference paper, Published paper (Refereed)
Abstract [en]

A discharge summary (DS) is the main mode of communication between secondary / tertiary care and primary / community care. Low quality DS can lead to poor commu- nication, and break the continuity of care in the community. The development of a Minimum Dataset (MDS) for postnatal discharge summaries (PDS) using a mixed methodology with sequential explanatory design is reported. A MDS development process is used to harmonise datasets in a newly developed PDS. Informed by literature, an analysis of the PDS collected from 15 maternity hospitals in Ireland, together with input from 50 submissions from public health nurses (PHNs), general practitioners (GPs), obstetricians, and midwives, identify the required datasets for the PDS. Dataset definitions are identified using national and international data dictionaries. SNOMED- CT standard is used for terminology. As well as supporting mother and baby care, the developed PDS has the potential to support strategic planning by providing information on maternity health indicators, maternity care outcome measures, national and perinatal mortality and morbidity statistics and national and international data comparisons. 

Place, publisher, year, edition, pages
IEEE, 2016
Series
IEEE International Symposium on Computer-Based Medical Systems, ISSN 2372-9198
National Category
Information Systems, Social aspects
Research subject
Information Systems
Identifiers
urn:nbn:se:kau:diva-56940 (URN)10.1109/CBMS.2016.71 (DOI)000389611300018 ()978-1-4673-9036-1 (ISBN)
Conference
IEEE CBMS
Available from: 2017-07-05 Created: 2017-07-05 Last updated: 2019-06-03Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3211-6529

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