Abstract Healthcare organizations operate within a network of governments, insurers, inspection services and other healthcare organizations to provide clients with the best possible care. The parties involved must collaborate and are accountable to each other for the care provided. This has led to a diversity of administrative processes that are supported by a multi-system landscape, resulting in administrative burdens among healthcare professionals. Management methods, such as Enterprise Architecture (EA), should help to develop and manage such landscapes, but they are systematic, while the network of healthcare parties is dynamic. The aim of this research is therefore to develop an EA framework that fits the dynamics of network organizations (such as long-term healthcare). This research proposal outlines the practical and scientific relevance of this research and the proposed method. The current status and next steps are also described.
Smart glasses have the potential to transform healthcare, but their acceptance and use are under pressure due to concerns about social interaction around smart glasses, such as privacy, intended use, and the social isolation of the user. However, the value is seen in healthcare, where they could potentially help manage demographic changes and growing staff shortages. This dissertation poses questions about the acceptance and appropriation of smart glasses in healthcare, including social and ethical implications. Under the premise that humans and technology mutually influence each other, a theoretical framework has been constructed to investigate the complexity of both acceptance and social interaction around smart glasses. In this dissertation, theoretical perspectives from technology acceptance and social cognitive theory are combined with the mediation perspective from philosophy of technology to better understand the appropriation of smart glasses. Through multiple studies, including analyses of YouTube comments, focus groups, a developed and validated questionnaire, and interviews with healthcare professionals, a detailed portrayal of the potential and challenges associated with the appropriation of smart glasses is provided. The results show that although there may initially be concerns and resistance, the perception of smart glasses can change positively after prolonged use. This dissertation emphasizes the importance of studying the appropriation of technology at different stages of diffusion and from different perspectives, to get a richer and more comprehensive picture of how innovations like smart glasses can best be integrated into healthcare.
MULTIFILE
Objective: To report the study protocol and baseline characteristics of a prospective cohort study to evaluate longitudinal recovery trajectories of patients recovering from COVID-19 who have visited a primary care allied health professional. Design: Report of the protocol and baseline characteristics for a prospective cohort study with a mixedmethods approach. Patients: Patients recovering from COVID-19 treated by primary care dietitians, exercise therapists, occupational therapists, physical therapists and/or speech and language therapists in the Netherlands. Methods: The prospective study will measure primary outcome domains: participation, health-related quality of life, fatigue, physical functioning, and costs, at baseline, 3, 6, 9 and 12 months. Interviews, on the patients' experiences with allied healthcare, will be held with a subsample of patients and allied health professionals. Results: The cohort comprises 1,451 patients (57% female, mean age 49 (standard deviation 13) years). Preliminary results for the study cohort show that 974 (67%) of the participants reported mild/moderate severity symptoms during the infection period and patients reported severe restrictions in activities of daily living compared with previous research in other patient populations. Both quantitative and qualitative, will provide insight into the recovery of patients who are treated by allied health professionals. Conclusion: In conclusion, this will be the first comprehensive study to longitudinally evaluate the recovery trajectories and related costs of patients recovering from COVID-19 who are treated by allied health professionals in the Netherlands. This study will provide evidence for the optimal strategy to treat patients recovering from COVID-19 infection, including which patients benefit, and to what extent, from treatment, and which factors might impact their recovery course over time. The preliminary results of this study demonstrated the severity of restrictions and complaints at the start of therapy are substantial.
