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Technology-enabled knowledge management for community healthcare workers: The effects of knowledge sharing and knowledge hiding
مدیریت دانش دانش تکنولوژی برای کارکنان بهداشت و درمان جامعه: اثرات به اشتراک گذاری دانش و پنهان کردن دانش-2021 The objective of this study is to explore different facet (dark and bright sides) of technology-enabled knowledge
management (KM) for rural lay healthcare workers who belong to the bottom of pyramid (BoP) population in
India. Data were collected through multiple rounds of engagements and semi-structured interviews with 37
Accredited Social Health Activists (ASHAs). Findings indicate the existence of spirals of value that are shaped by
KM practices in such settings. Technology-enabled KM through knowledge-sharing is supporting an upward
spiral of value creation at three different levels, i.e., the micro-level in the form of empowerment of ASHAs, the
meso-level in the form of better healthcare for the rural Indian population, and the macro-level in the form of an
effective public health policy outcome as envisioned by the government. Contrary to the technology-enabled KM
through knowledge-sharing, technology-enabled KM through knowledge-hiding is eroding value resulting in
failed attempts to use technology and reduced self-efficacy of ASHAs at the micro level. Technology-enabled KM
through knowledge-hiding at the macro level is promoting stratification and marginalization within rural
communities in India. Study leaves key implications for healthcare researchers, policymakers and businesses. keywords: بهداشت روستایی | فعالان بهداشت اجتماعی | اقتصادهای نوظهور | تحقیق کیفی | پنهان کردن دانش | به اشتراک گذاری دانش | هندوستان | Rural healthcare | Social health activists | Emerging economies | Qualitative research | Knowledge-hiding | Knowledge-sharing | India |
مقاله انگلیسی |
2 |
A technology framework for remote patient care in dermatology for early diagnosis
چارچوبی فناوری برای مراقبت از راه دور بیمار در پوست برای تشخیص زودرس-2019 Healthcare in India has been organized into a three-tier structure. The Primary Health Center (PHC) is a part of
the first tier, District Hospitals are in the second tier, and the Tertiary Care Center (TCC) forms the third tier. The
PHCs have been set up to meet the healthcare requirements of the rural population, where limited diagnostic
facilities are available. The District hospitals have better diagnostic facilities as compared to the PHCs, and the
TCCs provide advanced diagnostic facilities.
Studies suggest that the rural population is significantly affected by skin diseases and requires services of
dermatologists. However, the PHCs do not have the required number of healthcare specialists, including dermatologists
to provide treatment for all patients, and they do not have sufficient diagnostic facilities to detect
skin related diseases. This lack of healthcare specialists and diagnostic facilities delays intervention and treatments
that should be administered to the patients visiting the PHCs. We can enhance the quality of service at the
PHCs by providing access to dermatologists and diagnostic facilities through Tele-dermatology, to address and
avoid this delay in the onset of intervention. This can be administered to the patient at the rural center with the
help of technology.
The proposed Tele-dermatology framework connects the PHC to the TCC, equipped with an expert system to
provide diagnostic suggestions. Patient details, along with skin lesion images, are acquired at the PHC and then
transferred over the Internet to the TCC. The TCC archives the details of a patient and processes the patient
image and text data. The expert system at the TCC derives the possible diagnosis of the case being referred. The
suggested diagnosis is communicated back to the PHC. Alternatively, the PHC can retrieve the diagnostic suggestions
from the TCC even at a later point in time. This diagnostic information would help the health worker at
the PHC to begin preventive treatment, to avoid worsening of the patient condition until a physician could
attend the case.
The implementation of the framework is done using a mobile device and Simple Object Access Protocol
(SOAP) based Web services. The developed framework could be a platform for providing suitable services and
suggestions at rural health centers comprising mainly PHCs. Keywords: Rural healthcare | Primary health center | Tele-dermatology | Skin lesion | Web service | Image archival |
مقاله انگلیسی |