scholarly journals Using Smartphones for Accountable Care and Evidence-based Decision Making in Managing Gestational Diabetes: An Australian Case Study

Author(s):  
Nilmini Wickramasinghe ◽  
Say Yen Teoh ◽  
Paul Mercieca
2014 ◽  
Vol 116 (3) ◽  
pp. 1-27 ◽  
Author(s):  
Charles A. Peck ◽  
Morva A. Mcdonald

Background/Context Contemporary state and national policy rhetoric reflects increased press for “evidence-based” decision making within programs of teacher education, including admonitions that programs develop a “culture of evidence” in making decisions regarding policy and practice. Recent case study reports suggest that evidence-based decision making in teacher education involves far more than access to data—including a complex interplay of motivational, technical, and organizational factors. Purpose In this paper we use a framework derived from Cultural Historical Activity Theory to describe changes in organizational practice within two teacher education programs as they began to use new sources of outcome data to make decisions about program design, curriculum and instruction. Research Design We use a retrospective case study approach, drawing on interviews, observations and documents collected in two university programs undergoing evidence-based renewal. Conclusions We argue for the value of a CHAT perspective as a tool for clarifying linkages between the highly abstract and rhetorically charged concept of a “culture of evidence” and concrete organizational practices in teacher education. We conclude that the meaning of a “culture of evidence” depends in large measure on the motivations underlying its development.


Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg

In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.


2002 ◽  
Vol 15 (1) ◽  
pp. 37-39
Author(s):  
Wendy Young ◽  
Tim Young ◽  
George Rewa ◽  
Peter Coyte ◽  

Author(s):  
Nilmini Wickramasinghe ◽  
Steve L Goldberg

In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.


2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Nancy Edwards ◽  
Sonia Semenic ◽  
Shahirose Premji ◽  
Phyllis Montgomery ◽  
Beverly Williams ◽  
...  

2014 ◽  
Vol 67 (5) ◽  
pp. 790-794 ◽  
Author(s):  
Iván Arribas ◽  
Irene Comeig ◽  
Amparo Urbano ◽  
José Vila

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