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The purpose of this paper is to explore a non-technical overview for leaders and researchers about how to use a communications perspective to better assess, design and use digital health technologies (DHTs) to improve healthcare performance and to encourage more research into implementation and use of these technologies.

Narrative overview, showing through examples the issues and benefits of introducing DHTs for healthcare performance and the insights that communications science brings to their design and use.

Communications research has revealed the many ways in which people communicate in non-verbal ways, and how this can be lost or degraded in digitally mediated forms. These losses are often not recognized, can increase risks to patients and reduce staff satisfaction. Yet digital technologies also contribute to improving healthcare performance and staff morale if skillfully designed and implemented.

Researchers are provided with an introduction to the limitations of the research and to how communications science can contribute to a multidisciplinary research approach to evaluating and assisting the implementation of these technologies to improve healthcare performance.

Using this overview, managers are more able to ask questions about how the new DHTs will affect healthcare and take a stronger role in implementing these technologies to improve performance.

New insights into the use and understanding of DHTs from applying the new multidiscipline of communications science. A situated communications perspective helps to assess how a new technology can complement rather than degrade professional relationships and how safer implementation and use of these technologies can be devised.

Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue.

J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites. The primary drivers of the program were redesigned acute care delivery, seamless transitions of care and deployment of community care teams.

Acute care interventions included risk screening, multidisciplinary care planning, pharmacist-driven medication management, patient/family education, communication with next provider and care coordination protocols for common conditions. Transition interventions included post-discharge health plans, hand-offs and follow-up with primary care providers, Transition Guides, a patient access line and collaboration with SNFs. Community interventions involved forming multidisciplinary care coordination teams, integrated behavioral care and new partnerships with community-based organizations.

This paper offers a detailed description of the design and implementation of a complex program to improve care coordination for high-risk patients in an urban setting. The case studies feature findings from each intervention that promoted patient engagement, strengthened collaboration with community-based organizations and improved coordination of care.

The purpose of this paper is to determine the second victims’ experience and its related factors among medical staff.

This research is a cross-sectional study that was conducted in public hospitals of Sanandaj, west of Iran, in 2017. The sample consisted of 338 medical staff including physicians, nurses and mid-wives. A self-report questionnaire was used for data collection. Descriptive statistics, cross-tabs and χ² test were used for data analysis using SPSS20.

A total of 51.5 percent (n=174) of the medical staff had experienced medical error in the past year, of which 90.2 percent (n=157) had at least one of the symptoms of “second victims.” Tachycardia and sleep disturbances were the most commonly referred physical symptoms with 73 and 51.7 percent, respectively. Also, repetitive/intrusive memories and fear of reputation damage were the most commonly referred psychosocial symptoms with 68.3 and 51.7 percent, respectively. The experience of physical and psychosocial symptoms was different according to the occupational category. In addition, there was a significant association between the experience of physical symptoms with the hospital administrators’ awareness of medical errors and the consequences of medical errors for patients.

Adoption of coping strategies, including learning from medical errors as well as hospital administrators’ support from second victims, is recommended. It is also suggested that medical staff be informed about the consequences of medical errors as well as physical and psychological symptoms of second victims so that they can ask for help from managers and colleagues when the symptoms occur.

This study outlines the prevalence, the most psychological and physical symptoms, and the demographic and occupational factors associated with the second victim phenomenon in medical staff. Also, the most important strategies for coping with this phenomenon are prioritized from the perspective of medical staff.

The purpose of this paper is to study the following related terms: flexibility, resilience and coping capacity, in order to clarify relationships between them.

Methods applied in the study include the analysis and synthesis of scientific literature and a critical discussion considering provided references. By drawing on the notion of the ladder of abstraction, conceptual differences between the three terms are proposed.

Based on the most common associations of the terms in the literature, the paper proposes the following relationships between the terms: flexibility is most commonly associated with the inherent property of systems, which allows them to change within pre-established parameters; resilience is the ability of organizations to withstand changes in their environment and still function; coping capacity commonly refers to organizational behavior involving timely purposeful change.

As managers strive to improve the performance of their organizations in turbulent conditions, the paper provides a useful enhanced understanding of the relative roles that flexibility, resilience and coping capacity play in changes and maintaining the continuity of the organization.

While confusion between the meanings of these terms has been noted by various authors, the paper is believed to be the first to discuss the three terms in conjunction and thereby propose relationships between them. The proposed framework overcomes existing definitional fragmentation and raises awareness in the conceptualization of terms: flexibility, coping capacity and resilience. We contribute to extant business and management literature by proposing a model indicating the relationships between them.

Revisiting the critical hermeneutics analysis of Wu Zetian’s case in Peng et al.’s (2015) paper, the purpose of this paper is to explore the complexity and paradox of Wu Zetian as a historical figure, and to demonstrate the potential of critical hermeneutics as an innovative methodology to study gender, diversity and history. Moreover, the authors attempt to examine some of the potential challenges and limitations of this methodology and to provide an in-depth account of the socio-politics involved in the research process.

This is a reflexive critique based on a framework of four central concepts of critical hermeneutics (Prasad, 2005): questions of author intentionality, layers of texts, hermeneutic circle and relating to texts.

Critical hermeneutics has great potential as well as considerable challenges and limitations in the research areas of gender, diversity and history.

This paper offers a lucid exposition of what critical hermeneutics is about, how it might be applied to a particular case and potential challenges and limitations of this methodology. The study is intensely reflexive and context oriented, illustrating how a deepened understanding of critical hermeneutics leads to a more informed discussion of the possibilities and limitations of the methodology, and how researchers, editors and reviewers can be influenced by the context in which the study is conducted.

The purpose of this research is to achieve automatic and accurate book purchase forecasts for the university libraries and improve efficiency of manual book purchase.

The authors presented a Book Purchase Forecast model with A Lite BERT(ALBERT-BPF) to achieve their goals. First, the authors process all the book data to unify format of books' features, such as ISBN, title, authors, brief introduction and so on. Second, they exploit the book order data to label all books supplied by booksellers with “purchased” or “non-purchased”. The labelled data will be used for model training. Last, the authors regard the book purchase task as a text classification problem and present a model named ALBERT-BPF, which applies ALBERT to extract text features of books and BPF classification layer to forecast purchased books, to solve the problem.

The application of deep learning in book purchase task is effective. The data the authors exploited are the historical book purchase data from their university library. The authors’ experiments on the data show that ALBERT-BPF can seek out the books that need to be purchased with an accuracy of over 82%. And the highest accuracy reached is 88.06%. These indicate that the deep learning model is sufficient to assist the traditional manual book purchase way.

This research applies ALBERT, which is based on the latest Natural Language Processing (NLP) architecture Transformer, to library book purchase task.

Many applications of Building Information modelling (BIM) are already integrated into project management processes. However, the construction industry is suffering from poor decision-making, especially during procurement where fundamental decisions are made. To make the best decisions at earlier project stages, such as design, large amount of information needs to be processed and classified. Therefore, this study seeks to create a Decision Support System (DSS) for construction procurement through the application of existing informatics infrastructure and BIM applications.

Literature review expert interviews and case studies with complex procurement considerations were used to identify and validate attributes and criterions for procurement decision-making. Accordingly, Multi-Attribute Utility Theory (MAUT) methodology was used and mathematical models were driven as the foundation for a DSS.

Five major criterions of time, cost, relationship quality, sustainability and quality of work performed was identified for complex construction procurement decision-making. Accordingly, a DSS structure and mathematical model was proposed. Based on this a model architecture was developed for the integration of the DSS into Autodesk Revit as a BIM platform, and assist in pre-contract decision-making.

The results can be used in pre-contract selection processes via currently used BIM applications. The model architecture can integrate DSS outputs to nD models, cloud systems and potentially virtual reality facilities to facilitate better construction operations and smarter more automated processes.

This study formulates and captures complex and unstructured information on construction procurement into a practical DSS model. The study provides a link to integrate solutions with already available platforms and technologies. The study also introduces the concept of designing for procurement; which can be expanded to other challenging decisions during construction.

In an era of rapid telemedicine expansion, patient loyalty is paramount for effective health-care delivery. This study aims to understand loyalty behaviours in telemedicine to refine services. The primary objectives are to elucidate the current state of scholarly inquiry concerning loyalty within the telemedicine sphere and to address existing research deficiencies within this domain. This exploration seeks to provide valuable insights and contribute to the advancement of knowledge in this critical area of inquiry.

This study uses a bibliometric analysis to investigate patient loyalty in telemedicine. By reviewing existing literature and analysing bibliometric data, the research identifies key deficiencies and addresses pertinent research questions within the telemedicine loyalty domain. This methodological approach aims to offer a comprehensive understanding of the current state of research and highlight areas requiring further investigation.

This study reveals significant gaps in existing research on telemedicine loyalty, identifying a need for more focused studies on patient loyalty behaviours. Through a bibliometric analysis, the findings highlight critical areas for improvement and potential strategies for enhancing patient loyalty in telemedicine. These insights are crucial for refining telemedicine services and ensuring effective health-care delivery.

The findings may not capture all dimensions of patient loyalty in telemedicine, requiring further empirical studies. Future research should expand on these limitations by incorporating diverse methodologies and broader data sets to validate and extend the study’s insights.

The insights from this study can help health-care providers refine their telemedicine services to enhance patient loyalty. By understanding loyalty behaviours, providers can develop targeted strategies to improve patient satisfaction and retention. These practical implications are essential for the continuous improvement of telemedicine services, ensuring they meet patient needs and expectations effectively.

Enhancing patient loyalty in telemedicine leads to significant societal benefits, particularly by improving health-care access for underserved populations in rural or economically disadvantaged areas. Continuous and trusted care helps reduce health-care disparities and fosters health equity, positively impacting quality of life through timely medical consultations. In the context of medical tourism, telemedicine facilitates reliable remote consultations, boosting confidence in health-care systems abroad and benefiting local economies. In addition, tourists can access health-care services while travelling, enhancing their sense of safety and well-being. Overall, these advancements highlight telemedicine’s potential to create a more equitable and accessible health-care landscape.

This study fills a critical gap in telemedicine research by focusing on patient loyalty, an area often overlooked in existing literature. The bibliometric analysis offers a novel approach to understanding and addressing loyalty behaviours. The findings contribute valuable knowledge, advancing the discourse on telemedicine loyalty and providing a foundation for future research and service improvements.

The purpose of this paper is to offer novel insights into: knowledge of proto-feminism through description and analysis of the rule of the seventh century female Emperor Wu Zetian; postcolonial theory by revealing the existence and proto-feminist activities of a non-western female leader; and the literature on gender and invisibility through a study of a leading figure that is relatively unknown to western feminists and is even, in feminist terms, something of a neglected figure.

In order to examine Wu’s proto-feminist practices as recorded in historical materials, we use critical hermeneutics as a tool for textual interpretation, through the following four stages: choosing texts from historical records and writings of Wu; analyzing the historical sociocultural context; analyzing the relationship between the text and the context; and offering a conceptual framework as a richer explanation.

Wu’s life activities demonstrate proto-feminism in late seventh century China in at least four aspects: gender equality in sexuality, in social status, in politics, and women’s pursuit of power and leadership.

Future research may dig into the paradox of Wu’s proto-feminist practices, the relationship between organizational power and feminism/proto-feminism, and the ways in which Wu’s activities differ from other powerful women across cultures, etc.

The study encourages a rethink of women and leadership style in non-western thought.

The study supports Calás and Smircich’s 2005 call for greater understanding of feminist thought outside of western thought and a move to transglobal feminism.

This study recovers long lost stories of women leadership that are “invisible” in many ways in the historical narratives, and contributes to postcolonial feminism by revealing the existence of indigenous proto-feminist practice in China long before western-based feminism and postcolonial feminism emerged.