Saudi Cultural Missions Theses & Dissertations
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Item Restricted Exploring Digital Transformation Strategies in Healthcare: Integration of Telemedicine and Electronic Health Records (EHR) Systems(University of Warwick, 2024-07-29) Aljamaan, Rayan; Beck, SusanneTelemedicine and Electronic Health Records (EHR) are a combination that significantly drove digital transformation in the healthcare sector. This study addresses the question: How does the integration of telemedicine and Electronic Health Records (EHR) systems affect the efficiency, accessibility, and quality of healthcare services? The importance of this study is best understood in the background of the increasing need for practical, affordable, and patient-centered solutions, particularly in the post-COVID-19 world and the progression of digital health solutions. Methodologically, the study uses a literature review conducted using research retrieved from peer-reviewed scientific journals. Databases used for search include Google Scholar, Scopus, ResearchGate, and ScienceDirect. The collected information was thematically organized into themes and sub-themes to present the results systematically. Generally, the review looks at the literature on telemedicine and EHR systems separately to determine their joint influence on the overall delivery of healthcare services and patients’ satisfaction. The Technology Acceptance Model (TAM) and Diffusion of Innovations (DOI) concepts are used to assess the influencing factors related to the adoption and impacts of these technologies. The main findings show that the successful implementation of telemedicine and EHR provides a better opportunity to increase the access of patients and, at the same time, reduce healthcare workers' workload and increase patient revisit. However, challenges like technical integration, security of information, and training and follow-up still need to be solved. These results imply that it is necessary to deal with these challenges using phased approaches of implementing innovations, involving all relevant stakeholders, and providing ongoing education. Thus, this study contributed to the growing body of knowledge and helped identify possible approaches to improving integration perspectives of digital business models in the healthcare industry.21 0Item Restricted Implementing Telemedicine for the Treatment of Adults with Non-Complex Burn Injuries in Saudi Arabia – A Modified Systematic Review(University of Nottingham, 2024) Badran, Nour; Bousfield, ChrissieBackground / Aim - This modified systematic review explores the use of telemedicine to enhance service provision in burn care. Telemedicine is rapidly evolving as a means to provide access to medical expertise via in-person appointments using telecommunication and information technologies offering health care to individuals despite their geographical location. Despite the benefits there are challenges and limitations to be overcome to improve its success such as technical difficulties, legal uncertainties, restricted financial support, efficiency and quality assurance. This review aims to explore how telemedicine can enhance the care of adults with non-complex burn injuries in Saudi Arabia. Methodology - The PICO framework was selected to develop the research question and key words were used to retrieve primary research from online databases namely CINAHL, Medline, PubMed, Embase, and Web of Science. 10 research studies met the inclusion criteria and the JBI appraisal tool was employed to extract key data. A process of thematic analysis identified commonly recurring themes. Results - Four themes emerged accessibility of care, cost effectiveness, technical and operational challenges of telemedicine and clinical effectiveness and quality assurance in telemedicine. The research was critically appraised, analysed, evaluated and synthesised to determine the quality of the evidence and generalisability of the findings. Discussion – Despite its challenges telemedicine can successfully improve care provision by reducing unnecessary visits, travel time, optimises resources that may overwhelm stretched system capacities. The cost benefits to the patient are positive but significant to the organisation. However, access and connections, IT infrastructure, software, proficiency in using the technology and quality assurance is essential. Conclusion - Telemedicine has the potential to improve service provision for patients with non-complex burn injuries from distance. Developing innovative pathways for enhancing patient care and recovery in burn care through implementation of telemedicine has the opportunity to improve clinical outcomes and patient satisfaction.9 0Item Restricted Impact of the COVID-19 on the digital health transformation in Saudi Arabia(University of Strathclyde, 2024-08-13) Shafi, Lina; Smith, MarisaSaudi Arabia has implemented on an ambitious transformation of its healthcare system under Vision 2030 national development goals. This research investigated how the unexpected COVID-19 health crisis impacted and accelerated the adoption of digital health tools across Saudi healthcare facilities. An explanatory sequential mixed methods design was adopted to assess this emerging phenomenon. Secondary quantitative datasets from Saudi government reports provided objective adoption metrics indicating technology uptake before, during and after the pandemic, secondary qualitative analysis of academic literature and news articles offered contextual insights into user experiences, outcomes, and strategic responses. After collecting the data, findings revealed that while Saudi Arabia had made early investments in isolated digital health projects prior to 2016, efforts varied, and adoption rates were gradual. The Vision 2030 agenda recognised healthcare's centrality and made its digitisation a national priority. However, the 2020 COVID-19 outbreak became an unexpected inflection point that urgently catalysed innovation. New mobile health applications were rapidly developed and deployed for infection monitoring, sustaining virtual care access during lockdowns, and managing mass vaccination campaigns. Official statistics indicated over 20 million Saudi citizens registered on platforms like “Sehhaty” and “Tawakkalna” during the crisis. However, findings also highlighted persisting fragmentation between applications, interoperability issues impeding data exchange, physician readiness gaps limiting advanced analytics adoption, and ethical risks from swift digitisation without corresponding cybersecurity and privacy safeguards. As it enters post-pandemic recovery, progress is focusing on addressing these challenges by recommending unified governance frameworks, workforce upskilling programmes and localised regulations adapted from global best practices. In conclusion, COVID-19 accelerated Saudi Arabia's digital health transformation while revealing adoption challenges requiring concerted action. This research offers data-driven assessments of achievements, user outcomes, persisting limitations and forward-looking recommendations to inform ongoing strategic efforts to establish itself as a leading model of patient-centric, technology-enabled healthcare by 2030 in fulfilment of Vision 2030 goals.22 0Item Restricted Acute Remote Medicine Based Assessment of High Risk Atherosclerosis Patients(Imperial College London, 2024-07-21) Alshahrani, Nasser Saeed; Khamis, RamziAlthough there have been significant advancements in medical and interventional therapies, myocardial infarction (MI) remains a major cause of death in the UK. Unplanned readmission rates in the UK are high despite a global trend towards short hospital stays post-MI, sitting at approximately 10% at 30 days post-discharge and even higher at 6 months. The 30-day mortality rate post-ACS in the US is 7.3%, with comparably high rates observed in Europe and the UK. The use of telemedicine technology can provide remote, clinically necessary, diagnostic information, thus eliminating the necessity for patients to visit the hospital. Telemonitoring could improve the management of post-ACS care and reduce the number of unexpected readmissions. Despite these potential benefits, there are considerable barriers to its implementation. This thesis present four chapters discussing the impact and efficacy of home telemonitoring for cardiac patients post-ACS. I first used a systematic review and meta-analysis to investigate the existing research on the use of telemedicine for patient management post-ACS. Second, I designed and validated a clinical decision support system algorithm for the remote management of patients post-ACS in a nonhospital setting. Third, I conducted a randomised controlled trial (acronym: TELE-ACS) that used a specialised hybrid remote telemonitoring system to monitor patients following their hospital discharge post-ACS. Fourth, I conducted a 6-month cost-benefit analysis of the TELE-ACS protocol and assessed its impact on the health-related quality of life in patients following ACS. The results demonstrate that a remote monitoring approach in combination with clinical decision algorithm protocol based on patient symptoms, 12-lead ECG data, BP levels, and oxygen saturation levels, significantly decreased the rate of hospital readmissions, emergency department visits, unplanned coronary revascularisations, and patient-reported symptoms for patients post-ACS. Therefore, the TELE-ACS protocol represents a financially viable approach to reducing readmissions in ACS patients.23 0Item Restricted An exploration of the perceptions and experiences of adult heart failure patients utilizing telehealth monitoring in their homes: A Qualitative Systematic Review(Saudi Digital library, 2023-12-13) Alhazmi, Raneem Mohammed Ahmed; Whittingham, Katharine; Brindley, Allison; Gee, GarethAbstract Background Heart failure (HF) is a significant health issue since affected individuals endure a substantial load of symptoms and restrictions in their physical functioning, with implications on their mental and behavioural welfare. The implementation of a telemonitoring system promises to enhance the treatment of the disease by facilitating prompt medication adjustments, early identification of signs and symptoms indicating illness progression, and fostering the adoption of self-care practices. This qualitative systematic review examines the overall experiences of adult heart failure patients who used telemonitoring equipment inside their homes as a component of follow-up treatment and self-management. Objective To identify and explore the experiences and perceptions of adult HF using TM in their homes. Methods A qualitative systematic review was performed using the JBI framework, studies released between 2010 and 2022 and the search was implemented from three central databases that have been carefully searched (CINHAL full text, MEDLINE and PUBMED). Results Seven qualitative investigations, for a total of more than one hundred patients diagnosed with heart failure using telemonitoring tools. A total of forty-nine results were identified and eight categories derive. Four synthesised results were obtained: awareness and knowledge about their condition promote reassurance and self-empowerment, continuity in care facilitates adherence to habits and self-management, patients value in-person interactions with healthcare practitioners and perceive telemonitoring systems as lacking personalized touch, patients find value in the time efficiency and user-friendliness of telemonitoring systems, but technical and economic barriers often outweigh these benefits. Conclusion TM can enhance patients' disease awareness, knowledge, and self-care competence. Patients generally reported feeling reassured and empowered through daily self-monitoring, which helped establish their healthy routines. However, the qualitative evidence indicates that patients still highly value human connection and in-person support from healthcare professionals, seeing TM as an adjunct instead of serving as a substitute for in-person interactions44 0Item Restricted The Role of an online health forum for Women with Breast Cancer Treated by Chemotherapy(Saudi Digital Library, 2023-11-03) Aljehani, Shroog; Bath, PeterBreast cancer, which affects more women than men, is among the global death-leading chronic conditions that have triggered the need for online health forums as interventions to help meet various healthcare goals. Women with breast cancer treated with chemotherapy have diverse needs, some of which can be met through these forums. Therefore, this dissertation is a systematic review that evaluates evidence from different journal publications to investigate the role of an online health forum for women with breast cancer treated by chemotherapy. The PICO framework was the preferred method for developing the study’s research question, while the Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was the selected methodology for presenting results for this systematic review. This study is important because the findings will inform the relevance and usage of online health forums, informational needs, and the perceptions and information-seeking behaviours of women with breast cancer treated by chemotherapy.10 0