Addressing the complexities of big data analytics in healthcare : The diabetes screening case
- De Silva, Daswin, Burstein, Frada, Jelinek, Herbert, Stranieri, Andrew
- Authors: De Silva, Daswin , Burstein, Frada , Jelinek, Herbert , Stranieri, Andrew
- Date: 2015
- Type: Text , Journal article
- Relation: Australasian Journal of Information Systems Vol. 19, no. (2015), p. S99-S115
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- Reviewed:
- Description: The healthcare industry generates a high throughput of medical, clinical and omics data of varying complexity and features. Clinical decision-support is gaining widespread attention as medical institutions and governing bodies turn towards better management of this data for effective and efficient healthcare delivery and quality assured outcomes. Amass of data across all stages, from disease diagnosis to palliative care, is further indication of the opportunities and challenges to effective data management, analysis, prediction and optimization techniques as parts of knowledge management in clinical environments. Big Data analytics (BDA) presents the potential to advance this industry with reforms in clinical decision-support and translational research. However, adoption of big data analytics has been slow due to complexities posed by the nature of healthcare data. The success of these systems is hard to predict, so further research is needed to provide a robust framework to ensure investment in BDA is justified. In this paper we investigate these complexities from the perspective of updated Information Systems (IS) participation theory. We present a case study on a large diabetes screening project to integrate, converge and derive expedient insights from such an accumulation of data and make recommendations for a successful BDA implementation grounded in a participatory framework and the specificities of big data in healthcare context. © 2015 De Silva, Burstein, Jelinek, Stranieri.
- Authors: De Silva, Daswin , Burstein, Frada , Jelinek, Herbert , Stranieri, Andrew
- Date: 2015
- Type: Text , Journal article
- Relation: Australasian Journal of Information Systems Vol. 19, no. (2015), p. S99-S115
- Full Text:
- Reviewed:
- Description: The healthcare industry generates a high throughput of medical, clinical and omics data of varying complexity and features. Clinical decision-support is gaining widespread attention as medical institutions and governing bodies turn towards better management of this data for effective and efficient healthcare delivery and quality assured outcomes. Amass of data across all stages, from disease diagnosis to palliative care, is further indication of the opportunities and challenges to effective data management, analysis, prediction and optimization techniques as parts of knowledge management in clinical environments. Big Data analytics (BDA) presents the potential to advance this industry with reforms in clinical decision-support and translational research. However, adoption of big data analytics has been slow due to complexities posed by the nature of healthcare data. The success of these systems is hard to predict, so further research is needed to provide a robust framework to ensure investment in BDA is justified. In this paper we investigate these complexities from the perspective of updated Information Systems (IS) participation theory. We present a case study on a large diabetes screening project to integrate, converge and derive expedient insights from such an accumulation of data and make recommendations for a successful BDA implementation grounded in a participatory framework and the specificities of big data in healthcare context. © 2015 De Silva, Burstein, Jelinek, Stranieri.
Early intervention to reduce young peoples’ contact with the criminal justice system : local knowledge to inform practice
- Authors: Lancefield, Kay
- Date: 2021
- Type: Text , Thesis , PhD
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- Description: The involvement of youth in justice systems generates high social and economic costs for individuals, their families and communities. Although Victorian crime statistics indicate a decline in youth offending there remains a subgroup who persist, resulting in adverse outcomes. Despite considerable scholarly attention on the factors that contribute to youth contact with justice systems, the application of this knowledge in some instances has failed to reduce such contact and deliver the desired outcomes. This thesis asserts that the factors relat ing to youth contact with justice systems are best understood within the theoretical frameworks of social ecological theory and developmental criminology. A social ecological perspective broadens the understanding of factors associated with youth contact with justice systems and potential intervention opportunities. It is argued that the integration of developmental criminology and social ecological theory within a place based framework will guide understanding and enh ance the efficacy of early intervention strategies. This thesis highlight s the need to consider multiple interacting factors, the value of incorporating developmental data to augment police records and the importance of implementing practice wisdom in the formulation and delivery of developmental prevention strategies. An individual’s exposure to adverse childhood experiences is demonstrated as a critical element associated with the risk of future offending. Findings relating to early contact with police as potentially protective and not necessarily predictive of an ongoing offending trajectory provide new insight. It is argued that a place based approach that incorporat es practice partnerships is critical to delivering effective prevention efforts. This research project was supported through a universityearch project was supported through a university––service system research service system research collaboration within the Inner Gippsland region of Victoria. The study has generated ‘local collaboration within the Inner Gippsland region of Victoria. The study has generated ‘local solutions to local problems’ and bridged the practicesolutions to local problems’ and bridged the practice––research gap research gap by generating by generating conceptualconceptually sound, evidencely sound, evidence--based interventions based interventions that are that are responsive to the Inner responsive to the Inner Gippsland community.Gippsland community.
- Description: Doctor of Philosophy
- Authors: Lancefield, Kay
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: The involvement of youth in justice systems generates high social and economic costs for individuals, their families and communities. Although Victorian crime statistics indicate a decline in youth offending there remains a subgroup who persist, resulting in adverse outcomes. Despite considerable scholarly attention on the factors that contribute to youth contact with justice systems, the application of this knowledge in some instances has failed to reduce such contact and deliver the desired outcomes. This thesis asserts that the factors relat ing to youth contact with justice systems are best understood within the theoretical frameworks of social ecological theory and developmental criminology. A social ecological perspective broadens the understanding of factors associated with youth contact with justice systems and potential intervention opportunities. It is argued that the integration of developmental criminology and social ecological theory within a place based framework will guide understanding and enh ance the efficacy of early intervention strategies. This thesis highlight s the need to consider multiple interacting factors, the value of incorporating developmental data to augment police records and the importance of implementing practice wisdom in the formulation and delivery of developmental prevention strategies. An individual’s exposure to adverse childhood experiences is demonstrated as a critical element associated with the risk of future offending. Findings relating to early contact with police as potentially protective and not necessarily predictive of an ongoing offending trajectory provide new insight. It is argued that a place based approach that incorporat es practice partnerships is critical to delivering effective prevention efforts. This research project was supported through a universityearch project was supported through a university––service system research service system research collaboration within the Inner Gippsland region of Victoria. The study has generated ‘local collaboration within the Inner Gippsland region of Victoria. The study has generated ‘local solutions to local problems’ and bridged the practicesolutions to local problems’ and bridged the practice––research gap research gap by generating by generating conceptualconceptually sound, evidencely sound, evidence--based interventions based interventions that are that are responsive to the Inner responsive to the Inner Gippsland community.Gippsland community.
- Description: Doctor of Philosophy
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