Gestão e Economia | Capítulos/artigos em livros internacionais / Book chapters/papers in international books
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Browsing Gestão e Economia | Capítulos/artigos em livros internacionais / Book chapters/papers in international books by Author "Curado, Henrique"
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- Management of tacit knowledge and the issue of empowerment of patients and stakeholders in the health care sectorPublication . Jacquinet, Marc; Nobre, Ângela Lacerda; Curado, Henrique; Martins, António Eduardo Pais Falcão Barbosa; Arraya, Marco; Sousa, Maria; Pimenta, RuiThere is a growing literature on health and health care dedicated to empowerment of patients; but there is still a gap in the literature to conceptualize knowledge, to extend the discussion of the empowerment of the patients to the stakeholders. The discussion is at the level of managerial processes of empowerment and knowledge management related to health care. The present chapter starts with a review on empowerment, especially focused on the health sector. The following sections will develop a critical analysis of empowerment, mainly around the concept of tacit knowledge (Polanyi) and knowledge management. One key variable is the proximity of the actors involved in the empowerment process. This key variable is very much related to the tacitness issue of knowledge production and flows. The chapter extends the discussion of the empowerment of the patients to that of the stakeholders and the general debate about health literacy. A model is briefly described for the purpose of illustrating the learning process in a knowledge management implemented in health care.
- Opportunities and challenges for electronic health record: concepts, costs, benefits, and regulationPublication . Jacquinet, Marc; Curado, HenriqueIn this section, after a brief history, the issue of definition and several dimensions of electronic health records will be tackled. If the first known medical records can be traced to Hippocrates and the goals he attributed to these records were to describe accurately the course of a disease and gives a probable cause of it; the electronic dimension of these records can be traced back to the 1960s in some hospitals that started a more systematic recording and use of patients’ data by services and doctors. But it is still more recently, in the 1990s, with the ever wider use of internet and online databases that the electronic health record emerged as a new tool in the public health systems of OECD countries. There are different definitions of electronic health record, depending on the theoretical perspective or even the main user or the political point of departure taken in the implementation process. Even so, here and in the literature on the subject, the electronic health record has become and is the generic term. Other focuses like electronic medical record (or registry) and the electronic patient record are based on either the perspective of the user or the subject of the information. All these expressions are part of the general move from traditional management of health and medicine to electronic health and medicine or e-health (written more and more frequently ehealth as its use spreads across countries and within national health and health care systems). To settle the record straight, the definition of the Electronic Health Record that can serve as a consensus for the current exposition as well as a starting point for further research is the one given by the International Standards Organization
- The emergence of biobanks: between ethics, risks, and governancePublication . Downey, Catarina; Curado, Henrique; Jacquinet, MarcPublic health research and planning, and the development of more effective therapies for individuals may take on radical new dimensions with the newly information made available through biobanks. Furthermore, the information that can be disclosed about an individual can also be used, intentionally or unintentionally, for economic and social discrimination, especially in insurance, employment, attribution of bank credits and other access issues (Rose & Novas, 2005). Alongside the scientific revolution, the European understanding and acceptance of biotechnology evolved. Data protection is an important aspect of medical data and a major condition for the safeguarding of fundamental rights and freedoms of individuals, especially privacy. However, the development of these important safeguards still requires the consideration of many key questions about the meaning of privacy in relation to genetic information and about effective protection of legitimate rights (Taylor & Townend, 2010. Several studies have been devoted to the ethical, regulatory and social challenges associated with biobanks, particularly in relation to consent and privacy.