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Activity-based Process Integration Framework to Improve User Satisfaction and Decision Support in Healthcare

Requirements Engineering (RE) approaches are widely used in several domains such as telecommunications systems, information systems, and even regulatory compliance. However, they are rarely applied in healthcare beyond requirements elicitation. Healthcare is a multidisciplinary environment in which clinical processes are often performed across multiple units. Introducing a new Information Technology (IT) system or a new process in such an environment is a very challenging task, especially in the absence of recognized RE practices. Currently, many IT systems are not welcomed by caregivers and are considered to be failures because they change what caregivers are familiar with and bring new tasks that often consume additional time.
This thesis introduces a new RE-based approach aiming to evaluate and estimate the potential impact of new system integrations on current practices, organizational goals,and user satisfaction using goal modelling and process modelling techniques. This approach is validated with two case studies conducted in real hospitals and a usability study involving healthcare practitioners. The contributions of the thesis are:
• Major: a novel Activity-based Process Integration (AbPI) framework that enables the integration of a new process into existing practices incrementally, in a way that permits continuous analysis and evaluation. AbPI also provides several alternatives to a given integration to ensure effective flowing and minimal disturbance to current practices. AbPI has a Goal Integration Method to integrate new goals, an Integration Method to integrate new processes, and an Alternative Evaluation Method exploiting multi-criteria decision-making algorithms to select among strategies.
The modelling concepts of AbPI are supported by a profile of the User Requirements Notation augmented with a new distance-based goal-oriented approach to alternative selection and a new data-quality-driven algorithm for the propagation of confidence levels in goal models.
• Minor: a usability study of AbPI to investigate the usefulness of the framework in a healthcare context. This usability study is part of the validation and is also a minor contribution due to: 1) the lack of usability studies when proposing requirements engineering frameworks, and 2) an intent to discover the potential usefulness of the framework in a context where recognized RE practices are seldom used.

Identiferoai:union.ndltd.org:uottawa.ca/oai:ruor.uottawa.ca:10393/38104
Date12 September 2018
CreatorsBaslyman, Malak
ContributorsAmyot, Daniel
PublisherUniversité d'Ottawa / University of Ottawa
Source SetsUniversité d’Ottawa
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Formatapplication/pdf

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