A Web-based graphical user interface for evidence-based decision making for health care allocations in rural areas

BackgroundThe creation of successful health policy and location of resources increasingly relies on evidence-based decision-making. The development of intuitive, accessible tools to analyse, display and disseminate spatial data potentially provides the basis for sound policy and resource allocation decisions. As health services are rationalized, the development of tools such graphical user interfaces (GUIs) is especially valuable at they assist decision makers in allocating resources such that the maximum number of people are served. GIS can used to develop GUIs that enable spatial decision making.ResultsWe have created a Web-based GUI (wGUI) to assist health policy makers and administrators in the Canadian province of British Columbia make well-informed decisions about the location and allocation of time-sensitive service capacities in rural regions of the province. This tool integrates datasets for existing hospitals and services, regional populations and road networks to allow users to ascertain the percentage of population in any given service catchment who are served by a specific health service, or baskets of linked services. The wGUI allows policy makers to map trauma and obstetric services against rural populations within pre-specified travel distances, illustrating service capacity by region.ConclusionThe wGUI can be used by health policy makers and administrators with little or no formal GIS training to visualize multiple health resource allocation scenarios. The GUI is poised to become a critical decision-making tool especially as evidence is increasingly required for distribution of health services.

[1]  Maged N Kamel Boulos,et al.  International Journal of Health Geographics Open Access towards Evidence-based, Gis-driven National Spatial Health Information Infrastructure and Surveillance Services in the United Kingdom , 2022 .

[2]  Alejandro R. Jadad,et al.  Web 2.0: Could it help move the health system into the 21st century? , 2006 .

[3]  T. Nyerges,et al.  Collaborative Water Resource Decision Support: Results of a Field Experiment , 2006 .

[4]  A. Gatrell,et al.  Health and health care applications , 2022 .

[5]  Stephen Cranefield UML and the Semantic Web , 2001, SWWS.

[6]  A. Hewison,et al.  Evidence-based management in the NHS: is it possible? , 2004, Journal of health organization and management.

[7]  Sara L McLafferty,et al.  GIS and health care. , 2003, Annual review of public health.

[8]  D. Voaklander,et al.  If all ambulances could fly: putting provincial standards of emergency care access to the test in Northern British Columbia. , 2005, Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada.

[9]  Christopher L. Fulcher,et al.  Visualizing the Infrastructure of US Healthcare Using Internet GIS: A Community Health Informatics Approach for Reducing Health Disparities , 2004, MedInfo.

[10]  Peter Dolog,et al.  Semantic Web and Web 2.0 , 2009 .

[11]  Maged N Kamel Boulos,et al.  Research protocol: EB-GIS4HEALTH UK – foundation evidence base and ontology-based framework of modular, reusable models for UK/NHS health and healthcare GIS applications , 2005, International journal of health geographics.

[12]  Peter Mika,et al.  Semantic Web and Web 2.0 , 2008, J. Web Semant..

[13]  Simon French,et al.  Web-enabled strategic GDSS, e-democracy and Arrow's theorem: A Bayesian perspective , 2007, Decis. Support Syst..

[14]  G S Georgiade,et al.  Factors Improving Survival in Multisystem Trauma Patients , 1988, Annals of surgery.

[15]  Ramesh C. Jain,et al.  Engineering a Human Factor-Based Geographic User Interface , 1998, IEEE Computer Graphics and Applications.

[16]  Alice J Hausman,et al.  Implications of Evidence-Based Practice for Community Health , 2002, American journal of community psychology.

[17]  San Murugesan,et al.  Understanding Web 2.0 , 2007, IT Professional.

[18]  I. Sanderson Evaluation, Policy Learning and Evidence-Based Policy Making , 2002 .

[19]  F. Gagnon,et al.  Healthy public policy A conceptual cognitive framework. , 2007, Health policy.

[20]  Dean Giustini Web 3.0 and medicine , 2007, BMJ : British Medical Journal.

[21]  Yvan Bédard,et al.  Integrating GIS components with knowledge discovery technology for environmental health decision support , 2003, Int. J. Medical Informatics.

[22]  Hemant K. Bhargava,et al.  Progress in Web-based decision support technologies , 2007, Decis. Support Syst..

[23]  Vijay Gurbaxani,et al.  Perceptual structure of the desired functionality of internet-based health information systems , 2006, Health care management science.

[24]  Paul A. Longley Geographical Information Systems: Principles, Techniques, Management and Applications (Abridged Edition) , 2005 .

[25]  Stan C. M. Geertman,et al.  GIS and Models of Accessibility Potential: An Application in Planning , 1995, Int. J. Geogr. Inf. Sci..

[26]  M. Khan,et al.  A cost-minimization approach to planning the geographical distribution of health facilities. , 2001, Health policy and planning.

[27]  N. Schuurman,et al.  Defining rational hospital catchments for non-urban areas based on travel-time , 2006, International journal of health geographics.

[28]  Yuh-Wen Chen,et al.  A multi-objective geographic information system for route selection of nuclear waste transport , 2008 .

[29]  Jennifer M. Silva,et al.  Building geographic information system capacity in local health departments: lessons from a North Carolina project. , 2005, American journal of public health.

[30]  Christopher V. Jones Introduction to the special issue of decision support systems on user interfaces , 1995, Decis. Support Syst..

[31]  Immigration and geographic access to prenatal clinics in Brooklyn, NY: a geographic information systems analysis. , 2005, American journal of public health.

[32]  Fatemeh Zahedi,et al.  Exploring the influence of perceptual factors in the success of web-based spatial DSS , 2007, Decis. Support Syst..

[33]  Piotr Jankowski,et al.  Design Considerations and Evaluation of a Collaborative, Spatio-Temporal Decision Support System , 2006, Trans. GIS.

[34]  I. Sanderson Making Sense of ‘What Works’: Evidence Based Policy Making as Instrumental Rationality? , 2002 .

[35]  A. Bandura,et al.  Negative self-efficacy and goal effects revisited. , 2003, The Journal of applied psychology.

[36]  Richard Bentley,et al.  Basic support for cooperative work on the World Wide Web , 1997, Int. J. Hum. Comput. Stud..

[37]  Shih-Lung Shaw,et al.  A GIS-based spatial decision support system for tourists of Great Smoky Mountains National Park , 2007 .

[38]  Kei-Hoi Cheung,et al.  HCLS 2.0/3.0: Health care and life sciences data mashup using Web 2.0/3.0 , 2008, J. Biomed. Informatics.

[39]  Hemant K. Bhargava,et al.  Beyond Spreadsheets: Tools for Building Decision Support Systems , 1999, Computer.

[40]  Christer Carlsson,et al.  Past, present, and future of decision support technology , 2002, Decis. Support Syst..

[41]  S Westmacott,et al.  Developing decision support systems for integrated coastal management in the tropics: is the ICM decision-making environment too complex for the development of a useable and useful DSS? , 2001, Journal of environmental management.

[42]  F. Porell,et al.  Hospital Choice Models: A Review and Assessment of their Utility for Policy Impact Analysis , 1995, Medical care research and review : MCRR.

[43]  Maged N Kamel Boulos,et al.  The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education. , 2007, Health information and libraries journal.

[44]  Sung H. Han,et al.  Designing a human–computer interface for a process control room: A case study of a steel manufacturing company , 2007 .

[45]  William C. Perkins,et al.  Spatial decision support systems: An overview of technology and a test of efficacy , 1995, Decis. Support Syst..

[46]  Bambang Parmanto,et al.  Development of SOVAT: A numerical-spatial decision support system for community health assessment research , 2006, Int. J. Medical Informatics.

[47]  Xin He,et al.  Exploring dimensions to online learning , 2007, Comput. Hum. Behav..

[48]  E. Barsky,et al.  Introducing Web 2.0: social networking and social bookmarking for health librarians , 2006 .

[49]  Paul Jen-Hwa Hu,et al.  Evaluation of user interface designs for information retrieval systems: a computer-based experiment , 1999, Decis. Support Syst..

[50]  James A. Hendler,et al.  Metcalfe's law, Web 2.0, and the Semantic Web , 2008, J. Web Semant..

[51]  G. Higgs A Literature Review of the Use of GIS-Based Measures of Access to Health Care Services , 2004, Health Services and Outcomes Research Methodology.

[52]  Raafat George Saadé,et al.  First impressions last a lifetime: effect of interface type on disorientation and cognitive load , 2007, Comput. Hum. Behav..

[53]  Raoul Kamadjeu,et al.  Web-based public health geographic information systems for resources-constrained environment using scalable vector graphics technology: a proof of concept applied to the expanded program on immunization data , 2006, International journal of health geographics.

[54]  Ahmed Seffah,et al.  Beyond power: making bioinformatics tools user-centered , 2004, CACM.