Suchergebnisse

Post-traumatic stress disorder (PTSD) stands out as a major mental illness; however, little is known about effective policies for mitigating the problem. The importance and complexity of PTSD raise critical questions: What are the trends in the population of PTSD patients among military personnel and veterans in the postwar era? What policies can help mitigate PTSD? To address these questions, we developed a system dynamics simulation model of the population of military personnel and veterans affected by PTSD. The model includes both military personnel and veterans in a "system of systems." This is a novel aspect of our model, since many policies implemented at the military level will potentially influence (and may have side effects on) veterans and the Department of Veterans Affairs. The model is first validated by replicating the historical data on PTSD prevalence among military personnel and veterans from 2000 to 2014 (datasets from the Department of Defense, the Institute of Medicine, the Department of Veterans Affairs, and other sources). The model is then used for health policy analysis. Our results show that, in an optimistic scenario based on the status quo of deployment to intense/combat zones, estimated PTSD prevalence among veterans will be at least 10% during the next decade. The model postulates that during wars, resiliency-related policies are the most effective for decreasing PTSD. In a postwar period, current health policy interventions (e.g., screening and treatment) have marginal effects on mitigating the problem of PTSD, that is, the current screening and treatment policies must be revolutionized to have any noticeable effect. Furthermore, the simulation results show that it takes a long time, on the order of 40 years, to mitigate the psychiatric consequences of a war. Policy and financial implications of the findings are discussed. ; United States. Dept. of Defense. Office of the Assistant Secretary of Defense for Health Affairs (W81XWH-12-0016)

Employees are considered the weakest link in information security; their compliance with security policies has been a major area of research. However, employees click on phishing links even after receiving training. In this study, we explore the factors that influence information security policy compliance, using the theory of planned behavior (TPB) and integrating trust theories. We conduct a survey in hospitals to investigate the components of compliance intention and match employees' survey results with their actual clicking data from organizational phishing campaigns. Our analysis (N = 430) revealed that TPB factors (attitude, subjective norms, and perceived behavioral control), as well as collective felt trust and trust in information security technology, have positive effects on compliance intention. However, surprisingly, compliance intention does not predict compliance behavior. Of the variables we tested, only the level of employees' workload shows a significant relationship to their actual behavior. This study contributes to the information systems literature by understanding factors influencing compliance behavior. Also, unlike studies that assess behavior through a questionnaire, our method was able to measure observable compliance behavior using clicking data. Our findings can help organizations augment employees' compliance with their cybersecurity policies and reduce the likelihood of clicking on phishing links. Keywords: Information security management; phishing emails; compliance; trust; theory of planned behavior

Introduction: We present the integration of telemedicine into the healthcare system of West China Hospital of Sichuan University (WCH), one of the largest hospitals in the world with 4300 inpatient beds, as a means for maximising the efficiency of healthcare delivery during the COVID-19 pandemic.Methods: Implemented on 22 January 2020, the telemedicine technology allowed WCH providers to conduct teleconsultations, telerounds, teleradiology and tele-intensive care unit, which in culmination provided screening, triage and treatment for COVID-19 and other illnesses. To encourage its adoption, the government and the hospital publicised the platform on social media and waived fees.Discussion: From 1 February to 1 April 2020, 10557 online COVID-19 consultations were conducted for 6662 individuals; meanwhile, 32676 patients without COVID completed virtual follow-ups. We discuss that high-quality, secure, affordable and user-friendly telemedical platforms should be integrated into global healthcare systems to help decrease the transmission of the virus and protect healthcare providers from infection.