The Role Of Professional Integration Among Social Work, Health Information, And Health Administration Specialists In Enhancing Performance Efficiency And Reducing Errors In Healthcare Facilities
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Hamad Hamdan Alharbi
Majed Lafi Allhebey
Abdullah Sulaiman Ateeq Algohani
Faisal Ibarhiam Alhawiti
Abstract
Institutional integration between social work, health information systems (HIS), and health administration is increasingly recognized as a strategic approach to improving healthcare quality. This integration contributes to healthcare performance through two primary mechanisms: enhancing operational efficiency and reducing medical and administrative errors. Drawing on an analytical review of international literature, this paper develops an integrated conceptual framework combining Donabedian’s quality model, the sociotechnical theory of health information systems, and the professional role of medical social work. The findings suggest that effective integration—supported by governance structures, interoperable digital systems, and multidisciplinary collaboration—leads to improved patient safety, reduced workflow fragmentation, and better continuity of care. Conversely, poorly governed digital and organizational integration may introduce new safety risks. The paper concludes with practical recommendations and a future research agenda.
Keywords :
Professional Integration, Interdisciplinary Collaboration, Social Work, Health Information Management, Health Administration, Healthcare Performance, Error Reduction..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty