Identifying opportunities for enhancing collaboration in the Australian health insurance sector

Farhad Daneshgar; Deborah Bunker; Kym Mawson-Lee

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Identifying opportunities for enhancing collaboration in the Australian health insurance sector

机译：确定在澳大利亚健康保险领域加强合作的机会

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The Australian Health Insurance Sector (AHIS) is composed of multiple organisations with related but disparate e-business information systems. This paper introduces a process-based integrated conceptual model representing AHTS patients' claim processing. The aim of this representation is to facilitate identification of the awareness and knowledge-sharing requirements of the actors within the process; and as a result, to devise appropriate guidelines for enhacing collaboration among various actors. Through an awareness-provisioning methodology, the proposed process model will result in identification of the generic key e-business process integration issues related to the enhancement of collaboration within the AHIS. The syntactic, semantic and pragmatic qualities of the proposed conceptual model have been evaluated by presenting the results to experts within the AHIS and a general consensus has been arrived among them with regard to the model quality attributes. These results enabled AHIS experts in AHIS to devise domain-specific guidelines for removing the detected undesirable awareness gap. The proposed methodology can be replicated in similar situations.

机译：澳大利亚健康保险部门（AHIS）由具有相关但完全不同的电子商务信息系统的多个组织组成。本文介绍了一个基于过程的集成概念模型，该模型表示AHTS患者的索赔处理。这种代表的目的是促进识别过程中参与者的意识和知识共享需求；因此，要制定适当的指导方针，以加强各种行为体之间的合作。通过提供意识的方法，提出的流程模型将导致识别与AHIS中的协作增强相关的通用关键电子商务流程集成问题。通过将结果呈现给AHIS内的专家，对所提出概念模型的句法，语义和语用质量进行了评估，并且就模型质量属性达成了共识。这些结果使AHIS的AHIS专家能够设计出针对特定领域的指南，以消除检测到的不良意识差距。所提出的方法可以在类似情况下复制。

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《International Journal of Business Process Integration and Management》 |2006年第3期|p.210-218|共9页
作者
Farhad Daneshgar; Deborah Bunker; Kym Mawson-Lee;
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作者单位

School of Information Systems, Technology and Management, University of New South Wales, Sydney 2052, Australia;

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原文格式 PDF
正文语种 eng
中图分类管理学;
关键词
awareness net; health insurance e-business: health and insurance sector; process integration; systems integration; inter-organisational information systems; knowledge sharing;

机译：意识网;健康保险电子商务：健康和保险部门;流程集成;系统集成;组织间信息系统;知识共享;

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Identifying opportunities for enhancing collaboration in the Australian health insurance sector

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