scholarly journals Computer-generated reminders delivered on paper to healthcare professionals: effects on professional practice and healthcare outcomes

Author(s):  
Chantal Arditi ◽  
Myriam Rège-Walther ◽  
Pierre Durieux ◽  
Bernard Burnand
2018 ◽  
Vol 11 (9) ◽  
pp. 506-512 ◽  
Author(s):  
Kamila Hawthorne ◽  
Ben Jackson ◽  
Danielle Fisher

The NHS is seriously under-doctored, with general practice being one of the worst-affected specialties. GPs are a highly trusted and valued profession by patients. In addition, the ‘gatekeeping’ function and continuity of care they provide is critical to the efficiency of the services as a whole, keeps hospital admissions down, and produces better healthcare outcomes for communities and populations. Major efforts are being made to recruit new GPs and retain existing GPs, but there are serious implications for the future of primary care, and general practice in particular, as GPs struggle to cope with increased workloads. Increasing the number of GPs in the workforce is critical, and this work continues as a priority. However, a parallel stream of work has developed to consider ways in which tasks ‘traditionally’ undertaken by a GP might be diverted to new healthcare professionals within primary care teams, freeing up GPs to concentrate on the care and management of their more complex patients.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Gabrielle Chicoine ◽  
José Côté ◽  
Jacinthe Pepin ◽  
Guillaume Fontaine ◽  
Marc-André Maheu-Cadotte ◽  
...  

Abstract Background The Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education is an innovative guided-practice model aiming at amplifying healthcare professionals’ competencies in the management of chronic and complex health conditions. While data on the impact of the ECHO model is increasingly available in the literature, what influences the model effectiveness remains unclear. Therefore, the overarching aim of this systematic review is to identify, appraise, and synthesize the available quantitative (QUAN) and qualitative (QUAL) evidence regarding the ECHO Model effectiveness and the experiences/views of ECHO’s participants about what influences the development of competencies in healthcare professionals. Methods The proposed systematic review was inspired by the Joanna Briggs Institute (JBI) methodology for Mixed Methods Systematic Reviews (MMSR) and will follow a convergent segregated approach. A systematic search will be undertaken using QUAN, QUAL and mixed methods (MM) studies of ECHO-affiliated programs identified in six databases. A publication date filter will be applied to find the articles published from 2003 onwards. Sources of unpublished studies and gray literature will be searched as well. Retrieved citations will independently be screened by two reviewers. Disagreements will be resolved through discussion until a consensus is reached or by including a third reviewer. Studies meeting the predefined inclusion criteria will be assessed on methodological quality and the data will be extracted using standardized data extraction forms. Separate QUAN and QUAL synthesis will be performed, and findings will be integrated using a matrix approach for the purpose of comparison and complementarity. Discussion This MMSR will fulfill important gaps in the current literature on the ECHO Model as the first to provide estimates on its effectiveness and consider simultaneously the experiences/views of ECHO’s participants. As each replication of the ECHO Model greatly varies depending on the context, topic, and targeted professionals, a better understanding of what influences the model effectiveness in developing healthcare professionals’ competencies is crucial to inform future implementation. Systematic review registration PROSPERO CRD42020197579


Author(s):  
Anik Giguère ◽  
Hervé Tchala Vignon Zomahoun ◽  
Pierre-Hugues Carmichael ◽  
Claude Bernard Uwizeye ◽  
France Légaré ◽  
...  

2007 ◽  
Vol 41 (7-8) ◽  
pp. 1264-1267 ◽  
Author(s):  
William E Fassett

An ethical and corresponding legal structure based on physician supremacy over patients and other healthcare professionals has evolved over the past 40 years to recognize patient autonomy and realize that systems and societal structure influence healthcare outcomes as greatly as do provider-patient interactions. Future ethical and lega) imperatives for pharmacists will necessitate a profession prepared to deliver primary, secondary, and tertiary care services as part of teams of providers, and less devoted to drug distribution as a professional raison d'ětre.


Author(s):  
O McLaren ◽  
C Perkins ◽  
D Alderson

Abstract Background The ‘second victim phenomenon’ is a term attributed to the traumatic effect a medical error can have on healthcare professionals. Patient safety incidents have been shown to occur in as many as one in seven patients in hospital. These incidents cause significant, potentially devastating, trauma to patients and their relatives, and can have deep and long-lasting effects on the health professionals involved. These incidents can have a negative impact on doctors’ emotional wellbeing; their professional practice in relation to this impact has not been extensively investigated in surgical trainees. Method A survey of UK otolaryngology trainees was conducted to investigate the effects of complications and medical errors on trainees, and examine how these are discussed within departments. Results and conclusion The findings suggest that further training is required and would be warmly received by otolaryngology trainees as part of higher surgical training.


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