On Components of a Patient-centered Healthcare System Using Smart Contract

2020 ◽  
Author(s):  
Nghia Duong-Trung ◽  
Ha Xuan Son ◽  
Hai Trieu Le ◽  
Tan Tai Phan
Keyword(s):  
Healthcare System ◽  
Patient Centered ◽  
Smart Contract

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

Person-centered medicine from a complex adaptive systems perspective

2014 ◽  
Vol 2 (1) ◽  
pp. 85 ◽  
Author(s):  
Joachim Sturmberg
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Health Issues ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Health And Illness ◽  
Complex Adaptive ◽  
Illness And Disease

Miles and Mezzich have proposed person-centered medicine as the way forward to overcome the rapidly escalating crisis of dehuminisation of medical care and the healthcare system at large. The crisis in medical care is caused by a Zeitgeist characterised by 2 themes – conquering disease and profit maximising activities. Overcoming this crisis requires a change of the prevailing worldview and its reductionist thinking about discrete diseases to a worldview that recognises the complexities arising from the interconnections and interdependencies between all facets of a person’s life – his health and illness and disease trajectories. As Kant said: each man has his particular way of being in good health.This paper presents 5 themes that argue for a complexity based framework to achieve a person/patient-centered understanding of health and healthcare: (1) health, illness and disease are complex adaptive states that impact personhood; (2) healthcare must grow health; (3) healing results from personal sense-making and must be fostered; (4) complex adaptive systems thinking allows an exploration and understanding of personal and community health issues and (5) person/patient-centeredness results in an effective and efficient healthcare system.A person/patient-centered focus, the person/patient at the centre of concern, will result in a seamlessly integrated healthcare system. Such a system will show great diversity between communities, each having emerged as a result of best adaptation to local circumstances. Such a system will have substantial benefits – for the person (in terms of staying healthy) / patient (in terms of regaining his health), the community and the economy.

scholarly journals Healthcare experience design: A conceptual and methodological framework for understanding the effects of usability on the access, delivery, and receipt of healthcare

2020 ◽  
pp. 505-520
Keyword(s):  
Healthcare System ◽  
Methodological Approach ◽  
Critical Role ◽  
Design Framework ◽  
Experience Design ◽  
Patient Centered ◽  
Usability Problems ◽  
Quadruple Aim ◽  
Healthcare Experience ◽  
New Framework

Health information technology (HIT) is a key component of healthcare today and has the potential to help support the quadruple aim of patient-centered healthcare. The access, delivery, and receipt of healthcare involves many stakeholders interacting with different HIT, and the usability of HIT is known to impact the acceptance and adoption of HIT, as well as health outcomes of populations. Understanding the influence that various individual and contextual factors have on the usability of HIT is challenging because of the network of interactions between humans and technology that occur in the same or different contexts within a unique healthcare system. Yet, it is important to identify usability problems in order to be able to design and implement HIT. This article begins by describing the current use of HIT with respect to the healthcare landscape. Next, usability is defined and demonstrated to play a critical role in users’ acceptance and adoption of HIT. The remainder of the article describes a new framework called, healthcare experience design. The healthcare experience design framework models the healthcare experience, which is defined as the composite of all of an individual’s interactions with other humans and HIT. The healthcare experience design framework is a useful conceptual model and methodological approach to identify usability problems in the healthcare system, and its practical application is illustrated using an artificial use case.

scholarly journals Diversity Checkup: A Study of Multicultural Medicine

2021 ◽  
Author(s):  
Jordan Hammock ◽  
Sarina Saturn
Keyword(s):  
High School ◽  
High School Students ◽  
Healthcare System ◽  
Healthcare Workers ◽  
Online Survey ◽  
Community Perceptions ◽  
School Students ◽  
Patient Centered ◽  
Professional Programs ◽  
Equity And Inclusion

Abstract The failure to provide quality, patient-centered healthcare has been directly associated with a lack of cultural diversity within the healthcare system itself (Scherman, 2017). The present study aims to capture community perceptions related to the lack of diversity in the Oregon healthcare system in an effort to determine what steps can and should be taken to promote more culturally sensitive healthcare. A total of 767 healthcare workers, high school students, college students, and patients completed an online survey of attitudes on diversity in healthcare. The findings of these surveys have identified current attitudes on healthcare diversity, areas of discrimination and bias, and identified areas that can be changed to address the challenges associated with the lack of diversity in the healthcare system. The results can be used to advance pre-health professional programs for students and to further the diversity, equity, and inclusion efforts of health systems.

scholarly journals Beyond clinical food prescriptions and mobile markets: parent views on the role of a healthcare institution in increasing healthy eating in food insecure families

2020 ◽  
Author(s):  
Emily L. DeWit ◽  
Emily M. Meissen-Sebelius ◽  
Robin P. Shook ◽  
Kimberly Ann Pina ◽  
Evelyn Donis De Miranda ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Healthcare System ◽  
Healthy Eating ◽  
Vegetable Consumption ◽  
Healthcare Systems ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Pediatric Healthcare

Abstract Background Children in food-insecure families face increased barriers to meeting recommendations for fruit and vegetable consumption. Hospitals and pediatric healthcare institutions have attempted to alleviate food-insecurity through various internal programs like food prescriptions, yet little evidence for these programs exist. Consistent with a patient-centered perspective, we sought to develop a comprehensive understanding of barriers to fruit and vegetable consumption and a parent-driven agenda for healthcare system action. Methods We conducted six qualitative focus group discussions (four in English, two in Spanish) with 29 parents and caregivers of patients who had screened positive for food-insecurity during visits to a large pediatric healthcare system in a midwestern U.S. city. Out iterative analysis process consisted of audio-recording, transcribing and coding discussions, aiming to produce a) a conceptual framework of barriers to fruit and vegetable consumption and b) a synthesis of participant programmatic suggestions for their healthcare system. Results Participants were 90% female, 41% Black/African American and 41% Hispanic/Latino. Barriers to fruit and vegetable consumption in their families fell into three intersecting themes: affordability, accessibility and desirability. Participant-generated intervention recommendations were multilevel, suggesting healthcare systems focus not only on clinic and community-based action, but also advocacy for broader policies that alleviate barriers to acquiring healthy foods. Conclusion Parents envision an expanded role for healthcare systems in ensuring their children benefit from a healthy diet. Finding offers critical insight on why clinic-driven programs aimed to address healthy eating may have failed and healthcare organizations may more effectively intervene by adopting a multilevel strategy.

scholarly journals Beyond clinical food prescriptions and mobile markets: parent views on the role of a healthcare institution in increasing healthy eating in food insecure families

2020 ◽  
Author(s):  
Emily L. DeWit ◽  
Emily M. Meissen-Sebelius ◽  
Robin P. Shook ◽  
Kimberly Ann Pina ◽  
Evelyn Donis De Miranda ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Healthcare System ◽  
Healthy Eating ◽  
Vegetable Consumption ◽  
Healthcare Systems ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Pediatric Healthcare

Abstract Background: Children in food-insecure families face increased barriers to meeting recommendations for fruit and vegetable consumption. Hospitals and pediatric healthcare institutions have attempted to alleviate food-insecurity through various internal programs like food prescriptions, yet little evidence for these programs exist. Consistent with a patient-centered perspective, we sought to develop a comprehensive understanding of barriers to fruit and vegetable consumption and a parent-driven agenda for healthcare system action. Methods: We conducted six qualitative focus group discussions (four in English, two in Spanish) with 29 parents and caregivers of patients who had screened positive for food-insecurity during visits to a large pediatric healthcare system in a midwestern U.S. city. Our iterative analysis process consisted of audio-recording, transcribing and coding discussions, aiming to produce a) a conceptual framework of barriers to fruit and vegetable consumption and b) a synthesis of participant programmatic suggestions for their healthcare system.Results: Participants were 90% female, 38% Black/African American and 41% Hispanic/Latino. Barriers to fruit and vegetable consumption in their families fell into three intersecting themes: affordability, accessibility and desirability. Participant-generated intervention recommendations were multilevel, suggesting healthcare systems focus not only on clinic and community-based action, but also advocacy for broader policies that alleviate barriers to acquiring healthy foods. Conclusion: Parents envision an expanded role for healthcare systems in ensuring their children benefit from a healthy diet. Findings offer critical insight on why clinic-driven programs aimed to address healthy eating may have failed and healthcare organizations may more effectively intervene by adopting a multilevel strategy.

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