An Investigation of the Usability of a Teleconsent System

2020 ◽  
Vol 64 (1) ◽  
pp. 1851-1855
Author(s):  
Amal Ponathil ◽  
Aasish Bhanu ◽  
Hunter Rogers ◽  
Mackenzie Wilson ◽  
Kapil Chalil Madathil
Keyword(s):  
Medical Care ◽  
User Acceptance ◽  
Medical Consultation ◽  
Consent Form ◽  
Heuristic Evaluation ◽  
Patient Consent ◽  
Medical Consultations ◽  
System Usability ◽  
To Receive ◽  
Screen Sharing

Telemedicine allows providers to facilitate online medical consultation to patients when there is a geo-graphical distance between them. Similar to other medical consultations, consent is required to receive medical care. Teleconsent, developed to accommodate this requirement, allows providers to collect patient consent via screen-sharing and videoconferencing. However, its usability needs to be evaluated to improve user acceptance. This study uses a heuristic evaluation to identify the usability issues associated with a tele-consent interface. Based on Nielsen’s 10 heuristics, four experts independently evaluated the consent form on two devices (desktop and smartphone), identified violations and assigned severity. Of the 70 violations identified 33.43% violated consistency and standards and 20% violated user control and freedom. Issues requiring immediate attention included the patient’s inability to scroll and zoom (specific to smartphone) while navigating the consent form and the unintuitive signing process. Remediations were suggested to improve the teleconsent system usability.

Medical Consultation Experience Questionnaire: Assessing perceived alliance and experienced confusion during medical consultations.

2018 ◽  
Vol 30 (11) ◽  
pp. 1499-1511 ◽  
Author(s):  
Keith Sanford ◽  
Alannah Shelby Rivers ◽  
Tara L. Braun ◽  
Kelly P. Schultz ◽  
Edward P. Buchanan
Keyword(s):  
Medical Consultation ◽  
Medical Consultations ◽  
Experience Questionnaire

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

scholarly journals PANSONOSCOPY IN POLYTRAUMA (NEW MEDICAL TECHNOLOGY)

2014 ◽  
Vol 2 (1) ◽  
pp. 46-56 ◽  
Author(s):  
Alexandr Sergeevich Iova ◽  
Irina Alexandrovna Krukova ◽  
Dmitriy Alexandrovich Iova
Keyword(s):  
Medical Care ◽  
Medical Technology ◽  
Ultrasound Examination ◽  
New Technology ◽  
Whole Body ◽  
Actual Problem ◽  
Portable Ultrasound ◽  
Traumatic Injuries ◽  
Medical Consultations ◽  
Large Sections

This article deals with the actual problem of present-day traumotology - improvement of rendering of medical care for patients with polytrauma. The new technology “Pansonoscopy” is presented, which is the minimally invasive and widely available method of fast imaging of the “whole body” of the patient in any medical situations. It permits to detect the most frequent and dangerous traumatic injuries (cranial, thoracal, abdominal, skeletal, etc.) applying portable ultrasound scanners in real-time mode. The guarantee of imaging of the intracranial injuries, pos sibility realization of ultrasound examination by clinician on his own, and possibility of online medical consultations to experts (sonologist) - are fundamently new. This technology is destined for the large sections of practitioners, what render medical care for patients with polytrauma.

scholarly journals Disparity in Physician-Patient Communication by Ethnicity: Evidence from Bangladesh

2020 ◽  
Author(s):  
Muhammad Zakaria ◽  
Rezaul Karim ◽  
Murshida Rahman ◽  
Feng Cheng ◽  
Junfang Xu
Keyword(s):  
Decision Making ◽  
Linear Regression ◽  
Ethnic Minority ◽  
Health Problem ◽  
Patient Communication ◽  
Medical Consultation ◽  
Medical Decision ◽  
Medical Consultations ◽  
Physician Patient Communication ◽  
Physician Patient

Abstract Background: Physician-patient communication is the primary process by which medical decision-making occurs and health outcome depends. Physician-patient communication differences may partly from the ethnic disparities. To examine this problem, this study aims to explore whether physician-patient communication differs by ethnic in primary care medical consultations. Methods: The study was conducted among the Bengali and ethnic minority patients (N = 850) who visited the physician for medical consultations. Data were collected using a structured post-consultation questionnaire. T-test was conducted to compare the communication between the Bengali and ethnic minority patients. Multiple linear regression analyses were performed to identify the factors associated with favorable communication behavior from the physicians. Results: Bengali patients received more supportive communication behaviors from the Bengali doctors than that of ethnic minority patients including physicians’ cheerful greetings, encouraging patients to express health problems and asking questions, listening carefully, responding to the questions and concerns, explaining the patients about a medical test, medication, and probable side effects, discussing the treatment options, involved the patients in decisions and spending adequate time. Results of linear regression explored that respondents’ education year, internet use, knowledge on the health problem, having a pre-plan about the content of medical consultation, information seeking about the health problem, visiting female doctors, and quiet ambience of the doctor’s room are significantly associated with better PPCB score for the Bengali patients. In contrast, age, being the resident of an urban area, perception of affecting a minor health problem, having a pre-plan about the content of medical consultation, patients’ involvement in physicians’ decision-making about the treatment, and talking time resulted in better physician-patient communication for the ethnic minority patients. Conclusion: This study suggests for reducing the disparity in the socio-economic status of the ethnic minority people through development program and teaching healthcare providers how to use patient-centered communication skills to engage their patients is one solution to improve equity in the delivery of healthcare and make sure patients are receiving high-quality treatment, no matter their race or ethnicity.

scholarly journals Effect of an iOS App on Voice Therapy Adherence and Motivation

2021 ◽  
Vol 30 (1) ◽  
pp. 210-227
Author(s):  
Eva van Leer ◽  
Brittney Lewis ◽  
Nick Porcaro
Keyword(s):  
Voice Therapy ◽  
Home Practice ◽  
Adherence Behavior ◽  
Therapy Adherence ◽  
System Usability Scale ◽  
System Usability ◽  
Scale Scores ◽  
Cepstral Peak Prominence ◽  
Voice Exercises ◽  
To Receive

Purpose Patients commonly report difficulties adhering to voice therapy. An iOS app was developed in our lab that assists practice via reminder notifications, instructional recordings, and cepstral peak prominence analysis results. The purpose of this study was to assess the effect of such homework support modality on adherence behavior and associated motivation in a comparison of app support and written homework instructions and to assess the usability and utility of the app. Method Thirty-four individuals exhibiting adducted hyperfunction were randomized to receive either written homework instructions or the app when practicing resonant voice exercises for 3 weeks. All patients digitally audio-recorded all home practice, provided self-reported estimates of generalization, and completed weekly motivation scales. Results App support significantly increased practice frequency but did not affect self-reported generalization or motivation. Practice was significantly predicted by System Usability Scale scores. Utility of reminders and instructions were good, but cepstral peak prominence feedback was considered useful to only a subset of participants. Conclusion Interactive mobile therapy support can significantly increase practice of resonant voice homework without influencing motivation.

Thailand: Chasing the Dream of Free Medical Care for the Sick

2017 ◽  
Author(s):  
Joseph Harris
Keyword(s):  
Social Networks ◽  
Medical Care ◽  
Policy Process ◽  
Critical Role ◽  
Universal Coverage ◽  
The State ◽  
Strategic Actions ◽  
Universal Healthcare ◽  
Coverage Policy ◽  
To Receive

Set against existing explanations for Thailand’s landmark universal coverage policy, this chapter traces the historical rise of a movement of progressive physicians in Thailand (the Rural Doctors’ Movement). After establishing their origins, it explores the critical role they played in institutionalizing universal healthcare over powerful opposition forces. In the absence of the strategic actions of this professional movement, the evidence presented here suggests that there is little reason to believe that Thailand’s universal coverage policy would ever have become a major issue in the 2001 election, much less a policy that would have been implemented and gone on to receive international acclaim. It points to the knowledge, social networks, and privileged positions in the state that allowed the movement to have an outsized role in the policy process following democratic transition in 1992.

Mali

2019 ◽  
pp. 9-14
Author(s):  
Mamadou Bengaly Minthe ◽  
Assyatou Bobo Sow
Keyword(s):  
Medicinal Plants ◽  
Medical Care ◽  
The Elderly ◽  
Dementia Care ◽  
Traditional Therapy ◽  
Psychiatric Illnesses ◽  
Preventative Measures ◽  
Free Treatment ◽  
Medical Consultations ◽  
Prevention And Treatment

In Mali, there are no specific official programmes for the medical care of dementia. However, there is a law (decree 95-368/P-RM du 13 octobre 1995) that stipulates the free nature of medical consultations, with the elderly benefiting from a 50% reduction in costs of medical care. The challenge in the future would be the legislation for free treatment of psychiatric illnesses in general and of dementia in particular. The therapeutic approach to dementia care in Mali is multidimensional and includes spiritual, traditional (medicinal plants), and social therapy, which is the most important in the management of dementia. Daily recitation and teaching of the holy book (Quran) is part of prevention and treatment of dementia in current Sufi Islam. The cosmovision of Dogon (worldview of a culture or civilization, especially its relationship with the animated or environment) has its own method for the prevention and treatment of dementia. This chapter describes the sociological aspects, preventative measures, and traditional therapy (Dogon ethnopharmacology) of dementia.

scholarly journals A model for bringing TB expertise to HIV providers: Medical consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013–2017

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0236933
Author(s):  
Robyn Fernando ◽  
Ashley C. McDowell ◽  
Rajita Bhavaraju ◽  
Henry Fraimow ◽  
John W. Wilson ◽  
...  
Keyword(s):  
Medical Consultation ◽  
Medical Consultations

scholarly journals ANALISIS USABILITAS PADA APLIKASI MANDIRI ONLINE

2020 ◽  
Vol 15 (1) ◽  
pp. 11
Author(s):  
Astrid Wahyu Adventri Wibowo
Keyword(s):  
Evaluation System ◽  
Internet Banking ◽  
Mobile Banking ◽  
Heuristic Evaluation ◽  
Online Application ◽  
Evaluation Approach ◽  
Usability Problems ◽  
System Usability Scale ◽  
System Usability ◽  
Search Feature

Internet banking atau mobile banking adalah salah satu bentuk aplikasi yang berbasis internet yang dapat digunakan sebagai pintu gerbang menuju dunia perbankan masa depan. Dalam memberikan layanan, pihak bank tidak ingin mengecewakan nasabahnya karena aplikasi internet banking yang sulit digunakan sehingga mengakibatkan nasabah gagal dalam mencari informasi atau gagal melakukan aktivitas perbankan. Melihat pentingnya usabilitas sebuah aplikasi, maka dilakukan penelitian terhadap aplikasi Mandiri Online untuk mengetahui kelayakan dari aplikasi tersebut, mengidentifikasi permasalahan usabilitas, serta menyusun rekomendasi perbaikan. Aplikasi tersebut diuji menggunakan System Usability Scale (SUS) dan pendekatan heuristic evaluation dengan responden sebanyak 40 orang untuk metode SUS dan 5 evaluator dengan kriteria single-expert untuk pendekatan heuristic evaluation. Hasil pengujian aplikasi Mandiri Online dengan instrumen SUS adalah sebesar 79,6 yang berarti aplikasi Mandiri Online dinyatakan dapat diterima (acceptable), termasuk dalam grade B dengan rating good. Dari penelitian ini juga diketahui bahwa terdapat beberapa permasalahan usabilitas mayor yang harus segera diperbaiki dan harus diberi prioritas tinggi. Dalam menyelesaikan permasalahan tersebut membutuhkan beberapa usaha, seperti  menambahkan fitur search untuk mencari nama bank, membuat pengelompokkan instansi pada menu multipayment, membuat atau menambahkan panduan penggunaan atau flowchart penggunaan Mandiri Online, dan menambahkan fitur help pada Mandiri Online. Abstract[Title: Usability Analysis of Mandiri Online Apllication] Internet banking or mobile banking is a form of internet-based application that can be used as a gateway to the future of banking. In providing services, banks won’t to let down their customers because of internet banking applications are difficult to use, resulting in failure to find information or fail to conduct banking activities. Seeing the importance of application usability, a study of Mandiri Online application was conducted to find out the appropriatness of the application, identify usability issues, and construct recommendations for application improvement. This application was tested using the System Usability Scale (SUS) and heuristic evaluation approach with 40 respondents for the SUS and 5 evaluators with single-expert criteria for the heuristic evaluation. The result of testing the Mandiri Online application with the SUS instrument amounted to 79,6 which means this application was declared acceptable, included in grade B, and with a good rating. From this study it is also known that there are some major usability problems that must be corrected immediately and must be given high priority. In solving these problems requires several efforts, such as adding search feature to search the bank’s name, creating agency groups on multipayment menu, creating or adding usage guidelines or flowcharts for using Mandiri Online, and adding help feature to Mandiri Online.Keywords: Heuristic Evaluation; System Usability Scale; Usability

scholarly journals The Changing Landscape of Pediatric Viral Enteropathogens in the Post–Rotavirus Vaccine Era

2020 ◽  
Author(s):  
Natasha Halasa ◽  
Bhinnata Piya ◽  
Laura S Stewart ◽  
Herdi Rahman ◽  
Daniel C Payne ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Medical Care ◽  
Race And Ethnicity ◽  
Quantitative Polymerase Chain Reaction ◽  
Rotavirus Vaccine ◽  
Older Children ◽  
Chain Reaction ◽  
Stool Specimens ◽  
Polymerase Chain ◽  
To Receive

Abstract Background Acute gastroenteritis (AGE) is a common reason for children to receive medical care. However, the viral etiology of AGE illness is not well described in the post–rotavirus vaccine era, particularly in the outpatient (OP) setting. Methods Between 2012 and 2015, children 15 days through 17 years old presenting to Vanderbilt Children’s Hospital, Nashville, Tennessee, with AGE were enrolled prospectively from the inpatient, emergency department, and OP settings, and stool specimens were collected. Healthy controls (HCs) were enrolled and frequency matched for period, age group, race, and ethnicity. Stool specimens were tested by means of reverse-transcription real-time quantitative polymerase chain reaction for norovirus, sapovirus, and astrovirus RNA and by Rotaclone enzyme immunoassay for rotavirus antigen, followed by polymerase chain reaction verification of antigen detection. Results A total of 3705 AGE case patients and 1563 HCs were enrolled, among whom 2885 case patients (78%) and 1110 HCs (71%) provided stool specimens that were tested. All 4 viruses were more frequently detected in AGE case patients than in HCs (norovirus, 22% vs 8%, respectively; rotavirus, 10% vs 1%; sapovirus, 10% vs 5%; and astrovirus, 5% vs 2%; P < .001 for each virus). In the OP setting, rates of AGE due to norovirus were higher than rate for the other 3 viruses. Children <5 years old had higher OP AGE rates than older children for all viruses. Conclusions Norovirus remains the most common virus detected in all settings, occurring nearly twice as frequently as the next most common pathogens, sapovirus and rotavirus. Combined, norovirus, sapovirus, rotavirus, and astrovirus were associated with almost half of all AGE visits and therefore are an important reason for children to receive medical care.

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