scholarly journals Building Better Clinical Relationships With Patients: An Argument for Digital Health Solutions With Black Men

2019 ◽  
Vol 12 ◽  
pp. 117863291983431
Author(s):  
Ledric D Sherman ◽  
Stuart W Grande
Keyword(s):  
Black Men ◽  
Information Exchange ◽  
Care Delivery ◽  
Digital Health ◽  
Rapid Evolution ◽  
Patient Centered ◽  
Health Technologies ◽  
Centered Care ◽  
The Impact

There is a rapid evolution of care delivery taking place across the globe in response to an explosion of novel health technologies. Growing in parallel to this expansion is the anticipation of mHealth technologies to drive patient-centered care into the future. Despite this hope, continuing reports of health inequities and lived experiences of substandard care fill national, state, and community health reports. The impact of these inequities is particularly pernicious on Black men and their long-term health status. As decades of robust evidence substantiates needed interventions, current progress is not seeing expected gains. In this commentary, we argue that at the heart of these inequities are issues of access, health literacy, institutional racism, and growing social distance between clinicians and Black men. To address these inequities, we suggest that digital interventions, designed to support decision-making, information exchange, and shared accountability have the best hope to overcome current inequities by promoting authentic relationships that ultimately drive better communication between Black men and their clinicians.

scholarly journals Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

2020 ◽  
Vol 13 (1) ◽  
pp. 253-263
Author(s):  
Valeria Tullio ◽  
Stefania Zerbo ◽  
Antonietta Lanzarone ◽  
Salvatore Procaccianti ◽  
Antonina Argo
Keyword(s):  
Electroconvulsive Therapy ◽  
Short Review ◽  
Point Of View ◽  
Clinical Settings ◽  
Patient Centered ◽  
Medical Settings ◽  
Scientific World ◽  
Centered Care ◽  
The Impact

Electroconvulsive therapy is a treatment that, since its first administration, has been a major topic for debate within the scientific world. In recent years, the debate has become increasingly focused on the short- and/or long-term efficacy of electroconvulsive therapy, its appropriateness in clinical settings, its mechanism of action, the impact evaluation of transient and/or persistent adverse effects, and the drafting of international guidelines, etc. From the authors’ point of view, these themes are inevitably crossed by three other fundamental issues of significant psychological, relational, ethical, and medico-legal impact. Still, they are less studied than purely biomedical issues in recent times. Therefore, the aim of this article is to focus on the following cross-cutting issues: the therapist-patient relationship, the patient’s perspective, the attitude on electroconvulsive therapy, and informed consent. This short review refers to the international literature on ECT published since 2000. Analyses of the three previously listed topics are, in part, made within the context of Italian medical settings.

Minimizing Retained Foreign Body in Hernia Repair Using a Novel Technique: Reinforced Biologic Augmented Repair (ReBAR)

2021 ◽  
Author(s):  
Paul Szotek
Keyword(s):  
Foreign Body ◽  
Hernia Repair ◽  
Care Delivery ◽  
Primary Repair ◽  
Synthetic Mesh ◽  
Patient Centered ◽  
Novel Technique ◽  
Retained Foreign Body ◽  
Centered Care

With the digital age in healthcare upon us, patients are more aware, educated, and concerned about their surgical options for hernia repair. As a result of exposure to the growing litigious environment surrounding synthetic mesh products, patients are demanding hernia repairs with minimal or no foreign body. In response to these pressures, we have developed a novel technique known as the Reinforced Biologic Augmented Repair (ReBAR) which incorporates the data-proven principles of (1) tissue defect closure and (2) primary repair reinforcement, while minimizing the amount of foreign body material exposure long-term. A cohort of 619 (1.2% recurrence) patients representing a variety of hernia types and using multiple methods underwent repair using the ReBAR technique:259 Robotic Inguinal (1.2%), 47 Open Inguinal (4.3%), 59 Robotic Ventral/Incisional (1.7%), 32 Stapled Retrorectus (0%), 54 Open Abdominal Wall Reconstructions (1.8%), and 48 Open Onlay Ventral/Incisional (2.0%) hernia repairs. Increasing consumer demand for alternatives to traditional synthetic mesh repairs has driven the development of the ReBAR technique. Outcomes to this point are equivalent or better using the ReBAR technique as compared to classical methodology, however further study will be required to determine if long-term outcomes are superior to traditional techniques. The easily adaptable ReBAR technique satisfies the patient-centered care goals of today’s healthcare and may drive enhanced overall value of hernia care delivery.

scholarly journals Decentralize-Change-Recentralize Model of Drug Information Networks in Health Centers: Decentralized Drug Information Services

2020 ◽  
Vol 11 (1) ◽  
pp. 19
Author(s):  
Dixon Thomas ◽  
Danial Baker ◽  
Seeba Zachariah
Keyword(s):  
Information Exchange ◽  
Drug Information ◽  
Care Delivery ◽  
Information Services ◽  
Health Centers ◽  
Information Networks ◽  
Drug Information Services ◽  
Patient Centered ◽  
Definition Of ◽  
The Impact

Large health centers usually decentralize their services to small self-sufficient sub-centers of care delivery. These small centers are part of an extensive network of practitioners who are connected. The drug information services of independent clinical pharmacists in a health center could be fragmented. Drug information centers thus need to have a new definition of the mode of operation. While maintaining autonomy in information exchange, professionals are integrated to form a large community of practitioners. Technological advancements in communication and access to resources enable efficient collaborations to happen. Immersed in patient-centered collaborative practice environments, networks of professionals integrate drug information services. Drug information networks thus hold a similar philosophy of health centers to decentralize-change-centralize its services. Further research is required to measure the impact of this model of drug information services.   Article Type: Commentary

scholarly journals The Future of Long-Term Monitoring Following Catheter and Surgical Intervention for Atrial Fibrillation

2020 ◽  
Author(s):  
Graham Lohrmann ◽  
Rod Passman
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Decision Making ◽  
Digital Health ◽  
Clinical Decision ◽  
Monitoring Methods ◽  
Post Intervention ◽  
Surgical Ablation ◽  
Health Technologies ◽  
The Impact

Monitoring following catheter or surgical ablation for atrial fibrillation (AF) is an essential tool used to assess outcomes for research purposes and help guide clinical decision making. The most commonly used methods to monitor for post-intervention AF include a variety of ambulatory external electrocardiogram (ECG) monitors, cardiac implantable electronic devices (CIED), and more recently, direct to consumer digital health technologies. The traditional metric of ablation success, recurrence > 30 seconds at 1 year, is below the detection capabilities of almost all monitoring techniques yet still undervalues the efficacy of AF interventions. Measures of AF burden reduction and duration give a more complete assessment of the impact of AF surgeries and ablation. As it is increasingly being recognized that AF burden and duration is related to stroke risk, long-term, inexpensive, non-invasive monitoring methods are needed. Smart phones and watches with AF-detecting capabilities, which are increasingly being used by the majority of US adults, have emerged as viable options to achieve this goal, shifting the paradigm of AF monitoring to a more patient centered approach.

scholarly journals Aging, Health, and Quality of Life for Older People Living With HIV in Sub-Saharan Africa: A Review and Proposed Conceptual Framework

2017 ◽  
Vol 31 (1) ◽  
pp. 109-138 ◽  
Author(s):  
Mark J. Siedner
Keyword(s):  
Quality Of Life ◽  
Conceptual Framework ◽  
Care Delivery ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Sub Saharan ◽  
Living With Hiv ◽  
The Impact

Objective: The number of people living with HIV (PLWH) over 50 years old in sub-Saharan Africa is predicted to triple in the coming decades, to 6-10 million. Yet, there is a paucity of data on the determinants of health and quality of life for older PLWH in the region. Methods: A review was undertaken to describe the impact of HIV infection on aging for PLWH in sub-Saharan Africa. Results: We (a) summarize the pathophysiology and epidemiology of aging with HIV in resource-rich settings, and (b) describe how these relationships might differ in sub-Saharan Africa, (c) propose a conceptual framework to describe determinants of quality of life for older PLWH, and (d) suggest priority research areas needed to ensure long-term gains in quality of life for PLWH in the region. Conclusions: Differences in traditional, lifestyle, and envirnomental risk factors, as well as unique features of HIV epidemiology and care delivery appear to substantially alter the contribution of HIV to aging in sub-Saharan Africa. Meanwhile, unique preferences and conceptualizations of quality of life will require novel measurement and intervention tools. An expanded research and public health infrastructure is needed to ensure that gains made in HIV prevention and treamtent are translated into long-term benefits in this region.

scholarly journals Unique Challenges for Otolaryngology Patients During the COVID-19 Pandemic

2020 ◽  
pp. 019459982095483
Author(s):  
Melissa Ghulam-Smith ◽  
Yeyoon Choi ◽  
Heather Edwards ◽  
Jessica R. Levi
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Intimate Contact ◽  
Respiratory Mucosa ◽  
Increased Risk ◽  
Centered Care ◽  
Upper Respiratory

The coronavirus disease 2019 (COVID-19) pandemic has drastically altered health care delivery and utilization. The field of otolaryngology in particular has faced distinct challenges and an increased risk of transmission as day-to-day procedures involve intimate contact with a highly infectious upper respiratory mucosa. While the difficulties for physicians have been thoroughly discussed, the unique challenges of patients have yet to be considered. In this article, we present challenges for patients of otolaryngology that warrant thoughtful consideration and propose solutions to address these challenges to maintain patient-centered care both during and in the aftermath of the COVID-19 pandemic.

scholarly journals Healing at the End of Life: The Voice of the Patient

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Cory Ingram
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Lived Experience ◽  
End Of Life ◽  
Life Story ◽  
Patient Centered ◽  
Whole Person ◽  
Centered Care ◽  
The Impact

In palliative care we have the privilege to care for seriously ill people and their families. Some people value capturing their life story or illness journey on film. I have been fortunate to have been invited into the lives of many people close the end of life for a heartfelt conversation.On an interactive iPad incorporated in the poster, the recorded narrative of patients and one bereft spouse the poster audience will experience the lived experience of people close to the end of life as they reflect on their lives. The narratives will demonstrate how each lived with a new found improved quality of life in the face of increasing symptoms, declining functioning and the approaching end of life; otherwise known as healing. Topics of healing and quality of life, patient-centered care, dignity, human development, spirituality and love will be the focus of their stories. The stories lay bare the very practical, emotional, existential, and personal experience central to our provision of whole person care through palliative care. The poster audience will experience a renewed sense of the impact of a dedicated approach to whole person care as experienced through those on the receiving end.

scholarly journals Instilling the core concept of inter professional education

1970 ◽  
Vol 9 (3) ◽  
pp. 201-206
Author(s):  
S Bhattacharya ◽  
SK Bhattacharya ◽  
AP Gautam
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Health Care Providers ◽  
Professional Education ◽  
Care Delivery ◽  
Care Providers ◽  
Patient Centered ◽  
Innovative Teaching ◽  
Centered Care ◽  
Teaching Learning

The Inter Professional Education (IPE) is an innovative teaching learning intervention in Health Professions’ Education during which members of more than one health profession learn interactively together to improve collaborative practice and/health of the patients. Thus this approach provides positive outcomes for students enhancing their awareness towards other professional groups, improving knowledge and understanding of how to work in an inter professional team and strengthening their communication and collaboration skills. Within the hierarchical nature of many clinical settings, the aims of IPE courses intersect with socialization of health professional (HP) students into roles of responsibility and authority. The IPE in HP courses emphasizes the practice of frequent high quality communication, strong relationships and partnerships among health care providers to maximize the quality of care thus improving the efficiency of care thereby improving clinical outcomes. Health Professional Schools are this motivated to opt for inter professional education to improve the learning of the students, health care delivery and patient outcomes. Keywords: Inter professional relations; patient centered care; education DOI: http://dx.doi.org/10.3126/hren.v9i3.5591   HR 2011; 9(3): 201-206

Digital Health

2021 ◽  
Author(s):  
Eric D. Perakslis ◽  
Martin Stanley ◽  
Erin Brodwin
Keyword(s):  
Health Care ◽  
Side Effects ◽  
Care Delivery ◽  
Digital Health ◽  
Detailed Examination ◽  
Medical Diagnostics ◽  
Medical Interventions ◽  
Health Technologies ◽  
Solid Models ◽  
Medical Side

Digital health has been touted as a true transformation of health care, but all medical interventions have associated risks that must be understood and quantified. The Internet has brought many advancements, which quickly jumped from our computers into our pockets via powerful and completely connected mobile devices that are now being envisioned as devices for medical diagnostics and care delivery. As health care struggles with cost, inequity, value, and rapid virtualization, solid models of benefit-risk determination, new regulatory approaches for biomedical products, and clear risk-based conversations with all stakeholders are essential. Detailed examination of emerging digital health technologies has revealed 10 categories of digital side effects or “toxicities” that must be understood, prevented when possible, and managed when not. These toxicities include cyberthreat, loss of privacy, cyberchondria and cyber addiction, threats to physical security, charlatanism, overdiagnosis and overtreatment, medical/user error, and the plague of medical misinformation. For digital health to realize its promise, these toxicities must be understood, measured, warned against, and managed as concurrent side effects, in the same fashion as any other medical side effect.

Health Disparities and New Health Technologies – A Patients’ and Human Rights Perspective

2021 ◽  
pp. 1-23
Author(s):  
Mette Hartlev
Keyword(s):  
Human Rights ◽  
Health Disparities ◽  
Digital Health ◽  
Population Based ◽  
Human Right ◽  
Health Technologies ◽  
Left Behind ◽  
Human Rights Based Approach ◽  
Based Medicine ◽  
The Impact

Abstract The human right to health requires that everyone should have equal opportunities to enjoy the highest attainable standard of health. In practice, this is hard to achieve, as health is shaped by social determinants. This article explores the impact personalized medicine and use of big data may have on health disparities. New health technologies offer a lot of hope for more individual and better health promotion and care, which potentially could be beneficial for the most deprived. However, there are also concerns that not all population groups will profit equally from this new population-based medicine, and that new digital health technologies will maintain – or even reinforce – existing health disparities. This article suggests using insights from poverty studies combined with a patients’ and human rights-based approach to ensure that the most deprived are not left behind in the application of new health technologies.

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