Patient Access to Medical Information

1988 ◽  
Vol 18 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Johanna I. Westbrook

This paper is the first of a 2-part article. In it, the author discusses issues relevant to patient access to medical records. Research findings suggest that the fear of many health practitioners regarding the harmful effects of such access are unjustified. Access to medical information improves patient-doctor relations, increases patient knowledge and compliance, has positive effects on patients' health, and improves the quality of record keeping. Other suggested advantages are increases in the quality of patient care and health practitioners' work satisfaction, and a decrease in malpractice suits. The hypotheses to be tested in a survey of medical practitioners' attitudes to these issues are discussed.

1988 ◽  
Vol 18 (2) ◽  
pp. 52-58 ◽  
Author(s):  
Johanna I. Westbrook ◽  
Michelle A. Nugent

The attitudes of 107 doctors towards patient access to medical records and communication with patients were investigated using a 21-item questionnaire. The average doctor expressed conservative attitudes, and showed little awareness of research findings demonstrating the benefits of communication with patients. No significant differences were found between the attitudes of surgeons and physicians. Attending medical officers differed significantly from interns and residents in their responses to four items. Attending medical officers had more conservative attitudes towards patient access to records, but were more in favour of verbal communication with patients. Responses on nine items were compared with those made by American doctors in a survey by Steiner (1978). Australian medical practitioners were significantly more conservative in their responses towards access and regarded their patients as less knowledgeable and interested in being informed.


Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman

Documentation and record keeping are not known as the most enjoyable aspects of being a mental health clinician. Yet, as this chapter explains, they play a vital and important role in meeting one’s ethical and legal obligations. Further, it is explained how timely, thorough, effective documentation can help mental health practitioners to fulfill their obligation to provide the highest possible quality of care. Information is also provided on how clinical records may be needed in the future, and the risks associated with minimal or absent documentation. The role of documentation as a risk management strategy, to meet legal requirements, and to assist in providing high-quality care are each addressed. Specific guidance is provided on the needed components of effective documentation.


2016 ◽  
Vol 10 (6) ◽  
pp. 136
Author(s):  
Nasreen Nabi Khah Razmi ◽  
Amin Babazadeh Sangar

Although doctors are increasingly interested in electronic systems of registering medical record, but in practice such systems are used less. Mobile devices provide a new way for accessing users to data of health cares and services in a secure environment and user-selection. Mobile health cares' systems (M-health) are considered as a solution to reduce health care costs without reducing the quality of patient care. In this paper we are going to develop a common architecture for mobile health cares' services using NFC in order to facilitate providing health cares to people anywhere and anytime using the mobile devices that are connected to wireless communication technology, to be able to provide required services by a secure and available structure for patient' information in hospitals and health centers and treatment, especially intensive care units, emergency or patients needed home care. Also it can be avoided from forgery and misuse of physicians' stamp in current versions with this system by preparing electronic version using NFC technology.


2017 ◽  
Vol 2 (1) ◽  
pp. 69
Author(s):  
Irene Dinari ◽  
Mangatur Nababan ◽  
Djatmika Djatmika

<p><strong>Background</strong>: This research is conducted by analyzing figurative language as irony and sarcasm in the novel entitled The Return of Sherlock Holmes (TROSH) and its translation in <em>Bahasa</em> Indonesia. The aims of this research are to (1) identify such types of figurative language as irony and sarcasm in the novel TROSH<em> </em>and its translation in <em>Bahasa Indonesia</em>, (2) identify translation techniques used when translating the irony and sarcasm, (3) find out the translation shifts appearing as effects of the application of the translation techniques, and (4) find out the effects of the translation shifts of irony and sarcasm on translation quality considering accuracy, acceptability, and readability.</p><p> </p><p><strong>Method</strong>: The method of this study is descriptive qualitative. The source of data is a novel entitled The Return of Sherlock Holmes and its translation. The result of questionnaires from the raters that asses the translations quality also belong to the source of data in this study. The data in this study are phrase, clause, or sentence that contain irony or sarcasm in the novel The Return of Sherlock Holmes. Beside that, the information about the quality of the translation from the raters and informants is also belonged to the data. The technique in conducting the data is done by analysing the document and the questionnaires.</p><p> </p><p><strong>Result</strong>: The research findings reveal that (1) 67 data of irony and sarcasm are found in the novel The Return of Sherlock Holmes and are divided into 6 subcategories consisting of ironical understatement, non-ironical falsehood, ironical interjections, illocutionary sarcasm, propositional sarcasm, and lexical sarcasm, (2) Several translation techniques employed are established equivalence, modulation, amplification, variation, transposition, linguistic compression, borrowing, reduction, linguistic amplification, compensation, adaptation, and particularization, while some others are couplets, triplets, and quadruplets, (3) the application of the aforementioned translation techniques leads to three possibilities such as the absence of translation shifts of irony and sarcasm, translation shifts to another figurative language, and translation shifts to nonfigurative language, (4) the translation shifts give moderate positive effects on the translation quality of irony and sarcasm found in the novel The Return of Sherlock Holmes with average score of 2.64.</p><p> </p><p><strong>Conclustion</strong>: <strong>Conclusion</strong>: The result of this study shows that established equivalence is often used in translating irony and sarcasm. The application of this technique gives a good quality in the translation of irony and sarcasm because that technique can be applied based on the context of situations in the target texts. Meanwhile, established equivalence may give a poor result of the translation quality if it is combined with another technique, for examples: reduction, transposition, and modulation. The impact of the quality is caused by the translation shifting of irony and sarcasm into another figurative language or denotative form. From the analysis of this study, it can be cncluded that the translation shifting of figurative language is one of the important thing in figurative language’s translation and translation quality assessment.</p><p> </p><p><strong>Keywords</strong>: irony and sarcasm, translation techniques, shift, translation quality</p>


2019 ◽  
Author(s):  
Amandeep Dhir

UNSTRUCTURED The use of mobile health (mHealth) interventions for improving quality of life (QoL) is increasing. There is a clear surge in the number of mHealth interventions for cancer patients, but the related research findings are fragmented. There is an urgent need to amalgamate the extant findings, particularly those related to reviews of the effects of mHealth interventions on cancer awareness and screening. The current study systematically review the available literature on mHealth interventions for cancer patients and survivors with a view to synthesizing the outcomes and the effects of these interventions on disease management: from awareness to survival. The study utilizes systematic literature review (SLR) and examined of 57 published studies (number of participants = 112,196) that described mHealth interventions for various types of cancer. Most of the studies found that mHealth interventions had positive effects on cancer survivors, caregiver teams, and family members. Several randomized controlled trials (RCTs) suggested that mHealth provides person-centered care in the clinical management of cancer and improves survivorship care. The SLR findings suggest that mHealth interventions should be based on theory and defined frameworks.


Author(s):  
Chaimae Charoui ◽  
Amine Souadka ◽  
Saber Saber ◽  
Rachida Latib ◽  
Laila Rifai ◽  
...  

Introduction: The multidisciplinary team oncology meeting (MDT) has become a standard in oncology. The objective of this study was to evaluate the value of a validated tool, the Metric for the Observation of Decision-Making, in the evaluation of the decision-making mode during the digestive cancer MDT in order to reach recommendations for improvement. Results: Eight consecutive MDTs were observed (N = 228 patients). On average, 32 patients were discussed by MDT with an average of 2 min 55 s (interval: 30 s-10 min 16 s) per patient. A decision was reached in 84.6% of the cases. Although the medical information was judged to be of good quality, the psychosocial information (average 1.29) and the patients' point of view (average 1.03) were judged to be of low quality. For teamwork, the contribution of surgeons (average 4.56) and oncologists (average 3.99) was greater than radiologists (3.12), radiotherapists (1.74) and pathologists (1.02). Conclusions: The tool made it possible to identify a disparity in the quality of the different aspects of the information and in the participation of specialists, making it possible to identify specific improvement measures. Its regular use would improve the quality of patient care. Keywords: Decision making, Quality improvement, Multidisciplinary Concertation meeting, MDT-MODe, Morocco


Author(s):  
Chaimae Charoui ◽  
Amine Souadka ◽  
Saber Saber ◽  
Rachida Latib ◽  
Laila Rifai ◽  
...  

Introduction: The multidisciplinary team oncology meeting (MDT) has become a standard in oncology. The objective of this study was to evaluate the value of a validated tool, the Metric for the Observation of Decision-Making, in the evaluation of the decision-making mode during the digestive cancer MDT in order to reach recommendations for improvement. Results: Eight consecutive MDTs were observed (N = 228 patients). On average, 32 patients were discussed by MDT with an average of 2 min 55 s (interval: 30 s-10 min 16 s) per patient. A decision was reached in 84.6% of the cases. Although the medical information was judged to be of good quality, the psychosocial information (average 1.29) and the patients' point of view (average 1.03) were judged to be of low quality. For teamwork, the contribution of surgeons (average 4.56) and oncologists (average 3.99) was greater than radiologists (3.12), radiotherapists (1.74) and pathologists (1.02). Conclusions: The tool made it possible to identify a disparity in the quality of the different aspects of the information and in the participation of specialists, making it possible to identify specific improvement measures. Its regular use would improve the quality of patient care. Keywords: Decision making, Quality improvement, Multidisciplinary Concertation meeting, MDT-MODe, Morocco


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