Putting the ‘tele’ into health-care effectively

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 113-115 ◽  
Author(s):  
Katherine Birch ◽  
Michael Rigby ◽  
Ruth Roberts
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Health Service ◽  
Global Health ◽  
Health Care Providers ◽  
New Technologies ◽  
Care Providers ◽  
Organizational Effects ◽  
Potential Benefits ◽  
Accepted Practice

Although the introduction of new technologies has been successful and become accepted practice in many areas of industry, traditional methods have tended to prevail in health-care. Telemedicine has been adopted by enthusiasts who recognize the potential benefits of a ‘global health service’. However, the more widespread introduction of telemedicine requires considerable organizational change in the way health-care is delivered. More evaluation is required of clinical outcomes, organizational effects, benefits to health-care providers and users, and quality assurance.

scholarly journals Development and Evaluation of a New Security and Privacy Track in a Health Informatics Graduate Program: Multidisciplinary Collaboration in Education (Preprint)

2017 ◽  
Author(s):  
Leming Zhou ◽  
Bambang Parmanto ◽  
James Joshi
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Providers ◽  
Health Informatics ◽  
Graduate Program ◽  
New Technologies ◽  
Security And Privacy ◽  
Care Providers ◽  
Widespread Application ◽  
Mobile Health Apps

BACKGROUND The widespread application of technologies such as electronic health record systems, mobile health apps, and telemedicine platforms, has made it easy for health care providers to collect relevant data and deliver health care regimens. While efficacious, these new technologies also pose serious security and privacy challenges. OBJECTIVE The training program described here aims at preparing well-informed health information security and privacy professionals with enhanced course materials and various approaches. METHODS A new educational track has been built within a health informatics graduate program. Several existing graduate courses have been enhanced with new security and privacy modules. New labs and seminars have been created, and students are being encouraged to participate in research projects and obtain real-world experience from industry partners. Students in this track receive both theoretical education and hands-on practice. Evaluations have been performed on this new track by conducting multiple surveys on a sample of students. RESULTS We have succeeded in creating a new security track and developing a pertinent curriculum. The newly created security materials have been implemented in multiple courses. Our evaluation indicated that students (N=72) believed that receiving security and privacy training was important for health professionals, the provided security contents were interesting, and having the enhanced security and privacy training in this program was beneficial for their future career. CONCLUSIONS The security and privacy education for health information professionals in this new security track has been significantly enhanced.

scholarly journals Evaluating usability, effectiveness, and usage of telehealth technologies

2014 ◽  
Author(s):  
◽  
Mirna Becevic
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Health Care Providers ◽  
New Technologies ◽  
Care Delivery ◽  
Traditional Approach ◽  
Additional Stress ◽  
Care Providers ◽  
Medical Specialties ◽  
Number Of Patients

Affordable Care Act (ACA) has allowed more patients that did not previously have health care insurance to have coverage and access to care. This increase in the number of patients seeking medical care will only add additional stress to the existing disproportion of supply and demand for health care providers. In addition, rising health care costs have major effect on how, where, and even if consumers will get needed care. This study examined three different telehealth platforms in three different medical specialties in order to evaluate the perception that they would be appropriate vehicles for increasing access to care. I also wanted to find out what the users' perceptions of these technologies are, as that can be a driving factor in adoption of new technologies. The first study examined the usability and acceptance of new mobile application in teledermatology clinic. The second study focused on usability and acceptance of ICU Robots in a medical ICU. Finally, the third study evaluated if children and youth currently using telepsychiatry as a care delivery method would have other in-person options if telehealth was not available. The results of these three studies point at the complexity and richness of telehealth. The adoption and acceptance of mHealth was very fast and streamlined. In the same fashion, children might not have other appropriate options for care if telepsychiatry was not available in rural Missouri. Interestingly, though, the provider acceptance of ICU Robots was slow, with some provider disengagements observed. This research contributes to the field of health informatics and medical informatics by evaluating adoption and usability of technologies from the provider perspective, vs. the more traditional approach of examining patient satisfaction, or even provider satisfaction without fully understanding the implications of attitudes on the adoption itself. This study has focused purposefully on different groups of providers using different types of telehealth technologies so we could try to see the bigger picture of how telehealth actually contributes to the health care organizational structure.

scholarly journals Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

2019 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Pregnancy Outcomes ◽  
Preconception Care ◽  
Reproductive Age ◽  
Care Seeking ◽  
Care Providers ◽  
Medical Problems ◽  
Potential Benefits

Abstract Background: Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has shown that PCC services are minimally available and yet to be fully integrated into maternal health services in Nigeria. This study explored the perceptions about PCC services among health care providers in Ibadan, Nigeria. Methods: This was a case study research among 26 health care providers – 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. In-depth interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis. Results: Six main themes were identified from the data – scope of PCC, people who require PCC, where PCC services can be provided, acceptability of PCC services, relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Participants opined that delayed health care seeking observed in the community may influence acceptability of PCC especially for people without known pre-existing conditions. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes. Conclusion: Preconception care is perceived as being more important for promoting positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Provision of the service will however require establishment of guidelines and its uptake will depend on acceptability to people with known medical problems who will benefit from the service.

Hepatitis C: Nutrition Care Canadian Guidelines for Health Care Providers

2003 ◽  
Vol 64 (3) ◽  
pp. 139-141 ◽  
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Health Care Providers ◽  
Scientific Evidence ◽  
Critical Role ◽  
Care Providers ◽  
Nutrition Care ◽  
On Line ◽  
Accepted Practice

Nutrition plays a critical role in the management of hepatitis C. Dietitians of Canada has developed comprehensive, evidencebased guidelines to familiarize health care providers with effective nutrition care for the growing number of Canadians infected with the hepatitis C virus. The complete guidelines and two supporting educational fact sheets are available for downloading from http://www.dietitians.ca/resources/HepatitisC_Guidelines.htm . The guidelines and fact sheets are available in both English and French. The guidelines contain the full text, practice essentials, references, and extensive appendices with practical tools to assist educators in promoting nutrition to persons infected with the hepatitis C virus. Reprinting or photocopying of the document is encouraged provided the source is acknowledged. In addition, an on-line education course is available for health care providers and is available on www.dieteticsatwork.ca . These guidelines are directed to all health care providers who are in a position to offer nutrition-related advice and guidance to persons infected with the hepatitis C virus, in all stages of the disease. A national advisory committee comprised of leading authorities in Canada steered the development of the guidelines. The guidelines are based on the best information available at the time of publication; where scientific evidence was not available, best-accepted practice is presented.

The Evolution of a Public Health Policy: Health Care Providers and the Transmission of HIV

1994 ◽  
Vol 24 (3) ◽  
pp. 535-548 ◽  
Author(s):  
Sally Guttmacher
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Public Health Policy ◽  
Health Care Facilities ◽  
Care Providers ◽  
The Public ◽  
Care Facilities ◽  
Potential Benefits ◽  
Spread Of Infection

The single known instance of transmission of HIV from a health care provider to a patient raised issues concerning the responsibility of clinicians to their patients, and sparked debate over policies to prevent the spread of HIV in health care facilities. The intensity and politicization of the debate were reflected in revision of the Centers for Disease Control guidelines to control the spread of infection at health care facilities, and in legislation proposed in Congress. The guidelines and proposed legislation provoked responses by public health and medical organizations, several of which considered the measures to be unnecessarily restrictive and too costly in terms of potential benefits. This article describes the events and responses that took place during 1991–1992 after the public was made aware of the case involving transmission from provider to patient. The author examines the situation in the context of public health efforts to control the spread of HIV.

scholarly journals The Italian charter for quality assurance in internal medicine

2013 ◽  
pp. 207-211
Author(s):  
Franco Berti
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
Quality Assurance ◽  
Health Care Providers ◽  
Health Care Facilities ◽  
Hospital Nurses ◽  
Care Providers ◽  
Patients Rights ◽  
Executive Level

The Italian Charter for Quality Assurance in Internal Medicine is a response to the European Charter of Patients’ Rights presented in Brussels in 2002. It is the product of collaborative efforts by Cittadinanza Attiva (a nonprofit citizens’ rights group), the National Association of Hospital Nurses (ANIMO), and the Federation of Associations of Executive-Level Hospital Internists (FADOI). Its objectives are to enhance respect for patients’ rights and promote uniformity in the quality of care delivered in Italy’s health-care facilities, which is currently characterized by marked inter-regional and inter-hospital variability. This article describes the reasons and principles that have guided the Charter’s elaboration and the benefits of partnership between citizens and health-care providers.

Satisfaction of health care providers and quality assurance in Spanish hospitals

Work & Stress ◽  
1992 ◽  
Vol 6 (3) ◽  
pp. 229-238 ◽  
Author(s):  
Jesús Rodríguez-marín ◽  
José J. Mira ◽  
Jesús Aranaz ◽  
Julian Vitaller
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Health Care Providers ◽  
Care Providers

scholarly journals Perspectives on marijuana use and effectiveness

2017 ◽  
Vol 7 (4) ◽  
pp. 333-343 ◽  
Author(s):  
Stacey S. Cofield ◽  
Amber Salter ◽  
Tuula Tyry ◽  
Christina Crowe ◽  
Gary R. Cutter ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Research Committee ◽  
The North ◽  
Current Usage ◽  
Before And After ◽  
History Of ◽  
Potential Benefits

AbstractBackground:Interest in and use of marijuana by persons with multiple sclerosis (MS) has increased. While potential benefits have been reported, so have concerns about potential risks. Few large studies have been conducted about the perceptions and current usage of marijuana and medical cannabinoids in persons with MS.Methods:Participants in the North American Research Committee on Multiple Sclerosis (NARCOMS) registry were surveyed in 2014 regarding legality and history of marijuana usage, both before and after diagnosis with MS.Results:A total of 5,481 participants responded, with 78.2% female, 90% relapsing disease at onset, and a current mean age of 55.5 (10.2) years. Sixty-four percent had tried marijuana prior to their MS diagnosis, 47% have considered using for their MS, 26% have used for their MS, 20% have spoken with their physician about use, and 16% are currently using marijuana. Ninety-one percent think marijuana should be legal in some form. Men, those with higher disability, current and past nicotine smokers, and younger age were associated with a higher likelihood of current use.Conclusions:The majority of responders favor legalization and report high interest in the use of marijuana for treatment of MS symptoms, but may be reluctant to discuss this with health care providers. Health care providers should systematically inquire about use of marijuana.

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