Telehealth policy: Looking for global complementarity

2002 ◽  
Vol 8 (3_suppl) ◽  
pp. 55-57 ◽  
Author(s):  
Richard E Scott ◽  
M Faruq U Chowdhury ◽  
Sunil Varghese
Keyword(s):  
Health Care ◽  
Current Approach ◽  
Policy Makers ◽  
Policy Issues ◽  
Regulatory Constraints ◽  
Care Workers ◽  
Political Boundaries ◽  
Global Health Care ◽  
Health Institutions ◽  
Daunting Challenge

summary Telehealth is gaining acceptance as a tool for bridging the local and global health-care divides. However, integrating telehealth into existing health infrastructures presents a daunting challenge for governments, policy makers, telehealth advocates and health-care workers. The development of specific inter-jurisdictional telehealth policies will significantly improve the ability to meet this challenge. In the policy context, one ‘success’ is the increasing number of jurisdictions addressing policy issues. However, policy decisions have largely been taken in isolation, within individual health institutions, regions, provinces/states or countries. This represents a failure of the current approach. Telehealth, by its very nature, has the ability to transgress existing geo-political boundaries. As a consequence, policy in any single jurisdiction may hamper or even cripple the ability of telehealth to fulfil its potential. Commonality-or at least complementarity-of approach to telehealth policy must be encouraged. To achieve this, it is essential to understand the current or anticipated regulatory constraints that may affect telehealth. We have begun a preliminary study of country-specific policy issues.

Towards an AIDS-free generation by 2030: how are South African children, adolescents, caregivers and health care workers coping with HIV?

2021 ◽  
pp. 008124632199217
Author(s):  
Yogan Pillay
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
South African ◽  
Health Care Workers ◽  
Policy Makers ◽  
Number Of Children ◽  
Key Stakeholders ◽  
Care Workers ◽  
Free Generation ◽  
Living With Hiv

We are committed to an AIDS free generation by 2030 – nine short years away. This article reflects on the global and South African data on new infections, total number of children and adolescents living with HIV as well as data on vertical transmission. The article includes the voices of key stakeholders in the quest to end HIV in children so that lessons from their experiences can be used by policy makers in strengthening services.

scholarly journals Violence in health institutions: A survey of health care workers in west Turkey

2004 ◽  
Vol 24 (1) ◽  
pp. 64-65 ◽  
Author(s):  
Unal Ayranci ◽  
Cınar Yenilmez ◽  
Fezan Sahin ◽  
Yasemin Gunay ◽  
Ilhami Unluoglu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Care Workers ◽  
Health Institutions

scholarly journals The 3-I framework: a framework for developing public policies regarding pharmacogenomics (PGx) testing in Canada

Genome ◽  
2015 ◽  
Vol 58 (12) ◽  
pp. 527-540 ◽  
Author(s):  
Naazish S. Bashir ◽  
Wendy J. Ungar
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Policy Development ◽  
Organizational Level ◽  
Policy Makers ◽  
New Approach ◽  
Development Tool ◽  
Care Workers ◽  
Developed Nations ◽  
Confidentiality And Privacy

The 3-I framework of analyzing the ideas, interests, and institutions around a topic has been used by political scientists to guide public policy development. In Canada, there is a lack of policy governing pharmacogenomics (PGx) testing compared to other developed nations. The goal of this study was to use the 3-I framework, a policy development tool, and apply it to PGx testing to identify and analyze areas where current policy is limited and challenges exist in bringing PGx testing into wide-spread clinical practice in Canada. A scoping review of the literature was conducted to determine the extent and challenges of PGx policy implementation at federal and provincial levels. Based on the 3-I analysis, contentious ideas related to PGx are (i) genetic discrimination, (ii) informed consent, (iii) the lack of knowledge about PGx in health care, (iv) the value of PGx testing, (v) the roles of health care workers in the coordination of PGx services, and (vi) confidentiality and privacy. The 3-I framework is a useful tool for policy makers, and applying it to PGx policy development is a new approach in Canadian genomics. Policy makers at every organizational level can use this analysis to help develop targeted PGx policies.

scholarly journals Assessment of Prevalence and Determinants of Occupational Exposure to HIV Infection among Healthcare Workers in Selected Health Institutions in Debre Berhan Town, North Shoa Zone, Amhara Region, Ethiopia, 2014

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Filmawit Aynalem Tesfay ◽  
Tesfa Dejenie Habtewold
Keyword(s):  
Health Care ◽  
Human Immunodeficiency Virus ◽  
Occupational Exposure ◽  
Virus Infection ◽  
Health Care Workers ◽  
The Past ◽  
Care Workers ◽  
Debre Berhan ◽  
Immunodeficiency Virus ◽  
Health Institutions

Introduction. Health care workers are exposed to different kinds of occupational hazards due to their day to day activities. The most common occupational exposure like body fluids is a potential risk of transmission of blood-borne infection like human immunodeficiency virus.Objective.To assess the prevalence and determinants of occupational exposure to human immunodeficiency virus infection.Methods and Materials. A descriptive cross-sectional institution based study was conducted in selected four health institutions in Debre Berhan town. Quantitative and qualitative data were collected using semistructured interviewer administered questionnaire. The frequency distribution of dependent and independent variables was worked out and presented using frequency table, graph, and chart.Result. The overall prevalence of occupational exposure of the health care workers was found to be 88.6% (n=187) in the past 12 months. Contact to potentially infectious body fluids accounts for the largest proportion (56.7%) followed by needle stick injury (31.5%) and glove breakage (28.8%).Conclusion. In this study majority (88.6%) of the health care workers had a risky occupational hazard that exposed them to human immunodeficiency virus infection during the past 12 months. The statistically significant determinant factors were professional status, working room, and time of personal protective equipment usage.

scholarly journals Impact of COVID-19 Pandemic on Mental Health of the General Population, Students, and Health Care Workers: A Review

2020 ◽  
Author(s):  
Sabina Sankhi ◽  
Nirmal Raj Marasine
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Population ◽  
Health Care Workers ◽  
Rural Areas ◽  
Psychological Reactions ◽  
Policy Makers ◽  
Lower Socioeconomic ◽  
Care Workers ◽  
The Impact

Background: The COVID-19 among humans is spreading heavily and is largely impacting the mental health of the general population, students, and health care workers worldwide. Hence, this review aims to summarize the literatures addressing the impact of the COVID-19 pandemic on the mental health of the general population, students, and health care workers. Methods: Published articles concerning mental health of the general population, students, and health care workers related to the COVID-19 outbreak have been considered and reviewed. Results and Discussion: Mental health symptoms of stress, anxiety, and depression are common psychological reactions to the COVID-19 pandemic in the general population, students, and health care workers. This collectively influences daily behavior, economy, prevention strategies and decision making from policy makers and health organizations, weakening the strategies of COVID-19 control leading to more morbidity and mental health needs at the global level. Conclusion: There is a need for more evidence-based research from other affected countries, particularly in vulnerable populations such as children and adolescents, people of lower socioeconomic status, and those residing in rural areas, so that valid strategies can be developed and COVID-19 and outbreaks of similar types in the near future can be prevented.

scholarly journals COVID-19: A 2020 update

2020 ◽  
Vol 72 ◽  
pp. 88-94 ◽  
Author(s):  
M. Nadir Bhuiyan ◽  
Ravindra Ganesh ◽  
Amit K. Ghosh
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Workers ◽  
Medical Literature ◽  
Digital Health ◽  
Shortness Of Breath ◽  
Care Workers ◽  
Increased Risk ◽  
Global Health Care ◽  
Novel Coronavirus

The 2019 COVID-19 pandemic has thrown the global health-care system into a chaotic flux. Consolidating and reviewing all available knowledge will be crucial to combating the spread of this novel coronavirus. Prevention is paramount, but health care workers are at increased risk, and protective supplies are being limited and being rationed. Common symptoms include fever, cough, and shortness of breath. Hospitalizations are estimated to occur in about 20% of cases and are mostly due to pneumonia.[1] While multiple promising treatments are being reported in the medical literature; there is limited, reliable clinical data are available. To minimize exposure of medical staff to contagious patients and to provide rapid escalation of care to these patients, a telehealth strategy could be leveraged. Such a strategy would entail the use of both telemedicine visits for communication and digital health platforms for monitoring.

scholarly journals Epidemiology of Chronic Pain in Denmark and Sweden

2012 ◽  
Vol 2012 ◽  
pp. 1-30 ◽  
Author(s):  
Julie Harker ◽  
Kim J. Reid ◽  
Geertruida E. Bekkering ◽  
Eliane Kellen ◽  
Malgorzata M. Bala ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Epidemiological Data ◽  
Future Research ◽  
Perceived Health Status ◽  
Policy Makers ◽  
Chronic Noncancer Pain ◽  
Pain Medications ◽  
Care Workers ◽  
Noncancer Pain

Introduction. Estimates on the epidemiology of chronic pain vary widely throughout Europe. It is unclear whether this variation reflects true differences between populations or methodological factors. Information on the epidemiology of chronic pain can support decision makers in allocating adequate health care resources. Methods. In order to obtain epidemiological data on chronic pain in Denmark and Sweden, we conducted a literature review of epidemiological data primarily on chronic noncancer pain, prioritising studies of highest quality, recency, and validity by conducting a systematic search for relevant studies. Following quality assessment, data were summarised and assigned to the research questions. Results. The prevalence of moderate to severe noncancer pain was estimated at 16% in Denmark and 18% in Sweden. Chronic pain impacts negatively on perceived health status, quality of life and is associated with increased cost. Despite using pain medications, a large proportion of chronic pain sufferers have inadequate pain control. There was a lack of high-quality and low-bias studies with clear inclusion criteria. Conclusions. In both Denmark and Sweden, chronic pain is a common health problem which is potentially undertreated and warrants attention of health care workers, policy makers and researchers. Future research should utilise clear reporting guidelines to assist decision and policy makers, in this important area.

scholarly journals Emergency Response for Evaluating SARS-CoV-2 Immune Status, Seroprevalence and Convalescent Plasma in Argentina

2020 ◽  
Author(s):  
Diego S. Ojeda ◽  
María Mora Gonzalez Lopez Ledesma ◽  
Horacio Pallares ◽  
Guadalupe S. Costa Navarro ◽  
Lautaro Sanchez ◽  
...  
Keyword(s):  
Health Care ◽  
Immune Responses ◽  
Health Care Workers ◽  
Antibody Responses ◽  
Spike Protein ◽  
Receptor Binding Domain ◽  
Care Workers ◽  
Antibody Titers ◽  
Health Institutions ◽  
Antibody Levels

ABSTRACTWe report the emergency development and application of a robust serologic test to evaluate acute and convalescent antibody responses to SARS-CoV-2 in Argentina. The assays, COVIDAR IgG and IgM, which were produced and provided for free to health authorities, private and public health institutions and nursing homes, use a combination of a trimer stabilized spike protein and the receptor binding domain (RBD) in a single enzyme-linked immunosorbent assay (ELISA) plate. Over half million tests have already been distributed to detect and quantify antibodies for multiple purposes, including assessment of immune responses in hospitalized patients and large seroprevalence studies in neighborhoods, slums and health care workers, which resulted in a powerful tool for asymptomatic detection and policy making in the country. Analysis of antibody levels and longitudinal studies of symptomatic and asymptomatic SARS-CoV-2 infections in over one thousand patient samples provided insightful information about IgM and IgG seroconversion time and kinetics, and IgM waning profiles. At least 35% of patients showed seroconversion within 7 days, and 95% within 45 days of symptoms onset, with simultaneous or close sequential IgM and IgG detection. Longitudinal studies of asymptomatic cases showed a wide range of antibody responses with median levels below those observed in symptomatic patients. Regarding convalescent plasma applications, a protocol was standardized for the assessment of end point IgG antibody titers with COVIDAR with more than 500 plasma donors. The protocol showed a positive correlation with neutralizing antibody titers, and was used to assess antibody titers for clinical trials and therapies across the country. Here, we demonstrate the importance of providing a robust and specific serologic assay for generating new information about antibody kinetics in infected individuals and mitigation policies to cope with pandemic needs.AUTHOR SUMMARYThe development of robust and specific serologic assays to detect antibodies to SARS-CoV-2 is essential to understand the pandemic evolution and to stablish mitigation strategies. Here, we report the emergency development, production and application of a versatile ELISA test for detecting antibodies against the whole spike protein and its receptor binding domain. Over half million tests have been freely distributed in public and private health institutions of Argentina for evaluating immune responses, convalescent plasma programs and for large seroprevalence studies in neighborhoods and health care workers. We are still learning how and when to use serologic testing in different epidemiological settings. This program allowed us to produce large amount of high quality data on antibody levels in symptomatic and asymptomatic SARS-CoV-2 infections and generate relevant information about IgM and IgG seroconversion time and kinetics. We also present standardized protocols for antibody quantification as guidance for convalescent donor plasma selection in hospitals throughout the country for compassionate use and clinical trials. Here, we provide a framework for generating widely available tools, protocols and information of antibody responses for pandemic management.

scholarly journals Acroischemia in a Patient with Tracheostomy in COVID-19: A Case Report

2020 ◽  
pp. 39-43
Author(s):  
Bhagyashree Sagane ◽  
Shivakumar Divity ◽  
Yogesh G. Dabholkar
Keyword(s):  
Health Care ◽  
Case Report ◽  
High Risk ◽  
Health Care Workers ◽  
Medical Community ◽  
Aerosol Exposure ◽  
Care Workers ◽  
Significant Difference ◽  
Global Health Care ◽  
High Index Of Suspicion

As a part of global health care system we are now facing an unprecedented increase in the number of COVID positive patients. While the SARS-CoV2 continues to expand its reach, newer information gets reported every day. The phenomenon of acro-ischemia in patients testing positive for SARS-CoV2 has started gathering attention within the medical community. Also, with increased need for tracheostomy HCWs (health care workers) are constantly at a high risk of aerosol exposure. We report a case of a critically ill, late detected, COVID positive male, with dermatological signs who landed in a tracheostomy. We aim to highlight the importance of high index of suspicion and early detection that would make a significant difference.

Nursing Ethics and the 21st-Century Armed Conflict

2016 ◽  
Vol 28 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Kathleen O’Connor
Keyword(s):  
Health Care ◽  
21St Century ◽  
Health Care Professionals ◽  
Armed Conflict ◽  
Humanitarian Law ◽  
Transcultural Nursing ◽  
Conflict Situations ◽  
Care Workers ◽  
Global Health Care ◽  
Social And Cultural Factors

The purpose of this article is to call attention to the lack of caregiver safety in conflict settings; to bring awareness to nurses and health care professionals of new challenges, specifically the deliberate targeting of health care professionals, that they may encounter in local armed conflict situations; and to address a gap in knowledge about the social and cultural factors surrounding 21st-century armed conflict that directly affect the provision of health care. I argue that these are of interest to transcultural nursing in that violent actors belong to a dangerous subculture, the understanding of which is important to transcultural nursing practice and caregiver safety. The article calls for increased focus on the protection of the nursing workforce and renewed attention on international humanitarian law and the Geneva Conventions that mandate the safety of global health care workers.

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