scholarly journals Branded versus generic drug use in chronic disease management in Hong Kong—perspectives of health care professionals and the general public

2018 ◽  
Author(s):  
Vivian WY Lee ◽  
◽  
Franco WT Cheng ◽  
Felix YH Fong ◽  
Enoch EN Ng ◽  
...  
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Chronic Disease ◽  
Drug Use ◽  
Disease Management ◽  
Generic Drug ◽  
Health Care Professionals ◽  
General Public ◽  
Chronic Disease Management

scholarly journals Facebook Groups for the Management of Chronic Diseases (Preprint)

2017 ◽  
Author(s):  
Stephanie R Partridge ◽  
Patrick Gallagher ◽  
Becky Freeman ◽  
Robyn Gallagher
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Health Care Professionals ◽  
Chronic Disease Management ◽  
Comprehensive Evaluation ◽  
Online Communication ◽  
Future Research ◽  
Content Development ◽  
Traditional Research

UNSTRUCTURED The use of Facebook groups by health care researchers and professionals for chronic disease management, namely type 2 diabetes mellitus and coronary heart disease, is in its early stages and challenges are emerging. While Facebook groups offer great potential to deliver health support, research of Facebook groups for chronic disease management remains in its infancy, with robust evidence not yet available. Designing Facebook groups that are acceptable to users, health care researchers as well as health care professionals is a challenge, and there is a poor fit with traditional research and evaluation methods. Key recommendations for future research of Facebook groups for chronic disease management include: (1) iterative content development with input from the target patient population; (2) further understanding of the potential role of group “champions”; (3) ensuring the social media policies of health care institutions allow for real time online communication; and (4) utilizing comprehensive evaluation strategies, including the use of process evaluations.

scholarly journals Complexity and Health Coaching: Synergies in Nursing

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Gail J. Mitchell ◽  
Nadine Cross ◽  
Michelle Wilson ◽  
Shauna Biernacki ◽  
Winnie Wong ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Health Care Professionals ◽  
Chronic Disease Management ◽  
Mutual Influence ◽  
Health Coach ◽  
Person Centered Care ◽  
Care And Support ◽  
Centered Care

Health care professionals are increasingly aware that persons are complex and live in relation with other complex human communities and broader systems. Complex beings and systems are living and evolving in nonlinear ways through a process of mutual influence. Traditional standardized approaches in chronic disease management do not address these non-linear linkages and the meaning and changes that impact day-to-day life and caring for self and family. The RN health coach role described in this paper addresses the complexities and ambiguities for persons living with chronic illness in order to provide person-centered care and support that are unique and responsive to the context of persons’ lives. Informed by complexity thinking and relational inquiry, the RN health coach is an emergent innovation of creative action with community and groups that support persons as they shape their health and patterns of living.

scholarly journals Conversational Agents as Mediating Social Actors in Chronic Disease Management Involving Health Care Professionals, Patients, and Family Members: Multisite Single-Arm Feasibility Study

10.2196/25060 ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. e25060
Author(s):  
Tobias Kowatsch ◽  
Theresa Schachner ◽  
Samira Harperink ◽  
Filipe Barata ◽  
Ullrich Dittler ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Family Member ◽  
Working Alliance ◽  
Health Care Professionals ◽  
Chronic Disease Management ◽  
Family Members ◽  
Conversational Agent ◽  
Conversational Agents

Background Successful management of chronic diseases requires a trustful collaboration between health care professionals, patients, and family members. Scalable conversational agents, designed to assist health care professionals, may play a significant role in supporting this collaboration in a scalable way by reaching out to the everyday lives of patients and their family members. However, to date, it remains unclear whether conversational agents, in such a role, would be accepted and whether they can support this multistakeholder collaboration. Objective With asthma in children representing a relevant target of chronic disease management, this study had the following objectives: (1) to describe the design of MAX, a conversational agent–delivered asthma intervention that supports health care professionals targeting child-parent teams in their everyday lives; and (2) to assess the (a) reach of MAX, (b) conversational agent–patient working alliance, (c) acceptance of MAX, (d) intervention completion rate, (e) cognitive and behavioral outcomes, and (f) human effort and responsiveness of health care professionals in primary and secondary care settings. Methods MAX was designed to increase cognitive skills (ie, knowledge about asthma) and behavioral skills (ie, inhalation technique) in 10-15-year-olds with asthma, and enables support by a health professional and a family member. To this end, three design goals guided the development: (1) to build a conversational agent–patient working alliance; (2) to offer hybrid (human- and conversational agent–supported) ubiquitous coaching; and (3) to provide an intervention with high experiential value. An interdisciplinary team of computer scientists, asthma experts, and young patients with their parents developed the intervention collaboratively. The conversational agent communicates with health care professionals via email, with patients via a mobile chat app, and with a family member via SMS text messaging. A single-arm feasibility study in primary and secondary care settings was performed to assess MAX. Results Results indicated an overall positive evaluation of MAX with respect to its reach (49.5%, 49/99 of recruited and eligible patient-family member teams participated), a strong patient-conversational agent working alliance, and high acceptance by all relevant stakeholders. Moreover, MAX led to improved cognitive and behavioral skills and an intervention completion rate of 75.5%. Family members supported the patients in 269 out of 275 (97.8%) coaching sessions. Most of the conversational turns (99.5%) were conducted between patients and the conversational agent as opposed to between patients and health care professionals, thus indicating the scalability of MAX. In addition, it took health care professionals less than 4 minutes to assess the inhalation technique and 3 days to deliver related feedback to the patients. Several suggestions for improvement were made. Conclusions This study provides the first evidence that conversational agents, designed as mediating social actors involving health care professionals, patients, and family members, are not only accepted in such a “team player” role but also show potential to improve health-relevant outcomes in chronic disease management.

scholarly journals Can voucher scheme enhance primary care provision for older adults: cross-sectional study in Hong Kong

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Johnny T. K. Cheung ◽  
Samuel Y.S. Wong ◽  
Dicken C. C. Chan ◽  
Dexing Zhang ◽  
Lawrence H. F. Luk ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Hong Kong ◽  
Chronic Disease ◽  
Disease Management ◽  
Continuity Of Care ◽  
Chronic Disease Management ◽  
Outpatient Clinics ◽  
Cross Sectional ◽  
The Public

Abstract Background The Hong Kong government has launched the Elderly Health Care Voucher (EHCV) scheme to facilitate primary care in the private sector for older adults. This study aimed to examine whether voucher use was associated with a shift of healthcare burden from the public to the private sector, vaccine uptake and continuity of care. Methods This cross-sectional survey recruited older adults with ≥3 chronic diseases through convenience sampling from seven general outpatient clinics, seven geriatric day hospitals, and five specialist outpatient clinics of the public healthcare sector in Hong Kong. We used multiple logistic regression to address the study objective. Results A total of 1032 patients participated in the survey. We included 714 participants aged 70 or above in the analysis. EHCV use was associated with higher utilization of private primary care services, including general practitioner and family doctor (Adjusted Odds Ratio (AOR) 2.67, 95% Confidence Interval (95%CI) 1.51–4.72) and Chinese medicine clinic (AOR 3.53, 95%CI 1.47–8.49). There were no significant associations of EHCV use with public general outpatient clinic attendance, Accident & Emergency attendance, and hospitalization. Furthermore, EHCV users were more likely to receive pneumococcal vaccination (AOR 2.17, 95%CI 1.22–3.85) and were less likely to visit the same doctors for chronic disease management (AOR 0.10, 95%CI 0.01–0.73). Conclusions While the EHCV may promote private primary care utilization and preventive care, older patients continue to rely on public services and the EHCV may worsen continuity of care. Policy-makers should designate voucher usage for chronic disease management and continuity of care.

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