scholarly journals The challenge of involving elderly patients in primary care by using an electronic communication tool with their professionals: a mixed methods study

2017 ◽  
Vol 24 (3) ◽  
pp. 275
Author(s):  
Catharina Carolina De Jong ◽  
Wynand J.G. Ros ◽  
Mia Van Leeuwen ◽  
Guus Schrijvers
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Electronic Communication ◽  
Care Plan ◽  
Communication Tool ◽  
Structured Interviews ◽  
Limited Participation ◽  
Important Barrier ◽  
Informal Carers ◽  
E Mail

Background: Elderly patients in primary care often have multiple health problems,with different healthcare professionals involved. For consistency in care, it is required that communication amongst professionals and patient-systems (patient and informal-carers) be well tuned. Electronic-communication can make it easier for patient-system to be active in care.Objective: To examine whether an e-communication tool (Congredi) designed for professionals, including a care plan and secure e-mail, is usable for patient-systems and what their experiences are.Methods: In a multi-method study, home-dwelling elderly patients with two or more professionals were invited to use Congredi; data were gathered from the system after 42 weeks. Also semi-structured interviews were undertaken with patient-systems with topics retrieved from literature. Analysis took place by two researchers independently; the themes were extracted together by consensus.Results: Data about actual use of the tool were gathered from 22 patients. Four profiles of Congredi-users were distinguished, varying in intensity of use. Data from  interviews with members of patient-systems (n = 7) showed that they were motivated and able to use Congredi. Barriers in daily use were limited participation of professionals, unanswered e-mail and not being alerted about actions. Despite limitations, patient-systems retained their motivation.Conclusion: Congredi was usable for patient-systems. The barriers found seem not to be tool-related but primarily user-related. An important barrier for daily use was limited active participation of involved professionals in a complete feedback loop. Potential for future implementation was found, as patient-systems were intrinsically motivated for better feedback with the professionals, even though in this study it only partly met their expectations.

Building quality chronic illness care: implementation of a web-based care plan

2020 ◽  
Vol 26 (2) ◽  
pp. 173
Author(s):  
Shiva Vasi ◽  
Jenny Advocat ◽  
Akuh Adaji ◽  
Grant Russell
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
New Technologies ◽  
Participant Observation ◽  
Care Plan ◽  
Structured Interviews ◽  
Structured Approach

Structured, multidisciplinary approaches to chronic disease management (CDM) in primary care, supported by eHealth tools, show improved clinical outcomes, yet the uptake of eHealth tools remains low. The adoption of cdmNet, an eHealth tool for chronic disease management, in general practice settings, was explored. This was a qualitative case study in three general practice clinics in Melbourne, Australia. Methods included non-participant observation, reflexive note taking and semi-structured interviews with GPs, non-GP clinical staff, administrative staff and patients with chronic conditions. Data were analysed iteratively and results were reviewed at regular team meetings. Findings highlighted the significance of clinical and organisational routines in determining practice readiness for embedding innovations. In particular, clinical routines that supported a structured approach to CDM involving team-based care, allocation of resources, training and leadership were fundamental to facilitating the adoption of the eHealth tool. Non-GP roles were found to be key in developing routines that facilitated the adoption of cdmNet within a structured approach to CDM. Practice managers, administrators and clinicians should first focus on routinising processes in primary care practices that support structured and team-based processes for CDM because without these processes, new technologies will not be embedded.

scholarly journals Sarcopenia screening in elderly in primary health care: nurse knowledge and practices

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Rutielle Ferreira Silva ◽  
Maria do Livramento Fortes Figueiredo ◽  
Juan José Tirado Darder ◽  
Ana Maria Ribeiro dos Santos ◽  
Maria Antonieta Rubio Tyrrell
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
The Elderly ◽  
Care Plan ◽  
Structured Interviews ◽  
Care Nurse ◽  
Primary Health ◽  
Primary Health Care Nurses ◽  
Nurse Knowledge

ABSTRACT Objective: Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly. Methods: Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference. Results: The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference. Final Considerations: The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.

scholarly journals The use of digital signature in electronic communication in BiH - Research

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Tijana Talić
Keyword(s):  
Digital Signature ◽  
Secure Communication ◽  
Electronic Mail ◽  
Electronic Communication ◽  
Identity Theft ◽  
Communication Tool ◽  
E Mail ◽  
Frequent Presence

The increasing use of electronic mail for identity theft and unsolicited marketing and frequent presence of viruses as well, reduced the credibility of email as a communication tool. Authentication of the sender is well known defense against such attacks. One of the methods to ensure that authentication, secure communication via e-mail, is the use of digital signature.

scholarly journals Attending home care patients in primary care using a smartphone application (WhatsICS): A feasibility study

10.3823/2531 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Francesc X. Marin-Gomez ◽  
Josep Vidal-Alaball ◽  
Francesc Garcia Cuyàs ◽  
Ramon Reig-Bolano
Keyword(s):  
Primary Care ◽  
Social Worker ◽  
Care Delivery ◽  
Health Care Systems ◽  
Smartphone Application ◽  
Communication Tool ◽  
Structured Interviews ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Home Based

Background: Provision of care to patients with chronic diseases at their homes remains a great challenge for modern health care systems. Smartphone applications are indicated as one of the strategies that could improve care delivery to this group of patients. The aim of this study is to investigate the feasibility and usability of a proprietary application with a messaging service used by a primary care team attending chronic patients mainly at their homes. Methods: A Cross-sectional pilot study of a smartphone application to communicate amongst clinicians. Primary care practices in Tona, Spain, were recruited during a period from January to December 2016. Clinicians used WhatsICS to communicate during their home visits for 12 months. We studied the patterns of use, response time and types of communication. To explore barriers and enablers, semi-structured interviews were conducted with selected nurses, social worker and general practitioners. Results: Two nurses, two practitioners and a social worker were recruited and more than 1,000 hours of communication were recorded on 163 patients, generating 5820 communication events. Nurses initiated the majority of communications (59.79%); these communications were mainly for the purpose of receiving instructions from practitioners and for coordination (66.6%). The communications were made on weekdays, from Monday to Friday, and between 7:30 a.m. and 9:30 p.m. (99.73%). Participants felt that WhatsICS helped streamline and improve home-based care. Conclusions: WhatsICS is safe technologically and accepted as a communication tool for professionals. This study establishes the basis for future implementations of this tool to improve the care of chronic patients at home through smartphones.

scholarly journals Double check discharge planning to improve the results of a heart failure programme

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
L Alcoberro ◽  
J Vime ◽  
C Enjuanes ◽  
S Jimenez ◽  
A Garay ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Electronic Communication ◽  
Discharge Planning ◽  
Primary Diagnosis ◽  
Care Plan ◽  
Funding Source ◽  
Care Managers ◽  
Period 2 ◽  
Patients With Diabetes

Abstract Background Reduction of readmissions in heart failure (HF) patients is a main goal of HF programmes. Establishing a discharge planning for the patient and coordinating it with primary care teams are key aspects for their success. Purpose Evaluate whether a double check discharge planning based on adding face-to-face joint weekly sessions with primary care managers to the conventional electronic communication of care plan reduces 6-month readmission and 6-month mortality. Methods We evaluated all patients discharged from hospital with HF as primary diagnosis between September 2017 and January 2019. We compared outcomes between patients discharged during Period #1 (single check; September 2017 - April 2018) and those discharged during Period #2 (double check; May 2018 - January 2019). Primary endpoint was the combined endpoint of all-cause death or all-cause hospitalization 6 months after discharge from the index hospitalization. Results The study enrolled 317 patients: 182 in Period #1 and 135 in Period #2. Mean age was 76±9 years. There was a higher proportion of patients with diabetes and COPD in Period #1, with no differences in other baseline characteristics. The combined endpoint of all cause-death and all-cause hospitalization at 6 months was significantly reduced in patients in the double check discharge planning group (27% vs. 16%, p 0.021). Conclusions In a HF programme, the addition of a double check discharge planning based on having joint weekly sessions with primary care managers on top of the conventional electronic communication of care plan reduces 6-month readmission and 6-month mortality. Funding Acknowledgement Type of funding source: Public hospital(s). Main funding source(s): Hospital Universitari de Bellvitge

scholarly journals The critical components of an electronic care plan tool for primary care: an exploratory qualitative study

2016 ◽  
Vol 23 (2) ◽  
pp. 529
Author(s):  
Lisa Rotenstein ◽  
Suhavi Tucker ◽  
Rose Kakoza ◽  
Lori Tishler ◽  
Adrian Zai ◽  
...  
Keyword(s):  
Primary Care ◽  
Multidisciplinary Care ◽  
Care Team ◽  
Care Plan ◽  
Background Information ◽  
Structured Interviews ◽  
Care Needs ◽  
Patient Centered ◽  
Essential Components ◽  
Critical Components

Background A critical need exists for effective electronic tools that facilitate multidisciplinary care for complex patients in patient-centered medical homes.Objective To identify the essential components of a primary care (PC) based electronic care plan (ECP) tool that facilitates coordination of care for complex patients.Methods Three focus groups and nine semi-structured interviews were conducted at an academic PC practice in order to identify the ideal components of an ECP.Results Critical components of an ECP identified included: 1) patient background information, including patient demographics, care team member designation and key patient contacts, 2) user- and patient-centric task management functionalities, 3) a summary of a patient’s care needs linked to the responsible member of the care team and 4) integration with the electronic medical record. We then designed an ECP mockup incorporating these components.Conclusion Our investigation identified key principles that healthcare software developers can integrate into PC and patient-centered ECP tools.

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