How mobile devices can transform health care: A case report of an expectant mother with special needs

2018 ◽  
Vol 5 (1) ◽  
pp. 1-2
Author(s):  
Vivek Narayan ◽  
Susan Thomas ◽  
K. Arun Rao
2013 ◽  
Vol 10 (01) ◽  
pp. 33-37 ◽  
Author(s):  
M. Klinkman ◽  
D. Goldberg

SummaryThis paper describes the necessity of adapting the major classifications of mental disorders exemplified by the ICD-11 and the DSM-5 for the special needs of primary medical care. An earlier version of the classification – the ICD-10-PHC – is described, and the process of adapting it is described in detail. The new 28 item version of the classification is described, and the procedures to be adopted in the Field Trials to be held during 2013 are set out, together with the specific problems these field trials will address.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (5) ◽  
pp. 682-687
Author(s):  
Robert H. Wharton ◽  
Karen R. Levine ◽  
Stephen Buka ◽  
Linda Emanuel

Objectives. This study explored parental attitudes about their interactions with their children's providers when decision making involved critical life situations. We evaluated parents' attitudes regarding the following questions: What was the parents' understanding of their children's health care issues, and what was the parental perception of the professionals' understanding of their children and of themselves? Who should be the principal decision makers for the children? What was the parents' knowledge about advance directives? Did parents want to participate in a process of advance planning to assist with critical life decision making for their children? Methods. We surveyed all parents attending a conference sponsored by the Massachusetts Department of Public Health for parents of children with special needs. The questionnaire was provided to all parents attending the conference. An announcement was made at the conference requesting parental participation. The 76 respondents constitute a convenience sample of parents of children with special needs sufficient for this preliminary stage of investigation. Results. Of 177 parents attending the conference, 76 (43%) completed the questionnaire. Eighty-eight percent of the participants strongly agreed that they understood their children's conditions. Twenty-one percent stated that they had sufficient understanding of their children's future medical needs, and 21% thought that they had a sufficient understanding of their children's developmental potential. Ninety-nine percent of parents strongly agreed that physicians should share information with parents no matter how serious or potentially upsetting. Ninety-four percent of those parents who thought that their children's physicians understood their own needs also thought that the physicians understood their children's needs. In contrast, only half (55%) of those parents who thought the physicians did not understand their needs thought the physicians understood their children's needs. Ninety-two percent of parents who thought that the physicians understood their needs agreed that the physicians would make the best decisions in crises versus 60% of those who did not think the physicians understood their needs. Seventy-four percent stated that they would consider written guidelines for their children that dealt with critical life situations. All parents who thought their children's conditions were not understood wanted written guidelines. Of those parents who had thought their children would not survive (15 parents), 94% wanted written guidelines. All seven parents who had been told their children would not survive wanted written guidelines. Conclusions. Parents in this study were generally satisfied with care being provided to their children. Nevertheless, the results clearly suggest goals that could lead to improved capacity for parents and providers to make critical life decisions for and with children. First, physicians must understand the needs of parents to be able to make decisions that would be in the children's best interests. Second, parents should participate fully in critical life decisions for their children and should use written guidelines to assist with the process of these critical life decisions. Our findings strongly support the development of a longitudinal process, initiated early after the onset or discovery of illness and maintained longitudinally throughout the course of a child's illness, to help parents and providers work together in this vital area of health care to children.


2012 ◽  
Vol 36 (4) ◽  
pp. 333 ◽  
Author(s):  
Boo Deok Jo ◽  
Seong Kug Jeong ◽  
Keum Ho Lee ◽  
Ah Hyun Kim ◽  
Byoung Jin Lee ◽  
...  

2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Anu Kaihlanen ◽  
Kia Gluschkoff ◽  
Kaija Saranto ◽  
Sari Nissinen ◽  
...  

BACKGROUND Mobile devices such as tablets and smartphones are increasingly used in health care in many developed countries. Nurses form the largest group in health care that uses electronic health records (EHRs) and their mobile versions. Mobile devices are suggested to promote nurses’ workflow, constant updating of patient information and improve the communication within the health care team. However, little is known about their effect on nurses’ wellbeing. OBJECTIVE The present study aimed to examine the association of mobile device use of the EHR with nurses’ perceived time pressure, stress related to information systems (SRIS) and self-rated stress. Moreover, we examined whether mobile device use modifies the associations of EHR usability (ease of use and technical quality), experience in using EHRs and number of systems in daily use with these wellbeing indicators. METHODS The present study was a cross-sectional population-based survey study among 3,610 Finnish registered nurses gathered in 2020. The associations were examined using analyses of covariance and logistic regression adjusted for age, gender and employment sector (hospital, primary care, social service and other). RESULTS Those who used mobile version of their EHR had higher levels of time pressure ( F(1)= 14.96, p < .001) and SRIS ( F(1)= 6.11, p = .01) compared to those who did not use mobile versions. Moreover, the interactions of mobile device use with experience in using EHRs (F(1) = 14.93, p < .001), ease of use (F(1) = 10.16, p = .001) and technical quality (F(1) = 6.45, p = .01) were significant for SRIS. Inexperience in using EHRs, low levels of ease of use and technical quality were associated with higher SRIS and this association was more pronounced among those who used mobile devices. That is, the highest levels of SRIS were perceived among those who used mobile devices and were inexperienced EHR users, perceived low levels of ease of use or low levels of technical quality of their EHR. CONCLUSIONS According to our results it seems that at the moment mobile device use is not beneficial for the nurses’ wellbeing. In addition, mobile device use seems to intensify the negative effects of usability problems of the EHRs. Especially inexperienced users of EHRs seem be at disadvantage when using mobile devices. Thus, we suggest that EHRs and their mobile versions should be improved in a manner that they would be easier to use and would better support the nurses’ workflow. For example, improvements to problems related to small display, user interface and difficult data entry of mobile versions might be useful. Moreover, more training related to EHRs, their mobile versions and workflow related to these should be provided to nurses.


2016 ◽  
pp. 1316-1334
Author(s):  
Dimitrios Emmanouil ◽  
Antonia Mourtzikou

The present research is an attempt to explore the applicability of the best possible service in the area of organized health care services, at fixed predefined points of service. The suggestion is that there should be a system that will receive and provide information about health matters of general public concern. Thus following the lead of Citizen Service Centers in Greece, it can be extended conveniently to mobile devices. The main survey was conducted on a sample of Municipalities and Citizens in the year 2013. The results indicate that the new proposed system could be more secure for citizens for future use, based on supervising procedure by proper employee who will provide more help to the users, instead of a fully automatic system.


2019 ◽  
Vol 6 (4) ◽  
pp. 163-169
Author(s):  
Leonardo F. Jurado ◽  
Bibiana Pinzón ◽  
Zandra R. De La Rosa-Noriega ◽  
Eugenio Matijasevic ◽  
Rocío del Pilar López-Panqueva

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