scholarly journals Recommendations for Promoting Patient Engagement in Chronic Care: A Consensus Conference Statement

Author(s):  
Guendalina Graffigna ◽  
Serena Barello ◽  
Giuseppe Riva ◽  
Massimo Corbo ◽  
Gianfranco Damiani ◽  
...  

Patient engagement is receiving a growing attention in the healthcare context. However, although worldwide healthcare stakeholders agree that patient engagement is a priority for quality and effective care, no shared recommendations on how to promote patient engagement are currently available. Based on these premises, a Consensus Conference (CC) was promoted to address four main issues: What is the definition of Patient Engagement? How measuring Patient Engagement? What are the most recommended methodologies and the tools to promote Patient Engagement? What is the role of new technologies in promoting of Patient Engagement? The consensus was obtained through an iterative process that began with a systematic synthesis of the available literature in each domain followed by plenary expert discussions. This CC - including the systematic analysis of internationals scientific evidences (2749 sources across the major international scientific databases) together with experiences of a multi-disciplinary consortium of investigators and key stakeholders - attempted to provide the first evidence-based Expert Consensus Statement for the promotion of Patient Engagement in chronic care. These recommendations should be envisaged as inspirational principles to promote a real eco-system of engagement and might orient health services research and interventions.

Author(s):  
Guendalina Graffigna ◽  
Serena Barello ◽  
Giuseppe Riva ◽  
Massimo Corbo ◽  
Gianfranco Damiani ◽  
...  

Patient engagement has been recognized as a key priority in chronic care. However, scholars agree that guidelines are needed to ensure effective patient engagement strategies. To this end, a Consensus Conference process was promoted with the following methodological steps: (1) extensive literature review about patient engagement initiatives in chronic care; (2) a stakeholders survey to collect best practices and (3) workshops with experts. On the basis of the information collected, a consensus statement was drafted, revised, and finalized by a panel of select renowned experts. These experts agreed in defining engagement as an eco-systemic concept involving multiple actors all of which contribute to influence patients’ willingness and ability to engage in chronic care. Moreover, experts recommended, whenever possible, to adopt standardized instruments to assess engagement levels and related unmet needs. Then, experts strongly advised appropriate trainings for healthcare professionals about patient engagement strategies. Furthermore, the importance of promoting healthcare professionals’ wellbeing has been advocated. Family caregivers, as well as patients’ organizations - should be trained and engaged to increase the effectiveness of interventions dedicated to patients. Finally, experts agreed that digital technologies should be considered as a crucial enhancer for patient engagement in chronic care.


Cultura ◽  
2019 ◽  
Vol 16 (2) ◽  
pp. 67-88
Author(s):  
Xiaobo LV

The concepts of Minben , Minbensixiang , and Minbenzhuyi are rather popular in current Chinese discourse. However, “Minben” was hardly found in Chinese ancient literature as a noun. Around the year of 1916, “Minbenzhuyi” became widely accepted in Japanese intellectual circles, interpreted as one of the Japanese versions of democracy. In 1917, “Minbenzhuyi” was transferred to China as a loanword by Li Dazhao and developed into one of the Chinese definitions of democracy. Nevertheless, Chen Duxiu questioned the meaning of the term in 1919. It was not until 1922 did Liang Qichao bring Minbenzhuyi back into Chinese context and conduct a systematic analysis, which had a lasting impact on Chinese intellectual community. In the following 20 years, Minbenzhuyi was largely accepted in two different senses: 1) interpreted as Chinese definition of democracy; 2) specifically refers to the Confucian idea of “Minshiminting and Minguijunqing (;, ) Gradually, it became evident that Minbenzhuyi in China had grown distant from the meaning of democracy and returned to its traditional Confucian values.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 656
Author(s):  
Vladimir Bulatnikov ◽  
Cristinel Petrişor Constantin

This paper aims at finding the most dominant ideas about the marketing of healthcare systems highlighted in the mainstream literature, with a focus on Russia and Romania. To reach this goal, a systematic analysis of literature was conducted and various competitive advantages and disadvantages of the medical models that require special attention from the governments are considered. In this respect we examined 106 papers published during 2006 to 2020 found on four scientific databases. They were selected using inclusion and exclusion criteria according to PRISMA methodology. The main findings of the research consist of the opportunity to use marketing tools in order to improve the quality of healthcare systems in the named countries. Thus, using market orientation, the managers of healthcare systems could stimulate the innovation, the efficiency of funds allocation and the quality of medical services. The results will lead to a better quality of population life and to an increasing of life expectancy. As this paper reviews some articles from Russian literature, it can add a new perspective to the topic. These outcomes have implications for government, business environment, and academia, which should cooperate in order to develop the healthcare system using marketing strategies.


Author(s):  
Brian A. Weiss ◽  
Linda C. Schmidt ◽  
Harry A. Scott ◽  
Craig I. Schlenoff

As new technologies develop and mature, it becomes critical to provide both formative and summative assessments on their performance. Performance assessment events range in form from a few simple tests of key elements of the technology to highly complex and extensive evaluation exercises targeting specific levels and capabilities of the system under scrutiny. Typically the more advanced the system, the more often performance evaluations are warranted, and the more complex the evaluation planning becomes. Numerous evaluation frameworks have been developed to generate evaluation designs intent on characterizing the performance of intelligent systems. Many of these frameworks enable the design of extensive evaluations, but each has its own focused objectives within an inherent set of known boundaries. This paper introduces the Multi-Relationship Evaluation Design (MRED) framework whose ultimate goal is to automatically generate an evaluation design based upon multiple inputs. The MRED framework takes input goal data and outputs an evaluation blueprint complete with specific evaluation elements including level of technology to be tested, metric type, user type, and, evaluation environment. Some of MRED’s unique features are that it characterizes these relationships and manages their uncertainties along with those associated with evaluation input. The authors will introduce MRED by first presenting relationships between four main evaluation design elements. These evaluation elements are defined and the relationships between them are established including the connections between evaluation personnel (not just the users), their level of knowledge, and decision-making authority. This will be further supported through the definition of key terms. An example will be presented in which these terms and relationships are applied to the evaluation design of an automobile technology. An initial validation step follows where MRED is applied to the speech translation technology whose evaluation design was inspired by the successful use of a pre-existing evaluation framework. It is important to note that MRED is still in its early stages of development where this paper presents numerous MRED outputs. Future publications will present the remaining outputs, the uncertain inputs, and MRED’s implementation steps that produce the detailed evaluation blueprints.


2012 ◽  
Vol 68 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Leocadio Rodríguez-Mañas ◽  
Catherine Féart ◽  
Giovanni Mann ◽  
Jose Viña ◽  
Somnath Chatterji ◽  
...  

2016 ◽  
Vol 33 (S1) ◽  
pp. S365-S365
Author(s):  
O. Pino ◽  
G. Guilera ◽  
E. Rojo ◽  
J. Gómez-Benito

ObjectiveThe aim this presentation is present the results of the preparatory studies were presented at an international consensus conference, a multi-stage, iterative, decision-making and consensus process that took place 12–14 May 2015 in Barcelona, Spain. At this consensus conference, schizophrenia experts from different countries worldwide and working in a broad range of professions decided which ICF categories should be included in the first version of the ICF Core Sets for schizophrenia.MethodFour preliminary studies intend to capture the researcher's perspective, the patient's perspective, the expert's perspective and the clinician's perspective, respectively, on the most relevant aspects of functioning of persons living with schizophrenia. The final definition of ICF Core Sets for schizophrenia have been determined by integrating the results of preliminary studies in a consensus conference with international expert.ResultThe experts included 97 categories in the Comprehensive ICF Core Set and 25 categories in the Brief ICF-CS. The specific categories of each ICF-CS are shown in this presentation. The Comprehensive ICF-CS can guide multidisciplinary assessments of functioning in persons with schizophrenia, and the brief version is ideal for use in both clinical and epidemiological research, since it includes a small and practical number of categories, but sufficiently wide for finding utility in clinical assessments.ConclusionICF-CS are being designed with the goal of providing useful standards for research, clinical practice and teaching, and it will stimulate research and will improve understanding of functioning, health and environmental factors in schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
pp. 1-3
Author(s):  
J.-P. Michel

The overlap between one innovative paradigm (P4 medicine: predictive, personalized, participatory and preventive) and another (a new definition of “Healthy ageing”) is fertile ground for new technologies; a new mobile application (app) that could broaden our scientific knowledge of the ageing process and help us to better analyse the impact of possible interventions in slowing the ageing decline. A novel mobile application is here presented as a game including questions and tests will allow in 10 minutes the assessment of the following domains: robustness, flexibility (lower muscle strength), balance, mental and memory complaints, semantic memory and visual retention. This game is completed by specific measurements, which could allow establishing precise information on functional and cognitive abilities. A global evaluation precedes advice and different types of exercises. The repetition of the tests and measures will allow a long follow up of the individual performances which could be shared (on specific request) with family members and general practitioners.


Author(s):  
Igor I. Kartashov ◽  
Ivan I. Kartashov

For millennia, mankind has dreamed of creating an artificial creature capable of thinking and acting “like human beings”. These dreams are gradually starting to come true. The trends in the development of modern so-ciety, taking into account the increasing level of its informatization, require the use of new technologies for information processing and assistance in de-cision-making. Expanding the boundaries of the use of artificial intelligence requires not only the establishment of ethical restrictions, but also gives rise to the need to promptly resolve legal problems, including criminal and proce-dural ones. This is primarily due to the emergence and spread of legal expert systems that predict the decision on a particular case, based on a variety of parameters. Based on a comprehensive study, we formulate a definition of artificial intelligence suitable for use in law. It is proposed to understand artificial intelligence as systems capable of interpreting the received data, making optimal decisions on their basis using self-learning (adaptation). The main directions of using artificial intelligence in criminal proceedings are: search and generalization of judicial practice; legal advice; preparation of formalized documents or statistical reports; forecasting court decisions; predictive jurisprudence. Despite the promise of using artificial intelligence, there are a number of problems associated with a low level of reliability in predicting rare events, self-excitation of the system, opacity of the algorithms and architecture used, etc.


Author(s):  
Ewa Suknarowska-Drzewiecka

The digital revolution, also called the fourth industrial revolution, constitutes another era of change, caused by the development of computerisation and modern technologies. It is characterised by rapid technological progress, widespread digitisation and an impact on all areas of life, including the provision of work. The changes affecting this area are so significant that there are proposals to remodel the definition of the employment relationship in the Labour Code. New forms of employment, which do not fit the conventional definition of an employment relationship, are emerging and gaining importance. An example could be employment via digital platforms. At the same time, there are also employment forms that do fit that definition, but deviate from the conventional understanding of the terms and conditions for performing work, which have undergone modification due to the use of new technologies. Teleworking, or working outside the employer’s premises, are examples of that. Employers get further opportunities to organise and control work, which often raises concerns due to the employee’s right to privacy, the protection of personal rights and personal data.


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