scholarly journals Strategies for the Successful Implementation of a Novel iPhone Loaner System (iShare) in mHealth Interventions: Prospective Study

10.2196/16391 ◽  
2019 ◽  
Vol 7 (12) ◽  
pp. e16391 ◽  
Author(s):  
William E Yang ◽  
Erin M Spaulding ◽  
David Lumelsky ◽  
George Hung ◽  
Pauline Phuong Huynh ◽  
...  
Keyword(s):  
Prospective Study ◽  
Health Care Systems ◽  
Intervention Development ◽  
Institutional Constraints ◽  
Successful Implementation ◽  
Demographic Differences ◽  
Mhealth Intervention ◽  
Care Systems ◽  
Therapeutic Tools ◽  
A Prospective Study

Background As smartphone ownership continues to rise, health care systems and technology companies are driven to develop mobile health (mHealth) interventions as both diagnostic and therapeutic tools. An important consideration during mHealth intervention development is how to achieve health equity despite demographic differences in smartphone ownership. One solution is through the recirculation of loaner smartphones; however, best practices for implementing such programs to optimize security, privacy, scalability, and convenience for participants are not well defined. Objective In this tutorial, we describe how we implemented our novel Corrie iShare program, a 30-day loaner iPhone and smartwatch recirculation program, as part of a multi-center mHealth intervention to improve recovery and access to guideline-directed therapy following acute myocardial infarction. Methods We conducted a prospective study utilizing a smartphone app and leveraged iOS enterprise features as well as cellular data service to automate recirculation. Results Our configuration protocol was shortened from 1 hour to 10 minutes. Of 200 participants, 92 (46.0%) did not own an iPhone and would have been excluded from the study without iShare. Among iShare participants, 72% (66/92) returned their loaned smartphones. Conclusions The Corrie iShare program demonstrates the potential for a sustainable and scalable mHealth loaner program, enabling broader population reach while optimizing user experience. Implementation may face institutional constraints and software limitations. Consideration should be given to optimizing loaner returns.

scholarly journals Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy

2020 ◽  
Vol 17 (16) ◽  
pp. 5731
Author(s):  
Lennert Griese ◽  
Eva-Maria Berens ◽  
Peter Nowak ◽  
Jürgen M. Pelikan ◽  
Doris Schaeffer
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
System Development ◽  
Health Care Systems ◽  
International Health ◽  
Intervention Development ◽  
Rapid Expansion ◽  
Measurement Instruments ◽  
Care Systems ◽  
General Populations

Due to their rapid expansion and complexity, it is increasingly difficult for patients to orient themselves in health care systems. Therefore, patients require a high degree of health literacy, or more precisely, navigation health literacy (HL-NAV). The actual extent of HL-NAV of patients and citizens is still largely unknown due to the lack of adequate measurement instruments. Thus, within the new international Health Literacy Population Survey 2019 (HLS19), one aim was to develop a suitable instrument for measuring HL-NAV in the HLS19 the HL-NAV-HLS19. The item development was conducted by an international working group within the HLS19 Consortium led by the first and last authors. Methodologically, it is based on a scoping literature review, development of a conceptual framework for HL-NAV, and first item formation, as well as an evaluation by experts, stakeholders, focus groups, pre-test interviews, and continuously feedback from the HLS19 Consortium. HL-NAV was defined as the ability to access, understand, appraise, and apply information on navigational issues, drawing on ten selected publications and the health literacy definition of the HLS-EU Consortium. Main tasks of HL-NAV at the system, organization, and interaction level were identified, to which first related items were assigned. Based on the feedback from experts, the focus group discussions, and the HLS19 Consortium, the instrument was slightly revised. Finally, twelve items proved to be feasible in the pre-test. The instrument will be used for the first time in the HLS19 survey and will provide first data on HL-NAV in general populations for the countries participating in HLS19. It is suited for cross-country comparisons and monitoring, as well as for intervention development. However, the instrument should be translated into and validated in further languages and countries for population samples.

First evidences from “lean & safety” projects

2015 ◽  
Vol 7 (2/3) ◽  
pp. 245-259 ◽  
Author(s):  
Maria Crema ◽  
Chiara Verbano ◽  
Maria Laura Chiozza
Keyword(s):  
Design Methodology ◽  
Health Care Systems ◽  
Future Research ◽  
Successful Implementation ◽  
Key Factors ◽  
Content Type ◽  
Academic Literature ◽  
Integrated Methodology ◽  
Care Systems ◽  
Sustainable Health

Purpose – The purpose of this paper is to investigate the significant features that characterize these projects: organizational aspects, phases and activities, tools, techniques, practices and key factors for successful implementation. No studies in the academic literature have yet focused on the relation between healthcare lean management (HLM) and clinical risk management (CRM) to enhance multiple aspects of performance, although the possibility of implementing “lean & safety” projects has been highlighted. Design/methodology/approach – Two significant projects have been selected from the same Italian hospital in two different fields of application. Within- and cross-case analyses have been performed to obtain useful findings. Findings – The results suggest that HLM can provide support for CRM, and an integrated methodology should be considered. The first indications concerning how this new synergistic methodology may be developed are provided and these should stimulate future research, testing and exploiting the methodology in other contexts. Originality/value – From the results of this paper, guidelines for the implementation of a “lean & safety” project could be developed to improve the management of clinical processes pursuing multiple objectives. This study could contribute to the development of safer and more sustainable health care systems for the benefit of the entire community.

scholarly journals Human Factors and Ergonomics in Health Care Systems: Identifying Roles and Strategies for Success

2019 ◽  
Vol 63 (1) ◽  
pp. 729-732
Author(s):  
Siddarth Ponnala ◽  
A. Joy Rivera ◽  
Edmond Ramly ◽  
Ken Catchpole ◽  
Shanqing Yin
Keyword(s):  
Human Factors ◽  
High Reliability ◽  
Health Care Systems ◽  
Healthcare Systems ◽  
Successful Implementation ◽  
Healthcare Organizations ◽  
Human Factors And Ergonomics ◽  
The Status ◽  
Care Systems

Healthcare systems have begun to recognize the value of Human Factors and Ergonomics (HFE) and have started to create dedicated roles within their organizational structure for HFE practitioners and researchers to work with safety and quality groups to enhance safety, productivity, and overall system efficiencies. This panel brings together HFE personnel from different organizations, who will share their experiences working with clinical partners, in healthcare systems. Specifically, the panelists will lead an interactive discussion with audience members on strategies for changing the safety culture required to achieve the status of a high reliability organization (HRO). The panel will also share methods for demonstrating return on investment for HFE and techniques for successful implementation to continue the long-term integration of HFE into safety and quality improvement projects within healthcare organizations.

scholarly journals Effect of Diabetes Mellitus on Tuberculosis Treatment Outcome and Adverse Reactions in Patients Receiving Directly Observed Treatment Strategy in India: A Prospective Study

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Ali Nasir Siddiqui ◽  
Khalid Umer Khayyam ◽  
Manju Sharma
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Outcome ◽  
Prospective Study ◽  
Urban Slum ◽  
Successful Implementation ◽  
Short Course ◽  
Directly Observed Treatment ◽  
Sputum Conversion ◽  
Primary Health Care Centers ◽  
A Prospective Study

Despite successful implementation of directly observed treatment, short course (DOTS) in India, the growing number of diabetes mellitus (DM) patients appears to be a cause in the increasing tuberculosis (TB) incidence, affecting their management. In this regard, a prospective study was conducted on DOTS patients in three primary health care centers in urban slum region of South Delhi, India, to evaluate the effect of DM on sputum conversion, treatment outcome, and adverse drug reactions (ADR) due to anti-TB treatment. Eligible TB patients underwent blood glucose screening at treatment initiation. Disease presentation, clinical outcome, and ADRs were compared between patients of TB with and without DM. Out of 316 patients, the prevalence of DM was found to be 15.8%, in which 19.4% and 9.6% were PTB and EPTB patients, respectively. DM patients have observed higher sputum positivity (OR 1.247 95% CI; 0.539–2.886) at the end of 2-month treatment and poor outcome (OR 1.176 95% CI; 0.310–4.457) at the completion of treatment compared with non DM patients. Presence of DM was significantly associated (OR 3.578 95% CI; 1.114–11.494,p=0.032) with the development of ADRs. DM influences the treatment outcome of PTB patients in our setting and also on the ADR incidence.

Priority setting in health – a political economy perspective

2005 ◽  
Vol 1 (1) ◽  
pp. 79-90 ◽  
Author(s):  
MARIA GODDARD ◽  
KATHARINA HAUCK ◽  
ALEX PREKER ◽  
PETER C. SMITH
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Economic Evaluation ◽  
Priority Setting ◽  
Health Care Systems ◽  
Institutional Constraints ◽  
Potential Contribution ◽  
Care Systems ◽  
Competing Interest ◽  
Limited Health

Most countries face high demands on their health care systems and have limited resources with which to meet them. Priority setting seeks to address these problems by proposing rules to decide which groups of patients or disease areas should secure favoured access to limited health care resources. The economic approach towards priority setting, particularly in the form of cost-effectiveness analysis, is commonly advocated. However, despite many decades of refinement of the technical and methodological issues arising from the use of economic evaluation in priority setting, decision makers continue to diverge frequently from the principles of economic evaluation. Our approach in this paper is to highlight the potential contribution of models of political economy to understanding what constitutes rational behaviour when agents operate within political and institutional constraints. We argue that there may be potentially greater benefits to be gained from exploration and analysis of priority setting using models based on concepts such as median voter and competing interest groups, than from further efforts to refine the techniques of economic evaluation.

scholarly journals Prospective Study of the Performance of Parent-Collected Nasal and Saliva Swab Samples, Compared with Nurse-Collected Swab Samples, for the Molecular Detection of Respiratory Microorganisms

2021 ◽  
Author(s):  
Claire A. Woodall ◽  
Hannah V. Thornton ◽  
Emma C. Anderson ◽  
Suzanne M. Ingle ◽  
Peter Muir ◽  
...  
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Prospective Study ◽  
Community Health ◽  
Molecular Detection ◽  
Health Care Systems ◽  
Community Health Care ◽  
Swab Sample ◽  
Care Systems

RTIs are ubiquitous among children. Diagnosis involves a swab sample being taken by a health professional, which places a considerable burden on community health care systems, given the number of cases involved.

scholarly journals Comprehensive Primary Health Care in South America: contexts, achievements and policy implications

2011 ◽  
Vol 27 (10) ◽  
pp. 1875-1890 ◽  
Author(s):  
Naydú Acosta Ramírez ◽  
Jennifer Pollard Ruiz ◽  
Román Vega Romero ◽  
Ronald Labonté
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Citizen Participation ◽  
Health Care Systems ◽  
Policy Implications ◽  
Successful Implementation ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Care Systems ◽  
Health Care Policies

This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes.

Demographic differences in people living with HIV according to recruitment sources: comparison between health-care systems and social media networks

AIDS Care ◽  
2019 ◽  
Vol 32 (7) ◽  
pp. 901-906
Author(s):  
Yu-Hsiang Hsiao ◽  
Ing-Kit Lee ◽  
Te-Yu Lin ◽  
Chia-Hung Liao ◽  
Chen-Hsiang Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Care Systems ◽  
People Living With Hiv ◽  
Demographic Differences ◽  
Social Media Networks ◽  
Recruitment Sources ◽  
Care Systems ◽  
Living With Hiv

Animal Venom Peptides as a Treasure Trove for New Therapeutics Against Neurodegenerative Disorders

2019 ◽  
Vol 26 (25) ◽  
pp. 4749-4774 ◽  
Author(s):  
Xinwang Yang ◽  
Ying Wang ◽  
Chunyun Wu ◽  
Eng-Ang Ling
Keyword(s):  
Neurodegenerative Diseases ◽  
Health Care Systems ◽  
Drug Candidates ◽  
Physiological Processes ◽  
Rich Diversity ◽  
Novel Drugs ◽  
Care Systems ◽  
Potent Drug ◽  
Therapeutic Tools ◽  
Cerebral Ischemic

Background:Neurodegenerative diseases, such as Alzheimer’s disease, Parkinson’s disease, and cerebral ischemic stroke, impose enormous socio-economic burdens on both patients and health-care systems. However, drugs targeting these diseases remain unsatisfactory, and hence there is an urgent need for the development of novel and potent drug candidates.Methods:Animal toxins exhibit rich diversity in both proteins and peptides, which play vital roles in biomedical drug development. As a molecular tool, animal toxin peptides have not only helped clarify many critical physiological processes but also led to the discovery of novel drugs and clinical therapeutics.Results:Recently, toxin peptides identified from venomous animals, e.g. exenatide, ziconotide, Hi1a, and PcTx1 from spider venom, have been shown to block specific ion channels, alleviate inflammation, decrease protein aggregates, regulate glutamate and neurotransmitter levels, and increase neuroprotective factors.Conclusion:Thus, components of venom hold considerable capacity as drug candidates for the alleviation or reduction of neurodegeneration. This review highlights studies evaluating different animal toxins, especially peptides, as promising therapeutic tools for the treatment of different neurodegenerative diseases and disorders.

A prospective study of menopause in women with Down's syndrome

2001 ◽  
Vol 45 (1) ◽  
pp. 1-7 ◽  
Author(s):  
G. B. Seltzer ◽  
N. Schupf ◽  
H.-S. Wu
Keyword(s):  
Prospective Study ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
A Prospective Study
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