scholarly journals Real-world research into digital health interventions: adapting World Health Organization Classifications to enable surveys of healthcare professionals and clients (Preprint)

2020 ◽  
Author(s):  
Mark Merolli ◽  
Rana S Hinman ◽  
Belinda J Lawford ◽  
Dawn Choo ◽  
Kathleen Gray
Keyword(s):  
World Health Organization ◽  
Real World ◽  
Technology Use ◽  
Digital Health ◽  
Healthcare Providers ◽  
Health Interventions ◽  
World Health ◽  
Survey Method ◽  
Survey Instruments ◽  
Health Organization

BACKGROUND The advancement of digital health has widened the scope of technology use across multiple frontiers of healthcare services, ranging from personalized therapeutics, mHealth, electronic health record management to telehealth consultations. The World Health Organization (WHO) responded to this by publishing in 2018 an inaugural broad classification framework of Digital Health Interventions (DHIs) used to address contemporary health system needs. OBJECTIVE : The present study describes the adaptation of the WHO framework for application in real-world research to build on this work. The aim is to support the study of clients’ (patients) and healthcare providers’ willingness to engage with a range of technologies in specific health context s via survey method. The study also explores issues of acceptability, experiences, and uptake in a way that is user-friendly for both clients and healthcare providers, systematic (for researchers) and meaningful (for research participants). METHODS Using a qualitative item review approach, WHO DHI descriptors were adapted and refined systematically to be used in survey form. This has been designed to align with the processes of delivering and receiving care in clinical practice; using musculoskeletal physiotherapy as a practical case scenario. RESULTS The adapted descriptor items were incorporated into complementary research survey instruments (for healthcare providers and clients), which will be used in a larger cross-sectional study exploring the willingness of both parties to use digital technologies in management of musculoskeletal conditions. CONCLUSIONS This study builds on the WHO standardized DHI framework. We adapted and refined functions of DHIs to develop dual novel survey instruments that can be deployed to explore the perceived usefulness and application of DHIs for different clinical care functions. Researchers may wish to use these survey instruments to examine digital health use systematically in a variety of clinical fields or technology scenarios in a way that is standardized and generalizable. CLINICALTRIAL Not Applicable

scholarly journals The Principles of International Classification of Health Interventions of World Health Organization

2018 ◽  
pp. 18-27
Author(s):  
Irina Tyurina
Keyword(s):  
World Health Organization ◽  
National Level ◽  
International Classification ◽  
Health Interventions ◽  
World Health ◽  
Medical Services ◽  
Medical Interventions ◽  
Health Related ◽  
Health Organization

The application of the nomenclature of medical services in the Russian Federation revealed limitations of its structure and content. The analysis of international experience in the classification of medical interventions can help to improve this nomenclature. World Health Organization has prepared a draft of the International Classification of Health Interventions (ICHI), which should be a part of a family of health-related international classifications. It is not yet finished and cannot be used for the classification of medical services on a national level; however, its main principles have already been formulated. All interventions are classified according to three levels (axes): target of intervention; action (the essence of intervention), and means. Lists of types of targets, actions and means have been developed, and recommendations on the classification and coding of medical interventions have been proposed for various situations. There are significant differences in the approach to the classification of medical interventions between ICHI and the Russian nomenclature of medical services. A detailed comparative analysis of the classification principles in ICHI and in the nomenclature is needed.

scholarly journals Comparative Analysis of Nomenclature of Medical Services and International Classification of Health Interventions of the World Health Organization

2019 ◽  
pp. 18-26
Author(s):  
Irina Vyacheslavovna Tyurina ◽  
Maria Vladimirovna Avxentyeva
Keyword(s):  
Comparative Analysis ◽  
World Health Organization ◽  
International Classification ◽  
Health Interventions ◽  
World Health ◽  
Medical Services ◽  
Medical Interventions ◽  
The World ◽  
Health Organization

The article describes the results of comparative analysis of two classifiers – the nomenclature of medical services, approved by the order of the Ministry of Health of Russia from October 13 2017 № 804(n), and International Classification of Health Interventions (ICHI), developed by World Health Organization. Similarities and differences are identified in classification of medical interventions in ICHI and medical services in nomenclature. Results of this work are expected to serve as a base for nomenclature’s improvement.

scholarly journals Institutionalising an evidence-informed approach to guideline development: progress and challenges at the World Health Organization

2018 ◽  
Vol 3 (5) ◽  
pp. e000716 ◽  
Author(s):  
Unni Gopinathan ◽  
Steven J Hoffman
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Guideline Development ◽  
Health Interventions ◽  
World Health ◽  
Public Health Interventions ◽  
Independent Evaluation ◽  
Development Processes ◽  
Health Organization

This study explored experiences, perceptions and views among World Health Organization (WHO) staff about the changes, progress and challenges brought by the guideline development reforms initiated in 2007. Thirty-five semistructured interviews were conducted with senior WHO staff. Sixteen of the interviewees had in-depth experience with WHO’s formal guideline development process. Thematic analysis was conducted to identify key themes in the qualitative data, and these were interpreted in the context of the existing literature on WHO’s guideline development processes. First, the reforms were seen to have transformed and improved the quality of WHO’s guidelines. Second, independent evaluation and feedback by the Guidelines Review Committee (GRC) was described to have strengthened the legitimacy of WHO’s recommendations. Third, WHO guideline development processes are not yet designed to systematically make use of all types of research evidence needed to inform decisions about health systems and public health interventions. For example, several interviewees expressed dissatisfaction with the insufficient attention paid to qualitative evidence and evidence from programme experience, and how the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process evaluates the quality of evidence from non-randomised study designs, while others believed that GRADE was just not properly understood or applied. Fourth, some staff advocated for a more centralised quality assurance process covering all outputs from WHO’s departments and scientific advisory committees, especially to eliminate strategic efforts aimed at bypassing the GRC’s requirements. Overall, the ‘culture change’ senior WHO staff called for over 10 years ago appears to have gradually spread throughout the organisation. However, at least two major challenges remain: (1) ensuring that all issued advice benefits from independent evaluation, monitoring and feedback for quality and (2) designing guideline development processes to better acquire, assess, adapt and apply the full range of evidence that can inform recommendations on health systems and public health interventions.

Facilitating Mobile Initiatives in Healthcare and Wellness Management

2020 ◽  
pp. 350-357
Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg
Keyword(s):  
Chronic Disease ◽  
World Health Organization ◽  
Digital Health ◽  
World Health ◽  
Health And Wellness ◽  
The World ◽  
Health Organization ◽  
Number Of Individuals

Arguably, the most prevailing chronic disease today is diabetes. The World Health Organization (WHO) notes that diabetes is a silent epidemic, and by 2020, there will be a 54% rise in the total number of individuals diagnosed with this disease. These are distressing figures. Many are turning to technology solutions to assist. What becomes important is the ability to rapidly design and develop appropriate digital health and wellness solutions.

World Health Organization urges stronger focus on nutrition within health services

2020 ◽  
Vol 26 (2) ◽  
pp. 1-2 ◽  
Author(s):  
Gemma Harris
Keyword(s):  
Health Services ◽  
World Health Organization ◽  
Healthcare Providers ◽  
World Health ◽  
The World ◽  
Health Organization

A stronger focus on nutrition could have myriad benefits for health services, reducing rates of preventable illness, obesity and mortality. Gemma Harris discusses reports from the World Health Organization, which set out what this stronger focus might entail for healthcare providers and the positive changes that could be achieved.

scholarly journals "Digital Health Earth": towards a global healthcare management geolocating human health condition by means of space technology

Geocontext ◽  
2021 ◽  
pp. 52-71
Author(s):  
Antonio Del Mastro ◽  
Monaco Federico ◽  
Evgeniy Eremchenko ◽  
Binti Nelson
Keyword(s):  
Digital Health ◽  
Healthcare Providers ◽  
Health Condition ◽  
Healthcare Management ◽  
Added Value ◽  
World Health ◽  
Space Technology ◽  
Mortality And Morbidity ◽  
Health Initiatives ◽  
Health Organization

Healthcare providers such as the World Health Organization, transnational and global health initiatives, the national healthcare systems, down to the smallest villages and individual practitioners and professionals could benefit from geo referential data and metadata and 3D digital assets provided by space technology. Health prevention and literacy programs, mortality and morbidity rates, including contextual statistical data about populations and territories are being already produced and accessible. The hypothetical frame of a Digital Health Earth hereto presented could be performed as the interoperability of 3D representations of sectors of territories and geolocalized layers about health and environment. SDG Goals crossed with WHO programs and available data can become the premises for the design and development of a global representation of healthcare situations, highlighting priorities and disseminating data by intuitive and interactive modes of visualization as it is already happening with 2D dashboards about COVID-19 pandemic. Healthcare practitioners, professionals, health managers, but also patients, proxy, social workers, laypeople, stakeholders and media could benefit from visualizing and comparing Digital Earth health data. Concerns about privacy, digital divide and social exclusion from primary care services and how quality of lives might occur are considered here. As a consequence of Space Technology, especially for its connection with the Satellite industry, Digital Health Earth, will contribute to the development of a new added value economic branch inside the increasing market of the Space Economy Revolution.

scholarly journals Neuroendocrine Tumor Heterogeneity Adds Uncertainty to the World Health Organization 2010 Classification: Real‐World Data from the Spanish Tumor Registry (R‐GETNE)

2018 ◽  
Vol 23 (4) ◽  
pp. 422-432 ◽  
Author(s):  
Barbara Nuñez‐Valdovinos ◽  
Alberto Carmona‐Bayonas ◽  
Paula Jimenez‐Fonseca ◽  
Jaume Capdevila ◽  
Ángel Castaño‐Pascual ◽  
...  
Keyword(s):  
World Health Organization ◽  
Neuroendocrine Tumor ◽  
Real World ◽  
Tumor Heterogeneity ◽  
World Health ◽  
Real World Data ◽  
Tumor Registry ◽  
World Data ◽  
The World ◽  
Health Organization

scholarly journals Cumulative Lifetime Burden of Cardiovascular Disease From Early Exposure to Air Pollution

2020 ◽  
Vol 9 (6) ◽  
Author(s):  
Juyong Brian Kim ◽  
Mary Prunicki ◽  
Francois Haddad ◽  
Christopher Dant ◽  
Vanitha Sampath ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Air Pollution ◽  
World Health Organization ◽  
Current Knowledge ◽  
Scientific Evidence ◽  
Healthcare Providers ◽  
The Elderly ◽  
World Health ◽  
Obesity Hypertension ◽  
Health Organization

Abstract The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which—3.3 million—are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre‐existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years—1.8 billion children—breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution.

Sign in / Sign up

Export Citation Format

Share Document