Title: Remote monitoring program for patients with COVID-19 after hospital discharge: Exploring user's experience and perspectives on two telehealth platforms. (Preprint)

2021 ◽  
Author(s):  
Marie-Pascale Pomey ◽  
Khayreddine Bouabida ◽  
Bertrand Lebouché ◽  
Kathy Malas ◽  
Annie Talbot ◽  
...  
Keyword(s):  
Content Analysis ◽  
Remote Monitoring ◽  
Healthcare Providers ◽  
Monitoring Program ◽  
Healthcare Services ◽  
Descriptive Statistics ◽  
Research Approach ◽  
Quality And Safety ◽  
Cross Sectional ◽  
Phone Calls

BACKGROUND As Covid-19 pandemic circumstances created the need to act to reduce the spread of the virus and alleviate healthcare services from congestions, protect healthcare providers and support them in maintaining a satisfactory quality and safety of care, Covid19 patient remote monitoring platforms quickly emerged. OBJECTIVE This study aimed to evaluate the capacity and contribution of two different platforms' services to monitor remotely patients with Covid-19. The first is a platform of telecare calls (Telecare-Covid), and the second platform is a telemonitoring app (Tactio-Covid). The study sought to examine the differences in acceptability, usefulness, and conviviality of those two different platforms services from users' perspectives and evaluate their contribution in maintaining the quality and safety of care, and engaging patients in their care. METHODS We performed a retrospective cross-sectional study using a survey. The data were collected through phone calls between May and August 2020. The data were analyzed using descriptive statistics, and t-test analysis. The participants' responses and comments on open-ended questions were analyzed using content analysis. The research approach through descriptive statistics allowed us to examine the differences in acceptability, usefulness, and conviviality of those two different platforms services from users' perspectives and determine their contributions to maintaining the quality and safety of care and promoting patient engagement. Whereas the content analysis of the general comments enabled the identification of certain stakes and challenges and improvements paths of the platforms. RESULTS In total, 51 patients participated in the study. 18 participants have used the Tactio-Covid platform and 33 participants have used the Telecare-Covid platform. Overall, the satisfaction rate regarding the quality and safety of the care services provided through the two platforms was 80%. Over 88% of users on each platform considered the services offered by the two platforms as engaging, useful, convivial, and meet their needs. The survey identified very few significant differences in users' perceptions regarding certain aspects on each platform. The survey identified four well-appreciated domains by the platforms’ users: (1) the ease of access and the proximity of care teams, and (2) the conviviality of the platform features (3) the continuity of care, and (4) the multitude of services. Certain stakes and limits such as the importance of maintaining human contact and confidentiality have been also identified and suggestions for improvement have been formulated. CONCLUSIONS This study provided preliminary evidence suggesting that the two remote monitoring platforms were well-received by users by users with very few significant differences between users' experience and perspectives over the two platforms. This type of program can be considered in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be considered in a patient-centered manner. CLINICALTRIAL NA

scholarly journals Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study

2021 ◽  
Vol 3 ◽  
Author(s):  
Khayreddine Bouabida ◽  
Kathy Malas ◽  
Annie Talbot ◽  
Marie-Ève Desrosiers ◽  
Frédéric Lavoie ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Monitoring Program ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Quality And Safety ◽  
Sectional Study ◽  
User Friendliness ◽  
Cross Sectional ◽  
Phone Calls ◽  
Wide Range

Background: The COVID-19 pandemic created an urgent need to act to reduce the spread of the virus and alleviate congestion from healthcare services, protect healthcare providers, and help them maintain satisfactory quality and safety of care. Remote COVID-19 monitoring platforms emerged as potential solutions.Objective: The purpose of this study was to evaluate the capacity and contribution of two different platforms used to remotely monitor patients with COVID-19 to maintain quality, safety, and patient engagement in care, as well as their acceptability, usefulness, and user-friendliness from the user's perspective. The first platform is focused on telecare phone calls (Telecare-Covid), and the second is a telemonitoring app (CareSimple-Covid).Methods: We performed a cross-sectional study. The data were collected through a phone survey from May to August 2020. Data were analyzed using descriptive statistics and t-test analysis. Participants' responses and comments on open-ended questions were analyzed using content analysis to identify certain issues and challenges and potential avenues for improving the platforms.Results: Fifty one patients participated in the study. Eighteen participants used the CareSimple-Covid platform and 33 participants used the Telecare-Covid platform. Overall, the satisfaction rate for quality and safety of care for the two platforms was 80%. Over 88% of the users on each platform considered the platforms' services to be engaging, useful, user-friendly, and appropriate to their needs. The survey identified a few significant differences in users' perceptions of each platform: empathy toward users and the quality and safety of the care received were rated significantly higher on the CareSimple-Covid platform than on the Telecare-Covid platform. Users appreciated four aspects of these telehealth approaches: (1) the ease of access to services and the availability of care team members; (2) the user-friendliness of the platforms; (3) the continuity of care provided, and (4) the wide range of services delivered. Users identified some technical limitations and raised certain issues, such as the importance of maintaining human contact, data security, and confidentiality. Improvement suggestions include promoting access to connected devices; enhancing communications between institutions, healthcare users, and the public on confidentiality and personal data protection standards; and integrating a participatory approach to telehealth platform development and deployment efforts.Conclusion: This study provides preliminary evidence that the two remote monitoring platforms are well-received by users, with very few significant differences between them concerning users' experiences and views. This type of program could be considered for use in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be addressed with a patient-centered approach.

scholarly journals Telemedicine in Spine Surgery: Global Perspectives and Practices

2021 ◽  
pp. 219256822110223
Author(s):  
Grant Riew ◽  
Francis Lovecchio ◽  
Dino Samartzis ◽  
Philip K. Louie ◽  
Niccole Germscheid ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Descriptive Statistics ◽  
South American ◽  
Geographical Differences ◽  
Cross Sectional ◽  
Global Perspectives ◽  
Phone Calls ◽  
Initial Appointment ◽  
Almost All

Study Design: Cross-sectional, anonymous, international survey. Objectives: The COVID-19 pandemic has resulted in the rapid adoption of telemedicine in spine surgery. This study sought to determine the extent of adoption and global perspectives on telemedicine in spine surgery. Methods: All members of AO Spine International were emailed an anonymous survey covering the participant’s experiences with and perceptions of telemedicine. Descriptive statistics were used to depict responses. Responses were compared among regions. Results: 485 spine surgeons participated in the survey. Telemedicine usage rose from <10.0% to >39.0% of all visits. A majority of providers (60.5%) performed at least one telemedicine visit. The format of “telemedicine” varied widely by region: European (50.0%) and African (45.2%) surgeons were more likely to use phone calls, whereas North (66.7%) and South American (77.0%) surgeons more commonly used video ( P < 0.001). North American providers used telemedicine the most during COVID-19 (>60.0% of all visits). 81.9% of all providers “agreed/strongly agreed” telemedicine was easy to use. Respondents tended to “agree” that imaging review, the initial appointment, and postoperative care could be performed using telemedicine. Almost all (95.4%) surgeons preferred at least one in-person visit prior to the day of surgery. Conclusion: Our study noted significant geographical differences in the rate of telemedicine adoption and the platform of telemedicine utilized. The results suggest a significant increase in telemedicine utilization, particularly in North America. Spine surgeons found telemedicine feasible for imaging review, initial visits, and follow-up visits although the vast majority still preferred at least one in-person preoperative visit.

scholarly journals Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

2020 ◽  
Vol 17 (17) ◽  
pp. 6320
Author(s):  
Ju Young Kim ◽  
Dae In Kim ◽  
Hwa Yeon Park ◽  
Yuliya Pak ◽  
Phap Ngoc Hoang Tran ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs

The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

scholarly journals Barriers to the use of health services among deaf and hard of hearing adults in Greece: a Cross-Sectional Study

2018 ◽  
Vol 6 (4) ◽  
pp. 638 ◽  
Author(s):  
Dialechti Tsimpida ◽  
Daphne Kaitelidou ◽  
Petros Galanis
Keyword(s):  
Health Services ◽  
Sign Language ◽  
Hard Of Hearing ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Minority Population ◽  
Health Providers ◽  
Cross Sectional ◽  
Use Of Health Services

Rationale, Aims and Objectives: To explore the issues related to the use of health services by deaf and hard of hearing adults in Greece.Method: The study population consisted of 140 adults with hearing loss (86 deaf and 54 hard of hearing). We gathered information about sociodemographic characteristics, use of health services characteristics, satisfaction from health providers and complaints during the use of health services.Results: A considerable percentage of the participants did not make appropriate use of healthcare services, as they made avoidable visits to emergency departments even for minor, short-term conditions (p=0.002) or used to just wait for the symptoms to pass in an illness occurrence (p=0.06). They also experienced major difficulties as part of the health visit (p=0.01) and the quality of communication with health providers (p=0.002). The absence of assistive technology, along with the lack of low availability of Sign Language interpreters, were important barriers for those that communicate in Sign Language. Regarding the engagement with healthcare providers, there were high rates of dissatisfaction from doctors, nurses and receptionists related to issues during the use of health services.Conclusions: Our results underscore the fact that deaf and hard of hearing persons constitute a minority population that experience major barriers during the use of health services and considerable difficulties in the healthcare provider-patient relationship. In light of these findings, a special effort must be made to ensure that deaf and hard of hearing individuals receive appropriate, ethical and person-centered healthcare.

scholarly journals Patients’ Satisfaction on Selangor Hospitals

2020 ◽  
pp. 33-40
Author(s):  
Nor Azilah Husin ◽  
Hendra Lukito ◽  
Athirah Noor Aisyahmohd Nizam ◽  
Nur Qhairunnisa Mohamed Rashid ◽  
Nurul Anis Halid
Keyword(s):  
Service Quality ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Hospital Performance ◽  
Descriptive Statistics ◽  
Primary Data ◽  
Private Hospitals ◽  
Correlation And Regression Analysis ◽  
Patients Satisfaction ◽  
Self Administered Questionnaire

Malaysian healthcare is nominated as one of the best healthcare providers in the world. However, does this fact reflect the patients' satisfaction? Therefore, this research aims to investigate whether empathy, competency, and service quality influence patients' satisfaction in healthcare services in Selangor, Malaysia. Primary data are collected using a self-administered questionnaire and a sample of 206 patients from four government and private hospitals in Selangor. Data were analysed through descriptive statistics, correlation and regression analysis. The findings show that empathy has the strongest relationship (β= .403) followed by service quality with (β=.284) and competency (β= .176). All factors also influenced patients' satisfaction. All identified variables contribute to a big amount of variances (R2=66.8percent) to the overall hospital performance that makes its client happy and satisfied. The understanding patients' satisfaction will lead to many improved services. Practically, this study can contribute to a better experience for patients and knowledge for hospitals to strive for a better service healthcare provider.

scholarly journals Perceived Consequences of Healthcare Service Decentralization on Access, Affordability and Quality of Care in Khartoum Locality, Sudan

2020 ◽  
Author(s):  
Bandar Noory ◽  
Sara Hassanein ◽  
Jeffrey Edwards ◽  
Benedikte Victoria Lindskog
Keyword(s):  
Quality Of Care ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
System Capacity ◽  
Cross Sectional ◽  
Study Results ◽  
Catchment Areas ◽  
The Impact

Abstract Background: Decentralization of healthcare services have been widely utilized, especially in developing countries, to improve the performance of healthcare systems by increasing the access and efficiency of service delivery. Experiences have been variable secondary to disparities in financial and human resources, system capacity and community engagement. Sudan is no exception and understanding the perceived effect of decentralization on access, affordability, and quality of care among stakeholders is crucial.Methods: This was a mixed method, cross-sectional, explorative study that involved 418 household members among catchment areas and 40 healthcare providers of Ibrahim Malik Hospital (IBMH) and Khartoum Teaching Hospital (KTH). Data were collected through a structured survey and in-depth interviews from July-December 2015.Results: Access, affordability and quality of healthcare services were all perceived as worse, compared to before decentralization was implemented. Reported affordability was found to be 53% and 55% before decentralization compared to 24% to 16% after decentralization, within KTH and IBMH catchment areas respectively, (p= 0.01). The quality of healthcare services were reported to have declined from 47% and 38% before decentralization to 38% and 28% after, in KTH and IBMH respectively (p=0.02). Accessibility was found to be more limited, with services being accessible before decentralization approximately 59% and 52% of the time, compared to 41% and 30% after, in KTH and IBMH catchment areas respectively, (p=0.01).Accessibility to healthcare was reported to have decreased secondary to facility closures, reverse transference of services, and low capacity of devolved facilities. Lastly, privatized services were reported as strengthened in response to this decentralization of healthcare. Conclusions: The deterioration of access, affordability and quality of health services was experienced as the predominant perception among stakeholders after decentralization implementation. Our study results suggest there is an urgent need for a review of the current healthcare policies, structure and management within Sudan in order to provide evidence and insights regarding the impact of decentralization.

scholarly journals Evaluation of the Level of Safety and Disaster Preparedness of Comprehensive Healthcare Centers in Babol, Iran

2019 ◽  
pp. 287-293
Keyword(s):  
Disaster Preparedness ◽  
Safety Assessment ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Structural Safety ◽  
Average Score ◽  
Sectional Study ◽  
Safety Level ◽  
Cross Sectional

INTRODUCTION: Comprehensive healthcare centers should be able to provide primary healthcare services during disasters; therefore, it is necessary to assess their safety and preparedness to ensure that they can have acceptable functionality in critical situations. In this regard, the present study aimed to evaluate the level of safety and disaster preparedness of comprehensive healthcare centers in Babol, Iran. METHODS: The present descriptive cross-sectional study was conducted in 2016 to investigate the safety level and disaster preparedness of 232 comprehensive healthcare centers in Babol, using observation and checklists. The used checklist consisted of three parts, namely functional, structural, and non-structural safety assessment. Finally, the collected data were analyzed using descriptive statistics. FINDINGS: Based on the data analysis, the studied centers were more prone to weather hazards than other types of disasters. Moreover, the evaluation of the different aspects of the functionality of the centers showed that the best functionality was observed in firefighting, provision of the environmental health services, organization and structure, and provision of infectious disease management services, in that order. The non-structural safety obtained the highest average score (37.49) while the scores of functional and structural safety were 21.76 and 9.27, respectively. CONCLUSION: Based on the results, all the studied comprehensive healthcare centers had a moderate level of structure and functional safety, while no center had a completely desirable level. Therefore, it is recommended to develop proper plans and monitor the comprehensive healthcare centers to eliminate their defects and improve the level of their safety.

The state of play in children's occupational therapy: A comparison between Ireland, Sweden and Switzerland

2017 ◽  
Vol 81 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Helen Lynch ◽  
Maria Prellwitz ◽  
Christina Schulze ◽  
Alice H Moore
Keyword(s):  
Content Analysis ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
The State ◽  
Descriptive Statistics ◽  
European Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Primary Focus

Introduction Play is viewed as an important occupation in childhood and consequently in children's occupational therapy. However, few studies have explored the place of play in therapy practice. This study aimed to contribute to this knowledge gap by exploring play in occupational therapy in three European countries. Method A cross-sectional survey of occupational therapists in Ireland, Sweden and Switzerland was conducted to examine the use of play with children under 12 years old. A web-based survey was distributed to 935 occupational therapists, resulting in 338 returned surveys (36%). Responses were analysed using descriptive statistics and content analysis. Results Results were organised into three themes: (1) demographics and practice context; (2) play education and (3) use of play in practice. Respondents reported that although they valued play as an occupation, their primary focus was on play as a means to achieving other goals. Lack of education on play (research, theory and interventions) and pressures in the workplace were identified as barriers to play-centred practice. Conclusion Findings indicate that there is a mismatch between therapists valuing play as an occupation and how play is utilised in therapy practice. There is a need to strengthen education and research on play occupation to strengthen play-centred practice.

scholarly journals No such thing as bad publicity? A quantitative content analysis of print media representations of primary care out-of-hours services

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023192
Author(s):  
Hamish Foster ◽  
Sara Macdonald ◽  
Chris Patterson ◽  
Catherine A O’Donnell
Keyword(s):  
Content Analysis ◽  
Contextual Information ◽  
Personal Narratives ◽  
Healthcare Services ◽  
Media Representations ◽  
Quantitative Content Analysis ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Quantitative Content ◽  
Middle Market

ObjectiveTo explore how out-of-hours primary healthcare services (OOHS) are represented in UK national newspapers, focusing on content and tone of reporting and the use of personal narratives to frame stories.DesignA retrospective cross-sectional quantitative content analysis of articles published in 2005, 2010 and 2015.Data sourcesNexis database used to search 10 UK national newspapers covering quality, middle-market and tabloid publications.Inclusion/exclusion criteriaAll articles containing the terms ‘out-of-hours’ (≥3 mentions per article) or (‘NHS 24’ OR ‘NHS 111’ OR ‘NHS Direct’) AND ‘out-of-hours’ (≥1 mention per article) were included. Letters, duplicate news items, opinion pieces and articles without a substantial portion of the story (>50% of an article’s word count, as judged by researchers) concerning OOHS were excluded.Results332 newspaper articles were identified: 113 in 2005 (34.1%), 140 in 2010 (42.2%) and 79 in 2015 (23.8%). Of these, 195 (58.7%) were in quality newspapers, 99 (29.8%) in middle-market and 38 (11.3%) in tabloids. The most commonly reported themes were OOHS organisation, personal narratives and telephone triage. Stories about service-level crises and personal tragedy, including unsafe doctors and missed or delayed identification of rare conditions, predominated. The majority of articles (252, 75.9%) were negative in tone. This was observed for all included newspapers and by publication genre; middle-market newspapers had the highest percentage of negative articles (Pearson χ2=35.72, p<0.001). Articles presented little supporting contextual information, such as call rates per annum, or advice on how to access OOHS.ConclusionIn this first reported analysis of UK national newspaper coverage of OOHS, media representation is generally negative in tone, with frequent reports of ‘negative exemplars’ of OOHS crises and fatal individual patient cases with little or no contextualisation. We present recommendations for the future reporting of OOHS, which could apply to the reporting of healthcare services more generally.

scholarly journals Journey of rheumatoid arthritis patients in Tunisia: From symptoms to treatment

2021 ◽  
Author(s):  
Alia Fazaa ◽  
Hiba Bettaieb ◽  
Meriem Sellami ◽  
Saoussen Miladi ◽  
Kmar Ouenniche ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Social Insurance ◽  
Disease Onset ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Wait Times ◽  
Diagnosis Delay ◽  
Cross Sectional ◽  
Study Results ◽  
The Mean

Objectives: This study aims to assess the different delays of rheumatoid arthritis (RA) patients’ journey from disease onset to treatment initiation and to identify possible influencing factors. Patients and methods: This cross-sectional study included a total of 100 patients (14 males, 86 females; mean age: 56.5±12.4 years; range, 26 to 82 years) who met the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria for RA between January 2019 and January 2020. Demographic and clinical data and disease characteristics were collected from the patient interviews and medical files. Five different intervals were defined from symptom onset until the initiation of conventional synthetic disease-modifying anti- rheumatic drugs (csDMARDs). Results: The mean age at RA onset was 46.6±12.4 years. Median delays from onset of symptoms until general practitioner (GP) and rheumatologist consultations were six (range, 0.25 to 240) months and 12 (range, 0 to 242) months, respectively. Median delays from onset of symptoms to RA diagnosis and treatment with csDMARDs were 15.7 (range, 2 to 252) months and 18 (range, 2 to 270) months, respectively. The mean number of consultations was 7.3±4.2 and the median number of physicians visited before the diagnosis was three (range, 1 to 8). The RA diagnosis delay was associated with rural geographic environment (p=0.02), lack of social insurance (p=0.027), progressive symptoms onset (p=0.006), morning stiffness (p=0.023), being initially examined by a GP (p=0.02), number of consultations (p<0.001; r=0.49), and number of physicians consulted before diagnosis (p=0.001; r=0.33) respectively. Based on the patients’ self-perception, the main causes of this long delay were lack of financial means (33%), wait times until exploration results (31%), wait times until the first GP or rheumatologist visit (26%), and geographical difficulty in accessing healthcare services (18%). Conclusion: Our study results suggest that patients with RA experience a significant delay until diagnosis and initiation of treatment. Healthcare providers should urgently consider factors related to diagnosis delay to shorten RA patients’ journey.

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