scholarly journals Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals (Preprint)

2017 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care Professionals ◽  
Psychiatric Care ◽  
Response Rate ◽  
Patient Access ◽  
Swedish Version ◽  
Web Based ◽  
Striking Result ◽  
Specialized Care ◽  
Adult Psychiatry ◽  
Online Access

BACKGROUND When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult psychiatric care in Region Skåne. OBJECTIVE The objective of this study was to describe, compare, and discuss how different HCPs in adult psychiatric care in Region Skåne expect Open Notes to impact their patients and their own practice. METHODS A full population Web-based questionnaire was distributed to psychiatric care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. RESULTS The results show that the psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. CONCLUSIONS Open Notes can increase the transparency between patients and psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.

scholarly journals Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals

2018 ◽  
Vol 5 (1) ◽  
pp. e11 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care Professionals ◽  
Psychiatric Care ◽  
Response Rate ◽  
Patient Access ◽  
Swedish Version ◽  
Web Based ◽  
Striking Result ◽  
Specialized Care ◽  
Adult Psychiatry ◽  
Online Access

Background When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult psychiatric care in Region Skåne. Objective The objective of this study was to describe, compare, and discuss how different HCPs in adult psychiatric care in Region Skåne expect Open Notes to impact their patients and their own practice. Methods A full population Web-based questionnaire was distributed to psychiatric care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. Results The results show that the psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. Conclusions Open Notes can increase the transparency between patients and psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.

scholarly journals VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes

2014 ◽  
Vol 22 (2) ◽  
pp. 380-389 ◽  
Author(s):  
Kim M Nazi ◽  
Carolyn L Turvey ◽  
Dawn M Klein ◽  
Timothy P Hogan ◽  
Susan S Woods
Keyword(s):  
Healthcare Professionals ◽  
Initial Assessment ◽  
Healthcare Team ◽  
Patient Portal ◽  
Patient Access ◽  
Test Results ◽  
Web Based ◽  
Clinical Notes ◽  
Patient Awareness ◽  
Online Access

Abstract Objective To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal. Methods A web-based survey of VA patient portal users from June 22 to September 15, 2013. Results 33.5% of respondents knew that clinical notes could be viewed, and nearly one in four (23.5%) said that they had viewed their notes at least once. The majority of VA Notes users agreed that accessing their notes will help them to do a better job of taking medications as prescribed (80.1%) and be better prepared for clinic visits (88.6%). Nine out of 10 users agreed that use of visit notes will help them understand their conditions better (91.8%), and better remember the plan for their care (91.9%). In contrast, 87% disagreed that VA Notes will make them worry more, and 88.4% disagreed that access to VA Notes will be more confusing than helpful. Users who had either contacted their provider or healthcare team (11.9%) or planned to (13.5%) primarily wanted to learn more about a health issue, medication, or test results (53.7%). Conclusions Initial assessment of the patient experience within the first 9 months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.

scholarly journals Cost issues with telepsychiatry in the United States

2004 ◽  
Vol 1 (3) ◽  
pp. 6-8 ◽  
Author(s):  
Donald M. Hilty ◽  
James A. Bourgeois ◽  
Thomas S. Nesbitt ◽  
Robert E. Hales
Keyword(s):  
Health Care Professionals ◽  
User Satisfaction ◽  
Psychiatric Care ◽  
The United States ◽  
Positive Outcomes ◽  
Patient Access ◽  
Randomised Trials ◽  
Regional Health ◽  
Primary Health ◽  
Health Centres

Videoconferencing has increased patient access to psychiatric care by linking specialists at academic or regional health centres with primary health care professionals in shortage areas (Hilty et al, 1999, 2002). Preliminary studies have demonstrated positive outcomes and user satisfaction (Hilty et al, 2002). Information is still being sought regarding costs because of a paucity of clinical outcome studies, cost data and randomised trials.

scholarly journals Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals (Preprint)

2018 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Psychiatric Care ◽  
Baseline Survey ◽  
Clinical Documentation ◽  
Web Based ◽  
Professional Groups ◽  
Potential Benefits ◽  
Potential Risks ◽  
Perceived Impact

BACKGROUND This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult psychiatric care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that psychiatric health care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. OBJECTIVE The objective of this study was to describe and discuss how health care professionals in adult psychiatric care in Region Skåne in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. METHODS We distributed a full population Web-based questionnaire to psychiatric care professionals in Region Skåne in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. RESULTS A total of 41.5% (285/687) of the health care professionals reported that none of their patients stated that they had read their Open Notes. Few health care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. CONCLUSIONS Most health care professionals who responded to the postimplementation survey did not experience that patients in adult psychiatric care had become more involved in their care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive.

scholarly journals Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals

10.2196/10521 ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e10521 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Psychiatric Care ◽  
Baseline Survey ◽  
Clinical Documentation ◽  
Web Based ◽  
Professional Groups ◽  
Potential Benefits ◽  
Potential Risks ◽  
Perceived Impact

Background This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult psychiatric care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that psychiatric health care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. Objective The objective of this study was to describe and discuss how health care professionals in adult psychiatric care in Region Skåne in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. Methods We distributed a full population Web-based questionnaire to psychiatric care professionals in Region Skåne in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. Results A total of 41.5% (285/687) of the health care professionals reported that none of their patients stated that they had read their Open Notes. Few health care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. Conclusions Most health care professionals who responded to the postimplementation survey did not experience that patients in adult psychiatric care had become more involved in their care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive.

Estimating the number of cases during COVID-19 pandemics using a web-based tool: first week results of “COVID-19 TRENDS” social media project in the Araba-Alava province in Basque country, Spain. (Preprint)

2020 ◽  
Author(s):  
Ignacio Garitano ◽  
Manuel Linares ◽  
Laura Santos ◽  
Ruth Gil ◽  
Elena Lapuente ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
Response Rate ◽  
Basque Country ◽  
Case Definition ◽  
Public Health Action ◽  
Web Based ◽  
Health Action ◽  
Estimate Number ◽  
Media Project

UNSTRUCTURED On 28th February a case of COVID-19 was declared in Araba-Álava province, Spain. In Spain, a confinement and movement restrictions were established by Spanish Government at 14th March 2020. We implemented a web-based tool to estimate number of cases during the pandemic. We present the results in Áraba-Álava province. We reached a response rate of 10,3% out a 331.549 population. We found that 22,4 % fulfilled the case definition. This tool rendered useful to inform public health action.

scholarly journals Occupational burnout following the first wave of coronavirus disease at a Welsh district general hospital

2021 ◽  
pp. 175114372110100
Author(s):  
Gayathri Chinnappa Srinivas ◽  
Anwen Whitham ◽  
Rachel Rouse ◽  
Vincent Hamlyn ◽  
Matthew Williams
Keyword(s):  
Health Care Professionals ◽  
Response Rate ◽  
District General Hospital ◽  
Learning Opportunities ◽  
Direct Patient Care ◽  
Protective Equipment ◽  
Positive Outcomes ◽  
Occupational Burnout ◽  
Staff Burnout ◽  
The Impact

A survey was conducted to identify the prevalence of occupational burnout amongst health care professionals caring for COVID-19 patients in the Intensive Care Unit (ICU) of a Welsh hospital. The response rate was 79%. Nurses and other staff reassigned to work in the ICU had higher levels of burnout. Working in Personal Protective Equipment was most distressing, followed by direct patient care. There were positive outcomes including learning opportunities, professional development and job satisfaction. The impact of the pandemic on staff burnout may have been mitigated by acknowledging the contribution of staff, improving communication and encouraging them to access support.

Use of Mobile Device Applications In Canadian Dietetic Practice

2014 ◽  
Vol 75 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Jessica R.L. Lieffers ◽  
Vivienne A. Vance ◽  
Rhona M. Hanning
Keyword(s):  
Mobile Device ◽  
Response Rate ◽  
Access To Information ◽  
Personal Factors ◽  
Cross Sectional ◽  
Web Based ◽  
Content Quality ◽  
Information Tools ◽  
Device Applications ◽  
Workplace Factors

Purpose A cross-sectional web-based survey of dietitians was used to explore topics related to mobile devices and their applications (apps) in Canadian dietetic practice. Methods A survey was drafted, posted on SurveyMonkey, and pretested with dietitians and dietetic interns. Dietitians of Canada (DC), a supporter of this work, promoted the survey to members through its monthly electronic newsletters from January 2012 to April 2012. Results Of 139 dietitians who answered some survey questions, 118 finished the survey; this represents a response rate of approximately 3%. Overall, 57.3% of respondents reported app use in practice, and 54.2% had a client ask about or use a nutrition/food app. About 40.5% of respondents had recommended nutrition/food apps to clients. Respondents were enthusiastic about apps, but many described challenges with use. From the survey data, three themes emerged that can affect dietitians’ use of apps and whether they recommend apps to clients: mobile device and app factors (access to information/ tools, content quality, usability, accessibility/compatibility, and cost), personal factors (knowledge, interest, suitability, and willingness/ability to pay), and workplace factors. Conclusions Apps are now infiltrating dietetic practice. Several factors can affect dietitians’ use of apps and whether they recommend them to clients. These findings will help guide future development and use of apps in practice.

scholarly journals AWARENESS OF COVID-19 AMONG GENERAL POPULATION OF NORTHEAST INDIA: A WEB BASED CROSS-SECTIONAL STUDY

2021 ◽  
Vol 9 (02) ◽  
pp. 170-177
Author(s):  
Nirmali Gogoi ◽  
Anusuya Goswami
Keyword(s):  
General Population ◽  
Health Care Professionals ◽  
Close Contact ◽  
Northeast India ◽  
General Information ◽  
Cross Sectional ◽  
Web Based ◽  
Validated Questionnaire ◽  
Community Transmission ◽  
Mode Of Transmission

Introduction: The emerging infection of COVID-19 was initiated from Wuhan, China, have been spread to more than 210 countries around the globe including India. Now India is 4th position in the world scenario of COVID-19 with 426910 infected cases and 13,703 deaths by 22 June 2020. In the northeast, Assam is in highest position with 5,586 cases and 9 deaths till now. Awareness is the key factor for prevention of spread of COVID-19 among general people. In view of these contexts, the present study was undertaken to assess awareness of COVID-19 among general population of Northeast India. The aim of the study was to assess the level of awareness among general population of Northeast India regarding COVID-19. Materials and Methods: A web based survey was conducted among 185 people of deferent states of northeast during the period of April and May 2020. A self-structured validated questionnaire used for collecting information. Descriptive analysis was performed to represent the study characteristics. Awareness among the study population was categories into 3 Levels i.e Adequate, Moderately Adequate and Inadequate. Level of Adequate awareness considered as > (Mean + SD, Moderately Adequate as (Mean-SD)-(Mean + SD) and Inadequate as < (Mean-SD. Results & Discussion: Overall awareness on COVID-19, majority of respondents, 97(52.4%) have moderately adequate awareness. 49(26.5%) of respondents have adequate awareness and 39(21.1%) have inadequate awareness. It reveals that overall level of awareness is not satisfactory. Less than half of people were aware adequately about the COVID-19. Highest percentage of adequate, 36(44.4%) and inadequate, 21(25%) awareness reported from Manipur, Highest percentage of moderately adequate awareness reported from Nagaland, 17 (85%). Slightly more than half of respondents were aware about the general information, 102 (67.45%) and risk factors, 119 (64.3%) of COVID-19. Most of the respondents were aware about the mode of transmission, 176(95.1%), meaning of community transmission, 135 (72.9%), common sign and symptoms, 154(83.2%), and incubation periods 164(88.6%) of COVID-19. Regarding prevention of COVID-19, average awareness of total respondents was 154 (83.24%). Similar percentage of all levels of awareness have seen in male and female both. Conclusion: The virus is primarily spread between people during close contact, most often via small droplets produced by coughing, sneezing, and talking. Lack of awareness and negligence of general people regarding mode of transmission of COVID-19 which created community transmission. General people of Northeast still required awareness regarding COVID-19. There is a need of regular awareness programme among the general population by the health care professionals.

scholarly journals Management of complex renal cysts in Canada: Results of a survey study

2020 ◽  
Author(s):  
Félix Couture ◽  
Antonio Finelli ◽  
Amélie Tétu ◽  
Bimal Bhindi ◽  
Rodney H. Breault ◽  
...  
Keyword(s):  
Active Surveillance ◽  
Practice Patterns ◽  
Response Rate ◽  
Renal Cysts ◽  
Survey Study ◽  
Management Option ◽  
Web Based ◽  
Survey Response Rate ◽  
Risk Of Malignancy ◽  
Mass Surveillance

Abstract Background Bosniak III and IV cysts have a high risk of malignancy and have traditionally been managed surgically. However, growing evidence suggests that many can be managed by active surveillance. The main objective of this study was to characterize the use of surveillance in the management of complex renal cysts. Methods A web-based survey was sent to all registered, active members of the Canadian Urological Association (N=583) in October 2018. Results The survey response rate was 24.7%. Management of Bosniak III cysts varied considerably. A large proportion of respondents (33.1%) offered active surveillance in >50% of cases. Only 13.7% of respondents reported never or rarely (<5% of cases) offering surveillance. In contrast, for Bosniak IV cysts, 60.1% of urologists never or rarely offered surveillance, while only 10.1% offer it in >50% of cases. A significantly greater proportion of academic urologists, compared to non-academic urologists, viewed surveillance as a management option for patients with a Bosniak III or IV cyst. The most commonly reported barriers to a greater adoption of surveillance were concerns regarding its oncologic safety, the lack of data to support surveillance in this population, and the lack of triggers for discontinuation of active surveillance and intervention. Conclusions Despite active surveillance being included as a management option in guidelines, many Canadian urologists are reluctant to offer surveillance to patients with Bosniak III or IV cysts. Practice patterns are heterogeneous among those offering surveillance. High-quality studies are required to better define the benefits and risks of cystic renal mass surveillance.

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