scholarly journals библиоVirtual reality (VR) in clinical medicine: international and Russian experience

2021 ◽  
Vol 7 (3) ◽  
pp. 7-20
Author(s):  
M.M. Zelensky ◽  
◽  
S.A. Reva ◽  
A.I. Shaderkina ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Virtual Reality ◽  
Clinical Practice ◽  
Medical Staff ◽  
Clinical Medicine ◽  
Surgical Interventions ◽  
Wide Range ◽  
Innovative Tool ◽  
Technological Methods ◽  
Medicine Education

Introduction. This article reviews an application of highly technological methods of virtual reality (VR) in clinical practice based on various studies and experiments of foreign and Russian researchers in recent years. The aim of this review is to demonstrate application of virtual reality technologies for further transformation of classical medicine into digital one. Materials and methods. There is significant growth of interest in the use of VR in medicine. Particularly, only in PubMed library such dynamics can be traced by using key words «VR technology in medicine»: in 2017 year there were 58 articles, in 2018 – 65, in 2019 – 106, in 2020 – 127, and currently in the first half of 2021 year there are already 145 articles. For this paper 37 articles from international journals and 28 from Russian ones were selected. The accent was made on the usage of VR technologies in different fields of clinical medicine, education of medical staff and patients. Results. In this paper we described wide range of experiments on using VR technologies during various medical manipulations such as diagnosis, planning of surgical interventions, cognitive therapy, pain management, preventing medicine and conservative treatment. Examples of successful clinical management of patients during rehabilitation and health maintaining were shown. Medical fields where VR is currently widely used were chosen, promising directions for further research were indicated. We also described opportunities of VR application for teaching medical staff. Conclusion. Nearly all researchers who applied virtual reality (VR) in clinical practice have come to similar conclusion. This innovative tool is a breakthrough in medicine and it has high potential for using it by physicians, patients and health care organizers. Authors have articulated issues which should be managed for further successful introduction VR technologies into modern clinical practice.

Cost of Cancer Care: Issues and Implications

2007 ◽  
Vol 25 (2) ◽  
pp. 180-186 ◽  
Author(s):  
Neal J. Meropol ◽  
Kevin A. Schulman
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Clinical Practice ◽  
Cancer Care ◽  
Medical Technology ◽  
Clinical Medicine ◽  
Scientific Progress ◽  
Medical Spending ◽  
Cost Of Health Care

Medical technology is increasingly costly in most fields of clinical medicine. Oncology has not been spared from issues related to cost, in part resulting from the tremendous scientific progress that has lead to new tools for diagnosis, treatment, and follow-up of our patients. The increasing cost of health care in general (and cancer care in particular) raises complex questions related to its effects on our economy and the citizens of our society. This article reviews the macroeconomic principles and individual behaviors that govern medical spending, and examines how cost disproportionately affects various populations. Our overall goal is to frame debate about health policy concerns that influence the clinical practice of oncology.

scholarly journals Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook (Preprint)

2017 ◽  
Author(s):  
Michelle Sophie Keller ◽  
Hannah J Park ◽  
Maria Elena Cunningham ◽  
Joshua Eleazar Fouladian ◽  
Michelle Chen ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Virtual Reality ◽  
Content Analysis ◽  
Public Opinion ◽  
Patient Care ◽  
Stress Reduction ◽  
Media Content Analysis ◽  
Scientific Software ◽  
Wide Range

BACKGROUND Virtual reality (VR) technology provides an immersive environment that enables users to have modified experiences of reality. VR is increasingly used to manage patients with pain, disability, obesity, neurologic dysfunction, anxiety, and depression. However, public opinion regarding the use of VR in health care has not been explored. Understanding public opinion of VR is critical to ensuring effective implementation of this emerging technology. OBJECTIVE This study aimed to examine public opinion about health care VR using social listening, a method that allows for the exploration of unfiltered views of topics discussed on social media and online forums. METHODS In March 2016, NBC News produced a video depicting the use of VR for patient care. The video was repackaged by NowThis, a social media news website, and distributed on Facebook by Upworthy, a news aggregator, yielding 4.3 million views and 2401 comments. We used Microsoft Excel Power Query and ATLAS.ti software (version 7.5, Scientific Software Development) to analyze the comments using content analysis and categorized the comments around first-, second-, and third-order concepts. We determined self-identified gender from the user’s Facebook page and performed sentiment analysis of the language to analyze whether the perception of VR differed by gender using a Pearson’s chi-square test. RESULTS Out of the 1614 analyzable comments, 1021 (63.26%) were attributed to female Facebook users, 572 (35.44%) to male users, and 21 (1.30%) to users of unknown gender. There were 1197 comments coded as expressing a positive perception about VR (74.16%), 251 coded as expressing a negative perception and/or concern (15.56%), and 560 coded as neutral (34.70%). Informants identified 20 use cases for VR in health care, including the use of VR for pain and stress reduction; bed-bound individuals; women during labor; and patients undergoing chemotherapy, dialysis, radiation, or imaging procedures. Negative comments expressed concerns about radiation, infection risk, motion sickness, and the ubiquity of and overall dependence on technology. There was a statistically significant association between the language valence of the Facebook post and the gender of the Facebook user; men were more likely to post negative perceptions about the use of VR for health care, whereas women were more likely to post positive perceptions (P<.001). CONCLUSIONS Most informants expressed positive perceptions about the use of VR in a wide range of health care settings. However, many expressed concerns that should be acknowledged and addressed as health care VR continues to evolve. Our results provide guidance in determining where further research on the use of VR in patient care is needed, and offer a formal opportunity for public opinion to shape the VR research agenda.

scholarly journals Acceptance and Resistance of New Digital Technologies in Medicine: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Sabur Safi ◽  
Thomas Thiessen ◽  
Kurt JG Schmailzl
Keyword(s):  
Health Care ◽  
Technology Acceptance ◽  
Medical Staff ◽  
New Technologies ◽  
Medical Professionals ◽  
Successful Implementation ◽  
Local Health ◽  
Medical Technologies ◽  
Health Care Structure ◽  
Wide Range

BACKGROUND This study discusses the acceptance of new medical technologies in health care settings and resistance to these technologies from hospitals, doctors’ surgical centers, electronic health (eHealth) centers, and related institutions. We suggest a novel method of identifying factors that influence the acceptance of, and resistance to, new technologies by medical staff and patients. OBJECTIVE The objective of this study was to determine and evaluate the factors that influence acceptance and resistance to achieve a successful implementation of new technologies. METHODS The target group was patients residing in Brandenburg and major stakeholders in the local health care structure, for instance, medical institutions and medical professionals. The process relies on 3 models: the technology acceptance model, the unified technology acceptance and use of technology model, and the theory of technical innovation diffusion. Qualitative methodology was employed in this study, and an exploratory design was adopted to gain new insights into a poorly understood phenomenon in the German context. This enabled the researcher to take a flexible approach toward exploring a wide range of secondary data and to choose a different approach when unexpected information emerged. Content analysis was used to identify and interpret the data, and the researcher assured that the meaning associated with the information has concurred with that of the original source. RESULTS This study confirmed that adoption of new technologies in health care depended on individual opinions of the factors relating to them. Some medical professionals believed that technology would interfere with their ability to make independent diagnoses and their relationships with patients. Doctors also feared that technology was a means of management control. In contrast, other medical staff welcomed technology because it provided them with more opportunities to interact with patients and their carers. Generally, patients were more enthusiastic about technology than medical professionals and health care managers because it allowed them to have greater autonomy in selecting health care options. The need for all groups to be involved in the development of the new health care approach was an important outcome, otherwise resistance to it was likely to be greater. In other words, the strategy for change management was the indicator of success or failure. Therefore, following our analysis, a number of practical precepts emerged that could facilitate user acceptance of digital solutions and innovative medical technologies. CONCLUSIONS The acceptance of digital solutions and innovative medical technology by patients and professionals relies on understanding their anxieties and feelings of insecurity. The process will take time because individuals accept change at different rates. Hence, the development of an extensive user community to fully and successfully implement eHealth is less likely in the short term; however, this should not prevent the push for changes in health care technology.

scholarly journals Virtual Reality and Avatars in Health care

2019 ◽  
Vol 28 (5) ◽  
pp. 523-528 ◽  
Author(s):  
Siobhan O’Connor
Keyword(s):  
Health Care ◽  
Virtual Reality ◽  
Education Research ◽  
Nursing Education ◽  
Clinical Practice ◽  
Emerging Technology ◽  
Nursing Education Research

The editorial summarizes the evolution of virtual reality and its application in a variety of healthcare contexts to improve nursing education, research, and clinical practice. The use of digital avatars in conjunction with virtual reality systems is also discussed, along with the benefits and risks of this emerging technology.

scholarly journals Evaluating the use of telemedicine in gynaecological practice: a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039457
Author(s):  
Sughashini Murugesu ◽  
Nicolas Galazis ◽  
Benjamin P Jones ◽  
Maxine Chan ◽  
Timothy Bracewell-Milnes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Clinical Medicine ◽  
Selection Process ◽  
Qualitative Assessment ◽  
Management Options ◽  
Eligibility Criteria ◽  
Wide Range ◽  
Newcastle Ottawa Scale ◽  
Ottawa Scale

ObjectivesThe aim of this systematic review is to examine the use of telemedicine in the delivery and teaching of gynaecological clinical practice. To our knowledge, no other systematic review has assessed this broad topic.DesignSystematic review of all studies investigating the use of telemedicine in the provision of gynaecological care and education. The search for eligible studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and focused on three online databases: PubMed, Science Direct and SciFinder.Eligibility criteriaOnly studies within gynaecology were considered for this review. Studies covering only obstetrics and with minimal information on gynaecology, or clinical medicine in general were excluded. All English language, peer-reviewed human studies were included. Relevant studies published up to the date of final submission of this review were considered with no restrictions to the publication year.Data extractions and synthesisData extracted included author details, year of publication and country of the study, study aim, sample size, methodology, sample characteristics, outcome measures and a summary of findings. Data extraction and qualitative assessment were performed by the first author and crossed checked by the second author. Quality assessment for each study was assessed using the Newcastle-Ottawa scale.ResultsA literature search carried out in August 2020 yielded 313 records published between 1992 and 2018. Following a rigorous selection process, only 39 studies were included for this review published between 2000 and 2018. Of these, 19 assessed gynaecological clinical practice, eight assessed gynaecological education, one both, and 11 investigated the feasibility of telemedicine within gynaecological practice. 19 studies were classified as good, 12 fair and eight poor using the Newcastle-Ottawa scale. Telecolposcopy and abortion care were two areas where telemedicine was found to be effective in potentially speeding up diagnosis as well as providing patients with a wide range of management options. Studies focusing on education demonstrated that telementoring could improve teaching in a range of scenarios such as live surgery and international teleconferencing.ConclusionsThe results of this review are promising and demonstrate that telemedicine has a role to play in improving clinical effectiveness and education within gynaecology. Its applications have been shown to be safe and effective in providing remote care and training. In the future, randomised controlled studies involving larger numbers of patients and operators with measurable outcomes are required in order to be able to draw reliable conclusions.

Quality Improvement Methods in Clinical Medicine

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 203-214 ◽  
Author(s):  
Paul E. Plsek
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Clinical Practice ◽  
Control Charts ◽  
Health Care Organizations ◽  
Clinical Medicine ◽  
Lessons Learned ◽  
Small Scale ◽  
Gap Measurement ◽  
Practice Of Medicine

This article surveys the methods and tools of quality improvement used today in health care. Specifically, we describe how clinicians can use these methods to impact the clinical practice of medicine. Improvement teams from a variety of health care organizations have reported the successful use of basic methods such as group work, flowcharting, data collection, and graphical data analysis. In addition to these incremental, problem-solving methods borrowed from the industrial practice of improvement, we have also seen the use of specific process design methods in health care applications such as care path development. The pace of change in health care has also led to the practical development of newer methods for rapid cycle improvement. We will review the basic approach behind these methods and illustrate key elements such as the ideas of change concepts and small-scale tests of change. Unfortunately, whereas these methods have been very successful and highly appealing to improvement practitioners, they may also have inadvertently widened a gulf between these practitioners and traditional health-services and clinical researchers. We offer an assessment of this issue and suggest ways to narrow the communication gap. Measurement has also traditionally been a part of the thinking about quality assurance and improvement in health care. We review the new philosophy of measurement that has emerged from recent improvement thinking and describe the use of control charts in clinical improvement. Benchmarking and multiorganizational collaboratives are more recent innovations in the ways we approach improvement in health care. These efforts go beyond simple measurement and explore the why and how associated with the widespread variation in performance in health care. We explore a variety of health care examples to illustrate these methods and the lessons learned in their use. We conclude the article with an overview of four habits that we believe are essential for health care organizations and individual clinicians to adopt to bring about real improvement in the clinical practice of medicine. These are the habits for: 1) viewing clinical practice as a process; 2) evidence-based practice; 3) collaborative learning; and 4) change.

Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

2020 ◽  
Vol 5 (5) ◽  
pp. 1175-1187
Author(s):  
Rachel Glade ◽  
Erin Taylor ◽  
Deborah S. Culbertson ◽  
Christin Ray
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Cochlear Implants ◽  
Practice Patterns ◽  
The United States ◽  
Care Providers ◽  
Aural Rehabilitation ◽  
Starting Point ◽  
Clinical Models ◽  
Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Emerging Cyber-Physical Systems : An Overview

2018 ◽  
pp. 306-316
Author(s):  
Okolie S.O. ◽  
Kuyoro S.O. ◽  
Ohwo O. B
Keyword(s):  
Health Care ◽  
Economic Benefit ◽  
Physical World ◽  
Cyber Physical Systems ◽  
Cyber Physical System ◽  
Economic Sectors ◽  
Strategic Research ◽  
Physical Systems ◽  
Security Issues ◽  
Wide Range

Cyber-Physical Systems (CPS) will revolutionize how humans relate with the physical world around us. Many grand challenges await the economically vital domains of transportation, health-care, manufacturing, agriculture, energy, defence, aerospace and buildings. Exploration of these potentialities around space and time would create applications which would affect societal and economic benefit. This paper looks into the concept of emerging Cyber-Physical system, applications and security issues in sustaining development in various economic sectors; outlining a set of strategic Research and Development opportunities that should be accosted, so as to allow upgraded CPS to attain their potential and provide a wide range of societal advantages in the future.

The call to Hawaii: Holistic practitioners’ perspectives of their communicative practices of healing

2009 ◽  
Vol 5 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Patricia Geist-Martin ◽  
Catherine Becker ◽  
Summer Carnett ◽  
Katherine Slauta
Keyword(s):  
Health Care ◽  
Healing Process ◽  
Holistic Health ◽  
Communicative Practices ◽  
Ethnographic Interviews ◽  
Health Care Practices ◽  
Wide Range ◽  
Care Practices ◽  
Holistic Health Care ◽  
Mutual Action

The big island of Hawaii has been named the healing island – a place with varied interpretations of healing, health, and a wide range of holistic health care practices. This research explores the perspectives of holistic providers about the communicative practices they believe are central to their interactions with patients. Intensive ethnographic interviews with 20 individuals revealed that they perceive their communication with clients as centered on four practices, specifically: (a) reciprocity – a mutual action or exchange in which both the practitioner and patient are equal partners in the healing process; (b) responsibility – the idea that, ultimately, people must heal themselves; (c) forgiveness – the notion that healing cannot progress if a person holds the burden of anger and pain; and (d) balance – the idea that it is possible to bring like and unlike things together in unity and harmony. The narratives revealed providers’ ontological assumptions about mind-body systems and the rationalities they seek to resist in their conversations with patients.

Sign in / Sign up

Export Citation Format

Share Document