scholarly journals All Health Technology Requires Compassion, Collaboration, and Humanism for Optimal Care

Author(s):  
Richard I. Levin ◽  
Brianne Warner Alcala

Imagine an appointment with a new patient. She’s waiting, fidgeting, looking down at her lap. You say hello, introduce yourself, and sit behind the computer. You enter key details into the EHR (electronic health record) as the appointment goes along. “Tell me why you’re here today,” you say. You try listening, but menus keep popping up. The patient launches into her complaints, knowing that time is limited. You type as fast as you can to keep up. Soon, it has been 10 minutes, and you need to wrap things up and move on to the next patient. Did you feel connected to the patient? Did she feel connected to you? Perhaps neither of you made eye contact. Both of you might have left the appointment feeling unsatisfied and unsettled. To feel connected to a patient requires more than being in the same room. In fact, being in the same room may not be essential. Connecting with a patient or another healthcare team member requires humanism—the simple act of being human—and the deliberate acts that accompany it. For those working in telehealth, creating a bond with a patient can be a bit different but no less important or possible than in a physical room.

Author(s):  
Elease McLaurin ◽  
Ellen J. Bass ◽  
Kathryn H. Bowles ◽  
Paulina Sockolow

A study was conducted to investigate how well the design of an electronic health record (EHR) supported the shared understanding of medication-related information between home healthcare team members. EHR data from a home healthcare admission visit was obtained and reviewed for medication-related entries. Entries were characterized based on their location within the EHR interface. The analysis identified 50 different medication-related entries which were distributed across 18 EHR sections. The results highlight opportunities to improve the EHR design to better support a shared understanding between healthcare team members of medication-related information, and patient information more generally.


2017 ◽  
Vol 25 (3) ◽  
pp. 1025-1037 ◽  
Author(s):  
Ruth E Wetta ◽  
Roberta D Severin ◽  
Heidi Gruhler ◽  
Nate Lewis

Health literacy is the capacity to understand and act upon health-related information and navigate the healthcare system. Published evidence demonstrates a relationship between health literacy and health status. Because of this, there are increasingly calls for a health literacy assessment to be collected and stored in the electronic health record for use by the healthcare team. This article describes the results of a literature review of health literacy assessment instruments with the goal of formulating semantically interoperable concepts that may be used to store the interpretation of the health literacy assessment in the electronic health record. The majority of health literacy instruments could be stored in the electronic health record using a three-concept solution of inadequate, marginal and adequate health literacy. This three-concept solution fully supports semantic interoperability needs across the patient care spectrum.


2017 ◽  
Vol 2 (4) ◽  
pp. 132
Author(s):  
MasoomehRahimi Alami ◽  
Mahdieh Nemayande ◽  
Omid Yousefianzadeh ◽  
Mahnaz Samadbeik ◽  
Amir Abbas Azizi ◽  
...  

Introduction: In recent decades, diabetes has contributed significantly to the burden of disease in developed and developing countries, due to the considerable prevalence and involvement of various age groups in the communities.Today, a variety of ways to manage and control the disease are used, one of which is the use of personal electronic health records. Recently there has been a remarkable upsurge in activity surrounding the adoption of personal electronic health records systems for patients and consumers. personal electronic health records systems are more than just static repositories for patient data; they combine data, knowledge, and software tools, which help patients to become active participants in their own care.The present study was conducted with the goal of Health Technology Assessment the impact of personal electronic health records in Patients with Diabetes.Methods: Writing is based on PRISMA standards.  This was a Health Technology Assessment  study. It aimed to evaluate the technology of personal electronic health record . The scoping review was conducted to evaluate 8 dimensions (Health Problem and Current Use of the Technology, Description and technical characteristics of technology, Safety, Costs and economic evaluation, Ethical analysis, Organisational aspects, Patients and Social aspects, Legal aspects) of  Personal electronic health record . This study was based on answering questions which were developed based on Health Diagnostics Technology Assessment Documents Framework and HTA Core Model 3.0 . A systematic review was conducted to evaluate the Clinical Effectiveness dimension of personal electronic health record  in controlling diabetes. In order to gather evidences, Ovid databases, Cochrane Library, PubMed, CRD, Trip database and EMBASE, and Randomized Controlled Trial Registries, such as the Clinical Trial and Trial Registry, were searched using specific keywords and strategies. .Articles are evaluated on the basis of the quality criteria of JADAD.The data is analyzed by the STATA software.Dissemination:The results of the study will be published in a peer-reviewed journal and presented at relevant conferences.Policy makers and healthcare decision-makers can use these results.


2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.


2012 ◽  
Author(s):  
Robert Schumacher ◽  
Robert North ◽  
Matthew Quinn ◽  
Emily S. Patterson ◽  
Laura G. Militello ◽  
...  

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