scholarly journals COVID-19 and the Digital Transformation of Health Care

2021 ◽  
Author(s):  
Tory Cenaj
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Optimal Care ◽  
Health Technologies ◽  
Effective Delivery ◽  
Major Transformation ◽  
The Many ◽  
Healthcare Transformation

The global COVID-19 pandemic demonstrated the vulnerability of healthcare delivery to patients worldwide and challenged healthcare providers—not only in treating patients with coronavirus but also in trying to maintain optimal care for non-COVID patients at the same time. But challenging times often provide a fertile environment for innovation, and we have certainly seen major transformation in health care this year, via technology and global models, with the goal to democratize health care and provide greater access and more efficient and effective delivery of healthcare services to patients, regardless of their income or geography. Some of the world’s top leaders and influencers in healthcare delivery transformation and health technologies, including blockchain and telehealth, converged at the 4th Annual CONV2X 2020 Symposium held virtually from November 10 to 12, to talk about healthcare transformation. By far, one of the most widely discussed topics in the many sessions that took place over the 2-day event was virtual health.

Adopting and Implementing Telehealth in Canada

2011 ◽  
pp. 1222-1231
Author(s):  
Penny A. Jennett ◽  
Eldon R. Smith ◽  
Mamoru Watanabe ◽  
Sharlene Stayberg
Keyword(s):  
Health Information ◽  
Best Practice ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Skills Training ◽  
Healthcare Services ◽  
Lessons Learned ◽  
Cultural Barriers ◽  
Statistics Canada ◽  
Government Of Canada

Canada spans 9,976,140 square kilometers and has an approximate population of 32 million people (Statistics Canada, 2001). More than 90% of Canada’s geography is considered rural or remote (Government of Canada, 2001). Despite the highly dispersed population, and, indeed, because of it, Canada is committed to the idea that a networked telehealth system could provide better access and equity of care to Canadians. Growing evidence of the feasibility and affordability of telehealth applications substantiates Canada’s responsibility to promote and to develop telehealth. Telehealth is the use of advanced telecommunication technologies to exchange health information and provide healthcare services across geographic, time, social, and cultural barriers (Reid, 1996). According to a systematic review of telehealth projects in different countries (Jennett et al., 2003a, 2003b), specific telehealth applications have shown significant socioeconomic benefits to patients and families, healthcare providers, and the healthcare system. Implementing telehealth can impact the delivery of health services by increasing access, improving quality of care, and enhancing social support (Bashshur, Reardon, & Shannon, 2001; Jennett et al., 2003a). It also has the potential to impact skills training of the health workforce by increasing educational opportunities (Jennett et al., 2003a; Watanabe, Jennett, & Watson, 1999). Therefore, telehealth has a strong potential to influence improved health outcomes in the population (Jennett et al., 2003a, 2003b). Fourteen health jurisdictions—one federal, 10 provincial, and three territorial—are responsible for the policies and infrastructure associated with healthcare delivery in Canada. This article presents a telehealth case study in one of Canada’s health jurisdictions—the province of Alberta. The rollout of telehealth in Alberta serves as an example of best practice. Significant milestones and lessons learned are presented. Progress toward the integration of the telehealth network into a wider province-wide health information network also is highlighted.

scholarly journals Telemedicine: a new frontier for effective healthcare services

2004 ◽  
Vol 61 (4) ◽  
Author(s):  
S. Scalvini ◽  
M. Vitacca ◽  
L. Paletta ◽  
A. Giordano ◽  
B. Balbi
Keyword(s):  
Health Care ◽  
Information And Communication Technologies ◽  
Healthcare Providers ◽  
Critical Factor ◽  
Communication Technologies ◽  
Healthcare Services ◽  
Treatment And Prevention ◽  
Information And Communication ◽  
Wide Definition ◽  
Technological Improvements

Telemedicine can be defined as the delivery of healthcare services, where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of healthcare providers, all in the interest of advancing the health of individuals and their communities. Such a wide definition includes many health care activities and a large number of applications have been tried, with variable degrees of interaction between all the players in the health care system. This review, starting from the need and opportunity that we are now facing to capitalize the great technological improvements in the field of information and communication technologies to improve also our health services, will illustrate the history, classification and main field of application of Telemedicine. Lastly, the available data on the application of Telemedicine for patients with respiratory diseases will be reviewed.

scholarly journals Examining Stakeholder’s Views On Refugee Healthcare Needs, Current Barriers in Accessing Healthcare Services and Future Healthcare Direction in New Zealand: A Qualitative Phenomenological Approach

2021 ◽  
Author(s):  
Bafreen Sherif ◽  
Ahmed Awaisu ◽  
Nadir Kheir
Keyword(s):  
New Zealand ◽  
Health Services ◽  
Qualitative Methodology ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Structured Interviews ◽  
Health Seeking ◽  
Healthcare Needs

Abstract Background The annual New Zealand refugee quota was increased to 1500 places from 2020 onwards as a response to the global refugee crisis. The specific healthcare needs of refugees are not clearly understood globally and communication between healthcare providers and refugees remains poor. Methods A phenomenological qualitative methodology was employed to conduct semi-structured interviews among purposively selected stakeholders who work in refugee organisations and relevant bodies in New Zealand. Results The participants indicated the need for a national framework of inclusion, mandating cultural competency training for frontline healthcare and non-healthcare personnel, creation of a national interpretation phone line, and establishing health navigators. Barriers to accessing health services identified included some social determinants of health such as housing and community environment; health-seeking behaviour and health literacy; and social support networks. Future healthcare delivery should focus on capacity building of existing services, including co-design processes, increased funding for refugee-specific health services, and whole government approach. Conclusion Policymakers and refugee organisations and their frontline personnel should seek to address the deficiencies identified in order to provide equitable, timely and cost-effective healthcare services for refugees in New Zealand.

scholarly journals The challenges and opportunities of adopting artificial intelligence (AI) in Jordan’s healthcare transformation

2021 ◽  
Vol 11 (2) ◽  
pp. 35-46
Author(s):  
Shakir Karim ◽  
Raj Sandu ◽  
Mahesh Kayastha
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Health Sector ◽  
Healthcare Services ◽  
Care Providers ◽  
Challenges And Opportunities ◽  
Consistent Assessment ◽  
Local Awareness

Artificial Intelligence (AI) is the greatest development and promise in the present technology world, as it promises big contribution, massive changes, modernization, and coordination with and within people’s progressing life. This paper aims to provide an analysis of Jordan health care that are co-connected and interconnected with the consequences formed by Artificial Intelligence (AI) and focuses on the strengths and weaknesses of adopting AI in health sector. It also discusses the local awareness and familiarization of Artificial Intelligence (AI) in Jordan healthcare providers and gives a consistent assessment of current and future best practices. Data was gathered by using interviews from Jordan IT and health care providers. The investigation found that AI is consistently changing the way healthcare is to be directed in Jordan. AI can provide solid healthcare services to the stakeholders. As a developing country, Jordan has not fully adopted Artificial Intelligence (AI) in its healthbsector.   Keywords: Artificial Intelligence (AI); Challenges; Health care System; Jordan; Opportunities  

E-Healthcare Disparities Across Cultures

2017 ◽  
pp. 1365-1381
Author(s):  
Seema Biswas ◽  
Keren Mazuz ◽  
Rui Amaral Mendes
Keyword(s):  
Information Technology ◽  
Health Services ◽  
Healthcare Service ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
The World ◽  
Effective Delivery ◽  
Improve Access ◽  
Actual Health

As e-healthcare becomes a reality for healthcare service provision across the world, challenges in acceptance, implementation, usage and effectiveness have begun to emerge. The infrastructure, readiness and literacy levels required for the effective delivery of e-healthcare services may be prohibitive in providing access to those most in need. As research brings to light the real effectiveness of e-healthcare programmes across the globe, this paper explores how e-healthcare has been implemented worldwide and how populations have been served by an innovation in Information Technology and healthcare that has sought to bring health services to remote areas, improve access to healthcare and narrow the divide between healthcare providers and patients. While notable achievements have seen real time clinical data captured and medical records digitalised, the very determinants responsible for actual health and social disparities are equally responsible for disparities is access to e-healthcare.

A Context-Aware Authorization Model for Process-Oriented Personal Health Record Systems

2011 ◽  
pp. 46-65
Author(s):  
Eleni Mytilinaiou ◽  
Vassiliki Koufi ◽  
Flora Matamateniou ◽  
George Vassilacopoulos
Keyword(s):  
Care Delivery ◽  
Personal Health Record ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Information Support ◽  
Personal Health ◽  
Health Record ◽  
Healthcare Organizations ◽  
Process Oriented

Healthcare delivery is a highly complex process involving a broad range of healthcare services, typically performed by a number of geographically distributed and organizationally disparate healthcare providers requiring increased collaboration and coordination of their activities in order to provide shared and integrated care. Under an IT-enabled, patient-centric model, health systems can integrate care delivery across the continuum of services, from prevention to follow-up, and also coordinate care across all settings. In particular, much potential can be realized if cooperation among disparate healthcare organizations is expressed in terms of cross-organizational healthcare processes, where information support is provided by means of Personal Health Record (PHR) systems. This chapter assumes a process-oriented PHR system and presents a security framework that addresses the authorization and access control issues arisen in these systems. The proposed framework ensures provision of tight, just-in-time permissions so that authorized users get access to specific objects according to the current context. These permissions are subject to continuous adjustments triggered by the changing context. Thus, the risk of compromising information integrity during task executions is reduced.

scholarly journals A80 IMPACT OF THE COVID-19 PANDEMIC IN IBD PATIENT CARE

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 48-49
Author(s):  
M Dahiya ◽  
L Olayinka ◽  
G G Kaplan ◽  
L Reeb ◽  
C Ma ◽  
...  
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Survey Study ◽  
University Of Alberta ◽  
Virtual Care ◽  
Specific Care ◽  
Strongly Agree ◽  
The Impact ◽  
Virtual Clinic

Abstract Background The COVID-19 pandemic is affecting patients and healthcare providers worldwide. During the first wave of the pandemic, healthcare delivery shifted from in-person to virtual clinics. Non-urgent and some emergent procedures, including endoscopies, surgeries, and imaging, were delayed to limit the spread and divert resources to COVID-19. Aims To assess the impact of the COVID-19 pandemic in care to IBD patients Methods A survey study was conducted to assess the impact of the COVID-19 pandemic on IBD care. All patients had a virtual clinic appointment between March to July 2020 at either: University of Alberta Hospital or the University of Calgary Clinic. A section of the survey assessed patient experience of virtual clinics and delays in access to IBD care during the COVID-19 pandemic. Results A total of 1581 patients were contacted to complete the survey. 628 patients agreed to participate in the survey, however not all patients completed each component. The mean age of patients who participated in the survey was 48 years (SD = 15.19). 408 patients responded to satisfaction/future use questions: 84.3% (344) patients agree/strongly agree they were comfortable communicating to the physician using the remote system, 77.5% (316) of patients agree/strongly agree that virtual clinic is an acceptable way to receive healthcare services, 84.8% (346) of patients agree/strongly agree they would use virtual care services again, and 82.6% (337) agree/strongly agree they were satisfied with the telehealth system. Additional challenges were reported by 228 patients. Fear and stress (infection risk/mental health concerns/unemployment) was reported by 57.4% (131) patients. Access to healthcare services, PPE, and community resources was a challenge experienced by 26.3% (60) patients. Additionally, 16.2% (37) patients experienced uncertainty around IBD-specific care, including procedures, treatments, labs, and medications. Overall, 17.3% of patients reported some type of delay in care by July 2020. Table 1 shows the proportion of patients with a delay by type of care and the median delay: 5.7% of patients with IBD had surgery delayed by a median of 10 weeks (8–16 weeks). Conclusions While some delays in healthcare delivery occurred during the first wave of the pandemic, overall 82.7% of patients with IBD maintained their care without disruption. Sustaining healthcare delivery to the IBD community required adaptation to virtual care; however, patient satisfaction was overwhelming positive among patients with IBD. Funding Agencies None

scholarly journals Defining Access Management in Healthcare Delivery Organizations

2019 ◽  
Author(s):  
Susanne Hempel ◽  
Lara G. Hilton ◽  
Susan Stockdale ◽  
Peter Kaboli ◽  
Isomi Miake-Lye ◽  
...  
Keyword(s):  
Management Practice ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Access Management ◽  
Healthcare Organizations ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Care Access ◽  
Evidence Review

Abstract Background: Managing patient access to care in healthcare delivery organizations is complex, yet instrumental in shaping patient healthcare experiences. Conceptual work to understand the dimensions of access and access management is critical for improvement initiatives. This work aims to advance primary care access management practice and research to support healthcare delivery organizations. Methods: We convened a stakeholder panel, informed by evidence review, to establish access and access management definitions. Stakeholders were selected based on a patient-centered framework and included patients, healthcare providers, policy makers, product makers, payers, and purchasers of healthcare. Methods included evidence review; written surveys; in-person stakeholder panel discussions; and concurrent sub-panels to establish recurring, cross-panel themes. Results: Literature review results showed variation in access concept definition but consistent use of the temporal measure “time to third next available appointment” as an indicator of access. Panel deliberations highlighted the importance of patient-centeredness and resulted in three comprehensive definitions: 1) “ Access management encompasses the set of goals, evaluations, actions and resources needed to achieve patient-centered healthcare services that maximize access for defined eligible populations of patients; ” 2) “ Optimal access management engages patients, providers, and teams in continuously improving care design and delivery to achieve optimal access;” and 3) “ Optimal access balances considerations of equity, patient preferences, patient needs, provider and staff needs, and value.” Conclusions: Access to healthcare is substantially determined by how healthcare delivery organizations manage it. The developed concepts of access management suggest that access management, improvement initiatives, and research studies require ongoing attention to organizational processes and multiple relevant outcomes. Healthcare organizations and researchers can use the definitions as starting points for initiatives to improve access management and evaluations of access initiative success.

CAPACITY AND CONFIDENCE IN PERFORMING CLINICAL PROCEDURES AMONG PRIMARY CARE TEAMS IN THE CENTRAL REGION OF VIETNAM

2017 ◽  
pp. 77-83
Author(s):  
Duc Toan Vo ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Care Team ◽  
Primary Care Team ◽  
Health Staff ◽  
Ministry Of Health ◽  
Clinical Procedures ◽  
The Government

Background and Aim: To develop primary care services is one of the top priorities of the health sector in Vietnam. In recent years, the Government and the Ministry of Health have made great efforts to strengthen and improve the quality of healthcare services at the grassroof level. However, several studies showed that the needs for healthcare remained unmet at primary care level. This study aimed to examine the gaps in competency and confidence of the primary care team in delivery of clinical procedures. Methods: A crosssectional descriptive study was conducted in 49 commune health centers (CHCs) of 3 provinces. The health care teams reported their ability and confidence to perform the list of clinical procedures based on the regulation on clinical procedures performed at the CHC issued by the Ministry of Health. Results: The average number of procedures performed by the CHCs was 46,4/109 procedures. There were 65.3% of CHCs performed less than 50% of assigned techniques, and only 28.6% CHCs performed 50-80% of assigned techniques. The confidence of CHC teams was high in performing procedures of Resuscitation, Internal Medicine, Pediatrics and OBGYN. Conclusion: There is a substantial gap in the capability to perform clinical procedures among CHC team. The confidence in performing essential procedural skills varied among procedures, depending on clinical experience and the types of procedure. Our results show a strong call to develop training programs that fit to the competency standards of primary care team in order to enhance the capacity and confidence of health staff in healthcare delivery at grassroots level. Key words: Health care, Thua Thien Hue, Quang Tri

Visioning a hospitality-oriented patient experience (HOPE) framework in health care

2020 ◽  
Vol 31 (5) ◽  
pp. 869-888 ◽  
Author(s):  
Philippa Hunter-Jones ◽  
Nathaniel Line ◽  
Jie J. Zhang ◽  
Edward C. Malthouse ◽  
Lars Witell ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Customer Relationships ◽  
Healthcare Organizations ◽  
Content Type ◽  
Theoretical Contribution ◽  
Person Centered Care ◽  
Centered Care

PurposeThis paper considers the question: what would happen if healthcare providers, like their counterparts in the hospitality industry, adopted the principles of customer experience management (CEM) in order to facilitate a more holistic and personalized patient experience? It proposes an alternative vision of the patient experience by adding to an emerging hospitality–healthcare literature base, this time focusing upon CEM. A hospitality-oriented patient experience (HOPE) framework is introduced, designed to enhance the patient experience across all the touchpoints of the healthcare journey.Design/methodology/approachThis is a conceptual paper that draws upon three distinct literatures: hospitality literature; healthcare literature; and CEM literature. It utilizes this literature to develop a framework, the HOPE framework, designed to offer an alternative lens to understanding the patient experience. The paper utilizes descriptions of three unique patient experiences, one linked to chronic pain, a second to gastro issues and a third to orthopedic issues, to illustrate how adopting the principles of hospitality management, within a healthcare context, could promote an enhanced patient experience.FindingsThe main theoretical contribution is the development of the HOPE framework that brings together research on CEM with research on cocreative customer practices in health care. By selecting and connecting key ingredients of two separate research streams, this vision and paradigm provide an alternative lens into ways of addressing the key challenges in the implementation of person-centered care in healthcare services. The HOPE framework offers an actionable roadmap for healthcare organizations to realize greater understanding and to operationalize new ways of improving the patient experience.Originality/valueThis paper applies the principles of hospitality and CEM to the domain of health care. In so doing it adds value to a hospitality literature primarily focused upon extensive employee–customer relationships. To a healthcare literature seeking to more fully understand a person-centered care model typically delivered by a care team consisting of professionals and family/friends. And to a CEM literature in hospitality, which seeks to facilitate favorable employee–customer interactions. Connecting these separate literature streams enables an original conceptual framework, a HOPE framework, to be introduced.

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