scholarly journals The role of innovative technology to improve patient centered care

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Fira Nabilla ◽  
Suphanna Krongthaeo ◽  
Ragil Setia Dianingati ◽  
Eva Annisaa'
Keyword(s):  
Chronic Disease ◽  
Innovative Technology ◽  
Health Providers ◽  
Literature Study ◽  
Patient Centered ◽  
Therapeutic Success ◽  
Use Of Technology ◽  
Chronic Disease Patients ◽  
Centered Care

Chronic disease is a long term disease. Treatment performed by patients is also routine and continuous to achieve therapeutic success as well as to avoid complications that can be occurred. Adherence is an important factor to reduce complications of chronic disease. There are some efforts that need to do to increase compliance, such as providing information about drug usage from health providers. The use of technology can also be an option as a facility to increase compliance, such as using audiovisual media as an additional means of providing information and short message services or a mobile application for medication reminders on smartphones. This article provides an overview of the role of technology in increasing adherence to patients especially those who are suffering from chronic disease. This article is based on a literature study from some literature or research results. The reviewed literature shows that the use of video in providing information about drugs, sending short messages, and the use of mobile medication reminders to take medication has an effect on increasing adherence significantly in chronic disease patients. The use of technology is effective and efficient in increasing adherence of chronic disease patients.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

The role of digital tools in the delivery of genomic medicine: enhancing patient-centered care

2021 ◽  
Author(s):  
Salma Shickh ◽  
◽  
Sara A. Rafferty ◽  
Marc Clausen ◽  
Rita Kodida ◽  
...  
Keyword(s):  
Genomic Medicine ◽  
Patient Centered Care ◽  
Digital Tools ◽  
Patient Centered ◽  
Centered Care

scholarly journals The Role of Informatics in Promoting Patient-Centered Care

2011 ◽  
Vol 17 (4) ◽  
pp. 211-218 ◽  
Author(s):  
Claire F. Snyder ◽  
Albert W. Wu ◽  
Robert S. Miller ◽  
Roxanne E. Jensen ◽  
Elissa T. Bantug ◽  
...  
Keyword(s):  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Ready for prime time: role for geriatric assessment to improve quality of care in hematology practice

Hematology ◽  
2019 ◽  
Vol 2019 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Heidi D. Klepin
Keyword(s):  
Older Adults ◽  
Quality Of Care ◽  
Geriatric Assessment ◽  
Hematologic Malignancies ◽  
Patient Centered ◽  
Functional Reserve ◽  
Centered Care ◽  
Assessment Measures

Abstract Older adults represent the growing majority of patients diagnosed with hematologic disorders, yet they remain underrepresented on clinical trials. Older patients of the same chronologic age differ from one another with varying comorbidity and functional reserve. The concepts of frailty and resilience are important to patient-centered care and are patient and setting specific. The use of geriatric assessment to inform tailored decision making and management can personalize care for older adults with hematologic malignancies. This article will highlight available evidence to support the role of geriatric assessment measures to enhance quality of care for older adults diagnosed with hematologic malignancies.

Caring for Patients with Service Dogs: Information for Healthcare Providers

2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle Krawczyk
Keyword(s):  
Emotional Support ◽  
Healthcare Providers ◽  
Background Information ◽  
Future Research ◽  
Service Dogs ◽  
Patient Centered ◽  
Service Dog ◽  
Healthcare Settings ◽  
Centered Care

People with disabilities use various assistance devices to improve their capacity to lead independent and fulfilling lives. Service dogs can be crucial lifesaving companions for their owners. As the use of service dogs increases, nurses are more likely to encounter them in healthcare settings. Service dogs are often confused with therapy or emotional support dogs. While some of their roles overlap, service dogs have distinct protection under the American Disabilities Act (ADA). Knowing the laws and proper procedures regarding service dogs strengthens the abilities of healthcare providers to deliver holistic, patient-centered care. This article provides background information about use of dogs, and discusses benefits to patients and access challenges for providers. The author reviews ADA laws applicable to service dog use and potential challenges and risks in acute care settings. The role of the healthcare professional is illustrated with an exemplar, along with recommendations for future research and nursing implications related to care of patients with service dogs.

Expanding Role of Telephone Systems in Healthcare

2017 ◽  
pp. 564-598
Author(s):  
Jing Shi ◽  
Ergin Erdem ◽  
Heping Liu
Keyword(s):  
Performance Metrics ◽  
Healthcare Delivery ◽  
Patient Acceptance ◽  
Patient Centered ◽  
Healthcare Settings ◽  
Challenges And Opportunities ◽  
Centered Care ◽  
The Cost ◽  
Telephone Systems

The telephone systems in healthcare settings serve as a viable tool for improving the quality of service provided to patients, decreasing the cost, and improving the patient satisfaction. It can play a pivotal role for transformation of the healthcare delivery for embracing personalized and patient centered care. This chapter presents a systematic review of new developments of healthcare telephone system operations in various areas such as tele-health. Current research on topics such as tele-diagnosis, tele-nursing, tele-consultation is outlined. Specific issues associated with the emerging applications such as underreferral, legal issues, patient acceptance, on-call physician are discussed. Meanwhile, the architecture and underlying technologies for healthcare telephone systems are introduced, and the performance metrics for measuring the system operations are provided. In addition, challenges and opportunities related with improving the healthcare telephone systems are identified, and the potential opportunities of optimizing these systems are pointed out.

Exploring the practice of patient centered care: The role of ethnography and reflexivity

2015 ◽  
Vol 133 ◽  
pp. 45-52 ◽  
Author(s):  
Elisa Giulia Liberati ◽  
Mara Gorli ◽  
Lorenzo Moja ◽  
Laura Galuppo ◽  
Silvio Ripamonti ◽  
...  
Keyword(s):  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Investigating the Use of Telemedicine for Digitally Mediated Delegation in Team-based Primary Care: A Mixed-method Study (Preprint)

2021 ◽  
Author(s):  
Michael Knop ◽  
Marius Mueller ◽  
Bjoern Niehaves
Keyword(s):  
Primary Care ◽  
Technology Use ◽  
Online Survey ◽  
Cost Effective ◽  
Innovative Technology ◽  
Patient Centered ◽  
Team Members ◽  
Innovative Technologies ◽  
Daily Work ◽  
Centered Care

BACKGROUND Due to shortages of medical professionals, as well as demographic and structural challenges, new care models have emerged for finding innovative solutions to counter medical undersupply. Team-based primary care utilizing medical delegation appears to be a promising approach to address these challenges, but demands efficient communication structures and mechanisms to reinsure patients and caregivers receiving a delegated, treatment-related task. Here, digital healthcare technologies hold the potential to render these novel processes effective and demand-driven. OBJECTIVE The goal of this study is to recreate the daily work routines of general practitioners (GPs) and medical assistants (MAs) in order to explore promising approaches for the digital moderation of delegation processes and to deepen the understanding of subjective and perceptual factors that influence their technology assessment and use. METHODS In total, 19 interviews with 12 GPs and 14 MAs were conducted, seeking to identify relevant technologies for delegation purposes as well as the stakeholders’ perceptions of their effectiveness. Further, an online survey was conducted asking the interviewees to order identified technologies by their assessed applicability in multi-actor patient care. Interview data was analyzed using a three-fold inductive coding procedure. Multidimensional scaling was applied to analyze and visualize survey data, leading to a triangulation of results. RESULTS Our results suggest that digital mediation of delegation underlies complex, reciprocal processes and biases that need to be identified and analyzed in order to improve the development and distribution of innovative technologies, as well as to improve our understanding of technology use in team-based primary care. Nevertheless, medical delegation enhanced by digital technologies, such as video consultation, portable electrocardiograms (ECGs), or telemedical stethoscopes, is able to counteract current challenges in primary care due to its unique ability to ensure both personal, patient-centered care for patients and create efficient and needs-based treatment processes. CONCLUSIONS Technology-mediated delegation appears to be a promising approach to implement innovative, case-sensitive, and cost-effective ways to treat patients within the paradigm of primary care. The relevance for such innovative approaches increases at times of tremendous need for differentiated and effective care, like during the ongoing COVID-19 pandemic. For successful and sustainable adoption of innovative technologies, MAs represent essential team members. In their role of mediators between GPs and patients, MAs are potentially able to counteract resistance towards using innovative technology on both sides and compensate for patients’ limited access to technology and care facilities.

scholarly journals Achieving Value-Based Care in Chronic Disease Management: Intervention Study (Preprint)

2018 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Blooma John ◽  
Joey George ◽  
Doug Vogel
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Standard Care ◽  
Chronic Disease Management ◽  
Monitoring Device ◽  
Patient Centered ◽  
Centered Care ◽  
Diabetes Monitoring ◽  
Technology Solution

BACKGROUND The World Health Organization notes that diabetes, a chronic disease, is a silent epidemic, and by 2020 there will be a 54% rise in the total number of individuals diagnosed with this disease. These are alarming figures that have significant repercussions for the quality of life of individuals and their families as well as for the financial stress of health care systems globally. Early detection and proactive management of diabetes is essential. The Diamond solution provides diabetes self-management by enabling patients to send details about their blood sugar readings at specific times to their nominated care coordinator to receive recommendations for diet and exercise and insulin titration. OBJECTIVE The aim of the study was to assess the usability, acceptability, and fidelity of the Diamond diabetes monitoring device for patients with gestational diabetes mellitus (GDM). Specifically assessed were (1) patient compliance, (2) patient satisfaction, (3) level of glycemic control achieved, and (4) health professional satisfaction. METHODS Using a design science research perspective, the Diamond diabetes monitoring device solution was adapted to the Australian health care environment. Once the solution was deemed fit for purpose by the director of the OB/GYN clinical institute and on securing all relevant ethics approvals, a 2-period 2-arm nonblinded crossover clinical trial was conducted for 8 weeks total time with crossover at 4 weeks to establish proof of concept, usability, and fidelity. The patient perspective was assessed by using structured questionnaires at 4 specific stages of the project, while the clinician perspective was captured via semistructured interviews and unstructured questionnaires. RESULTS The 10 patients studied reported preferring standard care with the technology solution to standard care alone. Further, all clinicians involved concurred that the technology solution greatly assisted their ability to provide higher value patient-centered care. They also noted that it was extremely helpful for assisting in systematically monitoring glucose levels and any/all changes and trends. CONCLUSIONS Based on these initial findings, we offer a holistic pervasive approach to enable the achievement of value-based, patient-centered care in chronic disease management. Key lessons include the importance when designing such solutions to focus on the two primary user groups (patients and clinicians).

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