A Digital Care Pathway to Access Healthcare Without Time and Place Restrictions

2021 ◽  
Author(s):  
Pia Liljamo ◽  
Janika Wahlberg ◽  
Hanna Mikkonen ◽  
Jarmo Reponen
Keyword(s):  
Health Care ◽  
Care Pathway ◽  
Healthcare Services ◽  
University Hospital ◽  
Care Hospital ◽  
Place Of Residence ◽  
University Hospitals ◽  
Service Channel ◽  
Digital Service ◽  
Specialized Health Care

A digital care pathway is a secure digital service channel for patients in a care relationship with a specialized health care hospital in Finland. It is part of the Health Village portal built in co-operation with the Virtual Hospital project by five Finnish university hospitals led by Helsinki University Hospital. Health Village services make healthcare services available to all Finns regardless of place of residence and income level, thus improving the equality of citizens.

scholarly journals Challenges and opportunities for the future Clinical Nutrition Committee in Tartu University Hospitals

2020 ◽  
Vol 28 (2) ◽  
Author(s):  
Liidia Kiisk
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Clinical Nutrition ◽  
University Hospital ◽  
Hospital Treatment ◽  
University Hospitals ◽  
Chronic Patients ◽  
Welfare Institutions ◽  
Nutrition Committee

Patients of health care and welfare institutions have several accompanying diseases; therefore, the nutritional counsellors’ or dietary nurses’ competence is often insufficient for administering a special diet, but the help of clinical dietologists and physicians of different specialities is necessary. In elaboration of clinical nutrition therapy strategies, their consistent development and coordination, an interdisciplinary clinical nutrition team can be helpful. Raising the nutritional awareness of the staff of structural units of medical and welfare institutions in helps them make rational choices in different disease cases, guaranteeing the patient’s wellbeing and a health care service with maximum benefit and minimum risk for the patient’s health. Physicians and other specialists of Tartu University Hospital (nurses, speech therapists, pharmacists, nutrition counsellors, diabetes nurses) have contributed comprehensively to chronic patients’ individual counselling during hospital treatment and supporting of outpatients’ nutritional treatment. In 2018, an initiative group of physicians of the hospital presented to the hospital’s Executive Board the need for establishing a broad-based expert group of clinical nutrition. With the Executive Board’s decision, a clinical nutrition committee was founded for rendering the nutrition treatment service.

scholarly journals Violence against health care workforce in COVID and non COVID times: Analysis of predisposing factors

2020 ◽  
Vol 32 (4) ◽  
pp. 659-664
Author(s):  
Neeraj Garg ◽  
Ruchi Garg ◽  
Devender Kumar Sharma ◽  
Shakti Kumar Gupta ◽  
Puja DUDEJA
Keyword(s):  
Health Care ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Healthcare Services ◽  
Disabled Persons ◽  
Care Hospital ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
Media Reports ◽  
Healthcare Administrators

Background: The prevalence of violence against Health Care Workers (HCW) is showing a rising trend. Various studies have been done in the recent past shows that the prevalence of violence against HCW s ranged from 27.4% to 67%. The present study was done to compare and analyze the underlying causes of violence against HCW in a Non COVID and COVID situation to identify the commonality if any, and to suggest any remedial measures. Methodology: This was cross-sectional analytical design and was carried out in inpatient care areas of a tertiary care hospital. The study subjects comprised of Doctors, Nurses, Group C employees. Data was collected using direct interview method on a standard questionnaire. In addition, various media reports were collected and analyzed through internet. Results: Maximum incidents were experienced in emergency and OPD, where staff patient’s ratio is less. 39.4% incidents were experienced by the staff who were providing care to the Terminally ill patients, Mentally and Physically disabled persons & Psychiatric patients. Suggestion which emerged to reduce WPV are, triage in casualty, availability of trained security guards, CCTV, restricted visiting hours and limited attendants with the patients, improvement in patient amenities etc. Whereas in COVID situation the major reason is the religious and social belief, poor dietary services and lack of hygiene and sanitation. Conclusion: There is an urgent and inescapable requirement that the healthcare administrators should address the underlying precipitating factors of violence, for delivery of quality healthcare services to the patients in a safe environment.

scholarly journals Hospital service quality based on HEALTHQUAL model and trusting nurses at Iranian university and non-university hospitals: a comparative study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Reza Nemati ◽  
Masoud Bahreini ◽  
Shahnaz Pouladi ◽  
Kamran Mirzaei ◽  
Farkhondeh Mehboodi
Keyword(s):  
Service Quality ◽  
Healthcare Services ◽  
University Hospital ◽  
Hospital Service ◽  
University Hospitals ◽  
Cross Sectional ◽  
Mean Values ◽  
Study Results ◽  
Significant Difference ◽  
The Mean

Abstract Background Establishment and improvement of patients’ trust in healthcare organizations like hospitals necessitate delivery of high-quality services by nurses, as the largest group of healthcare providers. The present study aimed to compare hospital service quality based on the HEALTHQUAL model and trusting nurses at university and non-university hospitals in Iran. Methods This comparative cross-sectional study was conducted on 990 patients admitted to university and non-university hospitals located in Bushehr Province, southern Iran, who were selected using the stratified random sampling method. The data were collected through the HEALTHQUAL questionnaire and the Trust in Nurses Scale, and then analyzed via the SPSS Statistics software (version 22) as well as the General Linear Model (GLM) univariate procedure and the Chi-square test with a significance level of 0.05. Results The study findings revealed that the mean values of real quality (perceptions) and ideal quality (expectations) were 3.89 ± 0.69 and 4.55 ± 0.47, respectively. The gap between the real and ideal quality (− 0.64) was also larger at non-university hospitals from the patients’ viewpoints. Comparing various dimensions of service quality, the largest gap at university and non-university hospitals was associated with “environment” (− 0.13) and “empathy” (− 0.18), respectively. Additionally, the mean scores of the patient trust in nurses at university and non-university hospitals were 10.34 ± 5.81 and 8.71 ± 4.05, respectively, being a statistically significant difference (p <  0.001). Conclusion The study results demonstrated that hospital service quality and trusting in nurses were at higher levels at the university hospital than the non-university one; however, hospital service quality was at a lower level than what the patients had expected. Accordingly, hospital managers and policy-makers were suggested to focus on patients to reduce gaps in service quality, to promote service quality, and to provide better healthcare services to patients.

Applying the theory of information worlds within a health care practise in Finland

2016 ◽  
Vol 72 (2) ◽  
pp. 321-341 ◽  
Author(s):  
Helena Känsäkoski ◽  
Maija-Leena Huotari
Keyword(s):  
Health Care ◽  
Value Creation ◽  
Care Pathway ◽  
Organisational Culture ◽  
University Hospital ◽  
Special Health Care ◽  
Content Type ◽  
Theory Of Information ◽  
Information Worlds ◽  
Special Health

Purpose – The purpose of this paper is to increase understanding about value creation to families in childhood obesity care in multiprofessional collaboration in an integrated care pathway (ICP). Design/methodology/approach – The qualitative case study involves the ICPs of two Finnish University Hospital districts. The empirical data, collected between 2009 and 2012, consists of semi-structured interviews of 30 health professionals in primary and special health care, of three children and their mothers, a family questionnaire (n=13) complemented with care path instructions and memos of an ICP work group. Findings – The findings indicate that organisational culture confirms boundaries which hinder transfer of information and sharing of knowledge between organisations and professional groups. The concepts of Chatman’s theory of everyday life information seeking complemented with the concepts of Burnett’s and Jaeger’s theory of information worlds are applicable to describe aspects of organisational culture on patient value creation in the ICP for obese children. Research limitations/implications – The data of the patients and families were limited. Interviews were completed with a questionnaire which has its limitations in qualitative research. In future studies, e.g., families’ focus-group interviews could bring new insights. Practical implications – The practise of information transfer between Finnish primary and special health care need changes. Modern information technology, e.g., videoconference could be used to increase family involvement in the value creation and the environment should be more supportive for healthy lifestyle. Originality/value – The study is one of the first which empirically applies Chatman’s and Burnett’s and Jaeger’s theories in a work-related setting.

scholarly journals Identifying Disparities in the Management of Hip Fractures Within Europe: A Comparison of 3 Health-Care Systems

2019 ◽  
Vol 10 ◽  
pp. 215145931987294 ◽  
Author(s):  
Cliodhna E. Murray ◽  
Andreas Fuchs ◽  
Heide Grünewald ◽  
Owen Godkin ◽  
Norbert P. Südkamp ◽  
...  
Keyword(s):  
Health Care ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Care Pathway ◽  
Health Care Systems ◽  
Standards Of Care ◽  
Evidence Based ◽  
Care Hospital ◽  
Care Systems ◽  
The Uk

Introduction: This study investigates the management of hip fractures in a German maximum care hospital and compares these data to evidence-based standard and practice in 180 hospitals participating in the UK National Hip Fracture Database (NHFD) and 16 hospitals participating in the Irish Hip Fracture Database (IHFD). This is the first study directly comparing the management of hip fractures between 3 separate health-care systems within Europe. Methods: Electronic medical data were collected retrospectively describing the care pathway of elderly patients with a hip fracture admitted to a large trauma unit in the south of Germany “University Hospital Freiburg” (UHF). The audit evaluated demographics, postoperative outcome, and the adherence to the 6 “Blue Book” standards of care. These data were directly compared with the data from the UK NHFD and the IHFD acquired from 180 and 16 hospitals, respectively. Results: At 36 hours, 95.8% of patients had received surgery in UHF, compared to 71.5% in the NHFD and 58% of patients in the IHFD. The rate of in-hospital mortality was 4.7% compared to 7.1% in the NHFD and 5% in the IHFD. The mean average acute length of stay was 13.4 days compared to 16.4 days in the NHFD and 20 days in the IHFD. Reoperation rates are 3.3% compared to 1% in the NHFD and 1.1% in the IHFD; 50.5% of patients were discharged on bone protection medication, compared to 47% in the IHFD and 79.3% in the UK NHFD. Discussion: Despite uniformly acknowledged evidence-based treatment guidelines, the management of hip fractures remains heterogeneous within Europe. Conclusion: These data show that different areas of the hip fracture care pathway in Germany, England, and Ireland, respectively, show room for improvement in light of the growing socioeconomic burden these countries are expected to face.

scholarly journals Bomb blast in a tertiary care hospital, the challenges faced during management of victims in a resource limited country

Trauma ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 25-29
Author(s):  
Rizwan Sultan ◽  
Hasnain Zafar ◽  
Umar Bhatti ◽  
Rozina Khimani ◽  
Khabir Ahmed
Keyword(s):  
Health Care ◽  
Medical Records ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fold Increase ◽  
University Hospital ◽  
Care Hospital ◽  
Trauma Centers ◽  
Resource Limited ◽  
The City

Introduction A bomb blast in a hospital results in a many fold increase in the casualties. The affected health care in the region is the next challenge faced by the administration of the city. We discuss the challenges faced after a bomb blast in the civil hospital of Quetta, Pakistan on 8 August 2016. Methods A retrospective review of the medical records of patients who were transferred by air to the Aga Khan University Hospital Karachi over a period of 86 h after the blast in Quetta. Results Seventy-five patients were received in three separate waves; those received in the first wave were sicker than the following waves. Errors in triage and communication which could have been prevented were identified. Conclusion Security of hospitals needs to be improved to avoid such incidents in future. The teams involved in the management of these incidents should be trained about triage and communication and its importance. There is need for designated trauma centers to take care of these incidents.

scholarly journals Prospective Longitudinal Serosurvey of Health Care Workers in the First Wave of the SARS-CoV-2 Pandemic in a Quaternary Care Hospital in Munich, Germany

2021 ◽  
Author(s):  
Tobias Weinberger ◽  
Julius Steffen ◽  
Andreas Osterman ◽  
Tonina T Mueller ◽  
Maximilian Muenchhoff ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Workers ◽  
University Hospital ◽  
Health Care Personnel ◽  
Care Hospital ◽  
Prospective Longitudinal Study ◽  
Care Workers ◽  
Antibody Assays ◽  
Prospective Longitudinal

Abstract Background High infection rates among health care personnel in an uncontained pandemic can paralyze health systems due to staff shortages. Risk constellations and rates of seroconversion for health care workers during the first wave of the SARS-CoV-2 pandemic are still largely unclear. Methods Health care personnel (n=300) on different organizational units in the LMU Munich University Hospital were included and followed in this prospective longitudinal study in the period of March 24 until July 7, 2020. Participants were monitored in intervals of two to six weeks using different antibody assays for serological testing and questionnaires to evaluate risk contacts. In a subgroup of infected participants, we obtained nasopharyngeal swabs to perform whole genome sequencing for outbreak characterization. Results Health care workers involved in patient care on dedicated COVID-19 wards or on regular non-COVID-19 wards showed a higher rate of SARS-CoV-2 seroconversion compared to staff in the emergency department and non-frontline personnel. The landscape of risk contacts in these units was dynamic, with a decrease of unprotected risk contacts in the emergency department and an increase on non-COVID-19 wards. Both, the intensity and number of risk contacts, were associated with higher rates of seroconversion. On regular wards, staff infections tended to occur in clusters, while infections on COVID-19 wards were less frequent and apparently independent of each other. Conclusion The risk of SARS-CoV-2 infection for front-line health care workers was increased during the first pandemic wave in Southern Germany. Stringent measures for infection control are essential to protect all patient-facing staff during the ongoing pandemic.

scholarly journals Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation (Preprint)

2020 ◽  
Author(s):  
Anna V Silven ◽  
Annelieke H J Petrus ◽  
María Villalobos-Quesada ◽  
Ebru Dirikgil ◽  
Carlijn R Oerlemans ◽  
...  
Keyword(s):  
Health Care ◽  
Care Pathway ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Suspected Case ◽  
Care Hospital ◽  
Scarce Resources ◽  
Design And Implementation ◽  
Care Systems ◽  
Care Capacity

UNSTRUCTURED Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around the world, threatening the quality of patient care. Telemonitoring offers the opportunity to carefully monitor patients with a confirmed or suspected case of COVID-19 from home and allows for the timely identification of worsening symptoms. Additionally, it may decrease the number of hospital visits and admissions, thereby reducing the use of scarce resources, optimizing health care capacity, and minimizing the risk of viral transmission. In this paper, we present a COVID-19 telemonitoring care pathway developed at a tertiary care hospital in the Netherlands, which combined the monitoring of vital parameters with video consultations for adequate clinical assessment. Additionally, we report a series of medical, scientific, organizational, and ethical recommendations that may be used as a guide for the design and implementation of telemonitoring pathways for COVID-19 and other diseases worldwide.

scholarly journals Is patient safety sufficient in Japan? Differences in patient safety between Japan and the United States – Learning from the United States

2016 ◽  
Vol 5 (6) ◽  
pp. 1 ◽  
Author(s):  
Masahiro Hirose
Keyword(s):  
United States ◽  
Health Care ◽  
Patient Safety ◽  
Medical Ethics ◽  
Health Care Providers ◽  
The United States ◽  
Individual Responsibility ◽  
University Hospital ◽  
Care Providers ◽  
University Hospitals

In Japan, patient safety has been promoted at all levels since the 1999 landmark adverse medical event at Yokohama City University Hospital (YCUH). However, patients do not believe that health care is becoming safer. Furthermore, two university hospitals (UHs) that were designated as “advanced treatment hospitals” had their status revoked by the Health Ministry as of June 1, 2015 due to patient safety problems. The history of patient safety in Japan can be roughly divided into two terms: 1999-2009 and since 2010. In the first term, a basic patient safety system was established that included the creation of a patient safety division and an incident-reporting system from the perspective of systems error rather than individual responsibility. Additionally, many companies have promoted the improvement and development of drugs and medical devices in collaboration with health care providers. The two recent serious medical errors at UHs seemed to occur partially due to a lack of medical ethics. Unlike in the United States (US), in Japan, there is no medical license renewal system, the organizations that govern physicians are weak, and the framework of lifelong education is inadequate. Therefore, the second term involves a mindset of quality-driven patient safety. It requires health care providers and policy makers to change their mindset toward medical ethics and patient safety by learning from the US and demands a strong organization and framework to govern physicians in Japan.

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