scholarly journals Visiting Policies of Hospice Wards during the COVID-19 Pandemic: An Environmental Scan in Taiwan

2020 ◽  
Vol 17 (8) ◽  
pp. 2857 ◽  
Author(s):  
Ya-Chuan Hsu ◽  
Ya-An Liu ◽  
Ming-Hwai Lin ◽  
Hsiao-Wen Lee ◽  
Tzeng-Ji Chen ◽  
...  
Keyword(s):  
Disease Transmission ◽  
Healthcare Professionals ◽  
Policy Changes ◽  
Travel History ◽  
Healthcare Facilities ◽  
Difficult Decision ◽  
Phone Calls ◽  
Open Policy ◽  
Almost All ◽  
Visiting Policy

During an epidemic, almost all healthcare facilities restrict the visiting of patients to prevent disease transmission. For hospices with terminally ill patients, the trade-off between compassion and infection control becomes a difficult decision. This study aimed to survey the changes in visiting policy for all 76 hospice wards in Taiwan during the COVID-19 pandemic in March 2020. The altered visiting policies were assessed by the number of visitors per patient allowed at one time, the daily number of visiting slots, the number of hours open daily, and requisites for hospice ward entry. The differences in visiting policies between hospice wards and ordinary wards were also investigated. Data were collected by reviewing the official website of each hospital and were supplemented by phone calls in cases where no information was posted on the website. One quarter (n = 20) of hospice wards had different visiting policies to those of ordinary wards in the same hospital. Only one hospice ward operated an open policy, and in contrast, nine (11.8%) stopped visits entirely. Among the 67 hospice wards that allowed visiting, at most, two visitors at one time per patient were allowed in 46 (68.6%), one visiting time daily was allowed in 32 (47.8%), one hour of visiting per day was allowed in 29 (43.3%), and checking of identity and travel history was carried out in 12 wards (17.9%). During the COVID-19 pandemic, nearly all hospice wards in Taiwan changed their visiting policies, but the degree of restriction varied. Further studies could measure the impacts of visiting policy changes on patients and healthcare professionals.

scholarly journals Availability and Use of Mobile Health Technology for Disease Diagnosis and Treatment Support by Health Workers in the Ashanti Region of Ghana: A Cross-Sectional Survey

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1233
Author(s):  
Ernest Osei ◽  
Kwasi Agyei ◽  
Boikhutso Tlou ◽  
Tivani P. Mashamba-Thompson
Keyword(s):  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Disease Diagnosis ◽  
Text Messages ◽  
Diagnosis And Treatment ◽  
Cross Sectional Survey ◽  
Mobile Wireless ◽  
Ashanti Region ◽  
Phone Calls ◽  
Treatment Support

Mobile health (mHealth) technologies have been identified as promising strategies for improving access to healthcare delivery and patient outcomes. However, the extent of availability and use of mHealth among healthcare professionals in Ghana is not known. The study’s main objective was to examine the availability and use of mHealth for disease diagnosis and treatment support by healthcare professionals in the Ashanti Region of Ghana. A cross-sectional survey was carried out among 285 healthcare professionals across 100 primary healthcare clinics in the Ashanti Region with an adopted survey tool. We obtained data on the participants’ background, available health infrastructure, healthcare workforce competency, ownership of a mobile wireless device, usefulness of mHealth, ease of use of mHealth, user satisfaction, and behavioural intention to use mHealth. Descriptive statistics were conducted to characterise healthcare professionals’ demographics and clinical features. Multivariate logistic regression analysis was performed to explore the influence of the demographic factors on the availability and use of mHealth for disease diagnosis and treatment support. STATA version 15 was used to complete all the statistical analyses. Out of the 285 healthcare professionals, 64.91% indicated that mHealth is available to them, while 35.08% have no access to mHealth. Of the 185 healthcare professionals who have access to mHealth, 98.4% are currently using mHealth to support healthcare delivery. Logistic regression model analysis significantly (p < 0.05) identified that factors such as the availability of mobile wireless devices, phone calls, text messages, and mobile apps are associated with HIV, TB, medication adherence, clinic appointments, and others. There is a significant association between the availability of mobile wireless devices, text messages, phone calls, mobile apps, and their use for disease diagnosis and treatment compliance from the chi-square test analysis. The findings demonstrate a low level of mHealth use for disease diagnosis and treatment support by healthcare professionals at rural clinics. We encourage policymakers to promote the implementation of mHealth in rural clinics.

scholarly journals Telemedicine in Spine Surgery: Global Perspectives and Practices

2021 ◽  
pp. 219256822110223
Author(s):  
Grant Riew ◽  
Francis Lovecchio ◽  
Dino Samartzis ◽  
Philip K. Louie ◽  
Niccole Germscheid ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Descriptive Statistics ◽  
South American ◽  
Geographical Differences ◽  
Cross Sectional ◽  
Global Perspectives ◽  
Phone Calls ◽  
Initial Appointment ◽  
Almost All

Study Design: Cross-sectional, anonymous, international survey. Objectives: The COVID-19 pandemic has resulted in the rapid adoption of telemedicine in spine surgery. This study sought to determine the extent of adoption and global perspectives on telemedicine in spine surgery. Methods: All members of AO Spine International were emailed an anonymous survey covering the participant’s experiences with and perceptions of telemedicine. Descriptive statistics were used to depict responses. Responses were compared among regions. Results: 485 spine surgeons participated in the survey. Telemedicine usage rose from <10.0% to >39.0% of all visits. A majority of providers (60.5%) performed at least one telemedicine visit. The format of “telemedicine” varied widely by region: European (50.0%) and African (45.2%) surgeons were more likely to use phone calls, whereas North (66.7%) and South American (77.0%) surgeons more commonly used video ( P < 0.001). North American providers used telemedicine the most during COVID-19 (>60.0% of all visits). 81.9% of all providers “agreed/strongly agreed” telemedicine was easy to use. Respondents tended to “agree” that imaging review, the initial appointment, and postoperative care could be performed using telemedicine. Almost all (95.4%) surgeons preferred at least one in-person visit prior to the day of surgery. Conclusion: Our study noted significant geographical differences in the rate of telemedicine adoption and the platform of telemedicine utilized. The results suggest a significant increase in telemedicine utilization, particularly in North America. Spine surgeons found telemedicine feasible for imaging review, initial visits, and follow-up visits although the vast majority still preferred at least one in-person preoperative visit.

scholarly journals Health Care Responsibility and Compassion-Visiting the Housebound Patient Severely Affected by ME/CFS

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 197
Author(s):  
Caroline Kingdon ◽  
Dionysius Giotas ◽  
Luis Nacul ◽  
Eliana Lacerda
Keyword(s):  
Health Care ◽  
Chronic Fatigue Syndrome ◽  
Healthcare Professionals ◽  
Chronic Fatigue ◽  
Illness Severity ◽  
Accurate Diagnosis ◽  
Holistic Model ◽  
Healthcare Facilities ◽  
Fatigue Syndrome ◽  
Seriously Ill

Many people with severe Myalgic Encephalopathy/Chronic Fatigue Syndrome (ME/CFS) commonly receive no care from healthcare professionals, while some have become distanced from all statutory medical services. Paradoxically, it is often the most seriously ill and needy who are the most neglected by those responsible for their healthcare. Reasons for this include tensions around the complexity of making an accurate diagnosis in the absence of a biomarker, the bitter debate about the effectiveness of the few available treatments, and the very real stigma associated with the diagnosis. Illness severity often precludes attendance at healthcare facilities, and if an individual is well enough to be able to attend an appointment, the presentation will not be typical; by definition, patients who are severely affected are home-bound and often confined to bed. We argue that a holistic model, such as ‘‘Compassion in Practice’’, can help with planning appointments and caring for people severely affected by ME/CFS. We show how this can be used to frame meaningful interactions between the healthcare practitioners (HCPs) and the homebound patient.

scholarly journals Barriers and Facilitators to COVID-19 screening at Jaipur International Airport, India.

2021 ◽  
Author(s):  
Neha Mantri ◽  
Nitin Kumar Joshi ◽  
Pankaj Bhardwaj ◽  
Akhil Dhanesh Goel ◽  
Manoj Kumar Gupta ◽  
...  
Keyword(s):  
Disease Transmission ◽  
Healthcare Providers ◽  
Health Department ◽  
International Travel ◽  
Barriers And Facilitators ◽  
Organization Behavior ◽  
Travel History ◽  
International Airport ◽  
Key Stakeholders ◽  
The Mean

Abstract Background:Airports pose a possible threat in facilitating global disease transmission within the community which may be prevented by rigorous systematic entry-exit screening. With the aim to capture the perception of stakeholders associated with COVID-19 on barriers and facilitators of airport screening at Jaipur International Airport. Also, to assess key outcomes viz. total passengers screened, suspected cases, & confirmed cases.Methods:An inductive-deductive mix-method thematic analysis was conducted to capture qualitative data of key stakeholders. Additionally, quantitative data was obtained from the Rajasthan Medical & Health Department team deployed for COVID-19 airport screening.Results:Jaipur International Airport screened 4565 passengers (Males=4073 and Females=492) with 23 suspected cases during an outlined period of declaration of Pandemic to Lockdown in India (11th to 24th March 2020). Total 65 passengers had travel history from China (3 from Wuhan). The mean average age of passengers was 40.95 ± 7.8 years. The average screening time per passenger was 2-3 minutes with a load of 25-90 passengers per team per flight. Fishbone analysis of screening challenges revealed poor cooperation of passengers, masking symptoms, apprehension, and stigma related to quarantine. Moreover, inadequate human resources and changing guidelines overburdened healthcare providers. But, perception of risk, and social responsibility of travelers together with supportive organization behavior act as facilitators. Overall, groundwork on airport screening was insightful to propose key action areas for screening.Conclusions:Globally, COVID-19 has an impact on health infrastructure and international travel. International coordination with streamlined screening will go a LONG way in virus containment.

scholarly journals The Prevalence of Cyberbullying among Adolescents: A Case Study of Middle Schools in Vietnam

2021 ◽  
Vol 4 (3) ◽  
pp. p1
Author(s):  
To Phuong Oanh
Keyword(s):  
Gender Differences ◽  
Middle School Students ◽  
Instant Messaging ◽  
The Internet ◽  
School Students ◽  
Phone Calls ◽  
Mobile Telephones ◽  
Almost All ◽  
State Schools

This paper aims to investigate the prevalence of cyberbullying among Vietnamese adolescents. Special emphasis was placed on gender differences regarding different forms of cyberbullying and victimization. In this study, 200 middle school students from four state schools in Vietnam were online surveyed to obtain information about the prevalence of cyberbullying and victimization. The results show that most of the students used the Internet daily and that almost all of them possess mobile telephones. On average, 7% of students reported that they have cyberbullied others online, whilst 14% of them were victims of cyberbullying. The most common types of victimization reported by students were harassment including “prank or silent phone calls” or “Insults on instant messaging and website”. There were not any significant gender differences in cyberbullying and being victimized by cyberbullies than females.

scholarly journals Automated monitoring of behavior reveals bursty interaction patterns and rapid spreading dynamics in honeybee social networks

2018 ◽  
Vol 115 (7) ◽  
pp. 1433-1438 ◽  
Author(s):  
Tim Gernat ◽  
Vikyath D. Rao ◽  
Martin Middendorf ◽  
Harry Dankowicz ◽  
Nigel Goldenfeld ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Interactions ◽  
Communication Networks ◽  
Disease Transmission ◽  
Large Scale ◽  
Reference Network ◽  
Interaction Patterns ◽  
Human Communication ◽  
Automated Monitoring ◽  
Phone Calls

Social networks mediate the spread of information and disease. The dynamics of spreading depends, among other factors, on the distribution of times between successive contacts in the network. Heavy-tailed (bursty) time distributions are characteristic of human communication networks, including face-to-face contacts and electronic communication via mobile phone calls, email, and internet communities. Burstiness has been cited as a possible cause for slow spreading in these networks relative to a randomized reference network. However, it is not known whether burstiness is an epiphenomenon of human-specific patterns of communication. Moreover, theory predicts that fast, bursty communication networks should also exist. Here, we present a high-throughput technology for automated monitoring of social interactions of individual honeybees and the analysis of a rich and detailed dataset consisting of more than 1.2 million interactions in five honeybee colonies. We find that bees, like humans, also interact in bursts but that spreading is significantly faster than in a randomized reference network and remains so even after an experimental demographic perturbation. Thus, while burstiness may be an intrinsic property of social interactions, it does not always inhibit spreading in real-world communication networks. We anticipate that these results will inform future models of large-scale social organization and information and disease transmission, and may impact health management of threatened honeybee populations.

Health care of immigrant patients in Italy: the perspective of health professionals

2021 ◽  
Vol 70 (2) ◽  
pp. 183-194
Author(s):  
Claudia Spinosa ◽  
Laura Angioletti ◽  
Michela Balconi
Keyword(s):  
Healthcare Professionals ◽  
Well Being ◽  
Depth Information ◽  
Analysis Method ◽  
Cultural Backgrounds ◽  
Healthcare Facilities ◽  
Foreign Population ◽  
Quantitative Analysis Method ◽  
Specific Care ◽  
Health And Well Being

Within a multicultural society, healthcare professionals (HPs) need to implement specific care pathways to meet the needs of patients with different cultural backgrounds who regularly present themselves in healthcare facilities in Italy. This study intends to examine the experiences and representations lived by HPs who deal with the care and management of foreign immigrant patients living in Italy, with chronic diseases. For this goal, a survey was conducted on a sample of 54 HPs recruited in hospital and outpatient facilities. The survey was analyzed with a quantitative analysis method. The results underlined that it is necessary to provide specific training paths to work with chronic immigrant patients, standardizing the training of medical staff both in hospitals and clinics, and providing for other types of professionals specialized in relations with foreign patients, to respond to all requests from foreign users, and not just healthcare ones. This study proposes a new survey model aimed at obtaining in-depth information on the representation of HPs towards the health and well-being of chronic immigrant patients, to provide concrete answers to the needs of the foreign population, providing for the collaboration of several specialised professionals.

Learner Acceptance of Using Virtual Patient Encounters to Train Foreign Healthcare Professionals in Swedish

2017 ◽  
pp. 379-393
Author(s):  
Uno G. H. Fors ◽  
Olivier Courteille
Keyword(s):  
Learning Environments ◽  
Communication Skills ◽  
Healthcare Professionals ◽  
Virtual Patient ◽  
Patient Communication ◽  
Virtual Patients ◽  
Educational Value ◽  
Good Communication ◽  
Professional Needs ◽  
Almost All

Healthcare professionals need good communication skills to be able to communicate with patients. In such provider-patient communication, the professional needs to be well understood by the patient, but also be able to understand subtle parts of a medical history taking dialogue with worried, sick or mentally affected patients. Virtual Patients (VPs) – learning environments that simulate encounters between a patient and a physician – were used to prepare 26 immigrating professionals in Swedish for healthcare practitioners. The professionals were speaking nine different foreign languages and used two different VP systems to train patient communication. Almost all participants welcomed the use of VPs for training communication in healthcare Swedish and 19 of the 26 users indicated that they considered that VPs should be mandatory to use in future courses. Targeted individual training in provider-patient communication with Virtual Patients seems to be of great educational value and well accepted by immigrating healthcare professionals.

scholarly journals Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals’ Perceptions about Their Implementation and Adequate Management

2020 ◽  
Vol 17 (14) ◽  
pp. 5112 ◽  
Author(s):  
Diana Jiménez-Rodríguez ◽  
Azucena Santillán García ◽  
Jesús Montoro Robles ◽  
María del Mar Rodríguez Salvador ◽  
Francisco José Muñoz Ronda ◽  
...  
Keyword(s):  
Health Care ◽  
Healthcare Professionals ◽  
New Technologies ◽  
Technical Skills ◽  
Clinical Settings ◽  
Social Emotional ◽  
Phone Calls ◽  
Video Consultation ◽  
Access And Quality ◽  
Adequate Management

In response to the COVID-19 pandemic, health care modalities such as video consultations have been rapidly developed to provide safe health care and to minimize the risk of spread. The purpose of our study is to explore Spanish healthcare professionals’ perceptions about the implementation of video consultations. Based on the testimonies of 53 professionals, different categories emerged related to the four identified themes: benefits of video consultations (for professionals, patients, and the health system, and compared to phone calls), negative aspects (inherent to new technologies and the risk of a perceived distancing from the professional), difficulties associated with the implementation of video consultations (technological difficulties, lack of technical skills and refusal to use video consultation among professionals and patients), and the need for training (technological, nontechnical, and social-emotional skills, and adaptation of technical skills). Additionally, the interviewees indicated that this new modality of health care may be extended to a broader variety of patients and clinical settings. Therefore, since video consultations are becoming more widespread, it would be advisable for health policies and systems to support this modality of health care, promoting their implementation and guaranteeing their operability, equal access and quality.

Greek gynecology healthcare professionals towards quality management systems

2019 ◽  
Vol 32 (1) ◽  
pp. 164-175
Author(s):  
Konstantinos Dinas ◽  
Eleftherios Vavoulidis ◽  
Georgios Chrysostomos Pratilas ◽  
Alexandros Basonidis ◽  
Anastasios Liberis ◽  
...  
Keyword(s):  
Quality Management ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Management Systems ◽  
Quality Management Systems ◽  
Content Type ◽  
Healthcare Facilities ◽  
Critical Gap ◽  
Management Objectives ◽  
Greek Hospitals

Purpose Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of gynecology healthcare professionals toward quality and quality management in healthcare facilities (HFs) in Greece. Design/methodology/approach An anonymous self-administered questionnaire was distributed to healthcare professionals, asking for opinions on quality objectives associated with the everyday workflow in HFs (e.g. management of patients, resources, etc.) and on QMS. The study was conducted in Hippokration Hospital of Thessaloniki, including 187 participants. Statistical assessment and analysis of the questionnaires were carried out. Findings Although 87.5 percent recognized the importance of potential QMS implementation and accreditation, over 50 percent believed that it would lead rather to increased workload and bureaucracy than to any considerable quality improvement. More than 60 percent were completely unaware of the implementation of quality objectives such as quality handbook, quality policy, audit meetings and accreditation status in their HFs. This unawareness was also reported in terms of patient, data, human and general resources management. Finally, awareness over medical malpractice and positive attitude toward official reporting were detected. Originality/value Most respondents acknowledged the significance of quality, QMS implementation and accreditation in Greek hospitals. However, there was a critical gap in knowledge about quality management objectives/processes that could be possibly resolved by expert teams and well-organized educational programs aiming to educate personnel regarding the various quality objectives in Greek HFs.

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