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.

scholarly journals Consensus on Criteria for Good Practices in Video Consultation: A Delphi Study

2020 ◽  
Vol 17 (15) ◽  
pp. 5396
Author(s):  
Diana Jiménez-Rodríguez ◽  
Diego Ruiz-Salvador ◽  
María del Mar Rodríguez Salvador ◽  
Mercedes Pérez-Heredia ◽  
Francisco José Muñoz Ronda ◽  
...  
Keyword(s):  
Health Care ◽  
Healthcare Professional ◽  
Delphi Study ◽  
Healthcare Professionals ◽  
Technical Skills ◽  
Three Dimensions ◽  
Consultation Process ◽  
Good Practices ◽  
Video Consultation ◽  
Adequate Management

The use of telemedicine has greatly increased, largely derived from the COVID-19 pandemic, which has created the need for a guide aimed towards the adequate management of a modality of health care: the video consultation. A Delphi study composed of three rounds was conducted with 16 experts in holding video consultations and managing non-technical skills from different specialties and nationalities to conceive a consensus on the criteria needed for properly managing video consultations by healthcare professionals. The consensus criteria were defined by three dimensions (preparation of video consultation, video consultation process, and post-video consultation) and their corresponding items. Excellent consensus data was obtained; therefore, use is recommended by any healthcare professional who is going to utilize a video consultation, in order to manage it effectively.

scholarly journals Improving the Effectiveness of Health Information Technology: The Case for Situational Analytics

2019 ◽  
Vol 10 (04) ◽  
pp. 771-776 ◽  
Author(s):  
Laurie Lovett Novak ◽  
Shilo Anders ◽  
Kim M. Unertl ◽  
Daniel J. France ◽  
Matthew B. Weinger
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
New Technologies ◽  
Clinical Settings ◽  
Policy Makers ◽  
Complex Interactions ◽  
Technological Context ◽  
Context Specific

AbstractHealth information technology has contributed to improvements in quality and safety in clinical settings. However, the implementation of new technologies in health care has also been associated with the introduction of new sociotechnical hazards, produced through a range of complex interactions that vary with social, physical, temporal, and technological context. Other industries have been confronted with this problem and have developed advanced analytics to examine context-specific activities of workers and related outcomes. The skills and data exist in health care to develop similar insights through situational analytics, defined as the application of analytic methods to characterize human activity in situations and identify patterns in activity and outcomes that are influenced by contextual factors. This article describes the approach of situational analytics and potentially useful data sources, including trace data from electronic health record activity, reports from users, qualitative field data, and locational data. Key implementation requirements are discussed, including the need for collaboration among qualitative researchers and data scientists, organizational and federal level infrastructure requirements, and the need to implement a parallel research program in ethics to understand how the data are being used by organizations and policy makers.

Telemedicine Technologies

2021 ◽  
pp. 12-23
Author(s):  
Dean L. Smith
Keyword(s):  
Health Care ◽  
Lessons Learned ◽  
Clinical Settings ◽  
Health Care Administrators ◽  
Full Spectrum ◽  
Care Continuum ◽  
Phone Calls

This chapter provides an overview of telemedicine technologies, including hardware, software and peripheral devices, along with their use in emergency and other clinical settings. Telemedicine comes in many forms, reflecting the complex ways health care is delivered. The earliest examples of telemedicine were simply phone calls between clinicians. Now, telemedicine encompasses live videoconferences involving the full spectrum of stakeholders in the health care continuum, a wide array of diagnostic devices, as well as an ever increasing number of patient-driven modalities. Lessons learned from the implementation of telemedicine technologies and a checklist of factors for clinicians and health care administrators to consider prior to deploying telehealth solutions are included at the end of the chapter.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

Measurement Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Cara C. Lewis ◽  
Enola K. Proctor ◽  
Ross C. Brownson
Keyword(s):  
Health Care ◽  
Implementation Research ◽  
Health Care Access ◽  
Healthcare Research ◽  
Dissemination And Implementation ◽  
Measurement Issues ◽  
Care Access ◽  
Dissemination And Implementation Science ◽  
Dissemination And Implementation Research ◽  
Access And Quality

The National Institutes of Health, the Agency for Healthcare Research and Quality, the CDC, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation. Interest in dissemination and implementation research is present in many countries. Improving health care requires not only effective programs and interventions, but also effective strategies to move them into community based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost effectiveness, context and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped, with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools are needed to capture health care access and quality, and no measurement issues are more pressing than those for dissemination and implementation science.

Telemedicine in Cancer Care

2018 ◽  
pp. 540-545 ◽  
Author(s):  
S. Joseph Sirintrapun ◽  
Ana Maria Lopez
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Cancer Care ◽  
Symptom Management ◽  
Lifestyle Modification ◽  
Clinical Settings ◽  
Home Based ◽  
Home Based Care ◽  
Care Costs ◽  
Improve Access

Telemedicine uses telecommunications technology as a tool to deliver health care to populations with limited access to care. Telemedicine has been tested in multiple clinical settings, demonstrating at least equivalency to in-person care and high levels of patient and health professional satisfaction. Teleoncology has been demonstrated to improve access to care and decrease health care costs. Teleconsultations may take place in a synchronous, asynchronous, or blended format. Examples of successful teleoncology applications include cancer telegenetics, bundling of cancer-related teleapplications, remote chemotherapy supervision, symptom management, survivorship care, palliative care, and approaches to increase access to cancer clinical trials. Telepathology is critical to cancer care and may be accomplished synchronously and asynchronously for both cytology and tissue diagnoses. Mobile applications support symptom management, lifestyle modification, and medication adherence as a tool for home-based care. Telemedicine can support the oncologist with access to interactive tele-education. Teleoncology practice should maintain in-person professional standards, including documentation integrated into the patient’s electronic health record. Telemedicine training is essential to facilitate rapport, maximize engagement, and conduct an accurate virtual exam. With the appropriate attachments, the only limitation to the virtual exam is palpation. The national telehealth resource centers can provide interested clinicians with the latest information on telemedicine reimbursement, parity, and practice. To experience the gains of teleoncology, appropriate training, education, as well as paying close attention to gaps, such as those inherent in the digital divide, are essential.

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.

Eating Disorders: Identification and Management in General Medical and Psychiatric Settings

2021 ◽  
pp. 107839032199971
Author(s):  
Rebecca A. Owens ◽  
Evelyn Attia ◽  
Joyce J. Fitzpatrick ◽  
Kathryn Phillips ◽  
Stephanie Nolan
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Assessment Tool ◽  
Psychiatric Morbidity ◽  
Clinical Settings ◽  
Life Saving ◽  
Treatment Plans ◽  
Receive Treatment ◽  
Health Features ◽  
Care Costs

OBJECTIVE Eating disorders (EDs) are serious, complex illnesses with both behavioral and physical health features. EDs have high rates of medical and psychiatric morbidity, and a 6% mortality rate, the highest of any mental illness. Early detection of EDs offers the best opportunity for recovery; yet, estimates are that as few as one in 10 individuals with an ED receive treatment. The purpose of this article is to provide an ED identification and management overview for inpatient nurse clinicians in general psychiatric and medical settings, helping to facilitate timely recognition and care. METHOD An overview of ED diagnostic criteria and two evidence-based ED tools are introduced for consideration. RESULTS Opportunities to identify and help manage an ED are numerous. Most individuals with an ED make several health care visits in either medical or psychiatric settings without ever being screened for an ED. General ED screening and assessment tool familiarization can facilitate a treatment trajectory for these patients, improve overall quality of life, and may potentially result in a life-saving intervention for this often-deadly cluster of medical and psychiatric disorders. CONCLUSION Screening and assessment in general clinical settings, identifying patients with undiagnosed EDs, beginning basic treatment plans, and referrals for appropriate follow-up care, have the potential to reduce ED recidivism and related health care costs. Simultaneously, and most important, long-term outcomes for patients with EDs may improve.

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