scholarly journals The Impact of Electronic Medical Records on Improvement of Health Care Delivery

2008 ◽  
Vol 3 (1) ◽  
pp. 4-4 ◽  
Author(s):  
T Giaedi
Keyword(s):  
Health Care ◽  
Electronic Medical Records ◽  
Health Care Delivery ◽  
Medical Records ◽  
Care Delivery ◽  
The Impact

scholarly journals Assessment of Use and Preferences Regarding Internet-Based Health Care Delivery: Cross-Sectional Questionnaire Study (Preprint)

2018 ◽  
Author(s):  
Georgios Paslakis ◽  
Josefine Fischer-Jacobs ◽  
Lars Pape ◽  
Mario Schiffer ◽  
Raoul Gertges ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Medical Records ◽  
Health Care Delivery ◽  
Educational Level ◽  
Medical Records ◽  
Care Delivery ◽  
Adult Population ◽  
Cross Sectional ◽  
Income Status ◽  
Use Of Technology

BACKGROUND There has been an incremental increase in the use of technology in health care delivery. Feasibility, acceptability, and efficacy of interventions based on internet technologies are supported by a growing body of evidence. OBJECTIVE The aim of this study was to investigate use and preferences in the general adult population in Germany for remote, internet-based interaction (eg, email, videoconferencing, electronic medical records, apps). METHODS A nationwide cross-sectional questionnaire survey in adults that was representative in terms of age, sex and educational level was carried out. RESULTS A total of 22.16% (538/2428) of survey participants reported not using the internet for work or private use. The nonuser phenotype can be described as being older, having lower educational and income status, and living in less populated areas. The majority of participants within the cohort of internet users reported that they would not consider using electronic medical records (973/1849, 52.62%), apps (988/1854, 53.29%), or emails to report symptoms (1040/1838, 56.58%); teleconference with one (1185/1852, 63.98%) or more experts (1239/1853, 66.86%); or participate in video psychotherapy (1476/1853, 79.65%) for the purpose of medical consultation or treatment. Older age and lower educational level were the most robust predictors of assumed future denial of use. CONCLUSIONS Our results point toward low use and preference rates among the general population for the use of telemedicine. It also seems that those who might benefit from telemedical interventions the most, are, in fact, those who are most hesitating. These low use and preference rates of eHealth should be considered prior to designing and providing future telemedical care, supporting the need for easy-to-use, data secure solutions.

The Impact of Neonatologists' Religiosity and Spirituality on Health Care Delivery for High-Risk Neonates

2010 ◽  
Vol 13 (10) ◽  
pp. 1219-1224 ◽  
Author(s):  
Pamela K. Donohue ◽  
Renee D. Boss ◽  
Susan W. Aucott ◽  
Elizabeth A. Keene ◽  
Paula Teague
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Religiosity And Spirituality ◽  
The Impact

Rural general physicians: improving access and reducing costs of health care in the bush

2014 ◽  
Vol 38 (4) ◽  
pp. 420 ◽  
Author(s):  
Simon Quilty ◽  
Danielle Valler ◽  
John Attia
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Northern Territory ◽  
Rural Hospital ◽  
General Physician ◽  
General Physicians ◽  
Significant Change ◽  
The Impact

Objective To assess the effectiveness of the introduction of a trainee specialist physician into the workforce mix of a rural hospital in the Northern Territory. Methods A retrospective review comparing clinical and non-clinical outcomes during two corresponding 6-month periods in 2011 and 2012, before and after a FRACP Trainee in General and Acute Care Medicine commenced employment in the hospital. Results There was a significant reduction of 18% in total length of stay of admitted adult patients, with a 23% reduction of inter-hospital transfers and a 43% reduction of total aeromedical evacuations after the introduction of the trainee specialist. Although there was a 9% increase in patients presenting to the emergency department, there was a 9% reduction in total adult admissions. There was no change in the overall in-patient mortality rate; however, there was a significant change in the location of death, with an increase in patients dying in Katherine Hospital and a reciprocal decrease in death rate in those who had been transferred to Royal Darwin Hospital after the arrival of the trainee Conclusions The addition of an Advanced Trainee in General Medicine led to a significant change in the capacity of the hospital to care for unwell and complex patients. The role of the hospital in the care of dying patients was redefined and allowed many more people to pass away closer to their community and families. There were considerable savings at Katherine Hospital in terms of reduced bed pressure, reduced hospital bypass behaviour and reduced inter-hospital transfers, and these translated into significant benefits for the tertiary referral hospital in Darwin. A rural general physician can greatly value add to the capacity of a rural hospital and is a highly effective mechanism for reducing the disparities in healthcare access for rural and Indigenous patients. What is known about this topic? There is little research about the clinical and non-clinical impact of the addition of general speciality clinicians into the workforce of rural hospitals. Although there are several regional hospitals in Australia that have general specialists (i.e. emergency department physicians, general physicians and surgeons) and sub-specialists where the volume of patients is adequate to support such a workforce, there has been no published assessment of the impact of the addition of such speciality services. What does this paper add? This paper provides evidence of the cost-effectiveness of the addition of a specialist general physician to the workforce of a remote hospital servicing a large Indigenous population with very high burdens of acute and chronic illnesses in the Northern Territory. The paper demonstrates the potential to significantly add capacity to a rural or regional hospital by moving general speciality care to the hospital rather than, or in addition to, providing other methods of speciality and sub-speciality health care delivery. What are the implications for practitioners? The implications of this paper are that a significantly cost-effective means of addressing health care delivery to rural and remote populations is through the addition of appropriately trained general specialists such as emergency department physicians, general physicians and general surgeons. The implications extend to broader workforce development policies for education providers, speciality colleges and state and federal governments.

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