scholarly journals Newer Therapies In Management of Neonatal Birth Asphyxia

2021 ◽  
Vol 8 (1) ◽  
pp. 47-52
Author(s):  
Dr. Abhijit Shinde ◽  
Prof. Dr. Sunil Natha Mhaske ◽  
Dr. Sushrut Kumar
Keyword(s):  
Access To Health Care ◽  
Low Cost ◽  
Birth Asphyxia ◽  
Ease Of Use ◽  
Neuroprotective Agents ◽  
Neonatal Brain ◽  
Emerging Therapies ◽  
Improved Outcomes ◽  
Access To Health ◽  
Developed Nations

Asphyxia is an insult to the fetus or newborn due to lack of oxygen or lack of perfusion to various organs.1 National Neonatology Forum of India has defined asphyxia as gasping or ineffective breathing or lack of breathing at 1 min of life.2Birth asphyxia is one of the most important causes of neonatal brain injury whose incidence ranges from 3.7 to 9/1000 deliveries in the west.3 With the advent of therapeutic hypothermia (TH), improved outcomes are being reported in moderate HIE. TH, however, has not demonstrated improvement in outcomes related to severe HIE. . This has led clinicians and researchers to continue evaluating complementary and/or alternative therapies for infants with HIE. In this review, we will discuss current and emerging therapies in the management of HIE, other than hypothermia. With issues of access to health care and the burden of birth asphyxia shifting to developing and least developed nations, there is a need for alternative and supplementary neuroprotective agents. Low cost and easy availability along with ease of use would assist in ensuring that these therapies have global applicability. So global efforts must be taken to increase such studies as birth asphyxia is causing more morbidity & mortality globally.

Telepharmacy in Mental Health Outpatient Case Management

2007 ◽  
Vol 23 (5) ◽  
pp. 281-283 ◽  
Author(s):  
J Edwin Nieves ◽  
Kathleen M Stack ◽  
Martin Cruz
Keyword(s):  
Case Management ◽  
Access To Health Care ◽  
Low Cost ◽  
Management Program ◽  
Case Managers ◽  
Ease Of Use ◽  
Community Case Management ◽  
Case Management Program ◽  
Seriously Mentally Ill ◽  
Reliable Solution

Objective: To describe the use of videophones to augment community-based case management medical services, particularly for in-home pharmacy consultations. Discussion: Despite recent technologic advances, telepharmacy image applications, in which a patient and a pharmacist can see each other, are rather limited in number and variety. However, videophone technology can fill this role well, given its portability, low cost, reliability, privacy, ease of use, and minimal technologic requirements. Videophone deployment in our psychiatry community case-management program has improved both medical and pharmacist access to a population of seriously mentally ill patients. Specifically, the ability to reach a hospital-based pharmacist through videophone, while making home visits, has allowed clarification of medication preparation and authorization of refills as well as improving treatment adherence. In short, despite minor technical limitations, videophones provide a simple and, in our case, reliable solution for in-home care. To date, both patients and case managers have responded with satisfaction to this treatment adjunct. Conclusions: Despite some limitations, videophone technology can increase patient access to health care, particularly pharmacy consultations. Expanded use of this technology would allow for systematic studies to support or refute the successes documented at our institution.

scholarly journals Telehealth and patient satisfaction: a systematic review and narrative analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016242 ◽  
Author(s):  
Clemens Scott Kruse ◽  
Nicole Krowski ◽  
Blanca Rodriguez ◽  
Lan Tran ◽  
Jackeline Vela ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Narrative Analysis ◽  
Low Cost ◽  
Quality Care ◽  
Care Patient ◽  
Ease Of Use ◽  
Key Indicator ◽  
Improved Outcomes ◽  
Effectiveness And Efficiency

BackgroundThe use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations.ObjectiveThe objective of this systematic review and narrative analysis is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency.MethodsBoolean expressions between keywords created a complex search string. Variations of this string were used in Cumulative Index of Nursing and Allied Health Literature and MEDLINE.Results2193 articles were filtered and assessed for suitability (n=44). Factors relating to effectiveness and efficiency were identified using consensus. The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost 8%), improved communication (8%) and decreased travel time (7%), which in total accounted for 61% of occurrences.ConclusionThis review identified a variety of factors of association between telehealth and patient satisfaction. Knowledge of these factors could help implementers to match interventions as solutions to specific problems.

Telehealth Opportunities for the Otolaryngologist: A Silver Lining During the COVID-19 Pandemic

2020 ◽  
Vol 163 (1) ◽  
pp. 112-113 ◽  
Author(s):  
Taha Z. Shipchandler ◽  
B. Ryan Nesemeier ◽  
Noah P. Parker ◽  
Dominic Vernon ◽  
Vincent J. Campiti ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Ease Of Use ◽  
Care Providers ◽  
Daily Lives ◽  
Access To Health ◽  
Slow Progression ◽  
The Us ◽  
Physical Examinations

The utilization of telemedicine has seen a relatively slow progression over the past 50 years in the US health care system. Technological challenges limiting the ease of use of robust video platforms have been a major factor. Additionally, the perception by many health care providers that telehealth is reserved for only the rural population or that it provides limited value due to the inability to perform in-depth physical examinations contributes to the slow adoption. The COVID-19 pandemic, with its massive disruption in social interaction by way of “stay at home” orders, is serving as a catalyst for improving telehealth. Large health systems are investing millions of dollars and increasing telehealth visit numbers 100-fold to access patients. The “telehealth movement” is here to stay and will undoubtedly be incorporated into providers’ daily lives years after the COVID-19 pandemic. By embracing virtual access to health care, otolaryngologists will be able to influence improvements to these systems and broaden access options for patient care well into the future.

scholarly journals On the Demand for Telemedicine: Evidence from the Covid-19 Pandemic

2021 ◽  
Author(s):  
Matías Busso ◽  
María P. González ◽  
Carlos Scartascini
Keyword(s):  
Internal Medicine ◽  
Access To Health Care ◽  
Low Cost ◽  
Proof Of Concept ◽  
Older Individuals ◽  
Difference In Differences ◽  
Administrative Records ◽  
Access To Health ◽  
Percent Increase ◽  
Experience Good

Telemedicine can expand access to health care at relatively low cost. Historically, however, demand for telemedicine has remained low. Using administrative records and a difference-in-differences methodology, we estimate the change in demand for telemedicine experienced after the onset of the COVID-19 epidemic and the imposition of mobility restrictions. We find a 233 percent increase in the number of telemedicine calls and a 342 percent increase in calls resulting in a medication being prescribed. The effects were mostly driven by older individuals with pre-existing conditions who used the service for internal medicine consultations. The demand for telemedicine remains high even after mobility restrictions were relaxed, which is consistent with telemedicine being an experience good. These results are a proof of concept for policymakers willing to expand access to healthcare using advances in technology.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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