scholarly journals Clinical Simulation in Modern Teaching and Training of Sonography in Obstetrics and Gynecology

2009 ◽  
Vol 3 (4) ◽  
pp. 17-21 ◽  
Author(s):  
Ralitsa Akins ◽  
Hoi Ho
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Postgraduate Medical Education ◽  
Ease Of Use ◽  
Obstetrics And Gynecology ◽  
Care Providers ◽  
Emergency Rooms ◽  
Learning Modules ◽  
Handheld Ultrasound ◽  
And Training

Abstract Advances in computer technology, hardware and software have made ultrasound a diagnostic imaging technique of choice in certain areas of medicine or specialties such as obstetrics and gynecology. In teaching and training of obs/gyne ultrasonography, medical educators can utilize different forms of clinical simulators: traditional standardized patients and standard ultrasound diagnostic equipment, computer-based simulators, ultrasound simulators or ultrasound simulators with manikins. The popularity of a simulator is determined not only by its features, ease of use and cost, but also by its available learning modules and applications. Technology in ultrasound and computers are rapidly advancing in enhancing the quality and miniaturizing ultrasound machines. Portable and handheld ultrasound equipments are quickly becoming indispensable diagnostic instruments in different health care settings especially the emergency rooms and physician offices. Concerns, however, remain related to the lack of competence of health care providers in using and interpreting results of ultrasound studies, and the needs to standardize the training in ultrasonography. It is important to have access to one or more ultrasound simulators; however, it is even more important to establish and integrate fundamental structure of training ultrasonography into the main training curriculum of undergraduate, graduate, and postgraduate medical education.

scholarly journals Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

2018 ◽  
Vol 09 (04) ◽  
pp. 772-781 ◽  
Author(s):  
Meghan Reading ◽  
Dawon Baik ◽  
Melissa Beauchemin ◽  
Kathleen Hickey ◽  
Jacqueline Merrill
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Self Monitoring ◽  
Major Barrier ◽  
Utaut Model ◽  
History Of ◽  
Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

scholarly journals M-health for maternal health- bridging the gaps!!

2017 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Sheeba Marwah ◽  
Pratima Mittal
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Maternal Health ◽  
Medical Care ◽  
Health Care Providers ◽  
Mobile Technology ◽  
Clinical Applications ◽  
Obstetrics And Gynecology ◽  
Care Providers ◽  
Effectiveness Data

This article reviews significance, potential and principles to consider when setting up a telemedicine (TM) program to provide care to women in the field of obstetrics and gynecology, essentially deploying mobile technology. There are various benefits of such TM clinical applications. The consensus among patients and health care providers is that this technology is convenient to provide needed subspecialty medical care, even when it is not available locally. Such innovations are clinically successful, but economic and cost-effectiveness data are lacking.

EMTALA: OIG/HCFA Special Advisory Bulletin Clarifies EMTALA, American College of Emergency Physicians Criticizes it

2000 ◽  
Vol 28 (1) ◽  
pp. 90-92 ◽  
Author(s):  
Jeffey Rowes
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Financing ◽  
Care Providers ◽  
Emergency Physicians ◽  
Emergency Rooms ◽  
Active Labor ◽  
Public Emergency ◽  
Health Care Law ◽  
Managed Care Organizations

In December 1998, the Office of Inspector General (OIG) and the Health Care Financing Administration (HCFA) solicited comments from health care providers regarding the federal anti-patient dumping statute, the Emergency Medical Treatment and Active Labor Act (EMTALA) (42 USCA §1395dd). EMTALA is a federal health care law of unprecedented breadth—the first universal benefit guaranteed by the federal government. It requires Medicare-participating hospitals with public emergency rooms, emergency physicians, and ancillary surgical and medical specialists to render adequate stabilizing treatment to whoever requests it. The 1998 Special Advisory Bulletin (63 FR 67486-01) sought input on four principal dimensions of EMTALA: (1) the statutory obligation to furnish adequate medical screening to anyone who visits an emergency room; (2) the responsibilities of health care providers towards enrollees of managed care organizations (MCOs); (3) the prior authorization and payment rules for Medicare and Medicaid; and (4) what practices would promote hospital compliance with EMTALA.

scholarly journals Tobacco Harm Reduction: in pursuit of awareness and training for health care professionals

2020 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Fabio Beatrice ◽  
Keyword(s):  
Health Care ◽  
Cigarette Smoking ◽  
Harm Reduction ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Tobacco Harm Reduction ◽  
Tobacco Addiction ◽  
Intrinsic Complexity ◽  
And Training

Cigarette smoking harms as to morbidity and mortality and relative costs constitute a real plague. It concerns not just health care providers but is also a function of the intrinsic complexity of tobacco addiction.

scholarly journals Provision of Virtual Outpatient Care during the COVID-19 Pandemic and Beyond: Enabling Factors and Experiences from the UBC Pharmacists Clinic

2020 ◽  
Vol 11 (4) ◽  
pp. 7
Author(s):  
Jillian Reardon ◽  
Jamie Yuen ◽  
Timothy Lim ◽  
Richard Ng ◽  
Barbara Gobis
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Lessons Learned ◽  
Ease Of Use ◽  
Care Providers ◽  
Enabling Factors ◽  
High Satisfaction ◽  
Technological Barriers

The COVID-19 pandemic has generated an unprecedented level of interest in, and uptake of, technology-enabled virtual health care delivery as clinicians seek ways to safely care for patients with physical distancing. This paper describes the UBC Pharmacists Clinic’s technical systems and lessons learned using enabling technology and the provision of virtual patient care by pharmacists.    Of 2036 scheduled appointments at the clinic in 2019, only 1.5% of initial appointments were conducted virtually which increased to 64% for follow-up appointments. Survey respondents (n = 18) indicated an overall high satisfaction with the format, quality of care delivery, ease of use and benefits to their overall health. Other reports indicate that the majority of patients would like the option to book appointments electronically, email their healthcare provider, and have telehealth visits, although a small minority (8%) have access to virtual modes of care. The Clinic team is bridging the technology gap to better align virtual service provision with patient preferences. Practical advice and information gained through experience are shared here.  As the general population and health care providers become increasingly comfortable with video conferencing as a result of COVID-19, it is anticipated that requests for video appointments will increase, technological barriers will decrease and conditions will enable providers to increase their virtual care capabilities. Lessons learned at the Clinic have application to pharmacists in both out-patient and in-patient care settings.   Article Type: Clinical Experience

scholarly journals The Relationship Between the Sexual Self and the Experience of Pregnancy

2019 ◽  
Vol 28 (1) ◽  
pp. 43-50
Author(s):  
Jessie I. Lund ◽  
Peggy J. Kleinplatz ◽  
Maxime Charest ◽  
Jonathan D. Huber
Keyword(s):  
Health Care ◽  
Sex Education ◽  
Health Care Providers ◽  
Positive Experience ◽  
Care Providers ◽  
Prenatal Health ◽  
Comprehensive Sex Education ◽  
Prenatal Health Care ◽  
The Relationship ◽  
And Training

Studies reveal that prenatal health-care providers and educators often refrain from discussing sexuality with their patients. The present study explored the relationship between sexuality and pregnancy by considering whether the way in which women view themselves sexually is associated with their experience of pregnancy. Findings revealed that a positive sexual self was significantly related to a positive experience of pregnancy and that particular experiences of pregnancy were more significantly related to how women viewed themselves sexually than others. The findings encourage further discussion regarding the role that comprehensive sex education and training of prenatal health-care providers might play in ultimately establishing open, honest, and nonjudgmental discussions about sexuality between providers and their pregnant patients and partners.

Health Care Providers in War and Armed Conflict: Operational and Educational Challenges in International Humanitarian Law and the Geneva Conventions, Part II. Educational and Training Initiatives

2018 ◽  
Vol 13 (03) ◽  
pp. 383-396 ◽  
Author(s):  
Frederick M. Burkle ◽  
Adam L. Kushner ◽  
Christos Giannou ◽  
Mary A. Paterson ◽  
Sherry M. Wren ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Armed Conflict ◽  
International Humanitarian Law ◽  
Medical Setting ◽  
Humanitarian Law ◽  
Care Providers ◽  
Educational Challenges ◽  
And Training

ABSTRACTNo discipline has been impacted more by war and armed conflict than health care has. Health systems and health care providers are often the first victims, suffering increasingly heinous acts that cripple the essential health delivery and public health infrastructure necessary for the protection of civilian and military victims of the state at war. This commentary argues that current instructional opportunities to prepare health care providers fall short in both content and preparation, especially in those operational skill sets necessary to manage multiple challenges, threats, and violations under international humanitarian law and to perform triage management in a resource-poor medical setting. Utilizing a historical framework, the commentary addresses the transformation of the education and training of humanitarian health professionals from the Cold War to today followed by recommendations for the future. (Disaster Med Public Health Preparedness. 2019;13:383-396)

Handoff Research

2016 ◽  
Vol 5 (1) ◽  
pp. 106-111 ◽  
Author(s):  
Lee Ann Riesenberg ◽  
Robyn Davis ◽  
Emma O’Hagan
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Nursing Students ◽  
Health Care Providers ◽  
Medical Errors ◽  
Complex Task ◽  
Care Providers ◽  
The Past ◽  
Current State ◽  
And Training

Handoffs, or the transfer of patient care from one provider to another, are a complex task which can both contribute to and prevent medical errors. In this article, we review three topics that illustrate what is good, bad, and ugly about the current state of handoff research. First, we examine the good, the increase both in quantity and variety of research into patient handoffs over the past 30 years. Second, we discuss what is lacking, funding for handoff research. Finally we review one of the most troubling aspects of handoffs, the general lack of education and training for medical students, residents, and nursing students, to prepare them to manage handoffs as health care providers.

Freestanding Emergency Centers: Regulation and Reimbursement

1985 ◽  
Vol 11 (1) ◽  
pp. 105-129
Author(s):  
Mitchell Katzman
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Health Care Providers ◽  
Health Care Market ◽  
Care Providers ◽  
Emergency Rooms ◽  
Hospital Emergency ◽  
Efficient Manner ◽  
Additional Layer ◽  
Care Costs

AbstractThe freestanding emergency center, which combines the functions of a doctor's office and a hospital emergency room, has emerged as a new provider of health care. These centers have generated considerable controversy over their role in the health care market. Proponents argue that freestanding emergency centers reduce costs by providing care in a more efficient manner and cause other health care providers such as hospital emergency rooms to reduce costs and improve service. Opponents argue that the centers create an additional layer of health care which duplicates existing services and increases total health care costs. This Note examines the controversial issues of licensure, regulation and reimbursement. The Note concludes that freestanding emergency centers can help to reduce health care costs and discusses the steps that should be taken to aid centers in achieving this goal.

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