Using Text Mining to Compare Research to Practice in the Use of a Social Networking Platform for Pain Management of Genetic Disorders

Social media allows for the creation of communities of interest around a wide variety of medical conditions; one example of which is pain management. Pain management is a critical portion of the overall healthcare system, as evidenced by the pervasive opioid crisis in the United States. One population that struggles with pain management is communities that experience genetic disorders. The goal of this paper is to examine the findings of the extant academic literature regarding pain management for genetic disorders on social media and compare it with the actual posting of people on social media in regard to their chronic pain and pain management. The authors used text mining techniques of the Brandwatch application to analyze the users' posts on different social media platforms such as online discussion forum, blog, Tumblr, Twitter, YouTube, etc. The analysis demonstrates differences in the focus of scholarly inquiry regarding social media with user practice in relation to the topic of pain management.

Evaluating the Implementation of Electronic Medical Records in the Emergency Medical Services Department at Johns Hopkins Aramco Healthcare

This paper evaluates the implementation of EPIC system on the quality performance of Johns Hopkins Aramco Healthcare's (JHAH) Emergency Medical Services (EMS) department. This is a retrospective observational study conducted to compare the EMS department performance prior and post the implementation of EPIC on January 26th, 2018. A total number of 49,006 patients visited the EMS department during the control period (pre EPIC) while a total number of 42,431 patients visited the department during the study period (post EPIC). A statistically significant improvement with P<0.05 was found in the waiting time for patients triaged in all acuity levels. The volume of patients visiting the EMS department had a statistically significance increment after the implementation of EPIC. EHRs use the advancement in technology to store and instantly provide clinical information to the healthcare providers. Integrating EHRs to the person-centered care culture has a great potential of empowerment, education, and engagement of individuals in a more effective manner.

Beyond a “Take It” or “Leave It” Approach to eConsent Design on Health Social Networks

With the proliferation of eHealth resources promoting health data storage, analysis, and dissemination, it is important for individuals to understand the implications of sharing their highly sensitive personal health information (PHI) online. However, uncertainty remains about the level of individual awareness and understanding when sharing PHI on health social networks (HSN). This article explores individuals' emotion and cognition in the provision of eConsent for PHI on a HSN focusing on individual engagement of emotion pre- and post-registration. Prior to participants reading the HSN's privacy policy (PP) and terms and conditions (T&Cs), a ‘just click' behavior was widely observed. This article shows that educating users about the implications of T&Cs and PPs changes their attitudes toward giving eConsent. By exploring individual emotion and cognition, this study proposes guidelines for software developers designing eConsent for HSNs.

A Case Study of a Hospital Workplace Culture of Injustice for Women Physicians

Decades after the U.S. Equal Employment Opportunity Commission (EEOC) issued regulations surrounding sexual harassment, hospital medical centers still struggle to identify and implement policies and practices to proactively address and mitigate occurrences of sexual harassment and gender inequality. An organizational development intervention occurred in which all the female physicians completed a climate survey developed to evaluate the hospital's toxic corporate culture around equity and diversity. Survey responses highlight significant issues of concern around diversity and inclusion from the perspective of women in toxic workplace hospital settings, especially for female physicians.

Examination of the Impact of Patient Engagement Tools on Patient Satisfaction

The healthcare system has experienced a rapid advancement in technology over the past few decades, which has led to an increased focus on patient engagement and satisfaction. The purpose of this study was to investigate the association between patient engagement tools and the level of patient satisfaction. A secondary data analysis was conducted to determine if a relationship exists between patient satisfaction and use of patient engagement tools. Findings revealed that patient portals were equally accessible to patients (83%) regardless of the institution's patient satisfaction rating. However, more advanced engagement tools, such as online scheduling of appointments, were more commonly found in hospitals with higher patient satisfaction ratings. While the availability, knowledge, interest, and age of the patient play an important role, patient engagement tools were found to be positively linked to patient satisfaction.

Adapting the RE-AIM Framework to Evaluate the Impact of a Multi-Disciplinary Patient Care Transfer Pathway

This article reports on the use of a RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework hybrid adaptation as a methodological approach to the evaluation of the implementation of a hospital transfer pathway (HTP) product (‘Red Bag'). In particular, it provides an insight into why functional adaptation of the RE-AIM model was necessary in the context of the work undertaken. Data analysis was guided by original principles of the RE-AIM framework, which is a recognised tool for understanding impact of an intervention in establishing a newly adapted hybrid model of implementation. Outcomes of the study were used to reflexively inform future working relationships between multi-agency partners in care.

Organic Business Modeling and the Organism-Ecosystem Unit Duality

The health of a corporation relies most heavily upon healthy human beings' value-based productivity for optimal growth and evolution. A duality between personhoods and their respective systems' weighted impacts are in question, as the U.S. Healthcare industries weighted impact affects all other U.S.-GDP subsectors. The author performed an analysis of 21 main U.S.-GDP subsectors based on unclassified 1960-2014 U.S. Bureau of Economic Analysis reports. The author derived a [Consumption:Value] ratio-based equation, demonstrating results in [0.0,2.0] and U.S. dollar scales. The U.S.-GDP-Healthcare subsector increased its average annual consumption by $122,232,000,000 and was part of the U.S.-GDP's 71.4% demonstrating a reduced value ratio between 1960-1969 and 2005-2014. The author describe a weighted duality of personhoods classification, a potential ripple effect violation, and presents a new description of a pathologic, malignant organic business model due to a negatively balanced [Consumption:Value] alteration. These findings highlight reduced marginal utility and value of the U.S.-Healthcare subsector.

Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe

This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.

Supporting Patient-led Initiatives to Improve Healthcare

In modern times, the main disease structure has changed from infectious disease to chronic disease, and many people are now living with illness. Despite the patients' current situation, society still expects people with disease to behave consistently with the “Sick Role”, which Talcott Parson's previously defined. Once people are diagnosed, for example, as cancer patients, they may lose their jobs and social participation opportunities and their hope to live. To change this situation, people living with disease do a variety of things, for instance, changing their illness image and repelling social stigma, by collaborating with other stakeholders such as medical and health professionals, persons from the workplace, fellow patients, and their community. The actions undertaken by patients in cancer and ME/CFS support groups and prefectural Medical Councils in Japan as well as patients' collaboration with various stakeholders can be seen as a form of health governance. Patient-led initiatives are critical for the overall amelioration of healthcare.

Neuroeconomic Psychology

A neuroeconomic decision-making model identifies risk-preference as the basal parameter of economic behavior. Other studies show that persons differentiated by weak, medium, and strong risk-preference have separate behavioral patterns. However, general personality psychology identifies five different personality types. A study of the relationship between risk-preference and personality type shows complementarity and strong correlation between risk-preference and extreme personality types “extravert” and “risk-averter.” The moderated personality types “open-minded,” “respective,” “agreeable,” or “conscientious” behave risk neutral with an internal order according to degree of flexibility. The integrated model of neuroeconomic psychology operates in three complementary cognitive tools: general skills to differentiate between the five types of economic agents is relevant for collaboration; the substance of the moderated personality types is the dual thinking process; and to handle stress the action-mechanism of classical mantra-meditation is explained as reinforcing open-mindedness.