Nursing students as agents of change: Empowering patients using mobile technology for health promotion. Presented by Sally Britnell, School of Health Care Practice, AUT University, at HINZ 2014, 11 November 2014, 12pm, Plenary Room 2
This document summarizes a study on consumer use of internet health information. The study found:
1) 72% of respondents were internet users, and 56% of internet users sought health information online.
2) Women were more likely than men to have negative assessments of their search experience. Older adults found searches more difficult than younger users.
3) Over half of those who searched online contacted a healthcare provider as a result, with no differences by age or sex.
The study suggests the internet influences health behaviors and could be used to deliver interventions to different groups.
A Long-term Evaluation of Interventions on Preventing Preschool Children’s Injury in a Safe Community in Shanghai from 2009 to 2014
By Shuangxiao Qu, CHINA
Aiming for a Higher Performing Health Care System: Learning from Cross-Nation...The Commonwealth Fund
Robin Osborn, Vice President and Director, International Program in Health Policy and Innovation at The Commonwealth Fund, discusses international health care systems. These slides were presented at the Queen’s Health Policy Change Conference, May 6, 2015 in Toronto, Canada.
This document summarizes a presentation on estimating the global burden of melioidosis and predicting mortality. The main results presented estimate there are 165,000 cases of melioidosis worldwide each year, of which 89,000 result in death. This would make melioidosis a more significant cause of mortality than diseases like tuberculosis, malaria, and dengue fever. The presentation emphasizes the need to convince policymakers of melioidosis' importance by providing accurate data on its incidence and mortality. It discusses strategies used in Thailand to improve surveillance and reporting of melioidosis cases to health authorities.
Comparison of Ultrabio HIV DNA PCR and Gag Real-Time PCR Assays for Total Hiv...CrimsonpublishersCJMI
Comparison of Ultrabio HIV DNA PCR and Gag Real-Time PCR Assays for Total Hiv-1 DNA Quantification by Tuofu Zhu in Cohesive Journal of Microbiology & Infectious Disease
Outcomes research examines the end results of health services on individuals and populations in order to provide scientific evidence to support healthcare decisions. It can be categorized into care-related research, patient-related research, and performance-related research. The Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute both fund outcomes research. Examples of potentially helpful areas for outcomes research include reducing opioid abuse, improving care coordination, and enhancing healthcare quality and safety.
This document summarizes a study on consumer use of internet health information. The study found:
1) 72% of respondents were internet users, and 56% of internet users sought health information online.
2) Women were more likely than men to have negative assessments of their search experience. Older adults found searches more difficult than younger users.
3) Over half of those who searched online contacted a healthcare provider as a result, with no differences by age or sex.
The study suggests the internet influences health behaviors and could be used to deliver interventions to different groups.
A Long-term Evaluation of Interventions on Preventing Preschool Children’s Injury in a Safe Community in Shanghai from 2009 to 2014
By Shuangxiao Qu, CHINA
Aiming for a Higher Performing Health Care System: Learning from Cross-Nation...The Commonwealth Fund
Robin Osborn, Vice President and Director, International Program in Health Policy and Innovation at The Commonwealth Fund, discusses international health care systems. These slides were presented at the Queen’s Health Policy Change Conference, May 6, 2015 in Toronto, Canada.
This document summarizes a presentation on estimating the global burden of melioidosis and predicting mortality. The main results presented estimate there are 165,000 cases of melioidosis worldwide each year, of which 89,000 result in death. This would make melioidosis a more significant cause of mortality than diseases like tuberculosis, malaria, and dengue fever. The presentation emphasizes the need to convince policymakers of melioidosis' importance by providing accurate data on its incidence and mortality. It discusses strategies used in Thailand to improve surveillance and reporting of melioidosis cases to health authorities.
Comparison of Ultrabio HIV DNA PCR and Gag Real-Time PCR Assays for Total Hiv...CrimsonpublishersCJMI
Comparison of Ultrabio HIV DNA PCR and Gag Real-Time PCR Assays for Total Hiv-1 DNA Quantification by Tuofu Zhu in Cohesive Journal of Microbiology & Infectious Disease
Outcomes research examines the end results of health services on individuals and populations in order to provide scientific evidence to support healthcare decisions. It can be categorized into care-related research, patient-related research, and performance-related research. The Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute both fund outcomes research. Examples of potentially helpful areas for outcomes research include reducing opioid abuse, improving care coordination, and enhancing healthcare quality and safety.
The document summarizes key findings from a survey on mobile health (mHealth) apps. It discusses current usage of health apps, reasons for non-use, and desired app features. A panel then discusses opportunities and challenges for mHealth, including using apps and devices to better manage conditions like obesity and diabetes. Goals are improving access to care, monitoring health remotely, and facilitating communication between patients and healthcare providers.
This document outlines a research study that aims to determine the effect of integrating mental health services into antiretroviral therapy (ART) programs in Ethiopia. The study will use a cluster randomized controlled trial design to compare ART outcomes between clinics that provide integrated mental health services and standard ART care. The objectives are to assess how integration impacts ART outcomes like viral load, retention in care, and adherence, as well as to examine the prevalence of mental health disorders and feasibility of integration. The study involves collecting data on socioeconomics, biological markers, mental health status, and other indicators from ART clients at baseline and follow-ups. Analysis will compare the intervention and control groups on outcomes while accounting for clustering. The study aims to be
“What are the levels of patient satisfaction with the use of video consultation as a tool for care delivery since Coronavirus (COVID-19) pandemic started?”
Project ECHO aims to expand access to specialty healthcare for common and complex diseases in rural and underserved areas through its teleECHO model. It uses videoconferencing and case-based learning to train primary care providers to safely and effectively treat diseases like hepatitis C. Evaluations show providers gain clinical skills and patients achieve similar treatment outcomes to specialty clinics. The model has been successfully implemented for over a dozen disease areas.
Insights from the National Diabetes Registry: User SatisfactionArunah Chandran
The document discusses a study on user satisfaction with the National Diabetes Registry (NDR) system in Malaysia. It found that while overall satisfaction with NDR was high, there is room for improvement in training. Most users were men aged 31-40 working in health clinics. The study assessed satisfaction in three domains: ease of use, training, and design. Overall satisfaction was positive in all domains, with the highest for ease of use. Stratifying by age and occupation found no significant differences in satisfaction levels. Improving training was recommended to better support NDR users.
This document discusses the development of syndromic practice guidelines for primary care in high HIV prevalence settings. It argues that standardized case management can improve diagnosis, treatment, and referral. Common outpatient conditions like respiratory infections, malaria, and STIs represent a large portion of health service visits. While disease presentations in early stage HIV may not differ from non-infected individuals, adequate management of selected conditions can reduce mortality and improve quality of life for those with HIV. Further research is still needed on treating certain conditions like pneumonia to help develop standardized syndromic guidelines.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Barriers and facilitators to community pharmacy management of people with ost...NIK HADIJAH
Background: Community pharmacists can partner in collaborative management of chronic diseases such as osteoporosis. However, in Malaysia, the involvement of community pharmacists in the provision of osteoporosis care is minimal.
Objectives: To identify the barriers and facilitators faced by Malaysian community pharmacists in providing osteoporosis care.
Methods: Semi-structured one-on-one interviews and focus groups discussions (in groups of 5 participants), were conducted from October 2013 to July 2014. Community pharmacists were purposively sampled based on their years of experience and place of work. One of three trained researchers interviewed the participants using a topic guide. Interviews were recorded and transcribed verbatim. Data were analysed thematically using an interpretative description approach.
Results: Nineteen community pharmacists participated (one-on-one interviews=9, focus group discussions=10). None of the participants had directly provided pharmaceutical care to people with osteoporosis. The main barriers were lack of public awareness (n=17); lack of accurate screening tools for community pharmacists (n=16); lack of knowledge (n=13), time (n=6) and collaboration between pharmacists and doctors (n=14); and lack of support from the government and pharmaceutical society (n=11). The pharmacists wanted more public awareness campaigns on osteoporosis (n=17), more continuing education on osteoporosis (n=11), a simple unbiased osteoporosis management guideline (n=13), inter-professional collaboration (n=18), and reimbursement for osteoporosis care (n=8) to facilitate the provision of osteoporosis care. All participants had equally shared the same view on the barriers and facilitators to provide osteoporosis care.
Conclusions: This study has provided an insight into the barriers and needs of community pharmacists to provide osteoporosis care. The findings may help to develop interventions in supporting community pharmacists to improve osteoporosis care in the community.
Slide Presentation from the July 9, 2013 webinar to present results of a survey of patients and clinicians assessing views on comparative effective research (CER) and engagement in research.
Evaluation of the Mother and Infant Health ProjectOlena Nizalova
This presentation is on the paper which exploits a unique opportunity to evaluate the impact of the quality change in the labor and delivery services brought about by the Mother and Infant Health Project in Ukraine. Employing program evaluation methods, we find that the administrative units participating in the Project have exhibited greater improvements in both maternal and infant health compared to the control ones. Among the infant health characteristics, the MIHP impact is most pronounced for infant mortality resulting from deviations in perinatal period. As for the maternal health, the MIHP is the most effective at combating anemia, blood circulation and urinary-genital system complications, and late toxicosis. The analysis suggests that the effects are due to early attendance of antenatal clinics, lower share of C-sections, and greater share of normal deliveries. Preliminary cost-effectiveness analysis shows enormous benefit per dollar spent on the project: the cost to benefit ratio is one to 97 taking into account both maternal and infant lives saved as well as cost savings due to the changes in labor and delivery practices.
The Department of Internal Medicine celebrates our 75th successful year, and the conclusion of FY2019 with a highlights presentation. For higher quality images and better view-ability, please download the file.
Mobile and Telehealth Programs Evidence and Emerging TechnologiesP. Kenyon Crowley
Review of current evidence on telehealth and mobile health interventions effectiveness, and emerging innovations in this space, presented at executive education session.
Thailand has made progress in adopting electronic health records and computerized physician order entry in hospitals. However, its overall eHealth system remains fragmented with siloed applications and a lack of integration and interoperability. National leadership and a strategic plan are still needed to better coordinate eHealth development and ensure standards and policies keep pace with technology. Future trends may include stronger health IT adoption, localized data exchange, and using insurance claims as a driver for further eHealth advancements.
This document summarizes preliminary results from modeling screening and treatment pathways for diabetic retinopathy in Scotland. The model finds that annual screening may not be cost-effective for individuals with a 1-year risk of progression below 1%, suggesting biennial screening could reduce costs with minimal quality-adjusted life year losses. Around 55% of the current annual screening cohort has such low risk. Further analysis is needed to characterize uncertainty and evaluate alternative screening and treatment configurations. The pathway modeling provides a framework to inform changes over time but has challenges around uncertainties and validation.
Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
This webinar discussed a Cochrane review on the effectiveness of patient decision aids. It found that compared to usual care, decision aids improve patient knowledge by 13%, accuracy of risk perceptions by 82%, and the match between patient values and the health choices made by 51%. Decision aids may also reduce the use of discretionary treatments or screening by up to 20% and 14% respectively. While decision aids are effective, they are not being widely used in practice. The webinar provided an overview of the evidence on decision aids and highlighted their potential for improving shared decision making.
The document summarizes the results of a survey conducted with 309 patient organizations from 29 European countries about their role in research and priorities for the future. It finds that while 37% of organizations fund research, most provide non-financial support through activities like facilitating collaboration between researchers, patients, and clinicians. The organizations support a wide range of research areas and have played a role in building research communities, though their budgets are limited. Understanding patient organizations' expertise and how they contribute knowledge to health policymaking was a goal of the survey.
The document summarizes the key aspects of an eReferrals project including the benefits, challenges, and next steps. It notes that the project aimed to address issues with the paper referral system like lost referrals, duplication, and delays. However, implementing the electronic system presented difficulties including variability between medical practices, integration challenges, and process issues. While there were benefits to patients and clinicians, the rollout faced problems and the system had limitations. Stakeholders are now looking at ways to improve internal and external referrals going forward, including following national standards and sharing referrals regionally.
La auditoría administrativa evalúa la eficiencia con la que cada unidad administrativa de una empresa desarrolla sus procesos, y proporciona un panorama general de cómo opera cada función. La auditoría financiera examina los libros y registros de una organización para verificar sus operaciones financieras y resultados y reportar sobre ellos.
The document summarizes key findings from a survey on mobile health (mHealth) apps. It discusses current usage of health apps, reasons for non-use, and desired app features. A panel then discusses opportunities and challenges for mHealth, including using apps and devices to better manage conditions like obesity and diabetes. Goals are improving access to care, monitoring health remotely, and facilitating communication between patients and healthcare providers.
This document outlines a research study that aims to determine the effect of integrating mental health services into antiretroviral therapy (ART) programs in Ethiopia. The study will use a cluster randomized controlled trial design to compare ART outcomes between clinics that provide integrated mental health services and standard ART care. The objectives are to assess how integration impacts ART outcomes like viral load, retention in care, and adherence, as well as to examine the prevalence of mental health disorders and feasibility of integration. The study involves collecting data on socioeconomics, biological markers, mental health status, and other indicators from ART clients at baseline and follow-ups. Analysis will compare the intervention and control groups on outcomes while accounting for clustering. The study aims to be
“What are the levels of patient satisfaction with the use of video consultation as a tool for care delivery since Coronavirus (COVID-19) pandemic started?”
Project ECHO aims to expand access to specialty healthcare for common and complex diseases in rural and underserved areas through its teleECHO model. It uses videoconferencing and case-based learning to train primary care providers to safely and effectively treat diseases like hepatitis C. Evaluations show providers gain clinical skills and patients achieve similar treatment outcomes to specialty clinics. The model has been successfully implemented for over a dozen disease areas.
Insights from the National Diabetes Registry: User SatisfactionArunah Chandran
The document discusses a study on user satisfaction with the National Diabetes Registry (NDR) system in Malaysia. It found that while overall satisfaction with NDR was high, there is room for improvement in training. Most users were men aged 31-40 working in health clinics. The study assessed satisfaction in three domains: ease of use, training, and design. Overall satisfaction was positive in all domains, with the highest for ease of use. Stratifying by age and occupation found no significant differences in satisfaction levels. Improving training was recommended to better support NDR users.
This document discusses the development of syndromic practice guidelines for primary care in high HIV prevalence settings. It argues that standardized case management can improve diagnosis, treatment, and referral. Common outpatient conditions like respiratory infections, malaria, and STIs represent a large portion of health service visits. While disease presentations in early stage HIV may not differ from non-infected individuals, adequate management of selected conditions can reduce mortality and improve quality of life for those with HIV. Further research is still needed on treating certain conditions like pneumonia to help develop standardized syndromic guidelines.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Barriers and facilitators to community pharmacy management of people with ost...NIK HADIJAH
Background: Community pharmacists can partner in collaborative management of chronic diseases such as osteoporosis. However, in Malaysia, the involvement of community pharmacists in the provision of osteoporosis care is minimal.
Objectives: To identify the barriers and facilitators faced by Malaysian community pharmacists in providing osteoporosis care.
Methods: Semi-structured one-on-one interviews and focus groups discussions (in groups of 5 participants), were conducted from October 2013 to July 2014. Community pharmacists were purposively sampled based on their years of experience and place of work. One of three trained researchers interviewed the participants using a topic guide. Interviews were recorded and transcribed verbatim. Data were analysed thematically using an interpretative description approach.
Results: Nineteen community pharmacists participated (one-on-one interviews=9, focus group discussions=10). None of the participants had directly provided pharmaceutical care to people with osteoporosis. The main barriers were lack of public awareness (n=17); lack of accurate screening tools for community pharmacists (n=16); lack of knowledge (n=13), time (n=6) and collaboration between pharmacists and doctors (n=14); and lack of support from the government and pharmaceutical society (n=11). The pharmacists wanted more public awareness campaigns on osteoporosis (n=17), more continuing education on osteoporosis (n=11), a simple unbiased osteoporosis management guideline (n=13), inter-professional collaboration (n=18), and reimbursement for osteoporosis care (n=8) to facilitate the provision of osteoporosis care. All participants had equally shared the same view on the barriers and facilitators to provide osteoporosis care.
Conclusions: This study has provided an insight into the barriers and needs of community pharmacists to provide osteoporosis care. The findings may help to develop interventions in supporting community pharmacists to improve osteoporosis care in the community.
Slide Presentation from the July 9, 2013 webinar to present results of a survey of patients and clinicians assessing views on comparative effective research (CER) and engagement in research.
Evaluation of the Mother and Infant Health ProjectOlena Nizalova
This presentation is on the paper which exploits a unique opportunity to evaluate the impact of the quality change in the labor and delivery services brought about by the Mother and Infant Health Project in Ukraine. Employing program evaluation methods, we find that the administrative units participating in the Project have exhibited greater improvements in both maternal and infant health compared to the control ones. Among the infant health characteristics, the MIHP impact is most pronounced for infant mortality resulting from deviations in perinatal period. As for the maternal health, the MIHP is the most effective at combating anemia, blood circulation and urinary-genital system complications, and late toxicosis. The analysis suggests that the effects are due to early attendance of antenatal clinics, lower share of C-sections, and greater share of normal deliveries. Preliminary cost-effectiveness analysis shows enormous benefit per dollar spent on the project: the cost to benefit ratio is one to 97 taking into account both maternal and infant lives saved as well as cost savings due to the changes in labor and delivery practices.
The Department of Internal Medicine celebrates our 75th successful year, and the conclusion of FY2019 with a highlights presentation. For higher quality images and better view-ability, please download the file.
Mobile and Telehealth Programs Evidence and Emerging TechnologiesP. Kenyon Crowley
Review of current evidence on telehealth and mobile health interventions effectiveness, and emerging innovations in this space, presented at executive education session.
Thailand has made progress in adopting electronic health records and computerized physician order entry in hospitals. However, its overall eHealth system remains fragmented with siloed applications and a lack of integration and interoperability. National leadership and a strategic plan are still needed to better coordinate eHealth development and ensure standards and policies keep pace with technology. Future trends may include stronger health IT adoption, localized data exchange, and using insurance claims as a driver for further eHealth advancements.
This document summarizes preliminary results from modeling screening and treatment pathways for diabetic retinopathy in Scotland. The model finds that annual screening may not be cost-effective for individuals with a 1-year risk of progression below 1%, suggesting biennial screening could reduce costs with minimal quality-adjusted life year losses. Around 55% of the current annual screening cohort has such low risk. Further analysis is needed to characterize uncertainty and evaluate alternative screening and treatment configurations. The pathway modeling provides a framework to inform changes over time but has challenges around uncertainties and validation.
Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
This webinar discussed a Cochrane review on the effectiveness of patient decision aids. It found that compared to usual care, decision aids improve patient knowledge by 13%, accuracy of risk perceptions by 82%, and the match between patient values and the health choices made by 51%. Decision aids may also reduce the use of discretionary treatments or screening by up to 20% and 14% respectively. While decision aids are effective, they are not being widely used in practice. The webinar provided an overview of the evidence on decision aids and highlighted their potential for improving shared decision making.
The document summarizes the results of a survey conducted with 309 patient organizations from 29 European countries about their role in research and priorities for the future. It finds that while 37% of organizations fund research, most provide non-financial support through activities like facilitating collaboration between researchers, patients, and clinicians. The organizations support a wide range of research areas and have played a role in building research communities, though their budgets are limited. Understanding patient organizations' expertise and how they contribute knowledge to health policymaking was a goal of the survey.
The document summarizes the key aspects of an eReferrals project including the benefits, challenges, and next steps. It notes that the project aimed to address issues with the paper referral system like lost referrals, duplication, and delays. However, implementing the electronic system presented difficulties including variability between medical practices, integration challenges, and process issues. While there were benefits to patients and clinicians, the rollout faced problems and the system had limitations. Stakeholders are now looking at ways to improve internal and external referrals going forward, including following national standards and sharing referrals regionally.
La auditoría administrativa evalúa la eficiencia con la que cada unidad administrativa de una empresa desarrolla sus procesos, y proporciona un panorama general de cómo opera cada función. La auditoría financiera examina los libros y registros de una organización para verificar sus operaciones financieras y resultados y reportar sobre ellos.
This document summarizes New Zealand's progress toward developing a national electronic health record system by 2014. It outlines key pieces that have been implemented, including electronic clinical transactions between general practices and other providers. However, fully interoperable electronic health records across all providers have not been achieved. The summary identifies next steps needed, such as personal provider authentication, electronic prescribing, enabling real-time queries of general practice medical records, and linking patient identification numbers to registered general practitioners.
This document summarizes the activities of Love Project, an art program that provides creative engagement opportunities for marginalized youth and women. It discusses the program's goals of using art to improve well-being, build confidence and life skills. Love Project hosts regular art workshops and exhibitions. Participants digitally document their work, which is shared on social media. This helps build self-esteem. Artists can sell their work. The program has engaged over 140 women and 245 youth through workshops in 2015. It has also participated in 37 community events. Charts show participant numbers each month. The program aims to be accessible and is grateful for community support through donations and space.
The document discusses the challenges public health services face with information systems. It notes that public health works at the population level to address health determinants and prevent illness through partnerships. However, information systems are often designed for personal health records and clinical management rather than public health's broader evidence base and longer timeframes. Standardization can override flexibility if not carefully managed. The document proposes several principles for effective public health information systems, including having business needs drive systems, enabling information exchange through standards, and keeping line-level data close to where it is used.
The gravitational potential of a diatomic system 2-3IAEME Publication
1. The paper derives the gravitational potential and Schrodinger equation for a diatomic molecule system in spherical coordinates.
2. The potential and equation take into account the vibrational and translational energies and masses of the diatomic molecule, which depend on temperature.
3. Expressions for the total mass, vibrational mass, translational mass, and gravitational potential of the diatomic system are obtained, accounting for temperature dependence. The resulting Schrodinger equation is also derived.
This document discusses the importance of physician leadership in clinical information system projects based on diffusion of innovation theory and past research. It finds that effective clinical leadership involves identifying physician innovators and champions to communicate the shared vision, as well as establishing formal clinical leadership roles like the CMIO. It recommends training initiatives to develop physician leadership skills and facilitating their leadership roles beyond just titles. Ongoing, distributed leadership is needed from innovators to the late majority as new technologies diffuse.
The document discusses the results of a study on the impact of COVID-19 lockdowns on air pollution. The study found that lockdowns led to significant short-term reductions in nitrogen dioxide and fine particulate matter pollution globally as human activity declined. However, the improvements were temporary and air quality returned to pre-pandemic levels as restrictions eased and activity increased again.
Connected information technology has the potential to drive service integration and accountability in aged care, but several challenges must be addressed. As the global population ages, joint public and private sector approaches are needed to meet the increasing needs of older adults who require support. While connectivity could allow information sharing to improve care coordination and quality management, assumptions about how service integration will unfold should be examined. True potential will only be achieved through concurrent policy changes, funding, organizational development, and systems changes at all levels.
This document discusses the Patients First program which aims to enable transformation in general practice in New Zealand. The program will focus on governance, clinical quality indicators, primary care management systems requirements, evaluating clinical pathways tools, safe medication management in primary care, electronic transfer of patient records between general practices, and emerging trends driving primary care. It provides an overview of the scope and deliverables for various work streams and indicates timeframes will be determined.
This document summarizes the transition from clinical information systems to health grids and the future of health research infrastructure. It discusses trends like rising populations in Asia, increasing resource scarcity, and the need for multidisciplinary and open collaboration. Health grids are presented as enabling virtual collaborations across institutions. Key areas like medical imaging, computational models, and genomic medicine are highlighted. Adoption challenges and requirements like reliable, usable infrastructure are also summarized.
O documento descreve o Museu de Arte de São Paulo (MASP), projetado pela arquiteta ítalo-brasileira Lina Bo Bardi em 1947. O museu se destaca por seu grande vão de mais de 70 metros sustentado por quatro pilares e é considerado um importante exemplo da arquitetura brutalista brasileira. O documento detalha o layout do museu, incluindo suas galerias, auditórios e escadas externas, e como o projeto de Lina Bo Bardi articula o espaço interno com a cidade.
GfWM Positionspapier Wissensmanagement und Enterprise 2.0gfwm
Dieses Dokument beschreit die Position der Gesellschaft für Wissensmanagement e.V. (GfWM) zum Thema Enterprise 2.0. Das Papier kann unter http://www.gfwm.de/fachteam auch als PDF heruntergeladen werden.
Engaging the hard_to_engage_through_innovative_channelsGeorge Van Antwerp
A presentation from the Care Continuum Alliance (CCA) that I gave with Aetna 2 years ago. I found it posted online and decided to share it.
http://www.carecontinuumalliance.org/theforum11/Presentations/Engaging_the_Hard_to_Engage_Through_Innovative_Channels.pdf
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...Dr. Wilfred Lin (Ph.D.)
This document summarizes a feasibility study on remotely monitoring vital signs of elderly patients in the community. The study found that a simple telemonitoring system using Bluetooth-enabled devices to automatically upload health data and send alerts was easy for elderly patients to use independently. Over a 3-month trial with 30 patients, the system achieved a high 90% adoption rate and 9.2% alert rate, with 0.44% of alerts leading to medical interventions. Both patients and doctors found the system useful and it increased patients' healthcare awareness. The study concluded remote monitoring is a feasible approach that could be incorporated into electronic health records to facilitate earlier diagnosis and improved chronic disease management.
This document discusses population health management and how it can help address health needs. It begins by defining population health management as improving systems and policies that affect healthcare quality, access, and outcomes to ultimately improve the health of an entire population. It then provides examples of individual-focused patient care policies and population-focused policies. Population-focused policies aim to improve access to services, overcome non-medical barriers to maximize health outcomes, coordinate care, provide meaningful integration, and monitor and address health disparities. The document concludes by describing a case study of a stroke risk screening program developed in North Carolina to identify modifiable stroke risks in high-risk communities.
Providing video or computer-based programs to patients undergoing radiation therapy can improve patient knowledge and satisfaction while potentially reducing anxiety. A literature review identified 9 studies that assessed these educational interventions. The majority found increased patient knowledge and satisfaction with the interventions. Some studies also saw decreased patient anxiety. However, the programs need to be accessible and provide body-site specific information to be most effective. Larger and more targeted studies are still needed.
Nearly half of American adults have chronic illnesses, which account for 80% of healthcare spending. Congestive heart failure (CHF) is a costly chronic disease to treat. The document discusses how telehealth programs that monitor CHF patients daily using devices have improved health outcomes and lowered costs. It provides evidence that telehealth can effectively manage CHF through remote monitoring, reducing emergency visits and hospitalizations while improving health.
Patricia Leahy Warren, Senior Lecturer School of Nursing and Midwifery, UCCInvestnet
The document summarizes the key challenges at the interface between primary and secondary healthcare in Ireland. It notes the changing demographic profiles of an aging population and increasing rates of chronic conditions. There are also challenges around communication and integration between primary care teams and specialist services due to incompatible IT systems and a lack of standardized documentation. The document calls for innovations to further develop integrated care centered around the needs of the individual and focused on preventative measures and community-based support over hospital-based care.
What does “patient centricity” really mean and how is it actually done? This was the driving question of the DayOne Experts Meeting in Basel, co-hosted by Arcondis.
From Unknown to UN_Charlotte Block_10.14.11CORE Group
This document discusses non-communicable diseases (NCDs) such as diabetes, cancer, heart disease and respiratory diseases. It notes that NCDs cause 63% of deaths globally and that risk factors like tobacco use, unhealthy diet and physical inactivity can be addressed through policy changes. It also highlights Project HOPE's work in countries like Mexico, India and China to train healthcare workers in diabetes care, educate patients and communities, and establish diabetes education programs.
The document discusses the importance of global health information systems and challenges in building sustainable systems in resource-constrained countries. It highlights issues such as lack of integrated interventions and siloed disease-specific systems. It also outlines opportunities for librarians and universities to help address gaps through educational programs, research, and training the next generation of health informatics professionals.
Using Social Media and Health IT to Promote Health and Wellness and Provide Healthcare Education to Health Workers Manish Nachnani
Telemedicine and Use of Emerging Technologies - Kinect(microsoft) and Augmented Reality Manish Nachnani,
Social Media- Health IT - Behavioural Finance Improving Healthcare Behaviour by Using Social Media and Health 2.0 Manish Nachnani,
Social Media for Health and Wellness Promotion Manish Nachnani,
The document outlines an evaluation proposal for a 3-year trial of telehealth services for eligible veterans located in remote areas of Australia. The trial will use in-home telemonitoring to address barriers to healthcare access in these areas. The evaluation will assess the impact on hospitalization rates, care costs, residential care admissions, and cost-effectiveness. It will use a randomized controlled design to compare outcomes for veterans receiving telehealth services versus usual care. The proposal identifies strengths in assessing program costs but weaknesses in generalizing costs and fully evaluating health benefits.
FOOT ASSESSMENT AND KNOWLEDGE AMONG PATIENTS ATTENDING DIABETIC CLINIC IN SHI...Lutfi Abdallah
This document summarizes a research study on foot assessment and knowledge among diabetic patients in Shinyanga, Tanzania. The study assessed 268 diabetic patients and 3 health care workers. It found that nearly half of patients had poor knowledge of foot care. Higher education level, type 1 diabetes, and no history of foot infection were associated with better knowledge. Busy clinic schedules and lack of education materials hindered thorough foot assessments by health care workers. The study recommends improved education for patients and providers, as well as designating staff specifically for foot care services.
An analysis of uptake in hiv voluntary counselling and testing services case ...Alexander Decker
This study examined the uptake of voluntary HIV counseling and testing (VCT) services among students at Mount Kenya University in Kenya. The study found that only 18.4% of students had undergone VCT, despite 90% of HIV prevention programs targeting youth. Key reasons for low uptake included fear of positive results and stigma. The study surveyed 283 students and found that 76% had undergone VCT, with curiosity, seeking early treatment, and determining a partner's faithfulness as top reasons for uptake. Fear of positive results, stigma, and low risk perception were top reasons for non-uptake. The study concludes that VCT centers need to be more youth-friendly to improve uptake among university students.
This document provides an overview of a conference on social media, web-based interventions, and technologies for participatory health. The conference included sessions on introductions to participatory health research and social media, self-monitoring, web-based interventions, and workshops and panel discussions. Survey results showed that most attendees were interested in internet interventions, social media, and participatory health. The document also provides the program schedule and presentations.
This survey of 300 doctors in Greater Jakarta area found that:
1) Online media is the most trusted source of medical information for doctors, followed by medical journals and seminars.
2) The internet has significantly influenced doctors' practice by allowing them to obtain information faster and be more active in seeking and sharing information.
3) Patients are increasingly looking up health information online, making them more informed but also more opinionated. Doctors have had to improve communication to discuss information patients find online.
4) While the internet provides many benefits, patient education remains a challenge requiring materials and training for doctors in properly educating patients.
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Sanjeev Arora MD, Distinguished Professor of Medicine (Gastroenterology/Hepatology); Director of Project ECHO®
Department of Medicine, University of New Mexico Health Sciences Center
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Nursing students as agents of change
1. +
Sally Britnell
Lecturer
AUT University
Students as Agents of Change: Empowering
patients using mobile technology in health
promotion
2. +
Acknowledgements
Project Leader
Sally Britnell
CFLAT Advisor
Vickel Naryan
Writing
Sally Britnell
Jo Conaglen
Susan Johns
Data Collection
Glennis Best
Sally Britnell
Susan Johns
Caroline McKinney
Faith Reed
Jaga Maya Shrestha-Ranjit
Kay Shannon
Annie Tatton
Funding for this project was provided by the Centre for Learning and Teaching
at AUT University in 2013
3. +
Common Cardiovascular Diseases
in New Zealand
Cerebrovascular
Disease
Damage to blood vessels
supplying the brain
Heart Attack
Coronary Heart Disease
Damage to blood vessels
supplying the heart
Stroke
Background
4. +
Cardiovascular Disease in
New Zealand
Cardiovascular Disease
(CVD) is the leading
cause of death in NZ.
30% of deaths are
related to CVD.
Every 90 minutes a New
Zealander dies from
CVD relared illness.
Background
Annual risk of CVD related
death for those > 40 years of
2,074,900
622,470
age
No Risk Risk of Death from CVD
5. +
Cardiovascular disease is often
preventable
Risk
Factors
Lifestyle
Changes
Background
Requires Patient
Education
6. +
The Problem
AUT University nursing students provide a health
assessments at workplaces in Auckland.
Patients have variable health literacy.
Tools and resources need to accommodate a wide
range of learning styles and needs.
Education needs to be individualised to each patient.
Problem
7. +
Solution
Allow facilitated exploration of individual patient
information “on the spot”.
Tablet with
Pocket Wi-
Fi
Heart
Health
Forecast
Tool
Individual,
Guided,
Interactive
Learning
Multiple modalities:
interactive
graphical
spoken
written
Strategy
8. +
Methods
AUT University
Ethics Approval
(Part of a larger
study)
Theoretical and
practical training for
students and staff
Students coached
to use Heart Health
Forecast online tool
(New Zealand
Heart Foundation)
Students provided
health assessments
in workplaces
Data Analysis using
SPSS using
descriptive
statistics
Anonymous patient
and student survey
distributed and
returned
Methods
9. +
Health Assessment’s In Action
A written release was gained from those pictured in the below photos and
returned by the photographer to AUT University (Marketing). These photographs
have also been published in two suburban newspapers.
Victoria Lelo
Takes a sample of blood
Wes Namizono & Aleshia Sneap
Explanation of Cardiovascular
Risk with a patient
Patient
Education
10. +
Return Rates
Surveys were distributed to all students and patients:
504 patients
130 students
Surveys were returned by:
125 patients (24.8%)
61 Students (46.9%)
Students completed an online survey.
Patients could complete this online or via prepaid post.
Results
11. +
Demographics (Patients)
Age
< 20 years 2 1.6%
21 - 30 years 21 16.8%
31 - 40 years 44 35.2%
41 - 50 years 27 21.6%
51 - 60 years 20 16.0%
> 60 years 4 3.2%
Not specified 7 5.6%
Ethnicity
NZ Eurpean 59 47.2%
Asian / Indian 24 19.2%
Pacific 20 16.0%
Maori 16 12.8%
MEELA 2 1.6%
Other European 4 3.2%
Gender
Female 78 62.4%
Male 46 36.8%
not valid 1 0.8%
Results
12. +
Demographics (Students)
Age
< 20 years 30 49.2%
21 - 30 years 23 37.7%
31 - 40 years 3 4.9%
41 - 50 years 4 6.6%
51 - 60 years 0 0.0%
> 60 years 0 0.0%
Not Specified 1 1.6%
Ethnicity
NZ Eurpean 29 47.5%
Asian / Indian 18 29.5%
Pacific 8 13.1%
Maori 3 4.9%
MEELA 1 1.6%
Other European 2 3.3%
Gender
Female 57 93.4%
Male 4 6.6%
not valid 0 0.0%
Results
13. +
Usefulness of the Heart Health
Forecast Tool to students
40 students
(66.6%)
indicated.
mean (SD) score
of 7.9 (1.8)
12
10
8
6
4
2
0
Usefulness mobile access to the Heart
Health Forecast Tool (Students)
1 2 3 4 5 6 7 8 9 10
n
1 = not useful - 10 = very useful
Results
14. +
Usefulness of the Heart Health
Forecast Tool for patients
50 patients
(40.0%)
mean (SD) score
of 8.5 (1.6)
30
25
20
15
10
5
0
Usefulness mobile access to the Heart
Health Forecast Tool (Patients)
1 2 3 4 5 6 7 8 9 10
n
1 = not useful - 10 = very useful
Results
15. +
Patient Knowledge
Self rated knowledge
of own health (0 to 10
or no knowledge to
very knowledgeable)
Mean difference score
(paired t-test) of 1.8
(SD 1.9, 95% CI 1.5 -
2.1, P < 0.0001)
30
25
20
15
10
5
0
Patient Knowledge
-3 -2 -1 0 1 2 3 4 5 6 7 8
n
Knowledge After - Knowledge Before
Results
16. +
Student use of resources to educate
patients
Results
Resources Used Most Useful
Heart Health Forecast Online Tool 33 54.1% 20 33.3%
Blood Pressure Chart 31 50.8% 8 13.3%
BMI Chart or Wheel 27 44.3% 4 6.7%
Peak Flow Chart 24 39.3% 3 5.0%
Blood Test Results 20 32.8% 11 18.3%
Patient Information Pamphlets 13 21.3% 15 25.0%
Cardiovascular Risk Chart 11 18.0% 5 8.3%
Other 13 21.3% 10 16.7%
17. +
Readiness to learn
Many patients want to learn about their
health
Top two reasons why patients chose to have
a health assessment:
lipid and blood sugar testing (36.8%),
general interest / check up (24.0%).
Discussion
18. +
Mobile technology can improve
patient outcomes
Literature suggests mobile technology
leads to increased knowledge
Discussion
Increased
Knowledge
Ability to
Change
Improved Health
Outcomes
19. +
Patients as active recipients of
health information
Online
Information
Patient
Knowledge
Clinician
Knowledge
Validated
Information
Patient
Treatment
Patient
Knowledge
Discussion
Traditional
Healthcare
Recent
Healthcare
20. +
Risk of information that is not
validated
A plethora of online health information is available.
Literature recognises risk of un-validated information.
Discussion
http://www.topnews.in/health/online-self-diagnosis-poses-health-risk-210075
Do patients have the
expertise to interpret
available health
information alone?
How does this affect health
outcomes?
21. +
Engagement versus Distraction
Explanation of
technology can reduce
distraction
Discussion
Studies have shown an
increase patient
engagement when using
mobile technology to
learn
Clinician
Technology
Patient
Distraction
22. +
Point of Difference
This study used health care professional
facilitated online learning with patients
Current literature predominantly self directed
online patient education.
Research sparse for health care professional
facilitated online patient education using mobile
technology.
Discussion
23. +
Internet Connectivity
Students reported what stopped them using
the Heart Health Forecast tool online (top
three):
“Wi-Fi” connectivity (26.2%)
“not working” (9.8%)
“website down” (1.6%)
Analysis of exact connectivity problem limited
due to survey design
Discussion
24. +
Conclusion
Students and patients found mobile technology and
online tools useful in patient education for
cardiovascular risk.
Patient knowledge of their health increased after
facilitated education using mobile technology to
display the HHF from the New Zealand Heart
Foundation.
Conclusion
25. +
Future Research
Staff interaction with technology in patient education
Engagement in lifestyle change and patient
outcomes after online education intervention
Communication styles when working with technology
to educate patients
Anecdotal observations
Students communication became more facilitative
between patient and student using this tool.
26. +
Questions Thank You
Contact: Sally Britnell - sally.britnell@aut.ac.nz
Questions
Please note that a scientific report accompanies this
presentation
Editor's Notes
Many of these deaths are preventable and premature
Every 90 minutes a New Zealander dies from coronary heart disease
Define health literacy
Gender of patients was predominantly female in patients (64.2%) and students (93.4%). Ethnicity exhibited a similar trend in patients and students with the majority reporting their main ethnicity as NZ European followed by Asian / Indian, Pacific, Maori, Other and Middle Eastern, Latin American or African (MELAA) a detailed breakdown of ethnicity is available in Appendix A. Table 1 shows the distribution of participants by age and indicates a consistent spread across work-aged health assessment recipients, whereas, students were predominantly under the age of 30 years.
Variations in patient groups
Role of the health care professional is changing to guide patients to validated information to increase health literacy.