International Journal of User-Driven Healthcare最新文献

{"title":"Online Communities. Benefits and Risks","authors":"Elena Graziani, F. Petrini","doi":"10.4018/IJUDH.2018070101","DOIUrl":"https://doi.org/10.4018/IJUDH.2018070101","url":null,"abstract":"This article reviews empirical studies from 2008 to 2017 on the effects of participating in online communities. The review uses three databases: PubMed, Scopus and ScienceDirect. The criteria are: (1) online community aimed to provide support by and for people with a common problem; (2) the content of the sessions was determined by users; (3) members met via the Internet; (4) online community was available 24/7; (5) online community access was free and open to everyone with an Internet connection. Of the articles, 13 of 105 met the inclusion criteria. Seven studies reported positive changes: informational and emotional support, increased sense of belonging, less isolation, better medical understanding. Six articles also considered risks: the rise of the level of stress because of successes or failures of other users, the addiction to the forum and the consequent isolation from real relationships.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133091634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival Fight of a Teen With Polytrauma, Severe Head Injury, Gr-V Liver Injury Followed By ARDS, Managed in a Rural Hospital of Andaman, India: Perseverance Gives Possibilities Even With Limited Resources","authors":"Sidharth Bhasin, A. Narayan, C. Janardhan","doi":"10.4018/IJUDH.2017070104","DOIUrl":"https://doi.org/10.4018/IJUDH.2017070104","url":null,"abstract":"Thisarticledescribeshowtheliverisoneofthemostcommonlyinjuredorgansintheabdomen, especially in road traffic accidents. Patients do present with polytrauma and those who are hemodynamicallyunstablehaveahighmorbidityandmortality,eveninadvancedhospitalsettings. Followingisthecasereportofa17-yr.oldboy,whowasinvolvedinaroadtrafficaccidentwith polytrauma,presentedtoatertiarycarehospitalinaremoteisland,withGradeIV-Vliverinjuryand developedARDSinpost-operativeperiod.Thepatientwasmanagedsuccessfullyanddischarged. KEyWoRDS Andaman, ARDS, Grade V liver injury, India, Polytrauma, RTA","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134234059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncertainty in Clinical Knowledge: A Critical Dimension of Quality Evaluation","authors":"V. Kazandjian","doi":"10.4018/IJUDH.2017070102","DOIUrl":"https://doi.org/10.4018/IJUDH.2017070102","url":null,"abstract":"Thisarticleexploresthewaysinwhichuncertaintycanbeincorporatedintotheunderstandingof betterperformanceapproaches,andisthusproposedasanenablingdimensionofperformance.The enablingcharacteristicofuncertaintyisofspecial interest todesigningeducationalprogramsfor providersinassistancetotheameliorationofcarethroughtheapplicationofavailableknowledge,be thatfromdatarelatingprocessestooutcomes,orbasedonfeedbackprovidersgetfrompatientsand familiesabouttheirexpectationsfromthecare.Tracingthekeystonedefinitionsofuncertaintyfrom HippocratestoOsler,thediscussionaddressesthedimensionsofdecision-makingappropriateness,its timeliness,theexpectedandactualvalueofthecareservices,andtheroleofsystematiccommunication betweenprovidersofcareaswellaswithpatients.ThecrucialroleofHealthInformationTechnology isemphasized,andaunifyingmodelisproposedwheretheinclusionofuncertaintyasadimensionof performancepromotesanencompassingevaluationofthequalityofhealthcareservices.Evaluation, influencedby traditionandprecedent, isdiscussedas requiring the inclusionofhealthcareand caringservices. KEywoRDS Clinical Knowledge, Communication, Health Care Services, Health Information Technology, Quality Evaluation","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122849295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abnormal Uterine Bleeding (AUB) and Thyroid Function in Chhattisgarh","authors":"Mukund Tiwari, S. Agrawal, Subarna Mitra","doi":"10.4018/IJUDH.2017070103","DOIUrl":"https://doi.org/10.4018/IJUDH.2017070103","url":null,"abstract":"Abnormalfunctionofthyroidglandisassociatedwithadisturbanceinthemenstrualcycle.However, inclinicalpractice,thyroiddysfunctionisfrequentlyoverlookedasapossibleetiologyandtherefore, theimportancetoinvestigatethyroidfunctioninasymptomaticcasesisunder-recognizedinIndia. Treating thyroiddysfunction in suchcasescan reverse themenstrual abnormality, thusavoiding unnecessaryhormonaltherapyorinlongterm,hysterectomy.Thisarticleisintendedtodetermine theprevalenceofovertandsubclinicalformsofhypothyroidism/hyperthyroidismamongwomenwith abnormaluterinebleeding(AUB)inaknowniodine-deficientstateofIndia,Chhattisgarh.Moreover, theaimsincludedtocharacterizethetypesofmenstrualabnormalitywiththyroiddysfunctioninstudy participants.Thepresentstudyfoundaprevalenceofthyroiddysfunctioninoneoutoffivecasesof menstrualabnormality,mostcommondysfunctionbeinghypothyroidism.Anappreciableproportion ofthyroiddisorderwasfoundinpatientswithmenorrhagia,oligomenorrhea,polymenorrheaand amenorrhea. KeywoRDS Chattisgarh, Endocrinology, Hypothyroidism, Menstrual Abnormality, Thyroid disorder","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125346350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Missing Link of the Health Information Exchange Loop: Engaging Patients","authors":"A. Noblin, K. Cortelyou-Ward","doi":"10.4018/IJUDH.2016070103","DOIUrl":"https://doi.org/10.4018/IJUDH.2016070103","url":null,"abstract":"Since2004,theservicesoftheFloridaHealthInformationExchange(HIE)havegrown,andin2011, thestatecontractedwithHarrisCorporationtoprovidesomebasicservicestotheFloridahealthcare industryandprovidefunctionalimprovementstotheexpandingstate-wideHIE.Theendeavorsof thispublic-privatepartnershipcontinuetothepresentday;however,asHIEserviceshaveexpanded, challengescontinue tobeencountered.Ultimately, successfulexchangeofmedicaldata requires patientengagementand“buy-in.”Thepurposeofthisarticlewillconsiderwhypatientengagement isimportantforHIEsuccess,offerrecommendationstoimprovebothpatientandproviderinterest, andconsidertheimportanceofonlinepatientportalstoincreasetheeffectivenessofhealthrecord keepingandthesharingofvitalpatientmedicalinformationneededbycaregiversandtheirpatients. KEywoRDS Florida, Health Information Exchange, Patient Engagement, Privacy INTRoDUCTIoN EffortstowardbuildingaHealthInformationExchange(HIE)inFloridabeganin2004.TheAgencyfor HealthCareAdministration(AHCA)laidthefoundationforastatewideHIEbyorganizinghealthcare stakeholdersandprovidinginitialfundingtolocalRegionalHealthInformationOrganization(RHIO) projectsthroughitsgrantsprogram.Floridaworkedtoachieveasecureandsustainableapproach tohealth informationtechnologyadoptionandexchangeresultinginbetterhealthcareoutcomes with lowered totalcosts. In2010, theOfficeof theNationalCoordinatorforHealthInformation Technology(ONC)providedgrantfundstosignificantlyadvanceFlorida’splanstobuildastatewide healthinformationinfrastructure.SincethefundingfromONChasnowended,sustainabilityhas beenattheforefrontforHIEsacrossthecountry,includingFlorida. Todate,keyservicesimplementedintheFloridaHIEincludethefollowing: • Patientlook-up(accessingpatientinformation) • Securemessaging(transmittingpasswordprotected&encrypteddata) • Eventnotification(sharinghealthcareencounterinformation)Thepurposeof thispaper is todescribe thecurrentservicesofFloridaHIE, identify future HIEgoals including theneed to increasepatients’access to theirownhealthrecords,define the obstaclestogoals,andofferrecommendationstoovercomeobstaclesandreachthedesiredgoals. Asnetworksareestablishedthroughoutthestate,theabilityofpatientstoaccesshealthinformation","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123421443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication AssessmenT Checklist in Health: Assessment and Comparison of Web-Based Health Resources","authors":"J. Genova, J. Bender","doi":"10.4018/IJUDH.2016070101","DOIUrl":"https://doi.org/10.4018/IJUDH.2016070101","url":null,"abstract":"Thereisnocomprehensiveandstandardizedtoolforevaluatingthecommunicationqualityofweb resourcesforpatients.Thepurposeofthisstudywastoassessprostatecancerwebsitesusingthe CommunicationAssessmenTChecklistinHealth(CATCH)andtocomparetheresultswiththoseof theConsumerandPatientHealthInformationSectionoftheMLA(CAPHIS).CATCHisatheorybasedtoolconsistingof50elementsnestedin12concepts.Tworatersindependentlyapplieditto35 HONcertifiedwebsitescontaininginformationonprostatecancertreatment.TheCATCHsummary scoresforthesewebsiteswerethencomparedtothe2015listofcrediblehealthwebsitespublished byCAPHIS.Websitescontainedamean24.1(SD=3.6)CATCHitems.TheconceptsLanguage, Readability,Layout,TypographyandAppearancewerepresentinover80%ofsites.Content,Risk Communication,Usefulness,andScientificValuewerepresentin50%orless.CATCHprovided anoverallscoreoftheselectedsitesthatwasconsistentwithCAPHISratings.Theprostatecancer websitesevaluatedinthisstudydidnotpresenttreatmentinformationinauseful, informativeor crediblewayforpatients.Thecommunicationqualityoftheseresourcescouldbeimprovedwitha clearstrategicintentfocusedondecision-making,usingCATCHasaguidingframework.CATCH isatoolthatcanbeusedindependentlyorwithotherhealthresourceevaluationtoolstoselectthe mosttrustworthywebresourcesforhealthinformation. KeyWoRDS CAPHIS, Communication, Credibility, Internet, MLA, Patient Education, Prostate Cancer, Risk Communication, Websites","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126537252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specialty Health Care in Rural Areas of West Bengal (India): A Policy Document","authors":"A. Biswas, E. Gebuis, P. Irimia","doi":"10.4018/IJUDH.2016070104","DOIUrl":"https://doi.org/10.4018/IJUDH.2016070104","url":null,"abstract":"ThehealthcaresystemofWBneedsamassivechangefromeveryaspect.However,changingasystem whichisrunningforyearsisinitselfachallenge.Therefore,changeinthehealthpolicyneedstobegin eitherfromthefoundationuporaccordingtotheimportanceofproposedlegislation.Ruralhealth caresystemwithoutspecialtycarehasalwaysbeentheunderdogofWBhealthsystem.However, mostimprovementcanbemadethere.Thispolicydocumentproposesabasicspecialtycareinrural areasofWB,intendedtoimprovehealthcareforamaximumpossiblepopulation. KeyWoRDS India, Policy Document, Rural West Bengal, Specialty Care","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130074437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RFID in Health Care-Building Smart Hospitals for Quality Healthcare","authors":"A. Manzoor","doi":"10.4018/IJUDH.2016070102","DOIUrl":"https://doi.org/10.4018/IJUDH.2016070102","url":null,"abstract":"","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124583025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing Lesbian, Gay, Bisexual, and Transgender (LGBT) and Gender Identity Issues in a Medical Humanities Module","authors":"P. Shankar, Christopher Rose","doi":"10.4018/IJUDH.2015070101","DOIUrl":"https://doi.org/10.4018/IJUDH.2015070101","url":null,"abstract":"Lesbian, gay, bisexual and transgender (LGBT) are ways of referring to someone's sexual orientation/preferences; gaining a better understanding as to how best serve the needs of the LGBT community are becoming increasingly important in medical education. While nations (especially developing ones) are making efforts to become more pluralistic societies that uphold and honor the rights of all their citizenry, members of the LGBT community continue to face hostility and violence. These factors cause many members of the LGBT community to be wary about identifying their sexual orientation. Curricular interventions to address LGBT issues are becoming increasingly common. The LGBT community faces a number of challenges and disparities in accessing healthcare. The authors facilitate a medical humanities (MH) module at the Xavier University School of Medicine, Aruba.. Small group, activity-based learning strategies are widely used during the module. Literature, case scenarios, paintings and role-plays are used to explore different aspects of MH. In this manuscript role-plays serve as vehicles to introduce LGBT issues to medical students during the module. The process of debriefing the role-play including students' comments are briefly discussed. One scenario deals with a young girl forced to become a worker in the sex trade, another contends with a night club owner who is diagnosed as HIV positive, a third situation portrays a young woman with a same gender life partner suffering from terminal cancer, the fourth situation explores the difficulties a female student faces when she reveals a sexual attraction for a same sex classmate. The role-plays serve to introduce students to an initial understanding of some of the issues faced by members of the LGBT community and an opportunity to put themselves in the position of a LGBT individual.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124818113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Travel for Treatment: Patients Perspective on Medical Tourism","authors":"B. Sharma, J. Sharma, Sudir Padroo","doi":"10.4018/IJUDH.2015070102","DOIUrl":"https://doi.org/10.4018/IJUDH.2015070102","url":null,"abstract":"Medical tourism is growing and diversifying at a high rate. The medical tourism in India is poised to be next success story after software industry. This term is used to refer to travel activity that involves a medical procedure or activities that promote the wellbeing of the patient. The term medical tourism is the act of travelling to other countries to obtain medical, dental and surgical care. (Connell 2006) All the beneficiaries of this industry are putting their best foot forward by providing quality services at affordable cost in order to lure medical tourists. It goes without saying that only those health care organizations will survive and succeed in gaining competitive advantage over others that incorporates quality improvement process on a continuous basis. The results show that there is significant growth of medical tourism in India, which is growing at the rate 30% in 2015 (Saravana 2015) The standards of medical treatment and hospital facilities provided to patients have significantly improved in India with 21 hospitals in India already accredited by JCI. In this study hospital chosen for the present study is the hospital one amongst the list of JCI accredited hospitals in India. The objective of this study is to identify the medical tourist's satisfaction level & also to identify the grey areas for better services. The results show that they were quite satisfied with the services availed & are recommending it to others due to the significant treatment services.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122490798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}