Finnish Journal of eHealth and eWelfare最新文献

{"title":"Digital primary care visits designed for different patient segments in the pre-pandemic era: A scoping review","authors":"Sanna Lakoma, Laura Pitkänen, Kaisa Lahdensuo, Paul Lillrank, Paulus Torkki","doi":"10.23996/fjhw.125966","DOIUrl":"https://doi.org/10.23996/fjhw.125966","url":null,"abstract":"Digital healthcare services have been implemented increasingly during and after the COVID-19 pandemic. They have been expected to improve access, reduce inefficiencies, improve the quality of care, lower the cost of healthcare, and provide more personalised care. This study focuses on digital visits: digital health care services that replace a general practitioner (GP) appointment in primary care. The aim of this review is to assess the perspectives used in studying digital visits, and to describe the services studied in terms of modalities used and patient segments targeted. We aim to find how digital visits were studied prior to their becoming a necessity during the COVID-19 pandemic. This is a scoping review of English language papers published between 1.1.2010-31.5.2020. The papers were eligible for the review if they focused on a digital primary care visit which replaced a face-to-face appointment with a GP. In total, 36 papers were included. Ten of the studies described services tailored to the needs of a patient segment. The rest of the studies (26/36) did not differentiate between patient segments. The most often-used perspective was that of the clinician (16/36 studies). Fifteen studies were descriptive. The costs and outcomes were rarely utilised as a perspective: the costs were used in only one study and outcomes in six. Patient experience was the perspective chosen in 11 studies. Among all the interventions, the most common modality was by phone call (20), and the second most common was asynchronous messaging and video consultation (10 each). Prior to the COVID-19 pandemic, digital visits had mostly been developed for the entire population instead of a particular segment of patients. We argue that developing them to fit the needs of a patient segment would help make them more acceptable and suitable for patients. More studies from the patient perspective are needed to develop these services to better fit the needs of patients. The situation is likely to have changed during the pandemic, as a large number of studies has been published since May 2020.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192368","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":"Body like an idol: K-pop fitspiration on Tumblr – an analysis of texts and images","authors":"Linda Achilles, Thomas Mandl, Christa Womser-Hacker","doi":"10.23996/fjhw.126897","DOIUrl":"https://doi.org/10.23996/fjhw.126897","url":null,"abstract":"Eating disorders are a major health issue in societies today which oftentimes remain untreated. In social media, such as Tumblr, people build communities to exchange information and connect to each other using specific hashtags. Some of these trends which emerge around these hashtags, are related to eating disorders. This study in information science addresses how inspiration for fitness (Fitspiration) inspired by music fandom (in particular K-pop) can be characterized on Tumblr by automatically analyzing text and images of posts. Images are evaluated based on their colorfulness and emotional measures, texts undergo a sentiment and readability analysis, as well as an evaluation of their psycho-linguistic features. Furthermore, a qualitative content analysis of K-pop Fitspiration posts (n=119) is performed and they are compared to the K-pop Thinspiration posts, regular Thinspiration and control group posts. Results reveal, that K-pop Fitspiration posts are oftentimes more similar to posts from the control group than to Thinspiration posts, but that they also share psycho-linguistic features with posts of eating disordered users.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192371","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":"Towards digital counselling in primary care management of symptomatic knee osteoarthritis: a qualitative descriptive study in Finnish primary care","authors":"Miia Jansson, Maria Kääriäinen, Gillian Vesty, Minna Pikkarainen","doi":"10.23996/fjhw.123000","DOIUrl":"https://doi.org/10.23996/fjhw.123000","url":null,"abstract":"Digital counselling may improve patients’ health outcomes, when eHealth solutions are accessible and tailored to the patients’ needs, which is especially important for people with chronic and long-term conditions such as knee osteoarthritis. This study aims to identify patients’ eHealth needs to improve the quality of digital counselling in a primary care management of symptomatic knee osteoarthritis. A qualitative study was used to collect patients’ eHealth needs through semi-structured interviews in a single outpatient clinic in Finland between August 2020 and November 2020. The data was analyzed using both deductive and inductive content analysis approaches. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative research checklist to improve the transparency of the study. Analysis of the data revealed five main categories to be considered when implementing digital counselling in patients with symptomatic knee osteoarthritis: background factors (functional impairments, health literacy, digital literacy, cost-related access barriers), resources (digital methods and materials), sufficiency (knee osteoarthritis-related knowledge and skills), implementation (simplicity, trust, patient-centeredness), and benefits (self-care capabilities, confidence). According to our findings, both health and digital literacy seems to be important contributors to the adoption of digital counselling in a primary care management of symptomatic knee osteoarthritis. New eHealth solutions should not replace the first visit in the outpatient clinic. Instead, the use of eHealth solutions should be based on the first visit, during which a trusting relationship between patients and healthcare providers is established. In future, the level of health and digital literacy in patients with symptomatic knee osteoarthritis should be taken account.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192095","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 technology to support older people living at home – a qualitative study of ethics from the perspective of care professionals","authors":"Nina Keskitalo, Sanna Viljamaa, Essi Xiong, Jukka Jauhiainen, Karoliina Paalimäki-Paakki","doi":"10.23996/fjhw.128070","DOIUrl":"https://doi.org/10.23996/fjhw.128070","url":null,"abstract":"Today’s demographic shift towards an aging population is increasing health challenges, and technologies need to be developed to support older people. The national policy in Finland is that older people have the right to live in their own homes for as long as this is safe and meets their needs. However, introducing technology comes with ethical challenges and requires new skills of care personnel. The ethical aspects of technology need to be discussed in more depth. This study aimed to explore the ethical competence of care professionals who work with older people concerning the introduction of technology that supports living at home and to reveal the issues in this area that need development. The study was based on an electronic survey of 14 care professionals working in home care and used a descriptive qualitative study design. Inductive content analysis revealed four main categories: professional ethics, decision-making, change brought about by technology, and factors affecting the introduction of technology. This study shows that care professionals, regardless of their level or field of education, recognize professional ethics as a factor that guides their everyday work. However, it seems that ethics are not always realized in practice. To meet older peoples’ needs and wishes decision-making and individual assessment play an important role when introducing technology. The introduction of technology to support living at home among older people has a strong ethical dimension and requires strong professional ethics. The present study suggests that care personnel have insights into these ethical aspects, but that training, guidelines and operative models are needed to support care professionals’ ethical thinking and decision-making. The results of this study can help health care organizations identify care personnel's training needs and requirements for a clear, uniform process to introduce technology.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192383","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":"Digitaalisia palveluja kehittäessä, arvioitaessa ja käyttöönotettaessa on huomioitava asiakastarve, kyvykkyys ja käyttäjäkokemus","authors":"Pia Liljamo, Miia Jansson, Reima Suomi","doi":"10.23996/fjhw.137285","DOIUrl":"https://doi.org/10.23996/fjhw.137285","url":null,"abstract":"Tänä syksynä julkaistiin ajankohtainen selvitys digitaalisten palvelujen vaikutuksista sosiaalija terveydenhuollossa osana valtioneuvoston selvitysja tutkimussuunnitelman toimeenpanoa [1]. Vuoden kolmas numero muodostaa monipuolisen katsauksen digitaalisten palvelujen kehittämisestä, arvioinnista ja käyttöönotosta, joka täydentää selvityksen tuloksia sekä asiakkaan, ammattilaisen että johdon näkökulmista. Lopuksi pureudutaan Well-Being in the Information Society (WIS) -konferenssiin, joka ehti vuonna 2022 yhdeksännelle tuotantokaudelleen.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192242","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":"Stress and coping connected to higher education study structures: combined views from teachers and students","authors":"Eija-Liisa Heikka, Pia Hurmelinna-Laukkanen, Outi Keränen, Pia Partanen","doi":"10.23996/fjhw.126797","DOIUrl":"https://doi.org/10.23996/fjhw.126797","url":null,"abstract":"Experienced stress by students and teachers in higher education has attracted increasing interest, but the two groups are rarely studied together. We combine their perspectives by considering the stress and coping among students and teachers concerning the development of study structures in a business school context. The findings indicate a strong connection between stress experienced by students and teachers, reflecting their interactive nature in this context. We categorize factors causing stress to those for which effective coping mechanisms exist, those causing tensions and requiring active management, and stressors that are difficult to remove because a coping mechanism for one group increases the stress of the other. Our findings add to existing knowledge on stress and coping mechanisms in higher education by combining the perspectives of students and teachers concerning study structures in business education.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192249","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":"Digital tools to support the implementation of self-care among people with problematic substance use: An integrative literature review","authors":"Tuija Karsimus, Anna-Maria Mäki-Kuutti, Eeva Ekqvist, Katja Kuusisto","doi":"10.23996/fjhw.125714","DOIUrl":"https://doi.org/10.23996/fjhw.125714","url":null,"abstract":"Problematic substance use causes significant harm to individuals, communities and society as a whole. Nowadays solutions to bring substance abuse under control and provide help are being sought from digital tools. This literature review scrutinizes digital applications and internet-based self-care programs from the perspective of providing services. The purpose is to ascertain how the preconditions for the implementation of self-care are understood in studies addressing digital tools for the substance abuse sector. The question posed concerns what features in digital applications supporting control of substance abuse, their users and operating environment influence the implementation of self-care. The research method is an integrative literature review. The data consist of peer-reviewed scientific publications from the period 2012–2022. Data were gathered from two databases (ProQuest Central, PubMed). The final corpus comprises 18 research articles. The analytical frame of reference is the definition by El-Osta and others of four main dimensions of self-care. The findings suggest that factors pertaining to applications in the implementation of self-care are the technical usability of the service, the option for anonymity, variation in content, active reminders and application feedback, gamification and ability to identify with the user. Factors pertaining to the users, in addition to age and gender, are mode of substance abuse, duration of using history, severity of the problem, readiness for change, possible concurrent diagnoses, ability to process own feelings, social relations and digital literacy. Factors pertaining to the operating environment are legislation governing substance abuse, national intoxicant culture, stigma attached to substance abuse treatment, availability of support outside the application and the pandemic situation restricting face-to-face interaction. The diverse nature of the group of individuals with problematic substance use will in the future increase the need for user profiling and more individualized tailoring of application content in keeping with their life situations and stages of recovery.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192108","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":"Teknologian hyödyntämiseen liittyvä yksityisyydensuoja, tietoturva ja -suoja ikääntyneiden kotipalveluissa: kyselytutkimus johtajille","authors":"Suvi Kuha, Essi Xiong, Mira Hammarén, Minna Ylisirniö, Jari Haverinen, Jarno Suominen, Jaana Leikas, Outi Kanste","doi":"10.23996/fjhw.127242","DOIUrl":"https://doi.org/10.23996/fjhw.127242","url":null,"abstract":"Tutkimuksen tarkoituksena on kuvata johtajien näkemyksiä teknologian hyödyntämiseen liittyvästä yksityisyydensuojasta, tietoturvasta ja -suojasta, niihin liittyvistä haasteista ja ratkaisuista sekä teknologisten ratkaisujen hankkimatta jättämiseen liittyvistä tekijöistä ikääntyneiden kotipalveluissa. Tutkimus on poikkileikkausasetelmassa tehty survey-tutkimus. Aineisto kerättiin syksyllä 2022 sähköisellä kyselyllä iäkkäiden kotipalvelujen johtajilta (n=68) viidestä sosiaali- ja terveydenhuollon kuntayhtymästä ja viidestätoista kunnasta tai kaupungista eri puolilta Suomea. Kyselylomake sisälsi neljä strukturoitua ja kaksi avointa kysymystä. Aineisto analysoitiin kuvailevilla tilastomenetelmillä ja induktiivisen sisällön analyysin periaatteilla. Tulosten mukaan teknologisten ratkaisujen käyttöönotossa huomioidaan Digi-HTA-arviointien asioita tietoturvasta ja -suojasta pääasiallisesti hyvin, mutta tässä tunnistettiin myös kehitettävää. Johtajien arvioiden mukaan teknologian hankintaprosesseissa huomioidaan tietosuojaan liittyvät tekijät hyvin, ja prosesseihin on luotu tietoturvaan liittyvät kriteerit. Teknologisten ratkaisujen hankkimatta jättämiseen arvioitiin vaikuttavan erityisesti se, että ratkaisut eivät vastanneet asiakkaiden tarpeisiin tai niiden ei nähty tehostavan toimintaa. Johtajien näkemykset teknologian hyödyntämiseen liittyvän yksityisyydensuojan ja tietoturvan ja -suojan haasteista liittyivät toimintaympäristöön, digitaalisiin ratkaisuihin, toimintatapoihin ja osaamiseen sekä organisaation käytäntöihin haasteiden ehkäisyssä. Näiden haasteiden ratkaisuiksi nähtiin viestintä ja vuorovaikutus, yksityisyydensuojaa, tietoturvaa ja -suojaa koskevien prosessien määrittäminen sekä toimintatapojen muuttaminen ja osaamisen kehittäminen. Yksityisyydensuojaan, tietoturvaan ja -suojaan liittyvien tekijöiden huomioiminen toteutuu ikääntyneiden kotipalveluissa pääasiallisesti hyvin, mutta toisaalta niihin liittyvät haasteet koetaan moninaisiksi. Tutkimuksessa tunnistettiin selkeä tarve koko henkilöstön laaja-alaiseen koulutukseen, konkreettisiin näyttöön perustuviin suosituksiin ja selkeisiin toimintaohjeisiin. Huomiota tulisi kiinnittää etenkin ikääntyneiden itsemääräämisoikeuden toteutumiseen ja tietoisen suostumuksen varmistamiseen.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192370","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":"Short-term effects of a digital patient journey solution on patient-reported outcomes and health care utilization in arthroplasty: a pragmatic randomized controlled trial","authors":"Miia Jansson, Hilkka Liedes, Anna-Leena Vuorinen, Marja Harjumaa, Heidi Similä, Jonna Koivisto, Ari-Pekka Puhto, Gillian Vesty, Hong-Gu He, Minna Pikkarainen","doi":"10.23996/fjhw.124750","DOIUrl":"https://doi.org/10.23996/fjhw.124750","url":null,"abstract":"Mobile health solutions for patient support have been proposed as promising and safe alternatives to usual care in adults undergoing primary total hip and knee arthroplasty. Studies of such applications, however, have produced conflicting results and only moderate- to low-quality evidence. This study aims to evaluate the short-term effects of a digital patient journey solution on patient-reported outcomes and health care utilization in patients undergoing total hip and knee arthroplasty using a pragmatic randomized controlled trial design. Randomly allocated patients in the control arm (n = 35, 64 ± 9 years) received usual care, while patients in the intervention arm (n = 34, 62 ± 11 years) received the digital patient journey solution in addition to usual care. The primary outcome was health-related quality of life as measured by the EuroQol EQ-5D-5L scale. Secondary outcomes included functional recovery, pain, self-efficacy, patient experience, adherence to fast-track protocol, and health care utilization. Participants were followed from a preoperative surgical visit until a postoperative follow-up visit at 6–12 weeks. The health-related quality of life, functional recovery, pain, patient experience, adherence to the fast-track protocol, and health care utilization did not differ between the arms. During the study, however, the self-efficacy to use digital health services (p=0.027) increased in the intervention arm. The use of the digital patient journey solution was not superior to usual care in terms of patient-reported outcomes and health care utilization. However, the solution improved the self-efficacy of patients to use digital health services, which may lead to greater demand for similar digital offerings as patient become more familiar with mobile health solutions.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192111","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":"Older adults’ experiences of ehealth in health and social care","authors":"Jukka Mielonen, Hanna Kuusisto, Ulla-Mari Kinnunen, Anssi Kemppi, Kaija Saranto","doi":"10.23996/fjhw.125122","DOIUrl":"https://doi.org/10.23996/fjhw.125122","url":null,"abstract":"Using the Unified Theory of Technology Acceptance (UTAUT) model as a framework for this study, the aim was to describe how older adults assess digital services in terms of ease of use and quality in health and social care and how often those services are offered. Further, the aim was to describe how older adults receive support for service use, focusing on people aged 65 and over. A structured web-based questionnaire was used for data collection. The data (N=978) was analysed by quantitative statistical analysis. Most of the respondents found the digital services of health and social care easy to use. The function of the services was considered understandable. Respondents also felt that they could find the necessary information about the services. For the most part, they received service use help from their children or grandchildren. However, the role of health and social services professionals was less important. According to our findings, older adults received minimal support from health and social care professionals or employees in third sector organizations. Although, most respondents (70 %) needed support when using digital services. In the future, health and social care service providers should invest in increased digital services. In conclusion, we found that older citizens know how to use digital services in the health and social care context and they receive adequate help from their relatives in using them.","PeriodicalId":483199,"journal":{"name":"Finnish Journal of eHealth and eWelfare","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192247","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}