BMJ Innovations最新文献_第3页

Transforming healthcare logistics and evaluating current use cases of UAVs (drones) as a method of transportation in healthcare to generate recommendations for the NHS to use drone technology at scale: a narrative review 转变医疗物流和评估无人机(无人机)作为医疗运输方法的当前用例，为NHS大规模使用无人机技术提供建议:叙述性回顾

IF 2

BMJ Innovations Pub Date : 2023-05-31 DOI: 10.1136/bmjinnov-2021-000861

Christopher Tejun Law, Catharina Moenig, Hammad Jeilani, M. Jeilani, Tony Young

{"title":"Transforming healthcare logistics and evaluating current use cases of UAVs (drones) as a method of transportation in healthcare to generate recommendations for the NHS to use drone technology at scale: a narrative review","authors":"Christopher Tejun Law, Catharina Moenig, Hammad Jeilani, M. Jeilani, Tony Young","doi":"10.1136/bmjinnov-2021-000861","DOIUrl":"https://doi.org/10.1136/bmjinnov-2021-000861","url":null,"abstract":"Drones have been pioneered and used in the military, however, only recently non-military drones have been introduced. The COVID-19 pandemic has brought into focus the potential value of drones in moving medical supplies. With the onset of social distancing policies and quarantine regulations, the efficiency of traditional logistics systems has been limited. Several companies have recently accelerated their development in this domain, conducting pilot projects at pace, paving the way for the future of the medical logistics supply chain. In this review, we examine both narrative and grey literature for in and out of hospital settings, in order to describe the current state of drone technology in healthcare around the world and some of the most cutting-edge examples of how drones can benefits patients, clinicians and the wider public. We investigate the economic viability and barriers to adopting drones at scale which include regulatory hurdles, public perception and safety of drone technologies, and propose how to overcome these challenges. Further work should look at quantifying the impact and outcomes of how such a service could impact the health outcomes of patients and clinical efficiency. This review aims to equip the National Health Service and more broadly other healthcare systems around the world with the tools to embrace and implement this novel and upcoming technology.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"183 1","pages":"150 - 164"},"PeriodicalIF":2.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73733981","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}

引用次数: 0

Barriers and facilitators for the adoption of telemedicine services in low-income and middle-income countries: a rapid overview of reviews 低收入和中等收入国家采用远程医疗服务的障碍和促进因素:审查的快速概述

IF 2

BMJ Innovations Pub Date : 2023-05-11 DOI: 10.1136/bmjinnov-2022-001062

V. Dhyani, Jisha B. Krishnan, E. Mathias, M. Hossain, Carrie Price, Nachiket Gudi, S. Pattanshetty, S. Zodpey

{"title":"Barriers and facilitators for the adoption of telemedicine services in low-income and middle-income countries: a rapid overview of reviews","authors":"V. Dhyani, Jisha B. Krishnan, E. Mathias, M. Hossain, Carrie Price, Nachiket Gudi, S. Pattanshetty, S. Zodpey","doi":"10.1136/bmjinnov-2022-001062","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001062","url":null,"abstract":"Objective To identify the barriers and facilitators for uptake of telemedicine services in low-income and middle-income countries (LMICs). Design The rapid review approach to identify the barriers and facilitators for the uptake/delivery of telemedicine in health system from both the provider and the patient’s perspective. A two-stage sequential screening process was adopted. Data extraction was done using a piloted data extraction form. Data sources A search on PubMed (NCBI), Embase (Ovid), the Cochrane Library (Wiley), Scopus (Elsevier) and the WHO Global Index Medicus was conducted. Eligibility criteria for selecting studies Studies published between 1 January 2012 and 1 July 2022 on barriers and facilitators for uptake of telemedicine services in LMICs were included. Results Database search identified a total of 2829 citations. After removing 1069 duplicates, 1760 were taken forward for title and abstract screening. A total of 43 articles were included at full text stage and 8 articles were included in this overview for narrative synthesis. Barriers and facilitators to telemedicine adoption and use were categorised under four subheadings, namely organisational and environmental, individual and cultural barriers, financial barriers and technological barriers. Providers, patient and health policy-makers perspectives were captured. Conclusion Any development of telemedicine services should engage the primary users such as patients and their family caregivers to design people-centred digital health systems and services. Usability studies must be commissioned by the governments and host agencies to enhance the interaction experience pending which investments would remain futile. Future research should employ mixed methods or multi methods approaches to understand the interaction between patients and providers.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"76 1","pages":"215 - 225"},"PeriodicalIF":2.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86566265","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}

引用次数: 0

Design thinking to improve rational use of oral rehydration salts: lessons from an innovative co-packaged diarrhoea treatment kit 改进口服补液盐合理使用的设计思维:来自一种创新的共包装腹泻治疗包的经验教训

IF 2

BMJ Innovations Pub Date : 2023-05-11 DOI: 10.1136/bmjinnov-2023-001081

R. Ramchandani, Simon Berry, Jane Berry, Beth A. Pratt, Albert Saka, R. Black

{"title":"Design thinking to improve rational use of oral rehydration salts: lessons from an innovative co-packaged diarrhoea treatment kit","authors":"R. Ramchandani, Simon Berry, Jane Berry, Beth A. Pratt, Albert Saka, R. Black","doi":"10.1136/bmjinnov-2023-001081","DOIUrl":"https://doi.org/10.1136/bmjinnov-2023-001081","url":null,"abstract":"Introduction We explored whether greater consideration of product design, informed by end users’ opinions, led to improved utilisation (ie, rational use) of oral rehydration salts (ORS) in home settings. We tested whether a ‘design thinking’ approach, focusing on product acceptability, functionality and ease of use, contributed to an increased likelihood of appropriate ORS use, specifically dosing and preparation of ORS in the correct concentration. Methods Intervention design decisions were used to develop a co-packaged diarrhoea treatment kit containing ORS and zinc, branded as ‘Kit Yamoyo’. In addition to co-packaging, key product design features were the inclusion of 200 mL ORS sachets and a water measurement function incorporated in the packaging design. Cross-sectional data from household surveys of caregivers in rural Zambia were then used to compare ORS preparation and use for diarrhoea patients aged <5 years, who used either the novel co-pack or standard 1 L sachets of ORS. Design benefits were demonstrated to caregivers from two rural areas by trained community health workers (CHWs). Results Odds of correct ORS preparation were 10.93 times greater (p<0.001; 95% CI 5.74 to 20.78) among Kit Yamoyo users versus individuals who used 1 L sachets. Co-pack users prepared ORS to the correct concentration 93% (95% CI 0.89% to 0.96%) of the time, while non-users prepared it in the correct concentration just 60% (95% CI 0.54% to 0.66%) of the time. Conclusion Application of design thinking to the development of a co-packaged ORS and zinc diarrhoea treatment kit, coupled with demonstrations by CHWs, can improve rational use of ORS.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"112 1","pages":"132 - 143"},"PeriodicalIF":2.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79218235","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}

引用次数: 0

Feasibility of morphometric analysis of conjunctival blood vessel as an additional diagnostic indicator of health and vascular disease status 结膜血管形态计量学分析作为健康和血管疾病状态附加诊断指标的可行性

IF 2

BMJ Innovations Pub Date : 2023-05-09 DOI: 10.1136/bmjinnov-2022-001017

Shobhana Sugirthamuthu, S. Sundaram, Radha Annamalai, S. Prabhakar, Neha Arora, Arthi Mohanendran, Parikumar Periasamy

引用次数: 0

Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial. 小腿支架治疗胫骨内侧应激综合征的研究。随机对照试验的先导。

IF 2

BMJ Innovations Pub Date : 2023-04-28 DOI: 10.1136/bmjinnov-2022-001054

W. McNamara, T. Longworth, Joo Y. Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi Cole

{"title":"Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial.","authors":"W. McNamara, T. Longworth, Joo Y. Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi Cole","doi":"10.1136/bmjinnov-2022-001054","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001054","url":null,"abstract":"Objective Medial tibial stress syndrome (MTSS) is common and often difficult to treat. The purpose of this study was to examine the effect of a lower leg brace on MTSS symptoms compared to a placebo. Methods A pilot of a prospective double-blinded randomised placebo-controlled trial conducted in two private sports medicine practices. Included were those with symptomatic MTSS lasting 6 weeks or more. Excluded were those with other lower limb pathologies. Fourteen participants formed the study cohort who wore the brace or placebo. The brace applied counterforce pressure to the musculotendinous junctions of the soleus, compressed periosteum at the distal third of the posteromedial tibia and applied inferomedial torsion to the soleus muscle. Additional treatment modalities were recorded. Participants completed a standardised MTSS Severity Score at 0–6, 8, 12 and 24 weeks and recorded return to full activity. Results The brace group demonstrated a significantly reduced MTSS severity score from 5 to 24 weeks (p<0.03) and had returned to full activity within 5 weeks. MTSS score in the placebo group remained unchanged (p >0.05), all participants experienced MTSS recurrence and none returned to full activity over 24 weeks. Conclusion The lower leg brace demonstrated a reduction in MTSS symptoms from 5 weeks that was sustained over 6 months with a lower rate of MTSS recurrence compared with the placebo. If similar results are seen in a larger cohort, it has potential to benefit patients with MTSS as an adjunct to current treatment modalities. Further investigation regarding efficacy is needed. Trial registration number ACTRN12620000906954.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"1 1","pages":"257 - 263"},"PeriodicalIF":2.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75534954","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}

引用次数: 0

Emerging technologies and global health: a systematic review generating bibliometric evidence for innovation management 新兴技术与全球健康:为创新管理提供文献计量证据的系统综述

IF 2

BMJ Innovations Pub Date : 2023-04-07 DOI: 10.1136/bmjinnov-2022-001064

Sheng Wu, Bernardo Mariano Junior

{"title":"Emerging technologies and global health: a systematic review generating bibliometric evidence for innovation management","authors":"Sheng Wu, Bernardo Mariano Junior","doi":"10.1136/bmjinnov-2022-001064","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001064","url":null,"abstract":"Objective To obtain quantitative evidence for innovation management on Emerging Technologies and Global Health from existing scientific research with a bibliometric approach. Design This study generates quantitative evidence for healthcare innovation policy making, offering new insights: first, innovation quality can be measured through dynamic interactions among key innovation elements; second, as emerging technologies are impacting global health in an interdisciplinary and fast-changing manner, new theories and tools that suit the planetary innovation ecosystem need to be established. The evidence contains two aspects, the intellectual base and the research front. The software used is Citespace V.6.1.R3 and Python. Data source This study scanned the Web of Science Core Collection with an extensive range of research themed around emerging technologies and global health, resulting in a dataset of 9738 items of science literature between 2017 and 2021. Eligibility criteria for selecting studies This dataset contains literature across sciences and social sciences in the form of journal research articles, excluding systematic reviews and surveys. The search includes literature in all languages. Results This study presents the landscape of emerging technology and global health, depicts the quality of innovation, and reveals the innovation trends. It demonstrates the major players and major sources of innovation, captures innovation foci and detects research blanks. Conclusion This bibliometric analysis, which is conducted on scientific research, outlines the quality and impact of innovation in Emerging Technologies and Global Health. It shows the importance of Research and Development for generating quantitative evidence for innovation management policy making.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"17 1","pages":"165 - 176"},"PeriodicalIF":2.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75015459","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}

引用次数: 1

Correction: User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system 更正:以用户为中心的创新，在需要时推进安全手术:关于SurgiField系统开发的报告

IF 2

BMJ Innovations Pub Date : 2023-02-22 DOI: 10.1136/bmjinnov-2021-000893.corr1

引用次数: 0

Community engagement self-monitoring (CE-SM) strategy for social innovations in health: pilot implementation in the Philippines 促进卫生领域社会创新的社区参与自我监测战略:在菲律宾试点实施

IF 2

BMJ Innovations Pub Date : 2023-01-13 DOI: 10.1136/bmjinnov-2022-001049

Pauline Marie Padilla Tiangco, J. Mier-Alpaño, J. R. B. Cruz, J. Alacapa, Joey J. Escauso, U. Amazigo, B. Halpaap, M. Labarda, N. Juban

{"title":"Community engagement self-monitoring (CE-SM) strategy for social innovations in health: pilot implementation in the Philippines","authors":"Pauline Marie Padilla Tiangco, J. Mier-Alpaño, J. R. B. Cruz, J. Alacapa, Joey J. Escauso, U. Amazigo, B. Halpaap, M. Labarda, N. Juban","doi":"10.1136/bmjinnov-2022-001049","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001049","url":null,"abstract":"The Social Innovation in Health Initiative (SIHI) piloted a community engagement self-monitoring (CE-SM) strategy, where communities were actively engaged in monitoring the implementation and performance of their social innovations to ensure that their objectives were achieved. This strategy aims to empower communities to document processes, understand the factors involved and measure outcomes by developing a community-grounded self-monitoring tool and implementing their own approach. Two community comanaged social innovations were selected. For one innovation, the communities implemented the CE-SM independent of external intervention. For the second, the communities were provided with minimal assistance by SIHI. These communities identified their monitoring indicators and selected local monitors to collect data to assess performance outcomes and document the entire process. Communities chose indicators based on their perceived importance and practicality, while monitors were chosen based on their familiarity with the community. Community leaders’ proactive leadership and community members’ participation contributed significantly to its success. The important role of regular feedback sessions was also emphasised, not only as a means of monitoring progress but also for boosting their morale. The level of external support needed by a community was determined by the scope of the project and the community’s grasp of the strategy. CE-SM has been demonstrated to be a viable strategy when communities realise their capacity to monitor their own projects using an approach they deem fit. It has also enhanced their sense of ownership which could improve the chances of sustaining these initiatives and contribute to more accessible healthcare and services.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"55 1","pages":"185 - 191"},"PeriodicalIF":2.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88499567","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}

引用次数: 0

Non-communicable diseases in a time of infection 非传染性疾病在感染的时代

IF 2

BMJ Innovations Pub Date : 2022-12-26 DOI: 10.1136/bmjinnov-2022-000996

Helen Surana

引用次数: 0

Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients 患者特异性气管造口塞改善气管造口术患者的生活质量

IF 2

BMJ Innovations Pub Date : 2022-12-05 DOI: 10.1136/bmjinnov-2022-001028

K. VanKoevering, Julia Brennen, Rachel Fenberg, Samuel D. Dolphin, Natalia von Windheim, L. Matrka, B. D. De Silva, M. Spector, S. Chinn, P. Choi, Songzhu Zhao, K. Casper, G. Green

{"title":"Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients","authors":"K. VanKoevering, Julia Brennen, Rachel Fenberg, Samuel D. Dolphin, Natalia von Windheim, L. Matrka, B. D. De Silva, M. Spector, S. Chinn, P. Choi, Songzhu Zhao, K. Casper, G. Green","doi":"10.1136/bmjinnov-2022-001028","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001028","url":null,"abstract":"Objective Despite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain preliminary results of impact on QOL. Methods We developed and evaluated a novel patient-specific ‘stoma plug’ to improve the lives of those with tracheostomies who did not have a daytime ventilation requirement. The stoma plug was designed and manufactured using three-dimensional printing for each subject. Measurements of the patient’s fistula were obtained in the clinic and the features of the stoma plug were created to match the fistula and trach tube dimensions. Patients were monitored for any changes in their eligibility status and for complications associated with using the ‘stoma plug’. A survey questionnaire examining multiple QOL domains was performed predevice and at 1 and 6 months of use. Results Devices were designed and produced for 35 patients enrolled across two institutions. The survey results demonstrate statistically significant improvement in quality-of-life scores (p<0.05) in all six domains queried (Overall QOL, voice strength, voice clarity, water tolerance, swallowing and breathing) with substantial improvements in social isolation and skin irritation reported. Conclusion Our study demonstrates that a patient specific device can be created to ameliorate many of the drawbacks associated with a tracheostomy tube, with the potential to revolutionise tracheostomy care.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"19 1","pages":"177 - 184"},"PeriodicalIF":2.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89096976","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}

引用次数: 0