Barriers and facilitators to utilizing digital health technologies by healthcare professionals

npj Digital Medicine, Journal Year: 2023, Volume and Issue: 6(1)

Published: Sept. 18, 2023

Digital technologies change the healthcare environment, with several studies suggesting barriers and facilitators to using digital interventions by professionals (HPs). We consolidated evidence from existing systematic reviews mentioning for use of health HP. Electronic searches were performed in five databases (Cochrane Database Systematic Reviews, Embase®, Epistemonikos, MEDLINE®, Scopus) inception March 2023. included that reported or factors technology solutions among data abstraction, methodological assessment, certainty appraisal at least two authors. Overall, we 108 involving physicians, pharmacists, nurses included. High-quality suggested infrastructure technical (Relative Frequency Occurrence [RFO] 6.4% [95% CI 2.9-14.1]), psychological personal issues (RFO 5.3% 2.2-12.7]), concerns increasing working hours workload 3.9% 1.5-10.1]) common HPs. Likewise, high-quality supports training/educational programs, multisector incentives, perception effectiveness facilitate adoption HPs 3.8% 1.8-7.9]). Our findings showed issues, barriers, workload-related are relevant comprehensively holistically adopting Conversely, deploying training, evaluating HP's usefulness willingness use, multi-stakeholders incentives vital enablers enhance HP interventions.

Language: Английский

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Evidence from China's shipping sector on the impact of fiscal measures in enabling a low-carbon economic transition

Heliyon, Journal Year: 2024, Volume and Issue: 10(9), P. e30147 - e30147

Published: April 24, 2024

The Green Economy Initiative aims to achieve economic development while minimizing carbon emissions by implementing a low-carbon economy across all sectors. It is noteworthy that ships play significant role in global commodity transportation, accounting for approximately 80-90 percent. However, this also leads surge fossil fuel consumption and alarming pollution levels. data utilized article spans from 2010 2022 specifically focuses on the shipping industry, drawing information collected 20 different provinces of China. Multiple panel regression models were constructed analyze influence fiscal policies facilitating transition toward economy. In addition, vector autoregression model was employed examine interconnected dynamics between budgetary guidelines. findings indicate tax-based demonstrate an inverted U-shaped relationship with transition, whereas transfer payment exhibit N-shaped pattern. sector actively embracing practices, largely due incorporating digital technologies mitigate adverse impacts regulations.

Language: Английский

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Effectiveness of Telemedicine for Musculoskeletal Disorders: Umbrella Review

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e50090 - e50090

Published: Feb. 2, 2024

Background Several systematic reviews (SRs) assessing the use of telemedicine for musculoskeletal conditions have been published in recent years. However, landscape evidence on multiple clinical outcomes remains unclear. Objective We aimed to summarize available from SRs disorders. Methods conducted an umbrella review with and without meta-analysis by searching PubMed EMBASE up July 25, 2022, randomized controlled trials telemedicine. collected any kind patient-reported outcome measures (PROMs), experience (PREMs), objective measures, including direct indirect costs. assessed methodological quality AMSTAR 2 tool (A Measurement Tool Assess Reviews 2). Findings were reported qualitatively. Results Overall, 35 between 2015 2022 included. Most (n=24, 69%) rated as critically low 2. The majority “telerehabilitation” (n=29) patients osteoarthritis (n=13) using PROMs (n=142 mapped n=60 meta-analyses). A substantive body meta-analyses found be beneficial or equal terms compared conventional care (n=57 Meta-analyses showed no differences groups PREMs (n=4), while objectives (ie, “physical function”) mainly favor difference (9/13). All notably lower costs in-person visits. Conclusions Telemedicine can provide more accessible health noninferior results various comparison care. assessment is largely represented PROMs, some gaps PREMs, Trial Registration PROSPERO CRD42022347366; https://osf.io/pxedm/

Language: Английский

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Internal Audit Process in eHealth

International Healthcare Review (online), Journal Year: 2023, Volume and Issue: unknown

Published: Jan. 16, 2023

Background Internal audit operates within international professional practices established by the Institute of Auditors (IIA). It contains an independent role from organizational structure and represents third line defense in implemented model government, risk management, internal control. provides reasonable safety regarding quality processes, including reporting to management about control management. Objective processes scope processing calls charging outsourcing company. Formulate recommendations for performance improvement ambit health policies. Methods For its fulfilment, this work was based on norms practice Audit. The methodology – COSO ERM (Enterprise Risk Management Integrating with Strategy Performance) (Internal Control Integrated Framework) were also used analysis Results There identified two risks operational nature origin, a strategic related market, three technological nature. Conclusions described report are relationship between public policies that have gained importance recent years Covid-19 pandemic, since beginning 2020, accelerating digital transition process Portugal. Contributing outstanding dissemination Teleconsultations, development privileging paperless recipes, meeting guidelines EU Digitization 2030. What is already known topic? European Commission sees eHealth as priority encourages creation global strategy countries Union, objective developing transformation, Telehealth Contact Center sorting system has been optimized introduction Artificial Intelligence branching algorithms conclusion diagnosis. Main contribution Evidence-Based Practice In current context, growing tendency digitalization market potential telehealth, gaining indispensable position success company, fomenting rigor decision making. way, capable significatively contributing reduction quality, converting itself into lucrative Implications healthcare relation diagnosed allowed correlation which sustains sector.

Language: Английский

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Implementing the European code of cancer practice in rural settings

Journal of Cancer Policy, Journal Year: 2024, Volume and Issue: 39, P. 100465 - 100465

Published: Jan. 4, 2024

Existing evidence often indicates higher cancer incidence and mortality rates, later diagnosis, lower screening uptake poorer long-term survival for people living in rural compared to more urbanised areas. Despite wide inequities variation care outcomes across Europe, much of the scientific literature explicitly exploring impact rurality on continues come from Australia North America. The European Code Cancer Practice or "The Code" is a citizen patient-centred statement most salient requirements good clinical practice has been extensively co-produced by patients, professionals patient advocates. It contains 10 key overarching Rights that should expect their healthcare system, regardless where they live strongly endorsed professional organisations as well Commission. In this article, we use these fundamental framework argue (i) issues needs identified are generally profound with cancer; (ii) addressing also challenging contexts; (iii) interventions support must account unique residents affected (iv) new innovative approaches urgently required successfully overcome challenges faced caregivers. equitable being policy focus, have largely neglected.

Language: Английский

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Telemedicine in cancer care: lessons from COVID-19 and solutions for Europe

European Journal of Public Health, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Abstract The COVID-19 pandemic challenged healthcare delivery, especially cancer care. Telemedicine emerged as an important tool to reduce disease transmission risks, maintain continuity of care, and improve accessibility. This study explores temporary measures during the well challenges facilitators for integrating telemedicine into European landscape in five case countries, focusing on Expert interviews were conducted EU countries with diverse health systems: Austria, Belgium, Denmark, Italy, Poland. A thematic analysis was performed. Themes further explored related regulatory changes barriers implementation. accelerated uptake processes (i.e. regulations, reimbursement) all countries. Acceptance increased among professionals patients. Post-pandemic use acceptance declined pre-pandemic levels some attributed several factors including preferences in-person visits. Overall, persistent identified by country experts lack standardized policies, data privacy concerns, technological infrastructure issues, digital literacy gaps. validated enhance care access efficiency help maintaining crises. Our findings highlight overlapping suggest solutions overcome these across selected Recommendations policymakers are listed, emphasizing importance services improving access, efficiency, resilience. Future research should incorporate population studies, patient perspectives, cost-effectiveness, policy impacts.

Language: Английский

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The Impact of Introducing a Temporary Telemedicine Policy on Primary Care Visits: An Analysis of National Claims Data in South Korea

Telemedicine Journal and e-Health, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 21, 2025

Background: This study evaluates the impact of temporary telemedicine implementation on primary care visits, which surged during COVID-19 pandemic in South Korea. Methods: was conducted using national claims data from February 24, 2020 to 23, 2021. The included 1,926,300 patients with acute mild respiratory diseases and 1,031,174 gastrointestinal diseases. compared medication prescriptions, follow-up visit patterns, safety outcomes, including admissions emergency departments (EDs), general wards (GWs), intensive units (ICUs), between in-person visits. Results: Telemedicine linked higher prescription rates for both conditions, levels antibiotics use, longer durations. Patients who had an initial consultation were more likely have within 1 day. Conversely, those inclined use their early second There no significant differences ED or ICU admissions, except a slight increase GW conditions. Conclusion: can effectively complement conditions without compromising patient safety, suggesting its potential broader integration into care. Further studies are recommended optimize address any long-term impacts health delivery.

Language: Английский

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Improving forensic healthcare: ARMED, a new telemedical examination

International Journal of Legal Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Abstract Background the Istanbul Convention demands care to victims of violence while upholding forensic standards. Victims, however, often seek medical help at hospitals where availability experts is limited. This results in overlooked injuries and lost or damaged evidence, ultimately impacting court proceedings identification individuals risk. The aim this paper was establish real-time remote guidance for distant physicians during examination victims. Methods Augmented Reality Assisted Medical Evidence Collection Documentation (ARMED) established Heidelberg Institute Forensic Traffic Medicine (IFTM) 2023 as an innovative telementoring model. Video-teleconferencing components including a head-mounted device (HMD), customized software package, hardware devices, data management portal were employed facilitate seamless expert delivery, sharing, ensure privacy confidentiality. ARMED platform evaluated three partner with parameters internet connection stability, clarity live-streaming audio-visual communication, quality photos, safety management. Results combination RealWear Navigator 500 HMD, version videoconferencing software, server system safe secure patient constituted robust, user-friendly, practical telemedicine solution. Conclusion facilitates communication between healthcare providers experts, enhancing their ability recognize detect effectively. holds potential significantly improve process evidence collection documenting cases violence, aiding pursuit justice protection

Language: Английский

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Exploring the use, usefulness and ease of use of digital occupational health services: A descriptive correlational study of customer experiences

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Objective This study examined the customer experiences of use, perceived usefulness and ease use digital occupational health (OH) services. Methods A cross-sectional based on an electronic survey was conducted between December 2022 January 2023. total 9871 OH customers responded to survey. The sample restricted respondents who used services (n = 7275). An analysis variance run test relationships respondents’ characteristics rate usefulness, variables. Results most commonly were appointment booking, access information recorded by professionals prescription renewal, provided physicians nurses. Respondents expressed quite high satisfaction with services, but not as much their use. Females, individuals under 50 years age, those higher education, working in white-collar or managerial positions possessing proficient communication technology (ICT) skills gave positive evaluations regarding Conclusions There a certain level mixed among We can also conclude that possess necessary ICT more easily take full advantage available When are using they confidently interact professionals. Regardless user's gender, education profession, it is crucial for service providers always strive improve usability

Language: Английский

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The digital readiness of future physicians: nurturing the post-pandemic medical education

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 2, 2024

Abstract Background The COVID-19 pandemic has accelerated the integration of digital technologies in healthcare sector. Telemedicine notably emerged as a significant tool, offering range benefits. However, various barriers, such professionals’ insufficient technological skills and competencies, can hinder its effective implementation. Scholars have examined readiness future physicians, with some studies exploring their before or during crisis. There is, however, noteable gap literature concerning post-pandemic period. This study aims to identify gaps current medical education programs by examining two primary aspects: (1) technical (encompassing general health-related competencies) (2) behavioural readiness, which includes prior experiences intentions related telemedicine implementation among students residents. Methods A cross-sectional was conducted using web-based questionnaire administered residents at major Northern Italian university. survey responses were analyzed ascertain whether distributions varied across demographic variables gender level education. Results most commonly owned laptops smartphones, smartphones perceived easiest use, while desktop computers presented more challenges. Approximately 38% respondents expressed apprehension about applying health information decision-making processes. lack both personal academic experience, only 16% having used university setting. Despite this, 83% participants desire for training telemedicine, 81% open experimenting it journey. Moreover, 76% interest incorporating into clinical practice. Conclusions highlights need receive specific telemedicine. Introducing curricula courses this domain is critical addressing challenges healthcare.

Language: Английский

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