The impact of electronic health records on healthcare delivery and patient outcomes: A review

World Journal of Advanced Research and Reviews, Journal Year: 2023, Volume and Issue: 21(2), P. 451 - 460

Published: Feb. 28, 2023

This review examines the impact of Electronic Health Records (EHRs) on healthcare delivery and patient outcomes, highlighting benefits challenges associated with their use. EHRs enhance efficiency, improve quality care through clinical decision support, foster better collaboration among providers. They also contribute to safety, engagement, improved health including reduced hospital readmission rates chronic disease management. However, data privacy concerns, interoperability issues, digital divide pose significant hurdles. The underscores critical role ongoing research innovation in informatics address these challenges, ensuring continue evolve positively. analysis aims provide a comprehensive overview current state EHRs, offering insights into potential transform outcomes.

Language: Английский

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Telemedicine for the treatment of heart failure: new opportunities after COVID-19

Journal of Cardiovascular Medicine, Journal Year: 2023, Volume and Issue: unknown

Published: June 27, 2023

During the Coronavirus Disease 2019 (COVID-19) pandemic, epidemiology of heart failure significantly changed with reduced access to health system resources and a worsening patients' outcome. Understanding causes these phenomena could be important refine management during after pandemic. Telemedicine was associated an improvement in outcomes several studies; therefore, it may help refining out-of-hospital care failure. In this review, authors describe changes COVID-19 pandemic; analyse available evidence on use benefit telemedicine pandemic prepandemic periods; discuss approaches optimize home-based or outpatient future, beyond

Language: Английский

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Gender-related differences in manifestations, complications, and mortality rate of systolic heart failure patients

Health Science Monitor, Journal Year: 2025, Volume and Issue: 4(2), P. 92 - 102

Published: April 1, 2025

Language: Английский

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Self-management education for children with epilepsy and their caregivers. A scoping review

Epilepsy & Behavior, Journal Year: 2023, Volume and Issue: 144, P. 109232 - 109232

Published: May 16, 2023

Self-management education programs have been highly successful in preparing people to manage medical conditions with recurring events. A detailed curriculum for epilepsy patients, and their caretakers, is lacking. Here we assess what available patients who disorders events offer an approach developing a potential self-care seizures caregivers. Among the anticipated components are baseline efficacy assessment training tailored increasing self-efficacy, medication compliance, stress management. Those at risk of status epilepticus will also need guidance personalized seizure action plan how decide when rescue appropriate administer therapy. Peers, as well professionals, could teach provide support. To our knowledge, no such currently English. We encourage creation, dissemination, widespread use.

Language: Английский

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Telemedicine: an Effective and Low-Cost Lesson From the COVID-19 Pandemic for the Management of Heart Failure Patients

Current Heart Failure Reports, Journal Year: 2023, Volume and Issue: 20(5), P. 382 - 389

Published: Sept. 4, 2023

The purpose of this review is to explore the benefits and controversies that telemedicine (TM), applied patients with heart failure (HF), can provide in terms diagnosis, therapeutic management, prognosis improvement. During coronavirus disease 19 (COVID-19) outbreak, TM emerged as most effective feasible method available ensure continuous care for chronic diseases. Among these, HF, characterized by high mortality, morbidity, need frequent visits, may benefit role. HF are affected exacerbations undergoing a progressive impoverishment, strongly depending on disease's management. A precise clinical handling always required, constant optimization therapy, control risk factors, sensitive attention any change symptoms, signs, laboratory tests. In context, has shown improve therapy adherence HF: patients' self-care, impacting even if specific results controversial. Major evidence shows allow an adequate primary prevention, reducing impact main cardiovascular factors. also be useful secondary early detecting likely exacerbation before it becomes clinically manifest, thereby lowering hospitalization. Moreover, optimal up-titration increase treatment using TM. However, some studies did not show unambiguous results, uncertainties still remain.

Language: Английский

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Understanding Medical 4.0 implementation through enablers: An integrated multi-criteria decision-making approach

Informatics and Health, Journal Year: 2023, Volume and Issue: 1(1), P. 29 - 39

Published: Dec. 26, 2023

Integrating advanced digital technologies into healthcare systems, known as the Medical 4.0 paradigm, has brought about a revolutionary transformation in medical field. Thus, to incorporate these systematically and effectively sector, it is imperative prioritise key enabling factors. This strategic approach streamlines resource allocation, risk management, achievement of significant outcomes. In this context, ten crucial enablers play pivotal roles: Policy Support, enhanced diagnostics treatment, patient-centric care, telehealth Telemedicine, Internet Things devices, artificial intelligence, cloud computing, genomics precision medicine, Cybersecurity, industry collaboration. paper introduces delves primary driving transformative process. The importance critical success assessed using fuzzy TOPSIS MARCOS methods, which established quantitative framework for decision-making prioritisation within landscape. A comprehensive set evaluation criteria proposed, encompassing cost-effectiveness, adaptability, mitigation, Data Privacy, interoperability, ease implementation, stakeholder acceptance, environmental impact, supplier partner compatibility, regulatory compliance. research enhances our comprehension dynamics propelling implementation 4.0, providing valuable insights unlock potential technology-driven advancements. By employing quantifiable model guide efforts expansive domain. results are further validated through sensitivity analysis. offers invaluable both professionals researchers looking harness possibilities offered by advancements healthcare.

Language: Английский

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What do Spanish registries report about worsening events in chronic heart failure? Needs and challenges

Expert Review of Cardiovascular Therapy, Journal Year: 2023, Volume and Issue: 21(7), P. 473 - 482

Published: June 22, 2023

Introduction Worsening heart failure (HF) is associated with a high risk of death and rehospitalization. Despite that, real world evidence about the impact worsening HF on clinical practice scarce.Areas covered A narrative review registries addressing recent events in Spain, special emphasis patients recently hospitalized for was performed.Expert opinion can be defined as situations where patient's deteriorates to extent that it necessitates initiation or intensification diuretic treatment (mainly intravenous). The occur at outpatient level, generally day hospital, emergency department even hospitalization. Early identification essential establish appropriate soon possible. In this context, robust benefits have been reported renin-angiotensin system inhibitors, sacubitril-valsartan, beta-blockers, mineralocorticoid receptor antagonists, SGLT2 vericiguat. several developed, some them including HF, but not events. Therefore, would desirable. Using practical approach, analyzes importance events, Spanish data.

Language: Английский

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Remote Digital Solutions for Organization of Treatment and Monitoring of Patients with Heart Failure Abroad

City Healthcare, Journal Year: 2023, Volume and Issue: 4(3), P. 112 - 119

Published: Sept. 29, 2023

Introduction. Cardiovascular pathology is one of the leading causes global mortality burden, being responsible for more than 30% all deaths. Continuous monitoring patients with heart failure crucial in developing measures aimed at reducing cardiovascular mortality. The advancement digital technologies this field will improve quality and treatment failure. Objective. goal study was to summarize results implementation some well-known approaches healthcare Materials methods. data obtained from PubMed databases Google search results. Scientific articles English were selected by following keywords: “heart failure”, “information technologies”, “remote monitoring”, “digital etc. In cases, also conducted еру Russian Internet segment using such keywords as “сердечная недостаточность [heart failure]”, “распространенность [prevalence]”, Results. use recording health indicators people has been examined. aspects self-monitoring are considered, examples sensor artificial intelligence continuous remote given, principles patient management achieving adherence presented, rehabilitation telehealth discussed.

Language: Английский

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Translation and Psychometric Validation of the Heart Failure Symptom Tracker (HFaST)

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 16, 2024

Background: Heart Failure (HF) is a global public health issue with high morbidity and mortality rates. Symptom management improves HF patients’ quality of life demonstrates potential reduction in hospitalisation, particularly among individuals aged 65 over. This study aimed to translate, cross-culturally adapt evaluate the psychometric properties Heart Tracker (HFaST) tool for Portuguese population. Additionally, it test hypothesis that higher scores HFaST are associated increased hospitalisations due decompensation. Methods: This cross-sectional was conducted two phases. The first phase involved linguistic translation cross-cultural adaptation into European Portuguese. Content validity assessed by panel ten experts, who evaluated clarity, relevance equivalence pre-final version. A pre-test, using cognitive interviews sample forty assess item comprehensibility adapted tool. second sixty patients. Participants completed demographical clinical assessment, version KCCQ-23 questionnaire. association between were analysed. Results: Equivalence versions showed substantial perfect agreement, Fleiss’ k ranging from 0.678 1.000. Necessary adjustments performed. Pre-test confirmed 95% comprehensibility. Internal consistency acceptable, Cronbach’s Alpha 0.724, moderate strong inter-item correlations, significant correlations items observed. significantly an likelihood hospital admission. Conclusions: The demonstrated be reliable valid self-management patients Portugal, enhancing symptom monitoring potentially reducing admissions, thus improving life. Clinical Trial Number: not applicable.

Language: Английский

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Translation and psychometric validation of the Heart Failure Symptom Tracker (HFaST)

BMC Cardiovascular Disorders, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 23, 2024

Language: Английский

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