Real-World Mobile Health Implementation and Patient Safety: Multicenter Qualitative Study

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e71086 - e71086

Опубликована: Апрель 29, 2025

Background Mobile health (mHealth) is increasingly being used in contemporary care provision owing to its portability, accessibility, ability facilitate communication, improved interprofessional collaboration, and benefits for outcomes. However, there limited discourse on patient safety real-world mHealth implementation, especially as settings extend beyond traditional center-based technology usage home-based care. Objective This study aimed explore professionals’ perspectives the aspects of integration service provision, focusing Hong Kong Special Administrative Region (SAR) Wuhan city mainland China. In SAR, largely managed by Hospital Authority, which has released various mobile apps care, such Stoma Care, Hip Fracture, HA Go. contrast, institutionally directed, with individual hospitals or departments using consultation apps, WeChat mini-programs, Official Accounts Platform (a subapp within ecosystem). Methods A multicenter qualitative design was used. total 27 participants, including 22 nurses 5 physicians, from 2 different systems were interviewed individually. Thematic analysis analyze data. Results The mean age participants 32.19 (SD 3.74) years, working experience 8.04 4.05) years. Most female (20/27, 74%). Nearly half had a bachelor’s degree (13/27, 48%), some master’s (9/27, 33%), few diploma (3/27, 11%) doctoral (2/27, 7%). Four themes emerged data analysis. Considering current uncertainties surrounding emphasized “liability” concerns when discussing safety. They need “change management,” includes appropriate referral processes, adequate resources funding, informed usage, efficient processes. cautioned about risks providing information without ensuring understanding, appreciated regulations available, identified additional that should be considered ensure security. Conclusions As adopt solutions globally enhance both operational efficiency, it becomes crucial understand implications these new models. Health professionals recognized importance making reliable sustainable. promotion accompanied standardization services institutional, system, policy-level support. fostering acceptance among encourage referrals, accommodate changes, comprehension, proactively identify address threats

Язык: Английский

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Research Centers Collaborative Network Workshop on Digital Health Approaches to Research in Aging

Innovation in Aging, Год журнала: 2024, Номер 8(2)

Опубликована: Фев. 1, 2024

Abstract Digital health technologies are ubiquitous in the healthcare landscape. Older adults represent an important user group who may benefit from improved monitoring of physical and cognitive in-home access to care, but there remain many barriers widespread use digital gerontology geriatric medicine. The National Institute on Aging Research Centers Collaborative Network convened a workshop wherein geriatricians gerontological researchers with expertise related mHealth applications shared opportunities challenges application aging. Discussion broadly centered 2 themes: promises (i) ecological momentary assessment methodologies medicine, (ii) development promotion programs delivered via technologies. Herein, we summarize this discussion outline several promising areas for future research.

Язык: Английский

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Digitally Mediated Relationships: How social representation in technology influences the therapeutic relationship in primary care.

Social Science & Medicine, Год журнала: 2024, Номер 353, С. 116962 - 116962

Опубликована: Май 12, 2024

Relationships, built on trust, knowledge, regard, and loyalty, have been demonstrated to be fundamental health care delivery. Strong relationships between patients providers linked more compassionate delivery, better patient experience outcomes, may particularly important in primary care. The rapid adoption of digital technologies since the onset COVID-19 has led systems seriously consider a "digital-first" delivery model. Questions remain regarding what impact this transformation will therapeutic relationship. Using ethnographic approach study explores how provider understandings influence relationship-building or maintenance with complex needs their providers. Three team-based sites Toronto, Ontario, Canada were included study. Across three 9 chronic conditions, 1 caregiver, 10 healthcare (including family physicians, medicine residents, social workers, nurse practitioners) participated. Interviews conducted all participants 8 observations virtual clinical encounters (phone video visits) conducted. representation theory as lens, analysis revealed that participants' constructions informed by identities, experiences, expectations. For see enabling relationship, there needed alignment viewed role technology lives, they recognized (or constructed) good This exploratory work suggests need think about both patients' providers' views determine whether can leveraged meet while maintaining, building, strong relationships.

Язык: Английский

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Factors that influence the uptake of virtual care solutions in Australian primary care practice: a systematic scoping review

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Март 21, 2024

Background The use of virtual care solutions in primary settings has increased exponentially. Current evidence suggests high patient satisfaction with care, but it is not without limitations. Research needed to understand what factors influence the implementation so that can be delivered right patient, clinical context at time as business-as-usual healthcare. Implementation science offers theories and models assist this, none yet comprehensively address solution delivery. Methods A systematic scoping review was undertaken identify empirical research studies reported influencing uptake within Australian setting. Searches were Embase, PubMed, Scopus Web Science. Consolidated Framework for (CFIR) used code solutions. Results 14 identified eligible inclusion. cluster five common identified. Three from existing CFIR framework, two newly developed constructs. constructs included: innovation relative advantage, capability information technology infrastructure. New included accessibility suitability. further six new (trust, privacy, governance, unintended consequences, preference choice) they prominently mentioned. Conclusions There are among implemented care. assisted conceptualising these sufficient capturing unique Newly noted importance literature, if applicable multiple contexts.

Язык: Английский

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Digital health implementation in Australia: A scientometric review of the research

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Objective Australia is committed to establishing a digitally enabled healthcare system that fosters innovation, strengthens data capabilities, and establishes foundation for future digital health reform. This study provides comprehensive overview of implementation research in Australia, employing scientometric analysis visualization. We assess the existing knowledge base, identify key areas frontier trends, explore their implications delivery rural remote settings. Methods A systematic search Web Science Core Collection database was conducted relevant documents up December 31, 2023. Analysis annual growth patterns, journals, institutional authorship contributions, reference co-citation keyword co-occurrence using scientometrics create outputs form graphs tables. Evolutionary analyses were undertaken delineate current predominant themes, trends field. Results total 196 related identified, demonstrating sustained since 2019. The evolution field characterized by four distinct phases, with pronounced focus on telehealth, particularly context COVID-19 pandemic. ‘Remote health’ emerged as significant area contemporary interest. Conclusions contributes our understanding Australia. Despite considerable body research, there remains relative paucity studies focused underserved which arguably stand benefit most from advancements. Continued this crucial ensure equitable access benefits offered innovations.

Язык: Английский

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Prohibiting Babel - A call for professional remote interpreting services in pre-operation anaesthesia information

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Фев. 18, 2024

Introduction: Language barriers within clinical settings pose a threat to patient safety. As potential impediment understanding, they hinder the process of obtaining informed consent. This study investigates impact current use interpreters, with particular focus on efficacy engaging laypersons as rather than professional interpreters. A further objective is explore validity and reliability phone-based telemedicine. Methods: In three groups (N per group = 30), we compared how using lay or interpreters affected non-German speaking patients’ subjectively perceived understanding (understood vs. not understood) recollection (recollected recollected) information about general anaesthesia. Fluent German patients served control group. Statistical analyses (χ2 tests binomial) were calculated show differences between groups. Results: All indicated similar, high self-reported levels having understood medical provided. was in stark contrast assessed data. interpreter group, anaesthesia facts low; only around half participants recalled specific facts. For supported by their significantly enhanced elevated same level (fluent German). Moreover, for these patients, providing means telemedicine before yielded Conclusion: Phone-based safe reliable method communication but Compared improve uptake critical anaesthesia, thus highlighting importance safety

Язык: Английский

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Transformative Advancements in Diagnostic Imaging: Reducing Risks, Enhancing Accuracy, and Promoting Sustainability

European Journal of Medical and Health Research, Год журнала: 2024, Номер 2(5), С. 153 - 172

Опубликована: Сен. 1, 2024

The review discusses the risks posed by conventional medical imaging methods, including radiation exposure, allergic reactions, and environmental contamination. It explores recent innovations, such as advanced modalities like photon-counting computed tomography (CT) scanners ultra-high-field magnetic resonance (MRI) systems, which provide high-resolution images with reduced doses. Artificial intelligence (AI) further enhances field automating tasks, improving image analysis, personalizing protocols, real-time predictive monitoring. Non-invasive techniques, elastography photoacoustic imaging, are highlighted for minimizing reliance on ionizing radiation. AI-driven strategies also address concerns through use of biodegradable contrast agents energy-efficient technologies. Economic assessments reveal cost-effectiveness technologies their impact healthcare budgets while acknowledging persistent disparities in access. examines radiation: long-term broad-ranging adverse health impacts how new techniques aim to eliminate or mitigate these effects. considers advancements AI improve diagnostic accuracy workflow efficiency. Also, integration genomics telemedicine is discussed, alongside efforts economic accessibility challenges promote sustainable practices. Imaging technology innovations transforming practices addressing existing challenges, ongoing innovation collaboration essential optimizing benefits patients, staff, environment.

Язык: Английский

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Factors that influence the uptake of virtual care solutions in Australian primary care practice: a systematic scoping review

JBI Evidence Implementation, Год журнала: 2024, Номер unknown

Опубликована: Окт. 21, 2024

Uptake of virtual care solutions in primary settings has increased exponentially, and current evidence suggests high patient satisfaction but mixed clinician views.

Язык: Английский

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Navigating online health information: Insights into consumer influence and decision-making strategies—An overview of reviews

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Communities' use of technology and the internet for online health information (OHI) is increasing exponentially. An understanding how why individuals access OHI, this influences decisions on health, medicines self-care practices critical. This review aims to: (1) identify factors influencing OHI-seeking behaviour; (2) evaluate evidence OHI practices; (3) outline strategies to improve informed decision-making assess impact these consumer outcomes.

Язык: Английский

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A new normal in primary care: the rapid normalization of a major eHealth program in public health centers

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Ноя. 15, 2024

Abstract Background This study aimed to contribute a better understanding of the context, mechanisms and outcomes in implementation process an eHealth video consultation program primary care. The focused on how is normalized care setting. research question for this “in what ways care?”. Methods qualitative design content analysis data from transcripts were based in-depth interviews, complemented with free-text answers open-ended survey questions various documents. focuses large-scale public Närhälsan Online, which represents more than 100 health centers Sweden’s largest region Västra Götaland. Multiagent perspectives drawn expressed perceptions by professions directly linked both strategic functional implementation, as well administration clinical operation. Results confirms enhances field theoretical contribution six reviewed previous research, showing practical implications. It also provides multi-agent rapid normalization studied. Conclusions In relation progression different initiatives eHealth, contributes specific challenges

Язык: Английский

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