Barriers and facilitators to utilizing digital health technologies by healthcare professionals

npj Digital Medicine, Год журнала: 2023, Номер 6(1)

Опубликована: Сен. 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.

Язык: 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, Год журнала: 2024, Номер 10(9), С. e30147 - e30147

Опубликована: Апрель 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.

Язык: Английский

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Effectiveness of Telemedicine for Musculoskeletal Disorders: Umbrella Review

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e50090 - e50090

Опубликована: Фев. 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/

Язык: Английский

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

European Journal of Public Health, Год журнала: 2025, Номер unknown

Опубликована: Янв. 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.

Язык: Английский

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Internal Audit Process in eHealth

International Healthcare Review (online), Год журнала: 2023, Номер unknown

Опубликована: Янв. 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.

Язык: Английский

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Implementing the European code of cancer practice in rural settings

Journal of Cancer Policy, Год журнала: 2024, Номер 39, С. 100465 - 100465

Опубликована: Янв. 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.

Язык: Английский

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Telemedicine in Elderly Hypertensive and Patients with Chronic Diseases during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(19), С. 6160 - 6160

Опубликована: Сен. 24, 2023

One aspect of the distancing measures imposed in response to COVID-19 pandemic is that telemedicine consultations have increased exponentially. Among these consultations, assessment and follow-up patients with chronic diseases a non-presential setting has been strengthened considerably. Nevertheless, some controversy remains about most suitable means patient follow-up. To analyze impact implemented during period on patients. A systematic review was carried out using following databases: PubMed, Pro-Quest, Scopus. The followed guidelines outlined Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA). search equation utilized descriptors sourced from Medical Subject Headings (MeSH) thesaurus. was: "hypertension AND older primary care (COVID-19 OR coronavirus)" its Spanish equivalent. data were obtained: 14 articles provided 6,109,628 another 4 focused study population 9684 physicians. Telemedicine less likely be used by elderly (OR 0.85; 95% C.I. 0.83-0.88; p = 0.05), those Asian race 0.69; 0.66-0.73; whose native language not English 0.89; 0.78-0.9; 0.05). In care, lower use associated residents rural areas 0.81; African American 0.65, others 0.64; high proportion (40%) physicians had no prior training techniques. highest quality terms telephone consultation significantly who did increase their prescription antibiotherapy 0.30, 0.05) or prescribe more tests 0.06 i.e., maintained former clinical criteria despite COVID-19. proven value especially useful pandemic. mixed remote-presential model efficient. Appropriate this area patients, together correct provision, essential prevent errors implementation use.

Язык: 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, Год журнала: 2025, Номер unknown

Опубликована: Фев. 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.

Язык: Английский

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Improving forensic healthcare: ARMED, a new telemedical examination

International Journal of Legal Medicine, Год журнала: 2025, Номер unknown

Опубликована: Март 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

Язык: Английский

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Enabling Telemedicine From the System-Level Perspective: Scoping Review

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e65932 - e65932

Опубликована: Март 5, 2025

Background Telemedicine is a strategy for providing health care services remotely that improves service accessibility. has attracted growing research interest in the past 10 years, including systematic reviews synthesize evidence to share experiences and enhance knowledge. However, most of published have focused on synthesizing from studies telemedicine at organizational level. A collected understanding factors system level influence successful implementation adoption needs be developed, especially regional rural areas. Objective This scoping review aims explore key success challenges level, particularly Methods was conducted accordance with framework by Arksey O’Malley reported using PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews). total 5 databases (CINAHL, Cochrane, Medline, Ovid, Scopus) were searched articles English between January 2010 2023, established inclusion criteria. Results Of 10,691 papers identified, 89 included this review, 16 (17.98%) areas 13 (14.61%) metropolitan Another both Overall, 6 categories more than 70 factors, system-level requirements (n=13, 18.40%), economic considerations funding (n=6, 8.70%), technological (n=19, 27.54%), supporting clinicians (n=12, 17.39%), improving patients’ perceptions 18.84%), identified. Additionally, containing over 50 challenges, those related levels (n=11, 23.91%), 13.04%), 28.26%), (n=10, 21.74%), patients Among identified 11 (9.57%) specific Conclusions confirms requires collective efforts levels, coordination collaboration across different regions organizations. It underscores importance establishing national network enhances public awareness clarity payment benefit distribution models strengthens data security protection measures. The also highlights necessity addressing infrastructural deficiencies, internet connectivity areas, suggests targeted incentives support required are detailed proposed promotes popularizing telemedicine, enhancing overall quality efficiency services, achieving broader equity.

Язык: Английский

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