Globel watch mission to U.S.A. - intelligent housing: new and emerging technologies for the home-based healthcare delivery

2007 ◽  
Author(s):  
D. Cudby
Keyword(s):  
Emerging Technologies ◽  
Healthcare Delivery ◽  
Home Based

scholarly journals Evidence on the economic value of end-of-life and palliative care interventions: a narrative review of reviews

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Xhyljeta Luta ◽  
Baptiste Ottino ◽  
Peter Hall ◽  
Joanna Bowden ◽  
Bee Wee ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cost Effectiveness ◽  
End Of Life ◽  
Resource Use ◽  
Economic Value ◽  
Healthcare Delivery ◽  
Dying Patients ◽  
Home Based ◽  
Population Type ◽  
Care Models

Abstract Background As the demand for palliative care increases, more information is needed on how efficient different types of palliative care models are for providing care to dying patients and their caregivers. Evidence on the economic value of treatments and interventions is key to informing resource allocation and ultimately improving the quality and efficiency of healthcare delivery. We assessed the available evidence on the economic value of palliative and end-of-life care interventions across various settings. Methods Reviews published between 2000 and 2019 were included. We included reviews that focused on cost-effectiveness, intervention costs and/or healthcare resource use. Two reviewers extracted data independently and in duplicate from the included studies. Data on the key characteristics of the studies were extracted, including the aim of the study, design, population, type of intervention and comparator, (cost-) effectiveness resource use, main findings and conclusions. Results A total of 43 reviews were included in the analysis. Overall, most evidence on cost-effectiveness relates to home-based interventions and suggests that they offer substantial savings to the health system, including a decrease in total healthcare costs, resource use and improvement in patient and caregivers’ outcomes. The evidence of interventions delivered across other settings was generally inconsistent. Conclusions Some palliative care models may contribute to dual improvement in quality of care via lower rates of aggressive medicalization in the last phase of life accompanied by a reduction in costs. Hospital-based palliative care interventions may improve patient outcomes, healthcare utilization and costs. There is a need for greater consistency in reporting outcome measures, the informal costs of caring, and costs associated with hospice.

Innovating Healthcare through Remote Monitoring

2017 ◽  
pp. 247-268
Author(s):  
Faustina Acheampong ◽  
Vivian Vimarlund
Keyword(s):  
Decision Making ◽  
Business Model ◽  
Remote Monitoring ◽  
Clinical Decision Making ◽  
Healthcare Delivery ◽  
Work Processes ◽  
Home Based ◽  
Patient Health ◽  
The Government ◽  
Remote Patient

Information technology has been suggested to improve patient health outcomes and reduce healthcare cost. This study explored the business model and effects of collaborative innovation between caregivers and patients on healthcare delivery through remote patient monitoring by interviewing caregivers and surveying atrial fibrillation patients. Findings indicate that remote monitoring enhanced early detection of potential risks and quality of clinical decision-making with patients feeling more empowered and involved in their own care. The remote monitoring system which consisted of a home-based ECG and a web-based service and was offered free to patients, brought together caregivers, patients, service provider and the government as actors. The introduction of remote monitoring increased the workload of caregivers and facilitation of timely diagnostics and decision-making were not realized. IT is an enabler of innovation in healthcare, but it must be integrated into work processes with a viable business model to realize potential benefits and sustain it.

Emerging Technologies for Aging in Place

2008 ◽  
pp. 513-518
Author(s):  
Shirley Ann Becker ◽  
Frank Webbe
Keyword(s):  
United States ◽  
Emerging Technologies ◽  
Healthcare Delivery ◽  
The United States ◽  
Assistive Technologies ◽  
Daily Activities ◽  
Health Conditions ◽  
Age Related ◽  
United States Economy ◽  
Health Related

Similar to other nations, the United States faces a critical challenge in dealing with an aging population that has unprecedented life expectancies. Emerging technologies offer the hope of allowing older adults to remain in their homes longer by empowering individuals to manage daily activities while dealing with chronic health conditions and age-related diseases. These technologies increasingly target a home environment whereby on a regular basis an individual can obtain assistance in performing daily living activities, stay connected to family and friends, manage medication, and be monitored for health-related changes. As important as these assistive technologies are for individuals and families, their potential for positively impacting the United States economy by changing the model of healthcare delivery is equally huge.

scholarly journals Emerging technologies for home-based semen analysis

Andrology ◽  
2017 ◽  
Vol 6 (1) ◽  
pp. 10-19 ◽  
Author(s):  
S. Yu ◽  
M. Rubin ◽  
S. Geevarughese ◽  
J. S. Pino ◽  
H. F. Rodriguez ◽  
...  
Keyword(s):  
Emerging Technologies ◽  
Semen Analysis ◽  
Home Based

Effects of a Home-Based Monitoring Device on Innovation in Healthcare Delivery

2013 ◽  
pp. 316-334
Author(s):  
Faustina Acheampong ◽  
Vivian Vimarlund
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Healthcare Delivery ◽  
Clinical Decision ◽  
Home Based ◽  
Collaborative Innovation ◽  
Patient Health ◽  
Potential Benefits ◽  
Improve Patient

Information technology has been suggested to improve patient health outcomes and reduce the burden of care. In this study, we explored the effects of collaborative innovation between caregivers and patients on healthcare delivery as a consequence of the use of an IT-based device by patients with atrial fibrillation. Two cardiologists and two nurses were interviewed while questionnaires were mailed to 75 patients querying them about the use of a home-based ECG for remote monitoring. Findings indicated that the caregivers considered the device to enhance the quality of clinical decision-making. Patients found the device to be useful and felt more involved in their own care. However, the introduction of the device presented work overload for the caregivers. Thus, the facilitation of timely diagnostics and decision-making were not realized. IT is an enabler through which innovation in healthcare delivery can be realized, but it must be integrated into work practices to realize potential benefits.

scholarly journals IMPORTANCE OF DRONES IN HEALTHCARE DELIVERY AMID A PANDEMIC: CURRENT AND GENERATION NEXT APPLICATION

2021 ◽  
Vol 2 (1) ◽  
pp. 01-13
Author(s):  
A. E. Oigbochie ◽  
E. B. Odigie ◽  
B. I. G. Adejumo
Keyword(s):  
Rural Areas ◽  
Low Cost ◽  
Healthcare Delivery ◽  
Industrial Applications ◽  
Healthcare Sector ◽  
Home Based ◽  
Starting Point ◽  
Contact Free ◽  
Real Time Information ◽  
The Military

A drone is an aircraft controlled from a distance without a human pilot onboard using devices ingrained with software flight protocols. Outside the military, it lately just started to reach the relevancy of conventional businesses. The healthcare sector is an industry where this capacity is needed particularly in a pandemic in providing a responsive healthcare service in a contact-free manner. Also, delivery of blood supplies, vaccines, medications and other medical supplies to rural areas with no access to health facilities is made possible by the use of drones as they can navigate through difficult barriers such as buildings and bridges as well as areas that have been rendered inaccessible by conventional land and air transport. Drones have triggered a swift advancement in a variety of commercial, recreational and industrial applications with its capability to effectively put together real-time information on events at a low cost. However, its breakthrough in healthcare has been slower compared to other sectors where drones have been used extensively. Hence, this review is aimed at emphasizing the importance of drones in healthcare delivery noting its current and future usability. In this paper, a systematic review of relevant literatures was employed. Findings suggests that drones have been used effectively in healthcare viz a viz: enabling transportation of birth control, biopsy for emergency surgeries and other medical and laboratory supplies within few minutes. Considering the current global situation (COVID-19 pandemic), the future might experience more outpatient care and perhaps home-based care previously admitted in hospitals. Test results, medication­­s and other treatment ordered by physicians may be couriered to patient’s residence via drones. In conclusion, drones offer a variety of exciting opportunities; delivery of medical and laboratory supplies, blood products including biopsy for emergency surgeries is just a starting point. Drones have the capability to evolve medical care as well as propel advancement in the health industry.

Perception and barriers to virtual medicine in Hispanics and underrepresented populations.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 169-169
Author(s):  
Alvaro G. Menendez ◽  
Katarina Bade ◽  
Emily Hsu ◽  
Jyoti Chhabra
Keyword(s):  
Behavioral Interventions ◽  
Multivariable Analysis ◽  
Healthcare Delivery ◽  
Perceived Barriers ◽  
Healthcare Outcomes ◽  
Chi Square ◽  
Oncological Care ◽  
Home Based ◽  
Significant Difference ◽  
Virtual Medicine

169 Background: Perceptions and barriers to virtual medicine (VM) in Hispanics and underrepresented population (H/UP) are unknown. We investigated these parameters in a multicenter oncology trial in hopes of improving quality of care and minimizing potentially negative healthcare outcomes related to this increasingly popular healthcare delivery (HD) technique. Methods: An IRB-approved, 14-item questionnaire was offered in English and Spanish to all pts. receiving care at participating cancer centers over a 6-month period. Examined variables included demographic information, preferences and perceived barriers regarding VM. Multivariable analysis was performed using Chi Square test to determine association between demographic variables and participants preferences and perceived barriers. Results: A total of 180 pts were enrolled. H/UP rely more on social media to receive health information (32.6% vs 23.9%) as opposed to face-to-face. Fewer H/UP have received oncological care through VM (27.9% vs 32.9%) despite comparable preferences regarding incorporation or exclusive use of VM in HD (23.2 % vs 24.6%). Similar levels of satisfaction with current HD methods were reported (83.7% vs 86%). No significant difference by age, level of education, marital status or Hispanic ethnicity was noted although Spanish as primary language was statistically significant (p = 0.001) in patient satisfaction and preferences regarding use of VM. H/UP involve family members more frequently through VM (48.8% vs 29.1). H/UP have more technical barriers to VM as they were up to 2.6 times more likely to not have a phone/ipad/similar or have access to broadband connectivity (23.3% vs 9%; and 16.3% vs 8.2% respectively). Conclusions: H/UP are equally interested and satisfied in receiving oncological care through VM. Given the shift towards outpatient and home-based care, an aging population, and cultural appropriations, VM excitedly allows re-incorporation of family/caregiver in medical engagement. However, fewer H/UP are currently utilizing VM which could be secondary to H/UP’s specific barriers or healthcare bias. Although behavioral interventions may be explored, H/UP barriers are predominantly technical and targetable with appropriate policies that take into consideration institutional and reimbursement programs.

Medicare‐funded home‐based clinical care for community‐dwelling persons with dementia: An essential healthcare delivery mechanism

2021 ◽  
Author(s):  
Katherine A. Ornstein ◽  
Claire K. Ankuda ◽  
Bruce Leff ◽  
Subashini Rajagopalan ◽  
Albert L. Siu ◽  
...  
Keyword(s):  
Clinical Care ◽  
Healthcare Delivery ◽  
Community Dwelling ◽  
Home Based ◽  
Delivery Mechanism
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