Drug-caused deaths in Australian medical practitioners and health-care professionals

Addiction ◽  
2016 ◽  
Vol 112 (3) ◽  
pp. 486-493 ◽  
Author(s):  
Jennifer L. Pilgrim ◽  
Rhyse Dorward ◽  
Olaf H. Drummer
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Medical Practitioners

Paradoxes of Practice Guidelines, Professional Expertise, and Patient Centeredness: The Medical Care Triangle

2018 ◽  
Vol 76 (4) ◽  
pp. 359-385 ◽  
Author(s):  
L. Michele Issel
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Practice Guidelines ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Professional Expertise ◽  
Work Processes ◽  
Patient Centeredness ◽  
Medical Practitioners ◽  
Delivery Of Medical Care

The coexistence of institutionalized evidence-based practice guidelines, professional expertise of medical practitioners, and the patient centeredness approach form a triangle. Each component of this Medical Care Triangle has characteristics that create paradoxes for health care professionals and their patients. The value of a paradox lies in uncovering and utilizing the contradiction to better understand the underlying organizational phenomenon. Method: Following Poole and van de Ven’s (1989) suggested approaches to resolving paradoxes, each paradox of the Medical Care Triangle is defined and analyzed. Results: A total of 10 paradoxes related to practice guidelines, professional expertise, and patient centeredness are revealed. The resolution of each paradox yields insights specific to structuring health care organizations in ways that support the delivery of medical care. Implications: The results renew an emphasis on the centrality of practitioners’ work processes to health care organizations; this has potential benefits for organizations, clinicians/employees, and patients.

scholarly journals Impact of Automatic Query Generation and Quality Recognition Using Deep Learning to Curate Evidence From Biomedical Literature: Empirical Study (Preprint)

2019 ◽  
Author(s):  
Muhammad Afzal ◽  
Maqbool Hussain ◽  
Khalid Mahmood Malik ◽  
Sungyoung Lee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Biomedical Literature ◽  
Medical Practitioners ◽  
Recognition Model ◽  
Content Quality ◽  
Knowledge Based ◽  
Evidence Quality ◽  
Literature Curation

BACKGROUND The quality of health care is continuously improving and is expected to improve further because of the advancement of machine learning and knowledge-based techniques along with innovation and availability of wearable sensors. With these advancements, health care professionals are now becoming more interested and involved in seeking scientific research evidence from external sources for decision making relevant to medical diagnosis, treatments, and prognosis. Not much work has been done to develop methods for unobtrusive and seamless curation of data from the biomedical literature. OBJECTIVE This study aimed to design a framework that can enable bringing quality publications intelligently to the users’ desk to assist medical practitioners in answering clinical questions and fulfilling their informational needs. METHODS The proposed framework consists of methods for efficient biomedical literature curation, including the automatic construction of a well-built question, the recognition of evidence quality by proposing extended quality recognition model (E-QRM), and the ranking and summarization of the extracted evidence. RESULTS Unlike previous works, the proposed framework systematically integrates the echelons of biomedical literature curation by including methods for searching queries, content quality assessments, and ranking and summarization. Using an ensemble approach, our high-impact classifier E-QRM obtained significantly improved accuracy than the existing quality recognition model (1723/1894, 90.97% vs 1462/1894, 77.21%). CONCLUSIONS Our proposed methods and evaluation demonstrate the validity and rigorousness of the results, which can be used in different applications, including evidence-based medicine, precision medicine, and medical education.

scholarly journals Impact of Automatic Query Generation and Quality Recognition Using Deep Learning to Curate Evidence From Biomedical Literature: Empirical Study

10.2196/13430 ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. e13430 ◽  
Author(s):  
Muhammad Afzal ◽  
Maqbool Hussain ◽  
Khalid Mahmood Malik ◽  
Sungyoung Lee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Biomedical Literature ◽  
Medical Practitioners ◽  
Recognition Model ◽  
Content Quality ◽  
Knowledge Based ◽  
Evidence Quality ◽  
Literature Curation

Background The quality of health care is continuously improving and is expected to improve further because of the advancement of machine learning and knowledge-based techniques along with innovation and availability of wearable sensors. With these advancements, health care professionals are now becoming more interested and involved in seeking scientific research evidence from external sources for decision making relevant to medical diagnosis, treatments, and prognosis. Not much work has been done to develop methods for unobtrusive and seamless curation of data from the biomedical literature. Objective This study aimed to design a framework that can enable bringing quality publications intelligently to the users’ desk to assist medical practitioners in answering clinical questions and fulfilling their informational needs. Methods The proposed framework consists of methods for efficient biomedical literature curation, including the automatic construction of a well-built question, the recognition of evidence quality by proposing extended quality recognition model (E-QRM), and the ranking and summarization of the extracted evidence. Results Unlike previous works, the proposed framework systematically integrates the echelons of biomedical literature curation by including methods for searching queries, content quality assessments, and ranking and summarization. Using an ensemble approach, our high-impact classifier E-QRM obtained significantly improved accuracy than the existing quality recognition model (1723/1894, 90.97% vs 1462/1894, 77.21%). Conclusions Our proposed methods and evaluation demonstrate the validity and rigorousness of the results, which can be used in different applications, including evidence-based medicine, precision medicine, and medical education.

scholarly journals Issues of Legal Organization of the Patient-Health Care Professional Relationship

2016 ◽  
Vol 1 (2) ◽  
pp. 451 ◽  
Author(s):  
Inga Kudeikina
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Professional ◽  
Health Care Professionals ◽  
Fundamental Principle ◽  
Professional Relationship ◽  
Medical Practitioners ◽  
Patient Health ◽  
Human Rights Standards ◽  
Relationship Of

Nowadays increasing attention is paid to the issues of legal organization of the patient-health care professional relationship. One of the issues in this field is the institution of the rights and obligations of the patients and the medical practitioners. Cases when the doctor restricts the rights of the patient while fulfilling his duties or vice versa are rare. Interaction of the scope of rights and obligations of the patients and medical practitioners causes complicated situation. The author believes that solution to such situation is to be found in the human rights standards. The article discusses the issue regarding the grounds, on which the legal relationship of the patient and the health care professional are created, and how they are organized. The issues of the patient-health care professional relationship are viewed from the perspective of the human rights. Rights to life and health form the fundamental principle of the human rights, which is integrated in the national and international legal acts. The aim of the article is to provide insight to the role played by fundamental principle of the human rights, principles in the relationship of the patients and medical practitioners. Analyses show that human rights in relations between patients and health care professionals are absolute.

scholarly journals AB1348-HPR TELEMEDICINE IN RHEUMATOLOGY: ACCEPTANCE BY PATIENTS AND MEDICAL PRACTITIONERS IN GERMANY (TELERHEUMABB) - INTERIM ANALYSIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1962.2-1962
Author(s):  
F. Muehlensiepen ◽  
W. Marquardt ◽  
J. Knitza ◽  
A. Hueber ◽  
M. Welcker
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Questionnaire Survey ◽  
Quantitative Data ◽  
Daily Practice ◽  
Research Support ◽  
Medical Practitioners ◽  
Study Results ◽  
Doctor Communication

Background:The number of rheumatologists in Germany does not cover the minimum medical need [1]. This implies long journeys and waiting periods for patients in the context of rheumatologists’ consultations. International studies suggest that telemedicine could resolve these issues and support health care professionals in rheumatologic care [2, 3]. So far, comprehensive sustainable approaches are still pending in Germany. By addressing the potential users, TeleRheumaBB investigates whether and how telemedicine can support rheumatologic care in Germany. The study is realized from Oct. 2017 until Jun. 2020.Objectives:The objectives of the study are to evaluate the acceptance and willingness of patients and medical practitioners (MP) to implement telemedicine into rheumatological care as well as to understand how telemedical approaches should be designed to be applied in daily practice.Methods:The study design contains a mixed-methods approach, which combines qualitative and quantitative data. In the qualitative part of the study 28 in-depth interviews and 3 focus groups involving patients, rheumatologists, general practitioners and stakeholders were conducted. The quantitative part of the study comprised a questionnaire survey with rheumatologists (n=48) and referrers (n=444) and a second questionnaire survey with patients (n=734).Results:Qualitative Data:The term “telemedicine” is filled with different meanings. Motives to implement telemedicine into daily practice are patient guidance, information, substantial time savings, desire of a modern practice etc. Reported risks of telemedicine are adverse impacts on the doctor-patient-relationship as well as low benefit with high effort.Quantitative Data:62% of the MPs’ surveyed answered that they would like to use telemedical approaches. 81% of the participants supported doctor-doctor communication via telemedicine. Only 47% of the MPs’ surveyed supported doctor-patients communication via telemedicine. MPs’ state that there are barriers which prevent them from implementing telemedicine (89%). These are among others acquisition of technology, administrative expenses and poor remuneration.53% of the patients surveyed stated that they had heard the term telemedicine before. 30% of the participants answered that they would like to try out telemedicine. 38% answered with “no” and 29% with “do not know”. Further results from the patient survey will be available in June 2020.Conclusion:The study results show high acceptance rates of telemedicine regarding doctor-doctor communication. Doctor-patient communication via telemedicine is less accepted. However, MPs’ are reporting obstacles preventing the implementation of telemedicine in rheumatology. In order to implement telemedicine in rheumatological care comprehensively, adequate conditions must be established in the German health care system.References:[1]Zink A, Braun J, Gromnica-Ihle E, Krause D, Lakomek HJ, Mau W, et al. Memorandum der Deutschen Gesellschaft für Rheumatologie zur Versorgungsqualität in der Rheumatologie – Update 2016. Zeitschrift für Rheumatologie. 2017;76(3):195-207.[2]McDougall J, Ferruci E, Glover J, Fraenkel L (2017) Telerheumatologiy: A Systematic Review. Arthritis Care Res (Hoboken); 69(10):1546-1557.[3]Piga M, Cangemi I, Mathieu A, Cauli A (2017) Telemedicine for patients with rheumatic diseases: Systematic review and proposal for research agenda. Semin Arthritis Rheum 47(1):121-128.Disclosure of Interests:Felix Muehlensiepen Grant/research support from: Novartis, Wenke Marquardt Grant/research support from: Novartis, Johannes Knitza Grant/research support from: Research Grant: Novartis, Axel Hueber Grant/research support from: Novartis, Lilly, Pfizer, EIT Health, EU-IMI, DFG, Universität Erlangen (EFI), Consultant of: Abbvie, BMS, Celgene, Gilead, GSK, Lilly, Novartis, Speakers bureau: GSK, Lilly, Novartis, Martin Welcker Grant/research support from: Abbvie, Novartis, UCB, Hexal, BMS, Lilly, Roche, Celgene, Sanofi, Consultant of: Abbvie, Actelion, Aescu, Amgen, Celgene, Hexal, Janssen, Medac, Novartis, Pfizer, Sanofi, UCB, Speakers bureau: Abbvie, Aescu, Amgen, Biogen, Berlin Chemie, Celgene, GSK, Hexal, Mylan, Novartis, Pfizer, UCB

scholarly journals Understanding of Professional Ethics Among a Sample of Medical Practitioners in Bangladesh

2021 ◽  
Vol 46 (3) ◽  
pp. 168-175
Author(s):  
MU Jahan ◽  
SMM Rahman
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Medical Ethics ◽  
General Practitioners ◽  
Health Care Professionals ◽  
Dhaka City ◽  
Medical Studies ◽  
Ethical Practice ◽  
Medical Practitioners ◽  
Ethical Knowledge

Background: Ethical practice not only protects the rights of patients but is also a safeguard of medical practitioners. But, practicing medical ethics among the Bangladeshi health care professionals are not at a satisfactory level. Objectives: The study was aimed to assess the level of understanding regarding medical ethics among the health care professionals. Methods: A descriptive cross-sectional survey was conducted among registered 400 doctors of tertiary care hospitals and general practitioners in Dhaka City during June 2016 to January 2017. A non-probability sampling method was used for selecting the medical colleges, hospitals, institutions, medical university and general practitioners from the different areas of Dhaka city. A self-administered questionnaire was used for data collection assuring confidentiality and anonymity. Ethical approval was obtained from the National Research Ethics Committee (NREC) of Bangladesh Medical Research Council (BMRC) and from the Institutional Review Board (IRB) of the American University of Sovereign Nations (AUSN). The collected data were analysed through SPSS software, windows, version 21 (SPSS Inc., Chicago, IL, USA) and R programming language. Results: Of the 400 respondents, 68.0% were male. Mean (±SD) age of them was 30 (±6.5) years. About 93.0% respondents had only a MBBS degree and 65.0% were medical officers. About 38.0% respondents have below 5 years of clinical experience. Highest number of respondents got ethical information from book, second highest from lectures and then general text. About 32.0% respondents got ethical knowledge from one source. About 97.0% respondents agreed that medical ethics should be included in both undergraduate and postgraduate medical studies and 90.0% of them know only about theHippocratic Oath. Very few of them knew the Nuremberg Code (16.0%) and Helsinki Declaration (16.0%).Only 27.0% participants said that they never face any ethical problems in their clinical practice. About 75.0% reported that ethical practice is important in workplace. About 35.0% respondents have a very little knowledge and 46.0% have average knowledge on ethical law. Conclusion: Findings of the study indicate that ethical knowledge of the respondents is not satisfactory although they realise that it is important in clinical practice and should include both undergraduate and graduate medical studies. Also need to develop practice in the workplace by law and legislations according to the guidelines of Bangladesh Medical & Dental Council (BMDC) and Bangladesh Medical Association (BMA). Bangladesh Med Res Counc Bull 2020; 46(3): 168-175

scholarly journals COMPETENCY-BASED PHYSIOTHERAPY EDUCATION IN INDIAN CONTEXT

2021 ◽  
pp. 2846-2851
Author(s):  
Vaishnavi Yadav
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Disability Evaluation ◽  
Assessment Tools ◽  
Functional Impairments ◽  
Functional Diagnosis ◽  
Medical Practitioners ◽  
Teaching Learning ◽  
And Function ◽  
Physiotherapy Education

The education system in the health care profession is evolving with an increase in knowledge and tremendous advances in technology as per the emerging needs of society. The trend in Physiotherapy education should also change as our knowledge base changes and as the needs, or the perceived needs, of patients, medical practitioners, clinician physiotherapists, and society change. This change occurs through planning and accepting the concept of the dynamic nature of the curriculum. Competence-based education (CBE) is pertinent to this shift and is widely implemented in various universities and institutions overseas. Physiotherapy professional helps to restore movement and function when someone is affected by injury, illness or disability. The development of competent health care professionals is the need of an hour, to achieve this curriculum should be well structured with the attainment of the desired competency as the final goal. Competence-based education encompasses identification of competency, components of competency, teaching-learning methods, vigorous assessment tools, and proper planning for implementation by the institution. Comprehensive examination, functional impairments, disability evaluation, and functional diagnosis are the basic required competencies in Physiotherapy Undergraduate. Thus the objective of this review is to provide a brief idea about its significance in physiotherapy schools and currently how the implementation is under process at Physiotherapy Institutions under Datta Meghe Institute of Medical Sciences (DMIMS) an autonomous institute in Maharashtra, India.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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