Design and Proof of Principle of a Novel Drip Chamber

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Else F. de Ridder ◽  
Max D. B. Hoeboer ◽  
Anne F. D. M. van Dam ◽  
Job van den Bosch
Keyword(s):  
Health Care ◽  
The Netherlands ◽  
Ease Of Use ◽  
Future Research ◽  
Air Bubbles ◽  
The Novel ◽  
Test Results ◽  
Experimental Setting ◽  
Cost Efficient ◽  
Proof Of Principle

Abstract More than a million times every year, an ambulance is deployed in the Netherlands. Of these instances, 87% of the patients will be administered intravenous (IV) fluids. In the current situation, the IV bag always needs to be held above the patient to function properly. This action requires an extra pair of hands, which is very inefficient and can result in the loss of precious time that could otherwise be directed at the patient. Besides needing an extra pair of hands, there is also a chance of air bubbles entering the patient through the drip feed. The novel drip chamber design proposed in this paper aims to solve these problems, as it enables the IV bag to be placed in any orientation and in any manner relative to the patient with a negligible number of air bubbles entering the drip feed. This novel drip chamber was tested in an experimental setting in different orientations and at different flowrates. From the test results, it can be concluded that at a clinical relevant flowrate, a negligible number of air bubbles were present within the IV system. Because of the ease of use of the novel drip chamber and the fact that it is fool-proof, cost-efficient, and shows promising test results, future research on several aspects could make this product a promising addition to health care.

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals PREDICTORS OF HALODOC’S USER SATISFACTION

2021 ◽  
Vol 5 (2) ◽  
pp. 348
Author(s):  
Chrisanty Victoria Layman
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
User Satisfaction ◽  
Digital Health ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Future Research ◽  
Study Results ◽  
Perceived Price ◽  
Long Time

Sejak pandemi Covid19, industri kesehatan digital telah bertumbuh pesat di seluruh dunia, ditandai dengan keterlibatan konsumen yang lebih besar dalam kesehatan, disertai kenaikan minat yang lebih tinggi akan layanan kesehatan virtual jarak jauh yang sering terlihat dalam bentuk aplikasi smartphone/ mHeatlh. Namun, Indonesia masih menghadapi beberapa kendala mengenai implementasi kesehatan digital. Untuk mendorong penggunaan aplikasi mHealth, promosi teknologi informasi dan komunikasi harus dikedepankan. Namun, praktik saat ini menunjukkan bahwa masih ada aspek yang menghambat efektivitas dan efisiensi layanan kesehatan aplikasi smartphone. Oleh karena itu, tantangan penting yang hadir dalam pengguna mHealth akan menjadi fokus dalam penelitian ini. Penelitian ini berupaya menyelidiki prediktor kepuasan pengguna Halodoc, salah satu aplikasi kesehatan seluler terbesar dan tersukses di Indonesia. Data yang digunakan dalam penelitian ini adalah skor kegunaan yang dirasakan (PU), kemudahan penggunaan (EU), harga yang dirasakan (PP), antarmuka pengguna grafis (GU), ketergantungan penggunaan (RU), dan kepuasan (SA). Sampel diambil secara pengambilan sampel acak kenyamanan. Responden studi ini melibatkan 100 pengguna Halodoc mulai dari pemula hingga pengguna lama. Data kemudian dianalisis dengan uji-T sampel independen dan analisis varians (ANOVA). Hasil penelitian mempertegas kemudahan penggunaan bagi pengguna yang secara signifikan terkait dengan desain tombol, penggunaan warna, dan informasi obat paling. Selain itu, keandalan pada informasi dokter, yang memungkinkan layanan kesehatan pribadi secara signifikan terkait dengan kepuasan pengguna. Selain itu, ada beberapa fitur profil yang menyarankan tingkat pendidikan mempengaruhi tingkat penerimaan terhadap penggunaan dan kepuasan mHealth. Penelitian di masa depan disarankan untuk melibatkan sampel pengguna dalam jumlah yang lebih besar dan melakukan penelitian selama periode jangka panjang untuk mengukur kepuasan pengguna mHealth dari waktu ke waktu.  Since the COVID19 pandemic, the digital health industry has been accelerated worldwide, with greater consumers engagement in healthcare, and higher interest of remote virtual care found through smartphones application/ mHealth. However, Indonesia still faces several obstacles regarding the implementation of digital health. To encourage the use of the mhealth app, the promotion of information and communication technology must be at the forefront. However, current practice shows that they are still aspects hampering the effectiveness and efficiency of mobile health care. Therefore, crucial challenges present in the user of mHealth would be the focus of this study. This study seeks to investigate the predictors of Halodoc, one of the largest and successful mobile health application’s user satisfaction. The data used in this study are scores of Perceived Usefulness (PU), Ease of Use (EU), Perceived Price (PP), Graphical User Interface (GU), Reliance of Use (RU), and Satisfaction (SA). Samples are taken using random convenienvce sampling. The respondent of this study is 100 Halodoc users starting from beginners to long time users. Data was then analyzed by the Independent Sample T-Test and Analysis of Variance (ANOVA). The study results reemphasize ease of use for users that is significantly associated with the design of buttons, use of colors, and drug information the most. In addition, reliability on doctor information, and enabling personal health care to be significantly associated with user satisfaction. In addition, there are several profile features that suggest, the level of education affects the level of acceptance to mhealth use and satisfaction. Future research is suggested to include a larger sample of users and over a period to better measure the long-term predictor of mHealth user satisfaction over time.

scholarly journals Bringing HIV Self-Testing to Scale in the United States: a Review of Challenges, Potential Solutions, and Future Opportunities

2019 ◽  
Vol 57 (11) ◽  
Author(s):  
Kevin Steehler ◽  
Aaron J. Siegler
Keyword(s):  
United States ◽  
Health Care ◽  
Test Performance ◽  
Large Scale ◽  
Linkage To Care ◽  
The United States ◽  
Ease Of Use ◽  
Future Research ◽  
Health Care Settings ◽  
Self Testing

ABSTRACT HIV self-testing (HIVST) provides an at-home option to counter the barriers that patients face with testing performed in health care settings. HIVST has gradually increased in popularity in a time when social media and technology-based solutions are preferred. In this paper, we consider the aspects of self-testing that merit its integration into HIV testing and prevention systems in the United States. Several elements favor self-testing for large-scale implementation, including ease of use, convenience, potential for integration with mobile health (mHealth), and availability for various modes of distribution. HIVST has a demonstrated ability to reach at-risk individuals who otherwise rarely test. The paradigm of self-testing, however, introduces new challenges, including lesser test performance relative to that in health care settings, nonstandard counseling following receipt of test results, and difficulty in providing linkage to care. After discussing the performance of oral fluid versus blood-based HIVST, we review data regarding acceptability of HIVST, offer insights into counseling and linkage to care for HIVST, and provide examples of novel applications of and future research directions for HIVST.

Effective and cost-efficient health care organization in cataract patient

2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Cataract Patient ◽  
Cost Efficient

scholarly journals Complementary Medicine and Self-Care Strategies in Women with (Recurrent) Urinary Tract and Vaginal Infections: A Cross-Sectional Study on Use and Perceived Effectiveness in The Netherlands

Antibiotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 250
Author(s):  
Louise Witteman ◽  
Herman A. van Wietmarschen ◽  
Esther T. van der Werf
Keyword(s):  
Urinary Tract ◽  
The Netherlands ◽  
Complementary Medicine ◽  
Self Care ◽  
Future Research ◽  
Perceived Effectiveness ◽  
Vaginal Infections ◽  
Cross Sectional ◽  
Treatment Implementation ◽  
Specific Symptoms

Due to the excessive use of antibiotic and antimycotic treatments, the risk of resistant microbes and fungi is rapidly emerging. Previous studies have demonstrated that many women with (recurrent) urinary tract infection (UTI) and/or vaginal infections (VIs) welcome alternative management approaches to reduce the use of antibiotics and antifungals and avoid short- and long-term adverse effects. This study aims to determine which complementary medicine (CM) and self-care strategies are being used by women suffering from (recurrent) UTI and VI in The Netherlands and how they perceive their effectiveness in order to define directions for future research on safety, cost-effectiveness, and implementation of best practices. A cross-sectional online survey was performed among women, ≥18 years old, with a history of UTIs; 162 respondents were included in the data analysis, with most participants aged between 50 and 64 years (36.4%). The women reported having consulted a CM practitioner for UTI-specific symptoms (23.5%) and VI-specific symptoms (13.6%). Consultations of homeopaths, acupuncturists, and herbal physicians are most often reported. Overall, 81.7% of the women suffering from UTI used complementary or self-care strategies besides regular treatment, and 68.7% reported using CM/self-care strategies to treat vaginal symptoms. UTI- related use of cranberries (51.9%), vitamin C (43.8%), and D-mannose (32.7%) were most reported. Perceived effectiveness was mostly reported for homeopathic remedies and D-mannose. The results showed a substantial burden of UTI and VI on daily and sexual activities. Besides the frequency of use, the indication of perceived effectiveness seems to be an important parameter for further and rigorously designed research to encourage nonantibiotic/antifungal treatment implementation into daily clinical practice.

scholarly journals Learning from and Leveraging Multi-Level Changes in Responses to the COVID 19 Pandemic to Facilitate Breast Cancer Prevention Efforts

2021 ◽  
Vol 18 (13) ◽  
pp. 6999
Author(s):  
Deborah J. Bowen ◽  
Kelly E. Rentscher ◽  
Amy Wu ◽  
Gwen Darien ◽  
Helen Ghirmai Haile ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Prevention ◽  
Care Delivery ◽  
Breast Cancer Prevention ◽  
Health Care Use ◽  
Economic Life ◽  
Future Research ◽  
Multi Level ◽  
And Shifts

The coronavirus pandemic (COVID-19) has had multilevel effects on non-COVID-19 health and health care, including deferral of routine cancer prevention and screening and delays in surgical and other procedures. Health and health care use has also been affected by pandemic-related loss of employer-based health insurance, food and housing disruptions, and heightened stress, sleep disruptions and social isolation. These disruptions are projected to contribute to excess non-COVID-19 deaths over the coming decades. At the same time municipalities, health systems and individuals are making changes in response to the pandemic, including modifications in the environmental to promote health, implementation of telehealth platforms, and shifts towards greater self-care and using remote platforms to maintain social connections. We used a multi-level biopsychosocial model to examine the available literature on the relationship between COVID-19-related changes and breast cancer prevention to identify current gaps in knowledge and identify potential opportunities for future research. We found that COVID-19 has impacted several aspects of social and economic life, through a variety of mechanisms, including unemployment, changes in health care delivery, changes in eating and activity, and changes in mental health. Some of these changes should be reduced, while others should be explored and enhanced.

A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses

2021 ◽  
pp. 019394592110089
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Case Management ◽  
Scoping Review ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Management Practice ◽  
Empirical Studies ◽  
Chronic Illnesses ◽  
Future Research

This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients’ satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.

Online Retail Service Quality: Scale Development and Validation

2021 ◽  
pp. 097226292110112
Author(s):  
Biranchi Narayan Swar ◽  
Rajesh Panda
Keyword(s):  
Service Quality ◽  
Technology Acceptance ◽  
Ease Of Use ◽  
Measurement Scale ◽  
Future Research ◽  
Market Place ◽  
Online Retail ◽  
Online Retailers ◽  
Retail Service ◽  
Retail Service Quality

The growth of online retailing has created an opportunity to create a scale specifically for online retail services. At the same time, the increasing rate of internet penetration in India coupled with electronic banking and wallets has formed new market place for many online retailers. In this context, to gain competitive advantage, the online retailers should provide better service quality. Thus, the present research tries to know the various constructs of retail service quality (RSQ) in online format and develop a measurement scale. The study has borrowed the constructs from ‘Retail Service Quality’ (RSQ) and ‘Technology Acceptance Model’ (TAM). For this purpose, we collected data from 600 respondents. The scale has been confirmed and validated by using CFA. The study confirmed that online RSQ (ORSQ) scale consists of four constructs: ‘Ease of Use’, ‘Problem Solving’, ‘Policy’ and ‘Reliability’ with 18 variables. The article has concluded and validated a scale for ORSQ which can help the online retailers to design their service offering. The implications of the ORSQ scale for practitioners, as well as for future research, are discussed in this article.

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