A critical review of cardiac rehabilitation in a digital era

2021 ◽  
Vol 16 (8) ◽  
pp. 1-9
Author(s):  
Hazel Nikolov ◽  
Julia Hubbard
Keyword(s):  
Cardiac Rehabilitation ◽  
Cardiac Event ◽  
Social Economic ◽  
Alternative Methods ◽  
Face To Face ◽  
Digital Era ◽  
The Uk ◽  
Economic Constraints ◽  
Traditional Approaches

Cardiac rehabilitation improves the outcomes of individuals following a cardiac event; however, only 50% of those eligible for cardiac rehabilitation in the UK sign up to a traditional face-to-face programme. The principal causes cited for non-attendance include living in a rural area, work or career commitments, lack of choice in location, gender, ethnicity and social economic constraints, and dislike of group participation. Alternative methods of delivery could ensure greater participation in cardiac rehabilitation activities, particularly among women, who are underrepresented. Studies into digital cardiac rehabilitation reveal improved quality of life, dietary intake and increased physical activity all equal to or an improvement compared to traditional approaches. Embracing digital approaches to cardiac rehabilitation is now timely with COVID-19 requirements for social distancing.

scholarly journals Overview of Cardiac Rehabilitation Evidence, Benefits and Utilisation

2017 ◽  
Vol 10 (2) ◽  
pp. 38 ◽  
Author(s):  
Abdulrahman Al Quait ◽  
Patrick Doherty
Keyword(s):  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Cardiac Event ◽  
Exercise Programme ◽  
Prevention Programme ◽  
Modifiable Risk Factors ◽  
The Past ◽  
Secondary Prevention Programme ◽  
The Uk

Historically, the main objective of cardiac rehabilitation (CR) as an exercise-based programme was to restore or improve patients’ regular physical activity after a cardiac event. Since then CR has evolved into a comprehensive secondary prevention programme, the objectives of CR, and indications and contraindications for its use have also developed in sophistication. Current CR programmes are designed to stabilise or even reverse the progression of heart disease by controlling all modifiable risk factors. They are also concerned with improving patients’ quality of life by restoring their wellbeing. All this should be achieved with the maximum safety levels to patients. The first part of this review details on how CR evolved from a simple exercise programme to a comprehensive secondary prevention programme in the past few decades. The second part sets an example of modern CR provision, pathway and guidelines in a top leading country in this field, the UK.

scholarly journals COVID-19 Pandemic: The Urgent Dental Hub experience from a primary care perspective

2021 ◽  
Vol 10 (3) ◽  
pp. 41-45
Author(s):  
Zohaib Khwaja ◽  
Awais Ali ◽  
Manraj Rai
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Dental Care ◽  
Specialist Care ◽  
Health Message ◽  
Face To Face ◽  
General Dental Practitioner ◽  
Public Health Message ◽  
The Uk

In response to the nationwide lockdown on 23 March 2020 in the UK, urgent dental hubs (UDHs) were established in the community to provide emergency dental care. Consecutive referrals to a primary care UDH were prospectively analysed over a one-month period, from 18 May 2020 to 18 June 2020. Of 400 referrals received, the most common were in relation to pain (87%). In 63% neither a radiograph nor photograph was provided with the referral. Seventy percent of patients were telephone triaged within 24 hours of receipt of referral. Fifty-three percent of referrals were accepted for face-to-face treatment, of which 69% were treated by extraction. Of rejected referrals (n=179; 45%), 79% were due to symptoms having settled or being manageable by the time of triage. A small number of referrals were redirected for specialist care. Referrals that were accepted were more likely to have been prescribed antibiotics and less likely to have been referred by the general dental practitioner (GDP) they regularly saw (p <0.01). Patients that were older and those that identified themselves as not having a regular GDP were less likely to have been referred to an UDH. The quality of referrals was poor and there may be a role for virtual consultations moving forwards. We found pre-referral antimicrobial prescriptions were high and a confused public health message may have been sent.

P98 Poster Does cardiac rehabilitation decrease depression and increase quality of life after acute cardiac event?

2011 ◽  
Vol 10 (1_suppl) ◽  
pp. 37-37
Author(s):  
P.H. Delrez ◽  
J. Dutrannois ◽  
O. Van Caenegem ◽  
C.H. Brohet ◽  
J.-M. Riou
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Cardiac Event ◽  
Acute Cardiac Event

scholarly journals EDITORIAL NOTE

1997 ◽  
Vol 134 (3) ◽  
pp. 285-285
Author(s):  
Nigel Woodcock ◽  
Nick McCave ◽  
Mike Bickle ◽  
Jane Holland
Keyword(s):  
Editorial Note ◽  
Geographical Proximity ◽  
Face To Face ◽  
The Past ◽  
Editorial Practice ◽  
On Line ◽  
The Uk ◽  
Geological Magazine

This issue marks the departure of the longest-serving of the current editors of Geological Magazine, Dr Chris Hughes, and his replacement by Dr Tim Palmer (University of Wales, Aberystwyth). The Geological Magazine has always had a strong content of palaeontology and biostratigraphy, and Chris Hughes has efficiently maintained the quality of these contributions since 1973. He is moving on from his lectureship in the Cambridge Earth Sciences Department to head the Associated Examining Board, based in Guildford. The other editors thank him warmly for his experienced guidance over the past 24 years and wish him success in his new post.The editors welcome Tim Palmer, whose appointment from outside the Cambridge department represents a significant and deliberate departure from custom. Some 13 years ago, the Magazine broadened its editorial advice in a major way by appointing an Editorial Board, most of whose members have come not just from outside Cambridge, but from beyond the UK. Our new editorial appointment signals an extension of this same policy.An important advantage of having all the Magazine's editors under one roof has been the efficiency and speed of communicating with each other. However, with the Cambridge editors now talking to each other as much by Email as face-to-face, geographical proximity has become a less crucial asset. The spread of Email is changing many other aspects of the editorial practice and the Geological Magazine office, run by Jane Holland, is now on-line at [email protected]. The editors now encourage the use of Email for all business except for submission of manuscripts, and in particular for contributors' queries and for referees' reports.

scholarly journals Cataract service redesign in the post-COVID-19 era

2020 ◽  
pp. bjophthalmol-2020-316917 ◽  
Author(s):  
Pei-Fen Lin ◽  
Hasan Naveed ◽  
Maria Eleftheriadou ◽  
Robert Purbrick ◽  
Mehran Zarei Ghanavati ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Care Pathway ◽  
Throughput Capacity ◽  
Face To Face ◽  
Digital Era ◽  
Release Capacity ◽  
Service Redesign ◽  
Integrated Practice ◽  
The Uk ◽  
Care Requirements

COVID-19 pandemic of 2020 has impacted all aspects of clinical practice in the UK. Cataract services suffered severe disruption due to necessary measures taken to reduce elective surgery in order to release capacity to support intensive care requirements. Faced with a potential 50% increase in cataract surgery workload per week in the post-COVID-19 world, eye units should use this event to innovate, not just survive but to also evolve for a sustainable future. In this article, we discuss the inadequacies of existing service rationing options to tackle the COVID-19 cataract backlog. This includes limiting rationing based on visual acuity, limiting surgery to first or only seeing eyes, and postponing clinic and surgical dates according to referral dates. We propose units use the lockdown time to reset and develop a comprehensive patient-centred care pathway using principles of value-based healthcare: the cataract integrated practice units. Developing an agile surgical database that incorporates all aspects of patient need from education to follow-up in their individual cataract journey will allow units to react and plan quickly in the early phase of recovery and beyond. We also discuss the considerations units should bear in mind on telemedicine, modifications for face-to-face clinics, theatre organisation and options of expanding cataract throughput capacity. The pause in elective surgery due to the pandemic may have provided cataract services a rare opportunity to reset and transform cataract service pathways for the digital era.

scholarly journals Occupation Coding During the Interview in a Web-First Sequential Mixed-Mode Survey

2021 ◽  
Vol 37 (4) ◽  
pp. 981-1007
Author(s):  
Darina N. Peycheva ◽  
Joseph W. Sakshaug ◽  
Lisa Calderwood
Keyword(s):  
Mixed Mode ◽  
Large Scale ◽  
Future Research ◽  
Coding System ◽  
Face To Face ◽  
Interviewer Effects ◽  
Coding Method ◽  
Reducing Costs ◽  
The Uk

Abstract Coding respondent occupation is one of the most challenging aspects of survey data collection. Traditionally performed manually by office coders post-interview, previous research has acknowledged the advantages of coding occupation during the interview, including reducing costs, processing time and coding uncertainties that are more difficult to address post-interview. However, a number of concerns have been raised as well, including the potential for interviewer effects, the challenge of implementing the coding system in a web survey, in which respondents perform the coding procedure themselves, or the feasibility of implementing the same standardized coding system in a mixed-mode self- and interviewer-administered survey. This study sheds light on these issues by presenting an evaluation of a new occupation coding method administered during the interview in a large-scale sequential mixed-mode (web, telephone, face-to-face) cohort study of young adults in the UK. Specifically, we assess the take-up rates of this new coding method across the different modes and report on several other performance measures thought to impact the quality of the collected occupation data. Furthermore, we identify factors that affect the coding of occupation during the interview, including interviewer effects. The results carry several implications for survey practice and directions for future research.

Co-construction of interpreted conversation in medical consultations

2013 ◽  
Vol 4 (1) ◽  
pp. 127-149 ◽  
Author(s):  
Shuangyu Li
Keyword(s):  
Conversation Analysis ◽  
Ad Hoc ◽  
Doctor Patient Communication ◽  
Face To Face ◽  
Medical Consultations ◽  
Critical Issues ◽  
Types Of Information ◽  
The Uk ◽  
Linguistic Methods

AbstractIt has been largely accepted that face-to-face consecutive interpreting should be studied as a communicative event and an interactive process. Linguistic methods, including conversation analysis, have been used to investigate interactive elements in the discourse, such as turn-taking, adjacency pair, overlapping speech, repair, etc. Researchers acknowledge that participants' verbal behaviours in the turn-by-turn interactions are co-constructed by all participants; however, little has been said about the co-constructive mechanism. This research aimed to provide a better understanding of the generic mechanism of such co-construction, hoping to inform the training for interpreters and medical professionals who work with them.Using conversation analysis, I recorded seven naturally occurring interpreter-mediated GP consultations in the UK. Participants included two GPs, three professional and ad hoc interpreters and seven patients speaking either Urdu, Mirpuri Punjabi or Czech.My analysis elaborates on the inter-determination between the types of information the primary speakers (doctor and patient) produce in the current turn and the consequent actions the interpreter undertakes in the next turn, and also points out that such inter-determination is not definite in that the interpreter's turn design is also influenced by their own characteristics. This analysis emphasises that the interpreter, both professional and ad hoc, is key to the quality of the doctor-patient communication and doctors can alter their own behaviours to optimise the interpreter's turn-design and thus the communication outcome.This research provides an insight into the co-construction of the triadic interactions in interpreted medical consultations. With a better understanding of this mechanism, doctors may be taught to alter their verbal behaviours to optimise the interpreter's performance and thus improve their communication with patients. This interactional framework may also help us understand other critical issues of power, identify, cultural competence, etc.

scholarly journals Nurses' perceptions of feedback from cardiac rehabilitation registries: a qualitative study across the UK and Denmark

2019 ◽  
Vol 14 (5) ◽  
pp. 1-13
Author(s):  
Charlotte Helmark ◽  
Cecilie Lindstrom Egholm ◽  
Marius Brostrom Kousgaard ◽  
Ann-Dorthe Zwisler ◽  
Patrick Doherty
Keyword(s):  
Qualitative Study ◽  
Cardiac Rehabilitation ◽  
Public Reporting ◽  
Quality Service ◽  
Structured Interviews ◽  
Nurses Perceptions ◽  
Feedback Data ◽  
The Uk ◽  
High Quality Service

Background/Aims Feedback on performance is a widely used strategy aiming to improve quality of care; however, limited research exists regarding nurses' perceptions of feedback. This article explores cardiac rehabilitation nurse leads' perceptions of the feedback provided through two national registries. Method This was a qualitative study which used semi-structured interviews. Cardiac rehabilitation nurses (n=12) were strategically recruited across the UK and Denmark. The transcribed interviews were analysed using content analysis, and differences and similarities were identified. Results Overall, five themes emerged; accessibility, reliability, usefulness, relevance and attitudes towards public reporting. In the UK, the nurses perceived that data regarding feedback were accessible, trustworthy, useful and reflected the important elements in cardiac rehabilitation. However, in Denmark, the nurses perceived that feedback data were unavailable, had reliability issues and only partly reflected the important aspects of cardiac rehabilitation. Nurses in both countries were ambivalent towards public reporting. Conclusions In order to facilitate high quality service delivery and improvement, registries should consider cardiac rehabilitation nurse leads' perceptions when delivering feedback.

Improving the quality of mobile government services in the Gulf Cooperation Council

2019 ◽  
Vol 21 (1) ◽  
pp. 146-164 ◽  
Author(s):  
Meiaad Rashid Alsaadi ◽  
Syed Zamberi Ahmad ◽  
Matloub Hussain
Keyword(s):  
Quality Function Deployment ◽  
Gulf Cooperation Council ◽  
Decision Makers ◽  
Technical Requirement ◽  
Software Developers ◽  
Content Type ◽  
Face To Face ◽  
Government Services ◽  
Traditional Approaches

PurposeThe purpose of the study is to provide a concrete, integrated plan to improve the service quality of mobile government (m-government) services from the customer perspective in the Gulf Cooperation Council.Design/methodology/approachA quantitative approach was used to analyze a case study of the UAE Ministry of Interior (MOI) mobile application and a competitor: the MOI application of the Kingdom of Saudi Arabia. Data were collected using a focus group.FindingsResults show that the technical requirement “real time” has the highest priority for deployment and “tangible service” has the lowest priority.Research limitations/implicationsFindings are limited to m-government services. Further studies could explore other government services such as traditional face-to-face services.Practical implicationsResults imply that if government decision-makers or software developers aim to understand customer requirements and improve their mobile services accordingly, the quality-function-deployment (QFD) approach is much more effective than traditional approaches in which decisions regarding services are prioritized based on the decision-makers or software developers’ perspectives.Originality/valueMany previous studies have applied QFD for developing products based on customer needs. This, however, is one of the few studies to successfully apply the QFD matrix to m-government services.

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