Remote management of medication orders

2009 ◽  
Vol 66 (7) ◽  
pp. 612-612
Author(s):  
Mickey Price
Keyword(s):  
Remote Management

scholarly journals Technology-enabled remote management of diabetes foot disease and potential for reduction in associated health costs: a pilot study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Fiona Main ◽  
Ania Zubala ◽  
Jane Gorman ◽  
Sandra Jones ◽  
Jenny Hall ◽  
...  
Keyword(s):  
Health Economic ◽  
Pilot Study ◽  
Cost Savings ◽  
Economic Assessment ◽  
Remote Access ◽  
Limb Amputation ◽  
Health Economic Analysis ◽  
Remote Management ◽  
Integrated Pathway ◽  
Foot Disease

AbstractDiabetes-related foot disease, particularly when associated with amputation, affects quality of life and has a significant impact on health care costs. A pilot study using enhanced technology to facilitate remote access and video conferencing from rural locations to the diabetes MDT through a new service pathway confirmed high levels of patient satisfaction with 89% of foot ulcers improved or stable and only two minor amputations. A health economic analysis suggested potential for significant cost savings if this was scaled up regionally. Further evaluation of an integrated pathway, impact on lower limb amputation rates and full health economic assessment is recommended.

scholarly journals Remote management of covid-19 using home pulse oximetry and virtual ward support

BMJ ◽  
2021 ◽  
pp. n677
Author(s):  
Trisha Greenhalgh ◽  
Matthew Knight ◽  
Matt Inda-Kim ◽  
Naomi J Fulop ◽  
Jonathan Leach ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Remote Management

scholarly journals Business Model Scenarios for Remote Management

2007 ◽  
Vol 2 (3) ◽  
pp. 62-79
Author(s):  
Olivier Braet ◽  
Pieter Ballon
Keyword(s):  
Business Model ◽  
Customer Value ◽  
Organizational Design ◽  
End User ◽  
Critical Dimensions ◽  
Modeling Methodology ◽  
Investment Appraisal ◽  
Remote Management ◽  
Design Choice ◽  
Model Scenarios

This article critically appraises business model challenges in implementing remote management functionalities. Remote management is believed to create new service opportunities and foster convergence between previously dissociated islands of end user devices. Conflicting business logics from disparate industries, however, run counter to this attempt at centralization. We introduce a generic business modeling methodology that aims to move beyond traditional ICT investment appraisal techniques by combining four critical dimensions of design. We develop four business model scenarios based on the organizational design choice of ‘degree of vertical integration’ and the product design choices of ‘degree of product modularity’ and ‘distribution of intelligence’ and offer a description of the effect of these design choices on the intended customer value.

scholarly journals Acceptability of remote prescribing and postal delivery services for contraceptive pills and treatment of uncomplicated Chlamydia trachomatis

2020 ◽  
pp. bmjsrh-2020-200687
Author(s):  
Tom Nadarzynski ◽  
Ynez Symonds ◽  
Robert Carroll ◽  
Jo Gibbs ◽  
Sally Kidsley ◽  
...  
Keyword(s):  
Online Survey ◽  
Home Delivery ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Contraceptive Pills ◽  
Remote Management ◽  
Delivery Services ◽  
The Cost ◽  
To Receive

ObjectivesThe digitalisation of sexual and reproductive health (SRH) services offers valuable opportunities to deliver contraceptive pills and chlamydia treatment by post. We aimed to examine the acceptability of remote prescribing and ‘medication-by-post’ in SRH.Study designAn online survey assessing attitudes towards remote management was distributed in three UK SRH clinics and via an integrated sexually transmitted infection (STI) postal self-sampling service. Logistic regressions were performed to identify potential correlates.ResultsThere were 1281 participants (74% female and 49% <25 years old). Some 8% of participants reported having received medication via post and 83% were willing to receive chlamydia treatment and contraceptive pills by post. Lower acceptability was observed among participants who were: >45 years old (OR 0.43 (95% CI 0.23–0.81)), screened for STIs less than once annually (OR 0.63 (0.42–0.93)), concerned about confidentiality (OR 0.21 (0.90–0.50)), concerned about absence during delivery (OR 0.09 (0.02–0.32)) or unwilling to provide blood pressure readings (OR 0.22 (0.04–0.97)). Higher acceptability was observed among participants who reported: previously receiving medication by post (OR 4.63 (1.44–14.8)), preference for home delivery over clinic collection (OR 24.1 (11.1–51.9)), preference for home STI testing (OR 10.3 (6.16–17.4)), ability to communicate with health advisors (OR 4.01 (1.03–15.6)) and willingness to: register their real name (OR 3.09 (1.43–10.6)), complete online health questionnaires (OR 3.09 (1.43–10.6)) and use generic contraceptive pills (OR 2.88 (1.21–6.83)).ConclusionsPostal treatment and entering information online to allow remote prescribing were acceptable methods for SRH services and should be considered alongside medication collection in pharmacies. These methods could be particularly useful for patients facing barriers in accessing SRH. The cost-effectiveness and implementation of these novel methods of service delivery should be further investigated.

How management accountants exert influence on managers – a micro-level analysis of management accountants’ influence tactics in budgetary control meetings

2017 ◽  
Vol 14 (3) ◽  
pp. 328-362 ◽  
Author(s):  
Simone Mack ◽  
Lukas Goretzki
Keyword(s):  
Influence Tactics ◽  
Senior Managers ◽  
Content Type ◽  
Written Text ◽  
Staff Members ◽  
Management Accountants ◽  
Remote Management ◽  
Budgetary Control ◽  
Micro Level ◽  
Level Analysis

Purpose This paper aims to examine how remote (i.e. global, regional or divisional) management accountants communicate in interpersonal contacts with operational managers when trying to exert influence on them. Design/methodology/approach An ethnographic field study focusing on budgetary control meetings between regional management accountants and operational managers is used as the basis for a micro-level analysis of situated face-to-face interactions and communicative influence tactics. Findings Remote management accountants mainly use soft rather than hard influence tactics. They, furthermore, employ what is referred to as “panoramic knowledge” gained explicitly from their structurally as well as physically removed “meta-positioning” to suggest certain measures to operational managers that have proved successful in other units and – by doing so – try to exert influence on these managers. Moreover, they use information that they gain in their position in between senior and operational managers by acting as “double agents” – that is, informing operational managers about senior managers’ focus as well as making transparent to operational managers that they will inform senior management about specific operational matters. By doing so, they try to prompt operational managers to address these issues. Additionally, strengthening their verbally articulated suggestions, as “minute takers” they are able to document their suggestions by moving from spoken to a more binding written text. Through these purposeful and rather unobtrusive tactics, remote management accountants try to take influence on operational managers without generating their resistance. Originality/value The paper shows how remote management accountants (as staff members) can skillfully turn their apparently powerless position within the organization into a source of strength to exert influence on operational managers.

scholarly journals WED 131 Evaluating the clinical utility of the parkinson’s kinetigraph (PKG)

2018 ◽  
Vol 89 (10) ◽  
pp. A15.1-A15 ◽  
Author(s):  
Lewis Hutchinson ◽  
Thea Dominey ◽  
Emma Pearson ◽  
Fiona Murphy ◽  
Lucy Bell ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Treatment Recommendations ◽  
Healthcare Sector ◽  
Patient Questionnaire ◽  
List Type ◽  
Patient Acceptability ◽  
P4 Medicine ◽  
Remote Management ◽  
Centered Care

ObjectiveTo evaluate the utility of the Parkinson’s Kinetigraph (PKG™) in the remote management of Parkinson’s disease (PD).BackgroundThere is a movement in Parkinson’s care from a clinic-based model1 to P4 medicine, meaning medicine that is predictive, preventive, personalised and participatory.2 The development of wearable technology provides an opportunity to monitor patients remotely, and deliver targeted care. The PKG™ is a wrist-worn device that objectively measures Parkinson’s symptoms.AimTo evaluate the utility of the PKG™ in managing PD patients remotely, and the perception of service users.MethodPKG™ data were collated in real time. Patient acceptability data were collated via a patient questionnaire (n=61).ResultsBetween July 2015 and January 2018, 216 PKGs were performed. A variety of symptoms were identified, including different types of ‘OFF’ times (wearing off (25%), delayed on (6%) no drug response (8%)) and non-motor complications (fragmented sleep (33%) and daytime somnolence (21%)), with subsequent treatment recommendations being made. Patient acceptability of the PKG™ was high, 81% of patients being satisfied not having to travel for clinic appointments.ConclusionsThe PKG™ facilitated remote treatment recommendations. Remote management was acceptable to patients. Future evaluations will evaluate patient outcome.References. van der Eijk M, Nijhuis FAP, Faber MJ, Bloem BR. Moving from physician-centered care towards patient-centered care for Parkinson’s disease patients. Parkinsonism Relat Disord [Internet]. Elsevier; 1 November 2013;19(11):923–7. Available from: https://www.sciencedirect.com/science/article/pii/S1353802013001697?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb [cited 2018 February 6]. P4 medicine: how systems medicine will transform the healthcare sector and society. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204402/pdf/nihms532619.pdf [cited 2018 April 6]

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