How mHealth Providers Meet the Emerging Demands of Consumers in China: A Survey from Patient-Users (Preprint)

2019 ◽  
Author(s):  
Jinlei Guo ◽  
Thanh Nguyen ◽  
Tongbin Zhang ◽  
Fanggao Chang ◽  
Jichao Chen ◽  
...  
Keyword(s):  
Social Networking ◽  
Prior Knowledge ◽  
Mobile Health ◽  
Age Groups ◽  
Quality Of Healthcare ◽  
Application Development ◽  
Chi Square ◽  
Healthcare Settings ◽  
Original Survey ◽  
The Impact

BACKGROUND Background: The adoption of mobile health information technology (mHealth), consisting primarily of electronic medical record (EMR) in hospitals and mobile health (mHealth) application among consumers outside of healthcare settings, have been booming in China. There have been investigations on the impact of mHealth on improving the quality of healthcare. However, it remains unclear whether emerging mHealth providers, particularly mHealth providers, fill in emerging consumer needs in China. OBJECTIVE Objective: This study aims to survey prior knowledge, current usage, and future preference of mHealth applications among two distinct cohorts (online vs hospital visitor) that we surveyed in China. METHODS Methods: We categorized main mHealth features into 9 groups. We surveyed two Chinese cohorts: hospitalized patients (n = 299) and the general public outside the hospital using WeChat—a popular social networking APPs (n = 156), on mHealth usage and expectations on these 9 feature groups. The original survey was conducted in Chinese. We performed data analysis of user reponses in the survey using descriptive statistics techniques: t-test and chi-square fitness test. RESULTS Results: Although most of the survey participants show prior knowledge on some features of EMR, most of them (66%) have never used mHealth applications. In addition, the participants consider predictive analytic features as the most important ones for the mHealth applications. The responses vary according to different cohort demographics, in particular, age groups. CONCLUSIONS Conclusions: Despite tremendous efforts in adopting EMR and developing mHealth applications, it is still too early to conclude that mHealth are readily adopted among patients in China. There are significant gaps among what the implementers offer, what providers expect, and what patients and consumers demands. Current Chinese mHealth applications implement features heavily focused on social networking and communication; however, it has been shown that patients do not consider these features as the top priority in mHealth applications. Instead, our study suggests that analytic features should be the future focus for successful mHealth application development in China.

Abstract P293: Disparate Outcomes for Stroke Patients With Documented Substance Use Compared to Those Without Substance Use

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Leslie Corless ◽  
Tamela L Stuchiner ◽  
Cameron Garvin ◽  
Alexandra C Lesko ◽  
Elizabeth Baraban
Keyword(s):  
Substance Use ◽  
Patient Characteristics ◽  
Stroke Care ◽  
Stroke Patients ◽  
Chi Square ◽  
Stroke Treatment ◽  
Discharge Disposition ◽  
Healthcare Settings ◽  
Medical Histories ◽  
The Impact

Background: Few studies have shown the impact of substance use (SU) on treatment and outcomes of stroke patients. Research suggests stigma related to SU impacts patient experience in healthcare settings. In this study we assessed whether there were differences in patient characteristics and outcomes for stroke patients with SU compared to those with no substance use (NSU). Methods: Retrospective data from two Oregon hospitals included patients admitted with stroke diagnosis, 18 years or older, who discharged between October 2017 and May 2019. Patients with documented SU and specific SU type were compared to patients with NSU with regard to demographics, medical history, stroke subtypes, treatment, discharge disposition and length of stay (LOS). SU was defined as any documented abuse of alcohol (ETOH), methamphetamine (MA), cannabis, opiates, cocaine, benzodiazepines, and Methyl-enedioxy-methamphetamine (MDMA). Non parametric median tests and Pearson’s chi square tests were used. Results: Among 2,030 patients included in the analysis, 13.8% (n=280) were SU and 86.2% (n=1,750) were NSU. Patients with SU were significantly younger, median age (61 vs. 73, p <.001) and less were female (35.4% vs. 53.6%, p <0.001). Those with SU had lower prevalence of dyslipidemia (43.6% vs. 59.5%, p <0.001), AFIB (12.5% vs. 22.2%, p <0.001), and previous TIA (6.1% vs 10.8%, p=0.02), and more smoked (54.3% vs 13.3% p <0.001). More patients with SU arrived via transfer (38.4% vs 27.4%, p=.001). Fewer patients with SU expired or were discharged to hospice (8.9% vs 13.7%) and a greater percent left against medical advice (AMA) (3.2% vs 0.6%) (p<.001). When comparing specific SU types to NSU, all SU groups were younger, had similar medical histories and a greater proportion left AMA. Only MA users had differentiating stroke diagnoses with a higher percent of SAH (14.5% vs 5.6%) (p=.003) in addition to longer LOS (6 vs 4 days, p=.006). No differences were found in acute stroke treatment rates. Conclusion: Patients with SU were demographically different from the NSU population and did differentiate on some stroke care outcomes and processes, potentially indicating opportunities to address stigma around substance use to meet the needs of patients with both stroke and substance use.

Effect of Electronic Health Record Reminders for Routine Immunizations and Immunizations Needed for Chronic Medical Conditions

2021 ◽  
Vol 12 (05) ◽  
pp. 1101-1109
Author(s):  
Ashley B. Stephens ◽  
Chelsea S. Wynn ◽  
Annika M. Hofstetter ◽  
Chelsea Kolff ◽  
Oscar Pena ◽  
...  
Keyword(s):  
New York ◽  
Low Income ◽  
Age Groups ◽  
Clinical Decision ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Chi Square ◽  
Control And Prevention ◽  
Electronic Health ◽  
The Impact

Abstract Background Immunization reminders in electronic health records (EHR) provide clinical decision support (CDS) that can reduce missed immunization opportunities. Little is known about using CDS rules from a regional immunization information system (IIS) to power local EHR immunization reminders. Objective This study aimed to assess the impact of EHR reminders using regional IIS CDS-provided rules on receipt of immunizations in a low-income, urban population for both routine immunizations and those recommended for patients with chronic medical conditions (CMCs). Methods We built an EHR-based immunization reminder using the open-source resource used by the New York City IIS in which we overlaid logic regarding immunizations needed for CMCs. Using a randomized cluster-cross-over pragmatic clinical trial in four academic-affiliated clinics, we compared captured immunization opportunities during patient visits when the reminder was “on” versus “off” for the primary immunization series, school-age boosters, and adolescents. We also assessed coverage of CMC-specific immunizations. Up-to-date immunization was measured by end of quarter. Rates were compared using chi square tests. Results Overall, 15,343 unique patients were seen for 26,647 visits. The alert significantly impacted captured opportunities to complete the primary series in both well-child and acute care visits (57.6% on vs. 54.3% off, p = 0.001, and 15.3% on vs. 10.1% off, p = 0.02, respectively), among most age groups, and several immunization types. Captured opportunities for CMC-specific immunizations remained low regardless of alert status. The alert did not have an effect on up-to-date immunization overall (89.1 vs. 88.3%). Conclusion CDS in this population improved captured immunization opportunities. Baseline high rates may have blunted an up-to-date population effect. Converting Centers for Disease Control and Prevention (CDC) rules to generate sufficiently sensitive and specific alerts for CMC-specific immunizations proved challenging, and the alert did not have an impact on CMC-specific immunizations, potentially highlighting need for more work in this area.

scholarly journals Social Networking Service as a Marketing Technology Tool and Sustainable Business in the Lodging Industry: Investigating the Difference across Older and Younger Age Groups among Tourists

2021 ◽  
Vol 13 (10) ◽  
pp. 5673
Author(s):  
Heesup Han ◽  
Linda Heejung Lho ◽  
Heekyoung Jung ◽  
Antonio Ariza-Montes ◽  
Luis Araya-Castillo
Keyword(s):  
Social Networking ◽  
Age Groups ◽  
Lodging Industry ◽  
Sustainable Business ◽  
Marketing Technology ◽  
Younger Age ◽  
The Difference ◽  
A Chain ◽  
Technology Tool ◽  
The Impact

Despite the importance of social networking services (SNSs), their engagement and their role as a critical marketing technology tool in explaining travellers’ approach behaviours are not well known. The present study investigated the influence of SNS engagement on traveller loyalty generation for a chain hotel brand and the health of this business by considering the roles of brand attitude, awareness, trust, and attachment and the impact of age. Fostering customers’ SNS engagement in the hospitality industry will be a vital constituent of hotels’ sustainable business. A quantitative process was used to meet the research objectives. The proposed research framework encompassing these variables was successfully developed. The framework’s efficiency in predicting brand loyalty was also demonstrated. Our results showed that SNS engagement considerably enhances loyalty and other study constructs. Attachment had a salient role in boosting loyalty. In addition, age had a moderating influence. The study constructs maximized the influence of SNS engagement on loyalty as mediators. Overall, our results considerably increase our understanding regarding the role of SNS engagement in the formation of traveller loyalty to chain hotel brands and the sustainability of such businesses.

scholarly journals The Impact of Patient Age on the Acceptability of Telemedicine in the Context of COVID-19

2021 ◽  
Vol 23 ◽  
Author(s):  
Briana Williams ◽  
Katelin McDilda ◽  
Melissa Bright
Keyword(s):  
Older Patients ◽  
New Technology ◽  
Healthcare Delivery ◽  
Age Groups ◽  
Outpatient Clinics ◽  
Age Group ◽  
Chi Square ◽  
Younger Patients ◽  
Patient Dissatisfaction ◽  
The Impact

The objective of the study was to determine the extent to which patients from various age groups perceive telemedicine as a viable mode of healthcare delivery in the context of COVID-19. A RedCap survey was sent to patients in our OB/GYN outpatient clinics with in-person, telemedicine, re-scheduled or cancelled appointments between 3/11/20 to 5/11/20. Patients’ online responses were analyzed using a 5-point Likert scale. Statistical analysis was performed using Chi-Square and Fischer’s Exact Analysis with p < 0.05 considered significant. A total of 1083 patients completed the survey of whom 280 (25.9%) had a telemedicine appointment. Patients answered questions relating to their telemedicine visit. While older patients did encounter a higher proportion of technological difficulties (p<0.0001), younger patients, specifically those in the 25-34 age group, expressed greater dissatisfaction with their appointment being changed to telemedicine than older patients (p=0.02), and felt that telemedicine did not accomplish the same goals as an in-person visit (p=0.01). Nonetheless, all patients, regardless of age, were satisfied with the introduction to telemedicine (p=0.02) and the instructions provided to them prior to the visit (p=0.02). Connectivity issues seem to be the biggest obstacle to older patients particularly when there is absence of a reliable internet connection and a telemedicine-compatible device. Younger patients, though less satisfied, are more comfortable with new technology and with using telemedicine; they tend to experience less connectivity issues. Our focus going forward should be on finding ways to simplify the process, overcome the connectivity issues while addressing the main reasons leading to patient dissatisfaction.

scholarly journals Social Networking Service and Depression: Evidence from China

2020 ◽  
Vol 13 (1) ◽  
pp. 232-241
Author(s):  
Hao-Jian Dui
Keyword(s):  
Social Networking ◽  
Social Status ◽  
Cognitive Ability ◽  
Age Groups ◽  
Rural Household ◽  
Relationship Status ◽  
Age Group ◽  
Social Networking Service ◽  
Household Registration ◽  
The Impact

Background: The rapid development of Social Networking Service (SNS) all over the world has changed everyone's life, of course, China is no exception. At the same time, the possible depression caused by SNS has attracted the attention of academia, but there is little research on the impact of age heterogeneity, especially in China. Objectives: The aim of this study was to further explore the effects of SNS and some factors on depression and to find the differences in these relationships between different age groups. Methods: Based on the data of the tracking interview of China Family Panel Studies (CFPS) in 2018 (N= 8,666), this study analyzed the relationship between SNS and depression in China and considered the heterogeneous influence in different age groups and other factors (gender, living in urban or rural, household registration, income, cognitive ability, years of education, health, relationship status, CPC membership, religion, social status, popularity). The theoretical basis of age stages is from Erikson’s Eight Stages of Development. Results: (1) The multiple regression analysis revealed that the depression was positively correlated with SNS dependence, on the whole. However, this effect was not always significant in every age group, and it was most positive at the ages of 16-18. (2) The depression was negatively correlated with health and popularity at all levels of age. (3) The depression appeared obviously gender difference, and it was intensifying by increasing age. (4) For the whole sample, the effects of income, cognitive ability, relationship status and social status on depression were significant, however, the situation was different for each individual age group in this article. (5) The mitigate of religious beliefs on depression was significant only at ages 41-65, and the coefficient was unstable. (6) The effects of years of education, living in urban or rural, household registration, CPC membership on depression were not significant in this study. Conclusion: The impact of SNS on depression was more significant among young people, especially adolescents. A bad situation of health or popularity could increase the risk of depression. Females were more prone to depression. There were different influences of income, cognitive ability, social status, relationship status and religion on depression in different age groups.

scholarly journals The impact of Saudi lockdown to counter COVID-19

2021 ◽  
Vol 8 (3) ◽  
pp. 78-87
Author(s):  
Khaleel I. Alyahya ◽  
Keyword(s):  
Saudi Arabia ◽  
Survey Design ◽  
Age Groups ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Social Distancing ◽  
Almost All ◽  
The Impact

The study aimed to assess the impact of awareness of citizens and residents in Saudi Arabia toward the home isolation and social distancing during lockdown that might decrease the outbreak of COVID-19, to measure the importance of social behavior to maintain the constant decline of COVID-19 cases and to determine if there is a difference in the level of awareness and behavior between citizens and residents in Saudi Arabia toward the governmental measures during the pandemic. We have adopted a cross-sectional survey design to investigate the impact of Saudi lockdown on blockade COVID-19 by using an anonymous online questionnaire. The targeted population of the study was Saudi citizens and non-Saudi residents of different ages. The collected data were entered into Microsoft Excel (version 2011) and analyzed by using the Statistical Package for Social Sciences (SPSS), version 23. The Chi-square test with 95% confidence intervals (CI) was used to examine significant associations between the socio-demographic characteristic of participants, their awareness, and their behavior towards the COVOD-19 pandemic. AP value of <0.05 was considered statistically significant. The total number of the current study participants was 1168. The majority (70.50%) were married males with children (73.50%). Three-quarters of the participants were equally distributed between the age groups of 30-39, 40-49, and 50-59 years old. Almost all (90.90%) of the participants have received higher education, 73.60% living in the central region, and in large and crowded cities (75.30%). More than half (58.50%) of the Saudi respondents know about the coronavirus from media sources, while for the non-Saudis, 54.50% are well informed regarding the virus. The results of the current study revealed that the majority of the population in the country believe in home isolation and social distancing for the COVID-19 blockade. Additionally, they also consider non-compliance to these measures as one the main factor for the disease outbreak. Most of the participants were committed to home isolation, social distancing, and personal protective measures including wearing masks, gloves, and avoiding face contact.

scholarly journals Investigatng The Social Impact of Social Networking Media on Teenagers From 13 to 19 Years Old in Oman

2015 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
Yousuf Salim AlHinai ◽  
Juhaina Alsabahi ◽  
Zahra AlWahaibi
Keyword(s):  
Social Networking ◽  
Social Networking Sites ◽  
Social Impact ◽  
Arab World ◽  
Age Groups ◽  
Theory And Practice ◽  
The Social ◽  
Rapid Spread ◽  
Almost All ◽  
The Impact

The burst in the use of social networking sites such as MySpace, Facebook, Bebo and Friendster has brought many opportunities, changes and challenges into our world. The impact of this type of media can be social, psychological, and/or economic. For many societies, the social impact is a major concern since these technologies with their rapid spread have succeeded in influencing the attitudes of various groups of individuals. The role that social media played in the recent unrests in the Arab world is a clear example of such an impact. Oman, like all other countries, is also facing the same challenge. Among all other age groups in Oman, teenagers from 13 to 19 years old make up a major segment in the demographic structure of the country. Therefore, it is very important to study and understand the impact of the rapidly-growing social networking media on this group. The present research aims to contribute to this understanding by investigating the social impact of social networking media on teenagers in Oman. We survey teenagers’ use of and perceptions about these technologies, in addition to parents’ perceptions. By combining these two perspectives, this research aims to provide several contributions to both theory and practice. The results revealed that almost all teenagers (99%) agreed that the social networking sites are beneficial. They believe that using social networking sites does not impact their social behavior. 

SOCIAL MEDIA : YOUNGSTER’S AFFINITY AND ITS IMPACT ON E-COMMERCE

2020 ◽  
Author(s):  
V. Darling Selvi ◽  
D Kalarani
Keyword(s):  
Social Media ◽  
Virtual Communities ◽  
Age Groups ◽  
Peer Pressure ◽  
Chi Square ◽  
Social Media Networks ◽  
Use Of Social Media ◽  
The Right ◽  
The Impact ◽  
Internet And Social Media

Social media are interactive computer-mediated technologies that facilitate the creation or sharing of information, ideas, career interests and other forms of expression via virtual communities and networks. Social media has offered a new platform for peer pressure with both positive and negative communication. From Face book comments to likes on Instagram, how the youth communicate and what is socially acceptable is now heavily based on social media. It’ growth drifts reflect that more and more students of different age groups and educational levels are catching on and using social networking platforms. In parallel, demands and realistic expectations of youngsters or university students in an age of digital social media are enormously changing at a rapid pace. Researcher made an attempt to study the various aspects and statistcs related to Internet and social media its penetration, users etc. Researcher also study about the impact of Social Media on E-Commerce. Researcher made an attempt to study the various aspects and statistcs related to Internet and social media its penetration, users etc. Researcher also study about the impact of Social Media on E-Commerce. A sample of one hundred and twenty-five persons was taken for study from Tirunelveli District and the opinion of the youngsters was collected regarding the social media with the help of an Interview Schedule. The data collected were analyzed with the help of percentage analysis, one-way ANOVAs, one sample pair test, and independent chi-square. The researcher used IBM-SPSS version20 software for analysis and interpretation of data. ANOVAs test concluded that there are no significant differences in the opinion of the respondents of different age groups in Academia.edu, face book, Google+, snap chat, YouTube, twitter and so on. It is suggested that the youngsters should focus and filter the most essential social media platforms so that the life will be balanced at both ends of career and relaxation. They should make the right choice concerning the use of social media networks for personal, academic and professional networking in different contexts. Proper awareness building will help them to choose the best for the survival and relaxation.

scholarly journals The Influence of the Income Level on the Amount of Expenses for Purchase of Medicines by the Population in Older Age Groups

2020 ◽  
Vol 30 (1) ◽  
pp. 113-120
Author(s):  
Sergey Cherkasov ◽  
Dmitry Meshkov ◽  
Anna Fedyaeva ◽  
Lyudmila Bezmelnitsyna ◽  
Tamara Makarenko ◽  
...  
Keyword(s):  
Age Groups ◽  
Well Being ◽  
Age Group ◽  
Monthly Income ◽  
Chi Square ◽  
Association Coefficient ◽  
The Cost ◽  
The Impact ◽  
The Relationship ◽  
Main Factor

The purpose of the study based on the data of an anonymous survey is to assess the level of costs for purchasing medicines among the population aged 60 years and older and to analyze the interdependence between the level of material well-being and the level of costs for purchasing medicines. The study was conducted on the basis of a survey of 927 people aged 60 years and older living in Moscow. The questionnaire included questions about the amount of expenses for the purchase of medicines, expressed as a share of the monthly income of a family that was spent on the purchase of medicines. The term «family» is understood as a group of people who lead a common household, regardless of their degree of kinship. To study the impact of income on the cost of purchasing medicines, the questionnaire included a question about the amount of a family's monthly income per member. When analyzing dependencies, such characteristic properties as the Association coefficient (CA), information content (INF), and the Chi-square criterion were calculated. The study revealed that the relationship between the level of material well-being and the level of expenditure on the purchase of medicines is very complex and ambiguous, with pronounced gender differences. In the course of this study, no correlation between the level of disposable income and the share of the total monthly income of a family that is spent on the purchase of medicines was observed. However, there is a correlation between the share of the total monthly income of a family that is spent on food and the share that is spent on the purchase of medicines. The degree of the dependence increases with ageing, which indicates the possibility of purchasing a drug as the main factor in making a decision. The degree of dependence is less pronounced in men below 70 and older and is stronger in women starting from the age of 65 years. The strongest dependence was registered in women of the age group of 70 years and older.

Trends in Dietary Intake of Vitamins A, C, and E in German Children and Adolescents – Results of the DONALD Study

2003 ◽  
Vol 73 (5) ◽  
pp. 335-342 ◽  
Author(s):  
Alexy ◽  
Kersting ◽  
Sichert-Hellert
Keyword(s):  
Vitamin E ◽  
Nutrition Education ◽  
Time Trends ◽  
Nutrient Intake ◽  
Age Groups ◽  
Food Groups ◽  
Fortified Food ◽  
Vitamin Intake ◽  
Dietary Records ◽  
The Impact

Intake of vitamins A, C, and E was evaluated and age and time trends were assessed on the basis of 3-day weighed dietary records (n = 5121) of 2- to 18-year old boys (n = 417) and girls (n = 425) enrolled in the DONALD Study (Dortmund Nutritional and Anthropometric Longitudinally Designed Study) 1986–2001. Intake of vitamin A remains stable over time, intake of vitamin C increases linearly, and intake of vitamin E follows a nonlinear trend. Age trends of vitamins A and C (per MJ) were nonlinear with a minimum at the beginning adolescence, while intake of vitamin E (per MJ) increased linearly. Girls had higher nutrient densities but lower intakes expressed as percent of reference values. Fortified food in total had a higher impact on time trends of nutrient intake than other single food groups defined here. Our results point to the impact of the food industry on long-term nutrient intake, but also underline the necessity of nutrition education even in young age groups to improve vitamin intake.

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