scholarly journals Telehealth - an emerging health technology as a future model in Vietnam during Covid-19 pandemic: practical experience from Phutho General Hospital (Preprint)

2021 ◽  
Author(s):  
Ngoc Huy Nguyen
Keyword(s):  
Rural Areas ◽  
Health Technology ◽  
Healthcare Services ◽  
Practical Experience ◽  
Modern Technology ◽  
Digital Transformation ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Positive Input

UNSTRUCTURED Telehealth has been emerging as a model of modern technology for healthcare services in Vietnam during the Covid-19 pandemic. Actively preventing the outbreak of Covid-19 and national digital transformation program, Vietnamese Ministry of Health has launched the project 2628/QD-BYT that approved a scheme for remote medical examination and treatment for 2020-2025. The project is aiming to connect 1000 hospitals to strengthen the quality of medical services from central hospitals to rural areas via provincial hospitals. The Phutho Genral Hospital (PGH) is one of leading provincial hospitals that participating and appling early the telehealth systems in Vietnam. By telehealth systems, PGH can offer a valuable support to the doctor’s activity by streamlining and facilitating their work. Telehealth was demonstrated to be feasible, acceptable, and effective in PGH of Vietnam, and allowed for significant improvements in health care outcomes. As the achieved results, the Covid-19 pandemic represents a positive input for the acceleration and enhancement of Telehealth in Vietnam. The success of telehealth here may be a useful reference for other parts of the world.

Thriving in the 21st Century: Outcome Assessment, Practice Parameters, and Accountability

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 831-835 ◽  
Author(s):  
David A. Bergman
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Outcomes ◽  
Practice Guidelines ◽  
Scientific Evidence ◽  
Care Practice ◽  
Health Care Outcomes ◽  
Effective Manner ◽  
Care Outcomes

The past two decades have brought about major health care changes that have been driven by an ever-increasing cost of health care, practice variability, and medical malpractice litigation. These changes pose a challenge to pediatricians to contain costs, to reduce inappropriate use of health care services, and to demonstrate improved health care outcomes. To meet this challenge, a new "clinical tool kit" is required, one that will allow the pediatrician to analyze current practices and to document effective interventions. Two of the major tools in this kit are practice guidelines and outcomes assessment instruments. Practice guidelines are optimal care specifications that provide an analytic framework for defining high-quality care and measuring health care outcomes. Ideally, these guidelines should be developed from scientific evidence. In practice, however, scientific evidence to support the majority of recommendations made in guidelines is insufficient. Consequently, these recommendations are instead developed by expert consensus. Measurement of health outcomes includes clinical outcomes, patient satisfaction, cost and use, and quality of life. Health care organizations have become very sophisticated in measuring cost and use, but considerably less work has been done in the patient-centered areas of satisfaction and quality of life. This is particularly true for children, because measures are dependent on the viewpoint chosen (parent, child, or teacher), the age of the child, and the adjustment for severity of illness. Analyzing practice patterns and improving health outcomes will not be easy tasks to accomplish. For the pediatrician to use these tools in an efficient and effective manner, a new research agenda and new skills will be required.

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

scholarly journals Implementation of Stroke Dysphagia Screening in the Emergency Department

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Stephanie K. Daniels ◽  
Jane A. Anderson ◽  
Nancy J. Petersen
Keyword(s):  
Emergency Department ◽  
Process Improvement ◽  
Screening Tool ◽  
Patient Contact ◽  
Health Care Outcomes ◽  
Improvement Plan ◽  
Care Outcomes ◽  
Suspected Stroke ◽  
Swallowing Screening

Early detection of dysphagia is critical in stroke as it improves health care outcomes. Administering a swallowing screening tool (SST) in the emergency department (ED) appears most logical as it is the first point of patient contact. However, feasibility of an ED nurse-administered SST, particularly one involving trial water swallow administration, is unknown. The aims of this pilot study were to (1) implement an SST with a water swallow component in the ED and track nurses’ adherence, (2) identify barriers and facilitators to administering the SST through interviews, and (3) develop and implement a process improvement plan to address barriers. Two hundred seventy-eight individuals with stroke symptoms were screened from October 2009 to June 2010. The percentage of patients screened increased from 22.6 in October 2009 to a high of 80.8 in March 2010, followed by a decrease to 61.9% in June (Cochran-Armitage testz=-5.1042, P<0.0001). The odds of being screened were 4.0 times higher after implementation compared to two months before implementation. Results suggest that it is feasible for ED nurses to administer an SST with a water swallow component. Findings should facilitate improved quality of care for patients with suspected stroke and improve multidisciplinary collaboration in swallowing screening.

The Social Role of Technology in Healthcare Quality Improvement

2012 ◽  
pp. 178-186
Author(s):  
Anastasia K. Kadda
Keyword(s):  
Quality Improvement ◽  
Social Role ◽  
Healthcare Quality ◽  
Health Technology ◽  
Healthcare Services ◽  
Healthcare Quality Improvement ◽  
Current Trends ◽  
The Social

The aim of this study is to describe the social role of technology in healthcare quality improvement. Methodologically, the study was based on a review of the relevant literature, Greek and foreign, as well as Internet sources related to the social role of technology in healthcare quality improvement. The main conclusions drawn were the following: a) The development of new technologies in the field of health and their involvement within the social context is today a fast accelerating process; b) The presentday expansion of health-oriented technology is of vital importance because of current trends in the field of healthcare and of the social evolution on healthcare services; c) Information technology is capable of profoundly contributing to the improvement of the quality of health, and thus to the wellbeing of the citizens in a society; d) By the use of health technology, more efficient and productive financial management is achieved with numerous benefits for the economy; e) Electronic health can improve the quality of healthcare thereby facilitating the work of health professionals; f) Greek society is being increasingly influenced by both international and domestic scientific and technological advances in health technology despite the existence of significant legal barriers; g) Current trends in the European Union as far as health technology is concerned are intimately connected with expanding citizen participation in the electronic revolution and their increasing access to the Information Society.

scholarly journals Telepsychiatry

2021 ◽  
Vol 16 (4) ◽  
pp. 0-0
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Rural Environments ◽  
Access And Quality

Numerous challenges have limited access to mental health services in rural areas. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. Simultaneously, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices.

scholarly journals Ethics and resource allocation: can health care outcomes be QALYfied?

1994 ◽  
Vol 18 (7) ◽  
pp. 395-398
Author(s):  
Femi Oyebode
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Resource Allocation ◽  
Theoretical Foundation ◽  
Well Being ◽  
Ethical Problems ◽  
Health Care Outcomes ◽  
Care Outcomes

This paper discusses the theoretical foundation of QALY and examines the assumptions which underlie these theories. It argues that there are methodological flaws in the construction of QALY and that there are inherent risks in its possible application to psychiatry. It also draws attention to fundamental ethical problems with the concept of QALY as a tool for valuing the quality of life or well-being of persons.

scholarly journals Telemedicine: an ICT based healthcare approach to ensure health service for all

2019 ◽  
Vol 6 (9) ◽  
pp. 3732 ◽  
Author(s):  
Rasheda Akhtar ◽  
Sazzadul Alam ◽  
Noor Kutubul Alam Siddiquee
Keyword(s):  
Rural Areas ◽  
Healthcare Services ◽  
Cost Of Treatment ◽  
Telemedicine Service ◽  
The People ◽  
Depth Interview ◽  
Daunting Challenge ◽  
Challenge Area

Background: Despite enormous efforts, healthcare service is still a daunting challenge area of Bangladesh healthcare systems. Bangladesh suffers from both a shortage of and geographic mal-distribution of human resource for health, as well as inadequate resources. Considering the challenges, telemedicine can be a blessing especially to the people living in hard-to-reach and rural areas. The current study was conducted on to measure the outcomes of providing telemedicine service at the field level.Methods: The study was conducted in Nagarkanda Upazilla of Faridpur district. Mixed method approaches including user experience and perception survey, case study and in-depth interview were adopted in order to bring a comprehensive scenario.Results: Around 50% of the users used to visit telemedicine center frequently. For quality of service provided from telemedicine service point, there were few benchmarks like service provider’s behavior, waiting time, accessibility, distance, cost of treatment, willingness to pay and referral mechanism. Telemedicine service centers were found situated within the reach of people (within 1-2 km of 83.30% km). 97% participants rated service provider’s behavior as good. Cost of treatment including diagnosis, prescription and medication was found within 501-3000 BDT for 60% of participants.Conclusions: Although the studied telemedicine service was not comprehensive in nature, it still helped to save time, reduce cost and most of all increased access to healthcare services.

Managing Overutilization, Quality of Care, and Sustainable Health Care Outcomes in Oman

2006 ◽  
Vol 25 (4) ◽  
pp. 348-355 ◽  
Author(s):  
Salim M. Abri ◽  
Daniel J. West ◽  
Robert J. Spinelli
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Sustainable Health

Setting priorities in and for end-of-life care: challenges in the application of economic evaluation

2012 ◽  
Vol 7 (4) ◽  
pp. 431-439 ◽  
Author(s):  
CHARLES NORMAND
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Short Time ◽  
Competition For Resources

AbstractHealth technology assessment processes aim to provide evidence on the effectiveness and cost-effectiveness of different elements of health care to assist setting priorities. There is a risk that services that are difficult to evaluate, and for which there is limited evidence on cost-effectiveness, may lose out in the competition for resources to those with better evidence. It is argued here that end-of-life care provides particular challenges for evaluation. Outcomes are difficult to measure, can take place over short time scales, and services can be difficult to characterise as they are tailored to the specific needs of individuals. Tools commonly used to measure health care outcomes do not appear to discriminate well in the end-of-life care context. It is argued that the assumption that units of time of different quality of life can simply be added to assess the overall experience at the end of life may not apply, and that alternative perspectives, such as the Peak and End Rule, might offer useful perspectives.

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