Unintended consequences of patient online access to health records: a qualitative study in UK primary care

BackgroundHealth systems around the world are seeking to harness digital tools to promote patient autonomy and increase the efficiency of care. One example of this policy in England is online patient access to full medical records in primary care. Since April 2019, all NHS England patients have had the right to access their full medical record prospectively, and full record access has been the “default position” since April 2020.AimTo identify and understand the unintended consequences of online patient access their medical record.Design and SettingQualitative interview study in 10 general practices in South West and North West England.MethodSemi-structured individual interviews with 13 patients and 16 general practice staff with experience of patient online access to health records.ResultsOnline access generated unintended consequences that negatively impacted patients’ understanding of their health care, for example patients discovering surprising information or information that was difficult to interpret. Online access impacted GPs’ documentation practices, such as when GPs pre-emptively attempted to minimise potential misunderstandings to aid patient understanding of their health care, in other cases, negatively impacting the quality of the records and patient safety when GPs avoided documenting their speculations or concerns. Contrary to assumptions that practice workload would be reduced, online access introduced extra work, such as managing and monitoring access and taking measures to prevent possible harm to patients.ConclusionThe unintended consequences described by both staff and patients show that to achieve the intended consequences set out in NHS policy additional work is necessary to prepare records for sharing and prepare patients about what to expect. It is crucial that practices are adequately supported and resourced to manage the unintended consequences of online access now that it is the default position.

What determines the progress of online information access to banking corporate governance practices? The case of Paraguay

This paper contributes to the lack of longitudinal studies concerning online information access to corporate governance (CG) practices in the banking sector of Latin American countries. In particular, this study aims to analyze the factors that influence information transparency, both mandatory and voluntary, related to CG practices of banks that operate in Paraguay via their websites from 2016 to 2019. Findings indicate the need to improve the level of information available on websites, with disclosure of voluntary information on CG practices being more prevalent than the disclosure of mandatory information. Likewise, banks that operate in Paraguay have made scant “progress” regarding online access to their governance information over the years analyzed. Moreover, the factors “Bank size” and “listed status” positively influence the information transparency regarding CG practices of Paraguayan banks. In contrast, “leverage,” “liquidity,” “size of the audit firm,” and “credit risk rating” are factors that have a negative relation with the extent of CG disclosure.

MENTAL HEALTH ACCESS BACKGROUND AND FRAMEWORK FOR IMPROVEMENT IN THE DIGITAL ERA

Mental Health consists of a wide range of conditions affecting an individual’s behavior, mood, and thinking. A gap between providers and consumers exists due to the lack of resources available for online mental health access. Research shows limited information available for processing information and pursuing professional services to become healthy. The purpose of this literature review is to provide framework that contributes to Mental Health online access and improving digital therapy. Suggested approaches listed in addition to graphics that summarize the problem space and provide potential solutions.

Introducing Language and Society

This accessible and entertaining textbook introduces students to both traditional and more contemporary approaches to sociolinguistics in a real-world context, addressing current social problems that students are likely to care about, such as racism, inequality, political conflict, belonging, and issues around gender and sexuality. Each chapter includes exercises, case studies and ideas for small-scale research projects, encouraging students to think critically about the different theories and approaches to language and society, and to interrogate their own beliefs about language and communication. The book gives students a grounding in the traditional concepts and techniques upon which sociolinguistics is built, while also introducing new developments from the last decade, such as translanguaging, multimodality, superdiversity, linguistic landscapes and language and digital media. Students will also have online access to more detailed examples, links to video and audio files, and more challenging exercises to strengthen their skills and confidence as sociolinguists.

Perception of “Fake News” and Potentially Manipulative Content in Digital Media—A Generational Approach

The presence of “fake news” and potentially manipulative content in the media is nothing new, but this area has largely expanded with the emergence of the Internet and digital media, thus opening itself up to anyone who has online access. As a result, there is an increasing amount of such content in the media, especially in digital media. This paper deals with the perception of fake news and potentially manipulative content by various generations—in particular, the perceptions of the young and the middle-aged generations, with the focus being on their ability to recognise, verify, and relate to such content. The results of this study were gained by means of a qualitative methodology applied to focus groups in Bosnia and Herzegovina. The results are presented through a thematic analysis of the differences in perception of “fake news” between these generations, firstly in terms of their apprehension and interpretation of it, and secondly in terms of their relation to it. The authors conclude that both generations lack competence concerning media literacy, and that providing education in the field of digital media might offer a long-term solution for building resistance to “fake news” for future generations.

Financial inclusion in the digital banking age: Lessons from rural India

In the digital age, financial inclusion continues to be connected to social inclusion. While most personal financial transactions are shifting from cash currency to digital transactions, we must ensure that marginalized members of society are not unbanked and excluded from financial opportunities. Many countries are declaring their intention to transform to cashless societies. India is one such country. As a case study, we investigated rural Indian villages that declared themselves as cashless to assess the financial reality of villagers. We conducted a survey of households (N=3,159) within villages across seven Indian states. In each state, we studied a village that was officially declared cashless and a nearby comparison village. Our findings suggest that the comparison villages did as well as the cashless villages, as financial inclusion via digital banking was minimal to nonexistent. Alongside significant state variations, we found that financial literacy and online access were the best predictors of performing any digital banking activity. This study concludes with a warning against rushing toward digital banking and the formation of cashless societies, as marginalized populations may be excluded.

ISSUES AND CHALLENGES AMIDST THE PANDEMIC ERA: ENGLISH LEARNERS’ VOICES

Corona virus disease 2019 has become a current pandemic and many countries have been affected by it. At the end of January 2020, the WHO Emergency Committee declared a global health emergency state as COVID-19 confirmed cases have been increasing internationally. Since then, online learning has been actively implemented globally including Malaysia. This research is purely qualitative where data was collected via online interview with four willing secondary students. The findings highlight that there are a few weaknesses regarding online learning. Poor internet connection contributes to one of the weaknesses in online learning in Malaysia. Furthermore, not understanding teachers’ teaching is also one of the limitations of online education. Online learning limitations might vary depending on the students' technological capability to access online sites and use computers. These limitations are more evident for young children or school-age students who may not have online access. Although online learning has its flaws however it comprises several strengths too. Online learning enables the students to have flexible time in participating in the lesson. Avoiding from the virus is the next advantage of conducting online learning. Although schools are closed however students still could get connected with their teachers through several devices like computers, laptops, tablets and mobile phones. Hence, online learning is deemed to be the best alternative to continue the learning process and at the same time protects young learners from this deadly virus.

About Online First Articles and Academic Publishing

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Implementation of Smart Street Light System with the Assistance of Cloud Based Online Access

This paper proposes a street lighting system utilizing minimal expense microcontroller-based Arduino. Since there is a need for the industry is to connect heterogeneous equipment parts to the cloud-based internet-based admittance framework for checking and figuring out their conduct from time to time. The principle objective is to plan energy effective keen streetlamp for energy protection in existing streetlamps and safeguarding from theft issue of batteries and sunlight-based chargers in the country and metropolitan region and only for brilliant urban areas, and this paper is to record and send the readings of the proposed module to IoT which building up the reasonable web application on the cloud for Data logging. Ordinarily, we see that streetlamps are remain turned ON during daytime, absence of upkeep of batteries prompts uses misfortune. So for decreasing the referred to issues a portion of the electrical gadgets can guide specific boundaries to the microcontroller which are taken care of with the assistance of Ethernet of Wi-Fi module and associated with the cloud-based framework. A test arrangement has been made to know the situation with gadgets through Laptop/Mobile/PC at any space while associated with the cloud.

Lay litigants' access to legal information in libraries

<p>This study examines the availability and accessibility of legal information for lay litigants - those people who have chosen to represent themselves in legal proceedings. It looks specifically at the information held in libraries and whether these libraries and the information held in them can be accessed by lay litigants. Although this study looks at the ability of lay litigants to access legal information, it also discusses legal information access by the public in general. Distinctions have however been drawn between those seeking general legal information and lay litigants The overall purpose of this research is to establish the current levels of access to information that lay litigants have, and whether the current situation is adequate and tenable. Principles and policies such as that of equal access to the law and the New Zealand government's commitment towards open government; enabling online access and its e-policy have been taken into consideration in evaluating whether the current situation is sufficient. Distinctions have also been drawn between those seeking general legal information and lay litigants.</p>