Mothers Delivery Kit: Antenatal Care Innovation in West Africa

The Mothers Delivery Kit discusses an innovative healthcare package sold in the poor West African region to aid with the delivery of expectant mothers. The package combines various necessary items used for proper and hygienic delivery of the rural and remote mothers with the help of a local midwife or medical practitioner. Antenatal care in the region is poor due to lack of infrastructure and government funding in healthcare. The Mothers Delivery Kit addresses that issue by providing a cheap and hygienic alternative to conventional delivery methods. The kit has decreased newborn death in the region noticeably. The founders have worked closely with local midwives to train them and enable them to use the Mothers Delivery Kit properly to improve delivery conditions. Regardless of the setbacks caused by local traditional beliefs and culture, the kit has proven to be an active effort to improve delivery conditions.

When do physicians perceive the success of a new care model differently?

Background The health care innovation “MamBo – people with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management” aims to improve the efficiency and quality of care for multimorbid patients by delegating tasks (e.g. taking over house calls or coordinating specialist appointments) to a monitoring and coordination assistant (MoniKa). Participating physicians are very important for the success of the health care innovation due to their direct involvement as practitioners and their task of enrolling patients. The aim of this part of the evaluation study is therefore to identify the physicians’ personal values, which influence the individual perception of the project’s advantages and thus possibly the acceptance and sustainable implementation of new care structures. Methods Two Focus groups (n = 4; n = 6) and three individual interviews with general practitioners and specialists who decided to implement the health care innovation within the first year were conducted. The semi-structured guidelines were developed by the research team. The interviews were analysed according to the content analysis by Mayring. We used the learning model of operant conditioning to place our study results in a theoretical context. Result Two central personal values of the participants, which determine the desired advantages of the health care innovation were identified: More patient-oriented and more economic-oriented values. Participants with more patient-oriented values quickly perceived advantages, which seems to be beneficial for the acceptance of the new care structures. Economic-oriented participants tended to be more critical. The benefits of the health care innovation, which was expressed, for example, in an improvement of the practice routine, has not yet been perceived by this group, or only to a limited extent. Conclusions The results suggest that the respective values of the participants define the individual perceived advantages and thus, the assessment of the success of the health care innovation in general. These findings could be used in the implementation process by increasing the motivation of the project participants through typified supervision. Trial registration The study has been registered in the German Clinical Trials Register (DRKS00014047).

A PRELIMINARY COST-UTILITY ANALYSIS OF THE PROSTHETIC CARE INNOVATIONS: CASE OF THE KEEP WALKING IMPLANT

Several obstacles must be overcome before preliminary cost-utility analyses (CUA) of prosthetic care innovations can be routinely performed. The basic framework of preliminary CUAs and hands-on recommendations suggested previously might contribute to wider adoption. However, a practical application for an emerging intervention is needed to showcase the capacity of this proposed preliminary CUA framework. This study presented the outcomes of preliminary CUA of the distal weight bearing Keep Walking Implant (KWI), an emerging prosthetic care innovation that may reduce socket fittings for individuals with transfemoral amputation. The preliminary CUAs compared the provision of prosthetic care without (usual intervention) and with the KWI (new intervention) using a 15-step iterative process focused on feasibility, constructs, analysis, and interpretations of outcomes from an Australia government prosthetic care perspective over a six-year time horizon. Baseline and incremental costs were extracted from schedules of allowable expenses. Baseline utilities were extracted from a study and converted into quality-adjusted life-year (QALY). Incremental utilities were calculated based on sensible gains of QALY from baselines. The provision of the prosthetic care with the KWI could generate an indicative incremental cost-utility ratio (ICUR) of -$36,890 per QALY, which was $76,890 per QALY below willingness-to-pay threshold, provided that the KWI reduces costs by $17,910 while increasing utility by 0.485 QALY compared to usual interventions. This preliminary CUA provided administrators of healthcare organizations in Australia and elsewhere with prerequisite evidence justifying further access to market and clinical introduction of the KWI. Altogether, this work suggests that the basic framework of the preliminary CUA of a prosthetic care innovation proposed previously is feasible and informative when a series of assumptions are carefully considered. This study further confirms that preliminary CUAs prosthetic care interventions might be a relevant alternative to full CUA for other medical treatments. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36366/28329 How To Cite: Guirao L, Samitier B, Frossard L. A preliminary cost-utility analysis of the prosthetic care innovations: case of the keep walking implant. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.11. https://doi.org/10.33137/cpoj.v4i2.36366 Corresponding Author: Laurent Frossard (PhD), Professor of BionicsYourResearchProject Pty Ltd, Brisbane, Australia.E-Mail: [email protected] number: https://orcid.org/0000-0002-0248-9589

Van patiëntenrechten naar patiëntenwaarden

From patients' rights to patients' values In 2022, the Patient’s Rights Act will be 20 years old. This Act has created a permanent recognition of the central position of the patient and his autonomy within the Belgian healthcare system. The Act did undergo some limited changes, but generally remained the same. Nevertheless, the evolution of the healthcare reveals new points of interest and demands attention to so-called patient values, namely quality, care innovation and patient participation. These patient values also reflect the critics formulated on the Patient’s Rights Act. The Belgian patient’s rights framework today consists of a number of other regulations besides the Patient’s Rights Act itself. All these regulations currently form a diffuse patient’s rights framework. In order to guarantee the central position of patient’s rights in our health care system for the next 20 years, a new approach of patient’s rights protection through the patient values is suggested in this article, focusing on quality, care innovation and patient participation and based on the existing legal patient’s rights framework.

Supporting Ethical Decision Making – A Tool for Ethical Reflection on Care Technologies

"The tool FreTiP (Fragen zur ethischen Reflexion von digitalen Technologien in der Pflegepraxis – questions on ethical reflection of digital technologies in nursing practice) was developed in 2020 by the Institute Mensch, Ethik und Wissenschaft (IMEW) as part of ELSI research in the PPZ-Berlin project. Our aim was to develop an instrument that stimulates and supports ethical reflection processes in the application of digital care innovation technologies in practice. Ethical considerations are part of everyday (nursing) life, are closely interwoven with other aspects and are therefore difficult to recognise as such. The starting thesis of our work was that actors in care act on the basis of value concepts that they are more or less aware of. An ethics that is consciously integrated into everyday care takes into account all aspects that are relevant for an action or decision. In this respect, it is important to look at ethics in context and not to understand “ethics” as something isolated, coming from outside. Based on this, the development of the instrument should not consist of “breaking down” ethical concepts and theories to practice, but of ethically locating, structuring and making applicable the experiences, questions and needs of the actors working in nursing practice. Thus, FreTiP is not only to be considered practice-oriented, but also to a certain extent practice-based. The instrument was designed to be suitable for everyday care in clinics, care facilities and in the home context. FreTiP was developed as a low-threshold instrument that can be used flexibly and that takes into account the perspective of patients as well as carers. The development of the instrument was preceded by a triangulated study that included a literature review, interviews and (non-)participatory observations. In the paper, experiences with the ethical reflection tool FreTiP will be presented. "

IOT based Patient Monitoring System

Health monitoring is the fundamental issue in this day and age. Because of absence of amazing health monitoring, patient go through from genuine medical problems. There are great deals of IoT gadgets now days to uncover the health of impacted individual over web. Wellbeing specialists are moreover exploiting these splendid contraptions to look out for their patients. With heaps of new medical care innovation new companies, IoT is suddenly changing the medical services industries. Actually in this undertaking, we will make an IoT based patient checking System which reports the patient coronary heart beat rate and assemble temperature and besides transport an email/SMS alert each time these readings go past basic characteristics. Heartbeat charge and inward warmth level readings are recorded over ThingSpeak and Google sheets so that affected individual health can be seen from wherever in the world over through on the web. A furor will in like manner be related so that affected individual can crush it on emergency to send email/SMS to their relatives.