Adoption of a PDA-Based Home Hospice Care System for Cancer Patients

Hong, Hae Sook; Kim, Il Kon; Lee, Sung Hee; Kim, Hwa Sun

doi:10.1097/ncn.0b013e3181bcab43

Cited by 16 publications

(12 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 9 As the telemedicine systems develop, home-based hospice is becoming more feasible and convenient. 10 , 11 Rural area previous in lack of hospice may benefit from home-based hospice care. 12 …”

Section: Introductionmentioning

confidence: 99%

Home-Based Hospice Care Reduces End-of-Life Expenditure in Taiwan

Chen¹,

Chang²,

Huang³

2015

Medicine

View full text Add to dashboard Cite

Inpatient hospice care can reduce futile treatment and medical costs. However, the cost trimming effect of home-based hospice care in hospital has yet not been explored. This study evaluates the impact of home-based hospice care on end-of-life expenditure in hospitals with different spending intensity.This is a population-based retrospective study in Taiwan. Cancer decedents were identified in the National Health Insurance Research Database (NHIRD) from 2009 to 2011. They are categorized by hospital spending intensity. A hierarchical linear regression model with a random-intercept model was used to analyze the relationship between end-of-life expenditure (dependent variable) with and without home-based hospice, and both patient-level and hospital-level characteristics.A total of 78,613 cancer decedents were identified in the NHIRD from 2009 to 2011. Of these decedents, 17,638, 43,286, and 17,689 were categorized by hospital spending intensity as high, moderate, and low, respectively. Decedents with home-based hospice care were associated with US$2452 less in expenditure per patient compared with those without home-based hospice care. The majority of savings occurred in the last 3 months of life. These savings with home-based hospice care were consistent in hospitals with different levels of spending intensity.Home-based hospice reduced one-fifth expenditure at the end of life of cancer decedents treated in hospitals with different spending intensity.

show abstract

Section: Introductionmentioning

confidence: 99%

Home-Based Hospice Care Reduces End-of-Life Expenditure in Taiwan

Chen¹,

Chang²,

Huang³

2015

Medicine

View full text Add to dashboard Cite

show abstract

“…Using these devices for data collection has been shown to improve efficiency [5,23,30]. We argue here that using them provides an additional advantage: it can make it easier to detect curbstoning.…”

Section: Introductionmentioning

confidence: 94%

Using behavioral data to identify interviewer fabrication in surveys

Birnbaum

Borriello

Flaxman

et al. 2013

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

View full text Add to dashboard Cite

Surveys conducted by human interviewers are one of the principal means of gathering data from all over the world, but the quality of this data can be threatened by interviewer fabrication. In this paper, we investigate a new approach to detecting interviewer fabrication automatically. We instrument electronic data collection software to record logs of low-level behavioral data and show that supervised classification, when applied to features extracted from these logs, can identify interviewer fabrication with an accuracy of up to 96%. We show that even when interviewers know that our approach is being used, have some knowledge of how it works, and are incentivized to avoid detection, it can still achieve an accuracy of 86%. We also demonstrate the robustness of our approach to a moderate amount of label noise and provide practical recommendations, based on empirical evidence, on how much data is needed for our approach to be effective.

show abstract

“…Consequently, these nurses indicated that accessing information using their mobile devices assisted them in their clinical practice [21] and improved the effectiveness and efficiency of patient care. [22] Other researchers have found that registered nurses who use mobile devices spent less time completing unnecessary paperwork [23] resulting in increased patient safety. [1,2,24,25]…”

Section: Mobile Technologiesmentioning

confidence: 99%

A quantitative study exploring undergraduate nursing students’ perception of their critical thinking and clinical decision making ability while using apps at the point of care

Sedgwick

Awosoga

Grigg

et al. 2016

JNEP

View full text Add to dashboard Cite

The purpose of this study was to explore how a smartphone app influences undergraduate nursing students' perceptions of their critical thinking and clinical decision making ability at the point of care. Using a pretest-posttest approach, the findings suggest that there were no statistically significant differences in the participants' perception of their critical thinking and clinical decision making ability over time. Statistically significant findings on four questionnaire items pertaining to participants' perception in their ability to engage in evidence based practice over time suggests that experience with the app, led the participants to believe the app provided them with the information they needed in order to engage in evidence based practice. Consequently, they were less likely to seek information from other sources. Although having learning resources available in clinical practice environments might enhance critical thinking ability, perhaps counterintuitively, the findings in this study suggest that having access to a clinical mobile app did not positively influence the participants' perceived critical thinking ability. Nurse educators therefore, must teach students how to be active learners as well as role model the proper use of critical thinking skills. Students need to be reminded to use institutional policies and procedure manuals as well as other appropriate sources of information. Last, students need to see registered nurses use critical thinking and clinical decision making dispositions by asking comprehensive questions, exploring assumptions and inferences, and incorporating varying resources into their decisions.

show abstract

Adoption of a PDA-Based Home Hospice Care System for Cancer Patients

Cited by 16 publications

References 8 publications

Home-Based Hospice Care Reduces End-of-Life Expenditure in Taiwan

Home-Based Hospice Care Reduces End-of-Life Expenditure in Taiwan

Using behavioral data to identify interviewer fabrication in surveys

A quantitative study exploring undergraduate nursing students’ perception of their critical thinking and clinical decision making ability while using apps at the point of care

Contact Info

Product

Resources

About