Effect of mobile health interventions for side effects management in patients undergoing chemotherapy: A systematic review

Abbaszadeh

et al. 2023

Health Science Reports

Self Cite

Background and Aims The success of every new technology depends on numerous factors, including specialists' knowledge and perceptions of the concept, acquired attitude skills, and work environments. This systematic review aimed to examine medical students' knowledge, attitudes, and perceptions of telemedicine. Methods Studies were obtained from the PubMed, Embase, Scopus, and Web of Science databases on June 9, 2022. We followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Cross‐sectional studies that examined medical students' knowledge, attitude, and perceptions of telemedicine approaches were considered inclusion criteria. Titles and abstracts were independently screened based on eligibility criteria. Articles that did not meet the inclusion criteria were excluded from this review. After that, the complete texts were retrieved and screened by two separate researchers based on the eligibility criteria. Disputes were resolved by discussion. The same checklist was used for data extraction. To assess the quality of the studies entering this study, the Joanna Briggs Institute Critical Appraisal Checklist for analytical cross‐sectional studies was used. Results In total, 10 eligible articles were found through this review. The sample size of the studies ranged from 60 to 3312 participants, or 6172 participants on the whole. The medical students' attitudes toward telemedicine were evaluated in eight included studies. Many of these studies (seven cases) reported positive and promising perspectives on telemedicine. However, in one study, participants revealed moderate attitudes toward online health information and online health experience sharing ( p < 0.05). Students' knowledge of the telemedicine approach was evaluated in eight included studies. Many of these studies (five cases) reported that students possessed an extensively poor knowledge of telemedicine's uses. In three other studies, two reported moderate and one disclosed desirable levels of students' knowledge. All the included studies attributed medical students' poor knowledge to the lack of, and thus failure of, educational courses in this field. Conclusion The evidence obtained from this review reveals that medical students possess positive and promising attitudes toward telemedicine technology for education, treatment, and care. However, their knowledge levels were extremely insufficient, and many had not passed any educational courses in this respect. Such results can foreground the health and education policymakers' obligations for planning, training, and empowering digital health and telemedicine literacy among medical students as the primary players in social health.

Section: Discussionmentioning

confidence: 99%

Attitude, awareness, and knowledge of telemedicine among medical students: A systematic review of cross‐sectional studies

Ghaddaripouri

Abbaszadeh

et al. 2023

Health Science Reports

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“…Hence, deliveries were classified based on a coherent and reliable classification system. Also, examining the existing conditions based on an international tool helps to create a unified picture of errors and how to handle them 34,35 . This work was a multicenter study, thus allowing generalization of the results.…”

Section: Discussionmentioning

confidence: 99%

“…Also, examining the existing conditions based on an international tool helps to create a unified picture of errors and how to handle them. 34,35 This work was a multicenter study, thus allowing generalization of the results. However, there were some limitations.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The trend of normal vaginal delivery and cesarean sections before and after implementing the health system transformation plan based on ICD‐10 in the northeast of Iran: A cross‐sectional study

Sarbaz

Monazah

et al. 2023

Health Science Reports

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Background and Aims: Concerning the growing rate of cesarean sections (CSs) worldwide, encouraging normal vaginal deliveries (NVDs) and mitigating CS rates is a necessity. This study investigated the status of delivery in hospitals affiliated with the Mashhad University of Medical Sciences (MUMS) before and after implementing health system transformation plan (HSTP).Methods: A cross-sectional study was conducted in 2017 in the obstetrics and gynecology ward in four MUMS teaching hospitals. Data were extracted from hospital information systems (HISs) based on the International Classification of Diseases (ICD-10) and analyzed in SPSS VE10 software. Results:The results revealed a significant difference between the rate of NVDs and CSs before and after HSTP, such that implementing this plan in MUMS hospitals has raised the rate of NVDs by 4%. Except for the age groups of less than 15 and 36-40 years, the difference between NVD and CS was significant in different age groups before and after HSTP. The rate of NVD significantly increased within 2 months after implementing HSTP. Furthermore, the difference in the rate of previous CS before and after implementing HSTP was significant (p < 0.001). Conclusion:The results of this study show the positive impact of the implementation of the HSTP on CS reduction and NVD increase in the studied hospitals. Since the studied hospitals were teaching and concerning the different costs of NVD and CS between the public and private hospitals, it is recommended to study all hospitals with the obstetrics and gynecology ward to precisely assess the success of HSTP in encouraging NVD.

“…The recommendations in this regard were to create a framework and specific rules for budget allocation, specific confidentiality rules, defining goals, planning for continuous monitoring and holding training courses for the integrated registration of rehabilitation information. Although previous studies indicate recent progress in the field of telerehabilitation [36][37][38][39][40]; however, a reliable infrastructure, including the rehabilitation registry system, which is the basis of such systems, has not yet been implemented. Therefore, the future work of this study is the design and implementation of the minimum data set and, in the next step is to implement the rehabilitation registration system in Iran.Strengths and limitations This study is the first survey to identify the challenges and recommendations for expanding the registration of rehabilitation information.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Registration Systems: Current Recommendations and Challenges

Sarbaz

Sobhani-Rad

et al. 2022

Front Health Inform

Introduction: In recent decades, following the upward trend of aging, one out of three people in the world need rehabilitation services during the period of illness or injury. Considering the long-term complications and high costs of treatment, the need to follow up and review the evidence to find the best care programs and extensive planning in this field seems mandatory. Registry systems (registration) in this area can provide the necessary evidence for strategic decisions in this field. Of course, launching and developing these systems comes with challenges. Therefore, the purpose of this comprehensive literature review is to examine the challenges and benefits of developing a rehabilitation registration system.Materials and Method: A systematic review, in studies published in English, without time limit and by searching for keywords in the keywords, title and abstract of reliable scientific databases Web of Science, Scopus, PubMed and Science Direct, as well as searching the title of studies in the database Cochrane data was accessed on March 31, 2021. Studies that were a possible answer to the researched question based on the title and content were examined. A total of 1924 related studies were identified; And finally, 32 qualified articles were included in this review.Results: One of the most important challenges investigated was the limitation of rehabilitation comprehensive registration systems. Other challenges include the lack of support for ensuring the quality of registration data, insufficient funds for investment, privacy and data security, the unclear purpose of registration system development, access to hardware infrastructure, lack of binding laws and regulations related to registration systems, lack of access to sufficient information. To implement information registration systems, continuous monitoring and holding training courses.Conclusion: The most important challenge investigated was that currently the health care and rehabilitation registration systems around the world are focused on single diseases (single discipline rehabilitation), which does not meet the needs of patients due to the multifactorial nature of rehabilitation services and chronic diseases. Therefore, it seems that the connection between the data registration systems with the help of a comprehensive guideline or model or the creation of a national integrated central database in the form of integration with other health information systems and based on electronic health records will be very efficient.