Patients are unaware of clinical recommendations and resources

Harris, Ebonee; Alfonso, Susana; Stewart, Belinda; Moore, Miranda

doi:10.1016/j.pcd.2021.03.004

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…We have found that patients trust the service more if it is part of the health system as opposed to being a commercial service. Reservations about the marketing of such services are not only tied to cost coverage, but are also affected by participants' view that the primary objective of market providers is to generate profit rather than to improve patients' health (Harris, Alfonso, Stewart, & Moore, 2021;Michaud, Hill, Estabrooks, & Su, 2021). However, this attitude depends on the severity of the patient's medical condition, which also affects the willingness to pay for telemedicine services (Steigenberger, Glatscher-Thoeni, Siebert, & Leiter, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Ugotovili smo, da pacienti storitvi bolj zaupajo, če je ta del zdravstvenega sistema in ne gre za tržno storitev. Zadržki do trženja tovrstnih storitev niso vezani le na kritje stroškov, temveč nanje vpliva tudi mnenje sodelujočih, da je primarni cilj tržnih ponudnikov želja po dobičku in ne skrb za zdravje pacientov (Harris, Alfonso, Stewart, & Moore, 2021;Michaud, Hill, Estabrooks, & Su, 2021). Obenem je to stališče pogojeno z resnostjo njihovega zdravstvenega stanja, ki vpliva tudi na pripravljenost plačila telemedicinske obravnave (Steigenberger, Glatscher-Thoeni, Siebert, & Leiter, 2022).…”

Section: Diskusijaunclassified

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Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine

et al. 2022

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Uvod: Telemedicinska obravnava stopa v ospredje kot strategija za obvladovanje kroničnih nenalezljivih bolezni, ki v Sloveniji povzročijo visok delež smrti. Namen raziskave je bil preučiti, kakšne izkušnje imajo pacienti z diagnozo kronične bolezni tako z uporabo telemedicinske opreme kot s telemedicinsko obravnavo v ambulanti družinske medicine.Metode: Julija 2020 so bile v enem od slovenskih zdravstvenih domov izvedene štiri fokusne skupine z 19 pacienti s sladkorno boleznijo tipa 2 in/ali visokim krvnim tlakom. Prepisi skupinskih pogovorov so bili analizirani po načelih induktivne tematske analize.Rezultati: S pomočjo induktivne tematske analize je bilo oblikovanih sedem tem: prednosti in slabosti telemedicinske obravnave, enostavnost uporabe telemedicinske opreme, dvosmerna komunikacija z zdravstvenim osebjem, učinki telemedicinske obravnave na zdravstveno stanje pacientov, želja po uporabi in dostopnosti telemedicinske obravnave, vpliv in opora okolja ter skrb za lastno zdravje. Teme vsebujejo 10 podtem in 29 dejavnikov.Diskusija in zaključek: Na izvajanje telemedicinskih meritev najbolj vplivajo zaznana potreba pacientov in navodila zdravstvenega osebja. Kljub pozitivni izkušnji pacientov z uporabo telemedicinske opreme je potrebna strokovna presoja primernosti tovrstne obravnave na individualni ravni, ki ne vključuje le zdravstvenega stanja pacientov, marveč tudi oceno njihovega odnosa do zdravja in digitalnih veščin.

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Section: Discussionmentioning

confidence: 99%

Section: Diskusijaunclassified

Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine

et al. 2022

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Comparison of Face-down Positioning Durations Following Silicone Oil Tamponade

Zubricky¹,

Platt²

2022

Ophthalmic Surg Lasers Imaging Retina

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OBJECTIVE: To analyze the rate and timing of retinal redetachments and other complications following pars plana vitrectomy for retinal detachment repair with silicone oil tamponade and the effect of face-down positioning duration on these endpoints. MATERIALS AND METHODS: A retrospective study was performed on patients with retinal detachment repair via pars plana vitrectomy with silicone oil tamponade between 2015 and 2020. Surgery was performed by 10 physicians associated with a private retina practice in Cleveland, Ohio. Duration of postoperative face-down positioning was noted and patients were grouped by short (≤6 days) or long (≥7 days) durations. Outcome variables were retinal re-detachment, epiretinal membrane formation, cataract formation, and other complications. Timing and frequency of outcomes were noted and statistical analysis was performed. RESULTS: The study was composed of 227 eyes. The mean age of patients was 62.09±13.65 years with 143 (63.00%) male and 84 (37.00%) female. Of the initial detachments, 63 (27.88%) were macula-on and 163 (72.12%) were macula-off. Overall, 128 (56.39%) patients were given instructions for face-down positioning for 6 days or less and 99 (43.61%) patients for 7 days or more. Retinal redetachment was seen in 42.19% of patients with face-down positioning ≤6 days and 29.29% of patients with face-down positioning ≥7 days ( P = .045). No significant difference was found in epiretinal membrane formation or cataract formation ( P >.05). CONCLUSION: There was a lower rate of redetachment in patients who kept a face-down position for ≥7 days compared with ≤6 days. Further study to determine causality between duration of postoperative face-down positioning and retinal redetachment is recommended. [ Ophthalmic Surg Lasers Imaging Retina . 2022;53:285–292. ]

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Patients are unaware of clinical recommendations and resources

Cited by 2 publications

References 8 publications

Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine

Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine

Comparison of Face-down Positioning Durations Following Silicone Oil Tamponade

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