Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method

Nwosu, Amara Callistus; McGlinchey, Tamsin; Sanders, Justin; Stanley, Sarah; Palfrey, Jennifer; Lubbers, Patrick; Chapman, Laura; Finucane, Anne; Mason, Stephen

doi:10.1101/2021.06.24.21259307

Cited by 4 publications

(1 citation statement)

References 104 publications

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“…Moreover, the future direction requires effective solutions to the scalability problem of privacy and security in the era of big data, especially in reconciling security and privacy models by exploiting the map reduce framework (Jain et al, 2016). The potential to use new emerging technology in palliative care is hindered by barriers such as expense, inter-operability issues, data privacy and security concerns, lack of effectiveness, equity, and the concern that technology will reduce face-to-face consults between patients and clinicians (Nwosu et al, 2021).…”

Section: Challenges and Opportunities In The Usamentioning

confidence: 99%

Reviewing business analytics in healthcare management: USA and African perspectives

Israel Osejie Okoduwa,

Jeremiah Olawumi Arowoogun,

Kehinde Feranmi Awonuga

et al. 2024

World J. Bio. Pharm. Health Sci.

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This comprehensive review explores the application and impact of business analytics in healthcare management, focusing on the distinctive perspectives of the United States and Africa. In an era where data-driven decision-making is paramount, healthcare organizations globally are increasingly turning to business analytics to enhance efficiency, improve patient outcomes, and optimize resource allocation. The review begins by examining the state of business analytics in healthcare management within the United States, a pioneer in adopting advanced analytics solutions. The analysis encompasses the utilization of predictive modeling, data mining, and artificial intelligence to streamline operations, enhance clinical decision-making, and improve patient care. Case studies and success stories from leading healthcare institutions in the USA illustrate the transformative power of business analytics in areas such as patient risk stratification, resource optimization, and population health management. Contrastingly, the review delves into the unique challenges and opportunities that characterize the adoption of business analytics in healthcare across the African continent. Despite facing resource constraints and varying levels of technological infrastructure, African nations are increasingly recognizing the potential of analytics to address pressing healthcare challenges. The discussion encompasses initiatives and collaborations aimed at leveraging data analytics to improve healthcare delivery, disease surveillance, and resource management in the African context. The comparative analysis between the USA and Africa highlights the diversity of approaches and contexts in implementing business analytics in healthcare management. Factors such as data accessibility, infrastructure development, and cultural considerations emerge as critical determinants shaping the successful integration of analytics tools in healthcare decision-making. The review underscores the pivotal role of business analytics in reshaping healthcare management practices, while acknowledging the need for tailored strategies that align with the specific challenges and opportunities inherent in the USA and African healthcare landscapes. This study provides valuable insights for policymakers, healthcare administrators, and researchers seeking to navigate the evolving landscape of healthcare analytics on both a global and regional scale.

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Section: Challenges and Opportunities In The Usamentioning

confidence: 99%

Reviewing business analytics in healthcare management: USA and African perspectives

Israel Osejie Okoduwa,

Jeremiah Olawumi Arowoogun,

Kehinde Feranmi Awonuga

et al. 2024

World J. Bio. Pharm. Health Sci.

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Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Lundereng¹,

Nes²,

Holmen³

et al. 2023

J Med Internet Res

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Background Telehealth seems feasible for use in home-based palliative care (HBPC). It may improve access to health care professionals (HCPs) at patients’ homes, reduce hospital admissions, enhance patients’ feelings of security and safety, and increase the time spent at home for patients in HBPC. HBPC requires the involvement of various HCPs such as nurses, physicians, allied health professionals, dietitians, psychologists, religious counselors, and social workers. Acceptance of the use of technology among HCPs is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of HCPs regarding the use of telehealth in HBPC. Objective The aim of this review was to systematically map published studies on HCPs’ experiences and perspectives on the use of telehealth in HBPC. Methods A scoping review was conducted using the methodology of Arksey and O’Malley. The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A systematic search was performed in AMED, CINAHL, Embase, MEDLINE, PsycINFO, and Web of Science for studies published in peer-reviewed journals between January 1, 2000, and August 23, 2022. The reference lists of the included papers were hand searched to identify additional studies. The inclusion criteria were (1) studies using qualitative, quantitative, or mixed methods; (2) studies including HCPs using telehealth with patients in HBPC; (3) studies on HCPs’ experiences and perspectives on the use of telehealth in HBPC; (4) studies published between January 1, 2000, and August 23, 2022; and (5) studies published in English, Portuguese, Norwegian, Danish, Swedish, or Spanish. Pairs of authors independently included studies and extracted data. The first 2 stages of thematic synthesis were used to thematically organize the data. Results This scoping review included 29 papers from 28 studies. Four descriptive themes were identified: (1) easy to use but technological issues undermine confidence, (2) adds value but personal and organizational barriers challenge adoption, (3) potential to provide useful and meaningful patient-reported data, and (4) mutual trust as a prerequisite for interpersonal relationships. Conclusions Telehealth in HBPC seems to be easy to use and may improve the coordination of care, time efficiency, clinical assessments, and help build and enhance personal and professional relationships. However, the introduction of technology in HBPC is complex, as it may not align well with the overall aim of palliative care from HCPs’ point of view. Further, changes in practice and requirements for HCPs may reduce motivation for the use of telehealth in HBPC. HCPs consider themselves to have central roles in implementing telehealth, and a lack of acceptance and motivation is a key barrier to telehealth adoption. Policy makers and telehealth developers should be aware of this potential barrier when developing or implementing new technology for use in HBPC. International Registered Report Identifier (IRRID) RR2-10.2196/33305

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Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review (Preprint)

Lundereng¹,

Nes²,

Holmen³

et al. 2022

Preprint

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BACKGROUND Telehealth seems feasible for use in home-based palliative care (HBPC). However, acceptance among health care professionals (HCPs) is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of HCPs regarding the use of telehealth in HBPC. OBJECTIVE The aim of this review was to systematically map published studies on HCPs’ experiences and perspectives on the use of telehealth in HBPC. METHODS This scoping review used the methodology of Arksey and O’Malley. A systematic search was performed in AMED, CINAHL, EMBASE, MEDLINE, PsycINFO, and Web of Science for studies published between January 1, 2000, and August 23, 2022. The reference lists of the included papers were also handsearched to identify additional studies of relevance. Pairs of authors independently assessed the eligibility of the studies and the extracted data. The first two stages of thematic synthesis were used to thematically organize the data. RESULTS The search yielded 5,465 citations. After the removal of 2,649 duplicates, 2,816 citations were screened. The full texts of 138 citations were read; 114 citations were excluded, 5 studies were identified through handsearching, and 29 papers from 28 studies were included. Four descriptive themes were identified: 1) easy to use but technological issues undermine confidence, 2) adds value but personal and organizational barriers challenge adoption, 3) potential to provide useful and meaningful patient-reported data, and 4) mutual trust as a prerequisite for interpersonal relationships. CONCLUSIONS Telehealth has the potential to enhance clinical assessments, enable shared decision making, and enhance personal and professional relationships in HBPC. However, faulty technology, organizational challenges, resistance to change among HCPs, and the negative impact on personal relations may reduce HCPs’ motivation to use telehealth. Low acceptance among HCPs seems to be a key barrier to the adoption of telehealth, and policy makers and telehealth developers should be aware of this when developing or implementing new technology for use in HBPC. INTERNATIONAL REGISTERED REPORT RR2-10.2196/33305

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Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method

Cited by 4 publications

References 104 publications

Reviewing business analytics in healthcare management: USA and African perspectives

Reviewing business analytics in healthcare management: USA and African perspectives

Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review (Preprint)

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