The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care

Olola, Christopher; Narus, Scott P.; Nebeker, Jonathan R.; Poynton, Mollie R.; Hales, Joseph W.; Rowan, B; LeSieur, Heather; Zumbrennen, Cynthia; Edwards, Annemarie; Crawford, Robert; Amundsen, Spencer; Kabir, Yasmin; Atkin, Joseph; Newberry, Cynthia; Young, Jessica L; Hanifi, Tariq; Risenmay, Ben; Sorensen, Tyler; Evans, R. Scott

doi:10.1016/j.ijmedinf.2011.02.007

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Users clearly prioritized up-to-date information emergency situations over information for routine visits. The same group evaluated what medical professionals (from outpatient clinics) thought about the usefulness of their card/report [ 15 ]. In accordance with the patients, 94% found the emergency medical card to be of help in medical decision making at the point of care, whereas only 74% were persuaded by the usefulness of the continuity-of-care report.…”

Section: Discussionmentioning

confidence: 99%

Medical History of Elderly Patients in the Emergency Setting: Not an Easy Point-of-Care Diagnostic Marker

Lindner

Slagman

Senkin

et al. 2015

Emergency Medicine International

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Background. Medical histories are a crucially important diagnostic tool. Elderly patients represent a large and increasing group of emergency patients. Due to cognitive deficits, taking a reliable medical history in this patient group can be difficult. We sought to evaluate the medical history-taking in emergency patients above 75 years of age with respect to duration and completeness. Methods. Anonymous data of consecutive patients were recorded. Times for the defined basic medical history-taking were documented, as were the availability of other sources and times to assess these. Results. Data of 104 patients were included in the analysis. In a quarter of patients (25%, n = 26) no complete basic medical history could be obtained. In the group of patients where complete data could be gathered, only 16 patients were able to provide all necessary information on their own. Including other sources like relatives or GPs prolonged the time until complete medical history from 7.3 minutes (patient only) to 26.4 (+relatives) and 56.3 (+GP) minutes. Conclusions. Medical histories are important diagnostic tools in the emergency setting and are prolonged in the elderly, especially if additional documentation and third parties need to be involved. New technologies like emergency medical cards might help to improve the availability of important patient data but implementation of these technologies is costly and faces data protection issues.

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Section: Discussionmentioning

confidence: 99%

Medical History of Elderly Patients in the Emergency Setting: Not an Easy Point-of-Care Diagnostic Marker

Lindner

Slagman

Senkin

et al. 2015

Emergency Medicine International

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“…Esquivel et al [9], for instance, related unsatisfactory referral communication between primary care providers and specialists to the lack of attention on how the communication technology should fits with the social environment in which it is implemented. Moreover, the use of EHR has been suggested to be even more crucial during medical emergencies [10]. …”

Section: Introductionmentioning

confidence: 99%

The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses

Ben‐Assuli

Shabtai

Leshno

2013

BMC Med Inform Decis Mak

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BackgroundMany medical organizations have invested heavily in electronic health record (EHR) and health information exchange (HIE) information systems (IS) to improve medical decision-making and increase efficiency. Despite the potential interoperability advantages of such IS, physicians do not always immediately consult electronic health information, and this decision may result in decreased level of quality of care as well as unnecessary costs. This study sought to reveal the effect of EHR IS use on the physicians' admission decisions. It was hypothesizing the using EHR IS will result in more accurate and informed admission decisions, which will manifest through reduction in single-day admissions and in readmissions within seven days.MethodsThis study used a track log-file analysis of a database containing 281,750 emergency department (ED) referrals in seven main hospitals in Israel. Log-files were generated by the system and provide an objective and unbiased measure of system usage, Thus allowing us to evaluate the contribution of an EHR IS, as well as an HIE network, to decision-makers (physicians). This is done by investigating whether EHR IS lead to improved medical outcomes in the EDs, which are known for their tight time constraints and overcrowding. The impact of EHR IS and HIE network was evaluated by comparing decisions on patients classified by five main differential diagnoses (DDs), made with or without viewing the patients' medical history via the EHR IS.ResultsThe results indicate a negative relationship between viewing medical history via EHR systems and the number of possibly redundant admissions. Among the DDs, we found information viewed most impactful for gastroenteritis, abdominal pain, and urinary tract infection in reducing readmissions within seven days, and for gastroenteritis, abdominal pain, and chest pain in reducing the single-day admissions' rate. Both indices are key quality measures in the health system. In addition, we found that interoperability (using external information provided online by health suppliers) contributed more to this reduction than local files, which are available only in the specific hospital. Thus, reducing the rate of redundant admissions by using external information produced larger odds ratios (of the β coefficients; e.g. viewing external information on patients resulted in negative associations of 27.2% regarding readmissions within seven days, and 13% for single-day admissions as compared with viewing local information on patients respectively).ConclusionsViewing medical history via an EHR IS and using HIE network led to a reduction in the number of seven day readmissions and single-day admissions for all patients. Using external medical history may imply a more thorough patient examination that can help eliminate unnecessary admissions. Nevertheless, in most instances physicians did not view medical history at all, probably due to the limited resources available, combined with the stress of rapid turnover in ED units.

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“…A possible explanation may be due to the perceived usefulness of health insurance. This is because when people thinks that health insurance is useful for his/her own benefit, he/she has higher intention to purchase the health insurance (Abbring et al, 2003;Brahmana et al, 2018;Olola et al, 2011;Omar & Owusu-Frimpong, 2007). As evident by Abu Bakar et al, (2012), non-salaried individuals, the factors that affected the decision to purchase health insurance were race-religion, education level, marital status and out-of-pocket (OOP) health expenditures.…”

Section: Discussionmentioning

confidence: 99%

Applicability of Theory of Planned Behavior and Protection Motivation Theory in Predicting Intention to Purchase Health Insurance

Azizam

Dzulkipli

Shamimi

et al. 2020

ABRIJ

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In the era of increasing healthcare cost, private medical and health insurance ownership substantially reduces out of pocket expenses for medical care. The main objective of this paper is to apply theory of planned behavior and (TPB) model and protection motivation theory (PMT) in predicting intention to purchase health and medical insurance among graduating students. A cross-sectional survey was performed for data collection. A total of 443 questionnaires were completed and valid for data analysis purposes. Findings showed that there was statistically significant correlation between attitudes and subjective norm with the intention to purchase medical insurance. Severity, vulnerability and self-efficacy correlate negatively, while response efficacy demonstrates a positive correlation. Despite of the negative perception over private insurance, it significantly reduces out of pocket expenditures for medical care. Thus, there is a need of a further study examining the factors affecting the demand and individual’s decision purchasing private insurance in Malaysia

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The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care

Cited by 9 publications

References 17 publications

Medical History of Elderly Patients in the Emergency Setting: Not an Easy Point-of-Care Diagnostic Marker

Medical History of Elderly Patients in the Emergency Setting: Not an Easy Point-of-Care Diagnostic Marker

The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses

Applicability of Theory of Planned Behavior and Protection Motivation Theory in Predicting Intention to Purchase Health Insurance

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