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1.
Australian Health Review ; 46(6):710-712, 2022.
Article in English | ProQuest Central | ID: covidwho-2160437

ABSTRACT

The United Nations Convention on the Rights of Persons with Disabilities and the Sendai Framework for Disaster Risk Management establish the importance of ensuring the equitable protection of human rights in disaster planning, relief, and recovery. However, internationally and within Australia, the reality is one of indignity, human rights violations, and corruption. Australia is living in a perpetual state of crisis, following 3years of environmental and health disaster events. Vulnerable Australian citizens, especially people with disability, are at a great risk of human rights violations and may have restricted access to resilience-building resources that would enable them to recover. Embedding dignity into disaster management and recovery can safeguard human rights and improve outcomes for people with disability.

2.
International Practice Development Journal ; 12(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2145843

ABSTRACT

Background: This article describes the development and refinement of a component of a first-year nursing course called ‘Theoretical perspectives in nursing care: complexities in seniors care’. Initially developed in 2020 in response to the pandemic restrictions and guided by the philosophy of person- centredness and person-centred practice, a senior mentorship programme called ‘Engaging with your senior mentor in the community’ has become an important element of the broader theoretical course. Aim: To report on the experiences of older persons living in the community who volunteered to be mentors to first-year bachelor of nursing students, and explain how their experiences informed person-centred quality improvements for future courses. Methods: Appreciative inquiry principles guided the study. Qualitative descriptive design methods – online surveys and focus groups – were employed to evaluate the senior mentorship initiative. Thematic analysis was performed to identify themes that described what the experience of participating in the initiative was like from the perspective of the senior mentors themselves. Findings: Our analysis identified five themes: (a) sharing;(b) contributing;(c) listening;(d) self-reflecting;and (e) communicating expectations. Conclusion: Sharing wisdom informed by lived experience can be a rewarding part of ageing. Senior mentors believed they had contributed in a meaningful way to the student nurses’ learning. Implications for practice: * This article reaffirms that older persons are keen to participate in education initiatives * Insights from the senior mentors will inform educators in health and social sciences who want to incorporate the voices of older persons in their classroom and practice teaching * Older persons should be considered potential partners who can help educators develop a culture of person-centredness to help students prepare to appreciate the older persons in their care

3.
International Practice Development Journal ; 12(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2145842

ABSTRACT

Background: bold (Bringing Out Leaders in Dementia), funded by the Life Changes Trust, is a creative and innovative social leadership project for people in Scotland living with dementia. Aim: A key part of bold is the bold programme, which takes a person-centred focus to help people empower themselves to flourish through creative methods and personal development. bold brings together people with a diverse range of skills and abilities on an equal footing in a safe and supported space, in which they can explore themselves as ‘social leaders’. Methods: An interdisciplinary team from the University of Edinburgh and Queen Margaret University collaborated with creative artists from the outset to develop the programme that uses a mixture of arts-based methods to encourage creativity, innovation and imagination to explore and develop leadership potential. These include creative writing, working with clay and collage, improvisation, movement, reflective walking, singing and song writing, voice and breathing, and performing arts. In this article we provide an overview of the programme’s design from its outset and of how the creative methods have been adapted and developed to work online as a response to the Covid-19 pandemic. Results: A brief overview shows how bold has evolved beyond the online programme and how those who take part continue to find ways to create spaces for people living with dementia to flourish as they become part of the bold community. Implications for practice: * A programme for encouraging and empowering individuals to flourish requires a reflective and person-centred approach in a safe and supported environment * Successful outcomes depend on multiple factors, including careful programme delivery planning, good facilitation, and commitment and belief from those who take part * An inclusive and accessible approach is beneficial when using creative methods for people living with dementia

4.
Journal of Clinical Outcomes Management ; 29(6):208, 2022.
Article in English | ProQuest Central | ID: covidwho-2145307

ABSTRACT

Background: The COVID-19 pandemic has had broad effects on surgical care, including operating room (OR) staffing, personal protective equipment (PPE) utilization, and newly implemented anti-infective measures. Our aim was to assess neurosurgery OR efficiency before the COVID-19 pandemic, during peak COVID-19, and during current times. Methods: Institutional perioperative databases at a single, highvolume neurosurgical center were queried for operations performed from December 2019 until October 2021. March 12, 2020, the day that the state of Tennessee declared a state of emergency, was chosen as the onset of the COVID-19 pandemic. The 90-day periods before and after this day were used to define the pre-COVID-19, peak-COVID-19, and post-peak restrictions time periods for comparative analysis. Outcomes included delay in first-start and OR turnover time between neurosurgical cases. Preset threshold times were used in analyses to adjust for normal leniency in OR scheduling (15 minutes for first start and 90 minutes for turnover). Univariate analysis used Wilcoxon rank-sum test for continuous outcomes, while chi-square test and Fisher's exact test were used for categorical comparisons. Significance was defined as P<.05. Results: First-start time was analyzed in 426 pre-COVID-19, 357 peak-restrictions, and 2304 post-peak-restrictions cases. The unadjusted mean delay length was found to be significantly different between the time periods, but the magnitude of increase in minutes was immaterial (mean [SD] minutes, 6 [18] vs 10 [21] vs 8 [20], respectively;P=.004). The adjusted average delay length and proportion of cases delayed beyond the 15-minute threshold were not significantly different. The proportion of cases that started early, as well as significantly early past a 15-minute threshold, have not been impacted. There was no significant change in turnover time during peak restrictions relative to the pre-COVID-19 period (88 [100] minutes vs 85 [95] minutes), and turnover time has since remained unchanged (83 [87] minutes). Conclusion: Our center was able to maintain OR efficiency before, during, and after peak restrictions even while instituting advanced infection-control strategies. While there were significant changes, delays were relatively small in magnitude.

5.
Journal of Health and Human Services Administration ; 45(2):97-117, 2022.
Article in English | ProQuest Central | ID: covidwho-2119082

ABSTRACT

[...]data comparison between pre-pandemic mental health studies and an analysis for the beginning of the pandemic showed a dramatic increase in prevalence of mental health problems that included depression and anxiety (Wu et al., 2020). According to Kamnitzer and colleagues (2020), social workers proactively supported patients when the pandemic hit. [...]the current study will add to the emerging literature by asking how did integrated healthcare agencies respond to behavioral health care needs during the pandemic from the point of view of social workers in these settings. [...]VAGLAHS used the combined efforts of interdisciplinary leaderships and a widespread laboratory surveillance program in their skilled nursing facility, inpatient psychiatry unit, inpatient admissions, temporary shelter units, residential rehabilitation treatment center, and dialysis patients (Jatt et al., 2020).

6.
Journal of Health and Human Services Administration ; 45(2):118-141, 2022.
Article in English | ProQuest Central | ID: covidwho-2118780

ABSTRACT

Based on this study's findings, to be most effective at influencing health behavior related to the COVID-19 pandemic, public health messaging should focus on the threat posed by the virus and the efficacy of the suggested health behaviors in reducing that threat, and the messaging should be communicated in a way that builds trust between the organization sending the messaging and its publics. Using the health belief model (HBM) and organization-public relationships (OPR) as theoretical frameworks;this study examines engagement in COVID-19 health behaviors by students and employees at a large public university in the southeastern United States, the factors that influenced those behaviors, and the intersection of these things with the relationship quality between the university and the study population in the context of the COVID-19 pandemic. [...]examining OPR from a different perspective, the study explores the relationship between OPR quality and engagement in the COVID-19 health behaviors. Literature Review The Health Belief Model (HBM) The foundation of the HBM was developed in the 1950s and 1960s by social psychologists Godfrey Hochbaum, Howard Leventhal, Irwin Rosenstock, and Steven Kegels who were working with the United States Public Health Service.

7.
Family Practice Management ; 29(6):25, 2022.
Article in English | ProQuest Central | ID: covidwho-2112140

ABSTRACT

Part 2: Communication Strategies and Overcoming Vaccine Myths, Misinformation, and Barriers

8.
Family Practice Management ; 29(5):4, 2022.
Article in English | ProQuest Central | ID: covidwho-2026990

ABSTRACT

FPM is still the “today” journal. Family physicians can read an FPM article today andmake a change in how they take care of patients today.

9.
Telehealth and Medicine Today ; 7(3), 2022.
Article in English | ProQuest Central | ID: covidwho-2026498

ABSTRACT

The increased amount of virtual care during the COVID-19 pandemic has exacerbated the challenge of providing appropriate medical board oversight to ensure proper quality of care delivery and safety of patients. This is partly due to the conventional model of each state medical board (SMB) holding responsibility for medical standards and oversight only within the jurisdiction of that state board and partly due to regulatory waivers and reduced enforcement of privacy policies. Even with a revoked license in one state, significant number of physicians have continued to practice by obtaining a medical license in a different state. Individualized requests were sent to 63 medical boards with questions related to practice of telemedicine and digital health by debarred or penalized medical doctors. The responses revealed major deficiencies and the urgent need to adopt a nationwide framework and to create an anchor point to serve as the coordinator of all relevant information related to incidents of improper medical practice. The ability to cause damage to large number of patients is significantly more now. Federal and state agencies urgently need to provide more attention and funding to issues related to quality of care and patient care in the changing ecosystem that includes medical specialists at a distance and the use of evolving digital health services and products. The creation, maintenance, and use of an integrated information system at national and multinational levels is increasingly important.

10.
Telehealth and Medicine Today ; 7(3), 2022.
Article in English | ProQuest Central | ID: covidwho-2026497

ABSTRACT

Remote patient monitoring (RPM) programs have been shown to effectively decrease rates of healthcare utilization among patients with chronic conditions. Immediately enrolling a patient and activating them in the RPM program either upon or soon after discharge is an important step in achieving these benefits. We tested interventions across three Plan-Do-Study-Act quality improvement cycles to understand the extent to which operational improvements would lead to timely activation. Each improvement cycle resulted in decreased time to activation, with the cumulative effect (as applied to patients on the COVID-19 RPM program) resulting in a reduction that was overall greater than the sum of the individual improvements. As additional healthcare systems develop and deploy RPM programs, the learnings from this project can help to provide insight into the operational and logistical challenges encountered in providing these services as well as potential interventions that can be used to achieve timely activation.

11.
Telehealth and Medicine Today ; 7(4), 2022.
Article in English | ProQuest Central | ID: covidwho-2026496

ABSTRACT

The session includes obstacles and constraints in technology infrastructure, patient habit and payment models, regulations that encourage adoption of telehealth, the unprecedented imperatives of COVID, access to rural populations and the health conditions addressed. In addition, viewers will glean new market opportunities to capture through telehealth partnerships and scale.

12.
Telehealth and Medicine Today ; 7(4), 2022.
Article in English | ProQuest Central | ID: covidwho-2026495

ABSTRACT

Financial Confidence Strategies is derived from Arkwright’s 2019 Telehealth and Medicine Today Journal published paper;Telehealth Financial Variables and Successful Business Models is predicated on a THMT article that was the second most downloaded paper in 2020 amidst the onset of COVID-19 and a global eruption of increased telehealth services. The presentation addresses telehealth growth, scale, ROI, investment strategy, and best practice.

13.
Telehealth and Medicine Today ; 7(4), 2022.
Article in English | ProQuest Central | ID: covidwho-2026494

ABSTRACT

Musculoskeletal disorders effect one in every two Americans costing $213 billion a year. They are also the #1 cause of disability worldwide. With advancements in medicine and technology, the cost and disability rates of musculoskeletal disorders (MSDs) continues to escalate. Speakers will discuss innovative ways to reduce the musculoskeletal epidemic through proven results and published research on the cost effectiveness of physical therapy (PT) and virtual care from employer, employee and overall impact on the healthcare market. Discussion topics Outcomes of specialty trained PTs in MDT vs traditional community care? What is PT Direct Access and what the APTA’s stance is on both DA and telePT? What does published research tell us about the cost effectiveness of PT Direct Access? Misdiagnosis and training vs MDs? What’s the primary dilemma of the traditional model of care for MSDS? How has teleheath impacted traditional care for MSDS? What are the strengths and weaknesses of telerehab? What are the main obstacles and misperceptions to Direct Access? Since COVID 19, what are the obstacles to telerehab? What are the outcomes for WorkComp, Self-Pay and Group Health?

14.
Telehealth and Medicine Today ; 7(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2026493

ABSTRACT

Announced during the Telehealth and Medicine Today (THMT) ConV2X 2021 Symposium themed “Blueprint for a New Digital Health Era,” broadcast November 10, 2021, the winning article is titled: "Role of Telemedicine in Healthcare During COVID-19 Pandemic in Developing Countries," authored by Muhammad Abdul Kadir, PhD, Department of Biomedical Physics & Technology from the University of Dhaka, Bangladesh. The article presented the highest number of reader engagements with the most downloads, views and highest number of citations to date. To read the open access peer reviwed article go to https://doi.org/10.30953/bhty.v3.134. The work is important because it represents the global bibliodiversity of research content in THMT that is critical in sharing local and global issues with the ecosystem. This supports the dissemination of research results for the benefit of all in society, while simultaneously promoting diversity in research assessment and evaluation from emerging nations. Dr. Kadir commented the reason he selected the Telehealth and Medicine Today (THMT) journal was due to the journal’s timeliness, that it is open access, and that he appreciates THMT's diverse scientific community and reach around the globe – along with the number of citations received to date.

15.
Telehealth and Medicine Today ; 7(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2026492

ABSTRACT

Obtain a detailed perspective from the principal investigator of this landmark telehealth study paving the way for understanding gaps and to allow telehealth best practices to emerge, creating a more effective and resilient system of care delivery in the U.S. The COVID-19 Telehealth Impact Study was designed to describe the natural experiment of telehealth adoption during the pandemic. Using a large claims data stream and surveys of providers and patients, studying all 50 states to inform healthcare leaders. Biography Francis “FX” Campion serves as Principal Lead for Digital Health at MITRE with work focused on AI for healthcare, FHIR interoperability and the use of synthetic data for clinical modelling. He is a co-principal investigator for the COVID-19 Telehealth Impact Study. He serves as clinical consultant to the U.S. Government for the Federal COVID Response for Therapeutics. He is a practicing internal medicine physician at Atrius Health in Boston. Prior to work at MITRE he served as Senior Clinical Informaticist at IBM Watson Health where his team built machine learning and natural language processing applications for care of patients with diabetes and heart failure. Prior to that he served as the Chief Medical Officer for Ayasdi providing AI solutions for providers and payers. There he co-authored the book, “Machine Intelligence for Healthcare.”

16.
Telehealth and Medicine Today ; 7(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2026491

ABSTRACT

Discussion focus on the top legal and regulatory issues affecting the delivery and reimbursement of telehealth services during the COVID-19 pandemic and how legislatures and government agencies at federal and state levels are responding in the aftermath to implement permanent changes and enforce fraudulent activities. The session provides valuable insights for startups and existing telemedicine practices seeking to understand strategic planning to optimize market success and maintain a compliant multi-state practice.

17.
Telehealth and Medicine Today ; 7(2), 2022.
Article in English | ProQuest Central | ID: covidwho-2026490

ABSTRACT

Dr. Bailey discusses the evolving role physicians play in healthcare related to policy and technology including telehealth and remote care. Biography Dr. Bailey is a distinguished allergist/immunologist from Fort Worth, Texas, is immediate past president of the American Medical Association. A fierce advocate for physician autonomy and private practice, Dr. Bailey has held numerous leadership positions with the AMA and has also represented the AMA on the Accreditation Council for Continuing Medical Education, the American Board of Medical Specialties, and COLA. Dr. Bailey has been an allergist in private practice for over 30 years and completed her residency in general pediatrics and a fellowship in allergy/immunology at the Mayo Graduate School of Medicine in Rochester, Minnesota. She has been awarded the title of Distinguished Fellow of the American College of Allergy, Asthma, and Immunology. Dr. Bailey was later appointed to the Texas A& M System Board of Regents by then-Gov. George W. Bush, and has been named a Distinguished Alumnus of Texas A&M University and of Texas A&M University College of Medicine.

18.
Telehealth and Medicine Today ; 7(1), 2022.
Article in English | ProQuest Central | ID: covidwho-2026489

ABSTRACT

Importance: This very large claims data analysis documents widespread adoption of telehealth use by patients with diabetes during the first year of the COVID-19 pandemic, giving us insight into the potential role of telehealth as we enter a stage of “new normal” of healthcare delivery in the U.S. Objective: The COVID-19 Telehealth Impact Study was designed to describe the natural experiment of telehealth adoption during the pandemic. This focused analysis can assist program development for care of large populations of patients with diabetes. Design, Setting, Participants: In March 2020, the MITRE Corporation and Mayo Clinic founded the COVID-19 Healthcare Coalition (C19HCC) and Telehealth Impact Study to respond to the pandemic. We report trends using a data set of over 2 billion healthcare claims covering over 50% of private insurance activity in the U.S. (January 2019-March 2021). Main Outcomes and Measures: We compared rates of telehealth use in the one-year pre and one-year post onset of the COVID-19 pandemic among a population of 8,339,633 patients with diabetes. Results: Compared to a baseline of very low telehealth use in 2019, there was rapid adoption of telehealth by patients with diabetes in Spring 2020. 27% of diabetics used telehealth in Q2 2020 and use rates declined in the ensuing months to approximately 13%. Diabetics and their providers used telehealth to address a wide variety of health problems. 77% of telehealth visits addressed diabetes, 53% hypertension and over 40% of visits addressed mental and behavioral health diagnoses. Audio-only (telephone visits) accounted for a substantial portion of telehealth encounters (10.0- 16.3%) and will be an important consideration for future telehealth planning. Over the course of the first 12 months of the pandemic, 98% diabetics who used telehealth used 4 or fewer telehealth visit. Conclusions and Relevance: We believe that telehealth will quickly become a best practice for routine care of patients with diabetes and other chronic conditions. Telehealth interactions 2-4 times per year supplemented with remote monitoring for glucose, blood pressure and weight have the potential to greatly enhance patient care. Further research will be needed to measure the telehealth impact on glycemic control, patient satisfaction and other outcomes. We encourage CMS and other payers to embrace and promote use of telehealth based on this real-world experience of patients and providers during the pandemic.

19.
Telehealth and Medicine Today ; 7(1), 2022.
Article in English | ProQuest Central | ID: covidwho-2026488

ABSTRACT

As telehealth is a growing form of healthcare delivery across the world, particularly after the COVID-19 pandemic, it’s impact on patient populations particularly in aboriginal and rural communities boasts many questions. As the health disparities between aboriginal groups living in rural areas on reserves and the rest of the Canadian demographics remain to be mountainous, telemedicine is often seen as the new way forward in reducing these healthcare gaps. Presently, much research has been conducted on these cohorts, particularly in the health equity atmosphere. However, much of this research lacks a comprehensive framework or tool in which it analyzes the efficacy of outcomes. In this review paper, the quadruple aim – the ideal standard of care which North American health systems seek to conform to – will be used to analyze telemedicine performance, and assert evidence-based recommendations for improvement. Therefore, this paper seeks to conduct a thematic analysis on the various issues and barriers to telemedicine delivery and usage in aboriginal populations with respect to the quadruple aim as well as identifying evidence-based solutions to alleviate some of these concerns and bolster care.

20.
Telehealth and Medicine Today ; 6(4), 2021.
Article in English | ProQuest Central | ID: covidwho-2026487

ABSTRACT

As telehealth is increasingly adopted across all care settings, it is important to understand how clinicians can adapt and respond to patient needs. Drawing from experiences of a virtual primary care physician and a patient advocate, this Perspectives editorial provides additional insights beyonds the telehealth basics for establishing digital empathy and a remote therapeutic connection.

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