RESUMO
The awareness of health care providers, particularly physicians, towards telemedicine is pivotal to its development. In this study we distributed questionnaires among Libyan physicians attending a medical symposium on telemedicine, held in the period 28 February-1 March, 2005. The sample comprised 28 males and 13 females from different specialties and from different parts of the country. Most reported being confused (53.7%) or unaware (14.6%) regarding telemedicine before the symposium. Afterwards, 12.2% were confused, 39.0% showed excellent understanding and 48.8% reported fair understanding; 97.6% supported the implementation of telemedicine in the country and appreciated the importance of establishing remote health services.
Assuntos
Atitude do Pessoal de Saúde , Atitude Frente aos Computadores , Educação Médica Continuada/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Médicos/psicologia , Telemedicina/organização & administração , Adulto , Conscientização , Currículo , Difusão de Inovações , Feminino , Previsões , Necessidades e Demandas de Serviços de Saúde , Humanos , Líbia , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Inquéritos e QuestionáriosRESUMO
The awareness of health care providers, particularly physicians, towards telemedicine is pivotal to its development. In this study we distributed questionnaires among Libyan physicians attending a medical symposium on telemedicine, held in the period 28 February-1 March, 2005. The sample comprised 28 males and 13 females from different specialties and from different parts of the country. Most reported being confused [53.7%] or unaware [14.6%] regarding telemedicine before the symposium. Afterwards, 12.2% were confused, 39.0% showed excellent understanding and 48.8% reported fair understanding; 97.6% supported the implementation of telemedicine in the country and appreciated the importance of establishing remote health services
Assuntos
Médicos , Conscientização , Percepção , Inquéritos e Questionários , Conhecimento , Atitude , TelemedicinaRESUMO
The applications of patient archiving and communication systems have increased lately, particularly since the medical imaging companies began to distribute the software along with machines. These systems are very important in developing clinical work, particularly in critical care, for example following cardiac surgery. This paper describes these systems and explores how they work, as an example of the application of information technology in developing clinical work, and critical care in particular.
Assuntos
Sistemas de Informação Hospitalar/organização & administração , Sistemas Computadorizados de Registros Médicos/organização & administração , Sistemas de Informação em Radiologia/organização & administração , Arquivos , Desenho de Equipamento , Humanos , Internet/organização & administração , Redes LocaisRESUMO
The applications of patient archiving and communication systems have increased lately, particularly since the medical imaging companies began to distribute the software along with machines. These systems are very important in developing clinical work, particularly in critical care, for example following cardiac surgery. This paper describes these systems and explores how they work, as an example of the application of information technology in developing clinical work, and critical care in particular
Assuntos
Armazenamento e Recuperação da Informação , Redes de Comunicação de Computadores , Sistemas Computacionais , Sistemas de Informação HospitalarRESUMO
Management of anticoagulant therapy after mechanical valve replacement is difficult in developing countries because of patient non-adherence. The effect of depression on adherence to drug therapy and to a clinic visit schedule was evaluated for 62 patients who received prostheses. All were prescribed a once-per-day regimen of warfarin and were scheduled for three appointments at the anticoagulant clinic for dose adjustment at 3-week intervals. According to the Center for Epidemiological Studies Depression Scale, 22 were depressed. Non-depressed patients were more compliant than depressed patients; adherence was inversely correlated with depression scores. While depression had no relationship with age, sex and cardiac symptoms, there was a relationship with anxiety and poor social support.
Assuntos
Anticoagulantes/uso terapêutico , Transtornos de Ansiedade/psicologia , Transtorno Depressivo/psicologia , Implante de Prótese de Valva Cardíaca/efeitos adversos , Recusa do Paciente ao Tratamento/psicologia , Varfarina/uso terapêutico , Adulto , Assistência ao Convalescente , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Estudos de Casos e Controles , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etiologia , Países em Desenvolvimento , Esquema de Medicação , Monitoramento de Medicamentos , Estudos Epidemiológicos , Feminino , Doenças das Valvas Cardíacas/classificação , Doenças das Valvas Cardíacas/fisiopatologia , Doenças das Valvas Cardíacas/cirurgia , Humanos , Entrevista Psicológica , Líbia/epidemiologia , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença , Apoio Social , Volume Sistólico , Recusa do Paciente ao Tratamento/estatística & dados numéricosRESUMO
Management of anticoagulant therapy after mechanical valve replacement is difficult in developing countries because of patient non-adherence. The effect of depression on adherence to drug therapy and to a clinic visit schedule was evaluated for 62 patients who received prostheses. All were prescribed a once-per-day regimen of warfarin and were scheduled for three appointments at the anticoagulant clinic for dose adjustment at 3-week intervals. According to the Center for Epidemiological Studies Depression Scale, 22 were depressed. Non-depressed patients were more compliant than depressed patients; adherence was inversely correlated with depression scores. While depression had no relationship with age, sex and cardiac symptoms, there was a relationship with anxiety and poor social support
