Problem
From a focus on transmittable diseases, attention to prevention and promotion has become a priority since 2011. Influenced by the Political Declaration of the High-level Meeting on the Prevention and Control of Non-communicable Diseases and The Rio Declaration on Social Determinants of Health, many countries across the world have identified targets aiming at chronic diseases prevention, preventable death and reduced morbidity. Individual behavior changes remain a challenge for health practitioners. Shanghai Declaration suggests that health literacy is a critical determinant for healthy choices and decisions.
Description
A healthy living program has been developed and offered in partnership between local public health and university Laval. We present the case of the community housing Mimosa du Quartier and its preventative nursing clinic. Eight-week Preventative circles and e-prevention interventions from kinesiologist, nutritionist and nurses are explored. IPads were provided to families and we used REACT technology.
Results
Discussion on e-health relevance, feasibility and impact is proposed. Program description, personalised action plan using SMART goals, health literacy and prevention gains are revealed. Relevance, feasibility and perceived impact are discussed. Learning about the user's experience, we can improve the telehealth program in support of continuity of care within the homes of families. This strategy is key to self-management and empowerment Lessons. Health promotion with e-prevention is strategic for sustainable family health. Combining strategies can improve outcomes. This pilot research shows promising results and practical considerations are given to the importance of the relational and alliance aspect of the care relationship even through technology use, to digital literacy capabilities, to family's motivation and engagement and finally to the advantages provided by the technology use.
Key messages
E-health prevention is an innovative avenue to fight chronic disease. Increased engagement in self-management leads to equity and less adverse outcomes for vulnerable families.
INTRODUCTION:
Studies in emergency medicine show that patients believe it is important to know the training level of their doctor, but most do not understand the responsibilities of physicians-in-training. No research on this topic has been published in gynecology, even though gynecological surgeons have been sued by patients alleging they did not understand the role of residents in their surgery. The goal of this research was to explore what gynecological surgery patients understand about the role of resident doctors.
METHODS:
A questionnaire was distributed to female patients in pre-admission clinics awaiting gynecological surgery in Edmonton. Surveys included knowledge and opinion-based questions about resident duties. Anonymous responses were entered into a REDCap database. Descriptive statistics were used to characterize the results.
RESULTS:
Of 108 participants, 83% understood that residents had a higher level of training than medical students, yet 40% were unsure if residents were doctors. Almost half (43%) were uncertain if residents required supervision, including while operating (20%). The majority (92%) felt it was important to know their physician's level of training, yet only 63% reported actually knowing this information. Only half of participants would be comfortable with residents operating on them under supervision. A considerable number (56%) wanted to learn more about residents' roles.
CONCLUSION:
Patients do not fully understand the role of residents and many are uncomfortable with trainees operating on them under supervision. Considering the significant role of residents in patient care, educating patients is essential to improve their comfort and the overall consent process.
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