e-Health in palliative care: review of literature, Google Play and App Store

Pinto, Sara; Caldeira, Sílvia; Martins, José

doi:10.12968/ijpn.2017.23.8.394

Cited by 35 publications

(51 citation statements)

References 32 publications

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“…In a literature review highlighting eHealth technologies in palliative care, applications for eHealth were charted, including analysis of strengths, weaknesses, opportunities and threats of the technology (19).…”

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confidence: 99%

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Patients’ experiences of eHealth in palliative care: an integrative review.

Widberg

Wiklund

Klarare

2020

Preprint

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Background: With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. E-Health involves the use of information and communication technology to provide care, and also to transmit health information through the Internet and related technologies. E-Health can be an effective way of supporting communication between patient and healthcare providers, but it is unclear to how patients regard information and communication technology (ICT) within palliative careMethods: The aim of this study was to describe patients’ experiences of eHealth in palliative care. An integrative review with a systematic literature search of six databases: Cinahl Complete; MEDLINE with Full Text; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO generated 12 scientific articles. The articles were evaluated, data extracted, analyzed and synthesized, according to the aim.Results: The results are presented in the main theme: E-health applications – promoting communication on patients’ and families’ terms, and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care promoted through eHealth applications; and use of eHealth applications increased sense of security and patient safety. Patients described ease of use, usability and feasibility of eHealth applications. Equal and individualized care, security, better symptom management, participation through increased accessibility and increased patient safety were described.Conclusions: E-Health applications promoted equal, individualized care, and may be a tool to promote accessibility and patient participation in palliative care settings. Furthermore, care transparency increased with eHealth communication when patients and families received more information, and experiences were that patient safety and feelings of security also were promoted. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources in palliative care.

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confidence: 99%

“…Effectiveness increases if patients are involved in the process of their own care (1). E-Health can be an effective way of supporting communication between patient and healthcare providers, and the technology to do so exists (19), but it is unclear to how patients regard use of ICT within palliative care (9).…”

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confidence: 99%

Patients’ experiences of eHealth in palliative care: an integrative review.

Widberg

Wiklund

Klarare

2020

Preprint

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“…However, this is a premise for successful implementation of such a system. Most data are on the usage of remote communication systems or electronic symptom-reporting systems, which are feasible in palliative care patients [17][18][19]. McCall et al [20] have proven that oncological patients receiving palliative care in their homes are able to report their symptoms electronically daily over a period of 30 days.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Usability Aspects of Continuous Remote Monitoring of Health Status in Palliative Cancer Patients Using Wearables

Pavic¹,

Theile²,

Kraft³

et al. 2019

Oncology

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Background: Mobile health is a promising strategy aiming to anticipate and prevent the deterioration of health status in palliative cancer patients. A prerequisite for successful implementation of this technology into clinical routine is a high level of usability and acceptance of devices. Objectives: We aimed to evaluate feasibility as well as patients' acceptance of remote monitoring using wearables in palliative cancer patients. Methods: In this prospective single-center observational feasibility study, 30 cancer patients treated with palliative intent in an inpatient setting with an estimated life expectancy of > 8 weeks and < 12 months were provided with a smartphone including a pre-installed "Activity Monitoring" app and a sensor-equipped bracelet and monitored over a period of 12 weeks starting at discharge from hospital. We report detailed feasibility and usability aspects and comment on patients' acceptance of the wearables. Results: Between February 2017 and May 2018 a total of 30 patients were included in the study. From these, 25 participants (83%) completed the whole study period. On average, the bracelet was worn on 53% and smartphone used on 85% of the study days. The completion rate of daily digital questionnaires for subjective ratings (pain and distress scale) was 73%, and 28 patients were able to handle the wearables and to operate the app without major problems. Use of the bracelet was low during the night hours, with a wearing time of 1.7% of all night hours (8 p.m. to 8 a.m.). Conclusions: Remote monitoring of health care status in palliative cancer patients with a limited life expectancy is feasible and patients are able to handle the smartphone and the sensor-equipped bracelet. Feedback towards use of this monitoring system was mostly positive.

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“…Recently, the concept of "citizen oriented" has been introduced in Korea as a framework for providing customized services. Studies on citizen-oriented endeavors have been conducted mainly in the areas of information and communication technology [12][13][14]. In science and technology, "citizen oriented" has been defined as "science and technology to meet the daily life needs of the people and improve the quality of life, such as health, safety, welfare, and improvement of life inconvenience" [15].…”

Section: Introductionmentioning

confidence: 99%

Development of a senior-specific, citizen-oriented healthcare service system in South Korea based on the Canadian 48/6 model of care

et al. 2020

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Background: In the age of aging, Korea's current medical delivery system threatens to increase the number of medical and caring refugees. This study attempts to develop an integrated senior citizen-oriented healthcare service system in which daily care, professional care, and rehabilitation are organically organized between medical institutions and local communities, thereby meeting the daily life needs of the elderly and inducing well-being, wellness, and well-dying. Methods: To develop the integrated healthcare system, data collection and analyses were conducted through a systematic review, literature review, benchmarking, focus group interviews, and expert consultation. Results: The senior-specific, citizen-oriented healthcare service system developed in this study is designed to screen patients aged 65 or older within 24 h of being admitted, using the Geriatric Screening for Care-10. If there is reason for concern as a result of the screening, further evaluation is performed through assessment. Doctors and nurses create a care plan and a discharge plan based on the results from the screening and assessment. The nurse further uses the screening to monitor the patient's condition before discharge. Based on the screening results at the time of discharge, a transitional care plan is prepared and provided to elderly patients and/or their families. This process enables a systematic link between medical institutions and community resources, aiming for the continuous management of health issues. It also establishes a multidisciplinary treatment plan that considers patients and their families so that diseases common to the elderly are diagnosed and treated promptly. Conclusions: The most important issue for the elderly is to be able to live healthily and independently for the rest of their lives through well-being, wellness, and well-dying. The senior-specific, citizen-oriented healthcare service proposed in this study is an integrated medical treatment system for elderly users the implementation of which requires the daily care, professional care, and rehabilitation of elderly members of society to be organically organized according to the role of the patients, their families, and the caregiver.

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e-Health in palliative care: review of literature, Google Play and App Store

Abstract: e-Health technologies are a good strategy in PC but further research based on different methodological approaches is needed to promote evidence-based practice.

Cited by 35 publications

References 32 publications

Patients’ experiences of eHealth in palliative care: an integrative review.

Patients’ experiences of eHealth in palliative care: an integrative review.

Feasibility and Usability Aspects of Continuous Remote Monitoring of Health Status in Palliative Cancer Patients Using Wearables

Development of a senior-specific, citizen-oriented healthcare service system in South Korea based on the Canadian 48/6 model of care

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