Measuring continuity in the era of technology-enabled care

Bohnhoff, James; Sekar, Dheepa R.; Pickering, A.; Yang, Tiffany; Zamanian, Maryam; Switzer, Galen E.

doi:10.31128/ajgp-03-21-5894

Cited by 2 publications

(2 citation statements)

References 10 publications

(11 reference statements)

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“… 7 When used effectively, electronic health records should ensure the continuity of treatment-related information and management even without a long-term patient relationship. 86 It would be essential to secure the continuity of care for FAs, as it may be associated with better care outcomes. 87 …”

Section: Discussionmentioning

confidence: 99%

Patterns of acceptance and use of digital health services among the persistent frequent attenders of outpatient care: A qualitatively driven multimethod analysis

et al. 2023

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Objective Utilising digital health services in the treatment of patients who frequently attend outpatient care could be beneficial for patients’ health and the sustainability of health systems but carries the risk of digital exclusion. This study aimed to explore the patterns of acceptance and use of digital health services among frequent attenders (FAs), which may help in the assessment of patients’ digital suitability. Methods Persistent FAs ( N = 30) were recruited by random sampling from one Finnish municipality. The semistructured interviews were conducted in February–May 2021. We analysed the data with qualitative content analysis using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. Additionally, we quantified the data for two-step cluster analyses to create separate cluster models that grouped FAs based on acceptance and use of (a) digital services for self-management of health and (b) telemedicine services. Results Based on digital self-management, FAs were defined as Self-Managers, Supported Self-Managers, and Non-Self-Managers. Based on telemedicine use, they were grouped into Telemedicine Users, Doubtful Telemedicine Users, and Telemedicine Refusers. The clusters described different opportunities, awareness, and interest in using digital health services. Referral from professionals seemed to promote digital service use. For some, digital services were not accessible. Conclusions Our findings emphasise the importance of assessing the suitability of FAs to digital health services, as their readiness to use may vary. Professionals should recommend digital services that support individual health to suitable patients. More accessible digital services could promote digital suitability despite functional limitations.

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Section: Discussionmentioning

confidence: 99%

Patterns of acceptance and use of digital health services among the persistent frequent attenders of outpatient care: A qualitatively driven multimethod analysis

et al. 2023

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“…TEC is a collective term referring to the use of telehealth, telecare, telemedicine, telecoaching, and guided self-care for patients with both acute and long-term conditions (15). It should be convenient, accessible, and cost-effective (15)(16)(17). Furthermore, the process must be beneficial for all parties involved.…”

Section: Technology-enabled Care As a New Methodology For Preserving ...mentioning

confidence: 99%

Large-scale real-life implementation of technology-enabled care to maximize hospitals' medical surge preparedness during future infectious disease outbreaks and winter seasons: a viewpoint

Sener

Haenen²,

Smits³

et al. 2023

Front. Public Health

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Hospitals can be overburdened with large numbers of patients with severe infectious conditions during infectious disease outbreaks. Such outbreaks or epidemics put tremendous pressure on the admission capacity of care facilities in the concerned region, negatively affecting the elective program within these facilities. Such situations have been observed during the recent waves of the coronavirus disease pandemic. Owing to the imminent threat of a “tripledemic” by new variants of the coronavirus disease (such as the new Omicron XBB.1.16 strain), influenza, and respiratory syncytial virus during future winter seasons, healthcare agencies should take decisive steps to safeguard hospitals' surge capacity while continuing to provide optimal and safe care to a potentially large number of patients in their trusted home environment. Preparedness of health systems for infectious diseases will require dynamic interaction between a continuous assessment of region-wide available hospital capacity and programs for intensive home treatment of patients who can spread the disease. In this viewpoint, we describe an innovative, dynamic coupling system between hospital surge capacity and cascading activation of a nationwide system for remote patient monitoring. This approach was developed using the multi-criteria decision analysis methodology, considering previously published real-life experiences on remote patient monitoring.

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Measuring continuity in the era of technology-enabled care

Cited by 2 publications

References 10 publications

Patterns of acceptance and use of digital health services among the persistent frequent attenders of outpatient care: A qualitatively driven multimethod analysis

Patterns of acceptance and use of digital health services among the persistent frequent attenders of outpatient care: A qualitatively driven multimethod analysis

Large-scale real-life implementation of technology-enabled care to maximize hospitals' medical surge preparedness during future infectious disease outbreaks and winter seasons: a viewpoint

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