Perspectives on Europe’s health care systems: meeting future challenges through innovative health care strategies

Budych, Karolina; Karle, Christoph A.; Helms, Thomas M.

doi:10.1186/1878-5085-5-s1-a82

Cited by 5 publications

(7 citation statements)

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“…Two studies used mixed methods, and the 15 participating patients were counted once even though they were part of two data collections. The patients' ages ranged from 18 years to 91 years, and studies were from Australia/New Zeeland [1], Brazil [1], Italy [1], Canada [1], the Netherlands [3], Portugal [1], Switzerland/Germany [1] and the United States [3], see Table 4 for details on the included studies. The care context in the studies was specialist palliative home care (36,37,41,(43)(44)(45)(46)(47), hospice or palliative care ward (39), hospitals or clinics supporting palliative patients at home (40,42), and patients with ongoing cancer treatment (38).…”

Section: Resultsmentioning

confidence: 99%

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. Palliative care aims to alleviate suffering and to promot e well-being for patients with progressive, incurable disease or injury. E - Health entails us ing of information and communication technology for healthcare provision . I t is unclear to how patients experience use of eHealth technology within palliative care Methods: The aim of this study was to describe patients’ experiences of eHealth in palliative care. A systematic integrative review w as performed using six databases: Cinahl Complete; MEDLINE; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO . Twelve studies met the inclusion criteria of adult patients in palliative care, English language , published 2014-2019: comprising 397 patients . S ix studies were from European countries, four from North America, one from South America and one from Oceania . Seven were feasibility or pilot studies. Results: The findings are synthesized 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; and use of eHealth applications increased sense of security and patient safety. Patients ’ experiences were that eHealth promoted individualized care, sense of security, better symptom management and participation in care . Communication was facilitated by the inherent flexibility provided by technology . Conclusions: E-Health applications seem promising in promoting equal, individualized care, and may be a tool to endorse accessibility and patient participation in palliative care settings. I ndications are that eHealth communication resulted in patients and families receiving more information, which contributed to experiences of patient safety and feelings of security. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources.

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Section: Resultsmentioning

confidence: 99%

Patients' experiences of eHealth in palliative care: An integrative review

Widberg

Wiklund

Klarare

2020

Preprint

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“…With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing [1,2]. Palliative care aims to alleviate suffering and to promote well-being and quality of life for patients with progressive, incurable disease or injury.…”

Section: Introductionmentioning

confidence: 99%

“…Other commonly used words are telemedicine and telehealth [14,15]. Ideally, eHealth promotes patient involvement and participation in care, improves quality of care, and increases access to care while maintaining cost effectiveness [1,13], especially in remote locations [16]. Other benefits are convenience, reduced travel time and reduced risk of infections.…”

Section: Introductionmentioning

confidence: 99%

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

2020

View full text Add to dashboard Cite

Background With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. Palliative care aims to alleviate suffering and to promote well-being for patients with progressive, incurable disease or injury. E-Health entails using of information and communication technology for healthcare provision. It is unclear to how patients experience use of eHealth technology within palliative care. Methods The aim of this study was to describe patients’ experiences of eHealth in palliative care. A systematic integrative review was performed using six databases: Cinahl Complete; MEDLINE; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO. Twelve studies met the inclusion criteria of adult patients in palliative care, English language, published 2014–2019: comprising 397 patients. Six studies were from European countries, four from North America, one from South America and one from Oceania. Seven were feasibility or pilot studies. Results The findings are synthesized 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; and use of eHealth applications increased sense of security and patient safety. Patients’ experiences were that eHealth promoted individualized care, sense of security, better symptom management and participation in care. Communication was facilitated by the inherent flexibility provided by technology. Conclusions E-Health applications seem promising in promoting equal, individualized care, and may be a tool to endorse accessibility and patient participation in palliative care settings. Indications are that eHealth communication resulted in patients and families receiving more information, which contributed to experiences of patient safety and feelings of security. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources.

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“…Other commonly used words are telemedicine and telehealth (14,15). Ideally, eHealth promotes patient involvement and participation in care, improves quality of care, and increases access to care while maintaining cost effectiveness (1,13), especially in remote locations (16). Other bene ts are convenience, reduced travel time and reduced risk of infections.…”

mentioning

confidence: 99%

“…Healthcare services and ideals are shifting towards a view of patients as proactive, wellinformed, collaborative partners in healthcare provision (28), and this seems to align with patient preferences (5,29). 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).…”

mentioning

confidence: 99%

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

Widberg

Wiklund

Klarare

2020

Preprint

View full text Add to dashboard Cite

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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Perspectives on Europe’s health care systems: meeting future challenges through innovative health care strategies

Cited by 5 publications

References 0 publications

Patients' experiences of eHealth in palliative care: An integrative review

Patients' experiences of eHealth in palliative care: An integrative review

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

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

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