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Physician-patient email communication

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https://www.readbyqxmd.com/read/28341615/design-and-usability-of-a-heart-failure-mhealth-system-a-pilot-study
#1
Nagla Alnosayan, Samir Chatterjee, Ala Alluhaidan, Edward Lee, Linda Houston Feenstra
BACKGROUND: Despite the advances in mobile health (mHealth) systems, little is known about patients' and providers' experiences using a new mHealth system design. OBJECTIVE: This study aimed to understand challenges and provide design considerations for a personalized mHealth system that could effectively support heart failure (HF) patients after they transition into the home environment. METHODS: Following exploratory interviews with nurses and preventive care physicians, an mHealth system was developed...
March 24, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28301043/a-topical-treatment-optimisation-programme-ttop-improves-clinical-outcome-to-calcipotriol-betamethasone-gel-in-psoriasis-results-of-the-64-week-multinational-randomized-phase-iv-study-in-1790-patients-pso-top
#2
K Reich, I Zschocke, H Bachelez, E M G J de Jong, P Gisondi, L Puig, R B Warren, C Ortland, U Mrowietz
BACKGROUND: Around two-thirds of psoriasis patients do not adhere to topical treatment. The 'Topical Treatment Optimisation Programme' (TTOP), a five-element tool, includes guidance for the conversation between dermatologists/nurses and patients, patient information material, telephone/email helpdesks and treatment reminders. It has been developed by patients and dermatologists to help increase adherence in psoriasis. OBJECTIVE: To compare TTOP with standard of care ('non-TTOP') within a large European investigator-initiated study, PSO-TOP (Clinicaltrials...
March 16, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28271057/the-need-for-improved-detection-of-urinary-tract-infections-in-young-children
#3
Tracy E Bunting-Early, Nader Shaikh, Lynn Woo, Christopher S Cooper, T Ernesto Figueroa
BACKGROUND AND OBJECTIVES: An estimated 400,000 urinary tract infections (UTIs) are diagnosed annually in children aged <3 years in the United States; yet >50% of febrile UTIs may be missed in this population. Here, we explored possible barriers to diagnosing febrile UTIs in very young children through social research of community pediatricians. METHODS: Following qualitative interviews, a quantitative survey was developed that included a high-risk case for febrile UTI, presented before prompting for the topic of the survey, to gauge practice of delayed testing...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28174657/improving-physician-s-hand-over-among-oncology-staff-using-standardized-communication-tool
#4
Ashwaq Alolayan, Mohammad Alkaiyat, Yosra Ali, Mona Alshami, Khaled Al-Surimi, Abdul-Rahman Jazieh
Cancer patients are frequently admitted to hospital for many reasons. During their hospitalization they are handled by different physicians and other care providers. Maintaining good communication among physicians is essential to assure patient safety and the delivery of quality patient care. Several incidents of miscommunication issues have been reported due to lack of a standardized communication tool for patients' hand over among physicians at our oncology department. Hence, this improvement project aims at assessing the impact of using a standardized communication tool on improving patients' hand over and quality of patient care...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28152929/safer-transitions-of-care-at-a-major-cancer-center-the-emergency-center-to-hospitalist-experience
#5
Carmen E Gonzalez, Norman Brito-Dellan, David Rubio, Mohamed Ait Aiss, Terry Rice, Karen Chen, Diane C Bodurka, Carmelita P Escalante
247 Background: Failures in communication lead to serious medical errors particularly during transitions of care. A standardized handoff of patients requiring admission to the inpatient setting between the Emergency Center (EC) and the Hospitalist Inpatient Service (HIS) at a comprehensive cancer center was lacking during this vulnerable time. METHODS: A quality pilot study using Plan, Do, Study, Act methodology was conducted. First, root cause analysis and process mapping of the current state was performed to identify pitfalls of the handoff process between the EC and the Hospitalist Service...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152913/moving-towards-hospital-and-radiation-oncology-emr-integration-results-of-an-institutional-survey
#6
Murat Surucu, Barbara Kaczmarz, Teresita McCoo, John Roeske, William Small
152 Background: We are working to electronically integrate our radiation oncology EMR and our hospital EMR to improve communication and facilitate patient care. To guide integration, we surveyed providers and support staff at our academic cancer center to identify the important encounters/documents and how well these are currently communicated. METHODS: We sent an email survey to 182 MDs, nurses, and administrative staff at our cancer center. Respondents identified their role in the patient care team, and rated how important several radiation oncology-specific encounters/documents from "not important at all" to "extremely important" and rated the accessibility of these encounters/documents from "not at all accessible" to "exceptionally accessible...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152853/oncologists-opinions-and-experiences-with-electronic-release-of-radiology-and-pathology-results-to-patients
#7
Farnoosh Sheikhi, Eben Lloyd Rosenthal, Christopher Sharp, Mark K Buyyounouski, Steve Asch
162 Background: There is an emerging standard to provide patients rapid electronic access to elements of their medical records,; this practice is controversial among practicing oncologists. Previous studies have primarily reported on patient access to physician notes and lab tests in primary care. In oncology, the emotional import and complexity of the results may be greater, particularly for staging imaging and biopsies. We report the opinions and experiences of oncologists after enabling patient access to radiology and pathology results for four months during which time finalized results were released upon physician action or after seven days...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28069356/radiology-reports-what-you-think-you-re-saying-and-what-they-think-you-re-saying
#8
Bonmyong Lee, Matthew T Whitehead
BACKGROUND: Image interpretation and translation into written language is an imperfect process. Yet, the radiology report represents the link between radiologist's opinion and patient's images. Increased access to images through remote viewing stations has made direct communication between radiologists and clinicians less commonplace. We are interested in how accurately the descriptive contents within radiology reports convey the feelings of the radiologist to the referring clinician...
November 16, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27995826/patient-staff-and-clinician-perspectives-on-implementing-electronic-communications-in-an-interdisciplinary-rural-family-health-practice
#9
Feng Chang, Thivaher Paramsothy, Matthew Roche, Nishi S Gupta
Aim To conduct an environmental scan of a rural primary care clinic to assess the feasibility of implementing an e-communications system between patients and clinic staff. BACKGROUND: Increasing demands on healthcare require greater efficiencies in communications and services, particularly in rural areas. E-communications may improve clinic efficiency and delivery of healthcare but raises concerns about patient privacy and data security. METHODS: We conducted an environmental scan at one family health team clinic, a high-volume interdisciplinary primary care practice in rural southwestern Ontario, Canada, to determine the feasibility of implementing an e-communications system between its patients and staff...
December 20, 2016: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27898635/mobile-health-technology-to-communicate-discharge-and-follow-up-information-to-adolescents-from-the-emergency-department
#10
Margaret Ray, Peter S Dayan, Vartan Pahalyants, Lauren S Chernick
OBJECTIVE: Adolescents are the largest users of mobile technology; yet, there are little data regarding their receptivity to the use of mobile health technology (mHealth) from the emergency department (ED). The objective of this study was to determine adolescents' preferences for receiving ED discharge and follow-up information via mHealth and factors associated with those preferences. METHODS: We administered an anonymous self-reporting survey to patients aged 14 to 19 years discharged from an urban pediatric ED...
December 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27885832/defining-pediatric-inpatient-cardiology-care-delivery-models-a-survey-of-pediatric-cardiology-programs-in-the-usa-and-canada
#11
Antonio R Mott, Steven R Neish, Melissa Challman, Timothy F Feltes
BACKGROUND: The treatment of children with cardiac disease is one of the most prevalent and costly pediatric inpatient conditions. The design of inpatient medical services for children admitted to and discharged from noncritical cardiology care units, however, is undefined. North American Pediatric Cardiology Programs were surveyed to define noncritical cardiac care unit models in current practice. METHOD: An online survey that explored institutional and functional domains for noncritical cardiac care unit was crafted...
November 25, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27855773/email-communication-in-a-developing-country-different-family-physician-and-patient-perspectives
#12
Nisrine N Makarem, Jumana Antoun
BACKGROUND: Email communication between physicians and patients could improve access to and delivery of health care. Most of the literature studies about email communication between physicians and patients have been conducted in developing countries. Therefore, this study aims to analyze the practices, attitudes, and barriers of both physicians' and patients' use of email within the same health care setting of a developing country. METHODS: A cross-sectional paper-based survey was conducted among 39 physicians and 500 patients at the Family Medicine clinics of the American University of Beirut, a tertiary academic medical center...
2016: Libyan Journal of Medicine
https://www.readbyqxmd.com/read/27716256/use-of-email-cell-phone-and-text-message-between-patients-and-primary-care-physicians-cross-sectional-study-in-a-french-speaking-part-of-switzerland
#13
Jonathan Dash, Dagmar M Haller, Johanna Sommer, Noelle Junod Perron
BACKGROUND: Physicians' daily work is increasingly affected by the use of emails, text messages and cell phone calls with their patients. The aim of this study was to describe their use between primary-care physicians and patients in a French-speaking part of Switzerland. METHODS: A cross-sectional mail survey was conducted among all primary-care physicians of Geneva canton (n = 636). The questionnaire focused on the frequency of giving access to, type of use, advantages and disadvantages of email, cell phone calls and text messages communication between physicians and patients...
October 5, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27711099/telerounding-telementoring-for-urological-procedures
#14
REVIEW
Volkan Sen, Ozgu Aydogdu, Tarik Yonguc, Ibrahim Halil Bozkurt, Deniz Bolat
Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology. Starting out over forty years ago with demonstrations of hospitals extending care to patients in remote areas, the use of telemedicine has spread rapidly and is now becoming integrated into the ongoing operations of hospitals, specialty departments, home health agencies, private physician offices as well as consumer's homes and workplaces...
October 5, 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/27506442/attitudes-of-primary-care-physicians-toward-sickle-cell-disease-care-guidelines-and-comanaging-hydroxyurea-with-a-specialist
#15
Joseph Lunyera, Charles Jonassaint, Jude Jonassaint, Nirmish Shah
BACKGROUND: Sickle cell disease (SCD) is a complex chronic disease requiring multidisciplinary care that involves primary care physicians (PCPs) working with a hematologist or SCD specialists. However, PCPs often lack access to SCD specialists and are unaware of SCD guidelines or efficacious treatment. METHODS: We partnered with Community Care of North Carolina (CCNC) to identify assigned PCPs for SCD patients with Medicaid across North Carolina. CCNC network administrators distributed a web-based questionnaire for completion...
August 9, 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27474365/use-of-e-mail-for-parkinson-s-disease-consultations-are-answers-just-a-clic-away
#16
E Viedma-Guiard, P Agüero, L Crespo-Araico, C Estévez-Fraga, G Sánchez-Díez, J L López-Sendón, I Aviles-Olmos, G García-Ribas, M L Palacios Romero, J Masjuan Vallejo, J C Martínez-Castrillo, A Alonso-Cánovas
INTRODUCTION: The clinical problems of patients with movement disorders (MD) are complex, and the duration and frequency of face-to-face consultations may be insufficient to meet their needs. We analysed the implementation of an e-mail-based query service for our MD unit's patients and their primary care physicians (PCPs). METHODS: We retrospectively reviewed all consecutive emails sent and received over a period of 4 months, one year after implementation of the e-mail inquiry system...
July 26, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/27332703/examination-of-the-effects-of-an-intervention-aiming-to-link-patients-receiving-addiction-treatment-with-health-care-the-linkage-clinical-trial
#17
Constance M Weisner, Felicia W Chi, Yun Lu, Thekla B Ross, Sabrina B Wood, Agatha Hinman, David Pating, Derek Satre, Stacy A Sterling
IMPORTANCE: Research has shown that higher activation and engagement with health care is associated with better self-management. To our knowledge, the linkage intervention (LINKAGE) is the first to engage patients receiving addiction treatment with health care using the electronic health record and a patient activation approach. OBJECTIVE: To examine the effects of an intervention aiming to link patients receiving addiction treatment with health care. DESIGN, SETTING, AND PARTICIPANTS: A nonrandomized clinical trial evaluating the LINKAGE intervention vs usual care by applying an alternating 3-month off-and-on design over 30 months...
August 1, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27154475/city-mouse-country-mouse-a-mixed-methods-evaluation-of-perceived-communication-barriers-between-rural-family-physicians-and-urban-consultants-in-newfoundland-and-labrador-canada
#18
Tia Renouf, Sabrina Alani, Desmond Whalen, Chris Harty, Megan Pollard, Megan Morrison, Heidi Coombs-Thorne, Adam Dubrowski
OBJECTIVES: To examine perceived communication barriers between urban consultants and rural family physicians practising routine and emergency care in remote subarctic Newfoundland and Labrador (NL). DESIGN: This study used a mixed-methods design. Quantitative and qualitative data were collected through exploratory surveys, comprised of closed and open-ended questions. The quantitative data was analysed using comparative statistical analyses, and a thematic analysis was applied to the qualitative data...
2016: BMJ Open
https://www.readbyqxmd.com/read/27099506/guidelines-for-acute-management-of-hyperammonemia-in-the-middle-east-region
#19
Majid Alfadhel, Fuad Al Mutairi, Nawal Makhseed, Fatma Al Jasmi, Khalid Al-Thihli, Emtithal Al-Jishi, Moeenaldeen AlSayed, Zuhair N Al-Hassnan, Fathiya Al-Murshedi, Johannes Häberle, Tawfeg Ben-Omran
BACKGROUND: Hyperammonemia is a life-threatening event that can occur at any age. If treated, the early symptoms in all age groups could be reversible. If untreated, hyperammonemia could be toxic and cause irreversible brain damage to the developing brain. OBJECTIVE: There are major challenges that worsen the outcome of hyperammonemic individuals in the Middle East. These include: lack of awareness among emergency department physicians about proper management of hyperammonemia, strained communication between physicians at primary, secondary, and tertiary hospitals, and shortage of the medications used in the acute management of hyperammonemia...
2016: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/27046300/hearing-loss-in-hospice-and-palliative-care-a-national-survey-of%C3%A2-providers
#20
Alexander K Smith, Christine S Ritchie, Margaret L Wallhagen
CONTEXT: Age-related hearing loss can impair patient-provider communication about symptom management, goals of care, and end-of-life decision-making. OBJECTIVES: To determine whether hospice and palliative care providers screen for or received training about hearing loss, believe it impacts patient care, and use strategies to optimize communication. METHODS: This was a national survey of hospice and palliative care providers conducted via email and social media...
August 2016: Journal of Pain and Symptom Management
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