scholarly journals Factors Influencing Healthcare Professionals’ Perception towards EHR/EMR Systems in Gulf Cooperation Council Countries: A Systematic Review

2020 ◽  
Vol 35 (6) ◽  
pp. e192-e192
Author(s):  
Bander Alanazi ◽  
Kerryn Butler-Henderson ◽  
Mohammed R. Alanazi
Keyword(s):  
Systematic Review ◽  
Medical Records ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Gulf Cooperation Council ◽  
Successful Implementation ◽  
Health Technologies ◽  
Factors Influencing ◽  
Electronic Health

Electronic health and medical records are widely adopted in many healthcare settings worldwide to improve the quality of care. Users’ perception is a significant factor influencing the successful implementation and use of e-health technologies. This systematic review aimed to identify factors influencing the perceptions of healthcare professionals towards the adoption and use of electronic health and medical record systems to improve the quality of healthcare services in the countries of the Gulf Cooperation Council. We identified primary studies evaluating healthcare professionals’ perception towards electronic health records and/or electronic medical records in the Gulf region. Seven electronic databases, including Medline, CINAHL, Informit Health Collection, Science Direct, ProQuest, PubMed, and Scopus were used to search for the relevant articles published between January 2007 and December 2016. Thirteen articles met the inclusion criteria and were included in this systematic review. Both individual and system-related factors were found to positively or negatively influence healthcare providers’ perceptions towards the systems. Understanding the impact of healthcare professionals’ perception of health information technology is important for policymakers involved in the implementation programs to ensure their success. Future studies should evaluate other individual characteristics such as age, gender, and profession of the healthcare providers on their perceptions towards e-health technologies.

scholarly journals Factors influencing decision making for implementing e-health in light of the COVID-19 outbreak in Gulf Cooperation Council countries

2021 ◽  
Author(s):  
Fahad M Al-Anezi
Keyword(s):  
Decision Making ◽  
United Arab Emirates ◽  
Healthcare Access ◽  
Demographic Factors ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Gulf Cooperation Council ◽  
Factors Influencing ◽  
Electronic Health ◽  
Novel Coronavirus

Abstract Background Electronic health (e-health) approaches such as telemedicine, mobile health, virtual healthcare and electronic health records are considered to be effective in increasing access to healthcare services, reducing operational costs and improving the quality of healthcare services during the coronavirus disease 2019 (COVID-19) outbreak, a pandemic resulting from the spread of a novel coronavirus discovered in December 2019. In this context, the aim of this study was to identify the most important factors influencing decision making on the implementation of e-health in Gulf Cooperation Council (GCC) member states (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates), which are in the process of digitizing healthcare services. Methods This study reviewed the literature to identify the important factors influencing decision making on e-health. In addition, a questionnaire-based survey was conducted in order to identify the most important criteria to be considered in decision making on e-health. The survey link was forwarded to 978 healthcare practitioners and 42 experts (purposive sampling), from which a final sample of 892 (864 practitioners and 28 experts) was achieved, reflecting a response rate of 87.45%. Results Of the 44 factors identified under seven themes (strategic, quality, management, technology, function characteristics, economic, sociocultural and demographic factors), 22 factors were identified to be the most important criteria. Conclusions Findings from this study suggest that decision making in relation to e-health is a complex process that requires consideration of various factors. It was also found that attention should be paid to sociocultural and demographic factors, which may need to be considered in increasing healthcare access during the COVID-19 outbreak.

scholarly journals A protocol for a systematic review investigating the factors influencing the statistical planning, design, conduct, analysis and reporting of trials

2020 ◽  
Vol 3 ◽  
pp. 36
Author(s):  
Marina Zaki ◽  
Marie Galligan ◽  
Lydia O'Sullivan ◽  
Declan Devane ◽  
Eilish McAuliffe
Keyword(s):  
Systematic Review ◽  
Medical Devices ◽  
Methodological Approach ◽  
Clinical Use ◽  
Key Factors ◽  
Eligibility Criteria ◽  
Factors Influencing ◽  
Comprehensive Search ◽  
Statistical Planning

Trials can be defined as prospective human research studies to test the effectiveness and safety of interventions, such as medications, surgeries, medical devices and other interventions for the management of patient care. Statistics is an important and powerful tool in trials. Inappropriately designed trials and/or inappropriate statistical analysis produce unreliable results, with limited clinical use. The aim of this systematic literature review is to identify, describe and synthesise factors contributing to or influencing the statistical planning, design, conduct, analysis and reporting of trials. This protocol will describe the methodological approach taken for the following: conducting a systematic and comprehensive search for relevant articles, applying eligibility criteria for the inclusion of such articles, extracting data and information, appraising the quality of the articles, and thematically synthesizing the data to illuminate the key factors influencing statistical aspects of trials.

scholarly journals Strategies for Expanding Access and Improving the Quality of Pharmaceutical Services

2017 ◽  
pp. 340-365
Author(s):  
Marcus Vinícius Dias-Souza
Keyword(s):  
Geographic Distribution ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Pharmaceutical Services ◽  
Effective Strategies ◽  
Administrative Management ◽  
Low Education ◽  
Assistance Systems ◽  
Pharmaceutical Enterprises

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.

A Primer for Beginners in Pharmaceutical Care

2021 ◽  
pp. 73-94
Author(s):  
Marcus Vinícius Dias-Souza
Keyword(s):  
Pharmaceutical Care ◽  
Geographic Distribution ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Clinical Services ◽  
Effective Strategies ◽  
Administrative Management ◽  
Clinical Laboratories ◽  
Assistance Systems

This article describes how pharmacists are highly accessible healthcare professionals, and their clinical services are among the most accessible healthcare assistance systems worldwide considering the availability, geographic distribution and location of compounding pharmacies, clinical laboratories and drugstores. Pharmacists need to move from the focus in administrative management to patient-oriented practice, such that the access and the quality of clinical services can be improved. Pharmaceutical Care can influence pharmaceutical services to become more accessible and with a broader coverage of patients. Here is presented an approach on the implementation of effective strategies to improve the quality of Pharmacists' performance as specialized healthcare providers.

scholarly journals Diagnostic Test Accuracy of the 4AT for Delirium Detection: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (20) ◽  
pp. 7515 ◽  
Author(s):  
Eunhye Jeong ◽  
Jinkyung Park ◽  
Juneyoung Lee
Keyword(s):  
Systematic Review ◽  
Diagnostic Test ◽  
Healthcare Professionals ◽  
Meta Analysis ◽  
Diagnostic Test Accuracy ◽  
Test Accuracy ◽  
Summary Receiver Operating Characteristic ◽  
Bivariate Model ◽  
Data Synthesis

Under-recognition of delirium is an international problem. For the early detection of delirium, a feasible and valid screening tool for healthcare professionals is needed. This study aimed to present a scientific reason for using the 4 ‘A’s Test (4AT) through a systematic review and meta-analysis of studies on the diagnostic test accuracy. We systematically searched articles in the EMBASE, MEDLINE, CINAHL, and PsycINFO databases and selected relevant articles on the basis of the predefined inclusion criteria. The quality of the included articles was evaluated using the Quality Assessment of the Diagnostic Accuracy Studies-2 tool. We estimated the pooled values of diagnostic test accuracy by employing the bivariate model and the hierarchical summary receiver operating characteristic (HSROC) model in data synthesis. A total of 3729 patients of 13 studies were included in the analysis. The pooled estimates of sensitivity and specificity of the 4AT were 81.5% (95% confidence interval: 70.7%, 89.0%) and 87.5% (79.5%, 92.7%), respectively. Given the 4AT’s evidence of accuracy and practicality, we suggest healthcare professionals to utilize this tool for routine screening of delirium. However, for detecting delirium in the dementia population, further work is required to evaluate the 4AT with other cut-off points or scoring methods in order for it to be more sensitive and specific.

scholarly journals Barriers and facilitators to data quality of electronic health records used for clinical research in China: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029314 ◽  
Author(s):  
Kaiwen Ni ◽  
Hongling Chu ◽  
Lin Zeng ◽  
Nan Li ◽  
Yiming Zhao
Keyword(s):  
Qualitative Study ◽  
Electronic Health Records ◽  
Clinical Research ◽  
Data Quality ◽  
Healthcare Professionals ◽  
Barriers And Facilitators ◽  
Health Records ◽  
Improve Data Quality ◽  
Electronic Health

ObjectivesThere is an increasing trend in the use of electronic health records (EHRs) for clinical research. However, more knowledge is needed on how to assure and improve data quality. This study aimed to explore healthcare professionals’ experiences and perceptions of barriers and facilitators of data quality of EHR-based studies in the Chinese context.SettingFour tertiary hospitals in Beijing, China.ParticipantsNineteen healthcare professionals with experience in using EHR data for clinical research participated in the study.MethodsA qualitative study based on face-to-face semistructured interviews was conducted from March to July 2018. The interviews were audiorecorded and transcribed verbatim. Data analysis was performed using the inductive thematic analysis approach.ResultsThe main themes included factors related to healthcare systems, clinical documentation, EHR systems and researchers. The perceived barriers to data quality included heavy workload, staff rotations, lack of detailed information for specific research, variations in terminology, limited retrieval capabilities, large amounts of unstructured data, challenges with patient identification and matching, problems with data extraction and unfamiliar with data quality assessment. To improve data quality, suggestions from participants included: better staff training, providing monetary incentives, performing daily data verification, improving software functionality and coding structures as well as enhancing multidisciplinary cooperation.ConclusionsThese results provide a basis to begin to address current barriers and ultimately to improve validity and generalisability of research findings in China.

A systematic review examining factors influencing health related quality of life among melanoma cancer survivors

2016 ◽  
Vol 69 ◽  
pp. 189-198 ◽  
Author(s):  
Jean-Francois Hamel ◽  
Madeline Pe ◽  
Corneel Coens ◽  
Francesca Martinelli ◽  
Alexander M.M. Eggermont ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cancer Survivors ◽  
Health Related Quality ◽  
Melanoma Cancer ◽  
Factors Influencing ◽  
Related Quality ◽  
Health Related

scholarly journals Hospital contextual factors affecting the implementation of health technologies: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adriano Grossi ◽  
Ilda Hoxhaj ◽  
Irene Gabutti ◽  
Maria Lucia Specchia ◽  
Americo Cicchetti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Information And Communication Technologies ◽  
Contextual Factors ◽  
Hospital Level ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Health Technologies ◽  
Newcastle Ottawa Scale ◽  
Critical Appraisal Skills

Abstract Background To keep a high quality of assistance it is important for hospitals to invest in health technologies (HTs) that have the potential of improving health outcomes. Even though guidance exists on how HTs should be introduced, used and dismissed, there is a surprising gap in literature concerning the awareness of hospitals in the actual utilization of HTs. Methods We performed a systematic literature review of qualitative and quantitative studies aimed at investigating hospital contextual factors that influence the actual utilization of HTs. PubMed, Scopus, Web of Science, Econlit and Ovid Medline electronic databases were searched to retrieve articles published in English and Italian from January 2000 to January 2019. The quality of the included articles was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies, Newcastle-Ottawa Scale for the cross-sectional studies and the Mixed Methods Appraisal Tool for mixed method studies. Results We included 33 articles, which were of moderate to high methodological quality. The included articles mostly addressed the contextual factors that impact the implementation of information and communication technologies (ICTs). Overall, for all HTs, the hospital contextual factors were part of four categories: hospital infrastructure, human resource management, financial resources and leadership styles. Conclusion Our systematic review reported that the contextual factors influencing the HTs utilization at hospital level are mainly explored for ICTs. Several factors should be considered when planning the implementation of a new HTs at hospital level. A potential publication bias might be present in our work, since we included articles published only in English and Italian Language, from January 2000 to January 2019. There remains a gap in the literature on the facilitators and barriers influencing the implementation and concrete utilization of medical and surgical HTs, suggesting the need for further studies for a better understanding.

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