1,720,966 research outputs found
Internet-based patient communication
Get PDFObjective
To investigate some of the consequences that electronic health communication has for patients, health professionals and society at large. The underlying studies investigate reasons patients provide for using online communication solutions, the current propagation and pace of Internet health communication, and whether such services would replace conventional health communication channels.
Methods
These objectives were addressed in three separate studies, all using different methodological approaches. The exploratory study used online questionnaires, receiving 492 responses. The population study used telephone interviews with 14,956 respondents from seven different European countries, while the intervention study was designed as a randomised controlled trial with a total of 200 patients.
Results
The results showed that patients found advantages in online communication, and some reported that it was easier to talk about sensitive subjects online. For all the seven studied European countries, there was significant growth in the proportion of the population using Internet for health purposes in the period 2005-2007. More patients are using the Internet as an active communication channel, both for reaching health professionals and for reaching peers. Direct electronic communication was shown to replace other communication channels, especially face-to-face consultations in family doctor settings.
Conclusions
Internet-based patient communication is starting to become an important part of today’s health care systems. To some degree, conventional communication channels are being replaced by online alternatives. However, there still appears to be potential for further growth. It is clear that in addition to the practical advantages of asynchronous communication in flexibility and saved travelling time, such communication also gives patients the time they need to formulate their questions
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Treningsteknologi – en del av et fremtidig fallforebyggende tilbud?
No full textBakgrunn: Kan treningsteknologi være en del av et fremtidig fallforebyggende tilbud? To teknologier for fallforebygging ble testet på eldre personer med fallrisiko. En webapp for trening ble testet på et fallforebyggende treningsprogram i Tromsø, og et Kinect treningsspill ble testet på dagsenter i Alta. Metode: I Tromsø ble det brukt spørreskjema, observasjoner samt telefonintervjuer med eldre som prøvde teknologien hjemme. I Alta ble det brukt observasjoner. Teknologien ble utviklet med brukersentrert design og utvikling med fysioterapeuter,eldre og IKT-forskere. Funn: Webappen fikk gode tilbakemeldinger fra profesjonelle og eldre brukere, men observasjoner viste at eldre bør få individuell veiledning av fysioterapeut, spesielt hvis den skal brukes hjemme. En slik app bør også ha muligheter for individuell tilpasning. Eldre som testet webappen hjemme brukte den fortsatt etter tre måneder. Treningsspillet som ble testet var for krevende både for fysioterapeutene og for de eldre brukerne. Det er også plasskrevende. Konklusjon: En enkel webapp kan fungere som et alternativ for et vanlig treningsprogram med øvelser for hjemmetrening mens et Kinect trtreningspill blir for krevende
Patient use and experience with online access to electronic health records in Norway: Results from an online survey
Get PDFBackground: The electronic health record (EHR) has been fully established in all Norwegian hospitals. Patient-accessible electronic health records (PAEHRs) are available to citizens aged 16 years and older through the national health portal Helsenorge. Objective: This study aimed at understanding how patients use PAEHRs. Three research questions were addressed in order to explore (1) characteristics of users, (2) patients’ use of the service, and (3) patient experience with the service. Methods: We conducted an online survey of users who had accessed their EHR online at least once through the national health portal. Patients from two of the four health regions in Norway were invited to participate. Quantitative data were supplemented by qualitative information. Results: A total of 1037 respondents participated in the survey, most of whom used the PAEHR regularly (305/1037, 29.4%) or when necessary (303/1037, 29.2%). Service utilization was associated with self-reported health, age, gender, education, and health care professional background. Patients found the service useful to look up health information (687/778, 88.3%), keep track of their treatment (684/778, 87.9%), prepare for a hospital appointment (498/778, 64.0%), and share documents with their general practitioner (292/778, 37.5%) or family (194/778, 24.9%). Most users found it easy to access their EHR online (965/1037, 93.1%) and did not encounter technical challenges. The vast majority of respondents (643/755, 85.2%) understood the content, despite over half of them acknowledging some difficulties with medical terms or phrases. The overall satisfaction with the service was very high (700/755, 92.7%). Clinical advantages to the patients included enhanced knowledge of their health condition (565/691, 81.8%), easier control over their health status (685/740, 92.6%), better self-care (571/653, 87.4%), greater empowerment (493/674, 73.1%), easier communication with health care providers (493/618, 79.8%), and increased security (655/730, 89.7%). Patients with complex, long-term or chronic conditions seemed to benefit the most. PAEHRs were described as useful, informative, effective, helpful, easy, practical, and safe. Conclusions: PAEHRs in Norway are becoming a mature service and are perceived as useful by patients. Future studies should include experimental designs focused on specific populations or chronic conditions that are more likely to achieve clinically meaningful benefits. Continuous evaluation programs should be conducted to assess implementation and changes of wide-scale routine services over time
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Health Information Accessed on the Internet: The Development in 5 European Countries
Get PDFThe aim of this study was to summarize and analyse findings from four prior studies on the use of the Internet as a source of health information in five European countries (Norway, Denmark, Germany, Greece, and Portugal). A cross-study comparison of data was performed. All the studies included fit with a trend of a sharp and continuous growth in the use of the Internet for health information access in the major part of the last decade. Importantly, the Internet has become an important mass media source of health information in northern Europe. While the use of the Internet for health information is somewhat less common in the south European countries, its use is also clearly increasing there. We discuss the advantages of cross-study comparisons of data and methodological challenges. As the use of the Internet for health information is likely to peak in some countries in the near future, new population surveys on health information access should focus more on the details of information that is accessed and which sites that are most used and trusted
Health Professionals' Experience with Patients Accessing Their Electronic Health Records: Results from an Online Survey
Get PDFThe aim of this study was to investigate hospital professionals’
experience and attitude with patients accessing their own
electronic health records. The study was conducted one year
after service establishment. Data was collected through an
online survey. In total, 457 replies were received. The results
revealed a quarter of the administrative staff received feedback
from patients or relatives regarding mistakes or missing
information in their EHR. In addition, 67.5% of health
professionals expected more patients to have basic knowledge
of their health status in the future, and 21.4% found patients
already gained better knowledge about diagnosis, treatment, or
follow-up. The results also revealed some challenges with the
service, especially for health professionals working in
psychiatry, with some scepticism on whether the service is
suitable for the sickest and most vulnerable patients
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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