New Paradigm In Healthcare Research Articles

Patient Complaint Systems from the Perspective of Healthcare Bioethics

This article aims to analyze the complaint systems from the unique and crucial perspective of Healthcare Bioethics, a new theoretical branch of Clinical Bioethics developed in Latin America, in the Post-graduate Program in Bioethics of the University of Brasilia. Healthcare Bioethics, with its four main axes: Patients’ Rights, patient centrality, the partnership relationship between the actors in the clinical encounter, and clinical empathy, provides a comprehensive and ethical lens through which to view healthcare issues. Complaints in healthcare, considered complex narratives that reveal important information about the organization and exert important impacts on healthcare and the clinical relationship, are no exception. The methodological approach is theoretical and documental. The basis for the theoretical framework adopted by Healthcare Bioethics were the studies by Albuquerque and Albuquerque and Tanure, since they are precursors in Brazil to the research developed on the subject. The conclusions drawn are that organizations need to have complaint systems based on Healthcare Bioethics to contribute to the patients and their families feeling welcomed and recognizing patient centrality concerning the complaints presented. Finally, it is necessary to highlight the scarcity of studies that draw on this new paradigm of healthcare applied to the analysis of patient complaints.

REDUCING FINANCIAL TOXICITY IN THE HEALTH CARE SYSTEM USING COST ESTIMATION TOOLS FOR OLDER ADULTS

Abstract Financial toxicity— the financial, emotional and mental burden patients experience with medical costs that can lead to diminished access to care and reduced quality of life—is a growing issue among older adults, family caregivers and care partners. Research suggests that financial health literacy tools may reduce financial toxicity. With support from The John A. Hartford Foundation, FAIR Health undertook an 18-month initiative to advance shared decision making (SDM) among older adults (aged 65 and older) with serious health conditions, and their family caregivers/care partners, through the development and dissemination of decision aids that combine clinical and cost information with resources and educational content; these tools are offered for free to consumers on fairhealthconsumer.org and to healthcare providers on fairhealthprovider.org. This presentation will discuss salient findings from the initiative, as detailed in the brief, Advancing Shared Decision Making among Older Adults with Serious Health Conditions: Lessons from FAIR Health’s Grant-Funded Initiative. Feedback from older patients, caregivers/care partners and providers revealed the demand and need for financial health literacy tools that provide cost information and underscored key insights that included: (1) Healthcare costs, billing and lack of transparency in the healthcare system are sources of frustration; (2) Barriers to SDM include low health literacy and poor access to devices; and (3) SDM is viewed by many as a vehicle for patient empowerment. The session will offer a unique insight into how these findings can be used to usher in a new paradigm of healthcare and retool clinical practice and medical education.

Informed Consent in Dental Practice: A Qualitative Analysis of Awareness and Apprehensions Among Practitioners in South India

Context: The push for autonomy and liberalization has transformed the practice of medicine and dentistry from paternalism to a patient cantered model. Patient’s choice to accept or reject the proposed treatment is central to this new paradigm of health care. Informed consent is an essential tool for an ethical dental practice. Aim: The objective of the present study was to explore the knowledge, attitudes, perceptions and prevailing practices among dentists regarding the informed consent process. Materials and methods: A phenomenological approach was undertaken. A semi structured telephonic interview was conducted based on a flexible topic guide and continued until data saturation. Statistical analysis: The data was transcribed verbatim. Coding and categorisation done. Anonymity was ensured in all steps. The data was subjected to a thematic analysis. Results: Participants were apprehensive about the influence of social media on the new paradigm of doctor patient relationship and the increasing utility of specialists as a protection from litigation. Lack of clarity regarding the consent method has prevented its routine application. Conclusions: It can be concluded that a comprehensive understanding regarding informed consent process was lacking among the participants.

Opportunities and Obstacles for Using Remote Monitoring and AI to Enable Sustained Integrated Telehealth PPT

Telehealth has seen a rapid growth period in the last a couple of years globally, partly propelled by the pandemic. Now many patients and healthcare providers have seen the potential benefits of telehealth, many people are in the process to drive sustained growth of this new paradigm of healthcare. The panel will be focused on two key enabling factors of the future growth of integrated telehealth, i.e., remote monitoring and AI. They will use specific cases to discuss the Opportunities and Obstacles in the development, deployment, and commercialization of these technologies.

Gender and Sex in Medical Practice: An Exploratory Study on Knowledge, Behavior, and Attitude among Sicilian Physicians

Personalized medicine is a new paradigm in health care, and the concept of socio-cultural gender, as opposed to biological sex, emerged in several medical approaches. This exploratory study aimed to investigate the knowledge of sex and gender in clinical medicine among Sicilian physicians. Data collection was based on an online survey sent to the members of the Medical Councils of Sicily (Italy). The questionnaire included nine specific items about awareness and attitudes regarding gender medicine and its importance in clinical practice. 8023 Sicilian physicians received the solicitation e-mail and only 496 responded. Regarding the knowledge of gender medicine, 71.1% of participants stated that they know it, while 88.5% believe that gender medicine should be included in training programs. Similarly, a high percentage (77.6%) would like to keep up to date on this topic. Physicians sampled seem to understand the importance of gender medicine principles, although their experience of some gender issues (i.e., sex disparities in acute cardiovascular care and smoking cessation strategies) is low (55.44% and 21.57%, respectively). The results of this exploratory study should encourage facing the gender medicine gap in the current curricula of health professionals and should implement the transitional value of sex and gender principles in the clinical setting.

Pengaruh Bauran Pemasaran terhadap Pengalaman Pasien Rawat Inap di Rumah Sakit Permata Hati Kecamatan Mandau Tahun 2022

Hospitals have a very strategic role in an effort to accelerate the improvement of public health status. The new paradigm of health care requires hospitals to provide quality services according to the needs and desires of patients. The marketing mix can be used as a marketing tool that makes it easier for hospitals to achieve their marketing goals. The purpose of this study was to determine the effect of the marketing mix on the experience of inpatients at Permata Hati Hospital, Mandau District in 2022. This type of research was descriptive quantitative using a cross sectional design. This study reveals that the marketing mix affects patient practice with the most dominant variable affecting patient experience is the process variable.

Distributed, dynamic and trustworthy access control for telehealth systems

SummaryWith its ability to “minimize human intervention when generating, exchanging and consuming data,” the Internet of Things (IoT) is increasingly deployed in all sectors, in particular in the healthcare sector. With IoT, telehealth has become the new paradigm in healthcare, as it helps keep patients connected with wearable devices and other remote patient monitoring tools in order to help practitioners work more efficiently. However, telehealth implies that patients share their personal and physiological data remotely with the hospital staff, which can put the patient's privacy at risk. Thus, the establishment of access control is mandatory. Therefore, the objective of this article is to achieve a distributed and reliable access control for telehealth systems using smart contract‐enabled blockchain technology. To do so, we propose three different smart contract‐based access control approaches. We evaluate the three propositions and compare them with related work in terms of latency of access‐request response and gas consumption related to contract deployment, function execution and different responses, furthermore, we give a security analysis.

PENGARUH PENEMPATAN (PLACEMENT) DAN KEPUASAN KERJA TERHADAP KINERJA PEGAWAI PADA RUMAH SAKIT UMUM DAERAH (RSUD) MADISING KABUPATEN PINRANG

The new paradigm of health care requires hospitals to provide quality services according to the needs and desires of patients while still referring to the professional code of ethics. In the rapid development of technology and increasingly fierce competition, hospitals are required to continue to improve the quality of their services. The phenomenon behind this research by looking at the conditions of handling employee placements in hospitals is very different from handling employee placements in agencies/institutions in general, so the goal to be achieved in this study is to find out whether the pattern of placement and job satisfaction can improve performance. Employees at the Regional General Hospital (RSUD) Pinrang Regency. The results of this study are that the placement has no significant effect on the performance of the Pinrang Regency General Hospital (RSUD) and the results of other analyzes, namely job satisfaction, show a strong and significant influence and relationship.

The applicability of blockchain technology in healthcare contexts to contain COVID-19 challenges

PurposeBlockchain technology, a key feature of the fourth industrial revolution, is receiving widespread attention and exploration around the world. Taking the coronavirus pandemic as an example, the purpose of this study to examine the application of blockchain technology from the perspective of epidemic prevention and control.Design/methodology/approachExploring multiple case studies in the Chinese context at various stages of deployment, this study documents a framework about how some of the major challenges associated with COVID-19 can be alleviated by leveraging blockchain technology.FindingsThe case studies and framework presented herein show that utilization of blockchain acts as an enabler to facilitate the containment of several COVID-19 challenges. These challenges include the following: complications associated with medical data sharing; breaches of patients' data privacy; absence of real-time monitoring tools; counterfeit medical products and non-credible suppliers; fallacious insurance claims; overly long insurance claim processes; misappropriations of funds; and misinformation, rumors and fake news.Originality/valueBlockchain is ushering in a new era of innovation that will lay the foundation for a new paradigm in health care. As there are currently insufficient studies pertaining to real-life case studies of blockchain and COVID-19 interaction, this study adds to the literature on the role of blockchain technology in epidemic control and prevention.

Nejednakosti u obrazovanju babica u zemljama Evrope

Although midwifery in Serbia has a long tradition, in the last decades, and especially in the last years since the Republic of Serbia is in the process of joining the European Union, this profession faces numerous challenges both in the context of formal education and the role that in the 21st century midwife has in practice. The midwife profession is faced with numerous challenges related to demographic trends and demands and expectations of a contemporary woman. The aim of the paper was to examine the difference in standards in the education of midwives in Serbia, and the neighbouring countries and Europe. Professional publications related to education and practice of midwives, published in Serbia, the neighbouring countries and Europe have been used. According to the presentation of standards and competencies of midwives in Serbia and education standards under Directive 2005/36/EZ and 2013/55/EU as well as the role and tasks midwives have in our country and European countries, there is a need for harmonization of standards in the education of midwife nurses and accreditation of joint study programs of professional master studies for nurses and midwives within the educational system of Serbia, all in the context of new paradigm of health care, which implies a holistic approach to women's health, a personalized approach and a self-protection concept. It is necessary to reform the education system of midwives in Serbia in accordance with the requirements of Directive2005/36/EZ, 2013/55/EU.

Effect of Patient Centered Care Application on Inpatient Outcomes in Rskdia Pertiwi and Rsia Ananda (Woman and Child Hospitals)

BACKGROUND: Patient-centered care (PCC) is a new paradigm in healthcare that places patients as the center of care to improve health outcomes and increase patient and family satisfaction.
 AIM: The study aimed to evaluating the effect of PCC application on inpatient outcomes, notably patient satisfaction, and clinical outcomes in RSKDIA Pertiwi and RSIA Ananda.
 METHODS: The study was quantitative analytic with cross-sectional design. A sample of 92 patients were determined proportionally, and selected with the inclusion criteria. Data were collected using measuring tools consisting of PCC questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of patient. Bivariate analysis was carried out to compare the PCC application between the two hospitals, and multivariate analysis to correlate the effect of PCC application to patient satisfaction, and clinical outcomes of inpatient in each hospital.
 RESULTS: There was effect of PCC application on patient satisfaction in RSKDIA Pertiwi (p = 0.017) and RSIA Ananda (p = 0.000), but there was no effect show to the clinical outcomes in RSKDIA Pertiwi (p = 0.718) and RSIA Ananda (p = 0.440), also there was no differences in the application of PCC (p = 0.492) between both hospitals.
 CONCLUSION: It can be concluded that the application of PCC attributed to patient satisfaction, but did not affect the clinical outcomes of inpatients at RSKDIA Pertiwi and RSIA Ananda; also there were no differences of PCC application between both hospitals. The hospitals management should improve the application of PCC, particularly in coordination of care.

Minimal Invasive Dentistry: Literature Review

Minimally invasive procedures are the new paradigm in health care. Everything from heart bypasses to gall bladder, surgeries are being performed with these dynamic new techniques. Dentistry is joining this exciting revolution as well. Minimally invasive dentistry adopts a philosophy that integrates prevention, remineralisation and minimal intervention for the placement and replacement of restorations. Minimally invasive dentistry reaches the treatment objective using the least invasive surgical approach, with the removal of the minimal amount of healthy tissues. This paper reviews in brief the concept of minimal intervention in dentistry.

Use of Machine Learning and Artificial Intelligence to Drive Personalized Medicine Approaches for Spine Care

Personalized medicine is a new paradigm of healthcare in which interventions are based on individual patient characteristics rather than on "one-size-fits-all" guidelines. As epidemiological datasets continue to burgeon in size and complexity, powerful methods such as statistical machine learning and artificial intelligence (AI) become necessary to interpret and develop prognostic models from underlying data. Through such analysis, machine learning can be used to facilitate personalized medicine via its precise predictions. Additionally, other AI tools, such as natural language processing and computer vision, can play an instrumental part in personalizing the care provided to patients with spine disease. In the present report, we discuss the current strides made in incorporating AI into research on spine disease, especially traumatic spinal cord injury and degenerative spine disease. We describe studies using AI to build accurate prognostic models, extract important information from medical reports via natural language processing, and evaluate functional status in a granular manner using computer vision. Through a case illustration, we have demonstrated how these breakthroughs can facilitate an increased role for more personalized medicine and, thus, change the landscape of spine care.

Critical adjustments in a department of orthopaedics through the COVID-19 pandemic.

PurposeSARS-CoV-2’s new scenario has forced health systems to work under extreme stress urging to perform a complete reorganization of the way our means and activities were organized. The orthopaedic and trauma units have rescheduled their activities to help SARS-CoV-2 units, but trauma patients require also treatment, and no standardized protocols have been established.MethodsA single-centre cross-sectional study was performed in a tertiary hospital. Two different periods of time were analyzed: a two week period of time in March 2019 (pre-SARS-CoV-2) and the same period in March 2020 (SARS-CoV-2 pandemic time). Outpatient’s data, emergency activity, surgical procedures, and admissions were evaluated. Surgeons’ and patient’s opinion was also evaluated using a survey.ResultsA total of ~ 16k (15,953) patients were evaluated. Scheduled clinical appointments decreased by ~ 22%. Urgent consultations and discharge from clinics also descended (~ 37% and ~ 20% respectively). Telemedicine was used in 90% of outpatient clinical evaluations. No elective surgical procedures during SARS-CoV-2 time were scheduled, and subtracting the effect of elective surgeries, there was a reduction of inpatient surgeries, from ~ 85% to ~ 59%. Patients delayed trauma assistance more than 48 hours in 13 cases (35%). Pre-operative admission for hip fractures decreased in ten hours on average. Finally, surveys stated that patients were more in favour than surgeons were to this new way to evaluate orthopaedic and trauma patients based strongly on telemedicine.ConclusionDetailed protocols should be standardized for surgical departments during the pandemic. This paper offers a general view in how this virus affects an orthopaedic unit and could serve as a protocol and example for orthopaedic and trauma units. Even in the worst scenario, an orthopaedic and trauma unit could offer an effective, efficient, and quality service. SARS-CoV-2 will set up a new paradigm for health care in orthopaedics and trauma.

AI-Driven Tools for Coronavirus Outbreak: Need of Active Learning and Cross-Population Train/Test Models on Multitudinal/Multimodal Data.

The novel coronavirus (COVID-19) outbreak, which was identified in late 2019, requires special attention because of its future epidemics and possible global threats. Beside clinical procedures and treatments, since Artificial Intelligence (AI) promises a new paradigm for healthcare, several different AI tools that are built upon Machine Learning (ML) algorithms are employed for analyzing data and decision-making processes. This means that AI-driven tools help identify COVID-19 outbreaks as well as forecast their nature of spread across the globe. However, unlike other healthcare issues, for COVID-19, to detect COVID-19, AI-driven tools are expected to have active learning-based cross-population train/test models that employs multitudinal and multimodal data, which is the primary purpose of the paper.

Deprescribing: A New Paradigm in Healthcare

Deprescribing: A New Paradigm in Healthcare

Quality Improvement: A New Paradigm in Health Care

Quality Improvement: A New Paradigm in Health Care

Descartes and the paradigm of Western medicine: an essay

This essay is a contribution to the study of the CartesianDualism (separation of mind-body) and Mechanicism (the body is a machine) that have contributed to the paradigm of Western medicine. These Cartesian ideas of separation and fragmentation of the reality have hampered the implementation of the new paradigm in health care in contemporary society, where the patient is seen in an holistic way: soul-mind-body.

Precision Medicine: From Science To Value.

Precision medicine is making an impact on patients, health care delivery systems, and research participants in ways that were only imagined fifteen years ago when the human genome was first sequenced. Discovery of disease-causing and drug-response genetic variants has accelerated, while adoption into clinical medicine has lagged. We define precision medicine and the stakeholder community required to enable its integration into research and health care. We explore the intersection of data science, analytics, and precision medicine in the formation of health systems that carry out research in the context of clinical care and that optimize the tools and information used to deliver improved patient outcomes. We provide examples of real-world impact and conclude with a policy and economic agenda necessary for the adoption of this new paradigm of health care both in the United States and globally.

Trends and Advances on Precision Medicine through Scientometric Analysis

Precision medicine, more advanced concepts of personalized medicine, triggered by United States' Precision Medicine Initiative has become a new paradigm of health care. Countries around the world are planning to develop precision medicine as a national strategic project, and collaborative research is being actively carried out centered on developed countries. They are making various efforts to drive toward precision medicine by establishing a large scale clinical cohort studies, etc. Despite some current limitations, many opportunities and challenges still remain in precision medicine. In this paper, we reviewed recent R&D status and trends in precision medicine by scientometric analysis methods. Total 19,403 articles retrieved from the scopus database have analyzed using KnowledgeMatrix Plus, Gephi and VOSviewer software. Especially each nation's activities and their technology position, international collaboration and hot research area in precision medicine have also been analysed and identified through network and co‐word analysis showed by visualization map. Results showed that the R&D activities on precision medicine had a dramatic increase in recent years and were located in the early stage of technology development with differentiation by country.Support or Funding InformationThis research was supported by Korea Institute of Science and Technology Information (KISTI).This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.