Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ care(1570) inform(1187) nurs(1089) }
{ research(1085) discuss(1038) issu(1018) }
{ patient(1821) servic(1111) care(1106) }
{ activ(1452) weight(1219) physic(1104) }
{ can(774) often(719) complex(702) }
{ clinic(1479) use(1117) guidelin(835) }
{ studi(1410) differ(1259) use(1210) }
{ group(2977) signific(1463) compar(1072) }
{ use(976) code(926) identifi(902) }
{ use(2086) technolog(871) perceiv(783) }
{ decis(3086) make(1611) patient(1517) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ search(2224) databas(1162) retriev(909) }
{ studi(1119) effect(1106) posit(819) }
{ model(2656) set(1616) predict(1553) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ patient(2315) diseas(1263) diabet(1191) }
{ treatment(1704) effect(941) patient(846) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
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{ record(1888) medic(1808) patient(1693) }
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{ state(1844) use(1261) util(961) }
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{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
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{ gene(2352) biolog(1181) express(1162) }
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{ first(2504) two(1366) second(1323) }
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{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

JECTIVE: There is a need to better understand the specific settings in which health information technology (HIT) is used and implemented. Factors that will determine the successful implementation of HIT are context-specific and often reside not at the technical level but rather at the process and people level. This paper provides the results of a needs assessment for HIT to support hospice palliative care (HPC) delivery in rural settings.METHODS: Roundtable discussions using the nominal group technique were done to identify priority issues regarding HIT usage to support rural HPC delivery. Qualitative content analysis was then used to identify sociotechnical themes from the roundtable data.RESULTS: Twenty priority issues were identified at the roundtable session. Content analysis grouped the priority issues into one central theme and five supporting themes to form a sociotechnical framework for patient-centered care in rural settings.CONCLUSION: There are several sociotechnical themes and associated issues that need to be considered prior to implementing HIT in rural HPC settings. Proactive evaluation of these issues can enhance HIT implementation and also help to make ethical aspects of HIT design more explicit.

Resumo Limpo

jectiv need better understand specif set health inform technolog hit use implement factor will determin success implement hit contextspecif often resid technic level rather process peopl level paper provid result need assess hit support hospic palliat care hpc deliveri rural settingsmethod roundtabl discuss use nomin group techniqu done identifi prioriti issu regard hit usag support rural hpc deliveri qualit content analysi use identifi sociotechn theme roundtabl dataresult twenti prioriti issu identifi roundtabl session content analysi group prioriti issu one central theme five support theme form sociotechn framework patientcent care rural settingsconclus sever sociotechn theme associ issu need consid prior implement hit rural hpc set proactiv evalu issu can enhanc hit implement also help make ethic aspect hit design explicit

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