Introduction: The interaction between nurses and physicians in the primary care setting is challenging with regard to structural, process and technical barriers. In order to overcome these barriers, the eMedCare project was launched and a commercial system was implemented.
Objective: This study aimed at a formative evaluation of the project. The findings should be used retrospectively to understand the failure of the project.
Methods: To this end, two rounds of qualitative interviews with 10 respectively 8 healthcare providers were performed.
Results: The interviews revealed a mixed benefit. Difficulties arose because the initial aim to monitor patients shifted towards improving the communication between the providers, partly due to the poor usability of the monitoring system. Additional workload was imposed because the system was not interoperable with the institutional IT systems.
Conclusion: Projects with an unclear or shifting vision and focus seem to be susceptible to failure. The secure communication applications could have been realised on the intended scale if the national Telematikinfrastruktur had been in place.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3233/SHTI220807 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Differences in maternal diet fiber content influence patterns of gene expression and chromatin accessibility in fetuses and piglets.
Genomics
January 2025
Microbe Interactomics Group, Dept. Animal Sciences, Wageningen University & Research (WUR), Wageningen, the Netherlands. Electronic address:
This study investigates the impact of maternal gestation diets with varying fiber contents on gene expression and chromatin accessibility in fetuses and piglets fed a low fiber diet post weaning. High-fiber maternal diets, enriched with sugar beet pulp or pea internal fiber, were compared to a low-fiber maternal diet to evaluate their effects on liver and muscle tissues. The findings demonstrate that maternal high-fiber diets significantly alter chromatin accessibility, predicted transcription factor activity and transcriptional landscape in both fetuses and piglets.
View Article and Find Full Text PDFHead-mounted camera as a debriefing tool for surgical simulation-based training: a randomized controlled study in Senegal.
BMC Med Educ
January 2025
Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, Road of Ngallelle, 234, Saint-Louis, Senegal.
Introduction: Video feedback, particularly with a head-mounted camera, has previously been described as a useful debriefing tool in well-funded health systems but has never been performed in a low-resource environment. The purpose of this randomized, intervention-controlled study is to evaluate the feasibility of using video feedback with a head-mounted camera during intestinal anastomosis simulation training in a low-resource setting.
Methodology: This study recruited 14 first-year surgery residents in Senegal, who were randomized into control and camera groups.
Effect of feedback-integrated reflection, on deep learning of undergraduate medical students in a clinical setting.
BMC Med Educ
January 2025
Riphah international university, Rawalpindi, Pakistan.
Background: Reflection fosters self-regulated learning by enabling learners to critically evaluate their performance, identify gaps, and make plans to improve. Feedback, in turn, provides external insights that complement reflection, helping learners recognize their strengths and weaknesses, adjust their learning strategies, and enhance clinical reasoning and decision-making skills. However, reflection alone may not produce the desirable effects unless coupled with feedback.
View Article and Find Full Text PDFOnsite Primary Care to Address Medical Needs Among Permanent Supportive Housing Tenants: A Feasibility Demonstration Project.
J Gen Intern Med
January 2025
Oregon Health & Science University School of Medicine and Oregon Health & Science University-Portland State University School of Public Health, Portland, OR, USA.
Background: There is limited evidence on interventions to address the health needs of vulnerable patients in permanent supportive housing (PSH).
Aim, Setting, Participants: Evaluate the feasibility of Project HOPE, a weekly onsite primary care pilot intervention for tenants of a single-site PSH program.
Program Description: Physicians, nursing, and pharmacy providers work with existing case managers to provide onsite routine and acute care, outreach, and care coordination.
Use the right words: evaluating the effect of word choice and word count on quality of narrative feedback in ophthalmology competency-based medical education assessments.
Can Med Educ J
December 2024
Department of Ophthalmology, Queen's University, Ontario, Canada.
Background: The purpose of this study was to investigate the effect of word choice on the quality of narrative feedback in ophthalmology resident trainee assessments following the introduction of competency-based medical education at Queen's University.
Methods: Assessment data from July 2017-December 2020 were retrieved from Elentra (Integrated Teaching and Learning Platform) and anonymized. Written feedback was assigned a Quality of Assessment for Learning (QuAL) score out of five based on this previously validated rubric.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!