A well-accessible healthcare system is an important measure of the progress of a country, as access to adequate healthcare is one of everyone's very basic human rights. When a community lives below the poverty line, unfortunately, it gets deprived of the basic human rights like healthcare, which is a reality to many resource-constrained communities around the world. The number of such resource-constrained communities in developing countries is large. Orphans present a prominent example in this regard in the context of Bangladesh. Orphans suffer greatly from many diseases due to their resource-constrained environment of livings and they are unable to take a minimum care of their own health. Their lack of resources, inadequate literacy skills, and limited (or no) access to technology leave them in such a position that they are ignorant of healthcare services available for them directly or through technological means. Considering all these unavoidable real aspects and the fact that such resource-constrained communities are very little focused in the literature for aiding them in getting bare minimum healthcare services, in this study, we leverage technology and relevant appropriate intermediaries to bridge the gap between the orphans in the orphanages and healthcare services offered by medical doctors. To accomplish so, we conduct a series of field studies over the intended communities. The orphanage teachers and administrators, being in proximity, are the most effective ones to operate as intermediaries for the orphan children, as revealed through our field studies. Therefore, we use these intermediaries to help the orphans to get basic healthcare services via an Android healthcare app called 'Shastho-sheba'. We also use our findings from the field study to specifically tailor and modify the application for intermediaries to use on behalf of the orphans so that health professionals can provide direct healthcare services to them over the Internet. Finally, we look into our proposed techno-social solution in the context of HCI to ensure that the service is used more effectively.
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http://dx.doi.org/10.1016/j.heliyon.2023.e23100 | DOI Listing |
JAMA
January 2025
Assistant Secretary for Technology Policy/Office of the National Coordinator for Health IT, Washington, DC.
Importance: Health information technology, such as electronic health records (EHRs), has been widely adopted, yet accessing and exchanging data in the fragmented US health care system remains challenging. To unlock the potential of EHR data to improve patient health, public health, and health care, it is essential to streamline the exchange of health data. As leaders across the US Department of Health and Human Services (DHHS), we describe how DHHS has implemented fundamental building blocks to achieve this vision.
View Article and Find Full Text PDFJ Community Genet
January 2025
Graduate Program in Structural and Functional Biology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
In 2018, Portuguese researchers proposed the "Tool for Quality Assessment of Genetic Counseling," a 5-point Likert scale comprising 50 items across five dimensions, designed to assess genetic counseling from the professional's perspective. This descriptive, cross-sectional study aimed to adapt this tool to Brazilian Portuguese, validate it among Brazilian clinical geneticists, and conduct a preliminary assessment of the quality of genetic counseling in Brazil. The adaptation process involved expert-driven content validation and calculation of the Content Validity Index (CVI) to ensure equivalence between the original and adapted versions.
View Article and Find Full Text PDFAdv Ther
January 2025
Department of Endocrinology and Nutrition, Hospital Universitari de Bellvitge-IDIBELL, C/de la Feixa Llarga S/N, 08907, Hospitalet de Llobregat, Barcelona, Spain.
Introduction: Obesity and its complications are associated with high morbidity/mortality and a significant healthcare cost burden in Spain. It is therefore essential to know the potential clinical and economic benefits of reducing obesity. The objective of this study is to predict the decrease in rates of onset of potential complications associated with obesity and the cost savings after a weight loss of 15% over 10 years in Spain.
View Article and Find Full Text PDFCancer Control
January 2025
Department of Pharmacy Practice, College of Pharmacy, AlMaarefa University, Dariyah, Riyadh, Saudi Arabia.
Introduction: Cancer patients often face challenges in managing their disease, particularly with regard to contraindications related to medications, foods, and physical activity, which can negatively affect treatment outcomes. This study aimed to evaluate cancer patients' awareness of these contraindications and to explore the influence of sociodemographic factors, support systems, comorbidities, and medication use on their knowledge.
Methods: A cross-sectional prospective study was conducted with 125 cancer patients in Saudi Arabia between December 2022 and February 2023.
Int J Qual Health Care
January 2025
Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Background: Hospitals face mounting pressure to reduce unplanned utilization amid rising healthcare demands from an aging population. The Case management for At-Risk patients in the Emergency Department (CARED) program is among the first ED transitional care strategies to focus on both frail older adults and Emergency Department (ED) re-attenders to reduce acute hospital utilization. This study aims to evaluate the effectiveness of the CARED program in reducing hospital (re)admissions and ED re-attendances within 30- and 60-days post-discharge.
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