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Experience of a tertiary acute care hospital in Southeast Asia in initiating patient engagement with the aid of digital solutions. | LitMetric

AI Article Synopsis

  • - The initiative aimed to use tablets in general wards to boost patient engagement by giving patients access to health information and communication with their healthcare team.
  • - The implementation process involved a step-wise rollout over a year, and various challenges were tackled using an implementation research model, alongside evaluating outcomes with the RE-AIM framework.
  • - Initially, adoption of the tablets was low, potentially due to Singapore's healthcare culture; however, strategies were put in place to improve usage over two years, indicating a gradual shift towards better patient engagement.

Article Abstract

Introduction: With the goal of patient engagement, an initiative was formulated to equip each patient in the general wards with a tablet whereby they can access their health information and patient education materials and communicate with their healthcare team. This paper presented the methodology of the implementation efforts as well as an evaluation of the preliminary outcomes.

Methods: The process of hospital-wide implementation was shared using the implementation research logic model. The bedside tablets were rolled out hospital-wide in a step-wedge manner over 12 months. Barriers and facilitators to this implementation were discussed together with strategies to optimize the situation. Preliminary outcomes of the implementation were evaluated using the RE-AIM framework.

Results: The initial adoption rate for the bedside tablet was low. Additional strategies, such as survey audits and provision of feedback, development of education materials for patients, facilitation, and purposefully re-examining the implementation strategies, were used to improve adoption. The trend of adoption increased over the course of 2 years from the start of implementation.

Discussion: The initial lower adoption rates may reflect Singapore's paternalistic healthcare culture. While this implementation was driven by the need to move away from paternalism and toward patient engagement, more time is required for significant cultural change.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474461PMC
http://dx.doi.org/10.3389/frhs.2024.1416386DOI Listing

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