Autor: Lingner, Heidrun - Prolib Integro

Skocz do pozycji: 1.

Tytuł:: Digital maturity and its determinants in General Practice : a cross-sectional study in 20 countries
Autorzy:: Jimenez, Geronimo
Hoffman, Robert
Darzi, Ara
Collins, Claire
Ungan, Mehmet
Nessler, Katarzyna
Car, Josip
Teixeira, Fabia
Lingner, Heidrun
Irving, Greg
Laranjo, Liliana
Fernandez, Maria Jose
Neves, Ana Luisa
Jacome, Cristina
Li, Edmond
Petek, Davorina
Majeed, Azeem
Opis:: Background: The extent to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. However, digital maturity in primary care has been scarcely evaluated. Objectives: This study assessed the digital maturity in General Practice (GP) globally and evaluated its association with participants' demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use. Methods: GPs across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics, and features of EHRs use were collected. Digital maturity was evaluated through a framework based on usage, resources and abilities (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score was calculated as the sum of the six dimensions and ranged between 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score. Results: One thousand six hundred GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25–P75: 3–5). Positive associations with digital maturity were found with: male gender [B = 0.18 (95% CI 0.01; 0.36)], use of EHRs for longer periods [B = 0.45 (95% CI 0.35; 0.54)] and higher frequencies of access to EHRs [B = 0.33 (95% CI 0.17; 0.48)]. Practicing in a rural setting was negatively associated with digital maturity [B = −0.25 (95%CI −0.43; −0.08)]. Usage (90%) was the most acknowledged dimension while interoperability (47%) and use of best practice general evaluation methods (28%) were the least. Shorter durations of EHRs use were negatively associated with all digital maturity dimensions (aOR from 0.09 to 0.77). Conclusion: Our study demonstrated notable factors that impact digital maturity and exposed discrepancies in digital transformation across healthcare settings. It provides guidance for policymakers to develop more efficacious interventions to hasten the digital transformation of General Practice.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 2.

Tytuł:: Reorganisation of GP surgeries during the COVID-19 outbreak : analysis of guidelines from 15 countries
Autorzy:: Frappe, Paul
Streit, Sven
Geroglu, Berk
Honkoop, Persijn J.
Sivertsen, Oyvind Stople
Thulesius, Hans
Lingner, Heidrun
Kinouani, Shérazade
Burgun, Anita
Tsopra, Rosy
Neves, Ana Luisa
Espinosa-Gonzalez, Ana Belen
Pesolillo, Gabriella
Zoitanu, Raluca
Jahr, Tobias
Nessler, Katarzyna
Opis:: Background: General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15 countries. Methods: A network of GPs collaborated together in a three-step process: (i) identification of key recommendations of GP surgery reorganisation, according to WHO, CDC and health professional resources from health care facilities; (ii) collection of key recommendations included in the guidelines published in 15 countries; (iii) analysis, comparison and synthesis of the results. Results: Recommendations for the reorganisation of GP surgeries of four types were identified: (i) reorganisation of GP consultations (cancelation of non-urgent consultations, follow-up via e-consultations), (ii) reorganisation of GP surgeries (area partitioning, visual alerts and signs, strict hygiene measures), (iii) reorganisation of medical examinations by GPs (equipment, hygiene, partial clinical examinations, patient education), (iv) reorganisation of GP staff (equipment, management, meetings, collaboration with the local community). Conclusions: We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the COVID-19 outbreak from 15 countries. These guidelines focus principally on clinical care, with less attention paid to staff management, and the area of epidemiological surveillance and research is largely neglected. The differences of guidelines between countries and the difficulty to apply them in routine care, highlight the need of advanced research in primary care. Thereby, primary care would be able to provide recommendations adapted to the real-world settings and with stronger evidence, which is especially necessary during pandemics.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 3.

Artykuł

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Skocz do pozycji: 4.

Artykuł

na półce

Skocz do pozycji: 5.

Tytuł:: Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT) : protocol and rationale study
Autorzy:: Serafini, Alice
Lingner, Heidrun
Claveria, Ana
Koskela, Tuomas
Fernandez, Maria Jose
Darzi, Ara
Petek, Davorina
Hoedebecke, Kyle
Lazic, Vanja
Espitia, Sandra Milena
Gusso, Gustavo
Car, Josip
Neves, Ana Luísa
Li, Edmond
Ensieh, Memarian
Fontana, Gianluca
Irving, Greg
Hoffman, Robert D.
ONeill, Braden Gregory
Ghafur, Saira
Majeed, Azeem
Nessler, Katarzyna
Laranjo, Liliana
Gimenez, Geronimo Larrain
Ungan, Mehmet
Collins, Claire
Tsopra, Rosy
Opis:: Background: In recent decades, virtual care has emerged as a promising option to support primary care delivery. However, despite the potential, adoption rates remained low. With the outbreak of COVID-19, it has suddenly been pushed to the forefront of care delivery. As we progress into the second year of the COVID-19 pandemic, there is a need and opportunity to review the impact remote care had in primary care settings and reassess its potential future role. Objective: This study aims to explore the perspectives of general practitioners (GPs) and family doctors on the (1) use of virtual care during the COVID-19 pandemic, (2) perceived impact on quality and safety of care, and (3) essential factors for high-quality and sustainable use of virtual care in the future. Methods: This study used an online cross-sectional questionnaire completed by GPs distributed across 20 countries. The survey was hosted in Qualtrics and distributed using email, social media, and the researchers’ personal contact networks. GPs were eligible for the survey if they were working mainly in primary care during the period of the COVID-19 pandemic. Descriptive statistical analysis will be performed for quantitative variables, and relationships between the use of virtual care and perceptions on impact on quality and safety of care and participants’ characteristics may be explored. Qualitative data (free-text responses) will be analyzed using framework analysis. Results: Data collection took place from June 2020 to September 2020. As of this manuscript’s submission, a total of 1605 GP respondents participated in the questionnaire. Further data analysis is currently ongoing. Conclusions: The study will provide a comprehensive overview of the availability of virtual care technologies, perceived impact on quality and safety of care, and essential factors for high-quality future use. In addition, a description of the underlying factors that influence this adoption and perceptions, in both individual GP and family doctor characteristics and the context in which they work, will be provided. While the COVID-19 pandemic may prove the first great stress test of the capabilities, capacity, androbustness of digital systems currently in use, remote care will likely remain an increasingly common a proach in the future. There is an imperative to identify the main lessons from this unexpected transformation and use them to inform policy decisions and health service design.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego