Zorgaanbieders gebruiken e-mail dagelijks om onderling te communiceren. Maar de beveiliging van e-mails met medische gegevens is al jaren een mijnenveld voor zorgprofessionals.
Minister Schippers heeft tijdens het Europees voorzitterschap veel aandacht besteed aan de aanpak van antibioticaresistentie. De nadruk lag op de noodzaak om tot actie over te gaan. Afstemming van (inter)nationale onderzoeksagenda’s maakt hier deel van uit.
Prof. dr. J.J.G. (Jeroen) Geurts (1978) is de nieuwe voorzitter van ZonMw. Tevens wordt hij per 1 januari 2017 lid van de Raad van Bestuur van NWO. Begin 2019 wordt de integratie van Zorgonderzoek en Medische Wetenschappen (ZonMw) als vierde domein in NWO voorzien. Hij gaat deze functie combineren met zijn werkzaamheden als wetenschapper bij VUmc.
Background: Human immunodeficiency virus (HIV) disease in the United States disproportionately affects minorities, including Latinos. Barriers including language are associated with lower antiretroviral therapy (ART) adherence seen among Latinos, yet ART and interventions for clinic visit adherence are rarely developed or delivered in Spanish. Objective: The aim was to adapt a computer-based counseling tool, demonstrated to reduce HIV-1 viral load and sexual risk transmission in a population of English-speaking adults, for use during routine clinical visits for an HIV-positive Spanish-speaking population (CARE+ Spanish); the Technology Acceptance Model (TAM) was the theoretical framework guiding program development. Methods: A longitudinal randomized controlled trial was conducted from June 4, 2010 to March 29, 2012. Participants were recruited from a comprehensive HIV treatment center comprising three clinics in New York City. Eligibility criteria were (1) adults (age ≥18 years), (2) Latino birth or ancestry, (3) speaks Spanish (mono- or multilingual), and (4) on antiretrovirals. Linear and generalized mixed linear effects models were used to analyze primary outcomes, which included ART adherence, sexual transmission risk behaviors, and HIV-1 viral loads. Exit interviews were offered to purposively selected intervention participants to explore cultural acceptability of the tool among participants, and focus groups explored the acceptability and system efficiency issues among clinic providers, using the TAM framework. Results: A total of 494 Spanish-speaking HIV clinic attendees were enrolled and randomly assigned to the intervention (arm A: n=253) or risk assessment-only control (arm B, n=241) group and followed up at 3-month intervals for one year. Gender distribution was 296 (68.4%) male, 110 (25.4%) female, and 10 (2.3%) transgender. By study end, 433 of 494 (87.7%) participants were retained. Although intervention participants had reduced viral loads, increased ART adherence and decreased sexual transmission risk behaviors over time, these findings were not statistically significant. We also conducted 61 qualitative exit interviews with participants and two focus groups with a total of 16 providers. Conclusions: A computer-based counseling tool grounded in the TAM theoretical model and delivered in Spanish was acceptable and feasible to implement in a high-volume HIV clinic setting. It was able to provide evidence-based, linguistically appropriate ART adherence support without requiring additional staff time, bilingual status, or translation services. We found that language preferences and cultural acceptability of a computer-based counseling tool exist on a continuum in our urban Spanish-speaking population. Theoretical frameworks of technology’s usefulness for behavioral modification need further exploration in other languages and cultures. Trial Registration: ClinicalTrials.gov NCT01013935; https://clinicaltrials.gov/ct2/show/NCT01013935 (Archived by WebCite at http://www.webcitation.org/6ikaD3MT7)
Journal of Medical Internet Research
By Shelagh Maloney @12Maloney
Whether you’re attending #eHealth2016 or not (and if you’re not, you should be), one thing is true – health care is evolving at a breakneck speed, thanks in part to digital health. As I said in my rant video, “If you think you know everything, well you don’t. What you think you knew yesterday has changed today.”
The rapid evolution of health care, raises the question — how do we ensure information and ideas are being shared to encourage innovation? This is the question we hope to delve into in our upcoming tweet chat.
Join us on Tuesday, May 24 at 2:00 p.m. ET to discuss information sharing and innovation within the health care system in Canada. The chat will be moderated by @GlennLanteigne. Please follow the #eHealth2016 hashtag and add it to your tweets as we discuss the following questions:
- What do we as an industry need to do in order to keep up with emerging trends and technologies? / How do you keep yourself up to date with the latest developments in digital health?
- How can we maintain a conversation to ensure the sharing of information/ideas/questions about digital health?
- How can we foster innovation in digital health in Canada?
These are only some of the items that will be part of e-Health 2016 in Vancouver from June 5 – 8. Join us for the chat – better yet, join us at the conference!
Have a comment about this post? Join the chat and be part of the discussion!
De Amerikaanse incubator Startup Health brengt hun halfjaarlijkse rapport over digital health investeringen uit. Conclusie: het ziet er nog steeds rooskleurig uit voor de health tech industrie.
The post Investeerders behouden interesse in digital health in eerste helft 2016 appeared first on SmartHealth.
Met deze strategische samenwerking wordt het NEXUS / EPD als private Cloud-dienst beschikbaar voor de markt. Tevens biedt de combinatie NEXUS / SLTN zorginstellingen de mogelijkheid voor verdere ontzorging door de naadloze integratie van het NEXUS / EPD met de ZorgCloud en ZorgWerkplek van SLTN. Deze modulaire oplossing biedt zorginstellingen een compleet digitaal platform voor […]
Background: Full program implementation is crucial for effectiveness but is often overlooked or insufficiently considered during development of behavioral change interventions. For school-based health promotion programs, teachers are key players in program implementation, but teacher support in this phase is mostly limited to technical support and information. To ensure optimal implementation of the Dutch school-based sexual health program Long Live Love, a Web-based coaching website was developed to support teachers in completeness and fidelity of program implementation. Objective: The aim of this paper is to provide insight into the process of systematic development of a Web-based coaching intervention to support teachers in their implementation of a school-based sexual health program. Methods: The intervention mapping (IM) protocol was applied for the development of a theory- and evidence-based intervention. The IM process begins with (1) a needs assessment, followed by (2) the formulation of change objectives, (3) the selection of theory-based intervention methods and practical applications that take the parameters for effectiveness into consideration, (4) integration of practical applications into an organized program, (5) planning for adoption, implementation, and sustainability of the program, and finally, (6) generating an evaluation plan to measure program effectiveness. Results: Teacher’s implementation behavior was characterized by inconsistently selecting parts of the program and not delivering (all) lessons as intended by program developers. Teachers, however, did not perceive this behavior as problematic, revealing the discrepancy between teacher’s actual and perceived need for support in delivering Long Live Love lessons with completeness and fidelity. Teachers did, however, acknowledge different difficulties they encountered which could potentially negatively influence the quality of implementation. With the IM protocol, this Web-based coaching intervention was developed based on a concept of unobtrusive coaching, by and for teachers, to bring about change in teachers’ implementation behavior. Conclusions: This paper provides an example of a Web-based intervention to bring about behavioral change in a target group of intermediaries who lack intrinsic motivation for coaching and who’s perceptions differ from their actual problematic behavior. The IM protocol is a useful tool for guiding the scientific development of interventions and making them compatible with the needs and preferences of the target group.
Journal of Medical Internet Research
In starting Vistacan ( Vistacan.com ) there was a goal to increase the level of interoperability within the healthcare industry. At Vistacan we believe that patients should be able access their Electronic Medical Records (EMR), but we also believe that doctors should have an easier time transferring health records through medical offices. Vistacan utilizes the open source technology VistA in order to achieve its successful teleplan billing, telemedicine, and EMR mobile web services. In creating the application and website MouseCall.MD , we have developed a way for all BC residents to visit a registered physician conveniently from their own home. Not only does Mousecall.MD increase the availability of healthcare for patients in underpopulated areas, but also cuts down on patient wait times and reduces cancellations for doctors.
Attending the eHealth conference in Toronto last year gave our company experiences that we otherwise wouldn’t have had, and allowed us to continue trying to grow our business. The networking events provided us with great opportunities to connect with other health professionals, as well as gave us access to leading decision makers within Canada’s health care industries. Meeting other businesses and our peers within the health software industry allowed for friendly relationships to be formed, which in turn created a wealth of information sharing. Furthermore the conference provided excellent discussion through educational seminars and events; and without a doubt it’s always extremely interesting to see the innovative products on display which are shaping the future of Canadian healthcare.
Vistacan will be attending this year’s eHealth event in Vancouver and is looking forward to experiencing all of the things which made it such a great event last year. You can find us at the event in Innovation Alley.
The post Innovation Alley: Vistacan appeared first on e-Health Annual Conference & Tradeshow 2016 | e-Health 2016 Vancouver, B.C..
TORONTO, May 19, 2016 – As the only national conference that connects the entire digital health ecosystem, e-Health 2016 will zero in on innovative technology, patient engagement, models of care (virtual, mobile, etc.), policy, processes, and more to support quality, sustainable care delivery in the face of the foundational change taking place in the health system. e-Health 2016 takes place from June 5 – 8 in Vancouver.
More than 200 local and international thought leaders and innovators will present keynote, plenary, panel and educational sessions, as well workshops and e-Poster presentations. In addition, the Hacking Health Design Challenge Hackathon will attempt to address frontline healthcare challenges, and participants can experience that latest health technology trends in The Showcase and Innovation Alley on the tradeshow floor.
What: e-Health 2016, national digital health conference, tradeshow and Hackathon
When: June 5- 8, 2016 beginning at 8:30 a.m. each day
Where: Vancouver Convention Centre, East Building
999 Canada Place, Vancouver, BC
- Reimagining Healthcare in Canada: Connecting Innovators – June 6, 8:30 a.m.
- Zayna Khayat, MaRS Discovery; Marilyn Emery, Women’s College Hospital; Dr. Travis McDonough, Kinduct Technologies will spark discussion and provide some meaningful insights into how we can reimagine healthcare in Canada
- Reimagining Healthcare in Canada: The Case for Optimism – June 6, 4:00 p.m.
- Panel discussion featuring Dr. Peter Vaughan, Deputy Minister of Health, Nova Scotia; Catherine Claiter-Larsen, Vancouver Island Health Authority; and Neil Fraser, Medtronic
- Why Entrepreneurship is Essential for Bold Change in Healthcare – June 7, 8:30 a.m.
- John DeHart, Nurse Next Door
- Data Schmata: Start Measuring What Really Counts! – June 8, 12:00 p.m.
- Louis Francescutti, visionary storyteller and one of Alberta’s Top 100 Physicians of the Century
Full program details are available at http://www.e-healthconference.com/program/conference-program/.
Media are required to pre-register for accreditation and check-in at the registration desk upon arrival.
For more information, contact:
Director, Media Relations, Canada Health Infoway