telesante_strategique

Informing Mobile Health Policy for Pregnant Women in Rural Populations in Canada, with a Focus on Pre-Eclampsia...Future of Health Leadership, Informatics and Policy (FHLIP) Conference, February 22, 2024, University of Toronto, Toronto, Ontario

Thu, 15 Aug 2024 04:00:00 +0000

Studies in Health Technology & Informatics; 08/15/2024
Canadian healthcare suffers rural disparities, especially in maternal and prenatal care. Drawing on a literature review, the paper highlights the potential of mobile health (mHealth) applications to bridge this gap and improve maternal care in rural communities. mHealth tools have great potential for knowledge and trustbuilding among healthcare workers and pregnant women. To support the success of these solutions, more funding and policy support are required. mHealth solutions have a great potential for great economic savings while addressing healthcare disparities and ensuring everyone has access to high quality care.
(AN 175554333); ISSN: 09269630
CINAHL Complete

Delivery of Comprehensive Medication Management and Other Clinical Services via Telehealth by Pharmacy Type.

Sat, 01 Jun 2024 04:00:00 +0000

Journal of Pharmacy Practice; 06/01/2024
Background: The recent coronavirus pandemic accelerated the need to deliver pharmacy-related services remotely. Objective: To describe experiences with providing comprehensive medication management (CMM) and other clinical services via telehealth by pharmacy type, before and during the COVID-19 pandemic. Methods: An online survey of pharmacists, representing 27 pharmacies, was conducted to capture telehealth usage in three pharmacy types: independently owned, integrated into a clinical setting, and retail chain. A sub-analysis was performed to assess if providing CMM services via telehealth helped, resulted in no change, or worsened the care of different patient groups (e.g., those with diabetes, were low-income, aged 65+ years). Results: During the pandemic, telehealth usage among independently owned pharmacies and those integrated into a clinical setting increased, but no change occurred among retail chain pharmacies. This usage increase in the first two pharmacy types occurred despite limited investments in connectivity-related resources to support telehealth services. Pharmacists from both independently owned pharmacies (63%) and those integrated into a clinical setting (89%) reported CMM via telehealth reached patients they would not otherwise have been able to reach during the pandemic. Most pharmacists/pharmacies found telehealth to be a feasible and acceptable method of delivering CMM. Conclusion: Pharmacists and pharmacies are now experienced with and have interest in continuing CMM via telehealth, even as the pandemic recedes. However, investments in telecommunications resources, training support, technical assistance, and continued telehealth reimbursement from health plans are needed to sustain this service delivery model.
(AN 176783989); ISSN: 08971900
CINAHL Complete

Co-designing resources for rehabilitation via telehealth for people with moderate to severe disability post stroke.

Sat, 01 Jun 2024 04:00:00 +0000

Physiotherapy; 06/01/2024
The COVID-19 pandemic necessitated rapid transition to telehealth. Telehealth presents challenges for rehabilitation of stroke survivors with moderate-to-severe physical disability, which traditionally relies on physical interactions. The objective was to co-design resources to support delivery of rehabilitation via telehealth for this cohort. Four-stage integrated knowledge translation co-design approach. Stage 1: Research team comprising researchers, clinicians and stroke survivors defined the research question and approach. Stage 2: Workshops and interviews were conducted with knowledge users (participants) to identify essential elements of the program. Stage 3: Resources developed by the research team. Stage 4: Resources reviewed by knowledge users and adapted. Twenty-one knowledge users (clinicians n = 11, stroke survivors n = 7, caregivers n = 3) All stakeholders emphasised the complexities of telehealth rehabilitation for stroke and the need for individualised programs. Shared decision-making was identified as critical. Potential risks and benefits of telehealth were acknowledged and strategies to ameliorate risks and deliver effective rehabilitation were identified. Four freely available online resources were co-designed; three resources to support clinicians with shared decision-making and risk management and a decision-aid to support stroke survivors and caregivers throughout the process. Over six months, 1129 users have viewed the webpage; clinician resources were downloaded 374 times and the decision-aid was downloaded 570 times. The co-design process identified key elements for delivery of telehealth rehabilitation to stroke survivors with moderate-to-severe physical disability and led to development of resources to support development of an individualised telehealth rehabilitation plan. Future research should evaluate the effectiveness of these resources. • There is limited evidence to guide implementation of rehabilitation via telehealth for people with moderate-to-severe physical disability post stroke. • Co-designed resources will assist clinicians, stroke survivors and caregivers to develop and implement safe, effective, individualised rehabilitation programs via telehealth.
(AN 176760227); ISSN: 00319406
CINAHL Complete

The differences between adults and adolescents using a mobile health application for menstrual complaints: A usability and qualitative study.