Wednesday, May 6, 2020

Masters Of Health Services In Management -Myassignmenthelp.Com

Question: Discuss About The Masters Of Health Services In Management? Answer Introducation Patients form an important component of the healthcare system although several technological advances are occurring every year. Therefore, most healthcare organisations are working towards improving patient experience by making full utilization of software send data. The ever increasing advancement in health literacy technology and flow of healthcare in the world illustrates the importance of patient satisfaction (Crisp Chen, 2014). The increased focus on finding best patient outcomes are due to combination of global healthcare strategies with increased customer expectations and the advent of technologies. Use of such technologies eventually leads to optimisation of the healthcare environment and helps in reducing hospitalization costs. Thus, increased advances in the process of data sharing and use of technology has enhance the scope of sharing knowledge and information, thereby building on the capabilities and skills of healthcare professionals. This helps in delivering holistic healthcare services to the patients which in turn improve their satisfaction (Sultan, 2015). Therefore, there has been an increased attention on the factors that directly influence patients experience on these rapid changes in healthcare technology and their effectiveness in managing health abnormality. This literature review will analyse findings from 10 related articles on changes in patient experience with the use of health technology. The two key areas that will be investigated are the following- What do patients feel on the use of healthcare related technology? What are the key themes or areas that have been identified by the literature on patient outcomes with the use of such technologies? The electronic database of Griffith library was searched using several key terms and boolean operators in order to obtain relevant research articles, published not prior to 2012. The articles were published in English and were peer reviewed, of which 10 were selected for the literature review. These articles help in identifying several factors that are needed for supporting delivery of optimal healthcare facilities to aged population using the aforementioned technologies. Article 1- Hess, R., Fischer, G. S., Sullivan, S. M., Dong, X., Weimer, M., Zeith, C., ... Roberts, M. S. (2014). Patterns of response to patient-centered decision support through a personal health record.TELEMEDICINE and e-HEALTH,20(11), 984-989. Focus and viewpoint- The article stated that creating provisions for reminders via PHR messages upon the patience for taking actions and closes prevention gaps. This technology achieved more than 50% outcomes. It stated that patients receiving messages or notifications via the PHR obtained more benefits while receiving healthcare services, when compared to others. The PHR messaging service was also investigated to function more effectively than traditional reminders such as telephone send mails. Clinical application- This technology will be of more use if the researchers are able to illustrate the process of getting access to the PHRservices. Furthermore, there is a need to explain the convenience of using this technology for older adults and patients who lack technological literacy. Article 2- Hibbard, J. H., Greene, J. (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.Health affairs,32(2), 207-214. Focus and viewpoint- The study aimed to investigate presence of better healthcare outcomes and experiences among patients subjected to innovative delivery systems. It also evaluated whether the use of technology increases activation levels and is able to reduce associated healthcare costs among such patients. The findings suggested that patients suffering from chronic health disorders experience higher activation levels and showed better compliance to the treatment interventions. They were found to perform self monitoring activities regularly at home and obtained continuous care for treating the chronic condition such as regular food examinations for diabetes. Clinical application- The findings suggested the association of a new quality goal with improved patient activation and good health outcomes. There is a need to use health technology for exploring strategies that can be implemented to optimise patient activation in order to produce more convenient and cost-effective healthcare services. Article 3- Ksbauer, S., Cooper, R., Kelly, L., King, J. (2017). Barriers and facilitators of a near real-time feedback approach for measuring patient experiences of hospital care.Health Policy and Technology,6(1), 51-58. Focus and viewpoint- The researchers collected feedback from volunteers and staff at 3 time intervals namely, before, during, and after collection of patient experience data, using a mixed method for interviewing them. The patient feedback principally focused on relational aspects of healthcare services, which in other words is termed as compassionate care. This feedback was reported to the staff on a weekly basis, and facilitated informed decision making process for improvement of the health status of all patients. Clinical applications- The patients were found to have good experiencesin the real time setting. However, there was a lack of mention about the effectiveness of the workflow and costs that were related todelivery of the healthcare facilities in real time. Article 4- Koh, H. K., Brach, C., Harris, L. M., Parchman, M. L. (2013). A proposed health literate care modelwould constitute a systems approach to improving patients engagement in care.Health Affairs,32(2), 357-367. Focus and viewpoint- The primary objective of this research was to use the care model assessment tool for investigating the extent to which the health literacy needs of all patients were being met. It also aimed to increase awareness for staff education throughout the healthcare system, which would directly improve patient satisfaction. It stated that although the care model increased attention on informed engagement of the patients in high quality care services, it failed to incorporate information on health literacy strategies. Clinical application- Incorporation of health literacy strategies will help in improving patient outcomes and quality by engaging them in a better way. Article 5- Liu, J., Luo, L., Zhang, R., Huang, T. (2013). Patient satisfaction with electronic medical/health record: a systematic review.Scandinavian journal of caring sciences,27(4), 785-791. Focus and viewpoint- The study investigated the factors that would directly influence patient satisfaction, thereby assisting vendors to design EMR/EHR in a better way. It also needs to improve direction for research in the field of healthcare technology used. The study analysed 8 articles, the results of which showed an improvement in patient satisfaction with the use of EMR/EHR. However, it also mentioned the need for rigorous studies for precise measurement and description of the actual impact on patient satisfaction. Clinical application- It identified the need to conduct more research for recognising the other contributing factors that directly influence patient satisfaction. This would help in redesigning the theoretical models associated with implementation of EHR/EMR that will act as an effective tool for understanding patient satisfaction. Article 6- Lyden, J. R., Zickmund, S. L., Bhargava, T. D., Bryce, C. L., Conroy, M. B., Fischer, G. S., ... McTigue, K. M. (2013). Implementing Health Information Technology in a Patient?Centered Manner: Patient Experiences With an Online Evidence?Based Lifestyle Intervention.Journal for Healthcare Quality,35(5), 47-57. Focus and viewpoint- The research article explored the positive and negative aspects of an online lifestyle coaching service. 17% patients recognised the online format of the coaching service to be helpful for their health. However, there were some discrepancies related to the effectiveness of the online service on the basis of a face-to-face direct interaction. Clinical application- The online lifestyle coaching service was found to be helpful for self-motivated patients who showed compliance to the treatment. However, there is a need to identify the strategies that can be implemented to increase motivation among patients who do not show and other ones too treatment facilities. Article 7- Or, C. K., Karsh, B. T. (2009). A systematic review of patient acceptance of consumer health information technology.Journal of the American Medical Informatics Association,16(4), 550-560. Focus and viewpoint- A total of 52 articles were analysed to find out the effects of technology related to consumer health information, on its acceptance by the patients. 3 out of the 52 studies evaluated effects of computer anxiety and demonstrated the presence of a negative correlation with patient acceptance. Clinical application- Although few studies tested influence of environmental on organisational factors, no studies were conducted to evaluate effects of social factors on patient acceptance. The study identified the need to address people with computer anxiety, and their preferences and abilities for improving design of the healthcare technology that can be used in future practice. Article 8- Rief, J. J., Hamm, M. E., Zickmund, S. L., Nikolajski, C., Lesky, D., Hess, R., ... Roberts, M. S. (2017). Using Health Information Technology to Foster Engagement: Patients Experiences with an Active Patient Health Record.Health communication,32(3), 310-319. Focus and viewpoint- A randomised control trial was conducted among 41 participants who were stratified into 5 different focus groups. Sessions were conducted to evaluate experience of the patients on using updated version of the PHR technology. Personalised messages sent to patients were found to significantly improve their experience and satisfaction with regards to use of PHR. However, several concerns were raised on the use of technology in place of face-to-face direct encounters and the quality of content provided to the patients. Clinical application- It recognised the need of further research for investigating the various that can hinder adherence to PHR technology use, and the depth of patient experience. Article 9- Saukko, P. M., Farrimond, H., Evans, P. H., Qureshi, N. (2012). Beyond beliefs: risk assessment technologies shaping patients experiences of heart disease prevention.Sociology of health illness,34(4), 560-575. Focus and viewpoint- The researchers conducted interviews into round to assess questions related to cardiovascular abnormality is among the participants. Risk assessment technology was found to play a major role in influencing the experience of the patients related to risks of cardiovascular disorders. However, these technologies were also found to alter patient experience, which questioned their effectiveness on changing behaviour that was seen while measuring cholesterol targets. Clinical application- The researchers focused very little on the effect of technology in moulding experience of the patients. Article 10- Woollen, J., Prey, J., Wilcox, L., Sackeim, A., Restaino, S., Raza, S. T., ... Vawdrey, D. (2016). Patient experiences using an inpatient personal health record.Applied clinical informatics,7(2), 446. Focus and viewpoint- Semi-structured interviews and observations were conducted by the researchers on 14 post operative cardiac patients and their families through the use of inpatient PHR. Patients were found to report greater satisfaction on viewing the medications they were administered and being able to access educational materials related to their health status. The respondents also displayed a desire to view their daily progression post surgery,diagnosis, laboratory test reports, and radiology reports in their native language during hospitalization. Clinical application- The study help the patients to access self medical records and take charge of their healthcare plan using advice from experience healthcare professionals. It identified the need of future technological interventions for exploring the benefits of these technologies in addressing gaps. Discussion- To conclude, it can be stated that advent of new technologies are modifying and revolutionizing the ways by which healthcare professionals are delivering services to their patients .Which technology becoming the main stay in therapeutic medical practice, less time is being spent on documenting patient information and more emphasis is being given on treatment. Analysis of the 10 research articles shows that use of these healthcare technologies has greatly benefited patients. Therefore, there is a need for all healthcare organisations and hospitals to focus on maximum utilisation of these technologies, for improving patient outcomes. This can be attributed to the fact that higher patient satisfaction will improve retention rate, which in turn will directly influence revenue of the healthcare centres. Thus, providing positive patient experience should be regarded as a priority by all healthcare agencies. References Crisp, N., Chen, L. (2014). Global supply of health professionals.New England Journal of Medicine,370(10), 950-957. Hess, R., Fischer, G. S., Sullivan, S. M., Dong, X., Weimer, M., Zeith, C., ... Roberts, M. S. (2014). Patterns of response to patient-centered decision support through a personal health record.TELEMEDICINE and e-HEALTH,20(11), 984-989. Hibbard, J. H., Greene, J. (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.Health affairs,32(2), 207-214. Ksbauer, S., Cooper, R., Kelly, L., King, J. (2017). Barriers and facilitators of a near real-time feedback approach for measuring patient experiences of hospital care.Health Policy and Technology,6(1), 51-58. Koh, H. K., Brach, C., Harris, L. M., Parchman, M. L. (2013). A proposed health literate care modelwould constitute a systems approach to improving patients engagement in care.Health Affairs,32(2), 357-367. Liu, J., Luo, L., Zhang, R., Huang, T. (2013). Patient satisfaction with electronic medical/health record: a systematic review.Scandinavian journal of caring sciences,27(4), 785-791. Lyden, J. R., Zickmund, S. L., Bhargava, T. D., Bryce, C. L., Conroy, M. B., Fischer, G. S., ... McTigue, K. M. (2013). Implementing Health Information Technology in a Patient?Centered Manner: Patient Experiences With an Online Evidence?Based Lifestyle Intervention.Journal for Healthcare Quality,35(5), 47-57. Or, C. K., Karsh, B. T. (2009). A systematic review of patient acceptance of consumer health information technology.Journal of the American Medical Informatics Association,16(4), 550-560. Rief, J. J., Hamm, M. E., Zickmund, S. L., Nikolajski, C., Lesky, D., Hess, R., ... Roberts, M. S. (2017). Using Health Information Technology to Foster Engagement: Patients Experiences with an Active Patient Health Record.Health communication,32(3), 310-319. Saukko, P. M., Farrimond, H., Evans, P. H., Qureshi, N. (2012). Beyond beliefs: risk assessment technologies shaping patients experiences of heart disease prevention.Sociology of health illness,34(4), 560-575. Sultan, N. (2015). Reflective thoughts on the potential and challenges of wearable technology for healthcare provision and medical education.International Journal of Information Management,35(5), 521-526. Woollen, J., Prey, J., Wilcox, L., Sackeim, A., Restaino, S., Raza, S. T., ... Vawdrey, D. (2016). Patient experiences using an inpatient personal health record.Applied clinical informatics,7(2), 446.

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