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The UNS Hospital E-Patient Application for Online Registration of UNS Hospital Patients is an application belonging to the UNS Hospital that can be used by old UNS Hospital patients to register for polyclinic visits online. Analysis of the "E-Patient Hospital UNS" application system from the results of an interview with the Head of the UNS Hospital Electronic Data Installation, which is the person in charge of the management of the application. The author also uses the results of the application user survey from January 1, 2020 s.d. November 27, 2020 to determine the level of customer satisfaction in conducting system analysis. The purpose of this system analysis is to find out how much the function or usefulness of this application system is to unravel or minimize the problems that become obstacles related to registration of polyclinic patient visits at UNS Hospital.

Introduction E-patient activities are known to impact upon the patient-doctor relationship and on surgical outcomes. In Oman, there is no published information about the e-patient. The aim of this study, conducted at two surgical sites, was to investigate surgical e-patients’ use of, and attitudes towards, the Internet, and the possible impact on the delivery of healthcare. Materials and methods A convenience sample of 83 German and 93 Omani patients at the two surgical sites were given an in-house paper-based questionnaire, based on e-patient activities described in the literature. Descriptive statistics like means, standard deviations and frequencies were calculated. Results There were many similarities in usage and attitudes. Omani patients showed much greater knowledge and usage of sites and apps, used the Internet more for health-related activities (26.9% vs. 12.0%), and had a greater proportion of their physician encounters through email (10.0% vs. 4.0%) and social media (15.2% vs. 1.8%). More Omani patients brought information from the Internet than German patients (13.5% vs. 6.0%). Patients from both countries were generally positive about bringing material from the Internet to the consultation. Discussion and conclusion Both sites indicated typical e-patient activity and attitudes as described in the literature. Age and type of condition (chronic vs. acute) may explain the differences to some extent, but this was not consistent. Socio-cultural differences between the two countries may have a great influence on the usage., Highlights • Although both sites indicated typical e-patient activity and attitudes, the Omanis had greater use than the Germans. • This was evident in overall Internet use for health-related activities and for social media interaction with their surgeons. • All were positive about bringing Internet material to consultations, potentially impacting on doctor-patient relationships.

Establishing new models of health care and new forms of professional health-patient communication are lines of development in the field of health care. The onset of the COVID-19 pandemic has accelerated the evolution of information systems and communication platforms to guarantee continuity of care and compliance with social distancing measures. Our objective in this article was, firstly, to know the expectations of patients treated in the healthcare processes “cervical cancer” and “pregnancy, childbirth and puerperium” regarding online access to their clinical history and follow-up in the care process. Secondly, we analyzed times involved in the cervical cancer process to find points of improvement in waiting times when digital tools were used for communication with the patient. A descriptive cross-sectional study was carried out on 120 women included in any of the aforementioned processes using a hetero-administered questionnaire. The analysis of times was carried out using the Business Intelligence tool Biwer Analytics®. Patients showed interest in knowing their results before the appointment with the doctor and would avoid appointments with their doctor if the right conditions were met. Most recognized that this action would relieve their restlessness and anxiety. They were highly interested in receiving recommendations to improve their health status. It was estimated that there was room for improvement in the times involved in the care process, which could be shortened by 34.48 days if communication of results were through digital information access technologies. This would favor the optimization of time, resources and user perception.

Program introduction, including cascade training, to screen for severe preeclampsia and eclampsia and initiate treatment with magnesium sulfate was somewhat successful. Challenges included inconsistent adherence to the national protocol, data quality, and some issues with supplies and equipment., Introduction: Eclampsia-related conditions are the second leading direct cause of obstetric deaths in Bangladesh. Efforts to prevent such deaths in low- and middle-income countries are increasingly focused on task shifting at the primary care level to enable frontline providers to screen and initiate treatment for women with preeclampsia, severe preeclampsia, and eclampsia (PE/SPE/E). The MaMoni Health Systems Strengthening project (funded by the United States Agency for International Development) implemented a magnesium sulfate intervention at primary care facilities in 4 Bangladesh districts in 2016 and 2017. Methods: The project trained frontline providers through a cascade approach from the national to the union level. A PE/SPE/E patient algorithm, digital blood pressure machines, and eclampsia kits with magnesium sulfate were supplied to service providers at each facility. We conducted a retrospective record review of facility-level data to assess the degree to which newly trained frontline providers adhered to a protocol that incorporated the use of magnesium sulfate for SPE/E in primary care settings. Results: In total, 283 women were found to have PE/SPE/E. Fifty-four percent were managed according to the protocol. The required supplies were present at each facility, but some issues existed with regard to availability and functionality of blood pressure apparatuses. Discussion: Challenges related to recordkeeping and service quality limited the analysis. Frontline providers need refresher trainings, ongoing supervision, properly calibrated blood pressure devices, and performance monitoring support in order to improve screening and management of PE/SPE/E in primary care facilities.

Urinary infection is a pathological condition that has been known for a long time and can be found in various primary health services to subspecialty. The purpose of this study was to analyze the incidence of infection urinary tract in patients at the urological clinic poly Dr. M Yunus Bengkulu. The research design used qualitative with a descriptive approach. The informant's research method in this study used the "Purposive Sampling" technique. The source of information in this study was patients who visited the urology clinic poly Dr. Married M Yunus Bengkulu and data from the medical clinic of the urology clinic Dr. RSUD M Yunus Bengkulu as many as 5 patients. Data collection uses in-depth interview techniques. The results of this study obtained a theme namely, a etiological aspect. In the etiological aspect, it is found th e patient have a habit of holding urine and drinking less water, especially at certain times and circumstances. The conclusions were the informants understood a little about urinary infections, all informants had experienced urinary tract infections for the first time, the sexual activities carried out by informants were reasonable or mediocre sexual activity, all informants had the habit of sometimes holding back urination, especially in when certain activities such as long trips and work, and all informants have the habit of drinking water. Keywords: Infection, Knowledge, Etiology, Handling.

Hochschild's theory of emotional work explains how people evoke or suppress emotions in order to adhere to social norms. An encounter with an e-patient who presents potentially unreliable medical information from the internet can lead to caregivers undergoing emotional work. This may have a negative impact on caregivers, such as mental exhaustion or professional dissatisfaction.To examine nursing students' emotional work and its consequences following an encounter with e-patients who present new information from reliable or unreliable internet websites.A cross sectional study.A large university in the center of Israel.376 nursing students (230 Jewish, 146 Arab) of a 4-year BA program.The study was scenario based describing an e-patient that presents information from a reliable/unreliable website. The students were asked about the emotions the situation evokes in them based on the Emotional Work Questionnaire. In addition, the questionnaire examined the emotional work techniques (surface versus deep acting) and the impact of emotional work on the students.Deep acting emotional work was the most used emotional work technique. Arab students performed more deep acting emotional work compared to Jewish students (F(1,360) = 12.57, p 0.001). Deep acting emotion work mediated the relationship between ethnicity and the impact of emotion work ((LLCI (-0.1018), ULCI (-0.0199)).The training of nursing students should allow and encourage students' legitimacy to feel and express various emotions, even when they are contrary to expectations. Sharing others' (students', clinical instructors') feelings that arise in clinical situations is an essential aspect of clinical training. This training may lead to effective emotional management in different situations and allow students to receive help and support that will enable them to develop good coping skills during their studies which will benefit them later in their professional career.

Objective The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. Methods Telephone interviews (N = 20) were conducted with older adult DOC users (born between 1946 and 1964) living in the United States. Interviews were analyzed using qualitative content analysis adhering to rigor and reproducibility standards. Results Themes that emerged from the data related to DOC participation included: information to improve self-care, emotional support, belonging to a community, validation of information, cause for concern and interaction with healthcare providers. Participants used the DOC for day to day diabetes management advice and healthcare providers for medical information and care. Conclusion Participants highly valued the DOC and regarded their participation as a way to increase knowledge to improve self-care and reciprocate emotional support with others for diabetes management. The DOC filled gaps in knowledge and support participants were not able to get elsewhere. Practice implications The DOC serves as an important source of information and support for individuals with diabetes and may be a cost-effective strategy to augment standard diabetes care.

Summary Advanced information technologies have entered all spheres of human activities. In healthcare, this happens much too fast and encompasses all its branches. How does the Internet form the relationship between patients and medical staff? What information do patients seek and how do they get it? What problems arise during the communication process via new means? How can we describe an e-patient? How does the Internet model the doctor-patient relationship in case of cancer, one of the most dramatic diseases? Are students prepared to face an e-patient and how are they trained to do it? What is to be done to optimize internet communication between patients and health providers? This review analyzes information on these issues and outlines some opportunities for solving problems arising against the background of IT use in health care.

The emergence of the e-patient has resulted in many medical practitioners' being ill-equipped to deal with the 21st-century medical practice. This Guide is a teaching guide for medical educators so that they can prepare their students for the new environment that has resulted from the emergence of the e-patient. Within the context of theoretical perspectives, the Guide begins by defining the concept, and examining the history of the e-patient, detailing typical e-patient activities and some complexities raised by these activities. Finally, the Guide details the topic areas that should be covered in a course aimed at preparing medical students for e-patients. The result is a theoretical and practical teaching Guide that equips medical teachers and their students with the necessary background information, and also assists teachers in the teaching of that information so that their students may become health practitioners fully equipped to deal with the problems and potential of the e-patient.

The Internet is increasingly used for health-related purposes and evolves with the ever-changing needs of patients. The aim of this study was to assess the level of reliance on the Internet as a health information source, to examine which online communication activities are the most common for health purposes, and to determine the attitudes and needs of patients in this area and the factors affecting its use. A total of 1000 adults were selected from the Polish population by random sampling. The survey was administered by the Computer-Assisted Telephone Interview (CATI). The study concluded that 76.9% of the participants used the Internet for health purposes, among whom 72.6% of active and 27.4% of passive users were distinguished. The role of the Internet as a source of health information has increased, which corresponds to a growing interest in online health services. The majority of individuals searching for health information in the Internet lived in urban areas, had a high level of education, and was professionally active. We conclude that the increased interest in the use of the Internet related to health determines the direction in which e-health should be developed in the future.

Improving patient education focusing on bowel preparation before a colonoscopy leads to cleaner colons. Endoscopy units must obtain informed consent and perform a risk assessment for sedative use prior to a colonoscopy. The current practice in the Netherlands to achieve these goals is nurse counseling in an outpatient setting. This is costly and has disadvantages in terms of uniformity and time consumption for both the patient and the hospital. The hypothesis is that computer-based education with use of video and 3D animations may replace nurse counseling in most cases, without losing quality of bowel cleanliness during colonoscopy. This multicenter, randomized, endoscopist blinded clinical trial evaluates a primary outcome measure (bowel preparation) during colonoscopy. Secondary outcome measures are sickness absence, patient anxiety after instruction and prior to colonoscopy, patient satisfaction and information re-call. The study will be performed in four endoscopy units of different levels (rural, urban, and tertiary). Inclusion criteria are adult age and referral for complete colonoscopy. Exclusion criteria are Dutch illiteracy, audiovisual handicaps or mental disabilities and no (peers with) internet access. This trial aims to establish online computer-based education as tool for patient education prior to a colonoscopy. By choosing a direct comparison with the standard of care (nurse counseling), both endoscopic quality measures and patient related outcome measures can be evaluated.

Background Doctors’ interactions with and attitudes toward e-patients have an overall impact on health care delivery. Objective This study aimed to gauge surgeons’ interactions with e-patients, their attitudes toward those e-patient activities, the possible impact on the delivery of health care, and the reasons behind those activities and attitudes. Methods We created a paper-based and electronic survey form based on pertinent variables identified in the literature, and from March 2018 to July 2018 we surveyed 49 surgeons in Germany and 59 surgeons in Oman, asking them about their interactions with and attitudes toward e-patients. Data were stored in Microsoft Excel and SPSS, and descriptive statistics, Pearson correlations, and chi-square tests were performed on the data. Results Of our sample, 71% (35/49) of the German surgeons and 56% (33/59) of the Omani surgeons communicated electronically with their patients. Although the German surgeons spent a greater percentage of Internet usage time on work-related activities (χ218=32.5; P=.02) than the Omani surgeons, there were many similarities in their activities. An outstanding difference was that the German surgeons used email with their patients more than the Omani surgeons (χ21=9.0; P=.003), and the Omani surgeons used social media, specifically WhatsApp, more than the German surgeons (χ21=18.6; P Conclusions The interactions show a high degree of engagement with e-patients. The differences between the German and the Omani surgeons in the preferred methods of communication are possibly closely linked to cultural differences and recent historical events. These differences may, moreover, indicate e-patients’ desired method of electronic communication to include social media. The low impact of surgeons’ attitudes on the activities may also result from a normalization of many e-patient activities, irrespective of the doctors’ attitudes and influences.

Professionalism in any field requires keeping pace with change, and nowhere is it more true than medicine. Knowledge flow has changed dramatically since today’s accreditation standards were developed, and change continues more rapidly than ever. It’s time for a fresh look at how best to achieve care in this altered environment, where valid knowledge may come from the patient as well as from clinician resources: a sociological change driven by technological change. The power structure of the clinical relationship is inevitably altered as constraints on patient knowledge are loosened by the internet, apps, and devices, undermining a paradigm of patients as uninformed recipients of care based on a one-way flow of wisdom from providers. Case after case is presented showing that patients today have generated undeniable value, violating the expectations and assumed best practices of the old model. To understand this sociological (yet scientific) change, this article reviews the role of paradigms in the history of sciences as described in Thomas Kuhn’s landmark book The Structure of Scientific Revolutions and describes how these anomalous patient stories force the conclusion that the traditional paradigm of patients is no longer supportable and a new paradigm is needed. This in turn means our standards of professionalism and appropriate care must be updated, lest we fail to achieve best possible care in our increasingly overburdened system. Our new standard must be to teach clinicians to recognize, welcome, and work with empowered “e-patients” in the new model of participatory medicine.

BACKGROUND AND OBJECTIVE The increasing prevalence of food allergy affects both patients and their families. Objective: The aim of this study was to evaluate the impact of an online educational program designed for parents and caregivers of children with food allergies. The program was developed by a multidisciplinary group comprising health care professionals, researchers, and expert patients under the participatory medicine model. MATERIAL AND METHODS Participants took a 2-week online educational program covering major topics in food allergy management. General knowledge about the disease, symptoms, treatment, and topics relevant to families' daily lives were evaluated. The contents included educational videos, online forums, and live video chats. A pretest/posttest questionnaire survey was used to evaluate the impact of the program. RESULTS A total of 207 participants enrolled in the educational program, which was completed by 130 (62.8%). Knowledge acquisition improved significantly following participation in the program in 15 out of 30 items (50%), reaching P

Information technology is changing rapidly worldwide and so the communication. According to the literature the digital revolution will have a huge impact on how physicians interact with patients. The internet has become a powerful healthcare tool for a lot of people. As a result of these changes e-patient movement has evolved. These changes will have an important affect on the doctor ? patient communication and the direction of these relationship became a fundamental question. According to the literature the paternalist physician - patient communication should be replaced by a common decision however, this process requires significant change of attitude from both the patient and the physician.We made in-depth interviews with five patients with serious illness and with five doctors. We used the grounded theory method for analyzing data about the doctor ? patient communication. From the results we can see, that there are many appearances of needs to becomes from google patient to e-patient but the habitual barriers of paternalistic doctor-patient communication overwrite this efforts.

Introduction The impact of the Internet on medical care leads to various medical information sources for patients and to an increasing demand for online-counselling. Thus new challenges for doctors arise. Aim of this project is to close the gap between these challenges and the current lack in options to prepare medical students for them. A training program in a blended-learning format with an online-platform as training instrument was designed and implemented into a gynaecology course during 9th semester of medical curriculum. It was analysed on basis of the following research question: How can medical students be prepared effectively for current challenges in the field of expert-guided online-counselling on preventive interventions? - A randomised, prospective trial exemplified by a case study of Mammography-Screening 1. How does an online-forum need to be designed, in order to provide an adequate training instrument simulating the arising challenges with a high level in closeness to reality? 2. Which didactical blended-learning approach (trainer-directed or self-directed) is most appropriate to prepare students effectively? Methods The online-forum’s development is shown as well as the establishment of the two course formats along Kern’s model. In a prospective, randomised, parallel group study the training outcome is evaluated by standardised and blinded pre/post analysis using a test, in which students counselled a simulated patient request through the forum. This was followed by an online-survey for students’ self-assessment regarding the learning objectives. The survey also collected data on students’ characteristics and course evaluation. Results The data shows a G*Power (1-β) > .8 and no significant differences between sociodemographic aspects (p > .05) of the two groups (G1, G2). Students’ evaluation (lowest: 1, best: 5) results as follows: external organisational circumstances (time, distances) (mean = 2.79; SD = .142), performance and moderation of the course (mean = 4.19; SD = .104), application of online-forum (mean = 3.90; SD = .103). The students of the self-directed group (G1) show a significant increase in their self-assessment (doctor-patient communication: Z = -2.036; p =.042; online-communication: Z = -2.058; p =.04), implemented independent online-research (p =.073) during independent training more often than G2 students and completed more training cases in any range. Discussion The data indicates great suitability of the online-forum for training and its high acceptance amongst the students. However, external organisational circumstances were criticised. The forum supports the effectiveness of training and since it is an instructional method in fields of simulation-based learning, it is shown to raise the effectiveness of medical education. Students of G1 (self-directed) arise to show a better learning outcome and their higher activity level correlates with their significantly raised self-assessment regarding the topical learning objectives. This is supported by scientific evidence describing the strengths of blended-learning and self-directed learning approaches in medical education. In particular, the limitation of self-assessment as a method for characterising the students’ learning outcome needs to be regarded, since it is shown to be highly vulnerable to rater biases. Thus aligning the results with the subsequent OSCE evaluation of the students’ texts from the pre/post test in the forum arises as relevant. In addition, the forum’s content and features’ high level in flexibility allows easy transfer to further disciplines and target groups. Conclusion The blended-learning course with the online-forum as training instrument provides a basis for an effective training of medical students in fields of expert-guided online-counselling regarding preventive interventions. Its transfer to other target groups in a self-directed approach arises as major perspective. The alignment of data from self-assessment with the subsequent OSCE evaluation arises as further relevant perspective, since its preliminary results appear to highly significantly confirm the tendency described throughout this study.

Nowadays, it is generally appreciated that studies in the medical field should not only include sex-related aspects but also consider age. In the past, taking the era of Hippocrates as a starting point for the Western medical sciences, such aspects were less urgent and barely relevant. However, considering such details during daily life became increasingly important as the traditional roles of men and women in society and household converged. In the Western world, this fundamental transition process started recently and is advancing at an accelerated pace. Research about the role of women has also evolved, starting from plain history about the lives of women to a description of the relation between men and women, resulting in the gender concept. The present survey highlights a historical selection of observations referring to the impact of men and women on the medical sciences, as patient, study object, and professional. Whenever relevant, focus will be on the field of cardiovascular investigations as documented in the Western world. Rather than being exhaustive, we focus on a few remarkable icons, including Trota of Salerno, Hildegard von Bingen, and Miguel Serveto.

Background Health communication research and guidelines often recommend that medical terminology be avoided when communicating with patients due to their limited understanding of medical terms. However, growing numbers of e-patients use the Internet to equip themselves with specialized biomedical knowledge that is couched in medical terms, which they then share on participatory media, such as online patient forums. Objective Given possible discrepancies between preconceptions about the kind of language that patients can understand and the terms they may actually know and use, the purpose of this paper was to investigate medical terminology used by patients in online patient forums. Design Using data from online patient–patient communication where patients communicate with each other without expert moderation or intervention, we coded two data samples from two online patient forums dedicated to thyroid issues. Results Previous definitions of medical terms (dichotomized into technical and semi-technical) proved too rudimentary to encapsulate the types of medical terms the patients used. Therefore, using an inductive approach, we developed an analytical framework consisting of five categories of medical terms: dictionary-defined medical terms, co-text-defined medical terms, medical initialisms, medication brand names and colloquial technical terms. The patients in our data set used many medical terms from all of these categories. Discussion and conclusions Our findings suggest the value of a situated, condition-specific approach to health literacy that recognizes the vertical kind of knowledge that patients with chronic diseases may have. We make cautious recommendations for clinical practice, arguing for an adaptive approach to medical terminology use with patients.

Advances in technology led to a heightened interest in exploring the use of this technology in the standard rheumatology practice. Tech-Talks will enable the information at the patients' and rheumatologists' fingertips. As e-rheumatology is an idea whose time has come, this review outlines the e-health's developments and its impact on both the patients and the treating rheumatologists. Also it will discuss the strengths and weaknesses of using apps and mobile health in the day-to-day rheumatology service as well as the ethical and financial aspects of this model of care.