The Experts below are selected from a list of 72708 Experts worldwide ranked by ideXlab platform
Christopher J Mcdermott - One of the best experts on this subject based on the ideXlab platform.
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PO227 A clinical trial of telehealth to improve timely access to Specialist Care
Journal of Neurology Neurosurgery & Psychiatry, 2017Co-Authors: Esther Hobson, Wendy Baird, Cindy Cooper, Sue Mawson, Pamela J. Shaw, Mike Bradburn, Ann Quinn, Theresa Walsh, Christopher J McdermottAbstract:Specialist multidisciplinary Care is associated with increased survival. We developed a telehealth system to improve access to Specialist Care and reduce the burden of travel to Specialist centres. We explored the feasibility of telehealth and the feasibility in a motor neurone disease population covering a large geographical area. 40 patients plus 37 informal Carers were randomised to usual Care or telehealth plus usual Care. Interviews explored participants’ and clinicians’ experiences of MND Care and the telehealth system. We also collected data on telehealth use, clinical outcomes and quality of life. The telehealth system was reported to be easy to use, even by patients with severe disability or no technology experience. Patients reported that the service provided reassurance and knowledge of MND and could improve communication and problem solving. Challenges included how to make the service interactive and meet the expectations of patients, Carers and staff. However, telehealth appeared to be an acceptable alternative or addition to clinic appointments, particularly in early disease or for patients unable to travel. We have developed telehealth service that could be feasible and acceptable. We have also developed an understanding of how novel methods of neurology Care delivery could reduce service costs and patient burden. We have developed a feasible and acceptable telehealth service and an understanding of how novel methods of service delivery could be successful.
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Using technology to improve access to Specialist Care in amyotrophic lateral sclerosis: A systematic review
Amyotrophic lateral sclerosis & frontotemporal degeneration, 2016Co-Authors: Esther Hobson, Wendy Baird, Cindy Cooper, Sue Mawson, Pamela J. Shaw, Christopher J McdermottAbstract:Our objective was to review the evidence for using technology to improve access to Specialist Care for patients with amyotrophic lateral sclerosis (ALS) and their Carers. Medline, Google Scholar and the Cochrane library were searched for articles describing technology that enabled clinical Care of patients with ALS or their Carers where the patient/Carer and clinician were not in the same location. Two applications were identified: telemedicine to facilitate video conferencing as an alternative to outpatient consultations and telehealth monitoring for patients with respiratory failure. One randomized controlled trial using telehealth in patients with respiratory failure including 22 patients with ALS was identified. While rates of hospitalization were reduced, overall mortality was unchanged and there were too few patients with ALS in the study to detect significant benefit. In conclusion, there is limited evidence to support the use of telemedicine or telehealth in the Care of patients with ALS. Future research needs to develop an understanding of the key beneficial aspects of the traditional Specialist ALS service and how these factors could be delivered using technology. Successful evaluation and implementation of technologies to facilitate access to Specialist Care will only be possible if all the relevant impacts of an intervention are understood and measured.
Linda L Bultman - One of the best experts on this subject based on the ideXlab platform.
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CSHCN in Texas: Meeting the Need for Specialist Care
Maternal and Child Health Journal, 2005Co-Authors: M Cherilyn Young, Vonna L C Drayton, Ramdas Menon, Lesa R Walker, Colleen M Parker, Sam B Cooper, Linda L BultmanAbstract:Objective: Assuring the sufficiency and suitability of systems of Care and services for children with special health Care needs (CSHCN) presents a challenge to Texas providers, agencies, and state Title V programs. To meet the need for Specialist Care, referrals from primary Care doctors are often necessary. The objective of this study was to describe the factors associated with the need for Specialist Care and problems associated with obtaining referrals in Texas. Methods: Bivariate and multivariate analyses were performed using the National Survey of Children with Special Health Care Needs (NS-CSHCN) weighted sample for Texas (n = 719,014) to identify variables associated with the need for Specialist Care and problems obtaining referrals for Specialist Care. Results: Medical need of the CSHCN and sensitivity to family values/customs was associated with greater need for Specialist Care, and Hispanic ethnicity and lower maternal education were associated with less need. Medical need, amount of time spent with doctors and sensitivity to values/customs, living in a large metropolitan statistical area, and lack of medical information were associated with problems obtaining a Specialist Care referral. Conclusions: Findings revealed some similarities and differences with meeting the need for Specialist Care when comparing Texas results to other studies. In Texas, aspects of customer satisfaction variables, especially doctors’ sensitivity to family values/customs and parents’ not receiving enough information on medical problems, were significantly associated with problems obtaining Specialist referrals. Findings indicate a need to further research relationships and communication among doctors, CSHCN, and their families.
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CSHCN in Texas: meeting the need for Specialist Care.
Maternal and child health journal, 2005Co-Authors: M Cherilyn Young, Vonna L C Drayton, Ramdas Menon, Lesa R Walker, Colleen M Parker, Sam B Cooper, Linda L BultmanAbstract:Assuring the sufficiency and suitability of systems of Care and services for children with special health Care needs (CSHCN) presents a challenge to Texas providers, agencies, and state Title V programs. To meet the need for Specialist Care, referrals from primary Care doctors are often necessary. The objective of this study was to describe the factors associated with the need for Specialist Care and problems associated with obtaining referrals in Texas. Bivariate and multivariate analyses were performed using the National Survey of Children with Special Health Care Needs (NS-CSHCN) weighted sample for Texas (n = 719,014) to identify variables associated with the need for Specialist Care and problems obtaining referrals for Specialist Care. Medical need of the CSHCN and sensitivity to family values/customs was associated with greater need for Specialist Care, and Hispanic ethnicity and lower maternal education were associated with less need. Medical need, amount of time spent with doctors and sensitivity to values/customs, living in a large metropolitan statistical area, and lack of medical information were associated with problems obtaining a Specialist Care referral. Findings revealed some similarities and differences with meeting the need for Specialist Care when comparing Texas results to other studies. In Texas, aspects of customer satisfaction variables, especially doctors' sensitivity to family values/customs and parents' not receiving enough information on medical problems, were significantly associated with problems obtaining Specialist referrals. Findings indicate a need to further research relationships and communication among doctors, CSHCN, and their families.
Bu Haye - One of the best experts on this subject based on the ideXlab platform.
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Mo1100 Specialist Care of in-Patients With Non-Variceal Upper Gastrointestinal Bleeding Is Associated With a Significant Shorter Length of Stay -A Prospective Analysis
Gastroenterology, 2014Co-Authors: Suresh Vasan Venkatachalapathy, Rupert B. Bright, G Chung-faye, Patrick Dubois, Ian Forgacs, Robert Logan, Bu HayeAbstract:Introduction Acute upper gastrointestinal bleeding (UGIB) is a common medical emergency that has a 10% mortality rate, 1 requiring Specialist input and management. 2 We conducted a retrospective review last year which showed that the mean length of stay (days) was shorter in the GI group: 5.5 ± 5.7 vs 15.7 ± 20.8 (p = 0.02). 3 We conducted a prospective analysis to assess if the above results held true. Methods A prospective review of case-notes (Electronic patient record-EPR) was conducted for all patients admitted to Kings College hospital with suspected UGIB between January and September 2013. Patients were divided as to whether they came immediately under the Care of Gastroenterologists (GI) or general physicians (non-GI) after initial evaluation in the Acute Admission Unit. Patients were assigned on the basis of bed availability in a ward-based system. Statistical comparisons were made as appropriate with two tailed t-test or chi- squared test. Results 138 patient episodes were reviewed of which 63 and 75 were treated by GI and Non-GI physicians. The two groups were broadly similar in their baseline characteristics. Mean length of stay (days) was significantly shorter in the GI group: 6.6 ± 5.6Vs 10.66 ± 11.3 (p = 0.006). Other comparators are shown in the table. Conclusion The length of stay of patients with UGIB is significantly shorter when receiving Specialist Care. In line with previous reports, 4 we found that the incidence of UGIB was higher in males. Patients managed by GI physicians received less blood transfusion compared to the Non-GI physicians. The time to endoscopy was significantly shorter when receiving Specialist Care. Mortality rates in both groups compared favourably to the national average. References CG141 Scope for improvement: A toolkit for a safer Upper Gastrointestinal Bleeding (UGIB) service. www.bsg.org.uk Venkatachalapathy SV, Grasso N, Hayee B et al., Specialist Care of in-patients with non-variceal upper gastrointestinal bleeding is associated with a dramatically shorter length of stay. Gut 2013;62:A10 doi:10.1136 Lanas A, Garcia-Rodriguez LA, Polo-Tomas M et al ., Am J Gastroenterol 2009;104:1633-41 Disclosure of Interest None Declared.
Esther Hobson - One of the best experts on this subject based on the ideXlab platform.
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PO227 A clinical trial of telehealth to improve timely access to Specialist Care
Journal of Neurology Neurosurgery & Psychiatry, 2017Co-Authors: Esther Hobson, Wendy Baird, Cindy Cooper, Sue Mawson, Pamela J. Shaw, Mike Bradburn, Ann Quinn, Theresa Walsh, Christopher J McdermottAbstract:Specialist multidisciplinary Care is associated with increased survival. We developed a telehealth system to improve access to Specialist Care and reduce the burden of travel to Specialist centres. We explored the feasibility of telehealth and the feasibility in a motor neurone disease population covering a large geographical area. 40 patients plus 37 informal Carers were randomised to usual Care or telehealth plus usual Care. Interviews explored participants’ and clinicians’ experiences of MND Care and the telehealth system. We also collected data on telehealth use, clinical outcomes and quality of life. The telehealth system was reported to be easy to use, even by patients with severe disability or no technology experience. Patients reported that the service provided reassurance and knowledge of MND and could improve communication and problem solving. Challenges included how to make the service interactive and meet the expectations of patients, Carers and staff. However, telehealth appeared to be an acceptable alternative or addition to clinic appointments, particularly in early disease or for patients unable to travel. We have developed telehealth service that could be feasible and acceptable. We have also developed an understanding of how novel methods of neurology Care delivery could reduce service costs and patient burden. We have developed a feasible and acceptable telehealth service and an understanding of how novel methods of service delivery could be successful.
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Using technology to improve access to Specialist Care in amyotrophic lateral sclerosis: A systematic review
Amyotrophic lateral sclerosis & frontotemporal degeneration, 2016Co-Authors: Esther Hobson, Wendy Baird, Cindy Cooper, Sue Mawson, Pamela J. Shaw, Christopher J McdermottAbstract:Our objective was to review the evidence for using technology to improve access to Specialist Care for patients with amyotrophic lateral sclerosis (ALS) and their Carers. Medline, Google Scholar and the Cochrane library were searched for articles describing technology that enabled clinical Care of patients with ALS or their Carers where the patient/Carer and clinician were not in the same location. Two applications were identified: telemedicine to facilitate video conferencing as an alternative to outpatient consultations and telehealth monitoring for patients with respiratory failure. One randomized controlled trial using telehealth in patients with respiratory failure including 22 patients with ALS was identified. While rates of hospitalization were reduced, overall mortality was unchanged and there were too few patients with ALS in the study to detect significant benefit. In conclusion, there is limited evidence to support the use of telemedicine or telehealth in the Care of patients with ALS. Future research needs to develop an understanding of the key beneficial aspects of the traditional Specialist ALS service and how these factors could be delivered using technology. Successful evaluation and implementation of technologies to facilitate access to Specialist Care will only be possible if all the relevant impacts of an intervention are understood and measured.
M Cherilyn Young - One of the best experts on this subject based on the ideXlab platform.
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CSHCN in Texas: Meeting the Need for Specialist Care
Maternal and Child Health Journal, 2005Co-Authors: M Cherilyn Young, Vonna L C Drayton, Ramdas Menon, Lesa R Walker, Colleen M Parker, Sam B Cooper, Linda L BultmanAbstract:Objective: Assuring the sufficiency and suitability of systems of Care and services for children with special health Care needs (CSHCN) presents a challenge to Texas providers, agencies, and state Title V programs. To meet the need for Specialist Care, referrals from primary Care doctors are often necessary. The objective of this study was to describe the factors associated with the need for Specialist Care and problems associated with obtaining referrals in Texas. Methods: Bivariate and multivariate analyses were performed using the National Survey of Children with Special Health Care Needs (NS-CSHCN) weighted sample for Texas (n = 719,014) to identify variables associated with the need for Specialist Care and problems obtaining referrals for Specialist Care. Results: Medical need of the CSHCN and sensitivity to family values/customs was associated with greater need for Specialist Care, and Hispanic ethnicity and lower maternal education were associated with less need. Medical need, amount of time spent with doctors and sensitivity to values/customs, living in a large metropolitan statistical area, and lack of medical information were associated with problems obtaining a Specialist Care referral. Conclusions: Findings revealed some similarities and differences with meeting the need for Specialist Care when comparing Texas results to other studies. In Texas, aspects of customer satisfaction variables, especially doctors’ sensitivity to family values/customs and parents’ not receiving enough information on medical problems, were significantly associated with problems obtaining Specialist referrals. Findings indicate a need to further research relationships and communication among doctors, CSHCN, and their families.
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CSHCN in Texas: meeting the need for Specialist Care.
Maternal and child health journal, 2005Co-Authors: M Cherilyn Young, Vonna L C Drayton, Ramdas Menon, Lesa R Walker, Colleen M Parker, Sam B Cooper, Linda L BultmanAbstract:Assuring the sufficiency and suitability of systems of Care and services for children with special health Care needs (CSHCN) presents a challenge to Texas providers, agencies, and state Title V programs. To meet the need for Specialist Care, referrals from primary Care doctors are often necessary. The objective of this study was to describe the factors associated with the need for Specialist Care and problems associated with obtaining referrals in Texas. Bivariate and multivariate analyses were performed using the National Survey of Children with Special Health Care Needs (NS-CSHCN) weighted sample for Texas (n = 719,014) to identify variables associated with the need for Specialist Care and problems obtaining referrals for Specialist Care. Medical need of the CSHCN and sensitivity to family values/customs was associated with greater need for Specialist Care, and Hispanic ethnicity and lower maternal education were associated with less need. Medical need, amount of time spent with doctors and sensitivity to values/customs, living in a large metropolitan statistical area, and lack of medical information were associated with problems obtaining a Specialist Care referral. Findings revealed some similarities and differences with meeting the need for Specialist Care when comparing Texas results to other studies. In Texas, aspects of customer satisfaction variables, especially doctors' sensitivity to family values/customs and parents' not receiving enough information on medical problems, were significantly associated with problems obtaining Specialist referrals. Findings indicate a need to further research relationships and communication among doctors, CSHCN, and their families.
