Browsing by Author "Saigí-Rubió, Francesc"
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- ItemDigital health in the Americas: advances and challenges in connected health.(0000-00-00) Novillo-Ortiz, David; Dumit, Elsy Maria; D'Agostino, Marcelo; Becerra-Posada, Francisco; Kelley, Edward Talbott; Torrent-Sellens, Joan; Jiménez-Zarco, Ana; Saigí-Rubió, FrancescIn 2005 all WHO Member States pledged to fight for universal health coverage UHC The availability of financial human and technological resources seems to be necessary to develop efficient health policies and also to offer UHC One of the main challenges facing the health sector comes from the need to innovate efficiently The intense use of information and communication technologies ICTs in the health field evidences a notable improvement in results obtained by institutions health professionals and patients principally in developed countries In the Americas the relationship between economic development and health innovation is not particularly evident Data from 19 of 35 countries surveyed in the 2015 Third Global Survey on eHealth for the region of the Americas were analysed 52 6 of the countries of the Americas have a national policy or strategy for UHC 57 9 of the countries in the sample indicate that they have a national eHealth policy or strategy but only 26 3 have an entity that supervises the quality safety and reliability regulations for mobile health applications The survey data indicate that high income and low income to middle income countries show higher percentages in relation to the existence of entities that promote innovation These countries also exceed 60 compared with 40 and 50 in lower income countries in all cases regarding the use of eHealth practices such as mobile health remote patient monitoring or telehealth 100 of low income countries report offering ICT training to healthcare professionals compared with 83 of wealthy countries and 81 of middle income to high income countries
- ItemDrivers of telemedicine use: comparative evidence from samples of Spanish, Colombian and Bolivian physicians.(2014-10-08) Saigí-Rubió, Francesc; Torrent-Sellens, Joan; Jiménez-Zarco, AnaBackgroundThe aim of the study presented in this article is to analyse the determinants of telemedicine use To that end the study makes two basic contributions First it considers six working hypotheses in the context of technology acceptance models TAMs Second it uses data obtained for three samples of physicians from three different countries Spain Colombia and Bolivia Obtaining and comparing evidence on an international scale allows determinants of telemedicine use to be evaluated across different contexts MethodsIn Bolivia the survey was conducted in hospitals and health care centres of the urban and rural districts of the municipality of Sucre in a population comprising a total of 350 physicians In Spain the survey population consisted of medical professionals of all profiles affiliated with health care within the Canary Islands Health Service comprising a total of 356 physicians Finally in Colombia it was conducted in the Society of Surgery Service at San Jos Hospital of Bogot in a population comprising a total of 184 physicians Using an extended TAM and survey data from 510 physicians 113 in Spain 118 in Colombia and 279 in Bolivia binary logistic regression analysis was performed ResultsIn the three samples it was found that the physician s level of information and communication technology ICT use in his her personal life was the variable that had the highest explanatory power regarding telemedicine use In the Spanish sample the physicians perceived ease of use of ICTs in clinical practice and propensity to innovate were the two other variables that determined telemedicine use whereas in the Colombian and Bolivian samples it was the level of optimism about ICTs ConclusionThe results facilitated a more complete model that includes personal usability and innovatory aspects in the explanation of Telemedicine use in Spain whereas the results for the Latin American samples indicated a more primary model in the explanation of Telemedicine use which was completed by an optimism factor that did not emerge in the Spanish sample
- ItemImproving integrated care: modelling the performance of an online community of practice.(2014-03-20) Díaz-Chao, Angel; Torrent-Sellens, Joan; Lacasta-Tintorer, David; Saigí-Rubió, FrancescTHIS ARTICLE AIMS TO CONFIRM THE FOLLOWING CORE HYPOTHESIS a Community of Practice s use of a Web 2 0 platform for communication between primary and hospital care leads to improved primary care and fewer hospital referrals This core hypothesis will be corroborated by testing a further five partial hypotheses that complete the main hypothesis being estimated
- ItemKeys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project.(0000-00-00) Lacasta Tintorer, David; Manresa Domínguez, Josep Maria; Pujol-Rivera, Enriqueta; Flayeh Beneyto, Souhel; Mundet Tuduri, Xavier; Saigí-Rubió, FrancescBACKGROUND The current reality of primary care PC makes it essential to have telemedicine systems available to facilitate communication between care levels Communities of practice have great potential in terms of care and education and that is why the Online Communication Tool between Primary and Hospital Care was created This tool enables PC and non GP specialist care SC professionals to raise clinical cases for consultation and to share information The objective of this article is to explore healthcare professionals views on communities of clinical practice CoCPs and the changes that need to be made in an uncontrolled real life setting after more than two years of use METHODS A descriptive interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non users of a CoCP using 2 focus groups 3 triangular groups and 5 individual interviews There were 18 women 21 physicians and 8 nurses Of the interviewees 21 were PC professionals 24 were users of a CoCP and 7 held managerial positions RESULTS For a system of communication between PC and SC to become a tool that is habitually used and very useful the interviewees considered that it would have to be able to find quick effective solutions to the queries raised based on up to date information that is directly applicable to daily clinical practice Contact should be virtual and probably collaborative via a platform integrated into their habitual workstations and led by PC professionals Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool and professionals should have a proactive attitude in order to make the most if its potential It is also important to make certain technological changes basically aimed at improving the tool s accessibility by integrating it into habitual clinical workstations CONCLUSIONS The collaborative tool that provides reliable up to date information that is highly transferrable to clinical practice is valued for its effectiveness efficiency and educational capacity In order to make the most of its potential in terms of care and education organisational changes and techniques are required to foster greater use
- ItemThe Role of Digital Health to Support the Achievement of the Sustainable Development Goals (SDGs)(2018-05-14) Novillo-Ortiz, David; de Fátima Marin, Heimar; Saigí-Rubió, FrancescUnderp On September 2015 the 193 United Nations member states agreed to continue their progress towards the Millennium Development Goals MDG started in the year 2000 According to the World Health Organization WHO major challenges remain in terms of reducing maternal and child mortality and in the need to continue the fight against transmissible and chronic diseases including their risk factors It is also clear that work is still required on water sanitation and air quality as well as on continuing to strengthen health systems to achieve universal health coverage 1 All these challenges were included under the Sustainable Development Goals SDGs mainly under the goal 3 Ensure healthy lives and promote well being for all at all ages 2 Under p
- ItemUse of mobile phones as a tool for weight loss: a systematic review.(2014-08-09) Aguilar-Martínez, Alicia; Solé-Sedeño, Josep M; Mancebo-Moreno, Gemma; Medina, F Xavier; Carreras-Collado, Ramon; Saigí-Rubió, FrancescWe conducted a systematic review of the literature on the use of mobile phones for weight loss A total of 43 studies were identified on obese or overweight adults aged 18 years or over After review ten articles met the inclusion criteria There were 19 534 participants per study Participants were from European Asian and North American regions The mean body mass index BMI of the subjects varied from 22 to 36 kg m 2 Two studies used text messaging or multimedia messaging All the other studies used mobile phone apps or web based programmes that could be accessed from mobile phones as a part of a weight loss intervention or for evaluating their potential for use and their acceptance Most studies lasted 2 4 months and the maximum duration was 1 year All but two studies showed reductions in the participants bodyweight BMI waist circumference and body fat in the various interventions There appeared to be a proportional relationship between weight loss and programme use The programmes most benefited those who took a pro active approach to everyday problems Frequent self recording of weight seemed to be important as was the personalisation of the intervention counselling and individualized feedback Finally a social support system acted as a motivational tool