Browsing by Author "Torrent-Sellens, Joan"
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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