A dialogue-based web application enhances personalized access to healthcare professionals – an intervention study
Identifieur interne : 000330 ( Pmc/Checkpoint ); précédent : 000329; suivant : 000331A dialogue-based web application enhances personalized access to healthcare professionals – an intervention study
Auteurs : Charlotte D. Bjoernes [Danemark] ; Birgitte S. Laursen [Danemark] ; Charlotte Delmar [Danemark] ; Elizabeth Cummings [Australie] ; Christian N Hr [Danemark]Source :
- BMC Medical Informatics and Decision Making [ 1472-6947 ] ; 2012.
Abstract
In today’s short stay hospital settings the contact time for patients is reduced. However, it seems to be more important for the patients that the healthcare professionals are easy to get in contact with during the whole course of treatment, and to have the opportunity to exchange information, as a basis for obtaining individualized information and support. Therefore, the aim was to explore the ability of a dialogue-based application to contribute to accessibility of the healthcare professionals and exchangeability of information.
An application for online written and asynchronous contacts was developed, implemented in clinical practice, and evaluated. The qualitative effect of the online contact was explored using a Web-based survey comprised of open-ended questions.
Patients valued the online contacts and experienced feelings of partnership in dialogue, in a flexible and calm environment, which supported their ability to be active partners and feelings of freedom and security.
The online asynchronous written environment can contribute to accessibility and exchangeability, and add new possibilities for dialogues from which the patients can benefit. The individualized information obtained via online contact empowers the patients. The Internet-based contacts are a way to differentiate and expand the possibilities for contacts outside the few scheduled face-to-face hospital contacts.
Url:
DOI: 10.1186/1472-6947-12-96
PubMed: 22947231
PubMed Central: 3519767
Affiliations:
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Bjoernes</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Vestre Havnepromenade 5 1. sal, DK-9000, Aalborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Vestre Havnepromenade 5 1. sal, DK-9000, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author><author><name sortKey="Laursen, Birgitte S" sort="Laursen, Birgitte S" uniqKey="Laursen B" first="Birgitte S" last="Laursen">Birgitte S. Laursen</name><affiliation wicri:level="1"><nlm:aff id="I2">The Clinical Nursing Research Unit, Aalborg Hospital, Aarhus University Hospital, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>The Clinical Nursing Research Unit, Aalborg Hospital, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Delmar, Charlotte" sort="Delmar, Charlotte" uniqKey="Delmar C" first="Charlotte" last="Delmar">Charlotte Delmar</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Public Health, Aarhus University, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, Aarhus University, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Cummings, Elizabeth" sort="Cummings, Elizabeth" uniqKey="Cummings E" first="Elizabeth" last="Cummings">Elizabeth Cummings</name><affiliation wicri:level="1"><nlm:aff id="I4">Health Services Research Group, University of Tasmania, Tasmania, CIS, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Health Services Research Group, University of Tasmania, Tasmania, CIS</wicri:regionArea><wicri:noRegion>CIS</wicri:noRegion></affiliation></author><author><name sortKey="N Hr, Christian" sort="N Hr, Christian" uniqKey="N Hr C" first="Christian" last="N Hr">Christian N Hr</name><affiliation wicri:level="4"><nlm:aff id="I5">Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Aalborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22947231</idno><idno type="pmc">3519767</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519767</idno><idno type="RBID">PMC:3519767</idno><idno type="doi">10.1186/1472-6947-12-96</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000333</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000333</idno><idno type="wicri:Area/Pmc/Curation">000333</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000333</idno><idno type="wicri:Area/Pmc/Checkpoint">000330</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000330</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A dialogue-based web application enhances personalized access to healthcare professionals – an intervention study</title><author><name sortKey="Bjoernes, Charlotte D" sort="Bjoernes, Charlotte D" uniqKey="Bjoernes C" first="Charlotte D" last="Bjoernes">Charlotte D. Bjoernes</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Vestre Havnepromenade 5 1. sal, DK-9000, Aalborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Vestre Havnepromenade 5 1. sal, DK-9000, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author><author><name sortKey="Laursen, Birgitte S" sort="Laursen, Birgitte S" uniqKey="Laursen B" first="Birgitte S" last="Laursen">Birgitte S. Laursen</name><affiliation wicri:level="1"><nlm:aff id="I2">The Clinical Nursing Research Unit, Aalborg Hospital, Aarhus University Hospital, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>The Clinical Nursing Research Unit, Aalborg Hospital, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Delmar, Charlotte" sort="Delmar, Charlotte" uniqKey="Delmar C" first="Charlotte" last="Delmar">Charlotte Delmar</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Public Health, Aarhus University, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health, Aarhus University, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Cummings, Elizabeth" sort="Cummings, Elizabeth" uniqKey="Cummings E" first="Elizabeth" last="Cummings">Elizabeth Cummings</name><affiliation wicri:level="1"><nlm:aff id="I4">Health Services Research Group, University of Tasmania, Tasmania, CIS, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Health Services Research Group, University of Tasmania, Tasmania, CIS</wicri:regionArea><wicri:noRegion>CIS</wicri:noRegion></affiliation></author><author><name sortKey="N Hr, Christian" sort="N Hr, Christian" uniqKey="N Hr C" first="Christian" last="N Hr">Christian N Hr</name><affiliation wicri:level="4"><nlm:aff id="I5">Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Aalborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In today’s short stay hospital settings the contact time for patients is reduced. However, it seems to be more important for the patients that the healthcare professionals are easy to get in contact with during the whole course of treatment, and to have the opportunity to exchange information, as a basis for obtaining individualized information and support. Therefore, the aim was to explore the ability of a dialogue-based application to contribute to accessibility of the healthcare professionals and exchangeability of information.</p></sec><sec><title>Method</title><p>An application for online written and asynchronous contacts was developed, implemented in clinical practice, and evaluated. The qualitative effect of the online contact was explored using a Web-based survey comprised of open-ended questions.</p></sec><sec><title>Results</title><p>Patients valued the online contacts and experienced feelings of partnership in dialogue, in a flexible and calm environment, which supported their ability to be active partners and feelings of freedom and security.</p></sec><sec><title>Conclusion</title><p>The online asynchronous written environment can contribute to accessibility and exchangeability, and add new possibilities for dialogues from which the patients can benefit. The individualized information obtained via online contact empowers the patients. The Internet-based contacts are a way to differentiate and expand the possibilities for contacts outside the few scheduled face-to-face hospital contacts.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Husted, H" uniqKey="Husted H">H Husted</name></author><author><name sortKey="Hansen, Hc" uniqKey="Hansen H">HC Hansen</name></author><author><name sortKey="Holm, G" uniqKey="Holm G">G Holm</name></author><author><name sortKey="Bach Dal, C" uniqKey="Bach Dal C">C Bach-Dal</name></author><author><name sortKey="Rud, K" uniqKey="Rud K">K Rud</name></author><author><name sortKey="Andersen, Lk" uniqKey="Andersen L">LK Andersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kehlet, H" uniqKey="Kehlet H">H Kehlet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marx, Ci" uniqKey="Marx C">CI Marx</name></author><author><name sortKey="Rasmussen, T" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Med Inform Decis Mak</journal-id><journal-id journal-id-type="iso-abbrev">BMC Med Inform Decis Mak</journal-id><journal-title-group><journal-title>BMC Medical Informatics and Decision Making</journal-title></journal-title-group><issn pub-type="epub">1472-6947</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22947231</article-id><article-id pub-id-type="pmc">3519767</article-id><article-id pub-id-type="publisher-id">1472-6947-12-96</article-id><article-id pub-id-type="doi">10.1186/1472-6947-12-96</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>A dialogue-based web application enhances personalized access to healthcare professionals – an intervention study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Bjoernes</surname><given-names>Charlotte D</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>bjoernes@plan.aau.dk</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Laursen</surname><given-names>Birgitte S</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>bisl@rn.dk</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Delmar</surname><given-names>Charlotte</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>cd@sygeplejevid.au.dk</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Cummings</surname><given-names>Elizabeth</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>Elizabeth.Cummings@utas.edu.au</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Nøhr</surname><given-names>Christian</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>cn@plan.aau.dk</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Vestre Havnepromenade 5 1. sal, DK-9000, Aalborg, Denmark</aff><aff id="I2"><label>2</label>The Clinical Nursing Research Unit, Aalborg Hospital, Aarhus University Hospital, Aarhus, Denmark</aff><aff id="I3"><label>3</label>Department of Public Health, Aarhus University, Aarhus, Denmark</aff><aff id="I4"><label>4</label>Health Services Research Group, University of Tasmania, Tasmania, CIS, Australia</aff><aff id="I5"><label>5</label>Department of Development and Planning, Danish Centre for Health Informatics, Aalborg University, Aalborg, Denmark</aff><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>4</day><month>9</month><year>2012</year></pub-date><volume>12</volume><fpage>96</fpage><lpage>96</lpage><history><date date-type="received"><day>21</day><month>4</month><year>2011</year></date><date date-type="accepted"><day>23</day><month>8</month><year>2012</year></date></history><permissions><copyright-statement>Copyright ©2012 Bjoernes et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2012</copyright-year><copyright-holder>Bjoernes et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1472-6947/12/96"></self-uri><abstract><sec><title>Background</title><p>In today’s short stay hospital settings the contact time for patients is reduced. However, it seems to be more important for the patients that the healthcare professionals are easy to get in contact with during the whole course of treatment, and to have the opportunity to exchange information, as a basis for obtaining individualized information and support. Therefore, the aim was to explore the ability of a dialogue-based application to contribute to accessibility of the healthcare professionals and exchangeability of information.</p></sec><sec><title>Method</title><p>An application for online written and asynchronous contacts was developed, implemented in clinical practice, and evaluated. The qualitative effect of the online contact was explored using a Web-based survey comprised of open-ended questions.</p></sec><sec><title>Results</title><p>Patients valued the online contacts and experienced feelings of partnership in dialogue, in a flexible and calm environment, which supported their ability to be active partners and feelings of freedom and security.</p></sec><sec><title>Conclusion</title><p>The online asynchronous written environment can contribute to accessibility and exchangeability, and add new possibilities for dialogues from which the patients can benefit. The individualized information obtained via online contact empowers the patients. The Internet-based contacts are a way to differentiate and expand the possibilities for contacts outside the few scheduled face-to-face hospital contacts.</p></sec></abstract><kwd-group><kwd>Health informatics</kwd><kwd>Internet communication</kwd><kwd>Prostate cancer</kwd><kwd>Short stay patients</kwd><kwd>Empowerment</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Australie</li><li>Danemark</li></country><region><li>Jutland du Nord</li></region><settlement><li>Aalborg</li></settlement><orgName><li>Université d'Aalborg</li></orgName></list><tree><country name="Danemark"><region name="Jutland du Nord"><name sortKey="Bjoernes, Charlotte D" sort="Bjoernes, Charlotte D" uniqKey="Bjoernes C" first="Charlotte D" last="Bjoernes">Charlotte D. Bjoernes</name></region><name sortKey="Delmar, Charlotte" sort="Delmar, Charlotte" uniqKey="Delmar C" first="Charlotte" last="Delmar">Charlotte Delmar</name><name sortKey="Laursen, Birgitte S" sort="Laursen, Birgitte S" uniqKey="Laursen B" first="Birgitte S" last="Laursen">Birgitte S. Laursen</name><name sortKey="N Hr, Christian" sort="N Hr, Christian" uniqKey="N Hr C" first="Christian" last="N Hr">Christian N Hr</name></country><country name="Australie"><noRegion><name sortKey="Cummings, Elizabeth" sort="Cummings, Elizabeth" uniqKey="Cummings E" first="Elizabeth" last="Cummings">Elizabeth Cummings</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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