e-Health in Pediatric Palliative Care
Department of Epidemiology, University of Florida, Gainesville, Florida, USA.The American journal of hospice & palliative care (Impact Factor: 1.38). 02/2010; 27(1):66-73. DOI: 10.1177/1049909109355596
e-Health has the potential to improve pediatric palliative care. e-Health initiatives use the Internet or health information technology to improve quality of care and have the potential to decrease costs by reducing medical errors, reducing duplication of services, improving access to diagnostic and laboratory results, and improving communication between providers and patients, and so on. The majority of e-health initiatives are for adults and only a limited amount of evidence exists in the literature on e-health interventions in palliative care that are focused on pediatrics. To explore what role e-health could play in pediatric palliative care programs, this article aims to describe the Internet use in general in the United States and in palliative care, describe the use of health information technology in general in the United States and in palliative care, and suggest areas in pediatric palliative care that might benefit from e-health interventions.
[Show abstract] [Hide abstract]
- "There were six original articles and two review articles among the eight articles on education, and two original articles, and six review articles among seven articles on research, respectively. Of the 27 articles on administration, there were 15 original articles and 12 review articles. The comparison of article types between four categories of pediatric palliative care articles is provided in Figure 6. "
ABSTRACT: Pediatric palliative care clinical practice depends upon an evidence-based decision-making process which in turn is based upon current research evidence. This study aimed to perform a quantitative analysis of research publications in palliative care journals for reporting characteristics of articles on pediatric palliative care. This was a systematic review of palliative care journals. Twelve palliative care journals were searched for articles with "paediatric" or "children" in titles of the articles published from 2006 to 2010. The reporting rates of all journals were compared. The selected articles were categorized into practice, education, research, and administration, and subsequently grouped into original and review articles. The original articles were subgrouped into qualitative and quantitative studies, and the review articles were grouped into narrative and systematic reviews. Each subgroup of original articles' category was further classified according to study designs. Descriptive analysis using frequencies and percentiles was done using SPSS for Windows, version 11.5. The overall reporting rate among all journals was 2.66% (97/3634), and Journal of Hospice and Palliative Nursing (JHPN) had the highest reporting rate of 12.5% (1/8), followed by Journal of Social Work in End-of-Life and Palliative Care (JSWELPC) with a rate of 7.5% (5/66), and Journal of Palliative Care (JPC) with a rate of 5.33% (11/206). The overall reporting rate for pediatric palliative care articles in palliative care journals was very low and there were no randomized clinical trials and systematic reviews found. The study findings indicate a lack of adequate evidence base for pediatric palliative care.
- [Show abstract] [Hide abstract]
ABSTRACT: Multiple binary Frequency Shift Key (FSK/ Frequency Hop (FH) communications is an attractive alternative to conventional M-ary FSK/FH, providing increased transmission capacity with less susceptibility to interference. In non-coherent reception of independent binary Mark-Space signals, errors most often occur when only the complementary channel is jammed. Since conventional M-ary FSK/FH offers more opportunities for error than multiple binary FSK/FH, it is more prone to digital data error. Multiple binary FSK/FH provides the (same) high data rate of conventional M-ary signaling with the bit error rate of binary independent Mark-Space signaling.
- [Show abstract] [Hide abstract]
ABSTRACT: A technical analysis of the web-based patient documentation system, eKernPäP, was conducted. The system is used by interdisciplinary pediatric palliative care teams in Germany to document outpatient care. The data of the system and the data of an external web analytic system have been evaluated. The results gave an overview how the system is used and what information is generated. A detailed analysis of singular forms showed that not all forms were filled in completely. With the help of the external web analytic system the navigation behavior of the users could be retraced. The users followed the given navigation from top to bottom. An existing exception in this pattern turned out to be misplacement and will be corrected in the next version. The technical analysis proved to be a good tool for improving a web-based documentation system.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.