Healthcare Design - Science topic

I do not believe the AI will be utilized to describe heart rhythms. Heart Rhythm is unique from so many variations and variables in human physiology. I also do not believe heart rhythm any time soon with be detected without electrode of at least one hook up. Although optical readers can detect blood flow and pulse , electrical activity of the heart is a sign of the heart muscle activity where flow may or may not be occurring. It unlikely to deduce these minute variations of electrical activity without body contact due to impedance. Impedance to electrical current flow make it very unlikely to see the heart electrical activity in the precise measurement required without touching the body.

The Aidos-x system is an excellent intelligent system for diagnosing and classifying human diseases. The methods of using the Aidos-x system for diagnosing human diseases are disclosed in lectures with sound "Using automated system-cognitive analysis for the classification of human organ tumors", "Intelligent system for diagnosing early stages of chronic kidney disease", which can be downloaded right now from the website https ://www.patreon.com/user?u=87599532 Creator's title: «Lectures on Electronic Medicine». After subscribing to this site, you will receive databases for medical research to identify the diseases that you will read about in lectures. The acquired skills of working in the Aidos-x system will allow you to apply for grants to carry out scientific research in the field of medicine.

To subscribe to the site https://www.patreon.com/user?u=87599532 you do not need to go to the bank, but you can do it using the Pay Pal system. Send a transfer in your currencies, and the transfer to dollars will be done automatically. After subscribing on the site, you will receive the Aidos-x system with an English user interface for free.

Thank you.

En la salud entran en juego varios factores no solo uno, el medio ambiente es uno de ellos, también la alimentación es importante, La vida sana, y por último tenemos los gérmenes y virus que pueden dañar la salud, pero una cosa si es cierta ningún germen o virus afecta al cuerpo si este está sano por lo general cuando uno se enferma es por que hay episodios de inmuno deficiencia. Mohammad Anvar Adibhesami

One way to improve the likelihood it to use and implement the SQUIRE guidelines to ensure rigour in the studies and adopt ways of writing them up likely to appeal to journals - http://squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471

Personally for basic repair and replacement evaluations I would build my own LCA assessment package from Excel inputting appropriate formulae and own real information about costs and interest rates and BRE information such as shown in Wilmott Dixon's WLC and LCA assessment:

willmottdixon.co.uk/asset/9449/download?1424952248

This could take some time but could be customisable. Of course it would not have all the bells and whistles that a full package would have such as reports and graphs and so on unless you spent even more time developing these, in which case you would probably end up with a marketable product, so then you might as well obtain one already made, as long as it is free and of course legal.

This is a wonderful question. I typically use focused mentoring within an inter professional team. The interprofessional team research provides a setting where students, fellows, and other trainees gain first hand experience in needed skills such as building and engaging team members, holding colleagues accountable for promised work, negotiating roles and responsibilities on a project, presentation, or paper, and handling disciplinary differences in academic support for team science, culture and communication patterns, and measures of success, .

As challenges emerge, I try to provide opportunities for discussion of both the rewards and challenges of interprofessional team work. More recently, I have been interested in developing resources for trainees in the most important skills needed for interprofessional teams.

Looking for suggestions on resouces for interprofessional training, including any curriculum development on training in interprofessional team research and any program that involve explicit training in the important knowledge and skill domains needed for interprofessional team research.

Hi Bryan,

many thanks for your answer, I will definitely have a look at your references. However, what I am asking for is more architects participants to take up my survey if possible.

I believe that workers in a government organisation have little personal ownership and an ongoing belief that 'we don't pay for it', leads to a lack of respect for any ongoing maintenance costs caused by neglect or damage.

To increase the number of researchers who demonstrate an interest to this question, you should create a "project" and share it with all your contacts. It will give it more visibility. Good luck!

If you want to sustain it: careful hiring for fit and non-negativity, establish strong norms around collegiality, seek fun, celebrate small wins, and foster social support.

In addition to finding out local factors to assess, the ''big 4," in my opinion, are role overload, social support, job control, and supervisor behavior.

I haven't used it, but this tool seems pretty good: Health & Safety Executive Management Standards Indicator Tool.

Hello Pippa

Are these papers of any interest?:

Perry, H. (2016). Recommendations to Designing Arts Programs for Children on the Autism Spectrum in Art Museums.

Freed-Brown, E. A. (2010). A Different Mind: Developing Museum Programs for Children with Autism.

Very best wishes,

Mary

you must go to the field to get a first hand impression before you listen to people's views. of course, the contexts can be very very varied between the poverty of deep tribal areas and that of the urban slums... if you really can't (and make every effort i feel) - speak to as many grassroots organisations as you can. statistics can be had from many sources, but they will not give you the 'REAL' information beyond a point. also suggest you use equity as a measure as well as developmental indices and not merely absolute poverty in economic terms.

Hello,

John and Andrew,

Do you know if french written and validate version of the tools you've suggested do exist?

In addition of the tools you've suggested, I would add the d'Amour, Sicotte and Levy interprofessional collaboration model. The file added to this answer relates to this model even if it has been written in 2008. I don't know if this model is relevant enough..

Hi Abiola,

Here are some thoughts that might be relevant:

1. the term vulnerability has it roots in the Greek term for vulnerability, "diathesis".

Psychiatrists and Psychologists have used the "diathesis-stress model" to refer to the recognized pattern of interactions of stressors with vulnerabilities. Suppose you want to predict current depression or even future depression. One way to greatly increase your accuracy is to not only know one's current situational stressors/life circumstances, but to also know their previous history of depression. Great candidates for variables that will moderate and/or increase the prediction of current psychosocial distress (anxiety, depression, anger) include genetics, factors that may have disrupted fetal function, early trauma (death of a parent before the age of 12 or so), and early environment that could lead someone to view the world in ways that makes her/him susceptible to distress from stress.

2. I have used the D-S stress model extensively to predict medical student distress and in spouses married to someone with AD. The latter is very appropriate to aging. If you examine the major factors that influence older adults, you will see they include:

a. changes in physiology and physical health

b. losses of various kinds (friends, lifelong vocations, loved ones), which includes bereavement.

c. caregiving

d. philosophical/existential issues about one's expectations about growing older and what it means for lost dreams, etc.

If you are studying aging, then the diathesis model is perfect to explain additional variance.

3. Our work shows that spouse caregivers are at much higher risk for physiological disregulation when they are not only cgs, but also have or have had a disease that is relevant to that disease. It is like mixing oil and fire. We did this for co-morbidities such as cancer hx, chd, and hypertension. We also did this for a history of depression.

All of these papers should be on the site here.

Good luck.

I am not sure that i fully understand everything behind this question but there is a good review of measures:

Lake, E.T., 2007. The nursing practice environment: measurement and evidence. Med Care Res Rev 64 (2 Suppl), 104S-122S.

In my experience it is the practice environment scale of the nursing work index that is most widely used. However, there are some real issues about his and it's conceptual basis can be / has been challenged  e.g.:

Cummings, G.G., Hayduk, L., Estabrooks, C.A., 2006. Is the Nursing Work Index Measuring Up?: Moving Beyond Estimating Reliability to Testing Validity. Nursing Research 55 (2), 82-93.

Your question can only be fully answered if we understand the purpose of your research. If you want a detailed description you may be better off specifying what the particular aspects of the environment you need to describe and selecting measures that match that. If you want to measure associations with an overall assessment of the quality of the professional practice environment existing measures might be sufficient although the lack of conceptual clarity is an issue.

I would argue that a digital intervention targeting behavior change should be evaluated no differently than human-interaction based studies. That said, a couple of additional markers may be studied concerning ease of use, perceived value in the interaction, and logistics.

I am attaching links to a couple papers I wrote a while ago about behavior change methods for disease management. These approaches should be implemented in the intervention, whether by human or device.

I hope this helps

Ariel

Adam, your question can be interpreted very broadly as to have a better understanding of means and mechanism to improve usability, applicability, sustainability and further improvement of interventions tailored to their users or beneficiaries.

Succinctly and directly speaking, the best way to achieve any or all of these three characteristics and a continued improvement process is to involve users and beneficiaries as partners in the development, implementation and evaluation of the effect of an intervention (also action, program, instrument or tool).

This process should not be one to make the research look participative, but rather a true and transparent process of collaboration that involves some level of training and empowerment through gained skill and use of technological tools by the user and/or beneficiaries (lay person is one possible group of users and beneficiaries).

in order to achie the highest level of effectiveness, the concept of user (e.g., patient) engagement should be extended beyond the development of health care tools and applications to include all aspects of the health care system delivery: health promotion, prevention and curative care.

We, academic researcher have been late in understanding the power of 'users', ‘voters’, ‘consumers’, ‘customers’ in the design of “things” that actually works.  The political systems and the private industry have done it since private industry was created.

Government programs are only sustainable if community endorses by means of participation and political support.  Politicians and decision maker have long learned to start from where the community is on an issue, and certainly include incentives and good sales pitch so that they ‘use” the new program or policy and provide political support for it.  Similarly, the private industry of all types knows that products or services with great business model involve low risk and high potential for profitability that comes from products/services ‘tested’ by “end users”.

Therefore, community engagement and a participatory process can go a long way in bridging this ‘gap” in development and application of programs, interventions, tools and instruments in the health or any other field. 

Consideration should be given though about preserving the scientific quality of experiments and the rigor of technical evaluations while deciding for a participatory approach.  This approach should not be an excuse for poor designs in scientific studies or evaluative efforts, and implementation of either forms of study.  Both internal and external validity of studies can be achieved while at the same time deploying a community based participatory process.

I think that a well designed protocol and a well defined organization is the base that will facilitate all actions will follow.

Patient reviews can also be used to evaluate satisfaction with providers.  A detailed discussion of how CAHPS and patient reviews differ can be found at 

https://tellmymd.com/Images/An-alternative-to-satisfaction-surveys.pdf 

I think you are asking about health impact on the occupants who are living in high rise buildings. I this this aspect is rarely covered in the study and very few you will find. Research studies on aspects like impact of indoor air, indoor thermal environment and noise level on occupant are available. But what is the impact of high rise living on occupants are difficult to find (Shift in comfort criteria because of change in elevation, Physiological, psychological change and change in occupants behaviour). I believe that it will very interesting if someone take this aspect.

I don't know if can say that ti's new or innovative, but you can use the "ergonomic work analysis". It's a methodology use in "activity centered ergonomics". It's possible to find how it works in 2 books : Marie St-Vincent, Nicole Vézina, Marie Bellemare, Denys Denis, Elise Ledoux, Daniel Imbeau "Ergonomic Intervention" :  http://books.irsst.qc.ca/ergonomics/ and GUERIN (François), LAVILLE (Antoine), DANIELLOU (François), DURAFFOURG (Jacques), KERGUELEN (Alain) "Understanding and transforming work. The practice of ergonomics" http://www.anact.fr/portal/page/portal/web/publications/NOTINMENU_affichage_document?p_thingIdToShow=841360

Both are very complete and very informative

We see the world around us through colors. Whenever there is light there is color, and therefore we see the surfaces that (in)form visual space perception. More than 85% or 90% of all information that arrives to our brain from the exterior comes from the sense of sight. So, light and color are, together, the main keys for our communication with the world, and the way the world communicate with us. 

I do not agree with some color palettes that are being used, leading to the 70´s and 80's approach of having a color for each floor, etc. Color should respond to functional an aesthetic issues, promoting at same time comfort for the patients and adequate professional care. If we have the same concerns in two or more floors we should address them in the same way. A waiting area should be designed in a balanced harmony between hot and cold colors, nor having to be blue just because you are in the "blue" floor!

Some info you may be interested 

The Executive Summary of this somewhat lengthy current study sponsored by WHO is informative "What is the Evidence on the Economic Impacts of Integrated Care?": http://www.euro.who.int/__data/assets/pdf_file/0019/251434/What-is-the-evidence-on-the-economic-impacts-of-integrated-care.pdf

Brilliant, Paul. Well said! We are in complete agreement regarding the integration of all the required elements community by community for their individual attributes and uniqueness.

network connections (bandwidth, network availability etc), especially in Africa - hence not global. Also the lack of electricity in some areas has a great impact on the QoS, meaning eHealth can not be fully deployed in some places.

There is no a "complex system theory", rather a collection of different systems, models, approaches for different applications, with varying level of complexity. Complex systems are often called so because of large number of "components and interactions". There are also examples of "simple" systems (few components/interactions) that exhibit complex/ unpredictable dynamic patterns.

To view "healthcare" as a system, you need to identify/specify "components, interactions, processes" and questions . That would be a "systems" approach. For healthcare cost/economics people often use Markov models, that try to predict healthcare "outcomes" and associate "costs", based on the available data (e.g. RCT). Such systems could "simple" or "complex" depending on their setup.