Brug af smartphones hos patienterne og borgerne – Hvor går din grænse?

En stor del af sundhedsprofessionelle ser det som en barriere at skulle anvende sin smartphone hos patienterne og borgerne.

 

Her er et lille uddrag af en artikel, som netop belyser dette emne:

 

All patients were in favor of using technologies such as mCDS to better inform clinical diagnostic decision making. Furthermore, all the patients were comfortable with JDs using the mCDS at the bedside as part of the consultation process if appropriate to the delivery of care.


I don’t mind, I’m quite happy with that. There’s so many drugs and so many side effects and whatever, I want them to be as informed as possible, please.
[Patient 3]

 

Patients acknowledged the complexity of their medical condition, which comprised multiple long-term conditions. For the patients, deciphering the condition that contributed to their presenting problem was not obvious. Furthermore, patients believed that prescribing medication and avoiding drug interactions required JDs in the absence of clinical experience to seek support from a variety of sources such as mCDS.

 

Patients believed accessing mCDS was equivalent to asking senior clinicians for the answer when making a clinical decision.


When the doctor says to you, “I’ve got to go and consult a senior,” we exactly know what they’re going to do. It’s the same thing. Otherwise they say to you, “I have to go and look it up.”
[Patient 1]

 

Patients also felt reassured that JDs sought to use mCDS in their clinical diagnostic decision making, rather than make decisions without some form of support in a setting of uncertainty. Furthermore, patients believed that the comfort with using mCDS in the clinical diagnostic decision-making process communicated something positive about the confidence and competence of the health care professionals.


…a GP [General Practitioner] that was looking after me, he was ready to say, “I want to check on one or two things,” and he would pull them up on his PC. You can’t know everything. I think it’s reassuring to know that your physician isn’t pompous enough that it stops them from genning-up [revising] on something that they’re uncertain about or totally ignorant, maybe. So I’d rather they do that…I think it’s reasonable to use the tools of the day, and [mCDS is] one of them.
[Patient 4]

 

Patients stressed the importance of JDs explaining their intention for using mCDS prior to doing so. While patients were supportive of mCDS, all felt that a brief explanation of the rationale for using mCDS in the consultation was important to prevent any misappropriation of their behavior, such as handling of devices that could be seen as an intention to use them for nonwork-related purposes.


If the doctor does have to use a mobile while he’s with the patient, he has to just tell the patient, “Listen, I’m looking up a certain drug, I want to see what it says about it,” and the patient will perfectly understand that…As long as they explain it, that’s fine.
[Patient 1]

If they say, “I’m just going to use this to just check on this, because it could have side effects or it could have something, so, do you mind if I just look at it now?” That’s all they need to do, isn’t it?”
[Patient 3]

 

Læs den fulde artikel her: https://mhealth.jmir.org/2015/3/e80/

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