Browsing by Subject "delivery of health care"
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Item The Healthcare Future for the iGeneration: Integrating the Patient and the Healthcare System(University of Minnesota, College of Pharmacy, 2013) Wood, Kristina D.; Greene, Elisa M.; Franks, Rachel B.; Poole, Traci M.; Ficzere, Cathy H.; Johnston, Philip E.Objective: To propose a vision to integrate patients, their health-related data, and their wellness plans into the healthcare system using smartphone and tablet computer technology. Setting: Ambulatory care and community practice Practice Innovation: Utilization of smartphone and tablet computer technology to assess health care conditions, educate and involve patients, and facilitate seamless communication between the patient, electronic health record, pharmacy system, third-party payers, point-of-care testing, and all health-care providers. Main Outcome Measures: By providing integrated and customized information at the point of use, medication adherence and access to care will be increased and patients will engage in healthy behaviors more often resulting in an improved level of care for patients. Results: In the future, the authors believe if the vision is achieved, the health care system and patients will see improved health outcomes and more efficient utilization of the healthcare system. Conclusions: Our proposed use of technology provides an opportunity to empower patients to positively improve their own health which could be a vital advancement in health care, especially in the areas of medication adherence, improving access to care, and health behavior support. As pharmacists, we may also embrace technology opportunities to expand our roles as health care professionals as we continue to partner with patients and the health care team to improve outcomes.Item In Vivo Forces of Male Urethral Catheterization(2021-07) Hanson, SarahThe purpose of this study was to quantify typical urethral catheter insertion forces of male anatomy in vivo. This provided a quantitative range of forces that may be used to objectively evaluate trainees or educational simulators. A custom-made Handheld Catheter Insertion Force Assessment tool (+/- 0.29N accuracy) was used to capture force profiles of (n=16) urethral catheterizations of (n=12) unique older (52-92 years) living male patients by a single urologist under IRB 00003363. Across all catheterizations, insertion force range was found to be 81.2gf (0.796N) to 509gf (4.99N). The resulting mean was 185gf (1.81N), the median was 163gf (1.60N), and the standard deviation was 72.8gf (0.714N). Substantial force variation was observed within each trial. The average maximum force per trial, associated with bladder entry, was 306gf (3.01N). These measurements differed substantially from postmortem and physical simulation measurements. To be more realistic, changes in mechanical properties of simulator design are necessary.