This review shows that AI application in wound care offers benefits in the assessment/diagnosis, monitoring and treatment of acute and hard-to-heal wounds. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The role of digital technology in the delivery of patient care was accelerated by the COVID-19 pandemic when remote triage and consultations became part of everyday practice in healthcare settings. Yet despite growing evidence that a digitally literate nursing workforce can support and enhance patient safety and outcomes, many nurses report a reluctance to engage in the use of digital technology.
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Findings Several barriers and facilitators to the use of digital technology were identified, including around infrastructure, time, skills, training, support, leadership, familiarity and confidence. The use of digital technology may enhance care consistency and increase patient autonomy, but it may also erode nurse-patient relationships.
Conclusion Digital technology can enhance patient care but organisational barriers, notably in relation to digital literacy training, need to be addressed for nurses to fully adopt it.
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This systematic review aimed to evaluate the extent of measurable and nonmeasurable factors in patients with rheumatoid arthritis and their satisfaction with this method of care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study examines whether a mobile health patient reported outcome app integrated in the electronic health record (EHR) can reduce visit volume for rheumatoid arthritis. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Concludes that there is little uptake of psychological interventions for depression. Strategies currently in development that could change this include single session interventions and task sharing which involves using lay counsellors to deliver the intervention. Digital interventions could improve access to treatment and have shown some positive outcomes.
This document builds on previous NHS Digital guidance on digital inclusion for health and social care.
Use it to design and implement inclusive digital approaches and technologies, which are complementary to non-digital services and support.
Resources to support dementia carers from ethnically diverse families are limited. We explored carers’ and service providers’ views on adapting the World Health Organization’s iSupport Lite messages to meet their needs.
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The NHS.uk website averaged over 2,000 visitors per minute in 2022 and, while websites are hardly considered cutting edge, this technology is important to help make trusted and reliable health and care knowledge easily accessible to patients and the public. Web-based information, alongside access to medical records and personalised care initiatives, means people are potentially more informed to make decisions and be actively involved in their own care.
This article evaluates the performance of chat generative pre-trained transformer (ChatGPT) in key domains of clinical pharmacy practice, including prescription review, patient medication education, adverse drug reaction (ADR) recognition, ADR causality assessment, and drug counselling. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Technology has already made health information more accessible, but now it can potentially go further to help those with low health literacy. The latest development in AI is a classification of tools called large language models (for example Chat GPT). These tools have the potential to make health and care information more personalised, understandable and actionable This supports patients to have greater understanding of their health conditions, have greater control over their health and care and be more confident and informed to take the steps they choose to in order to take care of themselves.
Even across such a broad group there was good agreement about both the challenges facing adult social care and the type of social care system people wanted to see.
There were also many examples of technology being effectively used to improve quality and ensure better choice and control, as well as generating efficiencies. These examples gave a glimpse of the potential for technology to benefit those that draw on services, carers, staff and organisations.
The main telemedicine research fields over the past 52 years are identified, the meanings of analyses results are discussed, and emerging trends are highlighted.
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For health and social care to benefit from digital technologies there needs to be a vibrant ecosystem with innovations that are problem-led and rapid to implement, while using the best evidence-based technology. The evolution of the ecosystem is far from this ideal and risks being shaped by dysfunction.
The design, development, implementation and use of digital technologies in health and care can be considered to be an ecosystem made up of provider organisations, staff, patients, carers, innovators, regulators, researchers, charities and suppliers. It’s a complex ecosystem with many interacting parts, each one with different incentives and aspirations that can make them pull in slightly different directions. If the ecosystem is healthy, it should create a number of benefits for all parts of the system.
The review showed that robust evidence for the effectiveness of iCBT as an add-on to TAU is still limited, with results not necessarily generalisable to people from different backgrounds based on age, gender, education, and mental healthcare settings. Clearly more research is needed, as remotely delivered, self-guided iCBT has the promise to increase accessibility and be more cost-effective.
VR may be an effective environment for psychosis patients with agoraphobia. Although patients are aware that VR environments are not real, they very closely match real-world experiences and allow for greater engagement with treatment (Lambe et al., 2020). Psychosis patients are more likely to enter situations within VR that they would otherwise find incredibly distressing in the real world and this allows a safe space for experimentation (Lambe et al., 2020).
This study examined how health and social care professionals and managers perceive the effects of digitalisation on the work of professionals.
Open Access Article
Virtual wards are increasingly being used by the NHS to provide care to patients where they live, whether in a care setting or at home. The NHS has been set a target of 40–50 virtual wards per 100,000 people and, more immediately, to scale up capacity ahead of next winter, to above 10,000 beds by this autumn. This report sets out the critical factors needed to enable the NHS to succeed in achieving these targets and to make virtual wards a sustainable model in the longer term, where patient demand and satisfaction are met, as well as better productivity.
Although search engines sometimes highlight specific search results relevant to health, many resources remain underpromoted.5 AI assistants may have a greater responsibility to provide actionable information, given their single-response design. Partnerships between public health agencies and AI companies must be established to promote public health resources with demonstrated effectiveness. For instance, public health agencies could disseminate a database of recommended resources, especially since AI companies potentially lack subject matter expertise to make these recommendations, and these resources could be incorporated into fine-tuning responses to public health questions. New regulations, such as limiting liability for AI companies who implement these recommendations, since they may not be protected by 47 US Code § 230, could encourage adoption of government recommended resources by AI companies.