Article | Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018 | Turning Points in Intermediate Patient Care Paths of Elderly: Constructive Reflections on Video Experiments with GPs and Municipalities Link�ping University Electronic Press Conference Proceedings
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Title:
Turning Points in Intermediate Patient Care Paths of Elderly: Constructive Reflections on Video Experiments with GPs and Municipalities
Author:
Helle Sofie Wentzer: VIVE - The Danish Centre for Social Research, Aarhus, Copenhagen, Denmark Ann Bygholm: Department of Communication and Psychology, Aalborg University, Aalborg Denmark
Download:
Full text (pdf)
Year:
2018
Conference:
Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018
Issue:
151
Article no.:
007
Pages:
38-44
No. of pages:
6
Publication type:
Abstract and Fulltext
Published:
2018-08-24
ISBN:
978-91-7685-213-2
Series:
Linköping Electronic Conference Proceedings
ISSN (print):
1650-3686
ISSN (online):
1650-3740
Publisher:
Linköping University Electronic Press, Linköpings universitet


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The Danish healthcare system has transformed toward shorter hospital stays and increased dependency on primary care in municipalities. General practitioners (GPs) are key to preventing the (re)admission of elderly patients to the hospital, but visits to elderly, bedridden patients are not always compatible with GPs’ office hours. This paper presents and discuss experiments with video in intermediate care paths for the elderly. The first experiment presents an ethical design guideline and playbook for cross-sectorial collaboration between a GP, home nurse and patient with video. The second experiment tries out video consultations with GPs in patient care paths. An ideographic, in-depth analysis of the communication and interaction between a 72-year-old male patient at a rehabilitation unit, his GP and municipality nurse give insights into clinical, organizational and technical aspects of video-mediated health care services. The analysis is reflected and discussed from a systemic perspective: At the micro-level, patient empowerment and safety in the patient care path from the video consultation are possible but cognitively demanding and risky for the role of the GP and the nurse. At the meso-level, interdisciplinary collaboration between the GP and the nurse depends on clarification of user roles, tasks and training in order for video to be efficient and safe. At the macro-level, the development of a cross-sectorial learning strategy, as well as a more thorough analysis of the kind of medical attention needed, is helpful for dividing tasks and responsibilities in intermediate care paths.

Keywords: Video, Intermediate Care, Integrated Care, GP, Collaboration, User Involvement.

Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Author:
Helle Sofie Wentzer, Ann Bygholm
Title:
Turning Points in Intermediate Patient Care Paths of Elderly: Constructive Reflections on Video Experiments with GPs and Municipalities
References:

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Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Author:
Helle Sofie Wentzer, Ann Bygholm
Title:
Turning Points in Intermediate Patient Care Paths of Elderly: Constructive Reflections on Video Experiments with GPs and Municipalities
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Last updated: 2018-9-11