1
|
Gallè F, Oliva S, Covelli E, Del Casale A, Da Molin G, Liguori G, Orsi GB, Napoli C. Introducing Telemedicine in Italy: Citizens' Awareness of a New Healthcare Resource. Healthcare (Basel) 2023; 11:2157. [PMID: 37570397 PMCID: PMC10419285 DOI: 10.3390/healthcare11152157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 07/25/2023] [Accepted: 07/27/2023] [Indexed: 08/13/2023] Open
Abstract
In recent years, especially during the COVID-19 pandemic, new technologies have emerged as useful resources in healthcare. Telemedicine services may decrease opportunities for contagion by limiting direct medical contacts; they can lead to greater access to and better quality of care, especially for the elderly and chronically ill patients. However, there are still some difficulties in their widespread use, such as lack of knowledge about the effectiveness and safety of telemedicine; lack of awareness of its existence; privacy issues; and lack of computer literacy. The aim of this study is to assess the awareness of and attitude toward telemedicine in the Italian adult population, considering sociodemographic characteristics and territorial differences in telemedicine service implementation. A questionnaire was administered to Italian citizens from October 2022 to February 2023 using communication and social media in order to collect sociodemographic and health characteristics and data on awareness and use of telemedicine services. Less than half of the respondents (n = 1002) were aware of telemedicine services in their region; most of them did not use the available services due to a preference for in-person visits or lack of need. More than 90% of participants who used these services were satisfied with them. A negative attitude toward telemedicine was found in a higher proportion of older adults. This study demonstrated that, although telemedicine services are active in Italy, a large part of the population ignores its availability. Therefore, further efforts should be made to increase citizens' awareness and the use of telemedicine in our country.
Collapse
Affiliation(s)
- Francesca Gallè
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, Via Medina 40, 80133 Naples, Italy;
| | - Stefania Oliva
- Department of Medical Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy; (S.O.); (C.N.)
| | - Edoardo Covelli
- Department of Neuroscience, Mental Health and Sense Organs (NEMOS), Sant′ Andrea University Hospital, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy;
| | - Antonio Del Casale
- Department of Dynamic and Clinical Psychology and Health Studies, Faculty of Medicine and Psychology, Sapienza University, Via di Grottarossa 1035/1039, 00189 Rome, Italy;
| | - Giovanna Da Molin
- Inter-University Research Centre “Population, Environment and Health”, University of Bari Aldo Moro, Piazza Cesare Battisti 1, 70121 Bari, Italy;
| | - Giorgio Liguori
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, Via Medina 40, 80133 Naples, Italy;
| | - Giovanni Battista Orsi
- Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy;
| | - Christian Napoli
- Department of Medical Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, Sapienza University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy; (S.O.); (C.N.)
| |
Collapse
|
2
|
Han AY, Gentle CK, Stefanopoulos S, Burneikis T, Lipman JM, French JC. Managing Up: Approaching Mentoring From a Mentee's Perspective. JOURNAL OF SURGICAL EDUCATION 2022; 79:e161-e165. [PMID: 36057500 DOI: 10.1016/j.jsurg.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 06/12/2022] [Accepted: 07/05/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Discuss the evolution of mentorship models in surgical training and how educating the surgical trainees with the concepts from "manage up" theory can empower them to maximize the benefits afforded by mentoring relationships. METHODS "Manage up" theory is derived from the business world where the subordinate takes ownership of the mentoring relationship with their superior by assessing the strengths and weaknesses of both parties and applying that information in managing a productive relationship. DISCUSSION Surgery residency programs implement a variety of structured and unstructured mentorship programs to promote mentoring relationships and to encourage professional development. Mentees in successful mentoring relationships demonstrate characteristics and skills that residency programs can promote through formal training. Components of "manage up" theory can be applied by surgical trainees in approaching their mentors and in managing their mentor-mentee relationships. CONCLUSIONS The benefits gained from a successful mentoring relationship for both the mentor and the mentee depend on active roles played by both parties. Strong evidence supports the need for educating mentees through formal curricula to empower them to assume an active role in their mentoring relationships.
Collapse
Affiliation(s)
- Amy Y Han
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
| | - Corey K Gentle
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| | - Stavros Stefanopoulos
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| | - Talia Burneikis
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| | - Jeremy M Lipman
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| | - Judith C French
- Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Department of General Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| |
Collapse
|
3
|
Dionisi S, Giannetta N, Di Simone E, Ricciardi F, Liquori G, De Leo A, Moretti L, Napoli C, Di Muzio M, Orsi GB. The Use of mHealth in Orthopedic Surgery: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12549. [PMID: 34886274 PMCID: PMC8657184 DOI: 10.3390/ijerph182312549] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 11/20/2021] [Accepted: 11/23/2021] [Indexed: 01/25/2023]
Abstract
(1) Background: It is well known that the success of surgical procedures is related to optimal postoperative management and follow-up. In this regard, mHealth technologies could potentially improve perioperative care. Based on these considerations, the objective of this scoping review is to evaluate the current status and use of mHealth interventions designed to provide perioperative care in orthopedic surgery. (2) Methods: This scoping review was conducted in accordance with the PRISMA statement (Extension for Scoping Review) and follows the framework of Arskey and O'Malley. (3) Results: The use of mHealth in the surgical setting is mainly oriented towards the development of applications for monitoring post-operative pain and optimizing communication between the various health professionals involved in patient care. (4) Conclusions: The mHealth systems can have a positive impact both on patient participation in the therapeutic process and on the communication between health professionals, increasing the quality of care.
Collapse
Affiliation(s)
- Sara Dionisi
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy; (S.D.); (G.L.); (A.D.L.)
| | - Noemi Giannetta
- Faculty of Philosophy, Vita-Salute San Raffaele University, 20132 Milan, Italy;
| | - Emanuele Di Simone
- Nursing, Technical, Rehabilitation, Assistance and Research Department, IRCCS Istituti Fisioterapici Ospitalieri—IFO, 00144 Rome, Italy;
| | - Francesco Ricciardi
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy; (F.R.); (M.D.M.)
| | - Gloria Liquori
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy; (S.D.); (G.L.); (A.D.L.)
| | - Aurora De Leo
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy; (S.D.); (G.L.); (A.D.L.)
| | - Lorenzo Moretti
- Orthopaedics and Traumatology, Azienda Ospedaliera Universitaria Consorziale Policlinico di Bari, 70124 Bari, Italy;
| | - Christian Napoli
- Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome, 00185 Rome, Italy;
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy; (F.R.); (M.D.M.)
| | - Giovanni Battista Orsi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| |
Collapse
|
4
|
Abstract
Compared with other fields, adoption of robotics in colorectal surgery remains relatively slow. One of the reasons for this is that the expected benefits of robotics, such as greater accuracy, speed, and better patient outcomes, are not born out in evidence comparing use of robotics for colorectal procedures to conventional laparoscopy. But evidence also suggests that outcomes with colorectal robotic procedures depend on the experience of the surgeon, suggesting that a steep learning curve is acting as a barrier to the benefits of robotics being realized. In this paper, we analyze exactly why surgeon skill and proficiency is such a critical factor in colorectal surgery, especially around the most complex procedures associated with cancer. Shortening of the learning curve is crucial for both the adoption of the technique and the efficient use of expert trainers. Looking beyond the basics of training and embracing a new generation of digital learning technologies that facilitate peer-to-peer collaboration and development beyond the confines of individual institutions may be an important contributor to achieve these goals in the future.
Collapse
Affiliation(s)
- Nadine Hachach-Haram
- Department of Surgery and Clinical Innovation, Guy's and St. Thomas' National Health Service Foundation Trust, London, United Kingdom
| | - Danilo Miskovic
- Department of Surgery and Clinical Innovation, Guy's and St. Thomas' National Health Service Foundation Trust, London, United Kingdom
| |
Collapse
|
5
|
Häberle AD, Nath R, Facente SN, Albers AE, Girod S. What Surgeons Want: Access to Online Surgical Education and Peer-to-Peer Counseling-A Qualitative Study. Craniomaxillofac Trauma Reconstr 2021; 14:189-195. [PMID: 34471474 DOI: 10.1177/1943387520929813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Study Design Mixed methods study including quantitative data analysis and qualitative analysis of semi-structured interviews. Objectives Utilizing information and communication technology can facilitate professional communication within health care on a global scale. This study aimed to identify the educational and peer-to-peer communication needs of craniomaxillofacial (CMF) surgeons across the globe, determine preferred modes of communication, and assess technological and other barriers to online education and peer-to-peer communication. Methods We performed semi-structured videoconference interviews of 92 CMF surgeons from around the globe, with the largest number in the Asia/Pacific region, the Middle East, and Latin America. We triangulated quantitative summaries with qualitative themes to improve validity and enable a more comprehensive understanding of participant perspectives. Results The interviews revealed 3 main areas of technology use: new surgical technology, technology that enables information exchange, and communication technology. When asked about technology and communication platforms used in the course of their work, 33 participants (36%) mentioned PubMed or other journal-related sites; 25% recalled using YouTube as a resource; 23% described conducting internet searches using Google or other search engines; 21% used WhatsApp groups; and 11% used closed Facebook groups. Conclusion CMF surgeons embraced communication technologies that allowed them to quickly obtain knowledge especially on new surgical technology, discuss cases on demand, and maintain strong communication with their global peers.
Collapse
Affiliation(s)
- Astrid D Häberle
- Department of Health Research and Policy, Stanford University, Stanford, CA, USA
| | - Riya Nath
- SSPIRE, Department of Surgery, Stanford University, Stanford, CA, USA
| | - Shelley N Facente
- Facente Consulting, Richmond, CA, USA.,School of Public Health, University of California, Berkeley, CA, USA
| | - Autumn E Albers
- Facente Consulting, Richmond, CA, USA.,School of Public Health, University of California, Berkeley, CA, USA
| | - Sabine Girod
- SSPIRE, Department of Surgery, Stanford University, Stanford, CA, USA
| |
Collapse
|