health care professional

卫生保健专业
  • 文章类型: Journal Article
    背景:COVID-19大流行导致人工智能(AI)迅速扩散,这是以前没有预料到的;这是一个不可预见的发展。人工智能在医疗保健环境中的使用正在增加,因为它被证明是改变医疗保健系统的有希望的工具,改善运营和业务流程,并有效简化家庭医生和医疗保健管理员的医疗保健任务。因此,有必要评估家庭医生对人工智能的看法及其对他们工作角色的影响。
    目的:本研究旨在确定AI对卡塔尔初级卫生保健公司(PHCC)在改善医疗保健任务和服务提供方面的管理和实践的影响。此外,它试图评估人工智能对家庭医生工作角色的影响,包括从他们的角度来看相关的风险和道德后果。
    方法:我们进行了一项横断面调查,并向PHCC的724名执业家庭医生发送了基于网络的问卷调查链接。总的来说,我们收到102份符合条件的回复。
    结果:在102名受访者中,72(70.6%)为男性,94(92.2%)为35至54岁。此外,102名受访者中有58名(56.9%)是顾问。在102人中,AI的总体知晓率为80(78.4%),性别(P=.06)和年龄组(P=.12)之间没有差异。人工智能被认为在改善PHCC的医疗保健实践中发挥了积极作用(P<.001),管理医疗保健任务(P<.001),并对医疗保健服务提供产生积极影响(P<.001)。家庭医生也认为他们的临床,行政,机会性医疗保健管理角色受AI的正向影响(P<.001)。此外,对家庭医生的看法表明,人工智能改善了运营和人力资源管理(P<.001),不会破坏医患关系(P<.001),并且在临床判断过程中不被认为优于人类医师(P<.001)。然而,将其纳入被认为会降低患者满意度(P<.001).人工智能决策和问责制被认为是道德风险,以及数据保护和机密性。家庭医生对使用人工智能进行未来医疗决策的乐观情绪很低。
    结论:这项研究表明,家庭医生对AI整合到初级保健环境有积极的看法。AI在加强PHCC的医疗保健任务管理和整体服务交付方面显示出巨大潜力。它在不取代家庭医生的情况下增强了他们的角色,并证明对运营效率有益,人力资源管理,以及大流行期间的公共卫生。虽然人工智能的实施预计会带来好处,仔细考虑道德,隐私,保密性,以患者为中心的问题至关重要。这些见解为人工智能与医疗保健系统的战略整合提供了宝贵的指导,专注于保持高质量的患者护理,并解决这一变革过程中出现的多方面挑战。
    BACKGROUND: The COVID-19 pandemic has led to the rapid proliferation of artificial intelligence (AI), which was not previously anticipated; this is an unforeseen development. The use of AI in health care settings is increasing, as it proves to be a promising tool for transforming health care systems, improving operational and business processes, and efficiently simplifying health care tasks for family physicians and health care administrators. Therefore, it is necessary to assess the perspective of family physicians on AI and its impact on their job roles.
    OBJECTIVE: This study aims to determine the impact of AI on the management and practices of Qatar\'s Primary Health Care Corporation (PHCC) in improving health care tasks and service delivery. Furthermore, it seeks to evaluate the impact of AI on family physicians\' job roles, including associated risks and ethical ramifications from their perspective.
    METHODS: We conducted a cross-sectional survey and sent a web-based questionnaire survey link to 724 practicing family physicians at the PHCC. In total, we received 102 eligible responses.
    RESULTS: Of the 102 respondents, 72 (70.6%) were men and 94 (92.2%) were aged between 35 and 54 years. In addition, 58 (56.9%) of the 102 respondents were consultants. The overall awareness of AI was 80 (78.4%) out of 102, with no difference between gender (P=.06) and age groups (P=.12). AI is perceived to play a positive role in improving health care practices at PHCC (P<.001), managing health care tasks (P<.001), and positively impacting health care service delivery (P<.001). Family physicians also perceived that their clinical, administrative, and opportunistic health care management roles were positively influenced by AI (P<.001). Furthermore, perceptions of family physicians indicate that AI improves operational and human resource management (P<.001), does not undermine patient-physician relationships (P<.001), and is not considered superior to human physicians in the clinical judgment process (P<.001). However, its inclusion is believed to decrease patient satisfaction (P<.001). AI decision-making and accountability were recognized as ethical risks, along with data protection and confidentiality. The optimism regarding using AI for future medical decisions was low among family physicians.
    CONCLUSIONS: This study indicated a positive perception among family physicians regarding AI integration into primary care settings. AI demonstrates significant potential for enhancing health care task management and overall service delivery at the PHCC. It augments family physicians\' roles without replacing them and proves beneficial for operational efficiency, human resource management, and public health during pandemics. While the implementation of AI is anticipated to bring benefits, the careful consideration of ethical, privacy, confidentiality, and patient-centric concerns is essential. These insights provide valuable guidance for the strategic integration of AI into health care systems, with a focus on maintaining high-quality patient care and addressing the multifaceted challenges that arise during this transformative process.
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  • 文章类型: Journal Article
    背景:已经为医疗保健专业人员开发了几种工具来监测患者的身体活动,但是这些工具中的大多数只考虑了北美和欧洲国家用户的需求,并且只适用于特定的分析任务。据我们所知,没有研究研究在中东地区利用参与式设计(PD)方法来开发此类工具,让所有利益相关者参与产品开发阶段,和没有明确的用例已经从这样的研究,可以为该领域的未来发展得出。
    目的:本研究旨在开发一种交互式可视化工具(ActiVis),以支持当地医疗保健专业人员监测通过可穿戴传感器测得的患者身体活动,总体目标是改善卡塔尔人口的健康。
    方法:我们使用PD和以用户为中心的设计方法来开发ActiVis,包括角色发展,大脑写作,和启发式演练,作为用户评估研讨会的一部分;和用例,启发式演练,接口演练,和调查作为专家评估会议的一部分。
    结果:我们从协作设计研讨会和专家用户研究中得出并验证了针对特定医疗保健专业人员的6个数据分析用例。这些用例改进了ActiVis工具的设计,以支持护士和家庭医生对患者身体活动的监测。ActiVis研究原型(RP)与Fitbit仪表板相比,显示特定于最终用户需求的设计工具的重要性,而不是依赖为其他类型的用户设计的现有工具。我们得出的用例在文化上是不可知的,尽管我们假设当地的穆斯林和阿拉伯文化可能会影响此类可视化工具的设计。最后,退后一步,我们反思在多元文化环境和石油经济中运行协作设计会议。
    结论:除了开发ActiVis工具之外,这项研究可以为该地区的其他可视化和人机交互设计师提供服务,以准备他们的设计项目,并鼓励医疗保健专业人员与设计师和工程师互动,以改善他们用于支持日常工作的工具。为护士开发ActiVis工具,和其他特定于家庭医生和临床医生研究人员的可视化工具,目前仍在进行中,我们计划在不久的将来将它们整合到卡塔尔医疗保健专业人员的运营平台中。
    BACKGROUND: Several tools have been developed for health care professionals to monitor the physical activity of their patients, but most of these tools have been considering only the needs of users in North American and European countries and applicable for only specific analytic tasks. To our knowledge, no research study has utilized the participatory design (PD) approach in the Middle East region to develop such tools, involving all the stakeholders in the product development phases, and no clear use cases have been derived from such studies that could serve future development in the field.
    OBJECTIVE: This study aims to develop an interactive visualization tool (ActiVis) to support local health care professionals in monitoring the physical activity of their patients measured through wearable sensors, with the overall objective of improving the health of the Qatari population.
    METHODS: We used PD and user-centered design methodologies to develop ActiVis, including persona development, brainwriting, and heuristic walkthrough as part of user evaluation workshops; and use cases, heuristic walkthrough, interface walkthrough, and survey as part of expert evaluation sessions.
    RESULTS: We derived and validated 6 data analysis use cases targeted at specific health care professionals from a collaborative design workshop and an expert user study. These use cases led to improving the design of the ActiVis tool to support the monitoring of patients\' physical activity by nurses and family doctors. The ActiVis research prototype (RP) compared favorably with the Fitbit Dashboard, showing the importance of design tools specific to end users\' needs rather than relying on repurposing existing tools designed for other types of users. The use cases we derived happen to be culturally agnostic, despite our assumption that the local Muslim and Arabic culture could impact the design of such visualization tools. At last, taking a step back, we reflect on running collaborative design sessions in a multicultural environment and oil-based economy.
    CONCLUSIONS: Beyond the development of the ActiVis tool, this study can serve other visualization and human-computer interaction designers in the region to prepare their design projects and encourage health care professionals to engage with designers and engineers to improve the tools they use for supporting their daily routine. The development of the ActiVis tool for nurses, and other visualization tools specific to family doctors and clinician researchers, is still ongoing and we plan to integrate them into an operational platform for health care professionals in Qatar in the near future.
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  • 文章类型: Case Reports
    丙泊酚是一种速效镇静药物,通常是静脉内给药。由于其快速起效和易于可逆性,它被广泛用于程序镇静。它具有良好的安全性与通风和监测结合使用时。然而,异丙酚可以带来兴奋的感觉,性抑制,缓解紧张和幻觉,创造滥用的可能性。在国际层面,医务人员中娱乐性异丙酚的使用越来越多,但未报告问题。为了在爱尔兰的背景下突出这个问题,所描述的病例报告是爱尔兰首次记录的因未监测的异丙酚自我给药而死亡的病例之一.概述了在这些情况下,法医病理学家在检测异丙酚及其代谢物方面面临的困难。异丙酚滥用的可能性应影响医疗机构,使其员工意识到与其相关的风险。这反过来将提高警惕,鼓励受影响的人寻求治疗。
    Propofol is a rapidly acting sedative drug, which is usually administered intravenously. It is widely used in procedural sedation due to its rapid onset and easy reversibility. It has a good safety profile when used in combination with ventilation and monitoring. However, propofol can bring on feelings of euphoria, sexual disinhibition, tension relief and hallucinations, creating a potential for abuse. At an international level, recreational propofol use among medical staff is a growing, yet under reported problem. In order to highlight this issue in an Irish context, the case reports described are among the first recorded deaths in Ireland due to unmonitored self-administration of propofol. The difficulties facing forensic pathologists in detecting propofol and its metabolites in these cases are outlined. The potential for propofol abuse should influence healthcare facilities to make their staff aware of the risks associated with it. This in turn would promote vigilance and encourage those affected to seek treatment.
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