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JournalISSN: 2213-0764


About: Healthcare is an academic journal. The journal publishes majorly in the area(s): Health care & Population. It has an ISSN identifier of 2213-0764. Over the lifetime, 3279 publication(s) have been published receiving 16790 citation(s). more

Topics: Health care, Population, Mental health more

Open accessJournal ArticleDOI: 10.3390/HEALTHCARE4030036
Florian Fischer1, Kerstin Lange1, Kristina Klose1, Wolfgang Greiner1  +1 moreInstitutions (1)
29 Jun 2016-Healthcare
Abstract: Research indicates that clinical guidelines are often not applied. The success of their implementation depends on the consideration of a variety of barriers and the use of adequate strategies to overcome them. Therefore, this scoping review aims to describe and categorize the most important barriers to guideline implementation. Furthermore, it provides an overview of different kinds of suitable strategies that are tailored to overcome these barriers. The search algorithm led to the identification of 1659 articles in PubMed. Overall, 69 articles were included in the data synthesis. The content of these articles was analysed by using a qualitative synthesis approach, to extract the most important information on barriers and strategies. The barriers to guideline implementation can be differentiated into personal factors, guideline-related factors, and external factors. The scoping review revealed the following aspects as central elements of successful strategies for guideline implementation: dissemination, education and training, social interaction, decision support systems and standing orders. Available evidence indicates that a structured implementation can improve adherence to guidelines. Therefore, the barriers to guideline implementation and adherence need to be analysed in advance so that strategies that are tailored to the specific setting and target groups can be developed. more

362 Citations

Open accessJournal ArticleDOI: 10.3390/HEALTHCARE4030037
Shailesh Kumar1Institutions (1)
30 Jun 2016-Healthcare
Abstract: Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper. more

Topics: Burnout (66%), Compassion fatigue (55%)

222 Citations

Open accessJournal ArticleDOI: 10.3390/HEALTHCARE7020056
04 Apr 2019-Healthcare
Abstract: Since blockchain was introduced through Bitcoin, research has been ongoing to extend its applications to non-financial use cases. Healthcare is one industry in which blockchain is expected to have significant impacts. Research in this area is relatively new but growing rapidly; so, health informatics researchers and practitioners are always struggling to keep pace with research progress in this area. This paper reports on a systematic review of the ongoing research in the application of blockchain technology in healthcare. The research methodology is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and a systematic mapping study process, in which a well-designed search protocol is used to search four scientific databases, to identify, extract and analyze all relevant publications. The review shows that a number of studies have proposed different use cases for the application of blockchain in healthcare; however, there is a lack of adequate prototype implementations and studies to characterize the effectiveness of these proposed use cases. The review further highlights the state-of-the-art in the development of blockchain applications for healthcare, their limitations and the areas for future research. To this end, therefore, there is still the need for more research to better understand, characterize and evaluate the utility of blockchain in healthcare. more

Topics: Blockchain (57%), Systematic review (53%), Health informatics (50%)

221 Citations

Open accessJournal ArticleDOI: 10.3390/HEALTHCARE8010046
Zaheer Allam, David Jones1Institutions (1)
27 Feb 2020-Healthcare
Abstract: As the Coronavirus (COVID-19) expands its impact from China, expanding its catchment into surrounding regions and other countries, increased national and international measures are being taken to contain the outbreak. The placing of entire cities in ‘lockdown’ directly affects urban economies on a multi-lateral level, including from social and economic standpoints. This is being emphasised as the outbreak gains ground in other countries, leading towards a global health emergency, and as global collaboration is sought in numerous quarters. However, while effective protocols in regard to the sharing of health data is emphasised, urban data, on the other hand, specifically relating to urban health and safe city concepts, is still viewed from a nationalist perspective as solely benefiting a nation’s economy and its economic and political influence. This perspective paper, written one month after detection and during the outbreak, surveys the virus outbreak from an urban standpoint and advances how smart city networks should work towards enhancing standardization protocols for increased data sharing in the event of outbreaks or disasters, leading to better global understanding and management of the same. more

Topics: Smart city (58%), Global health (54%), Data sharing (50%)

211 Citations

Journal ArticleDOI: 10.1016/J.HJDSI.2015.12.002
01 Mar 2016-Healthcare
Abstract: The business community has learned the value of design thinking as a way to innovate in addressing people's needs--and health systems could benefit enormously from doing the same. This paper lays out how design thinking applies to healthcare challenges and how systems might utilize this proven and accessible problem-solving process. We show how design thinking can foster new approaches to complex and persistent healthcare problems through human-centered research, collective and diverse teamwork and rapid prototyping. We introduce the core elements of design thinking for a healthcare audience and show how it can supplement current healthcare management, innovation and practice. more

Topics: Critical systems thinking (66%), Teamwork (61%), Systems thinking (59%) more

199 Citations

No. of papers from the Journal in previous years

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Journal's top 5 most impactful authors

Amol S. Navathe

11 papers, 37 citations

Masahito Hitosugi

9 papers, 6 citations

Juan Gómez-Salgado

6 papers, 30 citations

Daniele Giansanti

6 papers, 14 citations

Caterina Sagnelli

5 papers, 4 citations

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