The question must represent the broad inquiry into a system process and/or approach to care which benefits healthcare for the population instead of the single individual. PICO questions must be clearly understood and have definitive criteria to produce quality findings. Many questions are proposed and go straight to the heart of an issue. Other questions may step outside of the box to understand whether or not a practice originally implemented to produce a particular result may have the additional benefit or a greater impact on another aspect of care. The PICO question can be broken down into the framework of the population identified, the intervention, the comparison and the outcome.
However, a patient may become disappointed when a physician arrives late and spends more time during diagnosis and vice versa. Some patients wish to shorten the time to wait for the doctor, while the doctor fears to waste his time waiting for patients. (4) This aspect was discussed in an article in Lancet in 1952 which stated the problem as follows:" That a doctor 's time is more valuable than a patient 's is a view which is generally acceptable to the lay public as well as to the medical profession. Nevertheless, the doctor 's time is not infinitely valuable, and in practice some kind of balance must be struck between doctor and patient". This relationship dominated by
The stroke volume is then reduced due to the improvement in the ejection fraction in both resting and exercising in mild to moderate cases, not due to increase in end systolic volume or decrease in contractility. Moreover, metoprolol reduced the mitral regurgitation. The decreases in left ventricular end diastolic volume at rest have the same magnitude as treating with enalapril alone. Then other study was performed before and after 7 years of treatment. They reported that the left ventricular filling, relaxation and distensibility become normal after 7 years using
RCM complicates the healthcare service. This one is probably the biggest mistake a physician makes. RCM was designed to help an organization, not complicate it. Moreover, there are means of outsourcing RCM, which will lessen the burden on the healthcare service, at the same time, bring in experts to handle the revenue cycle, which of course, will have its own benefits. 3.
Physicians should be able to select the appropriate literature, evaluate the findings and results of the study, and understand whether the conditions match with the circumstances of patient. Most importantly, they should be able to find out whether the study is valid or not. Here, critical appraisal plays an important role. All these skills are known as critical appraisal skills. Critical appraisal is one of the most important tools used in evidence based medicine.
Medical staff, mainly the doctors and nurses tends to be very adverse to new technologies, especially those who are older, because they don’t usually understand the benefits that can be reaped out of technology . Hence it is important to first verify the acceptance of healthcare professionals and check on the readiness of doctors to engage themselves with any of the applications of IoHT such as remote clinical
INTRODUCTION An electronic health record (EHR) is a record of a patient 's medical details (including history, physical examination, investigations and treatment) in digital format. Physicians and hospitals are implementing EHRs because they offer several advantages over paper records. They increase access to health care, improve the quality of care and decrease costs. However, ethical issues related to EHRs confront health personnel. When patient 's health data are shared or linked without the patients ' knowledge, autonomy is jeopardized.
When healthcare professionals provide prescriptions to family members this can be seen an unethical in regard to this principle. Because these practitioners do not typically provide the proper paper work after prescribing family members a medication, this can be seen as inappropriate. The principles of equality and need play into this situation. It is unequal treatment when it comes to differentiating the patient from the family member when prescribing treatment. The practitioner may give the family member a higher maintenance remedy that has a higher effectiveness than the remedies typically given in order to assure a recovery.
Here are some of the obstacles and weaknesses identified in the use of EMR in the patient care and management process is management change. Change of mind or thinking is the challenge required to ensure the culture of using a full computer system for dealing with medical records documentation from paper usage as medical personnel are more comfortable using paper and writing manually. Information technology literacy is also required for the use of EMR because there are sometimes technical problems in computer software and hardware that make medical personnel less easily using EMR for maintenance information records due to the disruption. Second, high costs for maintenance of ict systems and equipment. The cost of purchasing EMR software, ICT equipment and EMR regulation is high.
Rational pharmacotherapy teaching associated to clinical guidelines and essential medicines lists can aid to aid develop good prescribing practice. In-service medical training as a licensure necessity The best in-service training is probably going to be issue based, rehashed on numerous events, concentrated on reasonable abilities, and connected to the utilization of standard treatment rules. Different strategies that can be followed include printed materials, pharmaceutical pamphlets and face to face educational courses. Supervision, inspection and evaluation Supervision that is steady, instructive and faceto-confront, will be more compelling and preferred acknowledged by prescribers over straightforward investigation and discipline. Compelling types of supervision incorporate remedy review and criticism, peer audit and gathering forms.