Implementing touch-screen technology to enhance recognition of distress.
OBJECTIVE: The University of California, San Diego, Moores Cancer Center implemented a systematic approach for patients to communicate with their health-care team in real-time regarding psychosocial problem-related distress using touch-screen technology. The purpose of this report is to describe our...
| Publicado en: | Psycho-Oncology Vol. 18; no. 8; pp. 822 - 831 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105397514&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105397514 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10579249 O9K jtl: Psycho-Oncology issn: 10579249 maglogo: Y pubinfo: dt: Aug2009 vid: 18 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105397514 2010361123 10.1002/pon.1509 NLM19085974 105397514 ppf: 822 ppct: 9 formats: tig: atl: Implementing touch-screen technology to enhance recognition of distress. aug: au: Clark K Bardwell WA Arsenault T DeTeresa R Loscalzo M affil: Sheri & Les Biller Patient and Family Resource Center, City of Hope, Duarte, CA, USA. kclark@coh.org sug: subj: Ambulatory Care Anxiety Diagnosis Communication Computer Communication Networks Depression Diagnosis Health Screening Multidisciplinary Care Team Needs Assessment Neoplasms Psychosocial Factors Neoplasms Therapy User-Computer Interface Academic Medical Centers Anxiety Psychosocial Factors Anxiety Therapy Attitude of Health Personnel California Cancer Care Facilities Computer Literacy Depression Psychosocial Factors Depression Therapy Employee Orientation Female Male Middle Age Patient Attitudes Problem Solving Questionnaires Referral and Consultation Software Workload Human Middle Aged: 45-64 years Female Male ab: OBJECTIVE: The University of California, San Diego, Moores Cancer Center implemented a systematic approach for patients to communicate with their health-care team in real-time regarding psychosocial problem-related distress using touch-screen technology. The purpose of this report is to describe our experience in implementing touch-screen problem-related distress screening as the standard of care for all outpatients in a health-care setting. Although early identification of distress has recently gained wide attention, the practical issues of implementing psychosocial screening with and without the use of technology have not been fully addressed or investigated. METHODS: 'The How Can We Help You and Your Family?' screening instrument was used to identify and address patient problem-related distress for clinical services, program development, research and education. Using a HIPPA-compliant approach, the touch-screen technology also helped to identify patients interested in clinical trials and additional support services. RESULTS: We found that the biggest barrier to implementing this technology was the attitude of the front desk staff (i.e. schedulers, clerks, administrative staff) who felt that the touch-screen would be burdensome. Our experience suggested that it was essential to actively involve these personnel from the beginning of the planning process. As specifically acknowledged in the recent 2007 Institute of Medicine report (Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. The National Academies Press: Washington, DC, 2007), use of this computerized version of the screening instrument was able to bridge the gap between the detection of problem-related distress and referrals for assessment or treatment. CONCLUSION: We found that it is feasible to implement a computerized problem-related distress screening program in a comprehensive cancer center. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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