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(1) Background: The aim of this study is to provide a better understanding of the requirements to improve routine health information systems (RHISs) for the management of health systems, including the identification of best practices, opportunities, and challenges in the 53 countries and territories of the WHO European region. (2) Methods: We conducted an overview of systematics reviews and searched the literature in the databases MEDLINE/PubMed, Cochrane, EMBASE, and Web of Science electronic databases. After a meticulous screening, we identified 20 that met the inclusion criteria, and RHIS evaluation results were presented according to the Performance of Routine Information System Management (PRISM) framework. (3) Results: The reviews were published between 2007 and 2020, focusing on the use of different systems or technologies and aimed to analyze interventions on professionals, centers, or patients’ outcomes. All reviews examined showed variability in results in accordance with the variability of interventions and target populations. We have found different areas for improvement for RHISs according to the three determinants of the PRISM framework that influence the configuration of RHISs: technical, organizational, or behavioral elements. (4) Conclusions: RHIS interventions in the European region are promising. However, new global and international strategies and the development of tools and mechanisms should be promoted to highly integrate platforms among European countries.
Francesc Saigí-Rubió; José Pereyra-Rodríguez; Joan Torrent-Sellens; Hans Eguia; Natasha Azzopardi-Muscat; David Novillo-Ortiz. Routine Health Information Systems in the European Context: A Systematic Review of Systematic Reviews. International Journal of Environmental Research and Public Health 2021, 18, 4622 .
AMA StyleFrancesc Saigí-Rubió, José Pereyra-Rodríguez, Joan Torrent-Sellens, Hans Eguia, Natasha Azzopardi-Muscat, David Novillo-Ortiz. Routine Health Information Systems in the European Context: A Systematic Review of Systematic Reviews. International Journal of Environmental Research and Public Health. 2021; 18 (9):4622.
Chicago/Turabian StyleFrancesc Saigí-Rubió; José Pereyra-Rodríguez; Joan Torrent-Sellens; Hans Eguia; Natasha Azzopardi-Muscat; David Novillo-Ortiz. 2021. "Routine Health Information Systems in the European Context: A Systematic Review of Systematic Reviews." International Journal of Environmental Research and Public Health 18, no. 9: 4622.
The lack of blood donors is a global problem that prevents the demand for blood prompted by an ageing population and increased life expectancy from being met. The aim of this study was to conduct an initial exploration of the reasons for using digital platforms in blood donation. Using a Theory of Planned Behaviour (TPB) framework, microdata for 389 participants from Latin American countries and Spain, and Partial Least Square-Structural Equation Modelling (PLS-SEM), the study obtained three main prediction paths. The first two started from feelings of trust in the digital community and a positive mood state associated with a modern lifestyle, and they were linked to attitudes and behavioural control in the explanation of the intention to donate and actual blood donation. The third path started from modern lifestyles, and was linked to the subjective norm in the prediction of intention and actual donation. These paths represent one of the very first attempts to predict intentions of donation and collaborative donation by taking a PLS-SEM approach. By determining the paths underpinning collaborative blood donors’ motives, the results of this study provide strong support for the usefulness of the TPB model within the context of digital platform use and blood donation.
Joan Torrent-Sellens; Cristian Salazar-Concha; Pilar Ficapal-Cusí; Francesc Saigí-Rubió. Using Digital Platforms to Promote Blood Donation: Motivational and Preliminary Evidence from Latin America and Spain. International Journal of Environmental Research and Public Health 2021, 18, 4270 .
AMA StyleJoan Torrent-Sellens, Cristian Salazar-Concha, Pilar Ficapal-Cusí, Francesc Saigí-Rubió. Using Digital Platforms to Promote Blood Donation: Motivational and Preliminary Evidence from Latin America and Spain. International Journal of Environmental Research and Public Health. 2021; 18 (8):4270.
Chicago/Turabian StyleJoan Torrent-Sellens; Cristian Salazar-Concha; Pilar Ficapal-Cusí; Francesc Saigí-Rubió. 2021. "Using Digital Platforms to Promote Blood Donation: Motivational and Preliminary Evidence from Latin America and Spain." International Journal of Environmental Research and Public Health 18, no. 8: 4270.
BACKGROUND During lockdown due to COVID-19 pandemic, telemedicine has become a necessary component of clinical practice for the purpose of providing safer patient care, and it has been used to support the healthcare needs of COVID-19 patients and routine primary care patients alike. However, this change has not been fully consolidated. OBJECTIVE The objective of this study was to analyse the determinants of healthcare professionals’ intention to use the eConsulta digital clinical consultations tool in the post-COVID-19 context. METHODS A mixed qualitative and quantitative methodology was used, and a questionnaire was designed to serve as the data collection instrument. The data were analysed using univariate and bivariate analysis techniques. To confirm the theoretical model, exploratory factor analysis and binary logistic regression were applied. RESULTS The most important variables were those referring to perceived benefits (B=2.408) and the type of use that individuals habitually made of eConsulta (B=0.715). Environmental pressure (B=0.678), experience of technology (B=0.542), gender (B=0.639) and the degree of eConsulta implementation (B=0.266) were other variables influencing the intention to use the tool in the post-COVID-19 context. When replicating the previous analysis by professional group, experience of technology and gender in the physician group, and experience of the tool’s use and the centre where a professional works in the nurse group, were found to be of considerable importance. CONCLUSIONS The implementation and use of eConsulta had increased significantly as a consequence of the COVID-19 pandemic, and the majority of the healthcare professionals were satisfied with its use in practice and planned to incorporate it into their practices in the post-COVID-19 context. Perceived benefits and environmental pressure were determining factors in the attitude towards and intention to use eConsulta.
Francesc Saigí-Rubió; Josep Vidal-Alaball; Joan Torrent-Sellens; Ana Jiménez-Zarco; Francesc López Segui; Marta Carrasco Hernandez; Xavier Alzaga Reig; Josep Maria Bonet Simó; Mercedes Abizanda González; Jordi Piera-Jimenez; Oscar Solans. Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint). 2021, 1 .
AMA StyleFrancesc Saigí-Rubió, Josep Vidal-Alaball, Joan Torrent-Sellens, Ana Jiménez-Zarco, Francesc López Segui, Marta Carrasco Hernandez, Xavier Alzaga Reig, Josep Maria Bonet Simó, Mercedes Abizanda González, Jordi Piera-Jimenez, Oscar Solans. Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint). . 2021; ():1.
Chicago/Turabian StyleFrancesc Saigí-Rubió; Josep Vidal-Alaball; Joan Torrent-Sellens; Ana Jiménez-Zarco; Francesc López Segui; Marta Carrasco Hernandez; Xavier Alzaga Reig; Josep Maria Bonet Simó; Mercedes Abizanda González; Jordi Piera-Jimenez; Oscar Solans. 2021. "Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint)." , no. : 1.
During lockdown due to the COVID-19 pandemic, telemedicine has become a necessary component of clinical practice for the purpose of providing safer patient care, and it has been used to support the healthcare needs of COVID-19 patients and routine primary care patients alike. However, this change has not been fully consolidated. The objective of this study was to analyse the determinants of healthcare professionals' intention to use the eConsulta digital clinical consultations tool in the post-COVID-19 context. A literature review of the Technology Acceptance Model (TAM) allowed us to construct a theoretical model and establish a set of hypotheses derived from it about the influence that a variety of different factors relating to both healthcare professionals and the institutions where they work had on those professionals' intention to use eConsulta. In order to confirm the proposed model, a mixed qualitative and quantitative methodology was used, and a questionnaire was designed to serve as the data collection instrument. The data were analysed using univariate and bivariate analysis techniques. To confirm the theoretical model, exploratory factor analysis and binary logistic regression were applied. The most important variables were those referring to perceived benefits (B=2.408) and the type of use that individuals habitually made of eConsulta (B=0.715). Environmental pressure (B=0.678), experience of technology (B=0.542), gender (B=0.639) and the degree of eConsulta implementation (B=0.266) were other variables influencing the intention to use the tool in the post-COVID-19 context. When replicating the previous analysis by professional group, experience of technology and gender in the physician group, and experience of the tool's use and the centre where a professional works in the nurse group, were found to be of considerable importance. The implementation and use of eConsulta had increased significantly as a consequence of the COVID-19 pandemic, and the majority of the healthcare professionals were satisfied with its use in practice and planned to incorporate it into their practices in the post-COVID-19 context. Perceived benefits and environmental pressure were determining factors in the attitude towards and intention to use eConsulta.
Francesc Saigí-Rubió; Josep Vidal-Alaball; Joan Torrent-Sellens; Ana Jiménez-Zarco; Francesc López Segui; Marta Carrasco Hernandez; Xavier Alzaga Reig; Josep Maria Bonet Simó; Mercedes Abizanda González; Jordi Piera-Jimenez; Oscar Solans. Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint). Journal of Medical Internet Research 2021, 1 .
AMA StyleFrancesc Saigí-Rubió, Josep Vidal-Alaball, Joan Torrent-Sellens, Ana Jiménez-Zarco, Francesc López Segui, Marta Carrasco Hernandez, Xavier Alzaga Reig, Josep Maria Bonet Simó, Mercedes Abizanda González, Jordi Piera-Jimenez, Oscar Solans. Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint). Journal of Medical Internet Research. 2021; ():1.
Chicago/Turabian StyleFrancesc Saigí-Rubió; Josep Vidal-Alaball; Joan Torrent-Sellens; Ana Jiménez-Zarco; Francesc López Segui; Marta Carrasco Hernandez; Xavier Alzaga Reig; Josep Maria Bonet Simó; Mercedes Abizanda González; Jordi Piera-Jimenez; Oscar Solans. 2021. "Determinants of Catalan public primary care professionals’ intention to use digital clinical consultations (eConsulta) in the post-COVID-19 context: optical illusion or permanent transformation? (Preprint)." Journal of Medical Internet Research , no. : 1.
EConsulta—that is, asynchronous, two-way teleconsultation in primary care—is one of the most important telemedicine developments in the Catalan public health system, a service that has been heavily boosted by the onset of the COVID-19 pandemic. It is vital to know the characteristics of its users in order to be able to meet their needs and understand the coverage of this service in a context where there is reduced accessibility to the health system. This study aims to analyze the profile of the citizens who use the eConsulta tool and the reasons for their use, as well as to gain an understanding of the elements that characterize their decision to use it while distinguishing between those who used it before and those who have used it since the onset of the COVID-19 pandemic. A descriptive, observational study based on administrative data was performed. This study differentiates between the COVID-19 pandemic era and the period preceding it, considering the day the state of emergency was declared in Spain (ie, March 12, 2020) as the cut-off point. It also differentiates between eConsulta users who send messages and those who only receive them. During the pandemic, the number of unique users of this teleconsultation service had almost tripled, with up to 33.10 visits per 1000 inhabitants per month reported in the first three months. For the two user profiles analyzed, most users since the start of the COVID-19 outbreak were predominantly female, systematically younger, more actively employed, and with less complex pathologies. Furthermore, eConsulta users received more messages proactively from the health professionals. There was also a relative decrease in the number of conversations initiated by higher-income urban users and an increase in conversations initiated by users in rural areas. The COVID-19 pandemic has helped to generalize the use of telemedicine as a tool to compensate, to some extent, for the decline in face-to-face visits, especially among younger citizens in Catalonia. Telemedicine has made it possible to maintain contact between citizens and the health care system in the context of maximum complexity.
Oscar Solans; Josep Vidal-Alaball; Pasqual Roig Cabo; Núria Mora; Ermengol Coma; Josep Maria Bonet Simó; Eduardo Hermosilla Pérez; Francesc Saigí-Rubió; Carmen Olmos; Jordi Piera-Jiménez; Mercè Abizanda González; Francesc López Seguí. Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint). Journal of Medical Internet Research 2021, 23, e28629 .
AMA StyleOscar Solans, Josep Vidal-Alaball, Pasqual Roig Cabo, Núria Mora, Ermengol Coma, Josep Maria Bonet Simó, Eduardo Hermosilla Pérez, Francesc Saigí-Rubió, Carmen Olmos, Jordi Piera-Jiménez, Mercè Abizanda González, Francesc López Seguí. Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint). Journal of Medical Internet Research. 2021; 23 (5):e28629.
Chicago/Turabian StyleOscar Solans; Josep Vidal-Alaball; Pasqual Roig Cabo; Núria Mora; Ermengol Coma; Josep Maria Bonet Simó; Eduardo Hermosilla Pérez; Francesc Saigí-Rubió; Carmen Olmos; Jordi Piera-Jiménez; Mercè Abizanda González; Francesc López Seguí. 2021. "Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint)." Journal of Medical Internet Research 23, no. 5: e28629.
BACKGROUND eConsulta (asynchronous and two-way teleconsultation in Primary Care) is one of the most important telemedicine developments in the Catalan public health system, a service that has been heavily boosted by the outbreak of the pandemic. It is vitally important to know the characteristics of its users in order to be able to meet their needs and have an idea of who is being covered (and who is not) through this service in a context where there is less accessibility to the health system. OBJECTIVE Undertake a descriptive analysis of the profile of the citizens who use the tool and the type of use they make of it to gain an understanding of the elements that characterize their decision to use it, making a distinction between those who used it before and those who have used it since the outbreak of the COVID-19 pandemic METHODS Descriptive observational study based on administrative data. The study differentiates between the pre and during COVID periods, taking as the cut-off point the day the state of emergency was declared in Spain (13 March 2020), and between users who send messages and those who only receive them. The main study variable is the use of the eConsulta service. RESULTS The pandemic has resulted in almost triple the number of unique users in just the first three months observed (220,043/76,598, 2.87). Since the start of the COVID outbreak, although users have continued to be predominantly female, they are systematically younger than before, more actively employed and with less complex pathologies for the two user profiles analysed. There is also a relative decrease in the number of conversations initiated by higher-income urban citizens and an increase in users in rural areas. CONCLUSIONS This study identifies a change in the profile of citizens who use the eConsulta tool, which as a result of the COVID-19 pandemic now has a profile similar to that of the average citizen: actively employed, with low complexity of pathology and who receives more messages proactively from the health professionals through eConsulta. The pandemic has helped to generalize the use of telemedicine as a tool to compensate to some extent for the decline in face-to-face visits, especially in younger citizen profiles.
Oscar Solans; Josep Vidal-Alaball; Pasqual Roig Cabo; Núria Mora; Ermengol Coma; Josep Maria Bonet Simó; Eduardo Hermosilla Pérez; Francesc Saigí-Rubió; Carmen Olmos; Jordi Piera-Jiménez; Mercè Abizanda González; Francesc López Seguí. Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint). 2021, 1 .
AMA StyleOscar Solans, Josep Vidal-Alaball, Pasqual Roig Cabo, Núria Mora, Ermengol Coma, Josep Maria Bonet Simó, Eduardo Hermosilla Pérez, Francesc Saigí-Rubió, Carmen Olmos, Jordi Piera-Jiménez, Mercè Abizanda González, Francesc López Seguí. Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint). . 2021; ():1.
Chicago/Turabian StyleOscar Solans; Josep Vidal-Alaball; Pasqual Roig Cabo; Núria Mora; Ermengol Coma; Josep Maria Bonet Simó; Eduardo Hermosilla Pérez; Francesc Saigí-Rubió; Carmen Olmos; Jordi Piera-Jiménez; Mercè Abizanda González; Francesc López Seguí. 2021. "Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint)." , no. : 1.
(1) Background: This study aims to delineate a pattern on vaccine hesitancy in a sample of the Spanish population, considering age groups and status as healthcare workers. (2) Methods: Participants were recruited using Twitter® as a dissemination tool to reach as many respondents as possible in different parts of the Spanish territory. The participants were recruited in a cross-sectional study, which included answering an online questionnaire. Data were collected from 10 September through 23 November 2020. Respondents answered questions asking whether they intended to be vaccinated and provided the main reason for their answers. To estimate associations between vaccination hesitancy and independent variables, we fit Poisson regression models with robust variance. (3) Results: One thousand and two responses were obtained, of which only 731 were validated. One hundred and sixty-four participants stated that they would not be vaccinated (22.43%), of which 20–24% were non-health workers or unemployed, 17.5% physicians, 31.5% other health workers, and almost 35% nurses. Concerns about lack of effectiveness of the vaccination, lack of safety when vaccinating and possibly dangerous adverse effects were the main causes provided. (4) Conclusions: This study indicates that more interventions are needed to achieve better communication with the population and health professionals. Receptiveness to the message of the importance and security of the COVID-19 vaccination could be an important strategy for improving these results.
Hans Eguia; Franco Vinciarelli; Marina Bosque-Prous; Troels Kristensen; Francesc Saigí-Rubió. Spain’s Hesitation at the Gates of a COVID-19 Vaccine. Vaccines 2021, 9, 170 .
AMA StyleHans Eguia, Franco Vinciarelli, Marina Bosque-Prous, Troels Kristensen, Francesc Saigí-Rubió. Spain’s Hesitation at the Gates of a COVID-19 Vaccine. Vaccines. 2021; 9 (2):170.
Chicago/Turabian StyleHans Eguia; Franco Vinciarelli; Marina Bosque-Prous; Troels Kristensen; Francesc Saigí-Rubió. 2021. "Spain’s Hesitation at the Gates of a COVID-19 Vaccine." Vaccines 9, no. 2: 170.
Background Due to the COVID-19 pandemic, it is more essential than ever to implement protective measures in primary care centers to ensure patients’ safety. This protocol describes a quasiexperimental study on the use of a mobile chat platform as a clinical consultation tool for adolescents and primary health care physicians. Objective The purpose of the quasiexperimental study is to demonstrate that the use of mobile phones and messaging apps increases the number of health consultations. The study will be performed as part of the Health and School program in the Anoia region. Methods The quasiexperimental study will compare the number of face-to-face consultations to the number of consultations conducted on XatJove Anoia, as part of the Health in Schools program in the Anoia region. The study will involve the use of a new communication platform (ie, XatJove Anoia) for health care professionals and adolescents, and data on the number of face-to-face consultations will be collected as part of the same program in another region. Data will be collected from secondary schools during the academic year 2020-2021. Statistical analyses will be performed on the data that users will enter in the registration form. These data will be collected by means of a questionnaire, which will be submitted once the questionnaire is closed. The questionnaire will consist of multiple-choice questions, which will allow numerical values to be assigned to various responses in order to carry out statistical analyses. Results The study is projected to start at the beginning of November 2020 and finish in June 2021, which is when data analysis is expected to start. Conclusions The results of the quasiexperimental study may assist in the development and planning of school health programs. Trial Registration ClinicalTrials.gov NCT04562350; https://clinicaltrials.gov/ct2/show/NCT04562350. International Registered Report Identifier (IRRID) PRR1-10.2196/25062
Glòria Sauch Valmaña; Josep Vidal-Alaball; Victoria Garcia Furió; Giorgia Testoni; Albert Espelt; Katarin Exposito; Francesc Saigí-Rubió; Núria Carré; Ikuska Sanz; Victor Vicens. An Asynchronous, Mobile Text-Based Platform (XatJove Anoia) for Providing Health Services to Teenagers: Protocol for a Quasiexperimental Study. JMIR Research Protocols 2021, 10, e25062 .
AMA StyleGlòria Sauch Valmaña, Josep Vidal-Alaball, Victoria Garcia Furió, Giorgia Testoni, Albert Espelt, Katarin Exposito, Francesc Saigí-Rubió, Núria Carré, Ikuska Sanz, Victor Vicens. An Asynchronous, Mobile Text-Based Platform (XatJove Anoia) for Providing Health Services to Teenagers: Protocol for a Quasiexperimental Study. JMIR Research Protocols. 2021; 10 (2):e25062.
Chicago/Turabian StyleGlòria Sauch Valmaña; Josep Vidal-Alaball; Victoria Garcia Furió; Giorgia Testoni; Albert Espelt; Katarin Exposito; Francesc Saigí-Rubió; Núria Carré; Ikuska Sanz; Victor Vicens. 2021. "An Asynchronous, Mobile Text-Based Platform (XatJove Anoia) for Providing Health Services to Teenagers: Protocol for a Quasiexperimental Study." JMIR Research Protocols 10, no. 2: e25062.
Unhealthy diet and physical inactivity—major risk factors for the main non-communicable diseases—can be addressed by mobile health applications. Using an evidence-based systematic review design, we analysed studies on mobile applications to foster physical activity to determine whether they met the objective of increasing adults’ physical activity. A bibliographic search was conducted in October 2020 using PubMed, Cochrane Library Plus, Biomed Central, Psychology Database, and SpringerLink, retrieving 191 articles. After titles and abstracts were reviewed, 149 articles were excluded, leaving 42 articles for a full-text review, of which 14 met the inclusion criteria. Despite differences in study duration, design, and variables, 13 of the 14 studies reported that applications were effective in increasing physical activity and healthy habits as dietary behaviour. However, further longer-term studies with larger samples are needed to confirm the effectiveness of mobile health applications in increasing physical activity.
Laura Pradal-Cano; Carolina Lozano-Ruiz; José Juan Pereyra-Rodríguez; Francesc Saigí-Rubió; Anna Bach-Faig; Laura Esquius; F. Xavier Medina; Alicia Aguilar-Martínez. Using Mobile Applications to Increase Physical Activity: A Systematic Review. International Journal of Environmental Research and Public Health 2020, 17, 8238 .
AMA StyleLaura Pradal-Cano, Carolina Lozano-Ruiz, José Juan Pereyra-Rodríguez, Francesc Saigí-Rubió, Anna Bach-Faig, Laura Esquius, F. Xavier Medina, Alicia Aguilar-Martínez. Using Mobile Applications to Increase Physical Activity: A Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17 (21):8238.
Chicago/Turabian StyleLaura Pradal-Cano; Carolina Lozano-Ruiz; José Juan Pereyra-Rodríguez; Francesc Saigí-Rubió; Anna Bach-Faig; Laura Esquius; F. Xavier Medina; Alicia Aguilar-Martínez. 2020. "Using Mobile Applications to Increase Physical Activity: A Systematic Review." International Journal of Environmental Research and Public Health 17, no. 21: 8238.
Background The high cost and low availability of virtual reality simulators in surgical specialty training programs in low- and middle-income countries make it necessary to develop and obtain sources of validity for new models of low-cost portable simulators that enable ubiquitous learning of psychomotor skills in minimally invasive surgery. Objective The aim of this study was to obtain validity evidence for relationships to other variables, internal structure, and consequences of testing for the task scores of a new low-cost portable simulator mediated by gestures for learning basic psychomotor skills in minimally invasive surgery. This new simulator is called SIMISGEST-VR (Simulator of Minimally Invasive Surgery mediated by Gestures - Virtual Reality). Methods In this prospective observational validity study, the authors looked for multiple sources of evidence (known group construct validity, prior videogaming experience, internal structure, test-retest reliability, and consequences of testing) for the proposed SIMISGEST-VR tasks. Undergraduate students (n=100, reference group), surgical residents (n=20), and experts in minimally invasive surgery (n=28) took part in the study. After answering a demographic questionnaire and watching a video of the tasks to be performed, they individually repeated each task 10 times with each hand. The simulator provided concurrent, immediate, and terminal feedback and obtained the task metrics (time and score). From the reference group, 29 undergraduate students were randomly selected to perform the tasks 6 months later in order to determine test-retest reliability. Results Evidence from multiple sources, including strong intrarater reliability and internal consistency, considerable evidence for the hypothesized consequences of testing, and partial confirmation for relations to other variables, supports the validity of the scores and the metrics used to train and teach basic psychomotor skills for minimally invasive surgery via a new low-cost portable simulator that utilizes interaction technology mediated by gestures. Conclusions The results obtained provided multiple sources of evidence to validate SIMISGEST-VR tasks aimed at training novices with no prior experience and enabling them to learn basic psychomotor skills for minimally invasive surgery.
Fernando Alvarez-Lopez; Marcelo Fabián Maina; Fernando Arango; Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity. JMIR Serious Games 2020, 8, e19723 .
AMA StyleFernando Alvarez-Lopez, Marcelo Fabián Maina, Fernando Arango, Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity. JMIR Serious Games. 2020; 8 (4):e19723.
Chicago/Turabian StyleFernando Alvarez-Lopez; Marcelo Fabián Maina; Fernando Arango; Francesc Saigí-Rubió. 2020. "Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity." JMIR Serious Games 8, no. 4: e19723.
BACKGROUND The internet has become an important tool for many people with health concerns, especially for adolescents. Concerns regarding confidentiality, coupled with the stigma and shame associated with certain conditions, especially sexually transmitted infections and other health-related problems make the internet a safe environment within which adolescents can seek information. This is thought to lead to an under-utilization of traditional providers such as primary care health services. Such consultations, which are often made by young people, include sexual and reproductive health problems and mental health disorders. This can be a major problem, since the under-utilization of primary care services for certain topics and the search for advice on the internet which may not be trustworthy can subsequently lead to health related complications that may require more expensive specialized medical interventions in the long-term. This could ultimately result in an increase in healthcare costs. Programs such as Health and School aim to improve the health of adolescents through health promotion measures, risk prevention and early care for problems related to mental health, emotional and sexual health and the consumption of drugs, alcohol and tobacco, in collaboration with schools and community health services present in the territory. Patients in general and adolescents in particular are often reluctant to seek counselling and/or health treatment for "embarrassing" or stigmatized conditions, which can lead to them underutilizing primary care health services. In addition, searching for medical information on the internet, for example via Google, is increasingly common. These consultations, often made by young people, include sexual and reproductive health problems [1] and mental health disorders [2]. This could lead to serious problems, since the underutilization of primary care services for certain issues and seeking online advice which are often untrustworthy can subsequently lead to health complications which may require more expensive specialized medical interventions in the long run and may therefore result in increased care costs [3]. To avoid this situation, a tool is required to which adolescents have easy, constant and effective access. Digital health interventions have been shown to minimize hesitancy in seeking health advice on stigmatizing and embarrassing problems. Innovations in digital health proposed by the company Abi Global Health (AGH) could be a possible solution [4]. AGH has developed an asynchronous mobile text-based communication agent which connects users with healthcare professionals. These professionals provide appropriate guidance to users to help them make informed decisions about their health. AGH already operates in more than ten countries with a network of more than 300 health professionals. This pre-existing tool will form the basis of XatJove Anoia [‘YouthChat Anoia’]. According to a pilot study on e-Consulta (known at the time as WebGP), cystitis and (women’s) contraceptive problems were among the top ten reasons why patients used the virtual tool to conduct a consultation [5]. Although these conditions can be embarrassing and difficult to talk about, nevertheless, it is important that they are dealt with by healthcare professionals. If ignored, these conditions can lead to serious, unwanted, and costly complications (a failure to use contraception can lead to unwanted pregnancies and sexually transmitted diseases. [6,7] The fact that users routinely report these problems by means of digital health interventions such as e-Consulta is a positive sign with regard to the greater use of health services for sensitive yet serious conditions. As an anonymous digital health intervention, XatJove has the potential to address inefficiency of costs caused by the underutilization of health services in terms of embarrassing and stigmatized disorders. In the current climate of a health crisis caused by the COVID-19 pandemic and in an attempt to reduce the risk of infection, it makes more sense than ever to try to avoid face-to-face consultations with nursing staff in schools and also visits by young people to Primary Care Centres (PCCs). It should be borne in mind that this does not mean there will be a reduction in the number of consultations on issues related to the health and school program. On the contrary, the health crisis is expected to generate an increase in the need for emotional support for young people and it requires agile tools which make use of technology which this sector of the population is familiar with and uses regularly [8]. The main objective of this study is to show that the use of mobile phones and messaging apps leads to an increase in the number of health consultations by adolescents aged between 12 and 16 as part of the Health and School program in the Anoia region. Evaluating the satisfaction of XatJove users. The main hypothesis is that the use of XatJove improves the early detection of problems, young people’s accessibility to reliable information and communication with nursing professionals in the PCCs in relation to issues related to drugs, diet, emotional health and sexuality as well as helping to detect cases of child abuse. OBJECTIVE The main objective of this study is to show that the use of mobile phones and messaging apps leads to an increase in the number of health consultations by adolescents aged between 12 and 16 as part of the Health and School program in the Anoia region. Evaluating the satisfaction of XatJove users. METHODS Study design Quasi-experimental study comparing the total number of consultations (face-to-face and via XatJove) as part of the Health and School program in the Anoia region during the 2020-2021 academic year with the number of face-to-face consultations as part of the same program in the Osona region. Scope and period of study Scope: Anoia (intervention group) and Osona (control...
Glòria Sauch Valmaña; Josep Vidal-Alaball; Victoria Garcia; Giorgia Testoni; Albert Espelt; Karen Exposito; Francesc Saigí; Núria Carré; Victor Vicens. XatJove Anoia, as a tool to bring health services closer to teenagers (Preprint). 2020, 1 .
AMA StyleGlòria Sauch Valmaña, Josep Vidal-Alaball, Victoria Garcia, Giorgia Testoni, Albert Espelt, Karen Exposito, Francesc Saigí, Núria Carré, Victor Vicens. XatJove Anoia, as a tool to bring health services closer to teenagers (Preprint). . 2020; ():1.
Chicago/Turabian StyleGlòria Sauch Valmaña; Josep Vidal-Alaball; Victoria Garcia; Giorgia Testoni; Albert Espelt; Karen Exposito; Francesc Saigí; Núria Carré; Victor Vicens. 2020. "XatJove Anoia, as a tool to bring health services closer to teenagers (Preprint)." , no. : 1.
BACKGROUND Increasingly intelligent and autonomous robots are destined to have a huge impact on our society. Their adoption, however, represents a major change to the healthcare sector’s traditional practices, which, in turn, poses certain challenges. To what extent is it possible to foresee a near-future scenario in which minor routine surgery is directed by robots? And what are the patients’ or general public’s perceptions of having surgical procedures performed on them by robots, be it totally or partially? A patient’s trust in robots and AI may facilitate the spread and use of such technologies. OBJECTIVE The goal of our study was to establish the factors that influence how people feel about having a medical operation performed on them by a robot. METHODS We used data from a 2017 Flash Eurobarometer (number 460) of European Commission with 27,901 citizens aged 15 years and over in the 28 countries of the European Union. The research designs and tests a technology acceptance model (TAM). Logistic regression (odds ratios, OR) to model the predictors of trust in robot-assisted surgery was calculated through motivational factors, robots using experience and sociodemographic independent variables. RESULTS The negative relationship between most of the predictors of ease of use, expected benefits and attitude towards robots, and confidence in robot-assisted surgery was contrasted. The only non-sociodemographic predictor variable that has a positive relationship with trust in robots participating in a surgical intervention is previous experience in the use of robots. In this context, we analyze the confidence predictors for three different levels of robot use experience (zero use, average use, and high use). The results obtained indicate that, as the experience of using robots increases, the predictive coefficients related to information, attitude and perception of robots become more negative. Research results also determined that variables of a sociodemographic nature played an important predictive role. It was confirmed that the effect of experience on trust in robots for surgical interventions was greater among men, people between 40 and 54 years old, and those with higher educational levels. CONCLUSIONS Despite the considerable benefits for the patient that the use of robots can bring in a surgical intervention, the results obtained show that trust in robots goes beyond rational decision-making. By contrasting the reasons that generate trust and mistrust in robots, especially by highlighting the experience of use as a key element, the research makes a new contribution to the state of the art and draws practical implications of the use of robots for health policy and practice.
Joan Torrent-Sellens; Ana Jiménez-Zarco; Francesc Saigí-Rubió. Do People Trust in Robot-Assisted Surgery? Evidence from Europe (Preprint). 2020, 1 .
AMA StyleJoan Torrent-Sellens, Ana Jiménez-Zarco, Francesc Saigí-Rubió. Do People Trust in Robot-Assisted Surgery? Evidence from Europe (Preprint). . 2020; ():1.
Chicago/Turabian StyleJoan Torrent-Sellens; Ana Jiménez-Zarco; Francesc Saigí-Rubió. 2020. "Do People Trust in Robot-Assisted Surgery? Evidence from Europe (Preprint)." , no. : 1.
Background The use of apps for weight management has increased over recent years; however, there is a lack of evidence regarding the efficacy and safety of these apps. The EVALAPPS project will develop and validate an assessment instrument to specifically assess the safety and efficacy of weight management apps. Objective The aim of this study was to reach a consensus among stakeholders on a comprehensive set of criteria to guide development of the EVALAPPS assessment instrument. A modified Delphi process was used in order to verify the robustness of the criteria that had been identified through a literature review and to prioritize a set of the identified criteria. Methods Stakeholders (n=31) were invited to participate in a 2-round Delphi process with 114 initial criteria that had been identified from the literature. In round 1, participants rated criteria according to relevance on a scale from 0 (“I suggest this criterion is excluded”) to 5 (“This criterion is extremely relevant”). A criterion was accepted if the median rating was 4 or higher and if the relative intraquartile range was equal to 0.67 or lower. In round 2, participants were asked about criteria that had been discarded in round 1. A prioritization strategy was used to identify crucial criteria according to (1) the importance attributed by participants (criteria with a mean rating of 4.00 or higher), (2) the level of consensus (criteria with a score of 4 or 5 by at least 80% of the participants). Results The response rate was 83.9% (26/31) in round 1 and 90.3% (28/31) in round 2. A total of 107 out of 114 criteria (93.9%) were accepted by consensus—105 criteria in round 1 and 2 criteria in round 2. After prioritization, 53 criteria were deemed crucial. These related mainly to the dimensions of security and privacy (13/53, 24.5%) and usability (9/53, 17.0%), followed by activity data (5/53, 9.4%), clinical effectiveness (5/53, 9.4%), and reliability (5/53, 9.4%). Conclusions Results confirmed the robustness of the criteria that were identified, with those relating to security and privacy being deemed most relevant by stakeholders. Additionally, a specific set of criteria based on health indicators (activity data, physical state data, and personal data) was also prioritized.
Noemí Robles; Elisa Puigdomènech Puig; Corpus Gómez-Calderón; Francesc Saigí-Rubió; Guillem Cuatrecasas Cambra; Alberto Zamora; Montse Moharra; Guillermo Paluzié; Mariona Balfegó; Carme Carrion. Evaluation Criteria for Weight Management Apps: Validation Using a Modified Delphi Process. JMIR mHealth and uHealth 2020, 8, e16899 .
AMA StyleNoemí Robles, Elisa Puigdomènech Puig, Corpus Gómez-Calderón, Francesc Saigí-Rubió, Guillem Cuatrecasas Cambra, Alberto Zamora, Montse Moharra, Guillermo Paluzié, Mariona Balfegó, Carme Carrion. Evaluation Criteria for Weight Management Apps: Validation Using a Modified Delphi Process. JMIR mHealth and uHealth. 2020; 8 (7):e16899.
Chicago/Turabian StyleNoemí Robles; Elisa Puigdomènech Puig; Corpus Gómez-Calderón; Francesc Saigí-Rubió; Guillem Cuatrecasas Cambra; Alberto Zamora; Montse Moharra; Guillermo Paluzié; Mariona Balfegó; Carme Carrion. 2020. "Evaluation Criteria for Weight Management Apps: Validation Using a Modified Delphi Process." JMIR mHealth and uHealth 8, no. 7: e16899.
Background Simulation in virtual environments has become a new paradigm for surgeon training in minimally invasive surgery (MIS). However, this technology is expensive and difficult to access. Objective This study aims first to describe the development of a new gesture-based simulator for learning skills in MIS and, second, to establish its fidelity to the criterion and sources of content-related validity evidence. Methods For the development of the gesture-mediated simulator for MIS using virtual reality (SIMISGEST-VR), a design-based research (DBR) paradigm was adopted. For the second objective, 30 participants completed a questionnaire, with responses scored on a 5-point Likert scale. A literature review on the validity of the MIS training-VR (MIST-VR) was conducted. The study of fidelity to the criterion was rated using a 10-item questionnaire, while the sources of content-related validity evidence were assessed using 10 questions about the simulator training capacity and 6 questions about MIS tasks, and an iterative process of instrument pilot testing was performed. Results A good enough prototype of a gesture-based simulator was developed with metrics and feedback for learning psychomotor skills in MIS. As per the survey conducted to assess the fidelity to the criterion, all 30 participants felt that most aspects of the simulator were adequately realistic and that it could be used as a tool for teaching basic psychomotor skills in laparoscopic surgery (Likert score: 4.07-4.73). The sources of content-related validity evidence showed that this study’s simulator is a reliable training tool and that the exercises enable learning of the basic psychomotor skills required in MIS (Likert score: 4.28-4.67). Conclusions The development of gesture-based 3D virtual environments for training and learning basic psychomotor skills in MIS opens up a new approach to low-cost, portable simulation that allows ubiquitous learning and preoperative warm-up. Fidelity to the criterion was duly evaluated, which allowed a good enough prototype to be achieved. Content-related validity evidence for SIMISGEST-VR was also obtained.
Fernando Alvarez-Lopez; Marcelo Fabián Maina; Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study. Journal of Medical Internet Research 2020, 22, e17491 .
AMA StyleFernando Alvarez-Lopez, Marcelo Fabián Maina, Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study. Journal of Medical Internet Research. 2020; 22 (7):e17491.
Chicago/Turabian StyleFernando Alvarez-Lopez; Marcelo Fabián Maina; Francesc Saigí-Rubió. 2020. "Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study." Journal of Medical Internet Research 22, no. 7: e17491.
Presentations are usually offered at academic events, which attract the attention of participants, but fundamental messages are quickly forgotten. In this sense, the strategy based on the pedagogical principles of the flipped classroom or Coworking allows participants, in multidisciplinary teams, to solve problems by learning and consolidating their knowledge and other areas, while they are accompanied and moderated by experts. In this work, the experience of a flipped classroom in the “IV Workshop de Investigación en Salud” has been described. The workshop was part of the “I Congreso Internacional de Ciencia, Tecnología e Innovación, al Servicio del Desarrollo Territorial 2019” held on December 2-4 Organized by Centro de Servicios de Salud, SENA, Regional Antioquia in Medellín, Colombia. Flipped classroom activity was setup to resolve, in multidisciplinary teams, four problems related to diseases of interest in the Colombian context: chronic obstructive pulmonary disease (COPD), diabetes mellitus, breast cancer and adult alone or in a vulnerable state. The impact and reaction of the participants and the teams formed was highlighted, as well as the desire to overcome, empowerment and resistance despite their own barriers and those established by the moderators as the activity progressed. Finally, the moderators have followed the profiles of the participants, identifying their strengths and weaknesses, this has been an important source of information for decision making. Keywords: Reverse classroom, coworking, digital transformation, health, pathology. En los Congresos habitualmente se ofrecen conferencias magistrales, que atraen la atención de los asistentes, pero los mensajes fundamentales rápidamente se olvidan. En este sentido, la estrategia basada en los principios pedagógicos del aula inversa o Coworking permite a los participantes, en equipos multidisciplinarios, resolver problemas aprendiendo y afianzando conocimientos propios y de otras áreas, mientras son acompañados y moderados por expertos. En este trabajo, se describe la experiencia de un aula invertida en el IV Workshop de Investigación en Salud en el marco del I Congreso Internacional de Ciencia, Tecnología e Innovación, al Servicio del Desarrollo Territorial 2019 celebrado en los días 2-4 de diciembre organizada por el Centro de Servicios de Salud, SENA, Regional Antioquia, en la ciudad de Medellín, Colombia. La actividad de aula invertida se configuró para resolver, en equipos multidisciplinarios, cuatro problemas relacionados con patologías de interés en el entorno colombiano: diabetes mellitus, enfermedad pulmonar obstructiva crónica (EPOC), cáncer de mama y el adulto solo o en estado vulnerable. Se destaca el impacto y reacción de los participantes y los equipos conformados, así como el deseo de superación, empoderamiento y la resiliencia a pesar de sus propias barreras y las que el grupo moderador establecían a medida que avanzaba la actividad. Finalmente, los moderadores permiten llevar a cabo el seguimiento de los perfiles de los integrantes, identificando fortalezas y debilidades tanto individuales como colectivas, las cuales son importante fuente de información en el momento de toma de decisiones. Palabras clave: Aula Inversa, coworking, transformación digital, salud, patología.
Diana Catalina Arcila Echavarría; Diana Milena Jaramillo Quiceno; Carlos Luis Sánchez Bocanegra; Fernán Alonso Villa Garzón; Juan David Atehortúa Mejía; Gonzalo Aranda Pérez; Carlos José Jaramillo Gómez; Nora Luz Salazar Marulanda; Francesc Saigí Rubió. Aula Invertida: Descripción de una experiencia de aprendizaje multisectorial en salud. Ciencia, Tecnología e Innovación en salud 2020, 4, 23 -33.
AMA StyleDiana Catalina Arcila Echavarría, Diana Milena Jaramillo Quiceno, Carlos Luis Sánchez Bocanegra, Fernán Alonso Villa Garzón, Juan David Atehortúa Mejía, Gonzalo Aranda Pérez, Carlos José Jaramillo Gómez, Nora Luz Salazar Marulanda, Francesc Saigí Rubió. Aula Invertida: Descripción de una experiencia de aprendizaje multisectorial en salud. Ciencia, Tecnología e Innovación en salud. 2020; 4 ():23-33.
Chicago/Turabian StyleDiana Catalina Arcila Echavarría; Diana Milena Jaramillo Quiceno; Carlos Luis Sánchez Bocanegra; Fernán Alonso Villa Garzón; Juan David Atehortúa Mejía; Gonzalo Aranda Pérez; Carlos José Jaramillo Gómez; Nora Luz Salazar Marulanda; Francesc Saigí Rubió. 2020. "Aula Invertida: Descripción de una experiencia de aprendizaje multisectorial en salud." Ciencia, Tecnología e Innovación en salud 4, no. : 23-33.
BACKGROUND The high cost and low availability of virtual reality simulators in surgical specialty training programs in low- and middle-income countries make it necessary to develop and obtain sources of validity for new models of low-cost portable simulators that enable ubiquitous learning of psychomotor skills in minimally invasive surgery. OBJECTIVE The aim of this study was to obtain validity evidence for relationships to other variables, internal structure, and consequences of testing for the task scores of a new low-cost portable simulator mediated by gestures for learning basic psychomotor skills in minimally invasive surgery. This new simulator is called SIMISGEST-VR (Simulator of Minimally Invasive Surgery mediated by Gestures - Virtual Reality). METHODS In this prospective observational validity study, the authors looked for multiple sources of evidence (known group construct validity, prior videogaming experience, internal structure, test-retest reliability, and consequences of testing) for the proposed SIMISGEST-VR tasks. Undergraduate students (n=100, reference group), surgical residents (n=20), and experts in minimally invasive surgery (n=28) took part in the study. After answering a demographic questionnaire and watching a video of the tasks to be performed, they individually repeated each task 10 times with each hand. The simulator provided concurrent, immediate, and terminal feedback and obtained the task metrics (time and score). From the reference group, 29 undergraduate students were randomly selected to perform the tasks 6 months later in order to determine test-retest reliability. RESULTS Evidence from multiple sources, including strong intrarater reliability and internal consistency, considerable evidence for the hypothesized consequences of testing, and partial confirmation for relations to other variables, supports the validity of the scores and the metrics used to train and teach basic psychomotor skills for minimally invasive surgery via a new low-cost portable simulator that utilizes interaction technology mediated by gestures. CONCLUSIONS The results obtained provided multiple sources of evidence to validate SIMISGEST-VR tasks aimed at training novices with no prior experience and enabling them to learn basic psychomotor skills for minimally invasive surgery.
Fernando Alvarez-Lopez; Marcelo Fabián Maina; Fernando Arango; Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity (Preprint). 2020, 1 .
AMA StyleFernando Alvarez-Lopez, Marcelo Fabián Maina, Fernando Arango, Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity (Preprint). . 2020; ():1.
Chicago/Turabian StyleFernando Alvarez-Lopez; Marcelo Fabián Maina; Fernando Arango; Francesc Saigí-Rubió. 2020. "Use of a Low-Cost Portable 3D Virtual Reality Simulator for Psychomotor Skill Training in Minimally Invasive Surgery: Task Metrics and Score Validity (Preprint)." , no. : 1.
Following publication of the original article [1], the authors opted to update affiliation 3 in order to comply with the current regulations for the submission of Doctoral Thesis by compendium of articles, the Universitat Autónoma de Barcelona Doctoral School asks us to update the affiliation number 3, adding “Departament de Medicina” at the beginning, as follows:
David Lacasta Tintorer; Josep Maria Manresa; Enriqueta Pujol-Rivera; Souhel Flayeh Beneyto; Xavier Mundet Tuduri; Francesc Saigí-Rubió. Correction to: Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project. BMC Family Practice 2020, 21, 64 -1.
AMA StyleDavid Lacasta Tintorer, Josep Maria Manresa, Enriqueta Pujol-Rivera, Souhel Flayeh Beneyto, Xavier Mundet Tuduri, Francesc Saigí-Rubió. Correction to: Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project. BMC Family Practice. 2020; 21 (1):64-1.
Chicago/Turabian StyleDavid Lacasta Tintorer; Josep Maria Manresa; Enriqueta Pujol-Rivera; Souhel Flayeh Beneyto; Xavier Mundet Tuduri; Francesc Saigí-Rubió. 2020. "Correction to: Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project." BMC Family Practice 21, no. 1: 64-1.
Following publication of the original article [1], in order to comply with the current regulations for the submission of Doctoral Thesis by compendium of articles, the Universitat Autónoma de Barcelona Doctoral School asks us to update the affiliation number 3, adding “Departament de Medicina” at the beginning, as follows:
David Lacasta Tintorer; Josep Maria Manresa; Ana Jiménez-Zarco; Teresa Rodríguez-Blanco; Souhel Flayeh Beneyto; Pere Torán-Monserrat; Xavier Mundet Tuduri; Francesc Saigí-Rubió. Correction to: Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases. BMC Family Practice 2020, 21, 65 -1.
AMA StyleDavid Lacasta Tintorer, Josep Maria Manresa, Ana Jiménez-Zarco, Teresa Rodríguez-Blanco, Souhel Flayeh Beneyto, Pere Torán-Monserrat, Xavier Mundet Tuduri, Francesc Saigí-Rubió. Correction to: Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases. BMC Family Practice. 2020; 21 (1):65-1.
Chicago/Turabian StyleDavid Lacasta Tintorer; Josep Maria Manresa; Ana Jiménez-Zarco; Teresa Rodríguez-Blanco; Souhel Flayeh Beneyto; Pere Torán-Monserrat; Xavier Mundet Tuduri; Francesc Saigí-Rubió. 2020. "Correction to: Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases." BMC Family Practice 21, no. 1: 65-1.
Background A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordination between care levels. The present work seeks to analyse whether ECOPIH makes it possible to reduce the number of referrals. To that end, the objectives are: (1) To find out the degree of loyalty among ECOPIH users, by comparing the medical professionals’ profiles in the tool’s implementation phase to those in its consolidation phase. (2) To evaluate the degree of fulfilment of users’ expectations, by establishing the determining factors that had an influence on the physicians’ intention to use ECOPIH in the implementation phase and observing whether its use had an effective, direct impact on the number of patient referrals that primary care physicians made to specialist care professionals. Methods Two studies were conducted. Based on a survey of all the physicians in a Primary Care area, Study 1 was a descriptive study in ECOPIH’s implementation phase. Study 2 was a randomised intervention study of ECOPIH users in the tool’s consolidation phase. The results from both studies were compared. Various bivariate and multivariate statistical techniques (exploratory factor analysis, cluster analysis, logistic regression analysis and ANOVA) were used in both studies, which were conducted on a sample of 111 and 178 physicians, respectively. Results We confirmed the existence of an ECOPIH user profile stable across both phases: under-50-year-old women. Regarding the second objective, there were two particular findings. First, the discriminant factors that had an influence on greater ECOPIH use were habitual Social media website and app use and Perceived usefulness for reducing costs. Second, PC professionals who were ECOPIH members made fewer referrals to SC professionals in Cardiology, Endocrinology and Gastroenterology than older PC professionals who were not ECOPIH members. Conclusions The use of a community of clinical practice by primary care and specialist care professionals helps to reduce the number of referrals among medical professionals.
David Lacasta Tintorer; Josep Maria Manresa; Ana Jiménez-Zarco; Teresa Rodríguez-Blanco; Souhel Flayeh Beneyto; Pere Torán-Monserrat; Xavier Mundet Tuduri; Francesc Saigí-Rubió. Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases. BMC Family Practice 2020, 21, 15 -12.
AMA StyleDavid Lacasta Tintorer, Josep Maria Manresa, Ana Jiménez-Zarco, Teresa Rodríguez-Blanco, Souhel Flayeh Beneyto, Pere Torán-Monserrat, Xavier Mundet Tuduri, Francesc Saigí-Rubió. Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases. BMC Family Practice. 2020; 21 (1):15-12.
Chicago/Turabian StyleDavid Lacasta Tintorer; Josep Maria Manresa; Ana Jiménez-Zarco; Teresa Rodríguez-Blanco; Souhel Flayeh Beneyto; Pere Torán-Monserrat; Xavier Mundet Tuduri; Francesc Saigí-Rubió. 2020. "Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases." BMC Family Practice 21, no. 1: 15-12.
BACKGROUND Simulation in virtual environments has become a new paradigm for surgeon training in minimally invasive surgery (MIS). However, this technology is expensive and difficult to access. OBJECTIVE This study aims first to describe the development of a new gesture-based simulator for learning skills in MIS and, second, to establish its fidelity to the criterion and sources of content-related validity evidence. METHODS For the development of the gesture-mediated simulator for MIS using virtual reality (SIMISGEST-VR), a design-based research (DBR) paradigm was adopted. For the second objective, 30 participants completed a questionnaire, with responses scored on a 5-point Likert scale. A literature review on the validity of the MIS training-VR (MIST-VR) was conducted. The study of fidelity to the criterion was rated using a 10-item questionnaire, while the sources of content-related validity evidence were assessed using 10 questions about the simulator training capacity and 6 questions about MIS tasks, and an iterative process of instrument pilot testing was performed. RESULTS A good enough prototype of a gesture-based simulator was developed with metrics and feedback for learning psychomotor skills in MIS. As per the survey conducted to assess the fidelity to the criterion, all 30 participants felt that most aspects of the simulator were adequately realistic and that it could be used as a tool for teaching basic psychomotor skills in laparoscopic surgery (Likert score: 4.07-4.73). The sources of content-related validity evidence showed that this study’s simulator is a reliable training tool and that the exercises enable learning of the basic psychomotor skills required in MIS (Likert score: 4.28-4.67). CONCLUSIONS The development of gesture-based 3D virtual environments for training and learning basic psychomotor skills in MIS opens up a new approach to low-cost, portable simulation that allows ubiquitous learning and preoperative warm-up. Fidelity to the criterion was duly evaluated, which allowed a good enough prototype to be achieved. Content-related validity evidence for SIMISGEST-VR was also obtained.
Fernando Alvarez-Lopez; Marcelo Fabián Maina; Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study (Preprint). 2019, 1 .
AMA StyleFernando Alvarez-Lopez, Marcelo Fabián Maina, Francesc Saigí-Rubió. Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study (Preprint). . 2019; ():1.
Chicago/Turabian StyleFernando Alvarez-Lopez; Marcelo Fabián Maina; Francesc Saigí-Rubió. 2019. "Use of a Low-Cost Portable 3D Virtual Reality Gesture-Mediated Simulator for Training and Learning Basic Psychomotor Skills in Minimally Invasive Surgery: Development and Content Validity Study (Preprint)." , no. : 1.