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An innovative approach for improving information exchange between palliative care providers in Slovenian primary health : a qualitative analysis of testing a new tool
Erika Zelko, Jožica Ramšak-Pajk, Nevenka Krčevski-Škvarč, 2022, original scientific article

Abstract: Background: Interprofessional collaboration is an important part of palliative care. Effective communication and information exchange is essential for a high quality of care. The aim of this study was to test the effectiveness of a new tool for exchanging information between professionals in palliative care on primary healthcare level. Methods: With suggestions from the experts regarding palliative care needs in an interprofessional team from the Delphi study and community nurses from the field, we developed a paper version of the tool. The paper version was tested in a pilot phase, and subsequently, we conducted ten semi-structured interviews with the users of the new tool to test its feasibility and usability. The data were analyzed using qualitative content analysis, leading to improvement and development of the digital version of the new tool. Results: After completing the pilot phase of the research, we identified the following four categories: a systematic tool for more consistent treatment and better communication during the patient’s visit; training and empowerment; quality, safety and digitalization; these categories were later included in the final version of the digital communication tool. Conclusion: Effective palliative care requires a good exchange of information and communication between all care professionals who work with the patient. Effective communication contributes to making patients and their relatives feel safe in their home environment and allows patients to stay in their homes even as their disease progresses. The systematical new tool was assessed as useful to improve interdisciplinary cooperation and prepared in a digital version. Further research after the long-term use of the developed digital tool in everyday work might confirm its sustaining importance.
Keywords: palliative care, family medicine, interprofessional collaboration, telemedicine
Published in DKUM: 09.07.2024; Views: 86; Downloads: 4
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Differences in treating patients with palpitations at the primary healthcare level using telemedical device Savvy before and during the COVID-19 pandemic
Staša Vodička, Erika Zelko, 2022, original scientific article

Abstract: Background: Palpitations are one of most common reasons why a patient visits a general practitioner (GP) and is referred to a cardiologist. Coronavirus disease 2019 (COVID-19) has been associated with new-onset arrhythmias, which are difficult to diagnose at the primary healthcare level during pandemic-related lockdown periods. Methods: A total of 151 patients with a complaint of heart rhythm disorder were included from before and during the COVID-19 pandemic, as well as after the start of vaccination, in this cohort retrospective study. We used a telemedical device-namely, a personal electrocardiographic (ECG) sensor called Savvy-to investigate heart rhythm in patients. The primary outcome of the study was to evaluate the number of actual heart rhythm disorder patients and any differences that infection with or vaccination for COVID-19 had on patients handled in a primary healthcare setting. Results: We found a heart rhythm disorder in 8.6% of patients before the COVID-19 pandemic and in 15.2-17.9% of patients during the COVID-19 pandemic, where the difference was statistically significant (p = 0.002). During the COVID-19 pandemic, we found a heart rhythm disorder in almost 50% of patients that had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 virus) more than one month ago. After the vaccinations started, we also found a heart rhythm disorder in almost 50% of non-vaccinated patients. Conclusions: Using a telemedical approach or remote consultation is a useful method, at the primary healthcare level, for diagnosing and treating patients with palpitations during times of lockdown.
Keywords: COVID-19 infection, COVID-19 vaccination, cardiac arrhythmia, primary healthcare level, referrals, telemedicine
Published in DKUM: 08.07.2024; Views: 64; Downloads: 5
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Impacts of the 2019 pandemic of severe acute respiratory syndrome–coronavirus 2 on the quality of life of patients with inflammatory rheumatic diseases
Domen Lah, Iztok Holc, 2023, original scientific article

Keywords: severe acute respiratory syndrome–coronavirus 2, rheumatic diseases, quality of life, pandemic, telemedicine
Published in DKUM: 18.07.2023; Views: 419; Downloads: 35
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