Abstract BackgroundBarriers and facilitators of mobile app adoption are not known. This study examined usage of a new Pan-Canadian immunization app to identify factors that contributed to usage.MethodsWomen in their third trimester of pregnancy or had given birth in the previous 3 months were recruited from a hospital obstetrical unit. Fifty-five participants were instructed to download the ImmunizeCA app. After at least 6 months, 10 interviews were conducted, transcribed and coded. Themes identified were compared with aggregate ImmunizeCA usage data (n = 74 212 users).ResultsFacilitators included features that address logistical challenges, improved convenience and information access. Barriers included absence of system integration. Concerns regarding the privacy and security of personal health information were not an inhibitor as long as best practices are followed. Google Analytics data on usage supported qualitative findings.ConclusionFuture studies should evaluate the quantitative … [Read more...] about Barriers and facilitators to the use of an immunization application: a qualitative study supplemented with Google Analytics data
Davis family physicians
Dive Brief: In today’s consumer-driven healthcare environment, knowing how to turn down patient requests could be the difference between a positive or negative physician review, a new study from UC Davis Health suggests. The researchers compared patient satisfaction when specific requests were met or denied. When requests for referrals, medications and tests were refused, patients tended to rate their doctors 10 to 20 percentage points lower than when those requests were fulfilled. The study — which involved nearly 1,700 requests by 1,141 adults making 1,319 visits to 56 family physicians — recommends communications training to help physicians create a positive experience for patients without yielding to all their requests. Dive Insight: “It is common for patients to come to the doctor’s office with specific requests in mind,” lead author Anthony Jerant, chief of the Department of Family and Community Medicine at UC Davis Health, said in a … [Read more...] about Physician ratings drop when patient requests denied, study says
I am a man of appetites. Men who ingest one cube of cheese, two olives, and a half glass of chardonnay at a cocktail party baffle me. I tend toward three beers, an armload of Cheddar, countless almonds and olives, and a cord of summer sausage. Then I go to dinner. My habit of walking to work and doing pushups to stay awake in my office is probably the only reason I manage to avoid obesity. Or at least that was the case until this past winter, when a combination of professional upheaval (I moved for a new job), personal stresses (my best friend died of cancer), and bad luck (a back injury) knocked me off my already pathetic game. See, when I'm alone, worried, and overworked, I turn to sugar, and so I quickly became a man with a saber-size sweet tooth. And it showed: I'd always been a barrel-chested 5'7", but I became barrel-bellied as well, reaching a once-unthinkable 190 on the bathroom scale. What I saw on the scale was scary enough, but I decide that an extra dose of fear might … [Read more...] about The Road Less Sweetened
Thanks to these experts, we were able to bring you more than 100 of the smartest health tips you can do for your body-- now!William T. Abraham, M.D., associate director of the Dorothy M. Davis Heart and Lung Research Institute at Ohio State University in ColumbusCurtis Allen, spokesperson for the Centers for Disease Control and Prevention in AtlantaRanda Bascharon, D.O., an orthopedic surgeon in private practice in Las VegasWendy Bazilian, Dr.PH, R.D., a nutrition specialist at Golden Door Spa in Escondido, CABenedict B. Benigno, M.D., founder of the Ovarian Cancer Institute at the Georgia Institute of Technology in AtlantaKerry G. Bennett, M.D., MPH, assistant professor at Tufts University School of Medicine in BostonJohn Berardi, Ph.D., CSCS, an adjunct assistant professor of exercise science at the University of Texas in AustinEsther Blum, M.S., R.D., dietician at the N.V. Perricone M.D. Lifestyle Center in New York CityJonny Bowden, Ph.D., C.N.S., author of The Most Effective … [Read more...] about Meet our Health Experts
Filed under "news that surprised few," a new study published in the New England Journal of Medicine found that increased Medicaid reimbursement for primary care led to an increased number of appointments for beneficiaries. "Our findings suggest that providing higher Medicaid payments is an effective strategy for ensuring access to enrollees among already participating primary care providers," the authors wrote. By the numbers: Available primary-care appointments for Medicaid beneficiaries in the surveyed areas grew from 59% to 66% between the period of November 2012 through March 2013 and the period of May 2014 through July 2014. During that second period, states had been ordered to ratchet up their Medicaid payments, receiving around $12 billion in additional federal funding over 2013 and 2014. Following the pay boost, appointment availability grew significantly, according to the study. Notably, the size of the reimbursement increase was correlated with … [Read more...] about The Friday Dive: Will the new Medicaid reimbursement study lead to boosted rates?