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  1. Book ; Online ; E-Book: Accounting for Healthcare

    Vesty, Gillian / Jansson, Miia / Rana, Tarek / Butler-Henderson, Kerryn

    The Digital Transition to Value-Based Healthcare

    (Routledge Studies in Accounting Series)

    2024  

    Abstract: In the era of digital transformation, the healthcare industry stands at a significant crossroad. With Value-Based Healthcare (VBHC) at the core of this transition, the role of accountants is evolving dramatically. This book brings these pieces together ... ...

    Series title Routledge Studies in Accounting Series
    Abstract In the era of digital transformation, the healthcare industry stands at a significant crossroad. With Value-Based Healthcare (VBHC) at the core of this transition, the role of accountants is evolving dramatically. This book brings these pieces together to guide accountants and interested readers through the changing landscape.
    Subject code 362.1068/1
    Language English
    Size 1 online resource (159 pages)
    Edition 1st ed.
    Publisher Taylor & Francis Group
    Publishing place Oxford
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 9781040020104 ; 9781032685380 ; 1040020100 ; 1032685387
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Konferenssit

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Volume 4

    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Finnish Social and Health Informatics Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Tiedotukset ja konferenssit

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Volume 3

    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Finnish Social and Health Informatics Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Arkkitehtuurista uusien innovaatioiden kehittämiseen ja testaukseen – käyttäjäkokemukset keskiössä

    Pia Liljamo / Miia Jansson

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    2023  Volume 4

    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Finnish Social and Health Informatics Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Patient experiences on the quality of cerebrovascular diseases counselling using digital solutions in hospital-A qualitative research study.

    Myllykangas, Kirsi / Härkönen, Henna / Kääriäinen, Maria / Kärppä, Mikko / Jansson, Miia

    Journal of clinical nursing

    2024  Volume 33, Issue 6, Page(s) 2259–2273

    Abstract: Aim: To describe patients' experiences of the quality of counselling to develop new digital counselling solutions for patients with cerebrovascular disease.: Design: A descriptive, qualitative approach.: Methods: Semi-structured in-person ... ...

    Abstract Aim: To describe patients' experiences of the quality of counselling to develop new digital counselling solutions for patients with cerebrovascular disease.
    Design: A descriptive, qualitative approach.
    Methods: Semi-structured in-person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and treated as inpatients at a single university hospital in Finland between September 2021 and February 2022. Data were analysed using deductive and inductive content analysis.
    Results: The identified facilitators, barriers and possible solutions for the development of new digital counselling solutions were deductively categorized into five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency, and (5) effects and 12 generic categories. Patients with cerebrovascular diseases worry about symptoms affecting their ability to receive information and valued a supportive atmosphere. Staff should have more time for counselling and use motivational digital counselling solutions in plain language, moderate length and with multimedia content. Patients desired reminders, easy search functions and possibilities for two-way communication.
    Conclusion: New digital counselling solutions could be beneficial in supporting the patients' knowledge, emotions and adherence. For the success of such solutions, patients' special needs concerning different levels of cognitive impairment need to be considered.
    Impact: The results of this study may benefit healthcare organizations in the development of digital counselling solutions that meet the patients' needs.
    Reporting method: We have adhered to relevant EQUATOR guidelines with the COREQ reporting method.
    Patient or public contribution: Patients were involved as the study population.
    MeSH term(s) Humans ; Qualitative Research ; Cerebrovascular Disorders/psychology ; Female ; Middle Aged ; Male ; Aged ; Finland ; Counseling/methods ; Counseling/standards ; Aged, 80 and over ; Adult ; Patient Satisfaction
    Language English
    Publishing date 2024-02-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.17025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effectiveness of Game-Based Solutions in Patients with Total Hip and Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials.

    Jansson, Miia M / Koivisto, Jonna

    Games for health journal

    2022  Volume 12, Issue 1, Page(s) 25–33

    Abstract: The aim of this systematic review of randomized controlled trials (RCTs) was to evaluate the effectiveness of game-based solutions in patients with total knee arthroplasty or total hip arthroplasty. The systematic review was performed in accordance with ... ...

    Abstract The aim of this systematic review of randomized controlled trials (RCTs) was to evaluate the effectiveness of game-based solutions in patients with total knee arthroplasty or total hip arthroplasty. The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published prior May 2022 were identified from MEDLINE Ovid, Scopus, EBSCO Databases, Web of Science, and PubMed. The Joanna Briggs Institute Critical Appraisal Checklist for RCTs was used to evaluate the quality of the relevant studies published. A narrative synthesis was used to report the results while effect sizes were estimated for different outcomes. A total of 350 records were identified, and 5 RCTs were selected. Most of the game-based solutions were exergames to support rehabilitation. The findings indicate that game-based solutions have potential to induce positive impact on functional and cognitive performance; however, due to the low number of studies and moderate/weak quality of existing research, the area still lacks assertive evidence. Future research should pay attention to the methodological aspects to provide reliable information on the use of game-based solutions in the given context.
    MeSH term(s) Humans ; Arthroplasty, Replacement, Knee ; Randomized Controlled Trials as Topic ; Arthroplasty, Replacement, Hip/methods
    Language English
    Publishing date 2022-12-28
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2650543-5
    ISSN 2161-7856 ; 2161-783X
    ISSN (online) 2161-7856
    ISSN 2161-783X
    DOI 10.1089/g4h.2022.0101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Machine learning models for the early prediction of ventilator-associated pneumonia.

    Frondelius, Tuomas / Atkova, Irina / Miettunen, Jouko / Rello, Jordi / Vesty, Gillian / Chew, Han Shi Jocelyn / Jansson, Miia

    European journal of internal medicine

    2024  

    Language English
    Publishing date 2024-03-06
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 1038679-8
    ISSN 1879-0828 ; 0953-6205
    ISSN (online) 1879-0828
    ISSN 0953-6205
    DOI 10.1016/j.ejim.2024.02.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Towards digital counselling in primary care management of symptomatic knee osteoarthritis

    Miia Jansson / Maria Kääriäinen / Gillian Vesty / Minna Pikkarainen

    Finnish Journal of eHealth and eWelfare, Vol 15, Iss

    a qualitative descriptive study in Finnish primary care

    2023  Volume 3

    Abstract: Digital counselling may improve patients’ health outcomes, when eHealth solutions are accessible and tailored to the patients’ needs, which is especially important for people with chronic and long-term conditions such as knee osteoarthritis. This study ... ...

    Abstract Digital counselling may improve patients’ health outcomes, when eHealth solutions are accessible and tailored to the patients’ needs, which is especially important for people with chronic and long-term conditions such as knee osteoarthritis. This study aims to identify patients’ eHealth needs to improve the quality of digital counselling in a primary care management of symptomatic knee osteoarthritis. A qualitative study was used to collect patients’ eHealth needs through semi-structured interviews in a single outpatient clinic in Finland between August 2020 and November 2020. The data was analyzed using both deductive and inductive content analysis approaches. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative research checklist to improve the transparency of the study. Analysis of the data revealed five main categories to be considered when implementing digital counselling in patients with symptomatic knee osteoarthritis: background factors (functional impairments, health literacy, digital literacy, cost-related access barriers), resources (digital methods and materials), sufficiency (knee osteoarthritis-related knowledge and skills), implementation (simplicity, trust, patient-centeredness), and benefits (self-care capabilities, confidence). According to our findings, both health and digital literacy seems to be important contributors to the adoption of digital counselling in a primary care management of symptomatic knee osteoarthritis. New eHealth solutions should not replace the first visit in the outpatient clinic. Instead, the use of eHealth solutions should be based on the first visit, during which a trusting relationship between patients and healthcare providers is established. In future, the level of health and digital literacy in patients with symptomatic knee osteoarthritis should be taken account.
    Keywords telemedicine ; health services ; primary health care ; counseling ; Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Finnish Social and Health Informatics Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Challenges and needs in cerebrovascular disease pathway: A qualitative descriptive study from the patients' and healthcare professionals' perspectives.

    Härkönen, Henna / Myllykangas, Kirsi / Gomes, Julius / Immonen, Milla / Kärppä, Mikko / Hyvämäki, Piia / Jansson, Miia

    Journal of advanced nursing

    2024  

    Abstract: Aim(s): To understand patients' and healthcare professionals' experiences to improve care in and across different domains of the cerebrovascular disease pathway.: Design: A qualitative descriptive study.: Methods: Semi-structured in-person ... ...

    Abstract Aim(s): To understand patients' and healthcare professionals' experiences to improve care in and across different domains of the cerebrovascular disease pathway.
    Design: A qualitative descriptive study.
    Methods: Semi-structured in-person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and 26 healthcare professionals taking care of them in a single tertiary-level hospital from August 2021 to March 2022. Data were analysed using deductive and inductive content analysis. The consolidated criteria for reporting qualitative research was used to ensure reliable reporting.
    Results: Overall, 19 generic and 79 sub-categories describing perceived challenges with 17 generic and 62 sub-categories describing perceived needs were identified related to primary prevention, organization of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment, and life after stroke.
    Conclusion: Several challenges and needs were identified in and across the different domains of the cerebrovascular disease pathway. There is a requirement for adequate resources, early initiation of treatment, early diagnostics and recanalization, dedicated rehabilitation services, long-term counselling and support, and impact evaluation of services to improve cerebrovascular disease care. Future research on caregivers', and clinical leadership experiences in and across the cerebrovascular disease pathway is needed to explore the provision of services.
    Implications for the profession and/or patient care: The results of this study can be applied by organizations, managers and research for developing and improving services in the cerebrovascular disease pathway.
    Impact: This study identified several patient-related, organizational and logistical needs and challenges, with suggestions for required actions, that can benefit the provision of effective, high-quality cerebrovascular disease care.
    Reporting method: We have adhered to relevant EQUATOR guidelines with the COREQ reporting method.
    Patient or public contribution: No patient or public involvement.
    Language English
    Publishing date 2024-01-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.16055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Identified gamification opportunities for digital patient journey solution during an arthroplasty journey: secondary analysis of patients' interviews.

    Jansson, Johanna / Laukka, Elina / Kanste, Outi / Koivisto, Jonna / Jansson, Miia

    Nursing open

    2022  Volume 9, Issue 4, Page(s) 2044–2053

    Abstract: Aim: The use of gameful design for supporting health-related behaviours has been one of the major trends in health technology. An opportunity to increase engagement and motivation in a given health behaviour and the possibility of reaching improved ... ...

    Abstract Aim: The use of gameful design for supporting health-related behaviours has been one of the major trends in health technology. An opportunity to increase engagement and motivation in a given health behaviour and the possibility of reaching improved outcomes through continued or consistent behaviour could be provided by gamification. This study aimed to identify gamification opportunities for digital patient journey solutions to increase patients' engagement and motivation for health-related behaviour during an arthroplasty journey.
    Design: A secondary analysis.
    Method: Semistructured interviews were performed among 20 elective primary total hip and knee arthroplasty patients in a single joint-replacement centre in Finland during autumn 2018. NVivo software was used for deductive content analysis. The study was conducted among 20 patients in a single joint replacement centre during 2018.
    Results: Several opportunities for gamification were identified for digital patient journey solutions, which could be used in advanced care to increase patients' engagement and motivation for health-related behaviour during the arthroplasty journey. These opportunities were identified related to five dimensions: accomplishment, challenge, guided, playfulness and social experience. Clear, scheduled, progressive and personalized goals with an activity tracking, real-time timespan visualization and social networking with peers, support networks and healthcare providers could be provided. Opportunities for competition and immersion were not identified.
    MeSH term(s) Arthroplasty, Replacement, Knee ; Elective Surgical Procedures ; Gamification ; Health Behavior ; Health Personnel ; Humans
    Language English
    Publishing date 2022-04-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2809556-X
    ISSN 2054-1058 ; 2054-1058
    ISSN (online) 2054-1058
    ISSN 2054-1058
    DOI 10.1002/nop2.1215
    Database MEDical Literature Analysis and Retrieval System OnLINE

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