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Use of web-based patient education sessions on psychiatric wards.

https://arctichealth.org/en/permalink/ahliterature126543
Source
Int J Med Inform. 2012 Jun;81(6):424-33
Publication Type
Article
Date
Jun-2012
Author
Minna Anttila
Maritta Välimäki
Heli Hätönen
Tiina Luukkaala
Minna Kaila
Author Affiliation
Finnish Post-Graduate School in Nursing Science and University of Turku, Department of Nursing Science, Finland. minna.anttila@utu.fi
Source
Int J Med Inform. 2012 Jun;81(6):424-33
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Education, Nursing - statistics & numerical data
Female
Finland - epidemiology
Hospitals, Psychiatric - statistics & numerical data
Humans
Internet - utilization
Male
Mental Disorders - epidemiology - rehabilitation
Middle Aged
Nurses - statistics & numerical data
Patient Education as Topic - methods
Patient Satisfaction - statistics & numerical data
Prevalence
Young Adult
Abstract
To evaluate the use of web-based patient education sessions in the psychiatric inpatient care.
The qualitative and quantitative data was collected from 93 patients' evaluation reports in two psychiatric hospitals in Finland completed by 83 nurses.
The web-education included six patient education sessions which were used over a period lasting between 1 and 70 days and took 10-360 min per patient. Out of 508 sessions, 464 had no interruptions or disturbances, 37 sessions had disturbances and seven sessions were interrupted. Three fourths of the sessions were used successfully. Factors associated with use were patients' vocational education level, mental status, diagnoses, number of nurses involved and hospital.
It is important to invest effort in web-based patient education during patients' hospitalization and to use it even with patients suffering from serious mental health disorders. This is meant to provide more alternatives in nursing.
PubMed ID
22381805 View in PubMed
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Patient-specific computer-based decision support in primary healthcare--a randomized trial.

https://arctichealth.org/en/permalink/ahliterature256870
Source
Implement Sci. 2014;9:15
Publication Type
Article
Date
2014
Author
Tiina Kortteisto
Jani Raitanen
Jorma Komulainen
Ilkka Kunnamo
Marjukka Mäkelä
Pekka Rissanen
Minna Kaila
Author Affiliation
School of Health Sciences, University of Tampere, Tampere, Finland. tiina.kortteisto@uta.fi.
Source
Implement Sci. 2014;9:15
Date
2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Child
Decision Support Systems, Clinical - organization & administration
Electronic Health Records - organization & administration
Female
Finland
Humans
Information Systems - organization & administration
Male
Middle Aged
Primary Health Care - organization & administration
Quality of Health Care - organization & administration
Reminder Systems
Young Adult
Abstract
Computer-based decision support systems are a promising method for incorporating research evidence into clinical practice. However, evidence is still scant on how such information technology solutions work in primary healthcare when support is provided across many health problems. In Finland, we designed a trial where a set of evidence-based, patient-specific reminders was introduced into the local Electronic Patient Record (EPR) system. The aim was to measure the effects of such reminders on patient care. The hypothesis was that the total number of triggered reminders would decrease in the intervention group compared with the control group, indicating an improvement in patient care.
From July 2009 to October 2010 all the patients of one health center were randomized to an intervention or a control group. The intervention consisted of patient-specific reminders concerning 59 different health conditions triggered when the healthcare professional (HCP) opened and used the EPR. In the intervention group, the triggered reminders were shown to the HCP; in the control group, the triggered reminders were not shown. The primary outcome measure was the change in the number of reminders triggered over 12 months. We developed a unique data gathering method, the Repeated Study Virtual Health Check (RSVHC), and used Generalized Estimation Equations (GEE) for analysing the incidence rate ratio, which is a measure of the relative difference in percentage change in the numbers of reminders triggered in the intervention group and the control group.
In total, 13,588 participants were randomized and included. Contrary to our expectation, the total number of reminders triggered increased in both the intervention and the control groups. The primary outcome measure did not show a significant difference between the groups. However, with the inclusion of patients followed up over only six months, the total number of reminders increased significantly less in the intervention group than in the control group when the confounding factors (age, gender, number of diagnoses and medications) were controlled for.
Computerized, tailored reminders in primary care did not decrease during the 12 months of follow-up time after the introduction of a patient-specific decision support system.
ClinicalTrial.gov NCT00915304.
Notes
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PubMed ID
24444113 View in PubMed
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Asthma Programme in Finland: the quality of primary care spirometry is good.

https://arctichealth.org/en/permalink/ahliterature154909
Source
Prim Care Respir J. 2008 Dec;17(4):226-31
Publication Type
Article
Date
Dec-2008
Author
Leena Tuomisto
Vesa Jarvinen
Jukka Laitinen
Marina Erhola
Minna Kaila
Pirkko Brander
Author Affiliation
Pulmonary Department, Seinajoki Central Hospital, Seinajoki, Finland. leena.tuomisto@gmail.com
Source
Prim Care Respir J. 2008 Dec;17(4):226-31
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Asthma - diagnosis - physiopathology - therapy
Female
Finland
Forced Expiratory Flow Rates - physiology
Forced Expiratory Volume - physiology
Humans
Male
Medical Audit
Middle Aged
Primary Health Care
Program Evaluation
Referral and Consultation
Reproducibility of Results
Retrospective Studies
Spirometry
Young Adult
Abstract
To assess the quality of primary care spirometry by visual inspection of the flow-volume expiratory curve and to study the quantity of clinical information provided on the spirometry report sheets.
Retrospective audit of 868 expiratory flow-volume curves referred to three pulmonary clinics assessed against five predefined quality criteria. Clinical information included on the spirometry report sheets was also collected.
Quality was good in 78% of pre-bronchodilation curves and in 80% of post-bronchodilation curves. Obtaining a sharp PEF value and full vital capacity exhalation seemed to be the critical points of measurement. Inter-rater reliability of the curve assessment was mainly good. Data on where the spirometry took place, and comments on the use of respiratory medication and patient co-operation were often lacking.
The quality of primary care spirometry was good. Adequate clinical information on the report sheets would further improve the quality of this diagnostic process.
Notes
Comment In: Prim Care Respir J. 2009 Sep;18(3):231-2; author reply 23219662322
Erratum In: Prim Care Respir J. 2009 Sep;18(3):184
PubMed ID
18830519 View in PubMed
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Perinatal factors and the risk of asthma in childhood--a population-based register study in Finland.

https://arctichealth.org/en/permalink/ahliterature156966
Source
Am J Epidemiol. 2008 Jul 15;168(2):170-8
Publication Type
Article
Date
Jul-15-2008
Author
Johanna Metsälä
Annamari Kilkkinen
Minna Kaila
Heli Tapanainen
Timo Klaukka
Mika Gissler
Suvi M Virtanen
Author Affiliation
Department of Health Promotion and Chronic Disease Prevention, National Public Health Institute, Helsinki, Finland. johanna.metsala@ktl.fi
Source
Am J Epidemiol. 2008 Jul 15;168(2):170-8
Date
Jul-15-2008
Language
English
Publication Type
Article
Keywords
Adult
Anti-Asthmatic Agents - therapeutic use
Apgar score
Asthma - epidemiology
Birth weight
Case-Control Studies
Child
Child, Preschool
Delivery, Obstetric - methods
Female
Finland - epidemiology
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Male
Maternal Age
Multivariate Analysis
Parity
Pregnancy
Prenatal Exposure Delayed Effects
Risk factors
Smoking - adverse effects
Statistics, nonparametric
Abstract
The aim of the study was to assess whether perinatal factors are associated with the risk of asthma in childhood in a register-based, nested case-control study in Finland. All children born between January 1, 1996, and April 30, 2004, who were entitled to a special reimbursement for antiasthmatic drugs (i.e., had diagnosed asthma by 2006 and had purchased inhaled corticosteroids or montelukast at least once), were identified (n = 21,038). For each case, one matched control child was selected. The associations between perinatal factors, derived from the Finnish Medical Birth Register, and the risk of asthma were analyzed by conditional logistic regression. In the final multivariate model, maternal asthma, young age, smoking, previous miscarriages, and a high number of previous deliveries, as well as cesarean section, low gestational age, and low ponderal index, were associated with an increased risk of asthma in children diagnosed before the age of 3 years. Among children diagnosed at the age of 3 years or later, maternal asthma, low gestational age, and low ponderal index were associated with an increased risk, and a high number of previous deliveries was associated with a decreased risk of asthma. In conclusion, perinatal factors play a role in the development of asthma in childhood, but the etiology may differ in early and late-onset asthma.
PubMed ID
18511427 View in PubMed
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What may help or hinder the implementation of computerized decision support systems (CDSSs): a focus group study with physicians.

https://arctichealth.org/en/permalink/ahliterature157013
Source
Fam Pract. 2008 Jun;25(3):162-7
Publication Type
Article
Date
Jun-2008
Author
Helena Varonen
Tiina Kortteisto
Minna Kaila
Author Affiliation
Department of General Practice and Primary Care, University of Helsinki, Helsinki. helena.varonen@helsinki.fi
Source
Fam Pract. 2008 Jun;25(3):162-7
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Computers
Decision Support Systems, Clinical
Diffusion of Innovation
Female
Finland
Focus Groups
Humans
Interviews as Topic
Male
Middle Aged
Physicians
Abstract
To identify potential barriers and facilitators to implementing computerized decision support systems (CDSSs) in health care as perceived by clinicians.
We carried out a qualitative focus group study with primary and secondary health care settings in six areas of Finland. A total of 39 interviewed physicians, of whom 22 practised in primary care and 17 in secondary care. The main outcome measures physicians' expectations, preconceived barriers and facilitators were explicitly identified by the participants during the interviews.
Identified barriers were earlier experience of dysfunctional computer systems in health care, potential harm to doctor-patient relationship, obscured responsibilities, threats to clinician's autonomy and potential extra workload due to excessive reminders. Identified facilitators were self-control of frequency and contents of CDSS and noticeable help of CDSS in clinical practice. It was easy for the physicians to think of applications and clinical topics for CDSS that could help them to avoid mistakes and improve work processes.
Physicians had relatively positive attitudes towards the idea of CDSS. They expected flexibility, individuality and reliability of the CDSS. The rather high level of computerized practices and wide use of electronic guidelines probably have paved the way for the CDSS in Finland.
PubMed ID
18504253 View in PubMed
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Microbial exposure in infancy and subsequent appearance of type 1 diabetes mellitus-associated autoantibodies: a cohort study.

https://arctichealth.org/en/permalink/ahliterature258815
Source
JAMA Pediatr. 2014 Aug;168(8):755-63
Publication Type
Article
Date
Aug-2014
Author
Suvi M Virtanen
Hanna-Mari Takkinen
Bright I Nwaru
Minna Kaila
Suvi Ahonen
Jaakko Nevalainen
Sari Niinistö
Heli Siljander
Olli Simell
Jorma Ilonen
Heikki Hyöty
Riitta Veijola
Mikael Knip
Source
JAMA Pediatr. 2014 Aug;168(8):755-63
Date
Aug-2014
Language
English
Publication Type
Article
Keywords
Animals
Anti-Infective Agents - adverse effects
Autoantibodies - blood
Autoimmunity
Cats
Child, Preschool
Diabetes Mellitus, Type 1 - epidemiology - genetics - immunology
Dogs
Environmental Exposure
Female
Finland - epidemiology
Genetic Predisposition to Disease
HLA Antigens - genetics
Humans
Hygiene
Infant
Infant, Newborn
Islets of Langerhans - immunology
Male
Microbiota
Questionnaires
Risk factors
Abstract
The role of microbial exposure during early life in the development of type 1 diabetes mellitus is unclear.
To investigate whether animal contact and other microbial exposures during infancy are associated with the development of preclinical and clinical type 1 diabetes.
A birth cohort of children with HLA antigen-DQB1-conferred susceptibility to type 1 diabetes was examined. Participants included 3143 consecutively born children at 2 hospitals in Finland between 1996 and 2004.
The following exposures during the first year of life were assessed: indoor and outdoor dogs and cats, farm animals, farming, visit to a stable, day care, and exposure to antibiotics during the first week of life.
Clinical and preclinical type 1 diabetes were used as outcomes. The latter was defined as repeated positivity for islet-cell antibodies plus for at least 1 of 3 other diabetes-associated autoantibodies analyzed and/or clinical type 1 diabetes. The autoantibodies were analyzed at 3- to 12-month intervals since the birth of the child.
Children exposed to an indoor dog, compared with otherwise similar children without an indoor dog exposure, had a reduced odds of developing preclinical type 1 diabetes (adjusted odds ratio [OR], 0.47; 95% CI, 0.28-0.80; P?=?.005) and clinical type 1 diabetes (adjusted OR, 0.40; 95% CI, 0.14-1.14; P?=?.08). All of the other microbial exposures studied were not associated with preclinical or clinical diabetes: the odds ratios ranged from 0.74 to 1.58.
Among the 9 early microbial exposures studied, only the indoor dog exposure during the first year of life was inversely associated with the development of preclinical type 1 diabetes. This finding needs to be confirmed in other populations.
PubMed ID
24957949 View in PubMed
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Risk of asthma and allergic outcomes in the offspring in relation to maternal food consumption during pregnancy: a Finnish birth cohort study.

https://arctichealth.org/en/permalink/ahliterature126003
Source
Pediatr Allergy Immunol. 2012 Mar;23(2):186-94
Publication Type
Article
Date
Mar-2012
Author
Maijaliisa Erkkola
Bright I Nwaru
Minna Kaila
Carina Kronberg-Kippilä
Jorma Ilonen
Olli Simell
Riitta Veijola
Mikael Knip
Suvi M Virtanen
Author Affiliation
Division of Nutrition, Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland. maijaliisa.erkkola@helsinki.fi
Source
Pediatr Allergy Immunol. 2012 Mar;23(2):186-94
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Asthma - epidemiology - etiology
Child, Preschool
Cohort Studies
Diet - adverse effects
Female
Finland
Humans
Hypersensitivity - epidemiology - etiology
Incidence
Male
Pregnancy
Prenatal Exposure Delayed Effects - immunology
Prenatal Nutritional Physiological Phenomena - immunology
Risk factors
Abstract
Epidemiological and immunological studies suggest that maternal diet during pregnancy might affect the development of allergic diseases in the offspring. The authors set out to study the effect of maternal food consumption during pregnancy on the emergence of the International Study of Asthma and Allergies in Childhood (ISAAC)-based allergic outcomes: asthma, allergic rhinitis, and wheeze by the 5 yr of age.
Data from 2441 children at 5 yr of age were analyzed within the Finnish Type 1 Diabetes Prediction and Prevention (DIPP) Nutrition Study, a population-based birth cohort study. Maternal diet was assessed with a validated food frequency questionnaire.
In multiple regression models adjusted for known confounders, low maternal consumption of leafy vegetables (adjusted odds ratio [aOR]: 1.55; 95% CI: 1.21, 1.98), malaceous fruits (aOR: 1.45; 95% CI: 1.15, 1.84), and chocolate (aOR: 1.36; 95% CI: 1.09, 1.70) were positively associated with the risk of wheeze in children. High maternal consumption of fruit and berry juices was positively associated with the risk of allergic rhinitis (aOR: 1.40; 95% CI: 1.03, 1.90) in children. No associations were observed between maternal food consumption and asthma.
Development of allergic diseases in preschool children may be influenced by intrauterine exposure to maternal diet.
PubMed ID
22432883 View in PubMed
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Cost-effectiveness analysis of guidelines for antihypertensive care in Finland.

https://arctichealth.org/en/permalink/ahliterature160632
Source
BMC Health Serv Res. 2007;7:172
Publication Type
Article
Date
2007
Author
Neill Booth
Antti Jula
Pasi Aronen
Minna Kaila
Timo Klaukka
Katriina Kukkonen-Harjula
Antti Reunanen
Pekka Rissanen
Harri Sintonen
Marjukka Mäkelä
Author Affiliation
Tampere School of Public Health, University of Tampere, Tampere, Finland. neill.booth@uta.fi
Source
BMC Health Serv Res. 2007;7:172
Date
2007
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Antihypertensive Agents - economics - therapeutic use
Cost-Benefit Analysis
Decision Making
Drug Administration Schedule
Drug Utilization - economics - standards
Female
Finland - epidemiology
Guideline Adherence - economics
Humans
Hypertension - drug therapy - economics - epidemiology
Male
Middle Aged
Practice Guidelines as Topic
Quality-Adjusted Life Years
Registries
Abstract
Hypertension is one of the major causes of disease burden affecting the Finnish population. Over the last decade, evidence-based care has emerged to complement other approaches to antihypertensive care, often without health economic assessment of its costs and effects. This study looks at the extent to which changes proposed by the 2002 Finnish evidence-based Current Care Guidelines concerning the prevention, diagnosis, and treatment of hypertension (the ACCG scenario) can be considered cost-effective when compared to modelled prior clinical practice (the PCP scenario).
A decision analytic model compares the ACCG and PCP scenarios using information synthesised from a set of national registers covering prescription drug reimbursements, morbidity, and mortality with data from two national surveys concerning health and functional capacity. Statistical methods are used to estimate model parameters from Finnish data. We model the potential impact of the different treatment strategies under the ACCG and PCP scenarios, such as lifestyle counselling and drug therapy, for subgroups stratified by age, gender, and blood pressure. The model provides estimates of the differences in major health-related outcomes in the form of life-years and costs as calculated from a 'public health care system' perspective. Cost-effectiveness analysis results are presented for subgroups and for the target population as a whole.
The impact of the use of the ACCG scenario in subgroups (aged 40-80) without concomitant cardiovascular and related diseases is mainly positive. Generally, costs and life-years decrease in unison in the lowest blood pressure group, while in the highest blood pressure group costs and life-years increase together and in the other groups the ACCG scenario is less expensive and produces more life-years. When the costs and effects for subgroups are combined using standard decision analytic aggregation methods, the ACCG scenario is cost-saving and more effective.
The ACCG scenario is likely to reduce costs and increase life-years compared to the PCP scenario in many subgroups. If the estimated trade-offs between the subgroups in terms of outcomes and costs are acceptable to decision-makers, then widespread implementation of the ACCG scenario is expected to reduce overall costs and be accompanied by positive outcomes overall.
Notes
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PubMed ID
17958883 View in PubMed
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Modularising outpatient care delivery: A mixed methods case study at a Finnish University Hospital.

https://arctichealth.org/en/permalink/ahliterature299931
Source
Health Serv Manage Res. 2018 11; 31(4):195-204
Publication Type
Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Date
11-2018
Author
Katariina Silander
Paulus Torkki
Antti Peltokorpi
Aino Lepäntalo
Maija Tarkkanen
Petri Bono
Katariina Klintrup
Minna Kaila
Author Affiliation
1 Aalto University, Espoo, Finland.
Source
Health Serv Manage Res. 2018 11; 31(4):195-204
Date
11-2018
Language
English
Publication Type
Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Ambulatory Care
Delivery of Health Care - standards
Female
Finland
Health Personnel
Hospitals, University
Humans
Male
Pregnancy
Abstract
Modularisation is a potential means to develop health care delivery by combining standardisation and customisation. However, little is known about the effects of modularisation on hospital care. The objective was to analyse how modularisation may change and support health care delivery in specialised hospital care.
A mixed methods case study methodology was applied using both qualitative and quantitative data, including interviews, field notes, documents, service usage data, bed count and personnel resource data. Data from a reference hospital's unit were used to understand the context and development of care delivery in general.
The following outcome themes were identified from the interviews: balance between demand and supply; support in shift from inpatient to outpatient care; shorter treatment times and improved management of service production. Modularisation supported the shift from inpatient towards outpatient care. Changes in resource efficiency measures were both positive and negative; the number of patients per personnel decreased, while the number of visits per personnel and the bed utilisation rate increased.
Modularisation may support health care providers in classifying patients and delivering services according to patients' needs. However, as the findings are based on a single university hospital case study, more research is needed.
PubMed ID
29336174 View in PubMed
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48 records – page 1 of 5.