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Personal health and wellness technologies can improve people’s care at home, connect everyday activities to clinical settings, and allow more efficient use of clinical resources. Recently, the Human-Computer Interaction community has begun to develop tools to improve oral care. In this research, we investigate dental practices and information needs through surveys and interviews with a range of patients and oral health providers. We find that personal users want to track their progress—or lack thereof—between dental visits for feedback, so they can adjust their home care routines, or so they can seek an escalation in care if they identify a problem. Among providers and clinical health workers, there exists an opportunity for better screening and diagnostic tools to identify dental caries at early stages. Providers in rural areas desire better tools to communicate problem areas to patients and their caregivers to bridge oral health care disparities in areas with limited access to care. Our results can guide the development of dental technologies that can address currently unmet needs of patients and providers.
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Incidence of Health Care–Associated COVID-19 During Universal Testing of Medical and Surgical Admissions in a Large US Health System
Abstract Concerns about severe acute respiratory syndrome coronavirus 2 exposure in health care settings may cause patients to delay care. Among 2992 patients testing negative on admission to an academic, 3-hospital system, 8 tested positive during hospitalization or within 14 days postdischarge. Following adjudication of each instance, health care–associated infection incidence ranged from 0.8 to 5.0 cases per 10 000 patient-days.
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- Award ID(s):
- 1914873
- PAR ID:
- 10316301
- Date Published:
- Journal Name:
- Open Forum Infectious Diseases
- Volume:
- 7
- Issue:
- 10
- ISSN:
- 2328-8957
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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BackgroundHealth care interactions may require patients to share with a physician information they believe but is incorrect. While a key piece of physicians’ work is educating their patients, people’s concerns of being seen as uninformed or incompetent by physicians may lead them to think that sharing incorrect health beliefs comes with a penalty. We tested people’s perceptions of patients who share incorrect information and how these perceptions vary by the reasonableness of the belief and its centrality to the patient’s disease. DesignWe recruited 399 United States Prolific.co workers (357 retained after exclusions), 200 Prolific.co workers who reported having diabetes (139 after exclusions), and 244 primary care physicians (207 after exclusions). Participants read vignettes describing patients with type 2 diabetes sharing health beliefs that were central or peripheral to the management of diabetes. Beliefs included true and incorrect statements that were reasonable or unreasonable to believe. Participants rated how a doctor would perceive the patient, the patient’s ability to manage their disease, and the patient’s trust in doctors. ResultsParticipants rated patients who shared more unreasonable beliefs more negatively. There was an extra penalty for incorrect statements central to the patient’s diabetes management (sample 1). These results replicated for participants with type 2 diabetes (sample 2) and physician participants (sample 3). ConclusionsParticipants believed that patients who share incorrect information with their physicians will be penalized for their honesty. Physicians need to be educated on patients’ concerns so they can help patients disclose what may be most important for education. HighlightsUnderstanding how people think they will be perceived in a health care setting can help us understand what they may be wary to share with their physicians. People think that patients who share incorrect beliefs will be viewed negatively. Helping patients share incorrect beliefs can improve care.more » « less
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1093/ofid/ofaa435
