Internet Enabled Identification of Challenges in Management of Cardiovascular Disease: A Systematic Review of Videos
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background Cardio vascular diseases (CVD) are one of the most common diseases related to lifestyle diseases that accounts for increased hospitalization, economic burden, mortality and morbidity. The challenges faced by clinicians are varied and understanding these will enable to identify solutions and successfully apply in the management of CVD. Internet videos are a dynamic pool of resources with wider perspectives and content can be assessed in short time. Objectives: To review the videos available on internet to identify the clinician-mentioned challenges and solutions in management of CVD Methods: A comprehensive content analysis and review of videos available on internet through open source including clinician interviews across primary, secondary level of care is performed. Results :55 videos with total viewing time of 3 hours 6 minutes 6 seconds were included for review. Clinician-centered challenges were: incompetency to address the psychological emotions of the patients (33%), delayed diagnosis of CVD (25%), failure in adapting to technical advancements (7%) and patients reliance on information available on internet (4%). Patient-centered challenges were: failure to adapt diet and exercise related life style modifications (17%), late presentation of disease with complications (16%), and patient's financial status (4%) as a challenge in prescribing treatment options. Solutions proposed were: improved doctor-patient communication through effective listening and building of trust, patient education through inclusive management plans along with patients, lifestyle modifications by incorporating physical activity into daily living, risk stratification using screening tools, organization of services (home visits, multi-center study), usage of digital sensors in primary care initiatives and employment of heart failure specialist nurses. Conclusion: This study reveals briefly about the clinicians challenges and solutions in the management of CVD.
Authors and Affiliations
Neena T. , Sree T T. Sucharitha
Keywords
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