Abstract：
:Digital services are often regarded as a solution to the growing demands on primary care services. Provision of a tool offering advice to support self-management as well as the ability to digitally consult with a General Practitioner (GP) has the potential to alleviate some of the pressure on primary care. This paper reports on a Phase II, 6-month evaluation of eConsult, a web-based triage and consultation system that was piloted across 11 GP practices across Scotland. Through a multi-method approach the evaluation explored eConsult use across practices, exposing both barriers and facilitators to its adoption. Findings suggest that expectations that eConsult would offer an additional and alternative method of accessing GP services were largely met. However, there is less certainty that it has fulfilled expectations of promoting self-help. In addition, low uptake meant that evaluation of current effectiveness was difficult for practices to quantify. The presence of an eConsult champion(s) within the practice was seen to be a significant factor in ensuring successful integration of the tool. A lack of patient and staff engagement, insufficient support and lack of protocols around processes were seen as barriers to its success.
journal_name
Int J Environ Res Public Healthauthors
Cowie J,Calveley E,Bowers G,Bowers Jdoi
10.3390/ijerph15050896subject
Has Abstractpub_date
2018-05-02 00:00:00issue
5eissn
1661-7827issn
1660-4601pii
ijerph15050896journal_volume
15pub_type
杂志文章abstract：:This study considers the two factors of environmental protection and economic benefits to address municipal sewage treatment. Based on considerations regarding the sewage treatment plant construction site, processing technology, capital investment, operation costs, water pollutant emissions, water quality and other in...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15030448
更新日期：2018-03-05 00:00:00
abstract：:Invasive pneumococcal disease (IPD) is a vaccine-preventable disease characterized by the presence of Streptococcus pneumoniae in normally sterile sites. Since 2007, Italy has implemented an IPD national surveillance system (IPD-NSS). This system suffers from high rates of underreporting. To estimate the level of unde...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17207581
更新日期：2020-10-19 00:00:00
abstract：:Estimating the benefits of preventing child maltreatment (CM) is essential for policy makers to determine whether there are significant returns on investment from interventions to prevent CM. The aim of this study was to estimate the benefits of preventing CM deaths in an Ecuadorian population, and to compare the resu...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph10041342
更新日期：2013-03-28 00:00:00
abstract：:Health systems face challenges which are inherent to care demand and supply evolution (i.e., demographic change, new technologies) or are the results of unexpected occurrence originating outside the health system, such as economic shocks or epidemic outbreaks. Both challenges often require a paradigm shift in governan...
journal_title：International journal of environmental research and public health
pub_type： 社论
doi：10.3390/ijerph17155590
更新日期：2020-08-03 00:00:00
abstract：:This study determined the presence of important antibiotic-resistant bacteria in selected environments in Thailand, including wastewater samples from 60 hospitals; washed fluid, leachate, flies, cockroaches, and rats collected from five open markets; washed fluid from garbage trucks; and stabilized leachate from a lan...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16193753
更新日期：2019-10-05 00:00:00
abstract：:The stationarity of observed hydrological series has been broken or destroyed in many areas worldwide due to changing environments, causing hydrologic designs under stationarity assumption to be questioned and placing designed projects under threat. This paper proposed a data expansion approach-namely, the cross-recon...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16224345
更新日期：2019-11-07 00:00:00
abstract：:The influence of early life exposures on later life disease has for some time provided clues to modifiable risk factors of disease. The “atopic march” is thought to play a role in the progression of allergic diseases and may offer an opportunity to lower asthma’s health and socioeconomic burden, alth...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15071415
更新日期：2018-07-05 00:00:00
abstract：:Yixing, known as the "City of Ceramics", is facing a new dilemma: a raw material crisis. Cadmium (Cd) exists in extremely high concentrations in soil due to the considerable input of industrial wastewater into the soil ecosystem. The in situ technique of diffusive gradients in thin film (DGT), the ex situ static equil...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14030297
更新日期：2017-03-12 00:00:00
abstract：PURPOSE:The aim of this study was to compare the accuracy of digital dental impressions with the accuracy of impressions obtained via conventional techniques. METHODS:Two different master models were created, one with parallel implants (model 1) and the other with non-parallel implants (model 2). These reference maste...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15081599
更新日期：2018-07-27 00:00:00
abstract：:Road transport safety is a major concern across Europe due to the human and socio-economic costs associated with work-related traffic accidents. Traditional approaches have adopted regulatory and technical measures to prevent road accidents leaving aside the organizational factors that might contribute to road transpo...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15091938
更新日期：2018-09-06 00:00:00
abstract：:Improved cook stoves (ICS) have been widely touted for their potential to deliver the triple benefits of improved household health and time savings, reduced deforestation and local environmental degradation, and reduced emissions of black carbon, a significant short-term contributor to global climate change. Yet diffu...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph110201341
更新日期：2014-01-27 00:00:00
abstract：:Infection contributes to a significant proportion of neonatal death and disability worldwide, with the major burden occurring in the first week of life. Environmental conditions and gaps in water, sanitation and hygiene (WASH) practices may contribute to the risk of infection, particularly in settings where health cen...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph120302392
更新日期：2015-02-23 00:00:00
abstract：:We aimed to evaluate the status and barriers related to hepatitis C virus (HCV) treatment among Chinese methadone maintenance treatment (MMT) clients, and the willingness and barriers of patients to accept directly observed treatment (DOT) service and oral direct-acting antivirals (DAAs). We conducted a cross-sectiona...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16224436
更新日期：2019-11-12 00:00:00
abstract：:In 2015, the Nobel Prize in Physiology or Medicine was awarded to Youyou Tu, for her discoveryof the natural anti-malarial drug Artemisinin [...]. ...
journal_title：International journal of environmental research and public health
pub_type： 评论,杂志文章
doi：10.3390/ijerph17051630
更新日期：2020-03-03 00:00:00
abstract：BACKGROUND:Heart failure with preserved ejection fraction (HFpEF) has attracted increasing attention worldwide. We aimed to estimate the prevalence of HFpEF and analyze its correlates in a sample of residents of northeast China; METHODS:A population-based study of 2230 participants ≥35 years old was conducted in rural...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13080770
更新日期：2016-07-29 00:00:00
abstract：:This systematic review commissioned by the UK Department for the Environment, Food and Rural Affairs (Defra), considers how the evidence base for noise effects on health has changed following the recent reviews undertaken for the WHO Environmental Noise Guidelines. This systematic review assesses the quality of the ev...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17020393
更新日期：2020-01-07 00:00:00
abstract：:This study evaluated the effects of different matching methods on the accuracy of dentofacial integration in stereophotogrammetry and smartphone face-scanning systems. The integration was done (N = 30) with different matching areas (n = 10), including teeth image only (TO), perioral area without markers (PN) and with ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph18010229
更新日期：2020-12-30 00:00:00
abstract：:Particulate matter (PM), a primary component of air pollution, is a suspected risk factor for the development of otitis media (OM). However, the results of studies on the potential correlation between an increase in the concentration of PM and risk of developing OM are inconsistent. To better characterize this potenti...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,meta分析
doi：10.3390/ijerph17124604
更新日期：2020-06-26 00:00:00
abstract：:Emotional management is a decisive factor in building stimulating environments for the comprehensive development of individuals. In this study, 338 students enrolled in education degrees (n = 338), with an average age of 22.88 years (±5.50), participated. The following instruments were used: Satisfaction with Life Sca...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17249462
更新日期：2020-12-17 00:00:00
abstract：:Leisure-time physical activity (LTPA) has been well documented as having substantial health benefits. The 2014 Chinese Fitness Survey Report stated that a lack of physical activity (PA) spaces is the most important non-human factor, leading to 10% of leisure-time physical inactivity in people aged 20 and above. We inv...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17145136
更新日期：2020-07-16 00:00:00
abstract：:This study describes the alcohol environment comparing residents' perceptions and objective measures in two different income-level districts. Measures were gathered between 2017 and 2018 in two districts with different income levels in Madrid, Spain. We obtained perceived measures using Photovoice. We procured objecti...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17218153
更新日期：2020-11-04 00:00:00
abstract：:The safety, tolerability, pharmacokinetics and efficacy of most drugs used in pediatrics have not been studied in different age groups and are administered "off-label use". Clinical pediatric drug trials require specific and stringent compliance with laws, regulations, guidelines, and patient/parent/public involvement...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17176211
更新日期：2020-08-27 00:00:00
abstract：:Air pollution is a well-known problem for human health, especially for children living in highly polluted urban areas. This study aimed to assess the relationship between airborne pollutants concentration and biomarkers of DNA damage in the buccal mucosa cells of pre-school children. DNA damage was investigated with c...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17093276
更新日期：2020-05-08 00:00:00
abstract：:The metallurgical industry is a significant component of the national economy. The main purpose of this study was to establish a composite risk analysis method for fatal accidents in the metallurgical industry. We collected 152 fatal accidents in the Chinese metallurgical industry from 2001 to 2018, including 141 majo...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17113790
更新日期：2020-05-27 00:00:00
abstract：:Background: Research has shown that suicide is a phenomenon highly present among the drug dependent population. Different studies have demonstrated an upraised level of comorbidity between personality disorders (PD) and substance use disorders (SUD). This study aimed to describe which PDs are more frequent among those...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14030316
更新日期：2017-03-20 00:00:00
abstract：:This narrative review explores relevant literature that is related to the challenges in implementing evidence-based management for clinicians in rural and remote areas, while primarily focussing on management of acute coronary syndrome (ACS) and follow up care. A targeted literature search around rural/urban differenc...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph16245126
更新日期：2019-12-15 00:00:00
abstract：:Australia has one of the world's highest life expectancy rates, and there is a rapidly growing need for informal caregivers to support individuals who are ageing, have chronic illness or a lifelong disability. These informal carers themselves face numerous physical and psychological stressors in attempting to balance ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15102267
更新日期：2018-10-16 00:00:00
abstract：:Advances in virtual reality present opportunities to relive experiences in an immersive medium that can change the way we perceive our life stories, potentially shaping our realities for the better. This paper studies the role of virtual reality as a tool for the creation of stories with the concept of the self as a n...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17010026
更新日期：2019-12-18 00:00:00
abstract：:Background: Current levels of traffic-related air pollution (TRAP) are associated with the development of childhood asthma, although some inconsistencies and heterogeneity remain. An important part of the uncertainty in studies of TRAP-associated asthma originates from uncertainties in the TRAP exposure assessment and...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph14030312
更新日期：2017-03-17 00:00:00
abstract：:Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne infectious disease caused by hantaviruses. About 90% of global cases were reported in China. We collected monthly data on counts of HFRS cases, climatic factors (mean temperature, rainfall, and relative humidity), and vegetation (normalized difference vege...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,meta分析
doi：10.3390/ijerph16183434
更新日期：2019-09-16 00:00:00
