98%
921
2 minutes
20
Purpose: The development of home-based clinical interventions and healthcare supported by digital tools has rapidly advanced in recent years, promising improvements in preventive and personalized treatment, especially for aging chronic patients. However, many systems are launched without feedback from healthcare experts, essential for understanding their strengths, limitations, and areas for improvement. This study had two objectives: first, to gather expert opinions on the qualities and limitations of current home-centred healthcare trends for aging patients; second, as a case study, to obtain feedback on a novel system, (TI-Health), integrating these trends. TI-Health uses real-time data to combine bio-psycho-social information through big data and machine learning, enabling health status prediction, diagnosis, prevention, and treatment.
Participants And Methods: A Delphi group of 60 experts from 9 countries, all with experience using digital health systems, was surveyed. A questionnaire was administered to the group focused on the limitations and qualities of current home-based digital healthcare trends. In addition, the Delphi group provided feedback on the TI-Health system.
Results: A majority of experts believed that personalized healthcare delivered in the patient's home will shape the future of healthcare services. The Delphi group identified key qualities of these trends: improved service integration, enhanced patient comfort, cost reduction, and a deeper understanding of the patient's context. They also highlighted challenges, such as barriers to inter-agency collaboration and data sharing, resistance to change among healthcare professionals, and the need for strong leadership to drive the adoption of new systems. Based on the insights from the Delphi group, this work presents a refined conceptualization of the TI-Health system.
Conclusion: Designing home-based clinical systems such as should prioritize effective inter-agency coordination, ensuring data protection and fostering collaborative leadership throughout the implementation process. These factors are crucial to the successful adoption and utilization of new home-based digital health solutions.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413830 | PMC |
http://dx.doi.org/10.2147/CIA.S525246 | DOI Listing |
Extracorporeal blood purification (EBP) is an emerging technique for reducing elevated levels of inflammatory mediators and/or endotoxins in critically ill patients with sepsis or other hyperinflammatory conditions. The oXiris filter combines endotoxin adsorption, cytokine adsorption, hemofiltration and anti-thrombosis, and an emerging body of evidence demonstrates its use in critical care patients with hyperinflammatory conditions and acute kidney injury (AKI). A group of Asia-Pacific experts convened to formulate consensus statements for the use of the oXiris filter based on a comprehensive review of publications.
View Article and Find Full Text PDFBreastfeed Med
September 2025
School of Medicine, University College Dublin, Dublin, Ireland.
A breastfeeding-friendly city is one with a synchronous and enabling environment for breastfeeding. A scoping review and interviews with breastfeeding mothers identified numerous potential indicators of a breastfeeding-friendly city. To determine a set of indicators of a breastfeeding-friendly city through consensus.
View Article and Find Full Text PDFAntimicrob Resist Infect Control
September 2025
School of Medicine and Health Management, Guizhou Province, Guizhou Medical University, GUI'an New District, 6 Ankang Avenue, Guiyang, People's Republic of China.
Background: Although current evidence supports the effectiveness of social norm feedback (SNF) interventions, their sustained integration into primary care remains limited. Drawing on the elements of the antimicrobial SNF intervention strategy identified through the Delphi-based evidence applicability evaluation, this study aims to explore the barriers and facilitators to its implementation in primary care institutions, thereby informing future optimization.
Methods: Based on the five domains of the Consolidated Framework for Implementation Research (CFIR), we developed semi-structured interview and focus group discussion guides.
Eur J Prev Cardiol
September 2025
Department of Cardiology, Esbjerg and Grindsted Hospital - University Hospital of Southern Denmark, Esbjerg, Denmark.
Aim: This study aimed to establish general consensus on a systematic needs assessment model to determine eligibility for cardiac rehabilitation (CR) as part of secondary prevention in individuals with atrial fibrillation (AF). Specific objectives included identifying relevant needs assessment criteria and establishing consensus on referral criteria.
Methods: A Delphi study was conducted following the ACCORD guidelines (ACcurate COnsensus Reporting Document) with participation of an international, multi-disciplinary expert panel including physicians, nurses and other healthcare professionals, across primary and secondary care as well as academic research.
Pediatr Crit Care Med
September 2025
Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Objective: To develop a set of pediatric neurocritical care (PNCC) entrustable professional activities (EPAs) for pediatric critical care medicine (PCCM).
Design: Survey and Delphi methodology in a panel of experts from the Pediatric Neurocritical Care Research Group (PNCRG) and the Education in Pediatric Intensive Care (EPIC) Research Collaborative.
Setting: Interprofessional local focus group, national focus group, and subsequent national multi-institutional, multidisciplinary expert panel in the United States.