Using handheld devices in a patient centered way

Using handheld devices in a patient centered way

Why bother:

·       I’ve been told that patients don’t like when we use our smart phones in front of them, but my experience has been different. I tend to include the patient in my looking up resources and use the HHDs to teach my patients

What the lit review needs to show:

·       Appropriate size of focus groups

·       Survey methods for this type of study

·       How HHDs are being used in medicine

·       What do patients think about technology

·       Is there a difference in use of HHDs bw consultants and learners

What I’ve noticed in the literature so far:

·       All information on HHDs has come up in the past 2 years

·       It is all about what medical professionals think, there’s nothing about what patients think

·       We see lots of HHDs being used in the ER, that they are promoting patient safety and therefore are a technology we need to hang onto

Plan for the study

·       Start with parallel qualitative study on pts and providers

o   Patients:

§  What do patients think about learners with HHDs

§  What do patients think about consultants with HHDs

§  What do pts think HHDs are for

§  What aspects of use of HHDs do pts enjoy vs. wish we wouldn’t do

§  What do you use google for vs. what do you think your doc uses it for

§  Are you aware of resources accessible by hhds (google scholar, uptodate, apps)

o   Docs:

§  What do learners think about consultants using HHDs and vice versa

§  What do learners (consultants) think about their peers using HHDs

§  Do you use hhds with pts? How?

§  Are you comfortable suing HHds with pts, why? Why not?

§  What do you think that pts think of your HHDs

·       Follow up with large, multicentre surveys informed by qualitative results

o   Compare community, academic, rural settings

o   Survey patients and providers