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ICT and collaborative management of terminal cancer patients at the University College Hospital, Ibadan, Nigeria

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Abstract

Information and communication technologies (ICTs) facilitate health information sharing, and they play crucial roles when patients are debilitated by terminal diseases such as advanced cancer, and require multiple provider care. This study examined how ICTs are being used to share information among medical/paramedical team, the sick and with families/relatives and other stakeholders for the purpose of managing patients with advanced cancer at the University College Hospital (UCH), Ibadan, Nigeria’s largest teaching hospital. Data was collected from 50 medical practitioners involved in palliative care in the Centre for Palliative Care Unit, Radiotherapy Department and Internal Medicine Department. The doctors reported using mobile phones to link their clients and clients’ relatives more than they did with other technologies, but relations/families of patients reported using a wider range of technologies to link doctors. Mobile fit the working environment in the palliative care where nurses and doctors move around constantly and collaborate extensively. UCH must embark on ICT infrastructure and skill expansion projects, encompassing promoting clinical uses of the technology such as point of care (in the examination room), electronic health records, clinical decision support tools, and order entry systems, among others.

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References

  1. Kraut R, Steinfeld C, Butler B, Hoag A. Coordination and virtualization: the role of electronic networks and personal relationships. J Comput Mediated Commun 1998;3/4. http://jcmc.indiana.edu/vol3/issue4/kraut.html. Accessed Apr 14 2012).

  2. Poustie RH, Fowk S. Palliative and end of life care strategy for Northern Ireland: consultation document. UK: Department of Health, Social Services and Public Safety; 2009. http://www.dhsspsni.gov.uk Accessed 2nd Feb 2011.

    Google Scholar 

  3. Pitsillides A, Pitsillides B, Samaras G, Christodoulou E, Andreou P, Georgiadis D. DITIS: a collaborative virtual medical team for home healthcare of cancer patients. J Mobile Multimed. 2006;2(1):023–36.

    Google Scholar 

  4. McCall K, Keen J, Farrer K, Maguire R, McCann L, Johnston B, et al. Perceptions of the use of a remote monitoring system in patients receiving palliative care at home. Int J Pal Nurs. 2008;14(9):426–8.

    Google Scholar 

  5. Nysveen H, Sendecka L. Adoption of mobile services: moderating effects of service’s information intensity (Master’s thesis). Norges Handelshøyskole; 2006.

  6. Nwagwu WE, Areo HA. Use of mobile technology by doctors at the University College Hospital, Ibadan, Nigeria. (To appear in MJLIS).

  7. Roberts D, Tayler C, MacCormack D, Barwich D. Tele-nursing in hospice palliative care. Can Nur. 2007;103(5):24–7.

    Google Scholar 

  8. World Health Organization. Cancer pain relief and palliative care. Geneva: World Health Organization; 2004.

    Google Scholar 

  9. Zimmerman JM. Hospice: complete care for the terminally ill. 2nd ed. Baltimore: Urba and Schwatzenberg; 1989.

    Google Scholar 

  10. Kuziemsky CE, Jahnke JH, Lau F. The e-Hospice - beyond traditional boundaries of palliative care. Telematics Inform. 2006;23(2):117–33.

    Article  Google Scholar 

  11. Chrystal-Frances E. Palliative care: a discussion of management and ethical issues. Nurs For. 2003;38(2):25–7.

    Google Scholar 

  12. Conrad P, Schneider JW. Deviance and medicalisation: from badness to sickness. UK: Temple University Press; 1980.

    Google Scholar 

  13. Korp P. Health on the internet: implications for health promotion. Health Educ Res. 2006;21(1):78–86.

    Article  Google Scholar 

  14. Lahtiranta J, Kimppa K. Telemedicine and responsibility: why anthropomorphism and consent issues muddle the picture. The 5th International We-B (Working for e-Business) Conference, Perth, Western Australia; 2004.

  15. Katz SJ, Moyer CA, Cox DT, Stern DT. Effect of a triage-based e-mail system on clinic resource use and patient and physician satisfaction in primary care. J Gen Int Med. 2003;18:736–44.

    Article  Google Scholar 

  16. Miller EA. Telemedicine and doctor-patient communication: a theoretical framework for evaluation. J Telemed Telecare. 2002;8:311–8.

    Article  Google Scholar 

  17. Patt MR, Houston TK, Jenckes MW, Sands DZ, Ford DE. Doctors who are using e-mail with their patients: a qualitative exploration. J Med Int Res. 2003;5(2):e9.

    Google Scholar 

  18. California Healthline. Brailer Outlines Four Collaborative Goals, 12 Strategies for Health IT Effort.2004. http://www.californiahealthline.org. Accessed Nov 6, 2012.

  19. Samaras G, Pitsillides A, Georghiades D. Computational and wireless modeling for collaborative virtual medical teams. In: Istepanian RH, Laxminarayan S, Pattichis CS, editors. M-Health: emerging mobile health systems. Kluwer Academic/Plenum Publishers; 2003.

  20. Rogers R, Sembritzki J, Village P. Priorities for application of ICTs standards – a project report for Ethel Thematic working group T1, CEN/TC 251/N02-073; Dec 2002.

  21. Ball MJ, Lillis J. E-health: transforming the physician/patient relationhip. Int J Med Inform. 2001;61(1):1–10.

    Article  Google Scholar 

  22. Hardey M. Doctor in the house: the internet as a source of lay health knowledge and the challenge to expertise. Sociol Health Illness. 1999;21(6):820–35.

    Article  Google Scholar 

  23. Bastien JW. Collaboration of doctors and nurses with ethnomedical practitioners. World Health Forum. 1994;15(2):133–7.

    Google Scholar 

  24. Maglogiannis I, Delakouridis C, Kazatzopoulos L. Enabling collaborative medical diagnosis over the internet via peer-to-peer distribution of electronic health records. J Med Syst. 2006;30(2):107–16.

    Article  Google Scholar 

  25. Andreassen HK, Trondsen M, Kummervold PE, Hjortdahl P. Qual Heal Res. 2006;16(2):238–48. doi:10.1177/1049732305284667.

    Article  Google Scholar 

  26. Street RLJ. Mediated consumer-provider communication in cancer care: the empowering potential of new technologies. Patient Educ Couns. 2003;50:99–104.

    Article  Google Scholar 

  27. Ejeh EE. ICTs, communication and collaboration by registered hospitals in a metropolitan city in Nigeria. Master’s project. Africa Regional Centre for Information Science, University of Ibadan, Nigeria; 2011.

  28. Ahmed M. Evaluating the effectiveness of Information communication technology use in urban hospitals in Uganda: A project Report Submitted to the School of Graduate Studies in Partial Fulfilment of the Requirements for the Award of the Post Graduate Diploma in Information Technology of Makerere University, Uganda; 2005.

  29. Burkell JA, Wolfe DL, Potter PJ, Jutai JW. Information needs and information sources of individuals living with spinal cord injury. Health Info Libr J. 2006;23(4):257–65.

    Article  Google Scholar 

  30. Jenssen M, Kleven A, Gammon D. The practice of psychology on the Internet. J Nor Psychol Assoc. 2002;39:499–506.

    Google Scholar 

  31. Safran C. The collaborative edge: patient empowerment for vulnerable populations. Int J Med Inform. 2003;69:185–90.

    Article  Google Scholar 

  32. Jadad AR. Promoting partnerships: challenges for the internet age. BMJ. 1999;319:761–4.

    Article  Google Scholar 

  33. Pal B. E-mail contact between doctor and patient. BMJ. 1999;318:1428.

    Article  Google Scholar 

  34. Dickerson SS, Brennan PF. The internet as a catalyst for shifting power in provider-patient relationships. Nurs Outlook. 2002;50(5):195–203.

    Article  Google Scholar 

  35. Shine KI. Impact of information technology on medicine. Technol Soc. 1996;18(2):117–26.

    Article  Google Scholar 

  36. Nwagwu WE, Adio A. Context of utilization ICTs in private hospitals in Osun State, Nigeria. To appear in WJSTSD 2012;10(3).

  37. Osuntokun BO, Ajayi OO, Adeuja AOG, Adekunle OO, Shenjobi MPI, Oyejide CO et al. The role and needs of tertiary care institutions in a Nigerian health information system. Proceedings of the Conference on National Health Management Information System (NHMIS), 11–15, December 1992 Abuja Nigeria; 1992; pp 78–101.

  38. Nwagwu WE. Short messaging services and educational information sharing by students in Nigerian universities. World J Sci Technol Sustain Dev. 2012;9(3):235–53.

    Article  Google Scholar 

  39. Tanen D. You just don’t understand: women and men in conversation. New York: Harper; 1990.

    Google Scholar 

  40. Huyer S, Hafkin N. Engendering the knowledge society: measuring women’s participation. Montreal: Orbicom; 2007.

    Google Scholar 

  41. Leung L. Unwillingness-to-communicate and college students’ motives in SMS mobile messaging. Telematics Inform. 2002;24:115–29.

    Article  Google Scholar 

  42. Boulos MN, Maramba I, Wheeler S. Wikis, blogs and podcasts. A new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Edu. 2006. doi:10.1186/1472-6920-6-41.

    Google Scholar 

  43. Okene AA. The role of Nigerians in Diaspora in the Development of Nigeria: A Pragmatic Approach. Being lecture presented at the Nigeria Independence Golden Jubilee Celebration and Award Ceremony of NISCOM, International Islamic University Malaysia on November 18th 2010. 2010. Academia.edu/53421/The-role-of-Nigerians-in-diaspora-in-developing-nigeria. Accessed 11 July 2013.

  44. Fischer S, Stewart TE, Mehta S, Wax R, Lapinsky SE. Handheld computing in medicine. JAMA. 2003;10(2):139–49.

    Google Scholar 

  45. Korhonen I, Bardram JE. Guest editorial introduction to the special section on pervasive healthcare. IEEE Trans Inf Technol Biomed. 2004;8(3):229–35.

    Article  Google Scholar 

  46. Kern J. Standardization in health and medical informatics handbook of research on informatics in healthcare and biomedicine. 2006 (pp. 44–50). http://www.irma-international.org/chapter/standardization-health-medicalinformatics/20561/. Accessed December 2012.

  47. Lau DH. Patient empowerment - a patient-centred approach to improve care. Hong Kong Med J. 2002;8(5):372–5.

    Google Scholar 

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Acknowledgments

The authors acknowledge the cooperation of members of staff of the Hospice and Palliative Daycare Centre, University College Hospital, Ibadan, Nigeria, particularly Professor Olaitan Soyannwo for assisting in the design and administration of the tools used in this study.

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The authors declare that they have no conflict of interest.

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Correspondence to Williams E. Nwagwu.

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Nwagwu, W.E., Adegunwa, G.O. & Soyannwo, O.A. ICT and collaborative management of terminal cancer patients at the University College Hospital, Ibadan, Nigeria. Health Technol. 3, 309–325 (2013). https://doi.org/10.1007/s12553-013-0063-6

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