ADOPTION OF TELEMEDIC SERVICES IN MATERNAL AND CHILD HEALTH SERVICES

Maximum utilization of communication information technology in health services for maternal and children or recognized as telemedicine, is a friction in the model of providing midwifery care due to demands of the Covid-19 pandemic situation. There was obstacles in its use. The purpose of the study was to determine whether the factors of performance expectancy, effort expectancy, social influences, and facilitating conditions influenced behavioral intention to adopt telemedical system in the field of maternal and child health services by midwives through the Unifed Theory of Acceptance and Use of Technology (UTAUT). This a qualitative study used a survey method on 117 midwives in Probolinggo districts with simple random sampling as a sampling technique. Midwives were asked to fill out a questionnaire based on the four main constructs in UTAUT. Data were analyzed using multiples regression. The results of statistical test showed that only the effort expectancy variable had a positive relationship on the behavioral intention to adoption telemedicine system by midwife towards the provision of telemedicine health services (p value 0.001 < 0.05)

ADOPTION OF TELEMEDIC SERVICES IN MATERNAL AND CHILD HEALTH SERVICES

Maximum utilization of communication information technology in health services for maternal and children or recognized as telemedicine, is a friction in the model of providing midwifery care due to demands of the Covid-19 pandemic situation. There was obstacles in its use. The purpose of the study was to determine whether the factors of performance expectancy, effort expectancy, social influences, and facilitating conditions influenced behavioral intention to adopt telemedical system in the field of maternal and child health services by midwives through the Unifed Theory of Acceptance and Use of Technology (UTAUT). This a qualitative study used a survey method on 117 midwives in Probolinggo districts with simple random sampling as a sampling technique. Midwives were asked to fill out a questionnaire based on the four main constructs in UTAUT. Data were analyzed using multiples regression. The results of statistical test showed that only the effort expectancy variable had a positive relationship on the behavioral intention to adoption telemedicine system by midwife towards the provision of telemedicine health services (p value 0.001 < 0.05)

PROsthetic MEsh Reinforcement in elective minimally invasive paraesophageal hernia repair (PROMER): an international survey

The optimal treatment for paraesophageal hiatus hernia (PEH) is controversial. While crural buttressing with mesh shows promises in reducing recurrences, the decision to use mesh during minimally invasive PEH repair is largely subjective. Due to these uncertainties, we conducted a survey to examine current clinical practices among surgeons and to assess which are the most important determinants in the decision-making process for mesh placement. Thirty-fve multiple-choice Google Form-based survey on work-up, surgical techniques, and issues are considered in the decision-making process for mesh augmentation during minimally invasive PEH repair. Responses were graded on a 5-point Likert scale and analyzed using descriptive statistics. Consensus was defned as>70% of participants agreed (agree or strongly agree) on a specifc statement. Overall, 292 surgeons (86% from Europe) participated in the survey. The median age of participants was 42 years (range 29–69). The median number of PEH procedures was 25/year/center (range 5–400), with 67% of participants coming from high-volume centers (>20 procedures/year). Consensus on use of mesh was reached for intraoperative fndings of large (>50% of intrathoracic stomach) PEH (74.3%), crural gap with>4 cm distance between right and left crus (77.1%), and/or crural atrophy with<0.5 cm thickness of one or both pillars (73%), and for redo surgery (71.9%). Further, consensus was reached in defning recurrence as a combination of refractory symptoms and anatomical/radiological evidence of>2 cm hernia. This survey shows that large PEH, wide crural transverse diameter, fragile crura, and redo surgery are the most infuential issues driving the decision for mesh-reinforced cruroplasty