Author: Vinod Kumar*, R Hruthika*
(Guided by: Prof. Gouhar Sultana*, Asst. Prof. K. Naveen Kumar)
“One’s Health Status is Always A Prior Responsibility’’
Globally, the total population is around 8 billion. Over 95% of world’s population has health problems, with over a third having more than five ailments.1
The WHO defines “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.2
There are millions of cases treated worldwide in day-to-day life. In the present scenario, the health records (OP, IP in hospital) of the patient are available in the written format only hence there is a possibility of incomplete clinical data entry upon medical reconciliation.
The Rationale of this article is to provide the complete details regarding health status of the patient there by projecting history of patient clinical condition in determining the accurate therapy. The concept is not only beneficial for the patient outcomes but can also promote clinical navigation (early diagnosis) for physicians and in epidemiological studies (countries, state, district, local regions).
By this context, we can improve the individual therapy upon reconciliation and also prevent the ADR’s (hypersensitivity reactions, ineffective drugs, complications, etc.), resistance of drugs and decrease economic burden on patient.
This can be generated via an app or webpage (centralized or private) it exists in four sections (patients, physicians, epidemiologists, clinical data managers). The data can be accessed separately for each section by their respective identity codes. The aim of this study is to provide complete details regarding the individual patient health profile, which includes patient demographics (personal, allergy, resistance, ineffective drugs) and clinical profile (medical history).
The clinical and demographic details of patients interlink and provide the information on epidemiological studies (also in assessing risk factors), clinical navigation by referring to similar case reports.
Section-1: Patient Profile (One’s Health Status)
The access for the patient clinical history can be viewed by entering a unique identity code for individual patient. The code can be generated as like an ID proof (Ex: Aadhar Number, Pan Card or QR Code etc.). In case of emergency (accidents, unconscious patients and in recondite demographic cases) the patients biometric or retina can be included for accessing the data.
This section provides the details regarding the;
The clinical details of patient can be provided in the following format:
By providing these details the life status of patient can be assessed priorly and necessary prophylactic therapy can be provided, it also aids in prevention of previously assessed side effects.
These clinical details can be provided for physicians for clinical navigation and assessing the risk factors based on epidemiological studies. The data can be established and made available in various health sectors like Government Agencies, private hospitals, pharmacies etc. for healthcare professionals like physicians, pharmacists and also patients in the form of any data base (Electronic Health Record) or hard copy. As the profile is dealing with the clinical conditions of patient, it is necessary to keep the details in confidential manner, a private ID can be provided for each individual as like mobile password so that it can be legally accessed only by the patients.
An op-ed (opinion-editorial) section is provided to share the opinion or viewpoints from patient for the profile updates.
Section-2: Clinical Navigation
One of the major factor of increasing mortality rate is “time (disease) progression”. An early diagnosis and treatment initiation can help to improve the patient’s quality of life. We can make these easily by providing the appropriate resources i.e. case reports. Several categories of diseases are accompanied by salient clinical feature , one can easily estimate the prognosis of diseases. It also serves as a reference for professionals for a better treatment approach.
Physicians can access the section through a code (Ex: Medical license)
An appropriate clinical presentation or any laboratory findings which is specific for the disease, provides a platform for the early identification of the disease condition. This section involves all the clinical profiles of patients listed (without demographics as matter of confidentiality).
Ex: Identification of poisons based on clinical symptoms (pinpoint pupil and rhabdomyolysis in opiate poisoning) and providing appropriate therapy, titration of doses (corticosteroids tapering), withdrawal symptoms (alcohol) and behavioral patterns on step-down therapy etc.
This section provides the details of patient cases categorized according to departments involving all related diseases. The physician can access the data by clicking on specified department and related disease. The clinical feature can be mentioned in search bar, such that the related cases with specific feature will be displayed accordingly.
An op-ed (opinion-editorial) section is provided to share the opinion or viewpoints from physicians for the profile updates (for any clinical intervention).
Section-3: Epidemiological Studies
Epidemiology is the study of the distribution and determinants of HEALTH-RELATED STATES in SPECIFIED POPULATIONS, and the application of this study to CONTROL of health problems. Based on the available clinical data, epidemiological studies can be performed to determine the specific related diseases.
Based on these data, we can estimate the total number of cases available within the country, state, district & local regions and we can also demonstrate the major reasons and type of individuals who are prone to it. The study also determines the reasons for developing the endemic diseases and establishes a plan in assessing the risk factors. These will alert or warn the individuals who are likely to fall under the same category. An individual’s health condition determines the overall health status of a country; hence it is necessary to begin the prophylactic assessment of individual’s health condition before, rather than after prone to disease. This will aid a way in improving overall health quality and economy of the region.
Ex: Case Reports of Tuberculosis in India – NIKSHAY3
Nikshay is the web enabled patient management system for tuberculosis control under the National Tuberculosis Elimination Programme (NTEP).
Section-4: Clinical Data Curator
The clinical data curator can be a person with a background of medical knowledge. As this ideology is completely based on entering the data and requires up-to-date information, hence it can reviewed frequently and make updates in the provided section. The opinions/viewpoints from the patients, physicians and epidemiologists are reviewed and the required information should be updated according to the norms.The number of clinical curators can be assigned based on the number of cases receiving within the hospital according to departments.
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