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Ethnic differences in patients accessing telephone based healthcare in the UK: A cross-sectional study comparing use of the NHS 111 medical helpline with Emergency Department attendance.

Rafiq, M; Carter, J; Liu, L; (2016) Ethnic differences in patients accessing telephone based healthcare in the UK: A cross-sectional study comparing use of the NHS 111 medical helpline with Emergency Department attendance. Brazilian Journal of Telehealth , 4 (1) pp. 57-58. Green open access

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Abstract

INTRODUCTION: The new information and communication technologies emerge after the third industrial revolution, characterized by digitalization of information, communication in networks and the potential for interactivity. (PRADO et al., 2012). In the 2000s, we highlight the creation of the Moodle software, developed with the purpose of being a learning community based on socio-constructive theories of learning. Thus, the virtual learning environment can be considered the key artifact for E-learning (SEIXAS et al., 2012). This scenario has boosted new learning processes, strategies and behaviors. The necessities of updating and permanent education, as well as emergency in training professionals with communication skills related to information and communication technologies stimulated the offering of courses and online classes at the health field. So tele-education, which comprises a bias of Telehealth, characterizes itself by the inclusion of such educational process, through information and communication technologies. That said, the present study aims to identify the challenges and opportunities related to virtual learning environments in health. To do this, two key questions need to be raised: What are the difficulties encountered in the conception of virtual learning environments and online courses? And what are the possibilities and advantages noticed on this adhesion? METHODS: In order to achieve the objectives outlined, it was chosen to perform a research of the bibliographic type. Taking into account that the study is of qualitative and exploratory nature, it was done a bibliographic review with the aim of identifying the challenges and opportunities related to virtual learning environments in health. The research was conducted through electronic means where it was sought to obtain scientific articles published in the period between 2010 and 2015. The temporal delimitation is justified by the fact that, as the artifacts change, new technologies are incorporated to educative practice in the course of time, being necessary to observe such changes. The survey of articles in the scientific literature was held in Latin American literature database and Caribbean in Health Sciences (LILACS) of the Virtual Health Library (BVS), which are available in Portuguese, and the text available in its entirety. In this research, it was used as a keyword the expression: virtual learning environment. After a bibliography composition, it was used the method of content analysis by thematic approach, in which the resulting themes are grouped into thematic categories. RESULTS: This way 44 publications were found, being 41 scientific articles, and of these, 41 as full texts, which results 41 articles on a full version in Portuguese. The thematic categories found were: development of virtual learning environments, courses and learning objects; and evaluation of learning proposals or resources of the virtual learning environment adopted. After grouping the mentioned categories, a selection was done with the following standard: scientific articles that perform approaches about the development of virtual learning environments, courses and educational objects for graduating in health for academic purposes or permanent education. According to the standard were selected 10 articles reporting experiences about the conception and development of learning objects, courses and virtual learning environments for the teaching in health, 6 for academic purposes and 4 for professional education purposes; 6 in the nursing field, 2 in the medical field and 2 in the health field. The highest number of articles found reports the application of academic courses with the use of virtual learning environments in tests with undergraduate students, especially in the nursing field. The courses for professional education follow the same trend as the field. The articles related to experiences about the perception of courses discourse about the stages covered, which those are corresponding to the conception, according to Filatro (2008): Analysis; Design; and Development. Regarding the main difficulties encountered in the conception of courses and virtual learning environments, the highlights were: the knowledge gap not found in the literature (GROSSI and KOBAYASHI, 2013); and lack of specialized professionals for the process of production and supply (SEIXAS et al., 2012). Taking into account the possibilities and advantages of using the virtual learning environment and of the tele-education, it can be affirmed that they provide the use of several medias, enabling the development of more dynamic and autonomous learning strategies (RABEH et al., 2012) and allow a learning process based on dialogue and two-way communication process, adding value to the experience and knowledge of the students. (RODRIGUES and PERES, 2013). CONCLUSIONS: Therefore, tele-education in health is an educational process that can contribute to both permanent education and for the training of new professionals, putting them in new learning situations and developing new skills and competences. To do this it is important that these potentialities are adhered and the studies about the subject in-depth

Type: Article
Title: Ethnic differences in patients accessing telephone based healthcare in the UK: A cross-sectional study comparing use of the NHS 111 medical helpline with Emergency Department attendance.
Open access status: An open access version is available from UCL Discovery
Publisher version: http://www.jbtelessaude.com.br/jornal/volume/index...
Language: English
Additional information: This publication is licensed by Creative Commons (CC BY-NC-SA 3.0)
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10050244
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