Novel telemedicine technologies in geriatric chronic non-cancer pain: primary care providers' perspectives.
Novel telemedicine technologies in geriatric chronic non-cancer pain: primary care providers' perspectives.
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老年慢性非癌症疼痛的新型远程医疗技术：初级保健提供者的观点。
DOI：
10.1111/pme.12323
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Reid,MCary
中科院分区：
文献类型：
--
作者：
Levine,Mimi;Richardson,JoshuaE;Granieri,Evelyn;Reid,MCary
我们试图确定初级保健提供者对使用新型远程医疗技术的兴趣，以及感知到的障碍和促进因素（例如，智能手机）用于管理老年人的慢性非癌症疼痛（CNCP）。设计六个焦点小组与25个初级保健提供者一起进行。SettingTwo academically affiliated primary care practices serving elderly adults with CNCP in纽约市。MethodsThe investigators used content analysis to analyze transscribed focus group data and identify specific themes.ResultsWhile most providers reported limited use of telemedicine，他们对尝试智能手机等设备用于老年CNCP患者的管理表示了极大的兴趣。实施远程医疗工具的感知障碍包括信息过载、患者和临床医生之间缺乏移动终端可用性、责任问题和成本。为了克服这些障碍，与会者建议对数据进行电子或人工预分析（例如，一台计算机或一个人，分流病人的数据），创建一个低成本和用户友好的移动终端设计，并针对适当的用户population.ConclusionsPrimary保健提供者有兴趣应用远程医疗时，照顾老年人与CNCP。尽管他们认为设备实施存在多种障碍，但他们提供了创新的解决方案来解决这些障碍。供应商认为，新的远程医疗技术可能会改善CNCP的管理，但希望有证据表明，这些设备具有成本效益和时间效益，并在实际使用之前改善了患者的治疗效果。
ObjectiveWe sought to identify primary care providers' interest in, as well as perceived barriers and facilitators to, using novel telemedicine technologies (e.g., smartphones) for managing chronic non-cancer pain (CNCP) in older adults.DesignSix focus groups were conducted with 25 primary care providers.SettingTwo academically affiliated primary care practices serving older adults with CNCP in New York City.MethodsThe investigators used content analysis to analyze transcribed focus group data and identify specific themes.ResultsWhile most providers reported limited use of telemedicine, they expressed substantial interest in trying devices such as smartphones in the management of older patients with CNCP. Perceived barriers to implementation of telemedicine tools included information overload, lack of mobile device usability among patients and clinicians, liability issues, and cost. To overcome these barriers, participants suggested implementing electronic or human-based pre-analysis of data (e.g., a computer or a person that triages patient data), creating a low-cost and user-friendly mobile device design, and targeting appropriate user populations.ConclusionsPrimary care providers are interested in applying telemedicine when caring for older adults with CNCP. Although they perceived multiple barriers to device implementation, they offered innovative solutions to address these barriers. Providers felt that novel telemedicine technologies may improve the management of CNCP but wanted evidence that the devices were both cost- and time-efficient, and led to improved patient outcomes before adopting their use in practice.
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DOI：
10.1080/14639230400005966
发表时间：
2004
期刊：
Medical Informatics and the Internet in Medicine
影响因子：
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作者：
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DOI：
10.1089/tmj.2010.0136
发表时间：
2011
期刊：
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
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影响因子：
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作者：
L. Lind;D. Karlsson;B. Fridlund
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影响因子：
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