Providers' acceptance of telehospice.
Providers' acceptance of telehospice.
复制标题
提供者对远程临终关怀的接受程度。
DOI：
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发表时间：
2005
影响因子：
2.8
通讯作者：
M. Mackert
中科院分区：
文献类型：
--
作者：
P. Whitten;G. Doolittle;M. Mackert
背景
这项研究是由密歇根州立大学的研究人员与密歇根临终关怀中心合作进行的远程临终关怀研究的一部分。这项研究从2000年3月至2002年12月进行。
目的
这项研究的主要目标之一是更多地了解提供者对提供远程医疗服务的看法，在这种情况下是远程临终关怀。特别重要的是，更多地了解提供者对服务的看法如何在项目过程中发生变化，因为他们对提供远程临终关怀服务更加熟悉和舒适。最后，研究者感兴趣的是如何提供者的看法，远程临终关怀系统可能会影响利用。
设置/受试者
密歇根州的四个临终关怀办事处参加了这项远程临终关怀研究，两个在农村地区，两个在城市环境中，共有187名患者接受远程临终关怀。提供远程临终关怀服务的医疗服务提供者被招募来分享他们对这项技术的看法。
测量
供应商进行了调查，在开始和结束的项目，以跟踪他们的看法远程临终关怀服务。在项目实施过程中，还与提供者举行了五次重点小组会议，使提供者能够更详细地阐述他们的想法和看法。
结果
远程临终关怀系统的实际利用没有显着的影响服务的看法，在大多数情况下，供应商开始与先入为主的概念有关的技术和这些看法在项目的过程中举行的项目。即使是那些赞扬培训和技术支持水平以及能够引用成功案例的提供者，也没有表现出对远程临终关怀态度的显着变化。提供者确实表示担心远程临终关怀会如何影响他们目前的工作，如自主权或里程报销。
结论
研究结果表明，提供者是新技术和提供护理方式的守门人。这个项目中的远程临终关怀服务主要由少数热心的采用者提供。这项研究的结果提供了重要的影响，如果远程临终关怀是传播临终关怀受助人之间的普遍使用。
BACKGROUND
This research was conducted as part of a telehospice study conducted by researchers at Michigan State University, in a partnership with Hospice of Michigan. The study took place from March 2000 through December 2002.
OBJECTIVE
One of the primary objectives of the study was to learn more about how providers feel about the provision of telemedicine services, in this case telehospice. Of particular importance was learning more about how providers' perceptions of services could change over the course of the project as they became more familiar and comfortable with providing telehospice services. Finally, researchers were interested in how the providers' perceptions of telehospice system might influence utilization.
SETTING/SUBJECTS
Four Hospice of Michigan offices took part in this telehospice study, two in rural areas and two in urban settings with a total of 187 patients receiving telehospice care. Health providers who offered telehospice services were recruited to share information about their perceptions of the technology.
MEASUREMENTS
Providers were surveyed at the beginning and end of the project to track their perceptions of telehospice services. Five focus groups with providers were also conducted over the course of the project to allow providers to elaborate their thoughts and perceptions in greater detail.
RESULTS
Actual utilization of the telehospice system did not have a significant impact on perceptions of services; for the most part, providers began the project with pre-conceived notions about the technology and these perceptions held over the course of the project. Even providers who praised the level of training and technical support and who were able to cite success stories did not display a significant change in attitudes toward telehospice. Providers did express concern regarding how telehospice would impact current aspects of their job such as autonomy or mileage reimbursement.
CONCLUSIONS
Study results indicate that providers serve as gatekeepers to a new technology and manner of providing care. Telehospice services in this project were primarily provided by a handful of enthusiastic adopters. The results of this study provide important implications if telehospice care is to disseminate for general use among hospice recipients.
患者和转诊提供者对远程皮肤科的满意度。
影响因子：
13.8
作者：
Weinstock,MartinA;Nguyen,FarrahQ;Risica,PatriciaM
通讯作者：
Risica,PatriciaM