Research in home-care telemedicine: challenges in patient recruitment.

Research in home-care telemedicine: challenges in patient recruitment.
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家庭护理远程医疗研究:患者招募方面的挑战。

DOI:
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发表时间:
2004
期刊:
Telemedicine journal and e-health
影响因子:
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通讯作者:
David Smith
David Smith
中科院分区:
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文献类型:
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作者:
U. Subramanian;F. Hopp;J. Lowery;P. Woodbridge;David Smith

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本研究报告的挑战,招募患者的随机对照试验的家庭护理远程医疗。提供了关于患者是否有资格获得家庭护理远程医疗服务和患者拒绝参与的描述性统计数据。研究排除和参与者拒绝的原因的频率计数和卡方检验比较种族和年龄相关的差异。在审查的302名家庭护理患者中,197名(65.2%)不符合入选标准。研究排除的最常见原因是患者需要每月<2次访视(n = 59,30%)或每周>3次熟练护士访视(n = 46,23.4%)。在合格患者(n = 105)中,79人(75.2%)拒绝参加。拒绝的最常见原因是缺乏对远程医疗的额外益处的感知(n = 27,34.2%),以及常规医疗保健足够(n = 23,29.1%)。高于预期比例的患者不符合选定的合格标准或拒绝参加。这些结果应该有助于设计家庭护理远程医疗计划和临床试验。
This study reports challenges in recruiting patients for a randomized controlled trial of homecare telemedicine. Descriptive statistics on patient eligibility for home-care telemedicine services and patient refusals for participation are provided. Frequency counts of reasons for study exclusion and participant refusal and Chi-square tests to compare race and age-related differences are given. Of 302 home-care patients reviewed, 197 (65.2%) did not meet inclusion criteria. The most common reasons for study exclusion were patients either needing <2 visits per month (n = 59, 30%) or >3 skilled nurse visits per week (n = 46, 23.4%). Of the eligible patients (n = 105), 79 persons (75.2%) refused participation. The most common reasons for refusals were lack of perceived addition benefit of telemedicine (n = 27, 34.2%), and that routine health care was sufficient (n = 23, 29.1%). Higher than expected proportions of patients did not meet chosen eligibility criteria or refused to participate. These results should be helpful in designing home-care telemedicine programs and clinical trials.
老年人在短期和长期残疾情况下对护理环境的偏好。
DOI: 10.1093/geront/39.3.334
发表时间: 1999
期刊: The Gerontologist
影响因子: --
作者:
Keysor,JJ;Desai,T;Mutran,EJ
通讯作者: Mutran,EJ
老年人的医院资源消耗:对七年期间的发作、住院时间和费用的前瞻性分析。
DOI: 10.1093/geronj/49.5.s240
发表时间: 1994
期刊: Journal of gerontology
影响因子: --
作者:
Wolinsky,FD;Culler,SD;Callahan,CM;Johnson,RJ
通讯作者: Johnson,RJ