Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes
Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes
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DOI：
10.1016/j.ijmedinf.2009.02.009
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发表时间：
2009-07-01
影响因子：
4.9
通讯作者：
Chang, Chia-Ching
中科院分区：
文献类型：
--
作者：
Chang, Jun-Yih;Chen, Liang-Kung;Chang, Chia-Ching
背景资料：本研究评估目前的观点和期望的远程医疗的护理之家照顾者和家庭的护理之家病人在台北，台湾。共有116次访谈与家庭成员（n = 37）和照顾者（n = 79）使用原始的，四部分问卷设计，以评估预期的远程医疗机会，包括消费者的态度，结果：两组患者的性别、年龄、文化程度差异有统计学意义（均P <0.001），两组患者的年龄、性别、文化程度差异有统计学意义（均P < 0.001）。大多数答复者在参与之前都听说过远程医疗，并对实施远程医疗表现出一定的兴趣。两组中超过70.0%的受试者对患者的远程监护、健康异常通知、医生与家人之间的电话会议、获得测试/检查结果以及通过远程网络进行面对面咨询有感知。这两个群体都希望通过远程医疗获得信息和教育。更多的护理人员担心成本增加（p = 0.020），硬件质量差（p < 0.001），安全性，保密性和可靠性差（p = 0.036），给患者带来不便（p = 0.006），相关的道德和伦理问题（p = 0.006）以及责任的不确定性（p = 0.022）。两组人对远程医疗益处的期望没有差异。超过60%的家庭成员或护理人员期望医院和疗养院医疗保健的效率和质量得到提高，疗养院与工作人员或患者之间的关系更加融洽，整体医疗成本降低，工作人员/护理人员的工作时间减少。可接受的成本是任何高达$15.30 USD每月。结论：护理之家照顾者和家庭的护理之家的病人是非常感兴趣的远程医疗，但是，他们只愿意支付稍高的护理成本这项服务。该行业未来面临的挑战是平衡人们的需求和远程医疗的相关成本。这项研究的结果表明，照顾者和家庭的养老院居民赞成远程医疗的实施，以提供更好的护理协调，在养老院的经济环境是有利的。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Background: This study assessed current perspectives and expectations for telemedicine by nursing home caregivers and families of nursing home patients in Taipei, Taiwan.Methods: A total of 116 interviews were conducted with family members (n = 37) and caregivers (n = 79) using an original, four-part questionnaire devised to assess the expectations and concerns related to prospective telemedicine opportunities, including consumer attitude, knowledge of and interest in medicine, concerns and worries about telemedicine, and anticipated benefits of telemedicine.Results: Statistical significance between the two groups was observed in sex, age, and educational level (all p < 0.001). Most respondents had heard about telemedicine before participation and showed some interest in telemedicine implementation. More than 70.0% of subjects in both groups had perceptions of telemonitoring of patients, notifications of health abnormalities, teleconferencing between physicians and family members, obtaining test/exam results and face-to-face consultation through telenetworks. Both groups hoped for information and education through telemedicine. More caregivers were concerned about increased costs (p = 0.020), poor hardware quality (p < 0.001), poor security, confidentiality, and reliability (p = 0.036), inconvenience to patients (p = 0.006), associated moral and ethical issues (p = 0.006), and uncertainty about responsibility (p = 0.022). The two groups did not differ in expectations concerning benefits of telemedicine. More than 60% of family members or caregivers expected improved efficiency and quality of hospital and nursing home health care, greater rapport between nursing homes and either staff or patients, reduced overall medical costs of caregiving, and reduced staff/caregiver working hours. The acceptable cost was anything up to $15.30 USD per month.Conclusions: Nursing home caregivers and families of nursing home patients are highly interested in telemedicine; however, they are only willing to pay a slightly higher cost of nursing care for this service. The challenge for the future in this industry is to balance peoples' demands and telemedicine's associated costs. Results of this study suggest that caregivers and families of nursing home residents favour telemedicine implementation to provide enhanced care coordination in nursing homes when economic circumstances are favourable. (C) 2009 Elsevier Ireland Ltd. All rights reserved.