Telemedicine in a rural memory disorder clinic-remote management of patients with dementia.
Telemedicine in a rural memory disorder clinic-remote management of patients with dementia.
复制标题
痴呆症患者的农村记忆障碍诊所诊断诊断诊断中的远程医疗。
DOI：
10.5770/cgj.15.28
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发表时间：
2012-12
期刊：
影响因子：
--
通讯作者：
Power B
中科院分区：
文献类型：
--
作者：
Azad N;Amos S;Milne K;Power B
有许多理由发展远程医疗诊所来评估和管理痴呆症。时间限制、地理位置和恶劣的天气条件都会影响患者和提供者到农村诊所就诊的能力。在文献中，远程医疗在诊断痴呆症和后续随访中的作用似乎很有希望，因为它提供了一种可行的手段，可以评估偏远地区患者的认知能力，这些地区的患者寻求医疗专家的机会有限。本研究探讨了在农村社区引入远程医疗记忆障碍随访诊所的可行性。对32次临床会议的评估发现，满意度很高，超过90%的医生和患者表示，他们愿意再次使用视频会议。医生压倒性地认为会议提供了足够的信息来帮助临床决策(96%)，患者和CCAC病例经理/老年评估人员认为能够通过视频会议提供与面对面相同的信息(两组均为92%)。远程医疗诊所提供了一些有利的结果，例如：及时获得患者所在社区的专科护理；取消的诊所较少；在病例管理人员/老年评估员的支持下加强后续诊所和初级保健之间的护理过渡；以及加强对复杂患者群体的后续行动。此外，远程医疗计划为“面对面”诊所腾出了空间。这使他们能够专注于新的患者评估。所有主要利益攸关方的高满意率表明，远程医疗是一种可行的选择，值得继续努力塑造和发展，特别是在当地医生专家稀缺的地区。
There are many reasons to develop telemedicine clinics for assessment and management of dementia. Time constraints, location, and poor weather conditions can all impact on the ability of patients and providers to attend rural clinics. The utility of telemedicine in the diagnosis of dementia and subsequent follow-up appears promising in the literature, as it provides a viable means of assessing cognition in patients in remote areas with limited access to medical specialists. This study explored the feasibility of introducing a telemedicine memory disorder follow-up clinic in a rural community. The evaluation of 32 clinic sessions found high levels of satisfaction, with over 90% of physicians and patients indicating that they’d be willing to use video conferencing again. Physicians overwhelmingly felt the sessions provided enough information to assist in clinical decision-making (96%), and patients and CCAC Case Managers/Geriatric Assessors felt able to present the same information by video conferencing as in person (92% for both groups). The telemedicine clinic provided a number of favourable results such as: timely access to specialist care in the patient’s own community; fewer cancelled clinics; enhanced care transitions between the follow-up clinic and primary care with the support of a case manager/geriatric assessor; and enhanced follow-up for a complex patient population. In addition, the telemedicine initiative freed up spaces for “in-person” clinics. This allowed them to focus on new patient assessments. The high satisfaction rates amongst all key stakeholders affirm that telemedicine is a viable option and worth continued efforts at shaping and developing, particularly in regions where local physician specialists are a scare resource.