Telemedicine in a rural gero-psychiatric inpatient unit: Comparison of perception/satisfaction to onsite psychiatric care
Telemedicine in a rural gero-psychiatric inpatient unit: Comparison of perception/satisfaction to onsite psychiatric care
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DOI：
10.1089/tmj.2007.0054
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发表时间：
2008-05-01
期刊：
影响因子：
--
通讯作者：
Dew, Elizabeth
中科院分区：
文献类型：
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作者：
Holden, Dwight;Dew, Elizabeth
在农村老年精神科住院病房进行远程医疗是一个开创性的概念。在农村社区使用远程医疗，无论是住院病人还是门诊病人，是提供可能只有在城市地区才能获得的特殊护理的一种重要方式。因此，通过知觉/满意度研究和临床结果研究建立其可信度至关重要。本文概述了提供一些必要数据的初步尝试。对文献的回顾显示，与传统的现场医生实践相比，远程医疗对住院患者的医疗满意度和感知结果的影响的数据有限。没有文献涉及远程医疗在住院老年精神病室的使用。McCurtain纪念医院是使用远程医疗在社区住院环境中提供急性老年精神科护理的先驱。对远程医疗开始前12个月和开始后12个月的患者/家庭满意度调查数据进行汇总和分析。结果表明，远程医疗与患者/家人对治疗益处的满意度和感知呈正相关。必须指出的是，患者/家属对结果的看法和对临床结果的实际衡量是不同的。还必须收集临床结果数据，以充分评估远程医疗在这一领域的成功。
Telemedicine in a rural, gero-psychiatric inpatient unit is a ground-breaking concept. The use of telemedicine in rural communities, both inpatient and outpatient, is a significant way to provide specialty care that might otherwise only be available in urban areas. Establishing its credibility through perception/satisfaction studies and clinical outcome studies is therefore crucial. This paper outlines an initial attempt to provide some of the necessary data. A review of the literature reveals limited data to demonstrate the impact of telemedicine on inpatient healthcare satisfaction and perceived outcomes as compared to traditional, on-site physician practice. None of the literature addresses the use of telemedicine in an inpatient gero-psychiatric unit. The McCurtain Memorial Hospital is a pioneer in the use of telemedicine to provide acute gero-psychiatric care in a community-based inpatient setting. Pre- and post-Patient/Family Satisfaction Survey data for a period ranging 12 months prior to inception of telemedicine and 12 months postinception were aggregated and analyzed. The results indicate that there is a positive correlation between telemedicine and the patient/family satisfaction with and perception of benefits of treatment. It must be noted that patient/family perception of outcome and actual measures of clinical outcome are not the same. Clinical outcome data must also be collected to fully assess the success of telemedicine in this arena.