Home telehealth for children with special health-care needs
Home telehealth for children with special health-care needs
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DOI：
10.1258/jtt.2008.008042
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发表时间：
2008-01-01
影响因子：
4.7
通讯作者：
Finkelstein, Stanley
中科院分区：
文献类型：
--
作者：
Cady, Rhonda;Kelly, Anne;Finkelstein, Stanley
明尼苏达大学的特殊儿童方案为有复杂特殊保健需求的儿童提供重症监护协调和病例管理服务。我们进行了为期一年的试点研究，以评估在USK办公室和家庭之间进行视频会议的可行性。为了确保安装方便，每家每户都配备了预先包装好的设备和软件。然而，这些家庭有不同的互联网提供商、不同的调制解调器和/或路由器以及不同的防火墙软件，这需要项目协调员在家访时逐个解决。5个家庭与一名USK护士参加了3-5次视频会议。与城市家庭的连接都有清晰的音视频，而与农村家庭的连接有清晰的音视频。所有预定的虚拟访问都被护士评价为提供类似于电话的信息。然而，护士们认为，非预定的虚拟访问比电话提供了更多的信息，这表明基于家庭的视频会议可能在管理有复杂特殊保健需求的儿童方面有用。
The U Special Kids (USK) programme at the University of Minnesota provides intensive care coordination and case management services to children with complex special health-care needs. We conducted a one-year pilot study to evaluate the feasibility of videoconferencing between the USK office and family homes. To ensure easy installation, families were provided with prepackaged equipment and software. However, the families had different Internet providers, different modems and/or routers and different firewall software, which required case-by-case resolution during home visits by the project coordinator. Five families participated in 3-5 videoconferencing sessions with a USK nurse. All connections with urban families had clear audio and video, whereas connections with rural families had clear audio, but unclear video. All of the scheduled virtual visits were rated by nurses as providing information that was similar to a telephone call. However, the unscheduled virtual visits were rated by the nurses as providing more information than a telephone call, suggesting that home-based videoconferencing may be useful in the management of children with complex special health-care needs.