Telehealth group interactions in the hospice setting: assessing technical quality across platforms.
Telehealth group interactions in the hospice setting: assessing technical quality across platforms.
复制标题
临终关怀环境中的远程医疗小组互动：评估跨平台的技术质量。
DOI：
10.1089/tmj.2012.0185
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Wittenberg-Lyles,Elaine
中科院分区：
文献类型：
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作者：
Demiris,George;ParkerOliver,Debra;Kruse,RobinL;Wittenberg-Lyles,Elaine
目的：本研究旨在考察临终关怀中使用的视频会议的技术质量，以便让照顾者成为跨学科团队会议的“虚拟”成员，以及他们对远程健康的印象。此外，它的目的是比较普通老式电话服务(POTS)和基于Web的视频会议的质量，并为远程医疗小组互动的视频质量评估提供建议。材料和方法：数据来自正在进行的探索基于Web的视频会议的随机临床试验和已完成的基于POTS的临终关怀视频会议的前瞻性研究。对于技术质量的评估，采用观察表。对照顾者的离职访谈评估了使用远程医疗的印象。结果：总共分析了200个临终关怀团队会议，包括114个使用网络视频会议的视频团队会议和86个使用POTS视频电话的会议。这两种模式之间的直接比较表明，基于网络的视频在图像质量方面具有优势，但在音频质量方面不如网络视频。分析了19个照顾者访谈的成绩单。护理人员发现，视频会议的使用是一种积极的体验，是与临终关怀团队沟通的有用和必要的工具。结论：本研究强调了远程健康在临终关怀中改善沟通的潜力，以及需要新的工具来捕捉多个利益相关者之间的视频中介沟通质量，以及改善远程健康小组会议技术质量的持续记录的战略。
Objective:This study aims to examine the technical quality of videoconferencing used in hospice to engage caregivers as “virtual” members of interdisciplinary team meetings and their impressions of telehealth. Furthermore, it aims to compare the quality of plain old telephone service (POTS) and Web-based videoconferencing and provide recommendations for assessing video quality for telehealth group interactions.Materials and Methods:Data were obtained from an ongoing randomized clinical trial exploring Web-based videoconferencing and a completed prospective study of POTS-based videoconferencing in hospice. For the assessment of the technical quality, an observation form was used. Exit interviews with caregivers assessed impressions with the use of telehealth. A retrospective analysis of video-recorded team meetings was conducted rating attributes essential for the quality of videoconferencing (e.g., video artifacts, sharpness).Results:In total, 200 hospice team meetings were analyzed, including 114 video-recorded team meetings using Web-based videoconferencing and 86 meetings using POTS videophones. A direct comparison between the two modalities indicates the superiority of Web-based video in image quality but less so in audio quality. Transcripts of 19 caregiver interviews were analyzed. Caregivers found the use of videoconferencing to be a positive experience and a useful and essential tool to communicating with the hospice team.Conclusions:This study highlights the potential of telehealth to improve communication in hospice and the need for new tools that capture the quality of video-mediated communication among multiple stakeholders and strategies to improve the ongoing documentation of telehealth group sessions' technical quality.