Videoconferencing for Home Care Delivery in Japan: Observational Study.
Videoconferencing for Home Care Delivery in Japan: Observational Study.
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DOI：
10.2196/23539
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发表时间：
2021-09-01
影响因子：
7.4
通讯作者：
Beniya H
中科院分区：
文献类型：
--
作者：
Miyatake H;Kosaka M;Arita S;Tsunetoshi C;Masunaga H;Kotera Y;Nishikawa Y;Ozaki A;Beniya H
远程医疗已越来越多地用于许多保健领域，包括家庭护理，患者在家中接受医疗护理。由于当前的COVID-19危机，通过视频会议进行远程医疗的价值得到了更多的认可，特别是在允许无法移动的患者继续接受治疗方面。然而，远程医疗在日本家庭护理环境中的功效仍有待充分评估。本研究旨在确定远程医疗在日本单一家庭护理交付环境中的使用和影响。回顾性观察研究使用病人和其他来自家庭护理诊所的行政记录。我们考虑了在2018年和2019年期间与家庭护理医生和远程主持人进行视频会议的患者。我们提取了患者的社会人口学数据和视频会议的细节，并描述性地说明了一些具体病例。在日本的一家家庭护理诊所，在2年的时间里对17例（涉及14名患者）进行了视频会议。在所有病例中，12%（2/17）需要紧急转院并住院。剩余病例总数为88% (15/17)；71%（12/17）的病例被发现需要额外的药物治疗或去医疗机构咨询，而18%（3/17）的病例被发现不需要紧急治疗，并被要求休息。在82%（14/17）的病例中，问题症状随后得到改善，只有6%（1/17）的病例后来住院。在医生无法进行家访的情况下，远程医疗被认为对评估家庭护理环境中的患者状况是有效的。我们的研究结果表明，通过视频会议进行咨询是安全有效的，建议在其他临床环境中更积极地使用视频会议。
Telemedicine has been increasingly used in many health care fields, including home care, where patients receive medical care at home. Owing to the current COVID-19 crisis, the value of telemedicine via videoconferencing is more recognized, particularly in allowing immobile patients to continue receiving care. However, the efficacy of telemedicine in home care settings in Japan remains to be fully appraised. This study aims to identify the use and impact of telemedicine in a singular home care delivery setting in Japan. A retrospective observational study was conducted using patient and other administrative records from a home care clinic. We considered patients who were involved in videoconferencing with home care physicians and telepresenters serving patients during 2018 and 2019. We extracted sociodemographic data of the patients and details of the videoconferencing and descriptively illustrated some specific cases. In a home care clinic in Japan, videoconferencing was conducted in 17 cases (involving 14 patients) over a 2-year period. Of all the cases, 12% (2/17) required emergency transfers and were hospitalized. A total of 88% (15/17) of cases remained; 71% (12/17) of cases were found to need extra medication or to go to a medical facility for consultation, whereas 18% (3/17) of cases were found not to be in need of urgent attention and were asked to rest. Problematic symptoms subsequently improved in 82% (14/17) of cases, and only 6% (1/17) of cases were later hospitalized. Telemedicine was deemed effective for assessing patients’ conditions in the home care setting in situations where home visits by a physician cannot be carried out. Our findings indicate that consultations via videoconferencing are safe and effective, suggesting more active use of videoconferencing in other clinical contexts.
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影响因子：
4.2
作者：
Funderskov, Karen Frydenrejn;Danbjorg, Dorthe Boe;Dieperink, Karin B.
通讯作者：
Dieperink, Karin B.
DOI：
10.1248/yakushi.14-00220
发表时间：
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影响因子：
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作者：
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影响因子：
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通讯作者：
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影响因子：
4.7
作者：
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通讯作者：
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影响因子：
7.4
作者：
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通讯作者：
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