| Autor: |
Wakefield, Bonnie J., Buresh, Kelli A., Flanagan, James R., Kienzle, Michael G. |
| Předmět: |
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| Zdroj: |
Journal of the American Geriatrics Society; May2004, Vol. 52 Issue 5, p789-793, 5p, 3 Charts |
| Abstrakt: |
To assess provider and resident satisfaction with and outcomes of specialist physician consultations provided via interactive video to residents of a long-term care (LTC) center. Cross-sectional survey. Two Veterans Affairs Medical Centers (VAMC) and a state LTC center. Physicians (n=12) at the VAMC and nurses (n=30) and residents (n=62) at the LTC center. Interactive video conferencing to provide physician specialty visits to residents at the LTC center. Satisfaction ratings and record review to determine changes in treatment plan and follow-up care. Data were collected on 76 individual consultations in six clinics. The most frequent outcome was a change in treatment plan with the resident remaining at the LTC setting (n=29, 38%) or no change in treatment (n=26, 34%). Physicians' ratings were 78% good to excellent for usefulness in developing a diagnosis, 87% good to excellent for usefulness in developing a treatment plan, 79% good to excellent for quality of transmission, and 86% good to excellent satisfaction with the consult format. Overall, 72% of residents were satisfied with the consult format, and 92% felt that it was easier to obtain medical care via telemedicine. Nurses felt that the telemedicine clinics were a good use of their time and skills (100%). There was a high rate of physician, patient, and nurse satisfaction with interactive video conferencing. Care delivered to residents of LTC settings via video conferencing offers a number of potential advantages, including avoidance of travel for patient and provider and potentially greater continuity of care. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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