The Efficacy of Telemedicine-Supported Discharge Within an In-Home Model of Care
| Autor: | Melissa McCusker, Edwin Phillip Greenup, Boyd Alexander Potts, Andrew Bryett |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Telemedicine business.product_category medicine.medical_treatment Health Informatics Telehealth computer.software_genre Health outcomes Patient Readmission 03 medical and health sciences Sex Factors 0302 clinical medicine Videoconferencing Health Information Management Internet access medicine Humans 030212 general & internal medicine Alternative methods Internet Rehabilitation business.industry Age Factors General Medicine Length of Stay medicine.disease Home Care Services Patient Discharge Telenursing Computers Handheld Female Medical emergency business computer 030217 neurology & neurosurgery |
| Zdroj: | Telemedicine and e-Health. 23:763-765 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2016.0216 |
| Popis: | To determine if mobile videoconferencing technology can facilitate the discharge of low-acuity patients receiving in-home care without compromising short-term health outcomes.A 6-month trial commenced in July 2015 with 345 patients considered unsuited to Criteria Led Discharge (CLD) receiving in-home care included as participants. Nurses providing clinical support to patients in their homes were supplied with a tablet computer (Apple iPad) with Internet connectivity (Telstra 4G Network) and videoconferencing software (Cisco Jabber for Telepresence). Device usage data combined with hospital admission records were collected to determine (a) instances where a telemedicine-facilitated discharge occurred and (b) if the accepted measure of short-term health outcomes (readmission within 28 days) was adversely affected by this alternative method.Telemedicine technology facilitated the discharge of 10.1% (n = 35) of patients considered unsuitable for CLD from the Hospital in the Home model during the trial period. Statistically insignificant differences in rates of readmission between patients discharged in person versus those participating in the telemedicine-supported model suggest that the clinical standards of the service have been maintained.The results of evaluating telemedicine support for nurses providing low-acuity in-home care indicate that patients may be discharged remotely while maintaining the existing clinical standards of the service. |
| Databáze: | OpenAIRE |
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