Feasibility and Acceptability of Telemedicine-Facilitated Palliative Care Consultations in Rural Dialysis Units
| Autor: | Katharine L. Cheung, Manjula Kurella Tamura, Robert Gramling, Terry Rabinowitz, Michael A. LaMantia, Renee D. Stapleton |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Telemedicine medicine.medical_specialty Palliative care medicine.medical_treatment Specialty Renal Dialysis Completion rate medicine Humans Referral and Consultation General Nursing Dialysis Aged business.industry Rural health Palliative Care Original Articles General Medicine Clinical trial Anesthesiology and Pain Medicine Family medicine Dialysis unit Feasibility Studies Female business |
| Zdroj: | J Palliat Med |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2020.0647 |
| Popis: | Background: Patients receiving dialysis have unmet palliative care needs. Limited access to palliative care is a key barrier to its integration into routine dialysis care. Objective: To determine the feasibility and acceptability of telepalliative care in rural dialysis units. Methods: This was a single-arm pilot clinical trial. The target population was patients with kidney failure receiving outpatient dialysis in a rural U.S. state. Feasibility was measured by one-month completion rate. Acceptability was measured using an adapted telemedicine questionnaire. Results: We recruited 39 patients with mean age 71.2 years to undergo a telepalliative care consultation while receiving dialysis. Four specialty palliative care clinicians (three physicians and one nurse practitioner) conducted the visits. The recruitment rate was 40% (39/96), scheduling rate was 100% (39/39), and one-month completion rate was 77% (30/39). Thirty-six patient participants (14 women and 22 men) completed the baseline survey. Audiovisual aspects of the visit were rated highly. More than 80% reported the visit being at least as good as an in-person visit and 41% felt the teleconsult was better. Eighty-one percent of patients felt the appointment was relevant to them, 58% felt they learned new things about their condition, and 27% reported the appointment changed the way they think about dialysis. Discussion: Telepalliative care is acceptable to patients receiving dialysis and is a feasible approach to integrating palliative care in rural dialysis units. The study was registered with Clinicaltrials.gov (NCT03744117). |
| Databáze: | OpenAIRE |
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