Evaluating the Feasibility and Acceptability of a Telehealth Program in a Rural Palliative Care Population: TapCloud for Palliative Care
| Autor: | Janet Bull, Reginald Nichols, Lindsay Bonsignore, Martha Twaddle, Nick Bloom, Karen E. Steinhauser, Todd Allen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Patient Transfer Rural Population medicine.medical_specialty Palliative care Remote patient monitoring Population Context (language use) Telehealth Interviews as Topic 03 medical and health sciences 0302 clinical medicine Cost of Illness medicine Humans 030212 general & internal medicine education Qualitative Research General Nursing Aged Quality of Health Care Aged 80 and over education.field_of_study business.industry Palliative Care Symptom burden Usability Middle Aged Telemedicine Hospice Care Treatment Outcome Anesthesiology and Pain Medicine Caregivers Patient Satisfaction 030220 oncology & carcinogenesis Data quality Family medicine Videoconferencing Feasibility Studies Female Smartphone Neurology (clinical) business |
| Zdroj: | Journal of Pain and Symptom Management. 56:7-14 |
| ISSN: | 0885-3924 |
| Popis: | Context The impact of telehealth and remote patient monitoring has not been well established in palliative care populations in rural communities. Objectives The objectives of this study were to 1) describe a telehealth palliative care program using the TapCloud remote patient monitoring application and videoconferencing; 2) evaluate the feasibility, usability, and acceptability of a telehealth system in palliative care; and 3) use a quality data assessment collection tool in addition to TapCloud ratings of symptom burden and hospice transitions. Methods A mixed-methods approach was used to assess feasibility, usability, and acceptability. Quantitative assessments included patient symptom burden and improvement, hospice transitions, and advanced directives. Qualitative semistructured interviews on a subpopulation of telehealth patients, caregivers, and providers were performed to learn about their experiences using TapCloud. Results One-hundred one palliative care patients in rural Western North Carolina were enrolled in the program. The mean age of patients enrolled was 72 years, with a majority (60%) being female and a pulmonary diagnosis accounting for the largest percentage of patients (23%). Remote patient monitoring using TapCloud resulted in improved symptom management, and patients in the model had a hospice transition rate of 35%. Patients, caregivers, and providers reported overwhelmingly positive experiences with telehealth with three main advantages: 1) access to clinicians, 2) quick responses, and 3) improved efficiency and quality of care. Conclusion This is one of the first articles to describe a telehealth palliative care program and to demonstrate acceptability, feasibility, and usability as well as describe symptom outcomes and hospice transitions. |
| Databáze: | OpenAIRE |
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