Change of Patients' Perceptions of TeleHomeCare

Demiris, George; Speedie, Stuart M.; Finkelstein, Stanley M.

doi:10.1089/153056201316970948

Cited by 98 publications

(77 citation statements)

References 10 publications

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“…However, studies that have examined the acceptability of these new methods after the patients have used them have reported greater acceptability [14][15][16]. Furthermore, there is some evidence that initial reluctance may be overcome by providing patients with the experience of actually using the technology [8,17]. The main challenge in implementing such methods therefore may be to find ways of overcoming patients' initial reluctance sufficiently for them to gain familiarity with them.…”

Section: Discussionmentioning

confidence: 99%

Monitoring symptoms at home: what methods would cancer patients be comfortable using?

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Monitoring symptoms at home: what methods would cancer patients be comfortable using?

et al. 2010

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“…16 The psychological benefit is very important to children and adolescents, who are usually apprehensive about hospitalization.…”

Section: Discussionmentioning

confidence: 99%

A Case Study: Telemedicine Technology and Peritoneal Dialysis in Children

Ghio¹,

Boccola²,

Andronio³

et al. 2002

Telemedicine Journal and e-Health

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We investigated the feasibility and effectiveness of a telemedicine system for monitoring pediatric patients undergoing automated peritoneal dialysis (APD) at home. The system uses modem-based communication between the patient's cycler and a computer in the dialysis unit, which allows data transmission and storage, and live patient-physician interaction by ISDN lines, modem, microphone with stereo speakers, and digital cameras for private video-conferencing and image capture. Two children aged 10 and 12 years, who live 1500 and 40 km from the dialysis unit, respectively, have been using the system for 7 months. All of the APD treatment data were stored and examined; 122 televisits were performed. The APD data show that both patients have complied with their dialysis prescription. The telemedicine system broadens patient/physician interchange and increases the quality of care and the life of children on peritoneal dialysis.

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“…19,24 Study participants were comfortable with the use of the technology, 19 and some even reported greater empowerment 21 or increased confidence in managing chronic illness. 26 …”

Section: Effects On Older Adult Patientsmentioning

confidence: 98%

Applying Research Evidence to Optimize Telehomecare

Bowles

Baugh

2007

The Journal of Cardiovascular Nursing

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Telemedicine is the use of technology to provide healthcare over a distance. Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. Most home care agencies are adopting telehomecare to assist with the care of the growing population of chronically ill adults. This article presents a summary and critique of the published empirical evidence about the effects of telehomecare on older adult patients with chronic illness. The knowledge gained will be applied in a discussion regarding telehomecare optimization and areas for future research. The referenced literature in PubMed, MEDLINE, CDSR, ACP Journal Club, DARE, CCTR, and CINAHL databases was searched for the years 1995-2005 using the keywords "telehomecare" and "telemedicine," and limited to primary research and studies in English. Approximately 40 articles were reviewed. Articles were selected if telehealth technology with peripheral medical devices was used to deliver home care for adult patients with chronic illness. Studies where the intervention consisted of only telephone calls or did not involve video or in-person nurse contact in the home were excluded. Nineteen studies described the effects of telehomecare on adult patients, chronic illness outcomes, providers, and costs of care. Patients and providers were accepting of the technology and it appears to have positive effects on chronic illness outcomes such as selfmanagement, rehospitalizations, and length of stay. Overall, due to savings from healthcare utilization and travel, telehomecare appears to reduce healthcare costs. Generally, studies have small sample sizes with diverse types and doses of telehomecare intervention for a select few chronic illnesses; most commonly heart failure. Very few published studies have explored the cost or quality implications since the change in home care reimbursement to prospective payment. Further research is needed to clarify how telehomecare can be used to maximize its benefits among diverse adult chronic illness populations. Keywords home care; telecommunications; telemedicineTelemedicine is defined as the use of technology to provide healthcare over a distance. 1 Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. 2 As noted in other articles in this issue, typical equipment can include a telephone line; simplified, regular computer, or wireless devices; videocamera; and physiologic monitoring equipment such as a blood glucose monitor, stethoscope, blood

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Change of Patients' Perceptions of TeleHomeCare

Cited by 98 publications

References 10 publications

Monitoring symptoms at home: what methods would cancer patients be comfortable using?

Monitoring symptoms at home: what methods would cancer patients be comfortable using?

A Case Study: Telemedicine Technology and Peritoneal Dialysis in Children

Applying Research Evidence to Optimize Telehomecare

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