Telemedicine Use and the Reduction of Psychiatric Admissions from a Long-Term Care Facility

Roques, Carmel; Hovanec, Linda; Jones, Beverly N.

doi:10.1177/089198870101400206

Cited by 61 publications

(81 citation statements)

References 4 publications

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“…14 An ED physician often has incomplete information about the patient's history, which can lead to complications, including medication errors, duplicated tests, and fragmented and confusing 25 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28) CAD = coronary artery disease; CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; IQR = interquartile range; MI = myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

“…Because only one SLC-based primary Full code 98 (21,(17)(18)(19)(20)(21)(22)(23)(24) 153 (20,(17)(18)(19)(20)(21)(22) *Care status categories not mutually exclusive.…”

Section: Limitationsmentioning

confidence: 99%

“…[15][16][17][18] Preliminary studies involving nursing home residents and other adult populations have also demonstrated the feasibility and acceptability of telemedicine, including its use for acute illness, and these studies have revealed enhancements in clinical care. [19][20][21][22][23][24][25][26][27][28][29] Thus, telemedicine may have significant value in the SLC setting; however, to our knowledge, no studies have evaluated this potential.…”

mentioning

confidence: 99%

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Potential of Telemedicine to Provide Acute Medical Care for Adults in Senior Living Communities

Shah

McDermott

Gillespie

et al. 2013

Academic Emergency Medicine

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Objectives: Older adults dwelling in senior living communities (SLCs) often experience barriers to medical care when they experience acute illness. The potential of telemedicine as a substitute for standard routes of evaluating and caring for individuals with acute illness (e.g., in-person or telephonebased interactions with primary care providers and emergency department [ED] visits) was explored in this study. Methods:In this cross-sectional, observational study, the authors conducted a 6-month retrospective review of the medical records of adults enrolled in a university-affiliated geriatrics practice that offers onsite primary medical care in SLCs. For each episode of acute care, patient demographics, medical history, and chief complaint were collected and presented to an expert panel of physicians, who determined whether telemedicine could have been used to provide acute evaluation and care. The care actually provided, including outcomes, was also noted. Descriptive statistics were used to characterize the population and potential for telemedicine care.Results: The medical records of 646 patients were reviewed, accounting for 1,535 unique episodes of acute care. The expert panel identified 576 visits (38%) as potentially appropriate for telemedicinebased acute care, with 38, 47, and 27% of phone, in-home, and ED visits being eligible, respectively. Chief complaints most likely to be deemed potentially appropriate were falls and dermatologic, respiratory, and gastrointestinal illnesses, representing 58% of visits identified for telemedicine-based acute care.Conclusions: Telemedicine has a potentially significant role in the provision of acute care for older adults residing in SLCs. Studies are needed to evaluate the feasibility, acceptability, effectiveness, and efficiency of acute care telemedicine for this population.ACADEMIC EMERGENCY MEDICINE 2013; 20:162-168

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Section: Discussionmentioning

confidence: 99%

“…Because only one SLC-based primary Full code 98 (21,(17)(18)(19)(20)(21)(22)(23)(24) 153 (20,(17)(18)(19)(20)(21)(22) *Care status categories not mutually exclusive.…”

Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Potential of Telemedicine to Provide Acute Medical Care for Adults in Senior Living Communities

Shah

McDermott

Gillespie

et al. 2013

Academic Emergency Medicine

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“…17 Telehealth may also be useful in diagnosing dementia. 18 Early diagnosis of dementia has been shown to increase treatment response 19,20 and decrease health care costs.…”

Section: Discussionmentioning

confidence: 99%

Reliability of the MMSE Administered In-Person and by Telehealth

McEachern

Kirk

Morgan

et al. 2008

Can. j. neurol. sci.

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Background:Recent advances in telehealth have improved access to health care for those in rural areas. It is important that examinations conducted via telehealth are comparable to in-person testing. A rural and remote memory clinic in Saskatoon provided an opportunity to compare scores on the Mini-Mental State Examination (MMSE) administered in-person and via telehealth.Methods:After an initial one day assessment in Saskatoon, patients were seen in follow-up at 6 and 12 weeks. Individual patients were randomly assigned to either in-person follow-up assessment in Saskatoon or telehealth assessment in their home community. Patients who initially received in-person assessments were seen by telehealth for their next follow-up visit and vice-versa. The same neurologist administered MMSEs at all visits. The first 71 patients with both 6 and 12 week follow-up assessments were included in this study. The scores of in-person and telehealth MMSE administrations were compared using the methods of Bland and Altman as well as a paired t-test.Results:MMSE scores did not differ significantly between telehealth (22.34 +/- 6.35) and in-person (22.70 +/- 6.51) assessments.Conclusion:Telehealth provides an acceptable means of assessing mental status of patients in remote areas.

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“…Alessi, 1999) and hospital use (e.g. Lyketsos et al, 2001). Communities have been able to treat their patients locally and they have therefore retained money that would otherwise have been lost to suburban centres upon referral (Dimand et al, 2004).…”

Section: Costs Of Telepsychiatry Servicesmentioning

confidence: 99%

Cost issues with telepsychiatry in the United States

et al. 2004

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Videoconferencing has increased patient access to psychiatric care by linking specialists at academic or regional health centres with primary health care professionals in shortage areas (Hilty et al, 1999, 2002). Preliminary studies have demonstrated positive outcomes and user satisfaction (Hilty et al, 2002). Information is still being sought regarding costs because of a paucity of clinical outcome studies, cost data and randomised trials.

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Telemedicine Use and the Reduction of Psychiatric Admissions from a Long-Term Care Facility

Cited by 61 publications

References 4 publications

Potential of Telemedicine to Provide Acute Medical Care for Adults in Senior Living Communities

Potential of Telemedicine to Provide Acute Medical Care for Adults in Senior Living Communities

Reliability of the MMSE Administered In-Person and by Telehealth

Cost issues with telepsychiatry in the United States

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