Interactive video conferencing: A means of providing interim care to parkinson's disease patients
Identifieur interne : 005D83 ( Main/Exploration ); précédent : 005D82; suivant : 005D84Interactive video conferencing: A means of providing interim care to parkinson's disease patients
Auteurs : Hubble [États-Unis] ; Rajesh Pahwa [États-Unis] ; Debra K. Michalek [États-Unis] ; Calvina Thomas [États-Unis] ; William C. Koller [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1993.
Descripteurs français
- Wicri :
- geographic : États-Unis.
- topic : Télémédecine.
English descriptors
- KwdEn :
- Aged, Delivery of Health Care, Female, Health Personnel, Health Services Accessibility, Humans, Intermediate Care Facilities, Kansas, Male, Movement Disorders (diagnosis), Movement Disorders (physiopathology), Movement Disorders (therapy), Neurologic Examination, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Parkinson's disease, Rural Population, Rural health care, Telemedicine, Telemedicine (utilization), United States, Video conferencing, Videotape Recording.
- MESH :
- geographic : Kansas, United States.
- diagnosis : Movement Disorders, Parkinson Disease.
- physiopathology : Movement Disorders, Parkinson Disease.
- therapy : Movement Disorders, Parkinson Disease.
- utilization : Telemedicine.
- Aged, Delivery of Health Care, Female, Health Personnel, Health Services Accessibility, Humans, Intermediate Care Facilities, Male, Neurologic Examination, Rural Population, Videotape Recording.
Abstract
Inequity in health care delivery is attributable to a variety of factors including geographic isolation. Patients living far from major urban centers have limited access to medical specialists. In the instace of Parkinson's disease (PD), optimal assessment and care may depend upon availability of specialty health care providers. In order to broaden health care access, interactive video conference (IVC) units are being developed for medical use. IVC allows a patient at a distant site to be “seen and heard” by a hospitalbased physician; simultaneously, the patient can “see and hear” the doctor. To establish the validity of this technology in the evaluation of PD, nine patients were independently examined and scored (UPDRS) by two movement disorder specialists. One examination was performed in‐person by the usual physician. The other examination was performed on the same day via IVC over a distance of 350 miles by an examiner previously unfamiliar with the patients. Individual patient scores did not differ based on examiner (Spearman Rho Correlation Coefficients: UPDRS total scores r = 0.933, p < 0.0002; Hoehn and Yahr Scale r = 0.883, p < 0.001). A standardized exit interview was conducted to assess patients' perceptions of this application of video technology. Responses were favorable and virtually all patients viewed this as a means of accessing better health care. We conclude that valid motor assessments of PD patients can be made via IVC.
Url:
DOI: 10.1002/mds.870080326
Affiliations:
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Michalek</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Kansas Medical Center, Kansas City, Kansas</wicri:regionArea><placeName><region type="state">Kansas</region></placeName></affiliation></author><author><name sortKey="Thomas, Calvina" sort="Thomas, Calvina" uniqKey="Thomas C" first="Calvina" last="Thomas">Calvina Thomas</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Northwest Kansas Area Health Education Center, Hays, Kansas</wicri:regionArea><placeName><region type="state">Kansas</region></placeName></affiliation></author><author><name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Kansas Medical Center, Kansas City, Kansas</wicri:regionArea><placeName><region type="state">Kansas</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1993">1993</date><biblScope unit="vol">8</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="380">380</biblScope><biblScope unit="page" to="382">382</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">587F07ED1E601CF71A40168263F1F900926E699B</idno><idno type="DOI">10.1002/mds.870080326</idno><idno type="ArticleID">MDS870080326</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Delivery of Health Care</term><term>Female</term><term>Health Personnel</term><term>Health Services Accessibility</term><term>Humans</term><term>Intermediate Care Facilities</term><term>Kansas</term><term>Male</term><term>Movement Disorders (diagnosis)</term><term>Movement Disorders (physiopathology)</term><term>Movement Disorders (therapy)</term><term>Neurologic Examination</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (therapy)</term><term>Parkinson's disease</term><term>Rural Population</term><term>Rural health care</term><term>Telemedicine</term><term>Telemedicine (utilization)</term><term>United States</term><term>Video conferencing</term><term>Videotape Recording</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Kansas</term><term>United States</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Télémédecine</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Telemedicine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Delivery of Health Care</term><term>Female</term><term>Health Personnel</term><term>Health Services Accessibility</term><term>Humans</term><term>Intermediate Care Facilities</term><term>Male</term><term>Neurologic Examination</term><term>Rural Population</term><term>Videotape Recording</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Inequity in health care delivery is attributable to a variety of factors including geographic isolation. Patients living far from major urban centers have limited access to medical specialists. In the instace of Parkinson's disease (PD), optimal assessment and care may depend upon availability of specialty health care providers. In order to broaden health care access, interactive video conference (IVC) units are being developed for medical use. IVC allows a patient at a distant site to be “seen and heard” by a hospitalbased physician; simultaneously, the patient can “see and hear” the doctor. To establish the validity of this technology in the evaluation of PD, nine patients were independently examined and scored (UPDRS) by two movement disorder specialists. One examination was performed in‐person by the usual physician. The other examination was performed on the same day via IVC over a distance of 350 miles by an examiner previously unfamiliar with the patients. Individual patient scores did not differ based on examiner (Spearman Rho Correlation Coefficients: UPDRS total scores r = 0.933, p < 0.0002; Hoehn and Yahr Scale r = 0.883, p < 0.001). A standardized exit interview was conducted to assess patients' perceptions of this application of video technology. Responses were favorable and virtually all patients viewed this as a means of accessing better health care. We conclude that valid motor assessments of PD patients can be made via IVC.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Kansas</li></region></list><tree><country name="États-Unis"><region name="Kansas"><name sortKey="Hubble" sort="Hubble" uniqKey="Hubble" last="Hubble">Hubble</name></region><name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name><name sortKey="Michalek, Debra K" sort="Michalek, Debra K" uniqKey="Michalek D" first="Debra K." last="Michalek">Debra K. Michalek</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Thomas, Calvina" sort="Thomas, Calvina" uniqKey="Thomas C" first="Calvina" last="Thomas">Calvina Thomas</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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