Analysis of the suitability of 'video-visits' for palliative home care: implications for practice.
Identifieur interne : 000434 ( PubMed/Corpus ); précédent : 000433; suivant : 000435Analysis of the suitability of 'video-visits' for palliative home care: implications for practice.
Auteurs : Marilynne A. Hebert ; Marie-Josée Paquin ; Lynn Whitten ; Pin CaiSource :
- Journal of telemedicine and telecare [ 1357-633X ] ; 2007.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cardiovascular Diseases (therapy), Caregivers, Delivery of Health Care (statistics & numerical data), Female, Home Care Services (organization & administration), Home Care Services (statistics & numerical data), Humans, Male, Middle Aged, Neoplasms (therapy), Palliative Care (methods), Remote Consultation (statistics & numerical data), Retrospective Studies, Videoconferencing (statistics & numerical data).
- MESH :
- methods : Palliative Care.
- organization & administration : Home Care Services.
- statistics & numerical data : Delivery of Health Care, Home Care Services, Remote Consultation, Videoconferencing.
- therapy : Cardiovascular Diseases, Neoplasms.
- Aged, Aged, 80 and over, Caregivers, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
We conducted a retrospective chart review to estimate the extent to which palliative home care visits could be carried out using videophones and to explore factors that might inform the eligibility criteria for video-visits. Four hundred palliative home care health records of deceased clients from 2002 were randomly selected from the Health Records Office in one Canadian health region. One visit was randomly selected from each of these health records. Three hundred and fifty-four visits were coded, and based on professional nursing judgment, the coder estimated whether video-visits could have been carried out. Approximately 43% of the visits were considered appropriate for video-visits. The results suggest that four factors may inform eligibility and decisions about a client's suitability for video-visits: diagnosis (cancer versus non-cancer), low Edmonton Symptom Assessment System (ESAS) score, no care-giver present, number and types of interventions required. Patients with a cancer diagnosis were more likely to be suitable for video-visits, which suggests that disease trajectory, rather than diagnosis of 'palliative', may be more influential in determining the care required and appropriateness of videophone use.
DOI: 10.1258/135763307780096203
PubMed: 17359570
Links to Exploration step
pubmed:17359570Le document en format XML
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<author><name sortKey="Hebert, Marilynne A" sort="Hebert, Marilynne A" uniqKey="Hebert M" first="Marilynne A" last="Hebert">Marilynne A. Hebert</name>
<affiliation><nlm:affiliation>Health Telematics Unit, Faculty of Medicine, University of Calgary, Alberta, Canada. hebert@ucalgary.ca</nlm:affiliation>
</affiliation>
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<author><name sortKey="Paquin, Marie Josee" sort="Paquin, Marie Josee" uniqKey="Paquin M" first="Marie-Josée" last="Paquin">Marie-Josée Paquin</name>
</author>
<author><name sortKey="Whitten, Lynn" sort="Whitten, Lynn" uniqKey="Whitten L" first="Lynn" last="Whitten">Lynn Whitten</name>
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<author><name sortKey="Cai, Pin" sort="Cai, Pin" uniqKey="Cai P" first="Pin" last="Cai">Pin Cai</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Analysis of the suitability of 'video-visits' for palliative home care: implications for practice.</title>
<author><name sortKey="Hebert, Marilynne A" sort="Hebert, Marilynne A" uniqKey="Hebert M" first="Marilynne A" last="Hebert">Marilynne A. Hebert</name>
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<author><name sortKey="Paquin, Marie Josee" sort="Paquin, Marie Josee" uniqKey="Paquin M" first="Marie-Josée" last="Paquin">Marie-Josée Paquin</name>
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<author><name sortKey="Whitten, Lynn" sort="Whitten, Lynn" uniqKey="Whitten L" first="Lynn" last="Whitten">Lynn Whitten</name>
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<author><name sortKey="Cai, Pin" sort="Cai, Pin" uniqKey="Cai P" first="Pin" last="Cai">Pin Cai</name>
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<term>Aged, 80 and over</term>
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<term>Caregivers</term>
<term>Delivery of Health Care (statistics & numerical data)</term>
<term>Female</term>
<term>Home Care Services (organization & administration)</term>
<term>Home Care Services (statistics & numerical data)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasms (therapy)</term>
<term>Palliative Care (methods)</term>
<term>Remote Consultation (statistics & numerical data)</term>
<term>Retrospective Studies</term>
<term>Videoconferencing (statistics & numerical data)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Palliative Care</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Delivery of Health Care</term>
<term>Home Care Services</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cardiovascular Diseases</term>
<term>Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Caregivers</term>
<term>Female</term>
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<front><div type="abstract" xml:lang="en">We conducted a retrospective chart review to estimate the extent to which palliative home care visits could be carried out using videophones and to explore factors that might inform the eligibility criteria for video-visits. Four hundred palliative home care health records of deceased clients from 2002 were randomly selected from the Health Records Office in one Canadian health region. One visit was randomly selected from each of these health records. Three hundred and fifty-four visits were coded, and based on professional nursing judgment, the coder estimated whether video-visits could have been carried out. Approximately 43% of the visits were considered appropriate for video-visits. The results suggest that four factors may inform eligibility and decisions about a client's suitability for video-visits: diagnosis (cancer versus non-cancer), low Edmonton Symptom Assessment System (ESAS) score, no care-giver present, number and types of interventions required. Patients with a cancer diagnosis were more likely to be suitable for video-visits, which suggests that disease trajectory, rather than diagnosis of 'palliative', may be more influential in determining the care required and appropriateness of videophone use.</div>
</front>
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<Title>Journal of telemedicine and telecare</Title>
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<Abstract><AbstractText>We conducted a retrospective chart review to estimate the extent to which palliative home care visits could be carried out using videophones and to explore factors that might inform the eligibility criteria for video-visits. Four hundred palliative home care health records of deceased clients from 2002 were randomly selected from the Health Records Office in one Canadian health region. One visit was randomly selected from each of these health records. Three hundred and fifty-four visits were coded, and based on professional nursing judgment, the coder estimated whether video-visits could have been carried out. Approximately 43% of the visits were considered appropriate for video-visits. The results suggest that four factors may inform eligibility and decisions about a client's suitability for video-visits: diagnosis (cancer versus non-cancer), low Edmonton Symptom Assessment System (ESAS) score, no care-giver present, number and types of interventions required. Patients with a cancer diagnosis were more likely to be suitable for video-visits, which suggests that disease trajectory, rather than diagnosis of 'palliative', may be more influential in determining the care required and appropriateness of videophone use.</AbstractText>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D049269">Videoconferencing</DescriptorName>
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