Telemedicine in a Rural Gero-Psychiatric Inpatient Unit: Comparison of Perception/Satisfaction to Onsite Psychiatric Care
McCurtain Memorial Hospital, Idabel, Oklahoma 74745, USA.Telemedicine and e-Health (Impact Factor: 1.67). 06/2008; 14(4):381-4. DOI: 10.1089/tmj.2007.0054
Telemedicine in a rural, gero-psychiatric inpatient unit is a groundbreaking concept. The use of telemedicine in rural communities, both inpatient and outpatient, is a significant way to provide specialty care that might otherwise only be available in urban areas. Establishing its credibility through perception/satisfaction studies and clinical outcome studies is therefore crucial. This paper outlines an initial attempt to provide some of the necessary data. A review of the literature reveals limited data to demonstrate the impact of telemedicine on inpatient healthcare satisfaction and perceived outcomes as compared to traditional, on-site physician practice. None of the literature addresses the use of telemedicine in an inpatient gero-psychiatric unit. The McCurtain Memorial Hospital is a pioneer in the use of telemedicine to provide acute gero-psychiatric care in a community-based inpatient setting. Pre- and post-Patient/Family Satisfaction Survey data for a period ranging 12 months prior to inception of telemedicine and 12 months postinception were aggregated and analyzed. The results indicate that there is a positive correlation between telemedicine and the patient/family satisfaction with and perception of benefits of treatment. It must be noted that patient/family perception of outcome and actual measures of clinical outcome are not the same. Clinical outcome data must also be collected to fully assess the success of telemedicine in this arena.
- [Show abstract] [Hide abstract]
ABSTRACT: This study looked at patient satisfaction with an Internet-based cognitive rehabilitation program, which has been previously shown to be associated with functional improvements. Fourteen individuals with documented traumatic brain injury and memory impairments completed this study. Participants completed 60 sessions of Internet-based cognitive rehabilitation: 30 sessions of an active calendar intervention and 30 sessions of a control diary intervention. A four-question satisfaction questionnaire (responses were generated using a seven-point Likert scale) was completed after 30 sessions and again after 60 sessions. No significant differences in satisfaction were found between time of assessment and treatment condition. In addition, a higher level of calendar use prior to beginning the study was associated with greater satisfaction at study completion. These results suggest that persons with traumatic brain injury are not only willing to use the Internet to receive cognitive rehabilitation treatment, but are generally highly satisfied with the treatment. Further, individuals with some baseline compensatory strategies may be particularly well suited to this method of treatment.
- [Show abstract] [Hide abstract]
ABSTRACT: This document was prepared in response to the needs and requests of providers, organizations, and the ATA membership interested in or engaged in TMH activities, for the development of evidence-based TMH guidelines. The broad nature of the mental health field along with an unlimited number of ways to use technology in mental health services led the committee to limit this evidence-based document to interactive video conferencing applications. Appreciating the broad range of providers and settings involved in TMH, recommendations are organized by patient age, types of treatment, treatment setting, and provider specialty. The coding system was developed to encourage more specific descriptions of the technology being used in TMH interactive videoconferencing research and methods publication. It provides recommendations based on clinical confidence derived from the published literature, committee members, and expert reviewers. The committee hopes that the users of this document will benefit from the recommendations, literature references, and the development of a clinical/technical coding system. The document structure and headings were selected in anticipation that users will note the clinical applications that are in most need of additional evidence-based research and perhaps select these areas as a focus of future research.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.