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首页> 外文期刊>International journal of medical informatics >Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes
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Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes

机译：疗养院居民家庭和疗养院护理人员对远程医疗机会的看法和期望

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Background: This study assessed current perspectives and expectations for telemedicine by nursing home caregivers and families of nursing home patients in Taipei, Taiwan. Methods: A total of 116 interviews were conducted with family members (n = 37) and caregivers (n = 79) using an original, four-part questionnaire devised to assess the expectations and concerns related to prospective telemedicine opportunities, including consumer attitude, knowledge of and interest in medicine, concerns and worries about telemedicine, and anticipated benefits of telemedicine.rnResults: Statistical significance between the two groups was observed in sex, age, and educational level (all p < 0.001). Most respondents had heard about telemedicine before participation and showed some interest in telemedicine implementation. More than 70.0% of subjects in both groups had perceptions of telemonitoring of patients, notifications of health abnormalities, teleconferencing between physicians and family members, obtaining test/exam results and face-to-face consultation through telenetworks. Both groups hoped for information and education through telemedicine. More caregivers were concerned about increased costs (p = 0.020), poor hardware quality (p< 0.001), poor security, confidentiality, and reliability (p = 0.036), inconvenience to patients (p = 0.006), associated moral and ethical issues (p = 0.006), and uncertainty about responsibility (p = 0.022). The two groups did not differ in expectations concerning benefits of telemedicine. More than 60% of family members or caregivers expected improved efficiency and quality of hospital and nursing home health care, greater rapport between nursing homes and either staff or patients, reduced overall medical costs of caregiving, and reduced staff/caregiver working hours. The acceptable cost was anything up to $15.30 USD per month.rnConclusions: Nursing home caregivers and families of nursing home patients are highly interested in telemedicine; however, they are only willing to pay a slightly higher cost of nursing care for this service. The challenge for the future in this industry is to balance peoples' demands and telemedicine's associated costs. Results of this study suggest that caregivers and families of nursing home residents favour telemedicine implementation to provide enhanced care coordination in nursing homes when economic circumstances are favourable.
机译：背景：本研究评估了台湾台北的疗养院护理人员和疗养院患者家属对远程医疗的当前观点和期望。方法：使用原始的，由四部分组成的问卷对家庭成员（n = 37）和看护者（n = 79）进行了总共116次访谈，旨在评估与预期远程医疗机会相关的期望和担忧，包括消费者的态度，知识结果：对两组之间在性别，年龄和文化程度方面的统计学意义进行了统计学检验（所有p <0.001）。大多数受访者在参与之前就已经听说过远程医疗，并且对远程医疗的实施表现出了一定的兴趣。两组中超过70.0％的受试者对患者进行远程监护，健康异常通知，医生与家人之间的电话会议，获得测试/考试结果以及通过远程网络进行面对面咨询的观念。两组都希望通过远程医疗进行信息和教育。更多的护理人员担心成本增加（p = 0.020），硬件质量差（p <0.001），安全性，保密性和可靠性差（p = 0.036），给患者带来的不便（p = 0.006），相关的道德和道德问题（ p = 0.006）和责任不确定性（p = 0.022）。两组在远程医疗收益方面的期望没有差异。超过60％的家庭成员或护理人员期望医院和疗养院卫生保健的效率和质量提高，疗养院与员工或患者之间的融洽关系减少，护理的总体医疗成本降低，员工/护理人员的工作时间减少。可接受的费用为每月不超过$ 15.30美元。rn结论：护理院的护理人员和疗养院患者的家庭对远程医疗非常感兴趣；但是，他们只愿意为此服务支付稍高的护理费用。该行业未来的挑战是平衡人们的需求和远程医疗的相关成本。这项研究的结果表明，在经济形势有利的情况下，护理人员和疗养院居民家庭都赞成远程医疗的实施，以增强护理院的护理协调。

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