Browsing by Author "Chang, B L"
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- ItemCan telehealth technology be used for the education of health professionals?(2001-02-16) Chang, B L; Trelease, RThe purpose of this report is to describe the usefulness and desirability of using telehealth technology in the education of health care professionals The PC compatible Windows based system allowed for both real time videoconferencing and store and forward sending information from one site and stored at a distant site for access at a later time functions Student responses indicated that they thought they would benefit from this type of technology in their clinical education They were most positive with respect to increasing access to a wider range of clients they may not otherwise access and least positive for the ability to learn from a televideo interaction when compared with a clinic experience Similarly faculty were least interested in using videoconferencing for patient rounds and more interested in using telehealth to enhance classroom presentations
- ItemConsumer satisfaction with telehealth advice-nursing.(2001-10-17) Chang, B L; Mayo, A; Omery, AAn increase in interest in the establishment of telephone advice services has resulted in the proliferation of call centers Despite their wide usage research for the most part has not addressed the quality of care in relation to consumer satisfaction This paper examines consumer outcomes of satisfaction and follow up with recommendations within a framework of the nursing process and its associated components of assessment including problem identification care planning intervention and evaluation The data for the study were obtained from seven after hours call centers operating under the auspices of health maintenance organizations preferred provider organizations and private insurance companies A sample of 157 non redundant telephone calls from adults with medical surgical problems were audiotaped with providers and callers consent Sociodemographic information of the advice nurses and chief complaints of the callers were obtained The quality of nursing of the audiotaped calls was rated through an implicit review method by registered nurse raters using an advice nurse structured implicit review AN SIR form developed for the study Follow up information was obtained through telephone calls to ascertain the consumers perceptions of satisfaction helpfulness and follow through with recommendations Results indicated that consumers calling with a variety of general complaints contacted 32 nurses in advice nurse call centers The quality of nursing process was found to be the best in the area of intervention Evaluation was also well above the midpoint on a transformed scale of zero to 100 Assessment although slightly above midpoint was the lowest of the three components of the nursing process examined Consumer satisfaction was high with 95 4 percent of the consumers rating the calls as completely or at least somewhat satisfied and 93 2 percent stating the advice was very or somewhat helpful Exploratory regression analysis showed that the component of intervention was significantly related to consumer satisfaction The present study pioneers the way to rate the quality of the advice nurses interactions with consumers and lays the groundwork for further investigations of health care provider behavior and consumer outcomes Further studies are recommended to investigate predictors of consumer satisfaction and cost benefit in terms of consumer expenditures of time funds and energy
- ItemEducation of health professionals using a proposed telehealth system.(2000-02-01) Chang, B L; Trelease, RThe movement of health care from hospitals to the community has demanded a major shift in the way in which health care professionals are being taught This paper describes the collaboration of the Schools of Nursing and Medicine in the use of telehealth technology for the education of health care professionals The specific aims of the project were to use the technology for the verification of the students assessment and physical examinations for the conduct of multi professional patient rounds and provision of consultations to professionals at remote sites Capitalizing on the Schools previous experience for observing students via computer technology at remote sites we employed PC based workstations specialized peripherals and Internet connecting protocols to implement a telehealth project for professional clinical education Initial student faculty and staff reactions were generally positive The formal evaluation plan focuses on students faculty and staff Structured questionnaires are used and a comparison of learning by telehealth technology will be made with alternative more conventional methods in evaluating knowledge and quality of verification of physical examination findings and satisfaction with the learning process