Browsing by Author "Fleming, David A"
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- ItemHospice staff attitudes towards telehospice.(2004-10-29) Demiris, George; Oliver, Debra R Parker; Fleming, David A; Edison, KarenTelemedicine defined as the use of advanced telecommunication technologies to bridge geographic distance and improve delivery of care is perceived by many as a way to eliminate barriers to quality care at the end of life The use of telemedicine in hospice known as telehospice is a novel approach to such care and few pilot studies have investigated its feasibility The purpose of this study was to assess hospice providers perceptions of telehospice A focus group session was conducted with 10 staff members from five hospice agencies in Missouri Participants included administrators nurses and social workers Overall providers had a positive perception of telehospice and found that the use of videophone technology enhanced care by enabling providers patients and family members a means to communicate However they emphasized that it was an additional tool and not a substitute for actual visits Issues of privacy and usability were also raised
- ItemA needs assessment study for the Missouri Tele-hospice Project.(2004-01-19) Oliver, Debra R; Demiris, George; Fleming, David A; Edison, KarenHospice care focuses on palliation and the relief of suffering aiming to improve the quality of patients last days Telemedicine is considered to be a tool that can address challenges such as staff shortage funding limitations and limited access to services in rural areas Hospice services via telemedicine can be delivered directly into a patient s home by utilizing videoconferencing technology The Missouri Telehospice Project aims to investigate the impact of a telehospice model on satisfaction with delivered care caregiver burden crisis prevention rates and overall cost of delivered care Five urban and rural hospice agencies in Missouri are participating A needs assessment study was conducted where hospice staff members responded to a set of questions within focus group and interview sessions providing feedback about the design type of technology frequency of usage and perceived impact on quality of hospice care