Browsing by Author "Guilfoyle, Clare"
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- ItemThe cost of allied health assessments delivered by videoconference to a residential facility for elderly people.(2003-09-03) Hassall, Stacey; Wootton, Richard; Guilfoyle, ClareWe calculated the cost of providing allied health assessments to high dependency residents of a rural facility for elderly people The costs of conducting assessments via videoconferencing were compared with the costs of conducting assessments face to face The observed costs in a three month pilot trial were used to estimate the annual costs Given an annual workload of 1000 occasions of service each videoconference assessment would cost dollar 84 93 compared with dollar 90 25 for face to face assessments Allied health assessments delivered by videoconferencing became cheaper at workloads of approximately 850 occasions of service annually Additional increases in the workload further improved the financial viability of this approach to service delivery
- ItemDeveloping a protocol for the use of telenursing in community health in Australia.(2002-09-09) Guilfoyle, Clare; Perry, Lesley; Lord, Bev; Buckle, Karen; Mathews, Jenny; Wootton, RichardAs the first step in developing a protocol for the use of video phones in community health we carried out a feasibility study among clients with a range of health needs Clients were equipped with a commercially available video phone connected using the client s home telephone line A hands free speaker phone and a miniature video camera for close up views were connected to the video phone Ten clients participated five required wound care two palliative care two long term therapy monitoring and one was a rural client All but two were aged 75 years or more Each client had a video phone for an average of two to three weeks During the six months of the study 43 client calls were made of which 36 84 were converted to video calls The speaker phone was used on 24 occasions 56 and the close up camera on 23 occasions 53 Both clients and nurses rated the equipment as satisfactory or better in questionnaires None of the nurses felt that the equipment was difficult to use including unpacking it and setting it up only one client found it difficult Taking into account the clients responses including their free text comments a judgement was made as to whether the video phone had been useful to their nursing care In seven cases it was felt to be unhelpful and in three cases it was judged helpful Although the study sample was small the results suggest that home telenursing is likely to be useful for rural clients in Australia unsurprisingly because of the distances involved
- ItemPreliminary experience of allied health assessments delivered face to face and by videoconference to a residential facility for elderly people.(2003-09-03) Guilfoyle, Clare; Wootton, Richard; Hassall, Stacey; Offer, Jann; Warren, Margo; Smith, DebbieWe investigated whether allied health assessments carried out via videoconferencing were comparable to assessments carried out face to face Five allied health therapists in dietetics occupational therapy physiotherapy podiatry and speech pathology conducted an assessment of 12 high dependency residents both face to face and by videoconferencing On a five point Likert scale the therapists mean ratings for the efficiency and suitability of videoconferencing for assessment were significantly lower than for face to face Their mean rating for the adequacy of their care plans was also significantly lower for videoconferencing than for face to face However in each case the dietician s assessments did not differ significantly between the two modalities In 35 cases out of 60 two independent raters agreed that the therapists care plans after the videoconferencing and face to face assessments were the same However the level of agreement between raters was only moderate kappa 0 31 Despite the therapists natural preference for face to face working care plans formulated via videoconferencing were reasonably similar to those formulated in face to face assessment Allied health assessments carried out by videoconferencing would therefore seem to be feasible
- ItemUser satisfaction with allied health services delivered to residential facilities via videoconferencing.(2003-09-03) Guilfoyle, Clare; Wootton, Richard; Hassall, Stacey; Offer, Jann; Warren, Margo; Smith, Debbie; Eddie, MichelleWe have investigated the role of videoconferencing in allied health service provision to high care clients in rural residential facilities Videoconferencing equipment was set up at a rural aged care facility and a metropolitan allied health centre ISDN transmission at 384 kbit s was used to link the equipment Twelve residents were assessed by both videoconference and face to face across five allied health disciplines a total of 120 assessments User satisfaction was measured using questionnaires and focus groups Face to face assessment took significantly longer than videoconferencing assessment However the mean satisfaction ratings for face to face assessments were higher than for videoconferencing and the majority of the staff preferred the face to face format Videoconferencing was particularly useful for consultations and the initial stages of the assessment process A number of issues relating to the videoconferencing equipment to the environment in which assessments were performed and to the clients themselves need to be addressed in order for this form of service delivery to be effective
- ItemVideoconferencing in facilities providing care for elderly people.(2003-03-28) Guilfoyle, Clare; Wootton, Richard; Hassall, Stacey; Offer, Jan; Warren, Margo; Smith, Debbie; Eddie, MichelleTwo studies were conducted to test the feasibility of delivering care by videoconferencing to facilities providing care for elderly people Both used equipment connected by ISDN lines at 384 kbit s During the first study no consultations care plans or assessments were conducted During the second study 120 assessments were conducted in just over two weeks both face to face and by videoconference Why was one project so successful and the other not The reasons related to ownership planning participants and location A comparison of the two projects highlights some of the considerations necessary to ensure the success of any telehealth project