Browsing by Author "Hebert, M A"
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- ItemPredicting success: stakeholder readiness for home telecare diabetic support.(2003-03-28) Hebert, M A; Paquin, M J; Iversen, SReadiness to adopt a new technology is one factor that contributes to the success of a telehealth programme Since one goal of telehealth is to improve care it is appropriate to determine its success through a quality of care framework that addresses structure process and outcome A qualitative case study of home care in the Calgary Health Region in Alberta set out to understand how clients nurses physicians and managers perceived their readiness to use video visits for home care Focus groups home visits and telephone and face to face interviews were used to collect data Readiness to adopt home telecare was compared between groups as well as with behaviour predicted in the literature Differences in perceptions were identified among the four participant groups Clients and managers identified a higher degree of readiness clients because of the potential to support independence in their homes and managers because of the potential efficiencies in the system
- ItemSuccesses and challenges in a field-based, multi-method study of home telehealth.(2004-12-17) Hebert, M A; Jansen, J J; Brant, R; Hailey, D; van der Pol, MWe are conducting a three year study of telehealth in 11 home care offices that serve rural clients in Alberta Three hundred and twenty palliative home care clients are being recruited to participate in a randomized controlled trial RCT to answer three questions about the use of video phones and their effect on symptom management quality of life and cost as well as readiness to use the technology Both successes and challenges have been identified in three main areas technology people organizational issues and study design Maintaining study integrity has been the key factor in decision making as adjustments from the original proposal are made It is already clear that field based RCTs are feasible but require commitment and flexibility on the part of researchers and community partners to work through the study implementation
- ItemWhat constitutes success in telehealth?(2001-12-18) Wootton, R; Hebert, M ABefore telehealth applications can be judged there must be some general understanding about what constitutes success At first sight it seems that defining success in a telehealth application should be relatively easy a successful application is one that produces high quality care at low cost However the calculation of cost requires some care since it depends on assuming a particular financial perspective the patient s the health care provider s or society s and is meaningless without a statement of the workload being handled Other factors include the context in which the service is being delivered Ultimately the political imperative may override any rational judgement of success