Browsing by Author "Speedie, Stuart M"
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- ItemAssessment of patients' acceptance of and satisfaction with teledermatology.(2004-12-23) Demiris, George; Speedie, Stuart M; Hicks, Lanis LTeledermatology refers to the use of information and communication technologies such as videoconferencing or transmission of digital images to enable the practice of diagnostic dermatology between participants separated by geographic distance The objective of this study was to critically review the quality of evidence about patient satisfaction with teledermatology applications Sample size reporting of validity and reliability used instrument and its underlying constructs were determined for all studies where information was available Fourteen studies were identified five refer to store and forward applications the remaining ones describe video based systems The systematic review demonstrated that methodological deficiencies in the published research impact the generalizability of findings The two types of teledermatology video based and store and forward require different satisfaction instruments as they are based on different contexts of care delivery with video mediated communication being key in the former and patients absence from the diagnostic process in the latter mode of care delivery
- ItemHome telehealth improves clinical outcomes at lower cost for home healthcare.(2006-04-19) Finkelstein, Stanley M; Speedie, Stuart M; Potthoff, SandraPatient outcomes and cost were compared when home healthcare was delivered by telemedicine or by traditional means for patients receiving skilled nursing care at home A randomized controlled trial was established using three groups The first group control group C received traditional skilled nursing care at home The second group video intervention group V received traditional skilled nursing care at home and virtual visits using videoconferencing technology The third group monitoring intervention group M received traditional skilled nursing care at home virtual visits using videoconferencing technology and physiologic monitoring for their underlying chronic condition Discharge to a higher level of care hospital nursing home within 6 months of study participation was 42 for C subjects 21 for V subjects and 15 for M subjects There was no difference in mortality between the groups Morbidity as evaluated by changes in the knowledge behavior and status scales of the Omaha Assessment Tool showed no differences between groups except for increased scores for activities of daily living at study discharge in the V and M groups The average visit costs were 48 27 for face to face home visits 22 11 for average virtual visits video group and 32 06 and 38 62 for average monitoring group visits for congestive heart failure and chronic obstructive pulmonary disease subjects respectively This study has demonstrated that virtual visits between a skilled home healthcare nurse and chronically ill patients at home can improve patient outcome at lower cost than traditional skilled face to face home healthcare visits
- ItemA novel way of distributing medical practice guidelines using Personal Digital Assistants (PDA).(2004-01-19) Strok, Branko; Speedie, Stuart M; Ratner, Edward RWith the rapid growth in medical knowledge physicians ability to keep up to date has become increasingly difficult Although the Internet brought significant improvements in access to medical knowledge there are still problems remaining particularly for the mobile physician who is unable to perform time consuming on line searches even with wireless access to the Internet The goal of this project was to develop a novel way of distributing medical knowledge from the Internet to health professionals Personal Digital Assistants PDAs This model delivers targeted information and provides access to that information at the point of care
- ItemTelehealth and the national health information technology strategic framework.(2006-09-22) Speedie, Stuart M; Davies, DianeTelehealth has a role in the federally sponsored plan for health information technology HIT that encompasses electronic health records EHRs and the National Health Information Network NHIN The goals of telehealth and the national plan are complementary One focuses on improving access to high quality health care services and the other on the information systems to support those services Telehealth needs the fully realized EHR to provide the best possible care when patients are geographically and chronologically separated from their providers Some current telehealth projects are natural examples of how a distributed accessible EHR such as that envisaged by the plan can be used to provide better care The experiences of telehealth in organizing large networks of heterogeneous health care entities can provide useful lessons as the process of implementing HIT moves forward
- ItemTelehomecare: quality, perception, satisfaction.(2004-08-20) Finkelstein, Stanley M; Speedie, Stuart M; Demiris, George; Veen, Michiel; Lundgren, Jan Marie; Potthoff, SandraThe aim of this study was to demonstrate that telehomecare linking homebound patients with their home health care nurses over the plain old telephone system POTS provides high quality clinically useful and patient satisfactory interactions Congestive heart failure chronic obstructive pulmonary disease and chronic wound care patients receiving skilled home nursing care were randomized into control standard home health care HHC and two intervention standard care plus video conferencing Internet access the above plus physiological monitoring groups Virtual visits VVs consisting of two way audio and video interactions between the central site HHC nurse and the subject at home were compared for technical quality and clinical usefulness by the HHC nurses who performed the VVs Subject perception of telehomecare and satisfaction with their HHC were assessed over the course of the project There were a total of 567 virtual and 1 057 actual visits conducted for the 53 subjects completing the study The technical quality of VVs were rated at 94 7 They were considered to be as useful as actual visits in 90 7 of cases Subject telehomecare perception increased after experiencing the process All subjects were satisfied with their HHC satisfaction increased with an increasing level of telehomecare intervention Subjects receiving physiological monitoring and video conferencing Internet access in addition to standard care were most satisfied with their care VVs can be conducted over POTS Patients can use telehomecare with moderate levels of training These programs can provide timely and quality home health nursing care with VVs augmenting traditional home visits
- ItemVALUE: Virtual Assisted Living Umbrella for the Elderly -- user patterns.(2007-10-23) Finkelstein, Stanley M; Speedie, Stuart M; Zhou, Xinyu; Ratner, Edward; Potthoff, SandraVALUE is a randomized controlled trial to evaluate the impact of a home telehealth program on the ability of frail elderly individuals to remain living independently in their own home as their self care abilities decline VALUE uses broadband access to provide virtual visits with a home care nurse a Web portal for ordering assisted living services physiological monitoring and access to the Internet Subjects were able to use the VALUE program technology without difficulty after a brief instruction session with the nurse