Analysis of the suitability of 'video-visits' for palliative home care: implications for practice.

Abstract:

:We conducted a retrospective chart review to estimate the extent to which palliative home care visits could be carried out using videophones and to explore factors that might inform the eligibility criteria for video-visits. Four hundred palliative home care health records of deceased clients from 2002 were randomly selected from the Health Records Office in one Canadian health region. One visit was randomly selected from each of these health records. Three hundred and fifty-four visits were coded, and based on professional nursing judgment, the coder estimated whether video-visits could have been carried out. Approximately 43% of the visits were considered appropriate for video-visits. The results suggest that four factors may inform eligibility and decisions about a client's suitability for video-visits: diagnosis (cancer versus non-cancer), low Edmonton Symptom Assessment System (ESAS) score, no care-giver present, number and types of interventions required. Patients with a cancer diagnosis were more likely to be suitable for video-visits, which suggests that disease trajectory, rather than diagnosis of 'palliative', may be more influential in determining the care required and appropriateness of videophone use.

journal_name

J Telemed Telecare

authors

Hebert MA,Paquin MJ,Whitten L,Cai P

doi

10.1258/135763307780096203

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

74-8

issue

2

eissn

1357-633X

issn

1758-1109

journal_volume

13

pub_type

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