User Perceptions of the Telemedicine Programme in Nursing Homes - The Singapore Perspective
H. J. Toh, J. Chia, E. Koh, K. Lam, G. C. Magpantay, C. M. De Leon, J. A. Low
2015
Abstract
Geriatric care is a holistic approach to caring for older persons with complex health problems, so as to meet their long term care needs and maintain their independence for as long as possible. Due to a scarcity of geriatricians, Telegeriatrics was piloted in December 2010 by an acute hospital in Singapore to improve access to geriatric specialists for nursing homes. This preliminary study explores the perspectives of users from the NHs and the acute hospital on two aspects of Telegeriatrics – the telemedicine consultation and the nurse training programme. Seven focus group discussions and two semi-structured moderate interviews were conducted with a total of 24 participants. Thematic content analysis was applied to identify important themes and new themes that emerged during the coding process. The most commonly recognised benefits were increased access to specialist care, reduced need for hospitalizations, improved quality of care, and enhanced nursing skills and knowledge. However, the greatest barriers as perceived by the users were the lack of personal touch, technical issues, and medico-legal issues. The users expressed general acceptance of Telegeriatrics in providing geriatric care. They were aware of its limitations and challenges, but also recognized it as a promising way of providing consultation and strengthening nursing skills.
References
- Armstrong, I. J. and Haston, W. S., 1997. Medical decision support for remote general practitioners using telemedicine. Journal of Telemedicine and Telecare, vol. 3, pp. 27-34.
- Bashshur, R. L. et al., 2000. Telemedicine: A new health care delivery system. Annual Review of Public Health, vol. 21, pp. 613-37.
- Clark, R.A. et al., 2007. Telemonitoring or structured telephone support programmes for patients with chronic heart failure; systematic review and metaanalysis, vol. 334, pp. 942-945.
- Goins, R.T. et al., 2001. 'Telemedicine, rural elderly, and policy issues.78 Journal of Aging Society Policy, vol. 13, no. 4, pp. 53-71.
- van den Berg, N. et al., 2012. Telemedicine and telecare for older patients--a systematic review. Maturitas, vol. 73, no. 2, pp. 94-114.
- Cheah, J and Heng, B. H., 2001. 'Implementing chronic disease management in the public healthcare sector in Singapore: the role of hospitals.78 World Hospitals and Health Services, vol. 37, no. 3, pp. 19-23, 40-43.
- Ong, J., 2014. Singapore Budget 2014: Hospital bed crunch comes under fire. The Straits Times, Available from: <http://www.straitstimes.com/>. (12 March 2014).
- Shah, M. N., 2007. 'High-Intensity TelemedicineEnhanced Acute Care for Older Adults: An Innovative Healthcare Delivery Model.78 Journal of American Geriatrics Society, vol. 61, no. 11, pp. 2000-2007.
- Trief, P. M. et al., 2007. 'Psychosocial Outcomes of Telemedicine Case Management for Elderly Patients With Diabetes The randomized IDEATel trial.78 Diabetes Care, vol. 30, no. 5, pp. 1266-268.
- Ellis, D.G. et al., 2001. 'A telemedicine model for emergency care in a short-term correctional facility.78 Telemedicine journal and e-health, vol. 7, no. 2, pp. 87-92.
- McLean, S. et al., 2012. 'Telehealthcare for chronic obstructive pulmonary disease. Cochrane Review and meta-analysis.78 The British Journal of General Practice, vol. 62, no. 604, pp. 739-749.
- Grabowski, D. C. and O'Malley, A. J., 2014. 'Use Of Telemedicine Can Reduce Hospitalizations Of Nursing Home Residents And Generate Savings For Medicare.78 Health Affairs (Millwood), vol. 33, no. 2, pp. 244-250.
- Janet, L. G., 2011. 'The Virtual Clinical Practicum: An Innovative Telehealth Model for Clinical Nursing Education. Nursing Education Perspectives.78 National League for Nursing, vol. 32, no. 3, pp. 189-194.
- Linassi, A. G. and Li, P. S. R., 2005. 'User satisfaction with a telemedicine amputee clinic in Saskatchewan.78 Journal of Telemedicine and Telecare, vol. 11, no. 8, pp. 414-418.
- Mair, F and Whitten, P., 2000. 'Systematic review of studies of patient satisfaction with telemedicine.78 BMJ, vol. 320, no. 7248, pp. 1517-520.
- Yip, M. P. et al., 2003. 'Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study.78 Journal of Telemedicine and Telecare, vol. 9, no. 1, pp. 46-50.
- Demiris, G. et al., 2004. 'Assessment of Patients' Acceptance of and Satisfaction.78 Journal of Medical Systems, vol. 28, no. 6, pp. 575-579.
- Whitten, P. and Love, B., 2005. 'Patient and provider satisfaction with the use of telemedicine: Overview and rationale for cautious euthusiasm.78 Journal of Postgraduate Medicine, vol. 51, pp. 294-300.
- Burns, N. and Grove, S. K., 2001. The practice of nursing research: Conduct, critique, and utilization (4th ed.). Philadelphia: W. B. Saunders.
- Hsieh, H. F. and Shannon, S. E., 2005. 'Three Approaches to Qualitative Content Analysis.78 Qualitative Health Research vol. 15, no. 9, pp. 1277-288.
- Dansky, K. H. et al., 1999. 'Nurses' Responses to Telemedicine in Home Healthcare.78 Journal of Healthcare Information Management, vol. 13, no. 4.
- Greater Southern Area Health Service (GSAHS), 2009. User satisfaction and experience with a telemedicine service for diabetic foot disease in an Australian rural community, Devine Research Report. Available from: Greater Southern Area Health Service. (December 2009).
- Miles, M. B. and Huberman, A. M., 1994. Qualitative data analysis: An expanded source book. Thousand Oaks, CA: Sage Publications.
- Tachakra, S. and Rajani, R., 2002. 'Social presence in telemedicine.78 Journal of Telemedicine and Telecare, vol. 8, no. 4, pp. 226-230.
- Gagnon, M-P. et al., 2010. 'Systematic Review of Factors Influencing the Adoption of Information and Communication Technologies by Healthcare Professionals.78 Journal of Medical Systems, vol. 36, no. 1, pp. 241-277.
- Pattinson, R. et al., 2009. 'Perinatal mortality audit: Counting, accountability, and overcoming challenges in scaling up in low- and middle-income countries.78 International Journal of Gynecology & Obstetrics, vol. 107, no. 1, pp. 113-121, 121-122.
- Siau, M. E., 2014. MOH unveils new standards for nursing homes. Available from: <http://www.todayonline.com/singapore/moh-unveilnew-standards-nursing-home>. (9 January 2014).
- Moehr, J. R. et al., 2006. 'Success factors for telehealtha case study.78 International Journal of Medical Informatics, vol. 75, no. 10-11, pp. 755-763.
- Murray E, et al., 2011. 'Why is it difficult to implement ehealth initiatives? A qualitative study.78 Implementation Science, vol. 6, no. 6.
- Gamm, L. et al., 1998. 'Investigating Changes in EndUser Satisfaction with an Electronic Medical Record in Ambulatory Care Settings.78 Journal of Healthcare Information Management, vol. 12, no. 4, pp. 53-65.
- Ash, J.S. et al.., 2003. 'A consensus Statement on Considerations for a Successful CPOE Implementation.78 Journal of the American Medical Informatics Association, vol. 10, no. 3, pp. 229-234.
- Weiner, M., and Biondich, P., 2006. 'The Influence of Information Technology on Patient-Physician Relationships.78 The Journal of General Internal Medicine, vol. 21, no. 1, pp. 35-39.
- Hixon, T., 2014. Why is Telemedicine suddenly hot? Available from: <http://www.forbes.com/sites/ toddhixon/2014/10/22/why-is-telemedicine-suddenlyhot/>. (22 October 2014).
- Rowthorn, V. and Hoffmann, D., 2001. 'Legal Impediments to the diffusion of telemedicine.78 Journal of Health Care Law and Policy, vol.14, pp.1-54.
- Sao, D. et al., 2012. Chapter 20: Legal and Regulatory Barriers to Telemedicine in the United States: Public and Private Approaches toward Health Care Reform. In: Cohen I.G., editor. The Globalization of Health Care: Legal and Ethical Issues. (I.Glenn Cohen ed., Oxford University Press 2013). Available from: <http://ssrn.com/abstract=2176764>.
- Commission Staff Working Paper on Telemedicine. 2009. Available from: <http://ec.europa.eu/information_ society/activities/health/docs/policy/telemedicine/tele medecineswp_sec-2009-943.pdf>
- Siwicki, B., 1997. 'Telemedicine. Providing Proof to Payers.78 Health Data Management, vol. 5, no. 7, pp. 56-58.
- Coiera, E., 2003. The guide to health informatics. Madison Avenue, New York: Oxford University Press.
Paper Citation
in Harvard Style
Toh H., Chia J., Koh E., Lam K., Magpantay G., De Leon C. and Low J. (2015). User Perceptions of the Telemedicine Programme in Nursing Homes - The Singapore Perspective . In Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell, ISBN 978-989-758-102-1, pages 97-105. DOI: 10.5220/0005436900970105
in Bibtex Style
@conference{ict4ageingwell15,
author={H. J. Toh and J. Chia and E. Koh and K. Lam and G. C. Magpantay and C. M. De Leon and J. A. Low},
title={User Perceptions of the Telemedicine Programme in Nursing Homes - The Singapore Perspective},
booktitle={Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell,},
year={2015},
pages={97-105},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005436900970105},
isbn={978-989-758-102-1},
}
in EndNote Style
TY - CONF
JO - Proceedings of the 1st International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AgeingWell,
TI - User Perceptions of the Telemedicine Programme in Nursing Homes - The Singapore Perspective
SN - 978-989-758-102-1
AU - Toh H.
AU - Chia J.
AU - Koh E.
AU - Lam K.
AU - Magpantay G.
AU - De Leon C.
AU - Low J.
PY - 2015
SP - 97
EP - 105
DO - 10.5220/0005436900970105