Weiner Michael, Schadow Gunther, Lindbergh Donald, Warvel Jill, Abernathy Greg, Perkins Susan M, Fyffe Joanne, Dexter Paul R, McDonald Clement J
Regenstrief Institute, Inc., Indiana University, Indianapolis, U.S.A.
AMIA Annu Symp Proc. 2003;2003:709-13.
Videoconferencing between patients and their physicians can increase patients' access to healthcare. Unscheduled videoconferencing can benefit patients with acute medical problems but has not been studied extensively. We conducted a clinical trial of unscheduled, nighttime videoconferencing in a nursing home, where on-call physicians usually provide care by telephone from remote locations. Although most calls for medical problems did not lead to videoconferencing, physicians and nursing-home residents were satisfied with videoconferencing when it did occur, and physicians reported that making medical decisions was easier with videoconferencing. Videoconferencing was most often conducted to assess residents with changes in mental status, abnormal laboratory values, or falls. Physicians often lacked immediate access to videoconferencing equipment when medical problems with residents occurred. This application could benefit from improved access and portability of equipment.
患者与其医生之间的视频会议可以增加患者获得医疗保健的机会。非预约视频会议对患有急性医疗问题的患者有益，但尚未得到广泛研究。我们在一家疗养院进行了一项关于非预约夜间视频会议的临床试验，在该疗养院，值班医生通常从远程地点通过电话提供护理。尽管大多数医疗问题的呼叫并未导致视频会议，但当视频会议实际发生时，医生和疗养院居民对其感到满意，并且医生报告称通过视频会议做出医疗决策更容易。视频会议最常用于评估精神状态改变、实验室检查值异常或跌倒的居民。当居民出现医疗问题时，医生往往无法立即使用视频会议设备。该应用程序可受益于设备更好的可及性和便携性。
