Oliver Debra R, Demiris George, Fleming David A, Edison Karen
Health Management and Informatics - School of Medicine, University of Missouri-Columbia, USA.
AMIA Annu Symp Proc. 2003;2003:959.
Hospice care focuses on palliation and the relief of suffering aiming to improve the quality of patients' last days. Telemedicine is considered to be a tool that can address challenges such as staff shortage, funding limitations and limited access to services in rural areas. Hospice services via telemedicine can be delivered directly into a patient's home by utilizing videoconferencing technology. The Missouri Telehospice Project aims to investigate the impact of a telehospice model on satisfaction with delivered care, caregiver burden, crisis prevention rates and overall cost of delivered care. Five urban and rural hospice agencies in Missouri are participating. A needs assessment study was conducted where hospice staff members responded to a set of questions within focus group and interview sessions providing feedback about the design, type of technology, frequency of usage and perceived impact on quality of hospice care.
临终关怀专注于缓解疼痛和减轻痛苦，旨在提高患者最后时光的生活质量。远程医疗被视为一种能够应对诸如人员短缺、资金限制以及农村地区服务获取受限等挑战的工具。通过远程医疗提供的临终关怀服务可利用视频会议技术直接送达患者家中。密苏里远程临终关怀项目旨在调查远程临终关怀模式对所提供护理的满意度、护理人员负担、危机预防率以及所提供护理的总体成本的影响。密苏里州的五家城乡临终关怀机构参与其中。开展了一项需求评估研究，在此研究中，临终关怀工作人员在焦点小组和访谈环节中回答了一系列问题，就设计、技术类型、使用频率以及对临终关怀护理质量的感知影响提供了反馈。
