Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Queensland, Australia
Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Queensland, Australia.
J Telemed Telecare. 2014 Oct;20(7):360-4. doi: 10.1177/1357633X14552370.
We compared the records of paediatric palliative consultations undertaken face-to-face, with telemedicine consultations undertaken in patients' homes. A convenience sample of consecutive paediatric palliative care patients was identified from the hospital's palliative care database. A total of 100 consultations was reviewed (50 telemedicine consultations during home visits and 50 face-to-face consultations) according to 14 established principles and components of a paediatric palliative care consultation. In the telemedicine group there was a higher proportion of patients in a stable condition (58% vs 7%), and a lower proportion of patients in terminal phase (2% vs 17%). Discussion about pain and anorexia were significantly more common in the telemedicine group. Discussion about follow up was significantly more common in the telemedicine group (86% vs 56%), whilst resuscitation planning was more common in deteriorating patients receiving inpatient care. All other components and principles of a palliative care consultation were documented equally regardless of method of consultation. The findings confirm that palliative consultations via telemedicine are just as effective as face-to-face consultations in terms of the documented components of the consultation.
我们比较了面对面进行的儿科姑息治疗咨询记录和在患者家中进行的远程医疗咨询记录。从医院姑息治疗数据库中选择了连续的儿科姑息治疗患者进行方便抽样。根据儿科姑息治疗咨询的 14 项既定原则和组成部分，共审查了 100 次咨询（50 次远程医疗家访咨询和 50 次面对面咨询）。远程医疗组中病情稳定的患者比例较高（58%对 7%），而处于终末期的患者比例较低（2%对 17%）。在远程医疗组中，讨论疼痛和厌食的情况明显更为常见。远程医疗组中讨论随访的情况明显更为常见（86%对 56%），而在接受住院治疗的病情恶化的患者中，复苏计划更为常见。无论咨询方式如何，姑息治疗咨询的所有其他组成部分和原则的记录都同样有效。这些发现证实，就咨询记录的组成部分而言，通过远程医疗进行的姑息治疗咨询与面对面咨询同样有效。
