Zahoransky Missi A, Lape Jennifer E
Total Rehabilitation Specialists, Cleveland, Ohio, USA.
Chatham University, Pittsburgh, Pennsylvania, USA.
Int J Telerehabil. 2020 Dec 8;12(2):105-124. doi: 10.5195/ijt.2020.6327.
Home health care agencies are restructuring service delivery models to address quality of care and client satisfaction while containing costs. New regulatory changes and the public health emergency due to the COVID-19 pandemic precipitated an immediate need for alternative care models. Telehealth has been recognized as a feasible delivery model to provide health care. This quasi-experimental pretest-posttest study examined the feasibility of performing occupational therapy telehealth visits as an adjunct to on-site visits for homebound clients (N=9). The Outcomes and Assessment Information Set (OASIS) data collection set, Canadian Occupational Performance Measure (COPM), and a survey were used to collect data. This combination of visits resulted in clinically and statistically significant improvements in client perception of performance and satisfaction with activities of daily living. Findings showed that participants favorably perceived this service delivery model met their therapy needs and they would recommend it to others. Results of this study warrant a larger study involving physical and speech therapy services.
家庭健康护理机构正在重组服务提供模式，以在控制成本的同时提高护理质量和客户满意度。新的监管变化以及因新冠疫情导致的公共卫生紧急情况，使得对替代护理模式的需求迫在眉睫。远程医疗已被视为一种可行的医疗服务提供模式。这项准实验性的前测-后测研究检验了为居家客户（N = 9）进行职业治疗远程医疗问诊作为现场问诊辅助手段的可行性。使用了结果与评估信息集（OASIS）数据收集集、加拿大职业表现测量工具（COPM）以及一项调查来收集数据。这种组合式问诊在客户对日常生活活动表现的认知和满意度方面带来了临床和统计学上的显著改善。研究结果表明，参与者对这种服务提供模式评价良好，认为它满足了他们的治疗需求，并且他们会向他人推荐。本研究结果值得开展一项涉及物理治疗和言语治疗服务的更大规模研究。
