Stephens Caroline E, Allison Theresa A, Flint Lynn A, David Daniel, Wertz Victoria, Halifax Elizabeth, Barrientos Pamela, Ritchie Christine S
Division of Health Systems and Community Based Care, University of Utah College of Nursing, Salt Lake City, Utah, USA.
Division of Geriatrics, University of California, San Francisco, San Francisco, California, USA.
Palliat Med Rep. 2022 Aug 22;3(1):181-185. doi: 10.1089/pmr.2022.0002. eCollection 2022.
Over two-thirds of nursing home (NH) residents are eligible for palliative care (PC), yet few receive it, particularly outside of hospice. Little is known about the technical feasibility and acceptability of using telehealth for PC consultations in NHs.
To determine the technical feasibility and acceptability of PC telehealth for NH residents seen by a PC team in the hospital in the previous 30 days.
Mixed methods study including data collection from field observations, focus groups about the telehealth experience with content analysis, and a web-based survey about technical feasibility and acceptability.
Eighteen participants (six PC-eligible NH residents, one PC physician, five family members, six NH nurses) were recruited in 2016 to participate in one of six PC video visits followed by a video-based focus group and web-based survey.
All participants were comfortable with the PC video visit format, believed it could improve communication and care coordination, and reported they could see themselves using telehealth in the near future. For technical feasibility, audio quality was rated mostly good/very good (71%) and visual quality was rated fair (50%).
PC video visits are technically feasible and acceptable to NH residents, families, and staff, representing an innovative and relatively low-cost opportunity to improve access to needed NH-based PC services. Assessing stakeholder perspectives on the use of this technology can help inform the selection of the proper telehealth platform to meet the clinical and infrastructure needs, as well as protocol modifications required before testing in a larger trial.
超过三分之二的养老院居民符合姑息治疗（PC）条件，但接受该治疗的人很少，尤其是在临终关怀机构之外。对于在养老院中使用远程医疗进行姑息治疗咨询的技术可行性和可接受性，人们知之甚少。
确定医院姑息治疗团队在过去30天内诊治的养老院居民使用远程医疗进行姑息治疗的技术可行性和可接受性。
混合方法研究，包括从实地观察收集数据、对远程医疗体验进行焦点小组讨论并进行内容分析，以及开展关于技术可行性和可接受性的网络调查。
2016年招募了18名参与者（6名符合姑息治疗条件的养老院居民、1名姑息治疗医生、5名家庭成员、6名养老院护士），让他们参与6次姑息治疗视频会诊中的一次，随后参加基于视频的焦点小组讨论和网络调查。
所有参与者都对姑息治疗视频会诊形式感到满意，认为它可以改善沟通和护理协调，并表示他们在不久的将来会使用远程医疗。关于技术可行性，音频质量大多被评为良好/非常好（71%），视觉质量被评为一般（50%）。
姑息治疗视频会诊在技术上是可行的，并且为养老院居民、家属和工作人员所接受，这是一个创新且成本相对较低的机会，可以改善获得所需的基于养老院的姑息治疗服务的途径。评估利益相关者对使用该技术的看法有助于为选择合适的远程医疗平台提供参考，以满足临床和基础设施需求，以及在更大规模试验中进行测试之前所需的方案修改。
