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KMID : 1138720170430020081
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Korean Public Health Research
2017 Volume.43 No. 2 p.81 ~ p.101
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Construction of Telemedicine Service Model in Home Healthcare
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Cho Moon-Suk
Lee Hyang-Yuol
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Abstract
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Objective: This study aimed to build a feasible telemedicine-service model in home healthcare by investigating customer satisfaction of current home healthcare, assessing the need and preferred operational style and identifying applicable activities of home healthcare telemedicine.
Methods: This descriptive study used a standardized questionnaire. From November 14 to December 12, 2016; 136 primary caregivers and 10 advance practice nurses responded to the survey. Statistical analysis was performed using SPSS 23.0.
Results: Satisfaction with current home healthcare scored 4.81 (of 5). Primary caregivers identified the need for telemedicine with a score of 3.89 (of 4) and advance practice nurses with 3.86. Smart phones were the major device preferred and video talk was the most preferred method for telemedicine. The majority of respondents thought it would be appropriate to pay between 31 and 50% of the cost of an in-person visit for telemedicine at home, and wanted their primary physician and advance practice nurse to conduct the telemedicine. Preference for activities applicable for telemedicine scored 3.16 (of 4) on average by primary caregivers and 3.17 by advance practice nurses. The average, 3.2, was the cut point for finalizing the model; health-status assessment, pressure-ulcer treatment, emergency care of high/low blood sugar level, wound dressing, identifying infections, instrument sterilization, patient condition consulting, the need for rehospitalization, re-referrals to home healthcare, adjusting prescriptions, treatment, and medication. Caregivers responded that telemedicine could be beneficial to diminish the number of hospital visits and lower costs; advance practice nurses responded that adoption of telemedicine is necessary for home healthcare to reduce medical costs.
Conclusion: Telemedicine, combined with home healthcare, enables patients to easily connect with medical experts in hospitals who can provide first aid to patients, which would reduce unplanned or unnecessary rehospitalizations. Real-time physical data through video talk can help prompt care for the patient. Timely information with mobile guidance will consistently enhance self-care for home healthcare recipients. This telemedicine model would benefit most vulnerable immobilized patients with chronic diseases and provide high-quality care for home healthcare recipients.
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KEYWORD
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Telemedicine, Home care services, Model
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Listed journal information
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