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Interactive video specialty consultations in long-term care.

Bonnie J Wakefield1, Kelli A Buresh, James R Flanagan

  • 1Iowa City VA Medical Center, Iowa City, Iowa, USA. Bonnie.wakefield@med.va.gov

Journal of the American Geriatrics Society
|April 17, 2004
PubMed
Summary

Telemedicine via interactive video conferencing significantly improved access to specialist care for long-term care (LTC) residents. This technology demonstrated high satisfaction among physicians, nurses, and residents, facilitating treatment plan changes and enhancing care continuity.

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Area of Science:

  • Gerontology
  • Telemedicine
  • Healthcare Management

Background:

  • Long-term care (LTC) residents often face challenges accessing specialist physician consultations.
  • Interactive video conferencing presents a potential solution to bridge this gap in care delivery.

Purpose of the Study:

  • To evaluate provider and resident satisfaction with specialist physician consultations delivered via interactive video to LTC residents.
  • To assess the outcomes of these telemedicine consultations, including changes in treatment plans and follow-up care.

Main Methods:

  • A cross-sectional survey design was employed.
  • Participants included physicians (n=12) from Veterans Affairs Medical Centers (VAMC), and nurses (n=30) and residents (n=62) at a state LTC center.
  • Interactive video conferencing was used for specialist consultations, with data collected on satisfaction and treatment plan modifications.

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Main Results:

  • High satisfaction rates were reported: 86% for physicians and 72% for residents regarding the consult format.
  • Physicians found the technology highly useful for diagnosis (78%) and treatment planning (87%).
  • A significant majority of residents (92%) found it easier to access medical care via telemedicine, with 38% experiencing a change in treatment plan while remaining in the LTC setting.

Conclusions:

  • Interactive video conferencing is a highly satisfactory method for delivering specialist care to LTC residents.
  • This approach offers advantages such as reduced travel for patients and providers, potentially improving care continuity.
  • Telemedicine effectively enhances access to specialist care for vulnerable populations in long-term care settings.