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Hospice care using home-based telemedicine systems

G C Doolittle1, A Yaezel, F Otto

  • 1Division of Oncology, University of Kansas Medical Center, Kansas City 66160-7353, USA. gdoolitt@kumc.wpo.ukans.edu

Journal of Telemedicine and Telecare
|June 26, 1998
PubMed
Summary

Telenursing improved home hospice care for terminally ill patients. This pilot study showed patient and provider satisfaction with remote video assessments, enhancing access to care.

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Area of Science:

  • Medical Informatics
  • Gerontology
  • Palliative Care

Background:

  • Home hospice care presents challenges for terminally ill patients, including access to timely nursing support.
  • After-hours calls and safety concerns for nighttime visits can impact patient care and provider well-being.

Purpose of the Study:

  • To evaluate the feasibility and patient satisfaction of a telenursing pilot program for terminally ill patients receiving home hospice care.
  • To assess the utility of interactive video technology for remote nursing assessments and care coordination.

Main Methods:

  • A collaborative pilot study involving KUMC and Kendallwood Hospice utilized public telephone networks and interactive video equipment.
  • Three nurses and six hospice patients in Kansas and Missouri participated over two three-month periods.

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  • Data on utilization patterns, patient/caregiver satisfaction, and provider comfort with video-calls were collected.

    • Main Results:

    • Patients and caregivers reported general satisfaction with the telehospice system.
    • Nurses and social workers became comfortable using video-calls for patient interaction and assessment.
    • Video-assessments effectively determined the necessity of in-person visits, particularly benefiting rural patients.

    Conclusions:

    • Telenursing is a viable and satisfactory method for providing home hospice care to terminally ill patients.
    • Interactive video technology can enhance the efficiency and safety of palliative care delivery, especially for remote or underserved populations.
    • The system proved beneficial in addressing challenges related to after-hours access and nighttime visit safety concerns.