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dc.contributor.authorTieman, Jennifer
dc.contributor.authorSwetenham, K
dc.contributor.authorMorgan, Deidre D
dc.contributor.authorTo, Timothy H M
dc.contributor.authorCurrow, David Christopher
dc.date.accessioned2017-04-03T23:41:09Z
dc.date.available2017-04-03T23:41:09Z
dc.date.issued2016-11-17
dc.identifier.citationTieman, J., Swetenham, K., Morgan, D., To, T., & Currow, D. (2016). Using telehealth to support end of life care in the community: A feasibility study. BMC Palliative Care, 15(1), BMC Palliative Care, Nov 17, 2016, Vol.15(1).en
dc.identifier.issn1472-684X
dc.identifier.urihttp://hdl.handle.net/2328/37060
dc.descriptionOpen Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.description.abstractBackground Telehealth is being used increasingly in providing care to patients in the community setting. Telehealth enhanced service delivery could offer new ways of managing load and care prioritisation for palliative care patients living in the community. The study assesses the feasibility of a telehealth-based model of service provision for community based palliative care patients, carers and clinicians. Methods This study was a prospective cohort study of a telehealth-based intervention for community based patients of a specialist palliative care service living in Southern Adelaide, South Australia. Participants were 43 community living patients enrolled in the Southern Adelaide Palliative Service. To be eligible patients needed to be over 18 years and have an Australian modified Karnofksy Performance Score > 40. Exclusion criteria included a demonstrated inability to manage the hardware or technology (unless living with a carer who could manage the technology) or non-English speaking without a suitable carer/proxy. Participants received video-based conferences between service staff and the patient/carer; virtual case conferences with the patient/carer, service staff and patient’s general practitioner (GP); self-report assessment tools for patient and carer; and remote activity monitoring (ACTRN12613000733774). Results The average age of patients was 71.6 years (range: 49 to 91 years). All 43 patients managed to enter data using the telehealth system. Self-reported data entered by patients and carers did identify changes in performance status leading to changes in care. Over 4000 alerts were generated. Staff reported that videocalls were similar (22.3%) or better/much better (65.2%) than phone calls and similar (63.1%) or better/much better (27.1%) than face-to-face. Issues with the volume of alerts generated, technical support required and the impact of service change were identified. Conclusions The trial showed that patients and carers could manage the technology and provide data that would otherwise not have been available to the palliative care service.en
dc.language.isoen
dc.publisherBioMed Centralen
dc.rights© The Author(s) 2016.en
dc.subjecttelehealth
dc.subjectpalliative care
dc.subjectpatients living in the community
dc.subjectHome care services
dc.titleUsing telehealth to support end of life care in the community: a feasibility studyen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1186/s12904-016-0167-7en
dc.rights.holderThe Author(s).en
dc.rights.licenseCC-BY
local.contributor.authorOrcidLookupTieman, Jennifer: https://orcid.org/0000-0002-2611-1900en_US
local.contributor.authorOrcidLookupMorgan, Deidre D: https://orcid.org/0000-0001-8725-9477en_US
local.contributor.authorOrcidLookupTo, Timothy H M: https://orcid.org/0000-0003-0025-6543


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