PMID- 26969534
OWN - NLM
STAT- MEDLINE
DCOM- 20171117
LR  - 20211001
IS  - 1538-9375 (Electronic)
IS  - 1525-8610 (Print)
IS  - 1525-8610 (Linking)
VI  - 17
IP  - 6
DP  - 2016 Jun 1
TI  - Nursing Home Provider Perceptions of Telemedicine for Reducing Potentially 
      Avoidable Hospitalizations.
PG  - 519-24
LID - S1525-8610(16)00090-6 [pii]
LID - 10.1016/j.jamda.2016.02.004 [doi]
AB  - OBJECTIVE: Potentially avoidable hospitalizations (PAHs) of nursing home (NH) 
      residents are common, costly, and can have significant economic consequences. 
      Telemedicine has been shown to reduce emergency department and hospitalization of 
      NH residents, yet adoption has been limited and little is known about provider's 
      perceptions and desired functionality for a telemedicine program. The goal of 
      this study was to survey a nationally representative sample of NH physicians and 
      advanced practice providers to quantify provider perceptions and desired 
      functionality of telemedicine in NHs to reduce PAHs. 
      DESIGN/SETTING/PARTICIPANTS/MEASUREMENT: We surveyed physicians and advanced 
      practice providers who attended the 2015 AMDA-The Society for Post-Acute and 
      Long-Term Care Medicine Annual Conference about their perceptions of telemedicine 
      and desired attributes of a telemedicine program for managing acute changes of 
      condition associated with PAHs. RESULTS: We received surveys from 435 of the 947 
      conference attendees for a 45.9% response rate. Providers indicated strong 
      agreement with the potential for telemedicine to improve timeliness of care and 
      fill existing service gaps, while disagreeing most with the ideas that 
      telemedicine would reduce care effectiveness and jeopardize resident privacy. 
      Responses indicated clear preferences for the technical requirements of such a 
      program, such as high-quality audio and video and inclusion of an electronic 
      stethoscope, but with varying opinions about who should be performing the 
      consults. CONCLUSION: Among NH providers, there is a high degree of confidence in 
      the potential for a telemedicine solution to PAHs in NHs, as well as concrete 
      views about features of such a solution. Such consensus could be used to drive an 
      approach to telemedicine for PAHs in NHs that retains the theoretical strengths 
      of telemedicine and reflects the needs of facilities, providers, and patients. 
      Further research is needed to objectively study the impact of successful 
      telemedicine implementations on patient, provider, and economic outcomes.
CI  - Copyright (c) 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine. 
      Published by Elsevier Inc. All rights reserved.
FAU - Driessen, Julia
AU  - Driessen J
AD  - Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, 
      PA; Department of Biomedical Informatics, School of Medicine, University of 
      Pittsburgh, Pittsburgh, PA.
FAU - Bonhomme, Andro
AU  - Bonhomme A
AD  - University of Pittsburgh Medical Center, Pittsburgh, PA.
FAU - Chang, Woody
AU  - Chang W
AD  - Department of Medicine, University of Pittsburgh Medical Center-Medical 
      Education, Pittsburgh, PA.
FAU - Nace, David A
AU  - Nace DA
AD  - Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, 
      Pittsburgh, PA.
FAU - Kavalieratos, Dio
AU  - Kavalieratos D
AD  - Division of General Internal Medicine, Department of Medicine, University of 
      Pittsburgh, Pittsburgh, PA.
FAU - Perera, Subashan
AU  - Perera S
AD  - Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, 
      Pittsburgh, PA; Department of Biostatistics, University of Pittsburgh, 
      Pittsburgh, PA.
FAU - Handler, Steven M
AU  - Handler SM
AD  - Department of Biomedical Informatics, School of Medicine, University of 
      Pittsburgh, Pittsburgh, PA; Division of Geriatric Medicine, Department of 
      Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: 
      handlersm@upmc.edu.
LA  - eng
GR  - P30 AG024827/AG/NIA NIH HHS/United States
GR  - R01 HS018721/HS/AHRQ HHS/United States
GR  - K12 HS022989/HS/AHRQ HHS/United States
GR  - L30 TR001226/TR/NCATS NIH HHS/United States
GR  - R18 HS022465/HS/AHRQ HHS/United States
GR  - K01 HL133466/HL/NHLBI NIH HHS/United States
GR  - R18 HS023779/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20160309
PL  - United States
TA  - J Am Med Dir Assoc
JT  - Journal of the American Medical Directors Association
JID - 100893243
SB  - IM
MH  - Advanced Practice Nursing
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - Female
MH  - *Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - *Nursing Homes
MH  - *Patient Readmission
MH  - Physicians/psychology
MH  - Surveys and Questionnaires
MH  - *Telemedicine
MH  - United States
PMC - PMC4884506
MID - NIHMS759023
OID - NLM: HHSPA759023 [Available on 06/01/17]
OTO - NOTNLM
OT  - Nursing homes
OT  - hospital readmission
OT  - hospitalization
OT  - telehealth
OT  - telemedicine
EDAT- 2016/03/13 06:00
MHDA- 2017/11/29 06:00
PMCR- 2017/06/01
CRDT- 2016/03/13 06:00
PHST- 2016/01/20 00:00 [received]
PHST- 2016/02/03 00:00 [revised]
PHST- 2016/02/03 00:00 [accepted]
PHST- 2016/03/13 06:00 [entrez]
PHST- 2016/03/13 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2017/06/01 00:00 [pmc-release]
AID - S1525-8610(16)00090-6 [pii]
AID - 10.1016/j.jamda.2016.02.004 [doi]
PST - ppublish
SO  - J Am Med Dir Assoc. 2016 Jun 1;17(6):519-24. doi: 10.1016/j.jamda.2016.02.004. 
      Epub 2016 Mar 9.