Teleconsultation

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Claas Leber - One of the best experts on this subject based on the ideXlab platform.

Jeroen Hasselaar - One of the best experts on this subject based on the ideXlab platform.

  • Teleconsultation for integrated palliative care at home: A qualitative study
    Palliative medicine, 2015
    Co-Authors: Jelle Van Gurp, Martine Van Selm, Evert Van Leeuwen, Kris Vissers, Jeroen Hasselaar
    Abstract:

    Background:Interprofessional consultation contributes to symptom control for home-based palliative care patients and improves advance care planning. Distance and travel time, however, complicate the integration of primary care and specialist palliative care. Expert online audiovisual Teleconsultations could be a method for integrating palliative care services.Aim:This study aims to describe (1) whether and how Teleconsultation supports the integration of primary care, specialist palliative care, and patient perspectives and services and (2) how patients and (in)formal caregivers experience collaboration in a Teleconsultation approach.Design:This work consists of a qualitative study that utilizes long-term direct observations and in-depth interviews.Setting/participants:A total of 18 home-based palliative care patients (16 with cancer, 2 with chronic obstructive pulmonary disease; age range 24–85 years old), 12 hospital-based specialist palliative care team clinicians, and 17 primary care physicians.Result...

  • Transmural palliative care by means of Teleconsultation: a window of opportunities and new restrictions
    BMC medical ethics, 2013
    Co-Authors: Jelle Van Gurp, Martine Van Selm, Evert Van Leeuwen, Jeroen Hasselaar
    Abstract:

    Background: Audio-visual Teleconsultation is expected to help home-based palliative patients, hospital-based palliative care professionals, and family physicians to jointly design better, pro-active care. Consensual knowledge of the possibilities and limitations of Teleconsultation in transmural palliative care is, however, largely lacking. This paper aims at describing elements of both the physical workplace and the cultural-social context of the palliative care practice, which are imperative for the use of Teleconsultation technologies. Methods: A semi-structured expert meeting and qualitative, open interviews were deployed to explore professionals’ assumptions and wishes, which are considered to contain latent presumptions about the practice’s physical workplace and latent elements of the cultural-social context, regarding (1) the mediating potential of audio-visual Teleconsultation, (2) how the audio-visual Teleconsultations will affect medical practice, and (3) the design and usage of the Teleconsultation technology. We used a qualitative analysis to investigate how palliative care professionals interpret the Teleconsultation package in preparation. The analysis entailed open and axial coding techniques developed in a grounded theory approach. Results: Respondents assume: 1. Teleconsultation will hinder physical proximity, thereby compromising anamnesis and diagnosis of new or acutely ill patients as well as “real contact” with the person behind the patient; 2. Teleconsultation will help patients becoming more of a pivotal figure in their own care trajectory; 3. they can use Teleconsultation to keep a finger on the pulse; 4. Teleconsultations have a healing effect of their own due to offered time and digital attention; 5. Teleconsultation to open up an additional “gray” network outside the hierarchical structures of the established chain of transmural palliative care. This network could cause bypassing of caregivers and uncertainty about responsibilities; 6. Teleconsultations lead to an extended flow of information which helps palliative care professionals to check the stories of patients and medical specialists. Conclusions: Professionals assume Teleconsultation co-defines a new patient–professional relationship by extending hospital-based caregivers’ perceptions of as well as attention for their patients. At the cost, however, of clinical and personal connectedness. Secondly, a hermeneutics is needed to carefully interpret Teleconsultation images. Thirdly, Teleconsultations transform caregiving cultures as formerly separated care domains collide, demanding a redefinition of roles and responsibilities.

Sebastian Bergrath - One of the best experts on this subject based on the ideXlab platform.

Morgan Rouprêt - One of the best experts on this subject based on the ideXlab platform.

  • Preliminary assessment of patient and physician satisfaction with the use of Teleconsultation in urology during the COVID-19 pandemic
    World Journal of Urology, 2020
    Co-Authors: Ugo Pinar, Julien Anract, Ophélie Perrot, Thomas Tabourin, Jerome Parra, Christophe Vaessen, Alexandre De La Taille, Emmanuel Chartier-kastler, Morgan Rouprêt
    Abstract:

    Purpose: Lockdown during the COVID-19 pandemic compelled urologists to change access to healthcare, especially for oncology patients. Teleconsultation is a safe way to receive medical advice without a risk of infection, and was implemented urgently in our academic centres. Our purpose was to evaluate patient and physician satisfaction with Teleconsultation set up during the COVID-19 pandemic. Methods: From March 16th 2020, all face-to-face consultations were cancelled in France, except for emergencies. Teleconsultation was started immediately by five senior urologists in two academic hospitals. All patients received an email survey including the validated Teleconsultation Satisfaction Questionnaire (TSQ) and demographic questions. Data were collected prospectively. Physicians also responded to the TSQ. Patient satisfaction was measured objectively with the validated 14-item TSQ. Each item was scored on a 5-point Likert scale. Factors associated with positive satisfaction with Teleconsultation were assessed by multivariable logistic regression. Results: Overall, 105 patients replied to the survey (91.3%). Median age was 66 years (IQR: 55‒71) and 95 were men (90.5%). Median overall TSQ score was 67 (IQR: 60‒69); Teleconsultation was judged to be a good experience by 88 patients (83.8%) and four physicians (80%). Patients who met their surgeon for the first time were more likely to have a good experience (OR = 1.2 [95% CI 1.1‒1.5], p = 0.03). Conclusion: Introduced rapidly during the COVID-19 lockdown, urology Teleconsultation attained a high level of satisfaction among both patients and physicians. A major change in telemedicine use is foreseen in the post COVID-19 era.

  • preliminary assessment of patient and physician satisfaction with the use of Teleconsultation in urology during the covid 19 pandemic
    World Journal of Urology, 2020
    Co-Authors: Ugo Pinar, Julien Anract, Ophélie Perrot, Thomas Tabourin, Jerome Parra, Christophe Vaessen, Alexandre De La Taille, Emmanuel Chartierkastler, Morgan Rouprêt
    Abstract:

    Lockdown during the COVID-19 pandemic compelled urologists to change access to healthcare, especially for oncology patients. Teleconsultation is a safe way to receive medical advice without a risk of infection, and was implemented urgently in our academic centres. Our purpose was to evaluate patient and physician satisfaction with Teleconsultation set up during the COVID-19 pandemic. From March 16th 2020, all face-to-face consultations were cancelled in France, except for emergencies. Teleconsultation was started immediately by five senior urologists in two academic hospitals. All patients received an email survey including the validated Teleconsultation Satisfaction Questionnaire (TSQ) and demographic questions. Data were collected prospectively. Physicians also responded to the TSQ. Patient satisfaction was measured objectively with the validated 14-item TSQ. Each item was scored on a 5-point Likert scale. Factors associated with positive satisfaction with Teleconsultation were assessed by multivariable logistic regression. Overall, 105 patients replied to the survey (91.3%). Median age was 66 years (IQR: 55‒71) and 95 were men (90.5%). Median overall TSQ score was 67 (IQR: 60‒69); Teleconsultation was judged to be a good experience by 88 patients (83.8%) and four physicians (80%). Patients who met their surgeon for the first time were more likely to have a good experience (OR = 1.2 [95% CI 1.1‒1.5], p = 0.03). Introduced rapidly during the COVID-19 lockdown, urology Teleconsultation attained a high level of satisfaction among both patients and physicians. A major change in telemedicine use is foreseen in the post COVID-19 era.

Jelle Van Gurp - One of the best experts on this subject based on the ideXlab platform.

  • Teleconsultation for integrated palliative care at home: A qualitative study
    Palliative medicine, 2015
    Co-Authors: Jelle Van Gurp, Martine Van Selm, Evert Van Leeuwen, Kris Vissers, Jeroen Hasselaar
    Abstract:

    Background:Interprofessional consultation contributes to symptom control for home-based palliative care patients and improves advance care planning. Distance and travel time, however, complicate the integration of primary care and specialist palliative care. Expert online audiovisual Teleconsultations could be a method for integrating palliative care services.Aim:This study aims to describe (1) whether and how Teleconsultation supports the integration of primary care, specialist palliative care, and patient perspectives and services and (2) how patients and (in)formal caregivers experience collaboration in a Teleconsultation approach.Design:This work consists of a qualitative study that utilizes long-term direct observations and in-depth interviews.Setting/participants:A total of 18 home-based palliative care patients (16 with cancer, 2 with chronic obstructive pulmonary disease; age range 24–85 years old), 12 hospital-based specialist palliative care team clinicians, and 17 primary care physicians.Result...

  • Transmural palliative care by means of Teleconsultation: a window of opportunities and new restrictions
    BMC medical ethics, 2013
    Co-Authors: Jelle Van Gurp, Martine Van Selm, Evert Van Leeuwen, Jeroen Hasselaar
    Abstract:

    Background: Audio-visual Teleconsultation is expected to help home-based palliative patients, hospital-based palliative care professionals, and family physicians to jointly design better, pro-active care. Consensual knowledge of the possibilities and limitations of Teleconsultation in transmural palliative care is, however, largely lacking. This paper aims at describing elements of both the physical workplace and the cultural-social context of the palliative care practice, which are imperative for the use of Teleconsultation technologies. Methods: A semi-structured expert meeting and qualitative, open interviews were deployed to explore professionals’ assumptions and wishes, which are considered to contain latent presumptions about the practice’s physical workplace and latent elements of the cultural-social context, regarding (1) the mediating potential of audio-visual Teleconsultation, (2) how the audio-visual Teleconsultations will affect medical practice, and (3) the design and usage of the Teleconsultation technology. We used a qualitative analysis to investigate how palliative care professionals interpret the Teleconsultation package in preparation. The analysis entailed open and axial coding techniques developed in a grounded theory approach. Results: Respondents assume: 1. Teleconsultation will hinder physical proximity, thereby compromising anamnesis and diagnosis of new or acutely ill patients as well as “real contact” with the person behind the patient; 2. Teleconsultation will help patients becoming more of a pivotal figure in their own care trajectory; 3. they can use Teleconsultation to keep a finger on the pulse; 4. Teleconsultations have a healing effect of their own due to offered time and digital attention; 5. Teleconsultation to open up an additional “gray” network outside the hierarchical structures of the established chain of transmural palliative care. This network could cause bypassing of caregivers and uncertainty about responsibilities; 6. Teleconsultations lead to an extended flow of information which helps palliative care professionals to check the stories of patients and medical specialists. Conclusions: Professionals assume Teleconsultation co-defines a new patient–professional relationship by extending hospital-based caregivers’ perceptions of as well as attention for their patients. At the cost, however, of clinical and personal connectedness. Secondly, a hermeneutics is needed to carefully interpret Teleconsultation images. Thirdly, Teleconsultations transform caregiving cultures as formerly separated care domains collide, demanding a redefinition of roles and responsibilities.