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Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits

AIM: This study examined the use of telemedicine as a means to follow up infants discharged from a Swedish neonatal intensive care unit to home health care. METHODS: Families were randomised to either a control group receiving standard home health care (n = 42 families) or a telemedicine group recei...

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Autores principales: Robinson, Charlotta, Gund, Anna, Sjöqvist, Bengt‐Arne, Bry, Kristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074256/
https://www.ncbi.nlm.nih.gov/pubmed/26999007
http://dx.doi.org/10.1111/apa.13407
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author Robinson, Charlotta
Gund, Anna
Sjöqvist, Bengt‐Arne
Bry, Kristina
author_facet Robinson, Charlotta
Gund, Anna
Sjöqvist, Bengt‐Arne
Bry, Kristina
author_sort Robinson, Charlotta
collection PubMed
description AIM: This study examined the use of telemedicine as a means to follow up infants discharged from a Swedish neonatal intensive care unit to home health care. METHODS: Families were randomised to either a control group receiving standard home health care (n = 42 families) or a telemedicine group receiving home health care with telemedicine support (n = 47 families) after discharge from the hospital. Both groups had follow‐up hospital appointments with the neonatal nurse. In the telemedicine group, appointments were supplemented by the use of a specially designed web page and video calls. RESULTS: The use of the web page and video calls decreased the number of emergency visits to the hospital (p = 0.047). In the telemedicine group, 26% of the families felt they had more scheduled appointments than necessary, whereas only 6% of the families in the control group thought so (p = 0.037). The parents were highly satisfied with the use of telemedicine. Although the nurses were favourable to using telemedicine, the rigid organisation of the home healthcare programme and the nurses’ schedules and work routines prevented its optimal use. CONCLUSION: The use of telemedicine decreased the need of hospital visits. Organisational adaptations would be necessary to make the best use of telemedicine.
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spelling pubmed-50742562016-11-04 Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits Robinson, Charlotta Gund, Anna Sjöqvist, Bengt‐Arne Bry, Kristina Acta Paediatr Regular Articles AIM: This study examined the use of telemedicine as a means to follow up infants discharged from a Swedish neonatal intensive care unit to home health care. METHODS: Families were randomised to either a control group receiving standard home health care (n = 42 families) or a telemedicine group receiving home health care with telemedicine support (n = 47 families) after discharge from the hospital. Both groups had follow‐up hospital appointments with the neonatal nurse. In the telemedicine group, appointments were supplemented by the use of a specially designed web page and video calls. RESULTS: The use of the web page and video calls decreased the number of emergency visits to the hospital (p = 0.047). In the telemedicine group, 26% of the families felt they had more scheduled appointments than necessary, whereas only 6% of the families in the control group thought so (p = 0.037). The parents were highly satisfied with the use of telemedicine. Although the nurses were favourable to using telemedicine, the rigid organisation of the home healthcare programme and the nurses’ schedules and work routines prevented its optimal use. CONCLUSION: The use of telemedicine decreased the need of hospital visits. Organisational adaptations would be necessary to make the best use of telemedicine. John Wiley and Sons Inc. 2016-04-14 2016-08 /pmc/articles/PMC5074256/ /pubmed/26999007 http://dx.doi.org/10.1111/apa.13407 Text en ©2016 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Regular Articles
Robinson, Charlotta
Gund, Anna
Sjöqvist, Bengt‐Arne
Bry, Kristina
Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title_full Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title_fullStr Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title_full_unstemmed Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title_short Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
title_sort using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074256/
https://www.ncbi.nlm.nih.gov/pubmed/26999007
http://dx.doi.org/10.1111/apa.13407
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