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Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers
OBJECTIVE: Explore the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect) among rural, older patients and caregivers to contribute to an assessment of its quality and value. DATA SOURCES: In Spring 2021, we interviewed a geographical...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843069/ https://www.ncbi.nlm.nih.gov/pubmed/36054487 http://dx.doi.org/10.1111/1475-6773.14055 |
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author | Dryden, Eileen M. Kennedy, Meaghan A. Conti, Jennifer Boudreau, Jacqueline H. Anwar, Chitra P. Nearing, Kathryn Pimentel, Camilla B. Hung, William W. Moo, Lauren R. |
author_facet | Dryden, Eileen M. Kennedy, Meaghan A. Conti, Jennifer Boudreau, Jacqueline H. Anwar, Chitra P. Nearing, Kathryn Pimentel, Camilla B. Hung, William W. Moo, Lauren R. |
author_sort | Dryden, Eileen M. |
collection | PubMed |
description | OBJECTIVE: Explore the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect) among rural, older patients and caregivers to contribute to an assessment of its quality and value. DATA SOURCES: In Spring 2021, we interviewed a geographically diverse sample of rural, older patients and their caregivers who participated in GRECC Connect telemedicine visits. STUDY DESIGN: A cross‐sectional qualitative study focused on patient and caregiver experiences with telemedicine, including perceived benefits and challenges. DATA COLLECTION: We conducted 30 semi‐structured qualitative interviews with rural, older (≥65) patients enrolled in the VHA and their caregivers via videoconference or phone. Interviews were recorded, transcribed, and analyzed using a rapid qualitative analysis approach. PRINCIPAL FINDINGS: Participants described geriatric specialty telemedicine visits focused on cognitive assessments, tailored physical therapy, medication management, education on disease progression, support for managing multiple comorbidities, and suggestions to improve physical functioning. Participants reported that, in addition to prescribing medications and ordering tests, clinicians expedited referrals, coordinated care, and listened to and validated both patient and caregiver concerns. Perceived benefits included improved patient health; increased patient and caregiver understanding and confidence around symptom management; and greater feelings of empowerment, hopefulness, and support. Challenges included difficulty accessing some recommended programs and services, uncertainty related to instructions or follow‐up, and not receiving as much information or treatment as desired. The content of visits was well aligned with the domains of the Age‐Friendly Health Systems and Geriatric 5Ms frameworks (Medication, Mentation, Mobility, what Matters most, and Multi‐complexity). CONCLUSIONS: Alignment of patient and caregiver experiences with widely‐used models of comprehensive geriatric care indicates that high‐quality geriatric care can be provided through virtual modalities. Additional work is needed to develop strategies to address challenges and optimize and expand access to geriatric specialty telemedicine. |
format | Online Article Text |
id | pubmed-9843069 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-98430692023-01-19 Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers Dryden, Eileen M. Kennedy, Meaghan A. Conti, Jennifer Boudreau, Jacqueline H. Anwar, Chitra P. Nearing, Kathryn Pimentel, Camilla B. Hung, William W. Moo, Lauren R. Health Serv Res Research Articles OBJECTIVE: Explore the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect) among rural, older patients and caregivers to contribute to an assessment of its quality and value. DATA SOURCES: In Spring 2021, we interviewed a geographically diverse sample of rural, older patients and their caregivers who participated in GRECC Connect telemedicine visits. STUDY DESIGN: A cross‐sectional qualitative study focused on patient and caregiver experiences with telemedicine, including perceived benefits and challenges. DATA COLLECTION: We conducted 30 semi‐structured qualitative interviews with rural, older (≥65) patients enrolled in the VHA and their caregivers via videoconference or phone. Interviews were recorded, transcribed, and analyzed using a rapid qualitative analysis approach. PRINCIPAL FINDINGS: Participants described geriatric specialty telemedicine visits focused on cognitive assessments, tailored physical therapy, medication management, education on disease progression, support for managing multiple comorbidities, and suggestions to improve physical functioning. Participants reported that, in addition to prescribing medications and ordering tests, clinicians expedited referrals, coordinated care, and listened to and validated both patient and caregiver concerns. Perceived benefits included improved patient health; increased patient and caregiver understanding and confidence around symptom management; and greater feelings of empowerment, hopefulness, and support. Challenges included difficulty accessing some recommended programs and services, uncertainty related to instructions or follow‐up, and not receiving as much information or treatment as desired. The content of visits was well aligned with the domains of the Age‐Friendly Health Systems and Geriatric 5Ms frameworks (Medication, Mentation, Mobility, what Matters most, and Multi‐complexity). CONCLUSIONS: Alignment of patient and caregiver experiences with widely‐used models of comprehensive geriatric care indicates that high‐quality geriatric care can be provided through virtual modalities. Additional work is needed to develop strategies to address challenges and optimize and expand access to geriatric specialty telemedicine. Blackwell Publishing Ltd 2022-09-14 2023-02 /pmc/articles/PMC9843069/ /pubmed/36054487 http://dx.doi.org/10.1111/1475-6773.14055 Text en Published 2022. This article is a U.S. Government work and is in the public domain in the USA. Health Services Research published by Wiley Periodicals LLC on behalf of Health Research and Educational Trust. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Dryden, Eileen M. Kennedy, Meaghan A. Conti, Jennifer Boudreau, Jacqueline H. Anwar, Chitra P. Nearing, Kathryn Pimentel, Camilla B. Hung, William W. Moo, Lauren R. Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title | Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title_full | Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title_fullStr | Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title_full_unstemmed | Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title_short | Perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
title_sort | perceived benefits of geriatric specialty telemedicine among rural patients and caregivers |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843069/ https://www.ncbi.nlm.nih.gov/pubmed/36054487 http://dx.doi.org/10.1111/1475-6773.14055 |
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