Telehealth for nursing homes: the utilization of specialist services for residential care
Gray, Leonard, Edirippulige, Sisira, Smith, Anthony, Beattie, Elizabeth, Theodoros, Deborah, Russell, Trevor, & Martin-Khan, Melinda (2012) Telehealth for nursing homes: the utilization of specialist services for residential care. Journal of Telemedicine and Telecare, 18(3), pp. 142-146.
Specialist care consultations were identified by two research nurses using documentation in patient records, appointment diaries, electronic billing services and on-site observations at a 441-bed long term care facility. Over a six-month period there were 3333 consultations (a rate of 1511 consultations per year per 100 beds). Most consultations were for general practice (n = 2589, 78%); these consultations were mainly on site (99%), with only 27 taking place off site. There were 744 consultations for specialities other than general practice. A total of 146 events related to an emergency or unplanned hospital admission. The remaining medical consultations (n = 598, 18%) related to 23 medical specialities. The largest number of consultations were for surgery (n = 106), podiatry (n = 100), nursing services including wound care (n = 74), imaging (n = 41) and ophthalmology (n = 40). Many services which are currently being provided on site to metropolitan long-term care facilities could be provided by telehealth in both urban and rural facilities.
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