Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up

Abstract

Highlights We conducted a large multicenter trial focusing on the perception of telemedicine over a two-year period in the real world. Health professionals confirmed their positive perception of telemedicine after two years of use. We pointed out the importance of involving staff members in a participatory approach to ensure generalized adherence to telemedicine as a service. The results establish lines of action for a large-scale deployment of such solution.

Implementation of eHealth to Support Assessment and Decision-making for Residents With Dementia in Long-term Care: Systematic Review

“…eHealth that is perceived as advantageous to an alternative system by improving access to emergency care [ 39 ], increasing efficiency [ 37 , 38 , 54 , 55 ], and reducing paperwork [ 47 ] is more likely to be adopted [ 48 ]. Barriers to uptake include a preference for face-to-face consultations [ 56 ] and increased time required to organize eHealth consultations [ 36 ].…”

“…An important contributor toward successful implementation is the perceived clinical benefit for residents [ 34 , 36 , 38 , 39 , 47 , 52 , 55 , 58 ]. eHealth interventions are reported to help staff focus on the resident’s condition [ 47 ], better manage residents’ symptoms and vital signs [ 34 , 55 , 58 ], improve safety around medication administration [ 55 ], enable staff to attend to residents in a timely manner, and identify common behavior patterns [ 38 ].…”

“…Reduced unplanned hospital transitions are suggested to improve residents’ quality of life [ 45 ] by preventing disruption in care continuity with attendance to care needs in the care home [ 38 ]. Residents appreciate minimal journeys to acute care settings [ 52 ] and the benefit of emergency telemedicine sessions to deliver timely skilled health care interventions remotely [ 39 ]. Barriers to uptake of eHealth interventions pertained to opinions that the intervention little benefited residents [ 48 ] by inadequately monitoring and identifying resident change or deterioration and failing to improve assessment processes [ 41 ].…”

“…A negative resident experience of eHealth obstructs implementation [ 39 , 40 , 57 ]. Dissatisfaction stems from devices interfering with the time spent with staff [ 57 ] and a switch from face-to-face to remote communication [ 56 ].…”

“…Dissatisfaction stems from devices interfering with the time spent with staff [ 57 ] and a switch from face-to-face to remote communication [ 56 ]. Staff report concerns that using eHealth in the presence of residents may be intrusive and dehumanizing [ 39 , 40 ]. Concerns tend to diminish with continued use of eHealth tools; however, over time, staff acknowledge that eHealth can improve care quality [ 39 , 52 ].…”