Skjer’a?

- hva mener brukerne

Kari Hagen, informasjonsrådgiverFrambu

Systematic review of studies of patienet satisfaction with

telemedicine

Frances Mair & Pamela Witten

British Medical Journal 2000

Frances Mair is Professor of Primary Care Research at the University of Glasgow. Her main research interests include e-health and telehealthcare. Her research in e-health focuses upon studies of complex interventions, chronic disease management, implementation and sustainability issues and systematic literature reviews.

Pamela Whitten, Ph.D., is a Professor in the Department of Telecommunications and an Associate Dean in the College of Communication Arts & Sciences and at Michigan State University. Dr. Whitten's research focuses on the use of technology in health care with a specific interest in telehealth and its impact on the delivery of health care services and education.

Review 1966-1998 Patient satisfaction 32 undersøkelser inkludert

< 20: 10 studier 21 - 100: 14 studier > 100: 7 studier

Funn – vanskelig å generalisere Fordeler

reisetid og ventetid for pasientene tilgjengelighet til ekspertise

Diskusjon Doktor-pasientforholdet Relasjon? Første møte eller oppfølging? Kommunikasjonsformen? Forstår vi den?

2005 Patient-provider perspektiv Trenger bedre trening – brukervennlig utstyr Pasienten sparer tid, legen opplever rutineendring

A comparison of telehealth and face-to-face presentation

for school professionals supporting students with

chronic illness

Ryan J Spaulding, Kathy Davis and James Patterson

Journal of Telemedicine and Telecare, 2008

Ryan J. Spaulding, PhD is the Director of theCenter for Telemedicine and Telehealth atthe Kansas University Medical Center.

Kathy Davis, BS, MSEd, PhD is the pediatric education coordinator in the Department of Pediatrics at the University of Kansas Medical Center. She has 32 years experience working with young people with chronic and life-limiting illnesses in the areas of education, child life, palliative care and ethics.

James Patterson Ph.D.   He teaches in the areas of organizational communication, technology, and communication theory. 

Kompetansesenter – lokale skoler Kansas, USA Asthma, diabetes, cancer, CF,

hjertesykdom, AIDS 45 1-times presentasjoner

1389 deltakere (919 FTF – 417 VK)

Spørreskjema

Hensikt Opplæring av lærere til funksjonshemmede Ikke tidligere publisert om telemed for barn

med kroniske tilstander, deres lærere, familie/venner i skolekontekst

Kansas er egnet – grisgrent.. Sammenligne VK og FTF

Forskningsspørsmål Er VK et tilfredsstillende alternativ til FTF

for kunnskapsovetføring om kroniske tilstander til fagpersoner på skolene?

Hvordan oppfatter fagpersonene VK sammenlignet med FTF for dette?

Har fagpersonenes holdning innvirkning på deres fornøydhet med VK eller FTF?

Resultat Very satisfied mean: VK 4.3 – FTF 4.6

Opplevd kvalitet Komfortabilitet

Konklusjon Alle godt fornøyd Trenger mer erfaring

Service users’ acceptability of

videoconferencing as a form of service delivery

Victoria Styles

Journal of Telemedicine and Telecare, 2008

Speech and Language Therapist

Victoria Styles

Communication Aid CentreBristol UK

19 sentre – 600.000 med kommunikasjons-problemer

Studie av 12 grupper Klient, lokale språkterapeuter møter

logoped/språkterapeuter fra senteret på VK Vurderingsmøte Oppfølgingsmøte Spørreskjema – ja/nei – 4 områder

45 svar

Egnet til bruk 88% satisfaction vurderingsmøten 95% satisfaction med oppfølgingsmøtene Fagpersonene:

Kroppsspråk Kommunikasjon med lokale fagpersoner ..ville ikke i bildet…

Nine human factors contributing to the user acceptance of telemedicine application:

a cognitive-emotional approach

Susanne Buck

Journal of Telemedicine and Telecare, 2009

Susanne BuckFirmaet Adaptize i Nederland - konsulentfirma

”Human factor”

How can you identify the qualitative human factors advantage users get applying your e-health application? Adaptize analyzes communication, interaction and comprehensibility of your e-health application and - if necessary - gives advice for improvement.This way Adaptize succesfully translates quality into measurable units

9 Human factors Mål og nytte Respekt Kontroll Endret rolle, ikke status Brukerprofil

Forventninger Skills Begrensninger

9 Human factors (2) Patientens emosjonells tilstand Kommunikasjon – felles språk uavhengig

av nivå Sporbarhet Informasjonsutvelgelse

An assessment of parental satisfaction with mode of

delivery of specialist advice for cardiology: face-to-face

versus videoconference

Gwyn Weatherburn, Robin Dowie, Hema Mistry and Tracy Young

Journal of Telemedicine and Telecare, 2006

Hema Mistry graduated from the University of York with an MSc in Health Economics

Tracey Young Lecturer in Health Economics and Medical Statistics

Robin Dowie BA MA PhD Senior Research Fellow (1997-)

Gwyn Weatherburn  HDCR TDCR ACP MSc PhD

Buckinghamshire New University. Technologies in Healthcare Research Group and has developed a range of collaborative research projects in this area.  focussed on patient care and the improvement of patient management and outcomes.