Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients
Telemedicine provides a possibility to deal with the scarcity of resources and money in the health care system. Palliative care has been suggested to be appropriate for an increasing number of patients with neurodegenerative disorders, but these patients often lack care from either palliative care o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00510/full |
| _version_ | 1811341791787483136 |
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| author | Christiane Eva Weck Katharina Maria Lex Stefan Lorenzl Stefan Lorenzl Stefan Lorenzl |
| author_facet | Christiane Eva Weck Katharina Maria Lex Stefan Lorenzl Stefan Lorenzl Stefan Lorenzl |
| author_sort | Christiane Eva Weck |
| collection | DOAJ |
| description | Telemedicine provides a possibility to deal with the scarcity of resources and money in the health care system. Palliative care has been suggested to be appropriate for an increasing number of patients with neurodegenerative disorders, but these patients often lack care from either palliative care or neurology. Since palliative care means a multidisciplinary approach it is meaningful to use palliative care structures as a basis. There exists no systematic access to neurological expertise in an outpatient setting. A successful link of two existing resources is shown in this project connecting the Department of Neurology of an University Hospital with specialized outpatient palliative care (SPC) teams. A videocounselling system is used to provide expert care for neurological outpatients in a palliative setting.Methods: A prospective explorative single arm pilot trial was implemented to provide a mobile telesystem for 5 SPC teams. The opportunity was given to consult an expert in neuropalliative care at the specialized center in the hospital (24/7). Semistructured interviews were conducted with the physicians of the SPC teams after a trial duration of 9 months.Results: Our data provides strong evidence that the technical structure applied in this project allows a reasonable neurological examination at distance. Qualitative interviews indicate a major impact on the quality of work for the SPC teams and on the quality of care for neurological patients.Conclusion: The system proves to be useful and is well accepted by the SPC teams. It supplies a structure that can be transported to other disciplines. |
| first_indexed | 2024-04-13T19:00:10Z |
| format | Article |
| id | doaj.art-4dd00c131454490c90751f3fc507f241 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-13T19:00:10Z |
| publishDate | 2019-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-4dd00c131454490c90751f3fc507f2412022-12-22T02:34:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-05-011010.3389/fneur.2019.00510416939Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological PatientsChristiane Eva Weck0Katharina Maria Lex1Stefan Lorenzl2Stefan Lorenzl3Stefan Lorenzl4Krankenhaus Agatharied GmbH, Hausham, GermanyInstitut für Pflegewissenschaft und -Praxis, Paracelsus Medizinische Privatuniversität, Salzburg, AustriaKrankenhaus Agatharied GmbH, Hausham, GermanyInstitut für Pflegewissenschaft und -Praxis, Paracelsus Medizinische Privatuniversität, Salzburg, AustriaPalliative Care, Ludwig Maximilian University of Munich, Munich, GermanyTelemedicine provides a possibility to deal with the scarcity of resources and money in the health care system. Palliative care has been suggested to be appropriate for an increasing number of patients with neurodegenerative disorders, but these patients often lack care from either palliative care or neurology. Since palliative care means a multidisciplinary approach it is meaningful to use palliative care structures as a basis. There exists no systematic access to neurological expertise in an outpatient setting. A successful link of two existing resources is shown in this project connecting the Department of Neurology of an University Hospital with specialized outpatient palliative care (SPC) teams. A videocounselling system is used to provide expert care for neurological outpatients in a palliative setting.Methods: A prospective explorative single arm pilot trial was implemented to provide a mobile telesystem for 5 SPC teams. The opportunity was given to consult an expert in neuropalliative care at the specialized center in the hospital (24/7). Semistructured interviews were conducted with the physicians of the SPC teams after a trial duration of 9 months.Results: Our data provides strong evidence that the technical structure applied in this project allows a reasonable neurological examination at distance. Qualitative interviews indicate a major impact on the quality of work for the SPC teams and on the quality of care for neurological patients.Conclusion: The system proves to be useful and is well accepted by the SPC teams. It supplies a structure that can be transported to other disciplines.https://www.frontiersin.org/article/10.3389/fneur.2019.00510/fullneurologicaltelemedicineneuropalliative carespecialized outpatient palliative care teamvideoconsultation |
| spellingShingle | Christiane Eva Weck Katharina Maria Lex Stefan Lorenzl Stefan Lorenzl Stefan Lorenzl Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients Frontiers in Neurology neurological telemedicine neuropalliative care specialized outpatient palliative care team videoconsultation |
| title | Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients |
| title_full | Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients |
| title_fullStr | Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients |
| title_full_unstemmed | Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients |
| title_short | Telemedicine in Palliative Care: Implementation of New Technologies to Overcome Structural Challenges in the Care of Neurological Patients |
| title_sort | telemedicine in palliative care implementation of new technologies to overcome structural challenges in the care of neurological patients |
| topic | neurological telemedicine neuropalliative care specialized outpatient palliative care team videoconsultation |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00510/full |
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