Telemed J E Health - A systematic review of the evidence base for telehospice.

Tópicos

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Resumo

Abstract The use of telehealth technologies to overcome the geographic distances in the delivery of hospice care has been termed telehospice. Although telehospice research has been conducted over the last 10 years, little is known about the comprehensive findings within the field. The purpose of this systematic article was to focus on available research and answer the question, What is the state of the evidence related to telehospice services? The article was limited to studies that had been published in the English language and indexed between January 1, 2000 and March 23, 2010. Indexed databases included PubMed and PsycINFO and contained specified key words. Only research published in peer review journals and reporting empirical data, rather than opinion or editorials, were included. A two-part scoring framework was modified and applied to assess the methodological rigor and pertinence of each study. Scoring criteria allowed the evaluation of both quantitative and qualitative methodologies. Twenty-six studies were identified with the search strategy. Although limited in number and in strength, studies have evaluated the use of a variety of technologies, attitudes toward use by providers and consumers, clinical outcomes, barriers, readiness, and cost. A small evidence base for telehospice has emerged over the last 10 years. Although the evidence is of medium strength, its pertinence is strong. The evidence base could be strengthened with randomized trials and additional clinical-outcome-focused research in larger randomized samples and in qualitative studies with better-described samples.

Resumo Limpo

abstract use telehealth technolog overcom geograph distanc deliveri hospic care term telehospic although telehospic research conduct last year littl known comprehens find within field purpos systemat articl focus avail research answer question state evid relat telehospic servic articl limit studi publish english languag index januari march index databas includ pubm psycinfo contain specifi key word research publish peer review journal report empir data rather opinion editori includ twopart score framework modifi appli assess methodolog rigor pertin studi score criteria allow evalu quantit qualit methodolog twentysix studi identifi search strategi although limit number strength studi evalu use varieti technolog attitud toward use provid consum clinic outcom barrier readi cost small evid base telehospic emerg last year although evid medium strength pertin strong evid base strengthen random trial addit clinicaloutcomefocus research larger random sampl qualit studi betterdescrib sampl

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