How virtual admission affects coping – telemedicine for patients with chronic obstructive pulmonary disease.
Source: Emme et al. 2013 - Pubmed ID: 24372676
Setting: Denmark, Hospital
RCT-pro
Follow up: 3 months after discharge from hospital or virtual admission
Sample size in interviews:
Total: 12
Sample size in intervention:
Total: 52 (50)
IG: 25 (25)
CG: 27(25)
Inclusion criteria:
- COPD
- GOLD stage III-IV
- Estimated duration of admission >two days
- Completion of virtual admission and at least one admission due to COPD within the last year
Home monitoring
- Touch screen with an embedded video-conference system
- Spirometer
- Pulse oximeter
- Thermometer
Intervention: Patients are hospitalized in the Virtual Hospital and have 1-4 contacts/day, mean duration 19 min). Virtual ward rounds included medical treatment and implied measurements of vital signs, evaluation of medication plan and symptom management.
Duration: NA
Add on: NA
Control group: NA
Clinical effect: NA
Patient safety: NA
Patient experience: The patients are struggling to be in control of life with COPD (four categories represent different aspects hereof, during and after virtual admission):
- Complete powerlessness
- Dependency
- Pursuit of regaining autonomy
- Efforts to remain in control of problems related to COPD.
The patients could not apply their coping experiences after virtual admission, unless they had access to the equipment.
Staff experience: NA
Investment:
Equipment
- Touch screen with an embedded video-conference system
- Spirometer
- Pulse oximeter
- Thermometer
Running:
- Training patients in using the telemedical and medical equipment
- Installing equipment in the homes
- Standard medication used for exacerbations in the homes
- Call centre, organised by the hospital and manned by experienced nurses and doctors
- Patients solving more disease related tasks than when hospitalized
- Relatives more involved in tasks and decisions when patients are at home.
Organization: NA
Health care utilization: NA