scholarly journals Video conferencing for home care delivery in Japan and its emerging implications for the COVID-19 era: observational study (Preprint)

2020 ◽  
Author(s):  
Hirotomo Miyatake ◽  
Makoto Kosaka ◽  
Satoshi Arita ◽  
Chie Tsunetoshi ◽  
Hidehisa Masunaga ◽  
...  

BACKGROUND Telemedicine has been increasingly used in many healthcare fields including home care, where patients receive medical care at home. Due to the current COVID19 crisis, the value of telemedicine via video-conferencing (VC) is more recognized allowing immobile patients to continue to receive care. Despite the increased use, the efficacy of telemedicine in the home care settings in Japan remains to be appraised. OBJECTIVE The purpose of this study is to identify the use and impacts of telemedicine in home care delivery in Japan. METHODS Retrospective observational study was employed using patient and other administrative records stored in our home care clinic. We considered patients who were involved in VC with our home care physicians and telepresenters (medical assistant who is present with the patient during a telemedicine session) nearby the patients during 2018 and 2019. We extracted sociodemographic data of the patients and the process of unplanned video conferences and descriptively illustrated some informative cases. RESULTS In a home care clinic in Japan, VC was conducted in 17 cases (involving 14 patients) over the 2-year period. Of all the cases, two (11.8%) required emergency transfers and were hospitalized. In the remaining 15 cases, 12 were thought to need medications or go to a clinic for consultation, while the remaining three were ordered to rest. The symptoms subsequently improved in 14 cases, and only one patient was later hospitalized due to the development of pneumonia from an upper respiratory infection. CONCLUSIONS Consultations via VC were generally as safe and effective as the face-to-face. Telemedicine was deemed effective for assessing the patients’ conditions in the home care setting in situations where home visits cannot be carried out.

Author(s):  
Hirotomo Miyatake ◽  
Makoto Kosaka ◽  
Satoshi Arita ◽  
Chie Tsunetoshi ◽  
Hidehisa Masunaga ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S225-S225
Author(s):  
Jacob Lindsey ◽  
Elena Goodrich ◽  
Khoa Nguyen ◽  
Cierra Leon Guerrero ◽  
Colton Scavone ◽  
...  

Abstract Many older adults express a lack of confidence in using technology and this can become a barrier to participating in technology heavy research. This presentation will introduce the face-to-face digital communication, electronic medication adherence tracking, and online recruitment technology used in the I-CONECT study (ClinicalTrials.gov: NCT02871921). In particular, we will demonstrate how the project has simplified enterprise video conferencing for in-home use, removed obstacles related to remote hardware troubleshooting, and further discuss how it has been received by older adults who have participated thus far. Finally we will cover particular hurdles related to I-CONECT (e.g., targeting social isolated older adults, aiming to recruit 50% of participants being African American older subjects living in the Detroit Metropolitan area). Our experience indicates that such high tech gerontological research is feasible given a creative and solution-focused research approaches and multi-disciplinary team.


1992 ◽  
Vol 36 (3) ◽  
pp. 242-246
Author(s):  
Beverly L. Harrison ◽  
Mark H. Chignell ◽  
Ronald M. Baecker

Video mediated communication alters our perception of the way in which we interact and communicate. In contrast to face to face or audio only (e.g., telephone) communication, there is relatively little systematic research on the effect of video conferencing on communication within groups of people at dispersed locations (Harrison, 1991b; Harrison et al, 1992b; Sellen, 1992; Wolf, 1988; Cohen, 1982; Short, Williams, and Christie, 1976). In this paper we describe a study of how participants at three distant locations perceived differences between face to face (within site) and video mediated (between site) communication. Results indicate that participants perceived between site, mediated communication to be unnatural and uncomfortable. They felt there were problems with gaining floor control and with conversation flow. Additionally, participants perceived the between site, mediated communication to be less interactive, less social, and less enjoyable than the face to face, within site communication. The insights gained through this and other case studies, summarized here, will be used to guide our future research. This study is one in a series of field trials and controlled experiments aimed at understanding the human factors issues associated with video communication and the design of such systems.


2021 ◽  
Vol 5 (2) ◽  
pp. 98-104
Author(s):  
Astrid Wahyu Adventri Wibowo ◽  
Berty Dwi Rahmawati ◽  
Hasan Mastrisiswadi

The global pandemic of Corona Virus Disease (Covid-19) that hit Indonesia since March 2020 has changed the face-to-face system from offline to online. Video Conference (VC) becomes an alternative choice for delivering material, both learning and working. VC is a technology that allows users to hold face-to-face meetings at their respective places simultaneously. Various VC apps are becoming increasingly popular these days, such as Google Meet, Zoom, Youtube, Webex, Skype, GoTo Meeting, and Big Blue Button (BBB). This study is intended to provide a usability test of VC applications (such as Zoom, Google Meet, and BBB) and provide recommendations for VC as an online conference media based on user preferences. The usability measurement technique used is the System Usability Scale (SUS) and the USE questionnaire. The results of this study show that Zoom has the highest usability value compared to Google Meet and BBB, Google Meet is ranked second and BBB is ranked third.


2021 ◽  
Vol 13 (8) ◽  
pp. 4484
Author(s):  
Jana Vojteková ◽  
Anna Tirpáková ◽  
Dalibor Gonda ◽  
Michaela Žoncová ◽  
Matej Vojtek

The paper deals with distance learning of geographic information systems (GIS) at the Department of Geography and Regional Development FNS CPU in Nitra using various educational materials and the JitsiMeet application during the COVID-19 pandemic. Students of bachelor study had GIS lessons in face-to-face instruction in a computer room for half of a semester. In the middle of the semester, the COVID-19 pandemic broke out in Slovakia and the face-to-face instruction had to be reoriented to the distance form of learning. The first month of distance learning took place with the help of textbooks and video tutorials, which were sent to students. The task of the students that month was to study a new subject, then students were sent a questionnaire where they had to express their opinion on learning GIS using video tutorials and textbooks, but also indicate whether they had facilities for online learning (PC, audio and video outputs, Internet) as well as to express their views and experiences with online learning as such. Although after evaluating the questionnaire, up to 71% of students answered that they had learned a new subject from the video tutorials and 57% also from GIS textbooks, several percent of students were still unfit for this form of learning. That is why we went to lessons with the free JitsyMeet app, which allows for video conferencing, screen sharing, chat, and more. The aim of the paper is to point out the perception of distance GIS learning by university students during the COVID-19 pandemic.


2021 ◽  
Vol 7 (1) ◽  
pp. 15
Author(s):  
Froilan D Mobo

<p>The Impact of COVID-19 Pandemic made the business world stop and also the economic sector. Health protocols standard has been observed like social distancing, the mandatory wearing of facemask, and avoiding mass gathering. The researcher is proposing to use a video conferencing platform beside the learning management system because this will replace the face to face setup and realtime feedback from the students to the teacher. Video conferencing has always been a key ingredient in the recipe to success for enterprises and other educational sector hoping to connect with customers, remote workers, and even with the students, (BEAUFORD, 2020). The results suggest that current policies and teaching strategies can be adapted due to the outbreak of COVID-19. In relation to previous studies on the use of videoconferencing in higher education, Video Conferencing such as Zoom and Google meet the demands in a broader consideration of the relevant challenges that arise when using certain videoconferencing systems in learning and teaching situations and that can be used in the current scenario, (Khatib, 2020). Using Video Conferencing will not violate any quarantine protocols and this will ensure the safety of both students and the teachers, in times like this, we really need to adopt the new technology platforms embracing the effects of COVID-19 and might lead to the opening of the New Normal in all sectors.</p>


2021 ◽  
pp. OP.20.00535
Author(s):  
Jin Wei Kwek ◽  
Jack J. Chan ◽  
Ravindran Kanesvaran ◽  
Michael L. C. Wang ◽  
Patricia S. H. Neo ◽  
...  

PURPOSE: We present the strategy of a comprehensive cancer center organized to make operations pandemic proof and achieve continuity of cancer care during the COVID-19 pandemic. METHODS: Disease Outbreak Response (DORS) measures implemented at our center and its satellite clinics included strict infection prevention, manpower preservation, prudent resource allocation, and adaptation of standard-of-care treatments. Critical day-to-day clinical operations, number of persons screened before entry, staff temperature monitoring, and personal protection equipment stockpile were reviewed as a dashboard at daily DORS taskforce huddles. Polymerase chain reaction swab tests performed for patients and staff who met defined criteria for testing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were tracked. Descriptive statistics of outpatient attendances and treatment caseloads from February 3 to May 23, 2020, were compared with the corresponding period in 2019. RESULTS: We performed COVID-19 swabs for 80 patients and 93 staff, detecting three cancer patients with community-acquired COVID-19 infections with no nosocomial transmission. Patients who required chemotherapy, radiotherapy, or surgery and patients who are on maintenance treatment continued to receive timely treatment without disruption. The number of intravenous chemotherapy treatments was maintained at 97.8% compared with 2019, whereas that of weekly radiotherapy treatments remained stable since December 2019. All cancer-related surgeries proceeded without delay, with a 0.3% increase in workload. Surveillance follow-ups were conducted via teleconsultation, accounting for a 30.7% decrease in total face-to-face clinic consultations. CONCLUSION: Through the coordinated efforts of a DORS taskforce, it is possible to avoid nosocomial SARS-CoV-2 transmissions among patients and staff without compromising on care delivery at a national cancer center.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Kinsella ◽  
I Hassan ◽  
C Malone

Abstract Aim In response to COVID-19 and social distancing guidelines, healthcare services have evolved. Telehealth is part of this change and many services introduced virtual telephone clinics. The HSE recently approved a video conferencing tool, ‘Attend Anywhere’, however this is not widely used at present. We have received positive feedback from patients, but only a few studies provide information on overall satisfaction of virtual consultations. We aim to validate this by assessing preferences towards virtual telephone and video consultations. Method 50 patients from the breast care clinic were included. Patients excluded were any new symptomatic patients or those with any incapacity. Questionnaires with Likert scales were used to assess patient and clinician attitudes towards ‘phone’ (PC) or ‘video’ consultations (VC). Results The majority of patients (64%) requested a PC rather than a VC (36%). More patients used technology regularly in the VC group (88%) than the PC group (69%), and 94% of VC patients had experience with video calls (47% PC). VC patients felt safe using ‘Attend Anywhere’(94%), said it was ‘more personal’ than a phone call (72%) but preferred face-to-face for future consultations as they ‘liked the reassurance of a physical exam’(78% VC; 59% PC). All clinicians felt the lack of examination in virtual clinics impacts the doctor-patient relationship and would prefer face-to-face consultations where possible. Conclusions Our findings demonstrate a positive patient and clinician attitude to virtual clinics, however face-to-face appointments are preferred by both groups. We will repeat this survey following COVID-19 restrictions to determine if attitudes have changed.


2011 ◽  
Vol 23 (6) ◽  
pp. 467-476
Author(s):  
Susan S. Niewenhous
Keyword(s):  

Home care had undergone yet another round of changes during the first quarter of 2011. Changes in therapy documentation and the “face-to-face” requirement both settled in for good on April 1st. Yet only one question was posed to CMS during the preceding 3 months regarding either of these new requirements. Instead, insightful questions concerning a wide variety of OASIS items were posed for clarification, the synopsis of which follows.


2014 ◽  
Vol 23 (3) ◽  
pp. 132-139 ◽  
Author(s):  
Lauren Zubow ◽  
Richard Hurtig

Children with Rett Syndrome (RS) are reported to use multiple modalities to communicate although their intentionality is often questioned (Bartolotta, Zipp, Simpkins, & Glazewski, 2011; Hetzroni & Rubin, 2006; Sigafoos et al., 2000; Sigafoos, Woodyatt, Tuckeer, Roberts-Pennell, & Pittendreigh, 2000). This paper will present results of a study analyzing the unconventional vocalizations of a child with RS. The primary research question addresses the ability of familiar and unfamiliar listeners to interpret unconventional vocalizations as “yes” or “no” responses. This paper will also address the acoustic analysis and perceptual judgments of these vocalizations. Pre-recorded isolated vocalizations of “yes” and “no” were presented to 5 listeners (mother, father, 1 unfamiliar, and 2 familiar clinicians) and the listeners were asked to rate the vocalizations as either “yes” or “no.” The ratings were compared to the original identification made by the child's mother during the face-to-face interaction from which the samples were drawn. Findings of this study suggest, in this case, the child's vocalizations were intentional and could be interpreted by familiar and unfamiliar listeners as either “yes” or “no” without contextual or visual cues. The results suggest that communication partners should be trained to attend to eye-gaze and vocalizations to ensure the child's intended choice is accurately understood.


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