Skjer’a? - hva mener brukerne

1. Skjer’a?- hva mener brukerne Kari Hagen, informasjonsrådgiverFrambu

2. Systematic review of studies of patienet satisfaction with telemedicine Frances Mair & Pamela WittenBritish Medical Journal 2000

3. 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.

4. Review 1966-1998 • Patient satisfaction • 32 undersøkelser inkludert • < 20: 10 studier • 21 - 100: 14 studier • > 100: 7 studier

5. 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

6. 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

7. Ryan J. Spaulding, PhD is the Director of the Center for Telemedicine and Telehealth at the 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. 

8. Kompetansesenter – lokale skoler • Kansas, USA • Asthma, diabetes, cancer, CF, hjertesykdom, AIDS • 45 1-times presentasjoner • 1389 deltakere (919 FTF – 417 VK) • Spørreskjema

9. 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

10. 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?

11. Resultat • Very satisfied mean: VK 4.3 – FTF 4.6 • Opplevd kvalitet • Komfortabilitet • Konklusjon • Alle godt fornøyd • Trenger mer erfaring

12. Service users’ acceptability of videoconferencing as a form of service delivery Victoria Styles Journal of Telemedicine and Telecare, 2008

13. Victoria Styles Speech and Language Therapist • Communication Aid CentreBristol UK • 19 sentre – 600.000 med kommunikasjons-problemer

14. Studie av 12 grupper • Klient, lokale språkterapeuter møter logoped/språkterapeuter fra senteret på VK • Vurderingsmøte • Oppfølgingsmøte • Spørreskjema – ja/nei – 4 områder • 45 svar

15. Egnet til bruk • 88% satisfaction vurderingsmøten • 95% satisfaction med oppfølgingsmøtene • Fagpersonene: • Kroppsspråk • Kommunikasjon med lokale fagpersoner • ..ville ikke i bildet…

16. Nine human factors contributing to the user acceptance of telemedicine application: a cognitive-emotional approach Susanne Buck Journal of Telemedicine and Telecare, 2009

17. 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

18. 9 Human factors • Mål og nytte • Respekt • Kontroll • Endret rolle, ikke status • Brukerprofil • Forventninger • Skills • Begrensninger

19. 9 Human factors (2) • Patientens emosjonells tilstand • Kommunikasjon – felles språk uavhengig av nivå • Sporbarhet • Informasjonsutvelgelse

20. 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 YoungJournal of Telemedicine and Telecare, 2006

21. 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. Tracey Young Lecturer in Health Economics and Medical Statistics Hema Mistry graduated from the University of York with an MSc in Health Economics Robin Dowie BA MA PhD Senior Research Fellow (1997-)