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A High Road to Dutch Healthcare Reform Read chapter Read first chapter

2011 | OriginalPaper | Chapter

Home Medication Management by Videophone: Translation from Pilot Project to Integrated Service

Authors : Victoria A. Wade, Angela Littleford, Debbie Kralik

Published in: Handbook of Digital Homecare

Publisher: Springer Berlin Heidelberg

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Abstract

The implementation of a telehomecare medication management service, by a community health and care organisation, is described from pilot project to ongoing service. Nurses undertake virtual visits using videophones to guide and monitor medication administration for home-based clients with cognitive impairment, or for those receiving directly observed therapy for tuberculosis. Changes in nursing roles, the development of new clinical protocols and procedures, and a new method of providing flexible, high bandwidth connectivity to the home were developed. Clients reported the telehealth service to be convenient, reassuring, and less intrusive than face-to-face contact, and found the videophones easy to operate. The nursing service found the telehealth service was safe, reliable, cost-effective, and that clients improved their health status. The translation to service integration was accomplished by dedicated resourcing, staff education, addressing staff concerns, the development of a telehealth unit, and a clinical–technical partnership. The critical organizational success factors were the engagement of clinicians, clear development of new professional roles, a continuing change management strategy, and leadership.

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previous chapter AAL+: Continuous Institutional and Home Care Through Wireless Biosignal Monitoring Systems
next chapter The Introduction of Activity Monitoring as Part of Care Delivery to Independently Living Seniors
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Metadata
Title
Home Medication Management by Videophone: Translation from Pilot Project to Integrated Service
Authors
Victoria A. Wade
Angela Littleford
Debbie Kralik
Copyright Year
2011
Publisher
Springer Berlin Heidelberg
Book
Handbook of Digital Homecare

Print ISBN: 978-3-642-19646-1

Electronic ISBN: 978-3-642-19647-8

Copyright Year: 2011

DOI
https://doi.org/10.1007/8754_2011_26