Telemedicine journal and e-health : the official journal of the American Telemedicine Association
-
The objective of this study was to examine the factors that might influence the use of personal digital assistant devices (PDAs) by physicians for assistance in the delivery of their routine patient care. An Internet-based single-institution survey was done of internal medicine resident physicians. None of the baseline demographic characteristics measured were associated with whether PDAs were being used or not by resident physicians in patient care. ⋯ Similar to previous studies, the majority of those in this cohort owned PDAs, and most of those who owned one used it for assistance in delivery of their patient care. It is concluded that users of PDAs for medical purposes differ from nonusers in certain attitudes and opinions, and standardized test scores may correlate with different patterns of use. These results may be useful in helping medical leaders overcome barriers to more full adoption of PDAs as a tool for effective patient care.
-
Research is yet to fully examine the utility and effectiveness of telehealth in primary care resident ambulatory training. This study examined the attitudes of preceptors, residents, and nurses on (1) the impact of telehealth on healthcare; (2) the impact of telehealth on the work activity of resident clinics; (3) the impact of telehealth on resident training in the outpatient setting; and (4) the impact of telehealth on relationships. ⋯ Eight focus group themes evolved regarding the use of telehealth in the resident clinic: (1) impact on patient/provider relationships; (2) consistent with the values of those using telehealth; (3) logistics; (4) reduces patient transfers; (5) appropriate level of care; (6) reimbursement concerns; (7) psychological risk; and (8) impact on resident/attending relationships. Though as yet not generalizable, results of this pilot study suggest that there is general acceptability of telehealth in ambulatory resident training settings, but there is concern about the impact that telehealth may have on relationships, logistics, finances, and the need to see patients face-to-face when there is greater complexity.