Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care

The aim of this study was to investigate whether video consultations in the home can support a viable alternative to visits to the hospital outpatient clinic for patients with diabetic foot ulcers. And furthermore whether patients, relatives, visiting nurses, and experts at the hospital will experie...

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Main Authors: Jane Clemensen, Simon B. Larsen, Marit Kirkevold, Niels Ejskjaer
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2008/132890
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author Jane Clemensen
Simon B. Larsen
Marit Kirkevold
Niels Ejskjaer
author_facet Jane Clemensen
Simon B. Larsen
Marit Kirkevold
Niels Ejskjaer
author_sort Jane Clemensen
collection DOAJ
description The aim of this study was to investigate whether video consultations in the home can support a viable alternative to visits to the hospital outpatient clinic for patients with diabetic foot ulcers. And furthermore whether patients, relatives, visiting nurses, and experts at the hospital will experience satisfaction and increased confidence with this new course of treatment. Participatory design methods were applied as well as field observations, semistructured interviews, focus groups, and qualitative analysis of transcriptions of telemedical consultations conducted during a pilot test. This study shows that it is possible for experts at the hospital to conduct clinical examinations and decision making at a distance, in close cooperation with the visiting nurse and the patient. The visiting nurse experienced increased confidence with the treatment of the foot ulcer and characterized the consultations as a learning situation. All patients expressed satisfaction and felt confidence with this new way of working.
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spelling doaj-art-605cfff4143648dfbd4b21f48c4433d62025-08-20T02:06:35ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232008-01-01200810.1155/2008/132890132890Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital CareJane Clemensen0Simon B. Larsen1Marit Kirkevold2Niels Ejskjaer3University of Aarhus, Nordre Ringgade 1, Aarhus C 8000, DenmarkUniversity of Aarhus, Nordre Ringgade 1, Aarhus C 8000, DenmarkUniversity of Aarhus, Nordre Ringgade 1, Aarhus C 8000, DenmarkUniversity of Aarhus, Nordre Ringgade 1, Aarhus C 8000, DenmarkThe aim of this study was to investigate whether video consultations in the home can support a viable alternative to visits to the hospital outpatient clinic for patients with diabetic foot ulcers. And furthermore whether patients, relatives, visiting nurses, and experts at the hospital will experience satisfaction and increased confidence with this new course of treatment. Participatory design methods were applied as well as field observations, semistructured interviews, focus groups, and qualitative analysis of transcriptions of telemedical consultations conducted during a pilot test. This study shows that it is possible for experts at the hospital to conduct clinical examinations and decision making at a distance, in close cooperation with the visiting nurse and the patient. The visiting nurse experienced increased confidence with the treatment of the foot ulcer and characterized the consultations as a learning situation. All patients expressed satisfaction and felt confidence with this new way of working.http://dx.doi.org/10.1155/2008/132890
spellingShingle Jane Clemensen
Simon B. Larsen
Marit Kirkevold
Niels Ejskjaer
Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
International Journal of Telemedicine and Applications
title Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
title_full Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
title_fullStr Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
title_full_unstemmed Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
title_short Treatment of Diabetic Foot Ulcers in the Home: Video Consultations as an Alternative to Outpatient Hospital Care
title_sort treatment of diabetic foot ulcers in the home video consultations as an alternative to outpatient hospital care
url http://dx.doi.org/10.1155/2008/132890
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