[Videophone assistance and home hospitalization: the ViSaDom program].
OBJECTIVE
The purpose of this project was to study the clinical feasibility of videophone-based communication between patients in their homes, and the care teams who work in the Home Hospitalization department (HH).


METHODS
This pilot study of videophone users compared them with a group of control patients also in HH. They came from either the adult, maternity or pediatric departments. Patients who met the inclusion criteria and consented to participate in the study were randomly assigned to one of two groups: those who had a videophone installed in their homes (telemedicine group), and those who received the standard HH care (control group). Sixteen patients in the telemedicine group were matched with 16 from the control group, according to age, Karnofsky Index score, and the reason for HH admission.


RESULTS
The mean videophone call lasted six minutes, and patients averaged 23 calls each over the study period (0.7 calls per patient per working day). The videophone enabled better follow-up of wounds: for example, the nurse could transmit photos from the patient's home for real-time coordination. It was also useful for following patients suffering from pain, for technical nursing care, and for educating patients and their caregivers. Anxiety (measured with the Hospital Anxiety and Depression Scale) diminished during the study period for the telemedicine patients, compared with the control group (p=0.048). Within the telemedicine group, all patients and their families were very satisfied or satisfied with their care and with the communication (15/15), although the staff's level of satisfaction was slightly lower (14/16); there were no significant differences between groups.


CONCLUSIONS
The ViSaDom program indicates that videophone communication is feasible and acceptable and could be a useful tool for improving the quality, efficiency and effectiveness of care.
Nicolas
L
L
Réseau d'Hospitalisation Domicile, Département de Médecine Gériatrique, CHU, Grenoble (38). LNicolas@chu-grenoble.fr
Franco
A
A
Provost
H
H
Amico
L
L
Berenguer
M
M
Lombard
F
F
Tyrrell
J
J
Couturier
P
P
Bosson
J L
JL
Wernert
S
S
Schnee
D
D
Basset
D
D
Chemarin
A
A
Frossard
M
M
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003627:Data Interpretation, Statistical; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D005260:Female; D018575:Home Care Services, Hospital-Based; D006748:Hospital Departments; D006760:Hospitalization; D006785:Hospitals, University; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010865:Pilot Projects; D017216:Telemedicine / Q000941:ethics / Q000295:instrumentation / Q000331:legislation & jurisprudence; D013689:Telephone; D013997:Time Factors