title: Organizational factors associated with the use of telehospice.
abstract: We investigated organizational factors associated with the use of telehospice (defined as the use of video technology by hospices). The investigation was based on the 2007 National Home and Hospice Care Survey. There were 695 hospice agencies, of which 6% used telehospice. Logistic regression was used to examine the relation between use of hospice and a number of organizational factors. The dependent variable was the use/non-use of video technology in patient monitoring or consultations with professionals. Most of the variables that were significantly associated with the use of telehospice were related to characteristics of the agency director. If the director had at least a Masters degree or had a longer tenure as director of the agency, there was a higher likelihood that the agency used telehospice. If the director was a nurse, the likelihood that telehospice was used was considerably lower. Organizations with inter-agency contracts were less likely to use telehospice. Providing financial, training and organizational support to agencies that recognize the potential benefits of telehospice would probably assist in its future introduction.
authors.affiliation: Department of Communication, George Mason University, 4400 University Drive, MS 3D6, Fairfax, VA 22030, USA. Pbaldwi1@masonlive.gmu.edu
authors.forename: Paula K
authors.initials: PK
authors.lastname: Baldwin
authors.forename: William J
authors.initials: WJ
authors.lastname: McAuley
authors.forename: Joan
authors.initials: J
authors.lastname: Van Nostrand
mesh_terms: D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D004059:Diffusion of Innovation; D004493:Education / Q000592:standards; D017051:Hospice Care / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D009718:Nurse Administrators / Q000523:psychology*; D017216:Telemedicine / Q000706:statistics & numerical data*; D049269:Videoconferencing / Q000706:statistics & numerical data*