title: Design, implementation, and evaluation of population-specific telehealth nursing services.
abstract: An implementation project was conducted to introduce a structure for telehealth nursing practice (TNP) which would address the specific needs of complex endocrinology patients in a hospital-based clinic. Outcomes of the pilot study include analysis of 727 advice calls, survey responses from a sample of 101 patients, and feedback from 9 providers. Results support current evidence that disease management needs of chronically ill patients include prescription refills, medication and symptom management, lab results, and patient education. 81.2% of patients rated satisfaction with telehealth nursing services as very high or high. A statistically significant relationship was found between timeliness of response and patient satisfaction. A focus on care coordination provided through telehealth nursing services may emerge as an important element in the care of chronically ill patient populations.
authors.affiliation: Duke University Health System, Durham, NC, USA.
authors.forename: Mary H
authors.initials: MH
authors.lastname: Vinson
authors.forename: Rex
authors.initials: R
authors.lastname: McCallum
authors.forename: Deirdre K
authors.initials: DK
authors.lastname: Thornlow
authors.forename: Mary T
authors.initials: MT
authors.lastname: Champagne
mesh_terms: D005260:Female; D017048:Health Care Costs; D006284:Health Plan Implementation; D015277:Hotlines / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008659:Metabolic Diseases / Q000451:nursing*; D017060:Patient Satisfaction; D010865:Pilot Projects; D015397:Program Evaluation; D055817:Telenursing / Q000191:economics / Q000458:organization & administration*; D014481:United States