Evidence map›Paper›PMID 34468333›Full record

Observational studyJournal of medical Internet research2021

Videoconferencing for Home Care Delivery in Japan: Observational Study.

Hirotomo Miyatake, Makoto Kosaka, Satoshi Arita, Chie Tsunetoshi, Hidehisa Masunaga, Yasuhiro Kotera, Yoshitaka Nishikawa, Akihiko Ozaki, Hiroyuki Beniya

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Hirotomo Miyatake *Orange Home-Care Clinic, Fukui, Japan.ORCID 0000-0002-3091-9910
Makoto Kosaka *Orange Home-Care Clinic, Fukui, Japan.ORCID 0000-0002-2948-4497
Satoshi AritaOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0003-4372-3877
Chie TsunetoshiOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0003-2149-9587
Hidehisa MasunagaOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0002-5653-8278
Yasuhiro KoteraCollege of Health, Psychology and Social Care, University of Derby, Derby, United Kingdom.ORCID 0000-0002-0251-0085
Yoshitaka NishikawaOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0003-3313-1990
Akihiko OzakiOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0003-4415-9657
Hiroyuki BeniyaOrange Home-Care Clinic, Fukui, Japan.ORCID 0000-0002-1481-0050
Jyoban Hospital of Tokiwa Foundation · JPThe University of Tokyo · JPUniversity of Derby · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine has been increasingly used in many health care fields, including home care, where patients receive medical care at home. Owing to the current COVID-19 crisis, the value of telemedicine via videoconferencing is more recognized, particularly in allowing immobile patients to continue receiving care. However, the efficacy of telemedicine in home care settings in Japan remains to be fully appraised.

objectiveThis study aims to identify the use and impact of telemedicine in a singular home care delivery setting in Japan.

methodsA retrospective observational study was conducted using patient and other administrative records from a home care clinic. We considered patients who were involved in videoconferencing with home care physicians and telepresenters serving patients during 2018 and 2019. We extracted sociodemographic data of the patients and details of the videoconferencing and descriptively illustrated some specific cases.

resultsIn a home care clinic in Japan, videoconferencing was conducted in 17 cases (involving 14 patients) over a 2-year period. Of all the cases, 12% (2/17) required emergency transfers and were hospitalized. A total of 88% (15/17) of cases remained; 71% (12/17) of cases were found to need extra medication or to go to a medical facility for consultation, whereas 18% (3/17) of cases were found not to be in need of urgent attention and were asked to rest. Problematic symptoms subsequently improved in 82% (14/17) of cases, and only 6% (1/17) of cases were later hospitalized.

conclusionsTelemedicine was deemed effective for assessing patients' conditions in the home care setting in situations where home visits by a physician cannot be carried out. Our findings indicate that consultations via videoconferencing are safe and effective, suggesting more active use of videoconferencing in other clinical contexts.

Indexed as

COVID-19Home Care ServicesTelemedicineDelivery of Health CareHumansJapanSARS-CoV-2Videoconferencingcaregiverhome caremobile phonetelehome caretelepresentervideoconference

Identifiers

PMID34468333
PMCPMC8444039
OpenAlexW3176993972

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.