Effectiveness of Tele-Health Care Services Among Elderly with Chronic Conditions

Friday, July 15, 2011: 8:50 AM

Ching-Min Chen, DNS
Department of Nursing/ Institute of Gerontology, National Cheng Kung University, Tainan, Taiwan

Learning Objective 1: To understand the various models of tele-health care services.

Learning Objective 2: To examine the effectiveness of the tele-health care serives in terms of satisfaction, health status, health literacy, self-efficacy and self-care behaviors.

Aging is a global issue. The aging speed of Taiwan society is even faster than that of the most of counties. In support of the notion of “Aging-in-Place”, Government of Taiwan therefore has implemented the Tele-healthcare project for elderly with chronic conditions since 2007. The advancement of information and communication technologies will allow nurses to provide safe, effective and timely information and surveillance to of distant living elderly with chronic conditions. Past evidence showed the value of providing tele-healthcare in a community health nursing arena. The purposes of this study were to review the current operation of the service (institution-, community-, and home-based) models, and to evaluate the effectiveness of the services in terms of users’ satisfaction, and health literacy, care self-efficacy, self-care behaviors and health status. Both qualitative and quantitative research design were utilized. Sixty elderly have used the various tele-health care service models were home-visited and in-depth interviewed to explore their use and perception on the service. The 305 returned the questionnaires revealed that subjects only “occasionally-usually” (mean=3.63±0.86) use the service. The more frequently use the service, there would be better in subjects’ care self-efficacy, self-care behaviors and health status and also satisfaction toward the service. Home-based and community-based tele-healthcare users were significantly more satisfied with the service than that of the institution-based users. Results of this study indicated that community health nurses can play coordinate services to improve elders’ health and the notion of “aging successfully” can be realized.