Paediatric palliative home care with Internet-based video-phones: lessons learnt

Title

Paediatric palliative home care with Internet-based video-phones: lessons learnt

Creator

Bensink M; Armfield N; Russell TG; Irving H; Wootton R

Publisher

Journal Of Telemedicine And Telecare

Date

2004

Subject

Child; Humans; home care services; Internet; Queensland; PPC Book Chapter 2011 (Kim Widger); Palliative Care/organization & administration; Child Health Services/organization & administration; Hospital-Based/organization & administration; Remote Consultation/organization & administration

Description

We have designed and tested an Internet-based video-phone suitable for use in the homes of families in need of paediatric palliative care services. The equipment uses an ordinary telephone line and includes a PC, Web camera and modem housed in a custom-made box. In initial field testing, six clinical consultations were conducted in a one-month trial of the videophone with a family in receipt of palliative care services who were living in the outer suburbs of Brisbane. Problems with variability in call quality--namely audio and video freezing, and audio break-up--prompted further laboratory testing. We completed a programme of over 250 test calls. Fixing modem connection parameters to use the V.34 modulation protocol at a set bandwidth of 24 kbit/s improved connection stability and the reliability of the video-phone. In subsequent field testing 47 of 50 calls (94%) connected without problems. The freezes that did occur were brief (with greatly reduced packet loss) and had little effect on the ability to communicate, unlike the problems arising in the home testing. The low-bandwidth Internet-based video-phone we have developed provides a feasible means of doing telemedicine in the home.
2004

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

10-13

Volume

10 Suppl 1

Citation

Bensink M; Armfield N; Russell TG; Irving H; Wootton R, “Paediatric palliative home care with Internet-based video-phones: lessons learnt,” Pediatric Palliative Care Library, accessed September 27, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12679.

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