Potential of telephonic and television technology for appraising and diagnosing neurogenic communication disorders in remote settings

Authors:

• Robert T. Wertz

• Nina F. Dronkers

• Ellen Bernstein-Ellis

• Lisa K. Sterling

• Yvonne Shubitowski

• Roberta Elman

• Gregory K Shenaut

• Robert T. Knight

• Jon L. Deal

Date: 1992

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Abstract:

Telephonic and television technology was employed in a simulation study to determine its potential for providing appraisal and diagnosis of patients who suffer neurogenic communication disorders and reside in remote settings. Traditional, face-to-face appraisal and diagnosis was compared with appraisal and diagnosis by closed circuit television and computer-controlled video laserdisc over the telephone. Significant agreement in diagnosis among the three appraisal conditions and essentially the same performance on appraisal measures in all conditions suggests either closed circuit television or computer-controlled video laserdisc over the telephone could be substituted for traditional, face-to-face appraisal and diagnosis to reach patients who reside where traditional services do not exist.

Appraisal and diagnosis of neurogenic communicative disorders in remote settings

Authors:

• Robert T. Wertz

• Nina F. Dronkers

• Ellen Bernstein-Ellis

• Yvonne Shubitowski

• Roberta Elman

• Gregory K Shenaut

• Robert T. Knight

• Jon L. Deal

Date: 1987

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Abstract:

Patients who suffer neurogenic communication disorders and reside in remote settings either do not receive services or they must travel long distances or become inpatients for extended periods. No services is unacceptable, because all patients merit appraisal and a diagnosis, and many respond to treatment with improvement in their communication. Traveling long distances for services is unacceptable, because it is expensive, inconvenient, may be contraindicated by the patient's medical condition, requires a means of transportation which often does not exist, and must be frequent and protracted. Hospitalization is also unacceptable, because the communication disorder does not necessitate hospitalization, it usurps a bed, carries a patient beyond DRG length-of-stay criteria, removes him or her from the home environment, and is expensive. There is a need to develop means for managing patients who live in remote settings.

Appraisal and diagnosis of neurogenic communicative disorders in remote settings

Authors:

• Robert T. Wertz

• Nina F. Dronkers

• Ellen Bernstein-Ellis

• Yvonne Shubitowski

• Roberta Elman

• Gregory K Shenaut

• Robert T. Knight

• Jon L. Deal

Date: 1987

View PDF