Abstract
The purpose of this study was to clarify the willingness of use and usefulness of TV- Phone from client's /family caregiver's and nurse's acceptance levels/usefulness levels, and also to find out contributing factors to nurse's and client's willingness of use of TV-Phone. The subjects were 17 visiting nurses and 72 clients age 65 and over in two visiting nursing station in Tokyo. As a result, 1) Of 38 items, 34 were consistent between clients and nurses in acceptance and the usefulness levels of TV-Phone. 2) In the present home care services, there were 4 items (“improvement of health”,“time-saving for client”,“observation/judgment of pain”, and “prevention of fire”) affected clients' willingness of use of TV-Phone. 3) There were 9 items (“guidance/education of special nursing care”,“guidance/education on diet”,“anxiety and burden of caregiver”,“continuity of rehabilitation”,“improvement of willingness to live”,“expanding and improvement of interpersonal relationship”,“communication”,“convenience of TV-phone”, and “saving of insurance cost”) affected willingness of nurses on TV-Phone. 4) For home TV-Phone to become more useful, TV-Phone equipment should be widely available with easy operation and a payment system for welfare equipment should become a part of the Long-term care Insurance system.