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Youjeong Kang, Matthew D McHugh, Jesse Chittams, Kathryn H Bowles
OBJECTIVE: To identify potential risk factors associated with rehospitalization among Medicare recipients with heart failure (HF) receiving telehomecare. MATERIALS AND METHODS: This study is a nonexperimental, cross-sectional secondary data analysis of the Centers for Medicare and Medicaid (CMS) mandated assessment called the Outcome and Assessment Information Set (OASIS)-C, provided by a large home care company. A total of 526 patients who received telehomecare from January 1, 2011 to August 31, 2013 were included in the analyses, which used multiple logistic regression...
September 30, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Miki Akiyama, Byung-Kwang Yoo
OBJECTIVES: There is no systematic review on economic evaluations of telemedicine in Japan, despite over 1000 trials implemented. Our systematic review aims to examine whether Japan's telemedicine is cost-saving or cost-effective, examine the methodological rigorousness of the economic evaluations, and discuss future studies needed to improve telemedicine's financial sustainability. METHODS: We searched five databases, including two Japanese databases, to find peer-reviewed articles published between January 1, 2000 and December 31, 2014 in English and Japanese that performed economic evaluations of Japan's telemedicine programs...
July 2016: Journal of Preventive Medicine and Public Health, Yebang Ŭihakhoe Chi
Lisa Korsbakke Emtekaer Haesum, Lars Ehlers, Ole K Hejlesen
This study was conducted as part of a randomized, controlled trial, and explored whether the introduction of a Danish telehomecare intervention, referred to as 'the Telekit', and its associated educational components affect functional health literacy. The study sample consisted of 60 chronic obstructive pulmonary disease patients in the intervention group who received the Telekit, and 56 in the control group; all participants were collected from the large-scale, randomized TeleCare North trial by consecutive sampling...
September 2016: Nursing & Health Sciences
Youjeong Kang, Matthew D McHugh, Jesse Chittams, Kathryn H Bowles
Heart failure is a complex condition with a significant impact on patients' lives. A few studies have identified risk factors associated with rehospitalization among telehomecare patients with heart failure using logistic regression or survival analysis models. To date, there are no published studies that have used data mining techniques to detect associations with rehospitalizations among telehomecare patients with heart failure. This study is a secondary analysis of the home healthcare electronic medical record called the Outcome and Assessment Information Set-C for 552 telemonitored heart failure patients...
April 2016: Computers, Informatics, Nursing: CIN
F Murgia, F Bianciardi, T Solvoll, I Tagliente, F Bella, A Carestia, S Bella
OBJECTIVES: We studied the effect of Telehomecare (THC) in a group of cystic fibrosis (CF) patients. MATERIALS AND METHODS: Forced Expiratory Volume in the first second (FEV1) was monitored at home, with the aim of an early recognition of the relapses of pulmonary infections. FEV1 was monitored for 4.5 years, using THC as a tool, in addition to the standard therapeutic protocol. 16 CF patients were followed by doctors experts in the treatment of CF, over a period of 4...
November 2015: La Clinica Terapeutica
Gemma Hunting, Nida Shahid, Yeva Sahakyan, Iris Fan, Crystal R Moneypenny, Aleksandra Stanimirovic, Taylor North, Yelena Petrosyan, Murray D Krahn, Valeria E Rac
BACKGROUND: Despite research demonstrating the potential effectiveness of Telehomecare for people with Chronic Obstructive Pulmonary Disease and Heart Failure, broad-scale comprehensive evaluations are lacking. This article discusses the qualitative component of a mixed-method program evaluation of Telehomecare in Ontario, Canada. The objective of the qualitative component was to explore the multi-level factors and processes which facilitate or impede the implementation and adoption of the program across three regions where it was first implemented...
2015: BMC Health Services Research
Simon Bo Larsen, Nanna Skovgaard Sørensen, Matilde Grøndahl Petersen, Gitte Friis Kjeldsen
: Although evidence of the effectiveness of telemedicine is accumulating, knowledge of how to make best use of telemedicine is limited. This article presents results from a multi-stakeholder project that developed a new concept, a 'shared service centre' for telemedicine that is envisioned as working across different telemedical initiatives to support the implementation and wider adoption of telemedicine. One year of participatory design and analysis of the shared service centre concept involved stakeholders, such as clinicians, patients, technicians, policy makers, lawyers, economists and information technology architects...
August 10, 2015: Health Informatics Journal
Sandra Mierdel, Kirk Owen
The Ontario Telemedicine Network's Telehomecare initiative brings together specially trained clinicians and technology to coach patients with COPD and/or heart failure to monitor vital signs and manage their health at home. The objective of the study was to evaluate pre- and post-enrollment and post discharge data captured by Telehomecare host William Osler Health System (WOHS). Results demonstrate a 46% reduction in emergency department use and a 53% reduction in hospitalizations post-enrollment compared to pre-enrollment...
2015: Studies in Health Technology and Informatics
Birthe Dinesen, Lotte Huniche, Egon Toft
The aim of this paper is to describe patients' attitudes towards tele-rehabilitation in the Danish TELEKAT (for Telehomecare, Chronic Patients and the Integrated Healthcare System) project, in order to better understand patients' behavior when performing tele-rehabilitation activities in home surroundings. A total of 111 COPD patients were included in the study, and they were randomized into an intervention group (n = 60) and a control group (n = 51). However, a non-randomized design was used to analyze the qualitative perspectives of the patients' attitudes towards tele-rehabilitation...
November 2013: International Journal of Environmental Research and Public Health
Lise Lamothe, Marie-Andrée Paquette, Jean-Paul Fortin, Françoise Labbé, Djamel Messikhs, Julie Duplantie
AIM: The purpose of this study was to understand how home telecare technologies can be used to improve services for people with chronic diseases. METHODS: Canadian elders with at least one of the targeted chronic diseases (COPD, heart failure, hypertension, diabetes) were asked to use telehomecare equipment. The data needed to assess the implementation process and to monitor outcomes were collected through participatory observation, documentary analysis and interviews...
March 2013: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Lisa Korsbakke Emtekær Hæsum, Lars Ehlers, Ole K Hejlesen
Chronic obstructive pulmonary disease (COPD) is a chronic disease characterised by a graduate decline of pulmonary function and it constitutes a provable burden on society. Tele-homecare technology (THC) is a young field of research that has shown potential with regards to enhancing the level of self-management among COPD patients. Self-management is closely connected to health literacy. Health literacy and THC have shown great potential in terms of reducing healthcare costs and improving quality of life for COPD patients...
2013: Studies in Health Technology and Informatics
Guy Paré, Placide Poba-Nzaou, Claude Sicotte
OBJECTIVES: There have been very few assessments of the economics of home telemonitoring, and the quality of evidence has often been weakened by methodological flaws. This has made it difficult to compare telehomecare with traditional home care for the chronic diseases studied. This economic analysis is an attempt to address this gap in the literature. METHODS: We have analyzed the consumption of healthcare services by 95 patients with various chronic diseases over a 21-month period, that is, 12 months before, 4 months during home telemonitoring use, and over 5 months after withdraw of the technology...
April 2013: International Journal of Technology Assessment in Health Care
Lisa K E Haesum, Natascha Soerensen, Birthe Dinesen, Carl Nielsen, Ove Grann, Ole Hejlesen, Egon Toft, Lars Ehlers
OBJECTIVE: The present study seeks to conduct cost-utility analysis (CUA) of the Danish TELEKAT (Telehomecare, Chronic Patients and the Integrated Healthcare System) project. The TELEKAT project seeks to test and develop a preventive home monitoring concept across sectors for chronic obstructive pulmonary disease (COPD) patients. The concept of the TELEKAT project is to reduce admissions by enabling the COPD patients to conduct self-monitoring and maintain rehabilitation activities in their own home...
November 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
F Murgia, C Cotognini, E Montemitro, M Cilli, E Renzetti, V Lucidi, S Bella
OBJECTIVES: In the present study, we examined data related to adherence to telemonitoring in our CF patients followed at home for a period of 2 years, in the aim to improve the follow-up in terms of efficiency and appropriateness. MATERIALS AND METHODS: We kept electronic records of transmissions, in spreadsheet format. For each transmission, the main parameters and any action taken were collected. We carried out automatically a monthly summary of activities, a monthly average percentage of adherence to prescribed frequency of transmissions, monitored the contacts and phone calls...
2012: La Clinica Terapeutica
Hilde Solli, Ida Torunn Bjørk, Sigrun Hvalvik, Ragnhild Hellesø
AIM: To report a concept analysis of telecare. BACKGROUND: Lately telecare has become a worldwide, modern way of giving care over distance by means of technology. Other concepts, like telemedicine, e-health, and telehealth, focus on the same topic though the boundaries between them seem to be blurred. DATA SOURCES: Sources comprise 44 English language research articles retrieved from the database of Medline and Cinahl (1995-October 2011). DESIGN: Literature Review...
December 2012: Journal of Advanced Nursing
Kimberly Shea, Breanna Chamoff
BACKGROUND: Remote telemonitoring of patients' vital signs is a rapidly increasing practice. Although methods of communication in remote electronic monitoring differ from those in traditional home health care, the understanding shared by the nurse, patient, and family members remains the same: patients' self-care behaviors affect exacerbations of chronic health conditions. The purpose of this paper is to examine the relationship between communication and information integration into the daily lives of patients with chronic illnesses and offer best practice recommendations for telehomecare nurses (THN)...
April 2012: Worldviews on Evidence-based Nursing
Kathryn H Bowles, Alexandra L Hanlon, Henry A Glick, Mary D Naylor, Melissa O'Connor, Barbara Riegel, Nai-Wei Shih, Mark G Weiner
Background. Hospitalization accounts for 70% of heart failure (HF) costs; readmission rates at 30 days are 24% and rise to 50% by 90 days. Agencies anticipate that telehomecare will provide the close monitoring necessary to prevent HF readmissions. Methods and Results. Randomized controlled trial to compare a telehomecare intervention for patients 55 and older following hospital discharge for HF to usual skilled home care. Primary endpoints were 30- and 60-day all-cause and HF readmission, hospital days, and time to readmission or death...
2011: International Journal of Telemedicine and Applications
F Murgia, M Cilli, E Renzetti, F Majo, D Soldi, V Lucidi, F Bella, S Bella
INTRODUCTION: In this study we describe and discuss the way we daily act in remote telematic tracking of CF outpatients, a procedure which has been improved through our daily experience in telehomecare. MATERIALS AND METHODS: Currently, there are almost 30 patients involved in our telehomecare project. We describe and discuss intervention parameters and the way we manage a register of performances in spreadsheet format. We also describe the training program for the patients and their and the procedures through which we maintain contacts with patients and Vivisol assistance and the periodical satisfaction surveys...
2011: La Clinica Terapeutica
F Murgia, M Cilli, E Renzetti, N Popa, T Romano, F Alghisi, S Bella
OBJECTIVES: We attempted to quantify the cost-effectiveness ratio in telemonitoring lung function of patients affected by Cystic Fibrosis (CF). MATERIALS AND METHODS: We examined the costs of Telehomecare (THC) in the follow-up of CF patients. We considered the failed hospitalizations as incomes. A standardized questionnaire was submitted by e-mail to verify the patient satisfaction and expectation levels. We studied 3 groups of patients: a) 17 CF patients in THC; b) 28 CF patients not followed by THC and c) 28 non-CF patients affected by chronic diseases and not followed by THC...
2011: La Clinica Terapeutica
Kathryn H Bowles, Barbara Riegel, Mark G Weiner, Henry Glick, Mary D Naylor
Heart failure (HF) afflicts nearly 6 million Americans and the prevalence continues to rise as the population ages. Hospital use for HF is high and about half of readmissions are believed to be preventable. Promoting self care through telehomecare is an emerging strategy for managing chronic illness. Hospitalized heart failure patients were randomly assigned at discharge to receive usual home care or telehomecare, nurse visits and daily use of monitoring devices such as blood pressure cuffs, scales, glucometers, and pulse oximetry to monitor their symptoms...
2010: AMIA ... Annual Symposium Proceedings
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