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https://www.readbyqxmd.com/read/29493644/-telemonitoring-of-swallowing-function-technologies-in-speech-therapy-practice
#1
Angela Tedesco, Valentina Lavermicocca, Marilina Notarnicola, Luca De Francesco, Anna Rita Dellomonaco
The process of medical-healthcare technological revolution represents an advantage for the patient and for the care provider, in terms of costs and distances reduction. The telehomecare approach could be useful for monitoring the swallowing disorder in neurodegenerative diseases, preventing complications. In this study the applicability of telemedicine techniques for the monitoring of swallowing function, in patients affected by Huntington's disease (HD), was evaluated through the acquisition and analysis of the sound of swallowing...
February 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29425637/population-exacerbation-incidence-contains-predictive-information-of-acute-exacerbations-in-patients-with-chronic-obstructive-pulmonary-disease-in-telecare
#2
Thomas Kronborg, Lasse Mark, Simon Lebech Cichosz, Pernille Heyckendorff Secher, Ole Hejlesen
OBJECTIVE: Chronic obstructive pulmonary disease (COPD) is a major global burden largely resulting from acute exacerbations. We investigated whether the incidences of patient and population exacerbations contain predictive information for continuous prediction of exacerbations in COPD patients. METHODS: Data analysis was performed using home measurements from 1225 patients included in the large-scale telehomecare trial TeleCare North, where data supported 84 exacerbations occurring in 57 patients...
March 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29132448/partnering-with-patients-the-toronto-central-lhin-telehomecare-experience
#3
Josie Barbita, Susana Neves-Silva
Chronic obstructive pulmonary disease (COPD) and heart failure are responsible for significant healthcare costs in Ontario. One program developed to improve the management of these conditions is Telehomecare, which provides six months of health status monitoring and patient self-management education at no cost to participating COPD and heart failure patients. The Toronto Central Local Health Integration Network (LHIN; formerly the Toronto Central Community Care Access Centre), an early participant, enrolled over 3,000 Telehomecare patients between 2012 and 2016...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28623766/the-long-term-effects-of-using-telehomecare-technology-on-functional-health-literacy-results-from-a-randomized-trial
#4
RANDOMIZED CONTROLLED TRIAL
L K E Hæsum, L H Ehlers, O K Hejlesen
OBJECTIVES: The association between the use of telehomecare technology and functional health literacy is rather unexplored in the current literature. This relationship could prove important in the future management of chronic diseases, as technology has become a more integrated part of modern healthcare systems. Therefore, the purpose of this study was to explore how the use of telehomecare technology affects the level of functional health literacy over a period of 10 months. STUDY DESIGN: Randomized controlled trial...
September 2017: Public Health
https://www.readbyqxmd.com/read/28490229/changes-in-blood-pressure-among-patients-in-the-ontario-telehomecare-programme-an-observational-longitudinal-cohort-study
#5
Yeva Sahakyan, Lusine Abrahamyan, Nida Shahid, Alexandra Stanimirovic, Petros Pechlivanoglou, Nicholas Mitsakakis, Welson Ryan, Murray Krahn, Valeria E Rac
Background The objective of this study was to investigate the changes in blood pressure among patients enrolled in the Telehomecare programme in Ontario, Canada. Methods This observational study utilised a prospective longitudinal cohort design, including patients with heart failure and chronic obstructive pulmonary disease enrolled in the Ontario Telehomecare programme from July 2012 to July 2015. The outcome of interest was change in mean (biweekly) systolic and diastolic blood pressure levels over a six-month period...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28486991/exploring-the-utility-and-scalability-of-a-telehomecare-intervention-for-patients-with-chronic-kidney-disease-undergoing-peritoneal-dialysis-a-study-protocol
#6
Lianne Jeffs, Arsh Kumar Jain, Rachel HiuTung Man, Nike Onabajo, Laura Desveaux, James Shaw, Jennifer Hensel, Payal Agarwal, Marianne Saragosa, Trevor Jamieson, Ivy Wong, Maria Maione, R Sacha Bhatia
BACKGROUND: Chronic Kidney Disease (CKD) is a pressing global health concern that is placing increased strain on health care resources. CKD patients regularly receive peritoneal dialysis as a common CKD treatment. An emerging technological solution is telehomecare as way to support patients receiving PD in their homes. This study protocol outlines a mixed methods evaluation exploring a telehomecare developed to enhance CKD patients' outcomes and experiences. The study aims to assess the usability, acceptability and scalability of this virtual care application...
May 10, 2017: BMC Nephrology
https://www.readbyqxmd.com/read/28269005/telehomecare-telecommunication-framework-from-remote-patient-monitoring-to-video-visits-and-robot-telepresence
#7
Pierre Lepage, Dominic Letourneau, Mathieu Hamel, Simon Briere, Helene Corriveau, Michel Tousignant, Francois Michaud
Over the last few years, the number of remote patient monitoring (RPM) products and of videoconferencing systems has exploded. There is also a significant number of research initiatives addressing the use of service robots for assistance in daily living activities. From a technological standpoint, providing telehomecare services is certainly feasible. However, one technological barrier is to have access to a telecommunication platform that can be adapted to address the broad range of specifications and requirements of clinical and telehealth applications...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227215/telehomecare-telecommunication-framework-from-remote-patient-monitoring-to-video-visits-and-robot-telepresence
#8
Pierre Lepage, Dominic Letourneau, Mathieu Hamel, Simon Briere, Helene Corriveau, Michel Tousignant, Francois Michaud, Pierre Lepage, Dominic Letourneau, Mathieu Hamel, Simon Briere, Helene Corriveau, Michel Tousignant, Francois Michaud, Simon Briere, Dominic Letourneau, Helene Corriveau, Michel Tousignant, Francois Michaud, Mathieu Hamel, Pierre Lepage
Over the last few years, the number of remote patient monitoring (RPM) products and of videoconferencing systems has exploded. There is also a significant number of research initiatives addressing the use of service robots for assistance in daily living activities. From a technological standpoint, providing telehomecare services is certainly feasible. However, one technological barrier is to have access to a telecommunication platform that can be adapted to address the broad range of specifications and requirements of clinical and telehealth applications...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/27689956/risk-factors-for-all-cause-rehospitalization-among-medicare-recipients-with-heart-failure-receiving-telehomecare
#9
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...
April 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27499161/a-systematic-review-of-the-economic-evaluation-of-telemedicine-in-japan
#10
REVIEW
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
https://www.readbyqxmd.com/read/26856258/interaction-between-functional-health-literacy-and-telehomecare-short-term-effects-from-a-randomized-trial
#11
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26848645/utilizing-home-healthcare-electronic-health-records-for-telehomecare-patients-with-heart-failure-a-decision-tree-approach-to-detect-associations-with-rehospitalizations
#12
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
https://www.readbyqxmd.com/read/26794821/telemedicine-home-program-in-patients-with-cystic-fibrosis-results-after-10-years
#13
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/26645639/a-multi-level-qualitative-analysis-of-telehomecare-in-ontario-challenges-and-opportunities
#14
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
https://www.readbyqxmd.com/read/26261216/towards-a-shared-service-centre-for-telemedicine-telemedicine-in-denmark-and-a-possible-way-forward
#15
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...
December 2016: Health Informatics Journal
https://www.readbyqxmd.com/read/25980711/telehomecare-reduces-er-use-and-hospitalizations-at-william-osler-health-system
#16
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
https://www.readbyqxmd.com/read/24247995/attitudes-of-copd-patients-towards-tele-rehabilitation-a-cross-sector-case-study
#17
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
https://www.readbyqxmd.com/read/23964545/-using-telehomecare-to-improve-chronic-disease-monitoring
#18
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
https://www.readbyqxmd.com/read/23920956/telehomecare-technologies-enhance-self-management-and-empowerment-among-patients-with-chronic-obstructive-pulmonary-disease-copd-where-does-health-literacy-fit-into-this-equation
#19
REVIEW
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
https://www.readbyqxmd.com/read/23514722/home-telemonitoring-for-chronic-disease-management-an-economic-assessment
#20
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
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