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https://www.readbyqxmd.com/read/27923343/feasibility-and-cost-effectiveness-of-a-multidisciplinary-home-telehealth-intervention-programme-to-reduce-falls-among-elderly-discharged-from-hospital-study-protocol-for-a-randomized-controlled-trial
#1
Alessandro Giordano, Gian Pietro Bonometti, Fabio Vanoglio, Mara Paneroni, Palmira Bernocchi, Laura Comini, Amerigo Giordano
BACKGROUND: Fall incidents are the third cause of chronic disablement in elderly according to the World Health Organization (WHO). Recent meta-analyses shows that a multifactorial falls risk assessment and management programmes are effective in all older population studied. However, the application of these programmes may not be the same in all National health care setting and, consequently, needs to be evaluated by cost-effectiveness studies before to plan this intervention in regular care...
December 7, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27913657/cost-benefit-analysis-of-telehealth-in-pre-hospital-care
#2
James R Langabeer, Tiffany Champagne-Langabeer, Diaa Alqusairi, Junghyun Kim, Adria Jackson, David Persse, Michael Gonzalez
OBJECTIVE: There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. METHODS: Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention...
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27893953/leveraging-telehealth-to-bring-volunteer-physicians-into-underserved-communities
#3
Lori Uscher-Pines, Robert Rudin, Ateev Mehrotra
Many disadvantaged communities lack sufficient numbers of local primary care and specialty physicians. Yet tens of thousands of physicians, in particular those who are retired or semiretired, desire meaningful volunteer opportunities. Multiple programs have begun to use telehealth to bridge the gap between volunteer physicians and underserved patients. In this brief, we describe programs that are using this model and discuss the promise and pitfalls. Physician volunteers in these programs report that the work can be fulfilling and exciting, a cutting-edge yet convenient way to remain engaged and contribute...
November 28, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27881926/improving-pain-care-through-implementation-of-the-stepped-care-model-at-a-multisite-community-health-center
#4
Daren R Anderson, Ianita Zlateva, Emil N Coman, Khushbu Khatri, Terrence Tian, Robert D Kerns
PURPOSE: Treating pain in primary care is challenging. Primary care providers (PCPs) receive limited training in pain care and express low confidence in their knowledge and ability to manage pain effectively. Models to improve pain outcomes have been developed, but not formally implemented in safety net practices where pain is particularly common. This study evaluated the impact of implementing the Stepped Care Model for Pain Management (SCM-PM) at a large, multisite Federally Qualified Health Center...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27863024/creating-an-integrated-care-model-for-childhood-obesity-a-randomized-pilot-study-utilizing-telehealth-in-a-community-primary-care-setting
#5
A Fleischman, S E Hourigan, H N Lyon, M G Landry, J Reynolds, S K Steltz, L Robinson, S Keating, H A Feldman, R C Antonelli, D S Ludwig, C B Ebbeling
In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity. We conducted a pilot study comparing body mass index (BMI) changes between two arms (i) PCP in-person clinic visits plus obesity specialist tele-visits ( PCP visits + specialist tele-visits) and (ii) PCP in-person clinic visits only ( PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for both arms...
November 14, 2016: Clinical Obesity
https://www.readbyqxmd.com/read/27833678/telehealth-enabled-emergency-medical-services-program-reduces-ambulance-transport-to-urban-emergency-departments
#6
James R Langabeer, Michael Gonzalez, Diaa Alqusairi, Tiffany Champagne-Langabeer, Adria Jackson, Jennifer Mikhail, David Persse
INTRODUCTION: Emergency medical services (EMS) agencies transport a significant majority of patients with low acuity and non-emergent conditions to local emergency departments (ED), affecting the entire emergency care system's capacity and performance. Opportunities exist for alternative models that integrate technology, telehealth, and more appropriately aligned patient navigation. While a limited number of programs have evolved recently, no empirical evidence exists for their efficacy...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27808026/increasing-primary-care-access-close-to-home-for-residents-of-remote-communities-in-northern-alberta
#7
A Alison Ross, Tracey L Yap, Johan van Der Nest, Keith Martin, Alison H Edie
Residents of Canada's rural and remote communities know the challenges associated with accessing consistent healthcare. Alberta Health Services uses telehealth technology to minimize travel for rural and remote residents who require follow-up with specialists, however until recently, telehealth was only used in specialty care. This article describes a pilot project introduced in two remote northern Alberta communities to determine the feasibility and sustainability of using telehealth in the delivery of primary healthcare...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27799454/impact-of-simple-conventional-and-telehealth-solutions-on-improving-mental-health-in-afghanistan
#8
Shariq Khoja, Richard Scott, Nida Husyin, Hammad Durrani, Maria Arif, Faqir Faqiri, Ebadullah Hedayat, Wahab Yousufzai
For more than a century Afghanistan has been unstable, facing decades of war, social problems, and intense poverty. As a result, many of the population suffer from a variety of mental health problems. The Government recognises the situation and has prioritised mental health, but progress is slow and services outside of Kabul remain poor. An international collaborative implemented a project in Badakshan province of Afghanistan using conventional and simple low-cost e-Health solutions to address the four most common issues: depression, psychosis, post-traumatic stress disorder, and substance abuse...
December 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27703785/cost-effectiveness-of-telehealth-for-patients-with-depression-evidence-from-the-healthlines-randomised-controlled-trial
#9
Padraig Dixon, Sandra Hollinghurst, Louisa Edwards, Clare Thomas, Alexis Foster, Ben Davies, Daisy Gaunt, Alan A Montgomery, Chris Salisbury
BACKGROUND: Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression. AIMS: To investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patients with depression. METHOD: A prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service...
July 2016: BJPsych Open
https://www.readbyqxmd.com/read/27670521/cost-effectiveness-modelling-of-telehealth-for-patients-with-raised-cardiovascular-disease-risk-evidence-from-a-cohort-simulation-conducted-alongside-the-healthlines-randomised-controlled-trial
#10
Padraig Dixon, Sandra Hollinghurst, Roberta Ara, Louisa Edwards, Alexis Foster, Chris Salisbury
OBJECTIVES: To investigate the long-term cost-effectiveness (measured as the ratio of incremental NHS cost to incremental quality-adjusted life years) of a telehealth intervention for patients with raised cardiovascular disease (CVD) risk. DESIGN: A cohort simulation model developed as part of the economic evaluation conducted alongside the Healthlines randomised controlled trial. SETTING: Patients recruited through primary care, and intervention delivered via telehealth service...
2016: BMJ Open
https://www.readbyqxmd.com/read/27566642/cost-effectiveness-of-telehealth-for-patients-with-raised-cardiovascular-disease-risk-evidence-from-the-healthlines-randomised-controlled-trial
#11
Padraig Dixon, Sandra Hollinghurst, Louisa Edwards, Clare Thomas, Daisy Gaunt, Alexis Foster, Shirley Large, Alan A Montgomery, Chris Salisbury
OBJECTIVES: To investigate the cost-effectiveness of a telehealth intervention for primary care patients with raised cardiovascular disease (CVD) risk. DESIGN: A prospective within-trial patient-level economic evaluation conducted alongside a randomised controlled trial. SETTING: Patients recruited through primary care, and intervention delivered via telehealth service. PARTICIPANTS: Adults with a 10-year CVD risk ≥20%, as measured by the QRISK2 algorithm, with at least 1 modifiable risk factor...
2016: BMJ Open
https://www.readbyqxmd.com/read/27554825/international-health-it-benchmarking-learning-from-cross-country-comparisons
#12
Jennifer Zelmer, Elettra Ronchi, Hannele Hyppönen, Francisco Lupiáñez-Villanueva, Cristiano Codagnone, Christian Nøhr, Ursula Huebner, Anne Fazzalari, Julia Adler-Milstein
OBJECTIVE: To pilot benchmark measures of health information and communication technology (ICT) availability and use to facilitate cross-country learning. MATERIALS AND METHODS: A prior Organization for Economic Cooperation and Development-led effort involving 30 countries selected and defined functionality-based measures for availability and use of electronic health records, health information exchange, personal health records, and telehealth. In this pilot, an Organization for Economic Cooperation and Development Working Group compiled results for 38 countries for a subset of measures with broad coverage using new and/or adapted country-specific or multinational surveys and other sources from 2012 to 2015...
August 22, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/27547114/are-malaysian-diabetic-patients-ready-to-use-the-new-generation-of-health-care-service-delivery-a-telehealth-interest-assessment
#13
Vida Samiei, Sharifa Ezat Wan Puteh, Mohd Rizal Abdul Manaf, Khalib Abdul Latip, Aniza Ismail
BACKGROUND: The idea of launching an internet-based self-management program for patients with diabetes led us to do a cross-sectional study to find out about the willingness, interest, equipment, and level of usage of computer and internet in a medium- to low-social class area and to find the feasibility of using e-telemonitoring systems for these patients. METHODS: A total of 180 patients with type 2 diabetes participated in this study and fulfilled the self-administered questionnaire in Diabetes Clinic of Primary Medical Center of University Kebangsaan Malaysia Medical Centre; the response rate was 84%...
March 2016: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/27524370/bipolar-disorder-and-population-health
#14
Joseph M Cerimele, John C Fortney, Jürgen Unützer
This Open Forum addresses considerations for improving treatment of bipolar disorder. Most individuals with bipolar disorder report not receiving treatment from a psychiatrist in the past 12 months. In the United States, a large proportion of persons with bipolar disorder seek treatment in primary care. These patients have high symptom severity and functional impairment but are less likely to receive mood-stabilizing medications. In a prior study in a primary care setting, the authors found that one-third of patients with bipolar disorder improved after receiving treatment in primary care in a statewide collaborative care program...
August 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27492865/a-telephone-intervention-to-achieve-differentiation-in-dietary-intake-a-randomized-trial-in-paediatric-primary-care
#15
E T Rhodes, L Vernacchio, A A Mitchell, C Fischer, P Giacalone, D S Ludwig, C B Ebbeling
BACKGROUND: Telehealth offers opportunities to extend clinical and research interventions for paediatric obesity. OBJECTIVES: To assess utility of a telephone intervention, implemented through a national primary care paediatric research network, for promoting differentiation in dietary intake, consistent with either a low-glycemic load (Low GL) or Low Fat prescription, among overweight/obese school-age children. METHODS: Five-week telephone dietary counselling intervention for parents of overweight/obese school-age children recruited through the Slone Center Office-based Research Network...
August 5, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27430710/a-practical-bayesian-stepped-wedge-design-for-community-based-cluster-randomized-clinical-trials-the-british-columbia-telehealth-trial
#16
Kristen M Cunanan, Bradley P Carlin, Kevin A Peterson
BACKGROUND: Many clinical trial designs are impractical for community-based clinical intervention trials. Stepped wedge trial designs provide practical advantages, but few descriptions exist of their clinical implementational features, statistical design efficiencies, and limitations. OBJECTIVES: Enhance efficiency of stepped wedge trial designs by evaluating the impact of design characteristics on statistical power for the British Columbia Telehealth Trial. METHODS: The British Columbia Telehealth Trial is a community-based, cluster-randomized, controlled clinical trial in rural and urban British Columbia...
December 2016: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/27390373/who-is-using-telehealth-in-primary-care-safety-net-clinics-and-health-maintenance-organizations-hmos
#17
Megan Coffman, Miranda Moore, Anuradha Jetty, Kathleen Klink, Andrew Bazemore
Despite rapid advancements in telehealth services, only 15% of family physicians in a 2014 survey reported using telehealth; use varied widely according to the physician's practice setting or designation. Users were significantly more likely than nonusers to work in federally designated "safety net" clinics and health maintenance organizations (HMOs) but not more likely than nonusers to report working in a patient-centered medical home (PCMH) or accountable care organization.
July 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27363434/being-human-a-qualitative-interview-study-exploring-why-a-telehealth-intervention-for-management-of-chronic-conditions-had-a-modest-effect
#18
Alicia O'Cathain, Sarah J Drabble, Alexis Foster, Kimberley Horspool, Louisa Edwards, Clare Thomas, Chris Salisbury
BACKGROUND: Evidence of benefit for telehealth for chronic conditions is mixed. Two linked randomized controlled trials tested the Healthlines Service for 2 chronic conditions: depression and high risk of cardiovascular disease (CVD). This new telehealth service consisted of regular telephone calls from nonclinical, trained health advisers who followed standardized scripts generated by interactive software. Advisors facilitated self-management by supporting participants to use Web-based resources and helped to optimize medication, improve treatment adherence, and encourage healthier lifestyles...
2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27277940/should-we-embed-randomized-controlled-trials-within-action-research-arguing-from-a-case-study-of-telemonitoring
#19
Karen Day, Timothy W Kenealy, Nicolette F Sheridan
BACKGROUND: Action research (AR) and randomized controlled trials (RCTs) are usually considered to be theoretically and practically incompatible. However, we argue that their respective strengths and weaknesses can be complementary. We illustrate our argument from a recent study assessing the effect of telemonitoring on health-related quality of life, self-care, hospital use, costs and the experiences of patients, informal carers and health care professionals in two urban hospital services and one remote rural primary care service in New Zealand...
2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/27221396/utilization-and-access-to-healthcare-services-among-community-dwelling-people-living-with-spinal-cord-injury
#20
Rita Hamilton, Simon Driver, Shayan Noorani, Librada Callender, Monica Bennett, Kimberley Monden
OBJECTIVE: Describe the utilization, accessibility, and satisfaction of primary and preventative health-care services of community-dwelling individuals with spinal cord injury (SCI). DESIGN: Cross sectional, in-person or telephonic survey, utilizing a convenience sample. SETTING: Community. PARTICIPANTS: Individuals with SCI greater than 12-months post injury. INTERVENTIONS: N/A. OUTCOME MEASURES: Demographic, injury related, and 34-item questionnaire of healthcare utilization, accessibility, and satisfaction with services...
May 25, 2016: Journal of Spinal Cord Medicine
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