Telehomecare and Remote Monitoring: An Outcomes Overview

Wednesday, October 31, 2007  | Stachura M, Khasanshina E


The Advanced Medical Technology Association (AdvaMed)

Telehomecare and remote monitoring technologies can play a vital role in managing costly and debilitating chronic diseases, according to a new report released by AdvaMed, the Advanced Medical Technology Association. The report describes how such technologies—which convey real-time, physiological information on a patient’s condition over the Internet or phone lines—enable physicians to adjust and tailor therapy to meet a patient’s changing needs in between visits to a health care provider.

The report, which is based on a review of published studies on telehomecare and remote monitoring, as well as several current case studies, focused primarily on how these technologies have impacted the care of patients with diabetes, congestive heart failure and chronic obstructive pulmonary disease. Among the findings in the report:

● A study of 281 congestive heart failure patients who received telehomecare found that they experienced a 60 percent reduction in hospital admissions, a 66 percent decline in emergency room visits and a 59 percent reduction in pharmacy utilization. In contrast, the control group experienced increases in all of these areas.

● When patients with severe respiratory illness requiring long-term oxygen therapy were remotely-monitored, hospital admissions decreased by 50 percent, acute clinical problems decreased 55 percent and hospitalization costs went down by 17 percent.

● A study of 400 diabetes patients found that those monitored by in-home glucose meters and video conferencing showed significantly greater improvement in reducing average blood sugar levels than those who did not receive such monitoring.

The full report is available here.

 

Research Materials & External Resources

Beyond EHRs: How Technology Can Help You Treat Chronic Illness
March 2008 | Heinzelmann PJ, Kvedar JC, Kibbe DC
Connected Care: Technology Enabled Care at Home
March 2008 | Deloitte Center for Health Solutions
Randomized trial of Telemonitoring to Improve Heart Failure Outcomes (Tele-HF): study design
November 2007 | Chaudhry SI, Barton B, Mattera J, Spertus J, Krumholz HM
Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring
November 2007 | Clark RA, Yallop JJ, Piterman L, Croucher J, Tonkin A, Stewart S, Krum H; CHAT Study Team
Telehomecare and Remote Monitoring: An Outcomes Overview
Wednesday, October 31, 2007 | Stachura M, Khasanshina E
Patterns of Weight Change Preceding Hospitalization for Heart Failure
Tuesday, October 2, 2007 | Chaudhry SI, Wang Y, Concato J, Gill TM, Krumholz HM
Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients
September 2007 | Logan AG, McIsaac WJ, Tisler A, Irvine MJ, Saunders A, Dunai A, Rizo CA, Feig DS, Hamill M, Trudel M, Cafazzo JA
Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis
Saturday, May 5, 2007 | Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S.
Web-based Internet telemedicine management of patients with heart failure
August 2006 | Kashem A, Droogan MT, Santamore WP, Wald JW, Marble JF, Cross RC, Bove AA
Impact of Home-Based Monitoring on the Care of Patients With Congestive Heart Failure
2006 | Myers S, Grant R, Lugn N, Holbert B, Kvedar J
Blood pressure control by home monitoring: meta-analysis of randomised trials
Saturday, July 17, 2004 | Cappuccio FP, Kerry SM, Forbes L, Donald A.
 
 

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