Name
Abstract | ||
|---|---|---|
Information and telecommunication technologies are called to play a major role in the changes that healthcare systems have to face to cope with chronic disease. This paper reports a telemedicine experience for the home care of chronic patients suffering from chronic obstructive pulmonary disease (COPD) and an integrated system designed to carry out this experience. To determine the impact on health, the chronic care telemedicine system was used during one year (2002) with 157 COPD patients in a clinical experiment; endpoints were readmissions and mortality. Patients in the intervention group were followed up at their homes and could contact the care team at any time through the call center. The care team shared a unique electronic chronic patient record (ECPR) accessible through the web-based patient management module or the home visit units. Results suggest that integrated home telemedicine services can support health professionals caring for patients with chronic disease, and improve their health. We have found that simple telemedicine services (ubiquitous access to ECPR, ECPR shared by care team, accessibility to case manager, problem reporting integrated in ECPR) can increase the number of patients that were not readmitted (51% intervention, 33% control), are acceptable to professionals, and involve low installation and exploitation costs. Further research is needed to determine the role of telemonitoring and televisit services for this kind of patients. |
Year | DOI | Venue |
|---|---|---|
2006 | 10.1109/TITB.2005.863877 | IEEE transactions on information technology in biomedicine : a publication of the IEEE Engineering in Medicine and Biology Society |
Keywords | Field | DocType |
telemedicine experience,home care,chronic disease,chronic care,chronic care telemedicine system,chronic patient,simple telemedicine service,unique electronic chronic patient,care team,integrated home telemedicine service,chronic obstructive pulmonary disease,integrable system,helium,biomedical engineering,indexing terms,internet,biomedical informatics,health care | Health care,Telemedicine,COPD,Disease,Nursing,Patient management,Chronic care,Medical emergency,Healthcare system,Health informatics,Medicine | Journal |
Volume | Issue | ISSN |
10 | 3 | 1089-7771 |
Citations | PageRank | References |
44 | 5.50 | 2 |
Authors | ||
8 | ||
Name | Order | Citations | PageRank |
|---|---|---|---|
| Paula de Toledo | 1 | 171 | 12.84 |
| Silvia Jiménez | 2 | 44 | 5.50 |
| del Pozo, F. | 3 | 73 | 10.58 |
| Josep Roca | 4 | 85 | 10.44 |
| Albert Alonso | 5 | 44 | 5.50 |
| Carmen Hernandez | 6 | 44 | 5.50 |
| de Toledo, P. | 7 | 44 | 5.50 |
| del Pozo, F. | 8 | 44 | 5.50 |