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Mohammadnejad F, Freeman S, Klassen-Ross T, Hemingway D, Banner D. Impacts of Technology Use on the Workload of Registered Nurses: A Scoping Review. J Rehabil Assist Technol Eng 2023; 10:20556683231180189. [PMID: 37342268 PMCID: PMC10278405 DOI: 10.1177/20556683231180189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/22/2023] Open
Abstract
INTRODUCTION Technology is an integral part of healthcare. With the rapid development of technological innovations that inform and support nurses, it is important to assess how these technologies may affect their workload particularly in rural contexts, where the workforce and supports may be limited. METHODS This literature review guided by Arksey and O'Malley's scoping review framework describes the breadth of technologies which impact on nurses' workload. Five databases (PubMed, CINAHL, PsycInfo, Web of Science, Business Source Complete) were searched. Thirty-five articles met the inclusion criteria. A data matrix was used to organize the findings. FINDINGS The technology interventions described in the articles covered diverse topics including: Cognitive care technologies; Healthcare providers' technologies; Communication technologies; E-learning technologies; and Assistive technologies and were categorized as: Digital Information Solutions; Digital Education; Mobile Applications; Virtual Communication; Assistive Devices; and Disease diagnoses groups based on the common features. CONCLUSION Technology can play an important role to support nurses working in rural areas, however, not all technologies have the same impact. While some technologies showed evidence to positively impact nursing workload, this was not universal. Technology solutions should be considered on a contextual basis and thought should be given when selecting technologies to support nursing workload.
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Affiliation(s)
- Fatemeh Mohammadnejad
- School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada
| | - Shannon Freeman
- School of Nursing, University of Northern British Columbia, Prince George, BC, Canada
| | - Tammy Klassen-Ross
- School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada
| | - Dawn Hemingway
- School of Social Work, University of Northern British Columbia, Prince George, BC, Canada
| | - Davina Banner
- School of Nursing, University of Northern British Columbia, Prince George, BC, Canada
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Huguet M, Sarazin M, Perrier L, Augusto V. How We Can Reap the Full Benefit of Teleconsultations: Economic Evaluation Combined With a Performance Evaluation Through a Discrete-Event Simulation. J Med Internet Res 2022; 24:e32002. [PMID: 35594065 PMCID: PMC9166645 DOI: 10.2196/32002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 12/18/2021] [Accepted: 02/07/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND In recent years, the rapid development of information and communications technology enabled by innovations in videoconferencing solutions and the emergence of connected medical devices has contributed to expanding the scope of application and expediting the development of telemedicine. OBJECTIVE This study evaluates the use of teleconsultations (TCs) for specialist consultations at hospitals in terms of costs, resource consumption, and patient travel time. The key feature of our evaluation framework is the combination of an economic evaluation through a cost analysis and a performance evaluation through a discrete-event simulation (DES) approach. METHODS Three data sets were used to obtain detailed information on the characteristics of patients, characteristics of patients' residential locations, and usage of telehealth stations. A total of 532 patients who received at least one TC and 18,559 patients who received solely physical consultations (CSs) were included in the initial sample. The TC patients were recruited during a 7-month period (ie, 2020 data) versus 19 months for the CS patients (ie, 2019 and 2020 data). A propensity score matching procedure was applied in the economic evaluation. To identify the best scenarios for reaping the full benefits of TCs, various scenarios depicting different population types and deployment strategies were explored in the DES model. Associated break-even levels were calculated. RESULTS The results of the cost evaluation reveal a higher cost for the TC group, mainly induced by higher volumes of (tele)consultations per patient and the substantial initial investment required for TC equipment. On average, the total cost per patient over 298 days of follow-up was €356.37 (US $392) per TC patient and €305.18 (US $336) per CS patient. However, the incremental cost of TCs was not statistically significant: €356.37 - €305.18 = €51.19 or US $392 - US $336 = US $56 (95% CI -35.99 to 114.25; P=.18). Sensitivity analysis suggested heterogeneous economic profitability levels within subpopulations and based on the intensity of use of TC solutions. In fact, the DES model results show that TCs could be a cost-saving strategy in some cases, depending on population characteristics, the amortization speed of telehealth equipment, and the locations of telehealth stations. CONCLUSIONS The use of TCs has the potential to lead to a major organizational change in the health care system in the near future. Nevertheless, TC performance is strongly related to the context and deployment strategy involved.
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Affiliation(s)
- Marius Huguet
- Mines Saint-Etienne, Univ Clermont Auvergne, CNRS, UMR 6158 LIMOS, Centre CIS, F-42023 Saint-Étienne, France
| | - Marianne Sarazin
- Mines Saint-Etienne, Univ Clermont Auvergne, CNRS, UMR 6158 LIMOS, Centre CIS, F-42023 Saint-Étienne, France
- Groupe mutualiste Aesio, F-42100 Saint-Étienne, France
- IPLESP- Umrs 1136 Inserm, réseau Sentinelles, F-75012 Paris, France
| | - Lionel Perrier
- Univ Lyon, Leon Berard Cancer Centre, GATE UMR 5824, F-69008 Lyon, France
- Human and Social Science Department, Centre Léon Bérard, F-69008 Lyon, France
| | - Vincent Augusto
- Mines Saint-Etienne, Univ Clermont Auvergne, CNRS, UMR 6158 LIMOS, Centre CIS, F-42023 Saint-Étienne, France
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3
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Bundy H, Frazier L, Woodward JM, Liu TL, Taylor YJ, Rossman W, Mangieri DA. The benefits of virtual in-clinic memory care for rural patients with dementia: Preliminary data. J Am Geriatr Soc 2022; 70:1874-1876. [PMID: 35211952 DOI: 10.1111/jgs.17712] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 01/30/2022] [Accepted: 02/07/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Henry Bundy
- Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA
| | - Latonia Frazier
- Atrium Health Senior Care Charlotte, Atrium Health, Charlotte, North Carolina, USA
| | - Jennifer M Woodward
- Atrium Health Senior Care Charlotte, Atrium Health, Charlotte, North Carolina, USA
| | - Tsai-Ling Liu
- Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA
| | - Yhenneko J Taylor
- Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA
| | - Whitney Rossman
- Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA
| | - Deanna A Mangieri
- Atrium Health Senior Care Charlotte, Atrium Health, Charlotte, North Carolina, USA
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4
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Collado ZC, Rescober AAS, Hipolito IG, Ulat APA, Tayfour A. Examining community-managed drug outlets' failure in geographically isolated and disadvantaged areas: insights from the consumers' end. JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH 2021. [DOI: 10.1093/jphsr/rmaa008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Objectives
The article aimed to examine the impact of poor purchasing power, perceptions on the physical structure, and medicine demand to community-managed drug outlets or Botika ng Barangay (BnB) in the Philippines. The study investigated what contributes to program resiliency or failure in so far as the consumers in geographically isolated and disadvantaged area (GIDA) are concerned.
Methods
Findings were drawn from five sets of focus-group discussion (FGD) among residents, four in-depth interviews (IDIs) with former operators of BnB and three IDI with former members of the village council specifically assigned in health sector.
Key findings
The study found out that all our study variables namely; poor purchasing power, perceptions on BnBs' physical image, and limited medicines that do not match the consumers' medicine demand did not contribute to the failure of the program in their communities. However, the study found out that informal arrangements in the community which allowed people to just loan medicines without actually paying in return was intimately connected to BnBs' closure in the communities.
Conclusion
The study suggests that, in the context of GIDAs, the failure of community-managed drug outlets rests as well on financially unsustainable practices in the community. This, we believe, can be negated through provisions for medicine subsidy.
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Affiliation(s)
- Zaldy C Collado
- Department of Sociology, Faculty of Arts and Letters, University of Santo Tomas, Manila, Philippines
| | | | - Imee G Hipolito
- College of Pharmacy, Adamson University, Manila, Philippines
| | | | - Abubakr Tayfour
- College of Pharmacy, Adamson University, Manila, Philippines
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Kubicek K, Beyer WJ, Wong CF, Kipke MD. Engaging Young Men in the HIV Prevention and Care Continua: Experiences From Young Men of Color Who Have Sex With Men. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2019; 31:325-343. [PMID: 31361519 DOI: 10.1521/aeap.2019.31.4.325] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Sexual minority individuals experience barriers to receiving equitable health care. Research also indicates that young men who have sex with men (YMSM), particularly young men of color, have limited engagement in the HIV care continuum and there are significant disparities across the continuum. This study aims to uncover how providers can engage YMSM of color in all forms of care, including primary care and HIV prevention through an HIV prevention continuum. This qualitative study reports data from the Healthy Young Men's Cohort Study; a total of 49 YMSM participated in the eight focus groups. This study provides a description of YMSM's overall health concerns, experiences with health care, and under what circumstances YMSM seek care. We then present a model describing the salient characteristics of a HIV prevention continuum for YMSM of color and provide clear areas for education, intervention, and policy change to support better overall health for YMSM of color.
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Affiliation(s)
| | | | | | - Michele D Kipke
- Community, Health Outcomes, and Intervention Research Program, Children's Hospital Los Angeles
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Muñoz K, Kibbe K, Preston E, Caballero A, Nelson L, White K, Twohig M. Paediatric hearing aid management: a demonstration project for using virtual visits to enhance parent support. Int J Audiol 2016; 56:77-84. [DOI: 10.1080/14992027.2016.1226521] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Karen Muñoz
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA,
- National Center for Hearing Assessment and Management, Utah State University, Logan, UT, USA, and
| | - Kristin Kibbe
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA,
| | - Elizabeth Preston
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA,
| | - Ana Caballero
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA,
| | - Lauri Nelson
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA,
| | - Karl White
- National Center for Hearing Assessment and Management, Utah State University, Logan, UT, USA, and
- Department of Psychology, Utah State University, Logan, UT, USA
| | - Michael Twohig
- Department of Psychology, Utah State University, Logan, UT, USA
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7
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Video summarization based tele-endoscopy: a service to efficiently manage visual data generated during wireless capsule endoscopy procedure. J Med Syst 2014; 38:109. [PMID: 25037715 DOI: 10.1007/s10916-014-0109-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Accepted: 07/07/2014] [Indexed: 01/17/2023]
Abstract
Wireless capsule endoscopy (WCE) has great advantages over traditional endoscopy because it is portable and easy to use. More importantly, WCE combined with mobile computing ensures rapid transmission of diagnostic data to hospitals and enables off-site senior gastroenterologists to offer timely decision making support. However, during this WCE process, video data are produced in huge amounts, but only a limited amount of data is actually useful for diagnosis. The sharing and analysis of this video data becomes a challenging task due the constraints such as limited memory, energy, and communication capability. In order to facilitate efficient WCE data collection and browsing tasks, we present a video summarization-based tele-endoscopy service that estimates the semantically relevant video frames from the perspective of gastroenterologists. For this purpose, image moments, curvature, and multi-scale contrast are computed and are fused to obtain the saliency map of each frame. This saliency map is used to select keyframes. The proposed tele-endoscopy service selects keyframes based on their relevance to the disease diagnosis. This ensures the sending of diagnostically relevant frames to the gastroenterologist instead of sending all the data, thus saving transmission costs and bandwidth. The proposed framework also saves storage costs as well as the precious time of doctors in browsing patient's information. The qualitative and quantitative results are encouraging and show that the proposed service provides video keyframes to the gastroenterologists without discarding important information.
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Khalil H, Cullen M, Chambers H, Steers N, Walker J. Implementation of a successful electronic wound documentation system in rural Victoria, Australia: a subject of collaboration and community engagement. Int Wound J 2013; 11:314-8. [PMID: 23418740 DOI: 10.1111/iwj.12041] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
To describe the steps needed for a successful implementation of an e-health programme (the Mobile Wound Care system) in rural Victoria, Australia and to provide recommendations for future e-health initiatives. Wound care is a major burden on the health care system. Optimal wound care was found to be impeded by issues that included the limited access to health care providers, incomplete and inconsistent documentation and limited access to expert review. This study trialled the use of a shared electronic wound reporting and imaging system in combination with an expert remote wound consultation service for the management of patients with chronic and acute wounds in Gippsland. The trial sites included four rural Home and Community Health Care providers. Considerable effort was put into designing a best practice e-health care programme. There was support from managers and clinicians at regional and local levels to address an area of health care considered a priority. Various issues contributing to the successful implementation of the wound care project were identified: the training model, quality of data collected, demands associated with multiple sites across a vast geographic region, computer access, hardware and computer literacy.
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Affiliation(s)
- Hanan Khalil
- School of Rural Health, Faculty of Medicine, Nursing & Health Sciences, Monash University, Moe, Australia
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Abstract
BACKGROUND Health information technology (HIT) purports to increase quality and efficiency in health care organizations. However, health care organizations are situated in constantly changing environments. They need dynamic capabilities to implement HIT effectively. PURPOSES This article builds on the dynamic capabilities perspective and generates propositions about implementing HIT in dynamic environments. Specifically, I identify the (1) the necessary resources and capabilities for organizations to implement HIT; (2) the organizational capabilities and benefits that can be enhanced by HIT; and (3) the similarities and differences between three distinct forms of HIT. APPROACH I synthesized the literature on dynamic capabilities and HIT to identify dynamic capabilities that are associated with (1) electronic medical records, (2) telemedicine, and (3) social media. In addition, I discuss the benefits of these HITs for improving the dynamic capabilities of health care organizations. PROPOSITIONS/FINDINGS: This article generates three sets of propositions that can be tested empirically. First, I am concerned with how organizational size and human resources affect successful implementation of HIT. In addition, I argue that three technology-specific factors--hospital type, medical specialty, and socially desirable technical features--may affect the implementation of HIT. PRACTICAL IMPLICATIONS To cope with constantly changing environmental pressures, health administrators need to deploy, modify, and/or acquire organizational resources skillfully. Practitioners need to identify dynamic capabilities to support specific forms of HIT and understand how HIT enables health care organizations in turn. The concept of evolutionary fitness in the dynamic capabilities perspective may be developed to measure HIT implementation.
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10
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Golbeck AL, Hansen D, Lee K, Noblitt V, Christner J, Pinsonneault J. Telemonitoring improves home health utilization outcomes in rural settings. J Telemed Telecare 2011; 17:273-8. [DOI: 10.1258/jtt.2011.100807] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We have examined the hypothesis that home telemonitoring, when added to conventional home care in rural settings, results in less acute care hospitalization and more discharge to the community. Five US rural home health agencies of different types participated in the study. All agencies were not-for-profit and served low-income patients in designated health professional shortage areas or medically underserved areas/populations. A prospective treatment group was telemonitored daily in the home during the period 1 October 2006 to 31 May 2009 ( n = 1419). An historical control group was selected sequentially backwards from 30 September 2006 ( n = 1502). Both groups had home health services for approximately 50 days ( P = 0.76). We used logistic regression modelling, with covariate data captured from the Outcome and Assessment Information Set (OASIS) data set, to assess the effect of group on outcome. Home telemonitoring was found to reduce the odds of any acute care hospitalization (OR = 0.59, P < 0.001) and to increase the odds of discharge to the community (OR = 1.36, P = 0.003).
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Affiliation(s)
| | | | - Kim Lee
- Home Nursing Agency, Altoona, Pennsylvania, USA
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11
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Cost Factors in Implementing Telemonitoring Programs in Rural Home Health Agencies. ACTA ACUST UNITED AC 2011; 29:375-82. [DOI: 10.1097/nhh.0b013e31821b736f] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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12
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Barlow IG, Liu L, Sekulic A. Wheelchair Seating Assessment and Intervention: A Comparison Between Telerehabilitation and Face-to-Face Service. Int J Telerehabil 2009; 1:17-28. [PMID: 25945159 PMCID: PMC4296782 DOI: 10.5195/ijt.2009.868] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10) and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural). Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete.
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Affiliation(s)
| | - Lili Liu
- University of Alberta, Edmonton, Alberta, Canada
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Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B, Lancaster AE. Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed J E Health 2009; 14:1118-26. [PMID: 19119835 DOI: 10.1089/tmj.2008.0021] [Citation(s) in RCA: 293] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Between July 2003 and December 2007, the Veterans Health Administration (VHA) introduced a national home telehealth program, Care Coordination/Home Telehealth (CCHT). Its purpose was to coordinate the care of veteran patients with chronic conditions and avoid their unnecessary admission to long-term institutional care. Demographic changes in the veteran population necessitate VHA increase its noninstitutional care (NIC) services 100% above its 2007 level to provide care for 110,000 NIC patients by 2011. By 2011, CCHT will meet 50% of VHA's anticipated NIC provision. CCHT involves the systematic implementation of health informatics, home telehealth, and disease management technologies. It helps patients live independently at home. Between 2003 and 2007, the census figure (point prevalence) for VHA CCHT patients increased from 2,000 to 31,570 (1,500% growth). CCHT is now a routine NIC service provided by VHA to support veteran patients with chronic conditions as they age. CCHT patients are predominantly male (95%) and aged 65 years or older. Strict criteria determine patient eligibility for enrollment into the program and VHA internally assesses how well its CCHT programs meet standardized clinical, technology, and managerial requirements. VHA has trained 5,000 staff to provide CCHT. Routine analysis of data obtained for quality and performance purposes from a cohort of 17,025 CCHT patients shows the benefits of a 25% reduction in numbers of bed days of care, 19% reduction in numbers of hospital admissions, and mean satisfaction score rating of 86% after enrolment into the program. The cost of CCHT is $1,600 per patient per annum, substantially less than other NIC programs and nursing home care. VHA's experience is that an enterprise-wide home telehealth implementation is an appropriate and cost-effective way of managing chronic care patients in both urban and rural settings.
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Affiliation(s)
- Adam Darkins
- Department of Veterans Affairs, Office of Care Coordination Services, Washington, D.C. 20420, USA.
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Botsis T, Demiris G, Pedersen S, Hartvigsen G. Home telecare technologies for the elderly. J Telemed Telecare 2008; 14:333-7. [DOI: 10.1258/jtt.2008.007002] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
There are many home telecare technologies which have been developed specifically for chronic diseases and there are some more generic technologies that could be used as well. For home telecare, the equipment must be certified, the operational routines must be reformed, the infrastructure must be in place, the market must be prepared, the health authorities must be convinced that the system will work and the cost-effectiveness must be evaluated. Organizational and societal changes, such as cost reduction policies and an aging population, are the main driving forces for the development of home telecare, especially for elderly patients. At the moment there is no holistic model for scientific evaluation from different perspectives (e.g. clinical, legal, technical). We suggest that more research on home telecare and its effects needs to be conducted, in order to provide evidence for optimizing the use of this promising technique.
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Affiliation(s)
- Taxiarchis Botsis
- MI&T Group, Department of Computer Science, University of Tromsø, Norway
| | - George Demiris
- Biomedical and Health Informatics, University of Washington, Seattle, Washington, USA
| | | | - Gunnar Hartvigsen
- MI&T Group, Department of Computer Science, University of Tromsø, Norway
- Norwegian Centre for Telemedicine, Tromsø, Norway
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Botsis T, Hartvigsen G. Current status and future perspectives in telecare for elderly people suffering from chronic diseases. J Telemed Telecare 2008; 14:195-203. [DOI: 10.1258/jtt.2008.070905] [Citation(s) in RCA: 124] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Summary We reviewed the literature on home telecare for elderly patients suffering from chronic diseases. Articles published between 1990 and 2007 were identified via the PubMed database. The literature search yielded 485 papers. After reviewing the title and abstract from each, 54 were selected for closer examination. They were published in 37 different journals. The number of papers increased from one in 1997 to 14 in 2006. The diseases in which home telecare had been used were diabetes (14 studies), heart failure (13 studies), cognitive impairment (dementia and/or Alzheimer's disease, 10 studies), chronic obstructive pulmonary disease (5 studies), chronic wounds (4 studies) and mobility disabilities (4 studies). Patients were generally satisfied with home telecare, but they preferred a combination of home telecare with conventional health-care delivery. Health-care professionals were positive about telecare. Users felt that on many occasions telecare led to a reduction in costs due to time savings and avoidance of travelling. Even though there were important benefits from home telecare, there are organizational, ethical, legal, design, usability and other matters that need to be resolved before widespread implementation can occur.
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Affiliation(s)
- Taxiarchis Botsis
- Medical Informatics and Telemedicine Group, Department of Computer Science, University of Tromsø
| | - Gunnar Hartvigsen
- Medical Informatics and Telemedicine Group, Department of Computer Science, University of Tromsø
- Norwegian Centre for Telemedicine, Tromsø, Norway
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