The long-term study of 541 patients began in 2008 and just concluded in 2012. Patients used a Bluetooth-connected weight scale from AMC Health that also included interactive voice surveys about shortness of breath, swelling, appetite and prescription medication management, designed to detect acute events before they happen. Weight data and survey answers were transmitted in near-realtime to the patients’ care team, allowing them to respond to warning signs in a timely manner. This is the second study Geisinger has published on this technology.
This systematic review aimed to provide a comprehensive description of the methodologies used in home telemonitoring interventions for Chronic Obstructive Pulmonary Disease (COPD) and to explore patients' adherence and satisfaction with the use of telemonitoring systems.
A literature search was performed from June to August and updated until December of 2012 on Medline, Embase, Web of Science and B-on databases using the following keywords: [tele(-)monitoring, tele(-)health, tele(-)homecare, tele(-)care, tele-home health or home monitoring] and [Chronic Obstructive Pulmonary Disease or COPD]. References of all articles were also reviewed.
Seventeen articles were included, 12 of them published from 2010 to the present. The methodologies were similar in the training provided to patients and in the data collection and transmission processes. However, differences in the type of technology used, telemonitoring duration and provision of prompts/feedback, were found. Patients were generally satisfied and found the systems useful to help them manage their disease and improve healthcare provision. Nevertheless, they reported some difficulties in their use, which in some studies were related to lower compliance rates.
Telemonitoring interventions are a relatively new field in COPD research. Findings suggest that these interventions, although promising, present some usability problems that need to be considered in future research. These adjustments are essential before the widespreading of telemonitoring.
Everyone deserves a chance to be healthy. Physicians, of course, focus on helping patients. Unfortunately, I often see patients’ frustrations with the health care system itself directed toward doctors.
Meanwhile, doctors are under increasing pressures on multiple fronts. Yes, we’re imperfect, but making physicians the primary focus of patient anger will not solve problems we all face as humans who will, at some point, need health care. (Note: I’m using doctors as an example for this piece, but my observations apply to all health care professionals.)
Patients need doctors. Doctors need patients. Let’s find a way to value both.
A majority of U.S. adults, 56 percent, embrace using a connected device at home to monitor health and share data with caregivers, according to the "Connected Health Study," conducted for A&D Medical by The Harris Poll.
POST SUMMARY: Physicians are not using the mobile web they are using apps as a tool like a stethoscope. The number one reason that they are using apps is to determine medical interactions followed by diagnosing patients.
Si su organización de atención médica no está considerando mHealth en sus esfuerzos para mejorar los resultados del tratamiento, promover la participación de los pacientes y aumentar la rentabilidad, lo más probable es que estés quedando detrás de los tiempos. MHEALTH no es sólo el futuro de la asistencia sanitaria - es el PRESENTE , los pacientes están pidiendo cada vez más por ella, y los grandes actores de la industria han tomado nota.
Con el éxito de seguidores de salud y fitness como Fitbit y de dieta y ejercicio aplicaciones como MyFitnessPal, es obvio que las prioridades de los consumidores están cambiando. Los pacientes quieren ser participantes más activos en su salud y que están buscando maneras de hacerlo mediante el aprovechamiento de las tecnologías de mHealth - no es sorprendente, teniendo en cuenta el 79 por ciento de los usuarios de smartphones tienen su teléfono en o cerca de ellos durante la mayor parte del día de vigilia.
J Telemed Telecare. 2014 Oct 22. pii: 1357633X14555644. [Epub ahead of print]
Sílvia Cordomí's insight:
A trial of telemonitoring and telecare for patients with chronic heart failure leaving hospital after being treated for clinical instability. Eighty patients were randomized before hospital discharge to a usual care group (n = 40: follow-up at the outpatient clinic) or to an integrated management group (n = 40: patients learned to use a handheld PDA and kept in touch daily with the monitoring centre). At enrolment, the groups were similar for all clinical variables. At one-year follow-up, integrated management patients showed better adherence, reduced anxiety and depression, and lower NYHA class and plasma levels of BNP with respect to the usual care patients (e.g. NYHA class 2.1 vs 2.4, P < 0.02). Mortality and hospital re-admissions for congestive heart failure were also reduced in integrated management patients (P < 0.05). Integrated management was more expensive than usual care, although the cost of adverse events was 42% lower. In heart failure patients at high risk of relapse, the regular acquisition of simple clinical information and the possibility for the patient to contact the clinical staff improved drug titration, produced better psychological status and quality of life, and reduced hospitalizations for heart failure.
A big factor powering the mhealth movement of course is the easily availability of wireless sensors. New entrants are also coming online. Here is a handy infographic made by Pathfinder, which focuses on healthcare software development, that shows the type of sensors already available and how they are poised to reshape the field of healthcare.
Heart failure is a prevalent health problem associated with costly hospital readmissions. Transitional care programs have been shown to reduce readmissions but are costly to implement. Evidence regarding the effectiveness of telemonitoring in managing the care of this chronic condition is mixed. The objective of this randomized controlled comparative effectiveness study is to evaluate the effectiveness of a care transition intervention that includes pre-discharge education about heart failure and post-discharge telephone nurse coaching combined with home telemonitoring of weight, blood pressure, heart rate, and symptoms in reducing all-cause 180-day hospital readmissions for older adults hospitalized with heart failure.
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