Conclusions: A telemedicine-based symptom reporting program facilitated early treatment of symptoms and improved lung function and functional status.
Background: Patients with chronic obstructive pulmonary disease (COPD) may not recognize worsening symptoms that require intensification of therapy. They may also be reluctant to contact a healthcare provider for minor worsening of symptoms. A telemedicine application for daily symptom reporting may reduce these barriers and improve patient outcomes. Materials and Methods: Patients hospitalized for a COPD exacerbation within the past year or using supplemental O2 were approached for participation. Patients received optimal COPD care and were given a telecommunication device for symptom reporting. Initial symptom scores were obtained while patients were in their usual state of health. Patients were randomly assigned to an intervention group or a control group (usual medical care). The control group patients were instructed to seek medical care if their condition worsened. The intervention group symptom scores were assessed by a computer algorithm and compared with initial values. Scores 1 or more points above the initial score generated an “alert,” and patients were reviewed by a nurse and referred to a physician who prescribed treatment.
Results: Eighty-six patients were screened; 79 met entry criteria and were randomized (intervention group, n=39; control group, n=40). Twelve patients submitted five or fewer symptom reports (5 intervention; 7 control) and were excluded from the analysis. Daily peak flow and dyspnea scores improved only in the intervention group. There were no differences in hospitalization and mortality rates between groups. No serious adverse events were reported.
by Zana Patrick Desgranges, MD, PhD, Vice President and Chief Technology Officer at Vigilias Back in 2012, Dr. Demaerschalk of the Mayo Clinic published two groundbreaking studies in the medical journal...
Après une greffe de rein, les patients sont régulièrement suivis par leur néphrologue. Quatre fois par an pour ceux qui présentent un faible risque de rejet. Dans le cadre de l’étude Télégraft, menée par le CHU de Nantes, des patients peuvent bénéficier de consultations à distance, via écran interposé.
Telehealth is arguably one of the best tools available to help lower hospital readmission rates, and it should be more widely leveraged because readmissions aren't dropping as fast as many stakeholders would like.
Year No. 3 of the Centers for Medicare & Medicaid Services' Hospital Readmission Reduction Program (HRRP) was a bittersweet, good news/bad news story. The average reimbursement withholding per hospital was less than 1 percent (even though the maximum penalty has risen to 3 percent). But more hospitals are getting penalized because the program now monitors COPD and elective hip/knee replacements, not just the initial triad heart attack, heart failure and pneumonia.
In the last fiscal year, nearly 80 percent of U.S. hospitals received readmission penalties, up significantly from the two previous years. That percentage should begin to decrease next year, but some states (including many in New England) will show little progress because they have fewer exempt hospitals.
It would be discouraging if states with high smoking rates (like Kentucky and West Virginia) made progress in lowering heart failure-related readmissions, only to see their COPD readmission rates climb higher.
L'Inspection générale des affaires sociales (Igas) recommande de développer l'alliance thérapeutique entre un médecin et son patient et pour cela, de promouvoir l'éducation thérapeutique du patient (ETP) et le "télésuivi-accompagnement" de manière encadrée, dans son rapport sur l'observance.
Dans ce rapport, demandé après l'annulation, en novembre 2014, par le Conseil d'Etat des arrêtés conditionnant le remboursement du traitement de l'apnée du sommeil par pression positive continue (PPC) au télésuivi de l'observance, la mission Igas recommande de manière générale de "ne pas lier le remboursement des soins à l'observance du traitement".
Quatre patients ont pu être expertisés à distance depuis la signature d'une convention de télémédecine sur les accidents vasculaires cérébraux (AVC) entre le centre hospitalier Yves-Touraine de Pont-de-Beauvoisin (CHPB), dans l'Isère, et l'hôpital Métropole Savoie de Chambéry, indique un communiqué diffusé en décembre 2015 par le CHPB.
Just like your SSN is being required and used for myriad commercial applications which have nothing to do with the public pension fund, you can expect your national health ID to be required by every “wellness” app, every employer “wellness” program, every CVS rewards card, every school, every background check, and whatever else you can think of (for your own safety, of course). This is the missing piece of the national learning system puzzle, where health research (some of it medical perhaps) is conducted on hundreds of millions of oblivious people all day every day. You can’t have precision health if you can’t precisely identify your research subjects, and precisely connect all available data (genotypes and phenotypes in the broadest sense) to each one, no matter where he or she is located at any given moment.
La Semaine bleue s'est terminée vendredi avec une journée très chargée déjà le matin, au théâtre de l'Apollo, une conférence sur le thème «Anticiper l'avenir de la prise en charge médicale, le pôle santé communautaire et la télémédecine». En ...
Le fournisseur de solutions de télésuivi Srett medical a présenté son dispositif TeleOx de prise en charge des patients insuffisants respiratoires sous oxygénothérapie à long terme lors du congrès de l'European Respiratory Society (ERS)
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