A telemedicine system to support a new model for care of chronically ill patients

Toledo, Paula de; Jiménez, Silvia; Pozo, Francisco del

doi:10.1258/135763302320301858

Cited by 7 publications

(6 citation statements)

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“…The platform developed also included a patient unit [6], not used in the clinical trial, designed to be used by patients at their homes, offering telemedicine services, such as telemonitoring, communication with the case manager using text messages, televisit, and access to educational web material and videos.…”

Section: ) Telemedicine Servermentioning

confidence: 99%

Telemedicine Experience for Chronic Care in COPD

Toledo¹,

Jiménez

Pozo

et al. 2006

IEEE Trans. Inform. Technol. Biomed.

166

138

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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.

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Section: ) Telemedicine Servermentioning

confidence: 99%

Telemedicine Experience for Chronic Care in COPD

Toledo¹,

Jiménez

Pozo

et al. 2006

IEEE Trans. Inform. Technol. Biomed.

166

138

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“…El tercer grupo o grupo de abordaje mixto reúne miradas de la experiencia y el costo financiero e incluye la mirada de la carga aplicando el Modelo de cuidado crónico sumado al análisis de costo, medidas de eficiencia, de eficacia, y de costo y costo-beneficio (14); la carga asociada al alivio de síntomas y el costo económico (15); la carga aliviada cuando se tienen ganancias en prácticas saludables y costo efectividad (16); La carga asociada con el sentido de auto eficacia, independencia, competencia para manejar situaciones complejas de la vida y el costo beneficio (17); la carga abordada desde la calidad de cuidado, su costo y el acceso a los servicios (18); La carga como costo de la mortalidad y la alteración social que genera la ECNT (19); La carga que implica el uso de los servicios y el comportamiento de las personas enfermas (20); la carga vista desde el alivio de los síntomas y su impacto psicosocial (21); la carga integralmente asociada a los determinantes en salud y su relación con la capacidad organizacional (22); la carga que se relaciona con la capacidad y disponibilidad de la comunidad para comprometerse con la planeación en salud (23) y la carga de la enfermedad vista como los efectos de la pobreza y otros determinantes sociales (24).…”

Section: Resultsunclassified

“…Existe un reconocimiento particular dentro de algunos modelos de cuidado y modelos mixtos por el Modelo de cuidado crónico descrito por Wagner (25,26) e impulsado por la Organización Panamericana de la Salud que propone un abordaje integral incluyendo en este la organización de la atención a la salud, el sistema de provisión de los servicios, el sistema de información clínica, el apoyo a la toma de decisiones, el apoyo al automanejo y la valoración y utilización de los recursos comunitarios. Varios de los modelos de cuidado y mixtos reportados atienden esta orientación (14) o incluyen algunos de sus componentes como la experiencia del paciente (5,21); la calidad de cuidado (18); el acceso a servicios de salud (20) y la capacidad organizacional (22)(23).…”

Section: Discussionunclassified

Concepto carga en los modelos teóricos sobre enfermedad crónica: revisión sistemática

et al. 2016

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The theoretical models of chronic disease evidenced by this systematic search indicates that the concept of cost of illness is grouped into three: the view from the approach of burden of care; the economic approach focused on the disease and its financial impact and the mixed approach that takes aspects of the previous two. Comparing these findings with the literature confirms the groups founded and suggested the need to make explicit the utilized paradigm within in the conceptualization of the cost of illness while approaching NCDs.

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“…Up to now telespirometry has been employed only in very particular situations. 20,21 In comparison with other experiences with office spirometry, 19 in this study telespirometry was accepted by a large part of the GPs because they were able to communicate and interact with the pulmonary specialist in the TCO just a few minutes after performing the test. This interaction improved the familiarity with the performance and the interpretation of the test, leading to an appreciation that the test was reliable and useful for the management of the single patient.…”

Section: Discussionmentioning

confidence: 99%

“…19 Telespirometry (i.e., spirometry with simple equipment in a GP's clinic then sending the results by telephone to a central office where the data are processed, analysed and interpreted, and referring the results back to the GPs) has been used to monitor selected asthmatic patients living a long distance from the hospital, or COPD patients with some limitation to access to a hospital. 20,21 Until now no data have been reported on the use of telespirometry in GP's clinics for the screening of asthma and COPD.…”

Section: Introductionmentioning

confidence: 99%