Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review

Paré, Guy; Moqadem, Khalil; Pineau, Gilles; St-Hilaire, C.

doi:10.2196/jmir.1357

Cited by 238 publications

(233 citation statements)

References 70 publications

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“…However, there are reported benefits of decrease in hemoglobin A1c, reduction in systolic and diastolic blood pressure, detection of early deterioration in COPD patients and decrease in hospital admissions. (Pare et al, 2007;Pare et al, 2010) In addition, use of home telemonitoring empowers the patients to actively get engaged in their care, and improving their general sense of well-being. (Pare et al, 2007) Home telemonitoring requires monitoring hardware and software that will automatically record data from the patient such as weight, heart rate, blood glucose level, insulin use, etc.…”

Section: Home Monitoring For Chronic Disease Managementmentioning

confidence: 99%

Telemedicine in Primary Care

Antoun¹

2012

Primary Care at a Glance - Hot Topics and New Insights

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Section: Home Monitoring For Chronic Disease Managementmentioning

confidence: 99%

Telemedicine in Primary Care

Antoun¹

2012

Primary Care at a Glance - Hot Topics and New Insights

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“…[33] TM shows to have the potential to reduce the number of readmissions. [7,11,34] The respondents in the present study believed that TM leads to a better management of comorbidities and a decrease in readmissions in CHF, resulting in cost savings. The external validity of their opinions can however be questioned as all of the included projects stopped after the pilot phase.…”

Section: Facilitating Experiencesmentioning

confidence: 77%

“…[6] Telemonitoring (TM) is a telemedicine application in which physiological and biological data are transferred intermittently from the patients' home to the geographically distant TM centre to observe patients, store and interpret data and support clinical decision-making of professionals. [7] Parameters, such as heart rate, blood pressure, weight, electrocardiographic measurements and oxygen saturation, can be transferred by telephone or by a wireless connection. [8] Worldwide there is growing interest in the added value of TM in the treatment and follow up of chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

“…[8,10,11] TM was related to a decrease in hospital readmissions and an increase in quality of life. [7,8,12] Inglis et al (2010) describes a 34% reduction in risk of all-cause mortality and a 9% reduction of all cause hospitalization compared to usual care. Three out of 7 studies in the same review reported statistically significant improvement in quality of life outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

Willemse

Remmen

Adriaenssens

et al. 2016

IJH

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Objective: Despite the added value of telemonitoring (TM) in the management of chronic care, widespread implementation and continuation is failing. The aim of this qualitative study was to explore the facilitators and inhibitors for successful implementation among field experts and health care providers in the projects of TM in primary care. Methods: An exploratory qualitative design using semi-structured interviews with field experts of TM projects in Belgium. Results: The eight interviewees reported an overall positive perception on the actual use of TM. They emphasized that TM provides a promising approach to the ageing population with an increasing burden of chronic diseases. TM was said to increase disease awareness in patients with chronic heart failure. The interviewees were willing to use the new technology. Sharing patient data between health care professionals optimizes care continuity and transmural collaboration, with the focus on problem detection. However, TM in their projects was perceived as an additional task as it was not embedded in regular care. Coordination of care using TM was felt to be incomplete. Agreements on tasks and responsibilities in sharing patient data were unclear. The management and centralisation of data was difficult and impeded implementation in regular care. Furthermore, the interviewees noted that sustainability of their efforts was hampered as the projects would not be financed in the future. Conclusions: Field experts of pilot TM projects believe in benefits of TM and the willingness of health care providers to use the technology. To successfully implement TM in regular care the reported barriers need to be considered. Transmural collaboration with interaction and involvement of the chronic patient and a proactive team of care professionals is required. Efforts should be made to integrate TM in regular care, both structurally and financially.

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“…On the other hand, fast and accurate diagnosis due to continuous monitoring through information communication technology (ICT) devices leads to prevent the death of diabetic patients [23]. Telemedicine as a main tool to remote health care delivery and home care has advantages such as real-time access to health information [3,24], reducing medical errors [25], and increasing coordination and cooperation among health care teams [1], reducing travel of patients and their families in remote area [26], and useful education tool for patients, their families, and health care providers [27].…”

Section: Chronic Disease Management: Necessity Of Mhealth Approachmentioning

confidence: 99%

Mobile Health Monitoring

Mohammadzadeh¹,

Safdari²

2016

Mobile Health Technologies - Theories and Applications

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Chronic diseases impose heavy burden and costs on the health industry in many countries. Suitable health procedures, management, and prevention of disease by continuous monitoring through modern technologies can lead to a decrease in health costs and improve people empowerment. Applying remote medical diagnosis and monitoring system based on mobile health systems can help significantly reduce health care costs and correct performance management particularly in chronic disease management. In this chapter, mHealth opportunities in patient monitoring with the introduction of various systems specifically in chronic disease are expressed. Also mHealth challenges in patient monitoring in general and specific aspects are identified. Some of the general challenges include threats to confidentiality and privacy, and lack of information communication technology (ICT), and mobile infrastructure. In specific aspect, some difficulties include lack of system interoperability with electronic health records and other IT tools, decrease in face-to-face communication between doctor and patient, ill-functioning of system that leads to medical errors and negative effects on care outcomes, patients, and personnel, and factors related to the telecommunication industry include reliability and sudden interruptions of telecommunication networks.

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Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review

Cited by 238 publications

References 70 publications

Telemedicine in Primary Care

Telemedicine in Primary Care

Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

Mobile Health Monitoring

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