Home telehealth—Current state and future trends

Koch, Sabine

doi:10.1016/j.ijmedinf.2005.09.002

Cited by 355 publications

(234 citation statements)

References 77 publications

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“…Alongside development of technologies which aim to benefit patients and citizens as well as professionals, we need research on the impacts of technologies for these groups [76]. An example is that information websites relating to dementia are geared more to carers than to people with dementia themselves, and that the websites do not usually offer personalised information [77].…”

Section: Is Telemedicine Good For Patients?mentioning

confidence: 99%

Effectiveness of telemedicine: A systematic review of reviews

Ekeland¹,

Bowes²,

Flottorp³

2010

International Journal of Medical Informatics

963

649

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To conduct a review of reviews on the impacts and costs of telemedicine services. Methods: A review of systematic reviews of telemedicine interventions was conducted. Interventions included all e-health interventions, information and communication technologies for communication in health care, Internet-based interventions for diagnosis and treatments, and social care if important part of health care and in collaboration with health care for patients with chronic conditions were considered relevant. Each potentially relevant systematic review was assessed in full text by one member of an external expert team, using a revised check list from EPOC (Cochrane Effective Practice and Organisation of Care Group) to assess quality. Qualitative analysis of the included reviews was informed by principles of realist review. Results: In total 1593 titles/abstracts were identified. Following quality assessment, the review included 80 heterogeneous systematic reviews. Twenty one reviews concluded that telemedicine is effective, 18 found that evidence is promising but incomplete and others that evidence is limited and inconsistent. Emerging themes are the particularly problematic nature of economic analyses of telemedicine, the benefits of telemedicine for patients, and telemedicine as complex and ongoing collaborative achievements in unpredictable processes. Conclusions: The emergence of new topic areas in this dynamic field is notable and reviewers are starting to explore new questions beyond those of clinical and cost effectiveness. Reviewers point to a continuing need for larger studies of telemedicine as controlled interventions, and more focus on patients' perspectives, economic analyses and on telemedicine innovations as complex processes and ongoing collaborative achievements. Formative assessments are emerging as an area of interest.2 Introduction Previous reviews of telemedicine have concluded that irrefutable evidence regarding the positive impact of telemedicine on clinical outcomes still eludes us. One review [1] of more than 150 articles concluded that potential effectiveness could only be attributed to teleradiology, telepsychiatry, transmission of echocardiographic images and consultations between primary and secondary health providers. Another systematic review [2] that assessed more than 1300 papers making claims about telemedicine outcomes found only 46 publications that actually studied at least some clinical outcomes. A review that analyzed the suitability of telemedicine as an alternative to face-to-face care [3] concluded that establishing systems for patient care using telecommunications technologies is feasible; however, the studies provided inconclusive results regarding clinical benefits and outcomes. A report on peer-reviewed literature for telemedicine services that substituted face-to-face services with ICT based services at home and in offices or hospitals [4] identified 97 articles that met the inclusion criteria for analysis. The authors concluded that telemedicine is being used even if the use ...

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Section: Is Telemedicine Good For Patients?mentioning

confidence: 99%

Effectiveness of telemedicine: A systematic review of reviews

Ekeland¹,

Bowes²,

Flottorp³

2010

International Journal of Medical Informatics

963

649

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“…Despite the introduction of new technologies in healthcare, to the authors' knowledge, the scores for all pain scales for severely demented elderly are still obtained manually on the paper. Computerized technologies are already introduced in home care (Koch, 2006) and gaining high satisfaction response among patients (Chae et al, 2001;Lind et al, 2008) . The computerized-assisted decision systems are utilized in clinical practice (Mikulich, et al 2001).…”

Section: Electronic Pain Observational Scales (Assessment Scales)mentioning

confidence: 99%

Non-Invasive Methods for Monitoring Individual Bioresponses in Relation to Health Management

Exadaktylos¹,

Berckmans²,

Aerts³

2011

Health Management - Different Approaches and Solutions

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“…However, there are obstacles that have been identified through a number of surveys (Eysenbach et al, 2002;Koch, 2006), which need to be considered during the development and use of eHealth services and systems:…”

Section: Reliability Of Information In Ictsmentioning

confidence: 99%

Web-based eHealth applications with reference to food composition data

Seljak

2010

Eur J Clin Nutr

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Background/Objectives: Food composition data (FCD) can provide important information in relation to diet and health; therefore, data on food composition have broad applications in health care. The objective of this study was to provide an overview of added-value eHealth systems that use modern information and communication technologies to support health and are related to FCD and nutrition. This paper also examines whether reliable and comprehensive FCD are used in eHealth systems. Methods: A total of 25 instances of eHealth systems from nine groups, defined with respect to the services that eHealth systems provide, were randomly selected. The selection of the population-based and expert-based eHealth systems took into account diversity, complexity and popularity. Results/Conclusions: As most of the reviewed population-based eHealth systems used the United States Department of Agriculture nutrient database or basic FCD provided by the food products' producers, and only a few of them relied on local or national FCD, the author believes that, in general, the use of comprehensive FCD in the reviewed population-based eHealth systems has not reached a satisfactory level. Furthermore, many of these systems would increase their value by providing more detailed information on FCD and by addressing the nutritional aspects of health with greater emphasis. In contrast, most of the reviewed expert-based eHealth systems proved to be reliable and rich sources of nutrition information, respecting the need to address the subject from both national and international aspects.

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Home telehealth—Current state and future trends

Cited by 355 publications

References 77 publications

Effectiveness of telemedicine: A systematic review of reviews

Effectiveness of telemedicine: A systematic review of reviews

Non-Invasive Methods for Monitoring Individual Bioresponses in Relation to Health Management

Web-based eHealth applications with reference to food composition data

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