Introduction of a telemonitoring service for patients affected by Chronic Heart Failure

Masella, Cristina; Zanaboni, Paolo; Borghi, Gabriella; Castelli, Andrea; Marzegalli, Maurizio; Tridico, Caterina

doi:10.1109/health.2009.5406189

Cited by 10 publications

(7 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is currently in routine use. The implementation of this service was regulated by policy makers, who introduced an experimental regional reimbursement and approved a clinical protocol [ 33 ]. This service was offered to all the hospitals in the Region, which could decide to apply for authorization and therefore adopt it on a voluntary basis.…”

Section: Discussionmentioning

confidence: 99%

Adoption of telemedicine: from pilot stage to routine delivery

Zanaboni

Wootton

2012

BMC Med Inform Decis Mak

282

213

View full text Add to dashboard Cite

BackgroundToday there is much debate about why telemedicine has stalled. Teleradiology is the only widespread telemedicine application. Other telemedicine applications appear to be promising candidates for widespread use, but they remain in the early adoption stage. The objective of this debate paper is to achieve a better understanding of the adoption of telemedicine, to assist those trying to move applications from pilot stage to routine delivery.DiscussionWe have investigated the reasons why telemedicine has stalled by focusing on two, high-level topics: 1) the process of adoption of telemedicine in comparison with other technologies; and 2) the factors involved in the widespread adoption of telemedicine. For each topic, we have formulated hypotheses. First, the advantages for users are the crucial determinant of the speed of adoption of technology in healthcare. Second, the adoption of telemedicine is similar to that of other health technologies and follows an S-shaped logistic growth curve. Third, evidence of cost-effectiveness is a necessary but not sufficient condition for the widespread adoption of telemedicine. Fourth, personal incentives for the health professionals involved in service provision are needed before the widespread adoption of telemedicine will occur.SummaryThe widespread adoption of telemedicine is a major -- and still underdeveloped -- challenge that needs to be strengthened through new research directions. We have formulated four hypotheses, which are all susceptible to experimental verification. In particular, we believe that data about the adoption of telemedicine should be collected from applications implemented on a large-scale, to test the assumption that the adoption of telemedicine follows an S-shaped growth curve. This will lead to a better understanding of the process, which will in turn accelerate the adoption of new telemedicine applications in future. Research is also required to identify suitable financial and professional incentives for potential telemedicine users and understand their importance for widespread adoption.

show abstract

Section: Discussionmentioning

confidence: 99%

Adoption of telemedicine: from pilot stage to routine delivery

Zanaboni

Wootton

2012

BMC Med Inform Decis Mak

282

213

View full text Add to dashboard Cite

show abstract

“…Considering telemedicine systems for chronic patients in the research literature [21][22][23][24][25] or present on the market [26][27][28], it is possible to note that they often provide only a partial support of scenarios suitable for the out-of-hospital monitoring of chronic patients. Instead, the proposed system includes on the same service platform all actors (i.e., care team), all relevant data in integrated way and all the possible scenarios involved in personalized healthcare service provisioning.…”

Section: Comparison With the State-of-the-artmentioning

confidence: 99%

A Telemedicine Service System Exploiting BT/BLE Wireless Sensors for Remote Management of Chronic Patients

Donati

Celli²,

Ruiu³

et al. 2019

Technologies

View full text Add to dashboard Cite

The management of the increasing number of patients affected by cardiovascular, pulmonary, and metabolic chronic diseases represents a major challenge for the National Health System (NHS) in any developed country. Chronic diseases are indeed the main cause of hospitalization, especially for elderly people, leading to sustainability problems due to the huge amount of resources required. In the last years, the adoption of the chronic care model (CCM) as assistive model improved the management of these patients and reduced the related healthcare costs. The diffusion of wireless sensors, portable devices and connectivity enables to implement new information and communication technology (ICT)-based innovative applications to further improve the outcomes of the CCM. This paper presents a telemedicine platform for data acquisition, distribution, processing, presentation, and storage, aimed to remotely monitor the clinical status of chronic patients. The proposed solution is based on monitoring kits, with wireless Bluetooth (BT)/ Bluetooth low energy (BLE) sensors and a gateway (i.e., smartphone or tablet) connected to a web-based cloud application that collects and makes available the clinical information to the medical staff. The platform allows clinicians and practitioners to monitor at distance their patients, according to personalized treatment plans, and to act promptly in case of aggravations, reducing hospitalizations and improving patients’ quality of life.

show abstract

“…Several different shapes and ways to handle them were proposed to tens of elderly people. From the feedback of the testers, the configuration that best allows one to keep stable contact with the electrodes is a parallelepiped having dimensions of about 30ˆ5ˆ3 cm 3 , with the electrodes placed on a plane with the long side parallel to the chest, on which the user lays the proximal part of the palm of the hand. Testers also reported that the greatest comfort is obtained when laying the hands on the shape instead of keeping it steady with one's hands.…”

Section: Analysis Of the Skin-electrode Contact And The Shape Of A Hamentioning

confidence: 99%

“…One of the main trends in biomedical applications is developing telemedicine systems for the remote monitoring of people affected by chronic diseases [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Particularly in developed countries such as the United States, Canada, Europe, Japan, South Korea, and Australia, the increasing percentage of elderly people and the need for public health systems (PHS) to cut the budget for hospitalization are fostering the rise of a new healthcare paradigm: hospitalization should be reserved only for patients with acute syndromes that can be solved in a short period.…”

Section: Introductionmentioning

confidence: 99%

An Embedded Sensing and Communication Platform, and a Healthcare Model for Remote Monitoring of Chronic Diseases

Saponara

Donati²,

Fanucci

et al. 2016

Electronics

View full text Add to dashboard Cite

This paper presents a new remote healthcare model, which, exploiting wireless biomedical sensors, an embedded local unit (gateway) for sensor data acquisition-processing-communication, and a remote e-Health service center, can be scaled in different telemedicine scenarios. The aim is avoiding hospitalization cost and long waiting lists for patients affected by chronic illness who need continuous and long-term monitoring of some vital parameters. In the "1:1" scenario, the patient has a set of biomedical sensors and a gateway to exchange data and healthcare protocols with the remote service center. In the "1:N" scenario the use of gateway and sensors is managed by a professional caregiver, e.g., assigned by the Public Health System to a number N of different patients. In the "point of care" scenario the patient, instead of being hospitalized, can take the needed measurements at a specific health corner, which is then connected to the remote e-Health center. A mix of commercially available sensors and new custom-designed ones is presented. The new custom-designed sensors range from a single-lead electrocardiograph for easy measurements taken by the patients at their home, to a multi-channel biomedical integrated circuit for acquisition of multi-channel bio signals, to a new motion sensor for patient posture estimation and fall detection. Experimental trials in real-world telemedicine applications assess the proposed system in terms of easy usability from patients, specialist and family doctors, and caregivers, in terms of scalability in different scenarios, and in terms of suitability for implementation of needed care plans.

show abstract

Introduction of a telemonitoring service for patients affected by Chronic Heart Failure

Cited by 10 publications

References 41 publications

Adoption of telemedicine: from pilot stage to routine delivery

Adoption of telemedicine: from pilot stage to routine delivery

A Telemedicine Service System Exploiting BT/BLE Wireless Sensors for Remote Management of Chronic Patients

An Embedded Sensing and Communication Platform, and a Healthcare Model for Remote Monitoring of Chronic Diseases

Contact Info

Product

Resources

About