Telehomecare for Vulnerable Populations: The Evaluation of New Models of Care

Abstract

The use of telehomecare has the potential to facilitate access to healthcare services for vulnerable populations. However, evidence on the implications of telehomecare on various aspects related to patients, healthcare professionals, organizations, and healthcare systems is still limited. Assessing the various effects of telehomecare for these different groups of stakeholders is thus an essential step to ensure future integration of this technology into mainstream healthcare services. A synthesis of lessons learned from the evaluation of three telehomecare experimentations targeting specific vulnerable groups is proposed. This paper presents the various models that were implemented to assess telehomecare services for vulnerable populations, explores issues related to conducing telehomecare evaluations, and provides a reflection on key factors that might influence the success of telehomecare projects. Lessons learned from these three experimentations provide valuable insights to orient the development of telehomecare services for various vulnerable groups in the population.

A Systematic Review of Clinician and Staff Views on the Acceptability of Incorporating Remote Monitoring Technology into Primary Care

“…20 One publication reported findings from two studies conducted in Canada and France. 15 In general, staff held positive views about using RMT but expressed concerns about workload and staffing. 13,15,24 In some studies, nurses reported greater professional autonomy with RMT use.…”

“…15 In general, staff held positive views about using RMT but expressed concerns about workload and staffing. 13,15,24 In some studies, nurses reported greater professional autonomy with RMT use. 15,20,23,24 The need for better integration between RMT data and the patients' EHRs was also noted.…”

“…1). 11,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Six studies provided perspectives from primary care…”

“…13,15,24 In some studies, nurses reported greater professional autonomy with RMT use. 15,20,23,24 The need for better integration between RMT data and the patients' EHRs was also noted. 15 In a study of a multisite RMT program in Canada, interviews were conducted with 82 informants, including managers, patients, and healthcare professionals (training unspecified).…”

Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services

“…국외의 경우 공공부문의 서비스로 저소득층을 위해서는 홈 모니터링을 추진하고 있으며, 기술개발 [10], 모델 개발 [11], 수 용성 및 지속성 [12]등의 연구가 이루어졌다. 국내에서는 스마 트 홈과 관련하여 기술적 요인 [13], 공간적 요소 [14], 서비스 제 공 경험분석 [15], 정책적 함의 [16] Table 2와 같다.…”