Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Prescher, Sandra; Deckwart, Oliver; Winkler, Sebastian; Koehler, Kerstin; Honold, Marcus; Koehler, Friedrich

doi:10.1177/2047487313487483e

Cited by 33 publications

(16 citation statements)

References 18 publications

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“…24,25 Two telemedical centreslocated in two German regions -provided physicianled medical support for 24 h/day, seven days a week, according to defined standard operating procedures. Patients were enrolled from 165 practices in cardiology, internal medicine or general medicine, and were followed for at least 12 months with several outpatient visits.…”

Section: Early Detection Of Arrhythmiasmentioning

confidence: 99%

eHealth in cardiovascular medicine: A clinical update

Saner

Velde

2016

Eur J Prev Cardiolog

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Demographic changes, progress in medicine technology and regional problems in providing healthcare to low density populations are posing great challenges to our healthcare systems. Rapid progress in computer sciences and information technologies have a great impact on the way healthcare will be delivered in the near future. This article describes opportunities and challenges of eHealth and telemedicine in the framework of our health systems and, in particular, in the context of today's cardiology services. The most promising applications of eHealth and telemedicine include: (a) prevention and lifestyle interventions; (b) chronic disease management including hypertension, diabetes and heart failure; (c) arrhythmia detection including early detection of atrial fibrillation and telemonitoring of devices such as pacemaker, internal cardioverter defibrillators and implantable rhythm monitoring devices; (d) telerehabilitation. Major obstacles to the integration of eHealth and telemedicine into daily clinical practice include limited large-scale evidence, in particular, for cost-effectiveness, as well as lack of interoperability, inadequate or fragmented legal frameworks and lack of reimbursement. An important challenge for those involved in these new technologies will be to keep the main focus on patient's individual needs and to carefully evaluate the evidence behind the practice.

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Section: Early Detection Of Arrhythmiasmentioning

confidence: 99%

eHealth in cardiovascular medicine: A clinical update

Saner

Velde

2016

Eur J Prev Cardiolog

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“…Reports on patient compliance in monitoring programs are mixed. Patient adherence to the monitoring protocol was often good when only a small number of measurements with a small number of devices were required [9-11]. However, others reported poor compliance [12,13].…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study

et al. 2017

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BackgroundImproving the management of patients with complex chronic disease is a substantial undertaking with the simultaneous goals of improving patient outcomes and controlling costs. Reducing avoidable hospitalization for such patients is a step toward both objectives. Some of the deterioration experienced in chronic disease patients occurs outside the view of their clinicians, and before the patient becomes overtly symptomatic. Home monitoring has been used for more than 20 years to detect deterioration earlier so that the patients could be treated before they became ill enough to require hospitalization. Patient participation is an important requirement for successful home monitoring. There has been some concern that patients would be unwilling or unable to engage in a program that collected multiple measurements. The Cedars-Sinai Cardiology Center provides a high-touch, intense management program for patients with congestive heart failure (CHF). A group of their patients were chosen to join a complex, multidevice home monitoring system to see whether such patients would find value in the additional effort.ObjectiveThe objective of our study was to determine whether patients already actively engaged in a high-touch intensive management program for CHF would take on the additional burden of a complex home monitoring effort.MethodsA total of 20 patients from the Cedars-Sinai group were enrolled in a monitoring program utilizing 5 different devices. Anonymous surveys were collected from the patients to assess their satisfaction with the program.ResultsIn total, 90% (18/20) completed the program, and 61% (11/20) submitted the survey. Among the 18 patients, overall compliance with the requested measurements was 70%. It was found that 73% (8/11) felt better about their health as a result of the program, whereas another 73% (8/11) believed that the care team now had a better picture of their health.ConclusionsSubstantial patient compliance and satisfaction can be achieved in a sophisticated home monitoring program.

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“…Gund et al indicated that the majority of the health care professionals queried in their study had a positive attitude towards current and future eHealth tools for out-of-hospital care for patients with chronic heart failure [22]. The Telemedical Interventional Monitoring in Heart Failure trial also indicated that eHealth acceptance among medical professionals was very high [23]. The authors also reported that it is necessary for implementation of online support systems to evaluate the acceptance among patients, but also among physicians who have a central role in disease treatment [23].…”

Section: Introductionmentioning

confidence: 99%

“…The Telemedical Interventional Monitoring in Heart Failure trial also indicated that eHealth acceptance among medical professionals was very high [23]. The authors also reported that it is necessary for implementation of online support systems to evaluate the acceptance among patients, but also among physicians who have a central role in disease treatment [23]. …”

Section: Introductionmentioning

confidence: 99%

eHealth in Modern Patient-Caregiver Communication: High Rate of Acceptance Among Physicians for Additional Support of Breast Cancer Patients During Long-Term Therapy

Kirkovits¹,

Schinkoethe²,

Drewes³

et al. 2016

JMIR Cancer

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BackgroundLack of adherence and compliance with drug regimens among breast cancer patients represent substantial problems in oral therapies, leading to significant impacts on mortality. Where other systems have failed, electronic health (eHealth) could be a possible solution to improve medication intake, along with the doctor-patient relationship. Initial results from studies concerning new interventions for therapy support are promising, but reports suggest that general acceptance of new treatment support tools is needed among patients and physicians alike.ObjectiveThe aim of this study was to investigate the actual use of the Internet and other modern media among physicians involved in breast cancer treatment.MethodsUsing a standardized questionnaire, actual utilization of new media among physicians was analyzed. Internet-related behaviors in private, as well as in business life, were investigated. Attention was focused on physicians’ opinions regarding modern eHealth tools and how patients could be best supported to enhance adherence.ResultsA total of 120 physicians, all participating in breast cancer care, completed the questionnaire (median age 41 years). Almost all participants (99.2%, 119/120) used the Internet for general purposes and 98.3% (118/120) used it for medical issues as well. Virtually all medical professionals (99.2%, 119/120) reported that they owned a computer, while more recently invented technologies such as tablets and smartphones were owned by 31.9% (38/119) and 73.1% (87/119), respectively. The Internet was favored by 66.4% (79/119) of the physicians in our survey as a source for patient support; 71.2% (84/118) would also favor modern media for side effect registration. Based on our analysis, the most frequent Internet-utilizing physicians were characterized by age <60, worked in a hospital, and were employed as a junior physician.ConclusionsThis study demonstrated a high usage of Internet-related technologies among physicians, indicating that the use of eHealth for advanced and individualized support in breast cancer care is a promising addition to treatment management. Such technologies have the potential to enhance adherence and compliance in therapy among cancer patients.

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Telemedical care: feasibility and perception of the patients and physicians: a survey-based acceptance analysis of the Telemedical Interventional Monitoring in Heart Failure (TIM-HF) trial

Abstract: RPM will be a medical care concept for recently hospitalized HF- patients in the near future but the optimal telemedical setting of RPM and the duration of this intervention have to be defined in further clinical trials.

Cited by 33 publications

References 18 publications

eHealth in cardiovascular medicine: A clinical update

eHealth in cardiovascular medicine: A clinical update

Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study

eHealth in Modern Patient-Caregiver Communication: High Rate of Acceptance Among Physicians for Additional Support of Breast Cancer Patients During Long-Term Therapy

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