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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Brettle, AJ; Brown, TM; Hardiker, NR; Radcliffe, JN; Smith, CL
Publisher: University of Salford
Languages: English
Types: Book
Subjects: health_and_wellbeing

Classified by OpenAIRE into

mesheuropmc: education
Telehealth is seen as a way of improving access to patient care for long term conditions and there is a considerable volume of published literature available. This report provides an overview of the best available evidence by summarising recent systematic reviews. \ud \ud It was found that there is more evidence for some conditions than others, but on the whole the trends are largely positive suggesting that telehealth is effective in:\ud \ud • Reducing patient mortality and hospital admissions for chronic\ud heart failure\ud • Reducing hospital admissions for COPD\ud • Reducing blood pressure in hypertension, improving glycaemic\ud control in diabetes and reducing symptoms in asthma\ud \ud For a wide range of other clinical outcomes and across conditions, telehealth seems to be as good as usual patient care, suggesting that it is fulfilling its promise of increasing access to services. \ud \ud Patients appear to be satisfied with telehealth services across a wide range of conditions, although there may be a need for considering individual patient requirements in some contexts.\ud \ud However there is a debate regarding the quality and nature of evaluations of telehealth systems and this cannot be ignored. Repeated systematic reviews have commented on the quality of evaluations. \ud \ud Future evaluations should incorporate mixed methods or a realist approach to examine what works for whom and why; this may well provide the way forward in examining in more depth the more meaningful effects of telehealthcare.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

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    • 3. Ekeland AG, Bowes A, Flottorp S. Methodologies for assessing telemedicine: A systematic review of reviews. International Journal of Medical Informatics 2012;81(1):1-11.
    • 4. Department of Health. Whole system demonstrator programme: Headline findings. - December 2011. London: Department of Health, 2011.
    • 5. Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: A systematic review of reviews. International Journal of Medical Informatics 2010;79(11):736-71.
    • 6. Department of Health. 3millionlives (2012). About 3 Million Lives. http://3millionlives.co.uk/about-3ml#background
    • 7. Bolton CE, Waters CS, Peirce S, Elwyn G, Epsrc, M. R. C. Grand Challenge Team. Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD. J Eval Clin Pract 2011;17(6):1216-22.
    • 8. McLean S, Protti D, Sheikh A. Telehealthcare for long term conditions. BMJ 2011;342:d120.
    • 9. McLean S, Nurmatov U, Liu Joseph LY, Pagliari C, Car J, Sheikh A. Telehealthcare for chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2011.
    • 10. McLean S, Chandler D, Nurmatov U, Liu J, Pagliari C, Car J, et al. Telehealthcare for asthma: a Cochrane review. CMAJ Canadian Medical Association Journal 2011;183(11):E733-42.
    • 11. Inglis SC, Clark RA, McAlister FA, Stewart S, Cleland JGF. Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. European Journal of Heart Failure 2011;13(9):1028-40.
    • 12. Anker SD, Koehler F, Abraham WT. Telemedicine and remote management of patients with heart failure. Lancet 2011;378(9792): 731-9.
    • 13. Pare G, Moqadem K, Pineau G, St-Hilaire C. Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. Journal of Medical Internet Research 2010;12(2):e21.
    • 14. Clarke M, Shah A, Sharma U. Systematic review of studies on telemonitoring of patients with congestive heart failure: a meta-analysis. Journal of Telemedicine and Telecare 2011;17(1):7-14.
    • 15. de Waure C, Cadeddu C, Gualano MR, Ricciardi W. Telemedicine for the Reduction of Myocardial Infarction Mortality: A Systematic Review and a Metaanalysis of Published Studies. Telemedicine and E-Health. 2012;18(5): 323-28.
    • 16. Polisena J, Tran K, Cimon K. Home telemonitoring for congestive heart failure : a systematic review and meta analysis. Journal of Telemedicine and Telecare 2010;16(2):68-76.
    • 17. Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, et al. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-
    • 1. Antonicelli, R., et al., Impact of home patient telemonitoring on use of betablockers in congestive heart failure. Drugs & Aging, 2010. 27(10): p. 801-5.
    • 2. Bernocchi, P., et al., Six-month programme on lifestyle changes in primary cardiovascular prevention: a telemedicine pilot study. European Journal of Cardiovascular Prevention & Rehabilitation, 2011. 18(3): p. 481-7.
    • 3. Carter, E.L., G. Nunlee-Bland, and C. Callender, A patient-centric, providerassisted diabetes telehealth self-management intervention for urban minorities. Perspectives in Health Information Management, 2011. 8: p. 1b.
    • 4. Charpentier, G., et al., The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care, 2011. 34(3): p. 533-9.
    • 5. Chaudhry, S.I., et al., Telemonitoring in patients with heart failure.[Erratum appears in N Engl J Med. 2011 Feb 3;364(5):490]. New England Journal of Medicine, 2010. 363(24): p. 2301-9.
    • 6. Christensen, H., et al. Home management of oral anticoagulation via telemedicine versus conventional hospital‐ based treatment. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2011. 169‐ 76 DOI: 10.1089/tmj.2010.0128.
    • 7. De, R., et al., Early detection of adverse events with daily remote monitoring versus quarterly standard follow-up program in patients with crt-d. Pacing & Clinical Electrophysiology, 2011. 34(2): p. 208-216.
    • 8. Delaney, C. and B. Apostolidis, Pilot testing of a multicomponent home care intervention for older adults with heart failure: an academic clinical partnership. Journal of Cardiovascular Nursing, 2010. 25(5): p. E27-40.
    • 9. Deschildre, A., et al., Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations. European Respiratory Journal, 2012. 39(2): p. 290-6.
    • 10. Domingo, M., et al., Noninvasive Remote Telemonitoring for Ambulatory Patients With Heart Failure: Effect on Number of Hospitalizations, Days in Hospital, and Quality of Life. CARME (CAtalan Remote Management Evaluation) Study. Revista Espanola De Cardiologia, 2011. 64(4): p. 277-285.
    • 11. Gellis, Z.D., et al., Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist, 2012. 52(4): p. 541-52.
    • 12. Koehler, F., et al., Impact of Remote Telemedical Management on Mortality and Hospitalizations in Ambulatory Patients With Chronic Heart Failure The Telemedical Interventional Monitoring in Heart Failure Study. Circulation, 2011. 123(17): p. 1873-1880.
    • 13. Kroenke, K., et al. Effect of telecare management on pain and depression in patients with cancer: a randomized trial. JAMA : the journal of the American Medical Association, 2010. 163‐ 71 DOI: 10.1001/jama.2010.944.
    • 14. Landolina, M., et al., Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators:
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