An observational study of veterans with diabetes receiving weekly or daily home telehealth monitoring

Abstract

We assessed the utilization of health-care services and clinical outcomes in veterans with diabetes who were enrolled in two care coordination/home telehealth programmes. One group of patients was monitored weekly (n = 197), with more intensive evaluations, while the other was monitored daily (n = 100), but less intensively. Although patients in the two groups were fairly similar in demographic terms and in their clinical characteristics at baseline, they had different service utilization patterns during the 12-month pre-enrollment period. Over the 12-month study period, the proportion of one or more hospital admissions and number of bed days of care decreased in the daily monitoring group, and increased in the weekly monitoring group, more or less doubling in the former and being halved in the latter. Unscheduled primary care clinic visits were lower in the daily monitored group than in the weekly monitored group. The differences between the two groups were significant (P < 0.01). There were no significant differences between the groups in the clinical outcomes. Future research should employ randomized controlled trial designs to determine if intensities of home monitoring lead to differences in service utilization and health outcomes.

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

“…Common approaches to providing this additional self-management support include telephonebased counseling (7)(8)(9)(10)(11)(12), group medical visits (13)(14)(15)(16)(17)(18)(19)(20)(21), and, increasingly, computer or internetbased programs (22)(23)(24)(25)(26)(27)(28)(29)(30). Efficacy studies of self-management support have shown improvements in patient satisfaction, healthy behaviors, self-efficacy, and, in some cases, utilization and clinical outcomes (31)(32)(33).…”

Desarrollo de un sistema de telemetría para el seguimiento postoperatorio de procedimientos en cirugía vascular: modelo in vitro

“…Por lo tanto, aunque el diseño, desarrollo e implementación de los sistemas WSN/WBAN representa una tarea difícil con varias cuestiones de una elevada dificultad técnica, los beneficios de su utilización para la prevención, diagnóstico precoz y gestión de las enfermedades son múltiples y ampliamente documentados (141,(154)(155)(156)(157)(158)(159)(160) .…”

Promoting Access Through Complementary eHealth Technologies: Recommendations for VA’s Home Telehealth and Personal Health Record Programs

“…Previous studies of veterans with chronic conditions who used CCHT have shown lower mortality 24 and healthcare utilization [25][26][27] , as well as improved quality of life 26 and more timely receipt of care 28 . Other work has found increased time to readmission among veterans with heart failure 29 , including a dose-response relationship 30,31 .…”