Effects and barriers to deployment of telehealth wellness programs for chronic patients across 3 European countries

Abstract

The study results suggest the potential of the ICS-ICT Barcelona's approach to enhance COPD management. Moreover, it allowed identification of the factors limiting transferability to the other sites. The research prompts the need for large multicenter trials specifically designed to assess effectiveness, efficiencies and transferability of this type of intervention.

Non‐anaemic iron deficiency impairs response to pulmonary rehabilitation in COPD

“…16 The following were the inclusion criteria: (i) diagnosis of COPD according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria; 17 (ii) clinically stable conditions with optimized pharmacological treatment; (iii) no history of lower respiratory track infection and/or COPD exacerbation within 6 weeks prior to initial measurements; (iv) no previous participation in a PR programme for at least 12 months prior to the initial evaluation; and (v) normal Hb values (≥13 g/dL in males and ≥12 g/dL in females) at the time of the evaluation. The following were the exclusion criteria: (i) current anaemia treatment; (ii) suspicion or evidence of blood loss (gastrointestinal, menstrual or urinary); (iii) polycythaemia (Hb levels >17 and >15 g/dL for males and females, respectively); (iv) cardiovascular, skeletal-muscle or neurological disorders precluding the practice of exercise; and (v) diagnosis of cancer or haematological disorders.…”

The patient and the crossing between Primary and Hospital care. Systematic review of trials for the implementation of tools for integration in Spain

“…En este apartado se incluyeron tres estudios (162 pacientes) sobre la monitorización de parámetros biomédicos a domicilio 48-50 y 2 estudios (255 pacientes) sobre aplicaciones informáticas 51,52 . El uso de telemonitorización en domicilio para pacientes con enfermedades crónicas cardiacas y pulmonares que ya habían ingresado por descompensación de su patología redujo el número de nuevos reingresos del 86 al 57% y la mortalidad del 26,5 al 12,5% (sin significación estadística) 49 .…”

“…En el otro, por el contrario, aumentaron no significativamente tanto los pacientes hospitalizados (14% en grupo control vs. 21% en grupo monitorizado) como la derivación al especialista (4,8 vs. 16,7%), mientras disminuyeron las visitas a urgencias (33 vs. 17%) 48 . El uso de TIC para el seguimiento de pacientes con EPOC aumentó la distancia recorrida en el test de la marcha de seis minutos (7,87%, IC95%: 6,7-9,04), los pará-metros de actividad en el cuestionario de Saint George y las horas caminadas a la semana 51 . El uso de una aplicación en una tableta consiguió mejorar la adherencia al tratamiento en los pacientes con comorbilidad y reducir el número de olvidos de dosis, aunque no el número de errores en la toma excepto en los pacientes que cometían dos o más errores al inicio del estudio 52 .…”

An adaptive case management system to support integrated care services: Lessons learned from the NEXES project

“…The characteristics of the inte-516 grated care services in which the system was used and a summary 517 of main MAST assessment outcomes are summarized in the follow- 518 ing Table 1 and presented in more detail in Appendix A.1. The role of the personal health channel, as a simple and robust off-535 line ICT support to enhance patient adherence to the program [28], 536 should be highlighted. The service requires further validation 537 through a large cost-effectiveness study before being considered 538 as candidate for regional deployment.…”

“…The 731 experience gained in NEXES should be useful for planning regional 732 deployment of integrated care at the European level. [28]. Moreover, Linkcare Ò also shows possibilities as a tool Fig.…”