Effects of the Physician–Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas

Abstract

Chronic diseases are a major cause of death and have a negative impact on community health. This study explored the effects of a chronic-disease management program utilizing the physician–primary-healthcare nurse telemedicine model (P–NTM) on medication adherence and health-related quality of life (HRQoL) in 113 patients with chronic diseases in remote rural areas. We used a quasi-experimental, nonequivalent-control-group pretest–post-test design. This study used secondary data from the 2018 Pilot Telemedicine Project for Underserved Remote Rural Areas. In this study, 113 subjects participated, in which the patient’s first visit was assigned as a control group for the previous face-to-face hospital care; after three months of receiving the P–NTM program, the same subjects were assigned to be the experiment group for P–NTM. Data were analyzed by using descriptive statistics, a paired t-test, and logistic regression. With regard to the results, subjects showed a 1.76 times higher probability of improving medication adherence after participating in P–NTM compared to hospital care (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.34–2.31). Our findings showed that patients with chronic diseases, especially those who reside in remote rural areas, should be provided with effective health services, utilizing various strategies to enhance a healthy life.

Racial Disparities in Patient-Provider Communication During Telehealth Visits Versus Face-to-face Visits Among Asian and Native Hawaiian and Other Pacific Islander Patients With Cancer: Cross-sectional Analysis

“…Telehealth visits increase patients' access to care by reducing travel time and expenses and by providing increased schedule flexibility. Telehealth also allows health care providers to reach patients and other specialists remotely, allows them to reach larger segments of the population, alleviates workforce shortages in remote areas, and improves care coordination [1][2][3][4][5][6]. Patient satisfaction with telehealth has been well documented, particularly among residents from rural communities [2,4,[6][7][8], with as many as 95% of patients rating telehealth visits as "better than" or "just as good" as face-to-face visits [6,9,10].…”

“…Telehealth also allows health care providers to reach patients and other specialists remotely, allows them to reach larger segments of the population, alleviates workforce shortages in remote areas, and improves care coordination [1][2][3][4][5][6]. Patient satisfaction with telehealth has been well documented, particularly among residents from rural communities [2,4,[6][7][8], with as many as 95% of patients rating telehealth visits as "better than" or "just as good" as face-to-face visits [6,9,10]. Specifically, studies of oncology patients have reported high levels of satisfaction with telehealth [3][4][5]8,[11][12][13][14].…”

Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review

“…For example, the Nielsen Usability Heuristics were used once to evaluate user experience [50]. The Morisky scale combined with HRQoL was used for the assessment of quality of life [72,73]. Momentum's 18 critical criteria and Kingdon's framework were involved in assessing service accessibility in one article [74].…”

Nurse and midwife involvement in task‐sharing and telehealth service delivery models in primary care: A scoping review

“…In 51 studies nurses led face-to-face task-sharing models (Ahmed et al, 2013;Anger et al, 2020;Asgary et al, 2020;Bajis et al, 2020;Barton et al, 2013;Bedelu et al, 2007;Bernhardt, 2023;Brennan et al, 2011;Carroll, 2021;Chin-Quee et al, 2020;Clarke et al, 2020;Gerin et al, 2007;Grisot et al, 2019;Hoffman et al, 2023;Hui et al, 2022;Hunkeler et al, 2000;Iversen et al, 2020;Jackson et al, 2017;Jeong et al, 2018;Jordan et al, 2011;Kwak et al, 2021;Looman et al, 2015;Macduff et al, 2001;Mallow et al, 2018;Mammen et al, 2020;McKissick et al, 2017;Momin et al, 2022;Moriyama et al, 2021;O'Brien, 2022;Pichayapinyo et al, 2019;Ramakrishnan et al, 2020;Roy et al, 2022;Rutledge et al, 2018;Schofield et al, 2005;Shaw et al, 2013;Stone et al, 2010;Teo et al, 2024;Turner et al, 2009;Vierhile, 2017;Wakefield et al, 2011;Williams et al, 2001) and six studies described interventions that included both face-to-face and telehealth task-sharing models of care…”

“…Bove, 2010;Carlisle & Warren, 2013;Chang et al, 2007;Chin-Quee et al, 2020;Cook et al, 2007;Datta et al, 2010;Delahunty-Pike et al, 2023;Engel et al, 2015;Everitt-Penhale et al, 2019;Fox & McCorkle, 2018;Gerin et al, 2007;Hoffman et al, 2023;Hunkeler et al, 2000;Husain et al, 2022;Jackson et al, 2017;Jeong et al, 2018;Jindal et al, 2022;Jordan et al, 2011;Kathree et al, 2023;Kwak et al, 2021;McCombe et al, 2022;Momin et al, 2022;Moriyama et al, 2021;Ngassa et al, 2021;Ngassa et al, 2022;Nnorom et al, 2021;O'Brien, 2022;O'Byrne et al, 2021;O'Keefe et al, 2023;Parker et al, 2022;Putnis et al, 2023;Ramakrishnan et al, 2020;Roy et al, 2022;Rutledge et al, 2018;Safren et al, 2021;Sanne et al, 2010;Schofield et al, 2005;Stone et al, 2010;Vierhile, 2017;Zewdu et al, 2022). This included lifestyle counselling(Ajay et al, 2016;…”