Home Tele-monitoring: Economic and Clinical Impact of the Service for Patients with Chronic Respiratory Disease

Abstract

The term "telemedicine" defines "the use of electronic communications technology to provide and support health care for infants, children, adolescents, and young adults when distance separates the practitioner from the patient, parent, guardian, or referring practitioner" (AAP 2004, 639).The pilot study has been involved 71 patients with a telemedicine service of the Unit of respiratory insufficiency of the Regina Margherita Children's Hospital of Turin follows actually and their caregiver. The scopes are mainly two: the evaluation the potential of control system of functional examination in the various expression of disease, and improvement the knowledge of the perceived quality of the service according the service users, in according to the economic and ethical impact. These variables are able to determine the actual usefulness of the home recorder-ICT device prescription at discharge of these types of patients, or when occur the conditions of necessity, or in case of Centre take charge of new patients. Patients assessed effectiveness home tele-monitoring service and patient's satisfaction through semi-structured questionnaires.The administering of the questionnaires took place during the day hospital, or during office visits/outpatient visits, or during occasional hospitalizations.The analysis is extended to the economic and budgetary aspects, focusing on comparisons of spending between traditional medicine and telemedicine, investigating whether there is a correlation between patient satisfaction and reduced spending by telemedicine The analysis of the data showed interesting results in order to improve the type of service offered to these patients, also in term of economic and social results.

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

“…Low eHealth literacy is related to a lifestyle that is not conducive to improving health, difficulty in navigating the maze of the health system, and under-use of healthcare services [15,16], as well as a low response to treatment using medication, hospitalization, and a greater risk of mortality [17,18]. Studies have shown that people with a high degree of eHealth literacy who suffer from chronic diseases, such as diabetes and hypertension, tend to monitor and manage their diseases more competently, are more satisfied with the telemedicine services, and respond faster to changes that might adversely affect their situation, thereby improving their health [19][20][21].…”

ICAIL Doctoral Consortium, Montreal 2019

“…But each of them depends and impacts on the others. Moreover, the HaH is a new type of hospitalization that differs from traditional services in terms of the problems relating to organization, structure, cost, risk, safety, transparency and regulations that it needs to address (Aimonino Ricauda et al 2010;Rainero et al 2017).…”