Outcomes of the Kaiser Permanente Tele-Home Health Research Project

Johnston, Barbara; Wheeler, Linda A.; Deuser, Jill; Sousa, Karen H.

doi:10.1001/archfami.9.1.40

Cited by 334 publications

(278 citation statements)

References 5 publications

(3 reference statements)

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“…15 Various studies report acceptance of telemedicine by patients as being high. [16][17][18] The descriptions produced report that more frequent contact with their own health affects patient adherence and self-monitoring activities. 19 One study reported that patients with diabetes who received a more welcoming service were more likely to perform preventive measures, selfcare and better blood glucose control than patients without such attention.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. Method: 122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies. Results: Most patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group. Conclusion: Regarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

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Section: Resultsmentioning

confidence: 99%

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Sousa

Fiuza

Mikami

et al. 2016

Rev. Assoc. Med. Bras.

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“…These technologies can take any number of forms such as web-based applications, 3 mobile phone and alert systems, 4,5 telephone and video conferencing with patients, 6,7 as well as any combination of these applications. In the last five years there has been a rapid increase in the use of monitoring technology as a management tool for long-term conditions despite a lack of robust evidence of clinical benefit to patients.…”

Section: G R O U P R E P R O D U C T I O N P R O H I B I T E Dmentioning

confidence: 99%

“…Primarily, the reduction of current service cost seems to warrant the attention of a number of studies. 7,33 It is unclear from some of the published studies on technology whether researchers were required to pay for the equipment used to undertake the research. The added costs of providing telecommunications and additional equipment such as weight scales 47 to these patients are unknown, as are the costs for the ubiquitous technology upgrades and criteria such as which patients should have the service and over what period of time is required for maximal clinical improvement.…”

Section: Cost and Benefitmentioning

confidence: 99%

Technology and its role in respiratory care

Smith

Elkin

Partridge

2009

Primary Care Respiratory Journal

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Introduction: Telemonitoring, telemedicine, clinical and medical informatics or telecare, are terms used to describe the use of technology along with local clinical protocols to monitor remotely a patient's medical condition in their own home. In respiratory medicine, where large numbers of people have long term conditions such as asthma and chronic obstructive pulmonary disease (COPD), the role of such monitoring technology in the management of patients is of great interest.

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“…In a quasi-experimental study, Johnston et al 25 studied the use of remote video technology with 212 chronically ill patients. They found no differences in the quality indicators of medication compliance, knowledge of disease, or self-care ability; patient satisfaction; or service use.…”

Section: Effects On Costsmentioning

confidence: 99%

“…Three larger studies 2,6,25 showed that although initially care delivery costs were increased due to the cost of equipment, overall costs of care were decreased due to decreased hospital charges and travel costs. In most studies, small sample sizes and lack of robust economic analyses preclude generalization of financial results.…”

Section: Effects On Costsmentioning

confidence: 99%

Applying Research Evidence to Optimize Telehomecare

Bowles

Baugh

2007

The Journal of Cardiovascular Nursing

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Telemedicine is the use of technology to provide healthcare over a distance. Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. Most home care agencies are adopting telehomecare to assist with the care of the growing population of chronically ill adults. This article presents a summary and critique of the published empirical evidence about the effects of telehomecare on older adult patients with chronic illness. The knowledge gained will be applied in a discussion regarding telehomecare optimization and areas for future research. The referenced literature in PubMed, MEDLINE, CDSR, ACP Journal Club, DARE, CCTR, and CINAHL databases was searched for the years 1995-2005 using the keywords "telehomecare" and "telemedicine," and limited to primary research and studies in English. Approximately 40 articles were reviewed. Articles were selected if telehealth technology with peripheral medical devices was used to deliver home care for adult patients with chronic illness. Studies where the intervention consisted of only telephone calls or did not involve video or in-person nurse contact in the home were excluded. Nineteen studies described the effects of telehomecare on adult patients, chronic illness outcomes, providers, and costs of care. Patients and providers were accepting of the technology and it appears to have positive effects on chronic illness outcomes such as selfmanagement, rehospitalizations, and length of stay. Overall, due to savings from healthcare utilization and travel, telehomecare appears to reduce healthcare costs. Generally, studies have small sample sizes with diverse types and doses of telehomecare intervention for a select few chronic illnesses; most commonly heart failure. Very few published studies have explored the cost or quality implications since the change in home care reimbursement to prospective payment. Further research is needed to clarify how telehomecare can be used to maximize its benefits among diverse adult chronic illness populations. Keywords home care; telecommunications; telemedicineTelemedicine is defined as the use of technology to provide healthcare over a distance. 1 Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. 2 As noted in other articles in this issue, typical equipment can include a telephone line; simplified, regular computer, or wireless devices; videocamera; and physiologic monitoring equipment such as a blood glucose monitor, stethoscope, blood

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Outcomes of the Kaiser Permanente Tele-Home Health Research Project

Cited by 334 publications

References 5 publications

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group

Technology and its role in respiratory care

Applying Research Evidence to Optimize Telehomecare

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