Patient self-management by telehealth using the Bosch model of care

Abstract

A telehealth system that can transmit vital signs data, and also empowers patients to maintain their autonomy and learn how to manage their disease better, can improve patients' quality of life. Such a system can form part of a high-quality and efficient health-care service. The Bosch telehealth system, which focuses on self-management, has been used by thousands of patients with long-term conditions in the USA and Europe. The efficiency of the programmes, as well as their positive effects on quality of life and compliance, have been proven for a number of chronic conditions, as well as for patients with multiple co-morbidities.

The feasibility of home self-assessment of vital signs and symptoms: A new key to telehealth for individuals?

“…The modalities and frequencies of the follow-up by the primary care provider are then personalized [11]. This fits into the Bosch model of Care [12] in which the patient's selfmanagement of various health conditions is emphasized. This would promote autonomy by allowing a better management of a patient's condition, while being likely to contribute to improving the quality of life as well as promoting better health care efficiency.…”

Impact of Health Information Technologies in Nursing Practices

“…These studies were particularly conducted with elderly patients who had chronic obstructive pulmonary disease, diabetes, heart failure, and asthma. Moreover, telehealth implementations were effective, and many positive results were derived from these studies [4,11].…”

“…Telehealth implementation includes the practices that help giving care to individuals by monitoring them from a distance, generally in their homes, without making them come to the clinic. Telehealth services ensure that patients participate in their own care effectively, increase their self-direction to cope with the disease, and cover certain initiatives that reduce health-related costs, such as training and consultancy [2][3][4]. Telehealth practices were included in the literature in the 1970s, yet they were not defined clearly.…”

A Pilot Randomized Trial Evaluating Lymphedema Self-Measurement with Bioelectrical Impedance, Self-Care Adherence, and Health Outcomes

“…13 To improve outcomes in chronic disease patient populations, such as individuals with diabetes and hypertension, emphasis has been placed on patient education, 14,15 disease monitoring, 16,17 and support for self-care. 15,18 A component of many self-care management programs is objective monitoring of the physiological conditions (e.g., glucose levels, blood pressure). Such monitoring helps patients determine the effectiveness of self-care, set self-care goals, and reinforce continuation of self-care.…”