Telemedicine and telecare for older patients—A systematic review

Berg, Neeltje van den; Schumann, Maika; Kraft, K; Hoffmann, Wolfgang

doi:10.1016/j.maturitas.2012.06.010

Cited by 207 publications

(196 citation statements)

References 69 publications

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“…Telecare (or telehealth or telemedicine) can mitigate barriers in healthcare services. Integrating telecare technology (such as telephone, internet-based disease management system, short message service) and healthcare professionals has promising results, especially in monitoring and supporting the lifestyle changes of patients with chronic disease (3).…”

Section: Introductionmentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Huang

Hong

Meng

et al. 2015

European Journal of Endocrinology

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Objective: To review the published literature on the effects of telecare intervention in patients with type 2 diabetes and inadequate glycemic control. Design and methods: A review of randomized controlled trials on telecare intervention in patients with type 2 diabetes, and a search of electronic databases such as The Cochrane Library, PubMed, EBSCO, CINAHL, Science Direct, Journal of Telemedicine and Telecare, and China National Knowledge Infrastructure (CNKI), were conducted from December 8 to 16, 2013. Two evaluators independently selected and reviewed the eligible studies. Changes in HbA1c, fasting plasma glucose (FPG), post-prandial plasma glucose (PPG), BMI, and body weight were analyzed. Results: An analysis of 18 studies with 3798 subjects revealed that telecare significantly improved the management of diabetes. Mean HbA1c values were reduced by K0.54 (95% CI, K0.75 to K0.34; P!0.05), mean FPG levels by K9.00 mg/dl (95% CI, K17.36 to K0.64; PZ0.03), and mean PPG levels reduced by K52.86 mg/dl (95% CI, K77.13 to K28.58; P!0.05) when compared with the group receiving standard care. Meta-regression and subgroup analyses indicated that study location, sample size, and treatment-monitoring techniques were the sources of heterogeneity. Conclusions: Patients monitored by telecare showed significant improvement in glycemic control in type 2 diabetes when compared with those monitored by routine follow-up. Significant reduction in HbA1c levels was associated with Asian populations, small sample size, and telecare, and with those patients with baseline HbA1c greater than 8.0%.

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Section: Introductionmentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Huang

Hong

Meng

et al. 2015

European Journal of Endocrinology

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“…41 However, THNs may perceive that patients are integrating information into their daily care, whereas patients report they are not. 42 The present study suggests that patients do integrate the information into their daily care, but further research is required to understand the optimum communication mechanisms to enhance health behaviours through telemonitoring.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Nancarrow¹,

Banbury²,

Buckley³

2016

Aust. Health Review

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Objective. The aim of the present study was to evaluate the effect of a high-speed telemonitoring project for older people with chronic disease in a regional Australian town. Participants' vital signs were monitored and triaged daily by a telehealth nurse.Methods. A prospective, uncontrolled study design evaluated the effect of home-based telemonitoring on older people with chronic disease. Evaluation included surveys (including the Stanford Chronic Disease Self-Efficacy tool and the Self-Rated Health Questionnaire), self-reported health service use and interviews and focus groups exploring client experiences.Results. Participants reported an improved understanding of their vital signs monitoring (48%) and consequently better self-management of health (48%) and that they were better informed (44%) and more confident (25%) to discuss health with their doctor. Patients also reported making medication changes (17%), positive dietary changes (34%) and increasing their physical activity (33%). Overall, patients' self-rated general health improved (mean (AE s.d.) improvement 0.30 AE 0.80; 95% confidence interval (CI) 0.16-0.45; 118 d.f.; P < 0.001), with more participants reporting that their health is 'excellent' or 'very good' at the end of the trial. Patients also reported fewer doctor visits (P < 0.001), fewer visits to the local hospital emergency department (P = 0.021) and fewer non-local hospital admissions (P < 0.001) compared with the preceding year. There was no significant reduction in local hospital admissions (P = 0.171).Conclusions. The findings of the present study suggest that telemonitoring with videoconferencing empowers older people to better understand and manage their own health, and is associated with improved health outcomes and reduced service use. Having regular, daily access to a Telehealth nurse reassured participants, and triggered changes to services and behaviour that are likely to have positively affected patient outcomes.What is known about this topic? Telehealth is increasingly being used in the care of older people with chronic conditions and can reduce health service use. Previous research has indicated that telehealth has the potential to provide patients with greater knowledge and understanding of their condition. What this paper adds? Our research demonstrates that older people with limited experience of technology can be taught to successfully use telehealth equipment. We observed regular contact with telehealth nurses enables health promoting behaviour messages to be tailored to patients' needs. What are the implications for practitioners? Providing older people with tailored health support alongside an understanding of vital signs readings can enhance self-efficacy.

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“…2 Progressively, these services have been decentralized and created specialized teams and services that support home management, which can be more comfortable, efficient and humane. 6,7 In countries with similar economic status such as ours, medium-and low-income countries, still overwhelmed by unresolved public health problems such as infectious diseases, with scarcity and poor distribution of human resources and health services infrastructure, the response to chronic diseases and cancer is still incipient. 4 This causes patients not to receive an adequate treatment or that their pain, discomfort or complications cannot be efficiently managed.…”

Section: Introductionmentioning

confidence: 99%

“…6,16 At the present time, telemedicine applied to the palliative care of patients is a poorly explored field, 6,17 but there is evidence suggesting that it could improve the quality of patient care, communication with health personnel, a decrease of the documentation used to collect information and reduce costs. But there is still a lot to develop and explore, including studies with qualitative designs that allow the evaluation of the different perspectives of the actors involved in palliative care and their opinion about the use of ICTs in this type of services.…”

Section: Introductionmentioning

confidence: 99%

Qualitative Study for the Development of a Telemedicine System in Palliative Care

Egoavil¹,

Condor²,

Pinazo-Vidal³

et al. 2017

Palliat Med Hosp Care Open J

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Introduction: Technological advances in public health have allowed the life expectancy of people to increase. However, new challenges appear in populations that age as the greatest number of chronic and oncological diseases requiring chronic and/or palliative care. In Peru, this is an area that has not developed. The use of Information and Communication Technologies (ICT) can optimize healthcare, and in the case of palliative care they could shorten the distances between the specialist, the caregiver and the patient. Objective: To know the needs of health professionals and caregivers of patients who are in palliative care, regarding the management of information, knowledge, attitudes and the use of ICT in palliative care. Materials and Methods: As part of the TeleJampiq project, a first phase of qualitative study is developed. A focus group was conducted with six caregivers. Family members' information was obtained through two field reports and two interviews. Finally, the exploration of the needs and suggestions of palliative care specialists was carried out by ten in-depth interviews (six physicians, one psychologist and three nurses). Through the data analysis we were able to identify three major themes in which the results were classified: Management of information on chronic diseases and terminal patients, knowledge and actions in palliative care and use of ICT for palliative care. Results: Management of information on chronic diseases and terminal patients. It is essential to draw a distinction between terminability and palliation. Managing these concepts could make a difference from the start of treatment. Knowledge and actions in palliative care. Nonfamily caregivers' knowledge of the meaning of palliative care is like that of specialists (doctors and nurses). Use of ICT for palliative care. The use of mobile devices among health personnel interviewed is overwhelming. Engaging in aspects of information management to other specialists such as nutritionists and psychologists would be beneficial. Conclusions: It is necessary to use ICT in the field of chronic and palliative care, being a fundamental aspect the communication between personnel working in the system and the use of scales, care protocols, among others.

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Telemedicine and telecare for older patients—A systematic review

Cited by 207 publications

References 69 publications

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Qualitative Study for the Development of a Telemedicine System in Palliative Care

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