Telemedicine experience for chronic care in COPD. de Toledo, P., Jimenez, S., del Pozo, F., Roca, J., Alonso, A., & Hernandez, C. Ieee Transactions On Information Technology In Biomedicine, 10(3):567–573, July, 2006.
abstract   bibtex   
Information and telecommunication technologies are called to play a major role in the changes that healthcare systems have to face to cope with chronic disease. This paper reports a telemedicine experience for the home care of chronic patients suffering from chronic obstructive pulmonary disease (COPD) and an integrated system designed to carry out this experience. To determine the impact on health, the chronic care telemedicine system was used during one year (2002) with 157 COPD patients in a clinical experiment; endpoints were readmissions and mortality. Patients in the intervention group were followed up at their homes and could contact the care team at any time through the call center. The care team shared a unique electronic chronic patient record (ECPR) accessible through the web-based patient management module or the home visit units. Results suggest that integrated home telemedicine services can support health professionals caring for patients with chronic disease, and improve their health. We have found that simple telemedicine services (ubiquitous access to ECPR, ECPR shared by care team, accessibility to case manager, problem reporting integrated in ECPR) can increase the number of patients that were not readmitted (51% intervention, 33% control), are acceptable to professionals, and involve low installation and exploitation costs. Further research is needed to determine the role of telemonitoring and televisit services for this kind of patients.
@ARTICLE{deToledo-2006e,
  author = {de Toledo, Paula and Jimenez, Silvia and del Pozo, Francisco and
	Roca, Josep and Alonso, Albert and Hernandez, Carmen},
  title = {Telemedicine experience for chronic care in COPD},
  journal = {Ieee Transactions On Information Technology In Biomedicine},
  year = {2006},
  volume = {10},
  pages = {567--573},
  number = {3},
  month = jul,
  DI = {10.1109/TITB.2005.863877},
  SN = {1089-7771},
  TC = {29},
  UT = {WOS:000239033000019},
  Z9 = {29},
  abstract = {Information and telecommunication technologies are called to play
	a major role in the changes that healthcare systems have to face
	to cope with chronic disease. This paper reports a telemedicine experience
	for the home care of chronic patients suffering from chronic obstructive
	pulmonary disease (COPD) and an integrated system designed to carry
	out this experience. To determine the impact on health, the chronic
	care telemedicine system was used during one year (2002) with 157
	COPD patients in a clinical experiment; endpoints were readmissions
	and mortality. Patients in the intervention group were followed up
	at their homes and could contact the care team at any time through
	the call center. The care team shared a unique electronic chronic
	patient record (ECPR) accessible through the web-based patient management
	module or the home visit units. Results suggest that integrated home
	telemedicine services can support health professionals caring for
	patients with chronic disease, and improve their health. We have
	found that simple telemedicine services (ubiquitous access to ECPR,
	ECPR shared by care team, accessibility to case manager, problem
	reporting integrated in ECPR) can increase the number of patients
	that were not readmitted (51% intervention, 33% control), are acceptable
	to professionals, and involve low installation and exploitation costs.
	Further research is needed to determine the role of telemonitoring
	and televisit services for this kind of patients.}
}

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