Telemed J E Health - Effects of home telemonitoring to support improved care for chronic obstructive pulmonary diseases.

Tópicos

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Resumo

JECTIVE: To assess the impact of a home telemonitoring technology on patients with chronic obstructive pulmonary disease in terms of care satisfaction, patient empowerment, improved quality of life, and utilization of hospital and home care.DESIGN: A quasi-experimental retrospective and prospective design was developed with a matched control group to compare the effects of telemonitoring (the experimental group, n=23) with the traditional homecare offering (the control group, n=23).MEASUREMENTS: Satisfaction, patient empowerment, and quality of life were measured using validated Likert scales, whereas the data on care utilization were collected from the participating patients' medical record.RESULTS: Mixed results were observed. The clinical effects of home telemonitoring were very positive in terms of patients' satisfaction and empowerment. The perceptions of care providers as well as those of patients were congruent in this respect. Also, the study suggests that telemonitoring may have a positive effect on quality of life for patients with chronic obstructive pulmonary diseases. In contrast, the results were disappointing in terms of resource savings for the use of both homecare and hospital care.CONCLUSION: Capturing the full potential of these new technologies will require a much more fundamental reorganization of work than just a simple deployment of the technology.

Resumo Limpo

jectiv assess impact home telemonitor technolog patient chronic obstruct pulmonari diseas term care satisfact patient empower improv qualiti life util hospit home caredesign quasiexperiment retrospect prospect design develop match control group compar effect telemonitor experiment group n tradit homecar offer control group nmeasur satisfact patient empower qualiti life measur use valid likert scale wherea data care util collect particip patient medic recordresult mix result observ clinic effect home telemonitor posit term patient satisfact empower percept care provid well patient congruent respect also studi suggest telemonitor may posit effect qualiti life patient chronic obstruct pulmonari diseas contrast result disappoint term resourc save use homecar hospit careconclus captur full potenti new technolog will requir much fundament reorgan work just simpl deploy technolog

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