How Continuous Monitoring Changes the Interaction of Patients with a Mobile Telemedicine System

The use of continuous glucose monitor changes the way patients manage their diabetes, as observed in the increased number of daily insulin bolus, the increased number of daily BG measurements, and the differences in the distribution of BG measurements throughout the day. Continuous monitoring also increases the interaction of patients with the information system and modifies their patterns of use

Telehealth as a panacea amidst global pandemic (COVID-19) in Africa

Technology is disrupting bringing up a better innovation and strengthening the healthcare services. Telehealth is one of these services. Telehealth can help in times of emergency situations as well as reducing morbidity caused by other diseases other than coronavirus and also constraining its spread as well as sustaining the country’s economic development. Although, telehealth is a disruptive innovation, this article aimed to point out why Africa and rest of the world need telehealth to structure out the management of the three phases of health crises (pre, during and post-crises) that must be address to help in economic sustainability, increase accessibility to healthcare and increase in quality of life which in turn reduces costs and easy access to healthcare services either incommunicable, non-communicable, or disastrous situations in the African region. In fighting an outbreak such as this, our study finds that the government of African nations should guarantee all health experts get fitting instruction and preparing present telehealth accreditation for wellbeing experts; give subsidizing which satisfactorily takes care of the expense of giving telehealth; overhaul clinical models of care; bolster all partners with a viable correspondence; and finally, change the board technique while setting up frameworks to oversee telehealth benefits on a standard premise

Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity

Objectives: To evaluate the impact of a mobile phone-based, remote monitoring, advanced symptom management system (ASyMS©) on the incidence, severity and distress of six chemotherapy-related symptoms (nausea, vomiting, fatigue, mucositis, hand-foot syndrome and diarrhoea) in patients with lung, breast or colorectal cancer. Design: A two group (intervention and control) by five time points (baseline, pre-cycle 2, pre-cycle 3, pre-cycle 4 and pre-cycle 5) randomised controlled trial. Setting: Seven clinical sites in the UK; five specialist cancer centres and two local district hospitals. Participants: One hundred and twelve people with breast, lung or colorectal cancer receiving outpatient chemotherapy. Interventions: A mobile phone-based, remote monitoring, advanced symptom management system (ASyMS©). Main outcome measures: Chemotherapy-related morbidity of six common chemotherapy-related symptoms (nausea, vomiting, fatigue, mucositis, hand-foot syndrome and diarrhoea). Results: There were significantly higher reports of fatigue in the control group compared to the intervention group (odds ratio∈=∈2.29, 95%CI∈=∈1.04 to 5.05, P∈=∈0.040) and reports of hand-foot syndrome were on average lower in the control group (odds ratio control/intervention∈=∈0.39, 95%CI∈=∈0.17 to 0.92, P∈=∈0.031). Conclusion: The study demonstrates that ASyMS © can support the management of symptoms in patients with lung, breast and colorectal cancer receiving chemotherapy

Can economic evaluation in telemedicine be trusted? A systematic review of the literature

<p>Abstract</p> <p>Background</p> <p>Telemedicine has been advocated as an effective means to provide health care services over a distance. Systematic information on costs and consequences has been called for to support decision-making in this field. This paper provides a review of the quality, validity and generalisability of economic evaluations in telemedicine.</p> <p>Methods</p> <p>A systematic literature search in all relevant databases was conducted and forms the basis for addressing these issues. Only articles published in peer-reviewed journals and written in English in the period from 1990 to 2007 were analysed. The literature search identified 33 economic evaluations where both costs (resource use) and outcomes (non-resource consequences) were measured.</p> <p>Results</p> <p>This review shows that economic evaluations in telemedicine are highly diverse in terms of both the study context and the methods applied. The articles covered several medical specialities ranging from cardiology and dermatology to psychiatry. The studies analysed telemedicine in home care, and in primary and secondary care settings using a variety of different technologies including videoconferencing, still-images and monitoring (store-and-forward telemedicine). Most studies used multiple outcome measures and analysed the effects using disaggregated cost-consequence frameworks. Objectives, study design, and choice of comparators were mostly well reported. The majority of the studies lacked information on perspective and costing method, few used general statistics and sensitivity analysis to assess validity, and even fewer used marginal analysis.</p> <p>Conclusion</p> <p>As this paper demonstrates, the majority of the economic evaluations reviewed were not in accordance with standard evaluation techniques. Further research is needed to explore the reasons for this and to address how economic evaluation in telemedicine best can take advantage of local constraints and at the same time produce valid and generalisable results.</p

Innowacyjne aplikacje telemedyczne i usługi e-zdrowia w opiece nad pacjentami w starszym wieku

Innovative telemedicine applications and e-health services in the care of older patients Telemedicine, using modern information and communications technology, combines the needs of patients and technological progress, crossing the barriers of traditional health care systems. At the same time, as indicated by demographic forecasts around the world, especially in Europe, there is the phenomenon of fast aging population. Although older people certainly do not belong to the biggest and most active supporters of Internet users and telemedicine services, it is the elderly because of their special multimorbidity, the need for taking multiple medications and regular check-ups, are the most common and most demanding beneficiaries of medical services. Modern information and communication tools can become essential support for them, by which elderly, remaining under constant supervision and care, may stay in a friendly home environment. The paper defines the concept of telemedicine, e- health and e – health services and extensively presents the latest telemedicine applications, e-health services and medical information management systems, dedicated in particular older people

Revisión de intervenciones con nuevas tecnologías en el control de las enfermedades crónicas

El objetivo principal de este informe es investigar la efectividad de la inclusión de las TIC en el control de las enfermedades crónicas.RESUMEN INAHTA STRUCTURED SUMMARY LISTA DE LAS ABREVIATURAS MÁS UTILIZADAS 1. INTRODUCCIÓN 2. OBJETIVOS 3. MÉTODO 4. RESULTADOS 5. DISCUSIÓN 6. CONCLUSIONES ANEXO I: RESUMEN DESCRIPTIVO DE LOS ESTUDIOS INCLUIDOS ANEXO II: ESTRATEGIA DE BÚSQUEDA REFERENCIAS BIBLIOGRÁFICA

The reality of home remote patient monitoring: A thesis on the nature, dynamics and effects of telehealth

Chronic diseases are very complex conditions in which two or m ore disease processes may coexist. Managing patients with chronic conditions represents a major challenge to public health, since eighty per cent of GP consultations are related to these groups. Further more, five per cent of them represent roughly forty two per cent of the total acute day bed occupancy. Nowadays, the tendency is to bring patients from high levels of care to primary care and home settings. In this scenario, telehealth is one of the methods that can be used to improve and provide access to remote patient monitoring at home. This is important for patients with chronic diseases as it can help to recognise any signs of deterioration, provide health education and support management of their condition. Potentially, telehealth can reduce deaths, emergency visits, A&E visits, elective admissions, bed stays and costs. This can be done by designing and implementing telehealth interventions that help reduce unnecessary referrals to specialised services and monitor patients remotely at home. However, there is not a unique framework for designing telehealth interventions. In order to design a robust, accurate and reliable telehealth intervention, a number of important factors have to be taken into account. A review of three systematic reviews, and an in-depth investigation of a case study based on an EU funded project, were used to gather the evidence for telehealth interventions. These were used to identify the main components of the framework proposed. The investigation focused primarily on home monitoring for patients with diabetes, asthma, hypertension and COPD. We concluded that factors such as usability, safe intervention, patients’ individual requirements, training, safe interventions, ease of use, data integration, development of procedures and allocation of appropriate staff are important components that need to be considered in order to satisfy a robust framework