Results for 'telehealth'
Results 1 - 6 of 6
STEVENTON Adam, BARDSLEY Martin
The impact of telehealth on hospital use, patient admission and mortality were evaluated in three trial sites in England. The sites were from the Department of Health’s Whole System Demonstrator pilots. The evaluation focused on the use of telehealth to people with chronic obstructive pulmonary disease, diabetes or heart failure. It used a large randomised controlled trial which included over 3,000 participants (1,584 control and 1,570 intervention) in which groups of patients either received the telehealth intervention or acted as controls by receiving their usual care. Statistically significant differences in rates of emergency hospital admission and mortality were found during the twelve months of the trial between control and intervention groups. For intervention patients, the overall costs of hospital care (including emergency admissions, elective admissions and outpatient attendances) were £188 per patient less than those for controls. However, this cost difference was not statistically significant. As well as summarising the main findings the research summary highlights the limitations of the research and other issues that need to be considered in relation to the findings.
BARLOW James, et al
This systematic review of 68 randomised controlled trials and 30 large scale observational studies, two-thirds from the USA and 10% from the UK, finds that the most effective telecare interventions appear to be automated vital signs monitoring (for reducing health service use) and telephone follow-up by nurses (for improving clinical indicators and reducing health service use). The cost-effectiveness of these interventions is less certain. Far less evidence about mental health conditions, such as dementia or depression, was found than for physical health conditions, such as heart disease and diabetes. In addition, very few studies were found on the effects of home safety and security systems such as fall detectors and alarm systems, despite their widespread use.
NHS ENGLAND, et al
This quick guide highlights a number of case studies from around the country where technology is being used successfully to enhance the delivery of care to support independent living (telecare), to enhance the health and wellbeing information exchange between patients and professionals (telehealth) and to enhance the information exchange between professionals (telemedicine). It also includes information about secure email and collaboration. Drawing on the case studies, the guide sets out a series of top tips for developing and implementing successful technological initiatives.
CONSUMER MODELS FOR ASSISTED LIVING
An evaluation of the 3 year COMODAL (Consumer Models for Assisted Living) project, funded by the Technology Strategy Board, which aims to support the development of a consumer market for electronic assisted living technologies (eALT). The project focuses on those people aged 50-70 who are approaching retirement and older age to gain an in-depth understanding of the barriers to market development and create consumer led business models developed through collaboration with consumers, industry and the third sector. The report focuses on five key strands of the projects: understanding consumer needs; developing solutions and consumer led business models for eALT; development of industry support system for practical implementation of consumer led business models; development of consumer insights guide for industry; and impact, dissemination and exploitation. The report reveals there is a disconnect between industry’s perceptions of what consumers are looking for in the eALT market and that existing businesses in this sector are on the whole set up to serve statutory services rather than consumers. The top three factors that encourage consumers to buy are: believing that a product would really make a difference, a feeling that costs are affordable and worth it, and a belief that the product would make life safer at home.
Explores how the care sector can take advantage of the power and potential of digital technology and social networks to develop new models of support for older people. The effective use of digital technologies – based around the internet, computers, mobile phones, social networks, telecare and telehealth – are critical in enabling people to live more independent and fulfilling lives, irrespective of their health and care needs. This is especially true as the demand for care services increases. The paper, using a range of good practice examples, highlights the role of digital technology in alleviating social isolation, enabling access to information and knowledge and in supporting the lives and work of many carers around the UK. The paper calls for a better shared understanding of innovations in this sector, a more co-ordinated and coherent approach to enable carers and care seekers to easily access online information and support, greater shared learning, collaboration and partnerships, and the promotion of events that showcase digital technology innovations in care which could be adopted by local authorities, the NHS and housing providers, as well as being purchased by people funding their own support needs.
PERLE Jonathan G., NIERENBERG Barry
The authors believe that with the current and growing prevalence of mental illness a major shift and expansion of clinical practice must occur to overcome the mental health burden and facilitate positive change. This article offers an outline of, and case for, incorporating telehealth in mental health practice. For the purposes of this review, telehealth specifically refers to synchronous web camera-based interventions. Novel options, including mHealth (mobile) and the use of computer tablets, are discussed. The implications for practice including training are considered, as well as potential future directions for the field. It is concluded that the available data supports telehealth as an effective mode for the treatment of clients who are unable to pursue mental health services as they are available. It appears that with careful planning, telehealth systems can significantly impact the quality, timeliness, and availability of services in almost any mental health care system. The authors emphasise that the goal is not to substitute for a “real” person but to integrate telehealth into overall provision. In some cases a consistent face-to-face interaction may be the best care but this may not always be possible. The authors conclude by emphasising the importance of appropriate training for the mental health professionals if telehealth is to be effectively.
Results 1 - 6 of 6