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Telemedicine experience for chronic care in COPD

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dc.affiliation.dptoUC3M. Departamento de Informáticaes
dc.affiliation.grupoinvUC3M. Grupo de Investigación: Laboratorio de Control, Aprendizaje y Optimización de Sistemas (CAOS)es
dc.contributor.authorToledo Heras, María Paula de
dc.contributor.authorJiménez Fernández, Silvia
dc.contributor.authorPozo Guerrero, Francisco del
dc.contributor.authorRoca, Josep
dc.contributor.authorAlonso, Albert
dc.contributor.authorHernández, Carmen
dc.date.accessioned2011-02-07T12:41:37Z
dc.date.available2011-02-07T12:41:37Z
dc.date.issued2006-07
dc.description.abstractInformation 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.
dc.description.sponsorshipThis work was supported in part by the European Union under Research Grant CHRONIC (Information Society Technologies, Vth framework programme) and in part by the Spanish Ministry of Health and Consumer Affairs under Research Grant “Red de Telemedicina.”
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dc.format.mimetypeapplication/pdf
dc.identifier.bibliographicCitationIEEE Transactions on Informatio Technology in Biomedicine, 2006, vol. 10, nº 3, p. 567-573.
dc.identifier.doi10.1109/TITB.2005.863877
dc.identifier.issn1089-7771
dc.identifier.publicationfirstpage567
dc.identifier.publicationissue3
dc.identifier.publicationlastpage573
dc.identifier.publicationtitleIEEE Transactions on Informatio Technology in Biomedicine
dc.identifier.publicationvolume10
dc.identifier.urihttps://hdl.handle.net/10016/10189
dc.language.isoeng
dc.publisherIEEE Engineering in Medicine and Biology Society
dc.publisherIEEE Computer Society [Technical Co-Sponsor]
dc.relation.publisherversionhttp://dx.doi.org/10.1109/TITB.2005.863877
dc.rights© IEEE
dc.rights.accessRightsopen access
dc.subject.ecienciaInformática
dc.subject.otherChronic care
dc.subject.otherElectronic patient record
dc.subject.otherHome care
dc.subject.otherTelemedicine
dc.subject.otherTelemonitoring
dc.titleTelemedicine experience for chronic care in COPD
dc.typeresearch article*
dc.type.hasVersionAM*
dspace.entity.typePublication
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