RESULTS The magnitude and significance of the telemonitoring effects on patients ' conditions ( e.g. , early detection of symptoms , decrease in blood pressure , adequate medication , reduced mortality ) still remain inconclusive for all four chronic illnesses .
However , the results of this study suggest that regardless of their nationality , socioeconomic status , or age , patients comply with telemonitoring programs and the use of technologies .
Importantly , the telemonitoring effects on clinical effectiveness outcomes ( e.g. , decrease in the emergency visits , hospital admissions , average hospital length of stay ) are more consistent in pulmonary and cardiac studies than diabetes and hypertension .
Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data , empowers patients , influences their attitudes and behaviors , and potentially improves their medical conditions .
OBJECTIVE Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance .
This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses : pulmonary conditions , diabetes , hypertension , and cardiovascular diseases .
Modem transmission of glucose values reduces the costs and need for clinic visits.
OBJECTIVE To determine whether modem technology allows for effective management of type 1 diabetes when used in lieu of a clinic visit . RESEARCH DESIGN AND METHODS A total of 70 adolescent patients with diabetes were prospect ively r and omized to either a control group or a modem group . Control group patients continued the st and ard of care of quarterly clinic visits , and modem group patients were instructed to transmit blood glucose data every 2 weeks for 6 months instead of a usual quarterly clinic visit . Health care providers analyzed the data received by modem and contacted patients to discuss diabetes treatment changes . GHbA(1c ) levels were determined at 0 and 6 months , and the number of high and low blood glucose levels and adverse events were tracked . Clinic visit costs , patient expenses , and health care provider times were tracked for cost analysis for both groups . RESULTS A total of 63 patients ( 33 control , 30 modem ) completed the 6-month study . The GHbA(1c ) values significantly decreased in both groups , with no statistically significant difference between groups ( P = 0.96 ) . The occurrence of mild-to-moderate hypoglycemic events were similar in the two groups , and there were no severe hypoglycemic events . The average cost of care for a clinic visit was $ 305.00 , whereas the cost for 6 months of modem transmission was $ 163.00 . CONCLUSIONS This study shows that electronic transmission of blood glucose levels and other diabetes data every 2 weeks-in lieu of a clinic visit- results in a similar level of glucose control and incidence of acute diabetes complications when compared with current st and ard care
RESULTS The magnitude and significance of the telemonitoring effects on patients ' conditions ( e.g. , early detection of symptoms , decrease in blood pressure , adequate medication , reduced mortality ) still remain inconclusive for all four chronic illnesses .
However , the results of this study suggest that regardless of their nationality , socioeconomic status , or age , patients comply with telemonitoring programs and the use of technologies .
Importantly , the telemonitoring effects on clinical effectiveness outcomes ( e.g. , decrease in the emergency visits , hospital admissions , average hospital length of stay ) are more consistent in pulmonary and cardiac studies than diabetes and hypertension .
Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data , empowers patients , influences their attitudes and behaviors , and potentially improves their medical conditions .
OBJECTIVE Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance .
This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses : pulmonary conditions , diabetes , hypertension , and cardiovascular diseases .