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 .
Internet-based home monitoring of pulmonary function after lung transplantation.
Home monitoring of spirometry has been advocated in lung transplant recipients for the early detection of acute infection and rejection of the allograft . We have developed a user-friendly , Internet-based telemonitoring system providing direct transmission of home spirometry to the hospital . In this prospect i ve study , we assessed patient adherence with the monitoring , agreement between home and hospital spirometry  , intrasubject coefficient of variation ( CV ) for FEV(1 ) and FEF(25 - 75 ) , and sensitivity of these variables for the detection of acute complications .  Twenty-two bilateral-lung and heart-lung transplant recipients were followed for a median of 473 d ( range , 60 - 822 ) , during which 13,833 measurements were obtained . Patient compliance was 55 % for two measurements a day and 84 % for one measurement a day . Agreement between home and hospital spirometry was within 4 % for FEV(1 ) and 6 % for FEF(25 - 75 ) . Mean CV was 3.2 % for FEV(1 ) and 7.5 % for FEF(25 - 75 ) . Using transbronchial lung biopsy and /or bronchoalveolar lavage as gold st and ards , the sensitivity of home spirometry was 63 % , and 23 % of true positives were detected by changes in FEF(25 - 75 ) alone . We conclude that home monitoring of pulmonary function in lung transplant recipients via the Internet is feasible and provides very reproducible data ; yet it has only a mild sensitivity for the detection of acute allograft dysfunction
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 .